OZARKS MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: OZARKS MEDICAL CENTER (EIN 44-6005758)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-10
IRS object ID: 201443149349302709
Schema version: 2013v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-10T16:09:42-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	658062523	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	446005758	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OZARKS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% KIM THOMPSON	InCareOfNm
Business Name Control	OZAR	BusinessNameControlTxt
Phone	4172569111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 KENTUCKY AVENUE	AddressLine1
Address Line2	Suite	AddressLine2
City	WEST PLAINS	City
State	MO	State
ZIP Code	65775	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KIM THOMPSON	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	4172569111	PhoneNum
Signature	2014-09-18	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
Phone	4178658701	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	THOMAS KELLER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 KENTUCKY AVE	AddressLine1
City	WEST PLAINS	City
State	MO	State
ZIP Code	65775	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$143,515,107	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.OZARKSMEDICALCENTER.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1955	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1498	TotalEmployeeCnt
Total Volunteers	210	TotalVolunteersCnt
Total Gross UBI	$17,586	TotalGrossUBIAmt
PY Contributions Grants	$773,150	PYContributionsGrantsAmt
CY Contributions Grants	$362,928	CYContributionsGrantsAmt
PY Program Service Revenue	$158,232,567	PYProgramServiceRevenueAmt
CY Program Service Revenue	$142,490,575	CYProgramServiceRevenueAmt
PY Investment Income	$1,069,666	PYInvestmentIncomeAmt
CY Investment Income	$683,870	CYInvestmentIncomeAmt
PY Other Revenue	-$36,805	PYOtherRevenueAmt
CY Other Revenue	-$191,422	CYOtherRevenueAmt
PY Total Revenue	$160,038,578	PYTotalRevenueAmt
CY Total Revenue	$143,345,951	CYTotalRevenueAmt
PY Grants And Similar Paid	$56,335	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$27,319	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$76,339,129	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$72,268,927	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$73,813,624	PYOtherExpensesAmt
CY Other Expenses	$70,670,512	CYOtherExpensesAmt
PY Total Expenses	$150,209,088	PYTotalExpensesAmt
CY Total Expenses	$142,966,758	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,829,490	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$379,193	CYRevenuesLessExpensesAmt
Total Assets BOY	$98,630,906	TotalAssetsBOYAmt
Total Assets EOY	$101,807,543	TotalAssetsEOYAmt
Total Liabilities BOY	$49,283,570	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$48,940,785	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$49,347,336	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$52,866,758	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE, AND PROMOTE WELLNESS IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$100,724,246	ExpenseAmt
Grant	$27,319	GrantAmt
Revenue	$111,929,091	RevenueAmt
Desc	INPATIENT AND OUTPATIENT SERVICES - INPATIENT ADMISSIONS WERE 5,326 AND INPATIENT DAYS WERE 18,524 FOR 2013. THERE WERE 62,138 OUTPATIENT REGISTRATIONS FOR 2013. SEE SCHEDULE O FOR MORE INFORMATION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$21,930,699	ExpenseAmt
Revenue	$24,734,511	RevenueAmt
Desc	THE RURAL HEALTH AND SPECIALTY CLINICS, INCLUDING BEHAVIORAL HEALTH CLINIC PROGRAMS, PERFORMED 386,587 CLINIC ENCOUNTERS WITH PATIENTS DURING 2013. THERE ARE 20 RURAL AND SPECIALTY CLINICS. CLINIC PHYSICIAN CLINICS HAD 132,131 VISITS AND BEHAVIORAL HEALTHCARE CLINIC VISITS WERE 254,456. BEHAVIORAL HEALTH SERVICES OFFERED INCLUDE: PSYCHOTHERAPY (GROUP, INDIVIDUAL, AND FAMILY), PSYCHOLOGICAL TESTING, CASE MANAGEMENT, PSYCHO SOCIAL REHABILITATION, MEDICATION SERVICES, FAMILY ASSISTANCE, AND CRISIS STABILIZATION SERVICES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$3,050,040	ExpenseAmt
Revenue	$5,158,087	RevenueAmt
