2024-01-16T14:43:09-06:00 2023-02-28 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-03-01 431932702 RURAL ALLIANCE FOR BETTER FAMILY HEALTH % ANGELA GARGUS CFO RURA 4172558464 1137 INDEPENDENCE DRIVE WEST PLAINS MO 65775 BRYAN ADCOCK CEO 4172558464 2023-07-10 true BRYAN ADCOCK 999009999 Krystal K Creach P01248198 4178658701 2 2022 2023-04-26 12:10:37Z SOUTHERN MISSOURI COMMUNITY HLTH CTR BRYAN ADCOCK CEO 1137 INDEPENDENCE DRIVE WEST PLAINS MO 65775 9255845 false X WWW.SMCHC.ORG X 2001 MO TO PROVIDE HEALTH RELATED SERVICES AND LIMITED PRESCRIPTION ASSISTANCE TO LOW-INCOME OR UNDERSERVED PERSONS IN HOWELL AND OREGON COUNTIES AND SURROUNDING AREAS. SEE SCHEDULE O. 10 10 83 10 0 0 1981483 2872708 5826544 6170715 32640 -54058 134674 79014 7975341 9068379 0 0 0 0 5009010 5112262 0 0 0 2337108 2797600 7346118 7909862 629223 1158517 10304906 12230613 951772 1718962 9353134 10511651 THE MISSION OF THE RURAL ALLIANCE FOR BETTER FAMILY HEALTH IS TO PROVIDE ACCESS TO EXCELLENT QUALITY, AFFORDABLE MEDICAL, DENTAL, AND MENTAL HEALTHCARE DELIVERED WITH RESPECT AND COMPASSION TO ALL INDIVIDUALS IN NEED OF SUCH SERVICES. false false 2877041 3351729 SOUTHERN MISSOURI COMMUNITY HEALTH CENTER PROVIDED MEDICAL SERVICES INCLUDING ADULT MEDICINE, ACUTE AND CHRONIC DISEASE CARE, GYNECOLOGIC CARE, OBSTETRIC CARE AND DELIVERIES, PEDIATRIC CARE, WELL-CHILD PHYSICALS, IMMUNIZATIONS, ADULT PHYSICALS, COLON CANCER SCREENINGS, HEALTH EDUCATION, REFERRAL COORDINATION AND CARE MANAGEMENT SERVICES. DURING THE FISCAL YEAR, MEDICAL SERVICES HAD 18,238 VISITS. 1544489 2720923 SOUTHERN MISSOURI COMMUNITY HEALTH CENTER PROVIDES A FULL RANGE OF DENTAL SERVICES, INCLUDING: CLEANINGS, SEALANTS, ROOT CANALS, EXTRACTIONS, DENTURES AND PARTIALS, FILLINGS AND RESTORATIVE SERVICES, EMERGENCY CARE, CHILD EXAMS, DENTAL HEALTH EDUCATION AND OTHER SERVICES. DURING THE FISCAL YEAR, DENTAL SERVICES HAD 8,079 VISITS. 51863 98063 SOUTHERN MISSOURI COMMUNITY HEALTH CENTER PROVIDES MENTAL HEALTH SERVICES TO INDIVIDUALS SUFFERING FROM DEPRESSION, MARITAL ISSUES, GRIEF, BEHAVIORAL ISSUES, ANXIETY, SUBSTANCE ABUSE, AND A VARIETY OF OTHER MENTAL HEALTH PROBLEMS. DURING THE FISCAL YEAR, MENTAL HEALTH SERVICES HAD 653 VISITS. 4473393 true true false true false false false false false false true false false true true false true false false false false false false false false false false false false true false false false false false false true false false false false false false false false false false true 11 0 true 83 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 true false X ANGELA GARGUS CFO 4172558464 1137 INDEPENDENCE DRIVE WEST PLAINS MO 65775 TRAVIS SHEARER DDS DENTAL DIRECTOR 32.0 0.0 X 231995 0 47802 GARRY FINKE MD PHYSICIAN 32.0 0.0 X 229412 0 28894 MEGAN MONTAGUE DO PHYSICIAN 40.0 0.0 X 234867 0 20248 ROBERT CAUSEY MD PHYSICIAN 39.0 0.0 X 222468 0 30674 C LEANN FINKE MD MEDICAL DIRECTOR 30.0 0.0 X 215002 0 22337 TARA JACKSON DO PHYSICIAN 40.0 0.0 X 193014 0 32323 BRYAN ADCOCK CEO 40.0 0.0 X 196016 0 20426 ANGELA GARGUS CFO 40.0 0.0 X 136305 0 18407 CHELSEA CARROLL DMD DENTIST 40.0 0.0 X 133876 0 8375 CONNIE HARRIS VICE PRESIDENT/TREASURER 1.0 0.0 X X 0 0 0 BRITTANY HUNTER DIRECTOR 1.0 0.0 X 0 0 0 CONNIE PENDERGRASS PRESIDENT 1.5 0.0 X X 0 0 0 DIANA PACE SECRETARY 1.0 0.0 X X 0 0 0 JANIS GENDRON DIRECTOR 1.0 0.0 X 0 0 0 KAREN PERKINS DIRECTOR 1.0 0.0 X 0 0 0 TERRY NEWTON DIRECTOR 1.0 0.0 X 0 0 0 TONYA WOODS DIRECTOR 1.0 0.0 X 0 0 0 AMBER SQUIRES DIRECTOR 1.0 0.0 X 0 0 0 G ALEX O'NEILL DIRECTOR 1.0 0.0 X 0 0 0 1792955 0 229486 11 false true false OZARK KIDS DENTAL LLC 820 N KENTUCKY AVE WEST PLAINS MO 65775 CONTRACT DENTIST 436860 1 2695239 177469 2872708 NET PATIENT SERVICE REVENUE 624100 6028050 6028050 OTHER REVENUE 624100 142665 142665 6170715 133408 133408 0 0 40750 40750 0 40750 40750 187466 -187466 -187466 -187466 0 0 0 0 0 0 0 0 0 GAIN ON INVESTMENT IN EQUITY INVESTMENT 900099 38264 38264 38264 9068379 6170715 24956 X 0 0 0 0 888290 517136 371154 0 3348276 2383704 964572 132191 94911 37280 464871 257805 207066 278634 278634 0 1728 1728 86235 86235 0 0 0 1242216 514209 728007 30923 30923 438139 41501 396638 32867 32867 0 92292 92292 12482 4108 8374 0 33342 22842 10500 0 0 193439 27346 166093 28796 22148 6648 MEDICAL SUPPLIES & DRUGS 475559 475559 BAD DEBT 86384 86384 LICENSES, DUES, SUBSCRIPTIONS 40412 23840 16572 RECRUITING & RETENTION 2786 1900 886 7909862 4473393 3436469 0 7822 9085 6238025 8080831 81912 143703 239355 525993 0 0 0 0 0 0 167637 141399 53669 88444 4848286 2756044 2159988 2092242 0 0 197966 236230 0 0 0 0 1158532 912686 10304906 12230613 501705 465748 0 0 0 0 0 0 0 0 0 0 0 0 0 0 450067 1253214 951772 1718962 X 9308618 10489040 44516 22611 9353134 10511651 10304906 12230613 1158517 X false true X true true true X 1572882 1685181 3109974 1981483 2872708 11222228 0 0 1572882 1685181 3109974 1981483 2872708 11222228 0 11222228 16519 29290 95278 72065 174158 387310 0 29721 70605 -139 95249 38264 233700 11843238 27737677 0.94756 0.95596 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true false SCHEDULE C, PART II-B, LINE 1(G) DIRECT CONTACT WITH LEGISLATORS: THE ORGANIZATION HAS INTERMITTENT, NON-ROUTINE DIRECT CONTACT WITH LEGISLATORS, PARTICULARLY AT THE STATE LEVEL. THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES HAVE MEMBERSHIPS WITH PROFESSIONAL ORGANIZATIONS THAT BRING THEM INTO DIRECT CONTACT