2025-11-10T14:55:15+00:00 2024-12-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-01-01 262522083 SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER SOUT 5734266738 1081 EAST 18TH STREET ROLLA MO 65401 ROBERT DAVIS CFO 5734266714 2025-11-10 true Krystal Creach P01248198 4178658701 2025-09-25 2024 2025-03-06 01:10:19Z FOUR RIVERS COMMUNITY HEALTH CENTER STUART H GIPSON 1081 EAST 18TH STREET ROLLA MO 65401 35861555 false X http://www.fourrivers.org/ X 2007 MO IN 2024, FRCHC PROVIDED PRIMARY HEALTHCARE, BEHAVIORAL HEALTH & DENTAL SERVICES TO ALMOST 23,000 UNIQUE PATIENTS IN PHELPS, DENT, PULASKI, MARIES, AND CRAWFORD COUNTIES. 11 11 275 11 0 4521414 4932781 25322216 30491572 290982 417752 19450 30134612 35861555 0 0 0 12759494 18895498 0 0 13362193 14524026 26121687 33419524 4012925 2442031 28908521 32159561 12796828 13433558 16111693 18726003 X THE MISSION OF FOUR RIVERS COMMUNITY HEALTH CENTER IS TO PROVIDE ACCESS TO HIGH-QUALITY, COMPASSIONATE, PATIENT-CENTERED HEALTHCARE TO EVERYONE REGARDLESS OF FINANCIAL, CULTURAL OR SOCIAL BARRIERS. true false 15934693 0 17980719 DENTAL: IN 2024, FRCHC PROVIDED DENTAL SERVICES ON THE SMILE MOBILE (MOBILE DENTAL UNIT) AS WELL AS FROM OUR VARIOUS DENTAL CLINICS. SERVING 15,730 UNIQUE PATIENTS (UP ~798 FROM 2023), WITH A TOTAL ATTENDED PATIENT APPOINTMENTS OF 35,112. 10.44 FTE DENTISTS WERE SERVING OUR PATIENTS (1 ON SMILE MOBILE + 9.44 IN CLINIC) AND 4.29 FTE DENTAL HYGIENISTS. THERE WERE NO VIRTUAL VISITS WERE PERFORMED BY OUR DENTIST IN 2024. 10764103 0 12146221 CLINIC: IN 2024, FOUR RIVERS COMMUNITY HEALTH CENTER SERVED 9,750 UNIQUE PRIMARY CARE PATIENTS WITH 30,163 ATTENDED APPOINTMENTS IN THE CLINIC. FRCHC UTILIZED 5.67 FTE FAMILY NURSE PRACTITIONERS, 5.05 FTE FAMILY MEDICINE DOCTORS, 1 FTE PHYSICIAN ASSISTANT, 1.48 FTE CLINICAL PHARMACIST, 1.79 FTE LICENSED CLINICAL SOCIAL WORKER, AND 2.90 FTE COMMUNITY OUTREACH SPECIALISTS TO PROVIDE 504 PATIENTS WITH SUD SERVICES. 323141 0 364632 BEHAVIORAL: IN 2024, FRCHC CONTINUED USE OF AN INTEGRATED HEALTHCARE TEAM TO PROVIDED 321 UNIQUE PATIENTS WITH ACCESS TO BEHAVIORAL HEALTH SERVICES. PATIENTS ATTENDED A TOTAL OF 695 APPOINTMENTS. 27021937 true true false false false false false false false false true false false true true false true false false false false false false false false false false false false true false false false false false false false false false false true false false false false false false false false false true 9 0 true 275 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 false false true true true true true true false false false X STUART H GIPSON 5734266714 1081 EAST 18TH STREET ROLLA MO 65401 CHRIS HOLLIDAY TREASURER 2.0 0.0 X X 0 0 0 DAVID DUNCAN VICE CHAIR 2.0 0.0 X X 0 0 0 JOSEPHINE WALTMAN PRESIDENT 2.0 0.0 X X 0 