2017-02-10T15:20:43-06:00 2016-05-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2015-06-01 431068291 BIG SPRINGS MEDICAL ASSOCIATION INC % KAREN R WHITE BIGS 5736632313 PO BOX 157 ELLINGTON MO 63638 KAREN WHITE CEO/CFO 2017-01-17 true Brian D Todd P00422601 4178658701 2015 2021-01-29 14:40:06Z MISSOURI HIGHLANDS HEALTH CARE KAREN WHITE PO BOX 157 ELLINGTON MO 63638 10567639 false X WWW.MOHIGH.ORG X 1975 MO THE ORGANIZATION PROVIDES HIGH QUALITY, COST EFFECTIVE MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO MEDICALLY-UNDERSERVED RESIDENTS OF ELLINGTON, MO AND SURROUNDING AREAS 11 11 121 13 0 0 2872651 3502000 5129804 6912827 3044 -6470 -8490 51792 7997009 10460149 111325 112738 0 0 5390108 5846476 0 0 0 4034880 4499263 9536313 10458477 -1539304 1672 8387902 8652897 1501383 1764706 6886519 6888191 X THE ORGANIZATION ENDEAVORS TO MEET THE PRIMARY AND PREVENTATIVE HEALTH CARE NEEDS OF THE MEDICALLY-UNDERSERVED BY PROVIDING HIGH QUALITY, COST EFFECTIVE CARE AND SERVICES TO ITS PATIENTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 4803347 112738 3214556 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: TELEHEALTH, COMMUNITY HEALTH AND EDUCATION, AND PATIENT PHARMACEUTICALS ASSISTANCE PROGRAM. SEE SCHEDULE O FOR FURTHER DETAILS ON THESE PROGRAM SERVICES. DURING 2016, THE ORGANIZATION HAD 41,911 MEDICAL CARE VISITS. 2178508 3360905 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 2016, THE ORGANIZATION HAD 10,040 DENTAL CARE VISITS. 280218 337366 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 2016, THE ORGANIZATION HAD 2,916 BEHAVIOR CARE VISITS. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 7262073 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 45 0 true 121 true false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true false false X X KAREN R WHITE 5736632313 PO BOX 157 ELLINGTON MO 63638 MICHAEL MORTON PRESIDENT 1.0 0.0 X X 0 0 0 JOETTA MARTIN VICE PRESIDENT 1.0 0.0 X X 0 0 0 SR RITA SCHONHOFF TREASURER 1.0 0.0 X X 0 0 0 PAULETTE WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 LINDA LUNSFORD DIRECTOR 1.0 0.0 X 0 0 0 ERIC FUCHS DIRECTOR 1.0 0.0 X 0 0 0 LANCE MAYFIELD DIRECTOR/SECRETARY BEG 10/15 1.0 0.0 X X 0 0 0 DONALD BLACK DIRECTOR 1.0 0.0 X 0 0 0 KANDRA COUNTS DIRECTOR 1.0 0.0 X 0 0 0 JOAN HILL SECRETARY ENDING 10/15 1.0 0.0 X X 0 0 0 SCOTT OATMAN DIRECTOR BEGINNING 5/16 1.0 0.0 X 0 0 0 RYAN CHILTON DIRECTOR BEGINNING 5/16 1.0 0.0 X 0 0 0 SHEENA CLICK DIRECTOR ENDING 8/15 1.0 0.0 X 0 0 0 KAREN WHITE CEO/CFO BEGINNING 1/16 40.0 0.0 X 148725 0 19635 JUDITH MEDLEY MEDICAL DIRECTOR/FNP END 8/15 40.0 0.0 X 129175 0 13583 JOHN CANTERBERRY CFO ENDING 1/16 40.0 0.0 X 75903 0 0 TAMMY LINDSAY MEDICAL DIRECTOR BEG 8/15 40.0 0.0 X 81374 0 0 JOHN BARTA DENTIST 40.0 0.0 X 160782 0 3857 BRADLEY DANIEL DENTIST 40.0 0.0 X 168615 0 22635 KRISTIN GREEN DENTIST 40.0 0.0 X 168745 0 11269 RICHARD HESTER PHYSICIAN 40.0 0.0 X 198467 0 22365 MICHAEL MOORE PHYSICIAN 24.0 0.0 X 129812 0 0 1261598 0 93344 9 false true false GREENWAY 4301 W BOY SCOUT BLVD STE 800 TAMPA FL 33607 EMR 309718 TRIGGERFISH TECHNOLOGIES 3815 FARAON ST STE E ST ST JOSEPH MO 65406 IT SERVICES 171060 NITEL 1101 W LAKE STREET 6TH FLOOR CHICAGO IL 60607 COMMUNICATIONS 155818 MEDUSIND INC 815 HERNDON AV STE 100 ORLANDO FL 32803 BILLING 291100 POPLAR BLUFF CHILDREN'S DENTISTRY L 4348 STATE HWY PP POPLAR BLUFF MO 63901 ORAL HEALTH 457051 6 3130124 371876 30684 3502000 NET PATIENT SERVICE REVENUE 624100 6867430 6867430 OTHER REVENUE 624100 45397 45397 6912827 1854 1854 0 0 3725 