OZARK TRI-COUNTY HEALTH CARE CONSORTIUM: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- OZARK TRI-COUNTY HEALTH CARE CONSORTIUM (EIN 43-1752799)
- Tax period
- 2012-05-01 to 2013-04-30
- Filed
- 2014-03-06
- IRS object ID
- 201440659349301104
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-03-06T12:21:12-06:00 | Timestamp |
| Tax Period End Date | 2013-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430831507 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERS MINKLER HUBER & HELM LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 MARKET STREET SUITE 500 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 631012501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431752799 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OZARK TRI-COUNTY HEALTH CARE CONSORTIUM | BusinessNameLine1 |
| Business Name Line2 | DBA ACCESS FAMILY CARE | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OZAR | NameControl |
| Phone | 4174519450 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 758 | AddressLine1 |
| City | NEOSHO | City |
| State | MO | State |
| ZIP Code | 64850 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHEILA LONG | Name |
| Title | CFO | Title |
| Phone | 4174519450 | Phone |
| Date Signed | 2014-02-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRIAN MCCOOK | Name |
| PTIN | P00435856 | PTIN |
| Phone | 3146555500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACCESS FAMILY CARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SHEILA LONG | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4301 DONIPHAN DRIVE | AddressLine1 |
| City | NEOSHO | City |
| State | MO | State |
| ZIP Code | 64850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 13048603 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ACCESSFAMILYCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE MEDICALLY UNDERSERVED OF GREATER SOUTHWEST MISSOURI THROUGH DIRECT SERVICES AND COLLABORATIVE EFFORTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 184 | TotalNbrEmployees |
| Total Nbr Volunteers | 9 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4537689 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2797644 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7247560 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10241306 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 864 | InvestmentIncomePriorYear |
| Investment Income Current Year | -75981 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -40183 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7326 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11745930 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12970295 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7223523 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9410098 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3074412 | OtherExpensePriorYear |
| Other Expenses Current Year | 3910775 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10297935 | TotalExpensesPriorYear |
| Total Expenses Current Year | 13320873 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1447995 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -350578 | RevenuesLessExpensesCY |
| Total Assets BOY | 10166805 | TotalAssetsBOY |
| Total Assets EOY | 9961665 | TotalAssetsEOY |
| Total Liabilities BOY | 1809950 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1955388 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8356855 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8006277 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE MEDICALLY UNDERSERVED OF GREATER SOUTHWEST MISSOURI THROUGH DIRECT SERVICES AND COLLABORATIVE EFFORTS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4992860 | Expense |
| Revenue | 5753422 | Revenue |
| Description | IN FY 2013, MEDICAL ENCOUNTERS TOTALED 35,003. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4992860 | Expense |
| Revenue | 4495210 | Revenue |
| Description | THE ORGANIZATION PROVIDES A WIDE VARIETY OF SERVICES TO THE PATIENT POPULATION IN ALL AREAS OF GENERAL DENTISTRY. IN FY 2013, DENTAL ENCOUNTERS TOTALED 22,060. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 9985720 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 18 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 184 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHEILA LONG CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4174510619 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 NELSON AVENUE | AddressLine1 |
| City | NEOSHO | City |
| State | MO | State |
| ZIP Code | 64850 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JERRIE WISE | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| MARY ANN BRADLEY | |||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| FRANCISCO BUSTILLO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DR AL CHAPMAN | |||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| PEDRO PANTOJA | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PEGGY CARPENTER | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| ELIZABETH PERSONS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| HEATHER MARTIN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| KELLY TICHENOR BROWN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| SHEILA LONG | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 86543 | 0 | 8409 | ||
| DEBRA DAVIDSON | |||||||
| CHIEF OPERATING OFFICER | 40.00 | X | 92579 | 0 | 3246 | ||
| DON MCBRIDE | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | 163317 | 0 | 10642 | ||
| KAREN PORTE | |||||||
| PHYSICIAN | 40.00 | 135133 | 0 | 7935 | X | ||
| DR LELAND MCCALL | |||||||
| DENTIST | 40.00 | 145279 | 0 | 10501 | X | ||
| ALLEN SMITH | |||||||
| DENTIST | 40.00 | 145873 | 0 | 10163 | X | ||
| CHARLES BENTLAGE | |||||||
| MEDICAL/DENTAL DIRECTOR | 40.00 | 160388 | 0 | 5210 | X | ||
| JERRY JUMPER MD | |||||||
