STRATEGY STUDIO / PUBLIC DATA EXPLORER

DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP INC (EIN 43-1747760)
Tax period
2023-03-01 to 2024-02-29
Filed
2025-01-15
IRS object ID
202530159349300668
Schema version
2023v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-01-15T14:01:30+00:00ReturnTs
Tax Period End2024-02-29TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E St Louis 200 PO Box 1190AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-03-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431747760EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DOUGLAS COUNTY PUBLIC HEALTH SVCS GROUP INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDOUGBusinessNameControlTxt
Phone4176835739PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1504 W BroadwayAddressLine1Txt
CityAVACityNm
State AbbreviationMOStateAbbreviationCd
ZIP65608ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRANDALL GANNPersonNm
Person TitleCEOPersonTitleTxt
Phone4176835739PhoneNum
Signature2025-01-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKrystal CreachPreparerPersonNm
PTINP01248198PTIN
Phone4178658701PhoneNum
Preparation2025-01-12PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MISSOURI OZARKS COMMUNITY HEALTHBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1RANDALL GANNBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1504 W BroadwayAddressLine1Txt
CityAVACityNm
State AbbreviationMOStateAbbreviationCd
ZIP65608ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,319,232GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MO-OZARKS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTO PROVIDE AFFORDABLE, ACCESSIBLE, QUALITY HEALTH CARE TO ALL WITHIN THE SERVICE AREA. SERVICES WILL BE PROVIDED WITHOUT REGARD TO AGE, RACE, CREED, DISABILITY OR STATUS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee178TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,280,382PYContributionsGrantsAmt
CY Contributions Grants$5,418,046CYContributionsGrantsAmt
PY Program Service Revenue$11,501,530PYProgramServiceRevenueAmt
CY Program Service Revenue$12,728,304CYProgramServiceRevenueAmt
PY Investment Income$58,664PYInvestmentIncomeAmt
CY Investment Income$178,418CYInvestmentIncomeAmt
PY Other Revenue$60,673PYOtherRevenueAmt
CY Other Revenue$15,910CYOtherRevenueAmt
PY Total Revenue$17,901,249PYTotalRevenueAmt
CY Total Revenue$18,340,678CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,929,457PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,317,934CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$16,542PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$1,940CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,940CYTotalFundraisingExpenseAmt
PY Other Expenses$4,792,880PYOtherExpensesAmt
CY Other Expenses$5,558,061CYOtherExpensesAmt
PY Total Expenses$15,738,879PYTotalExpensesAmt
CY Total Expenses$16,877,935CYTotalExpensesAmt
PY Revenues Less Expenses$2,162,370PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,462,743CYRevenuesLessExpensesAmt
Total Assets BOY$20,798,090TotalAssetsBOYAmt
Total Assets EOY$22,241,858TotalAssetsEOYAmt
Total Liabilities BOY$1,874,151TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,603,671TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,923,939NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,638,187NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIT IS THE MISSION OF THE DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. DBA/MISSOURI OZARKS COMMUNITY HEALTH, TO PROVIDE QUALITY, AFFORDABLE PRIMARY MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE TO ALL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,213,083ExpenseAmt
Grant$0GrantAmt
Revenue$7,456,933RevenueAmt
DescDURING FISCAL YEAR 2024, MISSOURI OZARKS COMMUNITY HEALTH (MOCH) HAVE 34,712 MEDICAL ENCOUNTERS (VISITS) THAT PROVIDED QUALITY CARE TO THE RURAL POPULATION OF DOUGLAS, OZARK, WRIGHT, AND TEXAS COUNTIES IN MISSOURI. MOCH STRIVES TO PROVIDE THIS QUALITY CARE THROUGH A VARIETY OF MEDICAL SERVICES THAT INCLUDE, BUT ARE NOT LIMITED TO, ADULT MEDICINE, PEDIATRIC CARE, ADOLESCENT HEALTH, NUTRITIONAL HEALTH, URGENT MEDICAL CARE, LABORATORY AND RADIOLOGY TESTING, AND PHARMACY SERVICES. FOR SERVICES OUTSIDE OF MOCH'S SCOPE AND ABILITY, PATIENTS ARE REFERRED TO ORGANIZATIONS NEAR OUR SERVICE AREA THAT CAN PROVIDE THE QUALITY OF CARE THAT MOCH PATIENTS EXPECT FOR MEDICAL ENCOUNTERS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,495,654ExpenseAmt
Grant$0GrantAmt
Revenue$4,579,804RevenueAmt
DescMISSOURI OZARKS COMMUNITY HEALTH PROVIDES QUALITY PREVENTATIVE AND RESTORATIVE DENTAL CARE IN DOUGLAS, OZARK, WRIGHT, AND TEXAS COUNTIES IN MISSOURI. DURING THE FISCAL YEAR, THE ORGANIZATION HAD 11,835 DENTAL ENCOUNTERS (VISITS).Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$540,303ExpenseAmt
