2013-01-14T14:21:34-06:00 2012-05-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2011-06-01 431602701 ADVOCATES FOR A HEALTHY COMMUNITY INC % LISA ODOM ADVO 4178310150 440 E TAMPA ST SPRINGFIELD MO 658061131 K BROOKS MILLER 2013-01-04 true Gary V Garwitz 4178658701 2011 2016-02-25 16:41:14Z JORDAN VALLEY COMMUNITY HLTH CENTER K BROOKS MILLER 440 E TAMPA ST SPRINGFIELD MO 658061131 22733968 false X WWW.JORDANVALLEY.ORG X 1992 MO TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE SVCS, AND TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING THE HIGHEST QUALITY MEDICAL, DENTAL, AND MENTAL HEALTH CARE SVCS TO SPGF, MO AND SURROUNDING AREAS. 15 14 322 15 0 0 3935735 4029433 16309953 18577239 10861 15207 -24590 1991 20231959 22623870 16754 26162 0 0 12238052 13231445 0 0 0 7323921 8742040 19578727 21999647 653232 624223 25637380 32067797 6662219 12468413 18975161 19599384 X TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 8896815 8666970 PROVIDE PRIMARY CARE MEDICAL SERVICES TO SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREA. MEDICAL SERVICES WERE PROVIDED TO APPROXIMATELY 21,657 PATIENTS THIS YEAR. OUR MEDICAL PROGRAM IS FOCUSED ON PROVIDING PRIMARY HEALTH CARE TO NOT ONLY TREAT ILLNESSES, BUT ALSO TO KEEP PATIENTS WELL. OUR STAFF ENSURES PATIENTS WILL RECEIVE THE COMPASSIONATE AND EXPERT CARE THEY DESERVE. THE MANY SERVICES WE OFFER MAKE IT EASIER FOR THEM TO ACCESS THE CARE THEY NEED. WE ALSO HAVE COMMUNITY PROGRAMS ALLOWING FOR MORE FOCUSED CARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 6565354 7503867 PROVIDE DENTAL SERVICES TO THE COMMUNITY OF SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREA. DENTAL SERVICES WERE PROVIDED TO APPROXIMATELY 18,699 PATIENTS THIS YEAR. OUR COMPREHENSIVE DENTAL PROGRAM PROVIDES NOT ONLY PREVENTATIVE CARE, BUT ALSO SPECIALTY CARE FOR A VARIETY OF DENTAL ISSUES. OUR STAFF IS HIGHLY TRAINED AND PROVIDES PATIENTS WITH THE EXPERT CARE AND RESPECT THEY DESERVE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 1791494 2406402 OPERATE A PHARMACY WITHIN THE MEDICAL CLINIC IN SPRINGFIELD, MISSOURI. THE PHARMACY FILLED APPROXIMATELY 84,843 PRESCRIPTIONS IN FISCAL YEAR 2012. 17253663 true true false true false false false false false false true false false false true false true false false false false false false false false false false true false true true false false false false false false false false true false true false false false false false false false false false true 43 0 true 322 true false false false false false false false false false false X 15 14 false false true false false false false true true false false true true true true true true true false false X LISA ODOM 4178511551 440 E TAMPA ST SPRINGFIELD MO 658061131 X MARY KAY MEEK 1.0 X 0 0 0 KEVIN GIPSON 1.0 X X 0 0 0 JEAN GRABEEL 1.0 X 0 0 0 LYNNE MEYERKORD 1.0 X 0 0 0 HAROLD BENGSCH 1.0 X 0 0 0 KYLE MCCLURE 1.0 X X 0 0 0 MARY