2016-08-09T13:56:26-05:00 2015-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2015-01-01 431879853 REGIONAL HEALTH CARE CLINIC INC % STEPHEN BEVANS REGI 6608264774 821 WESTWOOD SEDALIA MO 65301 STEPHEN BEVANS CFO 6608264774 2016-04-06 true Brian D Todd P00422601 4178658701 2015 2016-12-15 16:53:06Z KATY TRAIL COMMUNITY HEALTH STEPHEN BEVANS CFO 821 WESTWOOD SEDALIA MO 65301 9076776 false X WWW.KATYHEALTH.ORG X 1999 MO KATY TRAIL COMMUNITY HEALTH SERVES AS A MEDICAL HOME THAT DELIVERS HEALTH CARE THAT IS ACCESSIBLE, CONTINUOUS, COMPREHENSIVE, COMPASSIONATE, AND CULTURALLY EFFECTIVE. 13 13 132 20 0 0 2193231 3431336 5179051 5300272 222361 222338 55414 88841 7650057 9042787 0 0 0 0 4463174 4944137 37557 0 0 3141369 3376429 7642100 8320566 7957 722221 11207935 12017247 3706627 3665533 7501308 8351714 X MISSION: QUALITY CARE + MEANINGFUL PARTNERSHIPS = HEALTHY COMMUNITIES false false 3910232 3180164 MEDICAL SERVICES - KTCH PROVIDES PRIMARY HEALTH CARE THAT NOT ONLY TREATS ILLNESSES, BUT ALSO KEEPS OUR PATIENTS WELL. OUR STAFF ENSURES PATIENTS WILL RECEIVE THE COMPASSIONATE AND EXPERT CARE THEY DESERVE. SERVICES OFFERED INCLUDE FAMILY MEDICINE, PEDIATRIC CARE, PRIMARY AND PREVENTATIVE HEALTH, IMMUNIZATIONS, CHRONIC DISEASE MANAGEMENT, GYNECOLOGY/WOMEN'S HEALTH, OUTPATIENT SERVICES, DIABETES EDUCATION, DIETARY COUNSELING, WEIGHT MANAGEMENT SUPPORT, LAB SERVICES, AND FAMILY PLANNING. 2221407 1802092 DENTAL SERVICES - KATY TRAIL HEALTH CENTER (KTCH) PROVIDES DENTAL CARE WITH THE GOAL OF DECREASING EXISTING DENTAL DISEASE BURDEN IN OUR TARGET POPULATION AND PREVENTING DISEASE FROM STARTING IN THE YOUNGEST MEMBERS OF THE POPULATION. DENTAL SERVICES INCLUDE GENERAL DENTISTRY, PEDIATRIC DENTISTRY, ORAL HYGIENE, AND URGENT DENTAL CARE. 384039 318016 BEHAVIORAL HEALTH - KTCH IS DEDICATED TO HELPING PATIENTS THROUGH A COMPASSIONATE, BEHAVIOR-FOCUSED PROCESS. WE PARTNER WITH PATHWAYS COMMUNITY BEHAVIORAL HEALTH CARE TO IMPROVE THE HEALTH OUTCOMES IN ALL OF OUR PATIENTS. BEHAVIORAL HEALTH SERVICES INCLUDE PRIMARY CARE ASSESSMENT OF DEPRESSION, BEHAVIORAL MODIFICATION SERVICES, CARE COORDINATION, AND COMMUNITY REFERRAL FOR CHRONIC MENTAL ILLNESS. 6515678 true true false true false false false false false false true false false false true false false true false false false false false false true false false false false true false false false false false false false false true false false false false true true true false false true 43 0 true 132 true false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false X X STEPHEN BEVANS 6608264774 821 WESTWOOD SEDALIA MO 65301 MARY NELL STRAUTMAN PRESIDENT 1.0 0.0 X X 0 0 0 CRAIG COEN VICE PRESIDENT 1.0 0.0 X X 0 0 0 HOLLIS HENSLEY TREASURER 1.0 1.0 X X 0 0 0 DONNA CHAPMAN DIRECTOR, SECRETARY END 4/2015 1.0 0.0 X 0 0 0 JANET CANAVESE PAST PRESIDENT 1.0 0.0 X X 0 0 0 LINDA MESSENGER SECRETARY BEGINNING 4/2015 1.0 0.0 X X 0 0 0 SCOTT BENBROOK DIRECTOR 1.0 0.0 X 0 0 0 MARIE PAYNE-BOWMAN DIRECTOR 1.0 0.0 X 0 0 0 RHONDA BREITENBECHER DIRECTOR 1.0 0.0 X 0 0 0 ANGELA SARAN DIRECTOR 1.0 0.0 X 0 0 0 DIANA BURDICK DIRECTOR 1.0 0.0 X 0 0 0 ABBY MCMULLIN DIRECTOR BEGINNING 5/2015 1.0 0.0 X 0 0 0 ANNA MICHELLE BARLOW DIRECTOR BEGINNING 8/2015 1.0 0.0 X 0 0 0 LETICIA RODRIGUEZ DIRECTOR ENDING 3/2015 1.0 0.0 X 0 0 0 BILL BECK DIRECTOR ENDING 12/2015 1.0 0.0 X 0 0 0 CHRIS STEWART CEO 40.0 5.0 X 127326 0 7809 