Liabilities / Assets
46th percentile
Higher debt load relative to assets than 46% of similar nonprofits.
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
46th percentile
Higher debt load relative to assets than 46% of similar nonprofits.
Liabilities / Revenue
30th percentile
Higher debt load relative to revenue than 30% of similar nonprofits.
Net Margin
50th percentile
Higher net margin than 50% of similar nonprofits.
Top Officer Pay
88th percentile
Higher top officer pay than 88% of similar nonprofits.
Top officer pay equals 1.5% of source-year revenue.
Asset Growth
47th percentile
Faster asset growth than 47% of similar nonprofits.
Revenue Growth
29th percentile
Faster revenue growth than 29% of similar nonprofits.
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
Most recent year
2023 • Form 990Summary only. Only limited summary data is available for this year.
The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2017 below.
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
| Line | Beginning | End | Change |
|---|---|---|---|
| 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 | Book Value | Depreciation | Basis |
|---|---|---|---|
| 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 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Richard Hester | Physician | FT | $191,703 | $23,591 | $215,294 |
| Joseph Camire | Physician | FT | $194,522 | $9,900 | $204,422 |
| Tammy Lindsay | Medical Director | FT | $187,820 | $14,292 | $202,112 |
| Bradley Daniel | Dentist | FT | $168,949 | $17,441 | $186,390 |
| Kristen Green | Dentist | FT | $172,041 | $3,000 | $175,041 |
| Karen White | CEO/CFO | FT | $127,697 | $41,078 | $168,775 |
| Kami Wallner | Dentist | FT | $138,197 | $1,615 | $139,812 |
| Name | Title |
|---|---|
| Michael Morton | President |
| Linda Lunsford | Director |
| Ryan Chilton | Director |
| Scott Oatman | Director |
| Debbie Sandarciero | Director Beginning 03/2017 |
| John Mark Brewer | Director Beginning 12/2016 |
| Donald Black | Director Ending 03/2017 |
| Eric Fuchs | Director Ending 06/2016 |
| Paulette Williams | Director Ending 06/2016 |
| Sister Rita Schonhoff | Director Ending 07/2016 |
| Kandra Counts | Director Ending 12/2016 |
| Lance Mayfield | Secretary |
| Kathy Hart | Treasurer Beginning 06/2016 |
| Joetta Martin | Vice Presedent |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Poplar Bluff Children's Dentistry L | Oral Health | 4348 STATE HWY PP, Poplar Bluff, MO 63901 | $700,800 |
| Medusind INC | Billing | 815 HERNDON AVE STE 100, Orlando, FL 32803 | $347,546 |
| Greenway | Emr | 4301 W BOY SCOUT BLVD STE 800, Tampa, FL 33607 | $263,206 |
| Triggerfish Technologies | It Services | 3815 FARON ST STE E ST, St Joseph, MO 65406 | $206,108 |
| Nitel | Communications | 1101 W LAKE ST 6TH FLOOR, Chicago, IL 60607 | $157,018 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Drugs and Medical Supplies | 2 | $118,922 | Fair Market Value (FMV) |
| Total Noncash Contributions | 2 | $118,922 | - |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| 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 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Douglas County Health Department | Ava, MO | Government | Delta Pass-thru | $33,600 |
| Whole Kids Outreach Inc | Ellington, MO | 501(c)(3) | Delta Pass-thru | $26,000 |
| Whole Health Outreach Inc | Ellington, MO | 501(c)(3) | Delta Pass-thru | $17,900 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| 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 |
| Liability | Amount |
|---|---|
| Est Amount Due to 3rd Party | $283,747 |
“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.”
“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.”
“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.”
“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.”
“Volunteers: the organization's board of directors is a volunteer board.”
“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.”
“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.”
“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.”
“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”
“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”
“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)”
“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”
“Amounts included on form 990, part ix, line 25, but not on line 1: $ 441 bad debt expense”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 793937 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1139571 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 759108 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 731385 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | THE ORGANIZATION PROVIDES HIGH QUALITY, COST EFFECTIVE MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO MEDICALLY-UNDERSERVED RESIDENTS OF ELLINGTON, MO AND SURROUNDING AREAS |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 200496 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 200496 |
| IRS990/AllOtherContributionsAmt | 0 | 441838 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 5331 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 5331 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | KAREN R WHITE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5736632313 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 157 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ELLINGTON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 63638 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 58749 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 47372 |
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| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | false |
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| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 202112 |
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| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 37394 |
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| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 263206 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 206108 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 157018 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 4348 STATE HWY PP |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 815 HERNDON AVE STE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 4301 W BOY SCOUT BLVD STE 800 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 3815 FARON ST STE E ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1101 W LAKE ST 6TH FLOOR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | POPLAR BLUFF |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | ORLANDO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | TAMPA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ST JOSEPH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | CHICAGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 63901 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 32803 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 33607 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 65406 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 60607 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | POPLAR BLUFF CHILDREN'S DENTISTRY L |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | MEDUSIND INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | GREENWAY |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | TRIGGERFISH TECHNOLOGIES |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | NITEL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ORAL HEALTH |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | BILLING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | EMR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | IT SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | COMMUNICATIONS |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 5325150 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 130010 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3666 |
| IRS990/CYOtherExpensesAmt | 0 | 5410283 |
| IRS990/CYOtherRevenueAmt | 0 | 39538 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 8791141 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 1698147 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 6921055 |
| IRS990/CYTotalExpensesAmt | 0 | 12461348 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 14159495 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | true |
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| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 143637 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 349866 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 493503 |
| IRS990/Desc | 0 | BIG 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/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | MISSOURI HIGHLANDS HEALTH CARE |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 138 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 5302735 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 42825 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 42825 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 47686 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 47686 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 840760 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 898211 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1738971 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 21078 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 3000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 3000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 16691 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 3000 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 17441 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 1615 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JOETTA MARTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MICHAEL MORTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | LANCE MAYFIELD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | KATHY HART |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | LINDA LUNSFORD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SCOTT OATMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DEBBIE SANDARCIERO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DONALD BLACK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOHN MARK BREWER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | RYAN CHILTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KANDRA COUNTS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | ERIC FUCHS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | SISTER RITA SCHONHOFF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | PAULETTE WILLIAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | KAREN WHITE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TAMMY LINDSAY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JOSEPH CAMIRE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | RICHARD HESTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | KRISTEN GREEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | BRADLEY DANIEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | KAMI WALLNER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 147697 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 199112 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 201422 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 198603 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 172041 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 168949 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 138197 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | VICE PRESEDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER BEGINNING 06/2016 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR BEGINNING 03/2017 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR ENDING 03/2017 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR BEGINNING 12/2016 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR ENDING 12/2016 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR ENDING 06/2016 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR ENDING 07/2016 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR ENDING 06/2016 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CEO/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | MEDICAL DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | DENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | DENTIST |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1975 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 556 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 4883312 |
| IRS990/GrantAmt | 0 | 130010 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 130010 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 130010 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 8994 |
| IRS990/GrossReceiptsAmt | 0 | 14175333 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 7400 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 14 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 76043 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 135418 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 211461 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 36376 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 30634 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 67010 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 7127 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 12693 |
| IRS990/InterestGrp/TotalAmt | 0 | 19820 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 16632 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 20905 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 3110 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 3110 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 84122 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 108094 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 47 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 3642918 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 7294489 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 8419834 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 12062752 |
| IRS990/LegalDomicileStateCd | 0 | MO |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 8438 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 7400 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 420769 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 302191 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 6888191 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 8586338 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 556 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 556 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoncashContributionsAmt | 0 | 118922 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 99312 |
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