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OZARKS MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OZARKS MEDICAL CENTER (EIN 44-6005758)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-08
IRS object ID
201312209349301276
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

FieldValueIRS element (for citing)
Timestamp2013-08-08T13:52:04-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN446005758EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OZARKS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% KIM THOMPSONInCareOfName
Name ControlOZARNameControl
Phone4172569111Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 KENTUCKY AVENUEAddressLine1
Address Line2SuiteAddressLine2
CityWEST PLAINSCity
StateMOState
ZIP Code65775ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKIM THOMPSONName
TitleCHIEF FINANCIAL OFFICERTitle
Phone4172569111Phone
Date Signed2013-07-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID M ZECHMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11100 KENTUCKY AVEAddressLine1
CityWEST PLAINSCity
StateMOState
ZIP Code65775ZIPCode
FieldValueIRS element (for citing)
Gross Receipts160152354GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OZARKSMEDICALCENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION STRIVES TO BRING HIGH QUALITY HEALTH CARE TO THE REGION, THROUGH DEVELOPMENT OF NEW SERVICES, ACQUISITION OF NEW EQUIPMENT AND RECRUITMENT OF HIGH QUALITY HEALTH CARE PROFESSIONALS.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1558TotalNbrEmployees
Total Nbr Volunteers206TotalNbrVolunteers
Total Gross UBI25928TotalGrossUBI
Contributions Grants Prior Year707751ContributionsGrantsPriorYear
Contributions Grants Current Year773150ContributionsGrantsCurrentYear
Program Service Revenue Prior Year142117696ProgramServiceRevenuePriorYear
Program Service Revenue CY158232567ProgramServiceRevenueCY
Investment Income Prior Year510266InvestmentIncomePriorYear
Investment Income Current Year1069666InvestmentIncomeCurrentYear
Other Revenue Prior Year80547OtherRevenuePriorYear
Other Revenue Current Year-36805OtherRevenueCurrentYear
Total Revenue Prior Year143416260TotalRevenuePriorYear
Total Revenue Current Year160038578TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year24155GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY56335GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year69035297SalariesEtcPriorYear
Salaries Etc Current Year76339129SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year67199751OtherExpensePriorYear
Other Expenses Current Year73813624OtherExpensesCurrentYear
Total Expenses Prior Year136259203TotalExpensesPriorYear
Total Expenses Current Year150209088TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7157057RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9829490RevenuesLessExpensesCY
Total Assets BOY85099074TotalAssetsBOY
Total Assets EOY98630906TotalAssetsEOY
Total Liabilities BOY46348669TotalLiabilitiesBOY
Total Liabilities EOY49283570TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY38750405NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY49347336NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE, AND PROMOTE WELLNESS IN THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense108803426Expense
Grants56335Grants
Revenue129945709Revenue
DescriptionINPATIENT AND OUTPATIENT SERVICES - INPATIENT ADMISSIONS WERE 6,190 AND INPATIENT DAYS WERE 22,403 FOR 2012. THERE WERE 66,517 OUTPATIENT REGISTRATIONS FOR 2012. SEE SCHEDULE O FOR MORE INFORMATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense22930325Expense
Revenue22555088Revenue
DescriptionTHE RURAL HEALTH AND SPECIALTY CLINIC, INCLUDING BEHAVIORAL HEALTH CLINIC PROGRAMS, PERFORMED 350,702 CLINIC ENCOUNTERS WITH PATIENTS DURING 2012. BEHAVIORAL HEALTH SERVICES OFFERED INCLUDE: PSYCHOTHERAPY (GROUP, INDIVIDUAL, AND FAMILY), PSYCHOLOGICAL TESTING, CASE MANAGEMENT, PSYCHO SOCIAL REHABILITATION, MEDICATION SERVICES, FAMILY ASSISTANCE, AND CRISIS STABILIZATION SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3058883Expense
Revenue5096942Revenue
DescriptionRIVERWAYS PROGRAMS SERVICED 96,821 PATIENTS DURING 2012. PROGRAMS INCLUDE: RIVERWAYS HOME CARE (HEALTH CARE PROVIDED TO PATIENTS IN THEIR HOMES USING SKILLED NURSES, HOME HEALTH AIDES, REHABILITATION THERAPISTS AND SOCIAL WORKERS), RIVERWAYS SUPPORT SERVICES (HOMEMAKING, PERSONAL CARE, RESPITE CARE, AND IN-HOME COMPANION CARE), RIVERWAYS TRANSITIONS (END-OF-LIFE CARE OFFERING ASSISTANCE, ENCOURAGEMENT, AND SUPPORT), RIVERWAYS HOSPICE (PHYSICAL, EMOTIONAL AND SPIRITUAL CARE IN THE FINAL STAGES OF ILLNESS), AND RIVERWAYS ADULT DAYCARE (A SAFE PLACE FOR ADULTS WHO ARE UNABLE TO STAY HOME BY THEMSELVES).Description
FieldValueIRS element (for citing)
Total Program Service Expense134792634TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096101NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1558NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKIM THOMPSONNamePerson
Telephone Number4172569111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1100AddressLine1
CityWEST PLAINSCity
StateMOState
ZIP Code65775ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
GREG BEYKIRCH
SECRETARY2.00.0XX000
LOGAN DALE
BOARD MEMBER1.00.0X000
KEVIN GLEGHORN
VICE CHAIRMAN1.00.0XX000
WALTER RICK HOLLOWAY MD
BOARD MEMBER1.00.0X16402903130
JUDY INGALSBE
BOARD MEMBER1.00.0X000
KENNETH JOPLIN
TREASURER2.01.0XX000
ROBERT MARTIN MD
BOARD MEMBER1.00.0X000
JOHN MCCORMACK MD
BOARD MEMBER1.00.0X000
CHARLES MORGAN MD
BOARD MEMBER, PHYSICIAN1.00.0X750019013524
GIDEON MORRISON MD
BOARD MEMBER1.00.0X000
TRAVIS MORRISON
BOARD MEMBER1.00.0X000
ROGER D SHAW III DVM
BOARD MEMBER1.00.0X000
MARJORIE SLAYTON
CHAIRMAN2.01.0XX000
TRAVIS SMITH
BOARD MEMBER1.01.0X000
BILL WOOD
BOARD MEMBER1.00.0X000
DAVID M ZECHMAN FACHE
PRESIDENT & CEO60.01.0X404641018526
MICHAEL GROSS
CFO, VP BUS DEV BEG 07/201255.01.0X228859015825
KIM THOMPSON
CFO BEGINNING 07/201255.01.0X12907804712
EDWARD R HENEGAR MD
VP MEDICAL AFFAIRS55.00.0237813010716X
JEANNIE M LOOPER
CHIEF OPERATING OFFICER55.00.019217609144X
DR CHARLES ARMSTRONG
PHYSICIAN40.00.0989180012286X
DR ACHENKUNJU GEORGE
PHYSICIAN40.00.073728607802X
DR JAY STANLEY JONES
PHYSICIAN40.00.096582404513X
DR CHRISTOPHER NICHOLAS
PHYSICIAN40.00.0984465015900X
DR DAVID DENENNY
PHYSICIAN40.00.067790405043X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6461274TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation121121TotalOtherCompensation
Number Individuals GT100 K83NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
RKL CONSTRUCTION
CONSTRUCTION868764
CARDINAL HEALTH
PHARMACY MANAGEMENT808946
DELTA RADIOLOGY GROUP
RADIOLOGY587583
EBAH SAMIR MORCOS
PHYSICIAN STAFFING411973
RHINO MEDICAL SERVICES
PHYSICIAN STAFFING394790
