CHIEF EXECUTIVE OFFICER

2011-10-04T06:31:44-07:00 2011-06-30 TERRY HORNE CPA & ASSOCIATES 732 WEST MAIN STREET LEBANON TN 37087 990 2010-07-01 581995646 HARDEMAN COUNTY COMMUNITY HEALTH CENTER INC HARD 7316583388 PO BOX 720 BOLIVAR TN 38008 MARY HEINZEN CHIEF EXECUTIVE OFFICER 7316583388 2011-08-24 TERRY HORNE 6154447293 2011-10-04 2010 2016-03-07 17:11:31Z MARY HEINZEN PO BOX 720 BOLIVAR TN 38008 3410915 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. 14 14 46 0 0 2436755 2167711 1360313 1228750 16415 14454 0 3813483 3410915 0 0 2232164 2103791 0 0 1322390 964570 3554554 3068361 258929 342554 2796500 3066373 1296346 1223665 1500154 1842708 THE ORGANIZATION PROVIDES HEALTH CARE false false 2202874 1228750 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 19,900 VISITS WERE PROVIDED DURING THE YEAR. 2202874 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 false false false false false false false false false true 7 0 true 46 true false false false false false false false false false false false false false X 14 14 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 JUANITA WILLIAMS VICE CHAIR 1.00 X 0 0 0 GAYTHA KAREN SNELLING 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 DR ALLAN STERBINSKY BOARD MEMBER 1.00 X 0 0 0 GLADIS THOMAS BOARD MEMBER 1.00 X 0 0 0 JENNY JOHNSON BOARD MEMBER 1.00 X 0 0 0 EDNA FORD BOARD MEMBER 1.00 X 0 0 0 VERNON MORTON BOARD MEMBER 1.00 X 0 0 0 MARY HEINZEN CHIEF EXECUTIVE OFFICER 40.00 X 109788 0 9115 RAHAMAN SUARA MEDICAL DIRECTOR 40.00 X 177635 0 11202 LINDA LOVELACE CHIEF FINANCIAL OFFICER 40.00 X 78130 0 8299 OLUFEMI SOYINKA PHYSICIAN 40 X 143548 9904 EJIKEME U NWOKOLO PHYSICIAN 40 X 108353 12290 KAREN SALVAGGIO NURSE PRACTIONER 40 X 108083 9101 725537 59911 5 false true false KEYSTONE CONSTRUCTION 2112 HOLLYWOOD DRIVE JACKSON TN 38305 CONSTRUCTION 296919 WILKINS MOBILE HOME BUILDERS PO BOX 1089 DOUBLE SPRINGS AL 35553 CONSTRUCTION 173506 2 1762017 405694 2167711 PATIENT FEES 621110 1228750 1228750 14454 14454 3410915 1228750 14454 365553 177635 187918 0 1364981 1064365 300616 0 47013 33379 13634 0 242997 145574 97423 0 83247 59105 24142 0 2602 0 2602 0 18865 0 18865 0 246326 171793 74533 0 288978 209443 79535 0 194610 171125 23485 0 30602 16287 14315 0 72791 46605 26186 0 14892 12659 2233 0 SUB-GRANTEE EXPENDITURES 94904 94904 0 0 3068361 2202874 865487 0 370559 348300 512890 525961 241697 108059 258443 169369 9245 32251 2560943 678510 1403666 1882433 2796500 3066373 235317 210893 1061029 1012772 1296346 1223665 X 1465426 1807980 34728 34728 1500154 1842708 2796500 3066373 342554 X X false true true X true true X 1002196 1542362 1698262 2436755 2167711 8847286 1002196 1542362 1698262 2436755 2167711 8847286 8847286 19081 23448 17410 16415 14454 90808 8938094 6448078 0.98980 0.98800 X 0 0 0 65353 65353 2149725 359436 1790289 345865 319074 26791 1882433 3410915 3068361 342554 342554 3410915 3410915 3410915 3068361 3068361 3068361 X X false false false false false false false false false RAHAMAN SUARA 177635 4574 6628 188837 215473 OLUFEMI SOYINKA 143548 3472 6432 153452 127152 Pt VI-C, 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-B, Line 11a THE CEO, CFO AND FINANCE COMMITTEE REVIEWS THE FORM 990. Pt VI-B, 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-B, Line 15 STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PREFORMED ANNUALLY AND SALARY INCREASES ARE BOARD APPROVED.