REGIONAL HEALTH CARE CLINIC INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- REGIONAL HEALTH CARE CLINIC INC (EIN 43-1879853)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-12
- IRS object ID
- 202403179349300635
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-12T08:37:57-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 430831507 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERS MINKLER HUBER & HELM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 MARKET STREET SUITE 500 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631012501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431879853 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL HEALTH CARE CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | REGI | BusinessNameControlTxt |
| Phone | 6608261571 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 821 WESTWOOD | AddressLine1Txt |
| City | SEDALIA | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE HENDRICKS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6608261571 | PhoneNum |
| Signature | 2024-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JONATHAN K WAITUKAITIS | PreparerPersonNm |
| PTIN | P02135935 | PTIN |
| Phone | 3146555500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATY TRAIL COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHELLE HENDRICKS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 305 W MAIN ST | AddressLine1Txt |
| City | SEDALIA | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,581,606 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KATYTRAILCOMMUNITYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | KATY TRAIL COMMUNITY HEALTH SERVES AS A MEDICAL HOME THAT DELIVERS HEALTH CARE THAT IS ACCESSIBLE, CONTINUOUS, COMPREHENSIVE, COMPASSIONATE, AND CULTURALLY EFFECTIVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 230 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,255,188 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,306,990 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,908,921 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,904,986 | CYProgramServiceRevenueAmt |
| PY Investment Income | $221,032 | PYInvestmentIncomeAmt |
| CY Investment Income | $199,906 | CYInvestmentIncomeAmt |
| PY Other Revenue | $117,020 | PYOtherRevenueAmt |
| CY Other Revenue | $81,194 | CYOtherRevenueAmt |
| PY Total Revenue | $18,502,161 | PYTotalRevenueAmt |
| CY Total Revenue | $21,493,076 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,678,637 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,636,403 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,839,726 | PYOtherExpensesAmt |
| CY Other Expenses | $6,368,456 | CYOtherExpensesAmt |
| PY Total Expenses | $17,518,363 | PYTotalExpensesAmt |
| CY Total Expenses | $19,004,859 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $983,798 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,488,217 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,145,278 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,136,774 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,246,531 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,749,810 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,898,747 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,386,964 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | QUALITY CARE + MEANINGFUL PARTNERSHIPS = HEALTHY COMMUNITIES | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,401,140 | ExpenseAmt |
| Revenue | $11,724,596 | RevenueAmt |
| Desc | MEDICAL SERVICES - KATY TRAIL COMMUNITY HEALTH PROVIDES QUALITY PRIMARY, PREVENTATIVE AND ENABLING HEALTH SERVICES UNDER THE PATIENT-CENTERED MEDICAL HOME MODEL OF CARE PREDOMINATELY AT FIVE MEDICAL CLINIC SITES IN CENTRAL MISSOURI. SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY AND SPECIFICALLY INCLUDE FAMILY MEDICINE, PEDIATRIC CARE, GERIATRIC CARE, PREVENTITIVE HEALTH, CHRONIC DISEASE MANAGEMENT, WOMEN'S HEALTH, FAMILY PLANNING, DIETARY COUNSELING, HEALTH EDUCATION, CASE MANAGEMENT, AND LABORATORY SERVICES. IN ADDITION, SCHOOL-BASED INTEGRATED PRIMARY CARE SERVICES ARE ALSO PROVIDED AT MULTIPLE DISTRICTS IN CENTRAL MISSOURI. DURING 2023, THE ORGANIZATION SERVED 14,025 MEDICAL PATIENTS THROUGH 44,003 CLINIC IN-PERSON VISITS AND 194 VIRTUAL ENCOUNTERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,070,842 | ExpenseAmt |
| Revenue | $3,959,032 | RevenueAmt |
