2015-11-12T11:14:25-06:00 2014-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2014-01-01 446005758 OZARKS MEDICAL CENTER % KIM THOMPSON OZAR 4172569111 1100 KENTUCKY AVENUE WEST PLAINS MO 65775 KIM THOMPSON VP FINANCE/CFO 4172569111 2015-07-08 true Brian D Todd P00422601 4178658701 2014 2016-04-25 22:37:26Z THOMAS KELLER 1100 KENTUCKY AVE WEST PLAINS MO 65775 163404912 false X WWW.OZARKSMEDICALCENTER.COM X 1955 MO THE ORGANIZATION STRIVES TO BRING HIGH QUALITY HEALTH CARE TO THE REGION THROUGH DEVELOPMENT OF NEW SERVICES, ACQUIRING NEW EQUIPMENT AND RECRUITMENT OF HIGH QUALITY PROFESSIONALS. 15 12 1411 209 17532 362928 1139120 142490575 159799136 683870 1413735 -191422 869263 143345951 163221254 27319 68502 0 0 72268927 73609264 0 0 0 70670512 82003373 142966758 155681139 379193 7540115 101807543 109991764 48940785 49033181 52866758 60958583 X TO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ALL WE SERVE. false false 113800624 68502 129789491 INPATIENT AND OUTPATIENT SERVICES - INPATIENT ADMISSIONS WERE 5,595 AND INPATIENT DAYS WERE 19,861 FOR 2014. THERE WERE 25,580 ED VISITS IN 2014. OTHER OUTPATIENT REGISTRATIONS FOR 2014 WERE 74,366. SEE SCHEDULE O FOR MORE INFORMATION. 21080411 24819291 THE RURAL HEALTH AND SPECIALTY CLINICS, INCLUDING BEHAVIORAL HEALTH CLINIC PROGRAMS, PERFORMED 379,429 CLINIC ENCOUNTERS WITH PATIENTS DURING 2014. THE RURAL HEALTH AND SPECIALTY CLINICS MADE UP 127,404 OF THOSE ENCOUNTERS, WITH THE REMAINING 252,025 ENCOUNTERS BELONGING TO OTHER BEHAVIORAL HEALTH CARE CLINICS. BEHAVIORAL HEALTH CARE OFFERED SERVICES SUCH AS PSYCHOTHERAPY, PSYCHOLOGICAL TESTING, CASE MANAGEMENT, PSYCHO-SOCIAL REHABILITATION, MEDICATION MANAGEMENT/SERVICES, FAMILY ASSISTANCE, AND CRISIS STABILIZATION SERVICES. 3097946 5190354 RIVERWAYS PROGRAMS SERVICED PATIENTS THROUGH 98,162 VISITS DURING 2014. PROGRAMS INCLUDE: RIVERWAYS HOME CARE (HEALTH CARE PROVIDED TO PATIENTS IN THEIR HOMES USING SKILLED NURSES, HOME HEALTH AIDES, REHABILITATION THERAPISTS AND SOCIAL WORKERS), RIVERWAYS SUPPORT SERVICES (HOMEMAKING, PERSONAL CARE, RESPITE CARE, AND IN-HOME COMPANION CARE), RIVERWAYS TRANSITIONS (END-OF-LIFE CARE OFFERING ASSISTANCE, ENCOURAGEMENT, AND SUPPORT), RIVERWAYS HOSPICE (PHYSICAL, EMOTIONAL AND SPIRITUAL CARE IN THE FINAL STAGES OF ILLNESS), AND RIVERWAYS ADULT DAYCARE (A SAFE PLACE FOR ADULTS WHO ARE UNABLE TO STAY HOME BY THEMSELVES). 137978981 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true true true true false false false false false false false false true true true false false false false true true true false false true 95 0 true 1411 true true true false false false false false false false false false X 15 12 true false false false true true true true true false false true true true true true true true true false X KIM THOMPSON 4172569111 PO BOX 1100 WEST PLAINS MO 65775 X GREG BEYKIRCH BOARD MEMBER 1.0 0.0 X 0 0 0 MELISSA STEWART BOARD MEMBER BEGINNING 4/2014 1.0 0.0 X 0 0 0 KEVIN GLEGHORN BOARD MEMBER/VICE CHAIRMAN 2.0 0.0 X X 0 0 0 JUDY INGALSBE BOARD MEMBER/SECRETARY 2.0 0.0 X X 0 0 0 JOHN M MCCORMACK MD BOARD MEMBER 1.0 0.0 X 0 0 0 CHARLES H MORGAN MD BOARD MEMBER, PHYSICIAN 40.0 0.0 X 371163 0 10692 GIDEON MORRISON MD BOARD MEMBER, PHYSICIAN 2.0 0.0 X 1600 0 0 TRAVIS MORRISON BOARD MEMBER 1.0 0.0 X 0 0 0 ROGER D SHAW III DVM BOARD MEMBER 1.0 0.0 X 0 0 0 MARJORIE SLAYTON BOARD MEMBER/CHAIRMAN 2.0 0.0 X X 0 0 0 TRAVIS SMITH BOARD MEMBER 1.0 0.0 X 0 0 0 BILL WOOD BOARD MEMBER/TREASURER 2.0 0.0 X X 0 0 0 JASON SPURLING MD BOARD MEMBER 1.0 0.0 X 0 0 0 DAN CORMAN BOARD MEMBER 1.0 0.0 X 0 0 0 AARON MILLS MD BOARD MEMBER 1.0 0.0 X 0 0 0 JEANNIE M LOOPER COO/VICE PRESIDENT 55.0 0.0 X 194331 0 12868 KIM THOMPSON CFO/VP FINANCE 55.0 1.0 X 166483 0 10876 THOMAS KELLER CEO BEGINNING 2/2014 55.0 1.0 X 291604 0 20806 MICHAEL GROSS VP BUSINESS DEV, ENDING 8/2014 40.0 0.0 X 155353 0 15261 DR KEVIN CROWE PHYSICIAN, CARDIOLOGIST 40.0 0.0 X 631550 0 14913 DR ACHENKUNJU GEORGE PHYSICIAN, CARDIOLOGIST 40.0 0.0 X 613644 0 25718 DR M FAISAL KHAN PHYSICIAN, CARDIOLOGIST 40.0 0.0 X 827739 0 26462 DR C ROB ARMSTRONG PHYSICIAN, RADIOLOGIST 40.0 0.0 X 614385 0 23962 DR DAVID DENENNY PHYSICIAN, ORTHOPEDIC SURGEON 32.0 0.0 X 963498 0 16312 4831350 0 177870 