2015-10-12T11:57:27-05:00 2015-03-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2014-04-01 710487596 CABUN RURAL HEALTH SERVICES INC % SHIRLEY STRICKLAND CABU 8707984064 PO BOX 1196 HAMPTON AR 71744 SHIRLEY STRICKLAND CHIEF FINANCIAL OFFICER 8707984064 2015-10-11 true AMBER SHERRILL P00748683 5013721040 2014 2016-02-25 16:41:14Z MELANIE SHEPPARD 986 AUSTIN STREET CAMDEN AR 71701 6448119 false X SEE SCHEDULE O X 1977 AR TO PROVIDE SERVICES TO PERSONS IN NEED OF MEDICAL CARE AND WORK WITH OTHER HEALTH CENTER PROVIDERS IN THE AREA TO FORM AN INTEGRATED SYSTEM FOR DELIVERY OF HEALTH CARE SERVICES. 11 11 99 11 0 3695479 3584023 2539081 2860208 1825 1829 28609 2059 6264994 6448119 0 0 0 0 4535744 4412527 0 0 0 2268377 1926063 6804121 6338590 -539127 109529 3025330 3139274 577328 581743 2448002 2557531 TO MEET THE NEEDS AND PROVIDE SERVICES TO PERSONS IN NEED OF PRIMARY MEDICAL CARE AND WORK WITH OTHER HEALTH CENTER PROVIDERS IN THE AREA TO FORM AN INTEGRATED SYSTEM FOR DELIVERY OF HEALTH CARE SERVICES. false false 4129623 2860208 CABUN RURAL HEALTH SERVICES, INC. HAS CLINIC SITES IN HAMPTON, STRONG, BEARDEN, LEWISVILLE, HOPE, AND AMITY TO PROVIDE MEDICAL SERVICES TO PEOPLE IN THE SURROUNDING AREAS. DISCOUNTED SERVICES AND PRESCRIPTION ASSISTANCE ARE PROVIDED TO THOSE WHO QUALIFY. CABUN WORKS WITH OTHER HEALTH CARE PROVIDERS FOR SPECIALIZED SERVICES THROUGH REFERRAL. 4129623 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 false false false false false true false false false false false false false false true 11 0 true 99 true false false false false false false false false false false X 11 11 false false false false false false false true false false false false true true true true true true true false AR X SHIRLEY STRICKLAND 8709182344 1783 E AR 274 HWY HAMPTON AR 71744 LILLIE RANDALL BOARD VICE CHAIR 1.0 0.0 X X 0 0 0 JUANET GASKIN DIRECTOR 1.0 0.0 X 0 0 0 DON CAIN BOARD SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 KRISTIE MAY DIRECTOR 1.0 0.0 X 0 0 0 JEANNE BENDER DIRECTOR 1.0 0.0 X 0 0 0 HOMER JONES DIRECTOR 1.0 0.0 X 0 0 0 LEANNE MCGOOGAN DIRECTOR 1.0 0.0 X 0 0 0 JAMES RAWLS BOARD CHAIR 1.0 0.0 X X 0 0 0 CLOYS RUNYAN DIRECTOR 1.0 0.0 X 0 0 0 TRAVIS JOE MCNIEL DIRECTOR 1.0 0.0 X 0 0 0 MANDY STRICKLAND DIRECTOR 1.0 0.0 X 0 0 0 SHIRLEY STRICKLAND CHIEF FINANCIAL OFFICER 40.0 0.0 X 66529 0 4727 PATRICIA ELETHORP CHIEF MEDICAL OFFICER 40.0 0.0 X 190707 0 9422 JOSEPH SARNICKI CHIEF MEDICAL OFFICER 40.0 0.0 X 235438 0 11162 MELANIE SHEPPARD CHIEF EXECUTIVE OFFICER 40.0 0.0 X 103687 0 4002 JAMES ARRINGTON MD PHYSICIAN 40.0 0.0 X 193338 0 13605 EVE COVAS MD PHYSICIAN 40.0 0.0 X 194195 0 7308 LAURA KIRKSEY APN PHYSICIAN 36.0 0.0 X 104030 0 1179 JAMES MOORE DDS PHYSICIAN 40.0 0.0 X 202123 0 11139 MICHAEL SINGH MD PHYSICIAN 40.0 0.0 X 172438 0 11504 1462485 0 74048 8 false true false PSS PO BOX 741378 ATLANTA GA 30374 MEDICAL SUPPLIES 314774 SUCCESS EHS PO BOX 204485 DALLAS TX 75320 PATIENT MGMT SYSTEM 104914 2 3303069 280954 32243 3584023 PATIENT REVENUE 621400 2860208 2860208 2860208 1829 0 0 1829 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 900099 2059 2059 2059 6448119 2860208 0 3888 0 0 0 0 621101 621101 0 0 3169042 2284717 884325 0 0 345573 249140 96433 0 276811 199567 77244 0 0 0 63886 46059 17827 0 0 0 0 367019 264602 102417 6046 4359 1687 268587 193638 74949 10000 7209 2791 0 110978 80009 30969 38715 27912 10803 0 31302 22567 8735 1968 1419 549 0 206210 148667 57543 25841 18630 7211 SUPPLIES 664180 478840 185340 0 REPAIRS & MAINTENANCE 32976 23774 9202 0 BAD DEBTS EXPENSE 27255 27255 0 0 DUES & MEMBERSHIPS 58018 41828 16190 0 13082 9431 3651 6338590 4129623 2208967 0 390664 834369 253948 255220 145394 145394 460803 312869 0 0 0 0 199750 151752 96464 105334 4921 1673 2745511 1412848 1473386 1332663 0 0 0 0 0 0 0 0 0 0 3025330 3139274 449713 507076 0 0 0 0 0 0 0 0 0 0 127615 74667 0 0 0 0 577328 581743 X 2448002 2557531 0 0 0 0 2448002 2557531 3025330 3139274 109529 X false true X true true true X 4183623 4173590 3637415 3695479 3584023 19274130 0 0 4183623 4173590 3637415 3695479 3584023 19274130 0 19274130 6299 3828 2382 1825 1829 16163 0 12715 3835 24834 28609 2059 72052 19362345 10926618 0.99544 0.99475 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45049 45049 1285504 379564 905940 1089718 1032764 56954 325240 520 324720 1332663 0 0 X 6420864 6420864 27255 27255 6448119 6311335 6311335 27255 27255 6338590 FORM 990, SCHEDULE D, PART XI, LINE 4(B) BAD DEBT EXPENSE 27,255 FORM 990, SCHEDULE D, PART X, LINE 2 THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF STATE LAW. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS,THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012. FORM 990, SCHEDULE D, PART XII, LINE 4(B) BAD DEBT EXPENSE 27,255 X X false false false false false false false false false JAMES ARRINGTON MD PHYSICIAN 191415 0 1923 0 0 0 0 0 13605 0 206943 0 0 0 EVE COVAS MD PHYSICIAN 192262 0 1933 0 0 0 0 0 7308 0 201503 0 0 0 PATRICIA ELETHORP CHIEF MEDICAL OFFICER 190707 0 0 0 0 0 0 0 9422 0 200129 0 0 0 JOSEPH SARNICKI CHIEF MEDICAL OFFICER 235438 0 0 0 0 0 0 0 11162 0 246600 0 0 0 JAMES MOORE DDS PHYSICIAN 202123 0 0 0 0 0 0 0 11139 0 213262 0 0 0 MICHAEL SINGH MD PHYSICIAN 170719 0 1719 0 0 0 0 0 11504 0 183942 0 0 0 X 146 32243 COST false false false SCHEDULE M, PART I, COLUMN B AMOUNT REPRESENTS NUMBER OF PRESCRIPTION DRUGS CONTRIBUTED. FORM 990, PART VI, SECTION A, LINE 8B THE GOVERNING BOARD SERVES AS ALL COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS REVIEWED BY THE CEO AND CFO BEFORE IT WAS FILED. THE BOARD REVIEWED THE FORM AFTER IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD APPLICANTS FILL OUT A QUESTIONNAIRE THAT INCLUDES ANY INTERESTS IN THE COMPANY. IF THE CLINIC WANTS TO USE ANY SERVICES THAT HAVE A CONTACT TO AN EMPLOYEE, THE BOARD REVIEWS THE REQUEST AND MAY GIVE APPROVAL. THE CLINIC HAS AN ANTI-NEPOTISM POLICY THAT PREVENTS HIRING ANYONE WHO IS IMMEDIATELY RELATED TO AN EMPLOYEE. IF THERE ARE NO OTHER QUALIFIED APPLICANTS, THE BOARD MAY APPROVE HIRING. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE LAST COMPENSATION REVIEW WAS DONE IN 2013. THE BOARD OF DIRECTORS REVIEWED THE DOL SALARY REVIEWS AND USED THE AGENCY, PAY SCALE, IN THE REVIEW PROCESS. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PAGE 1, LINE J ORGANIZATION'S WEBSITE: WWW.CHC-AR.ORG/NEWS/CABUN-RURAL-HEALTH-SERVICES