2025-12-02T16:30:28+00:00 2025-02-28 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-03-01 431932702 RURAL ALLIANCE FOR BETTER FAMILY HEALTH RURA 4172558464 1137 INDEPENDENCE DRIVE WEST PLAINS MO 65775 BRYAN ADCOCK CEO 2025-12-02 true Krystal Creach P01248198 4178658701 2025-12-02 2024 2025-03-06 01:10:19Z SOUTHERN MISSOURI COMMUNITY HEALTH CENTER BRYAN ADCOCK 1137 INDEPENDENCE DRIVE WEST PLAINS MO 65775 9332979 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. 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. 11 11 83 11 0 4331325 2479815 5308989 6487289 339170 320436 38931 45439 10018415 9332979 0 0 0 0 5493399 5564565 0 0 0 2442827 2636682 7936226 8201247 2082189 1131732 14824351 16585196 2230511 2859623 12593840 13725573 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 2841686 0 4402946 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 19,008 VISITS. 1268103 0 1873121 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 6,142 VISITS. 145428 0 211222 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 1,492 VISITS. 4255217 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 false false true false false false false false false false false false false false true 7 0 true 83 true false false false false false false false false false false false false X 11 11 false false false false false false false true true false false false true true true true true true true true false false X ANGELA GARGUS 4172558464 1137 INDEPENDENCE DRIVE WEST PLAINS MO 65775 CONNIE HARRIS VICE PRESIDENT/TREASURER 1.0 0.0 X 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 AMBER SQUIRES DIRECTOR 1.0 0.0 X 0 0 0 Brent Campbell Director 1.0 0.0 X 0 0 0 BRITTANY HUNTER DIRECTOR 1.0 0.0 X 0 0 0 G ALEX O'NEILL DIRECTOR 1.0 0.0 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 ANGELA GARGUS CFO 40.0 0.0 X 150504 0 17441 BRYAN ADCOCK CEO 40.0 0.0 X 212298 0 23099 C LEANN FINKE MD MEDICAL DIRECTOR 30.0 0.0 X 227794 0 21190 TRAVIS SHEARER DDS DENTAL DIRECTOR 32.0 0.0 X 251733 0 43532 ASHLEIGH KAYSER DDS DENTIST 32.0 0.0 X 146991 0 16861 GARRY FINKE MD PHYSICIAN 32.0 0.0 X 226608 0 28393 MEGAN MONTAGUE DO PHYSICIAN 40.0 0.0 X 246159 0 21517 ROBERT CAUSEY MD PHYSICIAN 39.0 0.0 X 216880 0 47805 TARA JACKSON DO PHYSICIAN 40.0 0.0 X 200304 0 38547 1879271 0 258385 12 false true false 0 2021410 458405 2479815 NET PATIENT SERVICE REVENUE 624100 6199355 6199355 OTHER REVENUE 624100 287934 287934 0 0 0 0 6487289 320436 320436 40300 40300 0 40300 40300 0 0 GAIN ON INVESTMENT IN EQUITY INVESTMENT 900099 5139 5139 0 0 0 0 5139 9332979 6487289 0 365875 X 947591 380974 566617 225390 225390 3425241 2270883 1154358 136188 96268 39920 518966 243542 275424 311189 311189 51 51 92268 92268 944207 211988 732219 0 36182 36182 594615 200566 394049 21051 21051 98003 98003 11764 2739 9025 37879 26102 11777 396 396 249668 70891 178777 37158 29641 7517 MEDICAL SUPPLIES & DRUGS 468318 468318 LICENSES, DUES, SUBSCRIPTION 42516 26355 16161 RECRUITING & RETENTION 2606 1560 1046 0 0 0 0 8201247 4255217 3946030 0 5779 1426 10071244 6824816 538952 262247 326160 370093 0 0 0 0 0 0 131211 176626 90037 102902 10673756 2928227 3236841 7745529 0 0 236686 254507 0 0 0 187441 847050 14824351 16585196 822889 1459623 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1407622 1400000 2230511 2859623 X 11602671 13724181 991169 1392 0 0 0 0 0 0 12593840 13725573 14824351 16585196 1131732 0 X false true true true true X 3109974 1981483 2872708 4331325 2479815 14775305 0 0 3109974 1981483 2872708 4331325 2479815 14775305 0 14775305 95278 72065 174158 377645 360736 1079882 0 -139 95249 38264 456 5139 138969 15994156 29135767 0.92379 0.93619 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - GAIN/LOSS IN EQUITY INVESTEE, COLUMN A - -139.0, COLUMN B - 95249.0, COLUMN C - 38264.0, COLUMN D - 456.0, COLUMN E - 5139.0, COLUMN F - 138969.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true false Schedule C, Part II-B, Line 1i 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. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 766631 766631 7697232 1642739 6054493 904630 638797 265833 1134686 487281 647405 170577 159410 11167 7745529 EST AMT DUE FROM 3RD PARTIES 847050 847050 Federal Income Taxes EST AMT DUE TO 3RD PARTIES 1400000 1400000 10322756 989777 989777 9332979 0 0 9332979 8201246 0 0 8201246 0 0 8201246 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 RESTRICTION - 989777 X true true X X X X false false false false false false false true false BRYAN ADCOCK CEO 204229 0 0 0 8069 0 10645 0 12454 0 235397 0 0 0 ANGELA GARGUS CFO 150504 0 0 0 0 0 7537 0 9904 0 167945 0 0 0 C LEANN FINKE MD MEDICAL DIRECTOR 222394 0 5400 0 0 0 11399 0 9791 0 248984 0 0 0 TRAVIS SHEARER DDS DENTAL DIRECTOR 227087 0 0 0 24646 0 12312 0 31220 0 295265 0 0 0 ASHLEIGH KAYSER DDS DENTIST 146991 0 0 0 0 0 7141 0 9720 0 163852 0 0 0 GARRY FINKE MD PHYSICIAN 218277 0 8331 0 0 0 11652 0 16741 0 255001 0 0 0 MEGAN MONTAGUE DO PHYSICIAN 240018 0 6141 0 0 0 12001 0 9516 0 267676 0 0 0 ROBERT CAUSEY MD PHYSICIAN 210180 0 6700 0 0 0 12116 0 35689 0 264685 0 0 0 TARA JACKSON DO PHYSICIAN 191504 0 8800 0 0 0 10942 0 27605 0 238851 0 0 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use THE CLINIC OWNS AN APARTMENT THAT DR. TRAVIS SHEARER LIVES IN AND THE $400 PER MONTH RENT IS TREATED AS TAXABLE COMPENSATION TO DR. SHEARER. 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 ON PROGRESS TOWARD MEETING CLINICAL QUALITY GOALS. DR. JACKSON ALSO RECEIVES A BONUS BASED ON THE NUMBER OF DELIVERIES PROVIDED. OTHER EMPLOYEES ARE ELIGIBLE TO RECEIVE BONUS PAYMENTS BY EXCEEDING ESTABLISHED PRODUCTIVITY GOALS. DR GARRY FINKE SPOUSE OF MED DIRECTOR 225390 COMPENSATION false 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 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, Line 12c 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, Line 15a Process to establish compensation of top management official REVIEW OF THE CEO'S COMPENSATION WAS LAST CONDUCTED IN AUGUST 2024 BY THE BOARD PRESIDENT AND BOARD OF DIRECTORS. DATA WAS USED FROM VARIOUS INDEPENDENT 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees COMPENSATION REVIEW OF OTHER OFFICERS, KEY EMPLOYEES, AND ALL REMAINING STAFF WAS CONDUCTED IN September 2024 and again at the beginning of 2025 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, Line 19 Required 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 Other Fees CONTRACT SERVICES - Total Expense: 613206, Program Service Expense: 181933, Management and General Expenses: 431273, Fundraising Expenses: ; DATA PROCESSING - Total Expense: 300946, Program Service Expense: , Management and General Expenses: 300946, Fundraising Expenses: ; PHARMACY - Total Expense: 2745, Program Service Expense: 2745, Management and General Expenses: , Fundraising Expenses: ; LABORATORY - Total Expense: 18928, Program Service Expense: 18928, Management and General Expenses: , Fundraising Expenses: ; TRANSLATION SERVICES - Total Expense: 8382, Program Service Expense: 8382, Management and General Expenses: , Fundraising Expenses: ;