2014-08-12T10:26:40-07:00 2014-05-31 Terry Horne CPA & Associates PC 732 West Main Street Lebanon TN 37087 990 2013-06-01 237085643 RURAL HEALTH SERVICES INC RURA 8035939283 PO BOX 277 CLEARWATER SC 29822 ROBERT T REEL JR CHIEF FINANCIAL OFFICER 8035939283 2014-08-11 true TERRY HORNE 6154447293 2014-08-12 2013 2015-11-30 17:44:51Z ROBERT T REEL JR PO BOX 277 CLEARWATER SC 298220277 6083848 false X WWW.MJWCHC.ORG X 1970 SC THIS ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 11 11 66 0 0 1294125 2803912 3441090 3276636 0 3600 3300 4738815 6083848 0 0 3118748 3369685 0 0 1449687 1402510 4568435 4772195 170380 1311653 2279835 3934470 2537695 2887037 -257860 1047433 THIS ORGANIZATION PROVIDES HEALTH CARE false false 3799956 3276636 THE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF CLEARWATER, SOUTH CAROLINA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THIER TAX EXEMPT PURPOSE. OVER 30,880 VISITS WERE PROVIDED DURING THE YEAR. 3799956 true true false false false false false false false false true false false true false false true false false false false false false false false false false false false true false false false false false false true false true false false false false false false false false true 16 0 true 66 true false false false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false SC X ROBERT T REEL JR CFO 8035939283 PO BOX 277 CLEARWATER SC 29822 KENNETH BALDWIN BOARD CHAIR 1.00 X 0 0 0 JASON PRICE VICE CHAIR 1.00 X 0 0 0 ROBERT BOWLES BOARD MEMBER 1.00 X 0 0 0 LILLIE JUMPP BOARD MEMBER 1.00 X 0 0 0 ROSA ISHMAL BOARD MEMBER 1.00 X 0 0 0 SHEVONIE MEALER TREASURER 1.00 X 0 0 0 ANTOINETTE NOBLE-WEB SECRETARY 1.00 X 0 0 0 BENJAMIN BROUSSARD BOARD MEMBER 1.00 X 0 0 0 TODD ETHEREDGE BOARD MEMBER 1.00 X 0 0 0 HARVEY TOLLISON BOARD MEMBER 1.00 X 0 0 0 NICHOLAS MCCARLEY BOARD MEMBER 1.00 X 0 0 0 CAROLYN EMANUEL-MCCLAIN CHIEF EXECUTIVE OFFICER 40.00 X 138899 0 4018 ROBERT T REEL JR CHIEF FINANCIAL OFFICER 40.00 X 74665 0 4018 TYRA TYSON MEDICAL DIRECTOR 40.00 X 113261 0 7778 FREDERIC WORIAX MEDICAL DIRECTOR 40 X 163187 9692 DEEPA JAGDALE PHYSICIAN 40 X 123089 GARY FISCHBACH PHYSICIAN 40 X 162984 9692 JAMES BLAND PHYSICIAN 40 X 140714 7778 LLOYD DANIELS PHYSICIAN 40 X 221023 7778 1137822 50754 7 false true false CONTINENTAL CONSTRUCTION CO 4190 CROSSTOWNE COURT EVANS GA 30809 CONSTRUCTION 101796 PAUL EMANUEL 7300 BEAVER RUN DR FAYETTEVILLE NC 28314 TECHNICAL SUPPORT 101310 MB KAHN CONSTRUCTION CO INC PO BOX 1179 COLUMBIA SC 29202 CONSTRUCTION 430295 HUGHES BEATTIE ONEAL LAW & ASSOCATIES 1075 BROOKHAVEN DRIVE AIKEN SC 29803 CONSTRUCTION 130789 4 2463339 340573 66284 2803912 PATIENT FEES 621111 3276636 3276636 3300 3300 3300 3300 6083848 3276636 3300 490012 276448 213564 0 2448910 2307557 141353 0 287019 252576 34443 0 143744 126495 17249 0 21890 0 21890 0 147231 50631 96600 0 657775 447984 209791 0 108325 0 108325 0 248142 223994 24148 0 43974 14903 29071 0 137491 69222 68269 0 37682 30146 7536 0 4772195 3799956 972239 0 33272 296389 340415 338914 78841 51053 4728858 1523818 1780659 3205040 46648 43074 2279835 3934470 587240 549241 400000 1950455 1937796 2537695 2887037 X -265707 1042421 7847 5012 -257860 1047433 2279835 3934470 X 1311653 -6360 X false true X true true true X 1461937 1387600 1099020 1294125 2803912 8046594 1461937 1387600 1099020 1294125 2803912 8046594 8046594 335 52 2100 3600 3300 9387 8055981 13070874 0.99880 0.99890 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 184543 184543 3713515 925976 2787539 830800 597842 232958 3205040 CAPITALIZED LOAN COSTS 27512 DEPOSITS 10550 CASH RESTRICTED-USDA ESCROW 3525 DONATED PHARMACY INVENTORY 1487 43074 6083848 6083848 6083848 4772195 4772195 4772195 X false false false false false false false false false FREDERIC WORIAX 163187 9692 172879 GARY FISCHBACH 162984 9692 172676 LLOYD DANIELS 221023 7778 228801 PAUL EMANUEL NEPHEW TO CEO 69932 MIS TECHNICAL SUPPORT false 1 THE ORGANIZATION EXECUTED A CONTRACT WITH THE NEPHEW OF THE CEO 1 TO PROVIDE MIS TECHNICAL SUPPORT WHICH WAS SIGNED BY BOARD. X 893 44645 # OF CONTRIBUTIONS ARE ESTIMATED @FMV X LAB SERVICES 435 21739 # OF CONTRIBUTIONS ARE ESTIMATED @FMV false false false Pt VI, Line 11b MANAGEMENT AND THE BOARD REVIEW AND APPROVE THE FORM 990 BEFORE Pt VI, Line 11b IT IS FILED WITH THE IRS. Pt VI, Line 12c ANNUALLY, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST Pt VI, Line 12c STATEMENT THAT COMPLIES WIH THE CONFLICT OF INTEREST POLICY. Pt VI, Line 15a THE ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY Pt VI, Line 15b HEALTH CENTERS, AND WITH THIS MEMBERSHIP IS ABLE TO RECEIVE COMPLETED Pt VI, Line 15b COMPENSATION SURVEYS THAT LIST COMPENSATION BY FUNCTION AND REGION Pt VI, Line 15b OF EMPLOYMENT. USING THIS SURVEY IS THE INITIAL STATE OF COMPENSATION Pt VI, Line 15b EVAULATION. THE ORGANIZATION ALSO WILL REVIEW THE APPLICANT'S REQUESTED Pt VI, Line 15b COMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY Pt VI, Line 15b BUDGETED BASELINES AS APPROVED BY THE BOARD. THESE DOCUMENTS ARE Pt VI, Line 15b AVAILABLE IN COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT Pt VI, Line 15b THROUGH HRSA. Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT Pt VI, Line 19 OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. Pt XI THE USE OF TEMPORARILY RESTRICTED NET ASSETS (DONATED SERVICES) FOR Pt XI THEIR INTENDED PURPOSE.