2023-09-18T09:53:23-05:00 2023-03-31 430352985 KERBER ECK & BRAECKEL LLP 3401 OFFICE PARK DRIVE MARION IL 62959 990 2022-04-01 371041283 CHRISTOPHER RURAL HEALTH PLANNING CORPORATION CHRI 6187242436 PO BOX 155 CHRISTOPHER IL 62822 KIMBERLY MITROKA CEO 6187242436 2023-09-12 1 KIMBERLY MITROKA 999009999 0 AMBER HALSTEAD P01343727 6189938724 2023-09-12 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KIMBERLY MITROKA PO BOX 155 CHRISTOPHER IL 62822 37264127 0 X WWW.CRHPC.ORG X 1977 IL TO PLAN, PROMOTE AND DEVELOP A PRIMARY HEALTH CARE SYSTEM FOR THE MEDICALLY UNDERSERVED POPULATION IN RURAL AREAS AND TO PROVIDE ACCESSIBLE, COMPREHENSIVE, QUALITY HEALTHCARE TO ALL THE PEOPLE WITHIN THE COMMUNITY. 10 10 407 0 0 0 12444882 9415018 26601994 27738382 562264 -87489 138582 156736 39747722 37222647 0 0 0 0 22402980 24344978 0 0 0 9104192 10082860 31507172 34427838 8240550 2794809 42014266 44640569 7768278 8000468 34245988 36640101 TO PLAN, PROMOTE AND DEVELOP A PRIMARY HEALTH CARE SYSTEM FOR THE MEDICALLY UNDERSERVED POPULATION IN RURAL AREAS AND TO PROVIDE ACCESSIBLE, COMPREHENSIVE, QUALITY HEALTHCARE TO ALL THE PEOPLE WITHIN THE COMMUNITY. 0 0 26485469 27738382 FEDERALLY QUALIFIED RURUAL HEALTH CLINIC - PROVIDES QUALITY PRIMARY HEALTHCARE, DENTAL SERVICES AND PHARMACY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY TO UNDERSERVED RURAL COMMUNITIES. CHARITY CARE WAS PROVIDED AT THE COST OF $1,412,377. 26485469 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 55 0 1 407 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X KIM MITROKA 6187242436 PO BOX 155 CHRISTOPHER IL 62822 DOROTHY DEANGELO BOARD CHAIRMAN 2.00 X 0 0 0 MARIAN SMITH-FURLOW DIRECTOR 2.00 X 0 0 0 RICHARD SCHABLOWSKY DIRECTOR 2.00 X 0 0 0 GERALD HEARRING DIRECTOR 2.00 X 0 0 0 PAUL CRUZ DIRECTOR 2.00 X 0 0 0 LISA HOPKINS DIRECTOR 2.00 X 0 0 0 GARY KELLY VICE CHAIRMAN 2.00 X 0 0 0 TOM KONOPASEK DIRECTOR 2.00 X 0 0 0 RUTH STANFORD DIRECTOR 2.00 X 0 0 0 JOHN HOSSELTON SECRETARY/TREASURER 2.00 X 0 0 0 SALLY CESAR COO 40.00 X 120057 0 3313 BRANNON JOHNSON CFO 40.00 X 192995 0 12117 KIMBERLY MITROKA CEO 40.00 X 300798 0 23238 MICHAEL BLAIN PHYSICIAN 32.00 X 318940 0 25097 BENJAMIN RATHERT PHYSICIAN 32.00 X 365582 0 16143 STEVEN MITCHELL PHYSICIAN 32.00 X 367654 0 24697 DAVID DELOSO PHYSICIAN 32.00 X 365832 0 25295 MICHELLE JENKINS PHYSICIAN 32.00 X 309943 0 30334 2341801 0 160234 47 0 1 0 OFFICE MANAGEMENT SERVICES 1709 HARRISON ST SUITE A MT VERNON IL 62864 OFFICE 464345 E-CLINICAL WORKS LLC PO BOX 847950 BOSTON MA 02284 CLINIC SOFTWARE 434632 GROWING MEDIA 1051 SOUTH WALL ST SUITE 8 CARBONDALE IL 62901 MARKETING 400374 J&S