OZARKS MEDICAL CENTER: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- OZARKS MEDICAL CENTER (EIN 44-6005758)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202133199349321883
- Schema version
- 2020v4.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T15:48:35-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 REGENCY PARK SUITE 175 | AddressLine1Txt |
| City | OFALLON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62269 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 446005758 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OZARKS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OZAR | BusinessNameControlTxt |
| Phone | 4172569111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1100 | AddressLine1Txt |
| City | WEST PLAINS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65775 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS KELLER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4172569111 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | THOMAS | PersonFirstNm |
| Person Last | KELLER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 446005758 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFF PARKER | PreparerPersonNm |
| PTIN | P00970069 | PTIN |
| Phone | 6182331200 | PhoneNum |
| Preparation | 2021-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS KELLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1100 | AddressLine1Txt |
| City | WEST PLAINS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65775 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $221,074,375 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | OZARKSHEALTHCARE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | TO BRING HIGH QUALITY HEALTH CARE TO THE REGION THROUGH DEVELOPMENT OF NEW SERVICES, ACQUIRING NEW EQUIPMENT AND RECRUITMENT OF HIGH QUALITY PROFESSIONALS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1592 | TotalEmployeeCnt |
| Total Volunteers | 148 | TotalVolunteersCnt |
| Total Gross UBI | $11,392 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $763,401 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,785,649 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $173,059,659 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $174,959,730 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,121,268 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,450,100 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,042,858 | PYOtherRevenueAmt |
| CY Other Revenue | $931,962 | CYOtherRevenueAmt |
| PY Total Revenue | $185,987,186 | PYTotalRevenueAmt |
| CY Total Revenue | $188,127,441 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $112,250 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $159,694 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $97,735,026 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $94,808,694 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $74,690,174 | PYOtherExpensesAmt |
| CY Other Expenses | $87,978,956 | CYOtherExpensesAmt |
| PY Total Expenses | $172,537,450 | PYTotalExpensesAmt |
| CY Total Expenses | $182,947,344 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,449,736 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,180,097 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $166,118,816 | TotalAssetsBOYAmt |
| Total Assets EOY | $214,623,489 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $52,690,078 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $94,520,176 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $113,428,738 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $120,103,313 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ALL WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $137,242,930 | ExpenseAmt |
| Grant | $159,694 | GrantAmt |
| Revenue | $147,388,155 | RevenueAmt |
| Desc | INPATIENT AND OUTPATIENT SERVICES-INPATIENT ADMISSIONS WERE 5,171; TOTAL PATIENT DAYS WERE 20,171. THERE WERE 33,240 EMERGENCY DEPARTMENT VISITS, 2,195 OBSERVATION ADMISSIONS, AND 97,684 OTHER OUTPATIENT REGISTRATIONS FOR 2020. THE OBJECTIVE IS TO CONTINUE TO EXPAND IN SERVICES AND HEALTH CARE PROFESSIONALS THAT WILL PROVIDE THE SCOPE AND COVERAGE TO MEET THE NEEDS OF THE COMMUNITY MEMBERS AND OTHERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,514,784 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $24,285,057 | RevenueAmt |
| Desc | THE RURAL HEALTH AND SPECIALTY CLINICS, INCLUDING BEHAVIORAL HEALTH CLINIC PROGRAMS, PERFORMED 315,341 CLINIC ENCOUNTERS WITH PATIENTS DURING 2020. THE RURAL HEALTH AND SPECIALTY CLINICS MADE UP 130,521 OF THOSE ENCOUNTERS, WITH THE REMAINING 184,820 ENCOUNTERS BELONGING TO OTHER BEHAVIORAL HEALTHCARE CLINICS. BEHAVIORAL HEALTHCARE OFFERED SERVICES SUCH AS PSYCHOTHERAPY, PSYCHOLOGICAL TESTING, CASE MANAGEMENT, PSYCHO-SOCIAL REHABILITATION, MEDICATION MANAGEMENT/SERVICES, FAMILY ASSISTANCE, AND CRISIS STABILIZATION SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,828,010 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,275,126 | RevenueAmt |
| Desc | OMC HOME CARE PROGRAMS SERVICED PATIENTS THROUGH 42,013 VISITS DURING 2020. PROGRAMS INCLUDE: OMC HOME CARE (HEALTH CARE PROVIDED TO PATIENTS IN THEIR HOMES USING SKILLED NURSES, HOME HEALTH AIDES, REHABILITATION THERAPISTS AND SOCIAL WORKERS). OMC SUPPORT SERVICES (HOMEMAKING, PERSONAL CARE, RESPITE CARE, AND IN-HOME COMPANION CARE), OMC TRANSITIONS (END-OF-LIFE CARE OFFERING ASSISTANCE, ENCOURAGEMENT, AND SUPPORT), AND OMC HOSPICE (PHYSICAL, EMOTIONAL AND SPIRITUAL CARE) IN THE FINAL STAGES OF ILLNESS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $162,585,724 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 124 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1592 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NICHOLE COOK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4172569111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1100 | AddressLine1Txt |
