2024-11-14T16:43:45+00:00 2023-12-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-01-01 262522083 SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER SOUT 5734266738 1081 EAST 18TH STREET ROLLA MO 65401 ROBERT DAVIS CFO 5734266714 2024-11-14 true true Krystal K Creach P01248198 4178658701 2024-11-14 2023 2024-10-15 13:58:12Z FOUR RIVERS COMMUNITY HEALTH CENTER STUART H GIPSON 1081 EAST 18TH STREET ROLLA MO 65401 30136528 false X http://www.fourrivers.org/ X 2007 MO IN 2023, FRCHC PROVIDED PRIMARY HEALTHCARE, BEHAVIORAL HEALTH & DENTAL SERVICES TO ALMOST 20,500 UNIQUE PATIENTS IN PHELPS, DENT, PULASKI, MARIES, AND CRAWFORD COUNTIES. 10 10 195 10 0 0 7391194 4521414 16740586 25322216 98629 290982 0 24230409 30134612 0 0 0 0 9203550 12759494 0 0 0 8883875 13362193 18087425 26121687 6142984 4012925 24572901 28908521 12533259 12796828 12039642 16111693 THE MISSION OF FOUR RIVERS COMMUNITY HEALTH CENTER IS TO PROVIDE ACCESS TO HIGH-QUALITY, COMPASSIONATE, PATIENT-CENTERED HEALTHCARE TO EVERYONE REGARDLESS OF FINANCIAL, CULTURAL OR SOCIAL BARRIERS. false false 15401105 9183293 CLINIC: IN 2023, FOUR RIVERS COMMUNITY HEALTH CENTER SERVED 7,946 UNIQUE PRIMARY CARE PATIENTS WITH 27,183 ATTENDED APPOINTMENTS IN THE CLINIC. FRCHC UTILIZED 3.77 FTE FAMILY NURSE PRACTITIONERS, 3.78 FTE FAMILY MEDICINE DOCTORS, 1 FTE PHYSICIAN ASSISTANT, 1 FTE CLINICAL PHARMACIST, 1 FTE LICENSE CERTIFIED SOCIAL WORKER, AND 2.66 FTE COMMUNITY OUTREACH SPECIALISTS TO PROVIDE 605 PATIENTS WITH SUD SERVICES. 5936778 15942815 DENTAL: IN 2023, FRCHC PROVIDED DENTAL SERVICES ON THE SMILE MOBILE (MOBILE DENTAL UNIT) AS WELL AS FROM OUR VARIOUS DENTAL CLINICS. SERVING 14,932 UNIQUE PATIENTS (UP ~2,929 FROM 2022), WITH A TOTAL ATTENDED PATIENT APPOINTMENTS OF 30,593. 8.22 FTE DENTISTS WERE SERVING OUR PATIENTS (1 ON SMILE MOBILE + 7.22 IN CLINIC) AND 2.41 FTE DENTAL HYGIENISTS. IN ADDITION, 22 VIRTUAL VISITS WERE PERFORMED BY OUR DENTIST IN 2023. 425013 196108 BEHAVIORAL: IN 2023, FRCHC CONTINUED USE OF AN INTEGRATED HEALTHCARE TEAM TO PROVIDED 559 UNIQUE PATIENTS WITH ACCESS TO BEHAVIORAL HEALTH SERVICES. PATIENTS ATTENDED A TOTAL OF 1,649 APPOINTMENTS. 21762896 true true false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 7 0 true 195 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true false false X X STUART H GIPSON 5734266714 1081 EAST 18TH STREET ROLLA MO 65401 DAVID DUNCAN TREASURER 2.0 0.0 X X 0 0 0 JANE VICTOR VICE PRESIDENT 2.0 0.0 X X 0 0 0 JOSEPHINE WALTMAN PRESIDENT 2.0 0.0 X X 0 0 0 MATT KOYLU SECRETARY 2.0 0.0 X X 0 0 0 ANGIE NAPPIER BOARD MEMBER 2.0 0.0 X 0 0 0 CHRIS HOLLIDAY BOARD MEMBER 2.0 0.0 X 0 0 0 DEBORAH FROST BOARD MEMBER 2.0 0.0 X 0 0 0 GINNY PHERIGO BOARD MEMBER 2.0 0.0 X 0 0 0 LAWRENCE WEST BOARD MEMBER 2.0 0.0 X 0 0 0 MAGGIE SHELTON BOARD MEMBER END 03/23 0.0 0.0 X 0 0 0 STEPHANIE MARTENSEN BOARD MEMBER 2.0 0.0 X 0 0 0 KASSANDRA TROUTT COO 40.0 0.0 X 102615 0 2521 ROBERT DAVIS JR CFO 40.0 0.0 X 133154 0 10131 STUART GIPSON CEO 40.0 0.0 X 221538 0 32438 CHLOE STUCK DENTAL DIRECTOR 40.0 0.0 X 284003 0 22283 MATTHEW PORTER MEDICAL DIRECTOR 40.0 0.0 X 289621 0 20531 ROBERT BLAIR ORAL SURGEON 40.0 0.0 X 848379 0 13200 AILENE KANG DENTIST 