CHRIST HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHRIST HEALTH CENTER INC (EIN 20-1935552)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-08
IRS object ID
201321899349300512
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

FieldValueIRS element (for citing)
Timestamp2013-07-08T09:01:57-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN631133963EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Haynes Downard LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12121 2nd Avenue North Suite 400AddressLine1
CityBirminghamCity
StateALState
ZIP Code35203ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201935552EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Christ Health Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHRINameControl
Phone2053809455Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15720 1st Avenue SAddressLine1
CityBirminghamCity
StateALState
ZIP Code35212ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRobert Rex RecordName
TitleCEOTitle
Phone2053809455Phone
Date Signed2013-07-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLewis F Jones JrName
PTINP00013592PTIN
Phone2052543380Phone
Date Prepared2013-07-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRobert Rex RecordNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15720 First Avenue SoAddressLine1
CityBirminghamCity
StateALState
ZIP Code35212ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1356552GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.christhealthcenter.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileALStateLegalDomicile
Activity Or Mission DescriptionWe demonstrate the love and power of Jesus Christ by providing excellent, affordable healthcare and participating in the development of the communities we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees22TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year390307ContributionsGrantsPriorYear
Contributions Grants Current Year423995ContributionsGrantsCurrentYear
Program Service Revenue Prior Year817565ProgramServiceRevenuePriorYear
Program Service Revenue CY931803ProgramServiceRevenueCY
Investment Income Prior Year633InvestmentIncomePriorYear
Investment Income Current Year754InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1208505TotalRevenuePriorYear
Total Revenue Current Year1356552TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year776214SalariesEtcPriorYear
Salaries Etc Current Year1095848SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year10249TotalFundrsngExpCurrentYear
Other Expense Prior Year442312OtherExpensePriorYear
Other Expenses Current Year631215OtherExpensesCurrentYear
Total Expenses Prior Year1218526TotalExpensesPriorYear
Total Expenses Current Year1727063TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-10021RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-370511RevenuesLessExpensesCY
Total Assets BOY400482TotalAssetsBOY
Total Assets EOY467024TotalAssetsEOY
Total Liabilities BOY111845TotalLiabilitiesBOY
Total Liabilities EOY96498TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY288637NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY370526NetAssetsOrFundBalancesEOY
Mission DescriptionWe demonstrate the love and power of Jesus Christ by providing excellent, affordable healthcare and participating in the development of the communities we serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1241036Expense
Revenue717424Revenue
DescriptionTo provide medical and dental services to the indigent and uninsured.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense157765Expense
Revenue214379Revenue
DescriptionTo provide a pharmacy to the indigent and uninsured.Description
FieldValueIRS element (for citing)
Total Program Service Expense1398801TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees22NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledALStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Robert R RecordBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2053809455TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15720 First Avenue SouthAddressLine1
CityBirminghamCity
StateALState
ZIP Code352122522ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Dr Jeremy W Allen
Chair2.00XX000
Stephen T Hipps
Secretary2.00XX000
Roger L Ellenburg
Treasurer2.00XX000
Sister Dinah L White
Individual Director2.00X000
John S Blair
Individual Director2.00X000
John F Saddler
Individual Director2.00X000
Brantley T McDuffie
Individual Director2.00X000
Shannon S Riley
Individual Director2.00X000
Annetta Nunn
Individual Director2.00X000
Harriette J Toney
Individual Director2.00X000
Gil Murdock
Individual Director2.00X000
Stephen Thomas
Individual Director2.00X000
Dr Robert Record
Chief Executive Officer40.00X12500000
Dr John Fischer
Chief Medical Officer40.00X9000000
FieldValueIRS element (for citing)
Total Reportable Comp From Org215000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions423995AllOtherContributions
Total Contributions423995TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medical and dental col621110875189875189
Pharmacy collections5415115661456614
FieldValueIRS element (for citing)
Total Program Service Revenue931803TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column754TotalRevenueColumn
Exclusion$754ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1356552TotalRevenueColumn
Related Or Exempt Function Income931803RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$754ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total210500Total
Program Services193499ProgramServices
Management And General10751ManagementAndGeneral
Fundraising6250Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total828321Total
Program Services648284ProgramServices
Management And General178334ManagementAndGeneral
Fundraising1703Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total57027Total
Program Services42007ProgramServices
Management And General15020ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total31764Total
Management And General31764ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2255Total
Program Services2255ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12014Total
Program Services410ProgramServices
Management And General11604ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total163600Total
Program Services163600ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5414Total
Program Services4539ProgramServices
Management And General737ManagementAndGeneral
Fundraising138Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total395Total
Management And General395ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total64081Total
Program Services52286ProgramServices
Management And General11795ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total38605Total
Program Services20515ProgramServices
Management And General18090ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies8466684666
Laboratory Fees7663676636
Computer36430345271903
Utilities32078304741604

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total83277Total
Program Services45103ProgramServices
Management And General36016ManagementAndGeneral
Fundraising2158Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1727063Total
Program Services1398801ProgramServices
Management And General318013ManagementAndGeneral
Fundraising10249Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY151440BOY
EOY284199EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33502BOY
EOY24389EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY11765BOY
EOY4166EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11777BOY
EOY14711EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis405515LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec265956LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY191998BOY
EOY139559EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY400482BOY
EOY467024EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12848BOY
EOY15589EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY98997BOY
EOY80909EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY111845BOY
EOY96498EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY288637BOY
EOY370526EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY288637BOY
EOY370526EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY400482BOY
EOY467024EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-370511ReconcilationRevenueExpenses
Reconcilation Donated Services452400ReconcilationDonatedServices
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74227CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years434887CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years342255CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year390307CurrentTaxYearMinus1Year
Current Tax Year423995CurrentTaxYear
Total1665671Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74227CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years434887CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years342255CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year390307CurrentTaxYearMinus1Year
Current Tax Year423995CurrentTaxYear
Total1665671Total
FieldValueIRS element (for citing)
Public Support Total1701665671PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years457CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2746CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1324CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year633CurrentTaxYearMinus1Year
Current Tax Year754CurrentTaxYear
Total5914Total
FieldValueIRS element (for citing)
Total Support1671585TotalSupport
Gross Receipts From Admissions Etc1761454GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99650PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99610PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3790OtherCostOrOtherBasis
Book Value3790BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis401725OtherCostOrOtherBasis
Depreciation265956Depreciation
Book Value135769BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings139559TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt1808952TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities452400DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990452400RevenueNotRptdF990
Revenue Subtotal1356552RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901356552TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1727063TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1727063ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901727063TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationAs of December 31, 2012, the Center has no uncertain tax positions that qualify for recognition or disclosure in the financial statements.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 8bThere are no committees acting on behalf of the governing board.
Form 990, Part VI, Section B, line 11A final draft of the tax return will be circulated to the Board of Directors for review and reccommendation to the full board.
Form 990, Part VI, Section B, line 12cAn annual review is conducted of the board member's professional relationships and results are reported to the Chair and Secretary.
Form 990, Part VI, Section C, line 19The organizaton's governing documents, conflict of interest policy, and financial statements are available to the public on site with a three day advance notice.
Form 990, Part XII, Line 2CThe organization has not changed the oversight or selection process of the audit during the tax year.Oversight and selection process of audit

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