2022-05-24T13:13:18-07:00 2021-12-31 621867889 Terry Horne CPA Inc 732 West Main Street Lebanon TN 37087 990 2021-01-01 680560048 CHOTA COMMUNITY HEALTH SERVICES CHOT 4234427268 PO BOX 278 MADISONVILLE TN 37354 LAURA HARRIS CHIEF EXECUTIVE OFFICER 4234427268 2022-05-24 true LAURA HARRIS XXX-XX-XXXX Terry Horne CPA P00120946 6154447293 2022-05-24 3 AAL1 IAL1 FAL1 2021 2022-09-23 18:48:47Z LAURA HARRIS PO BOX 278 MADISONVILLE TN 37354 15242557 false X N/A X 2003 TN THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 10 10 117 0 0 0 4245546 5022429 8458135 10207711 37207 -224 12266 12641 12753154 15242557 0 0 6000758 7187117 0 0 3260516 4435201 9261274 11622318 3491880 3620239 17439069 17550852 6737622 2882720 10701447 14668132 THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. false false 8945153 0 10207711 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 46,600 VISITS WERE PROVIDED DURING THE YEAR. 8945153 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 true 4 0 true 117 true false false false 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 true true true true false X MELISSA GRAY 4238847271 PO BOX 278 MADISONVILLE TN 37354 VANESSA BARR BOARD MEMBER 1.00 X 0 0 0 MIA SAGE LOWRY BEASON BOARD MEMBER 1.00 X 0 0 0 RICHARD BERNSTEIN BOARD MEMBER 1.00 X 0 0 0 BRUCE CHRISTOPHER BOARD MEMBER 1.00 X 0 0 0 AUGUSTA DAVIS BOARD MEMBER 1.00 X 0 0 0 WALLACE DRAKE BOARD MEMBER 1.00 X 0 0 0 JOLETA JONES BOARD MEMBER 1.00 X 0 0 0 KRESSA MASON BOARD MEMBER 1.00 X 0 0 0 WILLIAM O'DONNELL BOARD MEMBER 1.00 X 0 0 0 MICHAEL TALLENT BOARD MEMBER 1.00 X 0 0 0 LAURA HARRIS CHIEF EXECUTIVE OFFICER 40.00 X 164228 0 5652 MELISSA GRAY CHIEF FINANCIAL OFFICER 40.00 X 81797 0 20713 REBECCA STRAWN CHIEF OPERATIONAL OFFICER 40.00 X 78133 0 10499 TRAVIS WHITE CHIEF INFORMATION OFFICER 40.00 X 90672 0 13866 SONIA HARDIN CHIEF COMPLIANCE OFFICER 40.00 X 88723 0 3559 THOMAS COX MEDICAL DIRECTOR 40.00 X 223531 0 17399 TABITHA WALKER CLINICAL SERVICES OFFICER 40.00 X 105614 0 13747 TAMMY MADISON DIRECTOR OF NURSING 40.00 X 72891 0 12087 TERRY HOWARD PHYSICIAN 40.00 X 212515 0 14472 MEGAN PAZ PEDIATRICIAN 40.00 X 168128 0 6590 LAURA DEWALT PHYSICIAN 40.00 X 147860 0 21555 WILLIAM THORNTON NURSE PRACTITIONER 40.00 X 137173 0 11044 DANIEL LOYD PHYSICIAN 40.00 X 156292 0 10755 1727557 0 161938 8 false true false COORDINATED SCHOOL HEALTH CLINIC 3459 NEW HWY 68 MADISONVILLE TN 37534 CONTRACTED NURSES FOR CLINIC 175845 EVANS-AILEY CONSTRUCTION INC 7613 BLUEBERRY RD POWELL TN 37849 CONTRACT CONSTRUCTION SERVICES 1242083 OSIS INC 8790 GOVERNORS HILL DRIVE SUITE 202 CINCINNATI OH 45249 CONTRACT EHR SUPPORT 172133 WHEELER TECHNOLOGIES LLC 1090 MONTGOMERY AVE NE CLEVELAND TN 37311 CONTRACT TELECOMMUNICATION SERVICES 168043 MAIN STREET STUDIO ARCHITECTS LLC 111 N MAIN ST SUITE C SWEETWATER TN 37874 CONTRACT ARCHITECTURAL SERVICES 130319 5 4951619 70810 62746 5022429 PATIENT FEES 621111 10207711 0 0 10207711 -224 0 -224 12641 12641 12641 12641 15242557 10207711 0 12417 905590 781141 124449 0 5120313 3430148 1690165 0 96428 67500 28928 0 740947 517344 223603 0 323839 226687 97152 0 1967 0 1967 0 30125 0 30125 0 194360 121607 72753 0 990705 764405 226300 0 271494 231201 40293 0 278251 214590 63661 0 50759 50759 0 0 402346 341994 60352 0 45482 28065 17417 0 MEDICAL SUPPLIES AND PHARMACEUTICALS 1397880 1397880 0 0 CONTRACT 340B ADMIN AND DISPENSING FEES 771832 771832 0 0 11622318 8945153 2677165 0 2642551 901554 6987363 3111643 49656 247021 885280 1215127 10557 12644 10959578 2730111 6855247 8229467 3824981 8415 8415 17439069 17550852 643655 474620 1794416 168269 4299551 2239831 6737622 2882720 X 10701447 14668132 10701447 14668132 17439069 17550852 3620239 346446 X X false true X true true true X 0 2372812 1993592 1829444 4245546 5022429 15463823 0 0 2372812 1993592 1829444 4245546 5022429 15463823 0 15463823 11641 32555 73979 49473 12417 180065 0 0 15643888 39527141 0.98850 0.98490 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 490192 490192 7626701 926843 6699858 2761985 1803268 958717 80700 80700 8229467 CERTIFICATES OF DEPOSIT 3824981 F 3824981 15242557 15242557 15242557 11622318 11622318 11622318 X X false false false false false false false false false LAURA HARRIS 164228 0 0 0 192 0 5460 0 0 0 169880 0 0 0 THOMAS COX 223531 0 0 0 8941 0 8458 0 0 0 240930 0 0 0 TERRY HOWARD 212515 0 0 0 10724 0 3748 0 0 0 226987 0 0 0 MEGAN PAZ 168128 0 0 0 264 0 6326 0 0 0 174718 0 0 0 LAURA DEWALT 147860 0 0 0 21555 0 0 0 0 0 169415 0 0 0 DANIEL LOYD 156292 0 0 0 10755 0 0 0 0 0 167047 0 0 0 X 4183 62746 FMV false true false Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. Pt VI, Line 11b THE CEO AND FINANCE COMMITTEE REVIEWS THE FORM 990 AND THEN PRESENTS TO FULL BOARD. Pt VI, Line 15a STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS Pt VI, Line 15b FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY AND SALARY INCREASES ARE BOARD APPROVED. Pt XII, Line 2c THE CEO OVERSEES FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT. Pt VI, 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.