| City | WEST PLAINS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65775 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JACK BATES | ||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHRISTOPHER D COCHRAN | ||||||||
| BOARD MEMBER/PHYSICIAN | 55.00 | 0.00 | Yes (X) | $338,761 | $0 | $22,050 | ||
| MAGDY F GIURGIUS | ||||||||
| BOARD MEMBER/PHYSICIAN | 55.00 | 0.00 | Yes (X) | $564,061 | $0 | $21,968 | ||
| KEVIN GLEGHORN | ||||||||
| BOARD MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID GOHN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| REID GRIGSBY | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHAWN MARHEFKA | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT MARTIN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES H MORGAN | ||||||||
| BOARD MEMBER/PHYSICIAN | 55.00 | 0.00 | Yes (X) | $441,443 | $0 | $20,211 | ||
| JESSE CHARLES RHOADS | ||||||||
| BOARD MEMBER/PHYSICIAN | 55.00 | 0.00 | Yes (X) | $314,678 | $0 | $16,121 | ||
| ROGER SHAW III | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TRAVIS SMITH | ||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT STAUFFER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MELISSA STEWART | ||||||||
| VICE-CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BILL WOOD | ||||||||
| CHAIRMAN | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JASON SPURLING | ||||||||
| BOARD MEMBER (TERM ENDED 4/20) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NICHOLE COOK | ||||||||
| CFO/VP FINANCE | 55.00 | 1.00 | Yes (X) | $189,673 | $0 | $17,872 | ||
| KURTIS MATTHEW ABBEY | ||||||||
| CNO/COO | 55.00 | 0.00 | Yes (X) | $206,181 | $0 | $12,554 | ||
| THOMAS WILLIAM KELLER | ||||||||
| CEO | 55.00 | 1.00 | Yes (X) | $513,578 | $0 | $18,349 | ||
| CONSTANCE HARRISON SCHOTT | ||||||||
| VP HUMAN RESOURCES | 55.00 | 0.00 | Yes (X) | $45,209 | $0 | $4,471 | ||
| PAMMY REAM | ||||||||
| VP OF OMC MEDICAL GROUP | 40.00 | 0.00 | Yes (X) | $45,654 | $0 | $11,847 | ||
| MUHAMMAD FAISAL KHAN | ||||||||
| INTERVENTIONAL CARDIOLOGIST | 40.00 | 0.00 | $901,008 | $0 | $22,663 | Yes (X) | ||
| CURTIS LEE HORSTMAN | ||||||||
| ER PHYSICIAN | 40.00 | 0.00 | $872,985 | $0 | $21,795 | Yes (X) | ||
| LAURA MCKENZIE | ||||||||
| ANESTHESIOLOGIST | 40.00 | 0.00 | $836,076 | $0 | $17,275 | Yes (X) | ||
| KORBY POGUE | ||||||||
| ER PHYSICIAN | 40.00 | 0.00 | $835,042 | $0 | $20,654 | Yes (X) | ||
| ELI DENNEY | ||||||||
| ER PHYSICIAN | 40.00 | 0.00 | $788,810 | $0 | $17,872 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,893,159 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $245,702 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 107 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| XTEND HEALTHCARE LLC | |||||
| 99 VOLUNTEER DRIVE SUITE 150 | HENDERSONVILLE | TN | 37075 | REVENUE CYCLE SERVICES | $1,365,448 |
| RODNEY WILLIAMS | |||||
| 12176 TOLLGATE CT | PICKERINGTON | OH | 43147 | PHYSICIAN SERVICES | $736,200 |
| DIVERSIFIED CLINICAL SERVICES INC | |||||
| 28525 NETWORK PLACE | CHICAGO | IL | 60673 | WOUND CARE SERVICES | $575,139 |
| CCS-SALYER LLC | |||||
| 31330 SCHOOLCRAFT ROAD | LIVONIA | MI | 48150 | PERFUSION SERVICES | $392,226 |
| RK WARDEN LLC | |||||
| 9066 COUNTY ROAD 6470 | WEST PLAINS | MO | 65775 | CONSTRUCTION SERVICES | $371,854 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 30 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $941,847 | RelatedOrganizationsAmt |
| Government Grants | $7,646,768 | GovernmentGrantsAmt |
| All Other Contributions | $197,034 | AllOtherContributionsAmt |
| Total Contributions | $8,785,649 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 624100 | $153,294,797 | $153,294,797 | |
| CONTRACT REVENUE | 446110 | $12,612,466 | $12,612,466 | |
| OTHER REVENUE | 900099 | $8,862,961 | $8,851,569 | $11,392 |
| CAFETERIA | 722514 | $176,756 | $176,756 | |
| EHR INCENTIVE REVENUE | 900099 | $12,750 | $12,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $174,959,730 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,332,154 | TotalRevenueColumnAmt |
| Exclusion | $1,332,154 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $170,093 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $69,212 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $100,881 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $100,881 | TotalRevenueColumnAmt |
| Exclusion | $100,881 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $34,995,668 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $32,877,722 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,117,946 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,117,946 | TotalRevenueColumnAmt |
| Exclusion | $2,117,946 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MALPRACTICE INS DIVIDEND | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $831,081 | TotalRevenueColumnAmt |
| Exclusion | $831,081 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $831,081 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $188,127,441 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $174,948,338 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $11,392 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,382,062 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,694 | TotalAmt |
