2020-03-10T12:23:31-05:00 2019-04-30 430831507 ANDERS MINKLER HUBER & HELM LLP 800 MARKET STREET SUITE 500 ST LOUIS MO 631012501 990 2018-05-01 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 2020-03-02 1 MARK G HINSEN P00047496 3146555500 209.116.33.90 2020-03-02 14:37:40 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2018 2020-09-23 17:36:50Z ACCESS FAMILY CARE SHEILA LONG 475 NELSON AVENUE NEOSHO MO 64850 19829517 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. 12 12 300 13 0 0 5659156 5517534 13754863 14079276 -47305 -6049 123624 200380 19490338 19791141 0 0 0 0 12744998 14090774 0 0 0 6190524 6988574 18935522 21079348 554816 -1288207 12759325 13674531 1575122 3778535 11184203 9895996 WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE MEDICALLY UNDERSERVED OF GREATER SOUTHWEST MISSOURI THROUGH DIRECT SERVICES AND COLLABORATIVE EFFORTS. 0 0 8981693 8118509 IN FY 2019, MEDICAL ENCOUNTERS TOTALED 31,063. 6808906 6154537 THE ORGANIZATION PROVIDES A WIDE VARIETY OF SERVICES TO THE PATIENT POPULATION IN ALL AREAS OF GENERAL DENTISTRY. IN FY 2019, DENTAL ENCOUNTERS TOTALED 31,503. 15790599 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 33 0 1 300 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 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 REYNA BLAKLEY 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 KOBE LANGFORD BOARD MEMBER 1.00 X 0 0 0 MARY MILLER BOARD MEMBER 1.00 X 0 0 0 SHARON CROSSWHITE BOARD MEMBER 1.00 X 0 0 0 CYNTHIA MCCOY BOARD MEMBER 1.00 X 0 0 0 JASON FOWLER BOARD MEMBER (RESIGNED) 1.00 X 0 0 0 DON MCBRIDE CHIEF EXECUTIVE OFFICER 40.00 X 239172 0 20263 SHEILA LONG CHIEF FINANCIAL OFFICER 40.00 X 122595 0 24497 DEBRA DAVIDSON CHIEF COMPLIANCE OFFICER 40.00 X 125328 0 18077 JOHN SMITH CHIEF BUSINESS OFFICER 40.00 X 118095 0 22793 DR GERALD ENGLUND PHYSICIAN 40.00 X 295561 0 26333 CAROLYN PRATER PHYSICIAN 40.00 X 220855 0 23053 KRISTIN GREEN DENTIST 40.00 X 181097 0 13139 DR KALA SMITH DENTAL DIRECTOR 40.00 X 172369 0 24337 JAY BROWN DENTIST 40.00 X 160973 0 18082 1636045 0 190574 22 0 1 0 QUEST DIAGNOSTICS PO BOX 772976 CHICAGO IL 60677 LABORATORY SERVICES 247315 JOPLIN PEDIATRIC DENTISTRY 5227 S MAIN STREET STE D JOPLIN MO 64804 DENTISTRY SERVICES 171580 2 5420152 97382 5517534 PATIENT SERVICE 624100 13951776 13951776 EHR INCENTIVE PROGRAMS 624100 127500 127500 14079276 19337 19337 19200 12590 6610 6610 6610 400 25786 -25386 -25386 -25386 MISCELLANEOUS INCOME 900099 193770 193770 193770 19791141 14273046 0 561 694897 509751 185146 10684244 7842668 2841576 305271 226549 78722 1596737 1147959 448778 809625 590689 218936 7884 7884 94928 2117 92811 1737166 1429173 307993 141744 129471 12273 273114 194103 79011 250347 171649 78698 742423 631000 111423 188678 71383 117295 116843 52771 64072 15332 11376 3956 655434 435599 219835 167178 125062 42116 SUPPLIES 1136531 1071339 65192 BAD DEBT EXPENSE 588485 588485 REPAIRS AND MAINTENANCE 199475 168533 30942 RECRUITMENT & RETENTION 183492 53778 129714 489520 337144 152376 21079348 15790599 5288749 0 873820 1443135 2752896 657592 498064 729555 1099419 1350492 68628 125462 377401 631860 13908552 5678487 6572136 8230065 49474 49474 467487 456896 12759325 13674531 1422492 2022648 152230 72013 1283589 400 400285 1575122 3778535 X 11184203 9895996 11184203 9895996 12759325 13674531 -1288207 0 X X 0 1 X 1 1 1 X 3805437 4663807 5343886 5659156 5517534 24989820 10506458 10894511 12387412 13754863 14079276 61622520 14311895 15558318 17731298 19414019 19596810 86612340 0 0 0 86612340 1322 2320 4005 11115 19337 38099 1322 2320 4005 11115 19337 38099 7212 64550 129358 119224 193770 514114 14320429 15625188 17864661 19544358 19809917 87164553 0.99370 0.99570 0.00040 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 548953 548953 9212631 3796673 5415958 4146968 1881814 2265154 8230065 LEASES PAYABLE 400285 400285 X 19199914 -603817 -603817 19803731 -12590 -12590 19791141 20488121 12590 12590 20475531 603817 603817 21079348 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 2015 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS -588,485. INTEREST EXPENSE REPORTED WITH INCOME -15,332. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSES RELATED TO RENT REVENUE -12,590. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RELATED TO RENT REVENUE 12,590. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 588,485. INTEREST EXPENSE REPORTED WITH INCOME 15,332. X X 0 0 0 0 0 1 0 0 0 DON MCBRIDE CHIEF EXECUTIVE OFFICER 239072 0 100 0 0 0 7326 0 12937 0 259435 0 0 0 DR GERALD ENGLUND PHYSICIAN 268623 0 26938 0 0 0 8250 0 18083 0 321894 0 0 0 CAROLYN PRATER PHYSICIAN 220653 0 202 0 0 0 6876 0 16177 0 243908 0 0 0 KRISTIN GREEN DENTIST 154028 0 27069 0 0 0 5432 0 7707 0 194236 0 0 0 DR KALA SMITH DENTAL DIRECTOR 166932 0 5437 0 0 0 5504 0 18833 0 196706 0 0 0 JAY BROWN DENTIST 142668 0 18305 0 0 0 4990 0 13092 0 179055 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 XII, LINE 2C: THERE WERE NO CHANGES FROM THE PRIOR YEAR.