2023-11-29T09:04:09-06:00 2023-03-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-04-01 431606173 NORTHEAST MISSOURI HEALTH COUNCIL INC % EMILY A DARR NORT 6606275757 1416 CROWN DRIVE KIRKSVILLE MO 63501 EMILY DARR CFO 6606275757 2023-08-15 true EMILY DARR XXX-XX-XXXX Krystal K Creach P01248198 4178658701 2 2022 2023-04-26 12:10:37Z EMILY DARR 1416 CROWN DRIVE KIRKSVILLE MO 63501 27785096 false X WWW.NEMOHEALTHCOUNCIL.COM X 1968 MO NMHC HAS 12 CLINICS AND 2 MOBILE SERVICE UNITS THAT EXTEND QUALITY AND AFFORDABLE HEALTHCARE TO CITIZENS THROUGHOUT AN 11 COUNTY AREA. 12 12 211 13 0 0 8811295 6541985 18891941 20791395 12136 187536 31642 238960 27747014 27759876 9753 59290 0 0 12947219 15155516 0 0 0 7899958 9496483 20856930 24711289 6890084 3048587 33234497 37785839 3605717 5108472 29628780 32677367 X THE NE MO HEALTH COUNCIL, INC. WAS ESTABLISHED TO MEET THE PRIMARY HEALTHCARE NEEDS OF THE RESIDENTS OF NE MO THROUGH A NOT-FOR-PROFIT COMMUNITY-RESPONSIBLE APPROACH. SEE SCHEDULE O FOR DETAILS. true false 16382604 59290 14969804 THE ORGANIZATION PROVIDES MEDICAL SERVICES TO CITIZENS THROUGHOUT THE 11-COUNTY SERVICE AREA REGARDLESS OF ABILITY TO PAY AND IF THE PATIENT QUALIFIES, BASED ON INCOME, SERVICES ARE SIGNIFICANTLY DISCOUNTED. MEDICAL SERVICES INCLUDE ACUTE CARE FOR MINOR ILLNESS OR INJURY, CHILDREN'S CARE (INCLUDING IMMUNIZATIONS AND WELL CHILD CHECKS), WOMEN'S HEALTH CARE, OBSTETRICS, GYNECOLOGY, PRENATAL CARE, ULTRASOUNDS, VETERANS' HEALTHCARE, ONSITE LABORATORY SERVICE AND PHARMACY DISCOUNTS, AS WELL AS OTHER MEDICAL SERVICES. IN ADDITION, THE ORGANIZATION PROVIDES SPANISH AND FRENCH INTERPRETING AS NEEDED. 4347783 5405763 OFFERING SIGNIFICANTLY DISCOUNTED SERVICES TO THOSE WHO QUALIFY BASED ON INCOME, NMHC PROVIDES PREVENTIVE, FUNCTIONAL, RESTORATIVE AND EMERGENCY DENTAL CARE TO ALL AGES REGARDLESS OF THE PATIENT'S ABILITY TO PAY. OUR SERVICES INCLUDE: GENERAL DENTISTRY; DENTURES; RESTORATIVE WORK SUCH AS CROWNS, BRIDGES, PARTIALS; PERIODONTAL SERVICES (GUM TREATMENT); HYGIENE AND TISSUE MANAGEMENT; AND SEALANTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 554634 415828 OFFERING SIGNIFICANTLY DISCOUNTED SERVICES TO THOSE WHO QUALIFY BASED ON INCOME, NMHC PROVIDES BEHAVIORAL HEALTH SERVICES TO PATIENTS THROUGHOUT THE SERVICE AREA REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDE BUT ARE NOT LIMITED TO TRADITIONAL THERAPY, EVALUATIONS, PROVIDING TRAUMA-INFORMED EDUCATION TO LOCAL COMMUNITIES AND SCHOOLS. 21285021 true true false true false false false false false false true false false true true false true false false false false false false false false false false true false true false false false false false false false false true false false false false false false false false true 66 0 true 211 true false false false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true false false X EMILY A DARR 6606275757 1416 CROWN DRIVE KIRKSVILLE MO 63501 DR BRENT SPEAK MEDICAL DIRECTOR - OB/GYN PROV 40.0 0.0 X 374395 0 39779 TIM HERBST DDS DENTAL DIRECTOR 40.0 0.0 X 354704 0 33378 DR MELODIE STOCKS OB/GYN PHYSICIAN 40.0 0.0 X 348684 0 33793 DR JOSEPH NOVINGER FAMILY PRACTICE PHYSICIAN 40.0 0.0 X 323677 0 39614 DR HEATHER MARTIN FAMILY PRACTICE PHYSICIAN 40.0 0.0 X 307288 0 38457 ANDY GRIMM CEO 40.0 0.0 X 297403 0 25697 DR ROXANA IONAS PEDIATRICIAN 40.0 0.0 X 284579 0 36995 DR MICHELLE KENNEY PEDIATRICIAN 40.0 0.0 X 264416 0 37951 EMILY DARR CFO 40.0 0.0 X 207822 0 26158 AMY BAUMGARTNER COO 40.0 0.0 X 190575 0 21503 DR JENNIFER BLACKSMITH MENTAL HEALTH DIRECTOR / PSYCH 40.0 0.0 X 154741 0 22546 DAVE RECTOR BOARD VICE PRESIDENT 2.0 0.0 X X 0 0 0 CAROLYN PRIMM BOARD MEMBER 2.0 0.0 X 0 0 0 CHAD SAWYER BOARD MEMBER 2.0 0.0 X 0 0 0 JEFF DOSS BOARD MEMBER 2.0 0.0 X 0 0 0 JOHN HEARD PHD BOARD PRESIDENT 2.0 0.0 X X 0 0 0 KAREN LUMLEY BOARD MEMBER 2.0 0.0 X 0 0 0 PAM SMITH BOARD MEMBER 2.0 0.0 X 0 0 0 PHIL MCINTOSH BOARD MEMBER 2.0 0.0 X 0 0 0 RANEE BRAYTON BOARD MEMBER 2.0 0.0 X 0 0 0 RICK GOOCH DDS SECRETARY / TREASURER 2.0 0.0 X X 0 0 0 TIFFANY LABETH BOARD MEMBER 2.0 0.0 X 0 0 0 WALLA DEROSEAR BOARD MEMBER 2.0 0.0 X 0 0 0 VIOLA MORSBACH BOARD MEMBER END 04/22 2.0 0.0 X 0 0 0 3108284 0 355871 25 false true false NEXTGEN HEALTH 18111 VON KARMAN AVE SUITE 800 IRVINE CA 92612 EMR / PM SERVICES 419253 CHC STRATEGIES 440 EAST TAMPA STREET SPRINGFIELD MO 65806 HIT & IT CONSULTING 163435 SPARKS CONTRACTORS 505 NORTH MAIN KIRKSVILLE MO 63501 CONSTRUCTION 140916 WINKLER COMMUNICATIONS 3000 N BALTIMORE KIRKSVILLE MO 63501 COMM SERV CONTRACT 134100 FORVIS LLP 910 E ST LOUIS STREET SUITE 200 SPRINGFIELD MO 65806 AUDIT/ TAX/ CONSULT 124012 6 6389631 152354 572724 6541985 NET PATIENT SERVICE REVENUE 624100 20469689 20469689 OTHER REVENUE 624100 321706 321706 20791395 187536 187536 0 0 59967 25220 34747 0 34747 34747 0 0 0 0 0 0 0 0 0 0 GAIN ON EQUITY INVESTEE 900099 204213 204213 204213 27759876 20791395 426496 59290 59290 0 0 0 1745337 979543 765794 0 10639396 9199866 1439530 566879 470469 96410 1404830 1141967 262863 799074 637588 161486 0 10137 10137 138099 138099 69664 69664 0 0 564206 504447 59759 61360 54861 6499 1016170 908539 107631 597139 533892 63247 0 423868 374397 49471 144551 129241 15310 0 4144 3705 439 4910 4910 0 888279 734540 153739 51390 45947 5443 MEDICAL SUPPLIES & DRUGS 5346684 5346684 REPAIRS & MAINTENANCE 117285 104863 12422 LICENSES, DUES, SUBSCRIPTIONS 34901 29086 5815 RECRUITING & RETENTION 23696 21186 2510 24711289 21285021 3426268 0 253506 123098 17917047 22432659 469037 913391 