2012-03-09T15:45:03-06:00 2011-05-31 GOFF & HERRINGTON PC 2833 TED TROUT DRIVE SUITE D LUFKIN TX 75904 990 2010-06-01 752184369 EAST TEXAS COMMUNITY HEALTH SERVICES INC EAST 9365605413 P O BOX 632040 NACOGDOCHES TX 759632040 ROBIN MOORE 9365605413 2012-03-09 1 RONNIE HERRINGTON CPA 9368753317 2012-03-09 2010 2016-02-24 21:20:13Z ROBIN MOORE P O BOX 632040 NACOGDOCHES TX 759632040 4962106 0 X WWW.TACHC.ORG/ETCHS X 1987 TX OPERATE A PRIMARY HEALTH CARE CLINIC FOR THE CARE AND TREATMENT OF SICK, INJURED, AFFLICTED, INFIRMED, DISABLED OR DESTITUTE. 15 15 72 0 0 0 2308974 3409117 1498908 1535195 1933 1985 10474 15809 3820289 4962106 0 0 0 0 2588270 3105580 0 0 0 1210808 1454714 3799078 4560294 21211 401812 2551477 3075198 1186591 1308500 1364886 1766698 X OPERATE A PRIMARY HEALTH CARE CLINIC FOR THE CARE AND TREATMENT OF SICK, INJURED, AFFLICTED, INFIRMED, DISABLED OR DESTITUTE. 0 0 2235060 1107220 OPERATION OF CLINICS TO PROVIDE PRIMARY HEALTH CARE SERVICES 742419 367785 OPERATION OF A DENTAL CLINICS TO PROVIDE DENTAL SERVICES 153414 75999 OPERATION OF A PHARMACY FOR CLINIC PATIENTS 330348 OPERATION OF CLINIC PREMISES AND OTHER FACILITIES USED TO PROVIDE PROGRAM SERVICES. 330348 3461241 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 16 0 1 72 1 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X ANITA HUMPHREYS 9365605413 1401 SOUTH UNIVERSITY DRIVE NACOGDOCHES TX 75961 TINA GARRIGAN 0.50 X 0 0 0 DR CHRIS BRAY 1.00 X 0 0 0 LARRY NIETO 1.00 X 0 0 0 SHARON COLEMAN 0.50 X 0 0 0 BILLY CORDOVA 0.50 X 0 0 0 REGGIE COTTON 0.50 X 0 0 0 WALTER DEPTULA 0.50 X 0 0 0 BILL HARRISON 0.50 X 0 0 0 JILL GOAD 1.00 X 0 0 0 VELTA PAGE 0.50 X 0 0 0 MICHAEL STEVENSON 1.00 X 0 0 0 HENRY SUMMERS 0.50 X 0 0 0 RUBEN RODRIGUEZ 1.00 X 0 0 0 ANITA HUMPHREYS 40.00 X 91375 0 0 ROBIN MOORE 40.00 X 103390 0 0 DR PENNY JEFFERY 40.00 X 88868 0 0 TINA COEN 40.00 X 55760 0 0 MARILYNN J DENSON 40.00 X 99946 0 0 JAMES D KOERNER 40.00 X 81353 0 0 JANICE HENSON 40.00 X 72210 0 0 194765 0 0 1 0 0 0 MOORE BUILDING ASSOCIATES INC PO BOX 153055 LUFKIN TX 75915 BUILDING RENOVATION CONTRACTOR 437934 BLUE CROSS BLUE SHIELD PO BOX 731428 DALLAS TX 753731428 INSURANCE PROVIDER 301864 HENRY SCHEIN INC DEPT 10241 PALATINE IL 600550241 MEDICAL/DENTAL SUPPLIES 115558 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 272162140 LAB SERVICES CONTRACTOR 115259 WADDELL & REED PO BOX 29218 SHAWNEE MISSION KS 622019050 RETIREMENT SERVICES 109324 5 3109117 300000 3409117 MEDICARE/MEDICAID 621400 990084 990084 PRIMARY MEDICAL CARE 621400 545111 545111 1535195 1985 1985 6000 6000 6000 6000 INS AND UTILITY REIMBU 900099 9809 9809 9809 4962106 1551004 0 1985 402329 144628 257701 2105578 1735324 370254 95648 70092 25556 316483 212278 104205 185542 139084 46458 179193 133366 45827 166632 149129 17503 35552 15684 19868 53401 53401 98184 86183 12001 19691 3267 16424 CONTRACTUAL SERVICES 303140 274274 28866 CONSUMABLE SUPPLIES 264450 248557 15893 RECRUITING AND TRAINING 167473 139051 28422 MAINTENANCE 93761 80225 13536 DUES AND MEMBERSHIPS 34281 4507 29774 38956 25592 13364 4560294 3461241 1099053 0 3022 379590 217244 59471 51458 508713 549767 32249 10186 440 3455668 1371911 1727364 2083757 3414 2551477 3075198 202453 165747 862186 998908 121952 143845 1186591 1308500 X 1345200 1766698 19686 0 1364886 1766698 2551477 3075198 401812 0 X 0 1 1 X 1 1 X 1730738 1906474 2332638 2308974 2646147 10924971 1730738 1906474 2332638 2308974 2646147 10924971 10924971 11747 14136 13755 7933 4843 52414 10977385 7178173 0.99520 0.99400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 129059 129059 2394036 605004 1789032 7500 1500 6000 925073 765407 159666 2083757 ACCRUED LIABILITIES 143845 143845 4962106 4560294 401812 0 401812 4962106 0 4962106 0 4962106 4560294 0 4560294 0 4560294 FORM 990, PART VI, SECTION B, LINE 11 REVIEWED BY THE EXECUTIVE DIRECTOR AND COMPARED TO THE AUDITED FINANCIAL STATEMENTS. IN THE RARE INSTANCE OF ANY DIFFERENCES, THE EXECUTIVE DIRECTOR REVIEWS WITH THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL ASSURANCES IN GRANT APPLICATION AND CONFLICT OF INTEREST STATEMENTS SIGNED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 FOR THE EXECUTIVE DIRECTOR, ANNUAL REVIEW DOCUMENTS ARE COMPLETED BY THE EXECUTIVE COMMITTEE MEMBERS. EACH MEMBER PREPARES A RATING AND REVIEWS WITH THE ENTIRE BOARD IN EXECUTIVE SESSION. A RECOMMENDATION IS PREPARED BY THE EXECUTIVE COMMITTEE AND PRESENTED TO THE ENTIRE BOARD FOR APPROVAL. FOR OTHER KEY EMPLOYEES COMPENSATION, COMPARABILTY DATA IS REVIEWED. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST