2018-03-27T08:48:21-05:00 2017-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-07-01 300349221 HEALTH CARE COALITION OF LAFAYETTE COUNTY % LORI WYSE HEAL 6602592440 825 S BUSINESS HWY 13 LEXINGTON MO 64067 TONIANN RICHARD EXECUTIVE DIRECTOR 6602599019 2018-02-14 true Krystal K Creach P00422601 4178658701 167.68.126.162 43032920180865000007 2018-03-27 P 942234542CD988598FD3000625E41F9421148FC1 9ED1AFD43ECA266599EA2022F4AABFE45DA09571 2016 2021-01-29 14:40:06Z DARREL BOX RPH MHA 825 S BUSINESS HWY 13 LEXINGTON MO 64067 6179011 false X WWW.HCCNETWORK.ORG X 2006 MO CULTIVATE PARTNERSHIPS AND DELIVER QUALITY HEALTH CARE TO STRENGTHEN RURAL COMMUNITIES. 9 9 74 100 0 3043219 3380446 2127640 2797110 59 22 6853 0 5177771 6177578 0 575 0 0 2401776 3594307 0 0 0 1840248 2203475 4242024 5798357 935747 379221 2524963 2569485 1077124 1227425 1447839 1342060 CULTIVATE PARTNERSHIPS AND DELIVER QUALITY HEALTH CARE TO STRENGTHEN RURAL COMMUNITIES. false false 1948707 1193718 MEDICAL AND MENTAL HEALTH SERVICES: HEALTH CARE COLLABORATIVE OF RURAL MISSOURI (HCC) OWNS AND OPERATES 4 COMMUNITY HEALTH CENTERS IN RURAL MISSOURI THAT PROVIDE MEDICAL, MENTAL HEALTH AND DENTAL SERVICES. IN 2016 WE SERVED 4,907 UNIQUE PATIENTS. 2,629 PATIENTS WERE SEEN FOR MEDICAL SERVICES RESULTING IN 7,438 MEDICAL VISITS. 167 PATIENTS WERE SEEN FOR MENTAL HEALTH SERVICES RESULTING IN 455 MENTAL HEALTH VISITS. 1071998 1444332 DENTAL SERVICES: HEALTH CARE COLLABORATIVE OF RURAL MISSOURI (HCC) OWNS AND OPERATES 4 COMMUNITY HEALTH CENTERS IN RURAL MISSOURI THAT PROVIDE MEDICAL, MENTAL HEALTH AND DENTAL SERVICES. IN 2016 WE SERVED 4,907 UNIQUE PATIENTS. 2,566 PATIENTS WERE SEEN FOR DENTAL SERVICES RESULTING IN 4,342 DENTAL VISITS. 1014664 575 159060 NETWORK AND OTHER SERVICES: HEALTH CARE COLLABORATIVE OF RURAL MISSOURI IS A RURAL HEALTH NETWORK. BY CULTIVATING PARTNERSHIPS WITH MULTIPLE ENTITIES IN OUR SURROUNDING AREAS WE ARE ABLE TO STRENGTHEN RURAL COMMUNITIES. THROUGH NETWORK MEMBERSHIPS, CONSULTING SERVICES, COMMUNITY OUTREACH EVENTS AND OUR WAREHOUSE WE ARE ABLE TO REACH DEEPER TO TREAT THE WHOLE PERSON AND BREAK THROUGH THE SOCIOECONOMIC BARRIERS THAT EXIST IN RURAL COMMUNITIES. 4035369 true true false true false false false false false false true false false true false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 27 0 true 74 true false false false false false false false false false false X 9 9 false false true false true false false true true false false true true true true true true true false false X LORI WYSE 6602592440 825 S BUSINESS HWY 13 LEXINGTON MO 64067 DARREL BOX RPH MHA CHAIRMAN 2.0 0.0 X X 0 0 0 DIANA HOEMANN BOARD MEMBER 2.0 0.0 X 0 0 0 MEL FETTER TREASURER 2.0 0.0 X X 0 0 0 SUZANNE GLADNEY SECRETARY 2.0 0.0 X X 0 0 0 TOM EMERSON BOARD MEMBER 2.0 0.0 X 0 0 0 HOLLY MEFFERD BOARD MEMBER 2.0 0.0 X 0 0 0 MARSHA CORBIN VICE CHAIRMAN 2.0 0.0 X X 0 0 0 DONNA BROWN BOARD MEMBER 2.0 0.0 X 0 0 0 TERRY BARGFREDE BOARD MEMBER 2.0 0.0 X 0 0 0 TONIANN RICHARD EXECUTIVE DIRECTOR 43.0 0.0 X 99588 0 18234 LORI R WYSE DIRECTOR OF FINANCE 42.0 0.0 X 82596 0 3974 GENE A MCFADDEN PHYSICIAN 32.0 0.0 X 127841 0 6266 GEOFF E PETERSON DENTIST 41.9 0.0 X 143138 0 14450 TIFFANY PITTS BLYTHE PHYSICIAN 37.0 0.0 X 125769 0 500 TERRY CHANCE PSYCHIATRIST 40.0 0.0 X 130000 0 0 708932 0 43424 4 false true false 0 2835045 545401 3380446 NET PATIENT SERVICE REVENUE 624100 2638050 2638050 OTHER REVENUE 624100 159060 159060 2797110 298 298 0 0 0 