1728506 1842950 0 0 0 0 0 0 134282 131109 206188 187876 17212103 7335056 9633840 9877047 0 0 2836 207049 0 0 0 0 2889255 2070660 33234497 37785839 1148821 2038288 0 0 51875 36875 0 0 0 0 0 0 349698 296620 0 0 2055323 2736689 3605717 5108472 X 29526446 32140281 102334 537086 29628780 32677367 33234497 37785839 3048587 X false true X true true true X 3739794 4428778 6871930 8811295 6541985 30393782 15812213 16717753 15904059 18891941 20791395 88117361 0 0 0 19552007 21146531 22775989 27703236 27333380 118511143 0 0 0 118511143 160422 188306 195099 97646 247503 888976 0 160422 188306 195099 97646 247503 888976 0 -947 -3094 204213 200172 19712429 21334837 22970141 27797788 27785096 119600291 0.99089 0.99270 0.00743 0.00621 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 49664 false true 20000 69664 false SCHEDULE C, PART II-B, LINE 1(G) & (I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. IN ADDITION, THE NMHC CEO SPENT 1% OF HIS TIME ($3,364 OF HIS SALARY) WORKING IN DIRECT CONTACT WITH LEGISLATORS TO LOBBY ON BEHALF OF PUBLIC HEALTH RELATED LEGISLATIVE ISSUES. THE ORGANIZATION ALSO EMPLOYED A GOVERNMENT AFFAIRS AND RELATIONS OFFICER WHO SPENT 33% OF HIS TIME ($46,300 OF HIS SALARY) IN DIRECT CONTACT WITH LEGISLATORS TO LOBBY ON BEHALF OF PUBLIC HEALTH RELATED LEGISLATIVE ISSUES. 649473 649473 11465762 4284196 7181566 3910482 2933417 977065 1186386 117443 1068943 9877047 OTHER RECEIVABLES 433971 ESTIMATED DUE TO THIRD PARTY 1000000 DEFERRED COMPENSATION ASSETS 636689 2070660 0 EST AMT DUE TO 3RD PARTY 2100000 DEFERRED COMPENSATION LIABILITIES 636689 2736689 27427250 76906 102334 179240 27248010 511866 511866 27759876 24813415 76906 25220 102126 24711289 24711289 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 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 102,334 NET ASSETS RELEASED FROM RESTRICTIONS SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 537,086 TEMPORARILY RESTRICTED CONTRIBUTIONS (25,220) RENTAL EXPENSES ----------- $ 511,866 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT OT ON FORM 990, PART IX, LINE 25: $ 25,220 RENTAL EXPENSES true AT STILL UNIVERSITY OF HEALTH SCIENCE 800 W JEFFERSON ST KIRKSVILLE MO 63501 430356250 501(C)(3) 7500 SCHOLARSHIP FOR FORMER MED DIRECTOR ADAIR COUNTY AMBULANCE DISTRICT 606 W POTTER AVE KIRKSVILLE MO 63501 50000 SUPPORT 2 SCHEDULE I, PART I, LINE 2 GRANT MONITORING: THE ORGANIZATION AWARDS GRANTS FOR VARIOUS CHARITABLE CAUSES, INCLUDING SCHOLARSHIPS AT A UNIVERSITY, FOOD BANKS, AND MISSIONS TRIPS AND IS CONFIDENT THE FUNDS PROVIDED WILL BE USED APPROPRIATELY. NMHC MAINTAINS RECORDS AND MONTHLY GRANT EXPENDITURE REPORTS THAT MATCHES ACTUAL EXPENSES TO AMOUNTS PROJECTED IN EACH RESPECTIVE GRANT BUDGET. NMHC'S INTERNAL ACCOUNTING SYSTEM HAS A COMPLEX CHART OF ACCOUNT SYSTEM THAT MAINTAINS A SEPARATE CHART OF ACCOUNTS FOR EACH GRANT TO ENSURE THAT INCOME IS MATCHED TO ELIGIBLE GRANT PROJECT EXPENDITURES. X X true false X X X X X false false false false false false false true false EMILY DARR CFO 183617 0 650 0 23555 0 9488 0 16670 0 233980 0 0 0 AMY BAUMGARTNER COO 164838 0 650 0 25087 0 8413 0 13090 0 212078 0 0 0 ANDY GRIMM CEO 267743 0 150 0 29510 0 13100 0 12597 0 323100 0 0 0 DR HEATHER MARTIN FAMILY PRACTICE PHYSICIAN 255113 0 50626 0 1549 0 13500 0 24957 0 345745 0 0 0 DR JOSEPH NOVINGER FAMILY PRACTICE PHYSICIAN 272594 0 25498 0 25585 0 14371 0 25243 0 363291 0 0 0 DR MELODIE STOCKS OB/GYN PHYSICIAN 309417 0 25243 0 14024 0 15250 0 18543 0 382477 0 0 0 DR MICHELLE KENNEY PEDIATRICIAN 245174 0 17809 0 1433 0 12875 0 25076 0 302367 0 0 0 DR ROXANA IONAS PEDIATRICIAN 272757 0 9549 0 2273 0 14254 0 22741 0 321574 0 0 0 DR BRENT SPEAK MEDICAL DIRECTOR - OB/GYN PROV 318014 0 33132 0 23249 0 15250 0 24529 0 414174 0 0 0 DR JENNIFER BLACKSMITH MENTAL HEALTH DIRECTOR / PSYCH 136011 0 7246 0 11484 0 7083 0 15463 0 177287 0 0 0 TIM HERBST DDS DENTAL DIRECTOR 192095 0 139250 0 23359 0 10250 0 23128 0 388082 0 0 0 SCHEDULE J, PART I, LINE 1A DISCRETIONARY SPENDING ACCOUNT AND HEALTH CLUB DUES: 45 NMHC POSITIONS AND PROVIDERS RECEIVE A FIXED MONTHLY STIPEND FOR CELL PHONE EXPENSE REIMBURSEMENT. THE AMOUNTS ARE INCLUDED IN THE EMPLOYEES' TAXABLE INCOME. THESE POSITIONS ARE REQUIRED TO HAVE ACCESS TO PHONE AND EMAIL AT ALL TIMES AND THEREFORE MUST PERSONALLY MAINTAIN AN APPROPRIATE CELL PHONE AND DATA PLAN. COUNTRY CLUB DUES WERE PAID FOR ANDY GRIMM, TIMOTHY HERBST, EMILY DARR, JOSEPH NOVINGER, AND AMY BAUMGARTNER. THIS AMOUNT WAS INCLUDED IN TAXABLE WAGES. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: NMHC'S DENTAL DIRECTOR IS PAID ON A PER PROCEDURE BASIS FOR PROVIDING ORAL SURGERIES TO CHILDREN IN THE HOSPITAL SETTING. ALL OTHER BONUSES PAID TO MEDICAL AND BEHAVIORAL HEALTH PROVIDERS ARE BASED ON A WRVU SYSTEM. PROVIDERS ARE SET SPECIFIC BENCHMARKS FOR WRVU AND ONCE THEY REACH THAT BENCHMARK, THEY GET PAID A DOLLAR AMOUNT PER WRVU GENERATED ABOVE THAT BENCHMARK. THESE AMOUNTS ARE REPORTED AS BONUS AND INCENTIVE PAY ACCORDINGLY ON SCHEDULE J, PART II. X 2 572724 FMV false true false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS REPRESENTS THE NUMBER OF CONTRIBUTORS. CONTRIBUTIONS OF MEDICAL SUPPLIES AND 7,066 VACCINES CONTRIBUTED DURING FY23 FROM 2 CONTRIBUTORS. FORM 990, LINE I ORGANIZATION MISSION: THE NORTHEAST MISSOURI HEALTH COUNCIL, INC. WAS ESTABLISHED TO MEET THE PRIMARY HEALTHCARE NEEDS OF THE RESIDENTS OF NORTHEAST MISSOURI THROUGH A NOT-FOR-PROFIT COMMUNITY-RESPONSIBLE APPROACH WHICH CONSISTS OF THE FOLLOWING: -IDENTIFICATION OF HEALTH CARE AND SOCIAL SERVICES NEEDS AND PROGRAMS WITHIN THE REGION. -BROAD ACCESS FOR THE PROVISION OF QUALITY HEALTH AND DENTAL CARE, AND HEALTH EDUCATION. -FIDUCIARY RESPONSIBILITY OPTIMIZING RESOURCES TO PROVIDE THE MOST COST EFFECTIVE PROGRAM TO MAINTAIN AFFORDABILITY TO PATIENTS AND LONG-TERM CORPORATE VIABILITY. -DEVELOP AND MAINTAIN PROGRAM LINKAGES WITH OTHER HEALTH CARE PROVIDERS TO PREVENT DUPLICATION OF SERVICES, OBTAINING THE GREATEST UTILIZATION OF LIMITED RESOURCES WITHIN THE SERVICE AREA, AND PROMOTING THE UTILIZATION OF THOSE AVAILABLE SERVICES. FORM 990, PART III, LINE 2 SIGNIFICANT PROGRAM SERVICES: NMHC OPENED UP A NEW MEDICAL SERVICE SITE IN MEMPHIS, MO. FORM 990, PART III, LINE 4B DENTAL CARE CONTINUED: IN ADDITION TO HAVING THREE DENTAL CLINICS, THE HEALTH CENTER ALSO OFFERS DENTAL SERVICES THROUGH ITS MOBILE DENTAL UNIT. THE MOBILE DENTAL UNIT TRAVELS TO AREA SCHOOLS AND PROVIDES DENTAL PREVENTATIVE CARE AND TREATMENT PLANS TO CHILDREN ON-SITE, FURTHER REDUCING BARRIERS TO QUALITY DENTAL CARE THROUGHOUT THE SERVICE AREA. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW PROCESS: 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. PRIOR TO FILING, THE CEO AND CFO REVIEW THE 990 IN DETAIL WITH THE INDEPENDENT ACCOUNTING FIRM PREPARING THE FORM 990. ONCE A FINAL DRAFT IS READY, THE CEO AND CFO PRESENT THE FORM 990 TO BOARD MEMBERS AT A BOARD MEETING PROVIDING A BRIEF EXPLANATION OF THE CONTENT. BOARD MEMBERS MAY COMMENT AT THIS TIME. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST: ALL DIRECTORS AND KEY EMPLOYEES OF THE ORGANIZATION ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN IT ANNUALLY. ACCORDING TO THE ORGANIZATION'S BYLAWS, NO DIRECTOR SHALL VOTE UPON ANY ISSUE TO COME BEFORE THE BOARD REGARDING WHICH HE/SHE HAS A CONFLICT OF INTEREST. ANY SUCH CONFLICT SHALL BE REVEALED TO THE BOARD PRIOR TO VOTING AND THE DIRECTORS SHALL REQUEST THAT THE RECORDS REFLECT HIS/HER DISQUALIFICATION FROM VOTING ON THE SUBJECT ISSUE. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW: THE REVIEW FOR THE CURRENT CEO WAS CONDUCTED BY THE BOARD OF DIRECTORS DURING THE JULY 2022 BOARD MEETING. THE BOARD ESTABLISHED THE COMPENSATION BY REVIEWING COMPENSATION SURVEYS RELEASED BY THE MISSOURI PRIMARY CARE ASSOCIATION, WHICH REPORTS SALARY INFORMATION ON ALL OTHER MISSOURI FQHCS, AND OTHER SALARY INFORMATION RELEVANT TO THE HEALTHCARE INDUSTRY. THE OCCURRENCE OF THIS REVIEW WAS NOTED IN BOARD MINUTES. EACH YEAR, THE HUMAN RESOURCES DIRECTOR AND CEO EXAMINE COMPENSATION OF ALL OTHER STAFF AND COMPARE IT TO INDUSTRY AND LOCAL AVERAGES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND POLICIES ARE AVAILABLE UPON REQUEST. COPIES WILL BE MAILED TO THOSE REQUESTING.