Desc	RIVERWAYS PROGRAMS SERVICED PATIENTS THROUGH 98,587 VISITS DURING 2013. 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).	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$125,704,985	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	102	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1498	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KIM THOMPSON	PersonNm
Phone	4172569111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1100	AddressLine1
City	WEST PLAINS	City
State	MO	State
ZIP Code	65775	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
GREG BEYKIRCH
SECRETARY	2.0	Yes (X)	Yes (X)	$0	$0
LOGAN DALE
BOARD MEMBER ENDING 4/2013	1.0	Yes (X)		$0	$0
KEVIN GLEGHORN
VICE CHAIRMAN	1.0	Yes (X)	Yes (X)
JUDY INGALSBE
BOARD MEMBER	1.0	Yes (X)		$0	$0
KENNETH JOPLIN
TREASURER	2.0	Yes (X)	Yes (X)	$0	$0	1.0
ROBERT MARTIN MD
BOARD MEMBER	1.0	Yes (X)		$0	$0
JOHN MCCORMACK MD
BOARD MEMBER	1.0	Yes (X)		$0	$0
CHARLES MORGAN MD
BOARD MEMBER, PHYSICIAN	1.0	Yes (X)		$345,425	$0		$24,723
GIDEON MORRISON MD
BOARD MEMBER	1.0	Yes (X)		$0	$0
TRAVIS MORRISON
BOARD MEMBER	1.0	Yes (X)		$0	$0
ROGER D SHAW III DVM
BOARD MEMBER	1.0	Yes (X)		$0	$0
MARJORIE SLAYTON
CHAIRMAN	2.0	Yes (X)	Yes (X)	$0	$0	1.0
TRAVIS SMITH
BOARD MEMBER	1.0	Yes (X)		$0	$0	1.0
BILL WOOD
BOARD MEMBER	1.0	Yes (X)		$0	$0
DAN CORMAN
BOARD MEMBER BEGINNING 5/2013	1.0	Yes (X)		$0	$0
AARON MILLS MD
BOARD MEMBER BEGINNING 1/2013	1.0	Yes (X)		$0	$0
DAVID M ZECHMAN FACHE
PRESIDENT & CEO ENDING 10/2013	60.0		Yes (X)	$351,648	$0	1.0	$25,427
JEANNIE M LOOPER
COO/INTERIM PRES/CEO 10/2013	55.0		Yes (X)	$203,192	$0		$12,833
KIM THOMPSON
CFO	55.0		Yes (X)	$146,993	$0	1.0	$11,563
MICHAEL GROSS
VP BUSINESS DEVELOPMENT	55.0			$229,442	$0		$21,063	Yes (X)
EDWARD R HENEGAR MD
VP MEDICAL AFFAIRS	55.0			$250,765	$0		$13,876	Yes (X)
DR KEVIN CROWE
PHYSICIAN	50.0			$789,822	$0		$14,259		Yes (X)
DR ACHENKUNJU GEORGE
PHYSICIAN	50.0			$548,484	$0		$26,443		Yes (X)
DR MUHAMMAD KHAN
PHYSICIAN	50.0			$769,944	$0		$21,901		Yes (X)
DR CHRISTOPHER NICHOLAS
PHYSICIAN	50.0			$789,142	$0		$23,943		Yes (X)
DR DAVID DENENNY
PHYSICIAN	50.0			$730,288	$0		$16,293		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,155,145	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$212,324	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	82	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDesc	CompensationCompensationAmt
RKL CONSTRUCTION
CONSTRUCTION	$4,732,861
WEATHERBY LOCUMS
PHYSICIAN STAFFING	$1,020,886
PREMIER SPECIALTY
PHYSICIAN STAFFING	$877,334
CARDINAL
PHARMACY MANAGEMENT	$471,088
DIVERSIFIED CLINICAL
WOUNDCARE MANAGEMENT	$446,667

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Related Organizations	$250,455	RelatedOrganizationsAmt
All Other Contributions	$112,473	AllOtherContributionsAmt
Noncash Contributions	$18,757	NoncashContributionsAmt
Total Contributions	$362,928	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PATIENT REVENUE	624100	$132,675,968	$132,675,968
CONTRACT PHARMACY	446110	$3,874,307	$3,874,307
EHR INCENTIVE REVENUE	900099	$1,610,600	$1,610,600
MALPRACTICE INS DIVIDEND	900099	$651,300		$651,300
CAFETERIA	722514	$263,271	$263,271

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,415,129	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,397,543	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$17,586	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$142,490,575	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$686,114	TotalRevenueColumnAmt
Exclusion	$686,114	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$214,263	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$156,712	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$57,551	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$57,551	TotalRevenueColumnAmt
Exclusion	$57,551	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$10,200	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$12,444	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$2,244	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,244	TotalRevenueColumnAmt
Exclusion	-$2,244	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
INCOME FROM EQUITY INVESTEE	900099	$26,261	$26,261
LOSS ON EXTINGUISHMENT OF FORWARD DELIVERY	900099	-$275,234	-$275,234

Field	Value	IRS element (for citing)
Other Revenue Total	-$248,973	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$143,345,951	TotalRevenueColumnAmt
