2013-11-07T14:41:25-06:00 2012-12-31 750882037 BOLINGER SEGARS GILBERT AND MOSS LLP 8215 NASHVILLE AVENUE LUBBOCK TX 79423 990 2012-01-01 752424925 COMMUNITY HEALTH CENTER OF LUBBOCK INC COMM 8067652611 1313 BROADWAY STE 5 LUBBOCK TX 79401 MICHAEL SULLIVAN 8067652611 2013-11-05 1 Matt R Willis P00419741 8067473806 2013-11-05 2012 2016-02-24 21:20:13Z MICHAEL SULLIVAN 1313 BROADWAY STE 5 LUBBOCK TX 79401 13328284 0 X WWW.CHCLUBBOCK.ORG X 1992 TX PROVIDE QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO THOSE IN NEED. 11 11 181 44 0 0 7127459 7200872 5350831 5842206 20194 12951 0 0 12498484 13056029 0 0 0 0 7593600 7781222 0 107458 119281 4441646 4882366 12035246 12771046 463238 284983 7262975 7187850 3343444 2983336 3919531 4204514 PROVIDE QUALITY PRIMARY AND PREVENTATAIVE HEALTH CARE SERVICES TO THOSE IN NEED. 0 0 11559552 5842206 PROVIDED HEALTH CARE SERVICES FOR UNDERPRIVILEGED ADULTS AND CHILDREN INCLUDING WOMENS HEALTH SERVICES, PRENATAL SERVICES, EYE CARE SERVICES, SENIOR SERVICES, PEDIATRIC AND ADULT DENTAL SERVICES, SOCIAL SERVICES PROGRAMS AND OUTREACH SERVICES. THE ORGANIZATION SERVES FIVE COUNTIES IN THE WEST TEXAS AREA. THE FIVE COUNTIES ARE LUBBOCK, CROSBY, LYNN, TERRY AND GARZA. THE ORGANIZATION ALSO OPERATES MOBILE MEDICAL AND DENTAL VANS. DURING 2012 THE ORGANIZATION PROVIDED MEDICAL SERVICES TO APPROXIMATELY 22,079 INDIVIDUALS AND CHILDREN. 11559552 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 16 0 181 1 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL SULLIVAN CEO 8067652611 1313 BROADWAY STE 5 LUBBOCK TX 79401 PILAR MARTINEZ 2.00 X X 0 0 0 NATALIA CAMPOS 2.00 X X 0 0 0 LORENZA ONTIVEROS 2.00 X X 0 0 0 GARY ZHENG 312-1212 1.00 X X 0 0 0 BERTHA MARTINEZ 2.00 X 0 0 0 ERMINIA MARTINEZ 0.70 X 0 0 0 MARGARET GAINES 1.00 X 0 0 0 PATRICIA HAWKINS 1.00 X 0 0 0 JAMES JOHNSON 1.00 X 0 0 0 CHRIS COMER 1.00 X 0 0 0 MICHAEL CHAPMAN 1112-1212 1.00 X 0 0 0 MICHAEL SULLIVAN 50.00 X 145287 0 23244 GINGER RIEWE 112-712 50.00 X 89431 0 10799 MARK MARASCO 912-1212 60.00 X 30638 0 0 ELIZABETH LOPEZ 50.00 X 96568 0 14819 RONNIE DELEMOS 312-1212 50.00 X 79390 0 11550 LEOPOLDO CABRERA 40.00 X 208696 0 8847 DARNEL DABU 40.00 X 168006 0 29910 SUVIPA WIRI 40.00 X 141450 0 23014 MAURICA ASMUSSEN 40.00 X 141386 0 17401 CHERRY MAXIMO 40.00 X 140375 0 17315 1241227 0 156899 8 0 1 0 0 6374983 825889 644226 7200872 MEDICAL & PROGRAM FEES 621400 5358131 5358131 MEDICARE & MEDICAID 621400 441596 441596 GOVERNMENTAL FEES 621400 42479 42479 5842206 12951 12951 272255 272255 0 13056029 5842206 0 12951 501725 455065 46660 5848450 5365291 483159 372433 337797 34636 593092 509001 84091 465522 391575 73947 11253 11253 30000 30000 107458 107458 966806 889193 77613 283352 261294 22058 124113 85619 33284 5210 749674 685745 63929 93494 49624 43870 320857 271984 48873 104168 104168 386053 383529 2524 69159 63498 5661 MEDICAL SUPPLIES 1200611 1178302 22309 BAD DEBTS 410679 410679 EQUIP. RENTALS & REPAIR 76321 72702 3619 LICENSE & DUES 42576 37849 4727 13250 6637 6613 12771046 11559552 1092213 119281 1170 950 2386807 2101728 171891 132022 283514 898103 335161 296684 144432 108195 5885834 2494946 3683346 3390888 256654 259280 7262975 