2020-09-16T11:11:04-05:00 2019-12-31 750882037 BOLINGER SEGARS GILBERT AND MOSS LLP 8215 NASHVILLE AVENUE LUBBOCK TX 79423 990 2019-01-01 752424925 COMMUNITY HEALTH CENTER OF LUBBOCK INC COMM 8067652611 1610 5TH STREET LUBBOCK TX 79401 MICHAEL SULLIVAN CEO 8067652611 2020-08-13 1 Erin Dipprey P01419700 8067473806 2020-08-13 65.182.80.152 2020-08-13 14:19:28 CD P 590F824A1294C374D71CDA6C5E46FE76A8EEF636 0F2974AC74D7DDF1B6A1E1BB23E019AE426F3A7A 2019 2021-01-29 14:40:06Z MICHAEL SULLIVAN 1610 5TH STREET LUBBOCK TX 79401 17174203 0 X WWW.CHCLUBBOCK.ORG X 1992 TX PROVIDE QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO THOSE IN NEED. 11 11 163 26 0 0 10965598 10476878 6649564 6662565 8018 6585 29151 28175 17652331 17174203 0 0 0 0 8520614 9098337 0 0 81438 6884635 7687295 15405249 16785632 2247082 388571 18700598 18759202 6190013 5860046 12510585 12899156 X PROVIDE QUALITY PRIMARY AND PREVENTATAIVE HEALTH CARE SERVICES TO THOSE IN NEED. 1 0 14765275 6690045 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 2019, THE ORGANIZATION PROVIDED MEDICAL SERVICES TO APPROXIMATELY 23,480 INDIVIDUALS AND CHILDREN. 695 IN 2019, THE ORGANIZATION STARTED A WELLNESS CENTER FOR THE BENEFIT OF ITS EMPLOYEES, PATIENTS, AND THE SURROUNDING COMMUNITY. 14765275 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 7 0 163 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 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 LEOPOLDO CABRERA PHYSICIAN 40.00 X 274796 0 29892 ALLAN CAMACHO MEDICAL DIRECTOR 40.00 X 248560 0 28433 KAMLESH VARMA PHYSICIAN 40.00 X 209585 0 23907 MICHAEL SULLIVAN CEO 40.00 X 202703 0 27526 ELIZABETH LOPEZ CHIEF DEVELOPMENT OFFICER 40.00 X 142363 0 21229 KAREN SCOTT PHYSICIAN 40.00 X 142677 0 6092 MARISSA BLANCO NURSE PRACTITIONER 40.00 X 123774 0 16748 KARISSA YOUNG DENTIST 40.00 X 116819 0 19502 WHITNEY MCBRAYER DENTAL DIRECTOR 40.00 X 114064 0 19015 BARBRA MOORE FINANCE DIRECTOR 40.00 X 96236 0 8249 BERTHA MARTINEZ PRESIDENT 10.00 X X 0 0 0 NATALIA CAMPOS SECRETARY 2.00 X X 0 0 0 JAMES JOHNSON TREASURER 3.00 X X 0 0 0 ERMINIA MARTINEZ DIRECTOR 2.00 X 0 0 0 LORENZA ONTIVEROS 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 BRANDON HARTLEY DIRECTOR 0.75 X 0 0 0 MELYNN HENRY DIRECTOR 1.00 X 0 0 0 AARON DAVIS 519-1219 DIRECTOR 1.00 X 0 0 0 1671577 0 200593 11 0 1 0 LABCORP PO BOX 12140 BURLINGTON NC 27216 LABORATORY 264698 TTUHSC - OPTHALMOLOGY 3601 4TH STREET MS 7217 LUBBOCK TX 79430 OPTHALMOLOGY SERVICES 236000 VALAGUARD 1610 17TH STREET LUBBOCK TX 79401 IT SERVICES 214500 PROFESSIONAL MAINTENANCE PO BOX 2099 LUBBOCK TX 79408 JANITORIAL SERVICES 183215 TEINERT COMMERCIAL SERVICES PO BOX 5327 LUBBOCK TX 79408 CONSTRUCTION SERVICES 139460 5 8396049 2080829 1734580 10476878 MEDICAL & PROGRAM FEES 621400 6590389 6590389 MEDICARE & MEDICAID 621400 38338 38338 MEDICAL RECORDS 621400 33143 33143 WELLNESS CENTER 713940 695 695 6662565 6585 6585 28175 0 28175 28175 28175 17174203 6690740 0 6585 908378 724698 125886 57794 6368553 5422471 946082 