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Related Organizations527709RelatedOrganizations
All Other Contributions245441AllOtherContributions
Noncash Contributions212046NoncashContributions
Total Contributions773150TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PATIENT REVENUE624100145994006145994006
CONTRACT PHARMACY44611037428433742843
EHR INCENTIVE REVENUE90009929905002990500
MALPRACTICE INS DIVIDEND900099608900$608,900
AMBULANCE MGMT/911 FEES621910307200307200

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column4589118TotalRevenueColumn
Related Or Exempt Function Income4563190RelatedOrExemptFunctionIncome
Unrelated Business Revenue25928UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue158232567TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1117121TotalRevenueColumn
Exclusion$1,117,121ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real83999Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real45296Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real38703Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column38703TotalRevenueColumn
Exclusion$38,703ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other21025Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other68480Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-47455Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-47455TotalRevenueColumn
Exclusion-$47,455ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
INCOME FROM EQUITY INVESTEE90009931278$31,278
LOSS ON EXTINGUISHMENT OF FORWARD DELIVERY900099-106786-$106,786
FieldValueIRS element (for citing)
Total Other Revenue-75508TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column160038578TotalRevenueColumn
Related Or Exempt Function Income157597739RelatedOrExemptFunctionIncome
Unrelated Business Revenue25928UnrelatedBusinessRevenue
Exclusion$1,641,761ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total56335Total
Program Services56335ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2182192Total
Program Services1380551ProgramServices
Management And General801641ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total60960824Total
Program Services53102083ProgramServices
Management And General7858741ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total734383Total
Program Services648871ProgramServices
Management And General85512ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8487038Total
Program Services7340714ProgramServices
Management And General1146324ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3974692Total
Program Services3431352ProgramServices
Management And General543340ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total381717Total
Management And General381717ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total149280Total
Management And General149280ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13992577Total
Program Services12039213ProgramServices
Management And General1953364ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total264460Total
Program Services227541ProgramServices
Management And General36919ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3255317Total
Program Services2796267ProgramServices
Management And General459050ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total66611Total
Program Services57312ProgramServices
Management And General9299ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3017844Total
Program Services2596558ProgramServices
Management And General421286ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total702670Total
Program Services600165ProgramServices
Management And General102505ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total308624Total
Program Services268976ProgramServices
Management And General39648ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1551074Total
Program Services1334544ProgramServices
Management And General216530ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5267658Total
Program Services4532293ProgramServices
Management And General735365ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1595165Total
Program Services1357543ProgramServices
Management And General237622ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT2118093521180935
MEDICAL SUPPLIES & DRUGS2037259220372592
LICENSES, DUES, SUBSCRIPTIONS14030951207223195872
REPAIRS AND MAINTENANCE29934125755341788

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4664Total
Program Services4013ProgramServices
Management And General651ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total150209088Total
Program Services134792634ProgramServices
Management And General15416454ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11061BOY
EOY8956EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14358774BOY
EOY18545199EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15229193BOY
EOY17133613EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3038382BOY
EOY3311309EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1675491BOY
EOY1545356EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis103330823LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec68512392LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY32585728BOY
EOY34818431EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY15061311BOY
EOY18610086EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2029524BOY
EOY2060802EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1109610BOY
EOY2597154EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY85099074BOY
EOY98630906EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12337589BOY
EOY13236849EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY227283BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY21415000BOY
EOY20270000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7151764BOY
EOY5821340EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY116200BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5100833BOY
EOY9955381EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY46348669BOY
EOY49283570EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY38581878BOY
EOY49183315EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY168527BOY
EOY164021EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38750405BOY
EOY49347336EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY85099074BOY
EOY98630906EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses9829490ReconcilationRevenueExpenses
Reconciliation Unrealized Invest767441ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$12,540OtherActivitiesAmount
Total Lobbying Expenditures IIB12540TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1(I)ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3459219OtherCostOrOtherBasis
Book Value3459219BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis30998872OtherCostOrOtherBasis
