2021-01-14T10:20:00-06:00 2020-03-31 621804252 WATKINS UIBERALL PLLC 1661 AARON BRENNER DR STE 300 MEMPHIS TN 38120 990 2019-04-01 431253101 SOUTHEAST MISSOURI HEALTH NETWORK SOUT 5733132500 6738 HIGHWAY 77 BENTON MO 63736 CHRIS JONES CEO 5737482407 2021-01-14 1 LESLIE D WILLIAMS P01307263 9017612720 2019 2022-09-23 18:48:47Z CHRIS JONES 6738 HIGHWAY 77 BENTON MO 63736 15511968 0 X WWW.SEMOHEALTHNETWORK.ORG X 1978 MO SEMO HEALTH NETWORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTHCARE TO THE COMMUNITIES OF SOUTHEAST MISSOURI. 10 10 188 0 -1730 -1462 4051686 4816695 10801063 10399750 15390 8464 154203 231834 15022342 15456743 0 0 0 0 8992638 9728920 0 0 0 4870831 4781000 13863469 14509920 1158873 946823 11786490 12726012 4720899 4713598 7065591 8012414 SEMO HEALTH NETWORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTHCARE TO THE COMMUNITIES OF SOUTHEAST MISSOURI. 0 0 11777235 10594819 SEMO HEALTH NETWORK PROVIDED 25,440 MEDICAL VISITS, 1,139 BEHAVIORAL HEALTH VISITS, 175 OBSTETRICAL AND GYNECOLOGICAL VISITS, 19,602 DENTAL VISITS, AND 143 NUTRITIONAL SERVICES IN SOUTHEAST MISSOURI THROUGH THE OPERATION OF MIGRANT AND COMMUNITY HEALTH CENTERS IN THE CALENDAR YEAR. 11777235 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24 0 1 188 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X SARA DEANE 5737482592 6738 HIGHWAY 77 BENTON MO 63736 CATHERINE BOCKHOLD PRESIDENT 2.00 X X 0 0 0 EVELYN PULLIAM VICE PRESIDENT 2.00 X X 0 0 0 MARY DAVIS TREASURER 2.00 X X 0 0 0 BYRON MCVAY SECRETARY 2.00 X X 0 0 0 VICKI GILLESPIE DIRECTOR 2.00 X 0 0 0 CINDY AMICK DIRECTOR 2.00 X 0 0 0 DAVID HOWARD DIRECTOR 2.00 X 0 0 0 LANCE CRAWFORD DIRECTOR 2.00 X 0 0 0 DON MILLER DIRECTOR 2.00 X 0 0 0 RICHARD RICKMAN DIRECTOR 2.00 X 0 0 0 CHRIS JONES CEO 40.00 X 280258 0 19882 SARA BETH DEANE CFO 40.00 X 221937 0 19882 SCOTT LAWRENCE COO 40.00 X 115250 0 5309 TERESA RICHEY CHIEF NURSING OFFICER 40.00 X 104998 0 1145 DR DANIEL DOMJAN CHIEF MEDICAL OFFICER 40.00 X 243614 0 19763 DR JOHN MAJORS DENTIST 40.00 X 139427 0 9529 DR MACK TAYLOR DENTIST 40.00 X 179357 0 4737 DR DEAN CANSLER DENTIST 40.00 X 130136 0 325 DR NATHAN SPRENGEL DOCTOR 40.00 X 234076 0 19882 TRAVIS WEISS PHYSICIAN ASSISTANT 40.00 X 157599 0 20932 1806652 0 121386 17 0 1 0 MEDOVA HEALTHCARE 345 N RIVERVIEW SUITE 600 WICHITA KS 67203 INSURANCE 786831 MCKESSON MEDICAL SURGICAL PO BOX 634404 CINCINNATI OH 45263 SUPPLIES 505816 ATHENA HEALTH PO BOX 415615 BOSTON MA 22410 EMR SOFTWARE 359728 PATRICIA MERKLEY LLC 1747 N KIGNSHIGHWAY CAPE GIRARDEAU MO 63701 DENTAL SERVICES 358727 DR SUSAN SHEETS DDS 2436 MYRA DRIVE CAPE GIRARDEAU MO 63703 DENTAL SERVICES 315999 10 4816695 4816695 PATIENT SERVICE FEES 621110 8688772 8688772 340B PHARMACY PROGRAM REVENUE 621110 1710978 1710978 