2014-11-10T16:09:42-06:00 2013-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-01-01 446005758 OZARKS MEDICAL CENTER % KIM THOMPSON OZAR 4172569111 1100 KENTUCKY AVENUE Suite WEST PLAINS MO 65775 KIM THOMPSON CHIEF FINANCIAL OFFICER 4172569111 2014-09-18 true Brian D Todd 4178658701 2013 2015-11-30 17:44:51Z THOMAS KELLER 1100 KENTUCKY AVE WEST PLAINS MO 65775 143515107 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 1498 210 17586 773150 362928 158232567 142490575 1069666 683870 -36805 -191422 160038578 143345951 56335 27319 0 0 76339129 72268927 0 0 0 73813624 70670512 150209088 142966758 9829490 379193 98630906 101807543 49283570 48940785 49347336 52866758 X TO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE, AND PROMOTE WELLNESS IN THE COMMUNITIES WE SERVE. false false 100724246 27319 111929091 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. 21930699 24734511 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. 3050040 5158087 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). 125704985 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 false true true false false false false false false false false true true true false false false false true true true false false true 102 0 true 1498 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 SECRETARY 2.0 X X 0 0 LOGAN DALE BOARD MEMBER ENDING 4/2013 1.0 X 0 0 KEVIN GLEGHORN VICE CHAIRMAN 1.0 X X JUDY INGALSBE BOARD MEMBER 1.0 X 0 0 KENNETH JOPLIN TREASURER 2.0 1.0 X X 0 0 ROBERT MARTIN MD BOARD MEMBER 1.0 X 0 0 JOHN MCCORMACK MD BOARD MEMBER 1.0 X 0 0 CHARLES MORGAN MD BOARD MEMBER, PHYSICIAN 1.0 X 345425 0 24723 GIDEON MORRISON MD BOARD MEMBER 1.0 X 0 0 TRAVIS MORRISON BOARD MEMBER 1.0 X 0 0 ROGER D SHAW III DVM BOARD MEMBER 1.0 X 0 0 MARJORIE SLAYTON CHAIRMAN 2.0 1.0 X X 0 0 TRAVIS SMITH BOARD MEMBER 1.0 1.0 X 0 0 BILL WOOD BOARD MEMBER 1.0 X 0 0 DAN CORMAN BOARD MEMBER BEGINNING 5/2013 1.0 X 0 0 AARON MILLS MD BOARD MEMBER BEGINNING 1/2013 1.0 X 0 0 DAVID M ZECHMAN FACHE PRESIDENT & CEO ENDING 10/2013 60.0 1.0 X 351648 0 25427 JEANNIE M LOOPER COO/INTERIM PRES/CEO 10/2013 55.0 X 203192 0 12833 KIM THOMPSON CFO 55.0 1.0 X 146993 0 11563 MICHAEL GROSS VP BUSINESS DEVELOPMENT 55.0 X 229442 0 21063 EDWARD R HENEGAR MD VP MEDICAL AFFAIRS 55.0 X 250765 0 13876 DR KEVIN CROWE PHYSICIAN 50.0 X 789822 0 14259 DR ACHENKUNJU GEORGE PHYSICIAN 50.0 X 548484 0 26443 DR MUHAMMAD KHAN PHYSICIAN 50.0 X 769944 0 21901 DR CHRISTOPHER NICHOLAS PHYSICIAN 50.0 X 789142 0 23943 DR DAVID DENENNY PHYSICIAN 50.0 X 730288 0 16293 5155145 0 212324 82 false true false RKL CONSTRUCTION CONSTRUCTION 4732861 WEATHERBY LOCUMS PHYSICIAN STAFFING 1020886 PREMIER SPECIALTY PHYSICIAN STAFFING 877334 CARDINAL PHARMACY MANAGEMENT 471088 DIVERSIFIED CLINICAL WOUNDCARE MANAGEMENT 446667 31 250455 112473 18757 362928 PATIENT REVENUE 624100 132675968 132675968 CONTRACT PHARMACY 446110 3874307 3874307 EHR INCENTIVE REVENUE 900099 1610600 1610600 MALPRACTICE INS DIVIDEND 900099 651300 651300 CAFETERIA 722514 263271 263271 3415129 3397543 17586 142490575 686114 686114 0 0 214263 156712 57551 0 57551 57551 10200 12444 -2244 -2244 -2244 0 0 0 INCOME FROM EQUITY INVESTEE 900099 26261 26261 LOSS ON EXTINGUISHMENT OF FORWARD DELIVERY 900099 -275234 -275234 -248973 143345951 141821689 17586 1143748 27319 27319 0 0 0 1636950 850815 786135 0 58181549 48920313 9261236 772595 655102 117493 7853134 6567279 1285855 3824699 3184827 639872 0 216108 216108 116331 116331 0 0 7616 7616 12511592 10488468 2023124 302499 253585 48914 2967613 2488337 479276 55309 46366 8943 0 2933134 2458846 474288 701500 583394 118106 0 282657 238711 43946 896565 751590 144975 0 5354942 4489048 865894 1894352 1570522 323830 MEDICAL SUPPLIES & DRUGS 20381853 20381853 BAD DEBT 20194202 20194202 