2018-07-17T16:35:27-05:00 2017-12-31 750882037 BOLINGER SEGARS GILBERT AND MOSS LLP 8215 NASHVILLE AVENUE LUBBOCK TX 79423 990 2017-01-01 752424925 COMMUNITY HEALTH CENTER OF LUBBOCK INC COMM 8067652611 1610 5TH STREET LUBBOCK TX 79401 MICHAEL SULLIVAN CEO 8067652611 2018-07-16 1 Matt R Willis P00419741 8067473806 2018-07-12 X 2017 2022-09-23 18:48:47Z MICHAEL SULLIVAN 1610 5TH STREET LUBBOCK TX 79401 16488351 0 X WWW.CHCLUBBOCK.ORG X 1992 TX PROVIDE QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO THOSE IN NEED. 10 10 170 28 0 0 9876131 9779631 7007256 6642547 -20545 9136 20147 32331 16882989 16463645 0 0 0 0 9475678 8927886 0 0 43388 8885472 7022865 18361150 15950751 -1478161 512894 17217654 17112997 7467045 6849494 9750609 10263503 PROVIDE QUALITY PRIMARY AND PREVENTATAIVE HEALTH CARE SERVICES TO THOSE IN NEED. 0 0 13889901 6642547 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 2017, THE ORGANIZATION PROVIDED MEDICAL SERVICES TO APPROXIMATELY 25,215 INDIVIDUALS AND CHILDREN. 13889901 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 8 0 170 1 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 1 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 BERTHA MARTINEZ PRESIDENT 2.00 X X 0 0 0 ERMINIA MARTINEZ PRESIDENT ELECT 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 NATALIA CAMPOS DIRECTOR 2.00 X 0 0 0 PILAR MARTINEZ DIRECTOR (1/17 - 4/17) 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 186280 0 25783 ELIZABETH LOPEZ CHIEF DEVELOPMENT OFFICER 40.00 X 127938 0 19826 DARNEL DABU MEDICAL DIRECTOR (1/17 - 2/17) 40.00 X 75646 0 7636 ALLAN CAMACHO MEDICAL DIRECTOR (3/17 - 12/17) 40.00 X 237854 0 27547 XOCHITL ANDERTON DENTAL DIRECTOR (1/17 - 2/17) 40.00 X 45108 0 4979 WHITNEY MCBRAYER DENTAL DIRECTOR (3/17 - 12/17) 40.00 X 99890 0 18732 LEOPOLDO CABRERA PHYSICIAN 40.00 X 284704 0 29281 DIANE MCINTIRE PHYSICIAN 40.00 X 151604 0 19283 KAMLESH VARMA PHYSICIAN 40.00 X 208075 0 24039 WALKER M HALL PHYSICIAN 40.00 X 137682 0 16459 VIBETH ATIENZA NURSE PRACTITIONER 40.00 X 116910 0 16290 1671691 0 209855 10 0 1 0 LABCORP PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 358342 TTUHSC - OPTHALMOLOGY 3601 4TH STREET MS 7217 LUBBOCK TX 79430 OPTHALMOLOGY SERVICES 236000 VALAGUARD 1610 17TH STREET LUBBOCK TX 79401 IT SERVICES 185800 VISTA STAFFING 275 EAST 200 SOUTH SALT LAKE CITY UT 84111 CONTRACT LOCUM 122802 R&D CLEANING PO BOX 3116 LUBBOCK TX 79452 CLEANING SERVICES 120475 5 4000 8061753 1713878 1308244 9779631 MEDICAL & PROGRAM FEES 621400 6612679 6612679 MEDICAL RECORDS 621400 19838 19838 MEDICARE & MEDICAID 621400 10030 10030 6642547 6877 6877 28810 0 28810 28810 28810 2259 0 2259 2259 2259 28227 4000 24706 3521 3521 16463645 6673616 0 10398 877219 736624 113108 27487 6226551 5397725 828826 506010 438655 65110 2245 787520 562230 221796 3494 530586 414613 114706 1267 633 633 35100 35100 1403907 1268613 135294 233733 159572 74161 317509 249709 67800 818518 702012 116506 77312 9301 68011 137634 96895 40739 285204 285204 585099 485743 99356 102015 92510 9505 MEDICAL SUPPLIES 2285181 2282821 2360 BAD DEBTS 561514 561514 EQUIP. RENTALS & REPAIR 120809 105209 15600 LICENSE & DUES 46839 40905 5934 11858 46 2917 8895 15950751 13889901 2017462 43388 1388 1388 1661256 2174965 76628 92585 577901 506493 25265 19876 103705 94485 17879203 3684876 14761051 14194327 10460 28878 17217654 17112997 1107017 935744 6360028 5913750 7467045 6849494 X 9750609 10263503 9750609 10263503 17217654 17112997 512894 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 933263 933263 13764193 985548 12778645 262608 167901 94707 2919139 2531427 387712 14194327 X 16488351 24706 24706 16463645 0 16463645 15975457 24706 24706 15950751 0 15950751 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 24,706. Part XII, Line 2d - Other Adjustments: FUNDRAISING EXPENSES REPORTED DIRECTLY AGAINST FUNDRAISING INCOME ON THE 990 24,706. ART OF HEALING 32227 4000 28227 3000 21706 32227 4000 28227 3000 21706 24706 3521 X X 0 0 0 0 0 0 0 0 0 MICHAEL SULLIVAN CEO 186280 0 0 0 0 0 16199 0 9584 0 212063 0 0 0 ALLAN CAMACHO MEDICAL DIRECTOR (3/17 - 12/17) 237854 0 0 0 0 0 21216 0 6331 0 265401 0 0 0 LEOPOLDO CABRERA PHYSICIAN 284704 0 0 0 0 0 22950 0 6331 0 313985 0 0 0 DIANE MCINTIRE PHYSICIAN 151604 0 0 0 0 0 12952 0 6331 0 170887 0 0 0 KAMLESH VARMA PHYSICIAN 208075 0 0 0 0 0 17708 0 6331 0 232114 0 0 0 WALKER M HALL PHYSICIAN 137682 0 0 0 0 0 11711 0 4748 0 154141 0 0 0 X 24 1308244 DONOR-PROVIDED INVOICES 0 0 0 Form 990, Part VI, Section A, line 2 DIRECTORS PILAR MARTINEZ AND BERTHA MARTINEZ ARE HUSBAND AND WIFE. PILAR RESIGNED FROM THE BOARD IN APRIL 2017. Form 990, Part VI, Section A, line 4 THE BYLAWS WERE AMENDED TO ADD A COMPLIANCE COMMITTEE, WHICH IS RESPONSIBLE FOR MONITORING, REVIEWING AND REPORTING COMPLIANCE REQUIREMENTS. 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.