80 false true false BOYCE AND BYNUM PATHOLOGY PATHOLOGY 677786 DIVERSIFIED CLINICAL SERVICES WOUNDCARE MANAGEMENT 459801 JANNX EQUIP. MAINTENANCE 459067 GENERAL ELECTRIC COMPANY EQUIP. MAINTENANCE 345787 ALLSCRIPTS CLINICAL SOFTWARE 320757 25 130941 261121 747058 528000 1139120 PATIENT REVENUE 624100 150689694 150689694 CONTRACT PHARMACY 446110 5444412 5444412 EHR INCENTIVE REVENUE 900099 152548 152548 OTHER REVENUES 900099 3230112 3212580 17532 CAFETERIA 722514 282370 282370 159799136 1426669 1426669 0 0 198592 158324 40268 0 40268 40268 12400 25334 -12934 -12934 -12934 0 0 0 INCOME FROM EQUITY INVESTEE 900099 85295 85295 MALPRACTICE INS DIVIDEND 900099 743700 743700 828995 163221254 159781604 17532 2282998 61502 61502 7000 7000 0 0 1251037 590654 660383 0 59197087 49709351 9487736 0 787910 665461 122449 8591991 7180331 1411660 3781239 3148638 632601 0 313245 313245 129786 129786 0 0 0 12797393 10728055 2069338 338441 283715 54726 2723008 2276393 446615 35176 29488 5688 0 2715772 2276632 439140 770296 642134 128162 0 300623 256552 44071 771853 647044 124809 0 6068797 5087473 981324 1780238 1469843 310395 BAD DEBT 22351445 22351445 MEDICAL SUPPLIES & DRUGS 22161347 22161347 TAX PROVIDER EXPENSE 6643106 6643106 LICENSES, DUES, SUBSCRIPTIONS 1842822 1544838 297984 260025 217979 42046 155681139 137978981 17702158 0 15037 12362 11897193 20387783 0 0 17268175 16994535 0 0 0 0 0 0 3000101 2071401 1413742 1492586 114174385 76346906 38802175 37827479 24337489 26575822 1974063 2059358 0 0 0 0 3099568 2570438 101807543 109991764 13246229 14194021 0 0 0 0 20367864 19193156 0 0 0 0 4157812 3726588 0 0 11168880 11919416 48940785 49033181 X 52845459 60858350 21299 100233 0 0 52866758 60958583 101807543 109991764 7540115 551710 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 25834 25834 false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES. ALSO, LEADERS ATTEND COMMUNITY FORUMS AND LOCAL REPRESENTATIVE FORUMS TO COMMUNICATE THE EFFECT OF HEALTHCARE LEGISLATION ON OMC, OTHER HEALTH CARE PROVIDERS, AND THE COMMUNITY. THERE IS NO EXPENSE TO OMC FOR THESE ACTIVITIES. 3472969 3472969 37355188 20144306 17210882 1908631 1775153 133478 67831511 53335476 14496035 3606086 1091971 2514115 37827479 0 EST AMT DUE FROM 3RD PTY PYRS 11919416 11919416 141499853 551710 -22052535 -21500825 163000678 220576 220576 163221254 133486962 157268 157268 133329694 22351445 22351445 155681139 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: $(22,351,445) PROVISION FOR UNCOLLECTIBLE ACCOUNTS 298,910 NET ASSETS RELEASED FROM RESTRICTION ------------ $(22,052,535) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 377,844 TEMPORARILY RESTRICTED CONTRIBUTIONS ( 157,268) RENTAL EXPENSES ------------- $ 220,576 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 157,268 RENTAL EXPENSES SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 22,351,445 PROVISION FOR UNCOLLECTIBLE ACCOUNTS true true X true X true X 225. true true false true true 1597881 1597881 0.01200 31945016 20817249 11127767 0.08350 33542897 20817249 12725648 0.09550 69086 69086 0.00050 7350939 6327286 1023653 0.00770 68502 68502 0.00050 7488527 6327286 1161241 0.00870 41031424 27144535 13886889 0.10420 true 22351445 1772241 33227964 32696062 531902 X true true 1 1 OZARKS MEDICAL CENTER 1100 KENTUCKY AVENUE WEST PLAINS MO 65775 WWW.OZARKSMEDICALCENTER.COM 174-55 X X X 1 OZARKS MEDICAL CENTER 1 false false true X X X X X X X X X 13 true false false true X SEE PART V SUPPLEMENTAL INFORMATION X true 13 false true false true X 100 225. X X X X X X X true true X X X X true X X X X X X X X X X X true X false X X X X true X X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS BEGAN IN JUNE OF 2012. AT THAT TIME AN INQUIRY BY OZARKS MEDICAL CENTER TO EXPLORE THE POSSIBILITY OF CONDUCTING A COMPREHENSIVE IRS ALIGNED CHNA FOR HOWELL COUNTY MO. ON JULY 6TH A MEETING WAS HELD (HOSTED BY OZARKS MEDICAL CENTER) IN SPRINGFIELD MO TO KICKOFF CHNA FOR HOWELL COUNTY AND TO REVIEW THE POSSIBLE CHNA OPTIONS. VVV RESEARCH & DEVELOPMENT INC. FROM OLATHE, KS WAS ASKED TO FACILITATE THIS DISCUSSION WITH THE FOLLOWING AGENDA: VVV RESEARCH CHNA EXPERIENCES, REVIEW CHNA REQUIREMENTS (REGULATIONS), DISCUSS CHNA STEPS/OPTIONS TO MEET IRS REQUIREMENTS, AND TO DETERMINE NEXT STEPS. EACH COMMUNITY HAS A WEALTH OF EXPERTISE TO BE TAPPED TO CONDUCT THE CHNA. FOR THIS PURPOSE, TOWN HALLS ARE THE PERFECT FORUM TO GATHER COMMUNITY INSIGHT. TOWN HALL SESSIONS WERE ORGANIZED TO PROVIDE AN OBJECTIVE CONSENSUS BUILDING METHOD OF REVIEWING AND PRIORITIZING COUNTY HEALTH ISSUES. ALL TOWN HALL PRIORITY-SETTING AND SCORING PROCESSES INVOLVED THE INPUT OF KEY STAKEHOLDERS IN ATTENDANCE. THE INDIVIDUALS AND ORGANIZATIONS COMPRISING THE TOWN HALLS WERE CRITICALLY IMPORTANT TO THE SUCCESS OF THE CHNA. THE FOLLOWING LIST OUTLINES PARTNERS INVITED TO TOWN HALL: LOCAL HOSPITAL, PUBLIC HEALTH COMMUNITY, MENTAL HEALTH COMMUNITY, FREE CLINICS, COMMUNITY-BASED CLINICS, SERVICE PROVIDERS, LOCAL RESIDENTS, COMMUNITY LEADERS, OPINION LEADERS, SCHOOL LEADERS, BUSINESS LEADERS, LOCAL GOVERNMENT, FAITH-BASED ORGANIZATIONS AND PERSONS (OR ORGANIZATIONS SERVING THEM), PEOPLE WITH CHRONIC CONDITIONS, UNINSURED COMMUNITY MEMBERS, LOW INCOME RESIDENTS, AND MINORITY GROUPS. HOWELL / OREGON COUNTIES TOWN HALL WAS HELD OVER LUNCH ON MONDAY SEPTEMBER 24TH, 2012 AT THE WEST PLAINS CITY ACTIVITY CENTER. VINCE VANDEHAAR AND LYNDSEY OGLE FACILITATED THIS 1 HOUR SESSION WITH THIRTY-SIX (36) COMMUNITY ATTENDEES. AT THE END OF EACH TOWN HALL SESSION, VVV ENCOURAGED ALL COMMUNITY MEMBERS TO CONTINUE TO CONTRIBUTE IDEAS BY EMAILING ADDITIONAL FEEDBACK TO OMC LEADERS. SCHEDULE H, PART V, SECTION B, LINE 7 HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.OZARKSMEDICALCENTER.COM/DOCUMENTS/OZARKSMEDCHNA_FINAL2013.PDF PRESS RELEASES WERE SENT TO THE PRINT MEDIA IN THE SERVICE AREA STATING WHERE THE REPORT COULD BE FOUND. SCHEDULE H, PART V, SECTION B, LINE 11 IMPLEMENTATION STRATEGY: OMC HAS A COMMUNITY BENEFIT PLAN ADDRESSING ALL OF THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA, ALONG WITH PLANS TO ADDRESS OR REASONS NOT BEING ADDRESSED. ALSO, OMC'S BOARD OF TRUSTEES AND SENIOR LEADERS INCORPORATE THIS PLAN INTO THE COMMUNITY PILLAR OF THE ORGANIZATION'S STRATEGIC PLAN. THE STRATEGIC PLAN SPECIFIES GOALS, STRATEGIES, AND INITIATIVES. THESE ARE ASSIGNED DUE DATES, THE PRIMARY RESPONSIBLE LEADER AND ALIGNMENT WITH MISSION, VISION AND VALUES. SCHEDULE H, PART V, SECTION B, LINE 13B & 13H ELIGIBILITY CRITERIA: 13B) THE RELATIONSHIP OF INCOME TO CHARGE AMOUNTS EVEN WHEN INCOME EXCEEDS FPG LIMITS. 13H) WHEN SERVICES ARE MEDICALLY NECESSARY AND THERE IS AGREEANCE TO SCREENING FOR OTHER ASSISTANCE PROGRAMS AND PRIOR PAYMENT OBLIGATIONS ON PAST DISCOUNTED SERVICES WERE MET. SCHEDULE H, PART V, SECTION B, LINE 16A-C FAP POLICY PUBLICATION: 16A)HTTP://WWW.OZARKSMEDICALCENTER.COM/DOCUMENTS/CHARITY-POLICY.PDF 16B)HTTP://WWW.OZARKSMEDICALCENTER.COM/DOCUMENTS/CHARITYAPP.PDF 16C)HTTP://WWW.OZARKSMEDICALCENTER.COM/FOR-PATIENTS-VISITORS/FINANCIAL-ASS ISTANCE-PROGRAMS.ASPX SCHEDULE H, PART V, SECTION B, LINES 18 & 19 BILLING AND COLLECTIONS: THE WRITTEN FINANCIAL ASSISTANCE POLICY EXPLAINS THAT THE ORGANIZATION WILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR PAYMENT PROVIDED THAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH OMC'S FINANCIAL COUNSELORS EFFORTS TO GET PAYMENT FROM OTHER SOURCES OR OBTAIN INFORMATION FOR CHARITY CARE DETERMINATION. THE FAP DOES NOT LIST ANY OF THE ITEMS LISTED IN #18 OR #19. 24 ALTON MEDICAL CLINIC 100 MEDICAL DR ALTON MO 65606 RURAL HEALTH CLINIC GAINESVILLE MEDICAL CENTER 404 W HWY 160 GAINESVILLE MO 65655 RURAL HEALTH CLINIC MAMMOTH SPRINGS MEDICAL CLINIC 260 S MAIN MAMMOTH SPRINGS AR 72554 RURAL HEALTH CLINIC MOUNTAIN GROVE MEDICAL COMPLEX 500 E 19TH ST MOUNTAIN GROVE MO 65711 RURAL HEALTH CLINIC OP SERVICES MCVICKER FAMILY HEALTHCARE 220 N ELM ST PO BOX 32 MOUNTAIN VIEW MO 65548 RURAL HEALTH CLINIC SALEM 1ST CARE 172 HWY 62 E STE 1 SALEM AR 72576 RURAL HEALTH CLINIC SHANNON COUNTY MEDICAL CLINIC 1008 N HWY 19 WINONA MO 65588 RURAL HEALTH CLINIC THAYER MEDICAL CLINIC 300 WARMFORK RD THAYER MO 65791 RURAL HEALTH CLINIC BEHAVIORAL HEALTH CARE 23 PARKWAY CENTER WEST PLAINS MO 65775 MENTAL HLTH FACILITY HEART CARE SERVICES 1115 ALASKA AVE STE 114 WEST PLAINS MO 65775 CARDIOVASCULAR SPECIALTY CLINIC OZARK WORKSURGENT CARE CLINIC 181 N KENTUCKY AVE STE 100 WEST PLAINS MO 65775 RURAL HEALTH CLINIC OCCUPATIONAL MEDICINE SPECIALTY CLINIC PAIN MANAGEMENT 3000 INDEPENDENCE SQUARE WEST PLAINS MO 65775 OP SERVICES ARCH SHAW BUILDING 1111 KENTUCKY AVE WEST PLAINS MO 65775 ONCOLOGY, IMAGING, AND REHABILITATION SLEEP LAB 11 PARKWAY CENTER WEST PLAINS MO 65775 SLEEP LAB SURGERY CLINIC 2600 INDEPENDENCE SQUARE WEST PLAINS MO 65775 SPECIALTY CLINIC INTERNAL MEDICINE CLINIC 1115 ALASKA AVE STE 215 WEST PLAINS MO 65775 SPECIALTY CLINIC RIVERWAYS 114 E MAIN ST WEST PLAINS MO 65775 HOME CARE, SUPPORT SERVICES HOSPICE, HOME HEALTH AGENCY RIVERWAYS ADULT DAY CARE 114 E MAIN ST WEST PLAINS MO 65775 ADULT DAY CARE ORTHOPEDICS CLINIC 1609 PORTER WAGONER BLVD WEST PLAINS MO 65775 ORTHOPEDIC SPECIALTY CLINIC RHEUMATOLOGY 2900 INDEPENDENCE SQUARE WEST PLAINS MO 65775 OP SERVICES WOMEN'S HEALTHCARE CLINIC 1627 GIBSON ST WEST PLAINS MO 65775 SPECIALTY CLINIC UROLOGY 181 KENTUCKY AVE STE 200 WEST PLAINS MO 65775 SPECILATY CLINIC WOUND CARE 1665 GIBSON ST WEST PLAINS MO 65775 SPECIALTY CLINIC WEST PLAINS IMAGING 3102 INDEPENDENCE SQUARE WEST PLAINS MO 65775 IMAGING SERVICES SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT: THE ORGANIZATION PREPARES AN ANNUAL REPORT, WHICH IS AVAILABLE ON ITS WEBSITE. THE ANNUAL REPORT CONTAINS VARIOUS COMMUNITY BENEFIT INFORMATION. SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $ 22,351,445. SCHEDULE H, PART I, LINE 7G SUBSIDIZED SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $421,960. OZARKS MEDICAL CENTER PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. SCHEDULE H, PART I, LINE 7G COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEET 6 WAS COMPUTED FROM THE MEDICARE COST REPORT AND DEPARTMENT FINANCIAL STATEMENTS, USING SPECIFIC FINANCIAL DATA FOR EACH TYPE OF SUBSIDY. BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 2 THE ORGANIZATION USED BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE SCHEDULE H, PART III, LINE 3 THE ORGANIZATION ANALYZED BAD DEBT AND CHARITY CARE INFORMATION AND DETERMINED THAT 40% OF CHARITY CARE APPLICATIONS ARE NOT RETURNED. THE ORGANIZATION ESTIMATED THAT IF ALL APPLICATIONS WERE RETURNED, THERE WOULD HAVE BEEN $2,726,525 IN ADDITIONAL CHARITY CARE APPLICATIONS. THE ORGANIZATION THEN ESTIMATED THAT 65% OF THESE WOULD QUALIFY FOR CHARITY CARE (65% X 2,726,525 = 1,772,241). SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: IF A PATIENT APPLIES FOR ASSISTANCE PROGRAMS, THE COLLECTIONS PROCESS CEASES UNTIL THERE IS A DETERMINATION OF WHETHER OR NOT THE PATIENT QUALIFIES FOR ASSISTANCE. PENDING FINAL ELIGIBILITY DETERMINATION, OMC WILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR PAYMENT PROVIDED THAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH OMC'S FINANCIAL COUNSELORS' EFFORTS TO GET PAYMENT FROM OTHER SOURCES OR OBTAIN INFORMATION FOR CHARITY CARE DETERMINATION. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED IN 2013, OUR CEO AND PLANNING DIRECTOR CONDUCT QUARTERLY COMMUNITY LEADER MEETINGS TO DISCUSS HEALTH ISSUES. ALSO, EVALUATIONS ARE COMPLETED BY COMMUNITY MEMBERS WHO ATTEND QUARTERLY FREE COMMUNITY EDUCATION EVENTS. MINUTES OF THE COMMUNITY LEADER MEETINGS AND RESULTS OF THE EDUCATION EVALUATIONS ARE DISCUSSED BY THE BOARD PLANNING, MARKETING AND COMMUNITY BENEFIT COMMITTEE AT THEIR BI-MONTHLY MEETING. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FINANCIAL COUNSELORS MEET WITH PATIENTS UPON ADMISSION OR DISCHARGE AS APPLICABLE AND DISCUSS PAYMENT OPTIONS INCLUDING DMH, MEDICAID AND CHARITY, ETC. APPLICATIONS AND INSTRUCTIONS ARE GIVEN TO THOSE THAT APPEAR TO QUALIFY. SOCIAL WORKERS ARE ALSO USED FOR PATIENTS WITH SPECIAL NEEDS. EACH CLINIC AND REGISTRATION AREA HAS A PAMPHLET DISPLAY WITH INFORMATION ON THE CHARITY CARE POLICY. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: OZARKS MEDICAL CENTER IS LOCATED IN THE 11TH POOREST CONGRESSIONAL DISTRICT IN THE COUNTRY. THE LOCATION IS IN SOUTH CENTRAL MISSOURI WHICH IS A VERY RURAL AREA. WEST PLAINS IS A TOWN OF APPROXIMATELY 11,000 PEOPLE AND THE LARGEST TOWN FOR APPROXIMATELY 50 MILES ACROSS THE STATE LINE INTO ARKANSAS. THERE ARE MANY RETIRED INDIVIDUALS RESIDING IN THIS AREA DUE TO THE MANY RIVERS AND LAKES SO A MAJORITY OF OUR PATIENTS ARE MEDICARE OR MEDICAID RECIPIENTS. THE CLOSEST HOSPITAL WITH OUR RANGE OF SERVICES IN THE STATE OF MISSOURI IS OVER 1 1/2 HOURS AWAY. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE ORGANIZATION PROVIDES MANY HEALTH CARE SCREENINGS, WELLNESS ACTIVITIES, EDUCATIONAL OPPORTUNITIES, ATHLETIC PHYSICAL FOR LOCAL STUDENTS, WEEKLY RADIO BROADCASTS PROVIDING EDUCATIONAL INFORMATION TO THE COMMUNITY. THE ORGANIZATION PROVIDES FOR MANY COMMUNITY FUNCTIONS AND FUNDRAISING EVENTS FOR OTHER CHARITABLE ORGANIZATIONS SUCH AS UNITED WAY, RELAY FOR LIFE, OMC ANNUAL FUN RUN, ANNUAL BASKETBALL GAME TO BENEFIT A PHYSICALLY CHALLENGED INDIVIDUAL. OMC ALSO SPONSORS MULTIPLE COMMUNITY EVENTS SUCH AS GOLF TOURNAMENTS, JR. COLLEGE BASKETBALL AND VOLLEYBALL GAMES/TOURNAMENTS. WE WORK WITH THE LOCAL SCHOOLS SPECIAL NEEDS CHILDREN AND ALLOW THEM TO PERFORM JOBS IN THE HOSPITAL SO THAT THEY GAIN SKILLS TO BECOME PRODUCTIVE MEMBERS OF SOCIETY. OMC IS THE LARGEST EMPLOYER IN TOWN AND THEREFORE PROVIDES EMPLOYMENT OPPORTUNITIES TO OVER 1,300 PEOPLE AND AFFORDABLE BENEFITS TO THEIR FAMILIES. THE ORGANIZATION INFUSES OVER $60 MILLION IN WAGES EACH YEAR INTO THE COMMUNITY, BRINGING HEALTHCARE PROFESSIONALS INTO THE COMMUNITY WHICH IN TURN BENEFITS THE HOUSING MARKET, LOCAL SHOPS AND RESTAURANTS AND OTHER BUSINESSES. THE EMPLOYEES OF OMC ARE EXTREMELY GIVING AND PARTICIPATE IN THE MANY FUNDRAISING ACTIVITIES PROMOTED BY OMC INCLUDING ADOPTION OF FAMILIES IN NEED AT CHRISTMAS TO PROVIDE FOOD, GIFTS, UTILITY PAYMENTS, ETC. THE ORGANIZATION PROVIDES THE FULL CONTINUUM OF CARE. DUE TO THE RURAL AREA, WE HAVE SET UP RURAL HEALTH CLINICS IN OUR SERVICE AREA TO PROVIDE PRIMARY CARE IN UNDERSERVED AREAS. THE 24/7 EMERGENCY DEPARTMENT PROVIDES CARE TO OVER 25,000 VISITS PER YEAR. ACUTE CARE AND BEHAVIORAL HEALTH CARE IS PROVIDED AS WELL AS HOME HEALTH, HOSPICE AND HOMEMAKER SUPPORT SERVICES. IN ADDITION, WE OFFER A TRANSITIONS PROGRAM TO MOVE THOSE IN HOME HEALTH TO HOSPICE WHEN THE TIME IS RIGHT WHICH IS A NON-REIMBURSED SERVICE. THROUGH OUR SUBSIDIARY, WE ALSO PROVIDE DME SERVICES. THESE SERVICES ALONG WITH OUR SPECIALTY PHYSICIANS PROVIDE THE COMMUNITY WITH THE NEEDED SERVICES. OMC IS A COMMUNITY OWNED HOSPITAL THAT DOES NOT RECEIVE ANY TAX MONIES FROM THE CITY/COUNTY. ALL REVENUES GENERATED ARE USED TO PURCHASE CAPITAL EQUIPMENT TO ADVANCE THE SERVICES WE PROVIDE. THERE ARE SERVICES PROVIDED BY OMC THAT ARE NOT AVAILABLE ELSEWHERE IN THE COMMUNITY SUCH AS WOUND CARE, OBSTETRICS, RHEUMATOLOGY AND OTHERS. EACH SERVICE IS REVIEWED AND THE COMMUNITY NEED DRIVES THE DECISIONS MADE ON THE SERVICES WE PROVIDE. IN THE PAST, WE HAVE DISCONTINUED SERVICES THAT ARE PROVIDED ELSEWHERE IN THE COMMUNITY SO THAT INSTEAD OF HAVING TWO STRUGGLING BUSINESSES, WE ALLOW OTHERS TO BECOME STRONG AND SUCCEED. DETAILS OF COMMUNITY HEALTH PROMOTION ARE INCLUDED IN THE COMMUNITY BENEFIT PLAN (IMPLEMENTATION STRATEGY) AND INCLUDE BUT ARE NOT LIMITED TO, FREE SCREENINGS AND EDUCATION, INTERACTION WITH YOUTH ABOUT HEALTH, OMC REPRESENTATION AND SERVICE ON THE COMMITTEE FOR A SMOKE FREE WEST PLAINS, HOWELL COUNTY HEALTH FAIR, CHAMBER OF COMMERCE. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: OZARKS MEDICAL CENTER (THE "MEDICAL CENTER") OPERATES AN ACUTE CARE HOSPITAL FACILITY IN WEST PLAINS, MISSOURI. WEST PLAINS HEALTH SERVICE, INC. (WPHS), A WHOLLY OWNED SUBSIDIARY OF THE MEDICAL CENTER, OPERATES A DURABLE MEDICAL EQUIPMENT COMPANY, HEART OF THE OZARKS MEDICAL EQUIPMENT AND A MANAGEMENT SERVICES DIVISION, WHICH FUNCTIONS MAINLY AS A PROPERTY RENTAL COMPANY, ALL IN WEST PLAINS, MISSOURI. OZARKS MEDICAL CENTER FOUNDATION (THE "FOUNDATION") IS AN AFFILIATE ESTABLISHED TO PROVIDE FUNDRAISING ASSISTANCE TO THE MEDICAL CENTER. OZARKS MEDICAL CENTER PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN WEST PLAINS, MISSOURI, AND THE SURROUNDING AREA. THE MEDICAL CENTER ALSO OPERATES A HOME HEALTH AND HOSPICE AGENCY AND A NUMBER OF PHYSICIAN CLINICS IN THE SAME GEOGRAPHIC AREA. true MHA CENTER FOR EDUCATION PO BOX 60 JEFFERSON CITY MO 65102 430898947 501(C)(3) 11502 SCHOLARSHIPS MISSOURI STATE UNIVERSITY FOUNDATION 300 SOUTH JEFFERSON AVENUE SPRINGFIELD MO 65806 431234200 501(C)(3) 50000 SCHOLARSHIPS & NURSING PROGRAM 2 SCHOLARSHIPS 14 7000 SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS: THE ORGANIZATION MADE CHARITABLE CONTRIBUTIONS TO THE MHA CENTER FOR EDUCATION TO PROVIDE SCHOLARSHIPS. THESE FUNDS ARE MONITORED BY THE ORGANIZATION'S ADMINISTRATIVE STAFF. THE ORGANIZATION ALSO MADE CONTRIBUTIONS TO THE MISSOURI STATE UNIVERSITY FOUNDATION TO PROVIDE SCHOLARSHIPS. THESE FUNDS ARE MONITORED BY THE FOUNDATION STAFF AND DISBURSED TO QUALIFIED SCHOLARSHIP APPLICANTS. X X X X false false false false false false false true false CHARLES H MORGAN MD BOARD MEMBER, PHYSICIAN 344095 0 0 0 27068 0 7650 0 3042 0 381855 0 0 0 MICHAEL GROSS VP BUSINESS DEV, ENDING 8/2014 138372 0 13835 0 3146 0 4365 0 10896 0 170614 0 0 0 JEANNIE M LOOPER COO/VICE PRESIDENT 184632 0 7650 0 2049 0 5793 0 7075 0 207199 0 0 0 KIM THOMPSON CFO/VP FINANCE 160460 0 4988 0 1035 0 4873 0 6003 0 177359 0 0 0 DR KEVIN CROWE PHYSICIAN, CARDIOLOGIST 609155 0 0 0 22395 0 7650 0 7263 0 646463 0 0 0 DR ACHENKUNJU GEORGE PHYSICIAN, CARDIOLOGIST 591619 0 0 0 22025 0 7650 0 18068 0 639362 0 0 0 DR M FAISAL KHAN PHYSICIAN, CARDIOLOGIST 824226 0 0 0 3513 0 7650 0 18812 0 854201 0 0 0 DR C ROB ARMSTRONG PHYSICIAN, RADIOLOGIST 608118 0 0 0 6267 0 7650 0 16312 0 638347 0 0 0 DR DAVID DENENNY PHYSICIAN, ORTHOPEDIC SURGEON 956604 0 0 0 6894 0 0 0 16312 0 979810 0 0 0 THOMAS KELLER CEO BEGINNING 2/2014 284763 0 0 0 6841 0 4713 0 16093 0 312410 0 0 0 SCHEDULE J, PART I, LINE 7 BONUS DETERMINATION: SENIOR MANAGEMENT'S BONUSES ARE BASED ON A SET OF CORPORATE AND INDIVIDUAL STRATEGIC GOALS THAT ARE WEIGHTED AND ASSIGNED A VALUE. EACH INDIVIDUAL'S POTENTIAL BONUS AMOUNT IS BASED ON THEIR SALARY. THE PERCENTAGE ABOVE OR BELOW THE POTENTIAL BONUS THAT THEY RECEIVE IS IN RELATION TO THE COMPLETION OF THE GOAL AND THE WEIGHT GIVEN TO THAT GOAL. THEY CAN EARN 110% - 0% OF THE POTENTIAL GOAL. A THE INDUSTRIAL DEVELOP AUTHORITY OF WEST PLAINS 431343355 2013-01-10 21415000 REFI 99 & 97 BONDS, BUILDING RENOV false false false A 0 0 21415000 0 0 17671741 406971 0 0 3336288 0 0 2013 true false true true A 0 A true false false 0 false 0 false false A false BOYCE BYNUM SEE PART V. 124547 PROFESSIONAL FEES false SCHEDULE L, PART IV, LINE 1 BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: 1. DR. GIDEON MORRISON, A BOARD MEMBER, IS A GREATER THAN 5% OWNER IN BOYCE & BYNUM, WHICH PROVIDED PROFESSIONAL SERVICES TO OMC. DR. GIDEON MORRISON IS ALSO RELATED TO TRAVIS MORRISON, A BOARD MEMBER. X 2 528000 FMV 2 false false false SCHEDULE M, LINE 25, COLUMN B NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS INCLUDED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS DONATING MEDICAL EQUIPMENT. FORM 990, PART III, LINE 4A ORGANIZATION'S MISSION: OMC'S MISSION IS TO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ALL WE SERVE. ORGANIZATION'S VISION: AT OMC, OUR VISION IS TO CHANGE LIVES BY NURTURING HOPE, IMPROVING HEALTH AND ENCOURAGING WELLNESS - EVERY PERSON, EVERY TIME. OUR CORE VALUES: RESPECT, COMPASSION, INTEGRITY, SUPERIOR SERVICE, TEAMWORK, ENTHUSIASM, AND ACCOUNTABILITY FORM 990, PART III, LINE 4 PROGRAM SERVICE ACCOMPLISHMENTS: OMC IS COMMITTED TO THE COMMUNITY AND AS PART OF THAT COMMITMENT, HOSTS A NUMBER OF OUTREACH SERVICES AND PROGRAMS EACH YEAR. IN 2014, OMC PROVIDED COMMUNITY BENEFIT EXPENSE AND CHARITY CARE TO ASSIST THE UNINSURED AND UNDERINSURED, AND TO PROVIDE OTHER ASSISTANCE BASED ON NEED. OMC ALSO PROVIDED ACTIVITIES FOR COMMUNITY MEMBERS OF ALL AGES. 2014 YEAR IN REVIEW: QUALITY: OMC ACHIEVED LEVEL TWO STATE STROKE CERTIFICATION AFTER A SUCCESSFUL STATE SURVEY WITH ZERO DEFICIENCIES. WE EARNED A PATIENT SAFETY EXCELLENCE AWARD FROM HEALTHGRADES, RANKING THE ORGANIZATION IN THE TOP 5% OF HOSPITALS NATIONWIDE FOR PATIENT SAFETY AND QUALITY. IN 2014, OMC PERFORMED 245 CORONARY INTERVENTIONS WITH A DOOR-TO-BALLOON TIME OF 64 MINUTES, SUBSTANTIALLY BETTER THAN THE NATIONAL STANDARD SET BY THE AMERICAN HEART ASSOCIATION OF 90 MINUTES. DOOR-TO-BALLOON TIME IS A QUALITY MEASURE INDICATING THE AMOUNT OF TIME BETWEEN A HEART ATTACK PATIENT'S ARRIVAL AT THE EMERGENCY ROOM TO THE TIME THAT THE PATIENT'S BLOCKED ARTERY IS REOPENED IN THE CARDIAC CATHETERIZATION LAB. OZARKS MEDICAL CENTER BEHAVIORAL HEALTHCARE RECEIVED A THREE-YEAR ACCREDITATION FOR ITS HEALTHCARE