WITH LEGISLATORS. IN ADDITION, ON AN INDIVIDUAL, VOLUNTARY BASIS, MEMBERS OF THE ORGANIZATION MAY SEND EMAILS, LETTERS, OR MAKE PHONE CALLS TO LEGISLATORS TO SUPPORT CAUSES THAT BENEFIT THE ORGANIZATION. THE ORGANIZATION ALSO MAY CONTACT LEGISLATORS DIRECTLY IN ORDER TO INFORM THEM OF POTENTIAL PHOTO OPPORTUNITIES SUCH AS CLINIC OPEN HOUSES. SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA); A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. 766631 766631 2222986 1382187 840799 723065 628192 94873 976288 586349 389939 159316 159316 0 2092242 EST AMT DUE FROM 3RD PARTIES 912686 912686 0 EST AMT DUE TO 3RD PARTIES 1253214 1253214 9191366 124362 124362 9067004 1375 1375 9068379 8010944 187466 187466 7823478 86384 86384 7909862 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 OTHER REVENUE INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $ (86,384) BAD DEBT EXPENSE 187,466 LOSS ON BUILDING 23,280 NET ASSETS RELEASED FROM RESTRICTION --------- $ 124,362 SCHEDULE D, PART XI, LINE 4B OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $ 1,375 TRNA CONTRIBUTIONS SCHEDULE D, PART XII, LINE 2D OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 187,466 LOSS ON BUILDING SCHEDULE D, PART XII, LINE 4B OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 86,384 BAD DEBT EXPENSE X X X X false false false false false false false true false BRYAN ADCOCK CEO 188592 0 0 0 7424 0 9891 0 10535 0 216442 0 0 0 ANGELA GARGUS CFO 135815 0 0 0 490 0 6947 0 11460 0 154712 0 0 0 ROBERT CAUSEY MD PHYSICIAN 216968 0 5500 0 0 0 11573 0 19101 0 253142 0 0 0 GARRY FINKE MD PHYSICIAN 206833 0 9323 0 13256 0 11703 0 17191 0 258306 0 0 0 TARA JACKSON DO PHYSICIAN 185364 0 7650 0 0 0 8149 0 24174 0 225337 0 0 0 MEGAN MONTAGUE DO PHYSICIAN 228930 0 5937 0 0 0 11750 0 8498 0 255115 0 0 0 C LEANN FINKE MD MEDICAL DIRECTOR 206155 0 5800 0 3047 0 10795 0 11542 0 237339 0 0 0 TRAVIS SHEARER DDS DENTAL DIRECTOR 217227 0 0 0 14768 0 11689 0 36113 0 279797 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: DR. GARRY FINKE AND DR. MEGAN MONTAGUE RECEIVED BONUS PAYMENTS CALCULATED OFF WORK RVUS. DR. LEANNE FINKE, DR. TARA JACKSON, AND DR. ROBERT CAUSEY RECEIVED BONUS PAYMENTS CALCULATED PROGRESS TOWARD MEETING CLINICAL QUALITY GOALS. DR. JACKSON ALSO RECEIVES A BONUS BASED ON THE NUMBER OF DELIVERIES PROVIDED. DENTISTS & CONTRACT LCSW ARE ELIGIBLE TO RECEIVE BONUS PAYMENTS BY EXCEEDING ESTABLISHED PRODUCTIVITY GOALS. DR GARRY FINKE SPOUSE OF MED DIRECTOR 235409 COMPENSATION false FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION: THE ORGANIZATION IS ORGANIZED TO SERVE AS A PRIMARY RESOURCE FOR THE RENDERING OF HEALTHCARE SERVICES, WHICH SERVICES INCLUDE BUT