2020-11-04T14:03:35-08:00 2020-05-31 Terry Horne CPA Inc 732 West Main Street Lebanon TN 37087 990 2019-06-01 570672117 LITTLE RIVER MEDICAL CENTER INC LITT 8436638000 PO BOX 547 LITTLE RIVER SC 29566 PAMELA DAVIS CHIEF EXECUTIVE OFFICER 8436638000 2020-11-04 true Terry Horne CPA P00120946 6154447293 2020-11-04 2019 2022-09-23 18:48:47Z PAMELA DAVIS PO BOX 547 LITTLE RIVER SC 29566 33723742 false X N/A X 1978 SC THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 13 13 434 0 0 0 9506911 10474123 21710796 23208974 93375 40645 0 31311082 33723742 0 0 20631233 21685979 0 0 10504565 11604434 31135798 33290413 175284 433329 23353380 26530797 10922569 13535775 12430811 12995022 THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. false false 27984615 0 23208974 THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 123,300 VISITS WERE PROVIDED DURING THE YEAR. 27984615 true true false false false false false false false false true false false false false 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 false false false true false false false false true 31 0 true 434 true false false false false false false false false false false false false false false false X 13 13 false false false false false false false true true false false false true true true true true true true false SC X JENNIFER RICHARDSON 8436631013 4303 LIVE OAK DRIVE LITTLE RIVER SC 29566 HOWARD GARRISON BOARD MEMBER 1.00 X 0 0 0 MAURICE JONES BOARD MEMBER 1.00 X 0 0 0 KIMBERLEE MASSON BOARD MEMBER 1.00 X 0 0 0 WILLIE ANN HUCKS BOARD MEMBER 1.00 X 0 0 0 ELOUISE YOUNG-SMITH BOARD MEMBER 1.00 X 0 0 0 LUZ ELENA KUHLER BOARD MEMBER 1.00 X 0 0 0 CYNTHIA GAUSE BOARD MEMBER 1.00 X 0 0 0 JOAN VAITIS BOARD MEMBER 1.00 X 0 0 0 DANA BLACK BOARD MEMBER 1.00 X 0 0 0 LYNN KORNITA BOARD MEMBER 1.00 X 0 0 0 COLEEN RENEE KENNEDY BOARD MEMBER 1.00 X 0 0 0 JACK FIELDS BOARD MEMBER 1.00 X 0 0 0 GREGORY THOMPSON BOARD MEMBER 1.00 X 0 0 0 PAM DAVIS CHIEF EXECUTIVE OFFICER 40.00 X 245414 0 39538 CHARLES EASON CHIEF FINANCIAL OFFICER 40.00 X 182911 0 46256 KAREN CAGLE CHIEF OPERATIONAL OFFICER 40.00 X 125064 0 22742 MARK MANCINI CHIEF INFORMATION OFFICER 40.00 X 105986 0 60022 WILLIAM J O'CONNOR CHIEF MEDICAL OFFICER 40.00 X 250853 0 30913 MARK JANOSKY CHIEF DENTAL OFFICER 40.00 X 184187 0 23965 KRISTOPHER L CHIPLINSKI DIRECTOR OF PHARMACY 40.00 X 148962 0 41144 PEGGY BOURGUILLON PHYSICIAN 40.00 X 215764 0 17050 LUIS INSIGNARES PHYSICIAN 40.00 X 195727 0 43182 DANNY KASS PHYSICIAN 40.00 X 216699 0 5048 ROMEO NILLAS PHYSICIAN 40.00 X 206176 0 26087 ANTEO PASHAJ PHYSICIAN 40.00 X 216937 0 19692 2294680 0 375639 12 false true false CHARTSPAN MEDICAL TECHNOLOGIES INC PO BOX 3417 GREENVILLE SC 29602 CHRONIC CARE MANAGEMENT SERVICES 366926 GREENWAY HEALTH PO BOX 203658 DALLAS TX 75320 MEDICAL BILLING/CODING SERVICES 499989 ECLINICALWORKS LLC PO 847950 BOSTON MA 02284 CONTRACT BILLING SERVICES 211173 LABORATORY CORPORATION OF AMERICA HOLDINGS PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 127659 THE FISHER CONSULTING GROUP 18264 LAKE HARBOR LANE PRAIRIEVILLE LA 70769 CONTRACT BILLING/CONSULTING SERVICES 482312 