INVESTMENTS PO BOX 581 FAIRFIELD IL 62837 RENTOR 236141 CPI TELECOM CPI TECHNOLOGIES LLC 6949 VISTA DRIVE WEST DES MOINES IA 50266 TELECOMMUNICATIONS 211130 6 9415018 9415018 PATIENT SERVICE REVENUE 621400 27738382 27738382 27738382 -46009 -46009 11340 0 11340 11340 11340 41480 -41480 -41480 -41480 MISCELLANEOUS REVENUES 145396 145396 145396 37222647 27738382 0 69247 652518 652518 19673228 16553479 3119749 330220 260650 69570 2311276 1794400 516876 1377736 1110703 267033 22282 22282 53000 53000 419849 378180 41669 461933 461933 3982058 3804564 177494 1149040 1041421 107619 135874 30032 105842 30402 2526 27876 180590 180590 915744 587415 328329 116669 64351 52318 DATA PROCESSING 739161 14703 724458 CONTRACTUAL 697833 4339 693494 ADMIN FEES 543571 543546 25 MINOR EQUIPMENT 291104 208496 82608 343750 86664 257086 34427838 26485469 7942369 0 7518121 9259860 5250385 3586730 3430373 4174248 18721 15990 500149 745095 127862 310358 23035005 7263353 15196797 15771652 9947574 9407720 24284 1368916 42014266 44640569 2953581 2347072 3802357 3580563 1012340 2072833 7768278 8000468 X 34245988 36640101 34245988 36640101 42014266 44640569 2794809 -400696 0 X 0 1 X 1 1 1 X 3875775 4393618 6965947 12444882 9415018 37095240 3875775 4393618 6965947 12444882 9415018 37095240 37095240 366669 324358 327928 577184 -46009 1550130 90710 81078 135035 123662 145396 575881 39221251 0.94580 0.93280 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2018 AMOUNT: $ 90,710. 2019 AMOUNT: $ 81,078. 2020 AMOUNT: $ 135,035. 2021 AMOUNT: $ 123,662. 2022 AMOUNT: $ 145,396. SUPPLEMENTAL INFORMATION IN 2023, OTHER INCOME WAS $145,396 FROM MISCELLANEOUS SOURCES AND DERIVED WITHOUT PROFIT MOTIVE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 721324 721324 16904773 4596971 12307802 4304962 2666382 1638580 1103946 1103946 15771652 REFUNDABLE ADVANCE 774775 LEASE LIABILITIES 1298058 2072833 X 36821951 0 36821951 400696 400696 37222647 34427838 0 34427838 0 34427838 PART X, LINE 2: CHRISTOPHER RURAL HEALTH PLANNING CORPORATION IS A NOT-FOR-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER CODE SEC. 501(C)(3) FOR ACTIVITIES DIRECTLY RELATED TO ITS TAX-EXEMPT FUNCTIONS. UNRELATED BUSINESS INCOME IS SUBJECT TO INCOME TAX. THE CORPORATION HAS RECOGNIZED IN THE FINANCIAL STATEMENTS THE EFFECTS OF ALL TAX POSITIONS AND CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, CHANGES IN TAX LAW, AND NEW AUTHORITATIVE RULINGS. THE CORPORATION IS NOT AWARE OF ANY SIGNIFICANT CIRCUMSTANCES OR EVENTS THAT MAKE IT REASONABLY POSSIBLE THAT UNRECOGNIZED TAX BENEFITS MAY INCREASE OR DECREASE WITHIN 12 MONTHS OF THE STATEMENT OF FINANCIAL POSITION