PILANT 1.0 X 0 0 0 RHONDA RIDINGER 1.0 X X 0 0 0 JOHN RUSH 1.0 X 0 0 0 CR CLARK 1.0 X 0 0 0 PAUL FITE 1.0 X 0 0 0 JEFF GROVES 1.0 X X 0 0 0 BOB HAMMERSCHMIDT 1.0 X X 0 0 0 LESLIE PECK 1.0 X 0 0 0 JOHN TWITTY 1.0 X 0 0 0 K BROOKS MILLER 40.0 X 205342 0 19411 LISA ODOM 40.0 X 94000 0 9937 DR KECIA LEARY 40.0 X 258870 0 28741 DR NICK PFANNENSTIEL 40.0 X 182733 0 11047 DR DEREK SMITH 40.0 X 164678 0 29342 DR MATTHEW STINSON 40.0 X 158826 0 25487 DR WILLIAM WOODS 16.0 X 260320 0 0 DR JEFFREY ROCKWOOD 40.0 X 172444 0 9169 DR LAUREL PRICHARD 40.0 X 159320 0 8199 DR REBECCA WOTHERSPOON 40.0 X 156331 0 8513 DR CHRISTOPHER SPINELLI 40.0 X 153361 0 7680 DR CHAN REYES 40.0 X 133402 0 23991 2099627 0 181517 23 true true false OZARK ANESTHESIA ASSOCIATES DENTAL SERVICES 234500 DR FRANK CORNELLA DENTAL SERVICES 176027 MERCY CLINICS MEDICAL SERVICES 196904 3 3955 3330663 694815 793382 4029433 NET PATIENT SERVICE REVENUE 621400 18217883 18217883 OTHER 621400 359356 359356 18577239 4815 4815 0 0 100133 95643 4490 4490 4490 18000 7608 10392 10392 10392 4348 3955 6847 -2499 -2499 0 0 0 22623870 18577239 17198 26162 26162 0 0 0 1251113 857753 393360 0 196016 196016 9996344 8436689 1559655 207208 141066 66142 773569 549712 223857 807195 579272 227923 0 16998 16998 129440 129440 0 0 0 1402379 1057516 344863 59920 59920 615406 239130 376276 443938 256058 187880 0 532916 349033 183883 166174 1269 164905 0 160750 112084 48666 48773 23401 25372 0 1424191 934865 489326 152507 152507 BAD DEBT 256587 256587 MEDICAL SUPPLIES & DRUGS 3159996 3159996 LICENSES, DUES, SUBSCRIPTIONS 95011 95011 MISCELLANEOUS 77054 77054 21999647 17253663 4745984 0 2153 4637511 6267740 7625000 374421 541460 1517439 2058719 0 0 0 0 0 0 401998 563668 110135 151255 21859521 5509140 16963494 16350381 0 0 0 0 0 0 0 0 0 139803 25637380 32067797 1489560 1786299 0 0 31607 403898 1752052 1604185 0 0 0 0 319000 702427 0 0 3070000 7971604 6662219 12468413 X 18590073 19135614 385088 463770 0 0 18975161 19599384 25637380 32067797 624223 X false true true X true true X 5031511 10069255 6969915 3935735 4029433 30035849 5031511 10069255 6969915 3935735 4029433 30035849 30035849 164655 66183 72441 70718 104948 478945 30514794 64775960 0.98430 0.98307 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false OTHER LOBBYING EXPENSE SCHEDULE C, PART II-B, QUESTION 1I THE ORGANIZATION PAYS ANNUAL DUES TO NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), A PORTION OF WHICH MAY BE ATTRIBUTABLE TO LOBBYING. 