CABUN RURAL HEALTH SERVICES INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: CABUN RURAL HEALTH SERVICES INC (EIN 71-0487596)
Tax period: 2009-04-01 to 2010-03-31
Filed: 2011-02-14
IRS object ID: 201140459349300939
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-02-14T15:11:15-06:00	Timestamp
Tax Period End Date	2010-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3667	AddressLine1
City	LITTLE ROCK	City
State	AR	State
ZIP Code	722033667	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	710487596	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CABUN RURAL HEALTH SERVICES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CABU	NameControl
Phone	8707984064	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1196	AddressLine1
City	HAMPTON	City
State	AR	State
ZIP Code	71744	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SHIRLEY STRICKLAND	Name
Title	CFO	Title
Date Signed	2011-02-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	5013721040	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MELANIE SHEPPARD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	986 AUSTIN STREET	AddressLine1
City	CAMDEN	City
State	AR	State
ZIP Code	71701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6596764	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.chc-ar/org/health_maps_cabun.html	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1977	YearFormation
State Legal Domicile	AR	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	98	TotalNbrEmployees
Total Nbr Volunteers	10	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	3284424	ContributionsGrantsPriorYear
Contributions Grants Current Year	3676024	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4130882	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2902800	ProgramServiceRevenueCY
Investment Income Prior Year	7854	InvestmentIncomePriorYear
Investment Income Current Year	7983	InvestmentIncomeCurrentYear
Other Revenue Prior Year	37313	OtherRevenuePriorYear
Other Revenue Current Year	9957	OtherRevenueCurrentYear
Total Revenue Prior Year	7460473	TotalRevenuePriorYear
Total Revenue Current Year	6596764	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3327483	SalariesEtcPriorYear
Salaries Etc Current Year	3883836	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3845303	OtherExpensePriorYear
Other Expenses Current Year	2547212	OtherExpensesCurrentYear
Total Expenses Prior Year	7172786	TotalExpensesPriorYear
Total Expenses Current Year	6431048	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	287687	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	165716	RevenuesLessExpensesCY
Total Assets BOY	1878665	TotalAssetsBOY
Total Assets EOY	2120501	TotalAssetsEOY
Total Liabilities BOY	158356	TotalLiabilitiesBOY
Total Liabilities EOY	234476	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1720309	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1886025	NetAssetsOrFundBalancesEOY
Mission Description	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 SERVIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	5753471	Expense
Revenue	2902800	Revenue
Description	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.	Description
Total Program Service Expense	5753471	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	15	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	98	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SHIRLEY STRICKLAND	NamePerson
Telephone Number	8709182344	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1783 E AR 274 HWY	AddressLine1
City	HAMPTON	City
State	AR	State
ZIP Code	71744	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
LILLIE RANDALL
BOARD CHAIR	1.0	X	X	0	0	0
JUANET GASKIN
BOARD VICE CHAIR	1.0	X	X	0	0	0
DON CAIN
BOARD SECRETARY	1.0	X	X	0	0	0
KRISTIE MAY
BOARD TREASURER	1.0	X	X	0	0	0
MELBA TOMLINSON
DIRECTOR	1.0	X		0	0	0
JEANNE BENDER
DIRECTOR	1.0	X		0	0	0
HOMER JONES
DIRECTOR	1.0	X		0	0	0
LEANNE MCGOOGAN
DIRECTOR	1.0	X		0	0	0
BETSY GRIFFIN
DIRECTOR	1.0	X		0	0	0
CLOYS RUNYAN
DIRECTOR	1.0	X		0	0	0
JOSEPH SARNICKI DO
CHIEF MEDICAL OFFICER	40.0		X	217878	0	8593
MELANIE SHEPPARD RN
CHIEF EXECUTIVE OFFICER	40.0		X	67080	0	1125
SHIRLEY STRICKLAND
CHIEF FINANCE OFFICER	40.0		X	49708	0	4599
ROBERT A FLOSS
PHYSICIAN	36.0			213150	0	7025	X
JAMES ARRINGTON MD
PHYSICIAN	36.0			165400	0	11188	X
EVE COVAS MD
PHYSICIAN	36.0			178090	0	7019	X
MICHAEL SINGH MD
PHYSICAN	36.0			160374	0	11188	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1051680	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	50737	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
PSS
5950 FREEPORT AVE STE 109	MEMPHIS	TN	38141	MEDICAL SUPPLIES	337533
NETGAIN TECHNOLOGIES
				INTERNET TECHNOLOGY	109373

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Government Grants	3134448	GovernmentGrants
All Other Contributions	541576	AllOtherContributions
Noncash Contributions	541476	NoncashContributions
Total Contributions	3676024	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT REVENUE	Description
Business Code	621400	BusinessCode
Total Revenue Column	2902800	TotalRevenueColumn
Related Or Exempt Function Income	2902800	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2902800	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7983	TotalRevenueColumn
Exclusion	$7,983	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS	Description
Business Code	900099	BusinessCode
Total Revenue Column	9957	TotalRevenueColumn
Exclusion	$9,957	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	9957	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6596764	TotalRevenueColumn
Related Or Exempt Function Income	2902800	RelatedOrExemptFunctionIncome
Exclusion	$17,940	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	358753	Total
Program Services	0	ProgramServices
Management And General	358753	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2985874	Total
Program Services	2816951	ProgramServices
Management And General	168923	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	313249	Total
Program Services	295527	ProgramServices
Management And General	17722	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	225960	Total
Program Services	213177	ProgramServices
Management And General	12783	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	56445	Total
Program Services	53252	ProgramServices
Management And General	3193	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	310936	Total
Program Services	293345	ProgramServices
Management And General	17591	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	14158	Total
Program Services	13357	ProgramServices
Management And General	801	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	198895	Total
Program Services	187643	ProgramServices
Management And General	11252	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	62922	Total
Program Services	59362	ProgramServices
Management And General	3560	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	158183	Total
Program Services	149234	ProgramServices
Management And General	8949	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	36321	Total
Program Services	34266	ProgramServices
Management And General	2055	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	54099	Total
Program Services	51038	ProgramServices
Management And General	3061	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	128700	Total
Program Services	121419	ProgramServices
Management And General	7281	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	20310	Total
Program Services	19161	ProgramServices
Management And General	1149	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	932392	879643	52749
BAD DEBTS	436785	436785	0
REPAIRS & MAINTENANCE	64415	60771	3644
DUES & MEMBERSHIPS	55647	52499	3148
INCENTIVE EXPENSE	7302	6889	413

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	9702	Total
Program Services	9152	ProgramServices
Management And General	550	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6431048	Total
Program Services	5753471	ProgramServices
Management And General	677577	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	228103	BOY
EOY	307403	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	237832	BOY
EOY	243613	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	4719	BOY
EOY	13048	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	419206	BOY
EOY	427791	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	109500	BOY
EOY	114200	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	144221	BOY
EOY	176860	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	31465	BOY
EOY	35918	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1724375	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	922707	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	703619	BOY
EOY	801668	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1878665	BOY
EOY	2120501	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	158356	BOY
EOY	234476	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	158356	BOY
EOY	234476	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1720309	BOY
EOY	1886025	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1720309	BOY
EOY	1886025	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1878665	BOY
EOY	2120501	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2576214	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2776845	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2699627	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3284424	CurrentTaxYearMinus1Year
Current Tax Year	3676024	CurrentTaxYear
Total	15013134	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2576214	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2776845	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2699627	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3284424	CurrentTaxYearMinus1Year
Current Tax Year	3676024	CurrentTaxYear
Total	15013134	Total

Field	Value	IRS element (for citing)
Public Support Total170	15013134	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11456	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10487	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	12158	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8047	CurrentTaxYearMinus1Year
Current Tax Year	7983	CurrentTaxYear
Total	50131	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	24337	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	41623	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	48366	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	37313	CurrentTaxYearMinus1Year
Current Tax Year	9957	CurrentTaxYear
Total	161596	Total

Field	Value	IRS element (for citing)
Total Support	15224861	TotalSupport
Gross Receipts From Admissions Etc	16704149	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.98609	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.98460	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$475	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	475	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35000	OtherCostOrOtherBasis
Book Value	35000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	831518	OtherCostOrOtherBasis
Depreciation	248658	Depreciation
Book Value	582860	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	558390	OtherCostOrOtherBasis
Depreciation	476486	Depreciation
Book Value	81904	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	299467	OtherCostOrOtherBasis
Depreciation	197563	Depreciation
Book Value	101904	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	801668	TotalOfBookValueLandBuildings
Total Revenue	6596764	TotalRevenue
Total Expenses	6431048	TotalExpenses
Excess Or Deficit For Year	165716	ExcessOrDeficitForYear
Excess Or Deficit Per FS	165716	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	6596764	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	6596764	RevenueSubtotal
Total Revenue Per Form990	6596764	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6431048	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	6431048	ExpensesSubtotal
Total Expenses Per Form990	6431048	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT A FLOSS
213150	0	0	0	0	0	0	0	7025	0	220175	0	0	0
JAMES ARRINGTON MD
165000	0	400	0	0	0	0	0	11188	0	176588	0	0	0
EVE COVAS MD
171690	0	6400	0	0	0	0	0	7019	0	185109	0	0	0
JOSEPH SARNICKI DO
216899	0	979	0	0	0	0	0	8593	0	226471	0	0	0
MICHAEL SINGH MD
149938	0	10436	0	0	0	0	0	11188	0	171562	0	0	0

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	541576	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 11A	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.