2025-11-14T16:09:08-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2024-01-01 446005758 OZARKS MEDICAL CENTER OZAR 4172569111 PO BOX 1100 WEST PLAINS MO 65775 FORREST EHLINGER INTERIM CFO 4172569111 2025-11-14 1 0 STEPHANIE MCCARTHY P01805699 3149254300 2025-11-12 2024 2025-03-06 01:10:19Z OZARKS HEALTHCARE THOMAS KELLER PO BOX 1100 WEST PLAINS MO 65775 289816261 0 X OZARKSHEALTHCARE.COM X 1955 MO TO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ALL WE SERVE. 15 10 1496 80 0 0 3418331 3237681 222715425 251536114 2464167 5838544 941552 830627 229539475 261442966 0 0 0 0 113959223 121036841 0 0 0 124198610 155268524 238157833 276305365 -8618358 -14862399 205249527 194963805 102767564 104600286 102481963 90363519 X TO PROVIDE EXCEPTIONAL, COMPASSIONATE CARE TO ALL WE SERVE. WE WILL CHANGE LIVES BY NURTURING HOPE, IMPROVING HEALTH, AND ENCOURAGING WELLNESS, EVERY PERSON, EVERY TIME. WE ARE COMMITTED TO SERVING THE HEALTH OF OUR COMMUNITY WITH THE FOLLOWING VALUES AT OUR CORE: ACCOUNTABILITY, SUPERIOR SERVICE, TEAMWORK, INTEGRITY, COMPASSION, ENTHUSIASM, AND RESPECT. 0 0 218183265 0 214870439 INPATIENT AND OUTPATIENT SERVICES - INPATIENT ADMISSIONS WERE 5,050; TOTAL PATIENT DAYS WERE 18,982. INPATIENT SERVICES INCLUDE CARDIAC STEPDOWN AND MEDICAL SURGICAL NURSING FLOORS ALONG WITH A NEURO-PSYCHIATRIC UNIT AS WELL AS AN OBSTETRICS UNIT WITH 555 DELIVERIES IN THE 2024 YEAR. THERE WERE 26,940 EMERGENCY DEPARTMENT VISITS, AND THE EMERGENCY ROOM IS OPEN 24 HOURS PER DAY, 7 DAYS PER WEEK IN ORDER TO PROVIDE EMERGENT CARE TO A RURAL AREA. THE NEXT CLOSEST EMERGENCY CARE IS ONE HOUR AWAY FROM THE CITY OF WEST PLAINS. ALL OTHER OUTPATIENT AND ANCILLARY REGISTRATIONS FOR 2024 TOTAL 108,192 THOSE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, LABORATORY, PATHOLOGY, BLOOD BANK, RADIOLOGY, ULTRASOUND, MRI, CT SCAN, NUCLEAR MEDICINE, MAMMOGRAPHY, PHARMACY, PULMONOLOGY, RHEUMATOLOGY, CATH LAB, DERMATOLOGY, ENDOCRINOLOGY, WOUNDCARE, PAIN MANAGEMENT, ONCOLOGY, RESPIRATORY THERAPY, A SLEEP CENTER, AS WELL AS 5,780 SURGERIES. THE OBJECTIVE IS TO CONTINUE TO EXPAND IN SERVICES AND THROUGH HEALTH CARE PROFESSIONALS THAT WILL PROVIDE THE SCOPE AND COVERAGE TO MEET THE NEEDS OF THE COMMUNITY MEMBERS AND OTHERS. OZARKS MEDICAL CENTER PROVIDES CARE TO A RURAL REGION OF MISSOURI WHERE THE CLOSEST ALTERNATIVE FOR MANY SERVICES IS AN HOUR OR MORE AWAY. 22702753 0 35708360 THE RURAL HEALTH, PRIMARY CARE, AND SPECIALTY CLINICS PERFORMED 239,249 CLINIC ENCOUNTERS DURING THE 2024 YEAR. RURAL HEALTH CLINICS PERFORMED 97,179 ENCOUNTERS SPREAD OVER THE CITIES OF WINONA, MOUNTAIN VIEW, GAINESVILLE, MOUNTAIN GROVE, MAMMOTH SPRING, THAYER, ALTON, AS WELL AS WEST PLAINS THAT INCLUDES A SCHOOL CLINIC, URGENT CARE, AND PEDIATRICS CLINICS. SPECIALTY CLINICS INCLUDE SERVICES FOR INFECTIOUS DISEASE, ORTHOPEDICS, PODIATRY, GENERAL SURGERY, EAR NOSE & THROAT, OB/GYNECOLOGY, UROLOGY, HEART CARE SERVICES, AND PULMONOLOGY. BEHAVIORAL HEALTHCARE OFFERS SERVICES SUCH AS PSYCHOTHERAPY, PSYCHOLOGICAL TESTING, CASE MANAGEMENT, PSYCHO-SOCIAL REHABILITATION, MEDICATION MANAGEMENT/SERVICES, FAMILY ASSISTANCE, AND CRISIS STABILIZATION SERVICES. REGISTRATIONS FOR BEHAVIORAL HEALTH OUTPATIENT AND CLINIC SERVICES TOTAL 59,631 FOR THE 2024 YEAR WITH MULITPLE SERVICES ROUTINELY PROVIDED PER REGISTRATION. SERVICES FOR BEHAVIORAL HEALTHCARE TOTALED OVER 63,424 ENCOUNTERS FOR THE 2024 YEAR. REHABILITATION THERAPY ENCOUNTERS TOTALED 237,885 FOR THE 2024 YEAR. THERAPY SERVICES PROVIDED INCLUDE OCCUPATIONAL, SPEECH, AND PHYSICAL THERAPY. SERVICES ARE PROVIDED THROUGH THE OZARKS MEDICAL CENTER LOCATION ALONG WITH CLINIC LOCATIONS IN THE CITIES OF WINONA, GAINESVILLE, THAYER, ALTON, MOUNTAIN GROVE, AND VARIOUS SCHOOLS IN THE LOCAL COMMUNITIES. 1150491 0 957315 HOME HEALTH ADMISSIONS & RECERTIFICATIONS FOR THE 2024 YEAR TOTAL 326. PROGRAMS INCLUDE: OMC HOME CARE (HEALTH CARE PROVIDED TO PATIENTS IN THEIR HOMES USING SKILLED NURSES, HOME HEALTH AIDES, REHABILITATION THERAPISTS AND SOCIAL WORKERS). OMC SUPPORT SERVICES (HOMEMAKING, PERSONAL CARE, RESPITE CARE, AND IN-HOME COMPANION CARE), OMC TRANSITIONS (END-OF-LIFE CARE OFFERING ASSISTANCE, ENCOURAGEMENT, AND SUPPORT), AND OMC HOSPICE (PHYSICAL, EMOTIONAL AND SPIRITUAL CARE) IN THE FINAL STAGES OF ILLNESS. 242036509 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 0 0 0 1 361 0 1 1496 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 10 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL DURR 4172569111 PO BOX 1100 WEST PLAINS MO 65775 X BILL WOOD BOARD MEMBER 1.00 0.00 X 0 0 0 BRENDA SMITH SECRETARY 2.00 0.00 X X 0 0 0 CLARA APPLEGATE BOARD MEMBER/PHYSICIAN 1.00 0.00 X 602943 0 14075 CURTIS LEE HORSTMAN BOARD MEMBER/PHYSICIAN 40.00 0.00 X 902043 0 29964 DAVID GOHN BOARD MEMBER 1.00 0.00 X 0 0 0 DENNIS ALBINO BOARD MEMBER/PHYSICIAN 55.00 0.00 X 438894 0 22645 MELISSA STEWART CHAIRMAN 2.00 0.00 X X 0 0 0 NORMAN HOLLIS BOARD MEMBER 1.00 0.00 X 0 0 0 PRISCILLA FRASE BOARD MEMBER/PHYSICIAN 55.00 0.00 X 394808 0 28915 REID GRIGSBY VICE-CHAIR 2.00 0.00 X X 0 0 0 ROBERT STAUFFER BOARD MEMBER 1.00 0.00 X 0 0 0 ROGER SHAW III BOARD MEMBER 1.00 0.00 X 0 0 0 SHAWN MARHEFKA TREASURER 2.00 1.00 X X 0 0 0 STEVEN VINES BOARD MEMBER 1.00 0.00 X 0 0 0 SUSAN JOLLY BOARD MEMBER/PHYSICIAN 55.00 0.00 X 649389 0 20400 NICHOLE COOK CFO/VP FINANCE 55.00 1.00 X 262522 0 11460 THOMAS WILLIAM KELLER CEO (TERM ENDED 9/24) 55.00 1.00 X 934229 0 22055 PHIL READINGER VP OF CLINICS 55.00 0.00 X 110288 0 13371 LACEY CARTER CNO 55.00 0.00 X 252191 0 19889 JACOB PETRUS VP OF OPERATIONS 40.00 0.00 X 143888 0 8945 DAWN MELODY TRIMBLE INTERIM CEO 55.00 0.00 X 0 0 0 SCOTT GOODIN INTERIM CFO 55.00 0.00 X 0 0 0 MICHAEL DURR INTERIM CFO 55.00 0.00 X 0 0 0 ANTHONY CAMPBELL GENERAL SURGEON 40.00 0.00 X 1017277 0 22628 HUSSAIN IBRAHIM INTERVENTIONAL CARDIOLOGIST 40.00 0.00 X 933087 0 7590 LAURA MCKENZIE ANESTHESIOLOGIST 40.00 0.00 X 1162462 0 11087 CALEB PIATT ORTHOPEDIC SURGEON 40.00 0.00 X 983448 0 15867 TROY CARON ORTHOPEDIC SPINE PHYSICIAN 40.00 0.00 X 1626304 0 15117 10413773 0 264008 155 0 1 0 RODNEY WILLIAMS 12176 TOLLGATE CT PICKERINGTON OH 43147 PHYSICIAN SERVICES 1104564 CARDIOVASCULAR INNOVATIONS 1926 MASON RD ST LOUIS MO 63131 PHYSICIAN SERVICES 775286 BILLY HOLT 1868 N DEFER STE 3 NIXA MO 475513271 PHYSICIAN SERVICES 646185 KEVIN CROWE 303 CADBURY DR EULESS TX 76040 PHYSICIAN SERVICES 568000 ROBERT MILTON DBA PARADISE LOST LLC 137 PECK HILL RD WOODBRIDGE CT 06525 PHYSICIAN SERVICES 413712 18 120 157596 3000000 79965 3237681 PATIENT REVENUE/340B/PHARMACY 624100 249524755 249524755 COMMUNITY BASED SCHOOL SERVICES 624200 1798182 1798182 EHR INCENTIVE REVENUE 624100 213177 213177 251536114 2055447 2055447 1700 60856 -59156 -59156 -59156 32095536 28255423 57016 3840113 -57016 3783097 3783097 FOOD SERVICES 722514 776788 776788 MISC 621400 112680 112680 COMMUNICATIONS ANSWERING SERVICES 517000 315 315 889783 261442966 251536114 0 6669171 X 4882913 3380568 1502345 88746102 77814951 10931151 2678802 2327858 350944 19151265 16637808 2513457 5577759 4838727 739032 405663 40277 365386 264607 264607 27455 27455 306312 306312 29220153 20967644 8252509 237655 20959 216696 1630208 1494519 135689 302939 399 302540 2112903 1707885 405018 738086 637029 101057 1629115 1433621 195494 9815485 8637627 1177858 2301154 2301154 MEDICAL SUPPLIES & DRUG 66513929 66480253 33676 BAD DEBT 25599728 25599728 PROVIDER TAX EXPENSE 6843454 6802919 40535 LICENSES, DUE, SUBSCRIP 4944670 1517728 3426942 2375008 1696009 678999 276305365 242036509 34268856 0 2979088 2717302 579643 3000000 0 34837016 30600126 2881910 3007088 3814206 4105294 2794592 3088694 219876131 140973883 86096165 78902248 55657220 58398051 2429311 2556287 992748 577768 10029057 10169518 205249527 194963805 26800685 25406990 10683187 9793168 49647813 47899138 15635879 21500990 102767564 104600286 X 102442747 87365609 39216 2997910 102481963 90363519 205249527 194963805 X -14862399 2616980 126975 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 27455 27455 0 PART II-B, LINE 1: OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES. ALSO, LEADERS ATTEND COMMUNITY FORUMS AND LOCAL REPRESENTATIVE FORUMS TO COMMUNICATE THE EFFECT OF HEALTHCARE LEGISLATION ON OMC, OTHER HEALTH CARE PROVIDERS, AND THE COMMUNITY. THERE IS NO EXPENSE TO OMC FOR THESE ACTIVITIES. 5052530 5052530 101738160 45152267 56585893 1635959 1635959 0 110703557 94185657 16517900 745925 745925 78902248 457B PLAN 7076723 RIGHT OF USE ASSETS 3092795 10169518 EST AMT DUE TO 3RD PTY PYRS 11023033 DEFERRED COMPENSATION LIABILITY 7076723 MALPRACTICE RESERVES 325000 DUE TO AFFILIATES 82835 RIGHT OF USE LIABILITIES 2993399 21500990 1 1 X 1 X 1 X 1 1 0 1 1 7073947 7073947 0.02560 25451888 3253129 22198759 0.08030 32525835 3253129 29272706 0.10590 195280 195280 0.00070 25909 25909 0.00010 221189 221189 0.00080 32747024 3253129 29493895 0.10670 1 25599728 1012378 27844204 29651794 -1807590 X 1 1 1 1 OZARKS MEDICAL CENTER 1100 KENTUCKY AVE WEST PLAINS MO 65775 WWW.OZARKSHEALTHCARE.COM 174-55 X X X OZARKS MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V FOR URL X 1 23 1 SEE PART V FOR URL 0 1 X 100.000000000000 300.000000000000 X X X X X X X 1 1 X X X X 1 X SEE PART V FOR URL X SEE PART V FOR URL X SEE PART V FOR URL X X X X X X 1 X 0 X X X X 1 X 0 0 OZARKS MEDICAL CENTER PART V, SECTION B, LINE 5: TO GATHER PRIMARY DATA, THE ORGANIZATION DISTRIBUTED A SURVEY TO HELP ASSESS THE NEEDS OF ITS COMMUNITY BEGINNING AUGUST 30 TO SEPTEMBER 18, 2022. THE SURVEY WAS CONDUCTED ONLINE AS WELL AS IN PRINT. A TOTAL OF 1,263 SURVEYS WERE COLLECTED. THE SURVEY INCLUDED 38 QUESTIONS, HAVING A COMBINATION OF OPEN-ENDED AND MULTIPLE-CHOICE QUESTIONS. PRIMARY DATA ARE AN IMPORTANT PART OF A COMMUNITY HEALTH NEEDS ASSESSMENT. THESE DATA CAN FILL IN GAPS IN SECONDARY DATA SOURCES, HIGHLIGHT CRITICAL ISSUES OR CONCERNS, AND PROVIDE OPPORTUNITIES FOR COMMUNITY MEMBERS TO ACTIVELY ENGAGE IN THE COMMUNITY HEALTH ASSESSMENT PROCESS. THE ORGANIZATION ALSO CONDUCTED FOCUS GROUP MEETINGS IN THE PRIMARY SERVICE AREA OF OREGON AND HOWELL COUNTIES RESPECTIVELY. THEY ALSO CONDUCTED SIMILAR MEETINGS IN OZARK AND WRIGHT COUNTIES WHICH ARE CONSIDERED THEIR SECONDARY SERVICE AREAS. A DIVERSE GROUP OF COMMUNITY MEMBERS WERE INVITED TO GATHER KEY INSIGHT AND RECOMMENDATIONS AS REQUIRED BY THE CHNA PROCESS. A TOTAL OF 18 INDIVIDUALS ATTENDED THE IN-PERSON FOCUS GROUP MEETINGS IN THE FOUR COUNTIES WHERE THEY WERE CONDUCTED. THE LOCATIONS WERE CONVENIENT, ACCESSIBLE AND COMFORTABLE. THE MEETINGS WERE SCHEDULED AT A TIME THAT ALLOWED COMMUNITY PARTNERS TO ATTEND. TWO MEMBERS OF THE HOSPITAL SENIOR LEADERSHIP STAFF WERE ON SITE AND SET A FRIENDLY TONE WELCOMING ALL THE ATTENDEES. OZARKS HEALTHCARE ALSO PROVIDED LUNCH AND DINNER DURING THE SESSIONS. AS REQUIRED BY THE CHNA PROCESS, THE HOSPITALS ENGAGED PUBLIC HEALTH AND OTHER KEY PARTNERS IN ALL STEPS, BUT ESPECIALLY IN THE SELECTION OF ISSUES FOR COMMUNITY-BASED ACTION. QUALITY WORKS (AN INDEPENDENT CONSULTANT) STAFF FACILITATED THE COMMUNITY FORUM AND PROVIDED AN AGENDA TO ORGANIZE THE MEETING. STAFF PRESENTED THE 2019 CHNA FINDINGS, 2022 COMMUNITY SURVEY RESULTS AND CURRENT SECONDARY DATA FINDINGS DERIVED FROM THE EXPLOREMOHEALTH PLATFORM AND THE MHA HEALTH EQUITY DASHBOARDS.THESE FOCUS GROUP MEETINGS REPRESENTED AN IMPORTANT STEP OF PRESENTING DATA ABOUT THE HEALTH OF COMMUNITIES SERVED AND GATHERING FEEDBACK ABOUT THE ISSUES THAT SHOULD BE PRIORITIZED. COLLABORATION WITH THESE PARTNERS WILL HELP THE HOSPITAL LEVERAGE EXISTING ASSETS IN THE COMMUNITY, CREATING THE OPPORTUNITY FOR (1) BROADER IMPACT, (2) AVOIDING UNNECESSARY DUPLICATION OF PROGRAMS OR SERVICES WHILE BUILDING THE CAPACITY OF COMMUNITY ENGAGEMENT, (3) COLLABORATIVE PROBLEM SOLVING, AND (4) POSITIONING THE COMMUNITY TO BUILD UPON AND SUSTAIN HEALTH IMPROVEMENT ACTIVITIES.ATTENDEES OF THE VARIOUS MEETINGS WERE EDUCATED ABOUT THE PRIORITIZATION PROCESS, WHICH WAS KEY TO THEIR SELECTION CRITERIA FOR THE PRIORITY HEALTH ISSUES. BASED ON THE FINDINGS OF THE 2019 CHNA AND CURRENT SECONDARY DATA RESULTS, A LIST OF CONDITIONS AND DETERMINANTS WAS DISPLAYED, AND ATTENDEES WERE ASKED TO VOTE ON THEIR TOP PRIORITY FOR ACTION. NOTE: EACH PARTICIPANT CAST ONLY ONE VOTE AND THE ITEMS THAT GARNERED THE MOST VOTES WERE RANKED FROM ASCENDING TO DESCENDING ORDER. AFTER THE RANKING EXERCISE, THE ATTENDEES UNANIMOUSLY AGREED ON THE TOP THREE ISSUES THEY FELT SHOULD BE PRIORITIZED BY OZARKS HEALTHCARE TO IMPACT THE HEALTH OF THE COMMUNITY. PER THE ATTENDEES, BY ADDRESSING THE TOP THREE PRIORITIZED ISSUES, THE REMAINING ITEMS WILL SUBSEQUENTLY BE IMPROVED EVEN THOUGH THEY DID NOT GATHER ENOUGH VOTES THROUGH THE VOTING AND RANKING PROCESS TO BE ONE OF THE TOP THREE PRIORITIES. OZARKS MEDICAL CENTER PART V, SECTION B, LINE 11: MENTAL HEALTH AND SUBSTANCE USE:REDUCE THE PREVALENCE OF MENTAL HEALTH DIAGNOSIS PER 1,000 IN