2018-12-05T16:27:49-06:00 2018-03-31 621804252 WATKINS UIBERALL PLLC 1661 AARON BRENNER DR STE 300 MEMPHIS TN 38120 990 2017-04-01 431253101 SOUTHEAST MISSOURI HEALTH NETWORK SOUT 5733132500 6738 HIGHWAY 77 BENTON MO 63736 CHRIS JONES CEO 5737482407 2018-11-26 1 PEYTON DODSON P01421936 9017612720 216.136.84.170 2018-11-26 14:36:13 CS P D42D545523BE40E420F6D14ED97E43045FDFF976 F5D606D1A1684FB0C5353FE8357E678ED66D2590 2017 2019-02-21 02:37:17Z CHRIS JONES 6738 HIGHWAY 77 BENTON MO 63736 15850996 0 X WWW.SEMOHEALTHNETWORK.ORG X 1978 MO SEMO HEALTH NETWORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTHCARE TO THE COMMUNITIES OF SOUTHEAST MISSOURI. 10 10 161 0 14918 4169 4020826 4030367 8881735 10576785 23002 158491 134022 191547 13059585 14957190 0 0 0 0 7718506 8563626 0 0 0 4249371 4528181 11967877 13091807 1091708 1865383 8045306 11694399 4003971 5787681 4041335 5906718 SEMO HEALTH NETWORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTHCARE TO THE COMMUNITIES OF SOUTHEAST MISSOURI. 0 0 10831797 10864245 SEMO HEALTH NETWORK PROVIDED 24,292 MEDICAL VISITS, 16,888 DENTAL VISITS, AND 95 NUTRITION SERVICES IN SOUTHEAST MISSOURI THROUGH THE OPERATION OF MIGRANT AND COMMUNITY HEALTH CENTERS IN THE CALENDAR YEAR. 10831797 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 21 0 1 161 0 1 1 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X SARA DEANE 5737482592 6738 HIGHWAY 77 BENTON MO 63736 CATHERINE BOCKHOLD PRESIDENT 2.00 X X 0 0 0 EVELYN PULLIAM VICE PRESIDENT 2.00 X X 0 0 0 MARY DAVIS TREASURER 2.00 X X 0 0 0 BYRON MCVAY SECRETARY 2.00 X X 0 0 0 VICKI GILLESPIE DIRECTOR 2.00 X 0 0 0 CINDY AMICK DIRECTOR 2.00 X 0 0 0 DAVID HOWARD DIRECTOR 2.00 X 0 0 0 EMILY DUGAN DEUSTER DIRECTOR 2.00 X 0 0 0 LANCE CRAWFORD DIRECTOR 2.00 X 0 0 0 SAM DUNCAN DIRECTOR 2.00 X 0 0 0 CHRIS JONES CEO 40.00 X 229354 0 15490 SARA BETH DEANE CFO 40.00 X 171564 0 11470 DARRYL ROBERTS COO 40.00 X 99398 0 14391 TERESA RICHEY CHIEF NURSING OFFICER 40.00 X 109196 0 1501 DR DANIEL DOMJAN CHIEF MEDICAL OFFICER 40.00 X 238002 0 15460 DR GAIL REDMAN CHIEF DENTAL OFFICER 40.00 X 198204 0 11470 DR GARY HARRIS DENTIST 40.00 X 168043 0 10113 DR PATRICIA MERKLEY DENTIST 50.00 X 282588 0 0 DR MACK TAYLOR DENTIST 40.00 X 145510 0 15491 DR BRADLEY GRAF DENTIST 40.00 X 144674 0 15491 DR NATHAN SPRENGEL DOCTOR 40.00 X 228012 0 15491 2014545 0 126368 16 0 1 0 MEDOVA HEALTHCARE 345 N RIVERVIEW SUITE 600 WICHITA KS 67203 INSURANCE 785365 MCKESSON MEDICAL SURGICAL PO BOX 634404 CINCINNATI OH 45263 SUPPLIES 483550 ATHENA PO BOX 415615 BOSTON MA 02241 SOFTWARE 264455 SUSAN H SHEETS DDS 2436 MYRA DRIVE CAPE GIRARDEAU MO 63703 DENTAL SERVICES 208850 GREENWAY PO BOX 203658 DALLAS TX 72320 SOFTWARE 162036 10 4030367 4030367 PATIENT SERVICE FEES 621110 8803632 8803632 340B PHARMACY PROGRAM REVENUE 621110 1773153 1773153 10576785 47660 47660 33300 