CHIEF FINANCIAL OFFICER

2013-10-29T08:39:06-07:00 2013-05-31 TERRY HORNE CPA & ASSOCIATES PC 732 WEST MAIN STREET LEBANON TN 37087 990 2012-06-01 237085643 RURAL HEALTH SERVICES INC RURA 8035939283 PO BOX 277 CLEARWATER SC 29822 ROBERT T REEL JR CHIEF FINANCIAL OFFICER 8035939283 2013-10-29 true TERRY HORNE 6154447293 2013-10-29 2012 2016-02-25 16:41:14Z ROBERT T REEL JR PO BOX 277 CLEARWATER SC 298220277 4738815 false X WWW.MJWCHC.ORG X 1970 SC THIS ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 10 10 72 0 0 1099020 1294125 2628317 3441090 0 2100 3600 3729437 4738815 0 0 2436676 3118748 0 0 1269347 1449687 3706023 4568435 23414 170380 1200248 2279835 1628488 2537695 -428240 -257860 THIS ORGANIZATION PROVIDES HEALTH CARE false false 3473676 3441090 THE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF CLEARWATER, SOUTH CAROLINA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THIER TAX EXEMPT PURPOSE. OVER 32,000 VISITS WERE PROVIDED DURING THE YEAR. 3473676 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false true false true false false false false false false false false true 22 0 true 72 true false false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false SC X ROBERT T REEL JR CFO 8035939283 PO BOX 277 CLEARWATER SC 29822 MONA FLANIGAN BOARD CHAIR 1.00 X 0 0 0 KENNETH BALDWIN VICE CHAIR 1.00 X 0 0 0 ROBERT BOWLES BOARD MEMBER 1.00 X 0 0 0 LILLIE JUMPP BOARD MEMBER 1.00 X 0 0 0 SARA CAMPBELL BOARD MEMBER 1.00 X 0 0 0 SHEVONIE MEALER TREASURER 1.00 X 0 0 0 ANTOINETTE NOBLE-WEB SECRETARY 1.00 X 0 0 0 JASON PRICE BOARD MEMBER 1.00 X 0 0 0 LIZ STEWART BOARD MEMBER 1.00 X 0 0 0 HARVEY TOLLISON BOARD MEMBER 1.00 X 0 0 0 CAROLYN EMANUEL-MCCLAIN CHIEF EXECUTIVE OFFICER 40.00 X 133554 0 3835 ROBERT T REEL JR CHIEF FINANCIAL OFFICER 40.00 X 74619 0 3835 FREDERIC WORIAX MEDICAL DIRECTOR 40.00 X 155483 0 9174 TYRA TYSON MEDICAL DIRECTOR 40.00 X 109600 0 7364 GARY FISCHBACH PHYSICIAN 40 X 189945 9174 JAMES BLAND PHYSICIAN 40 X 140637 7364 LLOYD DANIELS PHYSICIAN 40 X 120740 7364 DEEPA JAGDALE PHYSICIAN 40 X 125000 1049578 48110 7 false true false CONTINENTAL CONSTRUCTION CO 4190 CROSSTOWNE COURT EVANS GA 30809 CONSTRUCTION 141210 PAUL EMANUEL 7300 BEAVER RUN DR FAYETTEVILLE NC 28314 TECHNICAL SUPPORT 108168 2 1124515 169610 54931 1294125 PATIENT FEES 621110 3441090 3441090 3600 3600 3600 3600 4738815 3441090 3600 473256 265083 208173 0 2186577 2051265 135312 0 288196 251126 37070 0 170719 148526 22193 0 1311 0 1311 0 20925 0 20925 0 237449 80117 157332 0 684162 449394 234768 0 53543 0 53543 0 285738 180829 104909 0 39671 12140 27531 0 109008 24380 84628 0 17880 10816 7064 0 4568435 3473676 1094759 0 21715 33272 376720 340415 58987 78841 3166986 1386327 700762 1780659 42064 46648 1200248 2279835 608159 587240 1020329 1950455 1628488 2537695 X -433265 -265707 5025 7847 -428240 -257860 1200248 2279835 170380 X false true X true true true X 1024603 1461937 1387600 1099020 1294125 6267285 1024603 1461937 1387600 1099020 1294125 6267285 6267285 854 335 52 2100 3600 6941 6274226 11790428 0.99890 0.99900 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 184543 184543 2187411 892872 1294539 795032 493455 301577 1780659 4738815 4738815 4738815 4568435 4568435 4568435 X X false false false false false false false false false FREDERIC WORIAX 155483 9174 164657 GARY FISCHBACH 189945 9174 199119 PAUL EMANUEL NEPHEW TO CEO 97421 MIS TECHNICAL SUPPORT false 1 THE ORGANIZATION EXECUTED A CONTRACT WITH THE NEPHEW OF THE CEO TO PROVIDE MIS TECHNICAL SUPPORT WHICH WAS SIGNED BY BOARD. X 716 35809 # OF CONTRIBUTIONS ARE EST @ FMV X LAB SERVICES 382 19122 # OF CONTRIBUTIONS ARE EST @ FMV false false false Pt VI, Line 11b MANAGEMENT AND THE BOARD REVIEW AND APPROVE THE FORM 990 BEFORE IT IS FILED WITH THE IRS. Pt VI, Line 12c ANNUALLY, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST Pt VI, Line 12c STATEMENT THAT COMPLIES WIH THE CONFLICT OF INTEREST POLICY. Pt VI, Line 15a THE ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY Pt VI, Line 15b HEALTH CENTERS, AND WITH THIS MEMBERSHIP IS ABLE TO RECEIVE COMPLETED COMPENSATION SURVEYS THAT LIST COMPENSATION BY FUNCTION AND REGION OF EMPLOYMENT. USING THIS SURVEY IS THE INITIAL STATE OF COMPENSATION EVAULATION. THE ORGANIZATION ALSO WILL REVIEW THE APPLICANT'S REQUESTED COMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY BUDGETED BASELINES AS APPROVED BY THE BOARD. THESE DOCUMENTS ARE AVAILABLE IN COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT THROUGH HRSA. Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT Pt VI, Line 19 OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.