Grant$0GrantAmt
Revenue$600,168RevenueAmt
DescMISSOURI OZARKS COMMUNITY HEALTH PROVIDES QUALITY BEHAVIORAL HEALTH SERVICES TO DOUGLAS, OZARK, WRIGHT, AND TEXAS COUNTIES IN MISSOURI. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, INDIVIDUAL COUNSELING, FAMILY COUNSELING, CONSULTATION, REFERRAL FOR LONG-TERM PSYCHOTHERAPY, MEDICATION EVALUATION, AND SUBSTANCE ABUSE COUNSELING. DURING THE FISCAL YEAR, THE ORGANIZATION HAD 4,379 BEHAVIORAL HEALTH ENCOUNTERS (VISITS).Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$153,549ExpenseAmt
Grant$0GrantAmt
Revenue$91,399RevenueAmt
DescMISSOURI OZARKS COMMUNITY HEALTH OPERATES A WELLNESS CENTER THAT SERVES, ON AVERAGE, 1,187 MEMBERS MONTHLY. THE WELLNESS CENTER PROMOTES HEALTHY LIFESTYLE CHANGES THROUGH EXERCISE AND FITNESS PROGRAMS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$153,549TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$91,399TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$13,402,589TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee178EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRACEY AMYXBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4176835739PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1504 W BROADWAYAddressLine1Txt
CityAVACityNm
State AbbreviationMOStateAbbreviationCd
ZIP65608ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BART ELLISON
TREASURER2.0Yes (X)Yes (X)$0$0$0
DON PINCKNEY
VICE CHAIR2.0Yes (X)Yes (X)$0$0$0
RHONDA SUTER
CHAIR2.0Yes (X)Yes (X)$0$0$0
VALERIE REESE
SECRETARY2.0Yes (X)Yes (X)$0$0$0
AARON DALTON
DIRECTOR1.0Yes (X)$0$0$0
ANGEL WELLS
DIRECTOR1.0Yes (X)$0$0$0
ANN LEONARD
DIRECTOR1.0Yes (X)$0$0$0
CAROL CUNNINGHAM
DIRECTOR1.0Yes (X)$0$0$0
JOE GOLDEN
DIRECTOR1.0Yes (X)$0$0$0
RON SCHEETS
DIRECTOR1.0Yes (X)$0$0$0
WES DAVIS
DIRECTOR1.0Yes (X)$0$0$0
JENNIFER HEINLEIN
CHIEF OPERATING OFFICER40.0Yes (X)$124,617$0$7,922
RANDALL GANN
CHIEF FINANCIAL OFFICER40.0Yes (X)$143,039$0$7,889
TIM SHRYACK
CHIEF EXECUTIVE OFFICER40.0Yes (X)$183,847$0$13,326
JOHN SCHIBLER
PHARMACY DIRECTOR40.0$199,479$0$8,584Yes (X)
JOSHUA WOLFE
MEDICAL DIRECTOR40.0$231,644$0$47,573Yes (X)
SYBIL FORTNER
DENTAL DIRECTOR40.0$251,001$0$49,731Yes (X)
CODY THRESS
DENTIST40.0$219,788$0$9,083Yes (X)
LAUREN BALES
DENTIST40.0$194,612$0$30,066Yes (X)
MARY PENDERGRASS
PHYSICIAN40.0$251,164$0$2,576Yes (X)
MICHAEL BALL
PHYSICIAN40.0$215,877$0$9,593Yes (X)
ROBERT NIELSON
PHYSICIAN40.0$203,907$0$125Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,218,975TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$186,468TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BP BUILDERS
4940 S FARM RD 189SUITE 100ROGERSVILLEMO65742CONSTRUCTION$900,415
NEXTGEN HEALTHCARE INC
PO BOX 511449LOS ANGELESCA90051REVENUE CYCLE MGMT$627,252
JMARK
1550 E REPUBLIC RDSPRINGFIELDMO65804IT SERVICES$289,543
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$4,755,770GovernmentGrantsAmt
All Other Contributions$662,276AllOtherContributionsAmt
Total Contributions$5,418,046TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624100$12,322,019$12,322,019
OTHER CLINIC REVENUE621400$314,886$314,886
HEALTH & FITNESS CENTER713940$91,399$91,399

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$12,728,304TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$224,466TotalRevenueColumnAmt
Exclusion$224,466ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$15,454RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$15,454RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,454TotalRevenueColumnAmt
Exclusion$15,454ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,590,435SecuritiesAmt
Other$342,071OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,626,012SecuritiesAmt
Other$352,542OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$35,577SecuritiesAmt
Other-$10,471OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$46,048TotalRevenueColumnAmt
Exclusion-$46,048ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescGAIN ON INVESTMENT IN EQUITY INVESTEEDesc
Business900099BusinessCd
Total Revenue Column$456TotalRevenueColumnAmt
Exclusion$456ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$456OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,340,678TotalRevenueColumnAmt
Related Or Exempt Func Income$12,728,304RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$194,328ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,268,652TotalAmt
Program Services$788,012ProgramServicesAmt
Management And General$480,640ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,427,369TotalAmt
Program Services$7,456,799ProgramServicesAmt
Management And General$970,570ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$178,771TotalAmt
Program Services$160,643ProgramServicesAmt
