2024-10-02T10:20:01-05:00 2023-11-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2022-12-01 431183442 RICHLAND MEDICAL CENTER D/B/A CENTRAL OZARKS MEDICAL CENTER RICH 5737655131 PO BOX 777 RICHLAND MO 65556 SABRINA MCAFEE CFO 5737655131 2024-10-01 1 1 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2024-09-30 2022 2024-10-15 13:58:12Z SABRINA MCAFEE PO BOX 777 RICHLAND MO 65556 24657971 0 X WWW.CENTRALOZARKS.ORG X 1979 MO CENTRAL OZARKS MEDICAL CENTER PROVIDES MEDICAL, DENTAL, AND LAB SERVICES TO THE PEOPLE OF CAMDEN, PULASKI, LACLEDE, AND MILLER COUNTIES. 11 11 235 11 0 0 8284303 7829521 13868299 16691303 71902 30562 119697 106585 22344201 24657971 0 0 0 0 14866684 16848015 0 0 0 6990050 8361032 21856734 25209047 487467 -551076 12597828 13161994 2554693 3669935 10043135 9492059 DEDICATED TO PROVIDING THE HIGHEST QUALITY MEDICAL SERVICES WITHIN OUR POWER TO PROVIDE TO THE PEOPLE OF CAMDEN, PULASKI, LACLEDE, AND MILLER COUNTIES 0 0 11531895 10427612 CENTRAL OZARKS MEDICAL CENTER (COMC) IS A FEDERALLY QUALIFIED HEALTH CENTER AND OPERATES MEDICAL CLINICS AT ITS LOCATIONS IN RICHLAND,CAMDENTON, LAURIE AND OSAGE BEACH, MO. COMC OFFERS MEDICAL SERVICES TO ADULTS, INFANTS AND CHILDREN. SPECIALTY SERVICES ARE AVAILABLE AND INCLUDE OBSTETRICS AND GYNECOLOGY, WOMEN'S HEALTH, MENTAL HEALTH, GERIATRIC HEALTH, AND CARDIO-PULMONARY MEDICINE. OTHER SERVICES ARE ALSO AVAILABLE IN AREAS SUCH AS AIDS, ALCOHOLISM, AFTER HOURS/24 HOUR CALL SERVICES, HOME HEALTH, NUTRITION, AND SOCIAL SERVICES. TOTAL MEDICAL ENCOUNTERS FOR THE FISCAL YEAR 2023 WERE 43,524. 3657027 3995948 THE ORGANIZATION ALSO OPERATES DENTAL CLINICS AT ITS LOCATIONS IN RICHLAND, LAURIE, AND CAMDENTON, MO. CENTRAL OZARKS MEDICAL CENTER PROVIDES COMPLETE DENTISTRY FOR THE ENTIRE FAMILY. DURING FISCAL YEAR 2023, COMC PROVIDED 17,110 DENTAL RELATED SERVICES TO ITS COMMUNITY. 2076055 2374328 THE ORANIZATION OFFERS BEHAVIORAL HEALTH SERVICES AT EACH OF ITS CLINICS AND IN VARIOUS SCHOOL DISTRICTS WITHIN ITS SERVICE AREA. TOTAL BEHAVIORAL HEALTH SERVICES FOR THE FISCAL YEAR 2023 WERE 18,683. 17264977 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 4 0 1 235 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X SABRINA MCAFEE CFO 5737655131 PO BOX 777 RICHLAND MO 65556 BETH HUTTON BOARD MEMBER 1.00 X 0 0 0 BETH WILES BOARD MEMBER 1.00 X 0 0 0 BOB BOATWRIGHT BOARD MEMBER 1.00 X 0 0 0 BRANDON WITT SECRETARY /TREASURER 1.00 X X 0 0 0 DAVID MILLER BOARD MEMBER 1.00 X 0 0 0 JEFF VERNETTI BOARD MEMBER 1.00 X 0 0 0 JOHN PARISH BOARD MEMBER 1.00 X 0 0 0 KRISTA CARTER BOARD MEMBER 1.00 X 0 0 0 ROBIN HOBBS BOARD MEMBER 1.00 X 0 0 0 SHERRY STRUCKHOFF VICE CHAIRPERSON 1.00 X X 0 0 0 TERRI KISLIG BOARD MEMBER 1.00 X 0 0 0 TOM REAGAN CHAIRPERSON 1.00 X X 0 0 0 KELLY MILLER CHIEF EXECUTIVE OFFICER 40.00 X 176636 0 15105 SABRINA MCAFEE CHIEF FINANCIAL OFFICER 40.00 X 116358 0 1950 DANIEL SCHMIDT CHIEF MEDICAL OFFICER 40.00 X 258741 0 28464 BARTON WARREN PHYSICIAN 40.00 X 322106 0 0 ELIZABETH BOWMAN PHYSICIAN 40.00 X 230259 0 23625 MARIO MACIAS OB/GYN PHYSICIAN 40.00 X 340275 0 23626 MICHAEL KIRKOVER PHYSICIAN 40.00 X 295792 0 12170 SUSAN CURREY-LAMB DENTIST/CDO 40.00 X 112358 0 400 1852525 0 105340 22 0 1 0 0 7572893 256628 756000 7829521 MEDICAID 624100 10377770 10377770 340B PHARMACY REVENUE 624100 2480020 2480020 OTHER THIRD-PARTY PAYORS 624100 1866671 1866671 MEDICARE 624100 1144719 1144719 CAPITATION REVENUE 624100 516460 516460 305663 305663 16691303 4414 4414 26148 0 26148 26148 26148 INCENTIVES 900099 78569 78569 28016 28016 106585 24657971 16797888 0 30562 329836 244796 85040 13452159 10197042 3255117 555809 326649 229160 1522694 894887 627807 987517 685486 302031 112977 14505 98472 130179 130179 2124871 1353956 770915 550588 1240 549348 333432 16671 316761 422043 7246 414797 214915 59511 155404 104702 35181 69521 136198 44061 92137 79364 79364 935947 778869 157078 264660 38998 225662 MEDICAL SUPPLIES 2466380 2444216 22164 REPAIRS AND MAINTENANCE 274484 79639 194845 EQUIPMENT EXPENSE 122590 19982 102608 DUES & LICS. 83155 21545 61610 4547 497 4050 25209047 17264977 7944070 0 3750 3950 1540486 851938 286721 750304 1744777 1513362 120012 150017 16443843 8703413 7677500 7740430 18750 18750 482011 1205832 1651232 12597828 13161994 1175678 1848043 5083 102020 1280706 1215439 93226 504433 2554693 3669935 X 10043135 9492059 10043135 9492059 12597828 13161994 -551076 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 428582 428582 10265330 5578373 4686957 5135682 3125040 2010642 614249 614249 7740430 DUE FROM THIRD-PARTY PAYORS 1651232 1651232 OPERATING LEASE LIABILITY 504433 504433 X 24769490 111519 111519 24657971 0 24657971 25320566 111519 111519 25209047 0 25209047 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF NOVEMBER 30, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PROPER TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. X X 0 0 0 0 0 0 0 1 0 MARIO MACIAS OB/GYN PHYSICIAN 334275 0 6000 0 0 0 0 0 23626 0 363901 0 0 0 BARTON WARREN PHYSICIAN 310106 0 12000 0 0 0 0 0 0 0 322106 0 0 0 MICHAEL KIRKOVER PHYSICIAN 295792 0 0 0 0 0 0 0 12170 0 307962 0 0 0 DANIEL SCHMIDT CHIEF MEDICAL OFFICER 246741 0 12000 0 0 0 0 0 28464 0 287205 0 0 0 ELIZABETH BOWMAN PHYSICIAN 229259 0 1000 0 0 0 0 0 23625 0 253884 0 0 0 KELLY MILLER CHIEF EXECUTIVE OFFICER 176636 0 0 0 0 0 0 0 15105 0 191741 0 0 0 PART I, LINE 7 SELECT PHYSICIANS WERE AWARDED BOARD APPROVED BONUSES FOR CALENDAR YEAR 2022 WHICH WAS INCLUDED IN THEIR W2. X 1 754800 FMV X PP&E 1 1200 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. FORM 990, PART IV, LINE 20: THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER, AND IS EXCLUDED FROM THE DEFINITION OF A GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990, AS THEY DO NOT MEET THE DEFINITION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS REVIEWED BY THE CFO AND THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND EMPLOYEES OF THE ORGANIZATION SHALL IDENTIFY SPECIFIC AREAS OF POTENTIAL CONFLICT OF INTERESTS ANNUALLY. THE BOARD OF DIRECTORS SHALL REVIEW INTERESTS OR ACTIVITIES WHICH CREATED OR MIGHT CREATE A DUAL INTEREST OR CONFLICT OF INTEREST ON PART OF BOARD MEMBERS OR EMPLOYEES. ANY BOARD MEMBER HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER AND HE/SHE SHALL NOT BE COUNTED IN DETERMINING QUORUM FOR THE MEETING. THE MINUTES SHALL REFLECT THE DISCLOSURE, THE ABSTENTION FROM VOTING AND THE QUORUM STATUS. THIS DOES NOT PREVENT THE BOARD MEMBER FROM STATING HIS/HER POSITION ON THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS OF OTHER BOARD MEMBERS, SINCE HIS/HER KNOWLEDGE MAY BE OF GREAT ASSISTANCE TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD PERFORMED AN EVALUATION OF COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES HOLDING CONTRACTS WITH THE ORGANIZATION AND MAKES RECOMMENDATIONS BASED ON THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE MGMA SALARY COMPARABLES. THE BOARD THEN APPROVES THE SALARIES. CEO COMPENSATION IS SET BY THE FULL BOARD OF DIRECTORS. THE CEO ESTABLISHES THE COMPENSATION OF THE CFO AND OTHER EMPLOYEES NOT HOLDING CONTRACTS WITH THE ORGANIZATION BASED UPON PERFORMANCE EVALUATIONS EACH YEAR FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES WILL BE MADE AVAILABLE TO ANY REQUESTOR AND WILL BE MADE AVAILABLE FOR VIEWING AT THE ORGANIZATION'S OFFICE FINANCIAL STATEMENTS WILL BE MADE AVAILABLE UPON REQUEST FOR A BONA FIDE BUSINESS PURPOSE THAT SHALL BE DETERMINED BY THE ORGANIZATION ALL WILL BE AVAILABLE FOR VIEWING AT THE ORGANIZATION'S OFFICES