OZARKS MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: OZARKS MEDICAL CENTER (EIN 44-6005758)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-13
IRS object ID: 201943179349307699
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-13T15:51:46-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	446005758	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OZARKS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% TIMOTHY POLLARD INTERIM CFO	InCareOfNm
Business Name Control	OZAR	BusinessNameControlTxt
Phone	4172569111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1100	AddressLine1Txt
City	WEST PLAINS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65775	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS KELLER	PersonNm
Person Title	PRESIDENT AND CEO	PersonTitleTxt
Phone	4172569111	PhoneNum
Signature	2019-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	43032920193175000023	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	74C51B083D6172D3D43AC87F1A33B4712A418457	AtSubmissionCreationDeviceId
At Submission Filing Device Id	DC217978BA4E90A39731850ED9CC10A93A8E606F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	THOMAS KELLER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1100	AddressLine1Txt
City	WEST PLAINS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65775	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$212,088,611	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.OZARKSMEDICALCENTER.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1955	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	TO BRING HIGH QUALITY HEALTH CARE TO THE REGION THROUGH DEVELOPMENT OF NEW SERVICES, ACQUIRING NEW EQUIPMENT AND RECRUITMENT OF HIGH QUALITY PROFESSIONALS.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1577	TotalEmployeeCnt
Total Volunteers	64	TotalVolunteersCnt
Total Gross UBI	$32,218	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$580,307	PYContributionsGrantsAmt
CY Contributions Grants	$355,670	CYContributionsGrantsAmt
PY Program Service Revenue	$181,594,478	PYProgramServiceRevenueAmt
CY Program Service Revenue	$207,544,492	CYProgramServiceRevenueAmt
PY Investment Income	$2,056,199	PYInvestmentIncomeAmt
CY Investment Income	$2,736,289	CYInvestmentIncomeAmt
PY Other Revenue	$734,560	PYOtherRevenueAmt
CY Other Revenue	$1,278,945	CYOtherRevenueAmt
PY Total Revenue	$184,965,544	PYTotalRevenueAmt
CY Total Revenue	$211,915,396	CYTotalRevenueAmt
PY Grants And Similar Paid	$71,423	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$104,030	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$83,015,446	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$91,043,862	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$92,046,499	PYOtherExpensesAmt
CY Other Expenses	$104,113,822	CYOtherExpensesAmt
PY Total Expenses	$175,133,368	PYTotalExpensesAmt
CY Total Expenses	$195,261,714	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,832,176	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$16,653,682	CYRevenuesLessExpensesAmt
Total Assets BOY	$144,181,758	TotalAssetsBOYAmt
Total Assets EOY	$148,668,806	TotalAssetsEOYAmt
Total Liabilities BOY	$55,286,111	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$47,716,675	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$88,895,647	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$100,952,131	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ALL WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$134,635,411	ExpenseAmt
Grant	$104,030	GrantAmt
Revenue	$176,528,795	RevenueAmt
Desc	INPATIENT AND OUTPATIENT SERVICES-INPATIENT ADMISSIONS WERE 5,792; TOTAL PATIENT DAYS WERE 21,534. THERE WERE 26,965 ED VISITS AND 86,901 OTHER OUTPATIENT REGISTRATIONS FOR 2018. SEE SCHEDULE O FOR MORE INFORMATION	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$32,895,136	ExpenseAmt
Revenue	$26,897,295	RevenueAmt
Desc	THE RURAL HEALTH AND SPECIALTY CLINICS, INCLUDING BEHAVIORAL HEALTH CLINIC PROGRAMS, PERFORMED 355,439 CLINIC ENCOUNTERS WITH PATIENTS DURING 2018. THE RURAL HEALTH AND SPECIALTY CLINICS MADE UP 137,389 OF THOSE ENCOUNTERS, WITH THE REMAINING 218,050 ENCOUNTERS BELONGING TO OTHER BEHAVIORAL HEALTHCARE CLINICS. BEHAVIORAL HEALTHCARE OFFERED SERVICES SUCH AS PSYCHOTHERAPY, PSYCHOLOGICAL TESTING, CASE MANAGEMENT, PSYCHO-SOCIAL REHABILITATION, MEDICATIONMANAGEMENT/SERVICES, FAMILY ASSISTANCE, AND CRISIS STABILIZATION SERVICES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,455,700	ExpenseAmt
Revenue	$4,118,402	RevenueAmt
Desc	OMC HOME CARE PROGRAMS SERVICED PATIENTS THROUGH 69,102 VISITS DURING 2018. PROGRAMS INCLUDE: OMC HOME CARE(HEALTH CARE PROVIDED TO PATIENTS IN THEIR HOMES USING SKILLED NURSES, HOME HEALTH AIDES, REHABILITATION THERAPISTS AND SOCIAL WORKERS). OMC SUPPORT SERVICES (HOMEMAKING, PERSONAL CARE, RESPITE CARE, AND IN-HOME COMPANION CARE), OMC TRANSITIONS (END-OF-LIFE CARE OFFERING ASSISTANCE, ENCOURAGEMENT, AND SUPPORT), AND OMC HOSPICE (PHYSICAL, EMOTIONAL AND SPIRITUAL CARE) IN THE FINAL STAGES OF ILLNESS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$172,986,247	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	116	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1577	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TIMOTHY POLLARD INTERIM CFO	PersonNm
Phone	4172569111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1100	AddressLine1Txt
City	WEST PLAINS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65775	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KEVIN GLEGHORN
BOARD MEMBER/CHAIRMAN	2.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
JUDY INGALSBE
BOARD MEMBER/SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SHAWN MARHEFKA
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
TRAVIS MORRISON
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
ROGER D SHAW III DVM
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
TRAVIS SMITH
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
JASON SPURLING MD
BOARD MEMBER/PHYSICIAN	1.0	0.0	Yes (X)		$3,420	$0	$0
MELISSA STEWART
BOARD MEMBER/TREAS.	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
CHARLES N SWIFT DO
BOARD MEMBER/PHYSICIAN	1.0	0.0	Yes (X)		$0	$0	$0
BILL WOOD
BOARD MEMBER/VICE CHAIRMAN	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
RODNEY ZIMBELMAN MD
BOARD MEMBER/PHYSICIAN	55.0	0.0	Yes (X)		$545,386	$0	$20,595
CHARLES H MORGAN MD
BOARD MEMBER/PHYSICIAN	55.0	0.0	Yes (X)		$419,990	$0	$22,008
JACK BATES
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
CHRISTOPHER COCHRAN
BOARD MEMBER/PHYSICIAN	1.0	0.0	Yes (X)		$378,244	$0	$23,847
DAVID M GOHN
BOARD MEMBER BEG 04/18	1.0	0.0	Yes (X)		$0	$0	$0
KIM THOMPSON
CFO/VP FINANCE	55.0	1.0		Yes (X)	$222,765	$0	$18,094
THOMAS KELLER
CEO	55.0	1.0		Yes (X)	$518,670	$0	$24,244
KURTIS ABBEY
VP CNO/COO BEG 10/18	55.0	0.0			$189,700	$0	$9,776	Yes (X)
PAMELA LEE
COO END 09/18	55.0	0.0			$176,357	$0	$5,510	Yes (X)
CONSTANCE SCHOTT
VP HUMAN RESOURCES	55.0	0.0			$155,362	$0	$13,780	Yes (X)
BENJAMIN YAN MD PHD
PHYSICIAN/ONCOLOGIST	40.0	0.0			$851,545	$0	$30,847		Yes (X)
M FAISAL KHAN MD
PHYSICIAN/CARDIOLOGIST	40.0	0.0			$811,071	$0	$26,497		Yes (X)
ANTONY JOSEPH MD
PHYSICIAN/SURGEON	40.0	0.0			$762,105	$0	$21,896		Yes (X)
SUSAN JOLLY MD
PHYSICIAN/ORTHOPEDIC SURGEON	40.0	0.0			$705,552	$0	$23,265		Yes (X)
KEVIN CROWE MD
PHYSICIAN/RADIOLOGIST	40.0	0.0			$704,746	$0	$12,268		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,444,913	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$252,627	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	95	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
360 DEGREE MEDICINE LLC