FIVE ZIP CODES OF HOWELL AND OREGON COUNTIES COMBINED BY DECEMBER 2025 PER THE DATA DERIVED FROM THE EXPLOREMOHEALTH PLATFORM; REDUCE THE PREVALENCE OF SUBSTANCE USE DISORDER DIAGNOSIS PER 1,000 IN FIVE ZIP CODES OF HOWELL AND OREGON COUNTIES COMBINED BY DECEMBER 2025 PER THE DATA DERIVED FROM THE EXPLOREMOHEALTH PLATFORM; REDUCE THE PREVALENCE OF OPIOID USE DISORDER DIAGNOSIS PER 1,000 IN FIVE ZIP CODES OF HOWELL AND OREGON COUNTIES COMBINED BY DECEMBER 2025 PER THE DATA DERIVED FROM THE EXPLOREMOHEALTH PLATFORM.ACCESS TO CARE/AFFORDABLE HEALTH CARE:REDUCE THE PERCENT OF UNINSURED ADULTS UNDER AGE 65 FROM 17% IN HOWELL COUNTY BY DECEMBER 2025; REDUCE THE PERCENT OF UNINSURED ADULTS UNDER AGE 65 FROM 18% IN OREGON COUNTY BY DECEMBER 2025; REDUCE THE PERCENT OF UNINSURED CHILDREN UNDER AGE 19 FROM 7% IN HOWELL COUNTY BY DECEMBER 2025; REDUCE THE PERCENT OF UNINSURED CHILDREN UNDER AGE 19 FROM 7% IN OREGON COUNTY BY DECEMBER 2025.CHRONIC CONDITIONS:REDUCE THE HEART DISEASE DIAGNOSIS RATES PER 1,000 IN AT LEAST TWO ZIP CODES IN HOWELL AND OREGON COUNTY PER THE 2021 ZIP HEALTH RANKINGS RESULTS DERIVED FROM THE EXPLOREMOHEALTH PLATFORM; REDUCE THE CANCER DIAGNOSIS RATES PER 1,000 IN AT LEAST TWO ZIP CODES IN HOWELL AND OREGON COUNTY PER THE 2021 ZIP HEALTH RANKINGS RESULTS DERIVED FROM THE EXPLOREMOHEALTH PLATFORM; REDUCE THE DIABETES DIAGNOSIS RATES PER 1,000 IN AT LEAST TWO ZIP CODES IN HOWELL AND OREGON COUNTY PER THE 2021 ZIP HEALTH RANKINGSRESULTS DERIVED FROM THE EXPLOREMOHEALTH PLATFORM; REDUCE THE OBESITY DIAGNOSIS RATES PER 1,000 IN AT LEAST TWO ZIP CODES IN HOWELL AND OREGON COUNTY PER THE 2021 ZIP HEALTH RANKINGS RESULTS DERIVED FROM THE EXPLOREMOHEALTH PLATFORM. OZARKS MEDICAL CENTER PART V, SECTION B, LINE 13B: ELIGIBILITY CRITERIA:13B) THE RELATIONSHIP OF INCOME TO CHARGE AMOUNTS EVEN WHEN INCOME EXCEEDS FPG LIMITS. OZARKS MEDICAL CENTER PART V, SECTION B, LINE 13H: ELIGIBILITY CRITERIA:13H) WHEN SERVICES ARE MEDICALLY NECESSARY AND THERE IS AGREEANCE TO SCREENING FOR OTHER ASSISTANCE PROGRAMS AND PRIOR PAYMENT OBLIGATIONS ON PAST DISCOUNTED SERVICES WERE MET. OZARKS MEDICAL CENTER PART V, SECTION B, LINE 18E: BILLING AND COLLECTIONS:THE WRITTEN FINANCIAL ASSISTANCE POLICY EXPLAINS THAT THE ORGANIZATION WILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR PAYMENT PROVIDED THAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH OMC'S FINANCIAL COUNSELORS EFFORTS TO GET PAYMENT FROM OTHER SOURCES OR OBTAIN INFORMATION FOR CHARITY CARE DETERMINATION. THE FAP DOES NOT LIST ANY OF THE ITEMS LISTED IN #18 OR #19. SCHEDULE H, PART V, SECTION B, LINE 7A THE ORGANIZATION'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/APP/FILES/PUBLIC/8115308E-0106-4811-8025-E509CD8CCC70/OZARKS%20HEALTHCARE%20CHNA%202022.PDF SCHEDULE H, PART V, SECTION B, LINE 10A THE ORGANIZATION'S 2023 IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/APP/FILES/PUBLIC/F90FF244-A260-4914-BA1B-72C743CFE090/03_15_2023%20OZH%20CHNA%20IMPLEMENTATION%20PLAN.PDF SCHEDULE H, PART V, SECTION B, LINE 16A THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/APP/FILES/PUBLIC/FC2B86F8-B5B3-4029-A47F-0E51212E9C7A/FINANCIAL%20ASSISTANCE%20PROGRAM%206-7-24.PDF SCHEDULE H, PART V, SECTION B, LINE 16B THE ORGANIZATION'S FINANCIAL ASSISTANCE APPLICATION CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/APP/FILES/PUBLIC/77F53AE0-4F1F-44BD-989D-9BA0079FE69A/HOSPITAL%20FAA%202024%20(2)%206-7-24_2.PDF SCHEDULE H, PART V, SECTION B, LINE 16C THE ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF ITS FAP CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/PATIENT-FINANCIAL-SERVICES/PAYMENT-ASSISTANCE/ 30 1 - ALTON MEDICAL CLINIC 100 MEDICAL DR ALTON MO 65606 RURAL HEALTH CLINIC 2 - GAINESVILLE MEDICAL CENTER 37 MEDICAL DRIVE GAINESVILLE MO 65655 RURAL HEALTH CLINIC 3 - MAMMOTH SPRINGS MEDICAL CENTER 260 S MAIN MAMMOTH SPRINGS AR 72554 RURAL HEALTH CLINIC 4 - MOUNTAIN GROVE MEDICAL COMPLEX 500 E 19TH ST MOUNTAIN GROVE MO 65711 RURAL HEALTH CLINIC OP SERVICES 5 - MOUNTAIN VIEW MEDICAL CLINIC 220 N ELM ST PO BOX 32 MOUNTAIN VIEW MO 65548 RURAL HEALTH CLINIC 6 - WINONA MEDICAL CLINIC 9104 STATE HWY 19 WINONA MO 65588 RURAL HEALTH CLINIC 7 - THAYER MEDICAL CLINIC 1375 NETTLETON AVENUE THAYER MO 65791 RURAL HEALTH CLINIC 8 - BEHAVORIAL HEALTH