CABUN RURAL HEALTH SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CABUN RURAL HEALTH SERVICES INC (EIN 71-0487596)
Tax period: 2011-04-01 to 2012-03-31
Filed: 2012-11-13
IRS object ID: 201213189349301061
Schema version: 2011v1.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-13T08:33:21-06:00	Timestamp
Tax Period End Date	2012-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3667	AddressLine1
City	LITTLE ROCK	City
State	AR	State
ZIP Code	722033667	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	710487596	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CABUN RURAL HEALTH SERVICES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% SHIRLEY STRICKLAND	InCareOfName
Name Control	CABU	NameControl
Phone	8707984064	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1196	AddressLine1
City	HAMPTON	City
State	AR	State
ZIP Code	71744	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SHIRLEY STRICKLAND	Name
Title	CHIEF FINANCIAL OFFICER	Title
Date Signed	2012-10-16	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	5013721040	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MELANIE SHEPPARD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	986 AUSTIN STREET	AddressLine1
City	CAMDEN	City
State	AR	State
ZIP Code	71701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6915361	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	SEE SCHEDULE O	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1977	YearFormation
State Legal Domicile	AR	StateLegalDomicile
Activity Or Mission Description	TO MEET THE NEEDS AND PROVIDE SERVICES TO PERSONS IN NEED OF PRIMARY MEDICAL CARE AND WORK WITH OTHER HEALTH CENTER PROVIDERS IN THE AREA TO FORM AN INTEGRATED SYSTEM FOR DELIVERY OF HEALTH CARE SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	82	TotalNbrEmployees
Total Nbr Volunteers	12	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4183623	ContributionsGrantsPriorYear
Contributions Grants Current Year	4173590	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2615383	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2734108	ProgramServiceRevenueCY
Investment Income Prior Year	724	InvestmentIncomePriorYear
Investment Income Current Year	3828	InvestmentIncomeCurrentYear
Other Revenue Prior Year	12715	OtherRevenuePriorYear
Other Revenue Current Year	3835	OtherRevenueCurrentYear
Total Revenue Prior Year	6812445	TotalRevenuePriorYear
Total Revenue Current Year	6915361	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3900873	SalariesEtcPriorYear
Salaries Etc Current Year	3965942	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2517733	OtherExpensePriorYear
Other Expenses Current Year	2450070	OtherExpensesCurrentYear
Total Expenses Prior Year	6418606	TotalExpensesPriorYear
Total Expenses Current Year	6416012	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	393839	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	499349	RevenuesLessExpensesCY
Total Assets BOY	2603243	TotalAssetsBOY
Total Assets EOY	3131823	TotalAssetsEOY
Total Liabilities BOY	323379	TotalLiabilitiesBOY
Total Liabilities EOY	352610	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2279864	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2779213	NetAssetsOrFundBalancesEOY
Mission Description	TO MEET THE NEEDS AND PROVIDE SERVICES TO PERSONS IN NEED OF PRIMARY MEDICAL CARE AND WORK WITH OTHER HEALTH CENTER PROVIDERS IN THE AREA TO FORM AN INTEGRATED SYSTEM FOR DELIVERY OF HEALTH CARE SERVICES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	4185962	Expense
Revenue	2734108	Revenue
Description	CABUN RURAL HEALTH SERVICES, INC. HAS CLINIC SITES IN HAMPTON, STRONG, BEARDEN, LEWISVILLE, HOPE, AND AMITY TO PROVIDE MEDICAL SERVICES TO PEOPLE IN THE SURROUNDING AREAS. DISCOUNTED SERVICES AND PRESCRIPTION ASSISTANCE ARE PROVIDED TO THOSE WHO QUALIFY. CABUN WORKS WITH OTHER HEALTH CARE PROVIDERS FOR SPECIALIZED SERVICES THROUGH REFERRAL.	Description
Total Program Service Expense	4185962	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	16	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	82	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	AR	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SHIRLEY STRICKLAND	NamePerson
Telephone Number	8709182344	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1783 E AR 274 HWY	AddressLine1
City	HAMPTON	City
State	AR	State
ZIP Code	71744	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
LILLIE RANDALL
BOARD CHAIR	1.0	X	X	0	0	0
JUANET GASKIN
BOARD VICE CHAIR	1.0	X	X	0	0	0
DON CAIN
BOARD SECRETARY	1.0	X	X	0	0	0
KRISTIE MAY
BOARD TREASURER	1.0	X	X	0	0	0
MELBA TOMLINSON
DIRECTOR	1.0	X		0	0	0
JEANNE BENDER
DIRECTOR	1.0	X		0	0	0
HOMER JONES
DIRECTOR	1.0	X		0	0	0
LEANNE MCGOOGAN
DIRECTOR	1.0	X		0	0	0
CLOYS RUNYAN
DIRECTOR	1.0	X		0	0	0
JAMES RAWLS
DIRECTOR	1.0	X		0	0	0
KEESHA ROSE
DIRECTOR	1.0	X		0	0	0
TRAVIS JOE MCNIEL
DIRECTOR	1.0	X		0	0	0
SHIRLEY STRICKLAND
CHIEF FINANCE OFFICER	40.0		X	53985	0	5104
JOSEPH SARNICKI
CHIEF MEDICAL OFFICER	40.0		X	223103	0	9957
MELANIE SHEPPARD
CHIEF EXECUTIVE OFFICER	40.0		X	89292	0	1143
JAMES ARRINGTON MD
PHYSICIAN	40.0			177974	0	12230	X
EVE COVAS MD
PHYSICIAN	40.0			169595	0	7498	X
MICHAEL SINGH MD
PHYSICAN	36.0			145840		12230	X
PATRICIA ELETHORP DO
PHYSICAN	40.0			187102	0	7048	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1046891	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	55210	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
PSS
MEDICAL SUPPLIES	407704
Henry Schein
DENTAL SUPPLIES	147709

