2019-05-21T14:37:36-07:00 2018-12-31 Terry Horne CPA Inc 732 West Main Street Lebanon TN 37087 990 2018-01-01 680560048 CHOTA COMMUNITY HEALTH SERVICES CHOT 4234427268 PO BOX 278 MADISONVILLE TN 37354 LAURA HARRIS CHIEF EXECUTIVE OFFICER 4234427268 2019-05-20 true Terry Horne CPA P00120946 6154447293 2019-05-21 96.38.81.69 2019-05-21 14:37:26 PD P 03245427EFB77A9D91A2A51551C39050C68870D0 03245427EFB77A9D91A2A51551C39050C68870D0 2018 2019-02-21 02:37:17Z LAURA HARRIS PO BOX 278 MADISONVILLE TN 37354 9180478 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 13 110 0 0 0 2372812 1993592 5868908 7118221 11641 32555 29407 36110 8282768 9180478 0 0 4462935 5155220 0 0 2446737 2678667 6909672 7833887 1373096 1346591 8818594 10042801 3926717 3804333 4891877 6238468 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 4968610 0 3568045 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 33,900 VISITS WERE PROVIDED DURING THE YEAR. 4968610 true false 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 false false false false false false false false false false true 5 0 true 110 true 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 MELLISA GRAY 4238847271 PO BOX 278 MADISONVILLE TN 37354 BRUCE CHRISTOPHER BOARD CHAIRMAN 1.00 X 0 0 0 MICHAEL TALLENT VICE CHAIRMAN 1.00 X 0 0 0 VANESSA BARR SECRETARY 1.00 X 0 0 0 MICHAEL POULSEN TREASURER 1.00 X 0 0 0 MIA SAGE LOWRY BEASON BOARD MEMBER 1.00 X 0 0 0 WILLIAM O'DONNELL BOARD MEMBER 1.00 X 0 0 0 AUGUSTA T DAVIS BOARD MEMBER 1.00 X 0 0 0 LAWRENCE H HARRIS II BOARD MEMBER 1.00 X 0 0 0 BETTY GLENN BOARD MEMBER 1.00 X 0 0 0 DONALD WHITTAKER BOARD MEMBER 1.00 X 0 0 0 ALISON PIDGEON BOARD MEMBER 1.00 X 0 0 0 SHERRY WOODS BOARD MEMBER 1.00 X 0 0 0 JOLETA JONES BOARD MEMBER 1.00 X 0 0 0 LAURA HARRIS CHIEF EXECUTIVE OFFICER 40.00 X 126262 0 5139 MELISSA GRAY CHIEF FINANCIAL OFFICER 40.00 X 68541 0 18349 SONIA HARDIN CHIEF COMPLIANCE OFFICER 40.00 X 73833 0 11796 TRAVIS WHITE CHIEF INFORMATION OFFICER 40.00 X 75019 0 11648 THOMAS COX III MEDICAL DIRECTOR 40.00 X 191934 0 32355 HEATHER BOLINGER CLINICAL SERVICES DIRECTOR 40.00 X 66424 0 13332 LEA SUMMEY OFFICE MANAGER 40.00 X 34728 0 10641 TAMMY MADISON DIRECTOR OF NURSING 40.00 X 49483 0 11656 WILLIAM THORNTON FAMILY NURSE PRACTITIONER 40.00 X 115965 0 9280 CHARLES CYRUS FAMILY NURSE PRACTITIONER 40.00 X 123705 0 11477 TERRY HOWARD PHYSICIAN 40.00 X 214476 0 8700 1140370 0 144373 5 false true false COORDIANTED SCHOOL HEALTH CLINIC 205 OAK GROVE RD MADISONVILLE TN 37354 CONTRACTED NURSES FOR CLINIC 194480 1 1993592 0 1993592 PATIENT FEES 621111 7118221 0 0 7118221 32555 0 32555 36110 36110 36110 36110 9180478 7118221 0 68665 686224 307841 378383 0 3644181 2674657 969524 0 446902 308362 138540 0 91685 62219 29466 0 286228 197497 88731 0 2146 0 2146 0 21170 0 21170 0 726690 37842 688848 0 1153669 949515 204154 0 590190 339855 250335 0 50484 8958 41526 0 115624 69374 46250 0 18694 12490 6204 0 7833887 4968610 2865277 0 756579 759474 1978705 3424673 694810 472046 240413 275846 17420 41853 6881224 1878535 5081598 5002689 49069 66220 8818594 10042801 308753 396719 3617964 3407614 3926717 3804333 X 4891877 6238468 4891877 6238468 8818594 10042801 1346591 X X false true X true true true X 0 2382694 1521510 2224512 2372812 1993592 10495120 0 0 2382694 1521510 2224512 2372812 1993592 10495120 0 10495120 35569 15882 25983 11641 32555 121630 0 0 10616750 28384894 0.98850 0.98980 X 0 0 0 490192 490192 4523189 538339 3984850 1867843 1340196 527647 5002689 3568045 3568045 3568045 7833887 7833887 7833887 X false false false false false false false false false THOMAS COX III 191934 0 0 0 0 0 7999 0 24356 0 224289 0 0 0 TERRY HOWARD 214476 0 0 0 0 0 0 0 8700 0 223176 0 0 0 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.