COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION INC (EIN 22-1179701)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201303189349302920
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T11:00:04-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020476956 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TYLER SIMMS & STSAUVEUR CPAS PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19 MORGAN DRIVE | AddressLine1 |
| City | LEBANON | City |
| State | NH | State |
| ZIP Code | 03766 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221179701 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 8024685641 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 ROUTE 30 NORTH | AddressLine1 |
| City | BOMOSEEN | City |
| State | VT | State |
| ZIP Code | 05732 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GRANT WHITMER | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 8024685641 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | W JAY SIMMS | Name |
| PTIN | P00435321 | PTIN |
| Phone | 6036530044 | Phone |
| Date Prepared | 2013-11-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GRANT WHITMER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 ROUTE 30 NORTH | AddressLine1 |
| City | BOMOSEEN | City |
| State | VT | State |
| ZIP Code | 05732 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 21470878 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHCRR.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | VT | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY HEALTH CARE AND DISEASE PREVENTION SERVICES FOR ALL THE RESIDENTS OF THE RUTLAND REGION | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 260 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2497825 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2086949 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12127161 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 19362666 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1862 | InvestmentIncomePriorYear |
| Investment Income Current Year | 21263 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14626848 | TotalRevenuePriorYear |
| Total Revenue Current Year | 21470878 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10402190 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 14978262 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4043793 | OtherExpensePriorYear |
| Other Expenses Current Year | 5538564 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14445983 | TotalExpensesPriorYear |
| Total Expenses Current Year | 20516826 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 180865 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 954052 | RevenuesLessExpensesCY |
| Total Assets BOY | 7018918 | TotalAssetsBOY |
| Total Assets EOY | 7866123 | TotalAssetsEOY |
| Total Liabilities BOY | 4856976 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4750129 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2161942 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3115994 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE QUALITY HEALTH CARE AND DISEASE PREVENTION SERVICES FOR ALL THE RESIDENTS OF THE RUTLAND REGION | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 15447530 | Expense |
| Revenue | 19362666 | Revenue |
| Description | COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION WAS FORMED IN 2004 AS A SEPARATE HEALTHCARE CENTER IN ORDER TO BETTER SERVE THE COMMUNITY OF THE RUTLAND REGION IN THEIR HEALTHCARE NEEDS. | Description |
| Total Program Service Expense | 15447530 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 260 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL GARDNER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8026712102 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 ROUTE 30 NORTH | AddressLine1 |
| City | BOMOSEEN | City |
| State | VT | State |
| ZIP Code | 05732 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| 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 | |||
| LYNN SAUNDERS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT CROSS MD | ||||||||
| 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 | |||
| GRANT WHITMER | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 147913 | 0 | 36769 | |||
| MIKE GARDNER | ||||||||
| FINANCE DIRECTOR/TREASURER | 40.00 | X | 91401 | 0 | 28304 | |||
| BRADLEY BERRYHILL MD | ||||||||
| MEDICAL DIRECTOR | 40.00 | 212323 | 0 | 35920 | X | |||
| RICH BAKER | ||||||||
| PHYSICIAN | 40.00 | 292625 | 0 | 42816 | X | |||
| STEVEN WOOD | ||||||||
| PHYSICIAN | 40.00 | 210316 | 0 | 24007 | X | |||
| JERI BULLOCK | ||||||||
| PHYSICIAN | 40.00 | 237634 | 0 | 25355 | X | |||
| MATTHEW KINGSBAUER | ||||||||
| PHYSICIAN | 40.00 | 223911 | 0 | 37368 | X | |||
| DAVID SCHEIDER | ||||||||
| PHYSICIAN | 40.00 | 219787 | 0 | 24860 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1635910 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 255399 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 1020282 | GovernmentGrants |
| All Other Contributions | 1066667 | AllOtherContributions |
| Total Contributions | 2086949 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 19362666 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19362666 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 19362666 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21263 | TotalRevenueColumn |
| Exclusion | $21,263 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21470878 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19362666 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $21,263 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 513394 | Total |
| Program Services | 227679 | ProgramServices |
| Management And General | 285715 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11451081 | Total |
| Program Services | 9395091 | ProgramServices |
| Management And General | 2055990 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 464064 | Total |
| Program Services | 376925 | ProgramServices |
| Management And General | 87139 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1666080 | Total |
| Program Services | 1233142 | ProgramServices |
| Management And General | 432938 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 883643 | Total |
| Program Services | 677656 | ProgramServices |
| Management And General | 205987 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41664 | Total |
| Program Services | 64 | ProgramServices |
| Management And General | 41600 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61338 | Total |
| Management And General | 61338 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51683 | Total |
| Program Services | 51683 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84344 | Total |
| Program Services | 10005 | ProgramServices |
| Management And General | 74339 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1393455 | Total |
| Program Services | 1198956 | ProgramServices |
| Management And General | 194499 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1351342 | Total |
| Program Services | 1333901 | ProgramServices |
| Management And General | 17441 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13208 | Total |
| Program Services | 5271 | ProgramServices |
| Management And General | 7937 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125281 | Total |
