2019-04-01T09:09:53-05:00 2018-05-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-06-01 431068291 BIG SPRINGS MEDICAL ASSOCIATION INC % LYNETTE RHODES BIGS 5736632313 PO BOX 157 ELLINGTON MO 63638 KAREN R WHITE CEO 2018-01-21 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920190915000027 2019-04-01 P 35B2FEF9FD89B74F90B63698513A1BB518488CA1 92996119D705B961BF1767000FEBD157C9C05609 2017 2019-02-21 02:37:17Z MISSOURI HIGHLANDS HEALTH CARE KAREN R WHITE PO BOX 157 ELLINGTON MO 63638 15408083 false X WWW.MOHIGH.ORG X 1975 MO THE ORGANIZATION PROVIDES HIGH QUALITY, COST EFFECTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO UNDER-SERVED RESIDENTS OF ELLINGTON, MO AND SURROUNDING AREAS. 10 10 149 11 6179 5018 5325150 4827946 8791141 10514319 3666 -52515 39538 37141 14159495 15326891 130010 158505 0 0 6921055 8088385 0 0 533 5410283 6740123 12461348 14987013 1698147 339878 10311847 12382560 1725509 3456344 8586338 8926216 X THE ORGANIZATION ENDEAVORS TO MEET THE PRIMARY AND PREVENTATIVE HEALTH CARE NEEDS OF THE MEDICALLY UNDER-SERVED BY PROVIDING HIGH QUALITY, COST EFFECTIVE CARE AND SERVICES TO ITS PATIENTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 5829357 158508 5407170 BIG SPRINGS MEDICAL ASSOCIATION PROVIDES MEDICAL SERVICES TO RESIDENTS OF ELLINGTON, MISSOURI, AND THE SURROUNDING AREAS. SOME SPECIFIC MEDICAL SERVICES THAT BIG SPRINGS MEDICAL ASSOCIATION OFFERS INCLUDE: TELE-HEALTH, COMMUNITY HEALTH AND EDUCATION, AND PATIENT PHARMACEUTICALS ASSISTANCE PROGRAM. SEE SCHEDULE O FOR FURTHER DETAILS ON THESE PROGRAM SERVICES. DURING 2018, THE ORGANIZATION HAD 42,706 MEDICAL CARE VISITS. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 3583771 4776573 BIG SPRINGS MEDICAL ASSOCIATION PROVIDES DENTAL SERVICES TO RESIDENTS OF ELLINGTON, MISSOURI, AND POPLAR BLUFF, MISSOURI AS WELL AS THE SURROUNDING AREAS. DENTAL SERVICES PROVIDED INCLUDE: REGULAR CLEANINGS AND CHECK UPS, EMERGENCY VISITS FOR ACUTE PAIN OR SWELLING, TRAUMA ASSOCIATED WITH BROKEN TEETH, CLEANING AND MEDICATION FOR ANUG, AND EQUILIBRATION OF TEETH IN TRAUMATIC OCCLUSION. DURING 2018, THE ORGANIZATION HAD 12,529 DENTAL CARE VISITS. 287323 330576 BIG SPRINGS MEDICAL ASSOCIATION PROVIDES BEHAVIORAL HEALTH SERVICES TO RESIDENTS OF ELLINGTON, MISSOURI, AND THE SURROUNDING AREAS. BEHAVIORAL SERVICES INCLUDE INDIVIDUAL THERAPY AND COUNSELING FOR PATIENTS AS WELL AS BRIEF INTERVENTION SESSIONS FOR ALL PATIENTS. DURING 2018, THE ORGANIZATION HAD 3,594 BEHAVIORAL CARE VISITS. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 9700451 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 true false true false false false false false false false false true false false false false false false false false true 63 0 true 149 true true true false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true false false X X LYNETTE RHODES 5736632313 PO BOX 157 ELLINGTON MO 63638 JOETTA MARTIN VICE PRESEDENT 1.0 0.0 X X 0 0 0 MICHAEL MORTON PRESIDENT 1.0 0.0 X X 0 0 0 LANCE MAYFIELD SECRETARY 1.0 0.0 X X 0 0 0 KATHY HART TREASURER 1.0 0.0 X X 0 0 0 LINDA LUNSFORD DIRECTOR 1.0 0.0 X 0 0 0 SCOTT OATMAN DIRECTOR 1.0 0.0 X 0 0 0 DEBBIE SANDARCIERO DIRECTOR 1.0 0.0 X 0 0 0 JOHN MARK BREWER DIRECTOR 1.0 0.0 X 0 0 0 CURT MAJORS DIRECTOR BEG 02/18 1.0 0.0 X 0 0 0 TAMMY MCCALL DIRECTOR BEG 11/17 1.0 0.0 X 0 0 0 RYAN CHILTON DIRECTOR END 11/17 1.0 0.0 X 0 0 0 KAREN WHITE CEO 40.0 0.0 X 137751 0 19667 TAMMY LINDSAY MEDICAL DIRECTOR 40.0 0.0 X 219802 0 3000 LYNETTE RHODES CFO BEG 01/18 40.0 0.0 X 0 0 0 BRADLEY DANIEL DENTAL DIRECTOR 40.0 0.0 X 169890 0 25238 JOSEPH CAMIRE PHYSICIAN 40.0 0.0 X 207813 0 3000 RICHARD HESTER PHYSICIAN 40.0 0.0 X 199272 0 27776 ADAM KAKAR PHYSICIAN 40.0 0.0 X 194456 0 19501 AARON OSGA DENTIST 40.0 0.0 X 159600 0 14467 WILLIAM WATKINS FAMILY NURSE PRACTIONER 40.0 0.0 X 141223 0 24164 1429807 0 136813 18 false true false POPLAR BLUFF CHILDREN'S DENTISTRY L 4348 STATE HWY PP POPLAR BLUFF MO 63901 ORAL HEALTH 1012601 ATHENANET PO BOX 415615 BOSTON MA 022415615 EMR 433159 BROCKMILLER CONSTRUCTION INC 14 N MIDDLE PO BOX 387 FARMINGTON MO 63640 CONSTRUCTION 371117 MISSOURI NETWORK ALLIANCE 2005 W BROADWAY BLDG A STE 215 COLUMBIA MO 65203 TELECOMMUNICATIONS 366365 MEDUSIND INC 815 HERNDON AVE STE 100 ORLANDO FL 32803 BILLING 317927 9 4391133 436813 294136 4827946 NET PATIENT SERVICE REVENUE 624100 10067923 10067923 CAPITATION REVENUE 624100 378879 378879 OTHER REVENUE 624100 67517 67517 10514319 3556 3556 0 0 34600 24821 9779 0 9779 6179 3600 300 56371 -56071 -56071 -56071 0 0 0 0 0 0 0 0 0 GAIN FROM EQUITY INVESTEE 900099 27362 27362 27362 15326891 10514319 6179 -21553 X 158505 158505 0 0 0 575348 417930 157418 0 6340202 4309177 2030667 358 76713 52584 24129 600353 415232 185121 495769 339225 156544 0 102409 102409 92127 92127 0 0 0 1963541 1247531 716010 64283 64283 798681 365927 432579 175 129245 82855 46390 0 357432 227216 130216 125555 125555 0 59202 59202 54791 35124 19667 0 628181 437753 190428 7256 7256 MEDICAL SUPPLIES 1519371 1519371 GRANT RELATED EXPENSES 704093 704093 BAD DEBT 92021 92021 LICENSES, DUES, SUBSCRIPTIONS 36755 36755 5180 5180 14987013 9700451 5286029 533 47372 268118 124239 553028 241546 126995 731385 838101 0 0 0 0 0 0 20905 182588 83835 264154 13375148 3831579 8419834 9543569 0 0 108094 57317 0 0 0 0 534637 548690 10311847 12382560 1139571 1255425 0 0 0 7700 0 0 0 0 0 0 302191 1978700 0 0 283747 214519 1725509 3456344 X 8586338 8714590 0 211626 0 0 8586338 8926216 10311847 12382560 339878 X false true X true true true X false false false false false false false false true false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. 