2016-09-13T11:14:09-05:00 2016-04-30 610920132 RINEY HANCOCK CPAS PSC 2900 VEACH ROAD SUITE 2 OWENSBORO KY 42303 990 2015-05-01 611268014 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY INC COMM 2703385777 480 HOPKINSVILLE STREET GREENVILLE KY 42345 JOSEPH SWAB CFO 2703385777 2016-08-05 1 SCOTT L CLAY CPA P00114132 2709264540 2015 2017-02-10 21:41:12Z ROGER ARBUCKLE 480 HOPKINSVILLE ST GREENVILLE KY 42345 6407900 0 X N/A X 1994 KY TO PROVIDE AFFORDABLE PRIMARY HEALTHCARE SERVICES 10 10 75 0 0 0 1631828 1859345 3803134 4435106 3511 13344 1269 100105 5439742 6407900 0 0 0 0 3121295 3632035 0 0 0 1488461 1803061 4609756 5435096 829986 972804 5637812 6633238 297618 320240 5340194 6312998 TO PROVIDE AFFORDABLE PRIMARY HEALTHCARE SERVICES IN MUHLENBERG AND LOGAN COUNTIES, KENTUCKY, AND IN MEDICALLY UNDER-SERVED URBAN, SUBURBAN, AND RURAL AREAS HAVING LIMITED AVAILABLE HEALTH RESOURCES. 0 0 4687926 4548555 OPERATION OF COMMUNITY HEALTH CENTER AS AUTHORIZED BY SECTION 330 OF THE PUBLIC HEALTH SERVICES GRANT 4687926 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 1 75 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 X JOSEPH SWAB 2703385777 480 HOPKINSVILLE ST GREENVILLE KY 42345 CINDY BAIRD BOARD MEMBER 1.00 X 0 0 0 BILLY STEELE BOARD MEMBER 1.00 X 0 0 0 JULIE HANSEN BOARD MEMBER 1.00 X 0 0 0 ELIZABETH EAVES BOARD MEMBER 1.00 X 0 0 0 MOLLY ALWARD BOARD MEMBER 1.00 X 0 0 0 ELIZABETH GENTRY BOARD MEMBER 1.00 X 0 0 0 ANDREHIA HATFIELD BOARD MEMBER 1.00 X 0 0 0 CARY DAVIS BOARD MEMBER 1.00 X 0 0 0 RICHARD NEATHAMER BOARD MEMBER 1.00 X 0 0 0 ROSEMARY BUCK BOARD MEMBER 1.00 X 0 0 0 ROGER ARBUCKLE CEO 40.00 X 147045 0 11588 JOHN DAVID SANDEFUR CFO 40.00 X 26852 0 1434 KENNETH MCCARRAHER CFO 40.00 X 26504 0 1632 JOSEPH SWAB CFO 40.00 X 27934 0 3976 SUSAN HAWKINS PHYSICIAN 40.00 X 200000 0 10180 BILLIE GALYEN PHYSICIAN 40.00 X 196184 0 22065 DAVID CONATSER PHYSICIAN 40.00 X 153462 0 7804 NATALIE HUTTON PHYSICIAN 40.00 X 160162 0 15860 RANDA BRUMFIELD ARNP 40.00 X 126799 0 4536 STEVEN ZELLER PHYSICIAN 40.00 X 109843 0 9311 JACKIE KIRBY ARNP 40.00 X 125565 0 15190 1300350 0 103576 8 0 1 0 0 1859345 1859345 MEDICAL SERVICES 621110 4435106 4435106 4435106 13344 13344 MISCELLANEOUS 621110 100105 100105 100105 6407900 4548555 0 0 X 924075 714616 209459 2149831 1959695 190136 102765 90098 12667 229414 182081 47333 225950 195328 30622 5355 5355 61319 61319 664167 569453 94714 46758 46758 148133 94864 53269 71973 71973 110977 56879 54098 1669 1669 42459 19396 23063 144925 144925 27214 27214 IMMUNIZATION EXPENSE 176207 176207 BAD DEBT EXPENSE 115617 115617 MEDICAL RECRUITMENT 73815 73815 OPERATIONAL SUPPLIES 61419 61419 51054 20914 30140 5435096 4687926 747170 0 266162 71579 2028641 3465891 816465 560321 44375 44163 43126 51469 3614248 1174433 2439043 2439815 5637812 6633238 297618 320240 297618 320240 X 5139962 6117719 200232 195279 5340194 6312998 5637812 6633238 972804 0 X 0 1 X 1 1 1 X 647286 1253955 1378531 1631828 1859345 6770945 3506646 3811042 3108863 3803134 4435106 18664791 4153932 5064997 4487394 5434962 6294451 25435736 0 0 0 25435736 4672 403 2688 3511 13344 24618 4672 403 2688 3511 13344 24618 4158604 5065400 4490082 5438473 6307795 25460354 0.99900 0.99890 0.00100 0.00110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 248389 248389 2429990 521953 1908037 8800 2346 6454 768149 548767 219382 158920 101367 57553 2439815 X 6407900 0 6407900 0 6407900 5435096 0 5435096 0 5435096 PART X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. THE CENTER BELIEVES THAT IT HAS SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. X X 0 0 0 0 0 0 0 1 0 ROGER ARBUCKLE CEO 147045 0 0 0 0 0 7511 0 4077 0 158633 0 0 0 SUSAN HAWKINS PHYSICIAN 200000 0 0 0 0 0 10000 0 180 0 210180 0 0 0 BILLIE GALYEN PHYSICIAN 175607 0 20577 0 0 0 9099 0 12966 0 218249 0 0 0 DAVID CONATSER PHYSICIAN 153462 0 0 0 0 0 7673 0 131 0 161266 0 0 0 NATALIE HUTTON PHYSICIAN 160162 0 0 0 0 0 8250 0 7610 0 176022 0 0 0 PART I, LINE 7 PROVIDERS ARE ELIGIBLE TO RECEIVE A BONUS BASED ON A PRODUCTIVITY FORMULA FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT PRESENTS THE FEDERAL FORM 990 TO THE BOARD AT THE REGULARLY SCHEDULED BOARD MEETING IMMEDIATELY PRECEDING THE RETURN'S DUE DATE. THE RETURN IS FILED AFTER BOARD REVIEW. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD DETERMINED THE CEO'S SALARY BASED ON SALARY SURVEY DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND CONDUCTS AN ANNUAL PERFORMANCE EVALUATION. THE CEO DETERMINED THE CFO'S SALARY BASED ON THE SAME INFORMATION WHICH IS EVALUATED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES GOVERNING DOCUMENTS, ITS CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. ANNUAL FORMS 990 ARE AVAILABLE ON GUIDESTAR.ORG. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 569,453. MANAGEMENT AND GENERAL EXPENSES 94,442. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 663,895. BANK FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 272. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 272.