4366 -641 0 -641 -641 94800 103124 -8324 -8324 -8324 0 0 0 GAIN/(LOSS) FROM EQUITY INVESTEE 900099 52433 52433 52433 10460149 6912827 45322 X 112738 112738 0 0 0 468395 224132 244263 0 4597261 3350081 1247180 64957 47180 17777 347093 254125 92968 368770 260790 107980 0 9715 9715 87273 87273 0 0 0 1097752 648663 449089 43469 43469 658505 317254 341251 400785 272028 128757 0 194116 131208 62908 76963 5354 71609 0 18123 18123 22003 14934 7069 0 452174 306907 145267 44703 30342 14361 MEDICAL SUPPLIES 876669 876669 BAD DEBT 396931 396931 GRANT RELATED EXPENSES 99389 12737 86652 LICENSES, DUES, SUBSCRIPTIONS 15620 15620 5073 5073 10458477 7262073 3196404 0 21387 58749 17013 178595 187306 111381 390061 759108 0 0 0 0 0 0 6382 16632 46660 77567 10449180 3154691 7544904 7294489 0 0 40848 84122 0 0 0 0 133341 72254 8387902 8652897 622631 793937 0 0 0 0 0 0 0 0 0 0 583752 420769 0 0 295000 550000 1501383 1764706 X 6860348 6783566 26171 104625 0 0 6886519 6888191 8387902 8652897 1672 X false true X true true true 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 THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. 676248 676248 5537498 1360174 4177324 4230354 1794517 2435837 5080 5080 7294489 0 EST AMOUNT DUE TO THIRD PARTY 550000 550000 9997454 -275385 -275385 10272839 187310 187310 10460149 10074236 12690 12690 10061546 396931 396931 10458477 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: $ (396,931) BAD DEBT EXPENSE 121,546 NET ASSETS RELEASED FROM RESTRICTION ------------ $ (275,385) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 200,000 TEMPORARILY RESTRICTED CONTRIBUTIONS ( 4,366) RENTAL EXPENSES ( 8,324) LOSS ON DISPOSAL OF PP&E ---------- $ 187,310 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 4,366 RENTAL EXPENSES $ 8,324 LOSS ON DISPOSAL OF PP&E -------- $ 12,690 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 396,931 BAD DEBT EXPENSE true DOUGLAS COUNTY HEALTH DEPARTMENT PO BOX 940 AVA MO 65608 431747760 GOVERNMENT 37050 DELTA PASS-THRU WHOLE HEALTH OUTREACH INC 180 COUNTY ROAD 700 ELLINGTON MO 63638 431577997 501(C)(3) 19800 DELTA PASS-THRU WHOLE KIDS OUTREACH INC 62143 HIGHWAY 21 ELLINGTON MO 63638 431839370 501(C)(3) 16700 DELTA PASS-THRU OZARK COUNTY HEALTH DEPARTMENT 370 3RD STREET GAINESVILLE MO 65655 431271723 GOVERNMENT 6019 DELTA PASS-THRU 4 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS: THE CEO AND CFO REVIEW 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/CFO BEGINNING 1/16 148725 0 0 0 0 0 3000 0 16635 0 168360 0 JOHN BARTA DENTIST 160782 0 0 0 0 0 2769 0 1088 0 164639 0 BRADLEY DANIEL DENTIST 168615 0 0 0 0 0 3000 0 19635 0 191250 0 KRISTIN GREEN DENTIST 168745 0 0 0 0 0 3000 0 8269 0 180014 0 RICHARD HESTER PHYSICIAN 191867 0 6600 0 0 0 3000 0 19365 0 220832 0 SCHEDULE J, PART I, LINE 7 OTHER NON-FIXED PAYMENTS: PHYSICIAN RICHARD HESTER RECEIVED A COLLABORATIVE BONUS WHICH WAS BASED ON HIS NUMBER OF PATIENT VISITS DURING THE YEAR. X 1 30684 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 TELEHEALTH LINKAGES CAN BE AN ENORMOUS CONVENIENCE, GIVING OUR PATIENTS ACCESS TO CERTAIN SPECIALTY CONSULTS WITH 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 FACILITATES 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 WITH 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 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 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 OTHER FEES FOR SERVICES: $ 692,661 CONTRACTED SERVICES 396,473 CLAIMS PROCESSING 8,618 PAYROLL PROCESSING ----------- $ 1,097,752