| Desc | DENTAL SERVICES - KATY TRAIL COMMUNITY HEALTH PROVIDES QUALITY BASIC, PREVENTATIVE, RESTORATIVE, ENDODONTIC AND PROSTHODONTICS DENTAL SERVICES AT TWO DENTAL CLINIC SITES AND THROUGH DEPLOYMENT OF A MOBILE UNIT IN CENTRAL MISSOURI. SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY AND SPECIFICALLY INCLUDE EXAMS AND CLEANINGS, X-RAY, FILLINGS AND CROWNS, EXTRACTIONS, ROOT CANAL THERAPY, PRENATAL ORAL CARE, PEDIATRIC ORAL CARE, AND DIABETES ORAL CARE. DURING 2023, THE ORGANIZATION SERVED 4,850 DENTAL PATIENTS THROUGH 9,517 CLINIC AND MOBILE UNIT IN-PERSON VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,336,997 | ExpenseAmt |
| Revenue | $1,558,032 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH- KATY TRAIL COMMUNITY HEALTH PROVIDES INTEGRATED BEHAVIORAL HEALTH SERVICES AT ITS FOUR PRIMARY CARE MEDICAL CLINICS IN CENTRAL MISSOURI. IN ADDITION, SCHOOL-BASED INTEGRATED COUNSELING SERVICES AND INTENSIVE CARE MANAGEMENT ARE ALSO PROVIDED AT MULTIPLE DISTRICTS IN CENTRAL MISSOURI. SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY AND SPECIFICALLY INCLUDE PSYCHIATRIC ASSESSMENTS, MEDICATION MANAGMENT, PRIMARY CARE ASSESSMENTS, DEPRESSION SCREENING, BEHAVIORAL MODIFICATION SERVICES, AND COORDINATION OF REFERRALS. DURING 2023, THE ORGANIZATION SERVED 1,804 BEHAVIORAL HEALTH PATIENTS THROUGH 9,059 CLINIC IN-PERSON VISITS AND 1,668 VIRTUAL ENCOUNTERS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | DescDesc | GrantGrantAmt |
|---|---|---|
| $346,876 | OPTOMETRY | |
| $1,093,884 | PHARMACY | |
| $1,214,252 | ENABLING | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,655,012 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $12,463,991 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 230 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHELLE HENDRICKS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6608264774 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 305 W MAIN ST | AddressLine1Txt |
| City | SEDALIA | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARY NELL STRAUTMAN | |||||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES HALLIBURTON | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DIANA BURDICK | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARIE PAYNE-BOWMAN | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RHONDA BREITENBECHER | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DARREN GROVE | |||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| IVORY JAMERSON | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LISA ANN THOMAS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT ROLLINGS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAWN WILLIAMS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LISA MONTGOMERY | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MELISSA BUSSEY | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRIS STEWART | |||||||||
| CEO | 40.00 | Yes (X) | $141,295 | $0 | $31,253 | 2.00 | |||
| STEVE BEVANS | |||||||||
| CFO | 40.00 | Yes (X) | $228,667 | $0 | $64,912 | 2.00 | |||
| TRACY SIMMONS | |||||||||
| COO | 40.00 | Yes (X) | $84,464 | $0 | $10,990 | ||||
| BRANT UPTERGROVE | |||||||||
| CIO | 40.00 | Yes (X) | $118,043 | $0 | $20,076 | ||||
| MIKE WALLER | |||||||||
| CEO | 40.00 | Yes (X) | $78,692 | $0 | $438 | ||||
| SOLEDAD GOODSON | |||||||||
| COO | 40.00 | Yes (X) | $26,893 | $0 | $1,408 | ||||
| MOLLY FOSTER | |||||||||
| CDO | 36.00 | $175,877 | $0 | $30,456 | Yes (X) | ||||
| JEFFERY TEDROW | |||||||||
| CMO | 40.00 | $291,159 | $0 | $59,712 | Yes (X) | ||||
| JUSTIN CRAMER | |||||||||
| CMO | 40.00 | $158,434 | $0 | $9,307 | Yes (X) | ||||
| MIRNA ASHAM | |||||||||
| PHYSICIAN | 40.00 | $163,206 | $0 | $6,054 | Yes (X) | ||||
| KATHERINE DUMBELL | |||||||||
| PHYSICIAN | 40.00 | $162,057 | $0 | $15,554 | Yes (X) | ||||
| MARY DIMARSICO | |||||||||
| PHYSICIAN | 38.00 | $167,635 | $0 | $21,983 | Yes (X) | ||||
| LEILA KASHANI | |||||||||
| PHYSICIAN | 40.00 | $181,916 | $0 | $18,538 | Yes (X) | ||||
| EMILY OEHLER | |||||||||
| PHYSICIAN | 40.00 | $161,408 | $0 | $32,266 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,139,746 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $322,947 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WESTPORT CONSTRUCTION | |||||
| 1006 CLARK ST | CLINTON | MO | 64735 | CONSTRUCTION | $1,591,814 |
| COMPASS HEALTH | |||||
| PO BOX 803919 | KANSAS CITY | MO | 64180 | PSYCHIATRY SERVICES | $330,050 |
| HEARTLAND BUSINESS SYSTEMS | |||||
| 11259 NW AURORA AVE | URBANDALE | IA | 50322 | IT SERVICES | $205,345 |
| ANDERS MINKLER HUBER & HELM LLP | |||||
| 800 MARKET ST STE 500 | ST LOUIS | MO | 63101 | AUDIT/PAYER ENROLLMENT & CREDENTIALING S | $136,871 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $9,237 | FundraisingAmt |
| Government Grants | $7,187,590 | GovernmentGrantsAmt |
| All Other Contributions | $110,163 | AllOtherContributionsAmt |
| Noncash Contributions | $105,413 | NoncashContributionsAmt |