| Program Services | $113,694 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,000 | TotalAmt |
| Program Services | $46,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,804,669 | TotalAmt |
| Program Services | $1,739,286 | ProgramServicesAmt |
| Management And General | $1,065,383 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,988,441 | TotalAmt |
| Program Services | $66,723,121 | ProgramServicesAmt |
| Management And General | $7,265,320 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,329 | TotalAmt |
| Program Services | $389,842 | ProgramServicesAmt |
| Management And General | $47,487 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,826,346 | TotalAmt |
| Program Services | $11,492,896 | ProgramServicesAmt |
| Management And General | $1,333,450 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,751,909 | TotalAmt |
| Program Services | $4,239,467 | ProgramServicesAmt |
| Management And General | $512,442 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,404 | TotalAmt |
| Management And General | $331,404 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,640 | TotalAmt |
| Management And General | $137,640 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,907 | TotalAmt |
| Management And General | $29,907 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,245 | TotalAmt |
| Program Services | $128,920 | ProgramServicesAmt |
| Management And General | $54,325 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,372,172 | TotalAmt |
| Program Services | $15,739,677 | ProgramServicesAmt |
| Management And General | $6,632,495 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,887 | TotalAmt |
| Program Services | $364,353 | ProgramServicesAmt |
| Management And General | $153,534 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,497,825 | TotalAmt |
| Program Services | $1,351,068 | ProgramServicesAmt |
| Management And General | $146,757 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,629 | TotalAmt |
| Program Services | $32,805 | ProgramServicesAmt |
| Management And General | $13,824 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,477,886 | TotalAmt |
| Program Services | $2,235,102 | ProgramServicesAmt |
| Management And General | $242,784 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $807,518 | TotalAmt |
| Program Services | $728,397 | ProgramServicesAmt |
| Management And General | $79,121 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $589,622 | TotalAmt |
| Program Services | $521,335 | ProgramServicesAmt |
| Management And General | $68,287 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,410,398 | TotalAmt |
| Program Services | $6,552,166 | ProgramServicesAmt |
| Management And General | $858,232 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,435,678 | TotalAmt |
| Program Services | $1,713,592 | ProgramServicesAmt |
| Management And General | $722,086 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $36,159,841 | $36,159,841 | |
| PROVIDER TAX EXPENSE | $7,291,199 | $7,291,199 | |
| LICENSES, DUE, SUBSCRIP | $3,666,319 | $3,307,092 | $359,227 |
| DIETARY | $828,127 | $746,987 | $81,140 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,195,659 | TotalAmt |
| Program Services | $968,884 | ProgramServicesAmt |
| Management And General | $226,775 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,947,344 | TotalAmt |
| Program Services | $162,585,724 | ProgramServicesAmt |
| Management And General | $20,361,620 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,012 | BOYAmt |
| EOY | $47,702 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,118,019 | BOYAmt |
| EOY | $43,331,475 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,269 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,350,245 | BOYAmt |
| EOY | $30,794,260 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,953,506 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,785,129 | BOYAmt |
| EOY | $2,687,464 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,380,791 | BOYAmt |
| EOY | $1,723,662 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $184,430,785 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $109,282,473 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,729,038 | BOYAmt |
| EOY | $75,148,312 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,697,402 | BOYAmt |
| EOY | $54,392,793 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,306,871 | BOYAmt |
| EOY | $1,436,092 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,757,534 | BOYAmt |
| EOY | $5,061,729 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,118,816 | BOYAmt |
| EOY | $214,623,489 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,459,873 | BOYAmt |
| EOY | $18,696,605 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,748,818 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,847,501 | BOYAmt |
| EOY | $39,748,932 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,784,716 | BOYAmt |
| EOY | $1,937,796 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,597,988 | BOYAmt |
| EOY | $31,388,025 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,690,078 | BOYAmt |
| EOY | $94,520,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,408,136 | BOYAmt |
| EOY | $120,081,428 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,602 | BOYAmt |
| EOY | $21,885 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,428,738 | BOYAmt |
