2021-04-14T13:52:45-05:00 2020-05-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2019-06-01 431068291 BIG SPRINGS MEDICAL ASSOCIATION INC % JULIE O'NEAL BIGS 5736632313 PO BOX 157 ELLINGTON MO 63638 JULIE O'NEAL CFO 2021-04-12 true Krystal K Creach P01248198 4178658701 2019 2022-09-23 18:48:47Z MISSOURI HIGHLANDS HEALTH CARE KAREN R WHITE PO BOX 157 ELLINGTON MO 63638 19614974 false X WWW.MOHIGH.ORG X 1975 MO THE ORGANIZATION PROVIDES HIGH QUALITY, COST EFFECTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO UNDER-SERVED RESIDENTS OF ELLINGTON, MO AND SURROUNDING AREAS. 11 11 256 13 7020 5047 4940990 6317625 11005960 13079209 2844 -10423 95275 128142 16045069 19514553 175460 0 0 0 9360651 11096611 0 0 0 7185211 8289971 16721322 19386582 -676253 127971 11831211 16418546 3763124 8329369 8068087 8089177 X THE ORGANIZATION ENDEAVORS TO MEET THE PRIMARY AND PREVENTATIVE HEALTH CARE NEEDS OF THE MEDICALLY UNDER-SERVED BY PROVIDING HIGH QUALITY, COST EFFECTIVE CARE AND SERVICES TO ITS PATIENTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 8330926 8128075 BIG SPRINGS MEDICAL ASSOCIATION PROVIDES MEDICAL SERVICES TO RESIDENTS OF ELLINGTON, MISSOURI, AND THE SURROUNDING AREAS. SOME SPECIFIC MEDICAL SERVICES THAT BIG SPRINGS MEDICAL ASSOCIATION OFFERS INCLUDE: TELE-HEALTH, COMMUNITY HEALTH AND EDUCATION, AND PATIENT PHARMACEUTICALS ASSISTANCE PROGRAM. SEE SCHEDULE O FOR FURTHER DETAILS ON THESE PROGRAM SERVICES. DURING 2020, THE ORGANIZATION HAD 45,633 MEDICAL CARE VISITS. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 3336019 4050012 BIG SPRINGS MEDICAL ASSOCIATION PROVIDES DENTAL SERVICES TO RESIDENTS OF ELLINGTON, MISSOURI, AND POPLAR BLUFF, MISSOURI AS WELL AS THE SURROUNDING AREAS. DENTAL SERVICES PROVIDED INCLUDE: REGULAR CLEANINGS AND CHECK UPS, EMERGENCY VISITS FOR ACUTE PAIN OR SWELLING, TRAUMA ASSOCIATED WITH BROKEN TEETH, CLEANING AND MEDICATION FOR ANUG, AND EQUILIBRATION OF TEETH IN TRAUMATIC OCCLUSION. DURING 2020, THE ORGANIZATION HAD 10,178 DENTAL CARE VISITS. 1560152 901122 BIG SPRINGS MEDICAL ASSOCIATION PROVIDES BEHAVIORAL HEALTH SERVICES TO RESIDENTS OF ELLINGTON, MISSOURI, AND THE SURROUNDING AREAS. BEHAVIORAL SERVICES INCLUDE INDIVIDUAL THERAPY AND COUNSELING FOR PATIENTS AS WELL AS BRIEF INTERVENTION SESSIONS FOR ALL PATIENTS. DURING 2020, THE ORGANIZATION HAD 8,791 BEHAVIORAL CARE VISITS. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 13227097 true true false true false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 90 0 true 256 true true true false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true false false X X JULIE O'NEAL 5736632313 PO BOX 157 ELLINGTON MO 63638 TAMMY LINDSAY MEDICAL DIRECTOR 40.0 0.0 X 236613 0 3000 RICHARD HESTER PHYSICIAN 40.0 0.0 X 198334 0 18888 JOSEPH CAMIRE PHYSICIAN 40.0 0.0 X 205113 0 3000 KAREN WHITE CEO 40.0 0.0 X 188529 0 12148 HARRY HARNESS PHYSICIAN 40.0 0.0 X 182753 0 17897 BRADLEY DANIEL DENTIST 40.0 0.0 X 178104 0 20003 ADAM KAKAR PHYSICIAN 40.0 0.0 X 118776 0 16051 LYNETTE RHODES CFO END 11/19 40.0 0.0 X 82366 0 5740 JULIE O'NEAL CFO BEG 11/19 40.0 0.0 X 11154 0 1898 JOETTA MARTIN VICE PRESIDENT END 09/19 1.0 0.0 X X 0 0 0 MICHAEL MORTON PRESIDENT 1.0 0.0 X X 0 0 0 LANCE MAYFIELD SECRETARY 1.0 0.0 X X 0 0 0 KATHERINE HART TREASURER 1.0 0.0 X X 0 0 0 LINDA LUNSFORD DIRECTOR 1.0 0.0 X 0 0 0 SCOTT OATMAN DIRECTOR 1.0 0.0 X 0 0 0 JOHN MARK BREWER DIRECTOR 1.0 0.0 X 0 0 0 CURT MAJORS DIRECOTR/VICE PRES. BEG 09/19 1.0 0.0 X X 0 0 0 TAMMY MCCALL DIRECTOR END 10/19 1.0 0.0 X 0 0 0 CRYSTAL JONES DIRECTOR 1.0 0.0 X 0 0 0 MICHELLE WALKER DIRECTOR 1.0 0.0 X 0 0 0 LARISSA BROWN DIRECTOR BEG 09/19 1.0 0.0 X 0 0 0 STEVE LYNXWILER DIRECTOR BEG 09/19 1.0 0.0 X 0 0 0 1401742 0 98625 13 false true false POPLAR BLUFF CHILDREN'S DENTISTRY L 4348 STATE HWY PP POPLAR BLUFF MO 63901 CONTRACTED DENTAL 711958 ATHENANET PO BOX 415615 BOSTON MA 022415615 EMR 519587 GENOA QOL HEALTHCARE 707 S GRADY WAY UNIT 700 RENTON WA 98057 CONTRACT MENTAL HLTH 293715 GREENWAY HEALTH 4301 W BOY SCOUT BLVD TAMPA FL 33607 EMR/EDR 264435 TRIGGERFISH TECHNOLOGIES 3815 FARON ST STE E ST ST JOSEPH MO 65406 CONTRACT IT SUPPORT 296795 8 5532744 784881 427065 6317625 NET PATIENT SERVICE REVENUE 624100 12318287 12318287 CAPITATION REVENUE 624100 691873 691873 OTHER REVENUE 624100 69049 69049 13079209 5379 5379 0 0 91396 84244 7152 0 7152 7020 132 375 16177 -15802 -15802 -15802 0 0 0 0 0 0 0 0 0 GAIN/(LOSS) FROM EQUITY INVESTEE 900099 120990 120990 120990 19514553 13079209 7020 110699 0 0 0 0 541448 340771 200677 0 8641595 5630490 3011105 136204 101481 34723 1087091 800005 287086 690273 449857 240416 0 74634 74634 134251 134251 0 0 0 1830074 940157 889917 65203 65203 533204 247162 286042 86318 25341 60977 0 839026 663606 175420 250485 210038 40447 0 61306 32613 28693 66714 7162 59552 0 700572 450077 250495 32904 9496 23408 MEDICAL SUPPLIES 2603356 2603356 GRANT RELATED EXPENSES 765783 498353 267430 BAD DEBT 196257 196257 LICENSES, DUES, SUBSCRIPTIONS 49884 20875 29009 19386582 13227097 6159485 0 221368 1694701 519323 2514505 92804 387010 1039982 1285059 0 0 0 0 0 0 69890 139495 204836 231209 14683503 5013500 9328509 9670003 0 0 140652 238822 0 0 0 0 213847 257742 11831211 16418546 1298723 1623945 0 0 8346 959706 0 0 0 0 0 0 1749765 2091679 0 1605900 706290 2048139 3763124 8329369 X 7976805 7651011 91282 438166 8068087 8089177 11831211 16418546 X 127971 -106881 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. 