2016-08-17T09:53:51-05:00 2016-03-31 430352985 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2015-04-01 371041283 CHRISTOPHER RURAL HEALTH PLANNING CORPORATION CHRI 6187242436 PO BOX 155 CHRISTOPHER IL 62822 KIMBERLY MITROKA CEO 6187242436 2016-07-07 true MARK DALLAS P00187265 6185291040 2016-08-17 2015 2016-09-27 15:27:22Z KIMBERLY MITROKA PO BOX 155 CHRISTOPHER IL 62822 21680471 false 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 10 282 0 3123528 3435323 16448756 17929550 254181 215947 39167 99651 19865632 21680471 0 0 15642033 13903361 0 0 5566476 5782732 21208509 19686093 -1342877 1994378 21522498 22227020 11489984 10564769 10032514 11662251 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. false false 16094170 17929550 FEDERALLY QUALIFIED RURAL 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 A COST TO THE CLINIC OF 1,154,718. 16094170 true true false false false false false false false false true false false false false true true false false false false false false false false false false false false true false false false true false false false false false false false false false false false false false true 38 0 true 282 true false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false IL X KIM MITROKA 6187242436 PO BOX 155 CHRISTOPHER IL 62822 JOHN HOSSELTON DIRECTOR 2.00 X 0 0 0 DOROTHY DEANGELO SEC - TREAS 2.00 X 0 0 0 MARIAN SMITH-FURLOW DIRECTOR 2.00 X 0 0 0 RICHARD SCHABLOWSKY VICE CHAIRMA 2.00 X 0 0 0 RUTH STANFORD DIRECTOR 2.00 X 0 0 0 GERALD HEARRING BOARD CHAIRM 2.00 X 0 0 0 GHADA ABDO DIRECTOR 2.00 X 0 0 0 LISA HOPKINS DIRECTOR 2.00 X 0 0 0 GARY KELLY DIRECTOR 2.00 X 0 0 0 TOM KONOPASEK DIRECTOR 2.00 X 0 0 0 KIMBERLY MITROKA CEO 40.00 X 209122 0 7281 SALLY CESAR COO 40.00 X 115388 0 6364 CHERYL GREEN CFO 40.00 X 87494 0 2304 BRANNON JOHNSON CFO 40.00 X 0 0 0 HARRY CARTER PHYSICIAN 32.00 X 316358 0 7807 STEVEN MITCHELL PHYSICIAN 32.00 X 304165 0 5686 BENJAMIN RATHERT PHYSICIAN 32.00 X 300365 0 7807 PAUL CRUZ PHYSICIAN 32.00 X 288260 0 5686 MICHAEL BLAIN PHYSICIAN 32.00 X 270281 0 686 1891433 43621 25 false true false E-CLINICAL WORKS LLC PO BOX 847950 BOSTON MA 02284 CLINIC SOFTWARE 441762 MOZI JANITORIAL SERVICE INC 867 BLACKSOP ROAD DUQUOIN IL 62832 JANITORIAL 301530 2 3409242 26081 3435323 PATIENT SERVICE REVENUE 17291203 17291203 MEDICAID CASE MANGEMENT 396995 396995 MEDICAID EHR INCENTIVE 136000 136000 WELL CHILD VISIT INCENTIVE 44920 44920 ILLINOIS HEALTH CONNECT 36235 36235 24197 24197 17929550 215947 215947 6000 6000 6000 6000 MISCELLANEOUS REVENUES 93651 93651 93651 21680471 17929550 315598 412004 412004 11652636 10604540 1048096 183994 174742 9252 884548 760141 124407 770179 667069 103110 8098 8098 44650 44650 134071 104024 30047 96755 96755 1974981 1848670 126311 894027 833416 60611 80610 13554 67056 22567 2190 20377 475730 475730 628424 432212 196212 77905 36451 41454 DATA PROCESSING 538907 34944 503963 OUTSIDE LAB 250443 250443 ADMINISTRATIVE FEES 220176 220055 121 ADMIN EXPENSE ON INVEST 78022 78022 257366 111719 145647 19686093 16094170 3591923 0 75894 908746 2824809 2043128 2342985 2233368 57777 28888 52512 26255 4388 2340 324338 274540 73189 99857 14852522 4217170 11049443 10635352 4527070 5864453 160000 80000 30093 30093 