Management And General$18,128ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$760,064TotalAmt
Program Services$647,607ProgramServicesAmt
Management And General$112,457ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$683,078TotalAmt
Program Services$581,479ProgramServicesAmt
Management And General$101,599ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,841TotalAmt
Management And General$3,841ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$95,971TotalAmt
Management And General$95,971ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$1,940TotalAmt
Fundraising$1,940FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$41,005TotalAmt
Management And General$41,005ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,353,103TotalAmt
Program Services$265,977ProgramServicesAmt
Management And General$1,087,126ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$304,117TotalAmt
Program Services$232,791ProgramServicesAmt
Management And General$71,326ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$645,469TotalAmt
Program Services$494,084ProgramServicesAmt
Management And General$151,385ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$110,819TotalAmt
Program Services$84,828ProgramServicesAmt
Management And General$25,991ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$379,545TotalAmt
Program Services$290,528ProgramServicesAmt
Management And General$89,017ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$161,021TotalAmt
Program Services$123,256ProgramServicesAmt
Management And General$37,765ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$46,199TotalAmt
Program Services$35,364ProgramServicesAmt
Management And General$10,835ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$669,202TotalAmt
Program Services$546,453ProgramServicesAmt
Management And General$122,749ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$90,090TotalAmt
Program Services$68,961ProgramServicesAmt
Management And General$21,129ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$1,518,693$1,518,693
RECRUITING & RETENTION$72,391$55,413$16,978
LICENSES, DUES, SUBSCRIPTION$63,503$48,609$14,894
PHARMACY PROVIDER TAX$3,092$3,092

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,877,935TotalAmt
Program Services$13,402,589ProgramServicesAmt
Management And General$3,473,406ManagementAndGeneralAmt
Fundraising$1,940FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,543,989BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,677,216BOYAmt
EOY$5,508,694EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$376,271BOYAmt
EOY$324,910EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,515,115BOYAmt
EOY$1,520,590EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$310,638BOYAmt
EOY$298,874EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$211,854BOYAmt
EOY$286,973EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,058,916LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,449,088LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,061,086BOYAmt
EOY$5,609,828EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,365,898BOYAmt
EOY$4,543,684EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$262,509BOYAmt
EOY$262,965EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,473,514BOYAmt
EOY$3,885,340EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,798,090BOYAmt
EOY$22,241,858EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,615,262BOYAmt
EOY$1,401,533EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,989BOYAmt
EOY$6,333EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$252,900BOYAmt
EOY$195,805EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,874,151BOYAmt
EOY$1,603,671EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,561,392BOYAmt
EOY$20,638,187EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$362,547BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,923,939BOYAmt
EOY$20,638,187EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,798,090BOYAmt
EOY$22,241,858EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,462,743ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$251,505NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,645,896CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,658,220CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,226,255CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,280,382CurrentTaxYearMinus1YearAmt
Current Tax Year$5,418,046CurrentTaxYearAmt
Total$29,228,799TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,645,896CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,658,220CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,226,255CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,280,382CurrentTaxYearMinus1YearAmt
Current Tax Year$5,418,046CurrentTaxYearAmt
Total$29,228,799TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$29,228,799PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,034CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,303CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,871CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$128,517CurrentTaxYearMinus1YearAmt
Current Tax Year$239,920CurrentTaxYearAmt
Total$603,645TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$29,832,444TotalSupportAmt
Gross Receipts Rltd Activities$52,061,570GrossReceiptsRltdActivitiesAmt
Public Support CY1700.9798PublicSupportCY170Pct
Public Support PY1700.9846PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$20,000OtherActivitiesAmt
Total Lobbying Expenditures$20,000TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$149,760OtherCostOrOtherBasisAmt
Book Value$149,760BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,813,410OtherCostOrOtherBasisAmt
Depreciation$4,646,372DepreciationAmt
Book Value$4,167,038BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$179,970OtherCostOrOtherBasisAmt
Depreciation$19,060DepreciationAmt
Book Value$160,910BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,915,776OtherCostOrOtherBasisAmt
Depreciation$2,783,656DepreciationAmt
Book Value$1,132,120BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,609,828TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
ROU ASSETS$195,805
OTHER RECEIVABLES$245,542
EST AMOUNTS DUE FROM 3RD PARTY$3,423,074
INTEREST RECEIVABLE$20,919
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,885,340TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescROU LIABILITIESDesc
Amt$195,805Amt
FieldValueIRS element (for citing)
Total Liability$195,805TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$18,924,196TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$251,505NetUnrealizedGainsInvstAmt
Other Revenue$1,148,896OtherRevenueAmt
Revenue Not Reported$1,400,401RevenueNotReportedAmt
Revenue Subtotal$17,523,795RevenueSubtotalAmt
Investment Expenses Not Incld$41,005InvestmentExpensesNotIncldAmt
Other Revenues Not Included$775,878OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$816,883RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$18,340,678TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,847,401TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$10,471OtherExpensesIncludedAmt
Expenses Not Reported$10,471ExpensesNotReportedAmt
Expenses Subtotal$16,836,930ExpensesSubtotalAmt
Investment Expenses Not Incld2$41,005InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$41,005ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,877,935TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2(d) Other revenues in audited financial statements not in form 990NET ASSETS RELEASED FROM RESTRICTIONS - 1148896
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsTEMPORARILY RESTRICTED CONTRIBUTIONS - 786349 LOSS ON SALE OF PROPERTY AND EQUIPMENT - -10471
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990LOSS ON SALE OF PROPERTY AND EQUIPMENT - 10471

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RANDALL GANN
CHIEF FINANCIAL OFFICER$132,498$0$10,541$0$0$0$4,233$0$3,656$0$150,928$0$0$0
TIM SHRYACK
CHIEF EXECUTIVE OFFICER$173,340$0$10,507$0$0$0$5,661$0$7,665$0$197,173$0$0$0
JOHN SCHIBLER
PHARMACY DIRECTOR$185,703$0$13,776$0$0$0$6,066$0$2,518$0$208,063$0$0$0
JOSHUA WOLFE
MEDICAL DIRECTOR$219,047$0$12,597$0$0$0$7,606$0$39,967$0$279,217$0$0$0
SYBIL FORTNER
DENTAL DIRECTOR$226,638$0$24,363$0$0$0$8,251$0$41,480$0$300,732$0$0$0
MARY PENDERGRASS
PHYSICIAN$223,937$0$27,227$0$0$0$0$0$2,576$0$253,740$0$0$0
CODY THRESS
DENTIST$200,845$0$18,943$0$0$0$6,667$0$2,416$0$228,871$0$0$0
LAUREN BALES
DENTIST$187,785$0$6,827$0$0$0$6,544$0$23,522$0$224,678$0$0$0
MICHAEL BALL
PHYSICIAN$211,720$0$4,157$0$0$0$6,602$0$2,991$0$225,470$0$0$0
ROBERT NIELSON
PHYSICIAN$201,188$0$2,719$0$0$0$0$0$125$0$204,032$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 5a Compensation contingent on revenues of the organizationFormAndLineReferenceDesc
ExplanationPROVIDERS RECEIVE BONUSES ON HIRING DATE ANNIVERSARY EQUALING A PERCENTAGE OF THE CHARGES THEY GENERATE OVER THEIR PRIOR 365 DAYS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ 153,549 including grants of $ 0)(Revenue $ 91,399) MISSOURI OZARKS COMMUNITY HEALTH OPERATES A WELLNESS CENTER THAT SERVES, ON AVERAGE, 1,187 MEMBERS MONTHLY. THE WELLNESS CENTER PROMOTES HEALTHY LIFESTYLE CHANGES THROUGH EXERCISE AND FITNESS PROGRAMS.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE 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. THE DRAFT FORM 990 IS INITIALLY REVIEWED IN DETAIL BY THE CEO AND CFO. AFTER ANY REVISIONS ARE MADE BY THE CEO AND CFO, THE FORM IS FILED WITH THE INTERNAL REVENUE SERVICE. AFTER THE RETURN IS FILED, A COPY OF THE FINAL 990 IS GIVEN TO THE BOARD.