1334422 1334422 16395747 3485987 12909760 85740 14737 71003 3992934 2008416 1984518 50678 50678 16350381 0 EST DUE TO 3RD PARTIES 7971604 7971604 22623870 21999647 624223 624223 22715968 22715968 -92098 -92098 22623870 22091745 92098 92098 21999647 21999647 UNCERTAIN TAX POSITION SCHEDULE D, PART X, LINE 2 MANAGEMENT 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. AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B (6,847) SPECIAL EVENT EXPENSE RECLASSED (95,643) RENT EXPENSE 10,392 GAIN ON FIXED ASSETS -------- (92,098) TOTAL AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 SCHEDULE D, PART XIII, LINE 2D 6,847 SPECIAL EVENT EXPENSE RECLASSED 95,643 RENT EXPENSE (10,392) GAIN ON FIXED ASSETS -------- 92,098 TOTAL true JOHN Q HAMMONS FOUNDATION INC 300 JOHN Q HAMMONS PARKWAY SPRINGFIELD MO 65806 431521852 501(C)(3) 5300 CHARITIES - CHILDREN 1 GRANT MONITORING SCHEDULE I, PART I, LINE 2 JORDAN VALLEY GIVES UNRESTRICTED DONATIONS TO ORGANIZATIONS WITH A PROVEN HISTORY OF BENEFITING THE COMMUNITY IN A MANNER CONSISTENT WITH OUR OWN MISSION STATEMENT. ALL DONATIONS ARE APPROVED BY THE CEO. ANY LARGE DONATIONS WOULD ALSO NEED BOARD APPROVAL. DONATIONS TO THE JOHN Q. HAMMONS FOUNDATION ARE MONITORED BY THE ORGANIZATION THROUGH ITS EMPLOYEES WHO PARTICIPATE IN FUNDRAISING EVENTS HELD BY THE FOUNDATION. X X false false false false false false false true false K BROOKS MILLER 180342 0 25000 0 0 0 8528 0 10883 0 224753 0 DR KECIA LEARY 230493 0 28377 0 0 0 12006 0 16735 0 287611 0 DR NICK PFANNENSTIEL 154719 0 28014 0 0 0 5538 0 5509 0 193780 0 DR DEREK SMITH 140182 0 24496 0 0 0 7673 0 21669 0 194020 0 DR MATTHEW STINSON 158326 0 500 0 0 0 8183 0 17304 0 184313 0 DR CHAN REYES 132902 0 500 0 0 0 7139 0 16852 0 157393 0 DR WILLIAM WOODS 260320 0 0 0 0 0 0 0 0 0 260320 0 DR JEFFREY ROCKWOOD 146302 0 26142 0 0 0 7343 0 1827 0 181614 0 DR LAUREL PRICHARD 138713 0 20607 0 0 0 6936 0 1263 0 167519 0 DR REBECCA WOTHERSPOON 155831 0 500 0 0 0 0 0 8513 0 164844 0 DR CHRISTOPHER SPINELLI 152861 0 500 0 0 0 3332 0 4348 0 161041 0 NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 COMPENSATION PAYMENTS WERE PAID OUT TO CERTAIN PROVIDERS AND KEY EMPLOYEES FOR PERFORMANCE OF THE LAST YEAR, HOWEVER, THIS PAYMENT WAS NOT BASED UPON EARNINGS, REVENUES OR PERFORMANCES OF THE ORGANIZATION. THE INDUSTRIAL DEVELOPMENT AUTH OF GREENE CO MO 431284357 2005-11-03 2200000 CAPITAL PROJECTS false false false 0 0 2200000 0 0 0 17700 0 0 2182300 0 0 2005 false false true true false false false false 0 false false true false 0 false 0 false false X RENDI PFANNENSTIEL DDS SPOUSE OF N. PFANNENSTIEL 158563 COMPENSATION false LINDSEY SMITH SPOUSE OF DEREK SMITH 22633 COMPENSATION false ROBERT HAMMERSCHMIDT SON OF BOB HAMMERSCHMIDT 14820 COMPENSATION false X 1 793382 FMV false false false NON-CASH CONTRIBUTIONS SCHEDULE M, PART I, LINE 20 ALL VACCINE CONTRIBUTIONS WERE FROM ONE DONOR. ORGANIZATION MISSION FORM 990, PART III, LINE 1 ADVOCATES FOR A HEALTHY COMMUNITY, INC. EXISTS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE SERVICES, AND TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING THE HIGHEST QUALITY MEDICAL, DENTAL AND MENTAL HEALTH CARE SERVICES TO SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREAS. BY PROVIDING PEOPLE A PATIENT CENTERED HEALTH HOME (PCHH), WE CAN MORE EFFECTIVELY IMPROVE