Civic Intelligence

Big Springs Medical Association Inc

EIN 43-1068291 • 501(c)3 • Ellington, MO

Profile

The organization endeavors to meet the primary and preventative health care needs of the medically-underserved by providing high quality, cost effective care and services to its patients. See schedule o for additional information.

PO Box 157Ellington, MO 63638

www.mohigh.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

46th percentile

0.18x

Higher debt load relative to assets than 46% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Liabilities / Revenue

30th percentile

0.13x

Higher debt load relative to revenue than 30% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Net Margin

50th percentile

4.1%

Higher net margin than 50% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Top Officer Pay

88th percentile

$646,554

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2025

Asset Growth

47th percentile

4.4%

Faster asset growth than 47% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Revenue Growth

29th percentile

-1.6%

Faster revenue growth than 29% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2024 to 2025

Assets

Up

$29,352,828

Up $3,241,722 (+12%) from 2022

Liabilities

Up

$8,912,396

Up $1,032,502 (+13%) from 2022

Net Assets

Up

$20,440,432

Up $2,209,220 (+12%) from 2022

Revenue

Up

$39,288,610

Up $3,016,483 (+8.3%) from 2022

Expenses

Up

$36,605,870

Up $6,607,469 (+22%) from 2022

Net Income

Down

$2,682,740

Down $3,590,986 (-57%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2011: $8,369,866Liabilities 2011: $1,157,123Net Assets 2011: $7,212,7432011Assets 2012: $10,227,375Liabilities 2012: $1,394,281Net Assets 2012: $8,833,0942012Assets 2013: $10,064,705Liabilities 2013: $1,609,145Net Assets 2013: $8,455,5602013Assets 2014: $9,680,751Liabilities 2014: $1,254,928Net Assets 2014: $8,425,8232014Assets 2015: $8,387,902Liabilities 2015: $1,501,383Net Assets 2015: $6,886,5192015Assets 2016: $8,652,897Liabilities 2016: $1,764,706Net Assets 2016: $6,888,1912016Assets 2017: $10,311,847Liabilities 2017: $1,725,509Net Assets 2017: $8,586,3382017Assets 2018: $12,382,560Liabilities 2018: $3,456,344Net Assets 2018: $8,926,2162018Assets 2019: $11,831,211Liabilities 2019: $3,763,124Net Assets 2019: $8,068,0872019Assets 2020: $16,418,546Liabilities 2020: $8,329,369Net Assets 2020: $8,089,1772020Assets 2021: $21,212,476Liabilities 2021: $10,558,962Net Assets 2021: $10,653,5142021Assets 2022: $26,111,106Liabilities 2022: $7,879,894Net Assets 2022: $18,231,2122022Assets 2023: $29,352,828Liabilities 2023: $8,912,396Net Assets 2023: $20,440,4322023

Highlighted filing

2023

Assets$29,352,828
Liabilities$8,912,396
Net Assets$20,440,432

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$20M$0-$20MExpenses 2011: $8,272,8122011Expenses 2012: $9,456,0002012Expenses 2013: $10,195,7742013Revenue 2014: $8,134,370Expenses 2014: $8,164,107Net Income 2014: -$29,7372014Revenue 2015: $7,997,009Expenses 2015: $9,536,313Net Income 2015: -$1,539,3042015Revenue 2016: $10,460,149Expenses 2016: $10,458,477Net Income 2016: $1,6722016Revenue 2017: $14,159,495Expenses 2017: $12,461,348Net Income 2017: $1,698,1472017Revenue 2018: $15,326,891Expenses 2018: $14,987,013Net Income 2018: $339,8782018Revenue 2019: $16,045,069Expenses 2019: $16,721,322Net Income 2019: -$676,2532019Revenue 2020: $19,514,553Expenses 2020: $19,386,582Net Income 2020: $127,9712020Revenue 2021: $29,358,997Expenses 2021: $25,980,904Net Income 2021: $3,378,0932021Revenue 2022: $36,272,127Expenses 2022: $29,998,401Net Income 2022: $6,273,7262022Revenue 2023: $39,288,610Expenses 2023: $36,605,870Net Income 2023: $2,682,7402023

Highlighted filing

2023

Revenue$39,288,610
Expenses$36,605,870
Net Income$2,682,740

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$29.4$8.91$20.4$39.3$36.6$2.68
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$26.1$7.88$18.2$36.3$30.0$6.27
2021Summary only. Only limited summary data is available for this year.$21.2$10.6$10.7$29.4$26.0$3.38
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.4$8.33$8.09$19.5$19.4$0.13
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.8$3.76$8.07$16.0$16.7$0.68
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.4$3.46$8.93$15.3$15.0$0.34
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.3$1.73$8.59$14.2$12.5$1.70
2016Summary only. Only limited summary data is available for this year.$8.65$1.76$6.89$10.5$10.5$0.00
2015Detailed filing. Detailed filing data is available for this year.$8.39$1.50$6.89$8.00$9.54$1.54
2014Detailed filing. Detailed filing data is available for this year.$9.68$1.25$8.43$8.13$8.16$0.03
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.1$1.61$8.46$10.2
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.2$1.39$8.83$9.46
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.37$1.16$7.21$8.27
Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2017 below.

Jump To
Filing Snapshot
Filing Period
Jun 1, 2016 to May 31, 2017
Signed
Jan 31, 2018
Return Version
2016v3.1
Gross Receipts
$14,175,333
Mission and Program Overview

Mission

The organization endeavors to meet the primary and preventative health care needs of the medically under-served by providing high-quality, cost-effective care and services to its patients. See schedule o for additional detail.

The organization provides high quality, cost effective medical, dental and behavioral health services to medically-underserved residents of ellington, mo and surrounding areas

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$7,294,489$8,419,834▲ $1,125,345
Accounts Receivable$759,108$731,385▼ $27,723
Pledges and Grants Receivable$111,381$241,546▲ $130,165
Savings and Temporary Cash Investments$178,595$124,239▼ $54,356
Investments Other Securities$84,122$108,094▲ $23,972
Prepaid Expenses and Deferred Charges$77,567$83,835▲ $6,268
Cash and Non-Interest-Bearing Accounts$58,749$47,372▼ $11,377
Inventories for Sale or Use$16,632$20,905▲ $4,273
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$8,652,897$10,311,847▲ $1,658,950
Other Assets Total$72,254$534,637▲ $462,383
Liabilities
Accounts Payable and Accrued Expenses$793,937$1,139,571▲ $345,634
Mortgage Notes Payable Secured by Investment Property$420,769$302,191▼ $118,578
Other Liabilities$550,000$283,747▼ $266,253
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$1,764,706$1,725,509▼ $39,197
Net Assets / Fund Balance
Unrestricted Net Assets$6,783,566$8,586,338▲ $1,802,772
Temporarily Rstr Net Assets$104,625$0▼ $104,625
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$6,888,191$8,586,338▲ $1,698,147
Total Liabilities and Net Assets / Fund Balance$8,652,897$10,311,847▲ $1,658,950

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,752,331$2,125,717$7,878,048
Equipment$779,002$1,320,776$2,099,778
Other Land Buildings$1,212,253$29,792$1,242,045
Land$676,248-$676,248
Leasehold Improvements$0$166,633$166,633
Other Assets Org$1,104--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Richard HesterPhysicianFT$191,703$23,591$215,294
Joseph CamirePhysicianFT$194,522$9,900$204,422
Tammy LindsayMedical DirectorFT$187,820$14,292$202,112
Bradley DanielDentistFT$168,949$17,441$186,390
Kristen GreenDentistFT$172,041$3,000$175,041
Karen WhiteCEO/CFOFT$127,697$41,078$168,775
Kami WallnerDentistFT$138,197$1,615$139,812

Board Members and Trustees

NameTitle
Michael MortonPresident
Linda LunsfordDirector
Ryan ChiltonDirector
Scott OatmanDirector
Debbie SandarcieroDirector Beginning 03/2017
John Mark BrewerDirector Beginning 12/2016
Donald BlackDirector Ending 03/2017
Eric FuchsDirector Ending 06/2016
Paulette WilliamsDirector Ending 06/2016
Sister Rita SchonhoffDirector Ending 07/2016
Kandra CountsDirector Ending 12/2016
Lance MayfieldSecretary
Kathy HartTreasurer Beginning 06/2016
Joetta MartinVice Presedent

Highest Paid Contractors

ContractorServicesLocationCompensation
Poplar Bluff Children's Dentistry LOral Health4348 STATE HWY PP, Poplar Bluff, MO 63901$700,800
Medusind INCBilling815 HERNDON AVE STE 100, Orlando, FL 32803$347,546
GreenwayEmr4301 W BOY SCOUT BLVD STE 800, Tampa, FL 33607$263,206
Triggerfish TechnologiesIt Services3815 FARON ST STE E ST, St Joseph, MO 65406$206,108
NitelCommunications1101 W LAKE ST 6TH FLOOR, Chicago, IL 60607$157,018
Revenue and Support

Revenue Composition

Contributions and Grants
$5,325,150
Program Service Revenue
$8,791,141
Investment Income
$3,666
Other Revenue
$39,538
All Other Contributions
$441,838
Change in Net Assets
$1,698,147

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies2$118,922Fair Market Value (FMV)
Total Noncash Contributions2$118,922-

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,166,339
Revenue Not Reported on Financial Statements
$-6,844
Revenue Not Reported on Form 990
$104,184
Other Revenue Adjustments
$-6,844
Total Revenue per Audited Statements
$14,270,523
Total Revenue per Form 990
$14,159,495
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,921,055
Other Expenses$5,410,283
Grants and Similar Amounts Paid$130,010
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,733,255$1,828,281-$5,561,536
Fees for Services Other$898,211$840,760-$1,738,971
Office Expenses$403,001$293,033-$696,034
Depreciation Depletion$349,866$143,637-$493,503
Other Employee Benefits$329,989$147,738-$477,727
Payroll Taxes$289,373$145,407-$434,780
Current Officers, Directors, Trustees, and Key Employees$202,112$168,775-$370,887
Occupancy$176,852$99,312-$276,164
Information Technology$135,418$76,043-$211,461
Advertising-$200,496-$200,496
Grants to Domestic Orgs$130,010--$130,010
Travel$2,482$112,628-$115,110
Pension Plan Contributions$51,659$24,466-$76,125
Insurance$30,634$36,376-$67,010
Fees for Services Legal-$47,686-$47,686
Fees for Services Accounting-$42,825-$42,825
Conferences and Meetings-$37,394-$37,394
Interest$12,693$7,127-$19,820
All Other Expenses-$5,331-$5,331
Other Expenses$441$27,392-$441
Total Functional Expenses$8,026,985$4,434,363$0$12,461,348

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$12,467,751
Total Expenses per Form 990$12,461,348
Expenses per Audited Statements$12,460,907
Expenses Not Reported on Form 990$6,844
Expenses Not Reported on Financial Statements$441
Other Expense Adjustments$441
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Douglas County Health DepartmentAva, MOGovernmentDelta Pass-thru$33,600
Whole Kids Outreach IncEllington, MO501(c)(3)Delta Pass-thru$26,000
Whole Health Outreach IncEllington, MO501(c)(3)Delta Pass-thru$17,900
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Est Amount Due to 3rd Party$283,747
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

Form 990 review policy: 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 ceo and cfo review the form 990 in detail. After this review, the 990 is made available to the board of directors before filing.

Form 990, Part VI, Section B, Line 12C

Monitoring compliance with conflict of interest policy: the corporate compliance officer reviews the conflict of interest policy with the board annually as part of the overall corporate compliance program completed in january of each year. Inquiries are made regarding any existing conflicts of interest. Any duality of interest or possible conflict of interest on the part of any board member is disclosed to other board members and made a matter of record, either through an annual procedure or when the interest becomes a matter of board action. Any board member having a duality of interest or possible conflict of interest on any matter should not vote or use his/her personal influence on the matter. Furthermore, he/she should not be counted in determining the quorum for the meeting, even where permitted by law. The minutes of the meeting should reflect that a disclosure was made, the abstention from voting, and the quorum situation. The foregoing requirement should not be construed as preventing the board member from briefly stating his/her position in the matter, nor from answering pertinent questions of other board members since his/her knowledge may be of great assistance. This policy is reviewed annually for the information and guidance of board members, and any new board member is advised of the policy upon entering the duties of his/her office. The board chairperson and secretary are authorized and directed to see that this policy is followed.

Form 990, Part VI, Section B, Line 15A & 15B

Compensation review: the board conducts a review of the ceo's contract using a compensation committee, in which the board obtains comparable compensation information from the mpca for persons in similar positions. The organization also uses forms 990 of other organizations in this review. This process is documented in the board minutes and completed biannually. The ceo directs and completes a similar review for officers and key employees of the organization.

