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OZARK TRI-COUNTY HEALTH CARE CONSORTIUM: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
OZARK TRI-COUNTY HEALTH CARE CONSORTIUM (EIN 43-1752799)
Tax period
2014-05-01 to 2015-04-30
Filed
2016-03-08
IRS object ID
201610689349300741
Schema version
2014v6.0
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)
Return2016-03-08T16:27:01-06:00ReturnTs
Tax Period End2015-04-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430831507PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDERS MINKLER HUBER & HELM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 MARKET STREET SUITE 500AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP631012501ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431752799EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OZARK TRI-COUNTY HEALTH CARE CONSORTIUMBusinessNameLine1Txt
Business Name Line2DBA ACCESS FAMILY CAREBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlOZARBusinessNameControlTxt
Phone4174519450PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 758AddressLine1Txt
CityNEOSHOCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64850ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHEILA LONGPersonNm
Person TitleCFOPersonTitleTxt
Phone4174519450PhoneNum
Signature2016-02-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN MCCOOKPreparerPersonNm
PTINP00435856PTIN
Phone3146555500PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ACCESS FAMILY CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSHEILA LONGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 NELSON AVENUEAddressLine1Txt
CityNEOSHOCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64850ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,320,429GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ACCESSFAMILYCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionWE ARE COMMITTED TO IMPROVING THE HEALTH OF THE MEDICALLY UNDERSERVED OF GREATER SOUTHWEST MISSOURI THROUGH DIRECT SERVICES AND COLLABORATIVE EFFORTS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee208TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,190,437PYContributionsGrantsAmt
CY Contributions Grants$3,805,437CYContributionsGrantsAmt
PY Program Service Revenue$10,917,600PYProgramServiceRevenueAmt
CY Program Service Revenue$10,506,458CYProgramServiceRevenueAmt
PY Investment Income$770PYInvestmentIncomeAmt
CY Investment Income-$1,914CYInvestmentIncomeAmt
PY Other Revenue$11,243PYOtherRevenueAmt
CY Other Revenue$7,212CYOtherRevenueAmt
PY Total Revenue$14,120,050PYTotalRevenueAmt
CY Total Revenue$14,317,193CYTotalRevenueAmt
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$9,237,592PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,246,399CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,235,727PYOtherExpensesAmt
CY Other Expenses$4,384,777CYOtherExpensesAmt
PY Total Expenses$13,473,319PYTotalExpensesAmt
CY Total Expenses$13,631,176CYTotalExpensesAmt
PY Revenues Less Expenses$646,731PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$686,017CYRevenuesLessExpensesAmt
Total Assets BOY$10,476,375TotalAssetsBOYAmt
Total Assets EOY$11,069,734TotalAssetsEOYAmt
Total Liabilities BOY$1,823,367TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,730,709TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,653,008NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,339,025NetAssetsOrFundBalancesEOYAmt
MissionWE ARE COMMITTED TO IMPROVING THE HEALTH OF THE MEDICALLY UNDERSERVED OF GREATER SOUTHWEST MISSOURI THROUGH DIRECT SERVICES AND COLLABORATIVE EFFORTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,656,971ExpenseAmt
Revenue$6,742,053RevenueAmt
DescIN FY 2015, MEDICAL ENCOUNTERS TOTALED 35,878.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,656,971ExpenseAmt
Revenue$3,771,617RevenueAmt
DescTHE ORGANIZATION PROVIDES A WIDE VARIETY OF SERVICES TO THE PATIENT POPULATION IN ALL AREAS OF GENERAL DENTISTRY. IN FY 2015, DENTAL ENCOUNTERS TOTALED 19,401.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$9,313,942TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee208EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 OtherYes (1)CompensationProcessOtherInd
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 Line1SHEILA LONG CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4174510619PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 NELSON AVENUEAddressLine1Txt
CityNEOSHOCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64850ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JERRIE WISE
TREASURER1.00Yes (X)Yes (X)$0$0$0
MARY ANN BRADLEY
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
CHRISTIAN DEMASI
BOARD MEMBER1.00Yes (X)$0$0$0
DR AL CHAPMAN
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
PEDRO PANTOJA
BOARD MEMBER1.00Yes (X)$0$0$0
PEGGY CARPENTER
BOARD MEMBER1.00Yes (X)$0$0$0
ELIZABETH PERSONS
SECRETARY1.00Yes (X)Yes (X)$0$0$0
HEATHER MARTIN
BOARD MEMBER1.00Yes (X)$0$0$0
KELLY TICHENOR BROWN
BOARD MEMBER1.00Yes (X)$0$0$0
SHEILA LONG
CHIEF FINANCIAL OFFICER40.00Yes (X)$94,531$0$15,352
DEBRA DAVIDSON
CHIEF OPERATING OFFICER40.00Yes (X)$102,272$0$5,750
DON MCBRIDE
CHIEF EXECUTIVE OFFICER40.00Yes (X)$198,540$0$16,030
DR GERALD ENGLUND
PHYSICIAN40.00$269,248$0$22,723Yes (X)
DR LELAND MCCALL
DENTIST40.00$176,314$0$16,030Yes (X)
DR VICTOR MANGLER
PHYSICIAN40.00$142,350$0$9,528Yes (X)
DR CHARLES BENTLAGE
MEDICAL/DENTAL DIRECTOR40.00$166,555$0$6,037Yes (X)
DR KALA SMITH
DENTIST40.00$137,810$0$10,393Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,287,620TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$101,843TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1QUEST DIAGNOSTICSBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 14730AddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP631504730ZIPCd
FieldValueIRS element (for citing)
ServicesLABORATORY SERVICESServicesDesc
Compensation$205,240CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$3,487,067GovernmentGrantsAmt
All Other Contributions$318,370AllOtherContributionsAmt
Total Contributions$3,805,437TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE624100$10,442,708$10,442,708
EHR INCENTIVE PROGRAMS624100$63,750$63,750
FieldValueIRS element (for citing)
Total Program Service Revenue$10,506,458TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,322TotalRevenueColumnAmt
Exclusion$1,322ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$3,236OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$3,236OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,236TotalRevenueColumnAmt
Exclusion-$3,236ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$7,212TotalRevenueColumnAmt
Related Or Exempt Func Income$7,212RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,212OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,317,193TotalRevenueColumnAmt
Related Or Exempt Func Income$10,513,670RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$1,914ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$432,475TotalAmt
Program Services$286,979ProgramServicesAmt
Management And General$145,496ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,235,021TotalAmt
Program Services$4,845,934ProgramServicesAmt
Management And General$2,389,087ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$203,253TotalAmt
Program Services$135,641ProgramServicesAmt
Management And General$67,612ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$826,291TotalAmt
Program Services$464,675ProgramServicesAmt
Management And General$361,616ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$549,359TotalAmt
Program Services$364,467ProgramServicesAmt
Management And General$184,892ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,958TotalAmt
Management And General$3,958ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$62,649TotalAmt
Management And General$62,649ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,018,119TotalAmt
Program Services$649,855ProgramServicesAmt
Management And General$368,264ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$101,511TotalAmt
Program Services$37,533ProgramServicesAmt
Management And General$63,978ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$312,257TotalAmt
Program Services$107,579ProgramServicesAmt
Management And General$204,678ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$117,010TotalAmt
Program Services$68,283ProgramServicesAmt
Management And General$48,727ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$451,016TotalAmt
Program Services$359,807ProgramServicesAmt
Management And General$91,209ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$120,391TotalAmt
Program Services$38,773ProgramServicesAmt
Management And General$81,618ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$76,370TotalAmt
Program Services$47,833ProgramServicesAmt
Management And General$28,537ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$175TotalAmt
Management And General$175ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$521,051TotalAmt
Program Services$414,021ProgramServicesAmt
Management And General$107,030ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$136,117TotalAmt
Program Services$118,414ProgramServicesAmt
Management And General$17,703ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$719,579$719,579
BAD DEBT EXPENSE$428,963$428,963
RECRUITMENT & RETENTION$141,205$105,768$35,437
REPAIRS AND MAINTENANCE$123,432$97,627$25,805

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$50,974TotalAmt
Program Services$22,211ProgramServicesAmt
Management And General$28,763ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,631,176TotalAmt
Program Services$9,313,942ProgramServicesAmt
Management And General$4,317,234ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,156,968BOYAmt
EOY$746,797EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,140,788BOYAmt
EOY$1,480,846EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$261,276BOYAmt
EOY$246,542EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$937,833BOYAmt
EOY$839,420EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$18,401BOYAmt
EOY$15,944EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$289,903BOYAmt
EOY$338,606EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,340,317LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,958,564LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,582,642BOYAmt
EOY$6,381,753EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$72,524BOYAmt
EOY$76,138EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,016,040BOYAmt
EOY$943,688EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,476,375BOYAmt
EOY$11,069,734EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,684,015BOYAmt
EOY$1,688,827EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$139,352BOYAmt
EOY$41,374EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$508EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,823,367BOYAmt
EOY$1,730,709EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,651,904BOYAmt