108 SUNNY LANE	BRANSON WEST	MO	65737	PHYSICIAN STAFFING	$4,447,480
CROMWELL ARCHITECTS ENGINEERS
101 S SPRING STREET	LITTLE ROCK	AR	72201	BUILDING DESIGNS	$2,825,302
MEDEFIS
PO BOX 5068	NEW YORK	NY	100875068	CONTRACT NURSES	$1,280,035
TATE GENERAL CONTRACTORS
PO BOX 1766	JONESBORO	AR	724031766	CONSTRUCTION	$1,276,550
R K WARDEN LLC
9066 CT 6470	WEST PLAINS	MO	65775	CONSTRUCTION	$502,023

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	42	CntrctRcvdGreaterThan100KCnt
Related Organizations	$99,908	RelatedOrganizationsAmt
Government Grants	$143,503	GovernmentGrantsAmt
All Other Contributions	$112,259	AllOtherContributionsAmt
Total Contributions	$355,670	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE	624100	$192,630,344	$192,630,344
CONTRACT PHARMACY	446110	$8,876,378	$8,876,378
EHR INCENTIVE REVENUE	900099	$10,874	$10,874
OTHER REVENUE	900099	$5,672,919	$5,640,701	$32,218
CAFETERIA	722514	$353,977	$353,977

Field	Value	IRS element (for citing)
Total Program Service Revenue	$207,544,492	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,761,640	TotalRevenueColumnAmt
Exclusion	$2,761,640	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$201,522	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$122,513	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$79,009	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$79,009	TotalRevenueColumnAmt
Exclusion	$79,009	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$25,351	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$50,702	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$25,351	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$25,351	TotalRevenueColumnAmt
Exclusion	-$25,351	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
INCOME FROM EQUITY INVESTEE	900099	$370,126	$370,126
MALPRACTICE INS DIVIDEND	900099	$829,810	$829,810

Field	Value	IRS element (for citing)
Other Revenue Total	$1,199,936	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$211,915,396	TotalRevenueColumnAmt
Related Or Exempt Func Income	$207,512,274	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$32,218	UnrelatedBusinessRevenueAmt
Exclusion	$4,015,234	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$104,030	TotalAmt
Program Services	$104,030	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,916,751	TotalAmt
Program Services	$1,963,836	ProgramServicesAmt
Management And General	$952,915	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$69,894,786	TotalAmt
Program Services	$58,636,754	ProgramServicesAmt
Management And General	$11,258,032	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,866,575	TotalAmt
Program Services	$1,560,299	ProgramServicesAmt
Management And General	$306,276	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,958,987	TotalAmt
Program Services	$9,981,824	ProgramServicesAmt
Management And General	$1,977,163	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,406,763	TotalAmt
Program Services	$3,669,512	ProgramServicesAmt
Management And General	$737,251	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$354,381	TotalAmt
Management And General	$354,381	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$109,579	TotalAmt
Management And General	$109,579	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,957,608	TotalAmt
Program Services	$16,714,087	ProgramServicesAmt
Management And General	$3,243,521	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$444,691	TotalAmt
Program Services	$372,784	ProgramServicesAmt
Management And General	$71,907	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,723,891	TotalAmt
Program Services	$3,121,653	ProgramServicesAmt
Management And General	$602,238	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$31,111	TotalAmt
Program Services	$26,080	ProgramServicesAmt
Management And General	$5,031	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,256,005	TotalAmt
Program Services	$1,891,209	ProgramServicesAmt
Management And General	$364,796	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,073,606	TotalAmt
Program Services	$900,004	ProgramServicesAmt
Management And General	$173,602	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$507,561	TotalAmt
Program Services	$431,744	ProgramServicesAmt
Management And General	$75,817	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$754,419	TotalAmt
Program Services	$632,429	ProgramServicesAmt
Management And General	$121,990	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,222,580	TotalAmt
Program Services	$5,216,389	ProgramServicesAmt
Management And General	$1,006,191	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,152,559	TotalAmt
Program Services	$1,780,494	ProgramServicesAmt
Management And General	$372,065	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$28,807,589	$28,807,589
BAD DEBT	$28,152,019	$28,152,019
PROVIDER TAX EXPENSE	$6,209,936	$6,209,936
LICENSES, DUES, SUBSCRIPTIONS	$2,705,252	$2,267,813	$437,439

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$651,035	TotalAmt
Program Services	$545,762	ProgramServicesAmt
Management And General	$105,273	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$195,261,714	TotalAmt
Program Services	$172,986,247	ProgramServicesAmt
Management And General	$22,275,467	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,463	BOYAmt
EOY	$8,616	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$31,563,762	BOYAmt
EOY	$32,352,616	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,525	BOYAmt
EOY	$1,877	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$21,083,496	BOYAmt
EOY	$21,381,357	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$195,361	BOYAmt
EOY	$1,396,813	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,965,599	BOYAmt
EOY	$1,711,492	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,268,051	BOYAmt
EOY	$1,927,738	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$142,065,251	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$96,975,996	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$37,862,559	BOYAmt
EOY	$45,089,255	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$39,616,930	BOYAmt
EOY	$39,540,016	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,910,935	BOYAmt
EOY	$2,281,061	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,695,077	BOYAmt
EOY	$2,977,965	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$144,181,758	BOYAmt
EOY	$148,668,806	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,985,571	BOYAmt
EOY	$13,496,508	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,223,128	BOYAmt
EOY	$17,675,663	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,527,133	BOYAmt
EOY	$2,992,450	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,550,279	BOYAmt
EOY	$13,552,054	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,286,111	BOYAmt
EOY	$47,716,675	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$88,884,363	BOYAmt
EOY	$100,933,793	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,284	BOYAmt
EOY	$18,338	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$88,895,647	BOYAmt
EOY	$100,952,131	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$144,181,758	BOYAmt
EOY	$148,668,806	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$16,653,682	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$4,597,198	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$10,371	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$10,028	OtherActivitiesAmt
Total Lobbying Expenditures	$20,399	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE C, PART II-B, LINE 1(G)

DIRECT CONTACT WITH LEGISLATORS: SENIOR MANAGEMENT MEMBERS AS WELL AS BOARD MEMBERS TRAVELED TO WASHINGTON, DC TO VISIT WITH LEGISLATORS.