10399750 46959 46959 15000 16730 -1730 -1730 -1730 38495 -38495 -38495 -38495 OTHER REVENUE 621110 233564 233564 233564 15456743 10594819 -1730 46959 1032038 422615 609423 7203160 6293636 909524 1493722 1233148 260574 78874 15775 63099 84996 48119 36877 112255 78078 34177 801338 748415 52923 857365 633198 224167 450527 345387 105140 59985 23794 36191 170717 30487 140230 340768 270875 69893 133955 65250 68705 CONTRACT LABOR 810173 810173 340B PHARMACY PROGRAM E 421517 400441 21076 UTILITIES 148151 132237 15914 DUES & SUBSCRIPTIONS 117672 61467 56205 192707 164140 28567 14509920 11777235 2732685 0 2401000 1891326 1556930 3019682 166465 145580 1807108 2021622 85175 108764 7962376 2453523 5769812 5508853 0 30185 11786490 12726012 835334 959901 3752346 3107302 133219 646395 4720899 4713598 X 7065591 8012414 7065591 8012414 11786490 12726012 946823 0 X X 0 1 X 1 1 1 X 3625337 4020826 4030367 4051686 4816695 20544911 3625337 4020826 4030367 4051686 4816695 20544911 20544911 1009 28351 46959 76319 170097 175512 256580 171879 248564 1022632 21643862 0.94920 0.95300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 297454 297454 147461 5799698 1363486 4583673 45692 27987 17705 1619729 1018360 601369 52342 43690 8652 5508853 DUE TO THIRD PARTIES 570059 PATIENT OVERPAYMENT PAYABLE 76336 646395 15473473 16730 16730 15456743 0 15456743 14526650 16730 16730 14509920 0 14509920 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 16,730. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 16,730. X X X X 0 0 0 0 0 0 0 0 0 CHRIS JONES CEO 280258 0 0 0 0 0 0 0 19882 0 300140 0 0 0 SARA BETH DEANE CFO 221937 0 0 0 0 0 0 0 19882 0 241819 0 0 0 DR DANIEL DOMJAN CHIEF MEDICAL OFFICER 243614 0 0 0 0 0 0 0 19763 0 263377 0 0 0 DR MACK TAYLOR DENTIST 179357 0 0 0 0 0 0 0 4737 0 184094 0 0 0 DR NATHAN SPRENGEL DOCTOR 234076 0 0 0 0 0 0 0 19882 0 253958 0 0 0 TRAVIS WEISS PHYSICIAN ASSISTANT 157599 0 0 0 0 0 0 0 20932 0 178531 0 0 0 PART I, LINE 3 THE CONTRACTS ARE BROUGHT BEFORE THE BOARD AND THE SALARY IS DISCUSSED AND VOTED ON FOR EACH OFFICER DURING EXECUTIVE SESSIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE INDEPENDENT AUDITORS AND REVIEWED BY MANAGEMENT. A COPY IS PROVIDED TO BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANY CONFLICT BROUGHT TO LIGHT IS ADDRESSED AT THE BOARD MEETING AND A PLAN OF ACTION IS DECIDED BY THE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE MEETS AND REVIEWS PERFORMANCE APPRAISALS PREPARED BY ALL BOARD MEMBERS. THE COMMITTEE ALSO REVIEWS COMPENSATION OF OFFICIALS IN SIMILAR POSITIONS IN LIKE ORGANIZATIONS. AFTER THE REVIEW, THE EXECUTIVE DIRECTOR COMPENSATION IS THEN DETERMINED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990 THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.