Community Benefit Insight - Tax-exempt hospital

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Ozarks Medical Center

Ozarks Medical Center

1100 Kentucky Avenue
West Plains, MO 65775

Bed count	120	Medicare provider number	260078	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 446005758

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

12.58%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 9,716,125 4.88 %
Medicaid as % of operating expenses	$ 14,371,360 7.22 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 118,826 0.06 %
Subsidized health services as % of operating expenses	$ 801,024 0.40 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 39,123 0.02 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 16,105,132 8.09 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 6,315,375 39.21 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 154555152 including grants of $ 120307) (Revenue $ 168158437)
INPATIENT AND OUTPATIENT SERVICES-INPATIENT ADMISSIONS WERE 5,438; TOTAL PATIENT DAYS WERE 20,259. THERE WERE 32,737 EMERGENCY DEPARTMENT VISITS, 2,921 OBSERVATION ADMISSIONS, AND 97,953 OTHER OUTPATIENT REGISTRATIONS FOR 2021. THE OBJECTIVE IS TO CONTINUE TO EXPAND IN SERVICES AND HEALTH CARE PROFESSIONALS THAT WILL PROVIDE THE SCOPE AND COVERAGE TO MEET THE NEEDS OF THE COMMUNITY MEMBERS AND OTHERS.

4B (Expenses $ 16132895 including grants of $ 0) (Revenue $ 17063795)
THE RURAL HEALTH AND SPECIALTY CLINICS, INCLUDING BEHAVIORAL HEALTH CLINIC PROGRAMS, PERFORMED 293,284 CLINIC ENCOUNTERS WITH PATIENTS DURING 2021. THE RURAL HEALTH AND SPECIALTY CLINICS MADE UP 144,459 OF THOSE ENCOUNTERS, WITH THE REMAINING 148,825 ENCOUNTERS BELONGING TO OTHER BEHAVIORAL HEALTHCARE CLINICS. BEHAVIORAL HEALTHCARE OFFERED SERVICES SUCH AS PSYCHOTHERAPY, PSYCHOLOGICAL TESTING, CASE MANAGEMENT, PSYCHO-SOCIAL REHABILITATION, MEDICATION MANAGEMENT/SERVICES, FAMILY ASSISTANCE, AND CRISIS STABILIZATION SERVICES.

4C (Expenses $ 2307542 including grants of $ 0) (Revenue $ 1863228)
OMC HOME CARE PROGRAMS SERVICED PATIENTS THROUGH 35,181 VISITS DURING 2021. 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.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

OZARKS MEDICAL CENTER
PART V, SECTION B, LINE 5: COMMUNITY INPUT:INTERVIEWS WITH 9 KEY STAKEHOLDERS WERE CONDUCTED ON AUGUST 6, 2019.INTERVIEWEES WERE DETERMINED BASED ON:A) THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTHB) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRYC) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONSKEY INFORMANTS FROM THE COMMUNITY WORKED FOR THE FOLLOWING TYPES OFORGANIZATIONS AND AGENCIES:- LOCAL SCHOOL SYSTEM AND COMMUNITY COLLEGE- LOCAL CITY AND COUNTY GOVERNMENT- COMMUNITY LEADERS- PUBLIC HEALTH AGENCIES- LAW ENFORCEMENT- MEDICAL PROVIDERSINFORMATION GATHERED WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUESOF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS AND THECOMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A WEIGHTINGMETHOD THAT WEIGHS:1) THE ABILITY TO EVALUATE AND MEASURE THE OUTCOMES AND DATA2) THE SIZE OF THE PROBLEM3) THE SERIOUSNESS OF THE PROBLEM4) THE PREVALENCE OF COMMON THEMES5) THE IMPACT OF THE ISSUE ON VULNERABLE POPULATIONS6) THE ALIGNMENT WITH THE MEDICAL CENTER'S GOALS AND RESOURCES

OZARKS MEDICAL CENTER
PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGY:THE MEDICAL CENTER ENGAGED A LEADERSHIP TEAM TO REVIEW THE HEALTH NEEDSAND PRIORITY AREAS WERE DETERMINED BASED ON ASSESSMENT OF THE QUALITATIVEAND QUANTITATIVE DATA. IDENTIFIED NEEDS WERE PRIORITIZED BASED ON THEFOLLOWING CRITERIA:1) HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE2) WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM3) WHAT IS THE IMPACT ON VULNERABLE POPULATIONS4) PREVALENCE OF COMMON THEMES5) ALIGNMENT WITH MEDICAL CENTER'S RESOURCESAS A RESULT OF THE ANALYSIS DESCRIBED ABOVE, THE FOLLOWING HEALTH NEEDSWERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY:-TO ADDRESS LEADING CAUSES OF DEATH/MOST PREVALENT HEALTH ISSUES IN THECOMMUNITY-TO ADDRESS ACCESS TO CARE

OZARKS MEDICAL CENTER
PART V, SECTION B, LINE 13B: ELIGIBILITY CRITERIA:13B) THE RELATIONSHIP OF INCOME TO CHARGE AMOUNTS EVEN WHEN INCOMEEXCEEDS FPG LIMITS.

