CHIEF EXECUTIVE OFFICER

2013-08-02T06:31:26-07:00 2013-03-31 TERRY HORNE CPA & ASSOCIATES PC 732 WEST MAIN STREET LEBANON TN 37087 990 2012-04-01 621027042 PERRY COUNTY MEDICAL CENTER INC PERR 9315892104 PO BOX 916 LINDEN TN 37096 PHILLIP TATUM CHIEF EXECUTIVE OFFICER 9315892104 2013-08-02 true TERRY HORNE 6154447293 2013-08-02 2012 2016-02-24 21:20:13Z PHILLIP TATUM PO BOX 916 LINDEN TN 37096 3410963 false X N/A X 1973 TN THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 13 13 34 0 0 2422673 2140247 1249556 1270460 165 -6687 0 3672394 3404020 0 0 1520919 1554340 0 0 1446340 1195311 2967259 2749651 705135 654369 3645151 4361447 1782657 1844584 1862494 2516863 THE ORGANIZATION PROVIDES HEALTH CARE false false 1711836 1270460 THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 18,400 VISITS WERE PROVIDED DURING THE YEAR. 1711836 true false false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 32 0 true 34 true false false false false false false false false false false false false false X 13 13 false false false false false false false true true false false false true false true false false true true false X KELLA JOHNSON 9315892104 115 E BROOKLYN STREET LINDEN TN 37096 JIM AZBILL CHAIRMAN 1.00 X 0 0 0 TOMMY FESMIRE BOARD MEMBER 1.00 X 0 0 0 BRUCE COTTON BOARD MEMBER 1.00 X 0 0 0 DAVID YOUNG SECRETARY 1.00 X 0 0 0 JESSIE RUTH TILLER VICE-CHAIR 1.00 X 0 0 0 MITCHELL RHODES BOARD MEMBER 1.00 X 0 0 0 BETTY BARBER BOARD MEMBER 1.00 X 0 0 0 JANE HERRON BOARD MEMBER 1.00 X 0 0 0 JW CATHEY BOARD MEMBER 1.00 X 0 0 0 JUDY MATHIS BOARD MEMBER 1.00 X 0 0 0 ANGIE ARNOLD BOARD MEMBER 1.00 X 0 0 0 NELDA HINSON BOARD MEMBER 1.00 X 0 0 0 RITA AUSTIN BOARD MEMBER 1.00 X 0 0 0 PHILLIP TATUM CHIEF EXECUTIVE OFFICER 40.00 X 72417 0 13824 KELLA JOHNSON CHIEF FINANCIAL OFFICER 40 X 46801 11800 JEFFREY SMITH MEDICAL DIRECTOR 40 X 164067 19849 SARAH J TAYLOR PHYSICIAN 40 X 145878 18757 429163 64230 2 false true false FELLOWSHIP CONSTRUCTION INC PO BOX 220 BON AQUA TN 37025 RENOVATIONS 352486 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 606809390 COMPUTER SERVICES 108730 2 1978407 161840 2140247 PATIENT FEES 621110 1270460 1270460 256 256 6943 -6943 -6943 -6943 3404020 1270460 -6687 283285 164067 119218 0 927365 716925 210440 0 59228 42644 16584 0 206221 73987 132234 0 78241 56334 21907 0 3777 0 3777 0 19781 0 19781 0 329993 95114 234879 0 428395 335968 92427 0 128347 93773 34574 0 23875 7587 16288 0 312 0 312 0 244217 124351 119866 0 16614 1086 15528 0 2749651 1711836 1037815 0 24388 29673 183117 436424 241874 266977 7816 15333 4603909 990869 3187956 3613040 3645151 4361447 164464 226473 1618193 1618111 1782657 1844584 X 1813951 2458417 48543 58446 1862494 2516863 3645151 4361447 654369 X X false true X true true true X 1622832 1585171 1670250 2422673 2140247 9441173 1622832 1585171 1670250 2422673 2140247 9441173 9441173 10524 1623 384 165 256 12952 9454125 5766351 0.99860 0.99770 X 0 0 0 55000 55000 2780411 299030 2481381 1768498 691839 1076659 3613040 3404020 3404020 3404020 2749651 2749651 2749651 X X false false false false false false false false false JEFFREY SMITH 164067 9844 10005 183916 SARAH J TAYLOR 145878 8753 10004 164635 Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. Pt XII, Line 2c THE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT. Pt VI, Line 11b THE AUDITOR COMPILES DATA AND TRANSMITS. Pt VI, Line 12c ANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN. Pt VI, Line 15a STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS Pt VI, Line 15b FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY AND SALARY INCREASES ARE BOARD APPROVED.