EXECUTIVE DIRECTOR

2012-11-15T10:46:17-06:00 2011-12-31 020476956 TYLER SIMMS & STSAUVEUR CPAS PC 19 MORGAN DRIVE LEBANON NH 03766 990 2011-01-01 221179701 COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION COMM 8024685641 275 ROUTE 30 NORTH BOMOSEEN VT 05732 GRANT WHITMER EXECUTIVE DIRECTOR 8024685641 2012-11-12 1 W JAY SIMMS P00435321 6036530044 2012-11-12 2011 2016-02-24 21:20:13Z GRANT WHITMER 275 ROUTE 30 NORTH BOMOSEEN VT 05732 14626848 0 X WWW.CHCRR.ORG X 2004 VT TO PROVIDE QUALITY HEALTH CARE AND DISEASE PREVENTION SERVICES FOR ALL THE RESIDENTS OF THE RUTLAND REGION 14 14 236 0 0 0 2663910 2497825 9995422 12127161 4625 1862 17213 0 12681170 14626848 0 0 0 0 8176446 10402190 0 0 0 3763917 4043793 11940363 14445983 740807 180865 4199572 7018918 2218495 4856976 1981077 2161942 TO PROVIDE QUALITY HEALTH CARE AND DISEASE PREVENTION SERVICES FOR ALL THE RESIDENTS OF THE RUTLAND REGION 0 0 10625317 12127161 COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION WAS FORMED IN 2004 AS A SEPARATE HEALTHCARE CENTER IN ORDER TO BETTER SERVE THE COMMUNITY OF THE RUTLAND REGION IN THEIR HEALTHCARE NEEDS. 10625317 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 236 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL GARDNER 8026712102 275 ROUTE 30 NORTH BOMOSEEN VT 05732 BOB HEDDEN VICE CHAIR 1.00 X X 0 0 0 CLAUDE LAPERLE DIRECTOR 1.00 X 0 0 0 GORDON CHADER DIRECTOR 1.00 X 0 0 0 MARY NEMETH DIRECTOR 1.00 X 0 0 0 LYNN SAUNDERS DIRECTOR 1.00 X 0 0 0 ROBERT CROSS MD DIRECTOR 1.00 X 0 0 0 ROLAND GIBSON VICE CHAIR 1.00 X X 0 0 0 RONALD BARRETT DIRECTOR 1.00 X 0 0 0 RICHARD GRIFFITH DIRECTOR 1.00 X 0 0 0 CAROL LEE DIRECTOR 1.00 X 0 0 0 SALLY WOOD DIRECTOR 1.00 X 0 0 0 JOANNE CALVI DIRECTOR 1.00 X 0 0 0 LARRY JENSEN CHAIRMAN 1.00 X X 0 0 0 MARTHA COULTER DIRECTOR 1.00 X 0 0 0 GRANT WHITMER EXECUTIVE DIRECTOR 40.00 X X 145008 0 24628 MIKE GARDNER FINANCE DIRECTOR/TREASURER 40.00 X X 100871 0 21196 CLAUDIA COURCELLE SECRETARY 40.00 X 99039 0 21744 BRADLEY BERRYHILL MD MEDICAL DIRECTOR 40.00 X 192845 0 26304 CARL BECKLER MD PHYSICIAN 40.00 X 179975 0 25254 HANS PETER DIERCKSEN PHYSICIAN 40.00 X 187938 0 28930 GEORGE FJELD PHYSICIAN 40.00 X 198188 0 13659 LINDA HILL PHYSICIAN 40.00 X 164992 0 15481 MATTHEW KINGSBAUER PHYSICIAN 40.00 X 165001 0 14436 1433857 0 191632 8 0 1 0 0 1127658 1370167 2497825 PATIENT SERVICES 621110 12127161 12127161 12127161 1862 1862 14626848 12127161 0 1862 291703 291703 8091318 6588156 1503162 338899 275337 63562 1020646 708669 311977 659624 507440 152184 25676 25676 19000 19000 58822 56000 2822 84564 18565 65999 930425 729268 201157 1068560 1059025 9535 11979 7392 4587 80660 17179 63481 212691 119156 93535 26428 16215 10213 PROFESSIONAL FEES 803395 26510 776885 OTHER CLINICAL EXPENSES 420474 419911 563 EQUIPMENT AND MAINT. RE 205596 44426 161170 DUES & SUBSCRIPTIONS 39139 19265 19874 56384 12803 43581 14445983 10625317 3820666 0 82104 194745 357510 123989 1850604 2648323 7635 0 129754 11095 112357 122130 129648 153405 4134797 369566 1529960 3765231 4199572 7018918 1454211 1799982 100000 300000 648552 2640577 15732 116417 2218495 4856976 X 1981077 2161942 1981077 2161942 4199572 7018918 180865 0 X 0 1 1 X 0 X 2253999 563792 2227846 2663910 2497825 10207372 6724775 1845612 8522761 9995422 12127161 39215731 8978774 2409404 10750607 12659332 14624986 49423103 0 0 0 49423103 14274 3214 5984 4625 1862 29959 14274 3214 5984 4625 1862 29959 14249 8353 90379 17213 130194 9007297 2420971 10846970 12681170 14626848 49583256 0.99680 0.99540 0.00060 0.00120 X 2310762 49639 2261123 670388 39112 631276 1148807 280815 867992 4840 4840 3765231 CAPITAL LEASE 116417 116417 14626848 14445983 180865 180865 14363058 0 14363058 263790 263790 14626848 14445983 0 14445983 0 14445983 PART XII, LINE 4B - OTHER ADJUSTMENTS: FEDERAL GRANT AWARD-CAPITAL IMPROVEMENTS X X X X 0 0 0 0 0 0 0 0 0 GRANT WHITMER 145008 0 0 0 0 0 13476 0 11152 0 169636 0 0 0 BRADLEY BERRYHILL MD 192845 0 0 0 0 0 11571 0 14733 0 219149 0 0 0 CARL BECKLER MD 179975 0 0 0 0 0 11306 0 13948 0 205229 0 0 0 HANS PETER DIERCKSEN 187938 0 0 0 0 0 14930 0 14000 0 216868 0 0 0 GEORGE FJELD 198188 0 0 0 0 0 8653 0 5006 0 211847 0 0 0 LINDA HILL 164992 0 0 0 0 0 6568 0 8913 0 180473 0 0 0 MATTHEW KINGSBAUER 165001 0 0 0 0 0 312 0 14124 0 179437 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE CHCRR BOARD HAS DELEGATED AUTHORITY TO THE FINANCE COMMITTEE AND THE EXECUTIVE COMMITTEE TO MAKE VARIOUS DECISIONS IN THE PAST. THESE COMMITTEES ARE MADE UP OF VOTING MEMBERS ONLY FORM 990, PART VI, SECTION A, LINE 7A THE CHCRR BOARD VOTES ON THE KEY BOARD POSITIONS (CHAIR, VICE CHAIR, SECRETARY, & TREASURER) FORM 990, PART VI, SECTION A, LINE 7B L FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C NEW BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT AND SIGN A STATEMENT ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE. MARKET COMPARISIONS ARE USED TO DETERMINE COMPENSATION. COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.