2019-08-05T11:41:45-05:00 2018-12-31 430352985 KERBER ECK & BRAECKEL LLP 3200 ROBBINS RD SUITE 200A SPRINGFIELD IL 62704 990 2018-01-01 371067171 HENDERSON COUNTY RURAL HEALTH CENTER INC HEND 3098672734 P O BOX 198 OQUAWKA IL 61469 LORI SUTTON EXECUTIVE DIRECTOR 3098672734 2019-07-24 1 JOSHUA D SHUGART P01420935 2177890960 2019-07-24 50.234.166.214 2019-07-24 15:25:11 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6E79AD4D72D5696956193634B49D777D91EF8B4B 2018 2019-02-21 02:37:17Z EAGLEVIEW COMMUNITY HEALTH SYSTEM LORI SUTTON P O BOX 198 OQUAWKA IL 61469 3264258 0 X WWW.EAGLEVIEWHEALTH.ORG X 1978 IL TO PROVIDE MEDICAL AND DENTAL CARE TO UNDER AND UNINSURED PATIENTS. 9 9 59 0 0 0 1529804 1666914 1805817 1590525 845 591 18302 6228 3354768 3264258 0 0 0 0 2175667 2073980 0 0 360 1156362 1237151 3332029 3311131 22739 -46873 1977939 1921160 618262 608356 1359677 1312804 X THE ORGANIZATION IS COMMITTED TO: PROVIDE ACCESS TO QUALITY, COST-EFFECTIVE HEALTH AND ORAL (DENTAL) CARE TO THE COMMUNITY, ESPECIALLY WHERE THERE IS A SHORTAGE; THE DEVELOPMENT AND IMPLEMENTATION OF PROGRAMS WITHOUT REGARD TO AGE, RACE, NATIONALITY, GENDER, SEXUAL ORIENTATION, RELIGION, POLITICAL BELIEFS OR ABILITY TO PAY; THE BELIEF THAT ALL PEOPLE HAVE THE RIGHT TO QUALITY HEALTH CARE AND THAT SUCH ACCESS WILL IMPROVE THE HEALTH OF THE ENTIRE COMMUNITY. 0 0 2823323 1429973 FEDERALLY QUALIFIED HEALTH CENTER TO PROVIDE MEDICAL AND DENTAL CARE TO UNDER AND UNINSURED PATIENTS. 39468 166780 TO PROVIDE PRESCRIPTIONS TO PATIENTS OF THE HEALTH CENTER. 2862791 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 11 0 1 59 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X LINDA HOLMBERG DIRECTOR OF FINANCE 3098672202 PO BOX 198 OQUAWKA IL 61469 ANGIE HILL FORMER PRESIDENT 2.00 X X 0 0 0 KAREN COLE VICE-PRESIDENT/INTERIM PRESIDENT 2.00 X X 0 0 0 JILL COLLEY SECRETARY 2.00 X X 0 0 0 ANGELA MYERS TREASURER 2.00 X X 0 0 0 BRIAN STERETT DIRECTOR 1.00 X 0 0 0 RAY CAVANAUGH DIRECTOR 1.00 X 0 0 0 ELIZABETH SANNING DIRECTOR 1.00 X 0 0 0 NANCY HULL DIRECTOR 1.00 X 0 0 0 BOBBI TAPSCOTT DIRECTOR 1.00 X 0 0 0 SUSAN CAMPBELL FORMER DIRECTOR 1.00 X 0 0 0 DENNIS REAVES DIRECTOR 1.00 X 0 0 0 LORI SUTTON EXECUTIVE DIRECTOR 40.00 X 88375 0 2702 RICHARD MELKE CHIEF FINANCIAL OFFICER - FORMER 40.00 X 39014 0 1176 CRYSTAL SIMPSON DENTIST 40.00 X 156463 0 5057 JENNIFER REED PHYSICIAN 40.00 X 207533 0 6234 LAUREL WELTY NURSE PRACTIONER 40.00 X 102141 0 0 KRISTA KUKARANS DENTIST 40.00 X 101994 0 3060 695520 0 18229 4 0 1 0 BARTON ASSOCIATES 300 JUBILEE DRIVE PEABODY MA 01960 LOCUM TENEN 163801 1 1648415 18499 1666914 PATIENT MEDICAL & DENT 624110 1423745 1423745 PHARMACEUTICAL SALES 624110 166780 166780 1590525 591 591 MISCELLANEOUS REVENUE 624410 6228 6228 6228 3264258 1596753 0 591 129269 124098 5171 1714796 1711354 3442 85683 85319 364 144232 143618 614 66398 66398 13023 13023 58906 58906 14574 889 13685 33479 33479 20165 11236 8929 1940 110 1830 23119 23119 95877 79499 16378 39189 5391 33798 CONTRACTUAL SERVICES 308642 242366 66276 MEDICAL & PHARMACY SUPP 204836 204836 EHR EXPENSE 90723 90723 TELEPHONE 56043 32316 23727 210237 131036 78841 360 3311131 2862791 447980 360 68594 149738 35899 0 179401 179911 10833 0 3623597 2032086 1683212 1591511 1977939 1921160 240855 242497 377407 365859 618262 608356 X 1345927 1301979 13750 10825 1359677 1312804 1977939 1921160 -46873 0 X X 0 1 X 1 1 1 X 898133 1016183 1311827 1529804 1666914 6422861 898133 1016183 1311827 1529804 1666914 6422861 6422861 31547 42445 42529 16874 591 133986 2465 3320 23663 2273 6228 37949 6594796 8555331 0.97390 0.96820 X 2630 2630 2561117 1124178 1436939 1049712 907908 141804 10138 10138 1591511 X 3264258 0 3264258 0 3264258 3311131 0 3311131 0 3311131 PART X, LINE 2: THE ORGANIZATION 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 ORGANIZATION IS NOT AWARE OF ANY 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 THE PROVISION FOR INCOME TAXES, IF APPLICABLE. THERE WERE NO INTEREST OR PENALTIES PAID DURING 2018. 1 X X X 0 0 0 0 0 0 0 0 0 CRYSTAL SIMPSON DENTIST 156463 0 0 0 0 0 5057 0 0 0 161520 0 0 0 JENNIFER REED PHYSICIAN 207533 0 0 0 0 0 6234 0 0 0 213767 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION UTILIZED LONG VIEW CONSULTING, LLC AS A CONSULTANT. IN ITS CAPACITY AS A CONSULTANT, LONG VIEW CONSULTING, LLC PROVIDED FINANCIAL OVERSIGHT AND OTHER MANAGERIAL SERVICES ORDINARIY PERFORMED BY THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B ELECTRONIC FILE OF FORM 990 SENT TO DIRECTOR OF FINANCE AND EXECUTIVE DIRECTOR. MANAGEMENT FORWARDS FILE ON TO BOARD MEMBERS FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL REVIEW OF POLICY AT BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE TOP MANAGEMENT SALARY, THE NACHC SALARY SURVEY IS ANALYZED AND THE BOARD OF DIRECTORS VOTES ON THE CONTRACTED SALARY AMOUNT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C NO CHANGES IN PROCESS NOTED FROM PRIOR YEAR.