2013-09-19T07:32:50-05:00 2012-12-31 NUNN BRASHEAR & COMPANY PA PO BOX 10127 GOLDSBORO NC 27532 990 2012-01-01 561209062 GOSHEN MEDICAL CENTER INC GOSH 9102671942 PO BOX 187 FAISON NC 283410187 GREGORY M BOUNDS 9102671942 2013-09-11 true HAROLD D BRASHEAR CPA 9197781000 2013-09-11 2012 2016-02-24 21:20:13Z GREGORY M BOUNDS PO BOX 187 FAISON NC 28341 19946122 false X WWW.GOSHENMEDICAL.ORG X 1979 NC TO PROVIDE MEDICAL CARE TO INDIGENT INDIVIDUALS IN UNDERSERVED RURAL AREAS IN NORTH CAROLINA. 9 9 224 9 0 6745387 6757211 11410171 12748512 2922 1962 520401 438437 18678881 19946122 0 0 11897269 11748384 0 0 7252089 6593032 19149358 18341416 -470477 1604706 15131791 16713317 3189639 3166459 11942152 13546858 TO PROVIDE MEDICAL CARE TO INDIGENT INDIVIDUALS IN UNDERSERVED RURAL AREAS IN NORTH CAROLINA. false false 14428562 GOSHEN MEDICAL CENTER, INC. IS A MEDICAL CLINIC ORGANIZED TO PROVIDE MEDICAL SERVICES TO UNDERSERVED AREAS IN EASTERN NORTH CAROLINA. THESE SERVICES INCLUDE MIGRANT HEALTH CARE, SUBSTANCE ABUSE, DENTAL, AND HIV/AIDS PROGRAMS. FEES ARE ADJUSTED FOR THOSE WHO ARE EITHER UN- INSURED OR UNDER-INSURED. 14428562 true true false false false false false false false false true false false false true 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 68 0 true 224 true false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false X GREG BOUNDS 9102679997 412 SW CENTER ST FAISON NC 28341 CHESTER AYCOCK 2.00 X X 0 0 0 PATRICIA DAVIS 2.00 X X 0 0 0 HELEN BOYETTE 2.00 X X 0 0 0 MATTIE ATKINSON 2.00 X X 0 0 0 CHARLOTTE GRAHAM 1.00 X 0 0 0 RUTH DIAZ 1.00 X 0 0 0 JAMES ROA 1.00 X 0 0 0 TANTY FREEMAN 1.00 X 0 0 0 BETTY S ROSE 1.00 X 0 0 0 GREGORY M BOUNDS 40.00 X 238913 0 15640 HENRY T HYMAN 40.00 X 271435 0 17622 ROLAND C DRAUGHN 40.00 X 193473 0 12867 ENRIQUE TOMEU 40.00 X 192407 0 12942 KATHERINE AVERILL 40.00 X 191182 0 935 PHILLIP KOHUT 40.00 X 159686 0 10664 1247096 70670 23 false true false INTERIM MEDICAL LLC INTERIM MEDICAL LLC 312 WEST MILLBROOK RD STE 241 312 WEST MILLBROOK RD STE 241 RALEIGH NC 27609 MED. PROVIDERS 819654 PRIORITY MANAGMENT GROUP INC PRIORITY MANAGEMENT GROUP INC 700 SCHOOL ST 700 SCHOOL ST PAWTUCKET RI 02860 MEDICAL BILLING 648433 STAR WIRLES INC STAR WIRLES INC PO BOX 1088 PO BOX 1088 CLINTON NC 28329 IT SERVICES 165091 REAL MED INC REAL MED INC 510 E 96TH ST STE 400 510 E 96TH ST STE 400 INDIANAPOLIS IN 46240 MEDICAL BILLING 124776 ALLSCRIPTS LLC ALLSCRIPTS LLC 24630 NETWORK PLACE 24630 NETWORK PLACE CHICAGO IL 60673 MEDICAL BILLING 117221 5 6757211 48 6757211 PATIENT FEES, NET OF ADJ. 18348893 18348893 340B-PHARMACY 1753060 1753060 MISCELLANEOUS OFFICE SPACE 8450 8450 CHARITY CARE ADJUSTMENTS -2414073 -2414073 CONTRACTUAL ADJUSTMENTS -4947818 -4947818 12748512 1962 1962 CAROLINA ACCESS INCOME 278774 278774 CIGNA INCENTIVE INCOME 86268 86268 MISC. 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SERVE ON A VOLUNTEER BASIS AND ARE NOT PAID FOR THEIR SERVICES. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE BOARD OF DIRECTORS ARE PRESENTED A COPY OF THE FORM 990 FOR THEIR REVIEW AT THE MONTHLY BOARD MEETING BEFORE BEING FILED. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD MEMBER SHALL ANNOUNCE SUCH POSSIBLE CONFLICT OF INTEREST AS NOTED IN THE ORGANIZATION'S BYLAWS ARTICLE 8. CONFLICT OF INTEREST IS DISCUSSED AT BOARD MEETINGS WHEN ONE EXPRESSES THEIR OPINION OR IF VOTING IS TO OCCUR. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS APPROVES THE CEO'S BONUS AND PAY RATE. THE CEO DETERMINES THE PAYRATE FOR TOP MANAGEMENT AND KEY EMPLOYEES OF THE ORGANIZATION. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B OTHER OFFICERS AND EMPLOYEES PAY RATES ARE SET BY THE CEO AND REVIEWED BY HUMAN RESOURCES AND AN EXECUTIVE. BONUS COMPENSATION IS CALCULATED ON SALARY, TENURE, PRODUCTION AND INDIVIDUAL RATES FROM AN APPROVED FUNDING BY THE BOARD OF DIRECTORS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THESE DOCUMENTS ARE AVAILABLE FOR INSPECTION IN THE CORPORATE OFFICES UPON REQUEST OF THE CEO. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G MEDICAL-CONSULTANTS/CONTRACTS 906,833 0 0 ADMIN-CONSULTANTS/CONTRACTS 0 817,926 0 FACILITY-CONSULTANTS/CONTRACT 8,977 0 0 MEDICAL-FEES 11,599 0 0 ADMIN-FEES 0 14,680 0 FACILITY-FEES -3,860 0 0 COMMUNITY-FEES 276 0 0 MEDICAL-RECRUITMENT 67,821 0 0 ADMIN-RECRUITMENT 0 308 0 MEDICAL-RELOCATION AND MOVING 0 0 0 MEDICAL-REFERRALS 153,403 0 0 ADMIN-REFERRALS 0 463 0 COMMUNITY-REFERRALS 30 0 0