2014-11-05T15:07:14-07:00 2014-06-30 990 2013-07-01 550597803 CAMERON COMMUNITY HEALTH CARE CENTER INC CAME 3046863376 RD 4 Box 19 Wilson Drive Cameron WV 26033 Jay Prager Executive Director 3046863376 2014-11-05 2013 2015-11-30 17:44:51Z Richard Fletcher RD 4 Box 19 Wilson Drive Cameron WV 26033 609538 0 X X 1980 WV To provide primary health care services to a medically underserved population. 9 9 10 0 0 0 72402 59022 303195 310904 199703 239612 0 0 575300 609538 0 0 0 0 262871 268266 0 0 0 145138 137455 408009 405721 167291 203817 2110321 2299267 52556 37685 2057765 2261582 To provide health care services to a medically underserved population. 0 0 317940 59022 310303 Ambulatory and Primary Health Care: Program activity consists of outpatient medical services to individuals in a federally edsignated health professions shortage are (HPSA), and medically underserved area (MUA). Services are provided without regard of patients' ability to pay for them. During this period, the health center treated 4,782 patients. 0 0 0 317940 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 10 1 0 0 0 0 0 0 X 9 9 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 WV X Jay Prager 3046863376 RD 4 Box 19 Wilson Drive Cameron WV 26033 Victor Antill Vice President 1 X X 0 0 0 Ila Mae McConaughey Treasurer 1 0 X X 0 0 0 David McConaughey Board Member 1 0 X 0 0 0 Susie Davis Board Member 1 0 X 0 0 0 Celeste Evans Board Member 1 0 X 0 0 0 Charles Okel Board Member 1 0 X 0 0 0 Richard Fletcher President 1 0 X X 0 0 0 Edward Phillips Board Member 1 0 X 0 0 0 Sherilyn McCracken Board Member 1 0 X 0 0 0 Kelly Barki DO Physician 40 0 X X 121085 0 0 121085 0 0 1 0 0 0 0 0 0 0 0 59022 0 0 59022 Medical Services to Patients 621000 310301 310301 0 0 603 603 0 0 310904 239612 239612 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 609538 550516 0 0 236665 188469 48196 11872 9462 2410 19729 16042 3687 5800 0 5800 292 292 0 46622 44324 2298 24683 20981 3702 2124 1954 170 11124 9455 1669 27863 23684 4179 Legal and Professional 15540 0 15540 0 Miscellaneous Expense 2543 2543 0 0 West Virginia Use Tax 864 734 130 405721 317940 87781 0 38666 30129 0 0 0 0 55927 82167 0 0 0 0 19289 17610 0 0 8054 8562 439333 346098 97916 93235 0 0 1890469 2067564 0 0 0 0 0 0 2110321 2299267 27556 27685 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25000 10000 52556 37685 X 167296 194020 0 0 1890469 2067562 2057765 2261582 2110321 2299267 203817 0 0 0 0 0 X 0 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12000 0 12000 296234 0 221851 74383 0 0 0 0 131099 0 124247 6852 0 0 0 0 93235 Beneficial Interest in Perpetual Trust 2067564 F 2067564 0 Line of Credit 10000 10000 X 609538 0 0 0 0 0 609538 0 0 0 609538 405721 0 0 0 0 0 405721 0 0 0 405721 Schedule D, Part X, Line 2 Line of Credit from Reynolds Memorial Hospital. Form 990, Part VI, Section A, Line 2 Board members, Ila Mae McConoughey and David McConoughey have a family relationship. Form 990, Part VI, Section A, Line 3 The Cameron Community Health Center has held a management contract with a local acute care hospital, Reynolds Memorial, since 1982. Form 990, Part VI, Section B, Line 11b The IRS filing is completed by management, using the results of the independent financial audit. A copy is provided to the board members prior to filing. Form 990, Part VI, Section B, Line 12c New board members are oriented to conflict of interest policies; and they are periodically reminded to disclose any potential conflicts. Also, the corporation's bylaws contain a provision for the immediate removal of a board member for violation of conflict of interest. Form 990, Part VI, Section C, Line 19 All public documents associated with the health center are available for viewing at the facility, upon request.