THE HEALTH OF OUR PATIENTS AND THE COMMUNITY. A PCHH PROVIDES A MULTITUDE OF HEALTH SERVICES WITHIN ONE CENTRALIZED LOCATION. IT'S A ONE-STOP-SHOP FOR HEALTHCARE THAT WORKS WITH PATIENTS TO IMPROVE HEALTH OUTCOMES. A PCHH ALLOWS QUICK, CONVENIENT ACCESS TO THE CARE THEY NEED. WE HOLD IN HIGH REGARD OUR FIVE CORE VALUES: *TO ASSURE YOU OF A CLEAN AND COMFORTABLE ENVIRONMENT *TO PROMOTE DIVERSITY AND RESPECT FOR ALL HUMAN DIFFERENCES *TO PROVIDE PROMPT, FRIENDLY AND COURTEOUS SERVICE BY A KNOWLEDGEABLE, HIGHLY TRAINED AND COMPASSIONATE STAFF *TO RESPOND IN A RAPID, SENSITIVE AND NON-CONFRONTATIONAL MANNER THAT WILL ENHANCE YOUR HEALTHCARE EXPERIENCE *TO PARTNER WITH AND EMPOWER YOU TO TAKE AN ACTIVE ROLE TO IMPROVE YOUR HEALTH. PROGRAM SERVICE DETAIL FORM 990, PART III, LINES 4A-B MEDICAL SERVICES: MEDICAL PROGRAM SERVICES INCLUDE: FAMILY MEDICINE, PEDIATRIC CARE, INTERNAL MEDICINE, GERIATRIC CARE, PRIMARY & PREVENTIVE HEALTH, IMMUNIZATIONS, CHRONIC DISEASE MANAGEMENT, GYNECOLOGY/WOMEN'S HEALTH (INCLUDING SHOW ME HEALTHY WOMEN), PRENATAL CARE, IN-PATIENT SERVICES FOR NEWBORNS, NURSERY CARE, OUTPATIENT PROCEDURES (CIRCUMCISIONS, COLPOSCOPY, SPIROMETRY, ENDOMETRIAL BIOPSY, EKG & STRESS TESTING, IMPLANON, VASECTOMY, MINOR SKIN PROCEDURES, JOINT INJECTIONS.), DIABETES EDUCATION, DIETARY COUNSELING, WEIGHT MANAGEMENT SUPPORT, IN-SCHOOL PRIMARY CARE, LAB SERVICES, X-RAY AND OPTOMETRY. DENTAL: DENTAL PROGRAM SERVICES INCLUDE: GENERAL DENTISTRY, PEDIATRIC DENTISTRY, ORAL HYGIENE, URGENT DENTAL CARE, ORAL SURGERY, DENTURES AND PARTIALS, MOBILE DENTAL CARE AND IN-SCHOOL PREVENTIVE SERVICES. SIGNIFICANT CHANGES TO BYLAWS FORM 990, PART VI, SECTION A, LINE 4 DURING FISCAL YEAR 2012, THE BOARD OF DIRECTORS AMENDED THE ORGANIZATION'S BYLAWS BASED ON RECOMMENDATIONS FROM HRSA FOR THE FOLLOWING AREAS: DESCRIPTION OF PRIMARY CONSUMER WAS MODIFIED TO "ANYONE WHO PRESENTS TO THE CENTER FOR SERVICE." THE DUTY OF PERFORMING AN ANNUAL EVALUATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER WAS ADDED TO THE BOARD OF DIRECTORS LIST OF DUTIES. THE DEFINITION OF A USER OF THE HEALTH CENTER IN REGARDS TO BOARD MEMBER USERS WAS EXPANDED TO INCLUDE BOARD MEMBER DEPENDENTS, BOTH CHILDREN AND ADULTS, WITH WHOM THE MEMBER IS A LEGAL GUARDIAN AND IMMIGRANTS WITH WHOM THE MEMBER IS A LEGAL SPONSOR. ADDED CRITERIA TO BE A BOARD MEMBER: NO VOTING MEMBER OF THE BOARD OR AN IMMEDIATE FAMILY MEMBER OF THE VOTING BOARD MEMBER MAY BE AN EMPLOYEE OF THE HEALTH CENTER. THE FOLLOWING WAS ADDED IN THE ELIGIBILITY FOR BOARD OF DIRECTOR SECTION: THE EXECUTIVE DIRECTOR OF THE SPRINGFIELD/GREENE COUNTY HEALTH DEPARTMENT SHALL SERVE ON THE BOARD AS AN EX-OFFICIO NON-VOTING MEMBER. 