0 0 1157 1433 -276 -276 -276 0 0 0 0 0 0 0 0 0 0 6177578 2797110 22 575 575 0 0 0 204392 204392 0 2897760 2212297 685463 88311 68284 20027 147162 116806 30356 256682 184372 72310 0 3690 3690 58088 58088 0 0 0 474871 297995 176876 102867 64552 38315 320305 201000 119305 408397 256280 152117 0 94595 59361 35234 82708 51902 30806 0 55651 34923 20728 27152 17039 10113 0 123603 77564 46039 111994 70279 41715 MEDICAL SUPPLIES & DRUGS 155308 155308 BAD DEBT 137494 137494 LICENSES, DUES, SUBSCRIPTIONS 46702 29307 17395 RECRUITING & RETENTION 50 31 19 5798357 4035369 1762988 0 7575 95466 208139 102958 176564 326842 147272 491347 0 0 0 0 0 0 0 0 20554 16624 1418449 297201 1139859 1121248 0 0 0 0 0 0 0 0 825000 415000 2524963 2569485 405211 600050 0 0 0 1950 0 0 0 0 0 0 671913 625425 0 0 0 0 1077124 1227425 X 1344921 1165514 102918 176546 0 0 1447839 1342060 2524963 2569485 379221 -485000 X false true X true true true X 1093654 2413931 1858749 3043219 3380446 11789999 0 0 1093654 2413931 1858749 3043219 3380446 11789999 0 11789999 45 29 26 6912 298 7310 0 61798 61798 11859107 6861027 0.99417 0.98633 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 MISSOURI PRIMARY CARE ASSOCIATION AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING. 15600 15600 792976 77802 715174 70321 14682 55639 539552 204717 334835 1121248 EST AMT DUE FROM 3RD PTY PYRS 415000 415000 5966732 202009 202009 5764723 412855 412855 6177578 5661139 276 276 5660863 137494 137494 5798357 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 AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $(137,494) BAD DEBT EXPENSE 339,503 NET ASSETS RELEASED FROM RESTRICTION ----------- $ 202,009 SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 413,131 TEMPORARILY RESTRICTED CONTRIBUTIONS (276) LOSS ON SALE OF ASSET ----------- $ 412,855 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 276 LOSS ON SALE OF ASSET SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 137,494 BAD DEBT EXPENSE X false false false false false false false false false GEOFF E PETERSON DENTIST 143138 0 0 0 0 0 5854 0 8596 0 157588 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATION'S BYLAWS: ARTICLE III - MEMBERSHIP THE ORGANIZATION AMENDED ITS BYLAWS DURING FISCAL YEAR 2017. SIGNIFICANT CHANGES ARE AS FOLLOWS: MEMBERSHIP IN THE HCC IS AVAILABLE TO ALL PERSONS AND ORGANIZATIONS INTERESTED IN AND/OR INVOLVED IN HEALTH CARE AND WHO SUPPORT THE MISSION OF THE HCC. THE HCC SHALL HAVE A CONSUMER MAJORITY BOARD OF 9 TO 13 MEMBERS. IT SHALL BE THE DUTY OF THE BOARD TO EVALUATE YEARLY, THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER. EVERY BOARD MEMBER SHALL HAVE THE OPPORTUNITY TO FILL OUT AN EVALUATION. THE EVALUATIONS SHOULD BE RETURNED TO THE GOVERNANCE COMMITTEE TO REVIEW WITH THE BOARD MEMBERS. 1. BOARD MEMBERS: THE BOARD MAY INCLUDE CHIEF OFFICERS OR DESIGNEES OF HCCS FOUNDING MEMBERS: LAFAYETTE REGIONAL HEALTH CENTER, CARE CONNECTION FOR AGING SERVICES, PATHWAYS COMMUNITY BEHAVIORAL HEALTHCARE, INC., 4-LIFE CENTER AND LAFAYETTE COUNTY HEALTH DEPARTMENT. OTHER MEMBERS MAY BE APPOINTED AT THE DISCRETION OF THE BOARD TO ASSURE A CONSUMER MAJORITY. HCC WILL MAINTAIN REGULATIONS WITH ALL HRSA 330 FUNDING REQUIREMENTS. A) THE BOARD IS CHARGED WITH MAKING DECISIONS ON BEHALF OF THE HCC. B) A QUORUM SHALL BE ESTABLISHED AT ANY MEETING IF THERE 51% OF MEMBERS PRESENT. C) ONE VOTE SHALL BE ALLOWED PER MEMBER. D) THE BOARD IS A VOLUNTARY COMMITMENT OF