0 0 MATT KOYLU SECRETARY 2.0 0.0 X X 0 0 0 ANGIE NAPPIER BOARD MEMBER 2.0 0.0 X 0 0 0 DEBORAH FROST BOARD MEMBER 2.0 0.0 X 0 0 0 DON PAYNE BOARD MEMBER 2.0 0.0 X 0 0 0 GINNY PHERIGO BOARD MEMBER 2.0 0.0 X 0 0 0 JANE VICTOR BOARD MEMBER 2.0 0.0 X 0 0 0 LAWRENCE WEST BOARD MEMBER 2.0 0.0 X 0 0 0 STEPHANIE MARTENSEN BOARD MEMBER 2.0 0.0 X 0 0 0 KASSANDRA TROUTT COO 40.0 0.0 X 112443 0 8620 ROBERT DAVIS JR CFO 40.0 0.0 X 143411 0 33471 STUART GIPSON CEO 40.0 0.0 X 291363 0 54551 CHLOE STUCK DENTAL DIRECTOR 40.0 0.0 X 307384 0 56345 MATTHEW PORTER MEDICAL DIRECTOR 40.0 0.0 X 301500 0 53016 ROBERT BLAIR ORAL SURGEON 40.0 0.0 X 1344950 0 372156 AILENE KANG DENTIST 40.0 0.0 X 293542 0 42660 AMBROSE OBHADE DENTIST 40.0 0.0 X 337535 0 21585 ANGELA BROOKS PHARMACIST 40.0 0.0 X 174521 0 28553 BLAKE ROST DENTIST 40.0 0.0 X 198894 0 53832 DAVID DUMBACH DENTIST 40.0 0.0 X 308451 0 61289 3813994 0 786078 30 false true false RD WILKERSON BMD PC 414 WEST JAMES BLVD ST JAMES MO 65559 DENTAL SERVICES 3711881 CAHILL CONSTRUCTION INC 604 S PARK SALEM MO 65560 CONSTRUCTION 1028040 PEDIATRIC DENTISRY OF THE OZARKS 206 S BISHOP AVENUE UNIT A ROLLA MO 65401 PEDIATRIC DENTISTRY 985621 BUILDTEC CONSTRUCTION LLC PO BOX 355 ST JAMES MO 65559 CONSTRUCTION 455564 MIKE HALL BUILDERS LLC 765 WEST LIONS CLUB DRIVE ROLLA MO 65401 CONSTRUCTION SERVICES 329503 8 0 0 0 3393178 1539603 226844 4932781 NET PATIENT SERVICE REVENUE 621400 23968745 23968745 PHARMACY REVENUE 446110 6242481 6242481 OTHER REVENUE 621400 280346 280346 0 0 0 0 30491572 417752 417752 19450 19450 0 19450 19450 0 0 0 0 0 0 0 0 35861555 30491572 0 437202 X 3079210 2363527 715683 12577303 11715237 862066 306497 210077 96420 1934938 1219565 715373 997550 672284 325266 145438 145438 278603 278603 6417114 4976670 1440444 0 138344 107290 31054 1194567 926423 268144 704611 546448 158163 162989 126403 36586 101419 78654 22765 132455 102723 29732 55823 55823 1098561 118307 980254 189573 147020 42553 MEDICAL SUPPLIES & DRUGS 3043744 3043744 REPAIRS AND MAINTENANCE 393360 305063 88297 Recruiting and Retention 304848 236419 68429 Licenses, Dues & Subscriptions 162577 126083 36494 0 0 0 0 33419524 27021937 6397587 0 8619 708502 10995181 8222915 240029 642328 1802251 2349160 0 0 0 0 104656 107583 16627062 2846005 12450345 13781057 2741517 4216781 0 0 19167 565923 2112068 28908521 32159561 1163512 2675443 51300 0 0 3367835 3248884 8265481 7457931 12796828 13433558 X 15898798 18283252 212895 442751 16111693 18726003 28908521 32159561 2442031 252757 -80478 0 X false true true true true X 4017968 4731263 7391194 4521414 4932781 25594620 0 0 4017968 4731263 7391194 4521414 4932781 25594620 1257070 24337550 301 300 98629 292898 437202 829330 0 0 0 0 0 0 0 26423950 89821128 0.92104 0.92881 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 