2018-09-07T12:03:58-07:00 2018-05-31 Terry Horne CPA Inc 732 West Main Street Lebanon TN 37087 990 2017-06-01 570672117 LITTLE RIVER MEDICAL CENTER INC LITT 8436638000 PO BOX 547 LITTLE RIVER SC 29566 PAMELA DAVIS CHIEF EXECUTIVE OFFICER 8436638000 2018-09-06 true TERRY HORNE CPA P00120946 6154447293 2018-09-07 96.38.81.69 2018-09-07 12:03:30 PD P 813132FE58F5EFCDB3B149FDFD2D8B5486E0F4AC 813132FE58F5EFCDB3B149FDFD2D8B5486E0F4AC 2017 2018-06-14 16:35:46Z PAMELA DAVIS PO BOX 547 LITTLE RIVER SC 29566 27951847 false X N/A X 1978 SC THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 12 12 403 0 0 9586181 12171713 16199091 15782290 2462 -2156 0 25787734 27951847 0 0 16660901 19210451 0 0 6921973 7971294 23582874 27181745 2204860 770102 20458532 22076588 8992966 9825727 11465566 12250861 THE ORGANIZATION PROVIDES HEALTH CARE false false 23054688 15782290 THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF 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 119,300 VISITS WERE PROVIDED DURING THE YEAR. 23054688 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 true false false false false true false false false true 1 0 true 403 true false false false false false false false false false false false false false X 12 12 true false false false false false false true true false false false true true true true true true true false SC X CHARLES EASON 8436631013 4303 LIVE OAK DRIVE LITTLE RIVER SC 29566 WILLIE ANN HUCKS VICE CHAIR 1.00 X 0 0 0 HOWARD GARRISON CHAIR 1.00 X 0 0 0 SARA DONEVANT BOARD MEMBER 1.00 X 0 0 0 ELOUISE YOUNG-SMITH BOARD MEMBER 1.00 X 0 0 0 TOMMY SAMAHA BOARD MEMBER 1.00 X 0 0 0 LUZ ELENA KUHLER BOARD MEMBER 1.00 X 0 0 0 MAURICE JONES SECRETARY 1.00 X 0 0 0 DANA BLACK BOARD MEMBER 1.00 X 0 0 0 TUMPIE BULL BOARD MEMBER 1.00 X 0 0 0 KIMBERLEE MASSON BOARD MEMBER 1.00 X 0 0 0 CYNTHIA GAUSE BOARD MEMBER 1.00 X 0 0 0 JOAN VAITIS BOARD MEMBER 1.00 X 0 0 0 PAM DAVIS CHIEF EXECUTIVE OFFICER 40.00 X 206345 0 47742 CHARLES EASON CHIEF FINANCIAL OFFICER 40.00 X 149237 0 23762 KAREN CAGLE CHIEF OPERATIONAL OFFICER 40.00 X 93348 0 19140 WILLIAM O'CONNOR MEDICAL DIRECTOR 40.00 X 224500 0 38075 KRISTOPHER CHIPLINSKI DIRECTOR OF PHARMACY 40.00 X 129000 0 39131 RICK WARLICK HUMAN RESOURCES DIRECTOR 40.00 X 110134 0 21920 SHEREE NWANEGWO PHYSICIAN 40.00 X 181829 0 19740 LUIS D INSIGNARES PHYSICIAN 40.00 X 186317 0 37408 MARISTELA Y NABLOG-NILLAS PHYSICIAN 40.00 X 169577 0 30823 CHRISTINE M MCGINLEY PHYSICIAN 40.00 X 182650 0 20540 PREETH MENON PHYSICIAN 40.00 X 195276 0 35152 ROMEO NILLAS PHYSICIAN 40.00 X 142222 0 20685 RAYMOND REISER PHYSICIAN 40.00 X 159222 0 13454 ALEENA SABZWARI DENTIST 40.00 X 126516 0 14133 ORLANDO VALDEZ PHYSICIAN 40.00 X 160618 0 13022 SHAUNA WALTERS PHYSICIAN 40.00 X 159360 0 10579 MARK JANOSKY DENTIST 40.00 X 160862 0 20141 DANNY KASS PHYSICIAN 40.00 X 108378 0 1400 LATISHA KEARSLEY DENTIST 40.00 X 143200 0 16386 BERNICE LIM PHYSICIAN 40.00 X 146236 0 7554 LYNN MANFRED PHYSICIAN 40.00 X 154796 0 33423 BRENT ALAN BAUER DENTIST 40.00 X 144552 0 16887 PAUL COHEN PHYSICIAN 40.00 X 132944 0 16632 ANGELA WALLS DANIELS PHARMACIST 40.00 X 120385 0 20310 MICHELE HROMYAK PHARMACIST 40.00 X 118607 0 25572 3806111 563611 24 false true false KING CONSTRUCTION 111 WHITE OAK FOREST PLACE CONWAY SC 29566 CONSTRUCTION 271307 GREENWAY ONE METROPLEX DRIVE SUITE 500 BIRMINGHAM AL 35209 EMR CONTRACT MAINTENANCE 671423 WACCAMAW CENTER FOR MENTAL HEALTH 