Depreciation17440728Depreciation
Book Value13558144BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2012766OtherCostOrOtherBasis
Depreciation1541955Depreciation
Book Value470811BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis60744810OtherCostOrOtherBasis
Depreciation48564510Depreciation
Book Value12180300BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6115156OtherCostOrOtherBasis
Depreciation965199Depreciation
Book Value5149957BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34818431TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEST AMT DUE FROM 3RD PTY PYRSDescription
Amount$9,955,381Amount
FieldValueIRS element (for citing)
Total Of Amounts9955381TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt139625084TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments767441NetUnrealizedGainsInvestments
Other Revenues-21180935OtherRevenues
Revenue Not Rptd F990-20413494RevenueNotRptdF990
Revenue Subtotal160038578RevenueSubtotal
Total Revenue Per Form990160038578TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt129028153TotExpensesEtcAuditedFinclStmt
Expenses Subtotal129028153ExpensesSubtotal
Other Expenses Not Included21180935OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt21180935ExpensesNotRptdOnFinStmt
Total Expenses Per Form990150209088TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XI, LINE 2D$(21,180,935) PROVISION FOR UNCOLLECTIBLE ACCOUNTS
OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4B$21,180,935 PROVISION FOR UNCOLLECTIBLE ACCOUNTS

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage225.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3972158TotalCommunityBenefitExpense
Net Community Benefit Expense3972158NetCommunityBenefitExpense
Percent Of Total Expense0.02640PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense33115488TotalCommunityBenefitExpense
Direct Offsetting Revenue31101603DirectOffsettingRevenue
Net Community Benefit Expense2013886NetCommunityBenefitExpense
Percent Of Total Expense0.01340PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense37087646TotalCommunityBenefitExpense
Direct Offsetting Revenue31101603DirectOffsettingRevenue
Net Community Benefit Expense5986044NetCommunityBenefitExpense
Percent Of Total Expense0.03980PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense58029TotalCommunityBenefitExpense
Net Community Benefit Expense58029NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense13342781TotalCommunityBenefitExpense
Direct Offsetting Revenue10002844DirectOffsettingRevenue
Net Community Benefit Expense3339937NetCommunityBenefitExpense
Percent Of Total Expense0.02220PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense39019TotalCommunityBenefitExpense
Net Community Benefit Expense39019NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13439829TotalCommunityBenefitExpense
Direct Offsetting Revenue10002844DirectOffsettingRevenue
Net Community Benefit Expense3436985NetCommunityBenefitExpense
Percent Of Total Expense0.02290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense50527475TotalCommunityBenefitExpense
Direct Offsetting Revenue41104447DirectOffsettingRevenue
Net Community Benefit Expense9423029NetCommunityBenefitExpense
Percent Of Total Expense0.06270PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense200TotalCommunityBuildingExpense
Net Community Building Expense200NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense200TotalCommunityBuildingExpense
Net Community Building Expense200NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$21,180,935BadDebtExpenseAmount
Amount Attributable To5733202AmountAttributableTo
Amount Reimbursed By Medicare32008586AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare31728862CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall279724MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1OZARKS MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11100 KENTUCKY AVENUEAddressLine1
CityWEST PLAINSCity
StateMOState
ZIP Code65775ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.OZARKSMEDICALCENTER.COMWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
Facility Reporting Group1FacilityReportingGroup

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1OZARKS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent225.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities26NumberOfOtherFacilities

Other Facilities OtherFacilities (26 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
ALTON MEDICAL CLINIC
100 MEDICAL DRALTONMO65606RURAL HEALTH CLINIC
GAINESVILLE MEDICAL CENTER
404 W HWY 160GAINESVILLEMO65655RURAL HEALTH CLINIC
MAMMOTH SPRINGS MEDICAL CLINIC
260 S MAINMAMMOTH SPRINGSAR72554RURAL HEALTH CLINIC
MOUNTAIN GROVE MEDICAL COMPLEX
1604 N MAIN STMOUNTAIN GROVEMO65711RURAL HEALTH CLINIC MENTAL HEALTH CLINIC
MCVICKER FAMILY HEALTHCARE
220 N ELM ST PO BOX 32MOUNTAIN VIEWMO65548RURAL HEALTH CLINIC
SALEM 1ST CARE
172 HWY 62 E STE 1SALEMAR72576RURAL HEALTH CLINIC
SHANNON COUNTY MEDICAL CLINIC
1008 N HWY 19WINONAMO65588RURAL HEALTH CLINIC
THAYER MEDICAL CLINIC
300 WARMFORK RDTHAYERMO65791RURAL HEALTH CLINIC
BEHAVIORAL HEALTH PRIMARY CARE
909 KENTUCKY AVE PO BOX 1100WEST PLAINSMO65775MENTAL HLTH FACILITY
HEART CARE SERVICES
1115 ALASKA AVE STE 114WEST PLAINSMO65775CARDIOVASCULAR SPECIALTY CLINIC
OZARK WORKSURGENT CARE CLINIC
181 N KENTUCKY AVE STE 100WEST PLAINSMO65775RURAL HEALTH CLINIC OCCUPATIONAL MEDICINE SPECIALTY CLINIC
OUTPATIENT IMAGING
3102 INDEPENDENCE SQUAREWEST PLAINSMO65775IMAGING SERVICES
ARCH SHAW BUILDING
1111 KENTUCKY AVEWEST PLAINSMO65775ONCOLOGY, IMAGING, AND REHABILITATION
SLEEP LAB
909 KENTUCKY AVEWEST PLAINSMO65775SLEEP LAB
GENERAL SURGERY CLINIC
2600 KENTUCKY AVEWEST PLAINSMO65775SPECIALTY CLINIC
INTERNAL MEDICINE CLINIC
1115 ALASKA AVE STE 215WEST PLAINSMO65775SPECIALTY CLINIC
RIVERWAYS SUPPORT SERVICES
114 E MAIN STWEST PLAINSMO65775HOME CARE SUPPORT SERVICES
RIVERWAYS HOSPICE
114 E MAIN STWEST PLAINSMO65775HOSPICE
RIVERWAYS HOME HEALTH
114 E MAIN STWEST PLAINSMO65775HOME HEALTH AGENCY
RIVERWAYS ADULT DAY CARE
114 E MAIN STWEST PLAINSMO65775ADULT DAY CARE
ORTHOPEDICS CLINIC
1609 PORTER WAGONERWEST PLAINSMO65775ORTHOPEDIC SPECIALTY CLINIC
NEPHROLOGYRHEUMATOLOGY CLINIC
3000 INDEPENDENCE SQUAREWEST PLAINSMO65775SPECIALTY CLINICS
RHEUMATOLOGY
2900 INDEPENDENCE SQUAREWEST PLAINSMO65775SPECIALTY CLINIC
WOMENS HEALTHCARE CLINIC
1627 GIBSON STWEST PLAINSMO65775SPECIALTY CLINIC
UROLOGY
181 KENTUCKY AVE STE 200WEST PLAINSMO65775SPECILATY CLINIC
WOUND CARE
1556 GIBSON STWEST PLAINSMO65775SPECIALTY CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT REPORTSCHEDULE H, PART I, LINE 6ATHE ORGANIZATION PREPARES AN ANNUAL REPORT, WHICH IS AVAILABLE ON ITS WEBSITE. THE ANNUAL REPORT CONTAINS VARIOUS COMMUNITY BENEFIT INFORMATION.
