CHIEF EXECUTIVE OFFICER

2013-10-18T15:07:07-07:00 2013-06-30 TERRY HORNE CPA & ASSOCIATES PC 732 WEST MAIN STREET LEBANON TN 37087 990 2012-07-01 581995646 HARDEMAN COUNTY COMMUNITY HEALTH CENTER INC HARD 7316583388 PO BOX 720 BOLIVAR TN 38008 MARY HEINZEN CHIEF EXECUTIVE OFFICER 7316583388 2013-10-15 true TERRY HORNE 6154447293 2013-10-18 2012 2016-02-24 21:20:13Z MARY HEINZEN PO BOX 720 BOLIVAR TN 38008 3349055 false X N/A X 1992 TN THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 13 13 51 0 0 2068439 2035445 1406389 1303525 20729 10085 0 3495557 3349055 0 0 2365659 2351617 0 0 800929 872681 3166588 3224298 328969 124757 3358886 3446860 1187209 1150426 2171677 2296434 THE ORGANIZATION PROVIDES HEALTH CARE false false 2100913 1303525 THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 22,100 VISITS WERE PROVIDED DURING THE YEAR. 2100913 true false 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 false false false false false false false false false true 5 0 true 51 true false false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false X MARY HEINZEN 7316583388 629 NUCKOLLS ROAD BOLIVAR TN 38008 PAUL ELLIS CHAIRMAN 1.00 X 0 0 0 EDNA FORD VICE CHAIR 1.00 X 0 0 0 BARBARA HUDSON SECRETARY 1.00 X 0 0 0 DARRELL DICK TEUBNER TREASURER 1.00 X 0 0 0 JANIE ROSS BOARD MEMBER 1.00 X 0 0 0 MAE PREWITT BOARD MEMBER 1.00 X 0 0 0 EVELYN C ROBERTSON JR BOARD MEMBER 1.00 X 0 0 0 DELPHUS HICKS BOARD MEMBER 1.00 X 0 0 0 ERMA WILLIAMS BOARD MEMBER 1.00 X 0 0 0 GLADIS THOMAS BOARD MEMBER 1.00 X 0 0 0 MARVIN CROOM BOARD MEMBER 1.00 X 0 0 0 SHARON STOVALL BOARD MEMBER 1.00 X 0 0 0 LINDA JONES BOARD MEMBER 1.00 X 0 0 0 MARY HEINZEN CHIEF EXECUTIVE OFFICER 40.00 X 111971 0 10383 RAHAMAN SUARA MEDICAL DIRECTOR 40 X 176666 12902 LINDA LOVELACE CHIEF FINANCIAL OFFICER 40 X 80868 9387 EJIKEME U NWOKOLO PHYSICIAN 40 X 152000 11482 JOHN SPENCER PHYSICIAN 40 X 149220 11894 SAMUEL T JOHNSON JR PHYSICIAN 40 X 135866 7076 KAREN SALVAGGIO NURSE PRACTIONER 40 X 102511 10191 909102 73315 6 false true false 1482526 552919 2035445 PATIENT FEES 621110 1303525 1303525 10085 10085 3349055 1303525 10085 369505 176666 192839 0 1587245 1116540 470705 0 48974 32323 16651 0 246530 89307 157223 0 99363 65580 33783 0 300 0 300 0 16687 0 16687 0 162678 115775 46903 0 423782 298356 125426 0 128672 109371 19301 0 40496 21463 19033 0 86306 63836 22470 0 13760 11696 2064 0 3224298 2100913 1123385 0 65201 310239 1031774 896140 410342 193246 13197 15477 2843636 847122 1803644 1996514 34728 35244 3358886 3446860 127797 148367 1059412 1002059 1187209 1150426 X 2136949 2261190 34728 35244 2171677 2296434 3358886 3446860 124757 X X false true X true true true X 1698262 2436755 2167711 2068439 2035445 10406612 1698262 2436755 2167711 2068439 2035445 10406612 10406612 17410 16415 14454 20729 10085 79093 10485705 6477905 0.99250 0.99080 X 0 0 0 65353 65353 2286745 490560 1796185 491538 356562 134976 1996514 3349055 3349055 3349055 3224298 3224298 3224298 X X false false false false false false false false false RAHAMAN SUARA 176666 5693 7209 189568 EJIKEME U NWOKOLO 152000 4346 7136 163482 JOHN SPENCER 149220 4713 7181 161114 Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. Pt XII, Line 2c THE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT. Pt VI, Line 11b THE CEO, CFO AND FINANCE COMMITTEE REVIEW THE FORM 990. Pt VI, Line 12c ANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN. Pt VI, Line 15a STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS Pt VI, Line 15b FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PREFORMED ANNUALLY AND SALARY INCREASES ARE BOARD APPROVED.