2024-11-05T14:14:16-05:00 2023-12-31 431109768 KPM CPAS PC 1445 E REPUBLIC RD SPRINGFIELD MO 65804 990 2023-01-01 431791656 FORDLAND CLINIC INC FORD 4177672273 1059 BARTON DR FORDLAND MO 656527305 DAVID STEINMANN CEO 4177672273 2024-11-05 true false BRYAN K FOSTER CPA P00086489 4178824300 2024-11-05 2023 2024-10-15 13:58:12Z DAVID STEINMANN 1059 BARTON DRIVE FORDLAND MO 656527305 9776079 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. 11 11 99 39 0 3857246 3473485 3624900 5239871 2431 22417 607905 498440 8092482 9234213 0 0 4041467 4988412 0 5257 1683583 2252392 5725050 7240804 2367432 1993409 9906394 11818824 879522 786968 9026872 11031856 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 5280277 5738311 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 339,720 IN DISCOUNTED MEDICAL CARE SERVICES TO PATIENTS IN 2023. 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 2023, FORDLAND CLINIC SERVED 7,221 PATIENTS FOR A TOTAL 24,573 HEALTHCARE VISITS. 5280277 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 16 0 true 99 true false false false false false false false false false false false false X 11 11 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 WILLIAM KEASTER DENTIST 40.00 X 333913 0 28457 TAYLOR R SHORT DENTIST 40.00 X 342601 0 4348 DEBBY S CARL NURSE 40.00 X 142246 0 30206 THOMAS HUFFMAN DENTIST 40.00 X 114047 0 7427 RAY SEIBERLICH CFO 40.00 X 109636 0 9971 EVAN ROWLAND DENTIST 40.00 X 109950 0 7814 AIMEE E JARRETT COO 40.00 X 102412 0 2099 DAVID STEINMANN CEO 40.00 X 86433 0 6248 JOAN TWITON CEO 40.00 X 67424 0 11098 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 HARRY CHAPIN TREASURER/DI 1.00 X X 0 0 0 GENE CREWSE DIRECTOR 1.00 X X 0 0 0 VANESSA OWENS 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 ALICIA HAGEN DIRECTOR 1.00 X 0 0 0 JORDAN HEMBREE DIRECTOR 1.00 X 0 0 0 1408662 107668 7 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 1195010 1 2158224 1315261 3473485 PATIENT HEALTHCARE SERVICES 621110 5237553 5237553 MISCELLANEOUS INCOME 900099 2318 2318 5239871 22417 22417 975710 541866 433844 433844 INVESTMENT IN MO HEALTH PLUS 621110 64596 64596 64596 9234213 5738311 22417 395321 315636 79685 3933513 2805015 1124719 3779 16064 9296 6737 31 359459 241676 117392 391 284055 198650 85136 269 29468 29468 2259 2259 75686 75686 323605 323605 52608 34683 17925 232268 129996 102240 32 302435 211503 90645 287 241670 104014 137535 121 16515 16515 1230 1230 9590 6707 2874 9 226518 158412 67891 215 47205 44033 3162 10 DENTAL SUPPLIES 470476 470476 MEDICAL SUPPLIES 197107 197107 BAD DEBT EXPENSE 23639 23639 FUNDRAISING EXPENSES 113 113 7240804 5280277 1955270 5257 3597101 3422768 375511 176576 44030 208057 485117 645668 2000 16565 19990 29495 35176 6692516 1995889 2775998 4696627 220943 248480 73590 73590 2286044 2291892 9906394 11818824 634922 553022 244600 233946 879522 786968 X 9014199 11009183 12673 22673 9026872 11031856 9906394 11818824 X 1993409 1575 10000 X false true X true true true X 1317965 2700108 2633882 3857246 3473485 13982686 1317965 2700108 2633882 3857246 3473485 13982686 13982686 6955 4851 4993 2431 22417 41647 2275 2275 14026608 21968574 0.99690 0.99770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14221 1907 16128 16536 -2315 14221 14681 1855 16536 13537 1144 14681 11755 1782 13537 0.59880 0.40120 true false 39306 39306 4489097 553354 3935743 2164113 1442535 721578 4696627 MEDICAID REIMBURSEMENT 2153926 340B RECEIVABLE 121838 INVESTEMENTS 16128 2291892 X 9777654 1575 541866 543441 9234213 9234213 7772670 531866 531866 7240804 7240804 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 2023, 2022 AND 2021 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 541,866 SCHEDULE D, PAGE 4, PART XII, LINE 2D 340B PHARMACEUTICALS COSTS 541,866 EXPENSES WITH DONOR RESTRICTIONS -10,000 X X X false false false false false false false false false WILLIAM KEASTER DENTIST 236655 97258 3204 25253 362370 TAYLOR R SHORT DENTIST 244298 98303 3204 1144 346949 DEBBY S CARL NURSE 138008 4238 2847 27359 172452 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 CHANGE IN DONOR RESTRICTED NA 10,000