STEPHEN BEVANS CFO BEGINNING 3/30/15 40.0 5.0 X 84389 0 12349 DR TERESA GATTON CMO 40.0 0.0 X 194349 0 13122 DR BETHANY VANDEVENDER CDO 40.0 0.0 X 151731 0 10687 MARY DIMARSICO PHYSICIAN 40.0 0.0 X 163938 0 11934 WILLIAM PIERCE PHYSICIAN 40.0 0.0 X 146157 0 13242 EMILIE MCCLELLAN DENTIST 40.0 0.0 X 138250 0 12889 HEATHER BLEDSOE DENTIST 40.0 0.0 X 142669 0 8055 JACQUELINE YATES PHYSICIAN 40.0 0.0 X 112100 0 6623 1260909 0 96710 8 false true false IRON STONE CONSTRUCTION - J BRIAN 15772 PEACH TREE ROAD STOVER MO 65078 CONSTRUCTION 707381 LAMM TECHNICAL RESOURCES LLC PO BOX 845 SEDALIA MO 65301 IT SUPPORT 400316 BKD LLP PO BOX 1190 SPRINGFIELD MO 65801 AUDIT/TAX/CONSULTING 131188 3 20260 2572982 838094 220265 3431336 NET PATIENT SERVICE REVENUE 624100 5060860 5060860 CAPITATION REVENUE 624100 169670 169670 OTHER REVENUE 624100 65404 65404 RENT REVENUE 531390 4338 4338 5300272 222338 222338 0 0 105551 24538 81013 0 81013 81013 0 5579 20260 9451 -3872 -3872 0 0 GAIN FROM EQUITY INVESTEE 900099 11700 11700 11700 9042787 5300272 311179 0 0 0 0 601762 369889 231873 0 3655815 3108088 547727 34206 23824 10382 331643 286901 44742 320711 260554 60157 0 3157 3157 140607 140607 0 0 0 583407 445500 137907 71029 71029 366302 299060 67242 385384 299775 85609 0 456574 326006 130568 54936 39721 15215 0 97830 30601 67229 37502 1808 35694 0 276719 223328 53391 26247 7243 19004 MEDICAL SUPPLIES & DRUGS 709833 709833 RECRUITING & RETENTION 91013 60456 30557 LICENSES, DUES, SUBSCRIPTIONS 54212 10186 44026 BAD DEBT 12905 12905 8772 8772 8320566 6515678 1804888 0 367055 258683 2332374 2653231 41286 139922 265269 484555 0 0 0 0 5160000 5160000 250833 259066 59836 160823 4666759 1882565 2220349 2784194 0 0 62193 72444 0 0 0 0 448740 44329 11207935 12017247 437574 467923 0 0 295375 361962 0 0 0 0 0 0 818678 1165648 0 0 2155000 1670000 3706627 3665533 X 7462211 8103692 39097 248022 0 0 7501308 8351714 11207935 12017247 X 722221 134160 -5975 X false true X true true true X 2450209 3480555 4895632 2193231 3431336 16450963 0 0 2450209 3480555 4895632 2193231 3431336 16450963 0 16450963 14371 13843 253465 318566 327889 928134 0 0 17379097 23284915 0.94659 0.96197 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(I) THE ORGANIZATION PAYS DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. 458867 458867 1813469 804255 1009214 259177 82257 176920 1355148 996053 359095 780098 780098 2784194 0 EST AMT DUE TO 3RD PTY PYR 1670000 1670000 8983131 134160 325536 459696 8523435 519352 519352 9042787 8341650 33989 33989 8307661 12905 12905 8320566 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: $ 344,416 NET ASSETS RELEASED FROM RESTRICTION (12,905) BAD DEBT EXPENSE ( 5,975) TRANSFER TO HARBOR VILLAGE SPE, INC ----------- $ 325,536 SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 553,341 TEMPORARILY RESTRICTED CONTRIBUTIONS (24,538) RENTAL EXPENSES ( 9,451) SPECIAL EVENT EXPENSES ----------- $ 519,352 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 24,538 RENTAL EXPENSES 9,451 SPECIAL EVENT EXPENSE ---------- $ 33,989 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 12,905 BAD DEBT EXPENSE COMMUNITY ASSET BUILDERS GRANT WRITING false GOLF TOURNMENT 25839 20260 5579 4434 1145 0 25839 20260 5579 4434 1145 5579 X X X false false false false false false false false false MARY DIMARSICO PHYSICIAN 162448 0 0 0 1490 0 1661 0 10273 0 175872 0 0 0 WILLIAM