2012-11-13T08:33:21-06:00 2012-03-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2011-04-01 710487596 CABUN RURAL HEALTH SERVICES INC % SHIRLEY STRICKLAND CABU 8707984064 PO BOX 1196 HAMPTON AR 71744 SHIRLEY STRICKLAND 2012-10-16 5013721040 2011 2016-02-24 21:20:13Z MELANIE SHEPPARD 986 AUSTIN STREET CAMDEN AR 71701 6915361 false X SEE SCHEDULE O X 1977 AR 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. 12 12 82 12 0 0 4183623 4173590 2615383 2734108 724 3828 12715 3835 6812445 6915361 0 0 0 0 3900873 3965942 0 0 0 2517733 2450070 6418606 6416012 393839 499349 2603243 3131823 323379 352610 2279864 2779213 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. false false 4185962 2734108 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. 4185962 true true 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 false false true false false false false false false false false false true 16 0 true 82 true false false false false false false false false false false X 12 12 false false false false false false false true false false false false true true true true true true true false AR X SHIRLEY STRICKLAND 8709182344 1783 E AR 274 HWY HAMPTON AR 71744 LILLIE RANDALL 1.0 X X 0 0 0 JUANET GASKIN 1.0 X X 0 0 0 DON CAIN 1.0 X X 0 0 0 KRISTIE MAY 1.0 X X 0 0 0 MELBA TOMLINSON 1.0 X 0 0 0 JEANNE BENDER 1.0 X 0 0 0 HOMER JONES 1.0 X 0 0 0 LEANNE MCGOOGAN 1.0 X 0 0 0 CLOYS RUNYAN 1.0 X 0 0 0 JAMES RAWLS 1.0 X 0 0 0 KEESHA ROSE 1.0 X 0 0 0 TRAVIS JOE MCNIEL 1.0 X 0 0 0 SHIRLEY STRICKLAND 40.0 X 53985 0 5104 JOSEPH SARNICKI 40.0 X 223103 0 9957 MELANIE SHEPPARD 40.0 X 89292 0 1143 JAMES ARRINGTON MD 40.0 X 177974 0 12230 EVE COVAS MD 40.0 X 169595 0 7498 MICHAEL SINGH MD 36.0 X 145840 12230 PATRICIA ELETHORP DO 40.0 X 187102 0 7048 1046891 0 55210 5 false true false PSS MEDICAL SUPPLIES 407704 Henry Schein DENTAL SUPPLIES 147709 2 3363112 810478 669870 4173590 PATIENT REVENUE 621400 2734108 2734108 0 0 2734108 3828 0 0 3828 0 0 0 0 0 0 MISCELLANEOUS 900099 3835 0 0 3835 3835 6915361 2734108 0 7663 0 0 0 0 393623 393623 0 2974845 2189504 785341 0 0 370100 240565 129535 0 227374 147793 79581 0 0 7594 4936 2658 0 59900 38935 20965 0 0 0 0 281108 182720 98388 0 7741 5032 2709 0 223159 145053 78106 0 150613 97898 52715 0 0 132001 85801 46200 0 40221 26144 14077 0 0 38282 24883 13399 0 14317 9306 5011 0 0 166199 108029 58170 0 19440 12636 6804 SUPPLIES 1066468 693204 373264 0 REPAIRS & MAINTENANCE 133562 86815 46747 0 BAD DEBTS EXPENSE 44446 44446 0 0 DUES & MEMBERSHIPS 61908 40240 21668 0 3111 2022 1089 6416012 4185962 2230050 0 360611 422773 247776 250923 110496 159063 368610 373419 0 0 0 0 61494 415845 109385 129912 633 4177 2288792 913081 1344238 1375711 0 0 0 0 0 0 0 0 0 0 2603243 3131823 185415 242757 0 0 0 0 0 0 0 0 0 0 137964 109853 0 0 0 0 323379 352610 X 2279864 2779213 0 0 0 0 2279864 2779213 2603243 3131823 499349 X false true true X true true X 2699627 3284424 3676024 4183623 4173590 18017288 2699627 3284424 3676024 4183623 4173590 18017288 18017288 12158 8047 7983 6299 3828 38315 48366 37313 9957 12715 3835 112186 18167789 15840789 0.99172 0.98841 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 45049 45049 954339 467853 486486 956484 443570 512914 332920 1658 331262 1375711 6915361 6416012 499349 499349 6870915 6870915 44446 44446 6915361 6371566 6371566 44446 44446 6416012 RECONCILIATION OF REVENUE AND EXPENSES FORM 990, SCHEDULE D, PART XII, LINE 4(B) & PART XIII, LINE 4(B) 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 X X false false false false false false false false false 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 X 1 140608 COST false false false 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