Form 990, Part VI, Section C, Line 19

Document disclosure: the organization's bylaws, conflict of interest policy, and/or financial statements are available for viewing at the central administration office of the organization or can be mailed upon request. The financial statements of the organization are only provided upon the approval of a written request.

Filing and Contact Details

Filer

Filer Name
Big Springs Medical Association Inc
EIN
43-1068291
In Care Of
% KAREN R WHITE
Phone
5736632313
Address
PO BOX 157, ELLINGTON, MO 63638
Doing Business As
Missouri Highlands Health Care

Signing Officer

Name
Karen R White
Title
CEO/CFO
Signed
2018-01-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Karen R White
Formed
1975
Legal Domicile
Mo
Voting Board Members
9
Independent Board Members
9
Employees
138
Volunteers
14

Preparer

Firm
Bkd Llp
Address
910 E ST LOUIS 200/PO BOX 1190, SPRINGFIELD, MO 65806-2523
Preparer
Krystal K Creach
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 6

Volunteers: the organization's board of directors is a volunteer board.

Form 990, Part III, Line 1

ORGANIZATION'S MISSION: THE ORGANIZATION, A FEDERALLY QUALIFIED HEALTH CENTER, ENDEAVORS TO MEET THE PRIMARY AND PREVENTATIVE HEALTH CARE NEEDS OF THE MEDICALLY-UNDERSERVED RESIDENTS OF BUTLER, CARTER, IRON, REYNOLDS, RIPLEY, and SHANNON COUNTIES IN MISSOURI BY PROVIDING HIGH QUALITY, COST EFFECTIVE CARE AND SERVICES TO PATIENTS, REGARDLESS OF THEIR PAYER SOURCE. THE ORGANIZATION PLACES PARTICULAR EMPHASIS ON CARE PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS, STRIVES TO ENSURE ITS LONG-TERM FISCAL SOLVENCY, SUPPORTS PROGRAMS THAT IMPROVE COMMUNITY HEALTH STATUS AND THAT PROMOTE HEALTHY BEHAVIORS WITHIN OUR POPULATION, AND DESIRES TO REMAIN AN "EMPLOYER OF CHOICE" IN THE AREA.

Form 990, Part III, Line 4A

Additional program services detail: telehealth through an arrangement made possible by the university of missouri-columbia and the missouri primary care association, telehealth and telecommunications equipment is installed at our offices in annapolis, ellington, eminence, naylor, pilot knob, poplar bluff, viburnum, and van buren. Through this service, we are able to offer patients access to specialists in psychiatry, dermatology and other disciplines at medical institutions in larger cities. Access to telehealth linkages can be an enormous convenience, giving our patients access to certain specialty consults with leaving our immediate service area. Community health and education part of our mission statement reads, "missouri highlands health care supports programs that improve community health status and that promote healthy behaviors within our population." it is by design that the word community is so prominently displayed. Missouri highlands health care facilitates and participates in community groups involving emergency medical professionals, school nurses, head start programs, health departments, and others. Missouri highlands health care (mhhc) is the fiscal agent for various grants received to address and improve community health status. Patient pharmaceuticals assistance program missouri highlands health care helps eligible patients obtain their prescribed medications free or at a reduced cost from drug manufacturers. This is a service we call our pharmaceuticals assistance program. Our program coordinator helps our patients work through the necessary application procedures with drug manufacturers. Some patient information, usually related to income, is required to complete the application. In the end, the relationship created exists directly between the patient and manufacturer. Mhhc facilitates the connection for our eligible patients.

Form 990, Part III, Line 4C

Additional program services detail: telehealth through an arrangement made possible by the university of missouri-columbia and the missouri primary care association, telehealth and telecommunications equipment is installed at our offices in ellington, poplar bluff, viburnum and van buren. Through this service, we are able to offer patients access to specialists in psychiatry at behavioral health institutions in larger cities. Access to telehealth linkages can be an enormous convenience, giving our patients access to certain specialty consults with leaving our immediate service area.

Form 990, Part IX, Line 11G

Other fees for services: $ 752,081 contracted dental services 679,414 contracted admin services 148,167 data processing 138,303 contracted mental health services 13,179 payroll processing 7,827 contracted health services ----------- $ 1,738,971

Financial Statement Notes

Schedule D, Part XI, Line 2D

Amounts included on line 1, but not on form 990, part viii, line 12: $ (441) bad debt expense 104,625 net assets released from restriction ---------- $ 104,184

Schedule D, Part XI, Line 4B

Amounts included on form 990, part viii, line 12, but not on line 1: $ (7,400) rental expenses 556 gain on disposal of pp&e ---------- $ (6,844)

Schedule D, Part XII, Line 2D

Amounts included on line 1, but not on form 990, part ix, line 25: $ 7,400 rental expenses (556) gain on disposal of pp&e ---------- $ 6,844

Schedule D, Part XII, Line 4B

Amounts included on form 990, part ix, line 25, but not on line 1: $ 441 bad debt expense

Raw XML AppendixShowing 400 of 846 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0793937
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt01139571
IRS990/AccountsReceivableGrp/BOYAmt0759108
IRS990/AccountsReceivableGrp/EOYAmt0731385
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0THE ORGANIZATION PROVIDES HIGH QUALITY, COST EFFECTIVE MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO MEDICALLY-UNDERSERVED RESIDENTS OF ELLINGTON, MO AND SURROUNDING AREAS
IRS990/AdvertisingGrp/ManagementAndGeneralAmt0200496
IRS990/AdvertisingGrp/TotalAmt0200496
IRS990/AllOtherContributionsAmt0441838
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt05331
IRS990/AllOtherExpensesGrp/TotalAmt05331
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/AuditCommitteeInd0true
IRS990/BackupWthldComplianceInd0true
IRS990/BenefitsToMembersGrp/TotalAmt00
IRS990/BooksInCareOfDetail/PersonNm0KAREN R WHITE
IRS990/BooksInCareOfDetail/PhoneNum05736632313
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 157
IRS990/BooksInCareOfDetail/USAddress/CityNm0ELLINGTON
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0MO
IRS990/BooksInCareOfDetail/USAddress/ZIPCd063638
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt058749
IRS990/CashNonInterestBearingGrp/EOYAmt047372
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CntrctRcvdGreaterThan100KCnt05
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt0168775
IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt0202112
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0370887
IRS990/CompDisqualPersonsGrp/TotalAmt00
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0false
IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt037394
IRS990/ConferencesMeetingsGrp/TotalAmt037394
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContractorCompensationGrp/CompensationAmt0700800
IRS990/ContractorCompensationGrp/CompensationAmt1347546
IRS990/ContractorCompensationGrp/CompensationAmt2263206
IRS990/ContractorCompensationGrp/CompensationAmt3206108
IRS990/ContractorCompensationGrp/CompensationAmt4157018
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt04348 STATE HWY PP
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt1815 HERNDON AVE STE 100
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt24301 W BOY SCOUT BLVD STE 800
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt33815 FARON ST STE E ST
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt41101 W LAKE ST 6TH FLOOR
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0POPLAR BLUFF
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm1ORLANDO
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm2TAMPA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm3ST JOSEPH
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm4CHICAGO
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0MO
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd1FL
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd2FL
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd3MO
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd4IL
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd063901
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd132803
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd233607
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd365406
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd460607
IRS990/ContractorCompensationGrp/ContractorName/PersonNm0POPLAR BLUFF CHILDREN'S DENTISTRY L
IRS990/ContractorCompensationGrp/ContractorName/PersonNm1MEDUSIND INC
IRS990/ContractorCompensationGrp/ContractorName/PersonNm2GREENWAY
IRS990/ContractorCompensationGrp/ContractorName/PersonNm3TRIGGERFISH TECHNOLOGIES
IRS990/ContractorCompensationGrp/ContractorName/PersonNm4NITEL
IRS990/ContractorCompensationGrp/ServicesDesc0ORAL HEALTH
IRS990/ContractorCompensationGrp/ServicesDesc1BILLING
IRS990/ContractorCompensationGrp/ServicesDesc2EMR
IRS990/ContractorCompensationGrp/ServicesDesc3IT SERVICES
IRS990/ContractorCompensationGrp/ServicesDesc4COMMUNICATIONS
IRS990/CostOfGoodsSoldAmt00
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt05325150
IRS990/CYGrantsAndSimilarPaidAmt0130010
IRS990/CYInvestmentIncomeAmt03666
IRS990/CYOtherExpensesAmt05410283
IRS990/CYOtherRevenueAmt039538
IRS990/CYProgramServiceRevenueAmt08791141
IRS990/CYRevenuesLessExpensesAmt01698147
IRS990/CYSalariesCompEmpBnftPaidAmt06921055
IRS990/CYTotalExpensesAmt012461348