DATE. PENALTIES AND INTEREST ASSESSED BY TAXING AUTHORITIES ARE INCLUDED IN GENERAL AND ADMINISTRATIVE EXPENSES, IF APPLICABLE. THERE WERE NO INTEREST OR PENALTIES PAID DURING FISCAL YEARS 2023 AND 2022. X X X 0 0 0 0 0 0 0 0 0 STEVEN MITCHELL PHYSICIAN 291759 0 1094 0 74801 0 5000 0 19697 0 392351 0 0 0 DAVID DELOSO PHYSICIAN 222068 0 143764 0 0 0 3521 0 21774 0 391127 0 0 0 BENJAMIN RATHERT PHYSICIAN 247199 0 58170 0 60213 0 5000 0 11143 0 381725 0 0 0 MICHAEL BLAIN PHYSICIAN 210867 0 15661 0 92412 0 5000 0 20097 0 344037 0 0 0 MICHELLE JENKINS PHYSICIAN 229406 0 1660 0 78877 0 5000 0 25334 0 340277 0 0 0 KIMBERLY MITROKA CEO 245759 0 1344 0 53695 0 5000 0 18238 0 324036 0 0 0 BRANNON JOHNSON CFO 161805 0 1344 0 29846 0 3889 0 8228 0 205112 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AT A BOARD MEETING. THE BOARD REVIEWS THE RETURN BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATION REQUIRES THAT ALL DIRECTORS, OFFICERS, COMMITTEE MEMBERS, AND CANDIDATES FOR BOARD SEATS DISCLOSE IN WRITING, AND UPDATE THE WRITTEN DISCLOSURE IF CONDITIONS CHANGE, BUSINESS AND FAMILY RELATIONSHIPS WHICH WOULD CREATE A CONFLICT OF INTEREST AND, WHERE APPLICABLE, PROVIDE A STATEMENT SUGGESTING HOW SUCH CONFLICT COULD BE AVOIDED OR MITIGATED. IN ORDER TO FACILITATE SUCH FULL DISCLOSURE, THE CORPORATION REQUIRES DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS TO COMPLETE A DISCLOSURE FORM. COMPLETION OF A DISCLOSURE FORM DOES NOT RELIEVE INDIVIUALS OF THE OBLIGATION TO COMPLY WITH THESE STANDARDS OF CONDUCT WITH REGARD TO CONFLICTS THAT OCCUR AFTER THE FILING OF THE DISCLOSURE FORM. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A) COMPENSATION PROCESS FOR TOP OFFICIAL - THE BOARD OF DIRECTORS SETS THE CEO SALARY WITH A VOTE. SOURCES WHICH ARE USED AS A GUIDE INCLUDE THE ILLINOIS TRADE ASSOCIATION COMPENSATION SURVEY AND THE NATIONAL TRADE ASSOCIATION COMPENSATION SURVEY. LINE 15B) COMPENSATION PROCESS FOR OFFICERS - THE COMPANY CEO AND HR DIRECTOR MEET TO REVIEW COMPENSATION. SOURCES WHICH ARE USED AS A GUIDE INCLUDE THE ILLINOIS TRADE COMPENSATION SURVEY AND THE NATIONAL TRADE ASSOCIATION COMPENSATION SURVEY. THE CEO MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS WHO THEN SET THE CFO AND COO SALARIES BY A VOTE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH A FREEDOM OF INFORMATION ACT REQUEST. ADDITIONALLY, A SUMMARY OF THE FINANCIAL INFORMATION IS AVAILABLE ANNUALLY ON THE GUIDESTAR.ORG WEBSITE IN CONJUNCTION WITH ALL UNIFORM GUIDANCE AUDITS. THE ORGANIZATION MAINTAINS A WEBSITE (WWW.CRHPC.ORG) TO PROVIDE THE PUBLIC WITH INFORMATION ON ALL ASPECTS OF ITS OPERATIONS.