Related Or Exempt Func Income	$141,821,689	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$17,586	UnrelatedBusinessRevenueAmt
Exclusion	$1,143,748	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$27,319	TotalAmt
Program Services	$27,319	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,636,950	TotalAmt
Program Services	$850,815	ProgramServicesAmt
Management And General	$786,135	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$58,181,549	TotalAmt
Program Services	$48,920,313	ProgramServicesAmt
Management And General	$9,261,236	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$772,595	TotalAmt
Program Services	$655,102	ProgramServicesAmt
Management And General	$117,493	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,853,134	TotalAmt
Program Services	$6,567,279	ProgramServicesAmt
Management And General	$1,285,855	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,824,699	TotalAmt
Program Services	$3,184,827	ProgramServicesAmt
Management And General	$639,872	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$216,108	TotalAmt
Management And General	$216,108	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$116,331	TotalAmt
Management And General	$116,331	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$7,616	TotalAmt
Management And General	$7,616	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,511,592	TotalAmt
Program Services	$10,488,468	ProgramServicesAmt
Management And General	$2,023,124	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$302,499	TotalAmt
Program Services	$253,585	ProgramServicesAmt
Management And General	$48,914	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,967,613	TotalAmt
Program Services	$2,488,337	ProgramServicesAmt
Management And General	$479,276	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$55,309	TotalAmt
Program Services	$46,366	ProgramServicesAmt
Management And General	$8,943	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,933,134	TotalAmt
Program Services	$2,458,846	ProgramServicesAmt
Management And General	$474,288	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$701,500	TotalAmt
Program Services	$583,394	ProgramServicesAmt
Management And General	$118,106	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$282,657	TotalAmt
Program Services	$238,711	ProgramServicesAmt
Management And General	$43,946	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$896,565	TotalAmt
Program Services	$751,590	ProgramServicesAmt
Management And General	$144,975	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,354,942	TotalAmt
Program Services	$4,489,048	ProgramServicesAmt
Management And General	$865,894	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,894,352	TotalAmt
Program Services	$1,570,522	ProgramServicesAmt
Management And General	$323,830	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$20,381,853	$20,381,853
BAD DEBT	$20,194,202	$20,194,202
LICENSES, DUES, SUBSCRIPTIONS	$1,659,534	$1,391,187	$268,347
REPAIRS AND MAINTENANCE	$189,748	$159,066	$30,682

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,957	TotalAmt
Program Services	$4,155	ProgramServicesAmt
Management And General	$802	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$142,966,758	TotalAmt
Program Services	$125,704,985	ProgramServicesAmt
Management And General	$17,261,773	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,956	BOYAmt
EOY	$15,037	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$18,545,199	BOYAmt
EOY	$11,897,193	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,133,613	BOYAmt
EOY	$17,268,175	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,311,309	BOYAmt
EOY	$3,000,101	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,545,356	BOYAmt
EOY	$1,413,742	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$111,605,837	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$72,803,662	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$34,818,431	BOYAmt
EOY	$38,802,175	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$18,610,086	BOYAmt
EOY	$24,337,489	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,060,802	BOYAmt
EOY	$1,974,063	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,597,154	BOYAmt
EOY	$3,099,568	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$98,630,906	BOYAmt
EOY	$101,807,543	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,236,849	BOYAmt
EOY	$13,246,229	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,270,000	BOYAmt
EOY	$20,367,864	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,821,340	BOYAmt
EOY	$4,157,812	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,955,381	BOYAmt
EOY	$11,168,880	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,283,570	BOYAmt
EOY	$48,940,785	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$49,183,315	BOYAmt
EOY	$52,845,459	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$164,021	BOYAmt
EOY	$21,299	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$49,347,336	BOYAmt
EOY	$52,866,758	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$98,630,906	BOYAmt
EOY	$101,807,543	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$379,193	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,140,229	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$17,486	OtherActivitiesAmt
Total Lobbying Expenditures	$17,486	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(I)	FormAndLineReferenceDesc
Explanation	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 REACHED OUT TO THE COMMUNITY AND LOCAL REPRESENTATIVES AT THEIR FORUMS TO COMMUNICATE HOW ACA, MEDICAID EXPANSION (OR NOT) AND OTHER CHANGES IN THE HEALTHCARE LEGISLATION WOULD AFFECT OMC AND OTHER CARE PROVIDERS. THERE WAS NO ADDITIONAL EXPENSE TO OMC FOR THESE ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,468,469	OtherCostOrOtherBasisAmt
Book Value	$3,468,469	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,258,273	OtherCostOrOtherBasisAmt
Depreciation	$18,713,767	DepreciationAmt
Book Value	$18,544,506	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,006,741	OtherCostOrOtherBasisAmt
Depreciation	$1,696,699	DepreciationAmt
Book Value	$310,042	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$65,700,309	OtherCostOrOtherBasisAmt
Depreciation	$51,373,281	DepreciationAmt
Book Value	$14,327,028	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,172,045	OtherCostOrOtherBasisAmt
Depreciation	$1,019,915	DepreciationAmt
Book Value	$2,152,130	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$38,802,175	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	EST AMT DUE TO 3RD PTY PYRS	Desc
Amt	$11,168,880	Amt

Field	Value	IRS element (for citing)
Total Liability	$11,168,880	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$126,583,294	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$3,140,229	NetUnrealizedGainsInvstAmt
Other Revenue	-$20,194,202	OtherRevenueAmt
Revenue Not Reported	-$17,053,973	RevenueNotReportedAmt
Revenue Subtotal	$143,637,267	RevenueSubtotalAmt
Other Revenues Not Included	-$291,316	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$291,316	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$143,345,951	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$122,921,150	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$148,594	OtherExpensesIncludedAmt
Expenses Not Reported	$148,594	ExpensesNotReportedAmt
Expenses Subtotal	$122,772,556	ExpensesSubtotalAmt
Other Expenses Not Included	$20,194,202	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$20,194,202	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$142,966,758	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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: $(20,194,202) PROVISION FOR UNCOLLECTIBLE ACCOUNTS
SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 142,722) TRNA CHANGES ( 148,594) RENTAL EXPENSES ------------- $( 291,316)
SCHEDULE D, PART XII, LINE 2D	AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 148,594 RENTAL EXPENSES
SCHEDULE D, PART XII, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 20,194,202 PROVISION FOR UNCOLLECTIBLE ACCOUNTS

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	225.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,586,706	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,586,706	NetCommunityBenefitExpnsAmt
Total Expense	0.02110	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,871,285	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,011,885	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,859,400	NetCommunityBenefitExpnsAmt
