BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC (EIN 81-0432169)
- Tax period
- 2017-02-01 to 2018-01-31
- Filed
- 2018-06-11
- IRS object ID
- 201821629349301112
- Schema version
- 2017v2.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-06-11T16:09:50-05:00 | ReturnTs |
| Tax Period End | 2018-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 810385940 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSON ZURMUEHLEN & CO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 748 | AddressLine1Txt |
| City | BUTTE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59703 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810432169 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUTTE SILVER BOW PRIMARY HEALTH CARE | BusinessNameLine1Txt |
| Business Name Line2 | CLINIC INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BUTT | BusinessNameControlTxt |
| Phone | 4067234075 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 CENTENNIAL AVE | AddressLine1Txt |
| City | BUTTE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER MALONE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4067234075 | PhoneNum |
| Signature | 2018-06-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANNETTE P HILL | PreparerPersonNm |
| PTIN | P00102055 | PTIN |
| Phone | 4067820451 | PhoneNum |
| Preparation | 2018-05-31 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHWEST MONTANA COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNIFER MALONE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 CENTENNIAL AVENUE | AddressLine1Txt |
| City | BUTTE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,275,794 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SWMTCHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | SERVICES OF PHYSICIANS, DENTISTS, HYGIENISTS, MID-LEVEL PROVIDERS, MENTAL HEALTH THERAPISTS, AND PHARMACISTS; DIAGNOSTIC LABORATORY AND RADIOLOGY SERVICES; PREVENTATIVE AND PRIMARY HEALTH AND DENTAL SERVICES; PHARMACEUTICAL SERVICES; BEHAVIORAL HEALTH SERVICES; TRANSPORTATION SERVICES AS REQUIRED FOR ADEQUATE PATIENT CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 169 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,761,795 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,980,248 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,932,334 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,250,040 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,082 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,866 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $13,708,211 | PYTotalRevenueAmt |
| CY Total Revenue | $15,244,154 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,360,043 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,005,236 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $7,695 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,164,400 | PYOtherExpensesAmt |
| CY Other Expenses | $6,195,719 | CYOtherExpensesAmt |
| PY Total Expenses | $12,524,443 | PYTotalExpensesAmt |
| CY Total Expenses | $14,200,955 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,183,768 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,043,199 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,067,151 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,930,956 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,666,370 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,452,471 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,400,781 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,478,485 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE COMMUNITY HEALTH CENTER IS GUIDED BY THE CONVICTION THAT EVERY PERSON, REGARDLESS OF RACE, AGE, SEX, OR INCOME HAS THE RIGHT TO RECEIVE QUALITY HEALTH CARE IN A SUPPORTIVE ATMOSPHERE. FURTHER, WE BELIEVE THAT IT IS ESSENTIAL THAT EVERYONE HAVE THE OPPORTUNITY TO MAINTAIN A STATE OF POSITIVE HEALTH AND HAVE THE PROFESSIONAL HELP REQUIRED TO MAINTAIN THEIR WELLNESS THROUGH PREVENTION, EDUCATION, AND COUNSELING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,580,925 | ExpenseAmt |
| Revenue | $11,250,040 | RevenueAmt |
| Desc | THE CLINIC PROVIDES INITIAL PRIMARY HEALTH SERVICES IN THE BUTTE-SILVER BOW COMMUNITY AND SURROUNDING AREA. THE CLINIC PROVIDES SERVICES AT THREE LOCATIONS IN SOUTHWEST MONTANA: BUTTE, DILLON, AND SHERIDAN. | Desc |
| Total Program Service Expenses | $12,580,925 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 169 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DON FOLEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4067234075 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 CENTENNIAL AVENUE | AddressLine1Txt |
| City | BUTTE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MARK ROSENLEAF | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRUCE SMITH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PERRY HAWBAKER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE HARPER | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANN FINCH-JOHNSTON | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JANELLE HANDLOS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOANIE CASSIDY | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GRETCHEN GELLER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PAT NOONAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMARA TODD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| AMY JO KIBLER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMMY HICKLIN-ESTABROOK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SARAH SEXTON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE SKULETICH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DON FOLEY | ||||||||
| CFO | 40.00 | Yes (X) | $93,651 | $0 | $5,161 | |||
| JESSICA COTTON | ||||||||
| CEO | 40.00 | Yes (X) | $51,197 | $0 | $4,501 | |||
| JENNIFER MALONE | ||||||||
| CEO | 40.00 | Yes (X) | $31,139 | $0 | $1,230 | |||
| SHAWNA YATES | ||||||||
| DIRECTOR OF OPERATIONS | 40.00 | $190,934 | $0 | $15,599 | Yes (X) | |||
| SERENA BREWER | ||||||||
| DOCTOR | 40.00 | $186,852 | $0 | $15,262 | Yes (X) | |||
| HAROLD BRUCE | ||||||||
| NURSE PRACTIONER | 40.00 | $174,056 | $0 | $14,968 | Yes (X) | |||
| CATHERINE WHITE | ||||||||
| DOCTOR | 40.00 | $218,424 | $0 | $16,273 | Yes (X) | |||
| LEONARD BLINDER | ||||||||
| DOCTOR | 40.00 | $154,862 | $0 | $10,616 | Yes (X) | |||
| MARIA BARTOLETTI | ||||||||
| DENTIST | 40.00 | $143,923 | $0 | $13,497 | Yes (X) | |||
| MARIO BARTOLETTI | ||||||||
| DENTIST | 40.00 | $126,100 | $0 | $7,716 | Yes (X) | |||