40.0 0.0 X 248384 0 15144 AMBROSE OBHADE DENTIST 40.0 0.0 X 282966 0 11688 DAVID DUMBACH DENTIST 40.0 0.0 X 328231 0 22016 DAVID KANG DENTIST 40.0 0.0 X 238652 0 14785 KATIE CAMERON PHYSICIAN 40.0 0.0 X 174975 0 6101 3152518 0 170838 24 false true false RD WILKERSON BMD PC 414 WEST JAMES BLVD ST JAMES MO 65559 DENTAL SERVICES 4421486 CAHILL CONSTRUCTION INC 604 S PARK SALEM MO 65560 CONSTRUCTION 2052854 PEDIATRIC DENTISRY OF THE OZARKS 206 S BISHOP AVENUE UNIT A ROLLA MO 65401 PEDIATRIC DENTISTRY 1057357 SHOMSHOR SHINER JANITORIAL LLC 111 Savannah Ct Rolla MO 65401 JANITORIAL CLEANING 110746 4 3146875 1374539 631644 4521414 NET PATIENT SERVICE REVENUE 621400 25263848 25263848 OTHER REVENUE 621400 58368 58368 0 0 0 0 25322216 292898 292898 0 0 0 1916 0 -1916 -1916 -1916 0 0 0 0 0 30134612 25322216 0 290982 X 1980414 1648279 332135 8906240 7427133 1479107 171258 130099 41159 965048 748249 216799 736534 571071 165463 41573 41573 156196 156196 6663828 5407880 1255948 0 96703 78477 18226 1481447 1201875 279572 678771 550841 127930 88367 71712 16655 82908 67282 15626 174224 141388 32836 435626 353523 82103 69939 56757 13182 MEDICAL SUPPLIES & DRUGS 2945434 2945434 RECRUITING & RETENTION 300956 244234 56722 LICENSES, DUES, SUBSCRIPTIONS 146221 118662 27559 MEDICAL SUPPLIES & DRUGS 0 0 0 0 0 0 0 0 26121687 21762896 4358791 0 517833 8619 10417477 10995181 1699466 240029 2464489 1802251 0 0 0 0 66615 104656 14269275 1818930 8412097 12450345 605847 2741517 0 0 389077 565923 24572901 28908521 1385628 1163512 236231 0 0 3475397 3367835 7436003 8265481 12533259 12796828 X 9968374 15898798 2071268 212895 12039642 16111693 24572901 28908521 4012925 108126 -49000 0 X false true X true true true X 2833094 4017968 4731263 7391194 4521414 23494933 0 0 2833094 4017968 4731263 7391194 4521414 23494933 1307793 22187140 740 301 300 98629 292898 392868 0 0 0 0 0 0 0 23887801 39388453 0.9288 0.9605 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 211606 211606 7624433 321468 7302965 1907429 718597 1188832 1433622 778865 654757 3092185 3092185 12450345 EST AMOUNT DUE TO 3RD PARTY 8212212 LEASE LIABILITY 53269 8265481 32103027 108126 2053762 2161888 29941139 193473 193473 30134612 26123603 1916 1916 26121687 0 0 26121687 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 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTIONS - 2053762 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED CONTRIBUTIONS - 195389 LOSS ON SALE OF ASSET - -1916 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 LOSS ON SALE OF ASSET - 1916 X X X false false false false false false false true false STUART GIPSON CEO 219538 0 2000 0 0 0 8777 0 23661 0 253976 0 0 0 ROBERT BLAIR ORAL SURGEON 625003 0 223376 0 0 0 13200 0 0 0 861579 0 0 0 MATTHEW PORTER MEDICAL DIRECTOR 285621 0 4000 0 0 0 7768 0 12763 0 310152 0 0 0 CHLOE STUCK DENTAL DIRECTOR 234503 0 49500 0 0 0 9577 0 12706 0 306286 0 0 0 AMBROSE OBHADE DENTIST 234966 0 48000 0 0 0 4777 0 6911 0 294654 0 0 0 DAVID DUMBACH DENTIST 225231 0 103000 0 0 0 9465 0 12551 0 350247 0 0 0 DAVID KANG DENTIST 208652 0 30000 0 0 0 8506 0 6279 0 253437 0 0 0 AILENE KANG DENTIST 210384 0 38000 0 0 0 8415 0 6729 0 263528 0 0 0 KATIE