2024-05-06T15:04:14-05:00 2023-05-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-06-01 431068291 BIG SPRINGS MEDICAL ASSOCIATION INC % JULIE O'NEAL BIGS 5736632313 PO BOX 157 ELLINGTON MO 63638 JULIE O'NEAL CFO 5736632313 2023-09-05 true JULIE ONEAL XXX-XX-XXXX Krystal K Creach P00422601 4178658701 2 2022 2023-04-26 12:10:37Z MISSOURI HIGHLANDS HEALTH CARE KAREN R WHITE PO BOX 157 ELLINGTON MO 63638 39532769 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. 11 11 387 11 0 0 9858647 8908282 25692716 30177984 600983 21461 119781 180883 36272127 39288610 0 258369 0 0 17355155 21869421 0 0 0 12643246 14478080 29998401 36605870 6273726 2682740 26111106 29352828 7879894 8912396 18231212 20440432 X 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 INFORMATION. false false 24084021 258369 18732274 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 2023, THE ORGANIZATION HAD 75,972 MEDICAL CARE AND MENTAL HEALTH VISITS COMBINED. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 2768278 9728808 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 2023, THE ORGANIZATION HAD 13,643 DENTAL CARE VISITS. 830484 1716902 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. 27682783 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 true false true false false false false false false false false true false false false false false false false false true 116 0 true 387 true false false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true false false X JULIE O'NEAL 5736632313 PO BOX 157 ELLINGTON MO 63638 FARRAH MCSPADDEN MED DIRECT BEG 10/22 END 11/22 40.0 0.0 X 1133858 0 28903 VANESSA GIVENS OB/GYN 40.0 0.0 X 563242 0 39403 NATALIE HOSHAW OB/GYN 36.0 0.0 X 437670 0 31818 RICHARD HESTER PHYSICIAN 40.0 0.0 X 357563 0 21587 JOSEPH TONEY MAT MEDICAL DIRECTOR 40.0 0.0 X 292188 0 25000 BRADLEY DANIEL DENTAL DIRECTOR 40.0 0.0 X 273783 0 31273 JOSH GAST MEDICAL DIRECTOR BEG 12/23 40.0 0.0 X 285560 0 6094 KAREN WHITE CHIEF EXECUTIVE OFFICER 40.0 0.0 X 250923 0 28717 TAMMY LINDSAY MEDICAL DIRECTOR END 10/22 40.0 0.0 X 213792 0 12000 JULIE O'NEAL CHIEF FINANCIAL OFFICER 40.0 0.0 X 157395 0 12752 CURT MAJORS VICE-PRESIDENT 1.0 0.0 X X 0 0 0 KATHERINE HART TREASURER 1.0 0.0 X X 0 0 0 KELLEY BRENT DIRECTOR BEG 09/22 1.0 0.0 X 0 0 0 LANCE MAYFIELD SECRETARY 1.0 0.0 X X 0 0 0 LARISSA BROWN DIRECTOR 1.0 0.0 X 0 0 0 LINDA LUNSFORD DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL MORTON PRESIDENT 1.0 0.0 X X 0 0 0 MICHELLE WALKER DIRECTOR 1.0 0.0 X 0 0 0 SCOTT OATMAN DIRECTOR 1.0 0.0 X 0 0 0 STEVEN LYNXWILER DIRECTOR 1.0 0.0 X 0 0 0 JOHN MARK BREWER DIRECTOR 1.0 0.0 X 0 0 0 3965974 0 237547 36 false true false POPLAR BLUFF CHILDREN'S DENTRISTY 4348 HWY PP POPLAR BLUFF MO 63901 CONTRACTED DENTAL 1003064 FORVIS 910 E ST LOUIS ST SUITE 200 SPRINGFIELD MO 658011190 AUDITING/ACCOUNTING 422237 TECH TEAM PO BOX 8659 ST JOSEPH MO 64508 IT SERVICES 418123 DILLIE POLLARD 4061 HWY PP SUITE 2 POPLAR BLUFF MO 63901 ARCHITECHURAL SERVIC 326226 CPI 340B LLC PO BOX 7 MAMMOTH SPRINGS AR 72554 340B CONSULTING 240900 9 8436261 472021 133313 8908282 NET PATIENT SERVICE REVENUE 624100 29188549 29188549 OTHER REVENUE 624100 136245 136245 CAPITATION REVENUE 624100 853190 853190 30177984 13082 13082 0 0 0 0 0 252538 244159 8379 8379 8379 0 0 0 0 0 0 0 0 0 GAIN/(LOSS) FROM EQUITY INVESTEE 900099 180883 180883 180883 39288610 30177984 202344 258369 258369 0 0 0 2129994 1850354 279640 0 16097854 10926043 5171811 334288 266024 68264 2072097 1541158 530939 1235188 1048417 186771 0 100829 100829 400797 400797 0 0 0 2820651 1903056 917595 315508 97307 218201 1058496 712126 346370 100183 8167 92016 0 1141131 897368 243763 338200 263667 74533 0 149757 