SCHEDULE C, PART II-B, LINE 1(I)

OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES. ALSO, LEADERS ATTEND COMMUNITY FORUMS AND LOCAL REPRESENTATIVE FORUMS TO COMMUNICATE THE EFFECT OF HEALTHCARE LEGISLATION ON OMC, OTHER HEALTH CARE PROVIDERS, AND THE COMMUNITY. THERE IS NO EXPENSE TO OMC FOR THESE ACTIVITIES.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,438,122	OtherCostOrOtherBasisAmt
Book Value	$4,438,122	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,775,064	OtherCostOrOtherBasisAmt
Depreciation	$25,743,565	DepreciationAmt
Book Value	$19,031,499	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,644,587	OtherCostOrOtherBasisAmt
Depreciation	$1,559,455	DepreciationAmt
Book Value	$85,132	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,310,491	OtherCostOrOtherBasisAmt
Depreciation	$68,302,003	DepreciationAmt
Book Value	$14,008,488	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,896,987	OtherCostOrOtherBasisAmt
Depreciation	$1,370,973	DepreciationAmt
Book Value	$7,526,014	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$45,089,255	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
EST SELF INSURANCE	$2,227,655
EST AMT DUE TO 3RD PTY PYRS	$8,221,670
DUE TO AFFILIATES	$1,709
OTHER LIABILITIES	$3,101,020

Field	Value	IRS element (for citing)
Total Liability	$13,552,054	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$183,789,965	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$28,152,019	OtherRevenueAmt
Revenue Not Reported	-$28,152,019	RevenueNotReportedAmt
Revenue Subtotal	$211,941,984	RevenueSubtotalAmt
Other Revenues Not Included	-$26,588	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$26,588	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$211,915,396	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$167,232,208	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$122,513	OtherExpensesIncludedAmt
Expenses Not Reported	$122,513	ExpensesNotReportedAmt
Expenses Subtotal	$167,109,695	ExpensesSubtotalAmt
Other Expenses Not Included	$28,152,019	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$28,152,019	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$195,261,714	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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: $(28,152,019) PROVISION FOR UNCOLLECTIBLE ACCOUNTS
SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 7,054 TEMPORARILY RESTRICTED CONTRIBUTIONS 88,871 CONTRIBUTIONS FOR ACQUISITION OF PROPERTY AND EQUIPMENT (122,513) RENTAL EXPENSES ------------- $ (26,588)
SCHEDULE D, PART XII, LINE 2D	AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 122,513 RENTAL EXPENSES
SCHEDULE D, PART XII, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 28,152,019 PROVISION FOR UNCOLLECTIBLE ACCOUNTS

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	225.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,555,940	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,555,940	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,087,938	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,888,847	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,199,091	NetCommunityBenefitExpnsAmt
Total Expense	0.05500	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,643,878	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,888,847	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,755,031	NetCommunityBenefitExpnsAmt
Total Expense	0.06430	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,844	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$123,844	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,040,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,052,346	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,987,674	NetCommunityBenefitExpnsAmt
Total Expense	0.02990	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,030	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$104,030	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,267,894	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,052,346	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,215,548	NetCommunityBenefitExpnsAmt
Total Expense	0.03120	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,911,772	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,941,193	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,970,579	NetCommunityBenefitExpnsAmt
Total Expense	0.09550	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$28,152,019	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,430,262	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$36,837,002	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$36,312,622	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$524,380	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OZARKS MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 KENTUCKY AVENUE	AddressLine1Txt
City	WEST PLAINS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65775	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.OZARKSMEDICALCENTER.COM	WebsiteAddressTxt
State License	174-55	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	OZARKS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	225.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: INTERVIEWS WITH KEY INFORMANTS WERE CONDUCTED ON MARCH 22, 2016. DETAILS REGARDING INTERVIEW QUESTIONS AND PROCESS ARE AVAILABLE WITHIN THE CHNA REPORT POSTED ON OMC'S WEBSITE. INTERVIEWEES WERE DETERMINED BASED ON THEIR: A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH B) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS KEY INFORMANTS FROM THE COMMUNITY WORKED FOR THE FOLLOWING TYPES OF ORGANIZATIONS AND AGENCIES: -LOCAL SCHOOL SYSTEM AND COMMUNITY COLLEGE -LOCAL CITY AND COUNTY GOVERNMENT -PUBLIC HEALTH AGENCIES -COMMUNITY LEADERS -INDUSTRY -LAW ENFORCEMENT -MEDICAL PROVIDERS
SCHEDULE H, PART V, SECTION B, LINE 7A	HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.OZARKSMEDICALCENTER.COM/DOCUMENTS/OZARKSMEDICALCENTER-CHNA-16-C C.PDF
SCHEDULE H, PART V, SECTION B, LINE 7D	PRESS RELEASES WERE SENT TO THE PRINT MEDIA IN THE SERVICE AREA STATING WHERE THE REPORT COULD BE FOUND.
SCHEDULE H, PART V, SECTION B, LINE 11	IMPLEMENTATION STRATEGY: OMC HAS A COMMUNITY BENEFIT PLAN ADDRESSING SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA, ALONG WITH PLANS TO ADDRESS OR REASONS NOT BEING ADDRESSED. ALSO, OMC'S BOARD OF TRUSTEES AND SENIOR LEADERS INCORPORATE THIS PLAN INTO THE ORGANIZATION'S STRATEGIC PLAN. THE STRATEGIC PLAN SPECIFIES GOALS, STRATEGIES, AND INITIATIVES. THESE ARE ASSIGNED DUE DATES, THE PRIMARY RESPONSIBLE LEADER AND ALIGNMENT WITH MISSION, VISION AND VALUES.
SCHEDULE H, PART V, SECTION B, LINE 13B & 13H	ELIGIBILITY CRITERIA: 13B) THE RELATIONSHIP OF INCOME TO CHARGE AMOUNTS EVEN WHEN INCOME EXCEEDS FPG LIMITS. 13H) WHEN SERVICES ARE MEDICALLY NECESSARY AND THERE IS AGREEANCE TO SCREENING FOR OTHER ASSISTANCE PROGRAMS AND PRIOR PAYMENT OBLIGATIONS ON PAST DISCOUNTED SERVICES WERE MET.
SCHEDULE H, PART V, SECTION B, LINE 16A-C	FINANCIAL ASSISTANCE POLICY PUBLICATION: THE FINANCIAL ASSISTANCE PROGRAM IS DISCUSSED AT: HTTPS://WWW.OZARKSMEDICALCENTER.COM/FOR-PATIENTS-VISITORS/FINANCIAL ASSISTANCE-PROGRAMS.ASPX FURTHER, THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: 16A) https://www.ozarksmedicalcenter.com/documents/Financial-Assistance-Policy. pdf 16B) https://www.ozarksmedicalcenter.com/documents/Hospital-Financial-Assistanc e-Application.pdf 16C) https://www.ozarksmedicalcenter.com/documents/Plain-Language-Summary-of-Fi nancial-Assistance-Policy.pdf
SCHEDULE H, PART V, SECTION B, LINES 18 & 19	BILLING AND COLLECTIONS: THE WRITTEN FINANCIAL ASSISTANCE POLICY EXPLAINS THAT THE ORGANIZATION WILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR PAYMENT PROVIDED THAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH OMC'S FINANCIAL COUNSELORS EFFORTS TO GET PAYMENT FROM OTHER SOURCES OR OBTAIN INFORMATION FOR CHARITY CARE DETERMINATION. THE FAP DOES NOT LIST ANY OF THE ITEMS LISTED IN #18 OR #19.

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ALTON MEDICAL CLINIC
100 MEDICAL DR	ALTON	MO	65606	RURAL HEALTH CLINIC
GAINESVILLE MEDICAL CENTER
404 W HWY 160	GAINESVILLE	MO	65655	RURAL HEALTH CLINIC
MAMMOTH SPRINGS MEDICAL CLINIC
260 S MAIN	MAMMOTH SPRINGS	AR	72554	RURAL HEALTH CLINIC
MOUNTAIN GROVE MEDICAL COMPLEX
500 E 19TH ST	MOUNTAIN GROVE	MO	65711	RURAL HEALTH CLINIC OP SERVICES
MOUNTAIN VIEW MEDICAL CLINIC
220 N ELM ST PO BOX 32	MOUNTAIN VIEW	MO	65548	RURAL HEALTH CLINIC
WINONA MEDICAL CLINIC
1008 N HWY 19	WINONA	MO	65588	RURAL HEALTH CLINIC
THAYER MEDICAL CLINIC
300 WARMFORK RD	THAYER	MO	65791	RURAL HEALTH CLINIC
BEHAVIORAL HEALTH CARE
23 PARKWAY CENTER	WEST PLAINS	MO	65775	MENTAL HLTH SERVICES
HEART CARE SERVICES
1115 ALASKA AVE STE 114	WEST PLAINS	MO	65775	CARDIOVASCULAR SPECIALTY CLINIC
OZARK WORKSURGENT CARE CLINIC
181 N KENTUCKY AVE	WEST PLAINS	MO	65775	RURAL HEALTH CLINIC OCCUPATIONAL MEDICINE SPECIALTY CLINIC
PAIN MANAGEMENT
3000 INDEPENDENCE SQUARE	WEST PLAINS	MO	65775	OP SERVICES
ARCH SHAW BUILDING
1111 KENTUCKY AVE	WEST PLAINS	MO	65775	ONCOLOGY, IMAGING, AND REHABILITATION
SLEEP LAB
11 PARKWAY CENTER	WEST PLAINS	MO	65775	SLEEP LAB
SURGERY CLINIC
2600 INDEPENDENCE SQUARE	WEST PLAINS	MO	65775	SPECIALTY CLINIC
INTERNAL MEDICINE CLINIC
1115 ALASKA AVE STE 215	WEST PLAINS	MO	65775	SPECIALTY CLINIC
HOME CARE
114 E MAIN ST	WEST PLAINS	MO	65775	HOME HEALTH, HOSPICE, SUPPORT SERVICES
ORTHOPEDICS CLINIC
1210 N KENTUCKY AVE	WEST PLAINS	MO	65775	ORTHOPEDIC SPECIALTY CLINIC
RHEUMATOLOGY
2900 INDEPENDENCE SQUARE	WEST PLAINS	MO	65775	OP SERVICES
WOMEN'S HEALTHCARE CLINIC
1627 GIBSON ST	WEST PLAINS	MO	65775	SPECIALTY CLINIC
UROLOGY
181 KENTUCKY AVE STE 200	WEST PLAINS	MO	65775	SPECIALTY CLINIC
WOUND CARE
1665 GIBSON ST	WEST PLAINS	MO	65775	OUTPATIENT SERVICES
WEST PLAINS IMAGING
3102 INDEPENDENCE SQUARE	WEST PLAINS	MO	65775	OUT PATIENT IMAGING SERVICES
OMC FAMILY MEDICINE
312 KENTUCKY AVE	WEST PLAINS	MO	65775	RURAL HEALTH CLINIC
OMC WILLOW SPRINGS
210 WEST HIGH STREET SUITE 2	WILLOW SPRINGS	MO	65775	FAMILY MEDICINE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6A	COMMUNITY BENEFIT REPORT: THE ORGANIZATION PREPARES AN ANNUAL REPORT, WHICH IS AVAILABLE ON ITS WEBSITE. THE ANNUAL REPORT CONTAINS VARIOUS COMMUNITY BENEFIT INFORMATION.
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $ 28,152,019.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $999,661. OZARKS MEDICAL CENTER PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
SCHEDULE H, PART I, LINE 7G	COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEET 6 WAS COMPUTED FROM THE MEDICARE COST REPORT AND DEPARTMENT FINANCIAL STATEMENTS, USING SPECIFIC FINANCIAL DATA FOR EACH TYPE OF SUBSIDY.
SCHEDULE H, PART III, LINE 2	BAD DEBT EXPENSE: THE ORGANIZATION USED BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 3	BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THE ORGANIZATION ANALYZED BAD DEBT AND FINANCIAL ASSISTANCE INFORMATION AND DETERMINED THAT IF ALL APPLICATIONS HAD BEEN RETURNED, THERE WOULD HAVE BEEN $2,859,132 IN ADDITIONAL FINANCIAL ASSISTANCE REQUESTS. THE ORGANIZATION THEN ESTIMATED THAT 85% OF THESE WOULD QUALIFY FOR FINANCIAL ASSISTANCE ($2,430,262).
