2021-02-09T06:47:32-08:00 2020-09-30 Carter& Jackson Co CPAS 249 NORTH FIRST STREET Albemarle NC 28001 990 2019-10-01 562098720 JOHN P MURRAY COMMUNITY CARE CLINIC INC JOHN 9803234667 303 YADKIN STREET SUITE C ALBEMARLE NC 28001 CHRIS VAUGHN EXECUTIVE DIRECTOR 9803234667 2021-02-08 true KRISTI B JACKSON CPA P01311953 7049833783 2021-02-09 2019 2022-09-23 18:48:47Z JOHN SULLIVAN SAME AS C ABOVE ALBEMARLE NC 28001 458694 false X N/A X 1998 NC TO PROVIDE QUALITY MEDICAL CARE, MEDICATION AND MEDICAL SUPPLIES TO LOW INCOME, UNINSURED ADULTS IN STANLY COUNTY 11 11 0 12 0 0 94894 125958 975 1305 19740 16525 0 115609 143788 0 0 14400 14400 0 0 77522 73621 91922 88021 23687 55767 518406 574278 5126 5231 513280 569047 TO PROVIDE QUALITY MEDICAL CARE, MEDICATION AND MEDICAL SUPPLIES TO LOW INCOME, UNINSURED ADULTS IN STANLY COUNTY false false 79522 0 1305 Provided medical care to 371 patients during 1,656 hours of operation. Approximately 12 volunteers provided 4,193 hours of service. A total of 1,869 patient visits were recorded. 79522 true true 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 false false false false false false false false false false false false false false false false false true 3 0 true 0 false false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true false true true true false X CHRIS VAUGHN 9803234667 303 YADKIN STREET SUITE C ALBEMARLE NC 28001 CHRIS VAUGHN EXECUTIVE DIRECTOR 40.00 X 110169 0 31082 DR LEONARD SALTZMAN MEDICAL DIRECTOR 1.00 X 14400 0 0 JOHN SULLIVAN CHAIRMAN 0.50 X X 0 0 0 JANE BOONE SECRETARY 0.15 X X 0 0 0 CINDY BEANE TREASURER 0.15 X X 0 0 0 TAMMY CRUMP BOARD MEMBER 0.15 X 0 0 0 JOANNA KOSKO MD BOARD MEMBER 0.15 X 0 0 0 DAVID GRIGG BOARD MEMBER 0.15 X 0 0 0 GARY SCHWARTZ MD BOARD MEMBER 0.15 X 0 0 0 CEDRIC BALDWIN BOARD MEMBER 0.15 X 0 0 0 JENNIFER ODOM BOARD MEMBER 0.15 X 0 0 0 JEREMY HYDE BOARD MEMBER 0.15 X 0 0 0 LINDA LEWIS BOARD MEMBER 0.15 X 0 0 0 124569 0 31082 1 false false true 23593 102365 125958 MEDICAL RECORDS FEES 621300 1305 0 0 1305 14883 0 14883 316548 314906 1642 1642 0 0 1642 143788 1305 0 16525 14400 14400 0 0 2785 0 2785 0 3384 0 3384 0 14855 14855 0 0 3181 2863 318 0 481 75 406 0 0 0 0 0 3451 2791 660 0 DUES AND SUBSCRIPTIONS 3092 2308 784 0 CLIENT TRAVEL 146 146 0 0 GIFTS/VOLUNTEER EXPENSE 162 0 162 0 MEDICATION 28571 28571 0 0 13513 13513 0 0 88021 79522 8499 0 58489 96672 5055 7305 2307 6855 3168 3168 0 0 452555 463446 518406 574278 5126 5231 5126 5231 X 513280 569047 513280 569047 518406 574278 55767 X false false false X 0 0 89683 79591 98740 94894 125958 488866 0 0 0 89683 79591 98740 94894 125958 488866 271 608 1968 850 650 4347 0 271 608 1968 850 650 4347 484519 17131 10401 16967 19740 14883 79122 17131 10401 16967 19740 14883 79122 567988 0.85300 0.83330 0.13930 0.15960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 3168 3168 0 0 false false false false false false false false false CHRIS VAUGHN 110169 0 0 0 0 0 7877 0 23205 0 141251 0 0 0 Other PART II LINE 1 THE EXECUTIVE DIRECTOR IS A PAID EMPLOYEE OF ATRIUM HEALTH STANLY Pt VI, Line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED AT ITS OFFICES ON 303 YADKIN STREET IN ALBEMARLE, NC AND ARE AVAILABLE FOR PUBLIC INSPECTION ON REQUEST Pt VI, Line 15a THE CEO'S SALARY IS PAID BY THE LOCAL HOSPITAL - ATRIUM HEALTH STANLY AND AS SUCH IS A VOLUNTEER POSITION WITHIN THE ORGANIZATION. SALARIES AT THE HOSPITAL ARE DETERMINED BY REVIEW WITHIN THE SYSTEM AND WITH THE USE OF COMPARABILITY DATA AVAILABLE WITHIN THE HEALTHCARE SYSTEM. Pt VI, Line 15b MEDICAL OFFICER AND NURSES FEES ARE BASED UPON PERFORMANCE APPRAISALS AS WELL AS REVIEWS OF AMOUNTS PAID BY LIKE ORGANIZATIONS FOR SIMILAR SERVICES Other ATRIUM HEALTH STANLY PROVIDED SUPPORT FOR THE ORGANIZATION AS FOLLOWS: SALARIES AND PAYROLL TAXES $154,970, SUPPLIES (Reported on Sch B)$0, OFFICE AND CLERICAL SPACE $29,719,CLINICAL SUPPORT AND MAINTENANCE $924 Other PART IX LINE 11g - PROFESSIONAL FEES-NURSES $14,855 Other PART IX LINE 24E - MEDICAL SUPPLIES $11,599, PRINTING $81 AND SUPPLIES $1,833 Pt VI, Line 11b COPIES OF THE 990 WERE DELIVERED TO BOARD MEMBERS PRIOR TO THEIR SCHEDULED BOARD MEETING. MEMBERS WERE GIVEN THE OPPORTUNITY TO REVIEW THE 990 AND ASK QUESTIONS BOTH BEFORE AND DURING THE BOARD MEETING. AFTER REVIEW AND APPROVAL THE COMPLETED 990 WAS FILED Pt VI, Line 12c BOARD MEMBERS SIGN A DISCLOSURE FORM AT THE FIRST BOARD MEETING OF THE CALENDAR YEAR STATING ANY POTENTIAL CONFLICTS Form 990, Part IX, Line 11g PROFESSIONAL FEES-NURSES 14855. 14855. 0. 0. Form 990, Part IX, Line 24e MEDICAL SUPPLIES 11599. 11599. 0. 0. Form 990, Part IX, Line 24e PRINTING EXPENSE 81. 81. 0. 0. Form 990, Part IX, Line 24e SUPPLIES 1833. 1833. 0. 0.