2025-11-14T13:29:52-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2024-01-01 430998347 BOONE HOSPITAL CENTER'S VISITING NURSES BOON 5738158732 1605 E BROADWAY 250 COLUMBIA MO 65201 EDWARD CLAYTON CFO 5738158732 2025-11-13 1 0 STEPHANIE MCCARTHY P01805699 3149254300 2025-11-10 2024 2025-03-06 01:10:19Z BRADY DUBOIS 1605 E BROADWAY 250 COLUMBIA MO 65201 0 0 X WWW.BOONE.HEALTH/SERVICES/HOME-CARE-AND-HOSPICE X 1972 MO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. 6 0 0 0 0 0 0 0 2219398 0 57816 0 0 0 2277214 0 0 0 0 0 2377553 0 0 0 0 741014 0 3118567 0 -841353 0 95506 0 460270 364764 -364764 -364764 TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. WE WILL ACCOMPLISH THAT MISSION BY MAKING BOONE AN EXCELLENT PLACE TO WORK AND TO RECEIVE HEALTH CARE. 0 0 0 0 0 BOONE HEALTH HOME CARE AND HOSPICE BRINGS THE EXCELLENCE OF BOONE HEALTH DIRECTLY TO OUR PATIENT'S HOMES.BOONE HEALTH HOME CARE IS THERE FOR PATIENTS WHO HAVE BEEN DISCHARGED FROM THE HOSPITAL, OR OTHER FACILITY, WHILE STILL NEEDING CLOSE MEDICAL SUPERVISION. OTHER TIMES, OUR HOME CARE SERVICES HELP WHEN A DOCTOR DECIDES THAT A PATIENT NEEDS ASSISTANCE BUT MAY NOT NEED TO COME TO THE HOSPITAL. THERE WAS NO ACTIVITY IN 2024. 0 0 0 HOME-BASED HOSPICE SERVICES ARE AVAILABLE TO PATIENTS WHEN THEY AND THEIR PHYSICIANS DETERMINE THAT A CURE IS NO LONGER AN OPTION. WE HELP PATIENTS WITH TERMINAL ILLNESSES THAT HAVE LIFE EXPECTANCIES OF SIX MONTHS OR LESS. WITH HOSPICE CARE, OUR FOCUS IS ON MAINTAINING QUALITY OF LIFE BY KEEPING PATIENTS PAIN FREE AND COMFORTABLE AS POSSIBLE.THERE WAS NO ACTIVITY IN 2024. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X BRIAN WINN 5738153269 1600 E BROADWAY COLUMBIA MO 65201 ANGELA SCHMITT BOARD MEMBER/HOSPITALIST 1.00 40.00 X 0 468940 35360 BRADY DUBOIS CHAIRMAN/CEO 20.00 20.00 X X 0 682291 48318 CHRISTOPHER SCHIAVO BOARD MEMBER/HOSPITALIST 1.00 40.00 X 0 184996 11860 LIZ EIKEL SECRETARY/COMPLIANCE SPECIALIST 1.00 40.00 X X 0 89110 16234 MICHAEL SZEWCZYK PRESIDENT/PHYSICIAN 1.00 40.00 X X 0 80005 0 MONICA SMITH BOARD MEMBER/COO (TERM 2024) 20.00 20.00 X X 0 508704 12563 SHANNON KUCZYNSKI BOARD MEMBER/CNE 20.00 20.00 X 0 325111 16995 CHRISTIAN JONES COO 20.00 20.00 X 0 246614 24334 EDWARD CLAYTON CFO 20.00 20.00 X 0 448424 48466 KATE PITZER HOSPITAL ADMINISTRATION/GENERAL COUNSEL 3.00 37.00 X 0 237683 10757 CHAD PEW FORMER OFFICER (TERM 2023) 20.00 20.00 X 0 151349 10100 0 3423227 234987 0 1 1 0 0 0 0 0 0 0 0 0 0 5817 89689 95506 0 114183 25219 346087 339545 460270 364764 X -364764 -364764 -364764 -364764 95506 0 0 0 X X 0 0 0 X X X 1 CH ALLIED SERVICES INC 431279063 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 DUE TO AFFILIATES 339545 339545 0 1 0 0 0 0 0 0 0 BRADY DUBOIS CHAIRMAN/CEO 0 682291 0 0 0 0 0 23000 0 25318 0 730609 0 0 MONICA SMITH BOARD MEMBER/COO (TERM 2024) 0 486670 0 0 0 22034 0 6686 0 5877 0 521267 0 0 ANGELA SCHMITT BOARD MEMBER/HOSPITALIST 0 450056 0 18884 0 0 0 23000 0 12360 0 504300 0 0 EDWARD CLAYTON CFO 0 439285 0 0 0 9139 0 23000 0 25466 0 496890 0 0 SHANNON KUCZYNSKI BOARD MEMBER/CNE 0 320908 0 0 0 4203 0 15777 0 1218 0 342106 0 0 CHRISTIAN JONES COO 0 246614 0 0 0 0 0 7875 0 16459 0 270948 0 0 KATE PITZER HOSPITAL ADMINISTRATION/GENERAL COUN 0 237683 0 0 0 0 0 10373 0 384 0 248440 0 0 CHRISTOPHER SCHIAVO BOARD MEMBER/HOSPITALIST 0 171517 0 13479 0 0 0 0 0 11860 0 196856 0 0 CHAD PEW FORMER OFFICER (TERM 2023) 0 134665 0 0 0 16684 0 10100 0 0 0 161449 0 0 PART I, LINE 4B CONTRIBUTIONS TO A 457(F) PLAN WERE MADE BY A RELATED ORGANIZATION, CH ALLIED SERVICES, INC., FOR THE FOLLOWING DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF THIS ORGANIZATION: BRADY DUBOIS $23,000.00 CHAD PEW $10,099.89 CHRIS JONES $7,875.04 EDWARD CLAYTON $23,000.00 KATE PITZER $10,373.42 MONICA SMITH $6,685.88 SHANNON KUCZYNSKI $15,777.20 THE CONTRIBUTIONS WERE A RESULT OF PERFORMANCE OF SERVICES TO THE RELATED ORGANIZATION AND WERE NOT A RESULT OF SERVING AS DIRECTORS OF THIS ORGANIZATION. DISTRIBUTIONS TO A 457(F) PLAN WERE MADE BY A RELATED ORGANIZATION, CH ALLIED SERVICES, INC., FOR THE FOLLOWING DIRECTORS AND OFFICERS OF THIS ORGANIZATION: CHAD PEW $16,684.40 EDWARD CLAYTON $9,138.62 MONICA SMITH $22,034.01 SHANNON KUCZYNSKI $4,203.34 THE PARTICIPATION IN THE 457(F) PLAN IS A RESULT OF PERFORMANCE OF SERVICES TO THE RELATED ORGANIZATION AND WERE NOT A RESULT OF SERVING AS DIRECTORS OF THIS ORGANIZATION. FORM 990, PAGE 4, PART V, LINE 1A ALL VENDOR INVOICES FOR THIS ORGANIZATION ARE PAID BY A RELATED ENTITY, CH ALLIED SERVICES, INC. (FEIN 43-1279063). AS A RESULT, ALL FORMS 1099 ARE FILED BY THE RELATED ENTITY. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS CH ALLIED SERVICES, INC., A MISSOURI NON-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS OF THIS ORGANIZATION ARE ELECTED BY THE SOLE MEMBER AT ITS ANNUAL MEETING. THE SOLE MEMBER MAY ALSO REMOVE ANY DIRECTOR WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER RESERVES THE AUTHORITY TO APPROVE OF THE FOLLOWING ACTIONS BEFORE THEY ARE UNDERTAKEN: CREATION OR TRANSFER OF A MEMBERSHIP INTEREST IN THE ORGANIZATION; SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; MERGER OF THE ORGANIZATION; AMENDING THE ARTICLES OR THE BYLAWS; INCURRENCE OF DEBT, INCLUDING, WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, OR CAPITAL LEASES; CREATION OF SUBSIDIARIES OF THE ORGANIZATION; ANY ACTION THAT WOULD IMPAIR OR AFFECT THE TAX-EXEMPT STATUS OF THE ORGANIZATION; OR DISSOLUTION, LIQUIDATION, OR TERMINATION OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CFO AND CONTROLLER OF BOONE HEALTH, INC., A RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 12C ALL PERSONNEL OF THE ORGANIZATION AT THE DIRECTOR LEVEL OR ABOVE COMPLETE AN ANNUAL SURVERY TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. THE ORGANIZATION'S RISK MANAGEMENT GROUP REVIEWS THE SURVEYS AND MONITORS ANY ITEMS THAT MAY LEAD TO A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 A RELATED ENTITY, CH ALLIED SERVICES, INC., PAYS THE COMPENSATION FOR ALL OFFICERS OF THIS ORGANIZATION. THE RELATED ORGANIZATION UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT TO DETERMINE STANDARD BASE RATES FOR THE CEO AND OTHER OFFICERS. AN INCENTIVE PLAN, WHICH IS BASED ON ORGANIZATIONAL PERFORMAION AS COMPARED TO KEY PERFORMANCE INDICATORS CHOSEN PRIOR TO THE FISCAL YEAR, IS ALSO DETERMINED BY THE INDEPENDENT COMPENSATION CONSULTANT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. FORM 990, PAGE 12, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CH ALLIED SERVICES INC 1600 E BROADWAY COLUMBIA MO 65201 431279063 HOSPITAL MO 501(C)(3) LINE 3 BOONE HEALTH INC 0 BOONE HEALTH INC 1600 E BROADWAY COLUMBIA MO 65201 850769204 HOSPITAL GOVERNANCE MO 501(C)(3) LINE 12C, III-FI 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 1 0 0 0 0