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBESBAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: THAT FOOTNOTE CAN BE FOUND ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6, WHICH ONLY REFLECTS HOSPITAL FACILITY ACTIVITY AND PAYMENTS FROM CMS AGENTS. WHEN SEQUESTRATION WITHHOLDINGS, COSTS AND PAYMENTS FOR MEDICARE ADVANTAGE PLAN PATIENTS, AND PHYSICIAN AND CLINIC SERVICES AND PAYMENTS ARE ALSO CONSIDERED, THE SHORTFALL BECOMES SIGNIFICANT.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY: IF A PATIENT APPLIES FOR ASSISTANCE PROGRAMS, THE COLLECTIONS PROCESS CEASES UNTIL THERE IS A DETERMINATION OF WHETHER OR NOT THE PATIENT QUALIFIES FOR ASSISTANCE. PENDING FINAL ELIGIBILITY DETERMINATION, OMC WILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR PAYMENT PROVIDED THAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH OMC'S FINANCIAL COUNSELORS' EFFORTS TO GET PAYMENT FROM OTHER SOURCES OR OBTAIN INFORMATION FOR CHARITY CARE DETERMINATION.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: BESIDES THE CHNA SURVEY, OMC HAS MANY OTHER WAYS OF ASSESSING NEEDS OF THE COMMUNITIES. COMMENTS ON PATIENT SATISFACTION SURVEYS, THE HEALTH CONDITION OF PATIENTS ARRIVING AT THE EMERGENCY ROOM AND OTHER CLINICAL AREAS OF OMC, INPUT FROM OTHER AREA PHYSICIANS AND MEDICAL FACILITIES, INPUT FROM SCHOOLS, COLLEGES, AND SOCIAL ASSISTANCE ORGANIZATIONS, QUESTIONS AND COMMENTS SUBMITTED VIA OUR WEBSITE, EDITORIALS IN THE LOCAL NEWSPAPERS, RESULTS FROM HEALTH SCREENING EVENTS AND CENSUS DATA ARE ALL SOURCES OF INFORMATION REGARDING THE HEALTH NEEDS OF OUR COMMUNITIES. ALSO, OUR BOARD OF TRUSTEE MEMBERS ARE ALL LEADERS IN OTHER BUSINESSES AND HAVE INPUT BASED ON THEIR EMPLOYEES. OMC ENCOURAGES ALL OF THEIR LEADERS AND STAFF TO BE INVOLVED IN THE COMMUNITY, WHICH ALSO LEADS TO OPPORTUNITIES TO BECOME AWARE OF HEALTH NEEDS.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FINANCIAL COUNSELORS MEET WITH PATIENTS UPON ADMISSION OR DISCHARGE AS APPLICABLE AND DISCUSS PAYMENT OPTIONS INCLUDING DMH, MEDICAID AND CHARITY, ETC. APPLICATIONS AND INSTRUCTIONS ARE GIVEN TO THOSE THAT APPEAR TO QUALIFY. SOCIAL WORKERS ARE ALSO USED FOR PATIENTS WITH SPECIAL NEEDS. EACH CLINIC AND REGISTRATION AREA HAS A PAMPHLET DISPLAY WITH INFORMATION ON THE CHARITY CARE POLICY.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: OZARKS MEDICAL CENTER IS LOCATED IN THE 11TH POOREST CONGRESSIONAL DISTRICT IN THE COUNTRY. THE LOCATION IS IN SOUTH CENTRAL MISSOURI WHICH IS A VERY RURAL AREA. WEST PLAINS IS A TOWN OF APPROXIMATELY 11,000 PEOPLE AND THE LARGEST TOWN FOR APPROXIMATELY 50 MILES ACROSS THE STATE LINE INTO ARKANSAS. THERE ARE MANY RETIRED INDIVIDUALS RESIDING IN THIS AREA DUE TO THE MANY RIVERS AND LAKES SO A MAJORITY OF OUR PATIENTS ARE MEDICARE OR MEDICAID RECIPIENTS. THE CLOSEST HOSPITAL WITH OUR RANGE OF SERVICES IN THE STATE OF MISSOURI IS OVER 1 1/2 HOURS AWAY.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: THE ORGANIZATION PROVIDES NUMEROUS HEALTH CARE SCREENINGS, WELLNESS ACTIVITIES, EDUCATIONAL OPPORTUNITIES, AND ATHLETIC PHYSICALS FOR LOCAL STUDENTS. THE ORGANIZATION ALSO PROVIDES FOR MANY COMMUNITY FUNCTIONS AND FUNDRAISING EVENTS FOR OTHER CHARITABLE ORGANIZATIONS. MULTIPLE COMMUNITY EVENTS ARE SPONSORED BY OMC, WHICH INCLUDE GOLF TOURNAMENTS, JUNIOR COLLEGE BASKETBALL AND VOLLEYBALL GAMES/TOURNAMENTS. OMC WORKS WITH THE LOCAL SCHOOLS TO PROVIDE JOB SHADOWING AND HEALTHCARE FAIRS FOR STUDENTS INTERESTED IN A CAREER IN HEALTHCARE. OMC IS THE LARGEST EMPLOYER IN TOWN AND PROVIDES EMPLOYMENT AND AFFORDABLE BENEFITS TO OVER 1,300 EMPLOYEES AND THEIR FAMILIES. THE ORGANIZATION INFUSES $73 MILLION IN WAGES EACH YEAR INTO THE COMMUNITY, BRINGS HEALTHCARE PROFESSIONALS INTO THE COMMUNITY WHICH IN TURN BENEFITS THE HOUSING MARKET, LOCAL SHOPS, RESTAURANTS, AND OTHER BUSINESSES. THE EMPLOYEES OF OMC ARE EXTREMELY GIVING AND PARTICIPATE IN MANY LOCAL FUNDRAISING ACTIVITIES PROMOTED BY OMC. EACH MEMBER OF MANAGEMENT TEAM ALSO PARTICIPATES IN AT LEAST ONE CIVIC ORGANIZATION AND SOME SERVE ON COMMITTEES FOR THESE CIVIC ORGANIZATIONS IN OMCS SERVICE AREA. OMC PROVIDES THE FULL CONTINUUM OF CARE. DUE TO THE RURAL AREA, OMC HAS SET UP RURAL HEALTH CLINICS IN OUR SERVICE AREA TO PROVIDE PRIMARY CARE IN UNDERSERVED AREAS. THE ORGANIZATION ALSO OPERATES A 24/7 EMERGENCY DEPARTMENT THAT PROVIDERS CARE TO OVER 26,000 VISITS PER YEAR. ACUTE CARE AND BEHAVIORAL HEALTH CARE IS PROVIDED AS WELL AS HOME HEALTH, HOSPICE, AND HOMEMAKER SUPPORT SERVICES. THE ORGANIZATION ALSO OFFERS A TRANSITION PROGRAM TO MOVE THOSE IN HOME HEALTH TO HOSPICE WHEN THE TIME IS RIGHT, WHICH IS A NON-REIMBURSED SERVICE. OMC IS A COMMUNITY OWNED HOSPITAL THAT DOES NOT RECEIVE ANY TAX MONEY FROM THE CITY OR COUNTY. ALL REVENUES GENERATED ARE USED TO PURCHASE CAPITAL EQUIPMENT TO ADVANCE THE SERVICES WE PROVIDE. THERE ARE SERVICES PROVIDED BY OMC THAT ARE NOT AVAILABLE ELSEWHERE IN THE COMMUNITY SUCH AS WOUND CARE, OBSTETRICS, RHEUMATOLOGY, CANCER TREATMENT OPTIONS, AND OTHERS. EACH SERVICE IS REVIEWED AND THE COMMUNITY NEED DRIVES THE DECISIONS MADE ON THE SERVICES WE PROVIDE. DETAILS OF COMMUNITY HEALTH PROMOTION ARE INCLUDED IN THE COMMUNITY BENEFIT PLAN.