2020-04-15T10:02:35-05:00 2019-05-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2018-06-01 431068291 BIG SPRINGS MEDICAL ASSOCIATION INC % JULIE O'NEAL BIGS 5736632313 PO BOX 157 ELLINGTON MO 63638 JULIE O'NEAL CFO 2020-04-02 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920201065000007 2020-04-15 P 74C51B083D6172D3D43AC87F1A33B4712A418457 34FEC733D9517700F77F9305E895A80725933709 2018 2021-01-29 14:40:06Z MISSOURI HIGHLANDS HEALTH CARE KAREN R WHITE PO BOX 157 ELLINGTON MO 63638 16125085 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. 12 12 213 12 15777 12527 4827946 4940990 10514319 11005960 -52515 2844 37141 95275 15326891 16045069 158505 175460 0 0 8088385 9360651 0 0 0 6740123 7185211 14987013 16721322 339878 -676253 12382560 11831211 3456344 3763124 8926216 8068087 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 7592324 175460 5825352 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 2019, THE ORGANIZATION HAD 54,336 MEDICAL CARE VISITS. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 3844829 4651923 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 2019, THE ORGANIZATION HAD 11,715 DENTAL CARE VISITS. 1131393 528685 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 2019, THE ORGANIZATION HAD 4,255 BEHAVIORAL CARE VISITS. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 12568546 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 true true true false false false false false false false false true false false false false false false false false true 85 0 true 213 true true true 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 X JULIE O'NEAL 5736632313 PO BOX 157 ELLINGTON MO 63638 JOETTA MARTIN VICE PRESEDENT 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 KATHY 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 DEBBIE SANDARCIERO DIRECTOR 1.0 0.0 X 0 0 0 JOHN MARK BREWER DIRECTOR 1.0 0.0 X 0 0 0 CURT MAJORS DIRECTOR 1.0 0.0 X 0 0 0 TAMMY MCCALL DIRECTOR 1.0 0.0 X 0 0 0 CRYSTAL JONES DIRECTOR BEG 07/18 1.0 0.0 X 0 0 0 MICHELLE WALKER DIRECTOR BEG 11/18 1.0 0.0 X 0 0 0 KAREN WHITE CEO 40.0 0.0 X 174962 0 12496 TAMMY LINDSAY MEDICAL DIRECTOR 40.0 0.0 X 236775 0 3000 LYNETTE RHODES CFO 40.0 0.0 X 85089 0 5370 JOSEPH CAMIRE PHYSICIAN 40.0 0.0 X 203913 0 3000 RICHARD HESTER PHYSICIAN 40.0 0.0 X 195582 0 18668 ADAM KAKAR PHYSICIAN 40.0 0.0 X 194596 0 15891 BRADLEY DANIEL DENTAL DIRECTOR 40.0 0.0 X 169104 0 19641 HARRY HARNESS PHYSICIAN 40.0 0.0 X 196150 0 15891 1456171 0 93957 15 false true false POPLAR BLUFF CHILDREN'S DENTISTRY L 4348 STATE HWY PP POPLAR BLUFF MO 63901 CONTRACTED DENTAL 910935 ATHENANET PO BOX 415615 BOSTON MA 022415615 EMR 444094 GENOA QOL HEALTHCARE 707 S GRADY WAY UNIT 700 RENTON WA 98057 CONTRACT MENTAL HLTH 216765 GREENWAY HEALTH 4301 W BOY SCOUT BLVD TAMPA FL 33607 EMR/EDR 251595 TRIGGERFISH TECHNOLOGIES 3815 FARON ST STE E ST ST JOSEPH MO 65406 CONTRACT IT SUPPORT 305005 7 4308774 632216 421043 4940990 NET PATIENT SERVICE REVENUE 624100 10451670 10451670 CAPITATION REVENUE 624100 477263 477263 OTHER REVENUE 624100 77027 77027 11005960 3812 3812 0 0 94825 79048 15777 0 15777 15777 968 -968 -968 -968 0 0 0 0 0 0 0 0 0 GAIN/(LOSS) FROM EQUITY INVESTEE 900099 79498 79498 79498 16045069 11005960 15777 82342 X 163777 163777 11683 11683 0 0 517692 330234 187458 0 7425501 4794419 2631082 107093 68535 38558 743494 538776 204718 566871 412039 154832 0 69590 69590 125166 125166 0 0 0 1949991 1803096 146895 94806 