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I, LINE 7, COLUMN FTHE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) LESS BAD DEBT EXPENSE.
SUBSIDIZED SERVICESSCHEDULE H, PART I, LINE 7GTHE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $122,086. OZARKS MEDICAL CENTER PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
COSTING METHODOLOGYSCHEDULE H, PART I, LINE 7GTHE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEET 6 WAS COMPUTED FROM THE MEDICARE COST REPORT AND DEPARTMENT FINANCIAL STATEMENTS, USING SPECIFIC FINANCIAL DATA FOR EACH TYPE OF SUBSIDY.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A, LINE 4THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE ORGANIZATION ANALYZED BAD DEBT AND CHARITY CARE INFORMATION AND DETERMINED THAT 40% OF CHARITY CARE APPLICATIONS ARE NOT RETURNED. THE ORGANIZATION ESTIMATED THAT IF ALL APPLICATIONS WERE RETURNED CHARITY CARE WOULD BE $16,862,357. THE ORGANIZATION THEN ESTIMATED THAT 85% OF THE DIFFERENCE IN THIS FIGURE AND THE ACTUAL CHARITY OF $10,117,414 WOULD QUALIFY FOR CHARITY CARE (85% X 6,744,943 = 5,733,202).
COMMUNITY BENEFITSCHEDULE H, PART III, SECTION B, LINE 8SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6.
BILLING AND COLLECTIONSSCHEDULE H, PART V, LINES 15 & 16THE WRITTEN FINANCIAL ASSISTANCE POLICY EXPLAINS THAT THE ORGANIZATION WILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR PAYMENT PROVIDED THAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH OMC'S FINANCIAL COUNSELORS EFFORTS TO GET PAYMENT FROM OTHER SOURCES OR OBTAIN INFORMATION FOR CHARITY CARE DETERMINATION. THE FAP DOES NOT LIST ANY OF THE ITEMS LISTED IN #16.
NEEDS ASSESSMENTSCHEDULE H, PART VI, LINE 2VARIOUS SURVEYS HAVE BEEN DONE IN THE PAST. CONSULTANTS HAVE BEEN USED TO ASSESS PHYSICIAN STAFFING NEEDS. THE ORGANIZATION PLANS TO USE THE MISSOURI HOSPITAL ASSOCIATION ASSESSMENT WHEN IT IS AVAILABLE IN THE FUTURE. THE ORGANIZATION ALSO FORMED COMMUNITY GROUPS (BUSINESS LEADERS, COMMUNITY LEADERS AND INTERESTED INDIVIDUALS) THAT PARTICIPATE WITH THE CEO AND MARKETING DEPARTMENTS ON A QUARTERLY BASIS TO DISCUSS PERCEIVED NEEDS FROM THE HEALTHCARE COMMUNITY. IN ADDITION, DISCUSSIONS OCCUR ON A REGULAR BASIS WITH THE COUNTY HEALTH DEPARTMENT AND THE WEST PLAINS BASED FQHC.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI, LINE 3FINANCIAL COUNSELORS MEET WITH PATIENTS UPON ADMISSION OR DISCHARGE AS APPLICABLE AND DISCUSS PAYMENT OPTIONS INCLUDING DMH, MEDICAID AND CHARITY, ETC. APPLICATIONS AND INSTRUCTIONS ARE GIVEN TO THOSE THAT APPEAR TO QUALIFY. SOCIAL WORKERS ARE ALSO USED FOR PATIENTS WITH SPECIAL NEEDS. EACH CLINIC AND REGISTRATION AREA HAS A PAMPHLET DISPLAY WITH INFORMATION ON THE CHARITY CARE POLICY.
COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINE 4OZARKS MEDICAL CENTER IS LOCATED IN THE 11TH POOREST CONGRESSIONAL DISTRICT IN THE COUNTRY. THE LOCATION IS IN SOUTH CENTRAL MISSOURI WHICH IS A VERY RURAL AREA. WEST PLAINS IS A TOWN OF APPROXIMATELY 11,000 PEOPLE AND THE LARGEST TOWN FOR APPROXIMATELY 50 MILES ACROSS THE STATE LINE INTO ARKANSAS. THERE ARE MANY RETIRED INDIVIDUALS RESIDING IN THIS AREA DUE TO THE MANY RIVERS AND LAKES SO A MAJORITY OF OUR PATIENTS ARE MEDICARE OR MEDICAID RECIPIENTS. THE CLOSEST HOSPITAL WITH OUR RANGE OF SERVICES IN THE STATE OF MISSOURI IS OVER 1 1/2 HOURS AWAY.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, LINE 5THE ORGANIZATION PROVIDES MANY HEALTH CARE SCREENINGS, WELLNESS ACTIVITIES, EDUCATIONAL OPPORTUNITIES, ATHLETIC PHYSICAL FOR LOCAL STUDENTS, WEEKLY RADIO BROADCASTS PROVIDING EDUCATIONAL INFORMATION TO THE COMMUNITY. THE ORGANIZATION PROVIDES FOR MANY COMMUNITY FUNCTIONS AND FUNDRAISING EVENTS FOR OTHER CHARITABLE ORGANIZATIONS SUCH AS UNITED WAY, RELAY FOR LIFE, OMC ANNUAL FUN RUN, ANNUAL BASKETBALL GAME TO BENEFIT A PHYSICALLY CHALLENGED INDIVIDUAL. OMC ALSO SPONSORS MULTIPLE COMMUNITY EVENTS SUCH AS GOLF TOURNAMENTS, JR. COLLEGE BASKETBALL AND VOLLEYBALL GAMES/TOURNAMENTS. WE WORK WITH THE LOCAL SCHOOLS SPECIAL NEEDS CHILDREN AND ALLOW THEM TO PERFORM JOBS IN THE HOSPITAL SO THAT THEY GAIN SKILLS TO BECOME PRODUCTIVE MEMBERS OF SOCIETY. IN ADDITION, THEY RECEIVE A FREE LUNCH EACH DAY THEY ARE WORKING IN THE HOSPITAL. OMC IS THE LARGEST EMPLOYER IN TOWN AND THEREFORE PROVIDES EMPLOYMENT OPPORTUNITIES TO OVER 1300 PEOPLE AND AFFORDABLE BENEFITS TO THEIR FAMILIES. THE ORGANIZATION INFUSES OVER $40 MILLION IN WAGES EACH YEAR INTO THE COMMUNITY. BRINGING HEALTHCARE PROFESSIONALS INTO THE COMMUNITY WHICH IN TURN BENEFITS THE HOUSING MARKET, LOCAL SHOPS AND RESTAURANTS AND OTHER BUSINESSES. THE EMPLOYEES OF OMC ARE EXTREMELY GIVING AND PARTICIPATE IN THE MANY FUNDRAISING ACTIVITIES PROMOTED BY OMC INCLUDING ADOPTION OF FAMILIES IN NEED AT CHRISTMAS TO PROVIDE FOOD, GIFTS, UTILITY PAYMENTS, ETC. THE ORGANIZATION PROVIDES THE FULL CONTINUUM OF CARE. DUE TO THE RURAL AREA, WE HAVE SET UP RURAL HEALTH CLINICS IN OUR SERVICE AREA TO PROVIDE PRIMARY CARE IN UNDERSERVED AREAS. THE 24/7 EMERGENCY DEPARTMENT PROVIDES CARE TO OVER 23,000 VISITS PER YEAR. ACUTE CARE AND BEHAVIORAL HEALTH CARE IS PROVIDED AS WELL AS HOME HEALTH, HOSPICE AND HOMEMAKER SUPPORT SERVICES. IN ADDITION, WE OFFER A TRANSITIONS PROGRAM TO MOVE THOSE IN HOME HEALTH TO HOSPICE WHEN THE TIME IS RIGHT WHICH IS A NON-REIMBURSED SERVICE. THROUGH OUR SUBSIDIARY, WE ALSO PROVIDE DME SERVICES. THESE SERVICES ALONG WITH OUR SPECIALTY PHYSICIANS PROVIDE THE COMMUNITY WITH THE NEEDED SERVICES. OMC IS A COMMUNITY OWNED HOSPITAL THAT DOES NOT RECEIVE ANY TAX MONIES FROM THE CITY/COUNTY. ALL REVENUES GENERATED ARE USED TO PURCHASE CAPITAL EQUIPMENT TO ADVANCE THE SERVICES WE PROVIDE. THERE ARE SERVICES PROVIDED BY OMC THAT ARE NOT AVAILABLE ELSEWHERE IN THE COMMUNITY SUCH AS WOUND CARE, OBSTETRICS, RHEUMATOLOGY AND OTHERS. EACH SERVICE IS REVIEWED AND THE COMMUNITY NEED DRIVES THE DECISIONS MADE ON THE SERVICES WE PROVIDE. IN THE PAST, WE HAVE DISCONTINUED SERVICES THAT ARE PROVIDED ELSEWHERE IN THE COMMUNITY SO THAT INSTEAD OF HAVING TWO STRUGGLING BUSINESSES, WE ALLOW OTHERS TO BECOME STRONG AND SUCCEED.