| Program Services | 17542 | ProgramServices |
| Management And General | 107739 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 322735 | Total |
| Program Services | 143661 | ProgramServices |
| Management And General | 179074 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81453 | Total |
| Program Services | 71048 | ProgramServices |
| Management And General | 10405 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROFESSIONAL FEES | 1142555 | 103449 | 1039106 |
| OTHER CLINICAL EXPENSES | 405379 | 404876 | 503 |
| EQUIPMENT AND MAINT. RE | 204996 | 39072 | 165924 |
| OTHER OFFICE EXPENSE | 76485 | 76485 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 182646 | Total |
| Program Services | 81024 | ProgramServices |
| Management And General | 101622 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20516826 | Total |
| Program Services | 15447530 | ProgramServices |
| Management And General | 5069296 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194745 | BOY |
| EOY | 4041 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123989 | BOY |
| EOY | 322 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2648323 | BOY |
| EOY | 3681887 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11095 | BOY |
| EOY | 2880 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122130 | BOY |
| EOY | 155515 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153405 | BOY |
| EOY | 203100 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4498528 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 700651 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3765231 | BOY |
| EOY | 3797877 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 20501 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7018918 | BOY |
| EOY | 7866123 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1799982 | BOY |
| EOY | 2234209 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300000 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2640577 | BOY |
| EOY | 2396259 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116417 | BOY |
| EOY | 119661 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4856976 | BOY |
| EOY | 4750129 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2161942 | BOY |
| EOY | 3115994 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2161942 | BOY |
| EOY | 3115994 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7018918 | BOY |
| EOY | 7866123 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 954052 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 563792 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2227846 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2663910 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2497825 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2086949 | CurrentTaxYear |
| Total | 10040322 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1845612 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8522761 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9995422 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12127161 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19362666 | CurrentTaxYear |
| Total | 51853622 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2409404 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10750607 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12659332 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14624986 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21449615 | CurrentTaxYear |
| Total | 61893944 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 61893944 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3214 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5984 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4625 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1862 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21263 | CurrentTaxYear |
| Total | 36948 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3214 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5984 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4625 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1862 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21263 | CurrentTaxYear |
| Total | 36948 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8353 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 90379 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17213 | CurrentTaxYearMinus2Years |
| Total | 115945 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2420971 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10846970 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12681170 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14626848 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21470878 | CurrentTaxYear |
| Total | 62046837 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99750 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99680 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00060 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00060 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 125000 | OtherCostOrOtherBasis |
| Book Value | 125000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2185762 | OtherCostOrOtherBasis |
| Depreciation | 105796 | Depreciation |
| Book Value | 2079966 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 731791 | OtherCostOrOtherBasis |
| Depreciation | 80026 | Depreciation |
| Book Value | 651765 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1285895 | OtherCostOrOtherBasis |
| Depreciation | 514829 | Depreciation |
| Book Value | 771066 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 170080 | OtherCostOrOtherBasis |
| Book Value | 170080 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3797877 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE | $99,160 |
| RETIREMENT PLAN LIABILITY | $20,501 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 119661 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 21470878 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 21470878 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 21470878 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 20516826 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 20516826 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 20516826 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GRANT WHITMER | ||||||||||||||
| EXECUTIVE DIRECTOR | 147913 | 0 | 0 | 0 | 0 | 0 | 12375 | 0 | 24394 | 0 | 184682 | 0 | 0 | 0 |
| BRADLEY BERRYHILL MD | ||||||||||||||
| MEDICAL DIRECTOR | 212323 | 0 | 0 | 0 | 0 | 0 | 13821 | 0 | 22099 | 0 | 248243 | 0 | 0 | 0 |
| RICH BAKER | ||||||||||||||
| PHYSICIAN | 292625 | 0 | 0 | 0 | 0 | 0 | 13099 | 0 | 29717 | 0 | 335441 | 0 | 0 | 0 |
| STEVEN WOOD | ||||||||||||||
| PHYSICIAN | 210316 | 0 | 0 | 0 | 0 | 0 | 3635 | 0 | 20372 | 0 | 234323 | 0 | 0 | 0 |
| JERI BULLOCK | ||||||||||||||
| PHYSICIAN | 237634 | 0 | 0 | 0 | 0 | 0 | 6548 | 0 | 18807 | 0 | 262989 | 0 | 0 | 0 |
| MATTHEW KINGSBAUER | ||||||||||||||
| PHYSICIAN | 223911 | 0 | 0 | 0 | 0 | 0 | 10358 | 0 | 27010 | 0 | 261279 | 0 | 0 | 0 |
| DAVID SCHEIDER | ||||||||||||||
| PHYSICIAN | 219787 | 0 | 0 | 0 | 0 | 0 | 4015 | 0 | 20845 | 0 | 244647 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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. |
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