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: OZARKS MEDICAL CENTER (THE MEDICAL CENTER) OPERATES AN ACUTE CARE HOSPITAL FACILITY IN WEST PLAINS, MISSOURI. WEST PLAINS HEALTH SERVICES, INC. (WPHS), A WHOLLY OWNED SUBSIDIARY OF THE MEDICAL CENTER, OPERATES A DURABLE MEDICAL EQUIPMENT COMPANY, HEART OF THE OZARKS MEDICAL EQUIPMENT, IN WEST PLAINS, MISSOURI. WPHS OWNS WEST PLAINS OCCUPATIONAL WHICH PROVIDES PRE-EMPLOYMENT SCREENING SERVICES AS WELL AS ONGOING EMPLOYMENT SCREENING SERVICES FOR LOCAL EMPLOYERS. OZARKS MEDICAL CENTER FOUNDATION (THE FOUNDATION) IS AN AFFILIATE ESTABLISHED TO PROVIDE FUNDRAISING ASSISTANCE TO THE MEDICAL CENTER. OZARKS MEDICAL CENTER PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN WEST PLAINS, MISSOURI, AND THE SURROUNDING AREA. THE MEDICAL CENTER ALSO OPERATES A HOME HEALTH AND HOSPICE AGENCY AND A NUMBER OF PHYSICIAN CLINICS IN THE SAME GEOGRAPHIC AREA.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS/TUITION REIMBURSEMENT	GrantTypeTxt
Recipient	26	RecipientCnt
Cash Grant	$104,030	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	MONITORING THE USE OF GRANT FUNDS: RECIPIENTS MUST TURN IN THEIR GRADES TO THE HUMAN RESOURCES DEPARTMENT BEFORE THEY RECEIVE THE NEXT INSTALLMENT OF THE SCHOLARSHIP. THE RECIPIENTS MUST MAINTAIN A 2.75 GPA.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RODNEY ZIMBELMAN MD
BOARD MEMBER/PHYSICIAN	$543,322	$0	$0	$0	$2,064	$0	$5,442	$0	$15,153	$0	$565,981	$0	$0	$0
CHARLES H MORGAN MD
BOARD MEMBER/PHYSICIAN	$397,970	$0	$0	$0	$22,020	$0	$7,950	$0	$14,058	$0	$441,998	$0	$0	$0
CHRISTOPHER COCHRAN
BOARD MEMBER/PHYSICIAN	$359,648	$0	$0	$0	$18,596	$0	$7,950	$0	$15,897	$0	$402,091	$0	$0	$0
KIM THOMPSON
CFO/VP FINANCE	$181,902	$0	$21,558	$0	$19,305	$0	$6,156	$0	$11,938	$0	$240,859	$0	$0	$0
THOMAS KELLER
CEO	$452,032	$0	$65,520	$0	$1,118	$0	$7,950	$0	$16,294	$0	$542,914	$0	$0	$0
KURTIS ABBEY
VP CNO/COO BEG 10/18	$178,078	$0	$11,460	$0	$162	$0	$8,532	$0	$1,244	$0	$199,476	$0	$0	$0
PAMELA LEE
COO END 09/18	$150,764	$0	$25,290	$0	$303	$0	$0	$0	$5,510	$0	$181,867	$0	$0	$0
CONSTANCE SCHOTT
VP HUMAN RESOURCES	$149,681	$0	$4,949	$0	$732	$0	$0	$0	$13,780	$0	$169,142	$0	$0	$0
BENJAMIN YAN MD PHD
PHYSICIAN/ONCOLOGIST	$832,235	$0	$0	$0	$19,310	$0	$7,950	$0	$22,897	$0	$882,392	$0	$0	$0
M FAISAL KHAN MD
PHYSICIAN/CARDIOLOGIST	$791,329	$0	$0	$0	$19,742	$0	$7,950	$0	$18,547	$0	$837,568	$0	$0	$0
ANTONY JOSEPH MD
PHYSICIAN/SURGEON	$743,856	$0	$0	$0	$18,249	$0	$7,950	$0	$13,946	$0	$784,001	$0	$0	$0
SUSAN JOLLY MD
PHYSICIAN/ORTHOPEDIC SURGEON	$683,988	$0	$0	$0	$21,564	$0	$7,950	$0	$15,315	$0	$728,817	$0	$0	$0
KEVIN CROWE MD
PHYSICIAN/RADIOLOGIST	$686,246	$0	$0	$0	$18,500	$0	$4,906	$0	$7,362	$0	$717,014	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 7	FormAndLineReferenceDesc
Explanation	BONUS DETERMINATION: SENIOR MANAGEMENT'S BONUSES ARE BASED ON A SET OF CORPORATE AND INDIVIDUAL STRATEGIC GOALS THAT ARE WEIGHTED AND ASSIGNED A VALUE. EACH INDIVIDUAL'S POTENTIAL BONUS AMOUNT IS BASED ON THEIR SALARY. THE PERCENTAGE ABOVE OR BELOW THE POTENTIAL BONUS THAT THEY RECEIVE IS IN RELATION TO THE COMPLETION OF THE GOAL AND THE WEIGHT GIVEN TO THAT GOAL. THEY CAN EARN 115% - 0% OF THE POTENTIAL GOAL.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
INDUSTRIAL DEVELOP AUTHORITY OF WP SERIES 2018A
A	431343355	2018-10-01	$52,832,000	HEALTH FACILITIES REVENUE BONDS	false	false	false
INDUSTRIAL DEVELOP AUTHORITY OF WP SERIES 2018B
B	431343355	2018-10-01	$15,000,000	HEALTH FACILITIES REVENUE BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$0	$0	$52,832,000	$0	$15,387	$0	$563,825	$0	$0	$0	$0	$52,252,788	false	false	false	Yes (true)
B	$100,000	$0	$15,000,000	$0	$0	$0	$225,774	$0	$0	$0	$14,363,700	$410,526	Yes (true)	false	Yes (true)	Yes (true)	2018

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	false
B	false	false	false	false	0	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	false
0
B	false	Yes (true)	false	false	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	ORGANIZATION'S MISSION: OMC'S MISSION IS TO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ALL WE SERVE. ORGANIZATION'S VISION: AT OMC, OUR VISION IS TO CHANGE LIVES BY NURTURING HOPE, IMPROVING HEALTH AND ENCOURAGING WELLNESS - EVERY PERSON, EVERY TIME. OUR CORE VALUES: RESPECT, COMPASSION, INTEGRITY, SUPERIOR SERVICE, TEAMWORK, ENTHUSIASM, AND ACCOUNTABILITY.
