2016-03-08T16:27:01-06:00 2015-04-30 430831507 ANDERS MINKLER HUBER & HELM LLP 800 MARKET STREET SUITE 500 ST LOUIS MO 631012501 990 2014-05-01 431752799 OZARK TRI-COUNTY HEALTH CARE CONSORTIUM DBA ACCESS FAMILY CARE OZAR 4174519450 PO BOX 758 NEOSHO MO 64850 SHEILA LONG CFO 4174519450 2016-02-26 1 BRIAN MCCOOK P00435856 3146555500 2014 2016-08-17 19:52:53Z ACCESS FAMILY CARE SHEILA LONG 475 NELSON AVENUE NEOSHO MO 64850 14320429 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. 9 9 208 9 0 0 3190437 3805437 10917600 10506458 770 -1914 11243 7212 14120050 14317193 0 0 0 0 9237592 9246399 0 0 0 4235727 4384777 13473319 13631176 646731 686017 10476375 11069734 1823367 1730709 8653008 9339025 WE ARE COMMITTED TO IMPROVING THE HEALTH OF THE MEDICALLY UNDERSERVED OF GREATER SOUTHWEST MISSOURI THROUGH DIRECT SERVICES AND COLLABORATIVE EFFORTS. 0 0 4656971 6742053 IN FY 2015, MEDICAL ENCOUNTERS TOTALED 35,878. 4656971 3771617 THE ORGANIZATION PROVIDES A WIDE VARIETY OF SERVICES TO THE PATIENT POPULATION IN ALL AREAS OF GENERAL DENTISTRY. IN FY 2015, DENTAL ENCOUNTERS TOTALED 19,401. 9313942 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 26 0 1 208 1 0 0 0 0 0 0 0 0 0 0 X 9 9 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 4174510619 475 NELSON AVENUE NEOSHO MO 64850 JERRIE WISE TREASURER 1.00 X X 0 0 0 MARY ANN BRADLEY VICE PRESIDENT 1.00 X X 0 0 0 CHRISTIAN DEMASI BOARD MEMBER 1.00 X 0 0 0 DR AL CHAPMAN PRESIDENT 1.00 X X 0 0 0 PEDRO PANTOJA BOARD MEMBER 1.00 X 0 0 0 PEGGY CARPENTER BOARD MEMBER 1.00 X 0 0 0 ELIZABETH PERSONS SECRETARY 1.00 X X 0 0 0 HEATHER MARTIN BOARD MEMBER 1.00 X 0 0 0 KELLY TICHENOR BROWN BOARD MEMBER 1.00 X 0 0 0 SHEILA LONG CHIEF FINANCIAL OFFICER 40.00 X 94531 0 15352 DEBRA DAVIDSON CHIEF OPERATING OFFICER 40.00 X 102272 0 5750 DON MCBRIDE CHIEF EXECUTIVE OFFICER 40.00 X 198540 0 16030 DR GERALD ENGLUND PHYSICIAN 40.00 X 269248 0 22723 DR LELAND MCCALL DENTIST 40.00 X 176314 0 16030 DR VICTOR MANGLER PHYSICIAN 40.00 X 142350 0 9528 DR CHARLES BENTLAGE MEDICAL/DENTAL DIRECTOR 40.00 X 166555 0 6037 DR KALA SMITH DENTIST 40.00 X 137810 0 10393 1287620 0 101843 15 0 1 0 QUEST DIAGNOSTICS PO BOX 14730 SAINT LOUIS MO 631504730 LABORATORY SERVICES 205240 1 3487067 318370 3805437 PATIENT SERVICE 624100 10442708 10442708 EHR INCENTIVE PROGRAMS 624100 63750 63750 10506458 1322 1322 3236 -3236 -3236 -3236 MISCELLANEOUS INCOME 900099 7212 7212 7212 14317193 10513670 0 -1914 432475 286979 145496 7235021 4845934 2389087 203253 135641 67612 826291 464675 361616 549359 364467 184892 3958 3958 62649 62649 1018119 649855 368264 101511 37533 63978 312257 107579 204678 117010 68283 48727 451016 359807 91209 120391 38773 81618 76370 47833 28537 175 175 521051 414021 107030 136117 118414 17703 SUPPLIES 719579 719579 BAD DEBT EXPENSE 428963 428963 RECRUITMENT & RETENTION 141205 105768 35437 REPAIRS AND MAINTENANCE 123432 97627 25805 50974 22211 28763 13631176 9313942 4317234 0 1156968 746797 1140788 1480846 261276 246542 937833 839420 18401 15944 289903 338606 10340317 3958564 5582642 6381753 72524 76138 1016040 943688 10476375 11069734 1684015 1688827 139352 41374 0 508 1823367 1730709 X 8651904 9337921 1104 1104 8653008 9339025 10476375 11069734 686017 0 X X 0 1 X 1 1 1 X 2996732 4537689 2797644 3190437 3805437 17327939 6345300 7247560 10241306 10917600 10506458 45258224 9342032 11785249 13038950 14108037 14311895 62586163 0 0 0 62586163 2644 2545 2327 1468 1322 10306 2644 2545 2327 1468 1322 10306 7326 11243 7212 25781 9344676 11787794 13048603 14120748 14320429 62622250 0.99940 0.99940 0.00020 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 458935 458935 7023547 2177282 4846265 2857835 1781282 1076553 6381753 DUE FROM MEDICARE/MEDICAID 63776 CONSTRUCTION IN PROGRESS 879912 943688 OTHER SHORT TERM LIABILITIES 508 508 X 13888055 -429138 -429138 14317193 0 14317193 13202038 0 13202038 429138 429138 13631176 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 2011 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS -428,963. INTEREST EXPENSE -175. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 428,963. INTEREST EXPENSE 175. X X 0 0 0 0 0 1 0 0 0 DON MCBRIDE CHIEF EXECUTIVE OFFICER 198056 0 484 0 0 0 6069 0 9961 0 214570 0 0 0 DR GERALD ENGLUND PHYSICIAN 240479 0 28769 0 0 0 8312 0 14411 0 291971 0 0 0 DR LELAND MCCALL DENTIST 175830 0 484 0 0 0 5439 0 10591 0 192344 0 0 0 DR VICTOR MANGLER PHYSICIAN 141866 0 484 0 0 0 4267 0 5261 0 151878 0 0 0 DR CHARLES BENTLAGE MEDICAL/DENTAL DIRECTOR 166071 0 484 0 0 0 4984 0 1053 0 172592 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 PRODUCTIVITY OF THE MEDICAL AND DENTAL PROVIDERS EVERY 6 MONTHS. ALL EMPLOYEES RECEIVE A PORTION OF THE INCENTIVE COMPENSATION PAYMENT FROM THE DIVISION AND CLINIC THAT THEY WORK IN AND ADMINISTRATION SHARES IN ALL CLINICS INCENTIVE COMPENSATION. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT VERSION OF THE 990 WILL BE REVIEWED BY INTERNAL MANAGEMENT AND THE BOARD CHAIR. ONCE RECOMMENDED CHANGES ARE MADE, A FINAL DRAFT WILL BE PROVIDED TO THE ENTIRE BOARD OF DIRECTORS. 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