ARE NOT LIMITED TO MEDICAL, DENTAL, AND MENTAL HEALTHCARE TO THOSE PERSONS IN HOWELL AND OREGON COUNTIES, AND SUCH OTHER COUNTIES IN THE STATE OF MISSOURI AS THE BOARD OF DIRECTORS MAY DESIGNATE; SUCH HEALTHCARE SERVICES SHALL BE RENDERED TO ALL INDIVIDUALS IN NEED OF SUCH SERVICES, BUT PARTICULARLY FOR MEDICALLY AND SOCIALLY INDIGENT INDIVIDUALS WHO CURRENTLY LACK ACCESS TO SUCH CARE; WITH A GOAL OF ENHANCING THE HEALTH MEMBERS OF THE COMMUNITY. THE BOARD OF DIRECTORS WILL ASSESS ON AN ONGOING BASIS THE HEALTH NEEDS OF THE TARGET AREAS TO ESTABLISH SHORT AND LONG TERM GOALS TO ACCOMPLISH ITS PURPOSES AND ENSURE THAT SERVICES ARE AVAILABLE AND ACCESSIBLE. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS INITIALLY REVIEWED BY BOTH THE CEO AND CFO. THE FINAL FORM 990 IS THEN PRESENTED TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH ALL OFFICERS, DIRECTORS OR TRUSTEES, AND ALL EMPLOYEES UPON HIRE AND ANNUALLY. BEFORE UNDERTAKING ANY PROJECT OR DECIDING TO DO BUSINESS WITH ANY NEW VENDOR, ANY POTENTIAL OR PERCEIVED CONFLICTS ARE LOOKED FOR AND ADDRESSED IF FOUND. THE BOARD OF DIRECTORS AND EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS THAT EXIST RELATING TO OUTSIDE INTERESTS, OUTSIDE ACTIVITIES, AND ANY GIFTS, GRATUITIES AND ENTERTAINMENT, OR INTERNAL INTEREST, THAT MAY GIVE RISE TO A CONFLICT OF INTEREST. IF A CONFLICT IS DETERMINED TO EXIST, APPROPRIATE ACTIONS ARE TAKEN TO ENSURE THE CONFLICT DOES NOT INTERFERE WITH THE INDIVIDUAL'S ABILITY TO BEST SERVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15A & 15B REVIEW OF CEO, OTHER OFFICERS AND KEY EMPLOYEES COMPENSATION: REVIEW OF THE CEO'S COMPENSATION WAS LAST CONDUCTED IN AUGUST 2023 BY THE BOARD PRESIDENT AND BOARD OF DIRECTORS. DATA WAS USED FROM VARIOUS INDEPEDENT SOURCES AS SUPPLIED BY THE HR DIRECTOR OR LOCATED BY THE BOARD PRESIDENT. THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD AND IS REVIEWED ANNUALLY. COMPENSATION REVIEW OF OTHER OFFICERS, KEY EMPLOYEES, AND ALL REMAINING STAFF WAS CONDUCTED IN JANUARY 2023 FROM VARIOUS INDEPENDENT SOURCES GATHERED BY THE HR DIRECTOR. THE INITIAL REVIEW WAS COMPLETED BY THE HR DIRECTOR, CFO, AND CEO TO ESTABLISH A SALARY SCALE. THE SALARY SCALE WAS THEN REVIEWED BY THE BOARD FINANCE COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. THIS PROCESS IS COMPLETED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR VIEWING AT THE ORGANIZATION OR BY MAIL. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:898991 FORM 990 PART IX LINE 11G DESCRIPTION:DATA PROCESSING TOTAL FEES:222488 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY TOTAL FEES:97503 FORM 990 PART IX LINE 11G DESCRIPTION:LABORATORY TOTAL FEES:23234