APPROXIMATELY 10 (TEN) HOURS PER MONTH DEVOTED TO THE GUIDANCE OF THE HCC. E) BOARD MEMBERS SHALL BE SELECTED BY THE GOVERNANCE COMMITTEE, WHICH WILL PERFORM THE RECRUITMENT PROCESS. BOARD MEMBERS WILL SERVE THREE-YEAR TERMS WITH NO MORE THAN THREE CONSECUTIVE TERMS. AFTER A ONE-YEAR REPRIEVE, BOARD MEMBERS MAY BE RE-APPOINTED FOR A SECOND THREE-YEAR CONSECUTIVE TERM. TERMS SHALL BEGIN ON JULY 1 AND THE TERMS SHALL BE STAGGERED SO THAT NO MORE THAN ONE-THIRD OF THE BOARD MEMBERS EXPIRE EACH YEAR. F) IN ORDER TO BE CONSISTENT WITH THE MISSOURI REVISED STATUES, WHICH APPLY TO GOVERNMENTAL AGENCIES, ANY AGENCY REPRESENTING GOVERNMENT OFFICES, WILL SERVE AS AN EX-OFFICIO MEMBER AS APPROPRIATE. AN EX-OFFICIO MEMBER WILL BE A NON-VOTING BOARD MEMBER. G) MEMBERS OF THE BOARD MAY BE ADDED OR REMOVED AS NECESSARY BY MAJORITY VOTE. H) MEMBERS OF THE BOARD ARE RESPONSIBLE FOR BUDGETING FOR, AND MONITORING COMPLIANCE OF HCCS PROGRAMS AND SERVICES, SPECIFICALLY COMMUNITY HEALTH CENTER OPERATIONS. I) MEMBERS OF THE BOARD SHALL APPROVE ALL GRANT APPLICATIONS AND BUDGETS. J) THE BOARD REVIEWS RECOMMENDATION FOR RECRUITMENT, SELECTION, DISMISSAL, AND PERFORMANCE EVALUATION OF HCCS CHIEF EXECUTIVE OFFICER. THIS INCLUDES HIRING AND TERMINATING THE CHIEF EXECUTIVE OFFICER. K) THE BOARD IS RESPONSIBLE FOR DETERMINING SERVICES AND HOURS OF OPERATION FOR HCCS PROGRAMS AND SERVICES. L) THE BOARD IS RESPONSIBLE FOR ALL LEGAL, QUALITY, FINANCIAL AND CUSTOMER SERVICE OF HCCS PROGRAMS AND SERVICES. M) THE BOARD IS RESPONSIBLE FOR FINANCIAL DECISIONS REGARDING BORROWING MONEY ON BEHALF OF THE ORGANIZATION, SIGN, EXECUTE AND DELIVER PROMISSORY NOTES OR OTHER EVIDENCES OF INDEBTEDNESS. N) THE BOARD IS RESPONSIBLE FOR ALL PERSONNEL, FINANCIAL AND OPERATIONAL POLICIES AND PROCEDURES FOR HCCS PROGRAMS AND SERVICES. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: HEALTHCARE, COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS ARE MEMBERS OF HCC. DUES RANGE FROM $50-$500 PER YEAR. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW PROCESS: 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. PRIOR TO FILING, A DRAFT VERSION OF FORM 990 IS REVIEWED BY MANAGEMENT AND PROVIDED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: A CONFLICT OF INTEREST TRANSACTION IS APPROVED IF IT RECEIVED THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS ON THE BOARD, OR ON THE COMMITTEE, WHO HAVE NO DIRECT OR INDIRECT FINANCIAL AND/OR INSTITUTIONAL INTEREST IN THE TRANSACTION VOTE TO APPROVE THE TRANSACTION, A QUORUM IS DEEMED PRESENT FOR THE PURPOSE OF THE VOTE. IF THE TRANSACTION IS APPROVED, THE MINUTES OF THE MEETING SHALL REFLECT THE NAMES OF THE PERSON WHO DISCLOSED FINANCIAL OR INSTITUTIONAL INTEREST; THE NATURE OF SUCH INTEREST AND WHETHER THE BOARD DETERMINED THERE WAS A CONFLICT, THE NAMES OF THE PERSONS PRESENT FOR DISCUSSION AND VOTES RELATING TO THE TRANSACTIONS; THE CONTENT OF THE DISCUSSIONS, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION; AND A ROLL CALL OF THE VOTE. BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15A REVIEW OF EXECUTIVE DIRECTOR'S COMPENSATION: THE BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION. EXECUTIVE REVIEW WAS HELD IN MAY 2017. HCC COMPARES SALARY WITH TWO INDEPENDENT SALARY SURVEYS AND THE EXECUTIVE COMMITTEE MAKES RECOMMENDATIONS TO THE ENTIRE BOARD FOR SALARY RECOMMENDATIONS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF HCC ARE MADE AVAILABLE AS REQUESTED.