2023-11-06T10:44:31-05:00 2022-12-31 431109768 KPM CPAS PC 1445 E REPUBLIC RD SPRINGFIELD MO 65804 990 2022-01-01 431791656 FORDLAND CLINIC INC FORD 4177672273 1059 BARTON DR FORDLAND MO 656527305 RAY SEIBERLICH CFO 4177672273 2023-11-03 true RAY SEIBERLICH 999009999 false BRYAN K FOSTER CPA P00086489 4178824300 2023-11-03 2022 2023-04-26 12:10:37Z JOAN TWITON 1059 BARTON DR FORDLAND MO 656527305 8373327 false X FORDLANDCLINIC.ORG X 1996 MO TO IMPROVE THE HEALTH OF OUR WIDER RURAL COMMUNITY AND TO SERVE AS THE INDEPENDENT PROVIDER OF CHOICE BY OFFERING COMPREHENSIVE HEALTHCARE SERVICES TO ALL AREA RESIDENTS WITHOUT REGARD TO INSURANCE OR INCOME. 10 10 93 42 0 2633882 3857246 3260277 3624900 4993 2431 518295 607905 6417447 8092482 0 0 3369542 4041467 0 5769 1660653 1683583 5030195 5725050 1387252 2367432 6983035 9906394 961003 879522 6022032 9026872 TO IMPROVE THE HEALTH OF OUR WIDER RURAL COMMUNITY AND TO SERVE AS THE INDEPENDENT PROVIDER OF CHOICE BY OFFERING COMPREHENSIVE HEALTHCARE SERVICES TO ALL AREA RESIDENTS WITHOUT REGARD TO INSURANCE OR INCOME. false false 4112742 4232805 FORDLAND CLINIC PROVIDES COMPREHENSIVE MEDICAL, DENTAL, MENTAL HEALTH AND WELLNESS SERVICES TO AREA RESIDENTS WITHOUT REGARDS TO INSURANCE OR THE ABILITY TO PAY. WITH SERVICES OFFERED ON A SLIDING FEE SCHEDULE, FORDLAND CLINIC PROVIDED OVER 245,364 IN DISCOUNTED MEDICAL CARE SERVICES TO PATIENTS IN 2022. FORDLAND CLINIC IS THE MEDICAL HOME FOR MANY WHO WOULD NOT OTHERWISE RECEIVE CARE DUE TO THE REMOTENESS OF THE RURAL AREA IN WHICH THEY LIVE, LACK OF INSURANCE, OR FINANCIAL CIRCUMSTANCES. IN 2022, FORDLAND CLINIC SERVED 6,442 PATIENTS FOR A TOTAL 20,447 HEALTHCARE VISITS. 4112742 true true false false false false false false false true true false false true false true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 15 0 true 93 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false X RAY SEIBERLICH 4177672273 1059 BARTON DR FORDLAND MO 656527305 TAYLOR R SHORT DENTIST 40.00 X 280188 0 4766 ROBERT D DUNAVANT DENTIST 40.00 X 159688 0 13153 DEBBY S CARL NURSE 40.00 X 119176 0 17450 JOAN TWITON CEO 40.00 X 145273 0 17544 RAY SEIBERLICH CFO 40.00 X 99969 0 8483 AIMEE E JARRETT COO 40.00 X 96831 0 1982 BILL GDANITZ PRESIDENT/DI 1.00 X X 0 0 0 PAUL FARNSWORTH VICE PRES/DI 1.00 X X 0 0 0 LINDA KENSINGER SECRETARY/DI 1.00 X X 0 0 0 GENE CREWSE TREASURER/DI 1.00 X X 0 0 0 VANESSA OWENS DIRECTOR 1.00 X 0 0 0 MIKE DAWSON DIRECTOR 1.00 X 0 0 0 HARRY CHAPIN DIRECTOR 1.00 X 0 0 0 VALERIE COCHARA DIRECTOR 1.00 X 0 0 0 KENDRA CUNNINGHAM DIRECTOR 1.00 X 0 0 0 SCOTT ALLEN DIRECTOR 1.00 X 0 0 0 901125 63378 4 false true false BP BUILDERS LLC BP BUILDERS LLC 4940 S FARM RD 189 STE 100 4940 S FARM RD 189 STE 100 ROGERSVILLE MO 65742 CONSTRUCTION 839434 1 3471660 385586 3857246 PATIENT HEALTHCARE SERVICES 621110 3621464 3621464 MISCELLANEOUS INCOME 900099 3436 3436 3624900 2431 2431 809851 280845 529006 529006 INVESTMENT IN MO HEALTH PLUS 621110 78899 78899 78899 8092482 4232805 2431 370082 294591 75491 3030111 2131296 894585 4230 21781 14540 7203 38 376048 272034 103549 465 243445 170188 72938 319 11872 11872 723 723 86276 86276 279397 279397 43240 43240 234201 129676 104463 62 228982 160078 68604 300 219024 94199 124675 150 3150 84 3066 1153 1153 19383 13551 5807 25 129186 90312 38705 169 38122 35666 2445 11 DENTAL SUPPLIES 198870 198870 MEDICAL SUPPLIES 173148 173148 BAD DEBT EXPENSE 16856 16856 5725050 4112742 1606539 5769 284884 3597101 2698009 375511 44146 44030 286802 485117 800 2000 16565 16565 24511 29495 4545369 1769371 1578955 2775998 119317 220943 73590 73590 1855456 2286044 6983035 9906394 432637 634922 528366 244600 961003 879522 X 5994746 9014199 27286 12673 6022032 9026872 6983035 9906394 X 2367432 -2686 46387 593707 X false true X true true true X 1217203 1317965 2700108 2633882 3857246 11726404 1217203 1317965 2700108 2633882 3857246 11726404 11726404 3841 6955 4851 4993 2431 23071 1399 2275 3674 11753149 19362836 0.99770 0.99280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16536 -2315 14221 14681 1855 16536 13537 1144 14681 11755 1782 13537 12623 -868 11755 0.54500 0.45500 true false 39306 39306 2859452 471657 2387795 1646611 1297714 348897 2775998 MEDICAID REIMBURSEMENT 1332693 OTHER RECEIVABLES 593708 CONSTRUCTION IN PROGRESS 259234 340B RECEIVABLE 86188 INVESTEMENTS 14221 2286044 X 8370641 -2686 280845 278159 8092482 8092482 6020508 295458 295458 5725050 5725050 SCHEDULE D, PAGE 2, PART V, LINE 4 INCOME IS USED TO ASSIST WITH SUPPORT SERVICES TO FORDLAND CLINIC PATIENTS. SCHEDULE D, PAGE 3, PART X FORDLAND CLINC, INC. IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CLINIC HAS ALSO BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) AND QUALIFIES FOR DEDUCTIBLE CONTRIBUTIONS AS PROVIDED IN SECTION 170(B)(1)(A)(VI). THE FEDERAL FORM 990 OF THE CLINIC FOR 2022, 2021 AND 2020 ARE SUBJECT TO EXAMINATION BY THE RESPECTIVE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. SCHEDULE D, PAGE 4, PART XI, LINE 2D 340B PHARMACEUTICAL COSTS 280,845 SCHEDULE D, PAGE 4, PART XII, LINE 2D 340B PHARMACEUTICALS COSTS 280,845 EXPENSES WITH DONOR RESTRICTIONS 14,613 X X X false false false false false false false false false TAYLOR R SHORT DENTIST 184837 95351 4197 569 284954 ROBERT D DUNAVANT DENTIST 138538 21150 13153 172841 JOAN TWITON CEO 143947 1326 3074 14470 162817 FORM 990, PAGE 1, PART I, LINE 6 VOLUNTEERS PRIMARILY PROVIDE ASSISTANCE DURING FUNDRAISING EVENTS AND COMMUNITY OUTREACH ACTIVITIES. FORM 990, PAGE 6, PART VI, LINE 11B THE BOARD OF DIRECTORS ARE PRESENTED COPIES OF THE FINAL FORM 990 AND THE ACCOMPANYING SCHEDULES PRIOR TO BEING FILED WITH THE IRS. MEMBERS OF THE BOARD ARE ASKED TO REVIEW THE RETURN INDIVIDUALLY AND TO CONTACT THE RETURN PREPARER OR EXECUTIVE OFFICERS WITH ANY QUESTIONS OR CONCERNS. FORM 990, PAGE 6, PART VI, LINE 12C 1) AN INTERESTED PERSON MUST DISCLOSE TO THE GOVERNING BOARD ALL MATERIAL FACTS REGARDING THE PROPOSED TRANSACTION OR ARRANGEMENT. 2) AFTER PRESENTATION OF FACTS, THE INTERESTED PERSON MUST LEAVE THE PRESENCE OF THE GOVERNING BOARD IN ORDER FOR THE BOARD TO DISCUSS AND VOTE IF A CONFLICT OF INTEREST EXISTS. 3) THE BOARD INVESTIGATES IF ALTERNATIVE ARRANGEMENTS FOR THE TRANSACTION EXISTS AND AFTER DUE DILIGENCE, DETERMINES WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION FROM ANOTHER PERSON OR ENTITY WHICH WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD SHALL DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION WHETHER TO ENTER INTO THE TRANSACTION. 5) IF THE BOARD HAS REASON TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE A POSSIBLE CONFLICT OF INTEREST, THAT MEMBER WILL BE ALLOWED TO EXPLAIN THE FAILURE TO DISCLOSE. AFTER THE BOARDS CONSIDERATION OF THE MATTERS, IT SHALL TAKE THE APPROPRIATE CORRECTIVE ACTION. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS OBTAINS AND REVIEWS CURRENT SALARY FIGURES OBTAINED FROM LOCAL MARKET DATA, STATE AND NATIONAL AVERAGES FOR THE CHIEF EXECUTIVE OFFICER. THE BOARD OF DIRECTORS THEN REVIEWS THE CURRENT COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER AND APPROVES ANY CHANGES TO THE COMPENSATION PACKAGE. THE COMPENSATION PACKAGE IS THEN REEVALUATED PRIOR TO THE END OF THE THREE YEAR CONTRACT TERM. ALL BOARD DELIBERATIONS REGARDING THE CHIEF EXECUTIVE OFFICERS COMPENSATION PACKAGE ARE RECORDED IN MINUTES OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 15B THE BOARD OF DIRECTORS RESPONSIBILITY INCLUDES HIRING, FIRING, EVALUATING, AND DETERMINING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE. THE CHIEF EXECUTIVE OFFICER IS THEN RESPONSIBLIE FOR HIRING, FIRING, EVALUATING THE STAFF OF THE ORGANIZATION, INCLUDING THE CHIEF FINANCIAL OFFICER'S COMPENSATION PACKAGE. COMPARABLE COMPENSATION FOR SIMILARILY QUALIFIED PERSONS IN SIMILAR COMPARABLE POSITIONS FOR SIMILAR A ORGANIZATION IS UTILITIZED IN MAKING THE DETERMINATION. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE READILY AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 EMPLOYEE RETENTION CREDIT 593,707