Civic Intelligence

Richland Medical Center

EIN 43-1183442 • 501(c)3 • Richland, MO

Profile

Dedicated to providing the highest quality medical services within our power to provide to the people of camden, pulaski, laclede, and miller counties.

PO Box 777Richland, MO 65556

www.centralozarks.org

Siviq Scores

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

Liabilities / Assets

67th percentile

0.40x

Higher debt load relative to assets than 67% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

47th percentile

0.25x

Higher debt load relative to revenue than 47% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

37th percentile

0.5%

Higher net margin than 37% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

79th percentile

$440,146

Higher top officer pay than 79% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

86th percentile

22%

Faster asset growth than 86% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

47th percentile

6.4%

Faster revenue growth than 47% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$16,120,340

Up $2,958,346 (+22%) from 2023

Liabilities

Up

$6,489,642

Up $2,819,707 (+77%) from 2023

Net Assets

Up

$9,630,698

Up $138,639 (+1.5%) from 2023

Revenue

Up

$26,248,335

Up $1,590,364 (+6.4%) from 2023

Expenses

Up

$26,109,696

Up $900,649 (+3.6%) from 2023

Net Income

Up

$138,639

Up $689,715 (+125%) from 2023

Trend Graphs

Balance Sheet Trend

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

$20M$15M$10M$5.0M$0Assets 2010: $7,566,088Liabilities 2010: $105,564Net Assets 2010: $7,460,5242010Assets 2011: $7,265,110Liabilities 2011: $53,647Net Assets 2011: $7,211,4632011Assets 2012: $7,448,236Liabilities 2012: $159,099Net Assets 2012: $7,289,1372012Assets 2013: $7,317,626Liabilities 2013: $194,495Net Assets 2013: $7,123,1312013Assets 2014: $7,465,430Liabilities 2014: $232,317Net Assets 2014: $7,233,1132014Assets 2015: $7,776,370Liabilities 2015: $589,664Net Assets 2015: $7,186,7062015Assets 2016: $8,104,970Liabilities 2016: $524,351Net Assets 2016: $7,580,6192016Assets 2017: $8,329,115Liabilities 2017: $676,319Net Assets 2017: $7,652,7962017Assets 2018: $9,044,118Liabilities 2018: $1,314,247Net Assets 2018: $7,729,8712018Assets 2019: $9,895,882Liabilities 2019: $2,969,926Net Assets 2019: $6,925,9562019Assets 2020: $12,078,687Liabilities 2020: $4,318,187Net Assets 2020: $7,760,5002020Assets 2021: $12,501,525Liabilities 2021: $2,945,857Net Assets 2021: $9,555,6682021Assets 2022: $12,597,828Liabilities 2022: $2,554,693Net Assets 2022: $10,043,1352022Assets 2023: $13,161,994Liabilities 2023: $3,669,935Net Assets 2023: $9,492,0592023Assets 2024: $16,120,340Liabilities 2024: $6,489,642Net Assets 2024: $9,630,6982024

Highlighted filing

2024

Assets$16,120,340
Liabilities$6,489,642
Net Assets$9,630,698

Operations Trend

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

$30M$20M$10M$0-$10MExpenses 2010: $4,927,9722010Revenue 2011: $6,684,086Expenses 2011: $6,926,532Net Income 2011: -$242,4462011Expenses 2012: $6,631,5122012Expenses 2013: $6,430,9042013Revenue 2014: $6,582,164Expenses 2014: $6,478,986Net Income 2014: $103,1782014Revenue 2015: $7,745,521Expenses 2015: $7,791,928Net Income 2015: -$46,4072015Revenue 2016: $9,171,875Expenses 2016: $8,777,962Net Income 2016: $393,9132016Revenue 2017: $10,655,575Expenses 2017: $10,583,398Net Income 2017: $72,1772017Revenue 2018: $12,176,506Expenses 2018: $12,082,669Net Income 2018: $93,8372018Revenue 2019: $13,793,502Expenses 2019: $14,789,135Net Income 2019: -$995,6332019Revenue 2020: $16,581,864Expenses 2020: $15,747,320Net Income 2020: $834,5442020Revenue 2021: $20,675,433Expenses 2021: $18,880,265Net Income 2021: $1,795,1682021Revenue 2022: $22,344,201Expenses 2022: $21,856,734Net Income 2022: $487,4672022Revenue 2023: $24,657,971Expenses 2023: $25,209,047Net Income 2023: -$551,0762023Revenue 2024: $26,248,335Expenses 2024: $26,109,696Net Income 2024: $138,6392024

