2021-06-01T14:24:33-07:00 2021-03-31 Terry Horne CPA Inc 732 West Main Street Lebanon TN 37087 990 2020-04-01 621027042 PERRY COUNTY MEDICAL CENTER INC PERR 9315892104 PO BOX 916 LINDEN TN 37096 PHILLIP TATUM CHIEF EXECUTIVE OFFICER 9315892104 2021-06-01 true PHILLIP TATUM XXX-XX-XXXX Terry Horne CPA P00120946 6154447293 2021-06-01 3 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z THREE RIVERS COMMUNITY HEALTH GROUP PHILLIP TATUM PO BOX 916 LINDEN TN 37096 6338900 false X N/A X 1973 TN THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 13 13 54 0 0 0 2457097 3335289 3031344 2852509 4216 -48499 0 5492657 6139299 0 0 3074163 3366399 0 0 1868806 2081924 4942969 5448323 549688 690976 5530848 6865663 622136 1243475 4908712 5622188 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 3710475 0 2852509 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 18,300 VISITS WERE PROVIDED DURING THE YEAR. 3710475 true true false false false false false false false false true false 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 false false false false false false false false false false true 6 0 true 54 true false false false false false false false false false false false false false false false X 13 13 false false false false false false false true true false false false true true true true true true true false X BLAKE DILL 9315892104 115 E BROOKLYN STREET LINDEN TN 37096 DEAN HEADY CHAIRMAN 1.00 X 0 0 0 JESSIE RUTH TILLER VICE CHAIR 1.00 X 0 0 0 BRUCE COTTON FINANCIAL OFFICER 1.00 X 0 0 0 DAVID YOUNG SECRETARY 1.00 X 0 0 0 RITA AUSTIN BOARD MEMBER 1.00 X 0 0 0 BETTY BARBER BOARD MEMBER 1.00 X 0 0 0 JW CATHEY BOARD MEMBER 1.00 X 0 0 0 LEAH CONDER BOARD MEMBER 1.00 X 0 0 0 BETTY CULP BOARD MEMBER 1.00 X 0 0 0 SHARON DOYLE BOARD MEMBER 1.00 X 0 0 0 JUDY MATHIS BOARD MEMBER 1.00 X 0 0 0 MITCHELL RHODES BOARD MEMBER 1.00 X 0 0 0 DIANA RICHARDSON BOARD MEMBER 1.00 X 0 0 0 PHILLIP TATUM CHIEF EXECUTIVE OFFICER 40.00 X 129053 0 18658 BLAKE DILL CHIEF FINANCIAL OFFICER 40.00 X 89369 0 15603 JEFFREY SMITH MEDICAL DIRECTOR 40.00 X 217510 0 24037 FRANK CARTWRIGHT DENTAL DIRECTOR 40.00 X 169124 0 20870 KRISTY KING NURSE PRACTITIONER 40.00 X 116697 0 18120 SHERRY TIDWELL NURSE PRACTITIONER 40.00 X 110615 0 17270 VIVIAN STOKES NURSE PRACTITIONER 40.00 X 102431 0 16652 DANIELLE VOSS NURSE PRACTITIONER 40.00 X 86294 0 16363 AMANDA TIDWELL NURSE PRACTITIONER 40.00 X 86235 0 15508 1107328 0 163081 6 false true false GRAVES AND GRAVES CONSTRUCTION 1267 W MAIN ST PARSONS TN 38363 CONTRACT CONSTRUCTION SERVICES 149351 OSIS INC 8790 GOVERNORS HILL DR CINCINNATI OH 45249 CONTRACT IT SERVICES 182164 MENTAL HEALTH COOPERATIVE INC 275 CUMBERLAND BEND DRIVE NASHVILLE TN 37228 CONTRACT MENTAL HEATLH SERVICES 112298 3 3319588 15701 8201 3335289 PATIENT FEES 621111 2852509 0 0 2852509 5958 0 5958 145144 199601 -54457 -54457 0 0 -54457 6139299 2852509 0 -48499 605056 386634 218422 0 2017056 1357307 659749 0 133574 68123 65451 0 419796 210555 209241 0 190917 97368 93549 0 9260 0 9260 0 45019 0 45019 0 925669 757791 167878 0 765162 582875 182287 0 82802 62585 20217 0 18630 12944 5686 0 210261 168209 42052 0 25121 6084 19037 0 5448323 3710475 1737848 0 39393 50491 1337610 2485995 19808 68733 394054 597952 21503 53142 6230303 2620953 3718480 3609350 5530848 6865663 194707 259158 434317 427429 550000 622136 1243475 X 4908712 5599688 22500 4908712 5622188 5530848 6865663 X 690976 22500 X X false true X true true true X 0 2180877 2274081 2392666 2457097 3335289 12640010 0 0 2180877 2274081 2392666 2457097 3335289 12640010 0 12640010 2907 2263 2689 5312 5958 19129 0 0 12659139 13109279 0.99850 0.99870 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 337898 337898 3821549 1040100 2781449 2070856 1580853 490003 3609350 6139299 6139299 6139299 5448323 5448323 5448323 X X false false false false false false false false false JEFFREY SMITH 217510 0 0 0 0 0 12568 0 11469 0 241547 0 0 0 FRANK CARTWRIGHT 169124 0 0 0 0 0 9881 0 10989 0 189994 0 0 0 Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. Pt XII, Line 2c THE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT. Pt VI, Line 11b THE AUDITOR COMPILES DATA AND TRANSMITS. 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. 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 XI LINE 9 REFLECTS THE TOTAL CHANGE IN NET ASSETS WITH Pt XI DONOR RESTRICTIONS FOR THE YEAR.