CARE 23 PARKWAY CENTER WEST PLAINS MO 65775 MENTAL HEALTH SERVICES 9 - WEST PLAINS FAMILY MEDICINE 181 N KENTUCKY AVE WEST PLAINS MO 65775 RURAL HEALTH CLINIC 10 - ARCH SHAW BUILDING 1111 KENTUCKY AVE WEST PLAINS MO 65775 ONCOLOGY, IMAGING AND REHABILITATION 11 - SLEEP LAB 11 PARKWAY CENTER WEST PLAINS MO 65775 SLEEP LAB 12 - SURGERY CLINIC 2600 INDEPENDENCE SQUARE WEST PLAINS MO 65775 SPECIALTY CLINIC 13 - INTERNAL MEDICINE CLINIC 1115 ALASKA AVE STE 215 WEST PLAINS MO 65775 RURAL HEALTH CLINIC 14 - HOME CARE 812 N KENTUCKY AVE WEST PLAINS MO 65775 HOME HEALTH, HOSPICE SUPPORT SERVICES 15 - WOMEN'S HEALTHCARE CLINIC 1627 GIBSON ST WEST PLAINS MO 65775 SPECIALTY CLINIC 16 - WOUND CARE 1665 GIBSON ST WEST PLAINS MO 65775 OUTPATIENT SERVICES 17 - OZARKS HEALTHCARE PEDIATRICS 312 KENTUCKY AVE WEST PLAINS MO 65775 RURAL HEALTH CLINIC 18 - BEHAVIORAL HEALTH CENTER HOUSTON 1591A N HWY 63 HOUSTON MO 65438 MENTAL HEALTH SERVICES 19 - OZARKS HEALTHCARE DERMATOLOGY 1115 ALASKA AVE STE 214 WEST PLAINS MO 65775 FFS SPECIALTY CLINIC 20 - OMCZIZZER CLINIC 1013 COLLEGE STREET WEST PLAINS MO 65775 FFS CLINIC 21 - FAMILY CARE 1307 PORTER WAGONER BOULEVARD WEST PLAINS MO 65775 FAMILY MEDICINE 22 - BEHAV HEALTH CRISIS STABILIZATION CNTR 1100 KENTUCKY AVE WEST PLAINS MO 65775 BEHAVIORAL HEALTH 23 - HEART CARE SERVICES 1115 ALASKA AVE STE 114 WEST PLAINS MO 65775 CARDIOVASCULAR SPECIALTY CLINIC 24 - PAIN MANAGEMENT 3000 INDEPENDENCE SQUARE WEST PLAINS MO 65775 OP SERVICES 25 - RHEUMATOLOGY 2900 INDEPENDENCE SQUARE WEST PLAINS MO 65775 OP SERVICES 26 - WEST PLAINS IMAGING 3102 INDEPENDENCE SQUARE WEST PLAINS MO 65775 OUTPATIENT SERVICES 27 - OZARKS HEALTHCARE EAR NOSE AND THROAT 2600 INDEPENDENCE SQUARE WEST PLAINS MO 65775 FFS CLINIC 28 - OZARKS HEALTHCARE INFECTUOUS DISEASE 2600 INDEPENDENCE SQUARE WEST PLAINS MO 65775 FFS CLINIC 29 - ORTHOPEDICS CLINIC 1210 N KENTUCKY AVE WEST PLAINS MO 65775 ORTHOPEDIC SPECIALTY CLINIC 30 - UROLOGY 181 KENTUCKY AVE STE 200 WEST PLAINS MO 65775 SPECIALTY CLINIC PART I, LINE 7: PERCENT OF TOTAL EXPENSE:TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990. PART I, LINE 7G: COSTING METHODOLOGY:THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEET 6 WAS COMPUTED FROM THE MEDICARE COST REPORT AND DEPARTMENT FINANCIAL STATEMENTS, USING SPECIFIC FINANCIAL DATA FOR EACH TYPE OF SUBSIDY. PART I, LN 7 COL(F): BAD DEBT EXPENSE FOOTNOTE:THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: THAT FOOTNOTE CAN BE FOUND ON PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 2: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. PART III, LINE 3: THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING THE MEDICARE COST REPORT. PART III, LINE 8: COMMUNITY BENEFIT:SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6, WHICH ONLY REFLECTS HOSPITAL FACILITY ACTIVITY AND PAYMENTS FROM CMS AGENTS. WHEN SEQUESTRATION WITHHOLDINGS, COSTS AND PAYMENTS FOR MEDICARE ADVANTAGE PLAN PATIENTS, AND PHYSICIAN AND CLINIC SERVICES AND PAYMENTS ARE ALSO CONSIDERED, THE SHORTFALL BECOMES SIGNIFICANT. PART III, LINE 9B: COLLECTION POLICY: IF A PATIENT APPLIES FOR ASSISTANCE PROGRAMS, THE COLLECTIONS PROCESS CEASES UNTIL THERE IS A DETERMINATION OF WHETHER OR NOT THE PATIENT QUALIFIES FOR ASSISTANCE. PENDING FINAL ELIGIBILITY DETERMINATION, OMC WILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR PAYMENT PROVIDED THAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH OMC'S FINANCIAL COUNSELORS' EFFORTS TO GET PAYMENT FROM OTHER SOURCES OR OBTAIN INFORMATION FOR CHARITY CARE DETERMINATION. PART VI, LINE 2: NEEDS ASSESSMENT:BESIDES THE CHNA SURVEY, OMC HAS MANY OTHER WAYS OF ASSESSING NEEDS OFTHE COMMUNITIES. COMMENTS ON PATIENT SATISFACTION SURVEYS, THE HEALTHCONDITION OF PATIENTS ARRIVING AT THE EMERGENCY ROOM AND OTHER CLINICALAREAS OF OMC, INPUT FROM OTHER AREA PHYSICIANS AND MEDICAL FACILITIES,INPUT FROM SCHOOLS, COLLEGES, AND SOCIAL ASSISTANCE ORGANIZATIONS,QUESTIONS AND COMMENTS SUBMITTED VIA OUR WEBSITE, EDITORIALS IN THE LOCALNEWSPAPERS, RESULTS FROM HEALTH SCREENING EVENTS AND CENSUS DATA ARE ALLSOURCES OF INFORMATION REGARDING THE HEALTH NEEDS OF OUR COMMUNITIES.ALSO, OUR BOARD OF TRUSTEE MEMBERS ARE ALL LEADERS IN OTHER BUSINESSESAND HAVE INPUT BASED ON THEIR EMPLOYEES. OMC ENCOURAGES ALL OF THEIRLEADERS