AFFILIATED HEALTH CARE SYSTEMSCHEDULE H, PART VI, LINE 6OZARKS MEDICAL CENTER (THE "MEDICAL CENTER") OPERATES AN ACUTE CARE HOSPITAL FACILITY IN WEST PLAINS, MISSOURI. WEST PLAINS HEALTH SERVICE, INC. (WPHS), A WHOLLY OWNED SUBSIDIARY OF THE MEDICAL CENTER, OPERATES A DURABLE MEDICAL EQUIPMENT COMPANY, HEART OF THE OZARKS MEDICAL EQUIPMENT AND A MANAGEMENT SERVICES DIVISION, WHICH FUNCTIONS MAINLY AS A PROPERTY RENTAL COMPANY, ALL IN WEST PLAINS, MISSOURI. OZARKS MEDICAL CENTER FOUNDATION (THE "FOUNDATION") IS AN AFFILIATE ESTABLISHED TO PROVIDE FUNDRAISING ASSISTANCE TO THE MEDICAL CENTER. OZARKS MEDICAL CENTER PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN WEST PLAINS, MISSOURI, AND THE SURROUNDING AREA. THE MEDICAL CENTER ALSO OPERATES A HOME HEALTH AND HOSPICE AGENCY AND A NUMBER OF PHYSICIAN CLINICS IN THE SAME GEOGRAPHIC AREA.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MHA CENTER FOR EDUCATION
PO BOX 60JEFFERSON CITYMO651020060430898947501(C)(3)46335SCHOLARSHIPS
MISSOURI STATE UNIVERSITY FOUNDATION
300 SOUTH JEFFERSON AVENUESPRINGFIELDMO65806431234200501(C)(3)10000SCHOLARSHIPS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART 1, LINE 2ReturnReference
ExplanationTHE ORGANIZATION MADE CHARITABLE CONTRIBUTIONS TO THE MHA CENTER FOR EDUCATION TO PROVIDE SCHOLARSHIPS. THESE FUNDS ARE MONITORED BY THE ORGANIZATION'S ADMINISTRATIVE STAFF. THE ORGANIZATION ALSO MADE CONTRIBUTIONS TO THE MISSOURI STATE UNIVERSITY FOUNDATION TO PROVIDE SCHOLARSHIPS. THESE FUNDS ARE MONITORED BY THE FOUNDATION STAFF AND DISBURSED TO QUALIFIED SCHOLARSHIP APPLICANTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WALTER RICK HOLLOWAY MD
BOARD MEMBER1510290001300000031300167159000
CHARLES MORGAN MD
BOARD MEMBER, PHYSICIAN733219030001650007500060240763543000
DAVID M ZECHMAN FACHE
PRESIDENT & CEO340070047916016655010391081350423167000
MICHAEL GROSS
CFO, VP BUS DEV BEG 07/20121953260335330006057097680244684000
EDWARD R HENEGAR MD
VP MEDICAL AFFAIRS19943102288201550006625040910248529000
JEANNIE M LOOPER
CHIEF OPERATING OFFICER1721890180520193505479036650201320000
DR CHARLES ARMSTRONG
PHYSICIAN988880030000075000478601001466000
DR ACHENKUNJU GEORGE
PHYSICIAN720640030001634600078020745088000
DR JAY STANLEY JONES
PHYSICIAN96552403000000045130970337000
DR CHRISTOPHER NICHOLAS
PHYSICIAN9672650700016500075000840001000365000
DR DAVID DENENNY
PHYSICIAN67760403000000050430682947000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierBONUS DETERMINATIONIdentifier
Return ReferenceSCHEDULE J, PART 1, LINE 7ReturnReference
ExplanationSENIOR MANAGEMENT'S BONUSES ARE BASED ON A SET OF CORPORATE AND INDIVIDUAL STRATEGIC GOALS THAT ARE WEIGHTED AND ASSIGNED A VALUE. EACH INDIVIDUAL'S POTENTIAL BONUS AMOUNT IS BASED ON THEIR SALARY. THE PERCENTAGE ABOVE OR BELOW THE POTENTIAL BONUS THAT THEY RECEIVE IS IN RELATION TO THE COMPLETION OF THE GOAL AND THE WEIGHT GIVEN TO THAT GOAL. THEY CAN EARN 110% - 0% OF THE POTENTIAL GOAL.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
GAINESVILLE INVESTORS
SEE PART V.165000PROPERTY RENTALfalse
HIGHLAND PARK
SEE PART V.182005RENT AND CAM FEESfalse
BOYCE BYNUM
SEE PART V.124638PROFESSIONAL FEESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IV, LINES 1, 2, & 3ReturnReference
Explanation1. DR. EDWARD HENEGAR, A KEY EMPLOYEE, HAS A GREATER THAN 5% FINANCIAL INTEREST IN GAINESVILLE INVESTORS. 2. HIGHLAND PARK IS GREATER THAN 35% OWNED BY WALTER R. HOLLOWAY, MD, A BOARD MEMBER & EMPLOYED PHYSICIAN AS OF JULY 2012. 3. DR. GIDEON MORRISON, A BOARD MEMBER, IS A GREATER THAN 5% OWNER IN BOYCE & BYNUM, WHICH PROVIDED PROFESSIONAL SERVICES TO OMC. DR. GIDEON MORRISON IS ALSO RELATED TO TRAVIS MORRISON, A BOARD MEMBER.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMEDICAL EQUIPDescription
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F990212046NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNUMBER OF CONTRIBUTIONSIdentifier
Return ReferenceSCHEDULE M, LINE 25, COLUMN BReturnReference
ExplanationTHE NUMBER OF CONTRIBUTIONS INCLUDED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS DONATING MEDICAL EQUIPMENT.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART I, LINE 1OUR VISION IS TO BE TRUSTED AS THE BEST PLACE TO GIVE AND RECEIVE HIGH QUALITY, COMPASSIONATE HEALTH CARE. OUR CORE VALUES ARE: RESPECT: HAVING A REGARD FOR LIFE, DIGNITY AND UNIQUENESS OF THOSE SERVED AND SERVING. COMPASSION: EXPRESSING CARE AND CONCERN FOR OTHERS THROUGH OUR ATTITUDES AND ACTIONS. INTEGRITY: MAINTAINING THE HIGHEST STANDARDS OF BEHAVIOR, ENCOMPASSING HONESTY, ETHICAL PRACTICES AND DOING THE RIGHT THINGS FOR THE RIGHT REASONS. SUPERIOR SERVICE: PROVIDING THE HIGHEST QUALITY OF CARE, CONSISTENTLY EXCEEDING OUR CUSTOMERS' EXPECTATIONS. TEAMWORK: HAVING A UNIFIED COMMITMENT TO DEMONSTRATE PRIDE, RESPONSIBILITY, AND ACCOUNTABILITY IN WORKING TOGETHER TO ACHIEVE EXCELLENCE. ENTHUSIASM: INSPIRING OTHERS BY DISPLAYING A POSITIVE ATTITUDE IN ALL WE SAY AND DO.