| Total Contributions | $7,306,990 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | $13,443,689 | $13,443,689 |
| CAPITATION REVENUE | 624100 | $346,301 | $346,301 |
| OTHER REVENUE | 624100 | $114,996 | $114,996 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,904,986 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,075 | TotalRevenueColumnAmt |
| Exclusion | $35,075 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $121,115 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $39,921 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $81,194 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,194 | TotalRevenueColumnAmt |
| Exclusion | $81,194 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $213,440 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $48,609 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $164,831 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $164,831 | TotalRevenueColumnAmt |
| Exclusion | $164,831 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $9,237 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,493,076 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,904,986 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $281,100 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,468,675 | TotalAmt |
| Program Services | $724,946 | ProgramServicesAmt |
| Management And General | $743,729 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,871,819 | TotalAmt |
| Program Services | $6,903,705 | ProgramServicesAmt |
| Management And General | $1,968,114 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,752 | TotalAmt |
| Program Services | $20,017 | ProgramServicesAmt |
| Management And General | $9,735 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,468,691 | TotalAmt |
| Program Services | $954,250 | ProgramServicesAmt |
| Management And General | $514,441 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $797,466 | TotalAmt |
| Program Services | $559,264 | ProgramServicesAmt |
| Management And General | $238,202 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,456 | TotalAmt |
| Management And General | $24,456 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,392 | TotalAmt |
| Management And General | $68,392 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,302,216 | TotalAmt |
| Program Services | $947,637 | ProgramServicesAmt |
| Management And General | $1,354,579 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,383 | TotalAmt |
| Program Services | $28,363 | ProgramServicesAmt |
| Management And General | $98,020 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,422 | TotalAmt |
| Program Services | $149,607 | ProgramServicesAmt |
| Management And General | $147,815 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $750,832 | TotalAmt |
| Program Services | $90,231 | ProgramServicesAmt |
| Management And General | $660,601 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,640 | TotalAmt |
| Program Services | $149,922 | ProgramServicesAmt |
| Management And General | $57,718 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,603 | TotalAmt |
| Management And General | $76,603 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,857 | TotalAmt |
| Program Services | $126,698 | ProgramServicesAmt |
| Management And General | $232,159 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES AND DR | $1,659,763 | $1,659,443 | $320 |
| RECRUITING AND RETENTIO | $216,032 | $102,672 | $113,360 |
| LICENSES DUES SUBSCRIPT | $91,342 | $32,063 | $59,279 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,518 | TotalAmt |
| Program Services | $15,173 | ProgramServicesAmt |
| Management And General | $173,345 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,004,859 | TotalAmt |
| Program Services | $12,463,991 | ProgramServicesAmt |
| Management And General | $6,540,868 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,094 | BOYAmt |
| EOY | $98,680 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,398,643 | BOYAmt |
| EOY | $2,446,847 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,425 | BOYAmt |
| EOY | $445,091 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,181,709 | BOYAmt |
| EOY | $1,422,921 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,160,000 | BOYAmt |
| EOY | $5,160,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $432,567 | BOYAmt |
| EOY | $527,034 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,969 | BOYAmt |
| EOY | $251,523 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,128,845 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,804,360 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,968,067 | BOYAmt |