Total Expense	0.05590	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,457,991	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,011,885	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,446,106	NetCommunityBenefitExpnsAmt
Total Expense	0.07700	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,723	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$87,723	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,838,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,869,447	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,968,699	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,319	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,319	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,953,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,869,447	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,083,741	NetCommunityBenefitExpnsAmt
Total Expense	0.02510	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,411,179	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,881,332	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,529,847	NetCommunityBenefitExpnsAmt
Total Expense	0.10210	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$20,194,202	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,695,167	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$30,069,073	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$30,159,141	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$90,068	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OZARKS MEDICAL CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 KENTUCKY AVENUE	AddressLine1
City	WEST PLAINS	City
State	MO	State
ZIP Code	65775	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.OZARKSMEDICALCENTER.COM	WebsiteAddressTxt
State License	174-55	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	OZARKS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART VI SUPPLEMENTAL INFORMATION	OwnWebsiteURLTxt
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	225.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Field	Value	IRS element (for citing)
Facility	26	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
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 MENTAL HEALTH CLINIC
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 PRIMARY CARE
909 KENTUCKY AVE PO BOX 1100	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
OUTPATIENT IMAGING
3102 INDEPENDENCE SQUARE	WEST PLAINS	MO	65775	IMAGING 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
GENERAL 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 SUPPORT SERVICES
114 E MAIN ST	WEST PLAINS	MO	65775	HOME CARE SUPPORT SERVICES
RIVERWAYS HOSPICE
114 E MAIN ST	WEST PLAINS	MO	65775	HOSPICE
RIVERWAYS HOME HEALTH
114 E MAIN ST	WEST PLAINS	MO	65775	HOME HEALTH AGENCY
RIVERWAYS ADULT DAY CARE
114 E MAIN ST	WEST PLAINS	MO	65775	ADULT DAY CARE
ORTHOPEDICS CLINIC
1609 PORTER WAGONER	WEST PLAINS	MO	65775	ORTHOPEDIC SPECIALTY CLINIC
NEPHROLOGYRHEUMATOLOGY CLINIC
3000 INDEPENDENCE SQUARE	WEST PLAINS	MO	65775	SPECIALTY CLINICS
RHEUMATOLOGY
2900 INDEPENDENCE SQUARE	WEST PLAINS	MO	65775	SPECIALTY CLINIC
WOMENS 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
1556 GIBSON ST	WEST PLAINS	MO	65775	SPECIALTY CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $20,194,202.
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 $70,794. 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.
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 COLLECTIBILITY 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. 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, CHARITY CARE WOULD BE $10,868,138. THE ORGANIZATION THEN ESTIMATED THAT 85% OF THE DIFFERENCE IN THIS FIGURE AND THE ACTUAL CHARITY OF $6,520,883 WOULD QUALIFY FOR CHARITY CARE (85% X 4,347,255 = 3,695,167).
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 V, SECTION B, LINE 3	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 5A	HOSPITAL FACILITY'S WEBSITE: http://www.ozarksmedicalcenter.com/documents/OzarksMedCHNA_Final2013.pdf
SCHEDULE H, PART V, SECTION B, LINE 6	IMPLEMENTATION STRATEGY: IN RESPONSE TO THE RESULTS OF OZARK MEDICAL CENTER'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY IS ATTACHED.
SCHEDULE H, PART V, LINES 16 & 17	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 #16 OR #17.
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.