LICENSES, DUES, SUBSCRIPTIONS 1659534 1391187 268347 REPAIRS AND MAINTENANCE 189748 159066 30682 4957 4155 802 142966758 125704985 17261773 0 8956 15037 18545199 11897193 0 0 17133613 17268175 0 0 0 0 0 0 3311309 3000101 1545356 1413742 111605837 72803662 34818431 38802175 18610086 24337489 2060802 1974063 0 0 0 0 2597154 3099568 98630906 101807543 13236849 13246229 0 0 0 0 20270000 20367864 0 0 0 0 5821340 4157812 0 0 9955381 11168880 49283570 48940785 X 49183315 52845459 164021 21299 0 0 49347336 52866758 98630906 101807543 379193 3140229 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 17486 17486 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 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. 3468469 3468469 37258273 18713767 18544506 2006741 1696699 310042 65700309 51373281 14327028 3172045 1019915 2152130 38802175 0 EST AMT DUE TO 3RD PTY PYRS 11168880 11168880 126583294 3140229 -20194202 -17053973 143637267 -291316 -291316 143345951 122921150 148594 148594 122772556 20194202 20194202 142966758 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 true true X true X true X 225. true true false true true 2586706 2586706 0.02110 31871285 25011885 6859400 0.05590 34457991 25011885 9446106 0.07700 87723 87723 0.00070 6838146 3869447 2968699 0.02420 27319 27319 0.00020 6953188 3869447 3083741 0.02510 41411179 28881332 12529847 0.10210 true 20194202 3695167 30069073 30159141 -90068 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 true X X X X X X X X X 13 true false true X SEE PART VI SUPPLEMENTAL INFORMATION X X X X X X true false true true 100 true 225. true X X X X true true X X X X true false X X X true X false false 26 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 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. true MHA CENTER FOR EDUCATION PO BOX 60 JEFFERSON CITY MO 651020060 430898947 501(C)(3) 17319 SCHOLARSHIPS MISSOURI STATE UNIVERSITY FOUNDATION 300 SOUTH JEFFERSON AVENUE SPRINGFIELD MO 65806 431234200 501(C)(3) 10000 SCHOLARSHIPS 2 SCHEDULE I, PART 1, 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 MORGAN MD BOARD MEMBER, PHYSICIAN 320137 0 0 0 25288 0 7650 0 17073 0 370148 0 0 0 DAVID M ZECHMAN FACHE PRESIDENT & CEO ENDING 10/2013 280074 0 53889 0 17685 0 7763 0 17664 0 377075 0 0 0 MICHAEL GROSS VP BUSINESS DEVELOPMENT 191312 0 33259 0 4871 0 5990 0 15073 0 250505 0 0 0 EDWARD R HENEGAR MD VP MEDICAL AFFAIRS 201441 0 29359 0 19965 0 6805 0 7071 0 264641 0 0 0 JEANNIE M LOOPER COO/INTERIM PRES/CEO 10/2013 180085 0 19941 0 3166 0 5762 0 7071 0 216025 0 0 0 KIM THOMPSON CFO 131723 0 15000 0 270 0 4434 0 7129 0 158556 0 0 0 DR KEVIN CROWE PHYSICIAN 767500 0 0 0 22322 0 7650 0 6609 0 804081 0 0 0 DR ACHENKUNJU GEORGE PHYSICIAN 527326 0 0 0 21158 0 7650 0 18793 0 574927 0 0 0 DR MUHAMMAD KHAN PHYSICIAN 766108 0 0 0 3836 0 3108 0 18793 0 791845 0 0 0 DR CHRISTOPHER NICHOLAS PHYSICIAN 768602 0 0 0 20540 0 7650 0 16293 0 813085 0 0 0 DR DAVID DENENNY PHYSICIAN 723617 0 0 0 6671 0 0 0 16293 0 746581 0 0 0 SCHEDULE J, PART 1, 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 GAINESVILLE INVESTORS SEE PART V. 165000 PROPERTY RENTAL false BOYCE BYNUM SEE PART V. 151885 PROFESSIONAL FEES false SCHEDULE L, PART IV, LINES 1 & 2 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. X MEDICAL EQUIP 2 18757 FMV 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 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. OZARKS MEDICAL CENTER FOUNDATION 12 PARKWAY CENTER WEST PLAINS MO 65775 431834356 SUPPORT OMC MO 501(C)(3) 11 A I OMC false WEST PLAINS HEALTH SERVICES 1703 WEST EIGHTH ST WEST PLAINS MO 65775 431329201 DURABLE MED EQUIP MO OMC C CORP 26261 2158605 1.00000 true false false true false false false false false false true true false true false true false true false false