111949 37808 123535 123535 0 910822 801039 109783 235243 179322 55921 MEDICAL SUPPLIES 5940518 5940518 GRANT RELATED EXPENSES 738974 708237 30737 LICENSES, DUES, SUBSCRIPTIONS 103436 46127 57309 36605870 27682783 8923087 0 5498536 5107873 1074124 2787977 695312 1095108 1826942 2177574 0 0 0 0 0 0 490426 46906 461721 480084 17575235 6905792 9902343 10669443 0 0 420369 450249 0 0 0 0 5741333 6537614 26111106 29352828 5104312 5394681 0 0 547729 390507 0 0 0 0 0 0 1800023 1502296 0 0 427830 1624912 7879894 8912396 X 17565148 19738407 666064 702025 18231212 20440432 26111106 29352828 X 2682740 -473520 X false true X 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 (I) OTHER LOBBYING ACTIVITIES: 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 10695611 4349578 6346033 388369 203430 184939 3486502 2297784 1188718 906458 55000 851458 10669443 EST AMTS DUE FROM 3RD PARTY 2082922 OTHER RECEIVABLES 2840167 ROU ASSETS 1614525 6537614 0 ROU LIABILITIES 1624912 1624912 39315965 536836 99790 636626 38679339 609271 609271 39288610 37142706 536836 536836 36605870 36605870 SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ 99,790 NET ASSETS RELEASED FROM RESTRICTION SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 609,271 TEMPORARILY RESTRICTED CONTRIBUTIONS true VIBURNUM ECONOMIC DEVELOPMENT AREA CORPORATION 10 LINDEN STREET VIBURNUM MO 65566 431942123 501(C)(3) 258369 FMV BUILDING SUPPORT SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANTS: MISSOURI HIGHLANDS HEALTH CARE DONATED A BUILDING TO VIBURNUM ECONOMIC DEVELOPMENT AREA CORPORATION (VEDAC). AS PER THE SIGNED REAL ESTATE DONATION AGREEMENT, VEDAC AGREES TO MAKE THE PROPERTY AVAILABLE FOR USE BY THE PUBLIC AS PART OF VEDAC'S NONPROFIT PURPOSES, AS DETERMINED BY VEDAC IN ITS SOLE REASONABLE DISCRETION. X X X X false false false true false false false true false JULIE O'NEAL CHIEF FINANCIAL OFFICER 149070 0 0 0 8325 0 8128 0 4624 0 170147 0 0 0 KAREN WHITE CHIEF EXECUTIVE OFFICER 220694 0 10000 0 20229 0 27000 0 1717 0 279640 0 0 0 BRADLEY DANIEL DENTAL DIRECTOR 198412 0 39578 0 35793 0 22145 0 9128 0 305056 0 0 0 FARRAH MCSPADDEN MED DIRECT BEG 10/22 END 11/22 689626 0 374471 0 69761 0 19500 0 9403 0 1162761 0 0 0 JOSEPH TONEY MAT MEDICAL DIRECTOR 205437 0 86686 0 65 0 15872 0 9128 0 317188 0 0 0 JOSH GAST MEDICAL DIRECTOR BEG 12/23 230383 0 53000 0 2177 0 2839 0 3255 0 291654 0 0 0 VANESSA GIVENS OB/GYN 347677 0 204280 0 11285 0 30000 0 9403 0 602645 0 0 0 NATALIE HOSHAW OB/GYN 423492 0 12000 0 2178 0 30000 0 1818 0 469488 0 0 0 RICHARD HESTER PHYSICIAN 295259 0 62304 0 0 0 14764 0 6823 0 379150 0 0 0 TAMMY LINDSAY MEDICAL DIRECTOR END 10/22 186416 0 27376 0 0 0 12000 0 0 0 225792 0 0 0 SCHEDULE J, PART I, LINE 5A COMPENSATION CONTINGENT ON REVENUE: 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. X 2 133313 FMV false true false SCHEDULE M, PART I, LINE 20, COLUMN B NUMBER OF CONTRIBUTORS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS WHO CONTRIBUTED VACCINES DURING THE YEAR. FORM 990, PART 1, LINE 6 VOLUNTEERS: THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD. 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 SERVICES 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 TELEHEALH 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, SECTION B, LINE 11B FORM 990 REVIEW POLICY: 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 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH 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 15A & 15B 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, SECTION C, LINE 19 DOCUMENT DISCLOSURE: 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: $ (473,520) EXPIRED DONATED VACCINES