2013-10-30T11:36:19-07:00 2013-06-30 990 2012-07-01 550597803 CAMERON COMMUNITY HEALTH CARE CENTER INC CAME 3046863376 RD 4 Box 19 Wilson Drive Cameron WV 26033 Jay Prager 3046863376 2013-10-30 2012 2016-03-07 17:11:31Z Richard Fletcher RD 4 BOX 19 WILSON DRIVE CAMERON WV 26033 575300 0 X X 1980 WV To provide primary health care services to a medically underserved population. 9 9 10 0 0 0 70894 72402 256542 303195 115477 199703 0 0 442913 575300 0 0 0 0 248997 262871 0 0 0 119562 145138 368559 408009 74354 167291 1973073 2110321 82599 52556 1890474 2057765 To provide health care services to a medically underserved population. 0 0 331630 67403 301786 Ambulatory and Primary Health Care: Program activity consists of outpatient medical services to individuals in a federally edsignated health professions shortage are (HPSA), and medically underserved area (MUA). Services are provided without regard of patients' ability to pay for them. During this period, the health center treated 4,782 patients. 0 0 0 331630 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 10 1 0 0 0 0 0 0 X 9 9 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 WV X Jay Prager 3046863376 RD 4 Box 19 Wilson Drive Cameron WV 26033 Victor Antill 1 0 X X 0 0 0 Ila Mae McConaughey 1 0 X X 0 0 0 David McConaughey 1 0 X 0 0 0 Susie Davis 1 0 X 0 0 0 Celeste Evans 1 0 X 0 0 0 Charles Okel 1 0 X 0 0 0 Richard Fletcher 1 0 X X 0 0 0 Edward Phillips 1 0 X 0 0 0 Sherilyn McCracken 1 0 X 0 0 0 Kelly Barki DO 40 0 X X 116346 0 0 116346 0 0 1 0 0 0 0 0 0 0 0 67402 5000 0 72402 Medical Services to Patients 621000 301786 301786 0 0 1409 1409 0 0 303195 199703 199703 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 575300 502898 0 0 231601 184086 47515 12689 10313 2376 18581 14946 3635 5500 5043 457 244 244 56034 52982 3052 22916 19479 3437 475 475 20039 17033 3006 28112 23895 4217 Legal and Professional 8684 0 8684 0 Miscellaneous Expense 3134 3134 0 0 408009 331630 76379 0 39585 38666 48919 55927 15563 19289 7663 8054 432889 334973 105737 97916 1755606 1890469 1973073 2110321 32599 27556 50000 25000 82599 52556 X 134868 167296 0 0 1755606 1890469 1890474 2057765 1973073 2110321 167291 0 0 0 0 0 X 0 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12000 0 12000 289789 0 212979 76810 0 0 0 0 131100 0 121994 9106 0 0 0 0 97916 Beneficial Interest in Perpetual Trust 1890469 F 1890469 0 Line of Credit 25000 25000 X 575300 0 0 0 0 0 575300 0 0 0 575300 408009 0 0 0 0 0 408009 0 0 0 408009 SchD_P10_S00_L02 Schedule D, Part X, Line 2 There is no FIN 48 footnote to the audited financial statements. F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Board members Ila Mae McConoughey and David McCpmpighey have a family relationship. F990_P06_S0A_L03 Form 990, Part VI, Section A, Line 3 The Cameron Community Health Center has held a management contract with a local acute care hospital, Reynolds Memorial, since 1982. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The IRS 990 filing is completed by management, using the results of the independent financial audit. A copy is provided to the board members prior to filing. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c New board members are oriented to conflict of interest policies; and they are periodically reminded to disclose any potential conflicts. Also, the corporation's bylaws contain a provision for the immediate removal of a board member for violation of conflict of interest. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 All public documents associated with the health center are available for viewing at the facility, upon request.