2023-11-08T13:21:14-06:00 2022-12-31 430831507 ANDERS MINKLER HUBER & HELM LLP 800 MARKET STREET SUITE 500 ST LOUIS MO 631012501 990 2022-01-01 431879853 REGIONAL HEALTH CARE CLINIC INC REGI 6608261571 821 WESTWOOD SEDALIA MO 65301 STEVE BEVANS CFO 6608261571 2023-11-01 1 STEVE BEVANS 999009999 0 JONATHAN K WAITUKAITIS P02135935 3146555500 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KATY TRAIL COMMUNITY HEALTH STEVE BEVANS 305 W MAIN ST SEDALIA MO 65301 18529142 0 X WWW.KATYTRAILCOMMUNITYHEALTH.ORG X 1999 MO KATY TRAIL COMMUNITY HEALTH SERVES AS A MEDICAL HOME THAT DELIVERS HEALTH CARE THAT IS ACCESSIBLE, CONTINUOUS, COMPREHENSIVE, COMPASSIONATE, AND CULTURALLY EFFECTIVE. 13 13 233 0 0 0 6541097 7255188 9365232 10908921 229354 221032 261988 117020 16397671 18502161 0 0 0 0 10053938 10678637 0 0 0 5592816 6839726 15646754 17518363 750917 983798 17299047 20145278 9384035 11246531 7915012 8898747 X QUALITY CARE + MEANINGFUL PARTNERSHIPS = HEALTHY COMMUNITIES 0 0 7307353 11575873 MEDICAL SERVICES - KATY TRAIL COMMUNITY HEALTH PROVIDES QUALITY PRIMARY, PREVENTATIVE AND ENABLING HEALTH SERVICES UNDER THE PATIENT-CENTERED MEDICAL HOME MODEL OF CARE PREDOMINATELY AT FIVE MEDICAL CLINIC SITES IN CENTRAL MISSOURI. SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY AND SPECIFICALLY INCLUDE FAMILY MEDICINE, PEDIATRIC CARE, GERIATRIC CARE, PREVENTITIVE HEALTH, CHRONIC DISEASE MANAGEMENT, WOMEN'S HEALTH, FAMILY PLANNING, DIETARY COUNSELING, HEALTH EDUCATION, CASE MANAGEMENT, AND LABORATORY SERVICES. IN ADDITION, SCHOOL-BASED INTEGRATED PRIMARY CARE SERVICES ARE ALSO PROVIDED AT MULTIPLE DISTRICTS IN CENTRAL MISSOURI. DURING 2022, THE ORGANIZATION SERVED 12,539 MEDICAL PATIENTS THROUGH 32,162 CLINIC IN-PERSON VISITS AND 12 VIRTUAL ENCOUNTERS. 1987741 3000219 DENTAL SERVICES - KATY TRAIL COMMUNITY HEALTH PROVIDES QUALITY BASIC, PREVENTATIVE, RESTORATIVE, ENDODONTIC AND PROSTHODONTICS DENTAL SERVICES AT TWO DENTAL CLINIC SITES AND THROUGH DEPLOYMENT OF A MOBILE UNIT IN CENTRAL MISSOURI. SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY AND SPECIFICALLY INCLUDE EXAMS AND CLEANINGS, X-RAY, FILLINGS AND CROWNS, EXTRACTIONS, ROOT CANAL THERAPY, PRENATAL ORAL CARE, PEDIATRIC ORAL CARE, AND DIABETES ORAL CARE. DURING 2021, THE ORGANIZATION SERVED 4,388 DENTAL PATIENTS THROUGH 8,367 CLINIC AND MOBILE UNIT IN-PERSON VISITS. 1222684 1457733 BEHAVIORAL HEALTH- KATY TRAIL COMMUNITY HEALTH PROVIDES INTEGRATED BEHAVIORAL HEALTH SERVICES AT ITS FIVE PRIMARY CARE MEDICAL CLINICS IN CENTRAL MISSOURI. IN ADDITION, SCHOOL-BASED INTEGRATED COUNSELING SERVICES AND INTENSIVE CARE MANAGEMENT ARE ALSO PROVIDED AT MULTIPLE DISTRICTS IN CENTRAL MISSOURI. SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY AND SPECIFICALLY INCLUDE PSYCHIATRIC ASSESSMENTS, MEDICATION MANAGMENT, PRIMARY CARE ASSESSMENTS, DEPRESSION SCREENING, BEHAVIORAL MODIFICATION SERVICES, AND COORDINATION OF REFERRALS. DURING 2020, THE ORGANIZATION SERVED 1,664 BEHAVIORAL HEALTH PATIENTS THROUGH 6,832 CLINIC IN-PERSON VISITS AND 2,184 VIRTUAL ENCOUNTERS. 170128 OPTOMETRY 635152 PHARMACY 983049 ENABLING 1788329 12306107 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 51 0 1 233 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEVE BEVANS 6608261571 305 W MAIN ST SEDALIA MO 65301 MARY NELL STRAUTMAN PRESIDENT 1.00 X X 0 0 0 JAMES HALLIBURTON TREASURER 1.00 X X 0 0 0 DARREN GROVE SECRETARY 1.00 X X 0 0 0 MARIE PAYNE-BOWMAN DIRECTOR 1.00 X 0 0 0 RHONDA BREITENBECHER DIRECTOR 1.00 X 0 0 0 ANGELA SARAN VICE PRESIDENT 1.00 X X 0 0 0 DIANA BURDICK DIRECTOR 1.00 X 0 0 0 DR RHONDA HUTTON GANN MEMBER AT LARGE 1.00 X 0 0 0 LISA ANN THOMAS DIRECTOR 1.00 X 0 0 0 ROBERT ROLLINGS DIRECTOR 1.00 X 0 0 0 JAMES HALLIBURTON DIRECTOR 1.00 X 0 0 0 DAWN WILLIAMS DIRECTOR 1.00 X 0 0 0 LISA MONTGOMERY DIRECTOR 1.00 X 0 0 0 MELISSA BUSSEY DIRECTOR 1.00 X 0 0 0 CHRIS STEWART CEO 40.00 2.00 X 191954 0 23218 STEPHAN BEVANS CFO 40.00 2.00 X 184853 0 14328 TRACY SIMMONS COO 40.00 X 115752 0 10676 BRANT UPTERGROVE CIO 40.00 X 119774 0 8696 MOLLY FOSTER CDO 36.00 X 171869 0 7206 JEFFERY TEDROW CMO 40.00 X 286753 0 34463 MIRNA ASHAM PHYSICIAN 40.00 X 245250 0 8350 CHERYL THOMPSON PHYSICIAN 40.00 X 148661 0 14602 MARY DIMARSICO PHYSICIAN 38.00 X 169987 0 20868 LEILA KASHANI PHYSICIAN 40.00 X 200673 0 4051 ELIANE FOSSATTIE-GONCALVES DENTIST 40.00 X 180675 0 19975 2016201 0 166433 18 0 1 0 COMPASS HEALTH PO BOX 803919 KANSAS CITY MO 64180 PSYCHIATRY SERVICES 305778 COMPLETE TECHNOLOGY 8080 WARD PKWY STE 300 KANSAS CITY MO 64114 IT SERVICES 216847 ANDERS MINKLER HUBER & HELM LLP 800 MARKET ST STE 500 ST LOUIS MO 63101 AUDIT/PAYER ENROLLMENT & CREDENTIALING S 150265 3 5018 6535607 714563 711309 7255188 NET PATIENT SERVICE REVENUE 624100 10442328 10442328 CAPITATION REVENUE 624100 259047 259047 OTHER REVENUE 624100 207546 207546 10908921 221032 221032 143429 26981 116448 116448 116448 0 5018 0 0 GAIN FROM EQUITY INVESTEE 900099 572 572 572 18502161 10909493 0 337480 1201633 532383 669250 7752877 6377672 1375205 58493 43692 14801 969252 688387 280865 696382 457322 239060 35365 35365 115315 115315 2328368 1594754 733614 95880 40832 55048 737640 364473 373167 703945 73384 630561 165018 83529 81489 277862 277862 313581 89467 224114 MEDICAL SUPPLIES AND DR 1752945 1737051 15894 RECRUITING AND RETENTIO 232413 192326 40087 LICENSES DUES SUBSCRIPT 81394 30835 50559 17518363 12306107 5212256 0 82196 90094 3134951 2398643 487405 750425 947314 1181709 5160000 5160000 369185 432567 518829 274969 9413571 3445504 2195891 5968067 378554 379273 4024722 3509531 17299047 20145278 1257449 1287012 491720 296020 7379966 9233333 254900 430166 9384035 11246531 X 7904749 8888715 10263 10032 7915012 8898747 17299047 20145278 983798 -63 X X 0 1 X 1 1 1 X 4355072 4305322 6350722 6541097 7255188 28807401 4355072 4305322 6350722 6541097 7255188 28807401 28807401 376352 391304 374805 364283 364461 1871205 30678606 48372928 0.93900 0.93270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION (MPCA). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. 592498 592498 5833016 1857032 3975984 316301 247631 68670 2152801 1340841 811960 518955 518955 5968067 EST AMT DUE FROM 3RD PTY PYR 2984586 DEPOSITS ON REAL ESTATE 158075 ACCRUED INTEREST RECEIVABLE 193430 OPERATING RIGHT-OF-USE ASSETS 173440 3509531 ACCRUED RENT PAYABLE 254900 OPERATING LEASE LIABILITIES 175266 430166 X 18527852 25691 25691 18502161 0 18502161 17544116 25753 25753 17518363 0 17518363 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"), EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES AS DEFINED IN THE CODE. ACCORDINGLY, THE ORGANIZATION FILES AS A TAX EXEMPT ORGANIZATION. THE ORGANIZATION FOLLOWS GUIDANCE ISSUED BY THE FASB ON ACCOUNTING FOR INCOME TAXES AND HAS EVALUATED ITS TAX POSITIONS, EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS, AND BELIEVES THAT NO PROVISION FOR INCOME TAXES IS NECESSARY TO COVER ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S RETURNS FOR TAX YEARS 2019 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: EVENT EXPENSES RENTAL EXPENSES 26,981. LOSS ON DISPOSAL OF EQUIPMENT -1,290. PART XII, LINE 2D - OTHER ADJUSTMENTS: EVENT EXPENSES RENTAL EXPENSES 25,753. X X X 0 1 0 0 0 0 0 0 0 JEFFERY TEDROW CMO 281353 0 5400 0 0 0 15870 0 18593 0 321216 0 0 0 MIRNA ASHAM PHYSICIAN 238358 0 6892 0 0 0 1000 0 7350 0 253600 0 0 0 CHRIS STEWART CEO 191954 0 0 0 0 0 13900 0 9318 0 215172 0 0 0 LEILA KASHANI PHYSICIAN 200273 0 400 0 0 0 4013 0 38 0 204724 0 0 0 ELIANE FOSSATTIE-GONCALVES DENTIST 150975 0 29700 0 0 0 687 0 19288 0 200650 0 0 0 STEPHAN BEVANS CFO 159453 0 25400 0 0 0 3783 0 10545 0 199181 0 0 0 MARY DIMARSICO PHYSICIAN 169587 0 400 0 0 0 1772 0 19096 0 190855 0 0 0 MOLLY FOSTER CDO 171569 0 300 0 0 0 3603 0 3603 0 179075 0 0 0 CHERYL THOMPSON PHYSICIAN 147889 0 772 0 0 0 6491 0 8111 0 163263 0 0 0 X 5 711309 FMV AUCTION PRIZES 0 0 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B 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. A DRAFT COPY OF THE PROPOSED FORM 990 IS PRESENTED TO THE ORGANIZATION'S BOARD OF DIRECTORS IN ADVANCE OF FILING FOR REVIEW AND FOR THE CFO TO PROVIDE A GENERAL INFORMATIVE ANALYSIS. THE FORM 990 IS FILED SUBSEQUENT TO DOCUMENTED BOARD APPROVAL DURING THE RESPECTIVE STANDING MONTHLY BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND EMPLOYEES COMPLETE A CONFLICT OF INTEREST FORM EACH YEAR. IN ADDITION, NEW EMPLOYEES ARE REQUIRED TO COMPLETE THIS AS PART OF THEIR NEW EMPLOYEE ORIENTATION PACKET. IF THERE IS A CONFLICT BY A BOARD MEMBER, THEY ABSTAIN FROM VOTING ON THE MATTER. RESPONSIBLE PERSONS WHO ARE NOT MEMBERS OF THE BOARD OF DIRECTORS OF KATY TRAIL COMMUNITY HEALTH, OR WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT IS NOT THE SUBJECT OF BOARD OR COMMITTEE ACTION, SHALL DISCLOSE TO THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER ANY CONFLICT OF INTEREST THAT SUCH RESPONSIBLE PERSON HAS WITH RESPECT TO A CONRACT OR TRANSACTION, SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE RESPONSIBLE PERSON. THE RESPONSIBLE PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT KATY TRAIL COMMUNITY HEALTH'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER, WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INEREST THAT IS SUBJECT TO THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS THE CEO'S PERFORMANCE AND SALARY ANNUALLY. THE NACHC AND ANNUAL MPCA SALARY SURVEYS ARE USED TO ASSIST THE BOARD IN ESTABLISHING THE CEO'S SALARY. THE BOARD LAST CONDUCTED THE REVEIW IN DECEMBER 2021. THE CEO USES THE NACHC AND MPCA SALARY SURVEYS TO ASSIST IN ESTABLISHING PAY RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES. THESE PAY RANGES ARE REVIEWED ANNUALLY BY THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS. FOR OTHER OFFICERS AND KEY EMPLOYEES, THE BOARD LAST CONDUCTED THE REVIEW IN DECEMBER 2021. ALL REVIEWS ARE DOCUMENTED THROUGH THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 SOME FINANCIAL DOCUMENTS ARE ON THE ORGANIZATION'S WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. HARBOR VILLAGE SPE INC 821 WESTWOOD SEDALIA MO 65301 461585486 PROPERTY MANAGEMENT MO 501(C)(3) LINE 12B, II REG HLT CARE 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 HARBOR VILLAGE SPE INC A FMV HARBOR VILLAGE SPE INC K FMV