Ozarks Healthcare

Legal name: Ozarks Medical Center

Nonprofit profile at a glance

EIN
446005758
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
West Plains, MO, USA
Phone
417.256.9111
Rating
82
Verdict
STRONG
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$261,442,966
Expenses
$276,305,365
Assets
$194,963,805
Liabilities
$104,600,286

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

28 people listed

Executive titles in this filing

  • THOMAS WILLIAM KELLER (CEO (TERM ENDED 9/24))
  • DAWN MELODY TRIMBLE (INTERIM CEO)

Highest reported compensation

  • TROY CARON (ORTHOPEDIC SPINE PHYSICIAN): $1,641,421 total reported compensation
  • LAURA MCKENZIE (ANESTHESIOLOGIST): $1,173,549 total reported compensation
  • ANTHONY CAMPBELL (GENERAL SURGEON): $1,039,905 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide exceptional, compassionate care to all we serve. The DAISY Award is a nationwide program that honors the exceptional clinical skill and compassionate care nurses provide every day. It was established by the DAISY Foundation in memory of J. Patrick Barnes, who passed away from complications of Idiopathic Thrombocytopenic Purpura (ITP). The care Barnes received from nurses during his illness inspired his family to create the foundation to honor extraordinary nursing professionals. Ozarks Healthcare would also like to thank FNBC for becoming the newest sponsor of its DAISY Award program. Their support helps ensure nurses like Nick continue to be recognized for their vital impact on patients’ lives. Members of the public, including patients, v.

What it reported doing in 2024

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.

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 81
  • Transparency & Controls: 90
  • Accountability: 81
  • Sustainability: 21
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 93.2%; rating input score 93
  • Program expense ratio: 87.6%; rating input score 88
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 66.7%; rating input score 67; 19th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -5.7%; rating input score 12; 12th percentile among comparable filings
  • Total-asset coverage ratio: 0.71; rating input score 28; 28th percentile among comparable filings
  • Liabilities to assets ratio: 0.54; rating input score 33; 33rd percentile among comparable filings
  • Officer compensation ratio: 3.9%; rating input score 27; 27th percentile among comparable filings

Growth

  • Program expense growth: 5.1% per year; rating input score 100; 41st percentile among comparable filings
  • Revenue growth: 4.2% per year; rating input score 100; 34th percentile among comparable filings
  • Asset growth: 7.2% per year; rating input score 100; 53rd percentile among comparable filings

Details

  • What they do: 7 programs and campaigns described on the official site
  • Where the money goes: 93.2% of revenue deployed · 87.6% of spending went to programs
  • Governance: 10 of 15 board members independent · 9 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $242M in reported program spending
  • Leadership: top reported pay $1.6M · 28 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $3.5M reported
  • Consistency: 33 of 33 current checks pass
  • Schedules: 10 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 16 filed money-flow records
  • Related organizations: 2 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Sustainability: Operating margin scored 12/100.
  • High — Sustainability: Total-asset coverage ratio scored 28/100.
  • High — Sustainability: Officer compensation ratio scored 27/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 33/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.