2025-04-02T16:19:55+00:00 2024-05-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-06-01 463645590 CMH Properties CMHP 4173266000 1500 N OAKLAND BOLIVAR MO 65613 MICHAEL CALHOUN EXECUTIVE DIRECTOR 2025-04-02 true Brian Todd P00422601 4178658701 2025-04-02 2023 2025-03-06 01:10:19Z MICHAEL CALHOUN 1500 N OAKLAND BOLIVAR MO 65613 2696846 false X WWW.CITIZENSMEMORIAL.COM X 2013 MO TO SUPPORT AND ASSIST CITIZENS MEMORIAL HOSPITAL AND CITIZENS MEMORIAL HEALTH CARE FOUNDATION. 9 5 0 9 0 0 0 0 2454406 2324372 4011 41046 39546 38385 2497963 2403803 0 0 0 0 0 0 0 0 0 2188329 2196246 2188329 2196246 309634 207557 37618512 36807174 36533816 35490106 1084696 1317068 NONE false false 2157497 2324372 TO SUPPORT AND ASSIST CITIZENS MEMORIAL HOSPITAL AND CITIZENS MEMORIAL HEALTH CARE FOUNDATION. 2157497 true false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 2 0 true 0 false false false false false false false false false false false false X 9 5 true false false false false false false true true false false true true true true false false false false false X RENEE MEYER 4173286258 1500 N OAKLAND BOLIVAR MO 65613 JANIECA HANCOCK BOARD PRESIDENT 1.0 1.0 X X 0 0 0 JOHN KALLENBACH BOARD VICE PRESIDENT 1.0 1.0 X X 0 0 0 MICHAEL CALHOUN Executive Director 10.0 35.0 X X 0 407329 18273 D MICHELLE MEENTS BOARD MEMBER / PHYSICIAN 1.0 44.0 X 0 378847 20129 DONALD J BABB BOARD MEMBER 1.0 1.0 X 0 0 0 GARY D FULBRIGHT BOARD MEMBER 1.0 44.0 X 0 49726 0 JAMES ASHWORTH BOARD MEMBER 1.0 1.0 X 0 0 0 K RONALD SMITH BOARD MEMBER / PHYSICIAN 1.0 44.0 X 0 239422 2860 KATRINA BANNER BOARD MEMBER 1.0 1.0 X 0 0 0 ERAN DAWSON SECRETARY NON-VOTING 1.0 44.0 X 0 65827 18820 RENEE MEYER CFO / TREASURER 1.0 44.0 X 0 276886 12539 0 1418037 72621 0 false true false 0 0 RENT FROM AFFILIATES 532000 2228972 2228972 MAINTENANCE FEES 811000 95400 95400 0 0 0 0 2324372 41046 41046 331428 293043 38385 0 38385 38385 0 0 0 0 0 0 0 2403803 2324372 0 79431 0 0 38749 38749 0 0 0 0 92394 92394 917976 917976 1047720 1047720 4036 4036 REPAIRS & MAINTENANCE 95371 95371 0 0 0 0 2196246 2157497 38749 0 849414 441021 1285661 1760076 27175 0 0 0 0 39843 42403814 7864755 35483437 34539059 0 0 0 0 37618512 36807174 35583 19707 0 0 36482132 35450494 16101 19905 36533816 35490106 X 1084696 1317068 1084696 1317068 37618512 36807174 207557 24815 0 X false true X true false X X X 2 CITIZENS MEMORIAL HOSPITAL 431142176 3 true 0 0 CITIZENS MEMORIAL HEALTH CARE FOUNDATION 431425356 9 true 0 0 2 0 0 true false false false false false false false false false false false false false false false Schedule A, Part IV, Section C, Line 1 Majority director detail THE CEO OF CITIZENS MEMORIAL HOSPITAL AND A MEMBER OF THE BOARD OF DIRECTORS OF CITIZENS MEMORIAL HOSPITAL SHALL SERVE AS EX-OFFICIO VOTING MEMBERS OF THE BOARD. THE HOSPITAL DIRECTORS SHALL CHOOSE WHICH OF ITS MEMBERS SHALL SERVE AS EX-OFFICIO MEMBERS OF THE BOARD. NOMINATIONS FOR ELECTION OF DIRECTORS SHALL BE MADE BY THE CEO OF THE CITIZENS MEMORIAL HOSPITAL. 