2018-11-13T14:59:36-06:00 2017-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-01-01 446005758 OZARKS MEDICAL CENTER % KIM THOMPSON OZAR 4172569111 PO BOX 1100 WEST PLAINS MO 65775 KIM THOMPSON CFO 4172569111 2018-08-15 true Brian D Todd P00422601 4178658701 162.192.209.37 43032920183175000009 2018-11-13 P 35B2FEF9FD89B74F90B63698513A1BB518488CA1 39CBA67CBDC84C24964593991C1F330368A3BFFE 2017 2019-02-21 02:37:17Z THOMAS KELLER PO BOX 1100 WEST PLAINS MO 65775 185106785 false X WWW.OZARKSMEDICALCENTER.COM X 1955 MO THE ORGANIZATION STRIVES TO BRING HIGH QUALITY HEALTH CARE TO THE REGION THROUGH DEVELOPMENT OF NEW SERVICES, ACQUIRING NEW EQUIPMENT AND RECRUITMENT OF HIGH QUALITY PROFESSIONALS. 15 12 1473 131 38410 1144923 580307 166499733 181594478 1326112 2056199 767029 734560 169737797 184965544 87631 71423 0 0 75322377 83015446 0 0 0 87979666 92046499 163389674 175133368 6348123 9832176 129424638 144181758 54223671 55286111 75200967 88895647 X TO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ALL WE SERVE. false false 126088317 71423 151898503 INPATIENT AND OUTPATIENT SERVICES-INPATIENT ADMISSIONS WERE 5,464 AND INPATIENT DAYS WERE 18,377 FOR 2017. THERE WERE 26,919 ED VISITS IN 2017 AND 86,044 OTHER OUTPATIENT REGISTRATIONS FOR THE YEAR. SEE SCHEDULE O FOR MORE INFORMATION. 24329273 26127971 THE RURAL HEALTH AND SPECIALTY CLINICS, INCLUDING BEHAVIORAL HEALTH CLINIC PROGRAMS, PERFORMED 358,911 CLINIC ENCOUNTERS WITH PATIENTS DURING 2017. THE RURAL HEALTH AND SPECIALTY CLINICS MADE UP 125,448 OF THOSE ENCOUNTERS, WITH THE REMAINING 233,463 ENCOUNTERS BELONGING TO OTHER BEHAVIORAL HEALTHCARE CLINICS. BEHAVIORAL HEALTHCARE OFFERED SERVICES SUCH AS PSYCHOTHERAPY, PSYCHOLOGICAL TESTING, CASE MANAGEMENT, PSYCHO-SOCIAL REHABILITATION, MEDICATION MANAGEMENT/SERVICES, FAMILY ASSISTANCE, AND CRISIS STABILIZATION SERVICES. 4395084 3568004 OMC HOME CARE PROGRAMS SERVICED PATIENTS THROUGH 69,585 VISITS DURING 2017. 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. 154812674 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false true true true false false false false false false false false false false false false false false false true true true false false true 125 0 true 1473 true true true false false false false false false false false false X 15 12 true false false false true true true true true false false true true true true true true true true false X KIM THOMPSON 4172569111 PO BOX 1100 WEST PLAINS MO 65775 X DAN CORMAN BOARD MEMBER END 5/17 1.0 0.0 X 0 0 0 AK GEORGE MD BOARD MEMBER/PHYSICIAN 55.0 0.0 X 752628 0 26453 KEVIN GLEGHORN BOARD MEMBER/CHAIRMAN 2.0 1.0 X X 0 0 0 JUDY INGALSBE BOARD MEMBER/SECRETARY 2.0 0.0 X X 0 0 0 SHAWN MARHEFKA BOARD MEMBER 1.0 0.0 X 0 0 0 TRAVIS MORRISON BOARD MEMBER 1.0 0.0 X 0 0 0 ROGER D SHAW III DVM BOARD MEMBER 1.0 0.0 X 0 0 0 MARJORIE SLAYTON BOARD MEMBER 1.0 0.0 X 0 0 0 TRAVIS SMITH BOARD MEMBER 1.0 0.0 X 0 0 0 JASON SPURLING MD BOARD MEMBER/PHYSICIAN 1.0 0.0 X 2930 0 0 MELISSA STEWART BOARD MEMBER/TREAS. 2.0 0.0 X X 0 0 0 CHARLES N SWIFT DO BOARD MEMBER 1.0 0.0 X 0 0 0 BILL WOOD BOARD MEMBER/VICE CHAIRMAN 2.0 0.0 X X 0 0 0 RODNEY ZIMBELMAN MD BOARD MEMBER/PHYSICIAN 55.0 0.0 X 501892 0 25232 CHARLES H MORGAN MD BOARD MEMBER 55.0 0.0 X 450002 0 22013 JACK BATES BOARD MEMBER - BEG 5/17 1.0 0.0 X 0 0 0 KIM THOMPSON CFO/VP FINANCE 55.0 1.0 X 211445 0 17939 THOMAS KELLER CEO 55.0 1.0 X 521708 0 29477 KURTIS ABBEY CHIEF NURSING OFFICER 55.0 0.0 X 181325 0 7416 PAMELA LEE CHIEF OPERATING OFFICER 55.0 0.0 X 217172 0 7092 CONSTANCE SCHOTT VP HUMAN RESOURCES 55.0 0.0 X 157999 0 17723 M FAISAL KHAN MD PHYSICIAN/CARDIOLOGIST 40.0 0.0 X 1003735 0 26453 C ROB ARMSTRONG MD PHYSICIAN/RADIOLOGIST 40.0 0.0 X 701872 0 21013 KEVIN CROWE MD PHYSICIAN/CARDIOLOGIST 40.0 0.0 X 828679 0 15054 BENJAMIN YAN MD PHD PHYSICIAN/ONCOLOGIST 40.0 0.0 X 853786 0 26453 TAGHOGHO AGARIN PHYSICIAN/PAIN MGMT 40.0 0.0 X 718665 0 23109 7103838 0 265427 76 false true false 360 DEGREE MEDICINE 108 SUNNY LANE BRANSON WEST MO 65737 PHYSICIAN STAFFING 4468997 LOCUM LIFE LTD 205 WASHINGTON ST STE 201 BURLINGTON IA 52601 PHYSICIAN STAFFING 879516 TATE GENERAL CONTRACTORS CONSTRUCTION 750813 BOYCE AND BYNUM PATHOLOGY 200 PORTLAND STREET COLUMBIA MO 72403 PATHOLOGY 671151 PREMIER SPECIALTY NETWORK 3610 BUTTONWOOD DR STE 200 COLUMBIA MO 65201 PHYSICIAN STAFFING 597896 35 218087 205639 156581 580307 PATIENT REVENUE 624100 168040221 168040221 CONTRACT PHARMACY 446110 7193785 7193785 EHR INCENTIVE REVENUE 900099 375000 375000 OTHER REVENUE 900099 5635367 5596957 38410 CAFETERIA 722514 350105 350105 181594478 2043821 2043821 0 0 171477 136301 35176 0 35176 35176 17318 4940 12378 12378 12378 0 0 0 0 0 0 0 0 0 INCOME FROM EQUITY INVESTEE 900099 28226 28226 MALPRACTICE INS DIVIDEND 900099 671158 671158 699384 184965544 181556068 38410 2790759 X 0 71423 71423 0 0 3150446 2194155 956291 0 64139994 53799110 10340884 851465 719335 132130 10770930 8998118 1772812 4102611 3416244 686367 0 251047 251047 164164 164164 0 0 0 18226964 15276333 2950631 312807 262226 50581 3117952 2613779 504173 30895 25899 4996 0 2312818 1938835 373983 853716 715670 138046 0 534700 454552 80148 660698 553863 106835 0 6154617 5159415 995202 1876734 1551047 325687 MEDICAL SUPPLIES & DRUGS 24109469 24109469 BAD DEBT 24081261 24081261 PROVIDER TAX EXPENSE 6348660 6348660 LICENSES, DUES, SUBSCRIPTIONS 2289929 1919647 370282 720068 603633 116435 175133368 154812674 20320694 0 8604 8463 30592860 31563762 13834 11525 19471313 21083496 0 0 0 0 0 195361 1959460 1965599 1312609 1268051 129084450 91221891 38471458 37862559 29640419 39616930 2011780 1910935 0 0 0 0 5942301 8695077 129424638 144181758 16361727 15985571 0 0 0 0 16466065 15223128 0 0 0 0 5756004 3527133 0 0 15639875 20550279 54223671 55286111 X 75142103 88884363 58864 11284 0 0 75200967 88895647 129424638 144181758 9832176 3862504 X false true X true false X false false false false false false true 7697 false true 19443 27140 false 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. 3800677 3800677 41684928 24263053 17421875 1901939 1839420 62519 76965665 63822768 13142897 4731241 1296650 3434591 37862559 EST AMT DUE FROM 3RD PTY PYR 954334 OTHER RECEIVABLES 7561914 DUE FROM AFFILIATES 130154 INTEREST RECEIVABLE 48675 8695077 0 EST SELF INSURANCE 1531984 EST AMT DUE TO 3RD PTY PYRS 16005481 OTHER LIABILITIES 3012814 20550279 160860482 -23878746 -23878746 184739228 226316 226316 184965544 151188408 136301 136301 151052107 24081261 24081261 175133368 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: $(24,081,261) PROVISION FOR UNCOLLECTIBLE ACCOUNTS 202,515 NET ASSETS RELEASED FROM RESTRICTION ------------ $(23,878,746) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 354,771 TEMPORARILY RESTRICTED CONTRIBUTIONS 7,846 CONTRIBUTIONS FOR ACQUISITION OF PROPERTY AND EQUIPMENT ( 136,301) RENTAL EXPENSES ------------- $ 226,316 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 136,301 RENTAL EXPENSES SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 24,081,261 PROVISION FOR UNCOLLECTIBLE ACCOUNTS true true X true X true X 225. true true false true true 878957 878957 0.00580 31960344 21794389 10165955 0.06730 32839301 21794389 11044912 0.07310 123577 123577 0.00080 12380095 8415043 3965052 0.02620 71097 71097 12574769 8415043 4159726 0.02700 45414070 30209432 15204638 0.10010 true 24081261 1371732 33850295 33303946 546349 X true true 1 1 OZARKS MEDICAL CENTER 1100 KENTUCKY AVENUE WEST PLAINS MO 65775 WWW.OZARKSMEDICALCENTER.COM 174-55 X X X OZARKS MEDICAL CENTER 1 false false true X X X X X X X X X 16 true false false true X SEE PART V X X true 16 false true false true X 100 225. X X X X X X X true true X X X X true X SEE PART V X SEE PART V X SEE PART V X X X X X X true X false X X X X true X false false 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: HTTP://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. 22 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 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 $ 24,081,261. 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 $561,337. 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 BE BEEN $1,613,802 IN ADDITIONAL FINANCIAL ASSISTANCE. THE ORGANIZATION THEN ESTIMATED THAT 85% OF THESE WOULD QUALIFY FOR FINANCIAL ASSISTANCE ($1,371,732) SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. 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 1,100 employees and their families. The organization infuses $62 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. true SCHOLARSHIPS/TUITION REIMBURSEMENT 24 71423 SCHEDULE I, PART I, LINE 2 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. TO ENSURE THAT FUNDS ARE USED APPROPRIATELY, THE CHECKS ARE ISSUED TO THE EDUCATIONAL INSTITUTION, RATHER THAN TO THE RECIPIENT DIRECTLY. X X X X false false false false false false false true false AK GEORGE MD BOARD MEMBER/PHYSICIAN 732786 0 520 0 19322 0 7950 0 18503 0 779081 0 0 0 RODNEY ZIMBELMAN MD BOARD MEMBER/PHYSICIAN 499308 0 520 0 2064 0 9329 0 15903 0 527124 0 0 0 KIM THOMPSON CFO/VP FINANCE 169764 0 22948 0 18733 0 5947 0 11992 0 229384 0 0 0 THOMAS KELLER CEO 443350 0 77240 0 1118 0 11515 0 17962 0 551185 0 0 0 CHARLES H MORGAN MD BOARD MEMBER 428425 0 520 0 21057 0 7950 0 14063 0 472015 0 0 0 M FAISAL KHAN MD PHYSICIAN/CARDIOLOGIST 983973 0 520 0 19242 0 7950 0 18503 0 1030188 0 0 0 C ROB ARMSTRONG MD PHYSICIAN/RADIOLOGIST 697181 0 500 0 4191 0 7950 0 13063 0 722885 0 0 0 KEVIN CROWE MD PHYSICIAN/CARDIOLOGIST 810159 0 520 0 18000 0 7950 0 7104 0 843733 0 0 0 BENJAMIN YAN MD PHD PHYSICIAN/ONCOLOGIST 829819 0 5157 0 18810 0 7950 0 18503 0 880239 0 0 0 TAGHOGHO AGARIN PHYSICIAN/PAIN MGMT 717522 0 520 0 623 0 7950 0 15159 0 741774 0 0 0 KURTIS ABBEY CHIEF NURSING OFFICER 159892 0 21309 0 124 0 0 0 7416 0 188741 0 0 0 PAMELA LEE CHIEF OPERATING OFFICER 206220 0 10510 0 442 0 0 0 7092 0 224264 0 0 0 CONSTANCE SCHOTT VP HUMAN RESOURCES 137598 0 19657 0 744 0 0 0 17723 0 175722 0 0 0 SCHEDULE J, PART I, LINE 7 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. A THE INDUSTRIAL DEVELOP AUTHORITY OF WEST PLAINS 431343355 2013-01-10 21415000 REFI 99 AND 97 BONDS, BUILDING REN false false false A 0 0 21415000 0 0 17671741 406971 0 0 3336288 0 0 2013 true false true true A 0 A true false false 0 false 0 false false A false 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 2017, 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. 2017 YEAR IN REVIEW: QUALITY: * EARNED AN "A" GRADE FOR PATIENT SAFETY BY LEAPFROG HOSPITAL SAFETY GRADE. * OMC was named one of the Top 100 Rural and Community Hospitals in the US. * Recognized by the Joint Commission and received Accreditation * Achieved over a 4 percent operating margin. * OMC Wound Care Services recognized with National Award for Clinical Excellence. * OMC MAMMOTH SPRING WAS ONE OF THE CLINICS THAT RECEIVED THE "75TH PERCENTILE" AWARD FOR PATIENT EXPERIENCE AWARDS FOR THE 4TH QUARTER. * OMC Mountain View clinic and Heart Care Services received the Patient Experience Award for being in the 75th percentile. * Chest Pain Accreditation * CARF accreditation for Behavioral Healthcare * Missouri Level II Stroke Center * OMC has had zero catheter-associated urinary tract infections or centralline associated bloodstream infections since February 2015, as well as zero ventilator associated pneumonia since July 2013. In 2017, OMC performed 269 coronary interventions with a door-to-balloon time of 58 minutes, substantially better than the national standard set by the American Heart Association of 90 minutes. Door-to-balloon time is a quality measure indicating the amount of time between a heart attack patients arrivals at the emergency room to the time that the patients blocked artery is reopened in the cardiac catheterization lab. SERVICES: At Ozarks Medical Center, we are neighbors serving neighbors. Our system of eight rural health care clinics ensures that residents in our 8-county service area have access to the quality care they need. OMC Statistics: 114 beds 8-county service area serving a market of 160,000 people More than 100 physicians on medical staff 5,464 ADMISSIONS 587 BIRTHS 26,919 EMERGENCY DEPARTMENT VISITS 2,739 INPATIENT AND OUTPATIENT SURGERIES 106,171 REHABILITATION SERVICES PROCEDURES 57,727 REHABILITATION CONTRACTED SERVICES 69,585 HOME HEALTH, HOSPICE AND SUPPORT SERVICES Behavioral Healthcare Neurosurgery Clinic Cancer Treatment Center Heart Care Services Internal Medicine Clinic Urology Clinic Neurosciences Center Hospitalist Team Orthopedic 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 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. New in 2017 was the addition of bariatric surgery. COMMUNITY SUPPORT AND BENEFIT: *Support of organizations such as Boys and Girls Club, Community Foundation Buddy Walk, Alzheimers Walk, and the Child Advocacy Center. *Athletic Physicals 320 local student athletes received free athletic physicals during an event at OMC. Free screenings were also offered at rural health clinics. *Over $8,000 raised in the OMC Superhero Fun Run, raising funds to help OMC patients who are in need and undergoing cancer treatment. * OMC held The Sumo Showdown, sponsored by West Plains Bank raising funds for Cancer Treatment Center. * 145 motorcycles participated in the first OMC Dice Run of the Mills. *over 650 attendees at the OMC Blue Jean Ball. *OMCs employees volunteered to hand out mammogram information at the communitys high school Pink- Out Games. * OMC Leadership Team helped with flood debris clean up in the community. *Tours and presentations to students from the Jobs for Americas Graduates about healthcare careers. *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. *Scholarships for healthcare programs and employee tuition reimbursement. *Community Heart Saver (CPR) Class *Continued to expand Chronic Care Management with nearly 2,000 people enrolled. *Acquired a Pediatric Clinic to provide much needed additional services to children. *OMCs Education Services conducted 250 classes that were attended by 1,115 participants. Classes included First Aid, Heartsaver CPR/AED, and Breastfeeding Support Group. In 2017, OMC paid over $77.6 million in annual wages to more than 1,275 employees. 140 volunteers contributed 26,935 hours to OMC. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS AND FAMILY RELATIONSHIPS: ROGER SHAW III, MARJORIE SLAYTON, AND TRAVIS MORRISON SHARE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINES 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, LINE 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., A.K. GEORGE, M.D., JASON SPURLING, 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:8078386 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:2664280 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:2028248 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE CONTRACTS TOTAL FEES:1878515 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING AND COLLECTIONS TOTAL FEES:1764179 FORM 990 PART IX LINE 11G DESCRIPTION:MANAGEMENT FEES TOTAL FEES:1675137 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SPECIALIST TOTAL FEES:137669 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:550 OZARKS MEDICAL CENTER FOUNDATION 12 PARKWAY CENTER WEST PLAINS MO 65775 431834356 SUPPORT OMC MO 501(C)(3) 7 NA false WEST PLAINS HEALTH SERVICES 1703 WEST EIGHTH STREET WEST PLAINS MO 65775 431329201 DURABLE MED EQUIP MO OMC C CORP 32155 2509168 1.00000 true false false true true false false false false false true true false true false true false true false false WEST PLAINS HEALTH SERVICES D 275000 LOAN DOCUMENT OMC FOUNDATION Q 339167 ACTUAL PMTS