7187850 753257 265200 2073078 2150291 517109 567845 3343444 2983336 X 2198256 1765824 1721275 2438690 3919531 4204514 7262975 7187850 284983 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 933263 933263 1799126 157463 1641663 263999 221346 42653 2889446 2116137 773309 3390888 ACCRUED WAGES 281676 ACCRUED VACATION 256169 ACCRUED AUDIT FEE 30000 567845 X 13062544 6515 6515 13056029 0 13056029 12777561 6515 6515 12771046 0 12771046 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: CHCL FOLLOWS THE "UNCERTAIN TAX POSITIONS" PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THE PRIMARY TAX POSITION OF CHCL IS ITS FILING STATUS AS A TAX EXEMPT ENTITY. CHCL DETERMINED THAT IT IS MORE LIKELY THAN NOT THAT THEIR TAX POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS), OR OTHER STATE TAXING AUTHORITY AND THAT ALL TAX BENEFITS ARE LIKELY TO BE REALIZED UPON SETTLEMENT WITH TAXING AUTHORITIES. Part IX THE AMOUNT OF OTHER ASSETS ON FORM 990, PAGE 11, PART X, LINE 15 DOES NOT EQUAL OR EXCEED 5 PERCENT OF THE TOTAL ASSETS ON FORM 990, PAGE 11, PART X, LINE 16, COLUMN B. CONSEQUENTLY IN ACCORDANCE WITH IRS INSTRUCTIONS SCHEDULE D, PART IX HAS BEEN LEFT BLANK. X X 1 LAWSON ASSOCIATES INC 75 ROCKEFELLER PLAZA 18TH FLOOR NEW YORK NY 10019 CAPITAL CAMPAIGN COUNSEL FOR NEW BUILDING CONSTRUCTION 0 0 96125 0 CAROL THOMPSON 1316 7TH STREET LUBBOCK TX 79363 CAPITAL CAMPAIGN COUNSEL FOR NEW BUILDING CONSTRUCTION 0 0 11333 0 107458 TX X X 0 0 0 0 0 0 0 0 0 MICHAEL SULLIVAN 145087 0 200 0 0 0 12783 0 10461 0 168531 0 0 0 LEOPOLDO CABRERA 208696 0 0 0 0 0 0 0 8847 0 217543 0 0 0 DARNEL DABU 168006 0 0 0 0 0 15083 0 14827 0 197916 0 0 0 SUVIPA WIRI 141450 0 0 0 0 0 12497 0 10517 0 164464 0 0 0 MAURICA ASMUSSEN 141386 0 0 0 0 0 12018 0 5383 0 158787 0 0 0 CHERRY MAXIMO 140375 0 0 0 0 0 11932 0 5383 0 157690 0 0 0 X 26 644226 DONOR-PROVIDED INVOICES 0 0 0 Form 990, Part VI, Section A, line 2 DIRECTORS PILAR MARTINEZ AND BERTHA MARTINEZ ARE HUSBAND AND WIFE. Form 990, Part VI, Section B, line 11 MANAGEMENT PRESENTED A COPY OF THE FORM 990 TO THE BOARD FOR DISCUSSION, REVIEW AND APPROVAL PRIOR TO FILING. Form 990, Part VI, Section B, line 12c ALL EMPLOYEES, OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE AN ATTACHMENT DETAILING ANY POSSIBLE CONFLICTS. Form 990, Part VI, Section B, line 15 THE BOARD OF DIRECTORS USE A SALARY COMPARISON REPORT PREPARED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS WHEN DETERMINING THE CEO'S SALARY. THE REPORT PROVIDES COMPARATIVE SALARY INFORMATION FOR HEALTH CENTERS BASED ON SIZE AND LOCATION. THE BOARD OF DIRECTORS AND CEO USE A SALARY COMPARISON REPORT PREPARED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS WHEN DETERMINING THE OTHER EMPLOYEE OFFICER'S SALARY. THE REPORT PROVIDES COMPARATIVE SALARY INFORMATION FOR HEALTH CENTERS BASED ON SIZE AND LOCATION. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING BY THE PUBLIC AT THE ORGANIZATION'S OFFICE IN LUBBOCK, TX. AUDIT COMMITTEE Form 990, Part XII, Line 2c THE BOARD OF DIRECTORS HAVE ASSIGNED MEMBERS TO AN AUDIT COMMITTEE TO OVERSEE THE FINANCIAL STATEMENT AUDIT AND SELECT THE INDEPENDENT FINANCIAL STATEMENT AUDITOR.