Highlighted filing

2024

Revenue$26,248,335
Expenses$26,109,696
Net Income$138,639

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.1$6.49$9.63$26.2$26.1$0.14
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.2$3.67$9.49$24.7$25.2$0.55
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.6$2.55$10.0$22.3$21.9$0.49
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.5$2.95$9.56$20.7$18.9$1.80
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.1$4.32$7.76$16.6$15.7$0.83
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.90$2.97$6.93$13.8$14.8$1.00
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.04$1.31$7.73$12.2$12.1$0.09
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.33$0.68$7.65$10.7$10.6$0.07
2016Detailed filing. Detailed filing data is available for this year.$8.10$0.52$7.58$9.17$8.78$0.39
2015Detailed filing. Detailed filing data is available for this year.$7.78$0.59$7.19$7.75$7.79$0.05
2014Detailed filing. Detailed filing data is available for this year.$7.47$0.23$7.23$6.58$6.48$0.10
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.32$0.19$7.12$6.43
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.45$0.16$7.29$6.63
2011Summary only. Only limited summary data is available for this year.$7.27$0.05$7.21$6.68$6.93$0.24
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.57$0.11$7.46$4.93
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Dec 1, 2023 to Nov 30, 2024
Signed
Oct 15, 2025
Return Version
2023v6.0
Gross Receipts
$26,248,335
Mission and Program Overview

Mission

Dedicated to providing the highest quality medical services within our power to provide to the people of camden, pulaski, laclede, and miller counties

Central ozarks medical center provides medical, dental, and lab services to the people of camden, pulaski, laclede, and miller counties.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$7,740,430$10,629,646▲ $2,889,216
Accounts Receivable$1,513,362$1,684,606▲ $171,244
Pledges and Grants Receivable$750,304$1,381,707▲ $631,403
Savings and Temporary Cash Investments$851,938$825,278▼ $26,660
Intangible Assets$482,011$521,794▲ $39,783
Prepaid Expenses and Deferred Charges$150,017$290,039▲ $140,022
Investments Program Related$18,750$18,750→ $0
Cash and Non-Interest-Bearing Accounts$3,950$4,068▲ $118
Total Assets$13,161,994$16,120,340▲ $2,958,346
Other Assets Total$1,651,232$764,452▼ $886,780
Liabilities
Mortgage Notes Payable Secured by Investment Property$1,215,439$3,142,767▲ $1,927,328
Accounts Payable and Accrued Expenses$1,848,043$2,343,352▲ $495,309
Other Liabilities$504,433$552,001▲ $47,568
Deferred Revenue$102,020$451,522▲ $349,502
Total Liabilities$3,669,935$6,489,642▲ $2,819,707
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$9,492,059$9,630,698▲ $138,639
Total Net Assets Fund Balance$9,492,059$9,630,698▲ $138,639
Total Liabilities and Net Assets / Fund Balance$13,161,994$16,120,340▲ $2,958,346