| EOY | $120,103,313 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,118,816 | BOYAmt |
| EOY | $214,623,489 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,180,097 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,431,290 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$936,812 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $29,907 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $29,907 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES. ALSO, LEADERS ATTEND COMMUNITY FORUMS AND LOCAL REPRESENTATIVE FORUMS TO COMMUNICATE THE EFFECT OF HEALTHCARE LEGISLATION ON OMC, OTHER HEALTH CARE PROVIDERS, AND THE COMMUNITY. THERE IS NO EXPENSE TO OMC FOR THESE ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,810,349 | OtherCostOrOtherBasisAmt |
| Book Value | $4,810,349 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,022,727 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,565,582 | DepreciationAmt |
| Book Value | $17,457,145 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,644,587 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,644,587 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,330,595 | OtherCostOrOtherBasisAmt |
| Depreciation | $77,072,304 | DepreciationAmt |
| Book Value | $19,258,291 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,622,527 | OtherCostOrOtherBasisAmt |
| Book Value | $33,622,527 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $75,148,312 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| EST AMT DUE TO 3RD PTY PYRS | $8,439,429 |
| DEFERRED COMPENSATION LIABILITY | $4,169,101 |
| MALPRACTICE RESERVES | $282,000 |
| MEDICARE ADVANCE PAYMENTS | $18,497,495 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $31,388,025 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $189,507,886 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,431,290 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$867,600 | OtherRevenueAmt |
| Revenue Not Reported | $1,563,690 | RevenueNotReportedAmt |
| Revenue Subtotal | $187,944,196 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $183,245 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $183,245 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $188,127,441 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $182,833,311 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $69,212 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $69,212 | ExpensesNotReportedAmt |
| Expenses Subtotal | $182,764,099 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $183,245 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $183,245 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $182,947,344 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 69,212. LOSS ON EQUITY INVESTMENT -936,812. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 69,212. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 225.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,088,208 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,088,208 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,866,187 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,074,502 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,791,685 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,954,395 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,074,502 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,879,893 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09230 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,100,794 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,908,764 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,192,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03380 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,626 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,626 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,174,420 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,908,764 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,265,656 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03420 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,128,815 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,983,266 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,145,549 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12650 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,580,117 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,486,259 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $38,822,053 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $34,537,251 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $4,284,802 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OZARKS MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 KENTUCKY AVE | AddressLine1Txt |
| City | WEST PLAINS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65775 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.OZARKSMEDICALCENTER.COM | WebsiteAddressTxt |
| State License | 174-55 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OZARKS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V FOR URL | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V FOR URL | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 225.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V FOR URL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V FOR URL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V FOR URL | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| OZARKS MEDICAL CENTER | PART V, SECTION B, LINE 5: COMMUNITY INPUT:INTERVIEWS WITH 9 KEY STAKEHOLDERS WERE CONDUCTED ON AUGUST 6, 2019.INTERVIEWEES WERE DETERMINED BASED ON:A) THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTHB) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRYC) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONSKEY INFORMANTS FROM THE COMMUNITY WORKED FOR THE FOLLOWING TYPES OFORGANIZATIONS AND AGENCIES:- LOCAL SCHOOL SYSTEM AND COMMUNITY COLLEGE- LOCAL CITY AND COUNTY GOVERNMENT- COMMUNITY LEADERS- PUBLIC HEALTH AGENCIES- LAW ENFORCEMENT- MEDICAL PROVIDERSINFORMATION GATHERED WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUESOF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS AND THECOMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A WEIGHTINGMETHOD THAT WEIGHS:1) THE ABILITY TO EVALUATE AND MEASURE THE OUTCOMES AND DATA2) THE SIZE OF THE PROBLEM3) THE SERIOUSNESS OF THE PROBLEM4) THE PREVALENCE OF COMMON THEMES5) THE IMPACT OF THE ISSUE ON VULNERABLE POPULATIONS6) THE ALIGNMENT WITH THE MEDICAL CENTER'S GOALS AND RESOURCES |
| OZARKS MEDICAL CENTER | PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGY:THE MEDICAL CENTER ENGAGED A LEADERSHIP TEAM TO REVIEW THE HEALTH NEEDSAND PRIORITY AREAS WERE DETERMINED BASED ON ASSESSMENT OF THE QUALITATIVEAND QUANTITATIVE DATA. IDENTIFIED NEEDS WERE PRIORITIZED BASED ON THEFOLLOWING CRITERIA:1) HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE2) WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM3) WHAT IS THE IMPACT ON VULNERABLE POPULATIONS4) PREVALENCE OF COMMON THEMES5) ALIGNMENT WITH MEDICAL CENTER'S RESOURCESAS A RESULT OF THE ANALYSIS DESCRIBED ABOVE, THE FOLLOWING HEALTH NEEDSWERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY:-TO ADDRESS LEADING CAUSES OF DEATH/MOST PREVALENT HEALTH ISSUES IN THECOMMUNITY-TO ADDRESS ACCESS TO CARE |
| OZARKS MEDICAL CENTER | PART V, SECTION B, LINE 13B: ELIGIBILITY CRITERIA:13B) THE RELATIONSHIP OF INCOME TO CHARGE AMOUNTS EVEN WHEN INCOMEEXCEEDS FPG LIMITS. |
| OZARKS MEDICAL CENTER | PART V, SECTION B, LINE 13H: ELIGIBILITY CRITERIA:13H) WHEN SERVICES ARE MEDICALLY NECESSARY AND THERE IS AGREEANCE TOSCREENING FOR OTHER ASSISTANCE PROGRAMS AND PRIOR PAYMENT OBLIGATIONS ONPAST DISCOUNTED SERVICES WERE MET. |
| OZARKS MEDICAL CENTER | PART V, SECTION B, LINE 18E: BILLING AND COLLECTIONS:THE WRITTEN FINANCIAL ASSISTANCE POLICY EXPLAINS THAT THE ORGANIZATIONWILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR PAYMENT PROVIDEDTHAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH OMC'S FINANCIAL COUNSELORSEFFORTS TO GET PAYMENT FROM OTHER SOURCES OR OBTAIN INFORMATION FORCHARITY CARE DETERMINATION. THE FAP DOES NOT LIST ANY OF THE ITEMS LISTEDIN #18 OR #19. |
| SCHEDULE H, PART V, SECTION B, LINE 7A | THE ORGANIZATION'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/APP/FILES/PUBLIC/1B8A17C1-B1AA-4A19-AA9B-FF9CCE743EC4/2020-CHNA.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 10A | THE ORGANIZATION'S 2020 IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/APP/FILES/PUBLIC/FE42BD94-580D-4D2E-BA5F-2BEDD0D5D07F/COMMUNITY-HEALTH-IMPLEMENTATION-2020.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 16A | THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/APP/FILES/PUBLIC/1B61DE69-D925-46B3-973C-9C31D446CAA3/FINANCIAL-ASSIST-PROGRAM.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 16B | THE ORGANIZATION'S FINANCIAL ASSISTANCE APPLICATION CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/APP/FILES/PUBLIC/BE692346-6A95-4D0E-A364-F6B4BE243C09/2020-FINANCIAL-APP.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 16C | THE ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF ITS FAP CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/APP/FILES/PUBLIC/1B61DE69-D925-46B3-973C-9C31D446CAA3/FINANCIAL-ASSIST-PROGRAM.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 24 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ALTON MEDICAL CLINIC | ||||
| 100 MEDICAL DR | ALTON | MO | 65606 | RURAL HEALTH CLINIC |
| 2 - GAINESVILLE MEDICAL CENTER | ||||
| 37 MEDICAL DRIVE | GAINESVILLE | MO | 65655 | RURAL HEALTH CLINIC |
| 3 - MAMMOTH SPRINGS MEDICAL CENTER | ||||
| 260 S MAIN | MAMMOTH SPRINGS | AR | 72554 | RURAL HEALTH CLINIC |
| 4 - MOUNTAIN GROVE MEDICAL COMPLEX | ||||
| 500 E 19TH ST | MOUNTAIN GROVE | MO | 65711 | RURAL HEALTH CLINIC OP SERVICES |
| 5 - MOUNTAIN VIEW MEDICAL CLINIC | ||||
| 220 N ELM ST PO BOX 32 | MOUNTAIN VIEW | MO | 65548 | RURAL HEALTH CLINIC |
| 6 - WINONA MEDICAL CLINIC | ||||
| 9104 STATE HWY 19 | WINONA | MO | 65588 | RURAL HEALTH CLINIC |
| 7 - THAYER MEDICAL CLINIC | ||||
| 1375 NETTLETON AVENUE | THAYER | MO | 65791 | RURAL HEALTH CLINIC |
| 8 - BEHAVORIAL HEALTH CARE | ||||
| 23 PARKWAY CENTER | WEST PLAINS | MO | 65775 | MENTAL HEALTH SERVICES |
| 9 - HEART CARE SERVICES | ||||
| 1115 ALASKA AVE STE 114 | WEST PLAINS | MO | 65775 | CARDIOVASCULAR SPECIALTY CLINIC |
| 10 - OZARK WORKSURGENT CARE CLINIC | ||||
| 181 N KENTUCKY AVE | WEST PLAINS | MO | 65775 | RURAL HEALTH CLINICOCCUPATIONAL MEDICINE SPECIALTY CLINIC |
| 11 - PAIN MANAGEMENT | ||||
| 3000 INDEPENDENCE SQUARE | WEST PLAINS | MO | 65775 | OP SERVICES |
| 12 - ARCH SHAW BUILDING | ||||
| 1111 KENTUCKY AVE | WEST PLAINS | MO | 65775 | ONCOLOGY, IMAGING AND REHABILITATION |
| 13 - SLEEP LAB | ||||
| 11 PARKWAY CENTER | WEST PLAINS | MO | 65775 | SLEEP LAB |
| 14 - SURGERY CLINIC | ||||
| 2600 INDEPENDENCE SQUARE | WEST PLAINS | MO | 65775 | SPECIALTY CLINIC |
| 15 - INTERNAL MEDICINE CLINIC | ||||
| 1115 ALASKA AVE STE 215 | WEST PLAINS | MO | 65775 | SPECIALTY CLINIC |
| 16 - HOME CARE | ||||
| 114 E MAIN ST | WEST PLAINS | MO | 65775 | HOME HEALTH, HOSPICE SUPPORT SERVICES |
| 17 - ORTHOPEDICS CLINIC | ||||
| 1210 N KENTUCKY AVE | WEST PLAINS | MO | 65775 | ORTHOPEDIC SPECIALTY CLINIC |
| 18 - RHEUMATOLOGY | ||||
| 2900 INDEPENDENCE SQUARE | WEST PLAINS | MO | 65775 | OP SERVICES |
| 19 - WOMEN'S HEALTHCARE CLINIC | ||||
| 1627 GIBSON ST | WEST PLAINS | MO | 65775 | SPECIALTY CLINIC |
| 20 - UROLOGY | ||||
| 181 KENTUCKY AVE STE 200 | WEST PLAINS | MO | 65775 | SPECIALTY CLINIC |
| 21 - WOUND CARE | ||||
| 1665 GIBSON ST | WEST PLAINS | MO | 65775 | OUTPATIENT SERVICES |
| 22 - WEST PLAINS IMAGING | ||||
| 3102 INDEPENDENCE SQUARE | WEST PLAINS | MO | 65775 | OUTPATIENT IMAGING SERVICES |
| 23 - OMC FAMILY MEDICINE | ||||
| 312 KENTUCKY AVE | WEST PLAINS | MO | 65775 | RURAL HEALTH CLINIC |
| 24 - OMC WILLOW SPRINGS | ||||
| PO BOX 1100 | WEST PLAINS | MO | 65793 | FAMILY MEDICINE |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | PERCENT OF TOTAL EXPENSE:TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTALOPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990. |
| PART I, LINE 7G: | COSTING METHODOLOGY:THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THECALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRSWORKSHEET 6 WAS COMPUTED FROM THE MEDICARE COST REPORT AND DEPARTMENTFINANCIAL STATEMENTS, USING SPECIFIC FINANCIAL DATA FOR EACH TYPE OFSUBSIDY. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE FOOTNOTE:THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBESBAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBESPATIENT ACCOUNTS RECEIVABLE: THAT FOOTNOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 2: | BAD DEBT EXPENSE:THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FORWHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROMTHE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROMTHE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUERECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIALSTATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2020. HOWEVER, THE HOSPITALINTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICESAND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A,LINE 2. |
| PART III, LINE 3: | BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE:OZARKS MEDICAL CENTER ESTIMATES THAT APPROXIMATELY 5.7% OF THE PATIENTACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHERASSISTANCE BUT CHOSE NOT TO APPLY. THEREFORE, THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WASDETERMINED USING 5.7% OF THE AMOUNT REPORTED ON SCHEDULE H, PART III,SECTION A, LINE 2. |
| PART III, LINE 8: | COMMUNITY BENEFIT:SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS ACOMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITYBENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNTREPORTED ON LINE 6, WHICH ONLY REFLECTS HOSPITAL FACILITY ACTIVITY ANDPAYMENTS FROM CMS AGENTS. WHEN SEQUESTRATION WITHHOLDINGS, COSTS ANDPAYMENTS FOR MEDICARE ADVANTAGE PLAN PATIENTS, AND PHYSICIAN AND CLINICSERVICES AND PAYMENTS ARE ALSO CONSIDERED, THE SHORTFALL BECOMESSIGNIFICANT. |
| PART III, LINE 9B: | COLLECTION POLICY:IF A PATIENT APPLIES FOR ASSISTANCE PROGRAMS, THE COLLECTIONS PROCESSCEASES UNTIL THERE IS A DETERMINATION OF WHETHER OR NOT THE PATIENTQUALIFIES FOR ASSISTANCE. PENDING FINAL ELIGIBILITY DETERMINATION, OMCWILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR PAYMENT PROVIDEDTHAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH OMC'S FINANCIALCOUNSELORS' EFFORTS TO GET PAYMENT FROM OTHER SOURCES OR OBTAININFORMATION FOR CHARITY CARE DETERMINATION. |
| PART VI, LINE 2: | NEEDS ASSESSMENT:BESIDES THE CHNA SURVEY, OMC HAS MANY OTHER WAYS OF ASSESSING NEEDS OFTHE COMMUNITIES. COMMENTS ON PATIENT SATISFACTION SURVEYS, THE HEALTHCONDITION OF PATIENTS ARRIVING AT THE EMERGENCY ROOM AND OTHER CLINICALAREAS OF OMC, INPUT FROM OTHER AREA PHYSICIANS AND MEDICAL FACILITIES,INPUT FROM SCHOOLS, COLLEGES, AND SOCIAL ASSISTANCE ORGANIZATIONS,QUESTIONS AND COMMENTS SUBMITTED VIA OUR WEBSITE, EDITORIALS IN THE LOCALNEWSPAPERS, RESULTS FROM HEALTH SCREENING EVENTS AND CENSUS DATA ARE ALLSOURCES OF INFORMATION REGARDING THE HEALTH NEEDS OF OUR COMMUNITIES.ALSO, OUR BOARD OF TRUSTEE MEMBERS ARE ALL LEADERS IN OTHER BUSINESSESAND HAVE INPUT BASED ON THEIR EMPLOYEES. OMC ENCOURAGES ALL OF THEIRLEADERS AND STAFF TO BE INVOLVED IN THE COMMUNITY, WHICH ALSO LEADS TOOPPORTUNITIES TO BECOME AWARE OF HEALTH NEEDS. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:FINANCIAL COUNSELORS MEET WITH PATIENTS UPON ADMISSION OR DISCHARGE AS APPLICABLE AND DISCUSS PAYMENT OPTIONS INCLUDING DMH, MEDICAID ANDCHARITY, ETC. APPLICATIONS AND INSTRUCTIONS ARE GIVEN TO THOSE THATAPPEAR TO QUALIFY. SOCIAL WORKERS ARE ALSO USED FOR PATIENTS WITH SPECIALNEEDS. EACH CLINIC AND REGISTRATION AREA HAS A PAMPHLET DISPLAY WITHINFORMATION ON THE CHARITY CARE POLICY. |