CAMERON PHYSICIAN 172975 0 2000 0 0 0 6101 0 0 0 181076 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments FOUR RIVERS COMMUNITY HEALTH CENTER PROVIDES PRODUCTIVITY BONUSES BASED UPON SPECIFIC, MONTHLY PRODUCTION CRITERIA. DENTAL PRODUCTIVITY BONUSES ARE BASED UPON A COMBINATION OF TOTAL BILLED CHARGES, DAYS WORKED, AND THE NUMBER OF VISITS. X 3 631644 Other - FMV 0 false true false Schedule M, Part I, Line 20 NUMBER OF CONTRIBUTIONS THE NUMBERS ENTERED IN COLUMN B REPRESENT THE NUMBER OF DONORS WHO CONTRIBUTED THESE ITEMS DURING THE YEAR. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS AS MAY BE NECESSARY AND APPROPRIATE FOR THE OPERATION OF THE HEALTH CENTER BETWEEN REGULAR OR SPECIAL MEETINGS OF THE FULL BOARD. THE EXECUTIVE COMMITTEE SHALL BE AUTHORIZED TO ACT ON BEHALF OF THE BOARD, CONSISTENT WITH ESTABLISHED BOARD POLICIES AND DIRECTION, AT ANY SUCH MEETINGS HELD BY THE EXECUTIVE COMMITTEE IN ALL RESPECTS, WITH THE EXCEPTION OF THE FOLLOWING AREAS OF AUTHORITY WHICH REQUIRE THE ACTION OF THE FULL BOARD: THE HIRING AND TERMINATION OF THE EXECUTIVE DIRECTOR; THE DISSOLUTION OF THE CORPORATION; THE ACQUISITION OR DISPOSITION OF REAL PROPERTY; APPROVAL OR AMENDMENT TO THE BUDGET; AND THE EXECUTION OF LOANS OR INCURRENCE OF INDEBTEDNESS AS REFERENCED IN ARTICLE IX, SECTION 1. THE EXECUTIVE COMMITTEE SHALL REPORT ITS ACTIONS AT THE NEXT MEETING OF THE FULL BOARD. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 FULL BOARD OF DIRECTORS REVIEWS THE PUBLIC DISCLOSURE COPY OF THE FORM 990 AT THE BOARD MEETING BEFORE FILING. THE PUBLIC DISCLOSURE COPY DOES NOT LIST THE NAMES OR ADDRESSES OF THE DONORS TO RESPECT THE CONFIDENTIALITY OF THE DONORS. Form 990, Part VI, Line 12c Conflict of interest policy FOUR RIVERS COMMUNITY HEALTH CENTER REQUIRES FULL DISCLOSURE IN WRITING BY ANY INTERESTED PARTIES TO THE FULL BOARD OF DIRECTORS IN ALL CONFLICTS OF INTEREST, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: - A BOARD MEMBER IS RELATED TO ANOTHER BOARD MEMBER OR STAFF MEMBER BY BLOOD, MARRIAGE OR DOMESTIC PARTNERSHIP. -A STAFF MEMBER IN A SUPERVISORY CAPACITY IS RELATED TO ANOTHER STAFF MEMBER WHOM SHE/HE SUPERVISES. - A BOARD MEMBER OR THEIR ORGANIZATION STANDS TO BENEFIT FROM A TRANSACTION OR STAFF MEMBER OF SUCH ORGANIZATION RECEIVES PAYMENT FROM FOUR RIVERS COMMUNITY HEALTH CENTER FOR ANY SUBCONTRACT, GOODS, OR SERVICES OTHER THAN AS PART OF HER/HIS REGULAR JOB RESPONSIBILITIES OR AS REIMBURSEMENT FOR REASONABLE EXPENSES INCURRED AS PROVIDED IN THE BYLAWS AND BOARD POLICY. - A BOARD MEMBER'S ORGANIZATION RECEIVES GRANT FUNDING FROM FOUR RIVERS. COMMUNITY HEALTH CENTER. -A BOARD MEMBER OR STAFF MEMBER IS A MEMBER OF THE GOVERNING BODY OF A CONTRIBUTOR TO FOUR RIVERS COMMUNITY HEALTH CENTER. -A VOLUNTEER WORKING ON BEHALF OF FOUR RIVERS COMMUNITY HEALTH CENTER WHO MEETS ANY OF THE SITUATIONS OR CRITERIA LISTED ABOVE. FOLLOWING FULL DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST OR ANY CONDITION LISTED ABOVE, THE BOARD SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO THE BOARD SHALL VOTE TO AUTHORIZE OR REJECT THE TRANSACTION OR TAKE ANY OTHER ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT AND PROTECT