18382 14918 14918 14918 986255 875424 110831 110831 110831 OTHER REVENUE 621110 176629 176629 176629 14957190 10864245 14918 47660 1115502 557266 558236 6209207 5729283 479924 716990 716990 521927 506602 15325 20236 20236 72400 72400 57907 57907 37021 37021 852296 823857 28439 22516 22516 275953 87000 188953 64110 33068 31042 55651 48613 7038 184201 149183 35018 308657 308657 144476 144476 SOFTWARE FEES 615661 1260 614401 CONTRACTED REFERRAL PAY 450967 450967 340B PHARMACY PROGRAM E 378943 378943 TELECOMMUNICATIONS 309318 300130 9188 677868 572986 104882 13091807 10831797 2260010 0 580301 1817800 1980246 1434268 136045 130176 1044035 2286932 33900 43043 8271340 2289160 4270779 5982180 8045306 11694399 602233 799654 3031998 4367444 369740 620583 4003971 5787681 X 4041335 5906718 4041335 5906718 8045306 11694399 1865383 0 X X 0 1 X 1 1 1 X 3357757 3781820 3625337 4020826 4030367 18816107 3357757 3781820 3625337 4020826 4030367 18816107 18816107 178 60 1009 1247 64930 158088 170097 175512 256580 825207 19642561 0.95790 0.96850 X 306454 306454 147461 5854636 1004914 4997183 76713 32991 43722 1833734 1217716 616018 52342 33539 18803 5982180 DUE TO THIRD PARTIES 458621 PATIENT OVERPAYMENT PAYABLE 161962 620583 14975572 18382 18382 14957190 0 14957190 13108233 16426 16426 13091807 0 13091807 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 18,382. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 18,382. 340B BAD DEBT EXPENSE -1,956. X X X X 0 0 0 0 0 0 0 0 0 CHRIS JONES CEO 229354 0 0 0 0 0 0 0 15490 0 244844 0 0 0 SARA BETH DEANE CFO 171564 0 0 0 0 0 0 0 11470 0 183034 0 0 0 DR DANIEL DOMJAN CHIEF MEDICAL OFFICER 238002 0 0 0 0 0 0 0 15460 0 253462 0 0 0 DR GAIL REDMAN CHIEF DENTAL OFFICER 198204 0 0 0 0 0 0 0 11470 0 209674 0 0 0 DR GARY HARRIS DENTIST 168043 0 0 0 0 0 0 0 10113 0 178156 0 0 0 DR PATRICIA MERKLEY DENTIST 282588 0 0 0 0 0 0 0 0 0 282588 0 0 0 DR MACK TAYLOR DENTIST 145510 0 0 0 0 0 0 0 15491 0 161001 0 0 0 DR BRADLEY GRAF DENTIST 144674 0 0 0 0 0 0 0 15491 0 160165 0 0 0 DR NATHAN SPRENGEL DOCTOR 228012 0 0 0 0 0 0 0 15491 0 243503 0 0 0 PART I, LINE 3 THE CONTRACTS ARE BROUGHT BEFORE THE BOARD AND THE SALARY IS DISCUSSED AND VOTED ON FOR EACH OFFICE DURING EXECUTIVE SESSIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE INDEPENDENT AUDITORS AND REVIEWED BY MANAGEMENT. A COPY IS PROVIDED TO BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANY CONFLICT BROUGHT TO LIGHT IS ADDRESSED AT THE BOARD MEETING AND A PLAN OF ACTION IS DECIDED BY THE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE MEETS AND REVIEWS PERFORMANCE APPRAISALS PREPARED BY ALL BOARD MEMBERS. THE COMMITTEE ALSO REVIEWS COMPENSATION OF OFFICIALS IN SIMILAR POSITIONS IN LIKE ORGANIZATIONS. AFTER THE REVIEW, THE EXECUTIVE DIRECTOR COMPENSATION IS THEN DETERMINED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.