21522498 22227020 1906195 1704990 180536 190004 9403253 8669775 11489984 10564769 X 10032514 11662251 10032514 11662251 21522498 22227020 1994378 -364641 X false true X true true true X 3243931 3323921 3714623 3123528 3435323 16841326 3243931 3323921 3714623 3123528 3435323 16841326 16841326 489774 855744 533331 260181 221947 2360977 19844 7909 12624 33168 93651 167196 19369499 44881620 0.86950 0.88330 X PART II, LINE 10 73,545 SUPPLEMENTAL INFORMATION IN 2016, OTHER INCOME WAS 93,651 FROM MISCELLEANEOUS SOURCES, AND WAS DERIVED WITHOUT PROFIT MOTIVE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 527118 527118 11714916 2331481 9383435 2610488 1885689 724799 10635352 X 21315830 -364641 -364641 21680471 21680471 19686093 19686093 19686093 SCHEDULE D, PAGE 3, PART X THE CORPORATION HAS BEEN GRANTED EXEMPTED STATUS UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE, THEREFORE, NO PROVISION FOR FEDERAL INCOME TAX HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. IT HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) (2), BUT IT FALLS UNDER SECTION 170(B)(1)(A)(VI) OF THE INTERNAL REVENUE CODE AND QUALIFIES FOR THE 50% CHARITABLE CONTRIBUTION DEDUCTION FOR INDIVIDUAL DONORS. AT MARCH 31, 2016, NO INTEREST OR PENALTIES WERE ATTRIBUTED TO THE CORPORATION. THE CORPORATION DOES NOT BELIEVE THERE ARE ANY UNCERTAIN TAX POSITIONS FOR WHICH A LIABILITY SHOULD BE RECORDED. TAX RETURNS FILED BY THE CORPORATION ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. TAX RETURNS FILED BY THE AGENCY ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED MARCH 31, 2012 AND PRIOR. X X X false false false false false false false false false KIMBERLY MITROKA CEO 177117 32005 4063 3218 216403 HARRY CARTER PHYSICIAN 274497 18652 23209 5000 2807 324165 STEVEN MITCHELL PHYSICIAN 273956 150 30059 5000 686 309851 BENJAMIN RATHERT PHYSICIAN 127673 152692 20000 5000 2807 308172 PAUL CRUZ PHYSICIAN 271959 16301 5000 686 293946 MICHAEL BLAIN PHYSICIAN 194887 41216 34178 686 270967 STEVEN MITCHELL MD EMPLOYEE PURCHASE TAIL COVERAGE INSURANCE X 84950 16990 false true true HARRY CARTER MD EMPLOYEE PURCHASE TAIL COVERAGE INSURANCE X 59493 11898 false true true RACHEL BARNHART MD EMPLOYEE PURCHASE TAIL COVERAGE INSURANCE X 43759 8752 false true true JED JONES DO EMPLOYEE PURCHASE TAIL COVERAGE INSURANCE X 43759 8752 false true true DAVID ISREAL DO EMPLOYEE PURCHASE TAIL COVERAGE INSURANCE X 43759 8751 false true true 55143 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED AT A BOARD MEETING. THE BOARD REVIEWS THE RETURN BEFORE IT IS FILED. FORM 990, PAGE 6, PART VI, 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 INDIVIDUALS 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, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS SETS THE CEO SALARY WITH A VOTE. SOURCES WHICH ARE USED AS A GUIDE INCLUDE ILLINOIS'S TRADE ASSOCIATION COMPENSATION SURVEY AND THE NATIONAL TRADE ASSOCIATION COMPENSATION SURVEY. FORM 990, PAGE 6, PART VI, LINE 15B THE COMPANY CEO AND HR DIRECTOR MEET TO REVIEW COMPENSATION. SOURCES WHICH ARE USED AS A GUIDE INCLUDE ILLINOIS'S TRADE ASSOCIATION 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, PAGE 6, PART VI, 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.