2014-11-14T10:39:57-06:00 2013-12-31 750882037 BOLINGER SEGARS GILBERT AND MOSS LLP 8215 NASHVILLE AVENUE LUBBOCK TX 79423 990 2013-01-01 752424925 COMMUNITY HEALTH CENTER OF LUBBOCK INC COMM 8067652611 1313 BROADWAY STE 5 LUBBOCK TX 79401 MICHAEL SULLIVAN CEO 8067652611 2014-11-12 1 Matt R Willis P00419741 8067473806 2014-11-12 X 2013 2015-11-30 17:44:51Z MICHAEL SULLIVAN 1313 BROADWAY STE 5 LUBBOCK TX 79401 15484028 0 X WWW.CHCLUBBOCK.ORG X 1992 TX PROVIDE QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO THOSE IN NEED. 11 11 190 36 0 0 7200872 8900167 5842206 6583628 12951 233 0 0 13056029 15484028 0 0 0 0 7781222 8324951 107458 166786 180998 4882366 5253538 12771046 13745275 284983 1738753 7187850 8766283 2983336 2823016 4204514 5943267 PROVIDE QUALITY PRIMARY AND PREVENTATAIVE HEALTH CARE SERVICES TO THOSE IN NEED. 0 0 11562231 6583628 PROVIDED HEALTH CARE SERVICES FOR UNDERPRIVILEGED ADULTS AND CHILDREN INCLUDING WOMENS HEALTH SERVICES, PRENATAL SERVICES, EYE CARE SERVICES, SENIOR SERVICES, PEDIATRIC AND ADULT DENTAL SERVICES, SOCIAL SERVICES PROGRAMS AND OUTREACH SERVICES. THE ORGANIZATION SERVES FIVE COUNTIES IN THE WEST TEXAS AREA. THE FIVE COUNTIES ARE LUBBOCK, CROSBY, LYNN, TERRY AND GARZA. THE ORGANIZATION ALSO OPERATES MOBILE MEDICAL AND DENTAL VANS. DURING 2013 THE ORGANIZATION PROVIDED MEDICAL SERVICES TO APPROXIMATELY 29,955 INDIVIDUALS AND CHILDREN. 11562231 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 9 0 190 1 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL SULLIVAN CEO 8067652611 1313 BROADWAY STE 5 LUBBOCK TX 79401 PILAR MARTINEZ PRESIDENT ELECT 2.00 X X 0 0 0 NATALIA CAMPOS PRESIDENT 2.00 X X 0 0 0 LORENZA ONTIVEROS SECRETARY 2.00 X X 0 0 0 GARY ZHENG TREASURER 1.00 X X 0 0 0 BERTHA MARTINEZ DIRECTOR 2.00 X 0 0 0 ERMINIA MARTINEZ DIRECTOR 0.70 X 0 0 0 MARGARET GAINES DIRECTOR 1.00 X 0 0 0 PATRICIA HAWKINS DIRECTOR 1.00 X 0 0 0 JAMES JOHNSON DIRECTOR 1.00 X 0 0 0 MICHAEL CHAPMAN DIRECTOR 1.00 X 0 0 0 BRIDGET FAULKENBERRY 313-1213 DIRECTOR 0.50 X 0 0 0 MICHAEL SULLIVAN CEO 50.00 X 146553 0 23880 MARK MARASCO 113-613 CFO 60.00 X 58685 0 14 JENNIFER BURRIS 913-1213 CFO 40.00 X 28619 0 0 ELIZABETH LOPEZ CHIEF DEVELOPMENT OFFICER 50.00 X 99604 0 15197 RONNIE DELEMOS 113-813 COO 50.00 X 72163 0 6723 MICHAEL WIECHMANN 1213 COO 40.00 X 3483 0 0 LEOPOLDO CABRERA PHYSICIAN 40.00 X 373373 0 39710 DARNEL DABU MEDICAL DIRECTOR 40.00 X 179005 0 31018 MAURICE ASMUSSEN PHYSICIAN 40.00 X 155570 0 18724 ALLAN CAMACHO PHYSICIAN 40.00 X 147830 0 4815 DIANE MCINTIRE PHYSICIAN 40.00 X 138833 0 4480 1403718 0 144561 12 0 1 0 0 6252832 2647335 502231 8900167 MEDICAL & PROGRAM FEES 621400 6253583 6253583 MEDICARE & MEDICAID 621400 311817 311817 GOVERNMENTAL FEES 621400 18228 18228 6583628 233 233 15484028 6583628 0 233 454921 381019 59690 14212 6319588 5463669 855919 326376 282172 44204 738442 538349 200093 485624 378862 106762 2776 2776 30000 30000 166786 166786 1210209 1076590 133619 276704 204278 72426 209316 55674 153642 885978 769283 116695 108046 42070 65976 236150 168866 67284 105692 105692 384566 373134 11432 64873 57984 6889 MEDICAL SUPPLIES 1313579 1271768 41811 BAD DEBTS 283699 283699 EQUIP. RENTALS & REPAIR 88577 70543 18034 LICENSE & DUES 45776 38579 7197 7597 7597 13745275 11562231 2002046 180998 950 1220 2101728 2052742 132022 2124740 898103 952006 296684 249503 108195 79950 5920331 2879511 3390888 3040820 259280 265302 7187850 8766283 265200 202104 2150291 2007929 567845 612983 2983336 2823016 X 1765824 3850567 2438690 2092700 4204514 5943267 7187850 8766283 1738753 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 933263 933263 1799126 203429 1595697 272798 234464 38334 2915144 2441618 473526 3040820 ACCRUED WAGES 312773 ACCRUED VACATION 270171 ACCRUED AUDIT FEE 30039 612983 X 15485873 1845 1845 15484028 0 15484028 13747120 1845 1845 13745275 0 13745275 Part X, Line 2: THE CENTER FOLLOWS THE "UNCERTAIN TAX POSITIONS" PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THE PRIMARY TAX POSITION OF THE CENTER IS ITS FILING STATUS AS A TAX EXEMPT ENTITY. THE CENTER DETERMINED THAT IT IS MORE LIKELY THAN NOT THAT THEIR TAX POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS), OR OTHER STATE TAXING AUTHORITY AND THAT ALL TAX BENEFITS ARE LIKELY TO BE REALIZED UPON SETTLEMENT WITH TAXING AUTHORITIES. X X 1 LAWSON ASSOCIATES INC 75 ROCKEFELLER PLAZA 18TH FLOOR NEW YORK NY 10019 CAPITAL CAMPAIGN COUNSEL FOR NEW BUILDING CONSTRUCTION 0 2030888 156428 0 2030888 156428 TX X X 0 0 0 0 0 0 0 0 0 MICHAEL SULLIVAN CEO 146553 0 0 0 0 0 13133 0 10747 0 170433 0 0 0 LEOPOLDO CABRERA PHYSICIAN 373373 0 0 0 0 0 21611 0 18099 0 413083 0 0 0 DARNEL DABU MEDICAL DIRECTOR 179005 0 0 0 0 0 16023 0 14995 0 210023 0 0 0 MAURICE ASMUSSEN PHYSICIAN 155570 0 0 0 0 0 13224 0 5500 0 174294 0 0 0 ALLAN CAMACHO PHYSICIAN 147830 0 0 0 0 0 4786 0 29 0 152645 0 0 0 X 24 502231 DONOR-PROVIDED INVOICES 0 0 0 Form 990, Part VI, Section A, line 2 DIRECTORS PILAR MARTINEZ AND BERTHA MARTINEZ ARE HUSBAND AND WIFE. Form 990, Part VI, Section B, line 11 MANAGEMENT PRESENTED A COPY OF THE FORM 990 TO THE BOARD FOR DISCUSSION, REVIEW AND APPROVAL PRIOR TO FILING. Form 990, Part VI, Section B, line 12c ALL EMPLOYEES, OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE AN ATTACHMENT DETAILING ANY POSSIBLE CONFLICTS. Form 990, Part VI, Section B, line 15 THE BOARD OF DIRECTORS USE A SALARY COMPARISON REPORT PREPARED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS WHEN DETERMINING THE CEO'S SALARY. THE REPORT PROVIDES COMPARATIVE SALARY INFORMATION FOR HEALTH CENTERS BASED ON SIZE AND LOCATION. THE BOARD OF DIRECTORS AND CEO USE A SALARY COMPARISON REPORT PREPARED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS WHEN DETERMINING THE OTHER EMPLOYEE OFFICER'S SALARY. THE REPORT PROVIDES COMPARATIVE SALARY INFORMATION FOR HEALTH CENTERS BASED ON SIZE AND LOCATION. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING BY THE PUBLIC AT THE ORGANIZATION'S OFFICE IN LUBBOCK, TX. Form 990, Part XII, Line 2c THE BOARD OF DIRECTORS HAVE ASSIGNED MEMBERS TO AN AUDIT COMMITTEE TO OVERSEE THE FINANCIAL STATEMENT AUDIT AND SELECT THE INDEPENDENT FINANCIAL STATEMENT AUDITOR.