2016-09-23T13:48:24-05:00 2015-12-31 752966974 HALLS JOHNSON MCLEMORE & REDFIELD LLP 1329 N UNIVERSITY DRIVE STE A-3 NACOGDOCHES TX 75961 990 2015-01-01 432016287 MT ENTERPRISE COMMUNITY HEALTH CLINIC MTEN 9033928203 PO BOX 489 MT ENTERPRISE TX 75681 KENNETH WHITE CEO 9033928203 2016-09-20 1 TERRE MCLEMORE P00064380 9365648186 2015 2017-02-10 21:41:12Z KENNETH WHITE PO BOX 489 MT ENTERPRISE TX 75681 2920211 0 X N/A X 2003 TX TO PROVIDE PREVENTIVE, ACUTE, AND PRIMARY CARE TO THE LOCAL COMMUNITY 12 12 48 0 0 0 1346119 1828832 1136826 976073 -77960 0 438954 115306 2843939 2920211 0 0 0 0 1712408 1980011 0 0 0 1368573 990960 3080981 2970971 -237042 -50760 875316 841436 495543 512423 379773 329013 TO PROVIDE PREVENTIVE, ACUTE, AND PRIMARY CARE TO THE LOCAL COMMUNITY 0 0 2468596 1091379 PROVIDED PREVENTIVE, ACUTE, AND PRIMARY CARE TO THE LOCAL COMMUNITY 2468596 1 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 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 16 0 1 48 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X KENNETH WHITE 9033928203 PO BOX 489 MT ENTERPRISE TX 75681 JEAN WILLIAMS BOARD MEMBER 2.00 X 0 0 0 JOYCE YBARRA BOARD MEMBER 2.00 X 0 0 0 HARVEY GRAVES BOARD MEMBER 2.00 X 0 0 0 MAMIE HODGE BOARD MEMBER 2.00 X 0 0 0 MATT GHOLSON BOARD MEMBER 2.00 X 0 0 0 BECKY ELDRIDGE PRESIDENT 2.00 X 0 0 0 JOHN GRUBBS SECRETARY 2.00 X 0 0 0 LEO GONZALEZ VICE PRESIDENT 2.00 X 0 0 0 RD WHITTNER BOARD MEMBER 2.00 X 0 0 0 PATSY FOGLEMAN BOARD MEMBER 2.00 X 0 0 0 POLLY VARDEMAN BOARD MEMBER 2.00 X 0 0 0 TOM VAUGHT TREASURER 5.00 X 0 0 0 KENNETH WHITE CEO 40.00 X 79658 0 0 SHARAVANA GAJAPATHI KEY EMPLOYEE 40.00 X 159188 0 0 238846 0 0 5 0 1 0 0 1813832 15000 1828832 MEDICARE/MEDICAID PMTS 624100 937255 937255 MEDICAL SERVICE INCOME 624100 38818 38818 976073 IN-KIND DONATIONS 624110 109004 109004 OTHER REVENUES 624110 6302 6302 115306 2920211 1091379 0 0 777439 698631 78808 928937 908772 20165 273635 257217 16418 15119 15119 114401 32034 82367 40086 8814 31272 24770 24770 11607 1606 10001 40422 7460 32962 13905 13905 51353 30231 21122 18206 18206 MEDICAL SERVICES 328501 328501 IN-KIND EXPENSE 109004 109004 CONTRACTED SERVICES 105791 6223 99568 UTILITIES 36219 24953 11266 81576 30380 51196 2970971 2468596 502375 0 89029 118082 34068 29521 96882 82871 14290 15636 1496006 900680 641047 595326 875316 841436 134066 176071 217504 207452 143973 128900 495543 512423 X 379773 329013 379773 329013 875316 841436 -50760 0 X 0 1 X 0 1 1 X 1055867 1285132 1299049 1346119 1828832 6814999 1055867 1285132 1299049 1346119 1828832 6814999 6814999 157 198 114 -77960 -77491 720322 303830 333098 438954 115306 1911510 8649018 5541111 0.78800 0.75770 X 11320 11320 1116121 586793 529328 368565 313887 54678 595326 X X 0 0 0 0 0 0 0 0 0 SHARAVANA GAJAPATHI KEY EMPLOYEE 159188 0 0 0 0 0 0 0 0 0 159188 0 0 0 RUSSELL HALL FORMER BOARD MEMBER PROVIDE FINANCING TO KEEP ENTITY OPERATING X 114500 98757 0 1 1 JOHN BARHAM LANGSTON FORMER LANDLORD PROVIDE FINANCING FOR NEW BUILDING X 127500 108695 0 1 1 207452 X MEDICAL SUPPLIES 1 109004 RETAIL VALUE DETERMI 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 WAS REVIEWED BY THE CFO AND THE FINANCE COMMITTEE BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE COMPLETED EVERY TWO YEARS BY BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. FORMS RECEIVED ARE REVIEWED BY THE CFO AND THE FINANCE COMMITTEE AND MONITORED AS NECESSARY. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE CEO IS DISCUSSED AT LENGTH BY THE BOARD OF DIRECTORS YEARLY. AS PART OF THEIR ANNUAL EVALUATION/REVIEW OF THE CEO, THEY REVIEW WHETHER GOALS SET WERE MET AND REVIEW COMPENSATION IN COMPARISON WITH OTHER COMMUNITY HEALTH ORGANIZATION CEO'S WITH THE HELP OF AN ANNUAL SALARY COMPARISON REPORT ISSUED BY THE NATIONAL ORGANIZATION OF COMMUNITY HEALTH ORGANIZATIONS. ALL OF THESE DISCUSSIONS ARE DOCUMENTED IN THE ORGANIZATIONS APPROPRIATE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES FORM 1023 AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.