2015-01-09T13:38:09-06:00 2014-02-28 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-03-01 431747760 DOUGLAS COUNTY PUBLIC HEALTH SVCS GROUP INC % TIMOTHY SHRYACK DOUG 4176834831 504 NW 10TH AVE PO BOX 1359 Suite AVA MO 65608 TIMOTHY SHRYACK CEO 4176834831 2014-11-21 true Brian D Todd P00422601 4176834831 2013 2016-02-25 16:41:14Z MISSOURI OZARKS COMMUNITY HEALTH TIMOTHY SHRYACK 504 NW 10TH AVE PO BOX 1359 AVA MO 65608 4700190 false X WWW.MO-OZARKS.ORG X 1996 MO TO PROVIDE AFFORDABLE, ACCESSIBLE, QUALITY HEALTH CARE TO ALL WITHIN HEALTH CARE TO ALL WITHIN THE SERVICE AREA. THESE SERVICES WILL BE PROVIDED WITHOUT REGARD TO AGE, RACE, CREED, DISABILITY OR STATUS. 9 9 73 9 0 0 1435571 1483988 2960660 3181339 9548 6741 17791 28122 4423570 4700190 0 0 0 0 2791382 2761830 0 0 0 1728023 1905809 4519405 4667639 -95835 32551 7448261 7388628 3400108 3307924 4048153 4080704 X IT IS THE MISSION OF THE DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. DBA/MISSOURI OZARKS COMMUNITY HEALTH, TO PROVIDE QUALITY, AFFORDABLE PRIMARY MEDICAL, DENTAL AND MENTAL HEALTH CARE TO ALL. false false 1838906 1979849 MISSOURI OZARKS COMMUNITY HEALTH (MOCH) PROVIDES A WIDE VARIETY OF MEDICAL SERVICES AT ALL CLINIC LOCATIONS. SERVICES PROVIDED INCLUDE: PEDIATRIC CARE, ADOLESCENT HEALTH, ADULT MEDICINE, GERIATRICS, FAMILY PLANNING/GYNECOLOGY, NUTRITIONAL HEALTH, STD TESTING, LABORATORY TESTING, URGENT MEDICAL CARE, SPORTS PHYSICALS, WELL CHILD PHYSICALS, AND MEDICATION ASSISTANCE. IN ADDITION, IF THE STAFF OF MOCH IS NOT ABLE TO PROVIDE THE APPROPRIATE CARE FOR PATIENTS, IT PROVIDES REFERRAL SERVICES FOR PODIATRY SERVICES, CHEMICAL DEPENDENCY, OBSTETRICS, AND SPECIALTY SERVICES. DURING THE FISCAL YEAR, THE ORGANIZATION HAD 14,376 MEDICAL ENCOUNTERS. 979599 1054680 MISSOURI OZARKS COMMUNITY HEALTH OFFERS PREVENTATIVE AND RESTORATIVE DENTAL CARE AT THE AVA, CABOOL, GAINESVILLE AND MANSFIELD LOCATIONS. DURING THE FISCAL YEAR, THE ORGANIZATION HAD 6,544 DENTAL ENCOUNTERS. 27438 29541 MISSOURI OZARKS COMMUNITY HEALTH PROVIDES MENTAL HEALTH SERVICES AT ALL CLINIC LOCATIONS. SERVICES INCLUDE: INDIVIDUAL COUNSELING, FAMILY COUNSELING, CONSULTATION, REFERRAL FOR LONG-TERM PSYCHOTHERAPY, MEDICATION EVALUATION, AND SUBSTANCE ABUSE COUNSELING. DURING THE FISCAL YEAR, THE ORGANIZATION HAD 332 MENTAL HEALTH ENCOUNTERS. 108921 117269 2954864 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 false false false false false false false false false false false true false false false false false false false false true 0 0 73 true false false false false false false false false false false X 9 9 true false false false false false false true true false false true true true true true true true false false X TIMOTHY SHRYACK 4176834831 504 NW 10TH AVE PO BOX 1359 AVA MO 65608 CAROL CUNNINGHAM PRESIDENT 1.0 X X 0 0 0 RHONDA SUTER VICE PRESIDENT 1.0 X X 0 0 0 SANDY PUEPPKE SECRETARY 1.0 X X 0 0 0 JON N SORNSON DIRECTOR 1.0 X 0 0 0 LYNDELL STRONG DIRECTOR 1.0 X 0 0 0 DONALD PINCKNEY TREASURER 1.0 X X 0 0 0 VERLIN