AND STAFF TO BE INVOLVED IN THE COMMUNITY, WHICH ALSO LEADS TOOPPORTUNITIES TO BECOME AWARE OF HEALTH NEEDS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:FINANCIAL COUNSELORS MEET WITH PATIENTS UPON ADMISSION OR DISCHARGE AS APPLICABLE AND DISCUSS PAYMENT OPTIONS INCLUDING DMH, MEDICAID ANDCHARITY, ETC. APPLICATIONS AND INSTRUCTIONS ARE GIVEN TO THOSE THATAPPEAR TO QUALIFY. SOCIAL WORKERS ARE ALSO USED FOR PATIENTS WITH SPECIALNEEDS. EACH CLINIC AND REGISTRATION AREA HAS A PAMPHLET DISPLAY WITHINFORMATION ON THE CHARITY CARE POLICY. PART VI, LINE 4: COMMUNITY INFORMATION:OZARKS MEDICAL CENTER IS LOCATED IN THE 11TH POOREST CONGRESSIONAL DISTRICT IN THE COUNTRY. THE LOCATION IS IN SOUTH CENTRAL MISSOURI WHICH IS A VERY RURAL AREA. WEST PLAINS IS A TOWN OF APPROXIMATELY 12,000 PEOPLE AND THE LARGEST TOWN FOR APPROXIMATELY 100 MILES ACROSS THE STATELINE INTO ARKANSAS. THERE ARE MANY RETIRED INDIVIDUALS RESIDING IN THIS AREA DUE TO THE MANY RIVERS AND LAKES SO A MAJORITY OF OUR PATIENTS ARE MEDICARE OR MEDICAID RECIPIENTS. THE CLOSEST HOSPITAL WITH OUR RANGE OF SERVICES IN THE STATE OF MISSOURI IS OVER 1 1/2 HOURS AWAY. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:THE ORGANIZATION PROVIDES NUMEROUS HEALTH CARE SCREENINGS, WELLNESSACTIVITIES, EDUCATIONAL OPPORTUNITIES, AND ATHLETIC PHYSICALS FOR LOCALSTUDENTS. THE ORGANIZATION ALSO PROVIDES FOR MANY COMMUNITY FUNCTIONS AND FUNDRAISING EVENTS FOR OTHER CHARITABLE ORGANIZATIONS. MULTIPLE COMMUNITY EVENTS ARE SPONSORED BY OMC, WHICH INCLUDE GOLF TOURNAMENTS, JUNIOR COLLEGE BASKETBALL AND VOLLEYBALL GAMES/TOURNAMENTS. OMC WORKS WITH THE LOCAL SCHOOLS TO PROVIDE JOB SHADOWING AND HEALTHCARE FAIRS FOR STUDENTS INTERESTED IN A CAREER IN HEALTHCARE.OMC IS THE LARGEST EMPLOYER IN TOWN AND PROVIDES EMPLOYMENT ANDAFFORDABLE BENEFITS TO OVER 1,300 EMPLOYEES AND THEIR FAMILIES. THEORGANIZATION INFUSES $76 MILLION IN WAGES EACH YEAR INTO THE COMMUNITY,BRINGS HEALTHCARE PROFESSIONALS INTO THE COMMUNITY WHICH IN TURN BENEFITS THE HOUSING MARKET, LOCAL SHOPS, RESTAURANTS, AND OTHER BUSINESSES. THE EMPLOYEES OF OMC ARE EXTREMELY GIVING AND PARTICIPATE IN MANY LOCAL FUNDRAISING ACTIVITIES PROMOTED BY OMC. EACH MEMBER OF MANAGEMENT TEAM ALSO PARTICIPATES IN AT LEAST ONE CIVIC ORGANIZATION AND SOME SERVE ON COMMITTEES FOR THESE CIVIC ORGANIZATIONS IN OMC'S SERVICE AREA.OMC PROVIDES THE FULL CONTINUUM OF CARE. DUE TO THE RURAL AREA, OMC HASSET UP RURAL HEALTH CLINICS IN OUR SERVICE AREA TO PROVIDE PRIMARY CAREIN UNDERSERVED AREAS. THE ORGANIZATION ALSO OPERATES A 24/7 EMERGENCYDEPARTMENT THAT PROVIDERS CARE TO OVER 26,000 VISITS PER YEAR. ACUTECARE AND BEHAVIORAL HEALTH CARE IS PROVIDED AS WELL AS HOME HEALTH,HOSPICE, AND HOMEMAKER SUPPORT SERVICES. THE ORGANIZATION ALSO OFFERS ATRANSITION PROGRAM TO MOVE THOSE IN HOME HEALTH TO HOSPICE WHEN THE TIME IS RIGHT, WHICH IS A NON-REIMBURSED SERVICE.OMC IS A COMMUNITY OWNED HOSPITAL THAT DOES NOT RECEIVE ANY TAX MONEYFROM THE CITY OR COUNTY. ALL REVENUES GENERATED ARE USED TO PURCHASECAPITAL EQUIPMENT TO ADVANCE THE SERVICES WE PROVIDE. THERE ARE SERVICESPROVIDED BY OMC THAT ARE NOT AVAILABLE ELSEWHERE IN THE COMMUNITY SUCH AS WOUND CARE, OBSTETRICS, RHEUMATOLOGY, CANCER TREATMENT OPTIONS, ANDOTHERS. EACH SERVICE IS REVIEWED AND THE COMMUNITY NEED DRIVES THE DECISIONS MADE ON THE SERVICES WE PROVIDE. DETAILS OF COMMUNITY HEALTHPROMOTION ARE INCLUDED IN THE COMMUNITY BENEFIT PLAN. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:OZARKS MEDICAL CENTER (THE MEDICAL CENTER) OPERATES AN ACUTE CAREHOSPITAL FACILITY IN WEST PLAINS, MISSOURI. WEST PLAINS HEALTH SERVICES,INC. (WPHS), A WHOLLY OWNED SUBSIDIARY OF THE MEDICAL CENTER, OPERATES ADURABLE MEDICAL EQUIPMENT COMPANY, HEART OF THE OZARKS MEDICAL EQUIPMENT, IN WEST PLAINS, MISSOURI. WPHS OWNS WEST PLAINS OCCUPATIONAL WHICH PROVIDES PRE-EMPLOYMENT SCREENING SERVICES AS WELL AS ONGOING EMPLOYMENT SCREENING SERVICES FOR LOCAL EMPLOYERS. OZARKS MEDICAL CENTER FOUNDATION (THE FOUNDATION) IS AN AFFILIATE ESTABLISHED TO PROVIDE FUNDRAISING ASSISTANCE TO THE MEDICAL CENTER. OZARKS MEDICAL CENTER PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN WEST PLAINS, MISSOURI, AND THE SURROUNDING AREA. THE MEDICAL CENTER ALSO OPERATES A HOME HEALTH AND HOSPICE AGENCY AND A NUMBER OF PHYSICIAN CLINICS IN THE SAME GEOGRAPHIC AREA. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 TROY CARON ORTHOPEDIC SPINE PHYSICIAN 1585824 0 40000 0 480 0 3750 0 11367 0 1641421 0 0 0 LAURA MCKENZIE ANESTHESIOLOGIST 1081942 0 30000 0 50520 0 3527 0 7560 0 1173549 0 0 0 ANTHONY CAMPBELL GENERAL SURGEON 986797 0 30000 0 480 0 6761 0 15867 0 1039905 0 0 0 CALEB PIATT ORTHOPEDIC SURGEON 911718 0 47500 0 24230 0 0 0 15867 0 999315 0 0 0 THOMAS WILLIAM KELLER CEO (TERM ENDED 9/24) 933979 0 0 0 250 0 4425 0 17630 0 956284 0 0 0 HUSSAIN IBRAHIM INTERVENTIONAL CARDIOLOGIST 932727 0 0 0 360 0 3990 0 3600 0 940677 0 0 0 CURTIS LEE HORSTMAN BOARD MEMBER/PHYSICIAN 893992 0 8051 0 0 0 7045 0 22919 0 932007 0 0 0 SUSAN JOLLY BOARD MEMBER/PHYSICIAN 608909 0 40000 0 480 0 7530 0 12870 0 669789 0 0 0 CLARA APPLEGATE BOARD MEMBER/PHYSICIAN 600543 0 0 0 2400 0 7595 0 6480 0 617018 0 0 0 DENNIS ALBINO BOARD MEMBER/PHYSICIAN 438414 0 0 0 480 0 9775 0 12870 0 461539 0 0 0 PRISCILLA FRASE BOARD MEMBER/PHYSICIAN 394028 0 0 0 780 0 10325 0 18590 0 423723 0 0 0 NICHOLE COOK CFO/VP FINANCE 262522 0 0 0 0 0 0 0 11460 0 273982 0 0 0 LACEY CARTER CNO 252191 0 0 0 0 0 6627 0 13262 0 272080 0 0 0 JACOB PETRUS VP OF OPERATIONS 143888 0 0 0 0 0 0 0 8945 0 152833 0 0 0 PART I, LINE 1A COUNTRY CLUB DUES PAID FOR THOMAS KELLER, CEO IN THE AMOUNT OF $3,451. PART I, LINE 7 BONUS DETERMINATION: SENIOR MANAGEMENT'S BONUSES ARE BASED ON A SET OF CORPORATE AND INDIVIDUAL STRATEGIC GOALS THAT ARE WEIGHTED AND ASSIGNED A VALUE. EACH INDIVIDUAL'S POTENTIAL BONUS AMOUNT IS BASED ON THEIR SALARY. THE PERCENTAGE ABOVE OR BELOW THE POTENTIAL BONUS THAT THEY RECEIVE IS IN RELATION TO THE COMPLETION OF THE GOAL AND THE WEIGHT GIVEN TO THAT GOAL. THEY CAN EARN 115% - 0% OF THE POTENTIAL GOAL. A INDUSTRIAL DEVELOPMENT AUTHORITY OF WP SERIES 2018B 431343355 000000000 2018-10-01 15000000 REFUND TAX EXEMPT BONDS ISSUED 01/10/2013 0 0 0 A 5070411 15000000 225774 14774226 2013 1 0 1 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: INDUSTRIAL DEVELOPMENT AUTHORITY OF WP, SERIES 2018B DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2023 FORM 990, SCHEDULE K, PART IV, LINE 2C THE REBATE CALCULATION WAS DONE ON 10/1/2023. THOMAS KELLER CEO SPLIT DOLLAR LIFE INSURANCE X 7800000 3007088 0 1 1 3007088 BURO OFFICE SUPPLY BUSINESS OF BOARD MEMBER REID GRIGSBY 46863 PURCHASE OF SUPPLIES 0 FORM 990, PART VI, SECTION A, LINE 2 DAVID GOHN, MELISSA STEWART, AND ROGER SHAW SHARE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 DURING THE YEAR, OZARK MEDICAL CENTER CONTRACTED WARBIRD HEALTHCARE ADVISORS TO SUPPLY INTERIM CEO AND CFO SERVICES. PAYMENTS WERE MADE BY OZARK MEDICAL CENTER TO WARBIRD HEALTHCARE ADVISORS FOR THE FOLLOWING INDIVIDUALS WHO PROVIDED THESE SERVICES THROUGHOUT THE CALENDAR YEAR. DAWN MELODY TRIMBLE, INTERIM CEO (BEG 10/24) - $98,720 MICHAEL DURR, INTERIM CFO (BEG 10/24) - $189,375 DURING THE YEAR, OZARK MEDICAL CENTER CONTRACTED WITT KIEFFER TO PROVIDE INTERIM CFO SERVICES FOR THE FILING ORGANIZATION. PAYMENTS WERE MADE BY OZARK MEDICAL CENTER TO WITT KIEFFER FOR THE FOLLOWING INDIVIDUALS WHO PROVIDED THESE SERVICES THROUGHOUT THE CALENDAR YEAR. SCOTT GOODIN, INTERIM CFO (6/24 - 11/24) - $183,432 FORM 990, PART VI, SECTION A, LINE 6 OZARKS MEDICAL CENTER HAS ONE CLASS OF MEMBERSHIP. ALL INTERESTED PARTIES ARE ELIGIBLE FOR MEMBERSHIP UPON PAYMENT OF THE MEMBERSHIP FEES SET BY THE BOARD OF DIRECTORS. MEMBERSHIP IS NOT TRANSFERABLE OR ASSIGNABLE. MEMBERS, AFTER BEING A MEMBER FOR AT LEAST THIRTY DAYS, SHALL BE ELIGIBLE TO VOTE ON ANY BUSINESS OF THE CORPORATION. EACH MEMBER IS ENTITLED TO ONE VOTE. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS CONSISTS OF 15 DIRECTORS. TEN OF THE CORPORATION'S BOARD MEMBERS, ELECTED FROM OZARKS MEDICAL CENTER'S SERVICE AREA, ARE ELECTED BY THE MEMBERS OF THE CORPORATION. ANY DIRECTOR PREVIOUSLY ELECTED BY THE MEMBERS MAY BE REMOVED FROM OFFICE BY THE MEMBERS AT AN ANNUAL MEETING OR ANY PROPERLY CALLED SPECIAL MEETING, BY THE VOTE OF TWO-THIRDS OF THE MEMBERS PRESENT, IN WHICH EVENT THE MEMBERS PRESENT WILL ELECT A SUCCEEDING DIRECTOR TO SERVE THE UNEXPIRED TERM OF THE REMOVED DIRECTOR. EACH MEMBER HAS ONE VOTE. ANY VACANCY DUE TO DEATH OR RESIGNATION SHALL BE FILLED BY ELECTION BY THE REMAINING MEMBERS OF THE BOARD. THREE DIRECTORS ARE ELECTED BY THE MEDICAL STAFF OF THE ORGANIZATION AND MUST BE A MEDICAL STAFF MEMBER THAT IS ALSO A MEMBER OF THE CORPORATION TO BE ELIGIBLE TO BE ELECTED TO THE BOARD. ANY VACANCIES OF THESE THREE BOARD POSITIONS ARE FILLED BY THE MEDICAL STAFF. THE REMAINING TWO BOARD OF DIRECTORS ARE DESIGNATED BY THEIR POSITION IN THE ORGANIZATION. THE CHIEF OF THE MEDICAL STAFF AND THE CHIEF ELECT OR CHIEF EMERITUS, WHICHEVER IS IN EXISTENCE IN THE GIVEN YEAR, OF THE MEDICAL STAFF ARE BOTH BOARD MEMBERS FOR AS LONG AS THEY HOLD THOSE TITLES. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF THE CORPORATION MAY BE AMENDED AT AN ANNUAL OR PROPERLY CALLED SPECIAL MEETING OF THE MEMBERS OF THE CORPORATION BY TWO-THIRDS OF THE VOTE CAST OR A MAJORITY OF THE VOTING POWER, WHICHEVER IS LESS. THE BYLAWS MAY ALSO BE AMENDED BY THE BOARD PROVIDED THAT THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED, OR PROVIDED THAT THE BASIC PURPOSE OF THE CORPORATION SHALL NOT BE CHANGED OR ALTERED. IF ANY OF THOSE CONDITIONS DOES NOT APPLY, THE AMENDMENT MUST BE VOTED ON BY THE MEMBERS OF THE ORGANIZATION. 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. THE CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER REVIEW THE FORM 990 FOR SIGNATURE. 990 DOCUMENTS ARE PRESENTED AT THE NEXT BOARD MEETING FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT STATEMENTS ARE REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE TO DETERMINE IF NEW ITEMS WERE DISCLOSED. IF A BOARD MEMBER DID HAVE A CONFLICT OF INTEREST, HE/SHE WOULD ABSTAIN FROM VOTING ON ANY TRANSACTIONS RELATED TO THAT CONFLICT. STATEMENTS ARE ALSO OBTAINED FROM EXECUTIVES. FORM 990, PART VI, SECTION B, LINE 15 TOP EXECUTIVES ARE EVALUATED BY AN OUTSIDE CONSULTANT ANNUALLY AND RECOMMENDATIONS ARE MADE BASED ON THAT DATA. THE CEO PROVIDES THAT INFORMATION TO THE COMPENSATION AND BENEFITS COMMITTEE OF THE BOARD WHO SETS HIS SALARY AND REVIEW THE CEO'S RECOMMENDATIONS FOR THE OTHER EXECUTIVES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO VIEW UPON WRITTEN REQUEST AT THE ADMINISTRATIVE OFFICE OF THE HOSPITAL DURING REGULAR BUSINESS HOURS. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: BOARD MEMBERS MAGDY GIURGIUS, M.D., PRISCILLA FRASE, M.D., CURTIS LEE HORSTMAN, M.D., SUSAN JOLLY, M.D. AND DENNIS ALBINO, M.D. RECEIVE COMPENSATION FOR THEIR ROLES AS PHYSICIANS. NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DUTIES AS A MEMBER OF THE BOARD OF DIRECTORS. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 9,007,227. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,007,227. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,330,485. MANAGEMENT AND GENERAL EXPENSES 1,331,782. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,662,267. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,727,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,727,156. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 2,099,371. MANAGEMENT AND GENERAL EXPENSES 403,658. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,503,029. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 5,529,594. MANAGEMENT AND GENERAL EXPENSES 3,393,662. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,923,256. CONSULTING FEES: PROGRAM SERVICE EXPENSES 967. MANAGEMENT AND GENERAL EXPENSES 372,663. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 373,630. OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,588. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,588. FORM 990, PART XI, LINE 9: EQUITY GAIN ON INVESTMENT 126,975. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART V, LINE 1A AS AN ADMINISTRATIVE CONVENIENCE, THE ORGANIZATION FILES FORMS 1099 ON BEHALF OF A RELATED ORGANIZATION, OZARKS MEDICAL CENTER FOUNDATION (FEIN 43-1834356). THE AMOUNT REPORTED ON PART V, LINE 1A INCLUDES 3 FORMS 1099 FILED ON BEHALF OF THE RELATED ORGANIZATION FOR THE YEAR ENDED DECEMBER 31, 2024. OZARKS MEDICAL CENTER FOUNDATION 12 PARKWAY CENTER WEST PLAINS MO 65775 431834356 SUPPORT OMC MO 501(C)(3) LINE 7 N/A 0 WEST PLAINS HEALTH SERVICES 1703 WEST EIGHTH STREET WEST PLAINS MO 65775 431329201 DURABLE MED EQUIP MO OZARKS MEDICAL CENTER C 1514809 2051903 1.00000 1 0 0 1 1 0 0 0 0 0 1 1 0 1 0 1 0 1 0 0 OZARKS MEDICAL CENTER FOUNDATION C 157596 FMV