7 9721442 752681 10474123 PATIENT FEES 621111 23208974 0 0 23208974 40645 0 40645 33723742 23208974 0 40645 1243377 584002 659375 0 16520722 14738936 1781786 0 383520 329827 53693 0 2322191 2007199 314992 0 1216169 1045905 170264 0 3131026 2504821 626205 0 5829881 4659104 1170777 0 919676 735741 183935 0 312445 249956 62489 0 890238 712190 178048 0 521168 416934 104234 0 33290413 27984615 5305798 0 142111 1070369 3756470 4308311 1589020 2548468 2542134 389166 356151 412132 577952 23354057 7347468 16059709 16006589 45324 80271 23353380 26530797 2627765 1600557 214029 544986 8080775 7809140 3581092 10922569 13535775 X 12388756 12857032 42055 137990 12430811 12995022 23353380 26530797 X 433329 34947 -1 95936 X X false true X true true true X 0 8307426 9586181 12171713 9506911 10474123 50046354 0 0 8307426 9586181 12171713 9506911 10474123 50046354 0 50046354 2375 2462 6643 93375 40645 145500 0 0 50191854 89724867 0.99710 0.99770 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2630438 2630438 15362381 3655988 11706393 5361238 3691480 1669758 16006589 33782689 34947 24000 58947 33723742 33723742 33314413 24000 24000 33290413 33290413 X X false false false false false false false false false PAM DAVIS 245414 0 0 0 0 0 10337 0 29201 0 284952 0 0 0 CHARLES EASON 182911 0 0 0 0 0 7468 0 38788 0 229167 0 0 0 MARK MANCINI 105986 0 0 0 0 0 4729 0 55293 0 166008 0 0 0 WILLIAM J O'CONNOR 250853 0 0 0 0 0 9905 0 21008 0 281766 0 0 0 MARK JANOSKY 184187 0 0 0 0 0 7372 0 16593 0 208152 0 0 0 KRISTOPHER L CHIPLINSKI 148962 0 0 0 0 0 6454 0 34690 0 190106 0 0 0 PEGGY BOURGUILLON 215764 0 0 0 0 0 5977 0 11073 0 232814 0 0 0 LUIS INSIGNARES 195727 0 0 0 0 0 8793 0 34389 0 238909 0 0 0 DANNY KASS 216699 0 0 0 0 0 3250 0 1798 0 221747 0 0 0 ROMEO NILLAS 206177 0 0 0 0 0 8310 0 17777 0 232264 0 0 0 ANTEO PASHAJ 216937 0 0 0 0 0 8742 0 10950 0 236629 0 0 0 Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY Pt VI, Line 19 AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. Pt VI, Line 11b THE FORM 990 IS PREPARED BY THE CENTER'S INDEPENDENT AUDITOR WITH REVIEW AND Pt VI, Line 11b INFORMATION PROVIDED BY THE CEO & CFO. A COPY OF THE FORM 990 WILL BE GIVEN Pt VI, Line 11b AND REVIEWED WITH THE BOARD AFTER COMPLETION AND SUBMISSION BY THE AUDITOR. Pt VI, Line 12c ANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND Pt VI, Line 12c REVIEWED THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM Pt VI, Line 12c ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN. Pt VI, Line 15a STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS Pt VI, Line 15b FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY Pt VI, Line 15b AND CEO SALARY INCREASES ARE BOARD APPROVED. Pt XII, Line 2c THE CEO & CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT. Pt XI PART XI LINE 9- CHANGE IN NET ASSETS DUE TO DECREASE IN TEMPORARILY Pt XI RESTRICTED NET ASSETS RELATED TO DONATED PHARMACEUTICALS. Pt XI INCREASE IN NET ASSETS DUE TO CHANGE IN TEMPORARILY RESTRICTED CASH. false false false false false false false false false false false false false false false false false false false