2026-04-15T11:16:24+00:00 2025-05-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-06-01 431068291 BIG SPRINGS MEDICAL ASSOCIATION INC BIGS 5736632313 PO BOX 157 ELLINGTON MO 63638 Julie O' Neal CFO 2026-04-15 true Krystal Creach P01248198 4178658701 2026-04-15 2024 2025-03-06 01:10:19Z MISSOURI HIGHLANDS HEALTH CARE KAREN R WHITE PO BOX 157 ELLINGTON MO 63638 43781233 false X WWW.MOHIGH.ORG X 1975 MO THE ORGANIZATION PROVIDES MEDICAL, DENTAL, WOMEN'S AND BEHAVIORAL HEALTH SERVICES TO UNDER-SERVED RESIDENTS OF ELLINGTON, MO AND SURROUNDING AREAS. 10 10 386 12 0 0 12049338 10559175 32092245 33105082 11738 -316610 9030 104787 44162351 43452434 3363 5597 0 24896096 23450532 0 0 0 16549348 18202549 41448807 41658678 2713544 1793756 29190728 30464594 6061976 5607308 23128752 24857286 THE ORGANIZATION ENDEAVORS TO MEET THE PRIMARY AND PREVENTATIVE HEALTH CARE NEEDS OF THE MEDICALLY UNDER-SERVED BY PROVIDING HIGH-QUALITY, COST-EFFECTIVE CARE AND SERVICES TO ITS PATIENTS. SEE SCHEDULE O FOR ADDITIONAL DETAIL. false false 22193023 5597 22277888 BIG SPRINGS MEDICAL ASSOCIATION PROVIDES MEDICAL SERVICES TO RESIDENTS OF ELLINGTON, MISSOURI, AND THE SURROUNDING AREAS. SOME SPECIFIC MEDICAL SERVICES THAT BIG SPRINGS MEDICAL ASSOCIATION OFFERS INCLUDE: TELEHEALTH, COMMUNITY HEALTH AND EDUCATION, AND PATIENT PHARMACEUTICALS ASSISTANCE PROGRAM. SEE SCHEDULE O FOR FURTHER DETAILS ON THESE PROGRAM SERVICES. DURING FISCAL YEAR 2025 THE ORGANIZATION HAD 75,459 MEDICAL CARE AND MENTAL HEALTH VISITS COMBINED. TELEHEALTH THROUGH AN ARRANGEMENT MADE POSSIBLE BY THE UNIVERSITY OF MISSOURI-COLUMBIA AND THE MISSOURI PRIMARY CARE ASSOCIATION. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 6027196 0 9326050 BIG SPRINGS MEDICAL ASSOCIATION PROVIDES DENTAL SERVICES TO RESIDENTS OF ELLINGTON, MISSOURI, AND POPLAR BLUFF, MISSOURI AS WELL AS THE SURROUNDING AREAS. DENTAL SERVICES PROVIDED INCLUDE: REGULAR CLEANINGS AND CHECK UPS, EMERGENCY VISITS FOR ACUTE PAIN OR SWELLING, TRAUMA ASSOCIATED WITH BROKEN TEETH, CLEANING AND MEDICATION FOR ANUG, AND EQUILIBRATION OF TEETH IN TRAUMATIC OCCLUSION. DURING 2025, THE ORGANIZATION HAD 13,570 DENTAL CARE VISITS. 1393861 0 1501144 BIG SPRINGS MEDICAL ASSOCIATION PROVIDES BEHAVIORAL HEALTH SERVICES TO RESIDENTS OF ELLINGTON, MISSOURI, AND THE SURROUNDING AREAS. BEHAVIORAL SERVICES INCLUDE INDIVIDUAL THERAPY AND COUNSELING FOR PATIENTS AS WELL AS BRIEF INTERVENTION SESSIONS FOR ALL PATIENTS. 29614080 true true false true false false false false false false true false false true true false true false false false false false false false false false false false false true false false false false false false false false false false true false false false false false false false false false true 113 0 true 386 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false false false true true true true true true false false false X Matt Derryberry CFO 5736632313 PO BOX 157 ELLINGTON MO 63638 CURT MAJORS VICE-PRESIDENT 1.0 0.0 X X 0 0 0 KATHERINE HART TREASURER END 6/24 1.0 0.0 X X 0 0 0 LANCE MAYFIELD SECRETARY 1.0 0.0 X X 0 0 0 MICHAEL MORTON PRESIDENT 1.0 0.0 X X 0 0 0 REBECA PACHECO TREASURER beg 07/24 1.0 0.0 X X 0 0 0 LARISSA BROWN DIRECTOR END 12/24 1.0 0.0 X 0 0 0 Levi McNeal Director beg 01/25 1.0 0.0 X 0 0 0 LINDA LUNSFORD DIRECTOR 1.0 0.0 X 0 0 0 MARGIE CLEARY DIRECTOR 1.0 0.0 X 0 0 0 MICHELLE WALKER DIRECTOR END 11/24 1.0 0.0 X 0 0 0 ROBERT CAMPBELL DIRECTOR BEG 