2021-10-21T14:16:00-05:00 2020-12-31 750882037 BOLINGER SEGARS GILBERT AND MOSS LLP 8215 NASHVILLE AVENUE LUBBOCK TX 79423 990 2020-01-01 752424925 COMMUNITY HEALTH CENTER OF LUBBOCK INC COMM 8067652611 1610 5TH STREET LUBBOCK TX 79401 MICHAEL SULLIVAN CEO 8067652611 2021-07-14 1 MICHAEL SULLIVAN 999009999 Erin Dipprey P01419700 8067473806 2021-07-14 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MICHAEL SULLIVAN 1610 5TH STREET LUBBOCK TX 79401 16125980 0 X WWW.CHCLUBBOCK.ORG X 1992 TX PROVIDE QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO THOSE IN NEED. 10 10 155 10 0 0 10476878 10978467 6662565 5116964 6585 3009 28175 27540 17174203 16125980 0 0 0 0 9098337 9195446 0 0 75948 7687295 6792967 16785632 15988413 388571 137567 18759202 19793131 5860046 6756408 12899156 13036723 PROVIDE QUALITY PRIMARY AND PREVENTATAIVE HEALTH CARE SERVICES TO THOSE IN NEED. 0 0 13837640 5143677 PROVIDED HEALTH CARE SERVICES FOR UNDERPRIVILEGED ADULTS AND CHILDREN INCLUDING WOMENS HEALTH SERVICES, PRENATAL SERVICES, EYE CARE SERVICES, SENIOR SERVICES, PEDIATRIC AND ADULT DENTAL SERVICES, SOCIAL SERVICES PROGRAMS AND OUTREACH SERVICES. THE ORGANIZATION SERVES FIVE COUNTIES IN THE WEST TEXAS AREA. THE FIVE COUNTIES ARE LUBBOCK, CROSBY, LYNN, TERRY AND GARZA. THE ORGANIZATION ALSO OPERATES MOBILE MEDICAL AND DENTAL VANS. DURING 2020, THE ORGANIZATION PROVIDED MEDICAL SERVICES TO APPROXIMATELY 20,842 INDIVIDUALS AND CHILDREN. 827 THE ORGANIZATION HAS A WELLNESS CENTER FOR THE BENEFIT OF ITS EMPLOYEES, PATIENTS, AND THE SURROUNDING COMMUNITY. 13837640 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 6 0 155 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BARBRA MOORE FINANCE DIRECTOR 8067652611 1610 5TH STREET LUBBOCK TX 79401 JAMES JOHNSON PRESIDENT 3.00 X X 0 0 0 LORENZA ONTIVEROS TREASURER 2.00 X X 0 0 0 BRANDON HARTLEY SECRETARY 0.75 X X 0 0 0 BERTHA MARTINEZ DIRECTOR 10.00 X 0 0 0 NATALIA CAMPOS 120-520 DIRECTOR 2.00 X 0 0 0 ERMINIA MARTINEZ DIRECTOR 2.00 X 0 0 0 MARGARET GAINES DIRECTOR 3.00 X 0 0 0 PATRICIA MORA HAWKINS DIRECTOR 2.00 X 0 0 0 MICHAEL CHAPMAN DIRECTOR 1.00 X 0 0 0 MELYNN HENRY DIRECTOR 1.00 X 0 0 0 AARON DAVIS DIRECTOR 1.00 X 0 0 0 ALLAN CAMACHO MEDICAL DIRECTOR 40.00 X 317621 0 7206 MICHAEL SULLIVAN CEO 40.00 X 281865 0 12069 ELIZABETH LOPEZ CHIEF DEVELOPMENT OFFICER 40.00 X 181638 0 9905 WHITNEY MCBRAYER 120-820 DENTAL DIRECTOR 40.00 X 131492 0 5935 BARBRA MOORE FINANCE DIRECTOR 40.00 X 127056 0 196 LEOPOLDO CABRERA PHYSICIAN 40.00 X 275934 0 4966 KAREN SCOTT PHYSICIAN 40.00 X 239493 0 4966 MARISSA BLANCO NURSE PRACTITIONER 40.00 X 132334 0 6627 STEPHANIE WHITE CERTIFIED NURSE MIDWIFE 40.00 X 117166 0 10127 LAURIE LUNA NURSE PRACTITIONER 40.00 X 106453 0 4966 1911052 0 66963 16 0 1 0 LABCORP PO BOX 12140 BURLINGTON NC 27216 LABORATORY 277881 UNITED COALITION PHARMACY 6502 SLIDE ROAD LUBBOCK TX 79424 DISPENSING FEES 249734 PROFESSIONAL MAINTENANCE PO BOX 2099 LUBBOCK TX 79408 JANITORIAL SERVICES 229025 VALAGUARD 1610 17TH STREET LUBBOCK TX 79401 IT SERVICES 214500 TTUHSC - OPTHALMOLOGY 3601 4TH STREET LUBBOCK TX 79430 OPTHALMOLOGY SERVICES 177000 5 9499056 1479411 1244811 10978467 MEDICAL & PROGRAM FEES 621400 4921573 4921573 MEDICAL RECORDS 621400 170842 170842 MEDICARE & MEDICAID 621400 23722 23722 WELLNESS CENTER 713940 827 827 5116964 3009 3009 27540 0 27540 27540 27540 16125980 5144504 0 3009 1074982 846574 172167 56241 6618615 5497925 1120690 208832 173539 34392 901 787776 665924 118455 3397 505241 419924 73999 11318 9143 9143 35100 35100 1083120 1005103 78017 266497 208373 58124 586353 534128 52225 974552 916432 58120 16414 2772 13642 104230 67504 36726 224638 224638 588462 501157 87305 104721 94824 9897 MEDICAL SUPPLIES 2160708 2104371 56337 BAD DEBTS 345309 345309 EQUIP. RENTALS & REPAIR 201181 151468 49713 LICENSE & DUES 84150 77675 6475 8389 4298 4091 15988413 13837640 2074825 75948 1428 1428 3950973 5618148 231263 82554 277940 251248 15113 24502 116752 107975 19041120 5344304 14155273 13696816 10460 10460 18759202 19793131 841257 788876 340319 4678470 4342032 0 1625500 5860046 6756408 X 12277759 12442631 621397 594092 12899156 13036723 18759202 19793131 137567 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 933263 933263 13782422 2028199 11754223 1213179 262306 950873 3112256 3053799 58457 13696816 SBA NOTE PAYABLE - PPP PROGRAM 1625500 1625500 X 16125980 0 16125980 0 16125980 15988413 0 15988413 0 15988413 Part X, Line 2: THE CENTER FOLLOWS THE "UNCERTAIN TAX POSITIONS" PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THE PRIMARY TAX POSITION OF THE CENTER IS ITS FILING STATUS AS A TAX EXEMPT ENTITY. THE CENTER DETERMINED THAT IT IS MORE LIKELY THAN NOT THAT THEIR TAX POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS), OR OTHER STATE TAXING AUTHORITY AND THAT ALL TAX BENEFITS ARE LIKELY TO BE REALIZED UPON SETTLEMENT WITH TAXING AUTHORITIES. X X 0 0 0 0 0 0 0 0 0 ALLAN CAMACHO MEDICAL DIRECTOR 276969 0 0 0 40652 0 0 0 7206 0 324827 0 0 0 MICHAEL SULLIVAN CEO 219765 0 0 0 62100 0 0 0 12069 0 293934 0 0 0 LEOPOLDO CABRERA PHYSICIAN 233934 0 0 0 42000 0 0 0 4966 0 280900 0 0 0 KAREN SCOTT PHYSICIAN 224793 0 0 0 14700 0 0 0 4966 0 244459 0 0 0 ELIZABETH LOPEZ CHIEF DEVELOPMENT OFFICER 145541 0 0 0 36097 0 0 0 9905 0 191543 0 0 0 PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION THE ORGANIZATION OFFERS A LIFE INSURANCE (162) BONUS PLAN TO CERTAIN EMPLOYEES. THE ORGANIZATION PAYS THE PREMIUM FOR PARTICIPATING EMPLOYEES' LIFE INSURANCE POLICIES, AND THE PREMIUM PAYMENTS MADE BY THE ORGANIZATION ARE CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE IN THE YEAR PAID. THE AMOUNT OF OTHER REPORTABLE COMPENSATION IN PART II, COLUMN B(III) REPRESENTS THESE PAYMENTS. X 19 1244811 DONOR-PROVIDED INVOICES 0 0 0 Form 990, Part VI, Section B, line 11b MANAGEMENT WILL PRESENT A COPY OF THE FORM 990 TO THE BOARD FOR DISCUSSION, REVIEW AND APPROVAL PRIOR TO FILING. Form 990, Part VI, Section B, line 12c ALL EMPLOYEES, OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE AN ATTACHMENT DETAILING ANY POSSIBLE CONFLICTS. Form 990, Part VI, Section B, line 15 THE BOARD OF DIRECTORS USE A COMPENSATION COMMITTEE WHEN DETERMINING THE CEO'S SALARY. THE BOARD OF DIRECTORS AND CEO USE A COMPENSATION COMMITTEE WHEN DETERMINING THE OTHER EMPLOYEE OFFICER'S SALARY. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING BY THE PUBLIC AT THE ORGANIZATION'S OFFICE IN LUBBOCK, TX. Form 990, Part XII, Line 2c THE BOARD OF DIRECTORS HAVE ASSIGNED MEMBERS TO AN AUDIT COMMITTEE TO OVERSEE THE FINANCIAL STATEMENT AUDIT AND SELECT THE INDEPENDENT FINANCIAL STATEMENT AUDITOR. SCHEDULE J, PART II, COLUMN B(III) DURING 2020, THE ORGANIZATION BEGAN OFFERING A LIFE INSURANCE (162) BONUS PLAN TO CERTAIN EMPLOYEES. SEE SCHEDULE J, PART II, COLUMN B(III) FOR APPLICABLE AMOUNTS.