PIERCE PHYSICIAN 146157 0 0 0 0 0 0 0 13242 0 159399 0 0 0 EMILIE MCCLELLAN DENTIST 128250 0 0 0 10000 0 0 0 12889 0 151139 0 0 0 HEATHER BLEDSOE DENTIST 142669 0 0 0 0 0 0 0 8055 0 150724 0 0 0 DR TERESA GATTON CMO 189374 0 0 0 4975 0 2046 0 11076 0 207471 0 0 0 DR BETHANY VANDEVENDER CDO 151731 0 0 0 0 0 3034 0 7653 0 162418 0 0 0 X 5 220265 FMV false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART I, LINE 6 VOLUNTEERS: THIRTEEN OF THE VOLUNTEERS LISTED ARE NON-COMPENSATED MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B OTHER PROGRAM SERVICES: OTHER PROGRAM SERVICES INCLUDE PROVIDING MEDICAL RECORDS AND OTHER VARIOUS SERVICES. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990: 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, MANAGEMENT AND THE BOARD OF DIRECTORS REVIEW AND APPROVE THE 990 BEFORE IT IS MAILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: BOARD MEMBERS AND EMPLOYEES COMPLETE A CONFLICT OF INTEREST FORM EACH YEAR. IN ADDITION, NEW EMPLOYEES ARE REQUIRED TO COMPLETE THIS AS PART OF THEIR NEW EMPLOYEE ORIENTATION PACKET. THE ORGANIZATION ALSO HAS A COMPLIANCE BOX THAT IS AVAILABLE FOR ALL EMPLOYEES TO SUBMIT INFORMATION ABOUT POTENTIAL FRAUD AND ABUSE IN THE ORGANIZATION. THE EXECUTIVE ASSISTANT FOR THE CHIEF EXECUTIVE OFFICER ROUTINELY CHECKS THE BOX IN SEDALIA AND INFORMATION IS BROUGHT TO THE PERSONNEL COMMITTEE FOR ACTION. IF THERE IS A CONFLICT BY A BOARD MEMBER, THEY ABSTAIN FROM VOTING ON THE MATTER. THE SITE MANAGERS CHECK THEIR SITE BOXES AND THE REPORTING PROCESS IS SAME AS SEDALIA. RESPONSIBLE PERSONS WHO ARE NOT MEMBERS OF THE BOARD OF DIRECTORS OF KATY TRAIL COMMUNITY HEALTH, OR WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT IS NOT THE SUBJECT OF BOARD OR COMMITTEE ACTION, SHALL DISCLOSE TO THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER ANY CONFLICT OF INTEREST THAT SUCH RESPONSIBLE PERSON HAS WITH RESPECT TO A CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE RESPONSIBLE PERSON. THE RESPONSIBLE PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT KATY TRAIL COMMUNITY HEALTH'S PARTICIPATION IN SUCH CONTRACT OF TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER, WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THE POLICY. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW: THE BOARD REVIEWS THE CEO'S PERFORMANCE AND SALARY ON AN ANNUAL BASIS. THE NACHC AND ANNUAL MPCA SALARY SURVEYS ARE USED TO ASSIST THE BOARD IN ESTABLISHING THE CEOS SALARY. THE BOARD LAST CONDUCTED THE REVIEW ON NOVEMBER 2015. THE CEO USES THE NACHC AND MPCA SALARY SURVEYS TO ASSIST IN ESTABLISHING PAY RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES. THESE PAY RANGES ARE REVIEWED ANNUALLY BY THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS FOR OTHER OFFICERS AND KEY EMPLOYEES. THE BOARD LAST CONDUCTED THE REVIEW IN NOVEMBER 2015. ALL REVIEWS ARE DOCUMENTED THROUGH THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: SOME FINANCIAL DOCUMENTS ARE ON THE ORGANIZATION'S WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ (5,975) TRANSFER TO AFFILIATE HARBOR VILLAGE SPE INC 821 WESTWOOD SEDALIA MO 65301 461585486 PROPERTY MGT MO 501(C)(3) 11B REG HLT CARE true true false false false false false false false false true true false false true true false false true false HARBOR VILLAGE SPE INC A 4338 FMV HARBOR VILLAGE SPE INC K 240000 FMV