2025-11-15T12:37:53+00:00 2024-12-31 440160260 Forvis Mazars LLP 1201 Walnut Street Suite 1700 Kansas City MO 641062246 990 2024-01-01 480892178 Citizens Medical Center Inc CITI 7854627511 100 E College Drive Colby KS 67701 DAVID MCCORKLE CEO 7854627511 2025-11-15 true true Kevin Ensminger P01310558 8162216300 2025-11-17 2024 2025-03-06 01:10:19Z DAVID MCCORKLE 100 E College Drive Colby KS 67701 67418722 false X WWW.CMCIKS.COM X 1979 KS ENHANCING THE LIVES OF THOSE WE SERVE. 7 7 535 25 0 2937915 1087704 61091210 64924722 4957 261825 1738642 1144471 65772724 67418722 14632 13380 0 33684656 35184258 0 93467 31088784 36104714 64788072 71302352 984652 -3883630 42466298 154270469 16610668 132298469 25855630 21972000 ENHANCING THE LIVES OF THOSE WE SERVE. false false 60431200 13380 64879853 CMCI PROVIDED A WIDE RANGE OF HEALTHCARE SERVICES TO RESIDENTS OF ITS SERVICE AREA. 4,151 PATIENT DAYS OF INPATIENT CARE, 16,059 PATIENT DAYS OF NURSING FACILITY CARE, 3,846 EMERGENCY ROOM VISITS, AND 32,918 PHYSICIAN CLINIC VISITS WERE PROVIDED DURING THE FISCAL YEAR. 60431200 true true false true false false false false false false true false false true false false true false false false false false false false false false true true false true true false false false false false false false false false false false false false false false true true true true false true 24 0 true 535 true true true false false false false false false false false false false false false X 7 7 false false false false true true false true true false false false false true true true true true true true false false KS X ALLAN SCROGGINS 7854627511 100 E COLLEGE DRIVE COLBY KS 67701 BOB STANDAGE TRUSTEE /CHAIR 4.0 0.0 X X 0 0 0 LON FRAHM TRUSTEE/VICE CHAIR 4.0 0.0 X X 0 0 0 MICHAEL HAMILTON TRUSTEE/TREASURER 4.0 0.0 X X 0 0 0 Nichole Moss TRUSTEE/Secretary 4.0 0.0 X X 0 0 0 Dr Sam Funk Trustee 4.0 0.0 X 0 0 0 JEANENE BROWN TRUSTEE 4.0 0.0 X 0 0 0 Paul Bange Trustee 4.0 0.0 X 0 0 0 DAVID MCCORKLE CHIEF EXECUTIVE OFFICER 40.0 1.0 X 266211 0 36664 RYAN STOVER CHIEF FINANCIAL OFFICER 40.0 1.0 X 175160 0 23001 BRENDA KOPRIVA PHYSICIAN 40.0 0.0 X 422039 0 41200 DARREN MATCHELL PHYSICIAN 40.0 0.0 X 400134 0 37028 DERECK TOTTEN PHYSICIAN 40.0 0.0 X 333357 0 44368 Kysha Totten Physician 40.0 0.0 X 329855 0 21606 Stevan Budi Physician 40.0 0.0 X 448755 0 25110 GREG UNRUH FORMER CEO 40.0 0.0 X 164031 0 22782 2539542 0 251759 54 true true false MCCARTHY BUILDING CO INC 12851 MANCHESTER RD ST LOUIS MO 63131 CONTRUCTION 2908110 CLINICAL COLLEAGUES KS PA PO BOX 74644 ATLANTA GA 30374 ANESTHESIA SERVICES 1729557 MY ARROWS PATH LLC 1818 HARVEY COURT COLBY KS 67701 CONSULTING SERVICES (340B) 1429135 SALINA ORTHO 523 S SANTA FE AVE SALINA KS 67401 ORTHO MEDICAL SERVICES 1027320 MEDICAL RECOVERY SERVICES 901 W MAIN ST STE 100 BLUE SPRINGS MO 64015 BILLING SERVICES 804051 51 292870 794834 1087704 NET PATIENT SERVICE REVENUE 621990 61226292 61226292 340B DRUG PROGRAM 621990 3698430 3698430 0 0 0 0 64924722 261825 261825 5022 5022 0 5022 5022 0 0 CHILDCARE 621990 440239 440239 CAFETERIA & VENDING 446110 208939 208939 VHA INCENTIVE/MEDLINE 624410 97622 97622 392649 12286 0 380363 