2011-08-12T07:34:06-04:00 2011-03-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2010-04-01 710487596 CABUN RURAL HEALTH SERVICES INC CABU 8707984064 PO BOX 1196 HAMPTON AR 71744 SHIRLEY STRICKLAND 2011-08-08 CHERYL SCHLUTERMAN 5013721040 2010 2016-02-24 21:20:13Z MELANIE SHEPPARD 986 AUSTIN STREET CAMDEN AR 71701 6818020 false X www.chc-ar/org/health_maps_cabun.html 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 95 10 0 0 3676024 4183623 2902800 2615383 7983 724 9957 12715 6596764 6812445 0 0 0 0 3883836 3900873 0 0 0 2547212 2517733 6431048 6418606 165716 393839 2120501 2603243 234476 323379 1886025 2279864 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 4199052 2615383 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. 4199052 true true 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 false true 22 0 true 95 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 AR 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 X 0 0 0 DON CAIN 1.0 X X 0 0 0 KRISTIE MAY 1.0 X X 0 0 0 MELBA TOMLINSON 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 BETSY GRIFFIN 1.0 X 0 0 0 CLOYS RUNYAN 1.0 X 0 0 0 JOSEPH SARNICKI DO 40.0 X 223103 0 9594 MELANIE SHEPPARD RN 40.0 X 84277 0 1143 SHIRLEY STRICKLAND 40.0 X 53985 0 4890 ROBERT A FLOSS MD 36.0 X 161880 0 5449 JAMES ARRINGTON MD 36.0 X 167477 0 11760 EVE COVAS MD 36.0 X 175190 0 7279 MICHAEL SINGH MD 36.0 X 154930 0 11760 1020842 0 51875 5 false true false PSS MEDICAL SUPPLIES 334267 NETGAIN TECHNOLOGIES COMP MAINTENANCE 120109 EHS MANAGEMENT SYSTEM 258324 SOURCE ONE X-RAY EQUIPMENT 134606 F J CONSTRUCTION CONSTRUCTION 127870 5 3913726 269897 269547 4183623 PATIENT REVENUE 621400 2615383 2615383 0 0 2615383 6299 0 0 6299 0 0 5575 -5575 -5575 0 0 -5575 0 0 0 MISCELLANEOUS 900099 12715 0 0 12715 12715 6812445 2615383 0 13439 0 0 0 0 380919 0 380919 0 0 2947596 2034485 913111 0 0 336952 232570 104382 0 235406 162482 72924 0 0 2608 1800 808 0 59878 41329 18549 0 0 0 0 332742 229665 103077 0 13992 9658 4334 0 330408 228054 102354 0 101667 70172 31495 0 0 152718 105409 47309 0 35640 24599 11041 0 0 48747 33646 15101 0 17337 11966 5371 0 0 123009 84903 38106 0 21184 14622 6562 0 SUPPLIES 898156 619924 278232 0 REPAIRS & MAINTENANCE 108650 74992 33658 0 BAD DEBTS EXPENSE 102428 102428 0 0 DUES & MEMBERSHIPS 58763 40559 18204 0 INCENTIVE EXPENSE 3961 2734 1227 0 105845 73055 32790 0 6418606 4199052 2219554 0 307403 360611 243613 247776 13048 110496 427791 368610 114200 61494 176860 109385 35918 633 2229420 885182 801668 1344238 2120501 2603243 234476 185415 0 137964 234476 323379 X 1886025 2279864 1886025 2279864 2120501 2603243 393839 X false true true X true true X 2776845 2699627 3284424 3676024 4183623 16620543 2776845 2699627 3284424 3676024 4183623 16620543 16620543 10487 12158 8047 7983 6299 44974 41623 48366 37313 9957 12715 149974 16815491 16552394 0.98841 0.98609 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45049 45049 954339 255259 699080 930565 610525 320040 299467 19398 280069 1344238 6812445 6418606 393839 393839 6818020 6818020 -5575 -5575 6812445 6424181 5575 5575 6418606 6418606 RECONCILIATION OF REVENUE AND EXPENSES FORM 990, SCHEDULE D, PART XII, LINE 4(B) & PART XIII, LINE 2(D) PART XII LINE 4(B) TOTAL REVENUE PER AUDITED FINANCIAL STATEMENTS: $6,818,020 LOSS ON DISPOSAL OF ASSET INCLUDED IN REVENUE: $ <5,575> -------------------------------------------------------------- TOTAL REVENUE FORM 990, PART I, LINE 12: $6,812,445 PART XIII, LINE 2(D) TOTAL EXPENSES PER AUDITED FINANCIAL STATEMENTS: $6,424,181 LOSS ON DISPOSAL OF ASSET NOT INCLUDED IN EXPENSES: $ <5,575> --------------------------------------------------------------- TOTAL EXPENSES FORM 990, PART I, LINE 18: $6,418,606 X X false false false false false false false false false ROBERT A FLOSS MD 161880 0 0 0 0 0 0 0 5449 0 167329 0 0 0 JAMES ARRINGTON MD 166437 0 1040 0 0 0 0 0 11760 0 179237 0 0 0 EVE COVAS MD 175190 0 0 0 0 0 0 0 7279 0 182469 0 0 0 JOSEPH SARNICKI DO 221923 0 1180 0 0 0 0 0 9594 0 232697 0 0 0 MICHAEL SINGH MD 153070 0 1860 0 0 0 0 0 11760 0 166690 0 0 0 X 1 269547 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.