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.
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.
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.
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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MHA CENTER FOR EDUCATION
PO BOX 60	JEFFERSON CITY	MO	651020060	430898947	501(C)(3)	$17,319	SCHOLARSHIPS
MISSOURI STATE UNIVERSITY FOUNDATION
300 SOUTH JEFFERSON AVENUE	SPRINGFIELD	MO	65806	431234200	501(C)(3)	$10,000	SCHOLARSHIPS

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART 1, LINE 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHARLES MORGAN MD
BOARD MEMBER, PHYSICIAN	$320,137	$0	$0	$0	$25,288	$0	$7,650	$0	$17,073	$0	$370,148	$0	$0	$0
DAVID M ZECHMAN FACHE
PRESIDENT & CEO ENDING 10/2013	$280,074	$0	$53,889	$0	$17,685	$0	$7,763	$0	$17,664	$0	$377,075	$0	$0	$0
MICHAEL GROSS
VP BUSINESS DEVELOPMENT	$191,312	$0	$33,259	$0	$4,871	$0	$5,990	$0	$15,073	$0	$250,505	$0	$0	$0
EDWARD R HENEGAR MD
VP MEDICAL AFFAIRS	$201,441	$0	$29,359	$0	$19,965	$0	$6,805	$0	$7,071	$0	$264,641	$0	$0	$0
JEANNIE M LOOPER
COO/INTERIM PRES/CEO 10/2013	$180,085	$0	$19,941	$0	$3,166	$0	$5,762	$0	$7,071	$0	$216,025	$0	$0	$0
KIM THOMPSON
CFO	$131,723	$0	$15,000	$0	$270	$0	$4,434	$0	$7,129	$0	$158,556	$0	$0	$0
DR KEVIN CROWE
PHYSICIAN	$767,500	$0	$0	$0	$22,322	$0	$7,650	$0	$6,609	$0	$804,081	$0	$0	$0
DR ACHENKUNJU GEORGE
PHYSICIAN	$527,326	$0	$0	$0	$21,158	$0	$7,650	$0	$18,793	$0	$574,927	$0	$0	$0
DR MUHAMMAD KHAN
PHYSICIAN	$766,108	$0	$0	$0	$3,836	$0	$3,108	$0	$18,793	$0	$791,845	$0	$0	$0
DR CHRISTOPHER NICHOLAS
PHYSICIAN	$768,602	$0	$0	$0	$20,540	$0	$7,650	$0	$16,293	$0	$813,085	$0	$0	$0
DR DAVID DENENNY
PHYSICIAN	$723,617	$0	$0	$0	$6,671	$0	$0	$0	$16,293	$0	$746,581	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART 1, LINE 7	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE INDUSTRIAL DEVELOP AUTHORITY OF WEST PLAINS	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	431343355	BondIssuerEIN
Bond Issued	2013-01-10	BondIssuedDt
Issue Price	$21,415,000	IssuePriceAmt
Purpose	REFI 99 & 97 BONDS, BUILDING RENOV	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$21,415,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$17,671,741	RefundingEscrowAmt
Issuance Costs From Proceeds	$406,971	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$3,336,288	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2013	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Private Bus Use By Others	0	PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	Yes (true)	Form8038TFiledInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GAINESVILLE INVESTORS
SEE PART V.	$165,000	PROPERTY RENTAL	false
BOYCE BYNUM
SEE PART V.	$151,885	PROFESSIONAL FEES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, LINES 1 & 2	FormAndLineReferenceDesc
Explanation	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: 1. DR. EDWARD HENEGAR, A KEY EMPLOYEE, HAS A GREATER THAN 5% FINANCIAL INTEREST IN GAINESVILLE INVESTORS. 2. 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.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MEDICAL EQUIP	Desc
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$18,757	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, LINE 25, COLUMN B	FormAndLineReferenceDesc
Explanation	NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS INCLUDED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS DONATING MEDICAL EQUIPMENT.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	ORGANIZATION'S MISSION: OUR VISION IS TO BE TRUSTED AS THE BEST PLACE TO GIVE AND RECEIVE HIGH QUALITY, COMPASSIONATE HEALTH CARE. OUR CORE VALUES ARE: RESPECT: HAVING A REGARD FOR LIFE, DIGNITY AND UNIQUENESS OF THOSE SERVED AND SERVING. COMPASSION: EXPRESSING CARE AND CONCERN FOR OTHERS THROUGH OUR ATTITUDES AND ACTIONS. INTEGRITY: MAINTAINING THE HIGHEST STANDARDS OF BEHAVIOR, ENCOMPASSING HONESTY, ETHICAL PRACTICES AND DOING THE RIGHT THINGS FOR THE RIGHT REASONS. SUPERIOR SERVICE: PROVIDING THE HIGHEST QUALITY OF CARE, CONSISTENTLY EXCEEDING OUR CUSTOMERS' EXPECTATIONS. TEAMWORK: HAVING A UNIFIED COMMITMENT TO DEMONSTRATE PRIDE, RESPONSIBILITY, AND ACCOUNTABILITY IN WORKING TOGETHER TO ACHIEVE EXCELLENCE. ENTHUSIASM: INSPIRING OTHERS BY DISPLAYING A POSITIVE ATTITUDE IN ALL WE SAY AND DO.