10/24 1.0 0.0 X 0 0 0 SCOTT OATMAN DIRECTOR 1.0 0.0 X 0 0 0 STEVEN LYNXWILER DIRECTOR END 01/25 1.0 0.0 X 0 0 0 Teryl Harrison Director beg 02/25 1.0 0.0 X 0 0 0 JULIE O'NEAL CHIEF FINANCIAL OFFICER 40.0 0.0 X 147067 0 27590 KAREN WHITE CHIEF EXECUTIVE OFFICER 40.0 0.0 X 240827 0 21102 JOSH GAST MEDICAL DIRECTOR 40.0 0.0 X 599529 0 47025 BIJAN BASTANINEJAD PHYSICIAN 40.0 0.0 X 328923 0 6141 FARRAH MCSPADDEN OB/GYN END 07/24 36.0 0.0 X 369671 0 1500 IAN PELLETIER PHYSICIAN 40.0 0.0 X 289077 0 16512 LATASHUA JOSEPH DENTIST 40.0 0.0 X 289556 0 9272 VANESSA GIVENS OB/GYN END 07/24 40.0 0.0 X 358696 0 20790 2623346 0 149932 31 false true false RICK SHIPMAN CONSTRUCTION INC 1131 St Francis Drive Dexter MO 63841 Construction Services 1045924 POPLAR BLUFF CHILDREN'S DENTISTRY LLC 4348 Hwy PP Poplar Bluff MO 63901 Contracted Dental 727643 DILLE POLLARD 4061 Hwy PP Suite 2 POPLAR BLUFF MO 63901 Architectural Services 432797 FORVIS MAZARS LLP 910 E St Louis St Suite 200 Springfield MO 658011190 Auditing/Accounting 274298 CPI 340B PO Box 7 MAMMOTH SPRING AR 72544 Pharmacy Consultant 240900 11 9820812 738363 311812 10559175 NET PATIENT SERVICE REVENUE 624100 32074261 32074261 CAPITATION REVENUE 624100 939782 939782 OTHER REVENUE 900099 91039 91039 0 0 0 0 33105082 12189 12189 0 0 328799 0 -328799 -328799 -328799 GAIN FROM EQUITY INVESTEE 900099 104787 104787 0 0 0 0 104787 43452434 33105082 0 -211823 X 5597 5597 1083140 646554 436586 17734811 11717579 6017232 417088 280252 136836 2919385 1930709 988676 1296108 852692 443416 60197 60197 221512 221512 350637 350637 5714853 3927772 1787081 0 448138 448138 1140452 815313 325139 806836 752739 54097 1211902 948446 263456 239411 153977 85434 77694 51578 26116 122298 110948 11350 1287494 1095143 192351 154100 57356 96744 MEDICAL SUPPLIES 6073166 6073166 GRANT RELATED EXPENSES 148194 147063 1131 LICENSES, DUES, SUBSCRIPTION 114024 36692 77332 RECRUITMENT AND RETENTION 31641 10504 21137 0 0 0 0 41658678 29614080 12044598 0 2682206 5047113 141896 2141671 1151727 505621 2649689 3482930 0 0 0 0 71665 86170 545743 264421 21362042 9054850 13168298 12307192 479908 584695 0 229219 229219 8070377 5815562 29190728 30464594 3191830 2778215 204000 63481 0 0 1437748 1379018 1228398 1386594 6061976 5607308 X 22336049 23895330 792703 961956 23128752 24857286 29190728 30464594 X 1793756 -39047 -26175 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. 2098295 2098295 12552117 5509859 7042258 400465 267122 133343 5316134 3216480 2099654 995031 61389 933642 12307192 OTHER ASSETS 376347 EST AMTS DUE FROM 3RD PARTY 3581862 ROU ASSET 930607 DEPOSITS 538018 OTHER RECEIVABLES 388728 5815562 Federal Income Taxes ROU LIABILITIES 911594 EST AMTS DUE TO 3RD PARTY 475000 1386594 43821932 236127 429625 665752 43156180 296254 296254 43452434 42223604 236127 328799 564926 41658678 0 0 41658678 Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTION - 429625 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED CONTRIBUTIONS - 625053 Loss on disposition of asset - -328799 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Loss on disposition of asset - 328799 X X X X false false false true false false false true false KAREN WHITE CHIEF EXECUTIVE OFFICER 230250 0 962 0 9615 0 9719 0 11383 0 261929 0 0 0 JULIE O'NEAL CHIEF FINANCIAL OFFICER 146361 0 706 0 0 0 6121 0 21469 0 174657 0 0 0 JOSH GAST MEDICAL DIRECTOR 558529 0 41000 0 0 0 13329 0 33696 0 646554 0 0 0 LATASHUA JOSEPH DENTIST 230846 0 58710 0 0 0 9272 0 0 0 298828 0 0 0 BIJAN BASTANINEJAD PHYSICIAN 298481 0 30442 0 0 0 6141 0 0 0 335064 0 0 0 VANESSA GIVENS OB/GYN END 07/24 174639 0 178119 0 5938 0 7391 0 13399 0 379486 0 0 0 FARRAH MCSPADDEN OB/GYN END 07/24 139386 0 144572 0 85713 0 1500 0 0 0 371171 0 0 0 IAN PELLETIER PHYSICIAN 206023 0 83054 0 0 0 5129 0 11383 0 305589 0 0 0 Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization DENTISTS ARE PAID A QUARTERLY PRODUCTIVITY BONUS BASED ON A GROSS REVENUE GOAL. Schedule J, Part I, Line 7 Non-fixed payments EACH DOCTOR HAS A SET AMOUNT OF RELATIVE VALUE UNITS TO MEET. EACH RELATIVE VALUE UNIT ABOVE THAT THRESHOLD IS PAID OUT AS BONUS COMPENSATION. 1 311812 Other - FMV 0 false true false Schedule M, Part I, Line 20 NUMBER OF CONTRIBUTORS THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS WHO CONTRIBUTED VACCINES DURING THE YEAR. Form 990, Part III, Line 1 ORGANIZATION'S MISSION THE ORGANIZATION, A FEDERALLY QUALIFIED HEALTH CENTER, ENDEAVORS TO MEET THE PRIMARY AND PREVENTATIVE HEALTH CARE NEEDS OF THE MEDICALLY UNDERSERVED RESIDENTS OF BUTLER, CARTER, IRON, REYNOLDS, RIPLEY, AND SHANNON COUNTIES IN MISSOURI BY PROVIDING HIGH QUALITY, COST EFFECTIVE CARE AND SERVICES TO PATIENTS, REGARDLESS OF THEIR PAYER SOURCE. THE ORGANIZATION PLACES PARTICULAR EMPHASIS ON CARE PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS, STRIVES TO ENSURE ITS LONG-TERM FISCAL SOLVENCY, SUPPORTS PROGRAMS THAT IMPROVE COMMUNITY HEALTH STATUS AND THAT PROMOTE HEALTHY BEHAVIORS WITHIN OUR POPULATION, AND DESIRES TO REMAIN AN EMPLOYER OF CHOICE IN THE AREA. Form 990, Part III, Line 4a ADDITIONAL PROGRAM SERVICE DETAIL TELEHEALTH THROUGH AN ARRANGEMENT MADE POSSIBLE BY THE UNIVERSITY OF MISSOURI-COLUMBIA AND THE MISSOURI PRIMARY CARE ASSOCIATION. TELEHEALTH AND TELECOMMUNICATIONS EQUIPMENT IS INSTALLED AT OUR OFFICES IN ANNAPOLIS, ELLINGTON, EMINENCE, NAYLOR, PILOT KNOB, POPLAR BLUFF, VIBURNUM, AND VAN BUREN. THROUGH THIS SERVICE, WE ARE ABLE TO OFFER PATIENTS ACCESS TO SPECIALISTS IN PSYCHIATRY, DERMATOLOGY AND OTHER DISCIPLINES AT MEDICAL INSTITUTIONS IN LARGER CITIES. ACCESS TO TELEHEALTH LINKAGES CAN BE AN ENORMOUS CONVENIENCE, GIVING OUR PATIENTS ACCESS TO CERTAIN SPECIALTY CONSULTS WITHOUT LEAVING OUR IMMEDIATE SERVICE AREA. COMMUNITY HEALTH AND EDUCATION PART OF OUR MISSION STATEMENT READS, "MISSOURI HIGHLANDS HEALTH CARE SUPPORTS PROGRAMS THAT IMPROVE COMMUNITY HEALTH STATUS AND THAT PROMOTE HEALTHY BEHAVIORS WITHIN OUR POPULATION." IT IS BY DESIGN THAT THE WORD COMMUNITY IS SO PROMINENTLY DISPLAYED. MISSOURI HIGHLANDS HEALTH CARE FACILITIES AND PARTICIPATES IN COMMUNITY GROUPS INVOLVING EMERGENCY MEDICAL PROFESSIONALS, SCHOOL NURSES, HEAD START PROGRAMS, HEALTH DEPARTMENTS, AND OTHERS. MISSOURI HIGHLANDS HEALTH CARE (MHHC) IS THE FISCAL AGENT FOR VARIOUS GRANTS RECEIVED TO ADDRESS AND IMPROVE COMMUNITY HEALTH STATUS. PATIENT PHARMACEUTICALS ASSISTANCE PROGRAM MISSOURI HIGHLANDS HEALTH CARE HELPS ELIGIBLE PATIENTS OBTAIN THEIR PRESCRIBED MEDICATIONS FREE OR AT A REDUCED COST FROM DRUG MANUFACTURERS. THIS IS A SERVICE WE CALL OUR PHARMACEUTICALS ASSISTANCE PROGRAM. OUR PROGRAM COORDINATOR HELPS OUR PATIENTS WORK THROUGH THE NECESSARY APPLICATION PROCEDURES WITH DRUG MANUFACTURERS. SOME PATIENT INFORMATION, USUALLY RELATED TO INCOME, IS REQUIRED TO COMPLETE THE APPLICATION. IN THE END, THE RELATIONSHIP CREATED EXISTS DIRECTLY BETWEEN THE PATIENT AND MANUFACTURER. MHHC FACILITATES THE CONNECTION FOR OUR ELIGIBLE PATIENTS. Form 990, Part VI, Line 15 COMPENSATION REVIEW THE BOARD CONDUCTS A REVIEW OF THE CEO'S CONTRACT USING A COMPENSATION COMMITTEE, IN WHICH THE BOARD OBTAINS COMPARABLE COMPENSATION INFORMATION FROM THE MPCA FOR PERSONS IN SIMILAR POSITIONS. THE ORGANIZATION ALSO USES FORMS 990 OF OTHER ORGANIZATIONS IN THIS REVIEW. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES AND COMPLETED BIANNUALLY. THE CEO DIRECTS AND COMPLETES A SIMILAR REVIEW FOR OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. PAY SCALES HAVE BEEN BUILT BASED UPON COMPARATIVE DATA FROM BOTH NACHC AND THE MPCA. ANNUAL EVALUATIONS ARE COMPLETED ON KEY EMPLOYEES AND THE APPROPRIATE SALARY IS DETERMINED BASED UPON THOSE REVIEWS AS WELL AS YEARS OF EXPERIENCE IN THE POSITION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE 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 CEO AND CFO REVIEW THE FORM 990 IN DETAIL. AFTER THIS REVIEW, THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS AFTER FILING. Form 990, Part VI, Line 12c Conflict of interest policy THE CORPORATE COMPLIANCE OFFICER REVIEWS THE CONFLICT OF INTEREST POLICY WITH THE BOARD ANNUALLY AS PART OF THE OVERALL CORPORATE COMPLIANCE PROGRAM COMPLETED IN JANUARY OF EACH YEAR. INQUIRIES ARE MADE REGARDING ANY EXISTING CONFLICTS OF INTEREST. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER IS DISCLOSED TO OTHER BOARD MEMBERS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY BOARD MEMBER HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER. FURTHERMORE, HE/SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. THE FOREGOING REQUIREMENT SHOULD NOT BE CONSTRUED AS PREVENTING THE BOARD MEMBER FROM BRIEFLY STATING HIS/HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS OF OTHER BOARD MEMBERS SINCE HIS/HER KNOWLEDGE MAY BE OF GREAT ASSISTANCE. THIS POLICY IS REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF BOARD MEMBERS, AND ANY NEW BOARD MEMBER IS ADVISED OF THE POLICY UPON ENTERING THE DUTIES OF HIS/HER OFFICE. THE BOARD CHAIRPERSON AND SECRETARY ARE AUTHORIZED AND DIRECTED TO SEE THAT THIS POLICY IS FOLLOWED. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S BYLAWS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING AT THE CENTRAL ADMINISTRATION OFFICE OF THE ORGANIZATION OR CAN BE MAILED UPON REQUEST. THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE ONLY PROVIDED UPON THE APPROVAL OF A WRITTEN REQUEST. Form 990, Part IX, Line 11g Other Fees CONTRACTED SERVICES - Total Expense: 3454626, Program Service Expense: 1982614, Management and General Expenses: 1472012, Fundraising Expenses: ; 340B FEES - Total Expense: 1939635, Program Service Expense: 1939635, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 244325, Program Service Expense: , Management and General Expenses: 244325, Fundraising Expenses: ; PAYROLL FEES - Total Expense: 39934, Program Service Expense: , Management and General Expenses: 39934, Fundraising Expenses: ; DATA PROCESSING - Total Expense: 30810, Program Service Expense: , Management and General Expenses: 30810, Fundraising Expenses: ; INTERPRETATION SERVICES - Total Expense: 5523, Program Service Expense: 5523, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances EXPIRED DONATED VACCINES - -26175; Total - -26175; FORM 990, PART 1, LINE 6 VOLUNTEERS THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD.