2019-03-15T10:39:01-05:00 2018-04-30 430831507 ANDERS MINKLER HUBER & HELM LLP 800 MARKET STREET SUITE 500 ST LOUIS MO 631012501 990 2017-05-01 431752799 OZARK TRI-COUNTY HEALTH CARE CONSORTIUM D/B/A ACCESS FAMILY CARE OZAR 4174519450 PO BOX 758 NEOSHO MO 64850 SHEILA LONG CFO 4174519450 2019-03-11 1 MARK G HINSEN P00047496 3146555500 209.116.33.90 2019-03-11 09:39:30 CD P 2D73B26F5BBED2F6EBE6344D575E7C11A0CF57E0 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2017 2019-02-21 02:37:17Z ACCESS FAMILY CARE SHEILA LONG 4301 DONIPHAN DRIVE NEOSHO MO 64850 19703206 0 X WWW.ACCESSFAMILYCARE.ORG X 1996 MO WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE MEDICALLY UNDERSERVED OF GREATER SOUTHWEST MISSOURI THROUGH DIRECT SERVICES AND COLLABORATIVE EFFORTS. 13 13 317 13 0 0 5343886 5659156 12387412 13754863 -10265 -47305 129358 123624 17850391 19490338 0 0 0 0 11622224 12744998 0 0 0 5534613 6190524 17156837 18935522 693554 554816 12116008 12759325 1486621 1575122 10629387 11184203 WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE MEDICALLY UNDERSERVED OF GREATER SOUTHWEST MISSOURI THROUGH DIRECT SERVICES AND COLLABORATIVE EFFORTS. 0 0 7140694 6382080 IN FY 2018, MEDICAL ENCOUNTERS TOTALED 32,881. 8382554 7492007 THE ORGANIZATION PROVIDES A WIDE VARIETY OF SERVICES TO THE PATIENT POPULATION IN ALL AREAS OF GENERAL DENTISTRY. IN FY 2018, DENTAL ENCOUNTERS TOTALED 32,343. 15523248 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 1 317 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X SHEILA LONG CFO 4174519450 475 NELSON AVENUE NEOSHO MO 64850 DR AL CHAPMAN PRESIDENT 1.00 X X 0 0 0 JERRIE WISE VICE PRESIDENT 1.00 X X 0 0 0 ELIZABETH PERSONS SECRETARY 1.00 X X 0 0 0 OLEG TYURIKOV TREASURER 1.00 X X 0 0 0 HEATHER MARTIN TREASURER (RESIGNED) 1.00 X X 0 0 0 REYNA BLAKLEY BOARD MEMBER 1.00 X 0 0 0 MARY ANN BRADLEY BOARD MEMBER 1.00 X 0 0 0 KELLY TICHENOR BROWN BOARD MEMBER 1.00 X 0 0 0 CHRISTIAN DEMASI BOARD MEMBER 1.00 X 0 0 0 KOBE LANGFORD BOARD MEMBER 1.00 X 0 0 0 MARY MILLER BOARD MEMBER 1.00 X 0 0 0 SHARON CROSSWHITE BOARD MEMBER 1.00 X 0 0 0 JASON FOWLER BOARD MEMBER 1.00 X 0 0 0 CYNTHIA MCCOY BOARD MEMBER 1.00 X 0 0 0 PEGGY CARPENTER BOARD MEMBER (RESIGNED) 1.00 X 0 0 0 SHEILA LONG CHIEF FINANCIAL OFFICER 40.00 X 121130 0 21224 DEBRA DAVIDSON CHIEF OPERATING OFFICER 40.00 X 122951 0 16085 DON MCBRIDE CHIEF EXECUTIVE OFFICER 40.00 X 224606 0 17677 JOHN SMITH CHIEF BUSINESS OFFICER 40.00 X 117727 0 19272 DR GERALD ENGLUND PHYSICIAN 40.00 X 242069 0 22688 LANTU HOLEM DENTIST 40.00 X 172169 0 12864 KRISTIN GREEN DENTIST 40.00 X 165119 0 10435 DR KALA SMITH DENTAL DIRECTOR 40.00 X 153141 0 20232 DENNIS NGUYEN DENTIST 40.00 X 149112 0 10948 1468024 0 151425 18 0 1 0 QUEST DIAGNOSTICS PO BOX 14730 SAINT LOUIS MO 63150 LABRATORY SERVICES 220978 1 5257844 401312 5659156 PATIENT SERVICE 624100 13508863 13508863 EHR INCENTIVE PROGRAMS 624100 246000 246000 13754863 11115 11115 4400 0 4400 4400 4400 154448 212868 -58420 -58420 -58420 MISCELLANEOUS INCOME 900099 119224 119224 119224 19490338 13874087 0 -42905 677238 518015 159223 9822416 7527100 2295316 279671 212167 67504 1206110 888931 317179 759563 580251 179312 9176 9176 75387 75387 1498023 1028334 469689 137197 107668 29529 164508 142967 21541 173579 105007 68572 646845 564847 81998 153186 71052 82134 93969 65719 28250 590792 424365 166427 247938 184810 63128 SUPPLIES 1062726 1000989 61737 BAD DEBT EXPENSE 485828 485828 MISCELLANEOUS 392998 356731 36267 REPAIRS AND MAINTENANCE 228502 184553 43949 229870 1073914 -844044 18935522 15523248 3412274 0 1021936 873820 1708383 2752896 411339 498064 1129172 1099419 191517 68628 352640 377401 11888815 5316679 7059233 6572136 66116 49474 175672 467487 12116008 12759325 1396363 1422492 86061 152230 4197 400 1486621 1575122 X 10629387 11184203 10629387 11184203 12116008 12759325 554816 0 X X 0 1 X 1 1 1 X 3190437 3805437 4663807 5343886 5659156 22662723 10917600 10506458 10894511 12387412 13754863 58460844 14108037 14311895 15558318 17731298 19414019 81123567 0 0 0 81123567 1468 1322 2320 4005 11115 20230 1468 1322 2320 4005 11115 20230 11243 7212 64550 129358 119224 331587 14120748 14320429 15625188 17864661 19544358 81475384 0.99570 0.99690 0.00020 0.00020 X 493935 493935 7670593 3501751 4168842 3724287 1814928 1909359 6572136 OTHER SHORT TERM LIABILITIES 400 400 X 19004510 -485828 -485828 19490338 0 19490338 18449694 0 18449694 485828 485828 18935522 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"), EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES AS DEFINED IN THE CODE. ACCORDINGLY, THE ORGANIZATION FILES AS A TAX EXEMPT ORGANIZATION. THE ORGANIZATION FOLLOWS GUIDANCE ISSUED BY THE FASB ON ACCOUNTING FOR INCOME TAXES AND HAS EVALUATED ITS TAX POSITIONS, EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS, AND BELIEVES THAT NO PROVISION FOR INCOME TAXES IS NECESSARY TO COVER ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S RETURNS FOR TAX YEARS 2014 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS -485,828. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 485,828. X X 0 0 0 0 0 1 0 0 0 DON MCBRIDE CHIEF EXECUTIVE OFFICER 223706 0 900 0 0 0 6864 0 10813 0 242283 0 0 0 DR GERALD ENGLUND PHYSICIAN 234845 0 7224 0 0 0 7517 0 15171 0 264757 0 0 0 LANTU HOLEM DENTIST 126473 0 45696 0 0 0 4517 0 8347 0 185033 0 0 0 KRISTIN GREEN DENTIST 146530 0 18589 0 0 0 3959 0 6476 0 175554 0 0 0 DR KALA SMITH DENTAL DIRECTOR 144124 0 9017 0 0 0 4859 0 15373 0 173373 0 0 0 DENNIS NGUYEN DENTIST 127062 0 22050 0 0 0 4472 0 6476 0 160060 0 0 0 PART I, LINE 6 CONTINGENT COMPENSATION SCHEDULE D, PART 1, QUESTION 6A THE ORGANIZATION HAS AN INCENTIVE COMPENSATION PLAN. INCENTIVE COMPENSATION IS BASED ON THE QUARTERLY PRODUCTIVITY OF THE MEDICAL AND DENTAL PROVIDERS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT VERSION OF THE 990 WILL BE REVIEWED BY INTERNAL MANAGEMENT AND THE BOARD CHAIR. ONCE RECOMMENDED CHANGES ARE MADE, A FINAL DRAFT WILL BE PROVIDED TO THE ENTIRE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ANY DUALITY OF INTEREST, CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST ON THE PART OF ANY BOARD MEMBER, EMPLOYEE OR CONSULTANT IS PROHIBITED. SUCH DUALITY OF INTEREST, CONFLICTS OF INTEREST OR APPEARANCE OF CONFLICTS OF INTEREST SHALL BE DISCLOSED TO THE BOARD OF DIRECTORS FOR ADJUDICATION. FORM 990, PART VI, SECTION B, LINE 15 ALL COMPENSATION IS SUBJECT TO EVALUATION OF THE SALARY SURVEY COMPLETED BY MISSOURI PRIMARY CARE ASSOCIATION AND IS USED IN DETERMINING COMPENSATION FOR ALL EMPLOYEES. COMPARABILITY DATA AND A SALARY RANGE PREPARED BY THE MISSOURI PRIMARY CARE ASSOCIATION ARE USED FOR REVIEW. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST. COPIES OF THESE DOCUMENTS WILL BE MAILED TO THE PARTY REQUESTING THEM. FORM 990, PART XII, LINE 2C: THERE WERE NO CHANGES FROM THE PRIOR YEAR.