474327 404127 66048 4152 825911 666503 152178 7230 521168 442994 73753 4421 11097 11097 35100 35100 1296156 1187234 108922 308816 251282 57534 373649 324193 49456 920446 861920 58526 77446 28753 48693 149963 103050 46913 260193 260193 592549 492781 99768 112896 106606 6290 MEDICAL SUPPLIES 2560788 2542003 18785 BAD DEBTS 773749 773749 EQUIP. RENTALS & REPAIR 141826 117400 24426 LICENSE & DUES 59995 55294 4701 12626 24 4761 7841 16785632 14765275 1938919 81438 1388 1428 3403997 3950973 119741 231263 345301 277940 21267 15113 89991 116752 18911115 4755842 13745598 14155273 973315 10460 18700598 18759202 1023004 841257 340319 5167009 4678470 6190013 5860046 X 11907141 12277759 603444 621397 12510585 12899156 18700598 18759202 388571 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 933263 933263 13782422 1680697 12101725 1213179 207269 1005910 2982251 2867876 114375 14155273 X 17174203 0 17174203 0 17174203 16785632 0 16785632 0 16785632 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 LEOPOLDO CABRERA PHYSICIAN 274796 0 0 0 0 0 23800 0 6092 0 304688 0 0 0 ALLAN CAMACHO MEDICAL DIRECTOR 248560 0 0 0 0 0 22341 0 6092 0 276993 0 0 0 KAMLESH VARMA PHYSICIAN 209585 0 0 0 0 0 17815 0 6092 0 233492 0 0 0 MICHAEL SULLIVAN CEO 202703 0 0 0 0 0 18034 0 9492 0 230229 0 0 0 ELIZABETH LOPEZ CHIEF DEVELOPMENT OFFICER 142363 0 0 0 0 0 12537 0 8692 0 163592 0 0 0 X 18 1734580 DONOR-PROVIDED INVOICES 0 0 0 Form 990, Part III, line 2 IN 2019, THE ORGANIZATION STARTED A WELLNESS CENTER FOR THE BENEFIT OF ITS EMPLOYEES, PATIENTS, AND THE SURROUNDING COMMUNITY. Form 990, Part VI, Section A, line 4 CHCL MADE UPDATES TO THE CORPORATE BY-LAWS IN SEPTEMBER 2019 TO BE IN COMPLIANCE WITH HRSA. SECTION B NUMBER, TERM, AND QUALIFICATIONS: CHCL ADDED THE WORD 'GENDER' IN THE AREAS THE BOARD MUST REPRESENT. IN ADDITION, THE NON-USER MEMBERS LANGUAGE WAS UPDATED. SECTION F COMMITTEE POWERS AND AUTHORITY: THE FOLLOWING LANGUAGE WAS ADDED, "NO INDIVIDUAL ENTITY, OR COMMITTEE (INCLUDING, BUT NOT LIMITED TO, AN EXECUTIVE COMMITTEE AUTHORIZED BY THE BOARD AND CONSISTENT WITH THE ORGANIZATIONAL CHART) RESERVES OR HAS APPROVAL/VETO POWER OVER THE BOARD WITH REGARD TO THE REQUIRED AUTHORITIES AND FUNCTIONS. COLLABORATION OR AGREEMENTS WITH OTHER ENTITIES DO NOT RESTRICT OR INFRINGE UPON THE BOARD'S REQUIRED AUTHORITIES AND FUNCTIONS." Form 990, Part VI, Section B, line 11b MANAGEMENT PRESENTED 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 SALARY COMPARISON REPORT PREPARED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS WHEN DETERMINING THE CEO'S SALARY. THE REPORT PROVIDES COMPARATIVE SALARY INFORMATION FOR HEALTH CENTERS BASED ON SIZE AND LOCATION. THE BOARD OF DIRECTORS AND CEO USE A SALARY COMPARISON REPORT PREPARED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS WHEN DETERMINING THE OTHER EMPLOYEE OFFICER'S SALARY. THE REPORT PROVIDES COMPARATIVE SALARY INFORMATION FOR HEALTH CENTERS BASED ON SIZE AND LOCATION. 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.