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 2013, OMC GAVE COMMUNITY BENEFIT EXPENSE AND CHARITY CARE TO ASSIST THE UNINSURED OR UNDERINSURED AND TO PROVIDE OTHER ASSISTANCE BASED ON NEED. OMC ALSO PROVIDED ACTIVITIES FOR COMMUNITY MEMBERS OF ALL AGES. 493 PEOPLE PARTICIPATED IN THE OMC FUN RUN, RAISING $4,671 TO BENEFIT PATIENTS AT THE CANCER TREATMENT CENTER. DURING THE ANNUAL DOCS VS. JOCKS, OMC REHABILITATION SERVICES RAISED $3,260 FOR THE BOYS AND GIRLS CLUB OF GREATER WEST PLAINS AREA. OMC HOSTED A NUMBER OF FREE SCREENINGS THAT REACHED NEARLY 1,000 PEOPLE. SEE SCHEDULE H FOR MORE INFORMATION REGARDING CHARITY CARE PROVIDED. 2013 YEAR IN REVIEW: 178 CLASSES WERE OFFERED BY OMC EDUCATION SERVICES WITH APPROXIMATELY 969 PARTICIPANTS. CLASSES INCLUDED FIRST AID, BASIC LIFE SUPPORT, ADVANCE CARDIAC LIFE SUPPORT, PEDIATRIC ADVANCE LIFE SUPPORT, NON-VIOLENT CRISIS INTERVENTION, BASIC CARDIAC DYSRHYTHMIA, 12-LEAD AND HEART SAVER CPR.23 STUDENTS IN GRADES 10-12 PARTICIPATED IN OMC'S MEDICAL AND SCIENCE HEALTHCAMP, WHICH PROVIDES HANDS ON EXPERIENCES TO THOSE INTERESTED IN CAREERS IN HEALTH FIELDS. 210 VOLUNTEERS CONTRIBUTED APPROXIMATELY 28,484 HOURS TO OMC, THE EQUIVALENT OF 14 FULL-TIME EMPLOYEES. OMC OFFERED X-RAY, LAB SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, MASSAGE THERAPY AND COUNSELING SERVICES IN ITS OUTLYING CLINICS, SAVING TRAVEL FOR MANY PEOPLE LIVING THROUGHOUT THE 11-COUNTY AREA SERVED BY OMC. OMC PROVIDED A TOTAL OF $106,185 IN TUITION REIMBURSEMENTS TO RECIPIENTS WHO ARE FUTURE HEALTHCARE WORKERS, INCLUDING PHYSICIANS. OMC EMPLOYED AN AVERAGE OF 1,263 INDIVIDUALS IN 2013, PROVIDING A TOTAL ECONOMIC IMPACT OF OVER $59 MILLION ANNUAL WAGES FOR THE LOCAL AREA. OMC STATISTICS: 114 BEDS 11-COUNTY SERVICE AREA APPROXIMATELY 90 DOCTORS ON MEDICAL STAFF VOLUME NUMBERS: ADMISSIONS.............................5,326 BIRTHS...................................639 EMERGENCY DEPARTMENT VISITS...........25,343 INPATIENT SURGERIES......................853 OUTPATIENT SURGERIES...................2,000 REHABILITATION SERVICES PROCEDURES...121,543
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS AND FAMILY RELATIONSHIPS: BOARD MEMBERS GIDEON MORRISON, MD AND TRAVIS MORRISON SHARE A FAMILY RELATIONSHIP. GREG BEYKIRCH, KENNETH JOPLIN, ROGER SHAW, III, MARJORIE SLAYTON, AND TRAVIS MORRISON SHARE A BUSINESS RELATIONSHIP. JOHN MCCORMACK, ROBERT MARTIN, 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.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	COMPENSATION REVIEW: 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 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 MEMBER CHARLES MORGAN, MD, RECEIVES COMPENSATION FOR HIS ROLE AS A PHYSICIAN. NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DUTIES AS A MEMBER OF THE BOARD OF DIRECTORS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OZARKS MEDICAL CENTER FOUNDATION	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12 PARKWAY CENTER	AddressLine1
City	WEST PLAINS	City
State	MO	State
ZIP Code	65775	ZIPCode

Field	Value	IRS element (for citing)
EIN	431834356	EIN
Primary Activities	SUPPORT OMC	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	11 A I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OMC	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Organization	false	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	WEST PLAINS HEALTH SERVICES	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1703 WEST EIGHTH ST	AddressLine1
City	WEST PLAINS	City
State	MO	State
ZIP Code	65775	ZIPCode

Field	Value	IRS element (for citing)
EIN	431329201	EIN
Primary Activities	DURABLE MED EQUIP	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OMC	BusinessNameLine1

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Share Of Total Income	$26,261	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,158,605	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd