2011-09-14T16:48:03-05:00 2010-12-31 HJMRR LLP 1329 N UNIVERSITY SUITE A3 NACOGDOCHES TX 75961 990 2010-01-01 432016287 MT ENTERPRISE COMMUNITY HEALTH CLINIC MTEN 9033928203 PO BOX 489 MT ENTERPRISE TX 75681 ROBIN BIRDWELL 9033928203 2011-08-01 1 TERRE MCLEMORE 9365648186 2010 2016-02-24 21:20:13Z JILL COOLEY PO BOX 489 MT ENTERPRISE TX 75681 1916561 0 X N/A X 2003 TX TO PROVIDE PREVENTIVE, ACUTE, AND PRIMARY CARE TO THE LOCAL COMMUNITY 9 9 34 0 0 0 1000330 1033528 486483 676414 34 95 0 206524 1486847 1916561 0 0 0 0 502044 906120 0 0 0 433745 1040928 935789 1947048 551058 -30487 752624 728632 230243 236739 522381 491893 TO PROVIDE PREVENTIVE, ACUTE, AND PRIMARY CARE TO THE LOCAL COMMUNITY 0 0 1546607 1025550 676815 PROVIDED PREVENTIVE, ACUTE, AND PRIMARY CARE TO THE LOCAL COMMUNITY 1546607 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 12 0 34 1 0 0 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 DR WILLIAM SHEEHAN 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 BARBARA CATES 2.00 X 0 0 0 MAMIE HODGE 2.00 X 0 0 0 DEBRA JILL COOLEY 40.00 X 83322 0 0 ROBIN BIRDWELL 40.00 X 53501 0 0 BECKY ELDRIDGE 40.00 X 8951 0 0 CHERYL ROWELL 40.00 X 57020 0 19300 TAD TITLOW 40.00 X 113591 0 0 259365 0 0 1 1 0 0 ROBERT GRIFFITH 521 HICKORY STREET HENDERSON TX 75652 MEDICAL DIRECTOR 125045 ONE SOURCE PO BOX 6741 TYLER TX 75711 CONSTRUCTION MANAGEMENT & DESIGN 114158 2 1025550 7978 1033528 MEDICAL SERVICE INCOME 624100 433424 433424 MEDICARE/MEDICAID PMTS 624100 242990 242990 676414 95 95 IN-KIND DONATIONS 624110 201835 201835 OTHER REVENUES 624110 4689 4689 206524 1916561 883033 0 0 202793 115329 87464 586151 580727 5424 117176 64823 52353 3795 3695 100 47871 1637 46234 28235 5149 23086 30600 30600 16417 1162 15255 7063 7063 115435 115435 8336 8336 IN-KIND EXPENSE 201835 201835 CONTRACTED SERVICES 192826 144350 48476 WRITE-OFFS 144382 144382 MEDICAL SERVICES 139419 139419 CONTRACTUAL ADJUSTMENTS 42951 42951 61763 -14287 76050 1947048 1546607 400441 0 93998 90034 27209 15983 170146 91958 6590 5707 679081 268289 454681 410792 0 114158 752624 728632 57340 57072 118360 115345 54543 64322 230243 236739 X 522381 491893 522381 491893 752624 728632 -30487 0 X X 0 1 1 X 1 1 X 400 200 15827 1000330 1038217 2054974 400 200 15827 1000330 1038217 2054974 2054974 34 95 129 796 201835 202631 2257734 1603458 0.91020 0.99800 X 433393 126924 306469 245688 141365 104323 410792 CONSTRUCTION IN PROGRESS 114158 114158 1916561 1947048 -30487 0 -30487 1916561 0 1916561 0 1916561 1947048 0 1947048 0 1947048 X X 0 0 0 0 0 0 0 0 0 TAD TITLOW 113591 0 0 0 0 0 0 0 0 0 113591 0 0 0 RUSSELL HALL PROVIDE FINANCING TO KEEP ENTITY OPERATING X 114500 115345 0 1 1 115345 X MEDICAL SUPPLIES 1 201835 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. THE PROCESS OF SELECTING THE INDEPENDENT ACCOUNTANT RESPONSIBLE FOR THE ANNUAL FINANCIAL AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR.