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BIG SPRINGS MEDICAL ASSOCIATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
BIG SPRINGS MEDICAL ASSOCIATION (EIN 43-1068291)
Tax period
2018-06-01 to 2019-05-31
Filed
2020-04-15
IRS object ID
202001069349301200
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-04-15T10:02:35-05:00ReturnTs
Tax Period End2019-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD 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 Begin2018-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431068291EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BIG SPRINGS MEDICAL ASSOCIATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JULIE O'NEALInCareOfNm
Business Name ControlBIGSBusinessNameControlTxt
Phone5736632313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 157AddressLine1Txt
CityELLINGTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63638ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJULIE O'NEALPersonNm
Person TitleCFOPersonTitleTxt
Signature2020-04-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKrystal K CreachPreparerPersonNm
PTINP01248198PTIN
Phone4178658701PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id43032920201065000007FederalOriginalSubmissionId
Federal Original Submission Id2020-04-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id74C51B083D6172D3D43AC87F1A33B4712A418457AtSubmissionCreationDeviceId
At Submission Filing Device Id34FEC733D9517700F77F9305E895A80725933709AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MISSOURI HIGHLANDS HEALTH CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKAREN R WHITEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 157AddressLine1Txt
CityELLINGTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63638ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,125,085GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MOHIGH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES HIGH QUALITY, COST EFFECTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO UNDER-SERVED RESIDENTS OF ELLINGTON, MO AND SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee213TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$15,777TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$12,527NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,827,946PYContributionsGrantsAmt
CY Contributions Grants$4,940,990CYContributionsGrantsAmt
PY Program Service Revenue$10,514,319PYProgramServiceRevenueAmt
CY Program Service Revenue$11,005,960CYProgramServiceRevenueAmt
PY Investment Income-$52,515PYInvestmentIncomeAmt
CY Investment Income$2,844CYInvestmentIncomeAmt
PY Other Revenue$37,141PYOtherRevenueAmt
CY Other Revenue$95,275CYOtherRevenueAmt
PY Total Revenue$15,326,891PYTotalRevenueAmt
CY Total Revenue$16,045,069CYTotalRevenueAmt
PY Grants And Similar Paid$158,505PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$175,460CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,088,385PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,360,651CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,740,123PYOtherExpensesAmt
CY Other Expenses$7,185,211CYOtherExpensesAmt
PY Total Expenses$14,987,013PYTotalExpensesAmt
CY Total Expenses$16,721,322CYTotalExpensesAmt
PY Revenues Less Expenses$339,878PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$676,253CYRevenuesLessExpensesAmt
Total Assets BOY$12,382,560TotalAssetsBOYAmt
Total Assets EOY$11,831,211TotalAssetsEOYAmt
Total Liabilities BOY$3,456,344TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,763,124TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,926,216NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,068,087NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,592,324ExpenseAmt
Grant$175,460GrantAmt
Revenue$5,825,352RevenueAmt
DescBIG 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 2019, THE ORGANIZATION HAD 54,336 MEDICAL CARE VISITS. SEE SCHEDULE O FOR ADDITIONAL DETAIL.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,844,829ExpenseAmt
Revenue$4,651,923RevenueAmt
DescBIG 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 2019, THE ORGANIZATION HAD 11,715 DENTAL CARE VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,131,393ExpenseAmt
Revenue$528,685RevenueAmt
DescBIG 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 2019, THE ORGANIZATION HAD 4,255 BEHAVIORAL CARE VISITS. SEE SCHEDULE O FOR ADDITIONAL DETAIL.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$12,568,546TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
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 OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
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 Document85IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee213EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
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
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJULIE O'NEALPersonNm
Phone5736632313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 157AddressLine1Txt
CityELLINGTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63638ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOETTA MARTIN
VICE PRESEDENT1.00.0Yes (X)Yes (X)$0$0$0
MICHAEL MORTON
PRESIDENT1.00.0Yes (X)Yes (X)$0$0$0
LANCE MAYFIELD
SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
KATHY HART
TREASURER1.00.0Yes (X)Yes (X)$0$0$0
LINDA LUNSFORD
DIRECTOR1.00.0Yes (X)$0$0$0
SCOTT OATMAN
DIRECTOR1.00.0Yes (X)$0$0$0
DEBBIE SANDARCIERO
DIRECTOR1.00.0Yes (X)$0$0$0
JOHN MARK BREWER
DIRECTOR1.00.0Yes (X)$0$0$0
CURT MAJORS
DIRECTOR1.00.0Yes (X)$0$0$0
TAMMY MCCALL
DIRECTOR1.00.0Yes (X)$0$0$0
CRYSTAL JONES
DIRECTOR BEG 07/181.00.0Yes (X)$0$0$0
MICHELLE WALKER
DIRECTOR BEG 11/181.00.0Yes (X)$0$0$0
KAREN WHITE
CEO40.00.0Yes (X)$174,962$0$12,496
TAMMY LINDSAY
MEDICAL DIRECTOR40.00.0Yes (X)$236,775$0$3,000
LYNETTE RHODES
CFO40.00.0Yes (X)$85,089$0$5,370
JOSEPH CAMIRE
PHYSICIAN40.00.0$203,913$0$3,000Yes (X)
RICHARD HESTER
PHYSICIAN40.00.0$195,582$0$18,668Yes (X)
ADAM KAKAR
PHYSICIAN40.00.0$194,596$0$15,891Yes (X)
BRADLEY DANIEL
DENTAL DIRECTOR40.00.0$169,104$0$19,641Yes (X)
HARRY HARNESS
PHYSICIAN40.00.0$196,150$0$15,891Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,456,171TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$93,957TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
POPLAR BLUFF CHILDREN'S DENTISTRY L
4348 STATE HWY PPPOPLAR BLUFFMO63901CONTRACTED DENTAL$910,935
ATHENANET
PO BOX 415615BOSTONMA022415615EMR$444,094
GENOA QOL HEALTHCARE
707 S GRADY WAY UNIT 700RENTONWA98057CONTRACT MENTAL HLTH$216,765
GREENWAY HEALTH
4301 W BOY SCOUT BLVDTAMPAFL33607EMR/EDR$251,595
TRIGGERFISH TECHNOLOGIES
3815 FARON ST STE E STST JOSEPHMO65406CONTRACT IT SUPPORT$305,005
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$4,308,774GovernmentGrantsAmt
All Other Contributions$632,216AllOtherContributionsAmt
Noncash Contributions$421,043NoncashContributionsAmt
Total Contributions$4,940,990TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624100$10,451,670$10,451,670
CAPITATION REVENUE624100$477,263$477,263
OTHER REVENUE624100$77,027$77,027
FieldValueIRS element (for citing)
Total Program Service Revenue$11,005,960TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,812TotalRevenueColumnAmt
Exclusion$3,812ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$94,825RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$79,048RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$15,777RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,777TotalRevenueColumnAmt
Unrelated Business Revenue$15,777UnrelatedBusinessRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$968OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$968OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$968TotalRevenueColumnAmt
Exclusion-$968ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescGAIN/(LOSS) FROM EQUITY INVESTEEDesc
Business900099BusinessCd
Total Revenue Column$79,498TotalRevenueColumnAmt
Exclusion$79,498ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$79,498OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,045,069TotalRevenueColumnAmt
Related Or Exempt Func Income$11,005,960RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$15,777UnrelatedBusinessRevenueAmt
Exclusion$82,342ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$163,777TotalAmt
Program Services$163,777ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$11,683TotalAmt
Program Services$11,683ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$517,692TotalAmt
Program Services$330,234ProgramServicesAmt
Management And General$187,458ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,425,501TotalAmt
Program Services$4,794,419ProgramServicesAmt
Management And General$2,631,082ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$107,093TotalAmt
Program Services$68,535ProgramServicesAmt
Management And General$38,558ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$743,494TotalAmt
Program Services$538,776ProgramServicesAmt
Management And General$204,718ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$566,871TotalAmt
Program Services$412,039ProgramServicesAmt
Management And General$154,832ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$69,590TotalAmt
Management And General$69,590ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$125,166TotalAmt
Management And General$125,166ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,949,991TotalAmt
Program Services$1,803,096ProgramServicesAmt
Management And General$146,895ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$94,806TotalAmt
Program Services$89,476ProgramServicesAmt
Management And General$5,330ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$379,090TotalAmt
Program Services$290,133ProgramServicesAmt
Management And General$88,957ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$55,768TotalAmt
Program Services$22,562ProgramServicesAmt
