2022-09-26T08:33:44-07:00 2022-05-31 621867889 Terry Horne CPA Inc 732 West Main Street Lebanon TN 37087 990 2021-06-01 237085643 RURAL HEALTH SERVICES INC RURA 8035939283 1000 CLYBURN PLACE AIKEN SC 29801 Carolyn Emanuel-McClain CHIEF EXECUTIVE OFFICER 8035939283 2022-09-23 true Carolyn Emanuel-McClain XXX-XX-XXXX Terry Horne CPA P00120946 6154447293 2022-09-26 3 AAL1 IAL1 FAL1 2021 2022-09-23 18:48:47Z Carolyn Emanuel-McClain PO BOX 277 CLEARWATER SC 298220277 20978993 false X WWW.MJWCHC.ORG X 1970 SC THIS ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 14 14 214 0 0 0 6713526 7462729 11697374 13513624 13755 2640 0 18424655 20978993 0 0 11021292 12694345 0 0 5579982 6487185 16601274 19181530 1823381 1797463 13992742 14192157 5239873 3747848 8752869 10444309 THIS ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. false false 14981584 0 13513624 THE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF CLEARWATER, SOUTH CAROLINA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THIER TAX EXEMPT PURPOSE. OVER 63,100 VISITS WERE PROVIDED DURING THE YEAR. 14981584 true true false false false false false false false false true true 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 11 0 true 214 true false false 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 SC X SHIOW WEN TERRANOVA CFO 8035939283 PO BOX 277 CLEARWATER SC 29822 JOHN STROTHER BOARD CHAIR 1.00 X 0 0 0 LIZ STEWART VICE CHAIR 1.00 X 0 0 0 NICHOLAS MCCARLEY SECRETARY 1.00 X 0 0 0 KRISTIN ALLEN BOARD MEMBER 1.00 X 0 0 0 JOSHUA BOOTH BOARD MEMBER 1.00 X 0 0 0 CORY MURPHY BOARD MEMBER 1.00 X 0 0 0 JOSH CARIAS BOARD MEMBER 1.00 X 0 0 0 THAYER MCGAHEE BOARD MEMBER 1.00 X 0 0 0 REV SHIRLEY EDWARDS BOARD MEMBER 1.00 X 0 0 0 AARON MUNGIN BOARD MEMBER 1.00 X 0 0 0 GARY FARINA BOARD MEMBER 1.00 X 0 0 0 CYNTHIA GRIFFEN MITCHELL BOARD MEMBER 1.00 X 0 0 0 ERIC STAGGS BOARD MEMBER 1.00 X 0 0 0 MARISOL FUENTES BOARD MEMBER 1.00 X 0 0 0 CAROLYN EMANUEL-MCCLAIN CHIEF EXECUTIVE OFFIER 40.00 X 319406 0 14931 SHIOW WEN TERRANOVA CHIEF FINANCIAL OFFICER 40.00 X 121500 0 20908 GIGINA WALKER CHIEF OPERATING OFFICER 40.00 X 117770 0 9401 KENNETH JONES CHIEF MEDICAL OFFICER 40.00 X 225310 0 8081 PRINCESS DAVIS (FORMER) CHIEF CLINICAL OPERATING OFFICER 40.00 X 90934 0 8561 CHERISSE EDWARDS DIRECTOR OF PHARMACY 40.00 X 129587 0 17318 WANDA GIBSON DIRECTOR OF DENTAL 40.00 X 153794 0 12290 ISAIAH STEFFEN PHYSICIAN 40.00 X 189453 0 24679 LLOYD DANIELS PHYSICIAN 40.00 X 221298 0 11597 CURTIS ELAM OB/GYN 40.00 X 456191 0 19132 HALEY MURRAY OB/GYN 40.00 X 276840 0 10072 MARIA CRISTINA SOTO PHYSICIAN 40.00 X 174967 0 13213 2477050 0 170183 11 false true false PARAGON INC OF SOUTH CAROLINA 2874 COLUMBIA RD ORANGEBURG SC 29118 CONTRACTED CONSTRUCTION SERVICES 563188 AFFORDABLE CLEANING 1157 HERDON DAIRY RD AIKEN SC 29803 CONTRACTED CLEANING SERVICES 219402 CONTINENTAL CONSTRUCTION CO PO BOX 204198 AUGUSTA GA 30917 CONTRACTED REPAIR SERVICES 428798 LABCORP PO BOX 12140 BURLINGTON NC 27216 CONTRACTED LABORATORY SERVICE 138299 HUGHES BEATTIE O'NEAL LAW & ASSOCIATES 1075 BROOKHAVEN DR AIKEN SC 29803 CONTRACTED LEGAL SERVICES 145566 5 6965750 