2014-11-12T12:54:01-06:00 2013-12-31 020476956 TYLER SIMMS & STSAUVEUR CPAS PC 19 MORGAN DRIVE LEBANON NH 03766 990 2013-01-01 221179701 COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION COMM 8024685641 275 ROUTE 30 NORTH BOMOSEEN VT 05732 GRANT WHITMER EXECUTIVE DIRECTOR 8024685641 2014-10-28 1 JAMES N GODFREY CPA P00913422 6036530044 2014-10-28 2013 2015-11-30 17:44:51Z GRANT WHITMER 275 ROUTE 30 NORTH BOMOSEEN VT 05732 23800171 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 15 265 0 0 0 2086949 2142597 19362666 21637419 21263 20155 0 0 21470878 23800171 0 0 0 0 14978262 16561119 0 0 0 5538564 6143999 20516826 22705118 954052 1095053 7866123 9852896 4750129 5641849 3115994 4211047 X TO PROVIDE QUALITY HEALTH CARE AND DISEASE PREVENTION SERVICES FOR ALL THE RESIDENTS OF THE RUTLAND REGION 0 0 17214127 21637419 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. 17214127 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 15 0 1 265 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 VICE CHAIR 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 DIRECTOR 1.00 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 CHAIRMAN 1.00 X X 0 0 0 MARTHA COULTER DIRECTOR 1.00 X 0 0 0 JEAN LENIHAM DIRECTOR 1.00 X 0 0 0 GRANT WHITMER EXECUTIVE DIRECTOR 40.00 X 140307 0 20434 MIKE GARDNER FINANCE DIRECTOR/TREASURER 40.00 X 99537 0 16967 BRADLEY BERRYHILL MD MEDICAL DIRECTOR 40.00 X 248160 0 45175 RICH BAKER PHYSICIAN 40.00 X 266385 0 27020 STEVEN WOOD PHYSICIAN 40.00 X 217983 0 29476 JERI BULLOCK PHYSICIAN 40.00 X 305133 0 23314 GEORGE FJELD PHYSICIAN 40.00 X 203660 0 19779 DAVID SCHEIDER PHYSICIAN 40.00 X 230045 0 26713 1711210 0 208878 7 0 1 0 0 1409264 733333 2142597 PATIENT SERVICES 621110 21637419 21637419 21637419 20155 20155 23800171 21637419 0 20155 570580 293335 277245 12365576 9993688 2371888 614387 504261 110126 2043350 1595309 448041 967226 747937 219289 23779 23779 62540 62540 44593 42918 1675 63773 4465 59308 1863374 1706300 157074 1435071 1419468 15603 15572 2716 12856 109329 14817 94512 332898 146959 185939 46909 34977 11932 PROFESSIONAL FEES 1222610 108950 1113660 OTHER CLINICAL EXPENSES 381512 381362 150 EQUIPMENT AND MAINT. RE 258345 39182 219163 OTHER OFFICE EXPENSE 103714 103714 179980 73769 106211 22705118 17214127 5490991 0 4041 74929 322 1377061 3681887 4084530 2880 480 155515 133473 203100 218024 4934123 1033548 3797877 3900575 20501 63824 7866123 9852896 2234209 2416195 1000000 2396259 1963505 119661 262149 4750129 5641849 X 3115994 4211047 3115994 4211047 7866123 9852896 1095053 0 X 0 1 X 1 1 0 X 2227846 2663910 2497825 2086949 2142597 11619127 8522761 9995422 12127161 19362666 21637419 71645429 10750607 12659332 14624986 21449615 23780016 83264556 0 0 0 83264556 5984 4625 1862 21263 20155 53889 5984 4625 1862 21263 20155 53889 90379 17213 107592 10846970 12681170 14626848 21470878 23800171 83426037 0.99810 0.99750 0.00060 0.00060 X 125000 125000 2185762 161842 2023920 740759 123295 617464 1565394 748411 816983 317208 317208 3900575 CAPITAL LEASE 70850 RETIREMENT PLAN LIABILITY 63824 CASH OVERDRAFT 127475 262149 23800171 0 23800171 0 23800171 22705118 0 22705118 0 22705118 X X X X 0 0 0 0 0 0 0 0 0 GRANT WHITMER EXECUTIVE DIRECTOR 140307 0 0 0 0 0 12865 0 7569 0 160741 0 0 0 BRADLEY BERRYHILL MD MEDICAL DIRECTOR 248160 0 0 0 0 0 19853 0 25322 0 293335 0 0 0 RICH BAKER PHYSICIAN 266385 0 0 0 0 0 13197 0 13823 0 293405 0 0 0 STEVEN WOOD PHYSICIAN 217983 0 0 0 0 0 10572 0 18904 0 247459 0 0 0 JERI BULLOCK PHYSICIAN 305133 0 0 0 0 0 15990 0 7324 0 328447 0 0 0 GEORGE FJELD PHYSICIAN 203660 0 0 0 0 0 9821 0 9958 0 223439 0 0 0 DAVID SCHEIDER PHYSICIAN 230045 0 0 0 0 0 11431 0 15282 0 256758 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.