OZARKS MEDICAL CENTER
PART V, SECTION B, LINE 13H: ELIGIBILITY CRITERIA:13H) WHEN SERVICES ARE MEDICALLY NECESSARY AND THERE IS AGREEANCE TOSCREENING FOR OTHER ASSISTANCE PROGRAMS AND PRIOR PAYMENT OBLIGATIONS ONPAST DISCOUNTED SERVICES WERE MET.

OZARKS MEDICAL CENTER
PART V, SECTION B, LINE 18E: BILLING AND COLLECTIONS:THE WRITTEN FINANCIAL ASSISTANCE POLICY EXPLAINS THAT THE ORGANIZATIONWILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR PAYMENT PROVIDEDTHAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH OMC'S FINANCIAL COUNSELORSEFFORTS TO GET PAYMENT FROM OTHER SOURCES OR OBTAIN INFORMATION FORCHARITY CARE DETERMINATION. THE FAP DOES NOT LIST ANY OF THE ITEMS LISTEDIN #18 OR #19.

SCHEDULE H, PART V, SECTION B, LINE 7A
THE ORGANIZATION'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/APP/FILES/PUBLIC/1B8A17C1-B1AA-4A19-AA9B-FF9CCE743EC4/2020-CHNA.PDF

SCHEDULE H, PART V, SECTION B, LINE 10A
THE ORGANIZATION'S 2020 IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.OZARKSHEALTHCARE.COM/APP/FILES/PUBLIC/FE42BD94-580D-4D2E-BA5F-2BEDD0D5D07F/COMMUNITY-HEALTH-IMPLEMENTATION-2020.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/1B61DE69-D925-46B3-973C-9C31D446CAA3/FINANCIAL-ASSIST-PROGRAM.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/BE692346-6A95-4D0E-A364-F6B4BE243C09/2020-FINANCIAL-APP.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/

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7:
PERCENT OF TOTAL EXPENSE:TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTALOPERATING 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 THECALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRSWORKSHEET 6 WAS COMPUTED FROM THE MEDICARE COST REPORT AND DEPARTMENTFINANCIAL STATEMENTS, USING SPECIFIC FINANCIAL DATA FOR EACH TYPE OFSUBSIDY.

PART I, LN 7 COL(F):
BAD DEBT EXPENSE FOOTNOTE:THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBESBAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBESPATIENT 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 ASU2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FORWHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROMTHE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROMTHE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUERECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIALSTATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2021. HOWEVER, THE HOSPITALINTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICESAND 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 WASDETERMINED USING THE MEDICARE COST REPORT.

PART III, LINE 8:
COMMUNITY BENEFIT:SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS ACOMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITYBENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNTREPORTED ON LINE 6, WHICH ONLY REFLECTS HOSPITAL FACILITY ACTIVITY ANDPAYMENTS FROM CMS AGENTS. WHEN SEQUESTRATION WITHHOLDINGS, COSTS ANDPAYMENTS FOR MEDICARE ADVANTAGE PLAN PATIENTS, AND PHYSICIAN AND CLINICSERVICES AND PAYMENTS ARE ALSO CONSIDERED, THE SHORTFALL BECOMESSIGNIFICANT.

PART III, LINE 9B:
COLLECTION POLICY:IF A PATIENT APPLIES FOR ASSISTANCE PROGRAMS, THE COLLECTIONS PROCESSCEASES UNTIL THERE IS A DETERMINATION OF WHETHER OR NOT THE PATIENTQUALIFIES FOR ASSISTANCE. PENDING FINAL ELIGIBILITY DETERMINATION, OMCWILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR PAYMENT PROVIDEDTHAT THE RESPONSIBLE PARTY IS COOPERATIVE WITH OMC'S FINANCIALCOUNSELORS' EFFORTS TO GET PAYMENT FROM OTHER SOURCES OR OBTAININFORMATION 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 CONGRESSIONALDISTRICT IN THE COUNTRY. THE LOCATION IS IN SOUTH CENTRAL MISSOURI WHICHIS A VERY RURAL AREA. WEST PLAINS IS A TOWN OF APPROXIMATELY 11,000PEOPLE AND THE LARGEST TOWN FOR APPROXIMATELY 50 MILES ACROSS THE STATELINE INTO ARKANSAS. THERE ARE MANY RETIRED INDIVIDUALS RESIDING IN THISAREA DUE TO THE MANY RIVERS AND LAKES SO A MAJORITY OF OUR PATIENTS AREMEDICARE OR MEDICAID RECIPIENTS. THE CLOSEST HOSPITAL WITH OUR RANGE OFSERVICES 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.

Operating expenses	$ 199,052,651
Total amount spent on community benefits as % of operating expenses	$ 25,046,458 12.58 %