2023-03-01T08:33:04-06:00 2022-04-30 FORVIS LLP 3102 WEST END AVENUE SUITE 800 NASHVILLE TN 372031382 990 2021-05-01 611268014 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC % LINDSAY DURALL COMM 2703385777 480 HOPKINSVILLE STREET GREENVILLE KY 42345 LINDSAY DURALL CFO 2703385777 2023-02-10 true LINDSAY DURALL 999009999 JEFF SMITH P00289876 6159883600 2021 2023-04-26 12:10:37Z LINDSAY DURALL 480 HOPKINSVILLE STREET GREENVILLE KY 42345 12355929 false X N/A X 1994 KY TO PROVIDE AFFORDABLE PRIMARY HEALTHCARE SERVICES. 10 10 119 0 0 4267083 3575176 7422700 8744562 76695 29819 59812 6372 11826290 12355929 0 0 0 0 5982702 6030281 0 0 0 3148394 3554493 9131096 9584774 2695194 2771155 15506105 18210332 1070070 472856 14436035 17737476 TO PROVIDE AFFORDABLE PRIMARY HEALTHCARE SERVICES IN MUHLENBERG AND LOGAN COUNTIES, KENTUCKY, AND IN MEDICALLY UNDER-SERVED URBAN, SUBURBAN, AND RURAL AREAS HAVING LIMITED AVAIABLE HEALTH RESOURCES. false false 8603057 8744562 OPERATION OF COMMUNITY HEALTH CENTER AS AUTHORIZED BY SECTION 330 OF THE PUBLIC HEALTH SERVICES GRANT. 8603057 true true false false false false false false false false true false false false false true 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 19 0 true 119 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true false false true true false KY X LINDSAY DURALL 2703385777 480 HOPKINSVILLE ST GREENVILLE KY 42345 LEE B SPARKS PHYSICIAN 40.0 0.0 X 235600 0 26724 BILLIE GALYEN PHYSICIAN 40.0 0.0 X 229610 0 26882 STEVEN ZELLER PHYSICIAN 40.0 0.0 X 210000 0 28579 DEANDRA DAVIS PHYSICIAN 40.0 0.0 X 216031 0 10300 ELIZA WHITTEN PHYSICIAN 40.0 0.0 X 175933 0 26451 ROGER ARBUCKLE CEO 40.0 0.0 X 165000 0 18451 KELLY DURALL COO 40.0 0.0 X 92539 0 17560 LINDSAY DURALL CFO SINCE JANUARY 2021 40.0 0.0 X 60731 0 9116 JOSEPH SWAB CFO THROUGH JANUARY 2021 40.0 0.0 X 60876 0 5529 ANDREHIA HATFIELD BOARD MEMBER 1.0 0.0 X 0 0 0 ROSEMARY BUCK SECRETARY 1.0 0.0 X X 0 0 0 CARY DAVIS VICE CHAIRMAN 1.0 0.0 X X 0 0 0 CINDY BAIRD BOARD MEMBER 1.0 0.0 X 0 0 0 AMANDA HENSON BOARD MEMBER 1.0 0.0 X 0 0 0 ELIZABETH EAVES BOARD MEMBER 1.0 0.0 X 0 0 0 ELIZABETH A GENTRY CHAIRMAN OF THE BOARD 1.0 0.0 X X 0 0 0 JIMMY OWENS BOARD MEMBER 1.0 0.0 X 0 0 0 RICHARD NEATHAMER BOARD MEMBER 1.0 0.0 X 0 0 0 BILLY STEELE BOARD MEMBER 1.0 0.0 X 0 0 0 1446320 0 169592 17 false true false CHERYL BROTHERS 420 KING ROAD LEWISBURG KY 42256 HOUSEKEEPING SERVICE 123000 1 3575176 3575176 Patient Service Revenue 621110 8415356 8415356 Provider Relief Funds 900099 327315 327315 Medical Records Revenue 621110 1891 1891 All other program service revenue - 8744562 29819 29819 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 6372 6372 6372 12355929 8744562 36191 0 0 0 0 606139 558463 47676 0 4339249 3997943 341306 195485 176839 18646 540176 443850 96326 349232 309159 40073 0 9559 9559 102452 102452 0 0 0 602443 430606 171837 68243 68243 301560 132774 168786 0 0 79427 66120 13307 315 315 0 0 0 0 271486 233478 38008 33469 33469 Patient Assistance Programs 1430143 1430143 Operational Supplies 452519 452519 Staff Training 77005 37535 39470 Information Access 97686 97686 28186 22219 5967 9584774 8603057 981717 0 4542173 9381038 5609290 3339449 0 259533 697530 627935 0 0 0 0 0 0 125526 126462 44823 51623 7079621 2658702 4486763 4420919 0 0 0 0 0 0 0 0 0 3373 15506105 18210332 420925 472856 0 0 649145 0 0 0 0 0 0 0 0 0 0 0 0 0 1070070 472856 X 14268116 17574938 167919 162538 14436035 17737476 15506105 18210332 2771155 530286 X X false true X true true true X 2350109 2470221 3036040 4267083 3575176 15698629 5871372 6643958 7200084 7422700 8744562 35882676 0 0 0 8221481 9114179 10236124 11689783 12319738 51581305 0 0 0 51581305 35904 77929 100954 76695 29819 321301 0 35904 77929 100954 76695 29819 321301 0 510 367 804 59812 6372 67865 8257895 9192475 10337882 11826290 12355929 51970471 0.99251 0.99210 0.00618 0.00660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 419045 419045 5149087 1385582 3763505 15825 13576 2249 1243623 1078972 164651 252041 180572 71469 4420919 0 0 X 12355929 12355929 12355929 9584774 9584774 9584774 PART X, LINE 2 THE CENTER HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE CENTER IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE CENTER FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE CENTER BELIEVES THAT IT HAS SUPPORT FOR ANY TAX POSISTIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATMENTS. X X false false false false false false false true false ROGER ARBUCKLE CEO 165000 8250 10201 183451 LEE B SPARKS PHYSICIAN 235600 11004 15720 262324 BILLIE GALYEN PHYSICIAN 229610 10219 16663 256492 STEVEN ZELLER PHYSICIAN 210000 10500 18079 238579 DEANDRA DAVIS PHYSICIAN 216031 10300 226331 ELIZA WHITTEN PHYSICIAN 175933 8797 17654 202384 PART I, LINE 7 PROVIDERS ARE ELIGIBLE TO RECEIVE A BONUS BASED ON A PRODUCTIVITY FORMULA. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 --------------------------- MANAGEMENT PRESENTS THE FEDERAL FORM 990 TO THE BOARD AT THE REGULARLY SCHEDULED BOARD MEETING IMMEDIATELY PRECEDING THE RETURN'S DUE DATE. THE RETURN IS FILED AFTER BOARD REVIEW. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY --------------------------- BOARD MEMBERS AND OFFICERS SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEWS --------------------------- THE BOARD DETERMINED THE CEO'S SALARY BASED ON SALARY SURVEY DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND CONDUCTS AN ANNUAL PERFORMANCE EVALUATION. THE CEO DETERMINED THE COO AND CFO'S SALARY BASED ON THE SAME INFORMATION WHICH IS EVALUATED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE TO THE PUBLIC --------------------------------- THE ORGANIZATION MAKES GOVERNING DOCUMENTS, ITS CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. ANNUAL FORMS 990 ARE AVAILABLE ON GUIDESTAR.ORG. FORM 990, PART XII, LINE 2C AUDIT OVERSIGHT PROCESS --------------------------- THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS FROM THE PRIOR YEAR.