| EOY | $5,324,485 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,273 | BOYAmt |
| EOY | $318,011 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,509,531 | BOYAmt |
| EOY | $7,142,182 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,145,278 | BOYAmt |
| EOY | $23,136,774 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,287,012 | BOYAmt |
| EOY | $1,374,425 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $296,020 | BOYAmt |
| EOY | $286,601 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,233,333 | BOYAmt |
| EOY | $9,546,069 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,166 | BOYAmt |
| EOY | $542,715 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,246,531 | BOYAmt |
| EOY | $11,749,810 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,888,715 | BOYAmt |
| EOY | $11,380,436 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,032 | BOYAmt |
| EOY | $6,528 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,898,747 | BOYAmt |
| EOY | $11,386,964 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,145,278 | BOYAmt |
| EOY | $23,136,774 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,488,217 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,305,322 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,350,722 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,541,097 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,255,188 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,306,990 | CurrentTaxYearAmt |
| Total | $31,759,319 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,305,322 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,350,722 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,541,097 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,255,188 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,306,990 | CurrentTaxYearAmt |
| Total | $31,759,319 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $31,759,319 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $391,304 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $374,805 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $364,283 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $364,461 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $156,190 | CurrentTaxYearAmt |
| Total | $1,651,043 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $33,410,362 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $53,583,335 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95060 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93900 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Total Lobbying Expenditures | $0 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $592,498 | OtherCostOrOtherBasisAmt |
| Book Value | $592,498 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,833,015 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,056,666 | DepreciationAmt |
| Book Value | $3,776,349 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $316,302 | OtherCostOrOtherBasisAmt |
| Depreciation | $252,076 | DepreciationAmt |
| Book Value | $64,226 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,387,030 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,495,618 | DepreciationAmt |
| Book Value | $891,412 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,324,485 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| EST AMT DUE FROM 3RD PTY PYR | $4,317,221 |
| DEPOSITS ON REAL ESTATE | $204,021 |
| ACCRUED INTEREST RECEIVABLE | $193,430 |
| OPERATING RIGHT-OF-USE ASSETS | $286,692 |
| CONSTRUCTION IN PROGRESS | $2,140,818 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,142,182 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED RENT PAYABLE | $254,900 |
| OPERATING LEASE LIABILITIES | $287,815 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $542,715 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $21,532,997 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $39,921 | OtherRevenueAmt |
| Revenue Not Reported | $39,921 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,493,076 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $21,493,076 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,044,780 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $39,921 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $39,921 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,004,859 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,004,859 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"), EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES AS DEFINED IN THE CODE. ACCORDINGLY, THE ORGANIZATION FILES AS A TAX EXEMPT ORGANIZATION. THE ORGANIZATION FOLLOWS GUIDANCE ISSUED BY THE FASB ON ACCOUNTING FOR INCOME TAXES AND HAS EVALUATED ITS TAX POSITIONS, EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS, AND BELIEVES THAT NO PROVISION FOR INCOME TAXES IS NECESSARY TO COVER ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S RETURNS FOR TAX YEARS 2020 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | EVENT EXPENSES RENTAL EXPENSES 39,921. LOSS ON DISPOSAL OF EQUIPMENT |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EVENT EXPENSES RENTAL EXPENSES 39,921. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFERY TEDROW | ||||||||||||||