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2OZARKS MEDICAL CENTER EXPANDED ITS WOUND CARE SERVICES AND ADDED A NEW UROLOGY CLINIC.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4OZARKS MEDICAL CENTER (OMC) IN 2012 COMMUNITY OUTREACH OMC IS COMMITTED TO THE COMMUNITY AND AS PART OF THAT COMMITMENT, HOSTS A NUMBER OF OUTREACH SERVICES AND PROGRAMS EACH YEAR. IN 2012, OMC GAVE COMMUNITY BENEFIT EXPENSE AND CHARITY CARE TO ASSIST THE UNINSURED OR UNDERINSURED AND TO PROVIDE OTHER ASSISTANCE BASED ON NEED. OMC ALSO PROVIDED ACTIVITIES FOR COMMUNITY MEMBERS OF ALL AGES. HUNDREDS OF AREA CHILDREN ATTEND OMC'S ANNUAL EASTER EGG HUNT AND 483 PEOPLE PARTICIPATED IN THE OMC FUN RUN TO BENEFIT PATIENTS AT THE CANCER TREATMENT CENTER. DURING THE ANNUAL DOCS VS. JOCKS, OMC REHABILITATION SERVICES RAISED $5,025 TO BENEFIT 2-YEAR-OLD BRAYLI ELLISON OF WEST PLAINS. OMC ALSO HOSTED A NUMBER OF FREE SCREENINGS THAT REACHED MORE THAN 786 PEOPLE. SEE SCHEDULE H FOR MORE INFORMATION REGARDING CHARITY CARE PROVIDED. 2012 YEAR IN REVIEW 180 CLASSES WERE OFFERED BY OMC EDUCATION SERVICES WITH APPROXIMATELY 1,169 PARTICIPANTS. CLASSES INCLUDED FIRST AID, BASIC LIFE SUPPORT, ADVANCE CARDIAC LIFE SUPPORT, PEDIATRIC ADVANCE LIFE SUPPORT, NON-VIOLENT CRISIS INTERVENTION AND BASIC CARDIAC DYSRHYTHMIA. 206 VOLUNTEERS CONTRIBUTED APPROXIMATELY 30,338 HOURS TO OMC, THE EQUIVALENT OF 14 FULL-TIME EMPLOYEES. OMC OFFERED X-RAY, LAB SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, MASSAGE THERAPY AND COUNSELING SERVICES IN ITS OUTLYING CLINICS, SAVING TRAVEL FOR MANY PEOPLE LIVING THROUGHOUT THE 11-COUNTY AREA SERVED BY OMC. THE CLINIC SYSTEM PROVIDED APPROXIMATELY 350,702 VISITS, INCLUDING MENTAL HEALTH APPOINTMENTS AND PHYSICIAN CLINIC VISITS. OMC PROVIDED A TOTAL OF $132,340 IN TUITION REIMBURSEMENTS TO RECIPIENTS WHO ARE FUTURE HEALTH CARE PROVIDERS, INCLUDING PHYSICIANS. OMC EMPLOYED MORE THAN 1,558 INDIVIDUALS IN 2012, PROVIDING A TOTAL ECONOMIC IMPACT OF $61,210,365 MILLION IN ANNUAL WAGES FOR THE LOCAL AREA. OMC STATISTICS: 114 BEDS 11-COUNTY SERVICE AREA APPROXIMATELY 100 DOCTORS ON MEDICAL STAFF 20 RURAL HEALTH & SPECIALTY CLINICS VOLUME NUMBERS: ADMISSIONS..............................6,190 VISITS BY RIVERWAYS AIDES..............73,336 BIRTHS....................................705 RIVERWAYS HOSPICE VISITS................8,320 EMERGENCY DEPARTMENT VISITS............25,890 BEHAVIORAL HEALTHCARE CLINIC VISITS...206,438 INPATIENT SURGERIES.....................1,110 PHYSICIAN CLINIC VISITS...............144,264 OUTPATIENT SURGERIES....................2,169 REHABILITATION SERVICES PROCEDURES....141,640 RIVERWAYS HOME HEALTH VISITS...........15,165
BUSINESS AND FAMILY RELATIONSHIPSFORM 990, PART VI, SECTION A, LINE 2BOARD MEMBERS GIDEON MORRISON, MD AND TRAVIS MORRISON SHARE A FAMILY RELATIONSHIP.
