2019-09-25T16:46:43-05:00 2019-02-28 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2018-03-01 431932702 RURAL ALLIANCE FOR BETTER FAMILY HEALTH % ANGELA GARGUS CFO RURA 4172558464 1137 INDEPENDENCE DRIVE WEST PLAINS MO 65775 PAT RICHARDS CEO 4172558464 2019-06-28 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920192685000002 2019-09-25 P 74C51B083D6172D3D43AC87F1A33B4712A418457 C3432A87FBFF9491E59BD7298F2E512B0D9B3700 2018 2019-02-21 02:37:17Z SOUTHERN MISSOURI COMMUNITY HLTH CTR PAT RICHARDS CEO 1137 INDEPENDENCE DRIVE WEST PLAINS MO 65775 6334121 false X WWW.SMCHC.ORG X 2001 MO TO PROVIDE HEALTH RELATED SERVICES AND LIMITED PRESCRIPTION ASSISTANCE TO LOW-INCOME OR UNDERSERVED PERSONS IN HOWELL AND OREGON COUNTIES AND SURROUNDING AREAS. SEE SCHEDULE O. 13 13 65 13 0 0 1625424 1572882 4030907 4714999 14599 16519 36373 29721 5707303 6334121 0 0 0 0 3373878 3488443 0 2000 2000 1608163 2162802 4982041 5653245 725262 680876 7203517 7353644 1826236 1295487 5377281 6058157 THE MISSION OF THE RURAL ALLIANCE FOR BETTER FAMILY HEALTH IS TO PROVIDE ACCESS TO EXCELLENT QUALITY, AFFORDABLE MEDICAL, DENTAL, AND MENTAL HEALTHCARE DELIVERED WITH RESPECT AND COMPASSION TO ALL INDIVIDUALS IN NEED OF SUCH SERVICES. false false 2162095 2579633 SOUTHERN MISSOURI COMMUNITY HEALTH CENTER PROVIDED MEDICAL SERVICES INCLUDING ADULT MEDICINE, ACUTE AND CHRONIC DISEASE CARE, GYNECOLOGIC CARE, OBSTETRIC CARE AND DELIVERIES, PEDIATRIC CARE, WELL-CHILD PHYSICALS, IMMUNIZATIONS, ADULT PHYSICALS, COLON CANCER SCREENINGS, HEALTH EDUCATION, REFERRAL COORDINATION AND CARE MANAGEMENT SERVICES. DURING THE FISCAL YEAR, MEDICAL SERVICES HAD 14,940 VISITS. 1235943 1943754 SOUTHERN MISSOURI COMMUNITY HEALTH CENTER PROVIDES A FULL RANGE OF DENTAL SERVICES, INCLUDING: CLEANINGS, SEALANTS, ROOT CANALS, EXTRACTIONS, DENTURES AND PARTIALS, FILLINGS AND RESTORATIVE SERVICES, EMERGENCY CARE, CHILD EXAMS, DENTAL HEALTH EDUCATION AND OTHER SERVICES. DURING THE FISCAL YEAR, DENTAL SERVICES HAD 7,749 VISITS. 98253 191612 SOUTHERN MISSOURI COMMUNITY HEALTH CENTER PROVIDES MENTAL HEALTH SERVICES TO INDIVIDUALS SUFFERING FROM DEPRESSION, MARITAL ISSUES, GRIEF, BEHAVIORAL ISSUES, ANXIETY, SUBSTANCE ABUSE, AND A VARIETY OF OTHER MENTAL HEALTH PROBLEMS. DURING THE FISCAL YEAR, MENTAL HEALTH SERVICES HAD 1,176 VISITS. 3496291 true true false true false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false true false false false false false false false false false false true 17 0 true 65 true false false false false false false false false false false false false X 13 13 false false true false false false false true true false false true true true true true true true true false X ANGELA GARGUS CFO 4172558464 1137 INDEPENDENCE DRIVE WEST PLAINS MO 65775 BRYAN ADCOCK VICE-PRESIDENT AND TREASURER 1.0 0.0 X X 0 0 0 LAUNDIE AIKENS DIRECTOR 1.0 0.0 X 0 0 0 MARIETTA DERRA DIRECTOR - RESIGNED 7/23/2018 1.0 0.0 X 0 0 0 JACK DOSS DIRECTOR 1.0 0.0 X 0 0 0 JANIS GENDRON DIRECTOR 1.0 0.0 X 0 0 0 CONNIE HARRIS SECRETARY 1.0 0.0 X X 0 0 0 CINDY MURRAY DIRECTOR 1.0 0.0 X 0 0 0 DANIEL MCKINNEY DIRECTOR 1.0 0.0 X 0 0 0 DIANA PACE DIRECTOR 1.0 0.0 X 0 0 0 CONNIE PENDERGRASS PRESIDENT 1.5 0.0 X X 0 0 0 KAREN PERKINS DIRECTOR 1.0 0.0 X 0 0 0 LOIS REBORNE DIRECTOR - RESIGNED 8/27/18 1.0 0.0 X 0 0 0 CORLISS SCHAEFFER DIRECTOR 1.0 0.0 X 0 0 0 TONYA WOODS DIRECTOR 1.0 0.0 X 0 0 0 ANNA HOBBS DIRECTOR 1.0 0.0 X 0 0 0 PAT RICHARDS CEO 40.0 0.0 X 145866 0 30818 ANGELA GARGUS CFO 40.0 0.0 X 97679 0 11806 TRAVIS SHEARER DDS DENTAL DIRECTOR 32.0 0.0 X 195080 0 33603 C LEANNE FINKE MD MEDICAL DIRECTOR 30.0 0.0 X 192989 0 16894 MELISSA HATCHER MD PHYSICIAN 32.0 0.0 X 189950 0 29370 GARRY FINKE MD PHYSICIAN 32.0 0.0 X 201518 0 23163 LARRY KENNON ANP NURSE PRACTITIONER 36.0 0.0 X 101810 0 18409 KHANH HA DMD DENTIST 32.0 0.0 X 125484 0 6934 1250376 0 170997 7 false true false COMPHEALTH PO BOX 972651 DALLAS TX 753972651 LOCUMS PHYSICIAN 213328 OZARK KIDS DENTAL LLC 820 N KENTUCKY AVE WEST PLAINS MO 65775 CONTRACT DENTIST 166228 2 1462486 110396 1572882 NET PATIENT SERVICE REVENUE 624100 4686087 4686087 OTHER REVENUE 624100 28912 28912 4714999 16519 16519 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GAIN ON INVESTMENT IN EQUITY INVESTMENT 900099 29721 29721 29721 6334121 4714999 46240 X 0 0 0 0 724735 438566 286169 224681 224681 2012766 1359428 653338 58441 35245 23196 271294 135419 135875 196526 196526 0 13070 13070 50084 50084 0 2000 2000 0 963579 747548 216031 25709 25709 224138 32239 191899 35193 35193 0 75766 75766 13777 8875 4902 0 36556 25535 11021 6484 6484 0 224923 13854 211069 38110 34992 3118 BAD DEBT 38986 38986 MEDICAL SUPPLIES & DRUGS 342278 342278 LICENSES, DUES, SUBSCRIPTIONS 23198 8606 14592 RECRUITING & RETENTION 50951 50039 912 5653245 3496291 2154954 2000 11515 4290 4390204 4710665 167029 151611 412491 424728 0 0 0 0 0 0 75452 93078 65110 73172 4217164 2389380 2028020 1827784 0 0 47794 40209 0 0 0 0 5902 28107 7203517 7353644 400022 370487 0 0 0 0 0 0 0 0 0 0 566214 0 0 0 860000 925000 1826236 1295487 X 5377281 6058157 0 0 0 0 5377281 6058157 7203517 7353644 680876 X false true X true true true X 1252949 1542875 1600142 1625424 1572882 7594272 0 0 1252949 1542875 1600142 1625424 1572882 7594272 0 7594272 12236 13948 23313 15647 16519 81663 0 -7933 6964 14267 35325 29721 78344 7754279 20047265 0.97937 0.98127 X false false false false false false true false true false SCHEDULE C, PART II-B, LINE 1(G) DIRECT CONTACT WITH LEGISLATORS: THE ORGANIZATION HAS INTERMITTENT, NON-ROUTINE DIRECT CONTACT WITH LEGISLATORS, PARTICULARLY AT THE STATE LEVEL. THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES HAVE MEMBERSHIPS WITH PROFESSIONAL ORGANIZATIONS THAT BRING THEM INTO DIRECT CONTACT WITH LEGISLATORS. IN ADDITION, ON AN INDIVIDUAL, VOLUNTARY BASIS, MEMBERS OF THE ORGANIZATION MAY SEND EMAILS, LETTERS, OR MAKE PHONE CALLS TO LEGISLATORS TO SUPPORT CAUSES THAT BENEFIT THE ORGANIZATION. THE ORGANIZATION ALSO MAY CONTACT LEGISLATORS DIRECTLY IN ORDER TO INFORM THEM OF POTENTIAL PHOTO OPPORTUNITIES SUCH AS CLINIC OPEN HOUSES. SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. 