2022-02-08T15:53:02-06:00 2021-04-30 430831507 ANDERS MINKLER HUBER & HELM LLP 800 MARKET STREET SUITE 500 ST LOUIS MO 631012501 990 2020-05-01 431752799 OZARK TRI-COUNTY HEALTH CARE CONSORTIUM D/B/A ACCESS FAMILY CARE OZAR 4174519450 PO BOX 758 NEOSHO MO 64850 SHEILA LONG CFO 4174519450 2022-02-03 1 SHEILA LONG 999009999 MARK G HINSEN P00047496 3146555500 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ACCESS FAMILY CARE SHEILA LONG 475 NELSON AVENUE NEOSHO MO 64850 26956620 0 X WWW.ACCESSFAMILYCARE.ORG X 1996 MO WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE MEDICALLY UNDERSERVED OF GREATER SOUTHWEST MISSOURI THROUGH DIRECT SERVICES AND COLLABORATIVE EFFORTS. 11 11 333 11 0 0 5462167 9091586 17109028 17621576 -683 5755 120519 233178 22691031 26952095 0 0 0 0 14900283 14149967 0 0 0 8068463 8090793 22968746 22240760 -277715 4711335 15703358 17059994 6085077 2730378 9618281 14329616 WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE MEDICALLY UNDERSERVED OF GREATER SOUTHWEST MISSOURI THROUGH DIRECT SERVICES AND COLLABORATIVE EFFORTS. 0 0 7868023 8277432 IN FY 2021, MEDICAL ENCOUNTERS TOTALED 28,519 9078488 9550883 THE ORGANIZATION PROVIDES A WIDE VARIETY OF SERVICES TO THE PATIENT POPULATION IN ALL AREAS OF GENERAL DENTISTRY. IN FY 2021, DENTAL ENCOUNTERS TOTALED 24,592. 16946511 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24 0 1 333 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X SHEILA LONG CFO 4174519450 475 NELSON AVENUE NEOSHO MO 64850 DR AL CHAPMAN PRESIDENT 1.00 X X 0 0 0 JERRIE WISE VICE PRESIDENT 1.00 X X 0 0 0 ELIZABETH PERSONS SECRETARY 1.00 X X 0 0 0 OLEG TYURIKOV TREASURER 1.00 X X 0 0 0 JOSHUA MANNING BOARD MEMBER 1.00 X 0 0 0 MARY ANN BRADLEY BOARD MEMBER 1.00 X 0 0 0 KELLY BROWN BOARD MEMBER 1.00 X 0 0 0 CHRISTIAN DEMASI BOARD MEMBER 1.00 X 0 0 0 KOBIE LANGFORD BOARD MEMBER 1.00 X 0 0 0 CYNTHIA MCCOY BOARD MEMBER 1.00 X 0 0 0 JOE ZUZUL BOARD MEMBER 1.00 X 0 0 0 SHARON CROSSWHITE BOARD MEMBER (THROUGH 10/6 1.00 X 0 0 0 CHARLES BENTLAGE BOARD MEMBER 1.00 X 0 0 0 DON MCBRIDE CHIEF EXECUTIVE OFFICER 40.00 X 248543 0 15602 SHEILA LONG CHIEF FINANCIAL OFFICER 40.00 X 123015 0 11910 JOHN SMITH CHIEF BUSINESS OFFICER 40.00 X 130931 0 12132 DAVID STEINMANN CHIEF OPERATIONS OFFICER 40.00 X 134675 0 11910 JEFFREY ELMORE CHIEF INFORMATION OFFICER 40.00 X 100583 0 10891 HILLARY SHADWICK CHIEF HUMAN RESOURCES OFFI 40.00 X 83875 0 10852 DR GERALD ENGLUND PHYSICIAN 40.00 X 327992 0 12395 DR JERRY JUMPER MEDICAL DIRECTOR 40.00 X 198617 0 6204 DR MARK HARRIS DENTIST 40.00 X 160057 0 13040 DR KALA SMITH DENTAL DIRECTOR 40.00 X 171056 0 13286 DR BRIAN BASHAM PHYSICIAN 40.00 X 143415 0 4293 1822759 0 122515 21 0 1 0 QUEST DIAGNOSTICS PO BOX 772976 CHICAGO IL 60677 TESTS 471326 JOPLIN PEDIATRIC DENTISTRY 5227 S MAIN STREET STE D JOPLIN MO 64804 DENTISTRY SERVICES 165518 2 8583189 508397 9091586 PATIENT SERVICE 624100 17621576 17621576 17621576 5818 5818 30839 4462 26377 26377 26377 63 -63 -63 -63 MISCELLANEOUS INCOME 900099 206801 206801 206801 26952095 17828314 0 32195 X 936479 683879 252600 10450217 7643353 2806864 292903 207468 85435 1624486 1160402 464084 845882 622699 223183 1686 1686 104898 3123 101775 2361536 2095371 266165 104961 92796 12165 170732 148338 22394 570074 323716 246358 766502 647490 119012 48710 34678 14032 41787 30972 10815 31196 23771 7425 852867 573795 279072 163332 99657 63675 SUPPLIES 1402387 1296237 106150 REPAIRS AND MAINTENANCE 193234 146273 46961 RECRUITMENT & RETENTION 93026 28481 64545 1183865 1084012 99853 22240760 16946511 5294249 0 1230496 3429234 3556188 1037033 685020 859803 1006656 2019566 145218 283736 747104 672691 15123067 7302097 7822309 7820970 49474 49474 460893 887487 15703358 17059994 1734224 1982428 369215 618890 1283589 0 2424700 0 273349 129060 6085077 2730378 X 9618281 14329616 9618281 14329616 15703358 17059994 4711335 0 X X 0 1 X 1 1 1 X 5343886 5659156 5517534 5462167 9091586 31074329 12387412 13754863 14079276 17109028 17621576 74952155 17731298 19414019 19596810 22571195 26713162 106026484 0 0 0 106026484 4005 11115 19337 9537 5818 49812 4005 11115 19337 9537 5818 49812 129358 119224 193770 96643 206801 745796 17864661 19544358 19809917 22677375 26925781 106822092 0.99260 0.99320 0.00050 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 548953 548953 9530178 5388205 4141973 5043936 1913892 3130044 7820970 DUE FROM MEDICARE/MEDICAID 563103 CONSTRUCTION IN PROGRESS 324384 887487 LEASES PAYABLE 129060 129060 X 26925361 -31196 -31196 26956557 -4462 -4462 26952095 22214026 4462 4462 22209564 31196 31196 22240760 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"), EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES AS DEFINED IN THE CODE. ACCORDINGLY, THE ORGANIZATION FILES AS A TAX EXEMPT ORGANIZATION. THE ORGANIZATION FOLLOWS GUIDANCE ISSUED BY THE FASB ON ACCOUNTING FOR INCOME TAXES AND HAS EVALUATED ITS TAX POSITIONS, EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS, AND BELIEVES THAT NO PROVISION FOR INCOME TAXES IS NECESSARY TO COVER ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S RETURNS FOR TAX YEARS 2017 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS INTEREST EXPENSE REPORTED WITH INCOME -31,196. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSES RELATED TO RENT REVENUE -4,462. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RELATED TO RENT REVENUE 4,462. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS INTEREST EXPENSE REPORTED WITH INCOME 31,196. X X 0 0 0 0 0 1 0 0 0 DR GERALD ENGLUND PHYSICIAN 294502 0 33490 0 0 0 8400 0 3995 0 340387 0 0 0 DON MCBRIDE CHIEF EXECUTIVE OFFICER 247543 0 1000 0 0 0 7612 0 7990 0 264145 0 0 0 DR JERRY JUMPER MEDICAL DIRECTOR 196872 0 1745 0 0 0 5848 0 356 0 204821 0 0 0 DR KALA SMITH DENTAL DIRECTOR 169111 0 1945 0 0 0 5467 0 7819 0 184342 0 0 0 DR MARK HARRIS DENTIST 157307 0 2750 0 0 0 5119 0 7921 0 173097 0 0 0 PART I, LINE 6 CONTINGENT COMPENSATION SCHEDULE D, PART 1, QUESTION 6A THE ORGANIZATION HAS AN INCENTIVE COMPENSATION PLAN. INCENTIVE COMPENSATION IS BASED ON THE QUARTERLY PRODUCTIVITY OF THE MEDICAL AND DENTAL PROVIDERS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT VERSION OF THE 990 WILL BE REVIEWED BY INTERNAL MANAGEMENT AND THE BOARD CHAIR. ONCE RECOMMENDED CHANGES ARE MADE, A FINAL DRAFT WILL BE PROVIDED TO THE ENTIRE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ANY DUALITY OF INTEREST, CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST ON THE PART OF ANY BOARD MEMBER, EMPLOYEE OR CONSULTANT IS PROHIBITED. SUCH DUALITY OF INTEREST, CONFLICTS OF INTEREST OR APPEARANCE OF CONFLICTS OF INTEREST SHALL BE DISCLOSED TO THE BOARD OF DIRECTORS FOR ADJUDICATION. FORM 990, PART VI, SECTION B, LINE 15 ALL COMPENSATION IS SUBJECT TO EVALUATION OF THE SALARY SURVEY COMPLETED BY MISSOURI PRIMARY CARE ASSOCIATION AND IS USED IN DETERMINING COMPENSATION FOR ALL EMPLOYEES. COMPARABILITY DATA AND A SALARY RANGE PREPARED BY THE MISSOURI PRIMARY CARE ASSOCIATION ARE USED FOR REVIEW. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST. COPIES OF THESE DOCUMENTS WILL BE MAILED TO THE PARTY REQUESTING THEM. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 2,095,371. MANAGEMENT AND GENERAL EXPENSES 266,165. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,361,536. FORM 990, PART XII, LINE 2C: THERE WERE NO CHANGES FROM THE PRIOR YEAR.