1139449 67418722 64937008 0 1394010 X 4880 4880 8500 8500 484800 484800 27577411 24827936 2715240 34235 1340977 1223232 116474 1271 3828637 3401324 423018 4295 1952433 1723339 226628 2466 37955 37955 293619 293619 5098 5098 9179508 7599996 1579512 0 84853 15387 69466 3345454 3178451 165973 1030 2563320 907749 1655571 497233 281366 211943 3924 127438 94024 32946 468 88281 79291 8922 68 625228 309488 309488 6252 2770489 1371392 1371392 27705 877358 529353 348005 DRUGS 9444116 9444116 REPAIRS AND MAINTENANCE 1295851 1112324 180043 3484 DUES & SUBSCRIPTIONS 1574458 1449844 124614 MEDICAL SUPPLIES 1481183 1481183 1813272 1388025 416978 8269 71302352 60431200 10777685 93467 3648 2521 8169940 10529824 0 0 0 0 309782 255185 1813982 1990264 765320 697882 105323043 29781897 26677891 75541146 0 0 933509 933509 3792226 64320138 42466298 154270469 12308172 19531990 0 0 4302496 112766479 0 0 16610668 132298469 X 24917904 20795682 937726 1176318 25855630 21972000 42466298 154270469 -3883630 0 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 5098 false false false 5098 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY CITIZENS MEDICAL CENTER, INC., IS A MEMBER OF THE KANSAS HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THESE ORGANIZATIONS ENGAGE IN LOBBYING ACTIVITIES FOR HOSPITAL AND GENERAL HEALTH CARE INTERESTS AS PART OF THE SERVICES PROVIDED TO MEMBERS. 13.9% OF KHA DUES PAID WERE FOR LOBBYING ACTIVITIES. 235982 235982 21646474 17248870 4397604 2097638 1924704 172934 18944289 10608323 8335966 62398660 0 62398660 75541146 INTEREST IN NET ASSETS OF FOUNDATION 1176318 OTHER RECEIVABLES 1536009 DUE FROM THIRD PARTY PAYOR 733000 ASSETS LIMITED AS TO USE 60874811 64320138 67356580 0 0 67356580 62142 62142 67418722 71240210 0 0 71240210 62142 62142 71302352 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 OUTSIDE SALES - 62142 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements OUTISDE SALES - 62142 true true X true X 130 true X 0 0 327445 0 327445 0.00480 0 0 3153314 2295896 857418 0.01256 0 0 0 0 0 0.0 0 0 3480759 2295896 1184863 0.01736 18 1822 96876 0 96876 0.00142 15 249 121916 0 121916 0.00179 0 0 0 0 0 0.0 0 0 0 0 0 0.0 1 5888 0 5888 0.00009 34 2071 224680 0 224680 0.00329 34 2071 3705439 2295896 1409543 0.02065 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 3032758 59126363 59126363 0 X true true 1 1 CITIZENS MEDICAL CENTER 100 E COLLEGE DRIVE COLBY KS 67701 WWW.CMCIKS.COM H097001 X X X X NURSING FACILITY AND RURAL HEALTH CLINIC CITIZENS MEDICAL CENTER 1 false false true X X X X X X X X X 24 true false true true X HTTPS://CMCIKS.COM/PATIENTS-VISITORS/COMMUNITY-HEALTH-ASSESSMENT/ X true 24 true HTTPS://CMCIKS.COM/PATIENTS-VISITORS/COMMUNITY-HEALTH-ASSESSMENT/ false true X 130.0 300.0 X X X true true X X X true X HTTPS://CMCIKS.COM/CITIZENS-MEDICAL-CENTER/PATIENT-FINANCIAL-SERVICES/ X HTTPS://CMCIKS.COM/CITIZENS-MEDICAL-CENTER/PATIENT-FINANCIAL-SERVICES/ X HTTPS://CMCIKS.COM/CITIZENS-MEDICAL-CENTER/PATIENT-FINANCIAL-SERVICES/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CITIZENS MEDICAL CENTER. EACH COMMUNITY HAS A WEALTH OF EXPERTISE TO BE TAPPED TO CONDUCT THE CHNA. FOR THIS PURPOSE, TOWN HALL MEETINGS ARE THE PERFECT FORUM TO GATHER COMMUNITY INSIGHT. TOWN HALL SESSIONS WERE ORGANIZED TO PROVIDE AN OBJECTIVE CONSENSUS-BUILDING METHOD OF REVIEWING AND PRIORITIZING THE COUNTY HEALTH ISSUES. DURING THE MEETINGS, THE TOPICS OF ISSUE WERE ADDRESSED WITH ROUND TABLE DISCUSSIONS. THE INDIVIDUALS AND ORGANIZATIONS COMPRISING THE TOWN HALLS WERE CRITICALLY IMPORTANT TO THE SUCCESS OF THE CHNA. THE FOLLOWING LIST OUTLINES PARTNERS INVITED TO EACH TOWN HALL MEETING: LOCAL HOSPITAL, PUBLIC HEALTH COMMUNITY, MENTAL HEALTH COMMUNITY, COMMUNITY-BASED CLINICS, SERVICE PROVIDERS, LOCAL RESIDENTS, COMMUNITY LEADERS, OPINION LEADERS, SCHOOL LEADERS, BUSINESS LEADERS, LOCAL GOVERNMENT, FAITH-BASED ORGANIZATIONS AND PERSONS (OR ORGANIZATIONS) SERVING THEM, PEOPLE WITH CHRONIC CONDITIONS, UNINSURED COMMUNITY MEMBERS, LOW-INCOME RESIDENTS, AND MINORITY GROUPS. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - CITIZENS MEDICAL CENTER. THOMAS COUNTY HEALTH DEPARTMENT AND THOMAS COUNTY COMMISSIONERS/REPRESENTATIVES. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CITIZENS MEDICAL CENTER. THE TOP AREAS OF NEED FOUND IN THE 2024 CHNA PROCESS WERE AS FOLLOWS: 1. CHILDCARE (AVAILABLE AND AFFORDABLE) 2. HOUSING (AFOORDABLE AND AVAILABLE) 3. MENTAL HEALTH (DIAG, TREATMENT, AFTERCARE, PROVIDER ACCESS) 4. MEDICAID EXPANSION 5. HEALTH EDUCATION (STARTING WITH YOUTH) 6. VISITING SPECIALISTS (ENT, DERM, ORAL SURGERY, THE, PEDS, GER) 7. DIALYSIS 8. LACK OF ONGOING VACCINATIONS 9. ACCESS TO DENTISTS THESE NEEDS ARE BEING ADDRESSED ON AN ONGOING BASIS ACCORDING TO THE IMPLEMENTATION PLAN. ALTHOUGH THERE WERE OTHER NEEDS IDENTIFIED DURING THE CHNA PROCESS, NOT ALL NEEDS ARE BEING ADDRESSED BY CMCI DUE TO BOTH TIME AND FINANCIAL RESOURCES. 2 PRAIRIE SENIOR LIVING COMPLEX 1625 S FRANKLIN AVE COLBY KS 67701 LONG-TERM CARE FACILITY FAMILY CENTER FOR HEALTH CARE 310 E COLLEGE DRIVE COLBY KS 67701 RURAL HEALTH CLINIC Schedule H, Part I, Line 7 FINANCIAL ASSISTANCE AT COST WAS DETERMINED BY UTILIZING DEPARTMENTAL COST-TO-CHARGE RATIOS FOR FINANCIAL ASSISTANCE PROVIDED IN AREAS THAT ARE REPORTED AS SUBSIDIZED HEALTH SERVICES. AN OVERALL COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO DETERMINE THE COST OF FINANCIAL ASSISTANCE PROVIED FOR SERVICES NOT REPORTED AS SUBSIDIZED HEALTH SERVICES. UNREIMBURSED MEDICAL COSTS WERE ALSO DETERMINED USING A BLEND OF COST-TO-CHARGE RATIOS FOR CERTAIN SERVICES AND AN OVERALL COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 FOR ALL OTHER SERVICES. THE COST OF PROVIDING SUBSIDIZED HEALTH SERVICES WAS DETERMINED USING A COST-TO-CHARGE RATIO FOR EACH SERVICE. ACTUAL COSTS AND REVENUES WERE UTILIZED FOR ALL OTHER ITEMS REPORTED ON LINE 7. Schedule H, Part I, Line 7f NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. Schedule H, Part III, Line 2 BAD DEBTS AT COST WERE DETERMINED BY UTILIZING DEPARTMENTAL COST-TO-CHARGE RATIOS FOR BAD DEBTS IN AREAS THAT ARE REPORTED AS SUBSIDIZED HEALTH SERVICES. AN OVERALL COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO DETERMINE THE COST OF BAD DEBTS IN ALL OTHER AREAS. Schedule H, Part III, Line 3 THE COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. WHILE WE RECOGNIZE THAT THERE WOULD BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF ELIGIBILITY IS KNOWN, THE AMOUNT WOULD FALL UNDER CHARITY CARE AND NOT BAD DEBT. Schedule H, Part III, Line 4 NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. Schedule H, Part III, Line 8 MEDICARE ALLOWABLE COSTS WERE DETERMINED USING AMOUNTS FROM THE MEDICAL CENTER'S MEDICARE COST REPORT. THE MEDICARE COST REPORT APPORTIONS ACTUAL COSTS TO THE MEDICARE PROGRAM USING CHARGES FOR ANCILLARY SERVICES AND PATIENT DAYS FOR NURSING SERVICES. THE MEDICAL CENTER BELIEVES THAT ALL OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THE MEDICAL CENTER PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. Schedule H, Part III, Line 9b THE FINANCIAL ASSISTANCE POLICY STATES THAT PATIENTS QUALIFYING FOR CHARITY CARE MUST COMPLETE A FINANCIAL ASSISTANCE QUESTIONNAIRE AND SUBMIT A COPY OF THE PATIENT'S OR RELATIVE'S MOST RECENTLY-FILED TAX RETURN. IF CHARITY CARE IS CONSIDERED APPROPRIATE BY A COMMITTEE, THE PATIENT'S LIABILITY WILL BE REDUCED BY THE APPROVED AMOUNT. ANY REMAINING BALANCE ON PATIENT ACCOUNTS IS SUBJECT TO THE DEBT COLLECTION PROCEDURES ARTICULATED IN THE WRITTEN POLICY. Schedule H, Part VI, Line 2 THE MEDICAL CENTER ASSESSES THE COMMUNITY HEALTH CARE NEEDS PRIMARILY FROM RESPONSES FROM PATIENTS, COMMUNITY MEMBERS, AND HEALTH PROFESSIONALS. THE MEDICAL CENTER WILL TAKE INTO ACCOUNT CONCERNS OR REQUESTS FOR SERVICES THAT ARE EXPRESSED BY ALL PATIENTS AND COMMUNITY MEMBERS. ALSO, THE MEDICAL CENTER CONSIDERS REQUESTS MADE BY HEALTH PROFESSIONALS WHO INCLUDE, BUT ARE NOT LIMIT TO, PHYSICIANS, MID-LEVEL PROVIDERS, SOCIAL WORKERS, NURSES, AND DIETICIANS. Schedule H, Part VI, Line 3 ALL UNINSURED AND UNDER-INSURED PATIENTS ARE IDENTIFIED AND SCREENED UPON ADMISSION BY THE PATIENT FINANCIAL ADVISOR. DURING THIS INTERVIEW PROCESS, PAYMENT TERMS ARE DISCUSSED. IF THE PATIENT APPEARS TO NOT HAVE THE ABILITY TO PAY, THEY ARE ASKED TO COMPLETE A FINANCIAL QUESTIONNAIRE AND PROVIDE A COPY OF THEIR MOST RECENTLY FILED TAX RETURN FOR DETERMINING THEIR ABILITY TO PAY UNDER THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. IF DURING THIS INTERVIEW PROCESS, IT APPEARS THAT A PATIENT MAY QUALIFY FOR ASSISTANCE UNDER STATE OR FEDERAL ASSISTANCE PROGRAMS, THEY ARE REFERRED TO CMCI'S SOCIAL SERVICES DEPARTMENT FOR ASSISTANCE IN COMPLETING THE APPLICABLE APPLICATIONS. Schedule H, Part VI, Line 4 THE MEDICAL CENTER IS LOCATED IN COLBY, KS AND SERVES THE NINE-COUNTY REGION OF NORTHWEST KANSAS, SEVERAL OF WHICH ARE MEDICALLY UNDERSERVED. THERE ARE A TOTAL OF EIGHT SMALL HOSPITALS SERVING THIS NINE-COUNTY REGION, HOWEVER, CMCI PROVIDES MANY SERVICES THAT ARE UNAVAILABLE IN SMALLER HOSPITALS. THE CLOSEST HOSPITALS TO THE MEDICAL CENTER ARE LOCATED IN OAKLEY, ATWOOD, AND HOXIE. THESE HOSPITALS ARE APPROXIMATELY 23,30, AND 36 MILES FROM COLBY, RESPECTIVELY. THE HIGHEST CONCENTRATION OF POPULATION FOR THE SERVICE AREA IS LOCATED IN COLBY, KS. COLBY HAS A POPULATION OF APPROXIMATELY 5,400 PEOPLE. THE MEDIAN HOUSEHOLD INCOME FOR THE CITY IS APPROXIMATELY $48,600. A MAJOR PORTION OF THE POPULATION THAT THE MEDICAL CENTER SERVES IS MEDICARE-ELIGIBLE CITIZENS WHO LIVE ON A FIXED INCOME. Schedule H, Part VI, Line 5 THE MEDICAL CENTER IS A GRANTEE OF THE KANSAS DEPARTMENT OF HEALTH & ENVIRONMENT, KANSAS QUALITY OF CARE PROJECT, AND PARTICIPATES IN PROGRAMS IDENTIFIED BY THE STATE AS NEEDED TO HELP IMPROVE THE HEALTH OF RESIDENTS OF OUR STATE AND LOCAL AREA. KANSAS PROMOTING HEALTH PROGRAM IS A CHONIC DISEASE SUPPORT GROUP AND IS A PROGRAM IN WHICH THE MEDICAL CENTER HAS TRAINED FACILITATORS AND OFFERS CLASSES. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 3032758 Schedule H, Part V, Section B, Line 16a FAP website - CITIZENS MEDICAL CENTER: Line 16a URL: HTTPS://CMCIKS.COM/CITIZENS-MEDICAL-CENTER/PATIENT-FINANCIAL-SERVICES/; Schedule H, Part V, Section B, Line 16b FAP Application website - CITIZENS MEDICAL CENTER: Line 16b URL: HTTPS://CMCIKS.COM/CITIZENS-MEDICAL-CENTER/PATIENT-FINANCIAL-SERVICES/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CITIZENS MEDICAL CENTER: Line 16c URL: HTTPS://CMCIKS.COM/CITIZENS-MEDICAL-CENTER/PATIENT-FINANCIAL-SERVICES/; true SCHOLARSHIPS 11 8500 COST Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds CITIZENS MEDICAL CENTER AWARDS SCHOLARSHIPS ANNUALLY TO INDIVIDUALS WHO ARE STUDYING IN HEALTHCARE FIELDS INCLUDING, BUT NOT LIMITED TO: NURSING, LAB, RADIOLOGY, THERAPY, DIETETICS, MEDICAL RECORDS, TRANSCRIPTION, GERIATRICS, MD, DO, ARNP, PA, PHARMACY, SOCIAL SERVICES, OR HEALTHCARE ADMINISTRATION. CANDIDATES MUST COMPLETE AN APPLICATION AND ARE INTERVIEWED BY THE FOUNDATION EXECUTIVE DIRECTOR AND EDUCATION MANAGER. THE CITIZENS FOUNDATION BOARD AND CEO APPROVE THE FINAL SCHOLARSHIP RECIPIENTS. THE SCHOLARSHIP RECIPIENTS ARE RESPONSIBLE FOR TRACKING THE FUNDS AFTER AWARDS ARE MADE. X X false false false true false true false false false GREG UNRUH FORMER CEO 159455 0 0 0 4576 0 8729 0 14053 0 186813 0 0 0 DAVID MCCORKLE CHIEF EXECUTIVE OFFICER 265941 0 0 0 270 0 12483 0 24181 0 302875 0 0 0 RYAN STOVER CHIEF FINANCIAL OFFICER 172570 0 0 0 2590 0 9459 0 13542 0 198161 0 0 0 DARREN MATCHELL PHYSICIAN 398844 0 0 0 1290 0 17702 0 19326 0 437162 0 0 0 BRENDA KOPRIVA PHYSICIAN 397641 0 24000 0 398 0 13579 0 27621 0 463239 0 0 0 DERECK TOTTEN PHYSICIAN 323057 0 10000 0 300 0 17521 0 26847 0 377725 0 0 0 Stevan Budi Physician 448755 0 0 0 0 0 7051 0 18059 0 473865 0 0 0 Kysha Totten Physician 319585 0 10000 0 270 0 16428 0 5178 0 351461 0 0 0 Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization DERECK TOTTEN, KYSHA TOTTEN AND BRENDA KOPRIVA RECEIVED A BONUS IN 2024 BASED ON THE REVENUES OF THE ORGANIZATION. Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization DAVID MCCORKLE AND RYAN STOVER ARE COMPENSATED BY CITIZENS MEDICAL CENTER, INC., AND HAVE A BONUS ARRANGEMENT THAT IS BASED ON FOUR AREAS: PATIENT SATISFACTION, NET MARGIN, AR DAYS BELOW 60, AND DOCTOR TO DOOR AVERAGE TIME. Form 990, Part VI, Line 15 PROCESS FOR ESTABLISHING COMPENSATION THE BOARD OF TRUSTEES REVIEWS THE COMPENSATION OF THE CEO AND SENIOR MANAGEMENT. THE MEDICAL CENTER RELIES ON A JOINT WAGE SALARY REPORT PUBLISHED BY THE KANSAS HOSPITAL AND MISSOURI HOSPITAL ASSOCIATIONS, AS WELL AS ANY AND ALL AVAILABLE LOCAL DATA. Form 990, Part VI, Line 6 Classes of members or stockholders THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION WITH 19 MEMBERS AT DECEMBER 31, 2024. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEDICAL CENTER'S CORPORATE MEMBERS ELECT THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE RETURN IS THEN REVIEWED BY THE ORGANIZATION'S CEO AND BOARD OF TRUSTEES. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING THE 990. Form 990, Part VI, Line 12c Conflict of interest policy A CONFLICT OF INTEREST DISCLOSURE FORM IS PROVIDED WITH A COPY TO THE CURRENT CONFLICT OF INTEREST POLICY. THIS DISCLOSURE IS COMPLETED BY EACH MEMBER OF THE BOARD OF TRUSTEES UPON ELECTION AND ANNUALLY THEREAFTER. IF A CONFLICT OF INTEREST IS DISCOVERED, THE MEMBER CONCERNED IS NOT ALLOWED TO VOTE ON THE RELATED MATTER. Form 990, Part VI, Line 19 Required documents available to the public THE MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MISCELLANEOUS - Total Revenue: 380363, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 380363; PHARMACY SALES - Total Revenue: 12286, Related or Exempt Function Revenue: 12286, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees ANESTHESIA - Total Expense: 2122063, Program Service Expense: 2122063, Management and General Expenses: 0, Fundraising Expenses: 0; ORTHOPEDICS CLINIC - Total Expense: 1364098, Program Service Expense: 1364098, Management and General Expenses: 0, Fundraising Expenses: 0; LAB - Total Expense: 293991, Program Service Expense: 293991, Management and General Expenses: 0, Fundraising Expenses: 0; EMERGENCY ROOM - Total Expense: 98329, Program Service Expense: 98329, Management and General Expenses: 0, Fundraising Expenses: 0; RADIOLOGY - Total Expense: 143537, Program Service Expense: 143537, Management and General Expenses: 0, Fundraising Expenses: 0; OUTREACH - Total Expense: 1570763, Program Service Expense: 1570763, Management and General Expenses: 0, Fundraising Expenses: 0; ROUTINE SERVICES - Total Expense: 778807, Program Service Expense: 778807, Management and General Expenses: 0, Fundraising Expenses: 0; GENERAL - Total Expense: 757907, Program Service Expense: 757907, Management and General Expenses: 0, Fundraising Expenses: 0; BUSINESS OFFICE - Total Expense: 916532, Program Service Expense: 0, Management and General Expenses: 916532, Fundraising Expenses: 0; ADMINISTRATION - Total Expense: 689558, Program Service Expense: 87658, Management and General Expenses: 601900, Fundraising Expenses: 0; DATA PROCESSING - Total Expense: 75251, Program Service Expense: 60201, Management and General Expenses: 15050, Fundraising Expenses: 0; OTHER - Total Expense: 368672, Program Service Expense: 322642, Management and General Expenses: 46030, Fundraising Expenses: 0; CITIZENS MEDICAL CENTER EMPLOYEE BENEFIT 100 E COLLEGE DRIVE COLBY KS 67701 481158262 BENEFITS KS 501(c)(9) CMCI true MED-SERV INC 100 E COLLEGE DRIVE COLBY KS 67701 480994564 INACTIVE KS CMCI C Corporation 0 0 1.0000 true false false false false false false false false false false false false true false true false false false false CITIZENS MEDICAL CENTER EMPLOYEE BENEFIT PLAN M 2579093 COST