| TAMMY COX | ||||||||
| DIRECTOR OF PHARMACY SERVICES | 40.00 | $102,191 | $0 | $4,190 | Yes (X) | |||
| MEGAN EVANS | ||||||||
| DOCTOR | 40.00 | $103,403 | $0 | $12,246 | Yes (X) | |||
| SHAWN PATRICK | ||||||||
| DIRECTOR OF PHARMACY SERVICES | 40.00 | $118,054 | $0 | $12,483 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,694,786 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $133,742 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OCHIN INC | |||||
| 1881 SW NAITO PKWY | PORTLAND | OR | 97201 | ELECTRONIC HEALTH RECORD SERVICE | $274,365 |
| MARCOM LLC | |||||
| 130 N MAIN ST SUITE 280 | BUTTE | MT | 59701 | INFORMATION TECHNOLOGY AND CYBER SECURIT | $258,927 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,580,929 | GovernmentGrantsAmt |
| All Other Contributions | $399,319 | AllOtherContributionsAmt |
| Total Contributions | $3,980,248 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 621990 | $6,001,666 | $6,001,666 |
| PHARMACY REVENUE | 621990 | $5,219,147 | $5,219,147 |
| MISCELLANEOUS REVENUE | 621990 | $29,227 | $29,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,250,040 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,691 | TotalRevenueColumnAmt |
| Exclusion | $8,691 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $36,815 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,640 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,175 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,175 | TotalRevenueColumnAmt |
| Exclusion | $5,175 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,244,154 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,250,040 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,866 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,732,168 | TotalAmt |
| Program Services | $1,555,696 | ProgramServicesAmt |
| Management And General | $176,472 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,963,116 | TotalAmt |
| Program Services | $4,675,071 | ProgramServicesAmt |
| Management And General | $281,031 | ManagementAndGeneralAmt |
| Fundraising | $7,014 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,557 | TotalAmt |
| Program Services | $141,272 | ProgramServicesAmt |
| Management And General | $12,285 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $616,573 | TotalAmt |
| Program Services | $571,113 | ProgramServicesAmt |
| Management And General | $44,779 | ManagementAndGeneralAmt |
| Fundraising | $681 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $539,822 | TotalAmt |
| Program Services | $496,636 | ProgramServicesAmt |
| Management And General | $43,186 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,520 | TotalAmt |
| Program Services | $10,520 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,157 | TotalAmt |
| Program Services | $26,157 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $698 | TotalAmt |
| Management And General | $698 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $728,054 | TotalAmt |
| Program Services | $347,302 | ProgramServicesAmt |
| Management And General | $380,752 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,867 | TotalAmt |
| Program Services | $24,243 | ProgramServicesAmt |
| Management And General | $31,624 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,545 | TotalAmt |
| Program Services | $127,392 | ProgramServicesAmt |
| Management And General | $211,153 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,245 | TotalAmt |
| Program Services | $72,354 | ProgramServicesAmt |
| Management And General | $33,891 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,728 | TotalAmt |
| Program Services | $1,101 | ProgramServicesAmt |
| Management And General | $17,627 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,320 | TotalAmt |
| Program Services | $17,968 | ProgramServicesAmt |
| Management And General | $4,352 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365,100 | TotalAmt |
| Program Services | $96,473 | ProgramServicesAmt |
| Management And General | $268,627 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $4,056,979 | $4,056,758 | $221 |
| BAD DEBT EXPENSE | $161,563 | $161,563 | |
| MISCELLANEOUS | $98,637 | $78,099 | $20,538 |
| REPAIRS AND MAINTENANCE | $57,386 | $27,205 | $30,181 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,920 | TotalAmt |
| Program Services | $94,002 | ProgramServicesAmt |
| Management And General | $54,918 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,200,955 | TotalAmt |
| Program Services | $12,580,925 | ProgramServicesAmt |
| Management And General | $1,612,335 | ManagementAndGeneralAmt |
| Fundraising | $7,695 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $904,191 | BOYAmt |
| EOY | $1,473,686 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,123,767 | BOYAmt |
| EOY | $2,534,024 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,022 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,057 | BOYAmt |
| EOY | $528,714 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $414,429 | BOYAmt |
| EOY | $478,492 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,393 | BOYAmt |
| EOY | $114,645 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,608,249 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,191,216 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,621,609 | BOYAmt |
| EOY | $2,417,033 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $344,683 | BOYAmt |
| EOY | $384,362 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,067,151 | BOYAmt |
| EOY | $7,930,956 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $870,564 | BOYAmt |
| EOY | $815,798 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,752 | BOYAmt |
| EOY | $115,501 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $711,054 | BOYAmt |
| EOY | $521,172 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,666,370 | BOYAmt |
| EOY | $1,452,471 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,388,978 | BOYAmt |
| EOY | $6,460,736 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,803 | BOYAmt |
| EOY | $17,749 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,400,781 | BOYAmt |
| EOY | $6,478,485 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,067,151 | BOYAmt |
| EOY | $7,930,956 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,043,199 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $34,505 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $122,579 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,260 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $241,609 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $293,765 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $399,319 | CurrentTaxYearAmt |