211606 211606 9755570 957634 8797936 1924630 815906 1108724 2987294 1072465 1914829 1747962 0 1747962 13781057 EST AMOUNT DUE FROM 3RD PARTY 1045000 OTHER RECEIVABLES 90062 ROU ASSET 277006 EST THIRD PARTY SETTLEMENT 700000 2112068 Federal Income Taxes EST AMOUNT DUE TO 3RD PARTY 7180000 LEASE LIABILITY 277931 7457931 35884456 252757 189589 442346 35442110 419445 419445 35861555 33419524 0 0 33419524 0 0 33419524 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTIONS - 189589 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED CONTRIBUTIONS - 419445 X X X false false false false false false false true false STUART GIPSON CEO 263863 0 27500 0 0 0 10319 0 44232 0 345914 0 0 0 ROBERT DAVIS JR CFO 141411 0 2000 0 0 0 4822 0 28649 0 176882 0 0 0 ROBERT BLAIR ORAL SURGEON 832239 0 512711 0 0 0 341656 0 30500 0 1717106 0 0 0 MATTHEW PORTER MEDICAL DIRECTOR 297000 0 4500 0 0 0 11423 0 41593 0 354516 0 0 0 CHLOE STUCK DENTAL DIRECTOR 259435 0 47949 0 0 0 10615 0 45730 0 363729 0 0 0 DAVID DUMBACH DENTIST 254435 0 54016 0 0 0 10231 0 51058 0 369740 0 0 0 AILENE KANG DENTIST 250506 0 43036 0 0 0 9292 0 33368 0 336202 0 0 0 AMBROSE OBHADE DENTIST 258173 0 79362 0 0 0 4992 0 16593 0 359120 0 0 0 ANGELA BROOKS PHARMACIST 166521 0 8000 0 0 0 6096 0 22457 0 203074 0 0 0 BLAKE ROST DENTIST 184840 0 14054 0 0 0 7763 0 46069 0 252726 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments FOUR RIVERS COMMUNITY HEALTH CENTER PROVIDES PRODUCTIVITY BONUSES BASED UPON SPECIFIC, MONTHLY PRODUCTION CRITERIA. DENTAL PRODUCTIVITY BONUSES ARE BASED UPON A COMBINATION OF TOTAL BILLED CHARGES, DAYS WORKED, AND THE NUMBER OF VISITS. DR. BLAIR RECEIVED A BONUS THIS YEAR THAT INCLUDED AN ADDITIONAL PAYMENT DUE TO A RE-CALCULATION OF INCENTIVE PAYMENTS. A PAYMENT OF $327,856 WAS MADE IN CALENDAR YEAR 2024 AND INCLUDED IN SCHEDULE J, PART II, COLUMN B(II). THE DEFERRED AMOUNT OF $327,856 IS INCLUDED AS DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN (C). 5 226844 Other - FMV 0 false true false Schedule M, Part I, Line 20 NUMBER OF CONTRIBUTIONS THE NUMBERS ENTERED IN COLUMN B REPRESENT THE NUMBER OF DONORS WHO CONTRIBUTED THESE ITEMS DURING THE YEAR. Form 990, Part III, Line 2 New program services FOUR RIVERS COMMUNITY HEALTH CENTERS OPENED A NEW IN-HOUSE PHARMACY PROGRAM IN DECEMBER 2024, WHICH SERVED FOUR RIVERS EMPLOYEES AND PATIENTS. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS AS MAY BE NECESSARY AND APPROPRIATE FOR THE OPERATION OF THE HEALTH CENTER BETWEEN REGULAR OR SPECIAL MEETINGS OF THE FULL BOARD. THE EXECUTIVE COMMITTEE SHALL BE AUTHORIZED TO ACT ON BEHALF OF THE BOARD, CONSISTENT WITH ESTABLISHED BOARD POLICIES AND DIRECTION, AT ANY SUCH MEETINGS HELD BY THE EXECUTIVE COMMITTEE IN ALL RESPECTS, WITH THE EXCEPTION OF THE FOLLOWING AREAS OF AUTHORITY WHICH REQUIRE THE ACTION OF THE FULL BOARD: THE HIRING AND TERMINATION OF THE EXECUTIVE DIRECTOR; THE DISSOLUTION OF THE CORPORATION; THE ACQUISITION OR DISPOSITION OF REAL PROPERTY; APPROVAL OR AMENDMENT TO THE BUDGET; AND THE EXECUTION OF LOANS OR INCURRENCE OF INDEBTEDNESS AS REFERENCED IN ARTICLE IX, SECTION 1. THE EXECUTIVE COMMITTEE SHALL REPORT ITS ACTIONS AT THE NEXT MEETING OF THE FULL BOARD. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 FULL BOARD OF DIRECTORS REVIEWS THE PUBLIC DISCLOSURE COPY OF THE FORM 990 AT THE BOARD MEETING BEFORE FILING. THE PUBLIC DISCLOSURE COPY DOES NOT LIST THE NAMES OR ADDRESSES OF THE DONORS TO RESPECT THE CONFIDENTIALITY OF THE DONORS. Form 990, Part VI, Line 12c Conflict of interest policy FOUR RIVERS COMMUNITY HEALTH CENTER REQUIRES FULL DISCLOSURE IN WRITING BY ANY INTERESTED PARTIES TO THE FULL BOARD OF DIRECTORS IN ALL CONFLICTS OF INTEREST, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: - A BOARD MEMBER IS RELATED TO ANOTHER BOARD MEMBER OR STAFF MEMBER BY BLOOD, MARRIAGE OR DOMESTIC PARTNERSHIP. -A STAFF MEMBER IN A SUPERVISORY CAPACITY IS RELATED TO ANOTHER STAFF MEMBER WHOM SHE/HE SUPERVISES. - A BOARD MEMBER OR THEIR ORGANIZATION STANDS TO BENEFIT FROM A TRANSACTION OR STAFF MEMBER OF SUCH ORGANIZATION RECEIVES PAYMENT FROM FOUR RIVERS COMMUNITY HEALTH CENTER FOR ANY SUBCONTRACT, GOODS, OR SERVICES OTHER THAN AS PART OF HER/HIS REGULAR JOB RESPONSIBILITIES OR AS REIMBURSEMENT FOR REASONABLE EXPENSES INCURRED AS PROVIDED IN THE BYLAWS AND BOARD POLICY. - A BOARD MEMBER'S ORGANIZATION RECEIVES GRANT FUNDING FROM FOUR RIVERS. COMMUNITY HEALTH CENTER. -A BOARD MEMBER OR STAFF MEMBER IS A MEMBER OF THE GOVERNING BODY OF A CONTRIBUTOR TO FOUR RIVERS COMMUNITY HEALTH CENTER. -A VOLUNTEER WORKING ON BEHALF OF FOUR RIVERS COMMUNITY HEALTH CENTER WHO MEETS ANY OF THE SITUATIONS OR CRITERIA LISTED ABOVE. FOLLOWING FULL DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST OR ANY CONDITION LISTED ABOVE, THE BOARD SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO, THE BOARD SHALL VOTE TO AUTHORIZE OR REJECT THE TRANSACTION OR TAKE ANY OTHER ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT AND PROTECT THE PARTNERSHIP'S BEST INTERESTS. BOTH VOTES SHALL BE BY A MAJORITY VOTE WITHOUT COUNTING THE VOTE OF ANY INTERESTED DIRECTOR, EVEN IF THE DISINTERESTED DIRECTORS ARE LESS THAN A QUORUM PROVIDED THAT AT LEAST ONE CONSENTING DIRECTOR IS DISINTERESTED. A BOARD MEMBER OR COMMITTEE MEMBER WHO IS FORMALLY CONSIDERING EMPLOYMENT WITH FOUR RIVERS COMMUNITY HEALTH CENTER MUST TAKE A TEMPORARY LEAVE OF ABSENCE UNTIL THE POSITION IS FILLED. SUCH A LEAVE WILL BE TAKEN WITHIN THE BOARD MEMBER'S ELECTED TERM, WHICH WILL NOT BE EXTENDED BECAUSE OF THE LEAVE. A