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Government Grants	3363112	GovernmentGrants
All Other Contributions	810478	AllOtherContributions
Noncash Contributions	669870	NoncashContributions
Total Contributions	4173590	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT REVENUE	Description
Business Code	621400	BusinessCode
Total Revenue Column	2734108	TotalRevenueColumn
Related Or Exempt Function Income	2734108	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	2734108	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3828	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,828	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS	Description
Business Code	900099	BusinessCode
Total Revenue Column	3835	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,835	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3835	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6915361	TotalRevenueColumn
Related Or Exempt Function Income	2734108	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$7,663	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	393623	Total
Management And General	393623	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2974845	Total
Program Services	2189504	ProgramServices
Management And General	785341	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	370100	Total
Program Services	240565	ProgramServices
Management And General	129535	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	227374	Total
Program Services	147793	ProgramServices
Management And General	79581	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	7594	Total
Program Services	4936	ProgramServices
Management And General	2658	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	59900	Total
Program Services	38935	ProgramServices
Management And General	20965	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	281108	Total
Program Services	182720	ProgramServices
Management And General	98388	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	7741	Total
Program Services	5032	ProgramServices
Management And General	2709	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	223159	Total
Program Services	145053	ProgramServices
Management And General	78106	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	150613	Total
Program Services	97898	ProgramServices
Management And General	52715	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	132001	Total
Program Services	85801	ProgramServices
Management And General	46200	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	40221	Total
Program Services	26144	ProgramServices
Management And General	14077	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	38282	Total
Program Services	24883	ProgramServices
Management And General	13399	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	14317	Total
Program Services	9306	ProgramServices
Management And General	5011	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	166199	Total
Program Services	108029	ProgramServices
Management And General	58170	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	19440	Total
Program Services	12636	ProgramServices
Management And General	6804	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	1066468	693204	373264
REPAIRS & MAINTENANCE	133562	86815	46747
BAD DEBTS EXPENSE	44446	44446	0
DUES & MEMBERSHIPS	61908	40240	21668

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3111	Total
Program Services	2022	ProgramServices
Management And General	1089	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6416012	Total
Program Services	4185962	ProgramServices
Management And General	2230050	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	360611	BOY
EOY	422773	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	247776	BOY
EOY	250923	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	110496	BOY
EOY	159063	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	368610	BOY
EOY	373419	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	61494	BOY
EOY	415845	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	109385	BOY
EOY	129912	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	633	BOY
EOY	4177	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2288792	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	913081	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1344238	BOY
EOY	1375711	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2603243	BOY
EOY	3131823	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	185415	BOY
EOY	242757	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	137964	BOY
EOY	109853	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	323379	BOY
EOY	352610	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2279864	BOY
EOY	2779213	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2279864	BOY
EOY	2779213	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2603243	BOY
EOY	3131823	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	499349	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2699627	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3284424	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3676024	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4183623	CurrentTaxYearMinus1Year
Current Tax Year	4173590	CurrentTaxYear
Total	18017288	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2699627	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3284424	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3676024	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4183623	CurrentTaxYearMinus1Year
Current Tax Year	4173590	CurrentTaxYear
Total	18017288	Total

Field	Value	IRS element (for citing)
Public Support Total170	18017288	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12158	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8047	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7983	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6299	CurrentTaxYearMinus1Year
Current Tax Year	3828	CurrentTaxYear
Total	38315	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	48366	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	37313	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9957	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	12715	CurrentTaxYearMinus1Year
Current Tax Year	3835	CurrentTaxYear
Total	112186	Total

Field	Value	IRS element (for citing)
Total Support	18167789	TotalSupport
Gross Receipts From Admissions Etc	15840789	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99172	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.98841	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	45049	OtherCostOrOtherBasis
Book Value	45049	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	954339	OtherCostOrOtherBasis
Depreciation	467853	Depreciation
Book Value	486486	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	956484	OtherCostOrOtherBasis
Depreciation	443570	Depreciation
Book Value	512914	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	332920	OtherCostOrOtherBasis
Depreciation	1658	Depreciation
Book Value	331262	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1375711	TotalOfBookValueLandBuildings
Total Revenue	6915361	TotalRevenue
Total Expenses	6416012	TotalExpenses
Excess Or Deficit For Year	499349	ExcessOrDeficitForYear
Excess Or Deficit Per FS	499349	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	6870915	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	6870915	RevenueSubtotal
Other Revenues Not Included	44446	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	44446	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	6915361	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6371566	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	6371566	ExpensesSubtotal
Other Expenses Not Included	44446	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	44446	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	6416012	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	RECONCILIATION OF REVENUE AND EXPENSES	Identifier
Return Reference	FORM 990, SCHEDULE D, PART XII, LINE 4(B) & PART XIII, LINE 4(B)	ReturnReference
Explanation	PART XII LINE 4(B) TOTAL REVENUE PER AUDITED FINANCIAL STATEMENTS: $6,870,915 BAD DEBT EXPENSE $ 44,446 -------------------------------------------------------------- TOTAL REVENUE FORM 990, PART I, LINE 12: $6,915,361 PART XIII, LINE 4(B) TOTAL EXPENSES PER AUDITED FINANCIAL STATEMENTS: $6,371,566 BAD DEBT EXPENSES: $ 44,446 --------------------------------------------------------------- TOTAL EXPENSES FORM 990, PART I, LINE 18: $6,416,012	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES ARRINGTON MD
177814	0	160	0	0	0	0	0	12230	0	190204	0	0	0
EVE COVAS MD
169595	0	0	0	0	0	0	0	7498	0	177093	0	0	0
MICHAEL SINGH MD
145820		20		0		0		12230		158070		0
PATRICIA ELETHORP DO
187102	0	0	0	0	0	0	0	7048	0	194150	0	0	0
JOSEPH SARNICKI
221723	0	1380	0	0	0	0	0	9957	0	233060	0	0	0

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	140608	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DOCUMENTING COMMITTEES ACTING ON ITS BEHALF	FORM 990, PART VI, SECTION A, LINE 8B	THE GOVERNING BOARD SERVES AS ALL COMMITTEES.
REVIEW OF FORM 990	FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 WAS REVIEWED BY THE CEO AND CFO BEFORE IT WAS FILED. THE BOARD REVIEWED THE FORM AFTER IT WAS FILED.
COMPLIANCE WITH CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	BOARD APPLICANTS FILL OUT A QUESTIONNAIRE THAT INCLUDES ANY INTERESTS IN THE COMPANY. IF THE CLINIC WANTS TO USE ANY SERVICES THAT HAVE A CONTACT TO AN EMPLOYEE, THE BOARD REVIEWS THE REQUEST AND MAY GIVE APPROVAL. THE CLINIC HAS AN ANTI-NEPOTISM POLICY THAT PREVENTS HIRING ANYONE WHO IS IMMEDIATELY RELATED TO AN EMPLOYEE. IF THERE ARE NO OTHER QUALIFIED APPLICANTS, THE BOARD MAY APPROVE HIRING.
PROCESS FOR DETERMINING COMPENSATION	FORM 990, PART VI, SECTION B, LINE 15A & 15B	THE LAST REVIEW WAS DONE IN 2009. THE BOARD OF DIRECTORS REVIEWED THE DOL SALARY REVIEWS AND A REVIEW DONE BY THE COMMUNITY HEALTH CENTERS OF ARKANSAS FOR COMPARISON.
DOCUMENTS AVAILABLE TO THE PUBLIC	FORM 990, PART VI, SECTION C, LINE 19	ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
ORGANIZATION'S WEBSITE	FORM 990, PAGE 1, LINE J	ORGANIZATION'S WEBSITE: WWW.CHC-AR.ORG/NEWS/CABUN-RURAL-HEALTH-SERVICES