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SOUTHEAST MISSOURI HEALTH NETWORK: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SOUTHEAST MISSOURI HEALTH NETWORK (EIN 43-1253101)
Tax period
2016-04-01 to 2017-03-31
Filed
2017-11-15
IRS object ID
201723199349319232
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-15T20:29:57-06:00ReturnTs
Tax Period End2017-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621804252PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WATKINS UIBERALL PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11661 AARON BRENNER DR STE 300AddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38120ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431253101EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHEAST MISSOURI HEALTH NETWORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone5733132500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16738 HIGHWAY 77AddressLine1Txt
CityBENTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63736ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRIS JONESPersonNm
Person TitleCEOPersonTitleTxt
Phone5737482407PhoneNum
Signature2017-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPEYTON DODSONPreparerPersonNm
PTINP01421936PTIN
Phone9017612720PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.136.84.170IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-14IPDt
IP Tm09:28:22IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEB49C48E2409B39FF89502C2F727A496674A9419AtSubmissionCreationDeviceId
At Submission Filing Device IdCF1AAFFF0D41E3789CC88B5129B2BCDB846D8665AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRIS JONESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16738 HIGHWAY 77AddressLine1Txt
CityBENTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63736ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,080,073GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SEMOHEALTHNETWORK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionSEMO HEALTH NETWORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTHCARE TO THE COMMUNITIES OF SOUTHEAST MISSOURI.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee159TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$4,388TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$3,411NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,625,337PYContributionsGrantsAmt
CY Contributions Grants$4,020,826CYContributionsGrantsAmt
PY Program Service Revenue$10,124,041PYProgramServiceRevenueAmt
CY Program Service Revenue$8,881,735CYProgramServiceRevenueAmt
PY Investment Income$5,056PYInvestmentIncomeAmt
CY Investment Income$23,002CYInvestmentIncomeAmt
PY Other Revenue$146,512PYOtherRevenueAmt
CY Other Revenue$134,022CYOtherRevenueAmt
PY Total Revenue$13,900,946PYTotalRevenueAmt
CY Total Revenue$13,059,585CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,571,558PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,718,506CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,201,133PYOtherExpensesAmt
CY Other Expenses$4,249,371CYOtherExpensesAmt
PY Total Expenses$10,772,691PYTotalExpensesAmt
CY Total Expenses$11,967,877CYTotalExpensesAmt
PY Revenues Less Expenses$3,128,255PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,091,708CYRevenuesLessExpensesAmt
Total Assets BOY$7,274,059TotalAssetsBOYAmt
Total Assets EOY$8,045,306TotalAssetsEOYAmt
Total Liabilities BOY$4,324,432TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,003,971TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,949,627NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,041,335NetAssetsOrFundBalancesEOYAmt
MissionSEMO HEALTH NETWORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTHCARE TO THE COMMUNITIES OF SOUTHEAST MISSOURI.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,289,159ExpenseAmt
Revenue$9,018,745RevenueAmt
DescSEMO HEALTH NETWORK PROVIDED 31,454 MEDICAL VISITS, 16,717 DENTAL VISITS, AND 79 NUTRITION SERVICES IN SOUTHEAST MISSOURI THROUGH THE OPERATION OF MIGRANT AND COMMUNITY HEALTH CENTERS IN THE CALENDAR YEAR.Desc
Total Program Service Expenses$10,289,159TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee159EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SARA DEANEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5737482592PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16738 HIGHWAY 77AddressLine1Txt
CityBENTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63736ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CATHERINE BOCKHOLD
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
EVELYN PULLIAM
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
MARY DAVIS
TREASURER2.00Yes (X)Yes (X)$0$0$0
BYRON MCVAY
SECRETARY2.00Yes (X)Yes (X)$0$0$0
VICKI GILLESPIE
DIRECTOR2.00Yes (X)$0$0$0
CINDY AMICK
DIRECTOR2.00Yes (X)$0$0$0
DAVID HOWARD
DIRECTOR2.00Yes (X)$0$0$0
EMILY DUGAN DEUSTER
DIRECTOR2.00Yes (X)$0$0$0
LANCE CRAWFORD
DIRECTOR2.00Yes (X)$0$0$0
SAM DUNCAN
DIRECTOR2.00Yes (X)$0$0$0
CHRIS JONES
CEO40.00Yes (X)$190,630$0$16,969
SARA BETH DEANE
CFO40.00Yes (X)$145,866$0$12,061
DARRYL ROBERTS
COO40.00Yes (X)$99,434$0$16,969
TERESA RICHEY
CHIEF NURSING OFFICER40.00Yes (X)$110,623$0$1,599
DR DANIEL DOMJAN
CHIEF MEDICAL OFFICER40.00Yes (X)$241,088$0$16,891
DR GAIL REDMAN
CHIEF DENTAL OFFICER40.00Yes (X)$204,651$0$12,061
DR GARY HARRIS
DENTIST40.00$168,974$0$10,892Yes (X)
TRAVIS WEISS
PHYSICIAN ASSISTANT40.00$136,500$0$16,969Yes (X)
DR DEAN O CANSLER
DENTIST32.00$135,962$0$735Yes (X)
DR BRADLEY GRAF
DENTIST40.00$141,882$0$16,969Yes (X)
DR NATHAN SPRENGEL
DOCTOR40.00$228,012$0$16,969Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,803,622TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$139,084TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COVENTRY HEALTH CARE OF MO INC
PO BOX 6473CAROL STREAMIL60197INSURANCE$519,373
SUSAN H SHEETS DDS
2436 MYRA DRIVECAPE GIRARDEAUMO63703DENTAL SERVICE$388,443
MCKESSON MEDICAL SURGICAL
PO BOX 634404CINCINNATIOH45263SUPPLIES$377,052
DR PATRICIA MERKLEY
2116 MEGAN DRIVE SUITE 101CAPE GIRARDEAUMO63701DENTAL SERVICE$270,993
GREENWAY
PO BOX 203658DALLASTX72320SOFTWARE$222,181
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$4,020,826GovernmentGrantsAmt
Total Contributions$4,020,826TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE FEES621110$7,196,389$7,196,389
340B PHARMACY PROGRAM REVENUE621110$1,210,512$1,210,512
PRIMARY CARE HOME REVENUE621610$474,834$474,834
FieldValueIRS element (for citing)
Total Program Service Revenue$8,881,735TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,402TotalRevenueColumnAmt
Exclusion$24,402ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$12,700RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$17,088RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$4,388RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,388TotalRevenueColumnAmt
Unrelated Business Revenue-$4,388UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$3,400OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,400OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,400TotalRevenueColumnAmt
Related Or Exempt Func Income-$1,400RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business621110BusinessCd
Total Revenue Column$138,410TotalRevenueColumnAmt
Related Or Exempt Func Income$138,410RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$138,410OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,059,585TotalRevenueColumnAmt
Related Or Exempt Func Income$9,018,745RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$4,388UnrelatedBusinessRevenueAmt
Exclusion$24,402ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,068,841TotalAmt
Program Services$542,255ProgramServicesAmt
Management And General$526,586ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,477,775TotalAmt
Program Services$5,131,895ProgramServicesAmt
Management And General$345,880ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$688,563TotalAmt
Program Services$688,563ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$483,327TotalAmt
Program Services$475,748ProgramServicesAmt
Management And General$7,579ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,678TotalAmt
Management And General$1,678ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$48,756TotalAmt
Management And General$48,756ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$90,067TotalAmt
Management And General$90,067ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$33,722TotalAmt
Program Services$1,869ProgramServicesAmt
Management And General$31,853ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$834,614TotalAmt
Program Services$820,582ProgramServicesAmt
Management And General$14,032ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$44,333TotalAmt
Program Services$44,333ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$282,853TotalAmt
Program Services$167,855ProgramServicesAmt
Management And General$114,998ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$33,914TotalAmt
Program Services$13,011ProgramServicesAmt
Management And General$20,903ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$45,870TotalAmt
Program Services$37,974ProgramServicesAmt
Management And General$7,896ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$237,986TotalAmt
Program Services$193,211ProgramServicesAmt
Management And General$44,775ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$301,587TotalAmt
Program Services$301,587ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$141,049TotalAmt
Program Services$141,049ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTED REFERRAL PAY$660,170$660,170
SOFTWARE FEES$373,931$2,417$371,514
340B PHARMACY PROGRAM E$308,094$308,094
TELECOMMUNICATIONS$165,413$159,044$6,369

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$645,334TotalAmt
Program Services$599,502ProgramServicesAmt
Management And General$45,832ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,967,877TotalAmt
Program Services$10,289,159ProgramServicesAmt
Management And General$1,678,718ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$25,737BOYAmt
EOY$580,301EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,160,833BOYAmt
EOY$1,980,246EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$107,133BOYAmt
EOY$136,045EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,617,458BOYAmt
EOY$1,044,035EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,711BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$34,247BOYAmt
EOY$33,900EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,630,818LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,360,039LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,318,828BOYAmt
EOY$4,270,779EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,112BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,274,059BOYAmt
EOY$8,045,306EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$467,160BOYAmt
EOY$602,233EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,197,642BOYAmt
EOY$3,031,998EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$659,630BOYAmt
EOY$369,740EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,324,432BOYAmt
EOY$4,003,971EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,784,077BOYAmt
EOY$4,041,335EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$165,550BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,949,627BOYAmt
EOY$4,041,335EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,274,059BOYAmt
EOY$8,045,306EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,091,708ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,941,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,357,757CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,781,820CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,625,337CurrentTaxYearMinus1YearAmt
Current Tax Year$4,020,826CurrentTaxYearAmt
Total$17,727,198TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,941,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,357,757CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,781,820CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,625,337CurrentTaxYearMinus1YearAmt
Current Tax Year$4,020,826CurrentTaxYearAmt
Total$17,727,198TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$17,727,198PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$869CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$178CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60CurrentTaxYearMinus2YearsAmt
Total$1,107TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,199CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$64,930CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$158,088CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$170,097CurrentTaxYearMinus1YearAmt
Current Tax Year$175,512CurrentTaxYearAmt
Total$575,826TotalAmt
FieldValueIRS element (for citing)
Total Support$18,304,131TotalSupportAmt
Public Support CY1700.96850PublicSupportCY170Pct
Public Support PY1700.97570PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$228,054OtherCostOrOtherBasisAmt
Book Value$228,054BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$147,461InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$4,503,185OtherCostOrOtherBasisAmt
Depreciation$1,043,119DepreciationAmt
Book Value$3,607,527BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$76,713OtherCostOrOtherBasisAmt
Depreciation$25,623DepreciationAmt
Book Value$51,090BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,623,063OtherCostOrOtherBasisAmt
Depreciation$1,262,993DepreciationAmt
Book Value$360,070BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$52,342InvestmentCostOrOtherBasisAmt
Depreciation$28,304DepreciationAmt
Book Value$24,038BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,270,779TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO THIRD PARTIES$212,187
PATIENT OVERPAYMENT PAYABLE$157,553
FieldValueIRS element (for citing)
Total Liability$369,740TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$12,768,579TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$291,006OtherRevenueAmt
Revenue Not Reported-$291,006RevenueNotReportedAmt
Revenue Subtotal$13,059,585RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,059,585TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,643,033TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$324,844OtherExpensesIncludedAmt
Expenses Not Reported-$324,844ExpensesNotReportedAmt
Expenses Subtotal$11,967,877ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,967,877TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:340B PROGRAM EXPENSE -308,094. RENTAL EXPENSES 17,088.
PART XII, LINE 2D - OTHER ADJUSTMENTS:340B PROGRAM EXPENSE -308,094. RENTAL EXPENSES 17,088. 340B BAD DEBT EXPENSE -33,838.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRIS JONES
CEO$190,630$0$0$0$0$0$0$0$0$16,969$190,630$16,969$0$0
SARA BETH DEANE
CFO$145,866$0$0$0$0$0$0$0$0$12,061$145,866$12,061$0$0
DR DANIEL DOMJAN
CHIEF MEDICAL OFFICER$241,088$0$0$0$0$0$0$0$0$16,891$241,088$16,891$0$0
DR GAIL REDMAN
CHIEF DENTAL OFFICER$204,651$0$0$0$0$0$0$0$0$12,061$204,651$12,061$0$0
DR GARY HARRIS
DENTIST$168,974$0$0$0$0$0$0$0$0$10,892$168,974$10,892$0$0
TRAVIS WEISS
PHYSICIAN ASSISTANT$136,500$0$0$0$0$0$0$0$0$16,969$136,500$16,969$0$0
DR BRADLEY GRAF
DENTIST$141,882$0$0$0$0$0$0$0$0$16,969$141,882$16,969$0$0
DR NATHAN SPRENGEL
DOCTOR$228,012$0$0$0$0$0$0$0$0$16,969$228,012$16,969$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE CONTRACTS ARE BROUGHT BEFORE THE BOARD AND THE SALARY IS DISCUSSED AND VOTED ON FOR EACH OFFICE DURING EXECUTIVE SESSIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY THE INDEPENDENT AUDITORS AND REVIEWED BY MANAGEMENT. A COPY IS PROVIDED TO BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANY CONFLICT BROUGHT TO LIGHT IS ADDRESSED AT THE BOARD MEETING AND A PLAN OF ACTION IS DECIDED BY THE BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION COMMITTEE MEETS AND REVIEWS PERFORMANCE APPRAISALS PREPARED BY ALL BOARD MEMBERS. THE COMMITTEE ALSO REVIEWS COMPENSATION OF OFFICIALS IN SIMILAR POSITIONS IN LIKE ORGANIZATIONS. AFTER THE REVIEW, THE EXECUTIVE DIRECTOR COMPENSATION IS THEN DETERMINED.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.