THE PARTNERSHIP'S BEST INTERESTS. BOTH VOTES SHALL BE BY A MAJORITY VOTE WITHOUT COUNTING THE VOTE OF ANY INTERESTED DIRECTOR, EVEN IF THE DISINTERESTED DIRECTORS ARE LESS THAN A QUORUM PROVIDED THAT AT LEAST ONE CONSENTING DIRECTOR IS DISINTERESTED. A BOARD MEMBER OR COMMITTEE MEMBER WHO IS FORMALLY CONSIDERING EMPLOYMENT WITH FOUR RIVERS COMMUNITY HEALTH CENTER MUST TAKE A TEMPORARY LEAVE OF ABSENCE UNTIL THE POSITION IS FILLED. SUCH A LEAVE WILL BE TAKEN WITHIN THE BOARD MEMBER'S ELECTED TERM, WHICH WILL NOT BE EXTENDED BECAUSE OF THE LEAVE. A BOARD MEMBER OR COMMITTEE MEMBER WHO IS FORMALLY CONSIDERING EMPLOYMENT WITH FOUR RIVERS COMMUNITY HEALTH CENTER MUST SUBMIT A WRITTEN REQUEST FOR A TEMPORARY LEAVE OF ABSENCE TO THE SECRETARY OF THE BOARD INDICATING THE TIME PERIOD OF THE LEAVE. THE SECRETARY OF FOUR RIVERS COMMUNITY HEALTH CENTER WILL INFORM THE CHAIR OF THE BOARD OF SUCH A REQUEST. THE CHAIR WILL BRING THE REQUEST TO THE BOARD FOR ACTION. THE REQUEST AND ANY ACTION TAKEN SHALL BE REFLECTED IN THE OFFICIAL MINUTES OF THE BOARD MEETING. AN INTERESTED BOARD MEMBER, OFFICER, OR STAFF MEMBER SHALL NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE OF THE BOARD OR OF ANY COMMITTEE OR SUBCOMMITTEE THEREOF IN WHICH THE SUBJECT OF DISCUSSION IS A CONTRACT, TRANSACTION, OR SITUATION IN WHICH THERE MAY BE A PERCEIVED OR ACTUAL CONFLICT OF INTEREST. HOWEVER, THEY MAY BE PRESENT TO PROVIDE CLARIFYING INFORMATION IN SUCH A DISCUSSION OR DEBATE UNLESS OBJECTED TO BY ANY PRESENT BOARD OR COMMITTEE MEMBER. ANYONE IN A POSITION TO MAKE DECISIONS ABOUT SPENDING THE PARTNERSHIP'S RESOURCES (I.E., TRANSACTIONS SUCH AS PURCHASES CONTRACTS)-WHO ALSO STANDS TO BENEFIT FROM THAT DECISION-HAS A DUTY TO DISCLOSE THAT CONFLICT AS SOON AS IT ARISES (OR BECOMES APPARENT); S/HE SHOULD NOT PARTICIPATE IN ANY FINAL DECISIONS. A COPY OF THIS POLICY SHALL BE GIVEN TO ALL BOARD MEMBERS, STAFF MEMBERS, VOLUNTEERS OR OTHER KEY STAKEHOLDERS UPON COMMENCEMENT OF SUCH PERSON'S RELATIONSHIP WITH FOUR RIVERS COMMUNITY HEALTH CENTER OR AT THE OFFICIAL ADOPTION OF STATED POLICY. EACH BOARD MEMBER, OFFICER, STAFF MEMBER AND VOLUNTEER SHALL SIGN AND DATE THE POLICY AT THE BEGINNING OF HER/HIS TERM OF SERVICE OR EMPLOYMENT AND EACH YEAR THEREAFTER. FAILURE TO SIGN DOES NOT NULLIFY THE POLICY. THIS POLICY AND DISCLOSURE FORM MUST BE FILED ANNUALLY BY ALL SPECIFIED PARTIES. Form 990, Part VI, Line 15a Process to establish compensation of top management official FOUR RIVERS COMMUNITY HEALTH CENTER USES MPCA DATA FOR COMPARISON WHEN DETERMINING COMPENSATION FOR THE CEO. THE COMPENSATION IS THEN REVIEWED BY THE BOARD. Form 990, Part VI, Line 19 Required documents available to the public FOUR RIVERS COMMUNITY HEALTH CENTER MAKES ITS CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees DENTAL - Total Expense: 5359936, Program Service Expense: 4349771, Management and General Expenses: 1010165, Fundraising Expenses: ; 340B - Total Expense: 1148802, Program Service Expense: 932253, Management and General Expenses: 216549, Fundraising Expenses: ; VARIOUS - Total Expense: 155090, Program Service Expense: 125856, Management and General Expenses: 29234, Fundraising Expenses: ;