2013-08-29T13:44:00-05:00 2012-12-31 WISAN SMITH RACKER & PRESCOTT LLP 155 N 400 W STE 400 SALT LAKE CITY UT 84103 990 2012-01-01 742412898 COMMUNITY HEALTH CENTERS INC COMM 8014126920 220 WEST 7200 SOUTH SUITE A MIDVALE UT 84047 DEXTER PEARCE 8014126920 2013-08-23 true DANIEL P RINEHART 8013282011 2013-08-23 2012 2016-02-24 21:20:13Z DEXTER PEARCE 220 WEST 7200 SOUTH SUITE A MIDVALE UT 84047 15420132 false X HTTP://WWW.CHC-UT.ORG X 1979 UT TO PROVIDE QUALITY, PATIENT-CENTERED PRIMARY HEALTH CARE, DENTAL AND OTHER SERVICES TO THE MEDICALLY UNDERSERVED IN UTAH REGARDLESS OF THEIR ABILITY TO PAY. 13 13 184 16 0 8554196 8346420 7485810 6946185 2127 76006 23683 38622 16065816 15407233 0 0 8594936 8693349 0 14258 5442408 5715730 14037344 14409079 2028472 998154 5931468 7259283 992116 1323675 4939352 5935608 TO PROVIDE QUALITY, PATIENT-CENTERED PRIMARY HEALTH CARE, DENTAL AND OTHER SERVICES TO THE MEDICALLY UNDERSERVED IN UTAH REGARDLESS OF THEIR ABILITY TO PAY. false false 12347161 6946185 COMMUNITY HEALTH CENTERS PROVIDED PRIMARY MEDICAL CARE TO 22,000 PATIENTS WITH OVER 72,000 INDIVIDUAL VISITS, ORAL HEALTH CARE TO 2,700 PATIENTS WITH ALMOST 9,000 INDIVIDUAL VISITS AND BEHAVIORAL HEALTH CARE TO OVER 600 PATIENTS WITH OVER 1,100 INDIVIDUAL VISITS. THESE SERVICES ARE PROVIDED THROUGH DIRECT SERVICE HEALTH CLINICS TO LOW INCOME AND MEDICALLY UNDERSERVED POPULATIONS THROUGHOUT THE STATE OF UTAH. PRIMARY MEDICAL CARE INCLUDES A SPECIAL EMPHASIS ON PEDIATRIC MEDICINE, WITH OVER 13,000 WELL CHILD CHECKUPS AND 26,000 VACCINES GIVEN TO CHILDREN UNDER 18. ORAL HEALTH CARE INCLUDES AN EDUCATIONAL OUTREACH PROGRAM AND FLUORIDE TREATMENTS FOR CHILDREN IN LOCAL TITLE I ELEMENTARY SCHOOLS. 12347161 true true false false false false false false false false true false false false true false true false false false false false false false true false false false false true false false false false false false false true true false false false false false false false false true 31 0 184 true false false false false false true true false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false UT X X COMMUNITY HEALTH CENTERS INC 8014126920 220 WEST 7200 SOUTH SUITE A MIDVALE UT 84047 GERRY MARTY 1.50 X 300 0 0 JOAQUIN CHAVEZ 1.50 X 300 0 0 LIDIA PEREZ 1.50 X 300 0 0 CINDY WHITE 1.50 X 275 0 0 JOSE MANUEL GAYTAN 1.50 X 225 0 0 BONNIE HORROCKS 1.50 X 150 0 0 SUZANNE DRAPER 1.50 X X 0 0 0 BOB BUNNELL 1.50 X X 0 0 0 SUSAN JOHNSTON 1.50 X 0 0 0 MARK BRUNSON 1.50 X X 0 0 0 WESLEY THOMPSON 1.50 X 0 0 0 RACHAEL HOOLEY 1.50 X X 0 0 0 ROCIO GUZMAN 1.50 X 0 0 0 JOHN LEWIS 1.50 X 0 0 0 JOHN HAYNES 1.50 X 0 0 0 DEXTER PEARCE 40.00 X 120432 0 13618 CARL WHITTAKER 40.00 X 181272 0 20676 KEITH HORWOOD 40.00 X 159432 0 18500 DAVID GONTRUM 40.00 X 148641 0 21400 DAVID TUROK 