| PHYSICIAN | 40.00 | 175042 | 0 | 11342 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1104154 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 67448 | TotalOtherCompensation |
| Number Individuals GT100 K | 18 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QUEST DIAGNOSTICS | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 14730 | AddressLine1 |
| City | SAINT LOUIS | City |
| State | MO | State |
| ZIP Code | 631504730 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | LABORATORY SERVICES | DescriptionOfServices |
| Compensation | 127554 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 2606459 | GovernmentGrants |
| All Other Contributions | 191185 | AllOtherContributions |
| Noncash Contributions | 19474 | NoncashContributions |
| Total Contributions | 2797644 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE | 624100 | 9837556 | 9837556 |
| EHR INCENTIVE PROGRAMS | 624100 | 403750 | 403750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10241306 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2327 | TotalRevenueColumn |
| Exclusion | $2,327 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 78308 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -78308 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -78308 | TotalRevenueColumn |
| Exclusion | -$78,308 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 7326 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7326 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7326 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12970295 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10248632 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$75,981 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 364736 | Total |
| Program Services | 259973 | ProgramServices |
| Management And General | 104763 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7375146 | Total |
| Program Services | 5269549 | ProgramServices |
| Management And General | 2105597 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 213901 | Total |
| Program Services | 153073 | ProgramServices |
| Management And General | 60828 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 911190 | Total |
| Program Services | 600567 | ProgramServices |
| Management And General | 310623 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 545125 | Total |
| Program Services | 391680 | ProgramServices |
| Management And General | 153445 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3480 | Total |
| Management And General | 3480 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36945 | Total |
| Management And General | 36945 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 644056 | Total |
| Program Services | 578461 | ProgramServices |
| Management And General | 65595 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41070 | Total |
| Program Services | 22501 | ProgramServices |
| Management And General | 18569 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222054 | Total |
| Program Services | 125471 | ProgramServices |
| Management And General | 96583 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 414815 | Total |
| Program Services | 344647 | ProgramServices |
| Management And General | 70168 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 342776 | Total |
| Program Services | 288088 | ProgramServices |
| Management And General | 54688 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55815 | Total |
| Program Services | 28246 | ProgramServices |
| Management And General | 27569 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76542 | Total |
| Program Services | 46862 | ProgramServices |
| Management And General | 29680 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 569434 | Total |
| Program Services | 475949 | ProgramServices |
| Management And General | 93485 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113864 | Total |
| Program Services | 94655 | ProgramServices |
| Management And General | 19209 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 601789 | 601789 | |
| BAD DEBT | 544754 | 544754 | |
| REPAIRS AND MAINTENANCE | 143433 | 106577 | 36856 |
| RECRUITMENT & RETENTION | 47619 | 26430 | 21189 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52329 | Total |
| Program Services | 26448 | ProgramServices |
| Management And General | 25881 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13320873 | Total |
| Program Services | 9985720 | ProgramServices |
| Management And General | 3335153 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1206798 | BOY |
| EOY | 566113 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 513692 | BOY |
| EOY | 1116315 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161289 | BOY |
| EOY | 174856 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 856973 | BOY |
| EOY | 845251 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 305450 | BOY |
| EOY | 84937 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143114 | BOY |
| EOY | 300151 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8810049 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3007907 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6389699 | BOY |
| EOY | 5802142 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 49474 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 589790 | BOY |
| EOY | 1022426 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10166805 | BOY |
| EOY | 9961665 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1513228 | BOY |
| EOY | 1855081 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 296722 | BOY |
| EOY | 100307 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1809950 | BOY |
| EOY | 1955388 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8350941 | BOY |
| EOY | 7988137 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5914 | BOY |
| EOY | 18140 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8356855 | BOY |
