2017-03-27T09:00:17-07:00 2016-12-31 Terry Horne CPA & Associates PC 732 West Main Street Lebanon TN 37087 990 2016-01-01 680560048 CHOTA COMMUNITY HEALTH SERVICES CHOT 4234427268 PO BOX 278 MADISONVILLE TN 37354 LAURA HARRIS CHIEF EXECUTIVE OFFICER 4234427268 2017-03-27 true TERRY HORNE CPA 6154447293 2017-03-27 96.38.81.69 2017-03-27 09:00:02 PD P A37427F6045D2DD8672BA15A9AF0FCD448F0E127 813132FE58F5EFCDB3B149FDFD2D8B5486E0F4AC 2016 2021-01-29 14:40:06Z LAURA HARRIS PO BOX 278 MADISONVILLE TN 37354 7528122 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 13 105 0 0 1521510 2224512 5702443 5277627 -9049 3413 15764 22570 7230668 7528122 0 0 3977297 4510109 0 0 2346931 2368520 6324228 6878629 906440 649493 7162842 7683639 4293554 4164858 2869288 3518781 THE ORGANIZATION PROVIDES HEALTH CARE false false 4376046 5277627 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 33,700 VISITS WERE PROVIDED DURING THE YEAR. 4376046 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 true 4 0 true 105 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 PRESIDENT 1.00 X 0 0 0 MICHAEL TALLENT VICE PRESIDENT 1.00 X 0 0 0 VANESSA BARR BOARD MEMBER 1.00 X 0 0 0 LAWRENCE H HARRIS II TREASURER 1.00 X 0 0 0 KAY TALLENT SECRETARY 1.00 X 0 0 0 MIA SAGE BEASON BOARD MEMBER 1.00 X 0 0 0 DEBORAH WESTPHAL 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 DR WESLEY MCNEAL BOARD MEMBER 1.00 X 0 0 0 MICHAEL POULSEN 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 LAURA HARRIS CHIEF EXECUTIVE OFFICER 40.00 X 100600 0 4334 MELISSA GRAY CHIEF FINANCIAL OFFICER 40 X 63414 10351 SONIA HARDIN CHIEF COMPLIANCE OFFICER 40 X 37504 1999 RANDY YOUNCE CHIEF OPERATIONAL OFFICER 40 X 38124 6560 THOMAS COX III MEDICAL DIRECTOR 40 X 176825 27620 HEATHER BOLINGER CLINICAL SERVICES DIRECTOR 40 X 87728 13267 WILLIAM THORNTON FAMILY NURSE PRACTITIONER 40 X 115793 8587 JULIANNA WILLIAMSTON PHYSICIAN 40 X 146162 7466 CHARLES CYRUS FAMILY NURSE PRACTITIONER 40 X 119378 8115 RICHARD FISHER PSYCHIATRIST 40 X 174431 7828 1059959 96127 6 false true false COORDIANTED SCHOOL HEALTH CLINIC 205 OAK GROVE RD MADISONVILLE TN 37354 CONTRACTED NURSES FOR CLINIC 239610 1 2218962 5550 3300 2224512 PATIENT FEES 621111 5277627 5277627 3413 3413 22570 22570 22570 22570 7528122 5277627 25983 567886 264553 303333 0 3190429 2281904 908525 0 46117 31360 14757 0 476915 322458 154457 0 228762 155558 73204 0 670 0 670 0 20720 0 20720 0 610051 32643 577408 0 1175790 882229 293561 0 393507 310440 83067 0 48472 23417 25055 0 100605 59320 41285 0 18705 12164 6541 0 6878629 4376046 2502583 0 974570 684915 112390 1244809 729117 324165 269148 269301 20515 17409 6806315 1695193 5042334 5111122 14768 31918 7162842 7683639 375211 354922 3918343 3809936 4293554 4164858 X 2854520 3486863 14768 31918 2869288 3518781 7162842 7683639 649493 X X false true X true true true X 333136 926371 2382694 1521510 2224512 7388223 333136 926371 2382694 1521510 2224512 7388223 7388223 14756 7959 35569 15882 25983 100149 7488372 21669323 0.98660 0.98770 X 0 0 0 490192 490192 4689371 297226 4392145 1626752 1397967 228785 5111122 7528122 7528122 7528122 6878629 6878629 6878629 X X false false false false false false false false false THOMAS COX III 176825 6976 20644 204445 JULIANNA WILLIAMSTON 146162 649 7466 154277 RICHARD FISHER 174431 7828 182259 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.