32.00 X 139599 0 16509 DAVID ROBINSON 40.00 X 138564 0 16921 889490 107624 6 false true false LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LAB TESTING 490390 WASATCH SOFTWARE INC 5242 S COLLEGE DR 200 MURRAY UT 84123 IT SUPPORT 145199 ECLINICAL WORKS TWO TECHNOLOGY DRIVE WESTBOROUGH MA 01581 WEB/IT SUPPORT 128161 MORGAN PAVEMENT PO BOX 190 CLEARFIELD UT 84089 CONSTRUCTION 107550 DYNAMOND BLDG MAINTENANCE PO BOX 115 PROVO UT 84603 JANITORIAL 103542 5 74473 2073 5672117 2597757 1433607 8346420 PATIENT REVENUE 624100 6946185 6946185 6946185 76006 76006 14461 2073 12899 1562 1562 MEDICAL RECORD RECEIPTS 624110 37060 37060 37060 15407233 6946185 114628 X 135600 135600 6514111 5711856 794453 7802 479821 423784 55385 652 1052857 909783 141673 1401 510960 440224 70058 678 12834 12834 29045 29045 16999 16999 1569583 1228125 337833 3625 351383 231704 119679 817469 728126 89343 56786 23738 33048 64400 64400 252276 145097 107179 24695 2945 21750 MEDICAL SUPPLIES 2256893 2256893 SMALL EQUIPMENT/SUPPLIES 73030 57866 15164 DUES & FEES 69177 38245 30832 100 RECRUITMENT 41240 32553 8687 79920 51822 28098 14409079 12347161 2047660 14258 875190 1300910 2313825 2500 544590 304215 484691 644464 103909 87998 29566 33082 3417637 1895068 1567700 1522569 3351548 11997 11997 5931468 7259283 648927 705329 179481 160361 163708 457985 992116 1323675 X 4666385 5642639 272967 292969 4939352 5935608 5931468 7259283 998154 -1898 X false true X true true true X 10021326 11326568 7930152 8554196 8346420 46178662 10021326 11326568 7930152 8554196 8346420 46178662 4191270 41987392 21717 9170 27 2127 76006 109047 24065 23683 38622 86370 46374079 34749135 0.90540 0.91110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 89635 89635 465365 162878 302487 1739981 1089817 650164 979726 589174 390552 142930 53199 89731 1522569 GOVERNMENT CONTRACT LIABILITY 366169 DEFERRED RENT 91816 457985 17885041 -1898 2483806 12899 2494807 15390234 16999 16999 15407233 16888785 2483806 12899 2496705 14392080 16999 16999 14409079 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 2D FUNDRAISING DIRECT EXPENSES 12,899 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 4B INVESTMENT MGT FEES RECLASSED 16,999 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D FUNDRAISING DIRECT EXPENSES 12,899 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B INVESTMENT MGT FEES RECLASSED 16,999 BREAKFAST-MOMS 9673 2073 7600 1494 5637 5K/1K FUN RUN 6861 6861 5768 16534 2073 14461 1494 11405 12899 1562 X X X X false false false false false false false false false CARL WHITTAKER 95926 85346 18133 2543 201948 KEITH HORWOOD 115003 44429 15957 2543 177932 DAVID GONTRUM 100006 48635 14873 6527 170041 DAVID TUROK 135999 3600 13966 2543 156108 DAVID ROBINSON 100006 38558 13882 3039 155485 