| Total | $1,079,532 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,781,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,107,221 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,032,562 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,738,211 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,669,406 | CurrentTaxYearAmt |
| Total | $62,329,218 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,904,397 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,129,481 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,274,171 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,031,976 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,068,725 | CurrentTaxYearAmt |
| Total | $63,408,750 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,260,885 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,423,708 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,589,579 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,699,889 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,820,048 | CurrentTaxYearAmt |
| Total | $12,794,109 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,260,885 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,423,708 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,589,579 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,699,889 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,820,048 | CurrentTaxYearAmt |
| Total | $12,794,109 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $50,614,641 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,397 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,579 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,049 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,717 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,691 | CurrentTaxYearAmt |
| Total | $42,433 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,397 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,579 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,049 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,717 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,691 | CurrentTaxYearAmt |
| Total | $42,433 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,909,794 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,135,060 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,286,220 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,042,693 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,077,416 | CurrentTaxYearAmt |
| Total | $63,451,183 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.79770 | PublicSupportCY509Pct |
| Public Support PY509 | 0.79410 | PublicSupportPY509Pct |
| Investment Income CY | 0.00070 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00070 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,000 | OtherCostOrOtherBasisAmt |
| Book Value | $39,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,932,520 | OtherCostOrOtherBasisAmt |
| Depreciation | $959,289 | DepreciationAmt |
| Book Value | $1,973,231 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,636,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,231,927 | DepreciationAmt |
| Book Value | $404,802 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,417,033 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $15,117,096 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $34,505 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$161,563 | OtherRevenueAmt |
| Revenue Not Reported | -$127,058 | RevenueNotReportedAmt |
| Revenue Subtotal | $15,244,154 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,244,154 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,039,392 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$161,563 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$161,563 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,200,955 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,200,955 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE COMMUNITY HEALTH CENTER IS A TAX EXEMPT ORGANIZATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A RESULT, NO PROVISION FOR INCOME TAX IS INCLUDED IN THE FINANCIAL STATEMENTS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS -161,563. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS -161,563. |
| FORM 990, SCHEDULE D, PART XI, LINE 2D AND PART XII, LINE 2D | THE PROVISION FOR BAD DEBTS IS PRESENTED UNDER REVENUE IN THE AUDITED FINANCIAL STATEMENTS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHAWNA YATES | ||||||||||||||
| DIRECTOR OF OPERATIONS | $190,934 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,599 | $0 | $206,533 | $0 | $0 | $0 |
| SERENA BREWER | ||||||||||||||
| DOCTOR | $186,852 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,262 | $0 | $202,114 | $0 | $0 | $0 |
| HAROLD BRUCE | ||||||||||||||
| NURSE PRACTIONER | $174,056 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,968 | $0 | $189,024 | $0 | $0 | $0 |
| CATHERINE WHITE | ||||||||||||||
| DOCTOR | $218,424 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,273 | $0 | $234,697 | $0 | $0 | $0 |
| LEONARD BLINDER | ||||||||||||||
| DOCTOR | $154,862 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,616 | $0 | $165,478 | $0 | $0 | $0 |
| MARIA BARTOLETTI | ||||||||||||||
| DENTIST | $143,923 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,497 | $0 | $157,420 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 WILL BE REVIEWED BY THE FULL BOARD AT ITS MONTHLY MEETING AND THE FULL BOARD WILL APPROVE THE 990 BEFORE SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS AND THE ORGANIZATION REVIEW THE CONFLICT OF INTEREST POLICY ON A MONTHLY BASIS AND INVESTIGATE ANY POSSIBLE CONFLICTS THAT MAY OCCUR. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FINANCE AND EXECUTIVE COMMITTEES REVIEW AND/OR CALCULATE COMPENSATION PACKAGES FOR THE CEO, COO, MEDICAL DIRECTOR AND OTHER TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES ANNUALLY. THE BOARD OF DIRECTORS THEN REVIEW AND APPROVE ANY COMPENSATION PACKAGES. CHC SETS SALARIES USING A COMMUNITY STANDARD (WHAT IS PAID TO OTHERS OF LIKE POSITION IN SW MONTANA AND WHAT IS PAID TO OTHER CHC PROVIDERS IN THE STATE AND REGION) FOR PROFESSIONALS, PHYSICIANS, PHARMACISTS, DENTISTS, EXECUTIVIES, AND MID-LEVEL PROVIDERS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAIABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |