2018-01-12T10:57:08-06:00 2017-03-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2016-04-01 710487596 CABUN RURAL HEALTH SERVICES INC % SHIRLEY STRICKLAND CABU 8707984064 PO BOX 1196 HAMPTON AR 71744 SHIRLEY STRICKLAND CFO 8707984064 2018-01-10 true AMBER SHERRILL P00748683 5013721040 167.68.126.162 71015520180125000000 2018-01-12 P 4903526AB83A84FD1AFBFA4590601A6B8B6343D5 4903526AB83A84FD1AFBFA4590601A6B8B6343D5 2016 2021-01-29 14:40:06Z MELANIE SHEPPARD 986 AUSTIN STREET CAMDEN AR 71701 7430306 false X SEE SCHEDULE O X 1977 AR TO PROVIDE SERVICES TO PERSONS IN NEED OF MEDICAL CARE AND WORK WITH OTHER HEALTH CENTER PROVIDERS IN THE AREA TO FORM AN INTEGRATED SYSTEM FOR DELIVERY OF HEALTH CARE SERVICES. 11 11 90 11 0 3928953 3701681 4364795 3677373 2661 2892 7197 44311 8303606 7426257 0 0 0 0 4374100 4860823 0 0 0 2013469 2056376 6387569 6917199 1916037 509058 4958378 5430720 484810 448094 4473568 4982626 TO MEET THE NEEDS AND PROVIDE SERVICES TO PERSONS IN NEED OF PRIMARY MEDICAL CARE AND WORK WITH OTHER HEALTH CENTER PROVIDERS IN THE AREA TO FORM AN INTEGRATED SYSTEM FOR DELIVERY OF HEALTH CARE SERVICES. false false 4552259 3677373 CABUN RURAL HEALTH SERVICES, INC. HAS CLINIC SITES IN HAMPTON, STRONG, BEARDEN, LEWISVILLE, HOPE, AND AMITY TO PROVIDE MEDICAL SERVICES TO PEOPLE IN THE SURROUNDING AREAS. DISCOUNTED SERVICES AND PRESCRIPTION ASSISTANCE ARE PROVIDED TO THOSE WHO QUALIFY. CABUN WORKS WITH OTHER HEALTH CARE PROVIDERS FOR SPECIALIZED SERVICES THROUGH REFERRAL. 4552259 true true 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 true 13 0 true 90 true false false false false false false false false false false X 11 11 false false false false false false false true false false false false true true true true true true true false AR X SHIRLEY STRICKLAND 8709182344 1783 E AR 274 HWY HAMPTON AR 71744 LILLIE RANDALL BOARD VICE CHAIR 1.0 0.0 X X 0 0 0 JUANET GASKIN DIRECTOR 1.0 0.0 X 0 0 0 DON CAIN BOARD SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 KRISTIE MAY DIRECTOR 1.0 0.0 X 0 0 0 JEANNE BENDER DIRECTOR 1.0 0.0 X 0 0 0 HOMER JONES DIRECTOR 1.0 0.0 X 0 0 0 LEANNE MCGOOGAN DIRECTOR 1.0 0.0 X 0 0 0 JAMES RAWLS BOARD CHAIR 1.0 0.0 X X 0 0 0 CLOYS RUNYAN DIRECTOR 1.0 0.0 X 0 0 0 TRAVIS JOE MCNIEL DIRECTOR 1.0 0.0 X 0 0 0 MANDY STRICKLAND DIRECTOR 1.0 0.0 X 0 0 0 SHIRLEY STRICKLAND CHIEF FINANCIAL OFFICER 40.0 0.0 X 73574 0 5894 PATRICIA ELETHORP CHIEF MEDICAL OFFICER 40.0 0.0 X 198728 0 1125 MELANIE SHEPPARD CHIEF EXECUTIVE OFFICER 40.0 0.0 X 120751 0 1149 JAMES ARRINGTON MD PHYSICIAN 40.0 0.0 X 188375 0 8155 EVE COVAS MD PHYSICIAN 40.0 0.0 X 197162 0 451 JOSEPH SARNICKI DO PHYSICIAN 32.0 0.0 X 192083 0 4923 JAMES MOORE DDS PHYSICIAN 40.0 0.0 X 202328 0 4499 MICHAEL SINGH MD PHYSICIAN 40.0 0.0 X 181109 0 5171 1354110 0 31367 12 false true false EDAFIO TECHNOLOGIES 5020 NORTHSIDE DR NO 1 LITTLE ROCK AR 72118 IT SERVICES & EQUIP 127728 MCKESSON PO BOX 660266 DALLAS TX 75266 MEDICAL SUPPLIES 242367 GREENWAY PO BOX 203658 DALLAS TX 75320 PATIENT MGMT SYSTEM 132067 3 3303561 398120 12850 3701681 PATIENT REVENUE 621400 3677373 3677373 3677373 6941 6941 0 0 0 0 0 4049 -4049 -4049 -4049 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 900009 44311 44311 44311 44311 44311 7426257 3677373 47203 0 0 0 0 401778 401778 0 3780105 2612318 1167787 0 390714 270011 120703 288226 199184 89042 0 0 63886 44150 19736 0 0 0 347820 240368 107452 0 5254 3631 1623 258092 178360 79732 0 0 113338 78325 35013 34662 23954 10708 0 73550 50828 22722 999 690 309 0 166546 115095 51451 26597 18380 8217 SUPPLIES 642083 443724 198359 BAD DEBTS EXPENSE 160701 160701 0 REPAIRS & MAINTENANCE 64178 44352 19826 DUES & MEMBERSHIPS 42674 29491 13183 55996 38697 17299 6917199 4552259 2364940 0 2554159 2610713 356501 561113 0 0 463372 431568 0 0 0 0 302306 602903 104496 112548 3836 51600 2746520 1686245 1173708 1060275 0 0 0 0 0 0 0 0 0 0 4958378 5430720 428746 414031 0 0 0 0 0 0 0 0 0 0 56064 34063 0 0 0 0 484810 448094 X 4473568 4982626 0 0 0 0 4473568 4982626 4958378 5430720 509058 X false true true true true X 3637415 3695479 3584023 3928953 3701681 18547551 0 0 3637415 3695479 3584023 3928953 3701681 18547551 0 18547551 2382 1825 1829 2661 6941 15638 0 24834 28609 2059 7197 44311 107010 18670199 16479503 0.99343 0.99586 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45049 45049 1335153 496360 838793 1042331 1042331 0 323987 147554 176433 1060275 7269605 7269605 156652 156652 7426257 6760547 6760547 156652 156652 6917199 FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE 160,701 LOSS ON DISPOSAL OF ASSET (4,049) --------------------- 156,652 FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE 160,701 LOSS ON DISPOSAL OF ASSET (4,049) --------------------- 156,652 X X false false false false false false false false false JAMES ARRINGTON MD PHYSICIAN 187015 0 1360 0 0 0 0 0 8155 0 196530 0 0 0 EVE COVAS MD PHYSICIAN 195745 0 1417 0 0 0 0 0 451 0 197613 0 0 0 PATRICIA ELETHORP CHIEF MEDICAL OFFICER 197292 0 1436 0 0 0 0 0 1125 0 199853 0 0 0 JOSEPH SARNICKI DO PHYSICIAN 190777 0 1306 0 0 0 0 0 4923 0 197006 0 0 0 JAMES MOORE DDS PHYSICIAN 201004 0 1324 0 0 0 0 0 4499 0 206827 0 0 0 MICHAEL SINGH MD PHYSICIAN 179852 0 1257 0 0 0 0 0 5171 0 186280 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE GOVERNING BOARD SERVES AS ALL COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS REVIEWED BY THE CEO AND CFO BEFORE IT WAS FILED. THE BOARD REVIEWED THE FORM AFTER IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD APPLICANTS FILL OUT A QUESTIONNAIRE THAT INCLUDES ANY INTERESTS IN THE COMPANY. IF THE CLINIC WANTS TO USE ANY SERVICES THAT HAVE A CONTACT TO AN EMPLOYEE, THE BOARD REVIEWS THE REQUEST AND MAY GIVE APPROVAL. THE CLINIC HAS AN ANTI-NEPOTISM POLICY THAT PREVENTS HIRING ANYONE WHO IS IMMEDIATELY RELATED TO AN EMPLOYEE. IF THERE ARE NO OTHER QUALIFIED APPLICANTS, THE BOARD MAY APPROVE HIRING. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE LAST COMPENSATION REVIEW WAS DONE IN 2017. THE BOARD OF DIRECTORS REVIEWED THE DOL SALARY REVIEWS AND USED THE AGENCY, PAY SCALE, IN THE REVIEW PROCESS. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PAGE 1, LINE J ORGANIZATION'S WEBSITE: WWW.CHC-AR.ORG/NEWS/CABUN-RURAL-HEALTH-SERVICES