1496164 1496164 9339679 3391766 5947903 166633 166633 2142592 1404674 737918 1538435 50417 1488018 9670003 0 EST AMOUNT DUE TO THIRD PARTY 2048139 2048139 19182473 251121 -174735 76386 19106087 408466 408466 19514553 19508267 251121 66821 317942 19190325 196257 196257 19386582 SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ 21,522 NET ASSETS RELEASED FROM RESTRICTION (196,257) PROVISIONS FOR BAD DEBT EXPENSE ----------- $ (174,466) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ ( 15,802) LOSS ON DISPOSAL OF PP&E ( 51,019) RENTAL EXPENSES 475,287 TEMPORARILY RESTRICTED CONTRIBUTIONS ----------- $ 408,466 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 15,802 LOSS ON DISPOSAL OF PP&E 51,019 RENTAL EXPENSES ----------- $ 66,821 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 196,257 PROVISIONS FOR BAD DEBT EXPENSE X X X X X false false false false false false false false false KAREN WHITE CEO 188529 0 0 0 0 0 3000 0 9148 0 200677 0 0 0 TAMMY LINDSAY MEDICAL DIRECTOR 202465 0 34148 0 0 0 3000 0 0 0 239613 0 0 0 JOSEPH CAMIRE PHYSICIAN 200013 0 5100 0 0 0 3000 0 0 0 208113 0 0 0 BRADLEY DANIEL DENTIST 178104 0 0 0 0 0 3000 0 17003 0 198107 0 0 0 HARRY HARNESS PHYSICIAN 176153 0 6600 0 0 0 0 0 17897 0 200650 0 0 0 RICHARD HESTER PHYSICIAN 185119 0 13215 0 0 0 3000 0 15888 0 217222 0 0 0 X 2 427065 FMV false true false SCHEDULE M, PART I, LINE 20, COLUMN B NUMBER OF CONTRIBUTORS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS WHO CONTRIBUTED VACCINES DURING THE YEAR. FORM 990, PART I, LINE 6 VOLUNTEERS: THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: THE ORGANIZATION, A FEDERALLY QUALIFIED HEALTH CENTER, ENDEAVORS TO MEET THE PRIMARY AND PREVENTATIVE HEALTH CARE NEEDS OF THE MEDICALLY-UNDERSERVED RESIDENTS OF BUTLER, CARTER, IRON, REYNOLDS, RIPLEY, AND SHANNON COUNTIES IN MISSOURI BY PROVIDING HIGH QUALITY, COST EFFECTIVE CARE AND SERVICES TO PATIENTS, REGARDLESS OF THEIR PAYER SOURCE. THE ORGANIZATION PLACES PARTICULAR EMPHASIS ON CARE PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS, STRIVES TO ENSURE ITS LONG-TERM FISCAL SOLVENCY, SUPPORTS PROGRAMS THAT IMPROVE COMMUNITY HEALTH STATUS AND THAT PROMOTE HEALTHY BEHAVIORS WITHIN OUR POPULATION, AND DESIRES TO REMAIN AN "EMPLOYER OF CHOICE" IN THE AREA. FORM 990, PART III, LINE 4A ADDITIONAL PROGRAM SERVICES DETAIL: TELEHEALTH THROUGH AN ARRANGEMENT MADE POSSIBLE BY THE UNIVERSITY OF MISSOURI-COLUMBIA AND THE MISSOURI PRIMARY CARE ASSOCIATION, TELEHEALTH AND TELECOMMUNICATIONS EQUIPMENT IS INSTALLED AT OUR OFFICES IN ANNAPOLIS, ELLINGTON, EMINENCE, NAYLOR, PILOT KNOB, POPLAR BLUFF, VIBURNUM, AND VAN BUREN. THROUGH THIS SERVICE, WE ARE ABLE TO OFFER PATIENTS ACCESS TO SPECIALISTS IN PSYCHIATRY, DERMATOLOGY AND OTHER DISCIPLINES AT MEDICAL INSTITUTIONS IN LARGER CITIES. ACCESS TO TELEHEALH LINKAGES CAN BE AN ENORMOUS CONVENIENCE, GIVING OUR PATIENTS ACCESS TO CERTAIN SPECIALTY CONSULTS WITHOUT LEAVING OUR IMMEDIATE SERVICE AREA. COMMUNITY HEALTH AND EDUCATION PART OF OUR MISSION STATEMENT READS, "MISSOURI HIGHLANDS HEALTH CARE SUPPORTS PROGRAMS THAT IMPROVE COMMUNITY HEALTH STATUS AND THAT PROMOTE HEALTHY BEHAVIORS WITHIN OUR POPULATION." IT IS BY DESIGN THAT THE WORD COMMUNITY IS SO PROMINENTLY DISPLAYED. MISSOURI HIGHLANDS HEALTH CARE FACILITIES AND PARTICIPATES IN COMMUNITY GROUPS INVOLVING EMERGENCY MEDICAL PROFESSIONALS, SCHOOL NURSES, HEAD START PROGRAMS, HEALTH DEPARTMENTS, AND OTHERS. MISSOURI HIGHLANDS HEALTH CARE (MHHC) IS THE FISCAL AGENT FOR VARIOUS GRANTS RECEIVED TO ADDRESS AND IMPROVE COMMUNITY HEALTH STATUS. PATIENT PHARMACEUTICALS ASSISTANCE PROGRAM MISSOURI HIGHLANDS HEALTH CARE HELPS ELIGIBLE PATIENTS OBTAIN THEIR PRESCRIBED MEDICATIONS FREE OR AT A REDUCED COST FROM DRUG MANUFACTURERS. THIS IS A SERVICE WE CALL OUR PHARMACEUTICALS ASSISTANCE PROGRAM. OUR PROGRAM COORDINATOR HELPS OUR PATIENTS WORK THROUGH THE NECESSARY APPLICATION PROCEDURES WITH DRUG MANUFACTURERS. SOME PATIENT INFORMATION, USUALLY RELATED TO INCOME, IS REQUIRED TO COMPLETE THE APPLICATION. IN THE END, THE RELATIONSHIP CREATED EXISTS DIRECTLY BETWEEN THE PATIENT AND MANUFACTURER. MHHC FACILITATES THE CONNECTION FOR OUR ELIGIBLE PATIENTS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW POLICY: 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. THE CEO AND CFO REVIEW THE FORM 990 IN DETAIL. AFTER THIS REVIEW, THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE CORPORATE COMPLIANCE OFFICER REVIEWS THE CONFLICT OF INTEREST POLICY WITH THE BOARD ANNUALLY AS PART OF THE OVERALL CORPORATE COMPLIANCE PROGRAM COMPLETED IN JANUARY OF EACH YEAR. INQUIRIES ARE MADE REGARDING ANY EXISTING CONFLICTS OF INTEREST. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER IS DISCLOSED TO OTHER BOARD MEMBERS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY BOARD MEMBER HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER. FURTHERMORE, HE/SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. THE FOREGOING REQUIREMENT SHOULD NOT BE CONSTRUED AS PREVENTING THE BOARD MEMBER FROM BRIEFLY STATING HIS/HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS OF OTHER BOARD MEMBERS SINCE HIS/HER KNOWLEDGE MAY BE OF GREAT ASSISTANCE. THIS POLICY IS REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF BOARD MEMBERS, AND ANY NEW BOARD MEMBER IS ADVISED OF THE POLICY UPON ENTERING THE DUTIES OF HIS/HER OFFICE. THE BOARD CHAIRPERSON AND SECRETARY ARE AUTHORIZED AND DIRECTED TO SEE THAT THIS POLICY IS FOLLOWED. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW: THE BOARD CONDUCTS A REVIEW OF THE CEO'S CONTRACT USING A COMPENSATION COMMITTEE, IN WHICH THE BOARD OBTAINS COMPARABLE COMPENSATION INFORMATION FROM THE MPCA FOR PERSONS IN SIMILAR POSITIONS. THE ORGANIZATION ALSO USES FORMS 990 OF OTHER ORGANIZATIONS IN THIS REVIEW. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES AND COMPLETED BIANNUALLY. THE CEO DIRECTS AND COMPLETES A SIMILAR REVIEW FOR OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION'S BYLAWS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING AT THE CENTRAL ADMINISTRATION OFFICE OF THE ORGANIZATION OR CAN BE MAILED UPON REQUEST. THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE ONLY PROVIDED UPON THE APPROVAL OF A WRITTEN REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: $ (106,881) RETURNED CONTRIBUTIONS