BOARD MEMBER OR COMMITTEE MEMBER WHO IS FORMALLY CONSIDERING EMPLOYMENT WITH FOUR RIVERS COMMUNITY HEALTH CENTER MUST SUBMIT A WRITTEN REQUEST FOR A TEMPORARY LEAVE OF ABSENCE TO THE SECRETARY OF THE BOARD INDICATING THE TIME PERIOD OF THE LEAVE. THE SECRETARY OF FOUR RIVERS COMMUNITY HEALTH CENTER WILL INFORM THE CHAIR OF THE BOARD OF SUCH A REQUEST. THE CHAIR WILL BRING THE REQUEST TO THE BOARD FOR ACTION. THE REQUEST AND ANY ACTION TAKEN SHALL BE REFLECTED IN THE OFFICIAL MINUTES OF THE BOARD MEETING. AN INTERESTED BOARD MEMBER, OFFICER, OR STAFF MEMBER SHALL NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE OF THE BOARD OR OF ANY COMMITTEE OR SUBCOMMITTEE THEREOF IN WHICH THE SUBJECT OF DISCUSSION IS A CONTRACT, TRANSACTION, OR SITUATION IN WHICH THERE MAY BE A PERCEIVED OR ACTUAL CONFLICT OF INTEREST. HOWEVER, THEY MAY BE PRESENT TO PROVIDE CLARIFYING INFORMATION IN SUCH A DISCUSSION OR DEBATE UNLESS OBJECTED TO BY ANY PRESENT BOARD OR COMMITTEE MEMBER. ANYONE IN A POSITION TO MAKE DECISIONS ABOUT SPENDING THE PARTNERSHIP'S RESOURCES (I.E., TRANSACTIONS SUCH AS PURCHASES CONTRACTS)-WHO ALSO STANDS TO BENEFIT FROM THAT DECISION-HAS A DUTY TO DISCLOSE THAT CONFLICT AS SOON AS IT ARISES (OR BECOMES APPARENT); S/HE SHOULD NOT PARTICIPATE IN ANY FINAL DECISIONS. A COPY OF THIS POLICY SHALL BE GIVEN TO ALL BOARD MEMBERS, STAFF MEMBERS, VOLUNTEERS OR OTHER KEY STAKEHOLDERS UPON COMMENCEMENT OF SUCH PERSON'S RELATIONSHIP WITH FOUR RIVERS COMMUNITY HEALTH CENTER OR AT THE OFFICIAL ADOPTION OF STATED POLICY. EACH BOARD MEMBER, OFFICER, STAFF MEMBER AND VOLUNTEER SHALL SIGN AND DATE THE POLICY AT THE BEGINNING OF HER/HIS TERM OF SERVICE OR EMPLOYMENT AND EACH YEAR THEREAFTER. FAILURE TO SIGN DOES NOT NULLIFY THE POLICY. THIS POLICY AND DISCLOSURE FORM MUST BE FILED ANNUALLY BY ALL SPECIFIED PARTIES. Form 990, Part VI, Line 15a Process to establish compensation of top management official FOUR RIVERS COMMUNITY HEALTH CENTER USES MPCA DATA FOR COMPARISON WHEN DETERMINING COMPENSATION FOR THE CEO. THE COMPENSATION IS THEN REVIEWED BY THE BOARD. Form 990, Part VI, Line 19 Required documents available to the public FOUR RIVERS COMMUNITY HEALTH CENTER MAKES ITS CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees DENTAL SERVICES - Total Expense: 4777907, Program Service Expense: 3705415, Management and General Expenses: 1072492, Fundraising Expenses: ; 340B SERVICES - Total Expense: 1249766, Program Service Expense: 969232, Management and General Expenses: 280534, Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 380151, Program Service Expense: 294819, Management and General Expenses: 85332, Fundraising Expenses: ; CONSULTING - Total Expense: 9290, Program Service Expense: 7204, Management and General Expenses: 2086, Fundraising Expenses: ;