2014-01-21T11:39:53-06:00 2013-03-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2012-04-01 710487596 CABUN RURAL HEALTH SERVICES INC % SHIRLEY STRICKLAND CABU 8707984064 PO BOX 1196 Suite HAMPTON AR 71744 SHIRLEY STRICKLAND 8707984064 2014-01-11 true AMBER SHERRILL 5013721040 2012 2015-11-30 17:44:51Z MELANIE SHEPPARD 986 AUSTIN STREET CAMDEN AR 71701 6702677 false X SEE SCHEDULE O X 1977 AR 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. 10 10 90 10 0 0 4173590 3637415 2734108 3038046 3828 2382 3835 24834 6915361 6702677 0 0 0 0 3965942 4229677 0 0 0 2450070 2265084 6416012 6494761 499349 207916 3131823 3547245 352610 560116 2779213 2987129 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 4286242 3038046 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. 4286242 true true false false false false false false false false true false false false false false 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 16 0 true 90 true false false false false false false false false false false X 10 10 false false false false false false false true false false false false true true true true true true true false X SHIRLEY STRICKLAND 8709182344 1783 E AR 274 HWY HAMPTON AR 71744 LILLIE RANDALL 1.0 X X 0 0 0 JUANET GASKIN 1.0 X 0 0 0 DON CAIN 1.0 X X 0 0 0 KRISTIE MAY 1.0 X 0 0 0 JEANNE BENDER 1.0 X 0 0 0 HOMER JONES 1.0 X 0 0 0 LEANNE MCGOOGAN 1.0 X 0 0 0 JAMES RAWLS 1.0 X X 0 0 0 CLOYS RUNYAN 1.0 X 0 0 0 TRAVIS JOE MCNIEL 1.0 X 0 0 0 SHIRLEY STRICKLAND 40.0 X 61452 0 4936 JOSEPH SARNICKI 40.0 X 232614 0 10382 MELANIE SHEPPARD 40.0 X 92000 0 1206 JAMES ARRINGTON MD 40.0 X 183172 0 12547 EVE COVAS MD 40.0 X 184063 0 7304 MICHAEL SINGH MD 40.0 X 163233 0 12395 PATRICIA ELETHORP DO 40.0 X 175515 0 8384 1092049 0 57154 5 false true false PSS PO BOX 741378 ATLANTA GA 30374 MEDICAL SUPPLIES 345360 SUCCESS EHS PO BOX 204485 DALLAS TX 75320 PATIENT MGMT SYSTEM 109709 2 3197990 439425 144749 3637415 PATIENT REVENUE 621400 3038046 3038046 0 0 3038046 2382 0 0 2382 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 900099 24834 0 0 24834 24834 6702677 3038046 0 27216 0 0 0 0 412020 0 412020 0 0 3179020 2334176 844844 0 0 344029 223619 120410 0 294608 191495 103113 0 0 2958 1923 1035 0 60726 39472 21254 0 0 0 0 268370 174440 93930 0 14852 9654 5198 0 258431 167980 90451 0 39412 25618 13794 0 0 126473 82207 44266 0 40256 26166 14090 0 0 58706 38159 20547 0 14112 9173 4939 0 0 181067 117694 63373 0 22145 14394 7751 0 SUPPLIES 822152 534399 287753 0 REPAIRS & MAINTENANCE 103929 67554 36375 0 BAD DEBTS EXPENSE 184707 184707 0 0 DUES & MEMBERSHIPS 53056 34486 18570 0 13732 8926 4806 6494761 4286242 2208519 0 422773 239666 250923 252661 159063 174071 373419 470115 0 0 0 0 415845 789854 129912 120560 4177 4921 2560416 1065019 1375711 1495397 0 0 0 0 0 0 0 0 0 0 3131823 3547245 242757 387543 0 0 0 0 0 0 0 0 0 0 109853 172573 0 0 0 0 352610 560116 X 2779213 2987129 0 0 0 0 2779213 2987129 3131823 3547245 207916 X false true X true true true X 3284424 3676024 4183623 4173590 3637415 18955076 0 0 3284424 3676024 4183623 4173590 3637415 18955076 0 18955076 8047 7983 6299 3828 2382 28539 0 37313 9957 12715 3835 24834 88654 19072269 15421219 0.99386 0.99172 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45049 45049 1180421 319106 861315 1002026 745445 256581 332920 468 332452 1495397 6517970 -184707 -184707 6702677 6702677 6310054 6310054 184707 184707 6494761 RECONCILIATION OF REVENUE AND EXPENSES FORM 990, SCHEDULE D, PART XI, LINE 2(D) & PART XII, LINE 4(B) PART XI LINE 2(D) TOTAL REVENUE PER AUDITED FINANCIAL STATEMENTS: $6,517,970 BAD DEBT EXPENSE - $(184,707) -------------------------------------------------------------- TOTAL REVENUE FORM 990, PART I, LINE 12: $6,702,677 PART XII, LINE 4(B) TOTAL EXPENSES PER AUDITED FINANCIAL STATEMENTS: $6,310,054 BAD DEBT EXPENSES: + $ 184,707 --------------------------------------------------------------- TOTAL EXPENSES FORM 990, PART I, LINE 18: $6,494,761 FIN 48 DISCLOSURE FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. X X false false false false false false false false false JAMES ARRINGTON MD 183172 0 0 0 0 0 0 0 12547 0 195719 0 0 0 EVE COVAS MD 184063 0 0 0 0 0 0 0 7304 0 191367 0 0 0 MICHAEL SINGH MD 163233 0 0 0 0 0 0 0 12395 0 175628 0 0 0 PATRICIA ELETHORP DO 175515 0 0 0 0 0 0 0 8384 0 183899 0 0 0 JOSEPH SARNICKI 225214 0 7400 0 0 0 0 0 10382 0 242996 0 0 0 X 677 144749 COST false false false DOCUMENTING COMMITTEES ACTING ON ITS BEHALF FORM 990, PART VI, SECTION A, LINE 8B THE GOVERNING BOARD SERVES AS ALL COMMITTEES. REVIEW OF FORM 990 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. COMPLIANCE WITH CONFLICT OF INTEREST POLICY 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. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINE 15A & 15B THE LAST REVIEW WAS DONE IN 2009. THE BOARD OF DIRECTORS REVIEWED THE DOL SALARY REVIEWS AND A REVIEW DONE BY THE COMMUNITY HEALTH CENTERS OF ARKANSAS FOR COMPARISON. DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. ORGANIZATION'S WEBSITE FORM 990, PAGE 1, LINE J ORGANIZATION'S WEBSITE: WWW.CHC-AR.ORG/NEWS/CABUN-RURAL-HEALTH-SERVICES