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,237,694$6,014,536$10,252,230
Equipment$1,683,706$3,477,729$5,161,435
Other Land Buildings$4,279,664-$4,279,664
Land$428,582-$428,582
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mario a MaciasPhysician Ob/gynFT$339,383$100,763$440,146
Barton L WarrenPhysicianFT$312,991$30,998$343,989
Daniel M SchmidtPhysicianFT$258,574$31,359$289,933
Gabriel V SkibaPhysicianFT$252,212$28,175$280,387
David M ChisholmPhysician Ob/gynFT$227,572$45,681$273,253
Susan Currey-lambChief Dental OfficerFT$197,195$42,370$239,565
Kelly MillerChief Executive OfficerFT$185,322$15,384$200,706
Sabrina McafeeChief Financial OfficerFT$126,004$12,986$138,990

Board Members and Trustees

NameTitle
Tom ReaganChairperson
Sherry StruckhoffVice Chairperson
Beth HuttonBoard Member
Beth WilesBoard Member
Bob BoatwrightBoard Member
David MillerBoard Member
Jeff VernettiBoard Member
Michael CarterBoard Member
Robin HobbsBoard Member
Terri KisligBoard Member
Brandon WittSecretary /treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$9,116,592
Program Service Revenue
$17,037,089
Investment Income
$2,634
Other Revenue
$92,020
All Other Contributions
$351,113
Change in Net Assets
$138,639

Noncash Contribution Practices

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

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies1$296,291Fair Market Value (FMV)
Other Non Cash Contri Table1$15,250-
Total Noncash Contributions2$311,541-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$18,152,246
Other Expenses$7,957,450
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,397,053$3,072,788-$14,469,841
Fees for Services Other$2,160,457$727,718-$2,888,175
Other Employee Benefits$1,104,582$586,727-$1,691,309
Payroll Taxes$707,112$375,602-$1,082,714
Depreciation Depletion$598,372$193,238-$791,610
Current Officers, Directors, Trustees, and Key Employees$453,374$129,473-$582,847
Advertising$62,542$465,733-$528,275
Information Technology$4,484$346,195-$350,679
Pension Plan Contributions$212,604$112,931-$325,535
Office Expenses$62,662$248,033-$310,695
Occupancy$60,829$182,728-$243,557
Insurance$132,828$83,054-$215,882
Fees for Services Accounting-$138,624-$138,624
All Other Expenses$50,940$52,406-$103,346
Fees for Services Legal$10,128$87,293-$97,421
Conferences and Meetings$72,858$24,097-$96,955
Other Expenses$11,402$60,407-$71,809
Travel$26,234$43,991-$70,225
Interest-$64,479-$64,479
Total Functional Expenses$18,714,580$7,395,116$0$26,109,696
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liability$552,001
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
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

The form 990 is prepared by an independent accounting firm based on the financial statements and information provided by the accounting department of the organization. The form 990 is reviewed by the cfo and the board before filing.

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

Board members and employees of the organization shall identify specific areas of potential conflict of interests annually. The board of directors shall review interests or activities which created or might create a dual interest or conflict of interest on part of board members or employees. Any board member having a duality of interest or possible conflict of interest on any matter shall not vote or use his/her personal influence on the matter and he/she shall not be counted in determining quorum for the meeting. The minutes shall reflect the disclosure, the abstention from voting and the quorum status. This does not prevent the board member from stating his/her position on the matter, nor from answering pertinent questions of other board members, since his/her knowledge may be of great assistance to the board.

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

The board performed an evaluation of compensation of the ceo and other key employees holding contracts with the organization and makes recommendations based on the national association of community health centers (nachc) and the mgma salary comparables. The board then approves the salaries. Ceo compensation is set by the full board of directors. The ceo establishes the compensation of the cfo and other employees not holding contracts with the organization based upon performance evaluations each year

Form 990, Part VI, Section C, Line 19

Document disclosure governing documents and conflict of interest policies will be made available to any requestor and will be made available for viewing at the organization's office financial statements will be made available upon request for a bona fide business purpose that shall be determined by the organization all will be available for viewing at the organization's offices

Filing and Contact Details

Filer

Filer Name
Richland Medical Center
EIN
43-1183442
Phone
5737655131
Address
PO BOX 777, RICHLAND, MO 65556

Signing Officer

Name
Kelly Miller
Title
CEO
Phone
5737655131
Signed
2025-10-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelly Miller
Formed
1979
Legal Domicile
Mo
Voting Board Members
11
Independent Board Members
11
Employees
236
Volunteers
10

Preparer

Firm
Cohnreznick Advisory LLC
Address
350 CHURCH STREET 12TH FLOOR, HARTFORD, CT 06103
Preparer
Lori Rothe Yokobosky
Phone
9592007000
Supplemental Narrative

Additional Explanations

FORM 990, PART IV, LINE 20:

The organization is a federally qualified health center, and is excluded from the definition of a general hospital. Therefore, the organization is not including schedule h in the current year form 990, as they do not meet the definition.

Form 990, Part IX, Line 11G

Other: program service expenses 2,160,457. Management and general expenses 727,718. Fundraising expenses 0. Total expenses 2,888,175.

FORM 990, PART IV, LINE 12A:

As of the date of filing the audit has not yet been completed. Form 990 has been prepared based on the best information available. Should information substantially change upon completion of the audit, appropriate action will be taken.

Raw XML AppendixShowing 400 of 667 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.

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IRS990/ActivityOrMissionDesc0CENTRAL OZARKS MEDICAL CENTER PROVIDES MEDICAL, DENTAL, AND LAB SERVICES TO THE PEOPLE OF CAMDEN, PULASKI, LACLEDE, AND MILLER COUNTIES.
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IRS990/Desc0CENTRAL OZARKS MEDICAL CENTER (COMC) IS A FEDERALLY QUALIFIED HEALTH CENTER AND OPERATES MEDICAL CLINICS AT ITS LOCATIONS IN RICHLAND,CAMDENTON, LAURIE AND OSAGE BEACH, MO. COMC OFFERS MEDICAL SERVICES TO ADULTS, INFANTS AND CHILDREN. SPECIALTY SERVICES ARE AVAILABLE AND INCLUDE OBSTETRICS AND GYNECOLOGY, WOMEN'S HEALTH, MENTAL HEALTH, GERIATRIC HEALTH, AND CARDIO-PULMONARY MEDICINE. OTHER SERVICES ARE ALSO AVAILABLE IN AREAS SUCH AS AIDS, ALCOHOLISM, AFTER HOURS/24 HOUR CALL SERVICES, HOME HEALTH, NUTRITION, AND SOCIAL SERVICES. TOTAL MEDICAL ENCOUNTERS FOR THE FISCAL YEAR 2023 WERE 43,524.
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IRS990/MissionDesc0DEDICATED TO PROVIDING THE HIGHEST QUALITY MEDICAL SERVICES WITHIN OUR POWER TO PROVIDE TO THE PEOPLE OF CAMDEN, PULASKI, LACLEDE, AND MILLER COUNTIES
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IRS990/ProgSrvcAccomActy2Grp/Desc0THE ORGANIZATION ALSO OPERATES DENTAL CLINICS AT ITS LOCATIONS IN RICHLAND, LAURIE, AND CAMDENTON, MO. CENTRAL OZARKS MEDICAL CENTER PROVIDES COMPLETE DENTISTRY FOR THE ENTIRE FAMILY. DURING FISCAL YEAR 2023, COMC PROVIDED 17,110 DENTAL RELATED SERVICES TO ITS COMMUNITY.
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IRS990/ProgSrvcAccomActy3Grp/Desc0THE ORANIZATION OFFERS BEHAVIORAL HEALTH SERVICES AT EACH OF ITS CLINICS AND IN VARIOUS SCHOOL DISTRICTS WITHIN ITS SERVICE AREA. TOTAL BEHAVIORAL HEALTH SERVICES FOR THE FISCAL YEAR 2023 WERE 18,683
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IRS990/ProgSrvcAccomActy3Grp/RevenueAmt03167890
IRS990/ProgSrvcAccomActyOtherGrp/Desc0OTHER
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