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt014159495
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0true
IRS990/DeferredRevenueGrp/BOYAmt00
IRS990/DeferredRevenueGrp/EOYAmt00
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt0143637
IRS990/DepreciationDepletionGrp/ProgramServicesAmt0349866
IRS990/DepreciationDepletionGrp/TotalAmt0493503
IRS990/Desc0BIG SPRINGS MEDICAL ASSOCIATION PROVIDES MEDICAL SERVICES TO RESIDENTS OF ELLINGTON, MISSOURI, AND THE SURROUNDING AREAS. SOME SPECIFIC MEDICAL SERVICES THAT BIG SPRINGS MEDICAL ASSOCIATION OFFERS INCLUDE: TELEHEALTH, COMMUNITY HEALTH AND EDUCATION, AND PATIENT PHARMACEUTICALS ASSISTANCE PROGRAM. SEE SCHEDULE O FOR FURTHER DETAILS ON THESE PROGRAM SERVICES. DURING 2017, THE ORGANIZATION HAD 46,618 MEDICAL CARE VISITS. SEE SCHEDULE O FOR ADDITIONAL DETAIL.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DoingBusinessAsName/BusinessNameLine1Txt0MISSOURI HIGHLANDS HEALTH CARE
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt0138
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/EscrowAccountLiabilityGrp/BOYAmt00
IRS990/EscrowAccountLiabilityGrp/EOYAmt00
IRS990/ExpenseAmt05302735
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditPerformedInd0true
IRS990/FederalGrantAuditRequiredInd0true
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt042825
IRS990/FeesForServicesAccountingGrp/TotalAmt042825
IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt047686
IRS990/FeesForServicesLegalGrp/TotalAmt047686
IRS990/FeesForServicesLobbyingGrp/TotalAmt00
IRS990/FeesForServicesManagementGrp/TotalAmt00
IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt0840760
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt0898211
IRS990/FeesForServicesOtherGrp/TotalAmt01738971
IRS990/FeesForServicesProfFundraising/TotalAmt00
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt00
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignGrantsGrp/TotalAmt00
IRS990/ForeignOfficeInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt10.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt20.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt30.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt40.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt50.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt60.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt70.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt80.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt90.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt100.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt110.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt120.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt130.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt140.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt150.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt160.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt170.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt180.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt190.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt200.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt71.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt81.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt91.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt101.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt111.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt121.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt131.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1440.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1540.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1640.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1740.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1840.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1940.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt2040.0
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd1X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd2X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd3X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd11X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd12X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd13X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt120
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt130
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1421078
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt153000
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt163000
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1716691
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt183000
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1917441
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt201615
IRS990/Form990PartVIISectionAGrp/PersonNm0JOETTA MARTIN
IRS990/Form990PartVIISectionAGrp/PersonNm1MICHAEL MORTON
IRS990/Form990PartVIISectionAGrp/PersonNm2LANCE MAYFIELD
IRS990/Form990PartVIISectionAGrp/PersonNm3KATHY HART
IRS990/Form990PartVIISectionAGrp/PersonNm4LINDA LUNSFORD
IRS990/Form990PartVIISectionAGrp/PersonNm5SCOTT OATMAN
IRS990/Form990PartVIISectionAGrp/PersonNm6DEBBIE SANDARCIERO
IRS990/Form990PartVIISectionAGrp/PersonNm7DONALD BLACK
IRS990/Form990PartVIISectionAGrp/PersonNm8JOHN MARK BREWER
IRS990/Form990PartVIISectionAGrp/PersonNm9RYAN CHILTON
IRS990/Form990PartVIISectionAGrp/PersonNm10KANDRA COUNTS
IRS990/Form990PartVIISectionAGrp/PersonNm11ERIC FUCHS
IRS990/Form990PartVIISectionAGrp/PersonNm12SISTER RITA SCHONHOFF
IRS990/Form990PartVIISectionAGrp/PersonNm13PAULETTE WILLIAMS
IRS990/Form990PartVIISectionAGrp/PersonNm14KAREN WHITE
IRS990/Form990PartVIISectionAGrp/PersonNm15TAMMY LINDSAY
IRS990/Form990PartVIISectionAGrp/PersonNm16JOSEPH CAMIRE
IRS990/Form990PartVIISectionAGrp/PersonNm17RICHARD HESTER
IRS990/Form990PartVIISectionAGrp/PersonNm18KRISTEN GREEN
IRS990/Form990PartVIISectionAGrp/PersonNm19BRADLEY DANIEL
IRS990/Form990PartVIISectionAGrp/PersonNm20KAMI WALLNER
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt14147697
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt15199112
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt16201422
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt17198603
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt18172041
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt19168949
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20138197
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt190
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt200
IRS990/Form990PartVIISectionAGrp/TitleTxt0VICE PRESEDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3TREASURER BEGINNING 06/2016
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR BEGINNING 03/2017
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR ENDING 03/2017
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR BEGINNING 12/2016
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR ENDING 12/2016
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR ENDING 06/2016
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR ENDING 07/2016
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR ENDING 06/2016
IRS990/Form990PartVIISectionAGrp/TitleTxt14CEO/CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt15MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt17PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt18DENTIST
IRS990/Form990PartVIISectionAGrp/TitleTxt19DENTIST
IRS990/Form990PartVIISectionAGrp/TitleTxt20DENTIST
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01975
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/FundraisingDirectExpensesAmt00
IRS990/FundraisingGrossIncomeAmt00
IRS990/GainOrLossGrp/OtherAmt0556
IRS990/GamingActivitiesInd0false
IRS990/GamingDirectExpensesAmt00
IRS990/GamingGrossIncomeAmt00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GovernmentGrantsAmt04883312
IRS990/GrantAmt0130010
IRS990/GrantsPayableGrp/BOYAmt00
IRS990/GrantsPayableGrp/EOYAmt00
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt00
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt0130010
IRS990/GrantsToDomesticOrgsGrp/TotalAmt0130010
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0true
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossAmountSalesAssetsGrp/OtherAmt08994
IRS990/GrossReceiptsAmt014175333
IRS990/GrossRentsGrp/RealAmt07400
IRS990/GrossSalesOfInventoryAmt00
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt00
IRS990/IndependentAuditFinclStmtInd0true
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt014
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt076043
IRS990/InformationTechnologyGrp/ProgramServicesAmt0135418
IRS990/InformationTechnologyGrp/TotalAmt0211461
IRS990/InsuranceGrp/ManagementAndGeneralAmt036376
IRS990/InsuranceGrp/ProgramServicesAmt030634
IRS990/InsuranceGrp/TotalAmt067010
IRS990/IntangibleAssetsGrp/BOYAmt00
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/ManagementAndGeneralAmt07127
IRS990/InterestGrp/ProgramServicesAmt012693
IRS990/InterestGrp/TotalAmt019820
IRS990/InventoriesForSaleOrUseGrp/BOYAmt016632
IRS990/InventoriesForSaleOrUseGrp/EOYAmt020905
IRS990/InvestmentIncomeGrp/ExclusionAmt03110
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt03110
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt084122
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0108094
IRS990/InvestmentsProgramRelatedGrp/BOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt047
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt03642918
IRS990/LandBldgEquipBasisNetGrp/BOYAmt07294489
IRS990/LandBldgEquipBasisNetGrp/EOYAmt08419834
IRS990/LandBldgEquipCostOrOtherBssAmt012062752
IRS990/LegalDomicileStateCd0MO
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt08438
IRS990/LessRentalExpensesGrp/RealAmt07400
IRS990/LoanOutstandingInd0false
IRS990/LoansFromOfficersDirectorsGrp/BOYAmt00
IRS990/LoansFromOfficersDirectorsGrp/EOYAmt00
IRS990/LobbyingActivitiesInd0true
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0THE ORGANIZATION ENDEAVORS TO MEET THE PRIMARY AND PREVENTATIVE HEALTH CARE NEEDS OF THE MEDICALLY-UNDERSERVED BY PROVIDING HIGH QUALITY, COST EFFECTIVE CARE AND SERVICES TO ITS PATIENTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt0420769
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt0302191
IRS990/NetAssetsOrFundBalancesBOYAmt06888191
IRS990/NetAssetsOrFundBalancesEOYAmt08586338
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0556
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0556
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoncashContributionsAmt0118922
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ManagementAndGeneralAmt099312

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 501(c)3 • $25M-$50M nonprofits