164 WACCAMAW MEDICAL PARK CONWAY SC 29526 CONTRACT MENTAL HEALTH SERVICES 107145 BALDWIN CONSTRUCTION PO BOX 190 MYRTLE BEACH SC 29597 CONSTRUCTION 249770 4 8845161 3326552 109189 12171713 PATIENT FEES 621111 12944353 340B & OTHER CONTRACT SERVICES 621111 2837937 15782290 6643 6643 -8799 -8799 -8799 -8799 27951847 15782290 -2156 673430 224500 448930 0 15141400 13505885 1635515 0 307831 267813 40018 0 1984814 1720665 264149 0 1102976 959589 143387 0 1943827 1555062 388765 0 3554413 2843531 710882 0 1291195 1032156 259039 0 407943 326354 81589 0 421174 336939 84235 0 352742 282194 70548 0 27181745 23054688 4127057 0 2928525 119721 515180 3627199 1673302 1814691 289684 327493 271074 355712 21709643 5880371 14778267 15829272 2500 2500 20458532 22076588 1113185 1272691 207281 113951 7672500 8439085 8992966 9825727 X 11442370 12213472 23196 37389 11465566 12250861 20458532 22076588 X 770102 X X false true X true true true X 6384150 5998155 8307426 9586181 12171713 42447625 6384150 5998155 8307426 9586181 12171713 42447625 42447625 1850 2095 2375 2462 6643 15425 42463050 64664672 0.99960 0.99960 X 0 0 0 2436803 2436803 14963738 2848411 12115327 4309102 3031960 1277142 15829272 27951847 27951847 27951847 27180745 27180745 27180745 X X false false false false false false false false false PAM DAVIS 206345 9198 38544 254087 CHARLES EASON 149237 6373 17389 172999 WILLIAM O'CONNOR 224500 9614 28461 262575 KRISTOPHER CHIPLINSKI 129000 6198 32933 168131 SHEREE NWANEGWO 181829 2828 16912 201569 LUIS D INSIGNARES 186317 8381 29027 223725 MARISTELA Y NABLOG-NILLAS 169577 7332 23491 200400 CHRISTINE M MCGINLEY 182650 2870 17670 203190 PREETH MENON 195276 3653 31499 230428 ROMEO NILLAS 142222 5870 14815 162907 RAYMOND REISER 159222 13454 172676 ORLANDO VALDEZ 160618 13022 173640 SHAUNA WALTERS 159360 10579 169939 MARK JANOSKY 160862 6481 13660 181003 LATISHA KEARSLEY 143200 4392 11994 159586 BERNICE LIM 146236 1942 5612 153790 LYNN MANFRED 154796 1905 31518 188219 BRENT ALAN BAUER 144552 3224 13663 161439 false false false Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY Pt VI, Line 19 AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. Pt VI, Line 11b THE FORM 990 IS PREPARED BY THE CENTER'S INDEPENDENT AUDITOR WITH REVIEW AND Pt VI, Line 11b INFORMATION PROVIDED BY THE CEO & CFO. A COPY OF THE FORM 990 WILL BE GIVEN Pt VI, Line 11b AND REVIEWED WITH THE BOARD AFTER COMPLETION AND SUBMISSION BY THE AUDITOR. Pt VI, Line 12c ANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND Pt VI, Line 12c REVIEWED THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM Pt VI, Line 12c ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN. Pt VI, Line 15a STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS Pt VI, Line 15b FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY Pt VI, Line 15b AND CEO SALARY INCREASES ARE BOARD APPROVED. Pt XII, Line 2c THE CEO & CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT. Pt XI PART XI LINE 9-($4,964) CHANGE IN NET ASSETS DUE TO DECREASE IN TEMPORARILY Pt XI RESTRICTED NET ASSETS RELATED TO DONATED PHARMACEUTICALS. Pt VI, Line 2 MS. WILLIE ANN HUCKS AND MR. ROBERT HUCKS ARE BOTH ON THE BOARD Pt VI, Line 2 AND HAVE A MOTHER/SON RELATIONSHIP. Pt XI INCREASE IN NET ASSETS DUE TO CHANGE IN TEMPORARILY RESTRICTED CASH. false false false false false false false false false false false false false false false false false false false