89476 5330 379090 290133 88957 55768 22562 33206 0 874125 798298 75827 224632 199344 25288 0 56833 45746 11087 80089 10981 69108 0 672518 607959 64559 21298 5729 15569 MEDICAL SUPPLIES 1557053 1557053 GRANT RELATED EXPENSES 695642 531085 164557 BAD DEBT EXPENSE 267736 267736 LICENSES, DUES, SUBSCRIPTIONS 40541 19847 20694 20333 38 20295 16721322 12568546 4152776 0 268118 221368 553028 519323 126995 92804 838101 1039982 0 0 0 0 0 0 182588 69890 264154 204836 13803661 4475152 9543569 9328509 0 0 57317 140652 0 0 0 0 548690 213847 12382560 11831211 1255425 1298723 0 0 7700 8346 0 0 0 0 0 0 1978700 1749765 0 0 214519 706290 3456344 3763124 X 8714590 7976805 211626 91282 0 0 8926216 8068087 12382560 11831211 X -676253 -181876 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 3000 false true 3000 false 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. 1496164 1496164 9339679 2966249 6373430 166633 166633 2112351 1298728 813623 688834 43542 645292 9328509 0 EST AMOUNT DUE TO THIRD PARTY 706290 706290 16047251 258259 -237986 20273 16026978 18091 18091 16045069 16785036 258259 73191 331450 16453586 267736 267736 16721322 SCHEDULE D, PART XI, LINE 2D AMOUNTS 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 4B AMOUNTS 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 2D AMOUNTS 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 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 267,736 PROVISIONS FOR BAD DEBT EXPENSE true OREGON COUNTY HEALTH DEPARTMENT 4TH MARKET ST ALTON MO 65506 430889812 GOVERNMENT 6000 DELTA PASS-THRU RIPLEY COUNTY HEALTH DEPARTMENT 1003 LOCUST ST DONIPHAN MO 63935 431271211 GOVERNMENT 8720 DELTA PASS-THRU SHANNON COUNTY HEALTH CENTER 18018 GREY JONES DR EMINENCE MO 65466 436017791 GOVERNMENT 11300 DELTA PASS-THRU CARTER COUNTY HEALTH CENTER 1611 HEALTH CENTER DRIVE VAN BUREN MO 63965 431261749 GOVERNMENT 10330 DELTA PASS-THRU TEXAS COUNTY HEALTH DEPARTMENT 950 N HWY 63 SUITE 500 HOUSTON MO 65483 431431118 GOVERNMENT 6000 DELTA PASS-THRU WHOLE HEALTH OUTREACH INC 180 CO RD 700 ELLINGTON MO 63638 431577997 501 (C) (3) 30000 DELTA PASS-THRU WHOLE KIDS OUTREACH INC 62143 HWY 21 ELLINGTON MO 63638 431839370 501 (C) (3) 26480 DELTA PASS-THRU DOUGLAS COUNTY HEALTH DEPARTMENT 603 N 12TH ST STE C OZARK MO 65721 431747760 GOVERNMENT 63000 DELTA PASS-THRU 8 MEDICAL CARE 2 11683 SCHEDULE I, PART I, LINE 2 PROCEDURES 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 H PURPOSE 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. X X X X X false false false false false false false false false KAREN WHITE CEO 154962 0 20000 0 0 0 3000 0 9496 0 187458 0 0 0 TAMMY LINDSAY MEDICAL DIRECTOR 203283 0 33492 0 0 0 3000 0 0 0 239775 0 0 0 JOSEPH CAMIRE PHYSICIAN 200013 0 3900 0 0 0 3000 0 0 0 206913 0 0 0 RICHARD HESTER PHYSICIAN 185725 0 9857 0 0 0 3000 0 15668 0 214250 0 0 0 ADAM KAKAR PHYSICIAN 191896 0 2700 0 0 0 0 0 15891 0 210487 0 0 0 BRADLEY DANIEL DENTAL DIRECTOR 169104 0 0 0 0 0 3000 0 16641 0 188745 0 0 0 HARRY HARNESS PHYSICIAN 192550 0 3600 0 0 0 0 0 15891 0 212041 0 0 0 X 1 238000 FMV X 2 183043 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: $ (181,876) RETURNED CONTRIBUTIONS FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:1923190 FORM 990 PART IX LINE 11G DESCRIPTION:PAYROLL PROCESSING TOTAL FEES:20973 FORM 990 PART IX LINE 11G DESCRIPTION:DATA PROCESSING TOTAL FEES:5639 FORM 990 PART IX LINE 11G DESCRIPTION:INTERPRETATION FEES TOTAL FEES:189