ROGERS DIRECTOR 1.0 X 0 0 0 JERRI CRAWFORD DIRECTOR 1.0 X 0 0 0 VALERIE REESE DIRECTOR 1.0 X 0 0 0 RICHARD R SIMS CEO ENDING 09/2013 31.0 X 81066 0 5396 TAMMY GALBRAITH CFO 40.0 X 58657 0 4854 TIMOTHY SHRYACK CEO BEGINNING 06/2013 40.0 X 56891 0 2844 SYBIL A FORTNER DDS DENTIST 40.0 X 137121 0 8822 DONNA HARPER DO MEDICAL DOCTOR 32.0 X 129302 0 8796 DANIEL HARKEY DDS DENTIST 40.0 X 114173 0 8041 577210 0 38753 3 false false false BKD LLP ACCT/CONSULTING/TAX 106314 1 1253186 230802 42824 1483988 NET PATIENT SERVICE REVENUE 624100 3064070 3064070 HEALTH & FITNESS CENTER 713940 108867 108867 OTHER CLINIC REVENUE 900099 8402 8402 3181339 6741 6741 0 0 32666 32666 0 32666 32666 0 0 0 0 LOSS ON INVESTMENT IN EQUITY INVESTEE 900099 -4544 -4544 -4544 4700190 3181339 34863 0 0 0 0 209708 209708 0 0 1988772 1407388 581384 62142 41931 20211 306228 203731 102497 194980 125567 69413 0 1076 1076 129428 129428 0 0 0 30341 30341 32798 32798 164916 40229 124687 187213 118302 68911 0 203945 128875 75070 3228 3228 0 18509 3203 15306 81543 81543 0 393626 277864 115762 32851 14554 18297 MEDICAL SUPPLIES & DRUGS 559848 559848 LICENSES, DUES, SUBSCRIPTIONS 41631 10114 31517 BAD DEBT 14476 14476 RECRUITING & RETENTION 10380 8782 1598 4667639 2954864 1712775 0 309511 430840 2317899 2471323 90915 63792 342021 274109 0 0 0 0 0 0 158279 181299 50879 43221 6842981 2948311 4163297 3894670 0 0 0 0 0 5091 0 0 15460 24283 7448261 7388628 367119 282109 0 0 8759 7006 0 0 0 0 0 0 2171743 2135809 0 0 852487 883000 3400108 3307924 X 3917773 3991536 130380 89168 0 0 4048153 4080704 7448261 7388628 32551 X false true X true true true X 2304805 1572909 1527258 1435571 1483988 8324531 0 0 2304805 1572909 1527258 1435571 1483988 8324531 276853 8047678 20015 24067 26294 27339 34863 132578 0 0 8457109 13824849 0.95159 0.95686 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) THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 122760 122760 4777668 1542955 3234713 1942553 1405356 537197 3894670 0 EST AMT DUE TO 3RD PTY PYRS 883000 883000 4726926 84355 84355 4642571 57619 57619 4700190 4653163 4653163 14476 14476 4667639 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 REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ 98,831 NET ASSETS RELEASED FROM RESTRICTIONS (14,476) BAD DEBT EXPENSE ----------- $ 84,355 SCHEDULE D, PART XI, LINE 4B REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 57,619 TEMPORARILY RESTRICTED CONTRIBUTIONS SCHEDULE D, PART XII, LINE 4B EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 14,476 BAD DEBT EXPENSE X 1 3330 FMV X 1 39494 FMV false false false SCHEDULE M, PART 1, COLUMN B NUMBER OF CONTRIBUTORS OR ITEMS CONTRIBUTED: THE NUMBERS REPORTED IN COLUMN B REPRESENT CONTRIBUTIONS FROM ONE DONOR PER CONTRIBUTION TYPE. FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES: THE MISSION OF THE DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. (DCPHSG), DOING BUSINESS AS MISSOURI OZARKS COMMUNITY HEALTH (MOCH), IS, AS A COMMUNITY HEALTH CENTER, TO PROVIDE AFFORDABLE, ACCESSIBLE, QUALITY HEALTH CARE TO ALL WITHIN THE DESIGNATED SERVICE AREA. THESE SERVICES WILL BE PROVIDED WITHOUT REGARD TO AGE, RACE, CREED, DISABILITY OR ECONOMIC STATUS. THESE SERVICES CONSIST OF USUAL AND CUSTOMARY SERVICES AS DEFINED BY THE TERM "PRIMARY" MEDICAL, MENTAL AND DENTAL HEALTH CARE NEEDS. FORM 990, PART I, LINE 6 VOLUNTEERS: THE ORGANIZATION HAS A VOLUNTEER BOARD OF DIRECTORS. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: OTHER PROGRAM SERVICES INCLUDE SUPPORT SERVICES. FORM 990, PART VI, SECTION A, LINE 2 RELATIONSHIPS: LYNDELL STRONG AND JERRI CRAWFORD HAVE A FAMILY RELATIONSHIP. 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. THE DRAFT FORM 990 IS INITIALLY INTERNALLY REVIEWED IN DETAIL BY THE CEO AND CFO. AFTER ANY REVISIONS ARE MADE BY THE CEO AND CFO, A COPY OF THE 990 IS PROVIDED TO THE FULL BOARD. THE BOARD IS THEN GIVEN AN OPPORTUNITY TO PROVIDE SUGGESTIONS FOR REVISIONS. AFTER ALL REVISIONS ARE COMPLETE, THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. COMPLIANCE WITH THIS POLICY IS REVIEWED AT MONTHLY STAFF MEETINGS. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY DIRECTOR SHALL BE DISCLOSED TO OTHER MEMBERS OF THE BOARD OF DIRECTORS. TO THIS END, EACH DIRECTOR SHALL UPON ELECTION AND ANNUALLY THEREAFTER, PREPARE AND FILE WITH THE SECRETARY, A WRITTEN DECLARATION OF INTERESTS AND ACTIVITIES WHICH CREATE OR MIGHT CREATE DUAL INTEREST OR CONFLICT OF INTEREST ON THE PART OF THE DIRECTORS. SAID DECLARATIONS SHALL BE AVAILABLE FOR REVIEW BY ALL DIRECTORS AT ALL TIMES. ANY DIRECTOR HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER AND HE/SHE SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES SHALL REFLECT THE DISCLOSURE, THE ABSTENTION FROM VOTING, AND THE QUORUM STATUS. THE FOREGOING REQUIREMENTS, HOWEVER, SHALL NOT BE CONSTRUED AS PREVENTING THE DIRECTOR FROM STATING HIS/HER POSITION ON THE MATTER NOR FROM ANSWERING PERTINENT QUESTIONS OF OTHER MEMBERS, SINCE HIS/HER KNOWLEDGE MAY BE OF GREAT ASSISTANCE TO THE BOARD. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW POLICY: THE BOARD REVIEWS THE CEO'S COMPENSATION ANNUALLY USING THE NACHC SALARY SURVEY AND STATE OF MISSOURI SALARY COMPARABILITY DATA. USING THAT DATA, AND PERFORMANCE EVALUATION, THE WAGE IS ADJUSTED. THE BOARD VOTES ON ANY SALARY ADJUSTMENT AND THE ACTIONS TAKEN BY THE BOARD ARE DOCUMENTED IN THE BOARD MINUTES. THE CEO PERFORMS AN ANNUAL REVIEW AS SUPERVISOR FOR ALL OTHER OFFICERS. ALL OTHER COMPENSATION IS DETERMINED BY THE CEO USING GUIDANCE FROM THE STATE OF MISSOURI AND IS BASED ON MERIT. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT AVAILABILITY: THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY CAN BE VIEWED AT THE ORGANIZATION'S FACILITY UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS MAY BE AVAILABLE UPON WRITTEN REQUEST IF THE ORGANIZATION DEEMS THE REQUEST FOR VIEWING IS APPROPRIATE. WRITTEN REQUESTS SHOULD INCLUDE WHY THE INTERESTED PARTY REQUESTS TO VIEW THE FINANCIAL STATEMENTS.