245006 245006 2157444 911072 1246372 707647 530036 177611 947751 813345 134406 159316 134927 24389 1827784 0 EST AMT DUE TO 3RD PARTIES 925000 925000 6295135 -38986 -38986 6334121 6334121 5614259 5614259 38986 38986 5653245 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D OTHER REVENUE INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $ (38,986) BAD DEBT EXPENSE SCHEDULE D, PART XII, LINE 4B OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 38,986 BAD DEBT EXPENSE X X X X false false false false false false false true false PAT RICHARDS CEO 145035 0 0 0 831 0 7531 0 23287 0 176684 0 0 0 MELISSA HATCHER MD PHYSICIAN 180962 0 3900 0 5088 0 10108 0 19262 0 219320 0 0 0 GARRY FINKE MD PHYSICIAN 194956 0 6364 0 198 0 10129 0 13034 0 224681 0 0 0 TRAVIS SHEARER DDS DENTAL DIRECTOR 191629 0 0 0 3451 0 10393 0 23210 0 228683 0 0 0 C LEANNE FINKE MD MEDICAL DIRECTOR 182815 0 10000 0 174 0 9200 0 7694 0 209883 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: DR. GARRY FINKE RECEIVED A BONUS PAYMENT CALCULATED OFF WORK RVUS. DR. MELISSA HATCHER RECEIVED A BONUS PAYMENT OF A SET AMOUNT PER DELIVERY. DENTISTS & CONTRACT LCSW ARE ELIGIBLE TO RECEIVE BONUS PAYMENTS BY EXCEEDING ESTABLISHED PRODUCTIVITY GOALS. DR GARRY FINKE SPOUSE OF MED DIRECTOR 249742 COMPENSATION false FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION: THE ORGANIZATION IS ORGANIZED TO SERVE AS A PRIMARY RESOURCE FOR THE RENDERING OF HEALTHCARE SERVICES, WHICH SERVICES INCLUDE BUT ARE NOT LIMITED TO MEDICAL, DENTAL, AND MENTAL HEALTHCARE TO THOSE PERSONS IN HOWELL AND OREGON COUNTIES, AND SUCH OTHER COUNTIES IN THE STATE OF MISSOURI AS THE BOARD OF DIRECTORS MAY DESIGNATE; SUCH HEALTHCARE SERVICES SHALL BE RENDERED TO ALL INDIVIDUALS IN NEED OF SUCH SERVICES, BUT PARTICULARLY FOR MEDICALLY AND SOCIALLY INDIGENT INDIVIDUALS WHO CURRENTLY LACK ACCESS TO SUCH CARE; WITH A GOAL OF ENHANCING THE HEALTH OF MEMBERS OF THE COMMUNITY. THE BOARD OF DIRECTORS WILL ASSESS ON AN ONGOING BASIS THE HEALTH NEEDS OF THE TARGET AREAS TO ESTABLISH SHORT AND LONG TERM GOALS TO ACCOMPLISH ITS PURPOSES AND ENSURE THAT SERVICES ARE AVAILABLE AND ACCESSIBLE. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE ORGANIZATION'S BYLAWS WERE AMENDED AT YEAR END SO THAT THE TOTAL NUMBER OF BOARD MEMBERS SERVING AT ONE TIME SHALL CONSIST OF ELEVEN INDIVIDUALS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE 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 FORM 990 IS INITIALLY REVIEWED BY BOTH THE CEO AND CFO. THE FINAL FORM 990 IS THEN PRESENTED TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH ALL OFFICERS, DIRECTORS OR TRUSTEES, AND ALL EMPLOYEES UPON HIRE AND ANNUALLY. BEFORE UNDERTAKING ANY PROJECT OR DECIDING TO DO BUSINESS WITH ANY NEW VENDOR, ANY POTENTIAL OR PERCEIVED CONFLICTS ARE LOOKED FOR AND ADDRESSED IF FOUND. THE BOARD OF DIRECTORS AND EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS THAT EXIST RELATING TO OUTSIDE INTERESTS, OUTSIDE ACTIVITIES, AND ANY GIFTS, GRATUITIES AND ENTERTAINMENT, OR INTERNAL INTEREST, THAT MAY GIVE RISE TO A CONFLICT OF INTEREST. IF A CONFLICT IS DETERMINED TO EXIST, APPROPRIATE ACTIONS ARE TAKEN TO ENSURE THE CONFLICT DOES NOT INTERFERE WITH THE INDIVIDUAL'S ABILITY TO BEST SERVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINES 15A & 15B REVIEW OF CEO, OTHER OFFICERS AND KEY EMPLOYEES COMPENSATION: THE CEO'S COMPENSATION REVIEW WAS COMPLETED BY THE ORGANIZATION'S BOARD PRESIDENT, USING DATA FROM THE MOST RECENT MISSOURI COMMUNITY HEALTH CENTERS' SALARY SURVEY AND FROM THE MOST RECENT NACHC HEALTH CENTER COMPENSATION AND BENEFITS REPORT. THE 50TH PERCENTILE, 75TH PERCENTILE AND AVERAGE WERE USED FROM THE NACHC BOOK FOR THE STATE OF MISSOURI. THE MPCA SALARY SURVEY LOOKS AT AVERAGE, MEDIAN, HIGH AND LOW FOR OVERALL CENTERS AND CENTERS THAT FALL WITHIN THE ORGANIZATION'S BUDGET CATEGORY. THE BOARD PRESIDENT THEN DISCUSSES THE CEO'S COMPENSATION WITH THE BOARD DURING A CLOSED SESSION MEETING. THE DISCUSSION AND ITS OUTCOME IS DOCUMENTED IN THE CLOSED SESSION MINUTES AND SIGNED BY THE BOARD PRESIDENT OR OTHER APPLICABLE OFFICER. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN 2019. COMPENSATION REVIEWS FOR ALL EMPLOYEES ARE COMPLETED BY THE BOARD FINANCE COMMITTEE AT LEAST ANNUALLY. DATA FROM THE MOST RECENT MISSOURI COMMUNITY HEALTH CENTERS' SALARY SURVEY, NACHC HEALTH CENTER COMPENSATION AND BENEFITS REPORT AND OTHER RECENT SOURCES AS APPLICABLE (MGMA, BUREAU OF LABOR STATISTICS) ARE USED. THE FINANCE COMMITTEE REVIEWS THE CURRENT SALARY AS WELL AS THE PROJECTED SALARY INCREASE FOR EACH EMPLOYEE FOR THE COMING FISCAL YEAR AS PART OF THE ANNUAL BUDGET PROCESS. THE FINANCE COMMITTEE THEN MAKES A RECOMMENDATION FOR APPROVAL TO THE FULL BOARD. BOTH THE FINANCE COMMITTEE'S REVIEW AND THE BOARD'S APPROVAL IS DOCUMENTED IN THE RESPECTIVE MINUTES. CLOSER TO THE EFFECTIVE DATE OF THE SALARY INCREASE FOR ANY OFFICERS AND KEY EMPLOYEES (NOT INCLUDING THE CEO), A FINAL REVIEW IS COMPLETED BY THE CEO AND BOARD PRESIDENT WHO DETERMINES THE ACTUAL FINAL AMOUNT OF THE INCREASE. THE SUBSTANTIATION AND DELIBERATION OF THIS FINAL DECISION IS DOCUMENTED IN A FILE KEPT IN THE CEO'S OFFICE. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR VIEWING AT THE ORGANIZATION OR BY MAIL. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:894712 FORM 990 PART IX LINE 11G DESCRIPTION:LABORATORY SERVICES TOTAL FEES:68867