2184260 2184260 38612546 7550511 31062035 906896 177340 729556 700112 136904 563208 34539059 DUE TO AFFILIATES 19905 19905 2721661 24815 0 24815 2696846 -293043 -293043 2403803 2489289 293043 293043 2196246 0 0 2196246 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements RENTAL EXPENSES - -293043 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSES - 293043 false false false false false true false false MICHAEL CALHOUN Executive Director 0 347945 0 12256 0 47128 0 3300 0 14973 0 425602 0 0 D MICHELLE MEENTS BOARD MEMBER / PHYSICIAN 0 338025 0 12532 0 28290 0 3300 0 16829 0 398976 0 0 K RONALD SMITH BOARD MEMBER / PHYSICIAN 0 227305 0 9846 0 2271 0 2380 0 480 0 242282 0 0 RENEE MEYER CFO / TREASURER 0 210919 0 10854 0 55113 0 2729 0 9810 0 289425 0 0 Schedule J, Part I, Line 3 CRITERIA TO ESTABLISH EXECUTIVE DIRECTOR COMPENSATION THE ORGANIZATION'S EXECUTIVE DIRECTOR, MICHAEL CALHOUN, IS PAID THROUGH CITIZEN MEMORIAL HOSPITAL DISTRICT, A RELATED ORGANIZATION. AT THE DISTRICT LEVEL, HIS COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS USING COMPARABLE STATISTICS FOR SIMILAR POSITIONS IN THE HEALTHCARE INDUSTRY. Schedule J, Part I, Line 6a COMPENSATION CONTINGENT ON NET EARNINGS OF THE ORGANIZATION EMPLOYEES ARE ELIGIBLE FOR THE EMPLOYEE BENEFIT PLAN KNOWN AS A PROFIT SHARING PLAN AFTER ONE YEAR OF SERVICE. ONE-THOUSAND (1000) HOURS OR MORE OF SERVICE SHALL BE REQUIRED TO CONSTITUTE ONE YEAR OF SERVICE. ANNUALLY, THE BOARD OF DIRECTORS SHALL DETERMINE THE AMOUNT TO CONTRIBUTE TO THE PLAN. TO BE ELIGIBLE FOR A CONTRIBUTION, THE EMPLOYEES MUST WORK AT LEAST 1000 HOURS DURING THE CALENDAR YEAR AND MUST BE EMPLOYED ON THE LAST DAY OF THE PLAN YEAR. Form 990, Part VI, Line 15a SECTION C, COMPENSATION REVIEW POLICY THE BOARD OF DIRECTORS OF CITIZENS MEMORIAL HOSPITAL DISTRICT, A RELATED ORGANIZATION, ESTABLISHES THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER/EXECUTIVE DIRECTOR BASED UPON COMPENSATION FOR SIMILAR POSITIONS IN THE HEALTHCARE INDUSTRY. A WRITTEN EMPLOYMENT AGREEMENT DETAILS THE SALARY AND BENEFITS FOR THE CEO/EXECUTIVE DIRECTOR. CITIZENS MEMORIAL HEALTH CARE FOUNDATION, A RELATED ORGANIZATION, PAYS A PERCENTAGE OF THE TOTAL BASED UPON THE ESTIMATED PERCENTAGE OF TIME SPLIT BETWEEN THE TWO ORGANIZATIONS. THIS PERCENTAGE IS NOT ANNUALLY REVIEWED OR APPROVED BY THE CITIZENS MEMORIAL HOSPITAL DISTRICT BOARD OF DIRECTORS. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons JANIECA HANCOCK - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE REVIEWED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE 990 WILL BE REVIEWED BY TOP MANAGEMENT. AFTER MANAGEMENT'S REVIEW, A COPY OF THE 990 WILL BE PROVIDED TO THE BOARD FOR THEIR REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY, THE OFFICERS AND DIRECTORS DISCLOSE ALL KNOWN CONFLICTS OF INTEREST. ANY BOARD MEMBERS WITH A CONFLICT OF INTEREST ABSTAINS FROM VOTING ON ANY MATTER RELATED TO THAT CONFLICT. Form 990, Part VI, Line 19 Required documents available to the public IN GENERAL, DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST ONLY. CITIZENS MEMORIAL HEALTH CARE FOUNDATION 1500 N OAKLAND BOLIVAR MO 65613 431425356 FOUNDATION MO 501(c)(3) 10 NA false CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 431142176 HOSPITAL MO 501(c)(3) 3 NA false RIVERSIDE MANAGEMENT AND REHAB 1500 N OAKLAND BOLIVAR MO 65613 431776752 MTG AND REHAB MO 501(c)(3) 10 CMH false BOLIVAR MEDICAL BUILDING 26-27 1218 W LOCUST STREET BOLIVAR MO 65613 MED BLDG MO NA false false false false false false false false false true false false false true true false false false false