FORM 990, PART III, LINE 4	PROGRAM SERVICE ACCOMPLISHMENTS: OMC IS COMMITTED TO THE COMMUNITY AND AS PART OF THAT COMMITMENT, HOSTS A NUMBER OF OUTREACH SERVICES AND PROGRAMS EACH YEAR. IN 2018, OMC PROVIDED COMMUNITY BENEFIT EXPENSE AND CHARITY CARE TO ASSIST THE UNINSURED AND UNDERINSURED, AND TO PROVIDE OTHER ASSISTANCE BASED ON NEED. OMC ALSO PROVIDED ACTIVITIES FOR COMMUNITY MEMBERS OF ALL AGES. 2018 YEAR IN REVIEW: QUALITY: * EARNED AN "A" GRADE FOR PATIENT SAFETY BY LEAPFROG HOSPITAL SAFETY GRADE IN BOTH SPRING AND FALL 2018. * OMC IS NAMED ONE OF THE TOP 100 RURAL AND COMMUNITY HOSPITALS IN THE US. * 100% NCLEX PASS RATE FOR OMC NURSE RESIDENCY COWORKERS. * REFOCUSED SERVICE EXCELLENCE INITIATIVE TO BETTER ENGAGE, DEVELOP, AND ENABLE ALL COWORKERS TO PROVIDE EXCEPTIONAL CARE AND SERVICE. * LAUNCHED SOCIAL MEDIA INITIATIVE #IAMOMC. * LAUNCHED IMPLEMENTATION OF MEDITECH EXPANSE, AN ORGANIZATION WIDE CONSOLIDATED ELECTRONIC HEALTH RECORD SYSTEM. * OMC HAS HAD ZERO CATHETER-ASSOCIATED URINARY TRACT INFECTIONS OR CENTRAL LINE ASSOCIATED BLOODSTREAM INFECTIONS SINCE FEBRUARY 2015, AS WELL AS ZERO VENTILATOR ASSOCIATED PNEUMONIA SINCE JULY 2013. NEW SERVICES AND FACILITIES: * OPENED 8,700 SQ. FT. STATE OF THE ART CLINIC IN THAYER TO SERVICE BOTH THAYER AND MAMMOTH SPRING. * OPENED WEST PLAINS FAMILY MEDICINE, WHICH ALSO PROVIDES MUCH NEEDED PEDIATRIC SERVICES. * OPENED A SCHOOL BASED HEALTHCARE CLINIC AT WILLOW SPRINGS SCHOOL. * ADDED PODIATRY SERVICES IN OMCS ORTHOPEDIC CLINIC. * APPROVED FOR FEDERAL FUNDING VIA USDA RURAL DEVELOPMENT $52.8 MILLION COMMUNITY FACILITY DIRECT LOAN FOR LARGEST EXPANSION IN OMCS HISTORY. THE LOAN, COMBINED WITH ADDITIONAL LOANS FROM PRIVATE BANKS, HOSPITAL FUNDS, AND COMMUNITY GIVING, WILL BE USED TO: EXPAND OMC CAMPUS BUILDING FOR DOCTOR AND PROCEDURE SPACE THAT IS CONNECTED TO HOSPITAL AND SHAW BUILDINGS, CONSTRUCT AN ON CAMPUS WOMENS HEALTH CENTER, UPGRADE TO A SINGLE ELECTRONIC MEDICAL RECORD, AND REFINANCE PRIOR LOANS. SERVICES: AT OZARKS MEDICAL CENTER, WE ARE NEIGHBORS SERVING NEIGHBORS. OUR SYSTEM OF NINE RURAL HEALTH CARE CLINICS ENSURES THAT RESIDENTS IN OUR 8-COUNTY SERVICE AREA (POPULATION OF 160,000) HAVE ACCESS TO THE QUALITY CARE THEY NEED. OMC STATISTICS: 114 BEDS MORE THAN 100 PHYSICIANS ON MEDICAL STAFF 5,792 ADMISSIONS 650 BIRTHS 26,965 EMERGENCY DEPARTMENT VISITS 3,278 INPATIENT AND OUTPATIENT SURGERIES 129,338 REHABILITATION SERVICES PROCEDURES 68,313 REHABILITATION CONTRACTED SERVICES 69,102 HOME HEALTH, HOSPICE AND SUPPORT SERVICES VISITS BEHAVIORAL HEALTHCARE NEUROSURGERY CLINIC CANCER TREATMENT CENTER HEART CARE SERVICES INTERNAL MEDICINE CLINIC UROLOGY CLINIC NEUROSCIENCES CENTER HOSPITALIST TEAM ORTHOPEDIC & PODIATRY CLINIC PEDIATRIC CLINIC PAIN MANAGEMENT OMC HOME CARE RHEUMATOLOGY SURGICAL SPECIALISTS CLINIC WOUND CARE SERVICES WOMENS HEALTH CARE CLINIC WEST PLAINS IMAGING REHABILITATION SERVICES SLEEP CENTER FAMILY CARE CLINICS IN EIGHT COMMUNITIES WEIGHT LOSS SURGERY CHRONIC CARE MANAGEMENT HEART OF THE OZARKS MEDICAL EQUIPMENT (H.O.M.E.) OMC OFFERED X-RAY, LAB SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY AND COUNSELING SERVICES IN ITS OUTLYING CLINICS, SAVING TRAVEL FOR MANY PEOPLE LIVING THROUGHOUT THE 8-COUNTY AREA SERVED BY OMC. COMMUNITY SUPPORT AND BENEFIT: * SUPPORT OF ORGANIZATIONS SUCH AS BOYS AND GIRLS CLUB, COMMUNITY FOUNDATION BUDDY WALK, ALZHEIMERS WALK, ASMBS OBESITY WALK, AND THE CHILD ADVOCACY CENTER. * ATHLETIC PHYSICALS 361 LOCAL STUDENT ATHLETES RECEIVED FREE ATHLETIC PHYSICALS DURING AN EVENT AT OMC. FREE SCREENINGS WERE ALSO OFFERED AT RURAL HEALTH CLINICS. * 964 COMMUNITY MEMBERS ATTENDED OMCS EDUCATIONAL DINNERS, WITH 293 BEING FIRST TIME ATTENDEES. DINNERS WERE EXTENDED TO OMCS OUTLYING SERVICE AREAS IN 2018. * PROVIDERS GIVE PRESENTATIONS TO LOCAL ELEMENTARY SCHOOLS. * 196 CHILDREN PARTICIPATED IN OMCS EVERY KID HEALTHY FIELD DAY * 38 PARTICIPATED IN OMCS COUCH TO 5K PROGRAM. * OVER $4,000 RAISED IN THE OMC HOLLYWOOD HUSTLE FUN RUN, RAISING FUNDS TO HELP OMC PATIENTS WHO ARE IN NEED AND UNDERGOING CANCER TREATMENT. * 98 MOTORCYCLES PARTICIPATED IN THE SECOND OMC DICE RUN OF THE MILLS, RAISING $6,000 TO PURCHASE NEW CRIBS AND BASSINETTES FOR THE OMC NEWBORN NURSERY. * 521 COMMUNITY MEMBERS PARTICIPATED IN OMCS HEART MONTH EVENTS. * OMC LEADERSHIP TEAM HAS SEVERAL GROUP COMMUNITY SERVICE EVENTS EACH YEAR TO ASSIST OTHER ORGANIZATIONS. * COLLABORATION WITH MISSOURI STATE UNIVERSITY-WEST PLAINS TO PROVIDE NURSING PROGRAM. * JOB SHADOW AND INTERNSHIP OPPORTUNITIES TO DEVELOP FUTURE HEALTHCARE AND BUSINESS WORKFORCE. THIS INCLUDES STUDENTS FROM: WPHS Z-CAPS, WPHS SWOT, WPHS JAG, WPHS SUMMER INTERNS AND THE PREFERRED FAMILY PROGRAM. ALSO TOURS AND PRESENTATIONS TO STUDENTS OF MANY SCHOOLS. * SCHOLARSHIPS FOR HEALTHCARE PROGRAMS AND EMPLOYEE TUITION REIMBURSEMENT. * COMMUNITY HEART SAVER (CPR) CLASS * OMCS EDUCATION SERVICES CONDUCTED MANY CLASSES FOR THE PUBLIC. CLASSES INCLUDED FIRST AID, HEARTSAVER CPR/AED, AND BREASTFEEDING SUPPORT GROUP. * 146 VOLUNTEERS CONTRIBUTED 22,425 HOURS TO OMC. IN 2018, OMC PAID OVER $73 MILLION IN ANNUAL WAGES TO MORE THAN 1,300 EMPLOYEES.
