2018-03-02T11:38:53-06:00 2017-04-30 430831507 ANDERS MINKLER HUBER & HELM LLP 800 MARKET STREET SUITE 500 ST LOUIS MO 631012501 990 2016-05-01 431752799 OZARK TRI-COUNTY HEALTH CARE CONSORTIUM DBA ACCESS FAMILY CARE OZAR 4174519450 PO BOX 758 NEOSHO MO 64850 SHEILA LONG CFO 4174519450 2018-02-23 1 BRIAN MCCOOK P00435856 3146555500 209.116.33.90 2018-02-23 12:35:36 CS P 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 CFEB9EE8F8C447D84760683528A0B404FBA339EE 2016 2021-01-29 14:40:06Z ACCESS FAMILY CARE SHEILA LONG 4301 DONIPHAN DRIVE NEOSHO MO 64850 17864661 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. 11 11 258 11 0 0 4663807 5343886 10894511 12387412 -6400 -10265 64550 129358 15616468 17850391 0 0 0 0 10191472 11622224 0 0 0 4828188 5534613 15019660 17156837 596808 693554 11229285 12116008 1293452 1486621 9935833 10629387 WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE MEDICALLY UNDERSERVED OF GREATER SOUTHWEST MISSOURI THROUGH DIRECT SERVICES AND COLLABORATIVE EFFORTS. 0 0 7867607 8261068 IN FY 2017, MEDICAL ENCOUNTERS TOTALED 37,367. 4053010 4255702 THE ORGANIZATION PROVIDES A WIDE VARIETY OF SERVICES TO THE PATIENT POPULATION IN ALL AREAS OF GENERAL DENTISTRY. IN FY 2017, DENTAL ENCOUNTERS TOTALED 33,080. 11920617 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 1 0 0 0 0 0 0 0 0 1 24 0 1 258 1 0 0 0 0 0 0 0 0 0 0 X 11 11 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 HEATHER MARTIN TREASURER 1.00 X X 0 0 0 MARY ANN BRADLEY BOARD MEMBER 1.00 X 0 0 0 KELLY TICHENOR 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 PEGGY CARPENTER BOARD MEMBER 1.00 X 0 0 0 OLEG TYURIKOV BOARD MEMBER 1.00 X 0 0 0 SHEILA LONG CHIEF FINANCIAL OFFICER 40.00 X 103072 0 19149 DEBRA DAVIDSON CHIEF OPERATING OFFICER 40.00 X 107882 0 14733 DON MCBRIDE CHIEF EXECUTIVE OFFICER 40.00 X 207067 0 16076 JOHN SMITH CHIEF BUSINESS OFFICER 40.00 X 100671 0 17427 DR GERALD ENGLUND PHYSICIAN 40.00 X 249733 0 22966 DR STEVEN YOUNGER MEDICAL DIRECTOR 40.00 X 188885 0 15729 DR LELAND MCCALL PHYSICIAN 40.00 X 179568 0 16208 DR KALA SMITH DENTAL DIRECTOR 40.00 X 154570 0 12437 DR CHARLES BENTLAGE MEDICAL DIRECTOR 40.00 X 137492 0 4647 1428940 0 139372 14 0 1 0 QUEST DIAGNOSTICS PO BOX 14730 SAINT LOUIS MO 631504730 LABORATORY SERVICES 236604 1 4755955 587931 314201 5343886 PATIENT SERVICE 624100 12345412 12345412 EHR INCENTIVE PROGRAMS 624100 42000 42000 12387412 4005 4005 14270 -14270 -14270 -14270 MISCELLANEOUS INCOME 900099 129358 129358 129358 17850391 12516770 0 -10265 607589 400506 207083 9051289 6002582 3048707 249485 163732 85753 1035221 576412 458809 678640 441660 236980 26361 26361 63779 63779 1201746 826904 374842 122728 106688 16040 362600 310852 51748 175700 104043 71657 589976 508491 81485 130289 52933 77356 79055 45847 33208 14 14 559432 408433 150999 222328 176043 46285 SUPPLIES 886787 813683 73104 BAD DEBT EXPENSE 463821 463821 0 REPAIRS AND MAINTENANCE 176526 138281 38245 RECRUITMENT & RETENTION 115828 72360 43468 357643 307332 50311 17156837 11920617 5236220 0 434274 1021936 1966716 1708383 300552 411339 1062440 1129172 216740 191517 296715 352640 12025647 4966414 6380411 7059233 74133 66116 497304 175672 11229285 12116008 1254185 1396363 38759 86061 508 4197 1293452 1486621 X 9934729 10629387 1104 0 9935833 10629387 11229285 12116008 693554 0 X X 0 1 X 1 1 1 X 2797644 3190437 3805437 4663807 5343886 19801211 10241306 10917600 10506458 10894511 12387412 54947287 13038950 14108037 14311895 15558318 17731298 74748498 0 0 0 74748498 2327 1468 1322 2320 4005 11442 2327 1468 1322 2320 4005 11442 7326 11243 7212 64550 129358 219689 13048603 14120748 14320429 15625188 17864661 74979629 0.99690 0.99850 0.00020 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 528935 528935 8059255 3183607 4875648 3437457 1782807 1654650 7059233 OTHER SHORT TERM LIABILITIES 4197 4197 X 17386556 -463835 -463835 17850391 0 17850391 16693002 0 16693002 463835 463835 17156837 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 2013 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS -463,821. INTEREST EXPENSE -14. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 463,821. INTEREST EXPENSE 14. X X 0 0 0 0 0 1 0 0 0 DON MCBRIDE CHIEF EXECUTIVE OFFICER 206837 0 230 0 0 0 6327 0 9749 0 223143 0 0 0 DR GERALD ENGLUND PHYSICIAN 249503 0 230 0 0 0 7773 0 15193 0 272699 0 0 0 DR STEVEN YOUNGER MEDICAL DIRECTOR 188655 0 230 0 0 0 5785 0 9944 0 204614 0 0 0 DR LELAND MCCALL PHYSICIAN 179338 0 230 0 0 0 5533 0 10675 0 195776 0 0 0 DR KALA SMITH DENTAL DIRECTOR 149340 0 5230 0 0 0 4695 0 7742 0 167007 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. X 1 162139 NET BOOK VALUE X FIXED ASSETS, A/R, PREPAID EXPENSES 1 152062 NET BOOK VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT VERSION OF THE 990 WILL BE REVIEWED BY INTERNAL MANAGEMENT AND THE BOARD FINANCE COMMITTEE. ONCE RECOMMENDED CHANGES ARE MADE, A FINAL DRAFT WILL BE PROVIDED TO THE ENTIRE BOARD OF DIRECTORS FOR APPROVAL. 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.