Management And General$33,206ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$874,125TotalAmt
Program Services$798,298ProgramServicesAmt
Management And General$75,827ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$224,632TotalAmt
Program Services$199,344ProgramServicesAmt
Management And General$25,288ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$56,833TotalAmt
Program Services$45,746ProgramServicesAmt
Management And General$11,087ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$80,089TotalAmt
Program Services$10,981ProgramServicesAmt
Management And General$69,108ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$672,518TotalAmt
Program Services$607,959ProgramServicesAmt
Management And General$64,559ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$21,298TotalAmt
Program Services$5,729ProgramServicesAmt
Management And General$15,569ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,557,053$1,557,053
GRANT RELATED EXPENSES$695,642$531,085$164,557
BAD DEBT EXPENSE$267,736$267,736
LICENSES, DUES, SUBSCRIPTIONS$40,541$19,847$20,694

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$20,333TotalAmt
Program Services$38ProgramServicesAmt
Management And General$20,295ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,721,322TotalAmt
Program Services$12,568,546ProgramServicesAmt
Management And General$4,152,776ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$268,118BOYAmt
EOY$221,368EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$553,028BOYAmt
EOY$519,323EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$126,995BOYAmt
EOY$92,804EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$838,101BOYAmt
EOY$1,039,982EOYAmt

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$182,588BOYAmt
EOY$69,890EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$264,154BOYAmt
EOY$204,836EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,803,661LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,475,152LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,543,569BOYAmt
EOY$9,328,509EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$57,317BOYAmt
EOY$140,652EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$548,690BOYAmt
EOY$213,847EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,382,560BOYAmt
EOY$11,831,211EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,255,425BOYAmt
EOY$1,298,723EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,700BOYAmt
EOY$8,346EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,978,700BOYAmt
EOY$1,749,765EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$214,519BOYAmt
EOY$706,290EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,456,344BOYAmt
EOY$3,763,124EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,714,590BOYAmt
EOY$7,976,805EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$211,626BOYAmt
EOY$91,282EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,926,216BOYAmt
EOY$8,068,087EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,382,560BOYAmt
EOY$11,831,211EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$676,253ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$181,876OtherChangesInNetAssetsAmt
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)
HospitalYes (X)HospitalInd

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)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$3,000DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Total Lobbying Expenditures$3,000TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE C, PART II-B, LINE 1(G)DIRECT CONTACT WITH LEGISLATORS: KAREN R WHITE, CEO, INCURRED $3,000 OF TRAVEL EXPENSES RELATED TO TRAVELING TO JEFFERSON CITY, MO, AND WASHINGTON DC, FOR LEGISLATIVE DAYS.
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.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,496,164OtherCostOrOtherBasisAmt
Book Value$1,496,164BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,339,679OtherCostOrOtherBasisAmt
Depreciation$2,966,249DepreciationAmt
Book Value$6,373,430BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$166,633OtherCostOrOtherBasisAmt
Depreciation$166,633DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,112,351OtherCostOrOtherBasisAmt
Depreciation$1,298,728DepreciationAmt
Book Value$813,623BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$688,834OtherCostOrOtherBasisAmt
Depreciation$43,542DepreciationAmt
Book Value$645,292BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,328,509TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEST AMOUNT DUE TO THIRD PARTYDesc
Amt$706,290Amt
FieldValueIRS element (for citing)
Total Liability$706,290TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$16,047,251TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$258,259DonatedServicesAndUseFcltsAmt
Other Revenue-$237,986OtherRevenueAmt
Revenue Not Reported$20,273RevenueNotReportedAmt
Revenue Subtotal$16,026,978RevenueSubtotalAmt
Other Revenues Not Included$18,091OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$18,091RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$16,045,069TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,785,036TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$258,259DonatedServicesUseFcltsAmt
Other Expenses Included$73,191OtherExpensesIncludedAmt
Expenses Not Reported$331,450ExpensesNotReportedAmt
Expenses Subtotal$16,453,586ExpensesSubtotalAmt
Other Expenses Not Included$267,736OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$267,736ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,721,322TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART XI, LINE 2DAMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ 29,750 NET ASSETS RELEASED FROM RESTRICTION (267,736) PROVISIONS FOR BAD DEBT EXPENSE ----------- $ (237,986)
SCHEDULE D, PART XI, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (968) LOSS ON DISPOSAL OF PP&E (72,223) RENTAL EXPENSES 91,282 TEMPORARILY RESTRICTED CONTRIBUTIONS ----------- $ 18,091
SCHEDULE D, PART XII, LINE 2DAMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 968 LOSS ON DISPOSAL OF PP&E 72,223 RENTAL EXPENSES ----------- $ 73,191
SCHEDULE D, PART XII, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 267,736 PROVISIONS FOR BAD DEBT EXPENSE

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
OREGON COUNTY HEALTH DEPARTMENT
4TH MARKET STALTONMO65506430889812GOVERNMENT$6,000DELTA PASS-THRU
RIPLEY COUNTY HEALTH DEPARTMENT
1003 LOCUST STDONIPHANMO63935431271211GOVERNMENT$8,720DELTA PASS-THRU
SHANNON COUNTY HEALTH CENTER
18018 GREY JONES DREMINENCEMO65466436017791GOVERNMENT$11,300DELTA PASS-THRU
CARTER COUNTY HEALTH CENTER
1611 HEALTH CENTER DRIVEVAN BURENMO63965431261749GOVERNMENT$10,330DELTA PASS-THRU
TEXAS COUNTY HEALTH DEPARTMENT
950 N HWY 63 SUITE 500HOUSTONMO65483431431118GOVERNMENT$6,000DELTA PASS-THRU
WHOLE HEALTH OUTREACH INC
180 CO RD 700ELLINGTONMO63638431577997501 (C) (3)$30,000DELTA PASS-THRU
WHOLE KIDS OUTREACH INC
62143 HWY 21ELLINGTONMO63638431839370501 (C) (3)$26,480DELTA PASS-THRU
DOUGLAS COUNTY HEALTH DEPARTMENT
603 N 12TH ST STE COZARKMO65721431747760GOVERNMENT$63,000DELTA PASS-THRU
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeMEDICAL CAREGrantTypeTxt
Recipient2RecipientCnt
Cash Grant$11,683CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE I, PART I, LINE 2PROCEDURES FOR MONITORING USE OF GRANT FUNDS: GRANT FUNDS ARE MONITORED BY HAVING ALL EXPENSES USED FOR GRANT DRAWS REVIEWED AND APPROVED BY CEO OR CFO. ALL REVENUE AND EXPENDITURES ARE SEPARATED OUT ON THE GENERAL LEDGER.
SCHEDULE I, PART II, LINE 1, COLUMN HPURPOSE OF GRANT: BIG SPRINGS MEDICAL ASSOCIATION IS CONTRACTED WITH COLLABORATIVES IN THE AREA TO ACT AS A FIDUCIARY AGENT FOR GRANT PROCEEDS. THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA) AND HRSA PROVIDE GRANT MONEY TO BIG SPRINGS MEDICAL ASSOCIATION FOR RURAL HEALTHCARE SERVICES; THEN, BIG SPRINGS MEDICAL ASSOCIATION PASSES THIS GRANT MONEY THROUGH TO SUB-RECIPIENTS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
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 OrgfalseCompBasedOnRevenueOfFlngOrgInd
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 (7 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
KAREN WHITE
CEO$154,962$0$20,000$0$0$0$3,000$0$9,496$0$187,458$0$0$0
TAMMY LINDSAY
MEDICAL DIRECTOR$203,283$0$33,492$0$0$0$3,000$0$0$0$239,775$0$0$0
JOSEPH CAMIRE
PHYSICIAN$200,013$0$3,900$0$0$0$3,000$0$0$0$206,913$0$0$0
RICHARD HESTER
PHYSICIAN$185,725$0$9,857$0$0$0$3,000$0$15,668$0$214,250$0$0$0
ADAM KAKAR
PHYSICIAN$191,896$0$2,700$0$0$0$0$0$15,891$0$210,487$0$0$0
BRADLEY DANIEL
DENTAL DIRECTOR$169,104$0$0$0$0$0$3,000$0$16,641$0$188,745$0$0$0
HARRY HARNESS
PHYSICIAN$192,550$0$3,600$0$0$0$0$0$15,891$0$212,041$0$0$0

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$238,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$183,043NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, LINE 20, COLUMN BFormAndLineReferenceDesc
ExplanationNUMBER OF CONTRIBUTORS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS WHO CONTRIBUTED VACCINES DURING THE YEAR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6VOLUNTEERS: THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD.
FORM 990, PART III, LINE 1ORGANIZATION'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 4AADDITIONAL 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 11BFORM 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 12CMONITORING 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 & 15BCOMPENSATION 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 19DOCUMENT 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 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES: $ (181,876) RETURNED CONTRIBUTIONS
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED SERVICES TOTAL FEES:1923190
FORM 990 PART IX LINE 11GDESCRIPTION:PAYROLL PROCESSING TOTAL FEES:20973
FORM 990 PART IX LINE 11GDESCRIPTION:DATA PROCESSING TOTAL FEES:5639
FORM 990 PART IX LINE 11GDESCRIPTION:INTERPRETATION FEES TOTAL FEES:189