Form 990, Part VI, Line 12c Conflict of interest policyTHE ORGANIZATION HAS A WRITTEN CONFLICT-OF INTEREST POLICY. COMPLIANCE WITH THIS POLICY IS REVIEWED AT STAFF MEETINGS AND MONTHLY BOARD MEETINGS, AS THE NEED ARISES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY DIRECTOR SHALL BE DISCLOSED TO OTHER MEMBERS OF THE BOARD OF DIRECTORS. TO THIS END, EACH DIRECTOR SHALL UPON ELECTION AND ANNUALLY THEREAFTER, PREPARE AND FILE WITH THE SECRETARY, A WRITTEN DECLARATION OF INTERESTS AND ACTIVITIES WHICH CREATE OR MIGHT CREATE DUAL INTEREST OR CONFLICT OF INTEREST ON THE PART OF THE DIRECTORS. SAID DECLARATIONS SHALL BE AVAILABLE FOR REVIEW BY ALL DIRECTORS AT ALL TIMES. ANY DIRECTOR HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER AND HE/SHE SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES SHALL REFLECT THE DISCLOSURE, THE ABSTENTION FROM VOTING, AND THE QUORUM STATUS. THE FOREGOING REQUIREMENTS, HOWEVER, SHALL NOT BE CONSTRUED AS PREVENTING THE DIRECTOR FROM STATING HIS/HER POSITION ON THE MATTER NOR FROM ANSWERING PERTINENT QUESTIONS OF OTHER MEMBERS, SINCE HIS/HER KNOWLEDGE MAY BE OF GREAT ASSISTANCE TO THE BOARD.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialTHE BOARD REVIEWS THE CEO'S COMPENSATION ANNUALLY USING THE NACHC SALARY SURVEY AND STATE OF MISSOURI SALARY COMPARABILITY DATA. USING THAT DATA, AND PERFORMANCE EVALUATION, THE WAGE IS ADJUSTED. THE BOARD VOTES ON ANY SALARY ADJUSTMENT, INCLUDING BONUSES, AND THE ACTIONS TAKEN BY THE BOARD ARE DOCUMENTED IN THE BOARD MINUTES. THE CEO PERFORMS ANNUAL REVIEW AS SUPERVISOR FOR ALL OTHER OFFICERS. ALL OTHER COMPENSATION IS DETERMINED BY THE CEO USING GUIDANCE FROM THE STATE OF MISSOURI AND IS BASED ON MERIT. A REVIEW OF THE COMPENSATION OF THE CEO WAS COMPLETED IN 2023.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY CAN BE VIEWED AT THE ORGANIZATION'S FACILITY, UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS MAY BE AVAILABLE UPON WRITTEN REQUEST IF THE ORGANIZATION DEEMS THE REQUEST FOR VIEWING IS APPROPRIATE. WRITTEN REQUESTS SHOULD INCLUDE WHY THE INTERESTED PARTY REQUESTS TO VIEW THE FINANCIAL STATEMENTS.
FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES:THE MISSION OF THE DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.(DCPHSG), DOING BUSINESS AS MISSOURI OZARKS COMMUNITY HEALTH (MOCH), IS, AS A COMMUNITY HEALTH CENTER, TO PROVIDE AFFORDABLE, ACCESSIBLE, QUALITY HEALTH CARE TO ALL WITHIN THE DESIGNATED SERVICE AREA. THESE SERVICES WILL BE PROVIDED WITHOUT REGARD TO AGE, RACE, CREED, DISABILITY OR ECONOMIC STATUS. THESE SERVICES CONSIST OF USUAL AND CUSTOMARY SERVICES AS DEFINED BY THE TERM PRIMARY MEDICAL, MENTAL AND DENTAL HEALTH CARE NEEDS.
FORM 990, PART I, LINE 6 VOLUNTEERS:THE ORGANIZATION HAS A VOLUNTEER BOARD OF DIRECTORS.