2017-02-03T08:24:56-06:00 2016-06-30 710623618 Welch Couch & Company PO Box 2094 Batesville AR 72503 990 2015-07-01 710407683 OZARK HEALTH INC VAN BUREN CO MEM HOSP & NURSING HOME OZAR 5017457000 PO BOX 206 CLINTON AR 72031 DAVID DEATON CEO 5017457000 2017-02-03 1 WILLIAM T COUCH P00183609 8707935231 2015 2021-01-29 14:40:06Z DAVID DEATON 27662719 0 X WWW.OZARKHEALTHINC.COM AR ACUTE CARE HOSPITAL, NURSING HOME, AND HOME HEALTH AGENCY. 8 8 479 425 0 0 1798742 1154778 23426651 26107782 8278 1086 354191 399073 25587862 27662719 0 0 0 0 13805552 14896744 0 0 0 11706262 12612814 25511814 27509558 76048 153161 23112197 24900775 5077995 6713420 18034202 18187355 ACUTE CARE HOSPITAL, NURSING HOME, AND HOME HEALTH AGENCY. 0 0 20765205 26107782 OZARK HEALTH, INC. IS AN ACUTE CARE FACILTIY. 20765205 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 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 30 0 479 1 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X DAVID DEATON 5017457000 PO BOX 206 CLINTON AR 72031 CINDY WELLENBERGER SECRETARY 1.00 0.00 X X 0 0 0 DR STEVE SCHOETTLE DIRECTOR 1.00 0.00 X 0 0 0 STEPHEN J SMITH VICE PRESIDENT 1.00 0.00 X X 0 0 0 DR JAMIE BEAVERS DIRECTOR 1.00 0.00 X 0 0 0 SHIRL WILLIAMS DIRECTOR 1.00 0.00 X 0 0 0 JOHN HASTINGS DIRECTOR 1.00 0.00 X 0 0 0 MELVIN EDWARD MORGAN PRESIDENT 1.00 0.00 X X 0 0 0 DAVID DEATON CEO 40.00 0.00 X 118500 0 0 LARRY D GREEN HEAD OF REHAB 40.00 0.00 X 118007 0 0 MISTI JOHNSON PHARMACY MANAGER 40.00 0.00 X 114980 0 0 351487 0 0 3 0 0 0 EMERGENCY STAFFING SOLUTIONS INC 17304 PRESTON ROAD SUITE 1400 DALLAS TX 75252 ER PHYSICIANS 749383 WOUND CARE SPECIALISTS 3017 N CAUSEWAY BLVD METAIRIE LA 70002 WOUND CARE CLINIC 370375 360 DEGREE MEDICINE 108 SUNNY LANE BRANSON WEST MO 65737 SLEEP STUDIES 199617 PRACTICE PLUS 11001 EXECUTIVE CENTER SUITE 2000 LITTLE ROCK AR 72211 PHYSICIAN RESOURCES 141723 ROUGEAU GROUP PA 805 COUNTY CLUB RD CONWAY AR 72034 ANESTHESIA SERVICES 117923 5 857952 296826 733001 1154778 PATIENT SERVICE REVENUE 26107782 26107782 26107782 585 585 135359 0 135359 135359 135359 501 0 501 501 501 CAFETERIA REVENUE 900099 229736 229736 OTHER OPERATING REVENUE 900099 30963 30963 MEDICAL RECORDS REVENUE 900099 3015 3015 263714 27662719 26107782 0 400159 118500 118500 11981861 10184565 1797296 1914 1627 287 1927602 1638462 289140 866867 736837 130030 66131 66131 40750 40750 43266 43266 924672 490022 434650 148489 148489 57580 57580 1967826 1967826 320436 45455 274981 SUPPLIES & OTHER 3517829 3254105 263724 PURCHASED SERVICES 2999022 2812708 186314 MAINTENANCE CONTRACTS 919649 475697 443952 OTHER EXPENSES 626960 123775 503185 980204 853463 126741 27509558 20765205 6744353 0 31349 179949 530407 576763 3235149 4780922 519978 600260 244911 157202 38060668 19454989 18550403 18605679 23112197 24900775 3827625 5080716 1230113 1615294 20257 17410 5077995 6713420 X 18034202 18187355 18034202 18187355 23112197 24900775 X 153161 -8 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 364216 364216 28125817 12987933 15137884 584080 242524 341556 8600591 6224532 2376059 385964 385964 18605679 OTHER LIABILITIES 17410 17410 X 27662719 0 27662719 0 27662719 27509558 0 27509558 0 27509558 Part X, Line 2: MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITION AND HAS DETERMINED THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 0 0 380543 380543 0.01380 380543 380543 0.01380 380543 380543 0.01380 1 1403368 777205 9028453 8831537 196916 X 1 0 1 1 OZARK HEALTH INC PO BOX 206 CLINTON AR 72031 X X X OZARK HEALTH INC 1 0 0 1 X X X X X X X X 15 1 0 0 1 X 1 15 0 1 0 1 X 150.000000000000 250.000000000000 X 1 1 1 X X 1 X 1 X X X X X 1 X 0 0 OZARK HEALTH, INC Part V, Section B, Line 5: COMMUNITY SURVEY AND FOCUS GROUPS Part III, Line 9b: PATIENTS ARE INFORMED OF CHARITY CARE PROGRAM Part VI, Line 2: UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY BY PAYOR SOURCE. Part VI, Line 3: INFORMS PATENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREAS. Part VI, Line 4: RURAL SETTING, PREDOMINANTLY AGRICULTURAL BASE. AVERAGE INCOME AT OR BELOW FEDERAL POVERTY GUIDELINES, PREDOMINANTLY CAUCASIAN, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE. Part VI, Line 5: OPEN MEDICAL STAFF, ANNUAL HEALTH FAIR HELD FOR THE COMMUNITY, CAR SEAT AND HELMET PROGRAM FOR THE COMMUNITY, AND A FINANCIAL ASSISTANCE PROGRAM TO HELP THE COMMUNITY. X CAPITAL CONTRIBUTIONS 1 733001 0 0 0 Form 990, Part VI, Section B, line 11 THE CHIEF FINANCIAL OFFICER REVIEWS 990 PRIOR TO SIGNING FORM 8870-EO TO APPROVE ELECTRONIC FILING Form 990, Part VI, Section B, line 12c EACH BOARD MEMBER, PRINCIPAL OFFICER, MEMBER OF A COMMITEE WITH BOARD DELEGATES POWERS, DIRECTOR OR MANAGER ANNUALLY SIGNS A STATEMENS AFFIRMING COMPLIANCE WITH THE POLICY. IF A CONFLICT OF INTEREST IS DISCLOSED THE DISINTERESTED BOARD MEMBERS PERFORM BUE DILIGENCE AND DETERMINE BY A MAJORITY VOTE WHEATHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST. Form 990, Part VI, Section B, line 15 THE HOSPITAL BOARD EVALUATES THE CEO'S PERFORMANCE AND APPROVES COMPENSATION. Form 990, Part VI, Section C, line 19 PROVIDED UPON REQUEST Form 990, Part XI, line 9: ADJUSTMENT TO AGREE NET ASSETS TO AUDITED FINANCIAL STATEMENTS -8. OZARK HEALTH FOUNDATION PO BOX 206 CLINTON AR 72031 861078345 TO PROVIDE ASSISTANCE AND FURTHER THE PURPOSE OF OZARK HEALTH AR 501(c)(3) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OZARK HEALTH FOUNDATION B 72108 FMV