2012-08-07T09:13:21-05:00 2011-12-31 752966974 HJMRR LLP 1329 N UNIVERSITY SUITE A3 NACOGDOCHES TX 75961 990 2011-01-01 432016287 MT ENTERPRISE COMMUNITY HEALTH CLINIC MTEN 9033928203 PO BOX 489 MT ENTERPRISE TX 75681 ROBIN BIRDWELL 9033928203 2012-07-16 1 TERRE MCLEMORE P00064380 9365648186 2011 2016-02-24 21:20:13Z JILL COOLEY PO BOX 489 MT ENTERPRISE TX 75681 2920641 0 X N/A X 2003 TX TO PROVIDE PREVENTIVE, ACUTE, AND PRIMARY CARE TO THE LOCAL COMMUNITY 9 9 36 0 0 0 1033528 1055867 489082 1144295 95 157 206523 720322 1729228 2920641 0 0 0 0 906120 1289390 0 0 0 853596 1575778 1759716 2865168 -30488 55473 728632 991051 236739 443685 491893 547366 TO PROVIDE PREVENTIVE, ACUTE, AND PRIMARY CARE TO THE LOCAL COMMUNITY 0 0 2261174 1044337 1864617 PROVIDED PREVENTIVE, ACUTE, AND PRIMARY CARE TO THE LOCAL COMMUNITY 2261174 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 36 1 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X ROBIN BIRDWELL 9033928203 PO BOX 489 MT ENTERPRISE TX 75681 KENNETH MILEY 5.00 X 0 0 0 RAMONA SMITH 2.00 X 0 0 0 BARBARA CATES 3.00 X 0 0 0 DARRELL OWENS 5.00 X 0 0 0 JOYCE YBARRA 2.00 X 0 0 0 HARVEY GRAVES 2.00 X 0 0 0 TOM VAUGHT 5.00 X 0 0 0 JOE MOORE 2.00 X 0 0 0 MAMIE HODGE 2.00 X 0 0 0 MATT GHOLSON 2.00 X 0 0 0 DEBRA JILL COOLEY 40.00 X 90846 0 0 ROBIN BIRDWELL 40.00 X 53275 0 0 BECKY ELDRIDGE 40.00 X 52368 0 0 196489 0 0 2 0 0 0 0 1044337 11530 1055867 MEDICAL SERVICE INCOME 624100 814434 814434 MEDICARE/MEDICAID PMTS 624100 329861 329861 1144295 157 157 IN-KIND DONATIONS 624110 717586 717586 OTHER REVENUES 624110 2736 2736 720322 2920641 1864617 0 157 530498 412604 117894 611217 473132 138085 147675 77187 70488 138 138 13920 13920 63129 4399 58730 32249 901 31348 31259 31259 11818 684 11134 16423 4941 11482 4226 4226 156186 156186 9056 9056 IN-KIND EXPENSE 717586 717586 MEDICAL SERVICES 182561 182561 BAD DEBTS 176026 176026 CONTRACTED SERVICES 78686 36233 42453 82515 4676 77839 2865168 2261174 603994 0 90034 189906 15983 40295 91958 57219 5707 8633 1119476 424478 410792 694998 114158 0 728632 991051 57072 66624 115345 112185 64322 264876 236739 443685 X 491893 547366 491893 547366 728632 991051 55473 0 X 0 0 0 X 200 15827 1000330 1033528 1055867 3105752 200 15827 1000330 1033528 1055867 3105752 3105752 34 95 157 286 206523 720322 926845 4032883 2409865 0.77010 0.91020 X 276721 276721 547550 242142 305408 295205 182336 112869 694998 2920641 2865168 55473 55473 2920641 0 2920641 0 2920641 2865168 0 2865168 0 2865168 X X 0 0 0 0 0 0 0 0 0 RUSSELL HALL PROVIDE FINANCING TO KEEP ENTITY OPERATING X 114500 112185 0 1 1 112185 X MEDICAL SUPPLIES 1 717586 RETAIL VALUE DETERMINED BY DONOR 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 WAS REVIEWED BY THE CFO AND THE FINANCE COMMITTEE BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE COMPLETED EVERY TWO YEARS BY BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. FORMS RECEIVED ARE REVIEWED BY THE CFO AND THE FINANCE COMMITTEE AND MONITORED AS NECESSARY. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE CEO IS DISCUSSED AT LENGTH BY THE BOARD OF DIRECTORS YEARLY. AS PART OF THEIR ANNUAL EVALUATION/REVIEW OF THE CEO, THEY REVIEW WHETHER GOALS SET WERE MET AND REVIEW COMPENSATION IN COMPARISON WITH OTHER COMMUNITY HEALTH ORGANIZATION CEO'S WITH THE HELP OF AN ANNUAL SALARY COMPARISON REPORT ISSUED BY THE NATIONAL ORGANIZATION OF COMMUNITY HEALTH ORGANIZATIONS. ALL OF THESE DISCUSSIONS ARE DOCUMENTED IN THE ORGANIZATIONS APPROPRIATE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES FORM 1023 AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.