1482248 1482248 9339679 2535151 6804528 166633 166633 1880126 1093128 786998 506462 36677 469795 9543569 0 EST AMOUNT DUE TO THIRD PARTY 214519 214519 15490911 386775 -92021 294754 15196157 130734 130734 15326891 15362659 386775 80892 467667 14894992 92021 92021 14987013 SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $( 92,021) BAD DEBT EXPENSE SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 56,071) LOSS ON DISPOSAL OF PP&E ( 24,821) RENTAL EXPENSES 211,626 TEMPORARILY RESTRICTED CONTRIBUTIONS ---------- $ 130,734 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 56,071 LOSS ON DISPOSAL OF PP&E 24,821 RENTAL EXPENSES --------- $ 80,892 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 92,021 BAD DEBT EXPENSE true DOUGLAS COUNTY HEALTH DEPARTMENT PO BOX 940 AVA MO 65608 431747760 GOVERNMENT 58000 DELTA PASS-THRU OZARK COUNTY HEALTH DEPARTMENT 370 3RD STREET GAINSVILLE MO 65655 431271723 GOVERNMENT 6000 DELTA PASS-THRU SHANNON COUNTY HEALTH DEPARTMENT 110 GREY JONES DR EMINENCE MO 65466 436017791 GOVERNMENT 6000 DELTA PASS-THRU TEXAS COUNTY HEALTH DEPARTMENT 950 US HWY 63 HOUSTON MO 65483 431431118 GOVERNMENT 6000 DELTA PASS-THRU WHOLE HEALTH OUTREACH 180 COUNTY ROAD 700 ELLINGTON MO 63638 431577997 501(C)(3) 29800 DELTA PASS-THRU WHOLE KIDS OUTREACH 62143 HIGHWAY 21 ELLINGTON MO 63638 431839370 501(C)(3) 27160 DELTA PASS-THRU 6 SCHEDULE I, PART 1, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS: THE CEO/CFO REVIEWS ALL GRANT CONTRACTS AND ANY INVOICES; A COMPUTERIZED ACCOUNTING SYSTEM WITH GRANT FUNDING ALLOCATION ALLOWS TRACKING OF FUNDS AND EXPENDITURES. SCHEDULE I, PART II, LINE 1, COLUMN H PURPOSE OF GRANT: BIG SPRINGS MEDICAL ASSOCIATION IS CONTRACTED WITH COLLABORATIVES IN THE AREA TO ACT AS A FIDUCIARY AGENT FOR GRANT PROCEEDS. THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA) AND HRSA PROVIDE GRANT MONEY TO BIG SPRINGS MEDICAL ASSOCIATION FOR RURAL HEALTHCARE SERVICES; THEN, BIG SPRINGS MEDICAL ASSOCIATION PASSES THIS GRANT MONEY THROUGH TO SUB-RECIPIENTS. X X X X X false false false false false false false true false KAREN WHITE CEO 137751 0 0 0 0 0 2906 0 16761 0 157418 0 0 0 TAMMY LINDSAY MEDICAL DIRECTOR 203186 0 16616 0 0 0 3000 0 0 0 222802 0 0 0 JOSEPH CAMIRE PHYSICIAN 200013 0 7800 0 0 0 0 0 3000 0 210813 0 0 0 BRADLEY DANIEL DENTAL DIRECTOR 168390 0 1500 0 0 0 3000 0 22238 0 195128 0 0 0 RICHARD HESTER PHYSICIAN 190272 0 9000 0 0 0 3000 0 24776 0 227048 0 0 0 ADAM KAKAR PHYSICIAN 190856 0 3600 0 0 0 0 0 19501 0 213957 0 0 0 AARON OSGA DENTIST 159600 0 0 0 0 0 0 0 14467 0 174067 0 0 0 WILLIAM WATKINS FAMILY NURSE PRACTIONER 118148 0 23075 0 0 0 3000 0 21164 0 165387 0 0 0 SCHEDULE J, PART I, LINE 7 OTHER NON-FIXED PAYMENTS: PHYSICIANS JOSEPH CAMIRE, RICHARD HESTER, MICHAEL MOORE, ADAM KAKAR, AND WILLIAM WATKINS, ALONG WITH MEDICAL DIRECTOR, TAMMY LINDSAY, RECEIVED COLLABORATIVE BONUSES BASED ON THEIR NUMBER OF PATIENT VISITS DURING THE YEAR. BRAD DANIEL RECEIVED A SIGN-ON BONUS DURING THE YEAR. X 2 294136 FMV false true false SCHEDULE M, PART I, LINE 20, COLUMN B NUMBER OF CONTRIBUTORS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS WHO CONTRIBUTED VACCINES DURING THE YEAR. FORM 990, PART I, LINE 6 VOLUNTEERS: THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: THE ORGANIZATION, A FEDERALLY QUALIFIED HEALTH CENTER, ENDEAVORS TO MEET THE PRIMARY AND PREVENTATIVE HEALTH CARE NEEDS OF THE MEDICALLY-UNDERSERVED RESIDENTS OF BUTLER, CARTER, IRON, REYNOLDS, RIPLEY, AND SHANNON COUNTIES IN MISSOURI BY PROVIDING HIGH QUALITY, COST EFFECTIVE CARE AND SERVICES TO PATIENTS, REGARDLESS OF THEIR PAYER SOURCE. THE ORGANIZATION PLACES PARTICULAR EMPHASIS ON CARE PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS, STRIVES TO ENSURE ITS LONG-TERM FISCAL SOLVENCY, SUPPORTS PROGRAMS THAT IMPROVE COMMUNITY HEALTH STATUS AND THAT PROMOTE HEALTHY BEHAVIORS WITHIN OUR POPULATION, AND DESIRES TO REMAIN AN "EMPLOYER OF CHOICE" IN THE AREA. FORM 990, PART III, LINE 4A ADDITIONAL PROGRAM SERVICES DETAIL: TELEHEALTH THROUGH AN ARRANGEMENT MADE POSSIBLE BY THE UNIVERSITY OF MISSOURI-COLUMBIA AND THE MISSOURI PRIMARY CARE ASSOCIATION, TELEHEALTH AND TELECOMMUNICATIONS EQUIPMENT IS INSTALLED AT OUR OFFICES IN ANNAPOLIS, ELLINGTON, EMINENCE, NAYLOR, PILOT KNOB, POPLAR BLUFF, VIBURNUM, AND VAN BUREN. THROUGH THIS SERVICE, WE ARE ABLE TO OFFER PATIENTS ACCESS TO SPECIALISTS IN PSYCHIATRY, DERMATOLOGY AND OTHER DISCIPLINES AT MEDICAL INSTITUTIONS IN LARGER CITIES. ACCESS TO TELEHEALH LINKAGES CAN BE AN ENORMOUS CONVENIENCE, GIVING OUR PATIENTS ACCESS TO CERTAIN SPECIALTY CONSULTS WITHOUT LEAVING OUR IMMEDIATE SERVICE AREA. COMMUNITY HEALTH AND EDUCATION PART OF OUR MISSION STATEMENT READS, "MISSOURI HIGHLANDS HEALTH CARE SUPPORTS PROGRAMS THAT IMPROVE COMMUNITY HEALTH STATUS AND THAT PROMOTE HEALTHY BEHAVIORS WITHIN OUR POPULATION." IT IS BY DESIGN THAT THE WORD COMMUNITY IS SO PROMINENTLY DISPLAYED. MISSOURI HIGHLANDS HEALTH CARE FACILITIES AND PARTICIPATES IN COMMUNITY GROUPS INVOLVING EMERGENCY MEDICAL PROFESSIONALS, SCHOOL NURSES, HEAD START PROGRAMS, HEALTH DEPARTMENTS, AND OTHERS. MISSOURI HIGHLANDS HEALTH CARE (MHHC) IS THE FISCAL AGENT FOR VARIOUS GRANTS RECEIVED TO ADDRESS AND IMPROVE COMMUNITY HEALTH STATUS. PATIENT PHARMACEUTICALS ASSISTANCE PROGRAM MISSOURI HIGHLANDS HEALTH CARE HELPS ELIGIBLE PATIENTS OBTAIN THEIR PRESCRIBED MEDICATIONS FREE OR AT A REDUCED COST FROM DRUG MANUFACTURERS. THIS IS A SERVICE WE CALL OUR PHARMACEUTICALS ASSISTANCE PROGRAM. OUR PROGRAM COORDINATOR HELPS OUR PATIENTS WORK THROUGH THE NECESSARY APPLICATION PROCEDURES WITH DRUG MANUFACTURERS. SOME PATIENT INFORMATION, USUALLY RELATED TO INCOME, IS REQUIRED TO COMPLETE THE APPLICATION. IN THE END, THE RELATIONSHIP CREATED EXISTS DIRECTLY BETWEEN THE PATIENT AND MANUFACTURER. MHHC FACILITATES THE CONNECTION FOR OUR ELIGIBLE PATIENTS. FORM 990, PART III, LINE 4C ADDITIONAL PROGRAM SERVICES DETAIL: TELEHEALTH THROUGH AN ARRANGEMENT MADE POSSIBLE BY THE UNIVERSITY OF MISSOURI-COLUMBIA AND THE MISSOURI PRIMARY CARE ASSOCIATION, TELEHEALTH AND TELECOMMUNICATIONS EQUIPMENT IS INSTALLED AT OUR OFFICES IN ELLINGTON, POPLAR BLUFF, VIBURNUM AND VAN BUREN. THROUGH THIS SERVICE, WE ARE ABLE TO OFFER PATIENTS ACCESS TO SPECIALISTS IN PSYCHIATRY AT BEHAVIORAL HEALTH INSTITUTIONS IN LARGER CITIES. ACCESS TO TELEHEALTH LINKAGES CAN BE AN ENORMOUS CONVENIENCE, GIVING OUR PATIENTS ACCESS TO CERTAIN SPECIALTY CONSULTS WITHOUT LEAVING OUR IMMEDIATE SERVICE AREA. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CEO AND CFO REVIEW THE FORM 990 IN DETAIL. AFTER THIS REVIEW, THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE CORPORATE COMPLIANCE OFFICER REVIEWS THE CONFLICT OF INTEREST POLICY WITH THE BOARD ANNUALLY AS PART OF THE OVERALL CORPORATE COMPLIANCE PROGRAM COMPLETED IN JANUARY OF EACH YEAR. INQUIRIES ARE MADE REGARDING ANY EXISTING CONFLICTS OF INTEREST. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER IS DISCLOSED TO OTHER BOARD MEMBERS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY BOARD MEMBER HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER. FURTHERMORE, HE/SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. THE FOREGOING REQUIREMENT SHOULD NOT BE CONSTRUED AS PREVENTING THE BOARD MEMBER FROM BRIEFLY STATING HIS/HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS OF OTHER BOARD MEMBERS SINCE HIS/HER KNOWLEDGE MAY BE OF GREAT ASSISTANCE. THIS POLICY IS REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF BOARD MEMBERS, AND ANY NEW BOARD MEMBER IS ADVISED OF THE POLICY UPON ENTERING THE DUTIES OF HIS/HER OFFICE. THE BOARD CHAIRPERSON AND SECRETARY ARE AUTHORIZED AND DIRECTED TO SEE THAT THIS POLICY IS FOLLOWED. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION REVIEW: THE BOARD CONDUCTS A REVIEW OF THE CEO'S CONTRACT USING A COMPENSATION COMMITTEE, IN WHICH THE BOARD OBTAINS COMPARABLE COMPENSATION INFORMATION FROM THE MPCA FOR PERSONS IN SIMILAR POSITIONS. THE ORGANIZATION ALSO USES FORMS 990 OF OTHER ORGANIZATIONS IN THIS REVIEW. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES AND COMPLETED BIANNUALLY. THE CEO DIRECTS AND COMPLETES A SIMILAR REVIEW FOR OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION'S BYLAWS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING AT THE CENTRAL ADMINISTRATION OFFICE OF THE ORGANIZATION OR CAN BE MAILED UPON REQUEST. THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE ONLY PROVIDED UPON THE APPROVAL OF A WRITTEN REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:1943233 FORM 990 PART IX LINE 11G DESCRIPTION:PAYROLL PROCESSING TOTAL FEES:18637 FORM 990 PART IX LINE 11G DESCRIPTION:DATA PROCESSING TOTAL FEES:1671