| CMO | $286,159 | $0 | $5,000 | $0 | $0 | $0 | $40,000 | $0 | $19,712 | $0 | $350,871 | $0 | $0 | $0 |
| STEVE BEVANS | ||||||||||||||
| CFO | $153,667 | $0 | $75,000 | $0 | $0 | $0 | $52,500 | $0 | $12,412 | $0 | $293,579 | $0 | $0 | $0 |
| MOLLY FOSTER | ||||||||||||||
| CDO | $175,877 | $0 | $0 | $0 | $0 | $0 | $11,253 | $0 | $19,203 | $0 | $206,333 | $0 | $0 | $0 |
| LEILA KASHANI | ||||||||||||||
| PHYSICIAN | $181,916 | $0 | $0 | $0 | $0 | $0 | $18,500 | $0 | $38 | $0 | $200,454 | $0 | $0 | $0 |
| EMILY OEHLER | ||||||||||||||
| PHYSICIAN | $161,170 | $0 | $238 | $0 | $0 | $0 | $22,500 | $0 | $9,766 | $0 | $193,674 | $0 | $0 | $0 |
| MARY DIMARSICO | ||||||||||||||
| PHYSICIAN | $167,210 | $0 | $425 | $0 | $0 | $0 | $3,564 | $0 | $18,419 | $0 | $189,618 | $0 | $0 | $0 |
| KATHERINE DUMBELL | ||||||||||||||
| PHYSICIAN | $160,074 | $0 | $1,983 | $0 | $0 | $0 | $3,340 | $0 | $12,214 | $0 | $177,611 | $0 | $0 | $0 |
| CHRIS STEWART | ||||||||||||||
| CEO | $141,295 | $0 | $0 | $0 | $0 | $0 | $24,294 | $0 | $6,959 | $0 | $172,548 | $0 | $0 | $0 |
| MIRNA ASHAM | ||||||||||||||
| PHYSICIAN | $162,306 | $0 | $900 | $0 | $0 | $0 | $0 | $0 | $6,054 | $0 | $169,260 | $0 | $0 | $0 |
| JUSTIN CRAMER | ||||||||||||||
| CMO | $157,834 | $0 | $600 | $0 | $0 | $0 | $1,610 | $0 | $7,697 | $0 | $167,741 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $105,413 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | AUCTION PRIZES | Desc |
| Contribution | 0 | ContributionCnt |
| Noncash Contributions Rpt F990 | $0 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT COPY OF THE PROPOSED FORM 990 IS PRESENTED TO THE ORGANIZATION'S BOARD OF DIRECTORS IN ADVANCE OF FILING FOR REVIEW AND FOR THE CFO TO PROVIDE A GENERAL INFORMATIVE ANALYSIS. THE FORM 990 IS FILED SUBSEQUENT TO DOCUMENTED BOARD APPROVAL DURING THE RESPECTIVE STANDING MONTHLY BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND EMPLOYEES COMPLETE A CONFLICT OF INTEREST FORM EACH YEAR. IN ADDITION, NEW EMPLOYEES ARE REQUIRED TO COMPLETE THIS AS PART OF THEIR NEW EMPLOYEE ORIENTATION PACKET. IF THERE IS A CONFLICT BY A BOARD MEMBER, THEY ABSTAIN FROM VOTING ON THE MATTER. RESPONSIBLE PERSONS WHO ARE NOT MEMBERS OF THE BOARD OF DIRECTORS OF KATY TRAIL COMMUNITY HEALTH, OR WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT IS NOT THE SUBJECT OF BOARD OR COMMITTEE ACTION, SHALL DISCLOSE TO THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER ANY CONFLICT OF INTEREST THAT SUCH RESPONSIBLE PERSON HAS WITH RESPECT TO A CONRACT OR TRANSACTION, SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE RESPONSIBLE PERSON. THE RESPONSIBLE PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT KATY TRAIL COMMUNITY HEALTH'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER, WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INEREST THAT IS SUBJECT TO THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD REVIEWS THE CEO'S PERFORMANCE AND SALARY ANNUALLY. THE NACHC AND ANNUAL MPCA SALARY SURVEYS ARE USED TO ASSIST THE BOARD IN ESTABLISHING THE CEO'S SALARY. THE BOARD LAST CONDUCTED THE REVEIW IN DECEMBER 2023. THE CEO USES THE NACHC AND MPCA SALARY SURVEYS TO ASSIST IN ESTABLISHING PAY RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES. THESE PAY RANGES ARE REVIEWED ANNUALLY BY THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS. FOR OTHER OFFICERS AND KEY EMPLOYEES, THE BOARD LAST CONDUCTED THE REVIEW IN DECEMBER 2023. ALL REVIEWS ARE DOCUMENTED THROUGH THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | SOME FINANCIAL DOCUMENTS ARE ON THE ORGANIZATION'S WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARBOR VILLAGE SPE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 821 WESTWOOD | AddressLine1Txt |
| City | SEDALIA | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461585486 | EIN |
| Primary Activities | PROPERTY MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12B, II | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REG HLT CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|
| HARBOR VILLAGE SPE INC | |
| A | FMV |
| HARBOR VILLAGE SPE INC | |
| K | FMV |