2021-04-09T14:23:27-07:00 2020-12-31 Terry Horne CPA Inc 732 West Main Street Lebanon TN 37087 990 2020-01-01 680560048 CHOTA COMMUNITY HEALTH SERVICES CHOT 4234427268 PO BOX 278 MADISONVILLE TN 37354 LAURA HARRIS CHIEF EXECUTIVE OFFICER 4234427268 2021-04-09 true LAURA HARRIS XXX-XX-XXXX Terry Horne CPA P00120946 6154447293 2021-04-09 3 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z LAURA HARRIS PO BOX 278 MADISONVILLE TN 37354 12753154 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. 13 13 125 0 0 0 1829444 4245546 7874166 8458135 50801 37207 23178 12266 9777589 12753154 256489 0 0 5773497 6000758 0 0 2776506 3260516 8806492 9261274 971097 3491880 11018238 17439069 3808672 6737622 7209566 10701447 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 6566768 0 8458135 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 38,500 VISITS WERE PROVIDED DURING THE YEAR. 6566768 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 true false false false false false false false false true 7 0 true 125 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 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 LAWRENCE H HARRIS II BOARD MEMBER 1.00 X 0 0 0 JOLETA JONES 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 SHERRY WOODS BOARD MEMBER 1.00 X 0 0 0 ALBERT MEDINA BOARD MEMBER 1.00 X 0 0 0 KRESSA MASON BOARD MEMBER 1.00 X 0 0 0 LAURA HARRIS CHIEF EXECUTIVE OFFICER 40.00 X 148129 0 5532 MELISSA GRAY CHIEF FINANCIAL OFFICER 40.00 X 83528 0 19006 REBECCA STRAWN CHIEF OPERATIONAL OFFICER 40.00 X 13946 0 0 TRAVIS WHITE CHIEF INFORMATION OFFICER 40.00 X 83528 0 13255 SONIA HARDIN CHIEF COMPLIANCE OFFICER 40.00 X 79719 0 3460 THOMAS COX MEDICAL DIRECTOR 40.00 X 213968 0 22129 TABITHA WALKER CLINICAL SERVICES OFFICER 40.00 X 87619 0 12712 HEATHER BOLINGER FORMER CLINICAL SERVICES OFFICER 40.00 X 17539 0 2300 TAMMY MADISON DIRECTOR OF NURSING 40.00 X 63749 0 11400 TERRY HOWARD PHYSICIAN 40.00 X 203245 0 9964 MEGAN PAZ PEDIATRICIAN 40.00 X 127779 0 5070 CHARLES CYRUS NURSE PRACTITIONER 40.00 X 108308 0 12089 WILLIAM THORNTON NURSE PRACTITIONER 40.00 X 125985 0 10357 JENNIFER MCKENZIE NURSE PRACTITIONER 40.00 X 96675 0 14361 1453717 0 141635 6 false true false COORDINATED SCHOOL HEALTH CLINIC 3459 NEW HWY 68 MADISONVILLE TN 37534 CONTRACTED NURSES FOR CLINIC 176599 EVANS-AILEY CONSTRUCTION INC 7613 BLUEBERRY RD POWELL TN 37849 CONTRACT CONSTRUCTION SERVICES 1595505 OSIS INC 8790 GOVERNORS HILL DRIVE SUITE 202 CINCINNATI OH 45249 CONTRACT EHR SUPPORT 122339 3 4126767 118779 43630 4245546 PATIENT FEES 621111 8458135 0 0 8458135 37207 0 37207 12266 12266 12266 12266 12753154 8458135 0 49473 791725 382875 408850 0 4227256 3061732 1165524 0 91184 62917 28267 0 539182 368418 170764 0 351411 242474 108937 0 10767 0 10767 0 17770 0 17770 0 969707 924144 45563 0 1543338 1159833 383505 0 334181 284053 50128 0 61723 14305 47418 0 283001 61385 221616 0 40029 4632 35397 0 9261274 6566768 2694506 0 939470 2642551 4030737 6987363 21013 49656 1000593 885280 9831 10557 9183012 2327765 5008179 6855247 8415 8415 11018238 17439069 454146 643655 1794416 3354526 4299551 3808672 6737622 X 7209566 10701447 7209566 10701447 11018238 17439069 3491880 1 X X false true X true true true X 0 2224512 2372812 1993592 1829444 4245546 12665906 0 0 2224512 2372812 1993592 1829444 4245546 12665906 0 12665906 25983 11641 32555 73979 49473 193631 0 0 12859537 34597057 0.98490 0.98420 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 490192 490192 6531771 728943 5802828 2161049 1598822 562227 6855247 12753154 12753154 12753154 9261274 9261274 9261274 X X false false false false false false false false false LAURA HARRIS 148129 0 0 0 0 0 5340 0 192 0 153661 0 0 0 THOMAS COX 213968 0 0 0 0 0 8415 0 13714 0 236097 0 0 0 TERRY HOWARD 203245 0 0 0 0 0 0 0 9964 0 213209 0 0 0 X 17556 43630 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.