2016-11-14T13:01:16-06:00 2015-12-31 020476956 TYLER SIMMS & ST SAUVEUR CPA PC 19 MORGAN DRIVE LEBANON NH 03766 990 2015-01-01 221179701 COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION COMM 8024685641 275 ROUTE 30 NORTH BOMOSEEN VT 05732 GRANT WHITMER EXECUTIVE DIRECTOR 8024685641 2016-11-14 1 JAMES N GODFREY CPA P00913422 6036530044 2016-11-14 2015 2017-02-10 21:41:12Z GRANT WHITMER 275 ROUTE 30 NORTH BOMOSEEN VT 05732 31379748 0 X WWW.CHCRR.ORG X 2004 VT TO PROVIDE QUALITY HEALTH CARE AND DISEASE PREVENTION SERVICES FOR ALL THE RESIDENTS OF THE RUTLAND REGION 15 15 318 0 0 0 3503957 3534890 22476858 27561715 20300 18416 0 256626 26001115 31371647 0 0 0 0 16526000 19342774 0 0 0 6411941 7019342 22937941 26362116 3063174 5009531 12070186 17894050 4795964 5610298 7274222 12283752 X TO PROVIDE QUALITY HEALTH CARE AND DISEASE PREVENTION SERVICES FOR ALL THE RESIDENTS OF THE RUTLAND REGION 0 0 19734471 27818341 COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION WAS FORMED IN 2004 AS A NON-PROFIT 501(C)(3) AS A SEPARATE HEALTHCARE CENTER IN ORDER TO BETTER SERVE THE COMMUNITY OF THE RUTLAND REGION IN THEIR HEALTHCARE NEEDS. IN 2006 CHCRR RECEIVED IT'S FEDERALLY QUALIFIED HEALTH CENTER (FQHC) STATUS. THE ORGANIZATION'S MISSION STATEMENT IS "TO IMPROVE AND PROMOTE THE HEALTH OF ALL RESIDENTS OF OUR SERVICE AREA BY REDUCING HEALTH DISPARITIES THROUGH EXPANDED ACCESS TO QUALITY PRIMARY CARE AND COORDINATION OF EXTENDED SERVICES, REGARDLESS OF INCOME OR INSURANCE STATUS." CHCRR PROVIDES A WIDE RANGE OF HEALTHCARE SERVICES, INCLUDING DENTAL SERVICES, BEHAVIORAL HEALTH SERVICES, NURSING HOME CARE, ACCESS TO DISCOUNTED PHARMACEUTICALS AS WELL AS A COMPLETE RANGE OF PRIMARY CARE SERVICES. CHCRR OFFERS A SLIDING FEES DISCOUNT TO PATIENTS, BASED ON THEIR FAMILY SIZE AND HOUSEHOLD INCOME. CHCRR ACCEPTS ALL PATIENTS, REGARDLESS OF THEIR INSURANCE STATUS OR INCOME. CHCRR CURRENTLY PROVIDES APPROXIMATELY 70-80% OF PRIMARY CARE SERVICES IN OUR SERVICE AREA. 19734471 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 23 0 1 318 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X MICHAEL GARDNER 8026712102 275 ROUTE 30 NORTH BOMOSEEN VT 05732 BOB HEDDEN CHAIRMAN 1.00 X X 0 0 0 CLAUDE LAPERLE DIRECTOR 1.00 X 0 0 0 GORDON CHADER DIRECTOR 1.00 X 0 0 0 MARY NEMETH DIRECTOR 1.00 X 0 0 0 AMY MENARD VICE CHAIR 1.00 X X 0 0 0 CHRIS KEYSER DIRECTOR 1.00 X 0 0 0 ROLAND GIBSON VICE CHAIR 1.00 X X 0 0 0 RONALD BARRETT DIRECTOR 1.00 X 0 0 0 RICHARD GRIFFITH DIRECTOR 1.00 X 0 0 0 CAROL LEE DIRECTOR 1.00 X 0 0 0 SALLY WOOD DIRECTOR 1.00 X 0 0 0 JOANNE CALVI DIRECTOR 1.00 X 0 0 0 LARRY JENSEN DIRECTOR 1.00 X 0 0 0 JEAN LENIHAN DIRECTOR 1.00 X 0 0 0 WILLIAM MCCLELLAN DIRECTOR 1.00 X 0 0 0 GRANT WHITMER EXECUTIVE DIRECTOR 40.00 X 170393 0 42669 MIKE GARDNER FINANCE DIRECTOR/TREASURER 40.00 X 109734 0 8762 CLAUDIA COURCELLE SECRETARY 40.00 X 117423 0 38589 BRADLEY BERRYHILL MD MEDICAL DIRECTOR 40.00 X 349280 0 60832 MARK MESSIER PHYSICIAN 40.00 X 236187 0 13126 RICHARD BAKER PHYSICIAN 40.00 X 281918 0 46458 PETE DIERCKSEN PHYSICIAN 40.00 X 226444 0 47869 JULIE PRATT DENTIST 40.00 X 214790 0 42189 EVELYN GERRETSON PHYSICIAN 40.00 X 209309 0 31432 1915478 0 331926 38 0 1 0 0 2934890 600000 3534890 PATIENT SERVICES 621110 27561715 27561715 27561715 26517 26517 8101 -8101 -8101 -8101 NON-OPERATING REVENUE 621110 256626 256626 256626 31371647 27818341 0 18416 897683 410112 487571 14801743 11924491 2877252 673923 556238 117685 1862395 1358622 503773 1107030 861682 245348 34292 34292 60000 60000 302595 48930 253665 86204 27585 58619 1794056 1794056 1532505 1514062 18443 27811 2536 25275 78476 5766 72710 782368 200663 581705 74578 61163 13415 PROFESSIONAL FEES 1050487 141007 909480 OTHER CLINICAL EXPENSES 364302 364152 150 OTHER OFFICE EXPENSE 352591 352591 EQUIPMENT AND MAINT. RE 282013 56967 225046 197064 53848 143216 26362116 19734471 6627645 0 206827 0 2430253 7976022 3943432 3384213 247 0 80002 78700 270735 280925 8328519 2291755 4992872 6036764 145818 137426 12070186 17894050 2805913 3236091 0 200000 1844149 1972256 145902 201951 4795964 5610298 X 7274222 12283752 7274222 12283752 12070186 17894050 X 5009531 -1 X 0 1 X 1 1 1 X 2497825 2086949 2142597 3503957 3534890 13766218 12127161 19362666 21637419 22476858 27561715 103165819 14624986 21449615 23780016 25980815 31096605 116932037 0 0 0 116932037 1862 21263 20155 20300 26517 90097 1862 21263 20155 20300 26517 90097 256626 256626 14626848 21470878 23800171 26001115 31379748 117278760 0.99700 0.99910 0.00080 0.00070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 301824 301824 4196754 312929 3883825 774603 216847 557756 3038508 1761979 1276529 16830 16830 6036764 CAPITAL LEASE 6847 RETIREMENT PLAN LIABILITY 122426 CASH OVERDRAFT 72678 201951 X 31371647 0 31371647 0 31371647 26362117 1 1 26362116 0 26362116 PART X, LINE 2: THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ACCOUNTING STANDARDS CODIFICATION TOPIC 740, "INCOME TAXES" WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE ORGANIZATION DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS DECEMBER 31, 2015 AND 2014. IT IS THE ORGANIZATION'S POLICY TO RECORD PENALTIES AND INTEREST ASSOCIATED WITH UNCERTAIN TAX PROVISIONS AS A COMPONENT OF OPERATING EXPENSES. AS OF DECEMBER 31, 2015 AND 2014, THE ORGANIZATION DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 1. X X X X 0 0 0 0 0 0 0 0 0 GRANT WHITMER EXECUTIVE DIRECTOR 170393 0 0 0 0 0 16634 0 26035 0 213062 0 0 0 CLAUDIA COURCELLE SECRETARY 117423 0 0 0 0 0 6824 0 31765 0 156012 0 0 0 BRADLEY BERRYHILL MD MEDICAL DIRECTOR 349280 0 0 0 0 0 28559 0 32273 0 410112 0 0 0 MARK MESSIER PHYSICIAN 236187 0 0 0 0 0 11430 0 1696 0 249313 0 0 0 RICHARD BAKER PHYSICIAN 281918 0 0 0 0 0 14292 0 32166 0 328376 0 0 0 PETE DIERCKSEN PHYSICIAN 226444 0 0 0 0 0 20470 0 27399 0 274313 0 0 0 JULIE PRATT DENTIST 214790 0 0 0 0 0 10852 0 31337 0 256979 0 0 0 EVELYN GERRETSON PHYSICIAN 209309 0 0 0 0 0 4967 0 26465 0 240741 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE CHCRR BOARD HAS DELEGATED AUTHORITY TO THE FINANCE COMMITTEE AND THE EXECUTIVE COMMITTEE TO MAKE VARIOUS DECISIONS IN THE PAST. THESE COMMITTEES ARE MADE UP OF VOTING MEMBERS ONLY FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FINANCE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 12C NEW BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT AND SIGN A STATEMENT ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE. MARKET COMPARISIONS ARE USED TO DETERMINE COMPENSATION. COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING -1.