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS: DAVID GOHN, TRAVIS MORRISON, JUDY INGALSBE, MELISSA STEWART, AND ROGER SHAW SHARE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B	MEMBERS/STOCKHOLDERS: OZARKS MEDICAL CENTER HAS ONE CLASS OF MEMBERSHIP. ALL INTERESTED PARTIES ARE ELIGIBLE FOR MEMBERSHIP UPON PAYMENT OF THE MEMBERSHIP FEES SET BY THE BOARD OF DIRECTORS. MEMBERSHIP IS NOT TRANSFERABLE OR ASSIGNABLE. MEMBERS, AFTER BEING A MEMBER FOR AT LEAST THIRTY DAYS, SHALL BE ELIGIBLE TO VOTE ON ANY BUSINESS OF THE CORPORATION. EACH MEMBER IS ENTITLED TO ONE VOTE. THE BOARD OF DIRECTORS CONSISTS OF 15 DIRECTORS. TEN OF THE CORPORATION'S BOARD MEMBERS, ELECTED FROM OZARKS MEDICAL CENTER'S SERVICE AREA, ARE ELECTED BY THE MEMBERS OF THE CORPORATION. ANY DIRECTOR PREVIOUSLY ELECTED BY THE MEMBERS MAY BE REMOVED FROM OFFICE BY THE MEMBERS AT AN ANNUAL MEETING OR ANY PROPERLY CALLED SPECIAL MEETING, BY THE VOTE OF TWO-THIRDS OF THE MEMBERS PRESENT, IN WHICH EVENT THE MEMBERS PRESENT WILL ELECT A SUCCEEDING DIRECTOR TO SERVE THE UNEXPIRED TERM OF THE REMOVED DIRECTOR. EACH MEMBER HAS ONE VOTE. ANY VACANCY DUE TO DEATH OR RESIGNATION SHALL BE FILLED BY ELECTION BY THE REMAINING MEMBERS OF THE BOARD. THREE DIRECTORS ARE ELECTED BY THE MEDICAL STAFF OF THE ORGANIZATION AND MUST BE A MEDICAL STAFF MEMBER THAT IS ALSO A MEMBER OF THE CORPORATION TO BE ELIGIBLE TO BE ELECTED TO THE BOARD. ANY VACANCIES OF THESE THREE BOARD POSITIONS ARE FILLED BY THE MEDICAL STAFF. THE REMAINING TWO BOARD OF DIRECTORS ARE DESIGNATED BY THEIR POSITION IN THE ORGANIZATION. THE CHIEF OF THE MEDICAL STAFF AND THE CHIEF ELECT OR CHIEF EMERITUS, WHICHEVER IS IN EXISTENCE IN THE GIVEN YEAR, OF THE MEDICAL STAFF ARE BOTH BOARD MEMBERS FOR AS LONG AS THEY HOLD THOSE TITLES. THE BYLAWS OF THE CORPORATION MAY BE AMENDED AT AN ANNUAL OR PROPERLY CALLED SPECIAL MEETING OF THE MEMBERS OF THE CORPORATION BY TWO-THIRDS OF THE VOTE CAST OR A MAJORITY OF THE VOTING POWER, WHICHEVER IS LESS. THE BYLAWS MAY ALSO BE AMENDED BY THE BOARD PROVIDED THAT THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED, OR PROVIDED THAT THE BASIC PURPOSE OF THE CORPORATION SHALL NOT BE CHANGED OR ALTERED. IF ANY OF THOSE CONDITIONS DOES NOT APPLY, THE AMENDMENT MUST BE VOTED ON BY THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW PROCESS FOR FORM 990: 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 BOARD WILL REVIEW THE FORM AND RECORD IN THE MEETING MINUTES THEIR ACCEPTANCE OF THE DRAFT.
FORM 990, PART VI, SECTION B, LINE 12C	COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT STATEMENTS ARE REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE TO DETERMINE IF NEW ITEMS WERE DISCLOSED. IF A BOARD MEMBER DID HAVE A CONFLICT OF INTEREST, HE/SHE WOULD ABSTAIN FROM VOTING ON ANY TRANSACTIONS RELATED TO THAT CONFLICT. STATEMENTS ARE ALSO OBTAINED FROM EXECUTIVES.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	OFFICER AND KEY EMPLOYEE COMPENSATION REVIEW: THE BOARD OF DIRECTORS ENGAGED INTEGRATED HEALTH STRATEGIES (AN EXECUTIVE COMPENSATION CONSULTING PRACTICE) TO DO MARKET STUDIES AND ANALYSIS OF EXECUTIVE COMPENSATION. THE MARKET IS REVIEWED ANNUALLY. THE BOARD OF DIRECTORS SETS THE CEO'S COMPENSATION AND THE CEO PROVIDES RECOMMENDATIONS TO THE BOARD FOR OTHER OFFICERS/KEY EMPLOYEE'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT DISCLOSURE: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO VIEW UPON WRITTEN REQUEST AT THE ADMINISTRATIVE OFFICE OF THE HOSPITAL DURING REGULAR BUSINESS HOURS.
FORM 990, PART VII, SECTION A	BOARD MEMBER COMPENSATION: BOARD MEMBERS CHARLES MORGAN, M.D., CHRISTOPHER COCHRAN, M.D., JASON SPURLING, M.D., AND RODNEY ZIMBELMAN, M.D., RECEIVE COMPENSATION FOR THEIR ROLES AS PHYSICIANS. NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DUTIES AS A MEMBER OF THE BOARD OF DIRECTORS.
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:7256371
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:4563162
FORM 990 PART IX LINE 11G	DESCRIPTION:MANAGEMENT FEES TOTAL FEES:2097792
FORM 990 PART IX LINE 11G	DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:2083690
FORM 990 PART IX LINE 11G	DESCRIPTION:BILLING AND COLLECTIONS TOTAL FEES:2045606
FORM 990 PART IX LINE 11G	DESCRIPTION:MAINTENANCE CONTRACTS TOTAL FEES:1881921
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:29066

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OZARKS MEDICAL CENTER FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12 PARKWAY CENTER	AddressLine1Txt
City	WEST PLAINS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65775	ZIPCd

Field	Value	IRS element (for citing)
EIN	431834356	EIN
Primary Activities	SUPPORT OMC	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	7	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	false	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	WEST PLAINS HEALTH SERVICES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1703 WEST EIGHTH STREET	AddressLine1Txt
City	WEST PLAINS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65775	ZIPCd

Field	Value	IRS element (for citing)
EIN	431329201	EIN
Primary Activities	DURABLE MED EQUIP	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Share Of Total Income	$370,126	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,011,004	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WEST PLAINS HEALTH SERVICES
A	$8,582	AMORT SCHED
WEST PLAINS HEALTH SERVICES
K	$50,943	RECORDS