MEMBERS/STOCKHOLDERSFORM 990, PART VI, SECTION A, LINES 6, 7A, & 7BOZARKS MEDICAL CENTER HAS ONE CLASS OF MEMBERSHIP. ALL INTERESTED PARTIES ARE ELIGIBLE FOR MEMBERSHIP UPON PAYMENT OF THE MEMBERSHIP FEES SET BY THE BOARD OF DIRECTORS. MEMBERSHIP IS NOT TRANSFERABLE OR ASSIGNABLE. MEMBERS, AFTER BEING A MEMBER FOR AT LEAST THIRTY DAYS, SHALL BE ELIGIBLE TO VOTE ON ANY BUSINESS OF THE CORPORATION. EACH MEMBER IS ENTITLED TO ONE VOTE. THE BOARD OF DIRECTORS CONSISTS OF 15 DIRECTORS. TEN OF THE CORPORATION'S BOARD MEMBERS, ELECTED FROM OZARKS MEDICAL CENTER'S SERVICE AREA, ARE ELECTED BY THE MEMBERS OF THE CORPORATION. ANY DIRECTOR PREVIOUSLY ELECTED BY THE MEMBERS MAY BE REMOVED FROM OFFICE BY THE MEMBERS AT AN ANNUAL MEETING OR ANY PROPERLY CALLED SPECIAL MEETING, BY THE VOTE OF TWO-THIRDS OF THE MEMBERS PRESENT, IN WHICH EVENT THE MEMBERS PRESENT WILL ELECT A SUCCEEDING DIRECTOR TO SERVE THE UNEXPIRED TERM OF THE REMOVED DIRECTOR. EACH MEMBER HAS ONE VOTE. ANY VACANCY DUE TO DEATH OR RESIGNATION SHALL BE FILLED BY ELECTION BY THE REMAINING MEMBERS OF THE BOARD. TWO DIRECTORS ARE ELECTED BY THE MEDICAL STAFF OF THE ORGANIZATION AND MUST BE A MEDICAL STAFF MEMBER THAT IS ALSO A MEMBER OF THE CORPORATION TO BE ELIGIBLE TO BE ELECTED TO THE BOARD. ANY VACANCIES OF THESE TWO BOARD POSITIONS ARE FILLED BY THE MEDICAL STAFF. THE REMAINING THREE BOARD OF DIRECTORS ARE DESIGNATED BY THEIR POSITION IN THE ORGANIZATION. THE CHIEF OF THE MEDICAL STAFF, THE IMMEDIATE PAST CHIEF OF THE MEDICAL STAFF, AND THE CHIEF ELECT OF THE MEDICAL STAFF ARE ALL BOARD MEMBERS FOR AS LONG AS THEY HOLD THOSE TITLES. THE BYLAWS OF THE CORPORATION MAY BE AMENDED AT AN ANNUAL OR PROPERLY CALLED SPECIAL MEETING OF THE MEMBERS OF THE CORPORATION BY TWO-THIRDS OF THE VOTE CAST OR A MAJORITY OF THE VOTING POWER, WHICHEVER IS LESS. THE BYLAWS MAY ALSO BE AMENDED BY THE BOARD PROVIDED THAT THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED, OR PROVIDED THAT THE BASIC PURPOSE OF THE CORPORATION SHALL NOT BE CHANGED OR ALTERED. IF ANY OF THOSE CONDITIONS DOES NOT APPLY, THE AMENDMENT MUST BE VOTED ON BY THE MEMBERS OF THE ORGANIZATION.
REVIEW PROCESS FOR FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 IS REVIEWED BY THE FINANCE COMMITTEE WHO WILL PRESENT IT TO THE BOARD OF DIRECTORS. THE BOARD WILL REVIEW THE FORM AND RECORD IN THE MEETING MINUTES THEIR ACCEPTANCE OF THE DRAFT.
COMPLIANCE WITH CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CCONFLICT STATEMENTS ARE REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE TO DETERMINE IF NEW ITEMS WERE DISCLOSED. IF A BOARD MEMBER DID HAVE A CONFLICT OF INTEREST, HE/SHE WOULD ABSTAIN FROM VOTING ON ANY TRANSACTIONS RELATED TO THAT CONFLICT.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BDURING THE 2011-2012 YEAR, A COMPENSATION REVIEW WAS COMPLETED BY A BOARD COMPENSATION COMMITTEE. THE REVIEW INCLUDED REVIEWING DATA FROM MHA'S 2011 COMPENSATION AND BENEFITS REPORT. THE BOARD COMPENSATION COMMITTEE UPDATED THEIR COMPENSATION WORKSHEET TO REFLECT COMPARABLE MARKET DATA FOR THE ORGANIZATION'S CEO AND VPS.
DOCUMENT DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO VIEW UPON WRITTEN REQUEST AT THE ADMINISTRATIVE OFFICE OF THE HOSPITAL DURING REGULAR BUSINESS HOURS.
BOARD MEMBER COMPENSATIONFORM 990, PART VII, SECTION ABOARD MEMBER CHARLES MORGAN, MD, RECEIVES COMPENSATION FOR HIS ROLE AS A PHYSICIAN. NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DUTIES AS A MEMBER OF THE BOARD OF DIRECTORS.
COMPENSATION FOR MICHAEL GROSSFORM 990, PART VII, SECTION A, LINE 18MICHAEL GROSS SERVED AS CHIEF FINANCIAL OFFICER THROUGH JULY 2012, WHEN HE TRANSFERRED TO THE POSITION OF VICE PRESIDENT OF BUSINESS DEVELOPMENT. COMPENSATION SHOWN IN PART VII IS FOR BOTH POSITIONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1OZARKS MEDICAL CENTER FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1401 WASHINGTON AVEAddressLine1
CityWEST PLAINSCity
StateMOState
ZIP Code65775ZIPCode
FieldValueIRS element (for citing)
EIN431834356EIN
Primary ActivitiesSUPPORT OMCPrimaryActivities
Legal Domicile StateMOLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11 A IPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OMCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgtrueControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1WEST PLAINS HEALTH SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11703 WEST EIGHTH STAddressLine1
CityWEST PLAINSCity
StateMOState
ZIP Code65775ZIPCode
FieldValueIRS element (for citing)
EIN431329201EIN
Primary ActivityDURABLE MED EQUIPPrimaryActivity
Legal Domicile StateMOLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OMCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income31278ShareOfTotalIncome
Share Of EOY Assets2232084ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
OZARKS MEDICAL CENTER FOUNDATION
C527709FMV
OZARKS MEDICAL CENTER FOUNDATION
Q293215FMV
WEST PLAINS HEALTH SERVICES
K55103FMV