496979 221125 7462729 PATIENT FEES 621111 13513624 0 0 13513624 2640 0 2640 20978993 13513624 0 2640 1217156 1124618 92538 0 9399694 7935362 1464332 0 112609 95718 16891 0 1212537 1037633 174904 0 752349 639497 112852 0 61921 0 61921 0 40355 0 40355 0 981281 433353 547928 0 161038 10101 150937 0 767253 362689 404564 0 935477 433274 502203 0 313581 139529 174052 0 125632 49700 75932 0 13007 2267 10740 0 553399 195561 357838 0 29664 17705 11959 0 CONTRACT 340B ADMIN AND DISPENSING FEES 294401 294401 0 0 DRUGS AND MEDICAL SUPPLIES 2210176 2210176 0 0 19181530 14981584 4199946 0 1539490 771075 2388574 40667 20381 221949 806429 1342866 121917 193843 43839 61540 15050524 4720443 9058462 10330081 63493 1038246 114747 13650 13650 13992742 14192157 974875 1322451 2499584 2425397 1765414 5239873 3747848 X 8642456 10230260 110413 214049 8752869 10444309 13992742 14192157 X 1797463 33431 -494 -242596 103636 X false true X true true true X 0 2919930 2899950 3121366 6713526 7462729 23117501 0 0 2919930 2899950 3121366 6713526 7462729 23117501 0 23117501 2274 10538 13720 13755 2640 42927 0 0 23160428 58066949 0.99810 0.99780 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 397460 397460 10445496 2597111 7848385 3413373 2123332 1290041 794195 794195 10330081 CERTIFICATE OF DEPOSIT 1038246 F 1038246 21011930 33431 33431 20978499 494 494 20978993 19181530 19181530 19181530 X X false false false false false false false false false CAROLYN EMANUEL-MCCLAIN 319406 0 0 0 0 0 4000 0 10931 0 334337 0 0 0 KENNETH JONES 225310 0 0 0 0 0 0 0 8081 0 233391 0 0 0 WANDA GIBSON 153794 0 0 0 0 0 4139 0 8151 0 166084 0 0 0 ISAIAH STEFFEN 189453 0 0 0 0 0 4000 0 20679 0 214132 0 0 0 LLOYD DANIELS 221298 0 0 0 0 0 3446 0 8151 0 232895 0 0 0 CURTIS ELAM 456191 0 0 0 0 0 0 0 19132 0 475323 0 0 0 HALEY MURRAY 276840 0 0 0 0 0 0 0 10072 0 286912 0 0 0 MARIA CRISTINA SOTO 174967 0 0 0 0 0 3624 0 9589 0 188180 0 0 0 X 17158 221125 FMV false true false Pt VI, Line 11b MANAGEMENT AND THE BOARD REVIEW AND APPROVE THE FORM 990 BEFORE Pt VI, Line 11b IT IS FILED WITH THE IRS. Pt VI, Line 12c ANNUALLY, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST Pt VI, Line 12c STATEMENT THAT COMPLIES WIH THE CONFLICT OF INTEREST POLICY. Pt VI, Line 15a THE ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY Pt VI, Line 15b HEALTH CENTERS, AND WITH THIS MEMBERSHIP IS ABLE TO RECEIVE COMPLETED Pt VI, Line 15b COMPENSATION SURVEYS THAT LIST COMPENSATION BY FUNCTION AND REGION Pt VI, Line 15b OF EMPLOYMENT. USING THIS SURVEY IS THE INITIAL STATE OF COMPENSATION Pt VI, Line 15b EVAULATION. THE ORGANIZATION ALSO WILL REVIEW THE APPLICANT'S REQUESTED Pt VI, Line 15b COMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY Pt VI, Line 15b COMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY Pt VI, Line 15b AVAILABLE IN COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT Pt VI, Line 15b THROUGH HRSA. Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT Pt VI, Line 19 OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. Pt XI LINE 9 REPRESENTS THE NET CHANGE IN NET ASSETS WITH Pt XI DONOR RESTRICTIONS FOR THE YEAR.