EOY$9,337,921EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,104BOYAmt
EOY$1,104EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,653,008BOYAmt
EOY$9,339,025EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,476,375BOYAmt
EOY$11,069,734EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$686,017ReconcilationRevenueExpnssAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,996,732CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,537,689CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,797,644CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,190,437CurrentTaxYearMinus1YearAmt
Current Tax Year$3,805,437CurrentTaxYearAmt
Total$17,327,939TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,345,300CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,247,560CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,241,306CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,917,600CurrentTaxYearMinus1YearAmt
Current Tax Year$10,506,458CurrentTaxYearAmt
Total$45,258,224TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,342,032CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,785,249CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,038,950CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,108,037CurrentTaxYearMinus1YearAmt
Current Tax Year$14,311,895CurrentTaxYearAmt
Total$62,586,163TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$62,586,163PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,545CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,327CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,468CurrentTaxYearMinus1YearAmt
Current Tax Year$1,322CurrentTaxYearAmt
Total$10,306TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,545CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,327CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,468CurrentTaxYearMinus1YearAmt
Current Tax Year$1,322CurrentTaxYearAmt
Total$10,306TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$7,326CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,243CurrentTaxYearMinus1YearAmt
Current Tax Year$7,212CurrentTaxYearAmt
Total$25,781TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,344,676CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,787,794CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,048,603CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,120,748CurrentTaxYearMinus1YearAmt
Current Tax Year$14,320,429CurrentTaxYearAmt
Total$62,622,250TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99940PublicSupportCY509Pct
Public Support PY5090.99940PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$458,935OtherCostOrOtherBasisAmt
Book Value$458,935BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,023,547OtherCostOrOtherBasisAmt
Depreciation$2,177,282DepreciationAmt
Book Value$4,846,265BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,857,835OtherCostOrOtherBasisAmt
Depreciation$1,781,282DepreciationAmt
Book Value$1,076,553BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,381,753TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM MEDICARE/MEDICAID$63,776
CONSTRUCTION IN PROGRESS$879,912
FieldValueIRS element (for citing)
Total Book Value Other Assets$943,688TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER SHORT TERM LIABILITIESDesc
Amt$508Amt
FieldValueIRS element (for citing)
Total Liability$508TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,888,055TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$429,138OtherRevenueAmt
Revenue Not Reported-$429,138RevenueNotReportedAmt
Revenue Subtotal$14,317,193RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,317,193TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,202,038TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,202,038ExpensesSubtotalAmt
Other Expenses Not Included$429,138OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$429,138ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,631,176TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2011 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS -428,963. INTEREST EXPENSE -175.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS 428,963. INTEREST EXPENSE 175.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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
DON MCBRIDE
CHIEF EXECUTIVE OFFICER$198,056$0$484$0$0$0$6,069$0$9,961$0$214,570$0$0$0
DR GERALD ENGLUND
PHYSICIAN$240,479$0$28,769$0$0$0$8,312$0$14,411$0$291,971$0$0$0
DR LELAND MCCALL
DENTIST$175,830$0$484$0$0$0$5,439$0$10,591$0$192,344$0$0$0
DR VICTOR MANGLER
PHYSICIAN$141,866$0$484$0$0$0$4,267$0$5,261$0$151,878$0$0$0
DR CHARLES BENTLAGE
MEDICAL/DENTAL DIRECTOR$166,071$0$484$0$0$0$4,984$0$1,053$0$172,592$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 6FormAndLineReferenceDesc
ExplanationCONTINGENT COMPENSATION SCHEDULE D, PART 1, QUESTION 6A THE ORGANIZATION HAS AN INCENTIVE COMPENSATION PLAN. INCENTIVE COMPENSATION IS BASED ON THE PRODUCTIVITY OF THE MEDICAL AND DENTAL PROVIDERS EVERY 6 MONTHS. ALL EMPLOYEES RECEIVE A PORTION OF THE INCENTIVE COMPENSATION PAYMENT FROM THE DIVISION AND CLINIC THAT THEY WORK IN AND ADMINISTRATION SHARES IN ALL CLINICS INCENTIVE COMPENSATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A 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 12CANY 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 15ALL 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 19THE 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 2CTHERE WERE NO CHANGES FROM THE PRIOR YEAR