HOME PROGRAM FROM CARF INTERNATIONAL. HEALTHCARE HOME IS A SERVICE THAT COORDINATES AN INDIVIDUAL'S COMPLETE CARE INCLUDING MEDICAL CARE, BEHAVIORAL CARE, AND RELATED SOCIAL SERVICES SUPPORTS. OMC WAS AWARDED THE AMERICAN DIABETES ASSOCIATION EDUCATION CERTIFICATE FOR ITS DIABETES SELF-MANAGEMENT EDUCATION PROGRAM, LIVING WITH DIABETES. OMC'S RATE OF EARLY ELECTIVE DELIVERIES IS AT 0 PERCENT. OMC HAS HAD NO EARLY ELECTIVE DELIVERIES OR CESAREAN SECTIONS IN MORE THAN TWO YEARS, FOR WHICH WE WERE RECOGNIZED BY THE MARCH OF DIMES. COMMUNITY SUPPORT AND BENEFIT: *HEART HEALTH SCREENING - 193 PARTICIPATED IN THE FREE SCREENINGS IN WEST PLAINS AND 8 OTHER SURROUNDING COMMUNITIES IN OMC RURAL HEALTH CLINICS. *COLORECTAL SCREENINGS - 113 FREE HOME TEST KITS DISTRIBUTED *DIABETES SCREENINGS *LADIES FIRST DINNERS - 150 ATTENDED EDUCATION DINNERS ON TOPICS OF HEART DISEASE, PHYSICAL FITNESS AND BREAST CANCER. *MEN'S HEALTH BREAKFAST *REACH - TOURS TO 140 MIDDLE SCHOOL AGE STUDENTS INTERESTED IN HEALTH AND SCIENCE THROUGH THE REACH PROGRAM, WHICH PROVIDES STUDENTS WITH INFORMATION ABOUT MEDICAL CAREERS. *MASH CAMP - 23 STUDENTS IN GRADES 10 THROUGH 12 PARTICIPATED IN OMC'S M*A*S*H (MEDICAL AND SCIENCE HEALTH) CAMP. THE CAMP OFFERS HANDS ON EXPERIENCE FOR THOSE INTERESTED IN HEALTH CARE CAREERS. *FALLS PREVENTION AWARENESS *OMC'S EDUCATION SERVICES CONDUCTED 211 CLASSES THAT WERE ATTENDED BY 981 PARTICIPANTS. CLASSES INCLUDED FIRST AID, HEARTSAVER CPR/AED, BASIC LIFE SUPPORT, ADVANCE CARDIAC LIFE SUPPORT, PEDIATRIC ADVANCE LIFE SUPPORT, NON-VIOLENT CRISIS INTERVENTION, BASIC CARDIAC DYSRHYTHMIA, 12 LEAD, AND TRAUMA NURSING CORE COURSE. *ATHLETIC PHYSICALS - 463 LOCAL STUDENT ATHLETES RECEIVED FREE ATHLETIC PHYSICALS DURING AN EVENT AT OMC. FREE SCREENINGS WERE ALSO OFFERED AT RURAL HEALTH CLINICS. *652 INDIVIDUALS PARTICIPATED IN THE OMC SUPERHERO FUN RUN, RAISING APPROXIMATELY $10,000 TO HELP OMC PATIENTS WHO ARE IN NEED AND UNDERGOING CANCER TREATMENT. *COLLABORATION WITH MISSOURI STATE UNIVERSITY-WEST PLAINS TO PROVIDE NURSING PROGRAM. *JOB SHADOW AND INTERNSHIP OPPORTUNITIES TO DEVELOP FUTURE HEALTHCARE AND BUSINESS WORKFORCE. *SCHOLARSHIPS FOR HEALTHCARE PROGRAMS AND EMPLOYEE TUITION REIMBURSEMENT *BREATHE EASY COALITION - PROMOTING SMOKE-FREE ENVIRONMENTS INCLUDING CAMPAIGN FOR SMOKE-FREE PUBLIC AREAS. *SUPPORT OF ORGANIZATIONS SUCH AS BOYS AND GIRLS CLUB, SAMARITAN OUTREACH, AND FUTURE FARMERS OF AMERICA. IN 2104, OMC PAID OVER $59 MILLION IN ANNUAL WAGES TO MORE THAN 1,100 EMPLOYEES. 209 VOLUNTEERS CONTRIBUTED 30,396 HOURS TO OMC. SERVICES: AT OZARKS MEDICAL CENTER, WE ARE NEIGHBORS SERVING NEIGHBORS. OUR SYSTEM OF SEVEN RURAL HEALTH CARE CLINICS ENSURES THAT RESIDENTS IN OUR 8-COUNTY SERVICE AREA HAVE ACCESS TO THE QUALITY CARE THEY NEED. OMC STATISTICS: 114 BEDS 8-COUNTY SERVICE AREA SERVING A MARKET OF 160,000 PEOPLE MORE THAN 100 PHYSICIANS ON MEDICAL STAFF ADMISSIONS 5,595 BIRTHS 637 EMERGENCY DEPARTMENT VISITS 25,580 INPATIENT AND OUTPATIENT SURGERIES 2,784 REHABILITATION SERVICES PROCEDURES 128,117 REHABILITATION CONTRACTED SERVICES 33,379 ALLERGY/IMMUNOLOGY BEHAVIORAL HEALTHCARE CANCER TREATMENT CENTER HEART CARE SERVICES INTERNAL MEDICINE CLINIC LUNG CARE SERVICES NEPHROLOGY NEUROSCIENCES CENTER ORTHOPAEDIC CLINIC OZARK WORKS/OCCUPATIONAL MEDICINE PAIN MANAGEMENT CLINIC PULMONOLOGY RHEUMATOLOGY CLINIC SURGICAL SPECIALISTS CLINIC WOUND CARE SERVICES WOMEN'S HEALTH CARE CLINIC WEST PLAINS IMAGING REHABILITATION SERVICES SLEEP CENTER HEART OF THE OZARKS MEDICAL EQUIPMENT (H.O.M.E.) FAMILY CARE CLINICS IN NINE COMMUNITIES OMC OFFERED X-RAY, LAB SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY AND COUNSELING SERVICES IN ITS OUTLYING CLINICS, SAVING TRAVEL FOR MANY PEOPLE LIVING THROUGHOUT THE 8-COUNTY AREA SERVED BY OMC. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS AND FAMILY RELATIONSHIPS: BOARD MEMBERS R. GIDEON MORRISON AND TRAVIS MORRISON SHARE A FAMILY RELATIONSHIP. GREG BEYKIRCH, ROGER SHAW, III, MARJORIE SLAYTON, AND TRAVIS MORRISON SHARE A BUSINESS RELATIONSHIP. JOHN MCCORMACK AND AARON MILLS SHARE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B MEMBERS/STOCKHOLDERS: OZARKS MEDICAL CENTER HAS ONE CLASS OF MEMBERSHIP. ALL INTERESTED PARTIES ARE ELIGIBLE FOR MEMBERSHIP UPON PAYMENT OF THE MEMBERSHIP FEES SET BY THE BOARD OF DIRECTORS. MEMBERSHIP IS NOT TRANSFERABLE OR ASSIGNABLE. MEMBERS, AFTER BEING A MEMBER FOR AT LEAST THIRTY DAYS, SHALL BE ELIGIBLE TO VOTE ON ANY BUSINESS OF THE CORPORATION. EACH MEMBER IS ENTITLED TO ONE VOTE. THE BOARD OF DIRECTORS CONSISTS OF 15 DIRECTORS. TEN OF THE CORPORATION'S BOARD MEMBERS, ELECTED FROM OZARKS MEDICAL CENTER'S SERVICE AREA, ARE ELECTED BY THE MEMBERS OF THE CORPORATION. ANY DIRECTOR PREVIOUSLY ELECTED BY THE MEMBERS MAY BE REMOVED FROM OFFICE BY THE MEMBERS AT AN ANNUAL MEETING OR ANY PROPERLY CALLED SPECIAL MEETING, BY THE VOTE OF TWO-THIRDS OF THE MEMBERS PRESENT, IN WHICH EVENT THE MEMBERS PRESENT WILL ELECT A SUCCEEDING DIRECTOR TO SERVE THE UNEXPIRED TERM OF THE REMOVED DIRECTOR. EACH MEMBER HAS ONE VOTE. ANY VACANCY DUE TO DEATH OR RESIGNATION SHALL BE FILLED BY ELECTION BY THE REMAINING MEMBERS OF THE BOARD. TWO DIRECTORS ARE ELECTED BY THE MEDICAL STAFF OF THE ORGANIZATION AND MUST BE A MEDICAL STAFF MEMBER THAT IS ALSO A MEMBER OF THE CORPORATION TO BE ELIGIBLE TO BE ELECTED TO THE BOARD. ANY VACANCIES OF THESE TWO BOARD POSITIONS ARE FILLED BY THE MEDICAL STAFF. THE REMAINING THREE BOARD OF DIRECTORS ARE DESIGNATED BY THEIR POSITION IN THE ORGANIZATION. THE CHIEF OF THE MEDICAL STAFF, THE IMMEDIATE PAST CHIEF OF THE MEDICAL STAFF, AND THE CHIEF ELECT OF THE MEDICAL STAFF ARE ALL BOARD MEMBERS FOR AS LONG AS THEY HOLD THOSE TITLES. THE BYLAWS OF THE CORPORATION MAY BE AMENDED AT AN ANNUAL OR PROPERLY CALLED SPECIAL MEETING OF THE MEMBERS OF THE CORPORATION BY TWO-THIRDS OF THE VOTE CAST OR A MAJORITY OF THE VOTING POWER, WHICHEVER IS LESS. THE BYLAWS MAY ALSO BE AMENDED BY THE BOARD PROVIDED THAT THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED, OR PROVIDED THAT THE BASIC PURPOSE OF THE CORPORATION SHALL NOT BE CHANGED OR ALTERED. IF ANY OF THOSE CONDITIONS DOES NOT APPLY, THE AMENDMENT MUST BE VOTED ON BY THE MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS FOR 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 BOARD WILL REVIEW THE FORM AND RECORD IN THE MEETING MINUTES THEIR ACCEPTANCE OF THE DRAFT. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT STATEMENTS ARE REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE TO DETERMINE IF NEW ITEMS WERE DISCLOSED. IF A BOARD MEMBER DID HAVE A CONFLICT OF INTEREST, HE/SHE WOULD ABSTAIN FROM VOTING ON ANY TRANSACTIONS RELATED TO THAT CONFLICT. STATEMENTS ARE ALSO OBTAINED FROM EXECUTIVES. FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION REVIEW: IN LATE 2013, B.E. SMITH (RECRUITMENT FIRM) WAS HIRED. THEY PERFORMED A REGIONAL SEARCH FOR OMC'S NEW CEO. THEY ALSO PROVIDED MARKET INFORMATION THAT INDICATED THE NEED TO INCREASE THE CEO COMPENSATION, WHICH THE COMPENSATION AND BENEFITS COMMITTEE VALIDATED WITH MISSOURI HOSPITAL ASSOCIATION DATA. THE FINAL COMPENSATION PACKAGE THAT WAS PRESENTED AND ACCEPTED BY THE CURRENT CEO WAS FIRST APPROVED AND REVIEWED BY THE COMPENSATION AND BENEFITS COMMITTEE AND BOARD EXECUTIVE COMMITTEE. ALL BOARD MEMBERS INVOLVED WERE INDEPENDENT BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15B OTHER OFFICER & KEY EMPLOYEE COMPENSATION REVIEW: COMPENSATION IS DETERMINED USING A COMBINATION OF SOURCES INCLUDING MISSOURI HOSPITAL ASSOCIATION COMPARATIVE DATA, SEARCH FIRM DATA AND RECOMMENDATIONS AND OTHER AVAILABLE MARKET DATA. THIS REVIEW IS PERFORMED BY THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO VIEW UPON WRITTEN REQUEST AT THE ADMINISTRATIVE OFFICE OF THE HOSPITAL DURING REGULAR BUSINESS HOURS. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: BOARD MEMBERS GIDEON MORRISON, MD, AND CHARLES MORGAN, MD, RECEIVE COMPENSATION FOR THEIR ROLES AS PHYSICIANS. NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DUTIES AS A MEMBER OF THE BOARD OF DIRECTORS. OZARKS MEDICAL CENTER FOUNDATION 12 PARKWAY CENTER WEST PLAINS MO 65775 431834356 SUPPORT OMC MO 501(C)(3) 7 NA false WEST PLAINS HEALTH SERVICES 1703 WEST EIGHTH ST WEST PLAINS MO 65775 431329201 DURABLE MED EQUIP MO OMC C CORP 85295 2249463 1.00000 true false false true false false false false false false true false false true false true false true false false