2019-11-04T14:04:58-06:00 2018-12-31 750882037 BOLINGER SEGARS GILBERT AND MOSS LLP 8215 NASHVILLE AVENUE LUBBOCK TX 79423 990 2018-01-01 752424925 COMMUNITY HEALTH CENTER OF LUBBOCK INC COMM 8067652611 1610 5TH STREET LUBBOCK TX 79401 MICHAEL SULLIVAN CEO 8067652611 2019-10-25 1 Erin Dipprey P01419700 8067473806 2019-10-25 65.182.80.152 2019-10-25 09:03:59 CD P 4EC26C72DF4D0007137EF13377A37C4A82B0A87F 0F2974AC74D7DDF1B6A1E1BB23E019AE426F3A7A 2018 2020-03-31 21:24:44Z MICHAEL SULLIVAN 1610 5TH STREET LUBBOCK TX 79401 17655492 0 X WWW.CHCLUBBOCK.ORG X 1992 TX PROVIDE QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO THOSE IN NEED. 10 10 157 31 0 0 9779631 10965598 6642547 6649564 9136 8018 32331 29151 16463645 17652331 0 0 0 0 8927886 8520614 0 0 71025 7022865 6884635 15950751 15405249 512894 2247082 17112997 18700598 6849494 6190013 10263503 12510585 PROVIDE QUALITY PRIMARY AND PREVENTATAIVE HEALTH CARE SERVICES TO THOSE IN NEED. 0 0 13648019 6676116 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 2018, THE ORGANIZATION PROVIDED MEDICAL SERVICES TO APPROXIMATELY 23,944 INDIVIDUALS AND CHILDREN. 13648019 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 9 0 157 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 MICHAEL SULLIVAN CEO 8067652611 1610 5TH STREET LUBBOCK TX 79401 ERMINIA MARTINEZ PRESIDENT 10.00 X X 0 0 0 LORENZA ONTIVEROS SECRETARY 2.00 X X 0 0 0 JAMES JOHNSON TREASURER 3.00 X X 0 0 0 BERTHA MARTINEZ DIRECTOR 2.00 X 0 0 0 NATALIA CAMPOS 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 MICHAEL SULLIVAN CEO 40.00 X 186749 0 25929 ELIZABETH LOPEZ CHIEF DEVELOPMENT OFFICER 40.00 X 136817 0 20651 ALLAN CAMACHO MEDICAL DIRECTOR 40.00 X 239705 0 27551 WHITNEY MCBRAYER DENTAL DIRECTOR 40.00 X 111728 0 19055 LEOPOLDO CABRERA PHYSICIAN 40.00 X 298667 0 29705 DIANE MCINTIRE PHYSICIAN 40.00 X 120072 0 15244 KAMLESH VARMA PHYSICIAN 40.00 X 213321 0 24462 KARISSA YOUNG DENTIST 40.00 X 114931 0 19392 MARISSA BLANCO NURSE PRACTITIONER 40.00 X 112054 0 15966 1534044 0 197955 9 0 1 0 TEINERT COMMERCIAL SERVICES PO BOX 5327 LUBBOCK TX 79408 CONSTRUCTION SERVICES 839499 LABCORP PO BOX 12140 BURLINGTON NC 27216 LABORATORY 338130 TTUHSC - OPTHALMOLOGY 3601 4TH STREET MS 7217 LUBBOCK TX 79430 OPTHALMOLOGY SERVICES 236000 VALAGUARD 1610 17TH STREET LUBBOCK TX 79401 IT SERVICES 216544 R&D CLEANING PO BOX 3116 LUBBOCK TX 79452 CLEANING SERVICES 113117 5 9160870 1804728 1308784 10965598 MEDICAL & PROGRAM FEES 621400 6605398 6605398 MEDICAL RECORDS 621400 22213 22213 MEDICARE & MEDICAID 621400 21953 21953 6649564 7928 7928 26462 0 26462 26462 26462 90 0 90 90 90 5850 3161 2689 2689 17652331 6676116 0 10617 768185 608355 104839 54991 5983384 5103682 879702 489923 417904 69884 2135 790935 676554 110935 3446 488187 414587 70163 3437 4659 4659 35100 35100 1453131 1363360 89771 246562 207374 39188 298934 274434 24500 867066 817394 49672 64369 23209 41160 107975 66212 41763 260943 260943 575253 479107 96146 106902 101712 5190 MEDICAL SUPPLIES 2214730 2205370 9360 BAD DEBTS 458704 458704 EQUIP. RENTALS & REPAIR 133216 126622 6594 LICENSE & DUES 46360 42496 3864 10731 3715 7016 15405249 13648019 1686205 71025 1388 1388 2174965 3403997 92585 119741 506493 345301 19876 21267 94485 89991 17908892 4163294 14194327 13745598 28878 973315 17112997 18700598 935744 1023004 5913750 5167009 6849494 6190013 X 9576395 11907141 687108 603444 10263503 12510585 17112997 18700598 2247082 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 933263 933263 13782421 1333015 12449406 262608 175996 86612 2930600 2654283 276317 13745598 DEPOSITS 10460 CONSTRUCTION IN PROGRESS 962855 973315 X 17655492 3161 3161 17652331 0 17652331 15408410 3161 3161 15405249 0 15405249 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. Part XI, Line 2d - Other Adjustments: FUNDRAISING EXPENSES REPORTED DIRECTLY AGAINST FUNDRAISING INCOME ON THE 990 3,161. Part XII, Line 2d - Other Adjustments: FUNDRAISING EXPENSES REPORTED DIRECTLY AGAINST FUNDRAISING INCOME ON THE 990 3,161. X X 0 0 0 0 0 0 0 0 0 MICHAEL SULLIVAN CEO 186749 0 0 0 0 0 16199 0 9730 0 212678 0 0 0 ELIZABETH LOPEZ CHIEF DEVELOPMENT OFFICER 136817 0 0 0 0 0 11921 0 8730 0 157468 0 0 0 ALLAN CAMACHO MEDICAL DIRECTOR 239705 0 0 0 0 0 21221 0 6330 0 267256 0 0 0 LEOPOLDO CABRERA PHYSICIAN 298667 0 0 0 0 0 23375 0 6330 0 328372 0 0 0 KAMLESH VARMA PHYSICIAN 213321 0 0 0 0 0 18132 0 6330 0 237783 0 0 0 X 28 1308784 DONOR-PROVIDED INVOICES 0 0 0 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.