INTERMOUNTAIN HEALTHCARE DIREC / OFFICER 1777009 IN-KIND DONATIONS false ADDITIONAL INFORMATION SCHEDULE L PART V 1RELATIONSHIP BETWEEN INTERESTED PERSONS AND ORGANIZATION SUZANNE DRAPER IMMEDIATE PAST PRESIDENT OF THE BOARD OF COMMUNITY HEALTH CENTERS INC IS EMPLOYED BY AND IS AN OFFICER OF INTERMOUNTAIN HEALTHCARE INTERMOUNTAIN HEALTHCARE PROVIDES DONATED SERVICES IN THE FORM OF MEDICAL SERVICES 714357 AND XRAY SERVICES 1062652 X 210 1433607 FAIR MARKET VALUE false false false ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FINANCE DIRECTOR COMPARES THE FORM 990 TO THE AUDITED FINANCIAL STATEMENTS AND REVIEWS THE VARIOUS OTHER DISCLOSURES WITH THE EXECUTIVE DIRECTOR. A COPY OF THE FORM 990 IS ALSO PRESENTED, DISCUSSED AND APPROVED BY THE BOARD OF GOVERNORS. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C HUMAN RESOURCES REQUIRES ALL NEW EMPLOYEES AND BOARD MEMBERS TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT. OUR COMPLIANCE OFFICER REVIEWS ALL CONFLICT OF INTEREST STATEMENTS AND INVESTIGATES ANY POTENTIAL CONFLICTS. BOARD MEMBERS DO NOT VOTE ON ISSUES FOR WHICH THEY MAY HAVE A CONFLICT OF INTEREST. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A HUMAN RESOURCES CONDUCTS A COMPENSATION STUDY AND MAKE RECOMMENDATIONS TO A COMMITTEE OF THE BOARD CHARGED WITH EVALUATING THE EXECUTIVE DIRECTOR'S JOB PERFORMANCE. THE COMMITTEE THEN APPROVES THE EXECUTIVE DIRECTOR'S COMPENSATION AND RENEWAL OF EMPLOYMENT AGREEMENT. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE ORGANIZATION'S OFFICERS' AND KEY EMPLOYEES' COMPENSATION IS DETERMINED BY ANNUAL REVIEW AND APPROVAL BY THE ORGANIZATION'S BOARD OF GOVERNORS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND COMPANY POLICIES CAN BE OBTAINED BY CONTACTING ELLEN PARRISH EITHER BY PHONE AT 801-858-3455 OR BY MAIL AT 220 WEST 7200 SOUTH, SUITE A, MIDVALE UT 84047. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G MEDICAL/LAB/X-RAY 527,435 150 0 LAUNDRY SERVICES 50,955 0 0 DENTAL LAB SERVICES 38,482 0 0 EQUIPMENT MAINTENANCE 45,508 216 0 JANITORIAL SERVICES 113,175 7,640 0 MEDICAL WASTE SERVICES 30,819 0 0 SECURITY SERVICES 1,812 0 0 GROUNDS MAINTENANCE 17,436 661 0 PAYROLL SERVICES 0 34,258 0 INTERPRETING SERVICES 3,746 8,280 0 INFORMATION SYSTEM SUPPORT 88,076 155,832 0 AMERICORPS 42,126 0 0 TEMP HELP 56,884 27,233 0 RESIDENTS/FELLOWS 116,998 0 0 COURIER SERVICES 0 17,255 0 MISCELLANEOUS SERVICES 78,209 72,844 0 CONTRACTED PRINTING 16,464 13,464 3,625 0 0 0 BREAKFAST-MOMS MISCELLANEOUS SERVICES 4,619 0 0 0 0 0 5K/1K FUN RUN MISCELLANEOUS SERVICES 3,835 0 0 RECONCILIATION OF CHANGES - OTHER FORM 990, PART XI, LINE 9 FUNDRAISING DIRECT EXPENSES 12,899 INVESTMENT MGT FEES RECLASSED -16,999 FUNDRAISING DIRECT EXPENSES -12,899 INVESTMENT MGT FEES RECLASSED 16,999