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE FINANCE DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE 990 IS FIRST REVIEWED BY SENIOR MANAGEMENT. AFTER ANY CHANGES ARE MADE, A FINAL DRAFT IS PRESENTED BY THE CFO TO THE BOARD OF DIRECTORS AT A MONTHLY BOARD MEETING. CONFLICT OF INTEREST POLICY REVIEW FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS EVALUATED WITH ALL EMPLOYEES UPON HIRE AND ON A YEARLY BASIS WITH ALL EMPLOYEES AND BOARD MEMBERS IN CONJUNCTION WITH CORPORATE COMPLIANCE TRAINING. A COPY OF THE CONFLICT OF INTEREST STATEMENT SHALL BE PROVIDED ANNUALLY TO EACH DIRECTOR AND OFFICER TO SIGN FOR THE PURPOSE OF IDENTIFYING POTENTIAL CONFLICTS OF INTEREST. A CONFLICT OF INTEREST SHALL BE CONSIDERED TO ARISE WHEN ANY MATTER UNDER CONSIDERATION BY THE BOARD OF DIRECTORS INVOLVES THE POTENTIAL FOR A SIGNIFICANT OR MATERIAL BENEFIT; OR A COMPENSATION ARRANGEMENT EXISTS TO A DIRECTOR OR ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY TO ANY BUSINESS, FINANCIAL, OR PROFESSIONAL ORGANIZATION OF WHICH THE DIRECTOR OR ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY IS AN OFFICER, DIRECTOR, MEMBER, OWNER, OR EMPLOYEE WHENEVER ANY MATTER COMES BEFORE THE BOARD OF DIRECTORS WHICH ANY DIRECTOR RECOGNIZES MAY GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OF DIRECTORS SHALL NOT APPROVE ANY ACTION OR TRANSACTION BEARING UPON THE CONFLICT UNLESS THE FOLLOWING PROCEDURES ARE OBSERVED: A) THE AFFECTED DIRECTOR OR OTHER DIRECTOR(S) SHALL MAKE KNOWN THAT A CONFLICT EXISTS AND THE AFFECTED DIRECTOR SHALL WITHDRAW FROM THE MEETING FOR AS LONG AS THE MATTER REMAINS UNDER CONSIDERATION. SHOULD THE MATTER BE BROUGHT TO A VOTE OF THE DIRECTORS, THE AFFECTED DIRECTOR SHALL NEITHER BE PRESENT NOR CAST A VOTE. B) IF THE WITHDRAWAL OF THE AFFECTED DIRECTOR RESULTS IN THE ABSENCE OF A QUORUM, NO ACTION SHALL BE TAKEN ON THE MATTER UNTIL A QUORUM OF DISINTERESTED DIRECTORS IS PRESENT. C) IF A) AND B) DO NOT OCCUR, THE BOARD OF DIRECTORS SHALL NOT GO FORWARD WITH A TRANSACTION OR ARRANGEMENT IN WHICH AN AFFECTED DIRECTOR ACKNOWLEDGES THAT A CONFLICT OF INTEREST EXISTS, OR OTHER DIRECTORS DETERMINE THAT A CONFLICT OF INTEREST EXISTS. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A ANNUALLY, THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS EVALUATED AND VOTED ON BY THE BOARD OF DIRECTORS AFTER REVIEWING PERFORMANCE AND COMPARABILITY DATA OF CEO'S/EXECUTIVE DIRECTORS AT LIKE HEALTH CARE FACILITIES. THE OCCURRENCE OF THIS REVIEW IS DOCUMENTED IN THE EXECUTIVE COMMITTEE BOARD MINUTES. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS, ARE AVAILABLE BY WRITTEN REQUEST AND MAY BE VIEWED AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORMER KEY EMPLOYEE FORM 990, PART VII DURING THE FISCAL YEAR 2012, DR. CHAN REYES WAS ON A LEAVE OF ABSENCE WHICH CAUSED HER REPORTABLE COMPENSATION TO DROP BELOW THE $150,000 THRESHOLD IN DETERMINING A KEY EMPLOYEE. SINCE DR. REYES REPORTABLE COMPENSATION WAS GREATER THAN $100,000 AND SHE WAS REPORTED AS A KEY EMPLOYEE ON AT LEAST ONE OF THE LAST FIVE PRIOR YEAR FORM 990'S SHE HAS BEEN MARKED FORMER ON THE CURRENT YEAR FORM 990.