| PART VI, LINE 4: | COMMUNITY INFORMATION:OZARKS MEDICAL CENTER IS LOCATED IN THE 11TH POOREST CONGRESSIONALDISTRICT IN THE COUNTRY. THE LOCATION IS IN SOUTH CENTRAL MISSOURI WHICHIS A VERY RURAL AREA. WEST PLAINS IS A TOWN OF APPROXIMATELY 11,000PEOPLE AND THE LARGEST TOWN FOR APPROXIMATELY 50 MILES ACROSS THE STATELINE INTO ARKANSAS. THERE ARE MANY RETIRED INDIVIDUALS RESIDING IN THISAREA DUE TO THE MANY RIVERS AND LAKES SO A MAJORITY OF OUR PATIENTS AREMEDICARE OR MEDICAID RECIPIENTS. THE CLOSEST HOSPITAL WITH OUR RANGE OFSERVICES IN THE STATE OF MISSOURI IS OVER 1 1/2 HOURS AWAY. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTH:THE ORGANIZATION PROVIDES NUMEROUS HEALTH CARE SCREENINGS, WELLNESSACTIVITIES, EDUCATIONAL OPPORTUNITIES, AND ATHLETIC PHYSICALS FOR LOCALSTUDENTS. THE ORGANIZATION ALSO PROVIDES FOR MANY COMMUNITY FUNCTIONS AND FUNDRAISING EVENTS FOR OTHER CHARITABLE ORGANIZATIONS. MULTIPLE COMMUNITY EVENTS ARE SPONSORED BY OMC, WHICH INCLUDE GOLF TOURNAMENTS, JUNIOR COLLEGE BASKETBALL AND VOLLEYBALL GAMES/TOURNAMENTS. OMC WORKS WITH THE LOCAL SCHOOLS TO PROVIDE JOB SHADOWING AND HEALTHCARE FAIRS FOR STUDENTS INTERESTED IN A CAREER IN HEALTHCARE.OMC IS THE LARGEST EMPLOYER IN TOWN AND PROVIDES EMPLOYMENT ANDAFFORDABLE BENEFITS TO OVER 1,300 EMPLOYEES AND THEIR FAMILIES. THEORGANIZATION INFUSES $76 MILLION IN WAGES EACH YEAR INTO THE COMMUNITY,BRINGS HEALTHCARE PROFESSIONALS INTO THE COMMUNITY WHICH IN TURN BENEFITS THE HOUSING MARKET, LOCAL SHOPS, RESTAURANTS, AND OTHER BUSINESSES. THE EMPLOYEES OF OMC ARE EXTREMELY GIVING AND PARTICIPATE IN MANY LOCAL FUNDRAISING ACTIVITIES PROMOTED BY OMC. EACH MEMBER OF MANAGEMENT TEAM ALSO PARTICIPATES IN AT LEAST ONE CIVIC ORGANIZATION AND SOME SERVE ON COMMITTEES FOR THESE CIVIC ORGANIZATIONS IN OMC'S SERVICE AREA.OMC PROVIDES THE FULL CONTINUUM OF CARE. DUE TO THE RURAL AREA, OMC HASSET UP RURAL HEALTH CLINICS IN OUR SERVICE AREA TO PROVIDE PRIMARY CAREIN UNDERSERVED AREAS. THE ORGANIZATION ALSO OPERATES A 24/7 EMERGENCYDEPARTMENT THAT PROVIDERS CARE TO OVER 26,000 VISITS PER YEAR. ACUTECARE AND BEHAVIORAL HEALTH CARE IS PROVIDED AS WELL AS HOME HEALTH,HOSPICE, AND HOMEMAKER SUPPORT SERVICES. THE ORGANIZATION ALSO OFFERS ATRANSITION PROGRAM TO MOVE THOSE IN HOME HEALTH TO HOSPICE WHEN THE TIME IS RIGHT, WHICH IS A NON-REIMBURSED SERVICE.OMC IS A COMMUNITY OWNED HOSPITAL THAT DOES NOT RECEIVE ANY TAX MONEYFROM THE CITY OR COUNTY. ALL REVENUES GENERATED ARE USED TO PURCHASECAPITAL EQUIPMENT TO ADVANCE THE SERVICES WE PROVIDE. THERE ARE SERVICESPROVIDED BY OMC THAT ARE NOT AVAILABLE ELSEWHERE IN THE COMMUNITY SUCH AS WOUND CARE, OBSTETRICS, RHEUMATOLOGY, CANCER TREATMENT OPTIONS, ANDOTHERS. EACH SERVICE IS REVIEWED AND THE COMMUNITY NEED DRIVES THE DECISIONS MADE ON THE SERVICES WE PROVIDE. DETAILS OF COMMUNITY HEALTHPROMOTION ARE INCLUDED IN THE COMMUNITY BENEFIT PLAN. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEM:OZARKS MEDICAL CENTER (THE MEDICAL CENTER) OPERATES AN ACUTE CAREHOSPITAL FACILITY IN WEST PLAINS, MISSOURI. WEST PLAINS HEALTH SERVICES,INC. (WPHS), A WHOLLY OWNED SUBSIDIARY OF THE MEDICAL CENTER, OPERATES ADURABLE MEDICAL EQUIPMENT COMPANY, HEART OF THE OZARKS MEDICAL EQUIPMENT, IN WEST PLAINS, MISSOURI. WPHS OWNS WEST PLAINS OCCUPATIONAL WHICH PROVIDES PRE-EMPLOYMENT SCREENING SERVICES AS WELL AS ONGOING EMPLOYMENT SCREENING SERVICES FOR LOCAL EMPLOYERS. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSOURI STATE UNIVERSITY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 128 GARFIELD | AddressLine1Txt |
| City | WEST PLAINS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65775 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 446000308 | RecipientEIN |
| IRC Section | GOVERNMENT | IRCSectionDesc |
| Cash Grant | $101,000 | CashGrantAmt |
| Purpose Of Grant | OPERATING SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS/TUITION REIMBURSEMENT | GrantTypeTxt |
| Recipient | 24 | RecipientCnt |
| Cash Grant | $46,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MONITORING THE USE OF GRANT FUNDS: RECIPIENTS MUST TURN IN THEIR GRADES TO THE HUMAN RESOURCES DEPARTMENT BEFORE THEY RECEIVE THE NEXT INSTALLMENT OF THE SCHOLARSHIP. THE RECIPIENTS MUST MAINTAIN A 2.75 GPA. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MUHAMMAD FAISAL KHAN | ||||||||||||||
| INTERVENTIONAL CARDIOLOGIST | $795,699 | $0 | $32,750 | $0 | $72,559 | $0 | $4,791 | $0 | $17,872 | $0 | $923,671 | $0 | $0 | $0 |
| CURTIS LEE HORSTMAN | ||||||||||||||
| ER PHYSICIAN | $868,374 | $0 | $4,611 | $0 | $0 | $0 | $3,923 | $0 | $17,872 | $0 | $894,780 | $0 | $0 | $0 |
| KORBY POGUE | ||||||||||||||
| ER PHYSICIAN | $815,363 | $0 | $19,679 | $0 | $0 | $0 | $8,100 | $0 | $12,554 | $0 | $855,696 | $0 | $0 | $0 |
| LAURA MCKENZIE | ||||||||||||||
| ANESTHESIOLOGIST | $834,786 | $0 | $750 | $0 | $540 | $0 | $3,751 | $0 | $13,524 | $0 | $853,351 | $0 | $0 | $0 |
| ELI DENNEY | ||||||||||||||
| ER PHYSICIAN | $788,060 | $0 | $750 | $0 | $0 | $0 | $0 | $0 | $17,872 | $0 | $806,682 | $0 | $0 | $0 |
| MAGDY F GIURGIUS | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $507,242 | $0 | $43,599 | $0 | $13,220 | $0 | $4,096 | $0 | $17,872 | $0 | $586,029 | $0 | $0 | $0 |
| THOMAS WILLIAM KELLER | ||||||||||||||
| CEO | $513,578 | $0 | $0 | $0 | $0 | $0 | $477 | $0 | $17,872 | $0 | $531,927 | $0 | $0 | $0 |
| CHARLES H MORGAN | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $375,211 | $0 | $750 | $0 | $65,482 | $0 | $6,687 | $0 | $13,524 | $0 | $461,654 | $0 | $0 | $0 |
| CHRISTOPHER D COCHRAN | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $331,251 | $0 | $750 | $0 | $6,760 | $0 | $4,178 | $0 | $17,872 | $0 | $360,811 | $0 | $0 | $0 |
| JESSE CHARLES RHOADS | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $273,825 | $0 | $750 | $0 | $40,103 | $0 | $3,567 | $0 | $12,554 | $0 | $330,799 | $0 | $0 | $0 |
| KURTIS MATTHEW ABBEY | ||||||||||||||
| CNO/COO | $205,431 | $0 | $750 | $0 | $0 | $0 | $0 | $0 | $12,554 | $0 | $218,735 | $0 | $0 | $0 |
| NICHOLE COOK | ||||||||||||||
| CFO/VP FINANCE | $188,923 | $0 | $750 | $0 | $0 | $0 | $0 | $0 | $17,872 | $0 | $207,545 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 5 | COMPENSATION CONTINGENT ON REVENUES: FOUR BOARD MEMBERS ARE ALSO EMPLOYED PHYSICIANS OF OZARKS MEDICAL CENTER WHO RECEIVE COMPENSATION BASED ON RVU VALUES FOR SERVICES PROVIDED TO PATIENTS. |
| PART I, LINE 7 | BONUS DETERMINATION: SENIOR 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 115% - 0% OF THE POTENTIAL GOAL. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| INDUSTRIAL DEVELOPMENT AUTHORITY OF WP SERIES 2018A | |||||||
| A | 431343355 | 2018-10-01 | $52,832,000 | HEALTH FACILITIES REVENUE BONDS | 0 | 0 | 0 |
| INDUSTRIAL DEVELOPMENT AUTHORITY OF WP SERIES 2018B | |||||||
| B | 431343355 | 2018-10-01 | $15,000,000 | HEALTH FACILITIES REVENUE BONDS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $52,832,000 | $15,387 | $563,825 | $26,592,445 | $25,660,343 | 0 | 0 | 0 | Yes (1) | |
| B | $15,000,000 | $225,774 | $14,774,226 | Yes (1) | 0 | Yes (1) | Yes (1) | $1,632,627 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS: DAVID GOHN, MELISSA STEWART, AND ROGER SHAW SHARE A BUSINESS RELATIONSHIP. KEVIN GLEGHORN IS A RELATIVE TO OMC'S EMPLOYED INPATIENT PHARMACY DIRECTOR, CHAD GLEGHORN. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS/STOCKHOLDERS: OZARKS 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. |
| FORM 990, PART VI, SECTION A, LINE 7A | 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. THREE 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 THREE BOARD POSITIONS ARE FILLED BY THE MEDICAL STAFF. THE REMAINING TWO BOARD OF DIRECTORS ARE DESIGNATED BY THEIR POSITION IN THE ORGANIZATION. THE CHIEF OF THE MEDICAL STAFF AND THE CHIEF ELECT OR CHIEF EMERITUS, WHICHEVER IS IN EXISTENCE IN THE GIVEN YEAR, OF THE MEDICAL STAFF ARE BOTH BOARD MEMBERS FOR AS LONG AS THEY HOLD THOSE TITLES. |
| FORM 990, PART VI, SECTION A, LINE 7B | 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. |
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW PROCESS FOR FORM 990: 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 BOARD WILL REVIEW THE FORM AND RECORD IN THE MEETING MINUTES THEIR ACCEPTANCE OF THE DRAFT. |
| FORM 990, PART VI, SECTION B, LINE 12C | COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT 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. STATEMENTS ARE ALSO OBTAINED FROM EXECUTIVES. |
| FORM 990, PART VI, SECTION B, LINE 15 | OFFICER AND KEY EMPLOYEE COMPENSATION REVIEW: THE BOARD OF DIRECTORS ENGAGED INTEGRATED HEALTH STRATEGIES (AN EXECUTIVE COMPENSATION CONSULTING PRACTICE) TO DO MARKET STUDIES AND ANALYSIS OF EXECUTIVE COMPENSATION. THE MARKET IS REVIEWED ANNUALLY. THE BOARD OF DIRECTORS SETS THE CEO'S COMPENSATION AND THE CEO PROVIDES RECOMMENDATIONS TO THE BOARD FOR OTHER OFFICERS/KEY EMPLOYEE'S COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: THE 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. |
| FORM 990, PART VII, SECTION A | BOARD MEMBER COMPENSATION: BOARD MEMBERS CHARLES MORGAN, M.D., CHRISTOPHER COCHRAN, M.D., MAGDY GIURGIUS, M.D. AND JESSE RHOADS, M.D. RECEIVE COMPENSATION FOR THEIR ROLES AS PHYSICIANS. NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DUTIES AS A MEMBER OF THE BOARD OF DIRECTORS. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,902,068. MANAGEMENT AND GENERAL EXPENSES 1,644,280. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,546,348. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,687,507. MANAGEMENT AND GENERAL EXPENSES 1,553,868. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,241,375. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 2,228,364. MANAGEMENT AND GENERAL EXPENSES 939,004. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,167,368. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 1,597,198. MANAGEMENT AND GENERAL EXPENSES 673,039. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,270,237. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 3,766,169. MANAGEMENT AND GENERAL EXPENSES 1,587,014. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,353,183. CONSULTING FEES: PROGRAM SERVICE EXPENSES 543,988. MANAGEMENT AND GENERAL EXPENSES 229,229. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 773,217. OTHER FEES: PROGRAM SERVICE EXPENSES 14,383. MANAGEMENT AND GENERAL EXPENSES 6,061. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,444. |
| FORM 990, PART XI, LINE 9: | EQUITY LOSS ON INVESTMENT -936,812. |
| FORM 990, PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OZARKS MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 PARKWAY CENTER | AddressLine1Txt |
| City | WEST PLAINS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65775 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431834356 | EIN |
| Primary Activities | SUPPORT OMC | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST PLAINS HEALTH SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1703 WEST EIGHTH STREET | AddressLine1Txt |
| City | WEST PLAINS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65775 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431329201 | EIN |
| Primary Activities | DURABLE MED EQUIP | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OZARKS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $1,861,852 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,782,761 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST PLAINS HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | A | TransactionTypeTxt |
| Involved | $18,945 | InvolvedAmt |
| Method Of Amount Determination | AMORT SCHED | MethodOfAmountDeterminationTxt |
Comments