| EOY | 8006277 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10166805 | BOY |
| EOY | 9961665 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -350578 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5593794 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3261104 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2996732 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4537689 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2797644 | CurrentTaxYear |
| Total | 19186963 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3826640 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5178463 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6345300 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7247560 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10241306 | CurrentTaxYear |
| Total | 32839269 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9420434 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8439567 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9342032 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11785249 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13038950 | CurrentTaxYear |
| Total | 52026232 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 52026232 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16783 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4745 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2644 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2545 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2327 | CurrentTaxYear |
| Total | 29044 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16783 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4745 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2644 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2545 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2327 | CurrentTaxYear |
| Total | 29044 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 7326 | CurrentTaxYear |
| Total | 7326 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9437217 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8444312 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9344676 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11787794 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13048603 | CurrentTaxYear |
| Total | 52062602 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99930 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99670 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00060 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00180 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 428770 | OtherCostOrOtherBasis |
| Book Value | 428770 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5936515 | OtherCostOrOtherBasis |
| Depreciation | 1331423 | Depreciation |
| Book Value | 4605092 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2444764 | OtherCostOrOtherBasis |
| Depreciation | 1676484 | Depreciation |
| Book Value | 768280 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5802142 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM MEDICARE/MEDICAID | 836323 |
| CONSTRUCTION ON PROGRESS | 186103 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1022426 | TotalBookValueOtherAssets |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 12425541 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 12425541 | RevenueSubtotal |
| Other Revenues Not Included | 544754 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 544754 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12970295 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12776119 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12776119 | ExpensesSubtotal |
| Other Expenses Not Included | 544754 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 544754 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 13320873 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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 2010 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTIBLE ACCOUNTS 544,754. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTIBLE ACCOUNTS 544,754. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DON MCBRIDE | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 159158 | 0 | 4159 | 0 | 0 | 0 | 5116 | 0 | 5526 | 0 | 173959 | 0 | 0 | 0 |
| DR LELAND MCCALL | ||||||||||||||
| DENTIST | 145279 | 0 | 0 | 0 | 0 | 0 | 4473 | 0 | 6028 | 0 | 155780 | 0 | 0 | 0 |
| ALLEN SMITH | ||||||||||||||
| DENTIST | 145873 | 0 | 0 | 0 | 0 | 0 | 4154 | 0 | 6009 | 0 | 156036 | 0 | 0 | 0 |
| CHARLES BENTLAGE | ||||||||||||||
| MEDICAL/DENTAL DIRECTOR | 157061 | 0 | 3327 | 0 | 0 | 0 | 4823 | 0 | 387 | 0 | 165598 | 0 | 0 | 0 |
| JERRY JUMPER MD | ||||||||||||||
| PHYSICIAN | 154268 | 0 | 20774 | 0 | 0 | 0 | 5338 | 0 | 6004 | 0 | 186384 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | CONTINGENT 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT VERSION OF THE 990 WILL BE REVIEWED BY INTERNAL MANAGEMENT AND THE BOARD CHAIR. ONCE RECOMMENDED CHANGES ARE MADE, A FINAL DRAFT WILL BE PROVIDED TO THE ENTIRE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY DUALITY OF INTEREST, CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST ON THE PART OF ANY BOARD MEMBER, EMPLOYEE OR CONSULTANT IS PROHIBITED. SUCH DUALITY OF INTEREST, CONFLICTS OF INTEREST OR APPEARANCE OF CONFLICTS OF INTEREST SHALL BE DISCLOSED TO THE BOARD OF DIRECTORS FOR ADJUDICATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | ALL COMPENSATION IS SUBJECT TO EVALUATION OF THE SALARY SURVEY COMPLETED BY MISSOURI PRIMARY CARE ASSOCIATION AND IS USED IN DETERMINING COMPENSATION FOR ALL EMPLOYEES. COMPARABILITY DATA AND A SALARY RANGE PREPARED BY THE MISSOURI PRIMARY CARE ASSOCIATION ARE USED FOR REVIEW. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST. COPIES OF THESE DOCUMENTS WILL BE MAILED TO THE PARTY REQUESTING THEM. |
| FORM 990, PART XII, LINE 23 | THERE WERE NO CHANGES FROM THE PRIOR YEAR. |