CHIEF EXECUTIVE OFFICER

2012-11-27T08:38:57-08:00 2012-06-30 TERRY HORNE CPA & ASSOCIATES 732 WEST MAIN STREET LEBANON TN 37087 990 2011-07-01 680560048 CHOTA COMMUNITY HEALTH SERVICES CHOT 4234427268 1206 HWY 411 VONORE TN 37885 PUSPA DAS CHIEF EXECUTIVE OFFICER 4234427268 2012-11-01 true TERRY HORNE 6154447293 2012-11-27 2011 2016-02-24 21:20:13Z PUSPA DAS 1206 HWY 411 VONORE TN 37885 6318864 false X N/A X 2003 TN THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 10 10 127 0 0 1482841 1446976 4941415 4863997 506 691 20040 7200 6444802 6318864 0 0 4687655 4616571 0 0 1507076 1510963 6194731 6127534 250071 191330 2176897 1899785 1743055 1274613 433842 625172 THE ORGANIZATION PROVIDES HEALTH CARE false false 4143603 4863997 THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 50,900 VISITS WERE PROVIDED DURING THE YEAR. 4143603 true false 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 true false true false true false false false false false false false false false true 18 0 true 127 true false false false false false false false false false false false false false X 10 10 true false false false false false false true true false false true true true true true true true true false X MELISSA COFFELT 4238847271 1206 HIGHWAY 411 VONORE TN 37855 PETER ALLIMAN PRESIDENT 1.00 X 0 0 0 RICHARD BERNSTEIN BOARD MEMBER 1.00 X 0 0 0 BRUCE CHRISTOPHER BOARD MEMBER 1.00 X 0 0 0 ART FOWLER BOARD MEMBER 1.00 X 0 0 0 JUDITH LEE BOARD MEMBER 1.00 X 0 0 0 WILLIAM O'DONNELL BOARD MEMBER 1.00 X 0 0 0 CRYSTAL RUSSELL BOARD MEMBER 1.00 X 0 0 0 RAY TALLENT VICE PRESIDENT 1.00 X 0 0 0 KAY TALLENT BOARD MEMBER 1.00 X 0 0 0 WESLEY MCNEAL BOARD MEMBER 1.00 X 0 0 0 BARBARA LEVIN MD CHIEF EXECUTIVE OFFICER 40.00 X 238176 0 16624 JOSHUA GETTINGER MEDICAL DIRECTOR 40.00 X 200281 0 17120 LAURA HARRIS CHIEF OPERATIONAL OFFICER 40.00 X 62675 0 1460 TRACEY BEVERLEY PHYSICIAN 40.00 X 200180 0 7333 JOEL BURROUGHS PHYSICIAN 40 X 157166 10785 THOMAS COX PHYSICIAN 40 X 146615 9854 1005093 63176 5 false true false 815375 631601 1446976 PATIENT FEES 621110 4863997 4863997 691 691 7200 7200 7200 7200 6318864 4863997 7891 501132 200281 300851 0 3320409 2465167 855242 0 121056 84739 36317 0 439574 307702 131872 0 234400 164080 70320 0 26051 0 26051 0 254622 134295 120327 0 566546 338307 228239 0 297519 252892 44627 0 30489 11694 18795 0 40389 34331 6058 0 234888 105186 129702 0 60459 44929 15530 0 6127534 4143603 1983931 0 479 510 92214 130338 605946 463769 10034 2400 2031108 728340 1468224 1302768 2176897 1899785 1330048 553039 413007 721574 1743055 1274613 X 433842 625172 433842 625172 2176897 1899785 191330 X X false true true X true true X 602629 756798 968164 1482841 1446976 5257408 602629 756798 968164 1482841 1446976 5257408 5257408 1349 2459 2364 20546 7891 34609 5292017 19856280 0.99350 0.99360 X 0 0 0 140192 140192 531988 36820 495168 1358928 691520 667408 1302768 6318864 6127534 191330 191330 6318864 6318864 6318864 6127534 6127534 6127534 X X false false false false false false false false false BARBARA LEVIN MD 238176 8921 7703 254800 JOSHUA GETTINGER 200281 8237 8883 217401 TRACEY BEVERLEY 200180 7165 168 207513 JOEL BURROUGHS 157166 3502 7283 167951 THOMAS COX 146615 240 9614 156469 DRLEVIN GETTINGER TO PURCHASE PRACTICE X 380000 62082 false true true 62082 BJ3 CEO & MEDICAL DIRECTOR 192000 ORGANIZATION RENTS BLDG false PART IV LINE 1 THE ORGANIZATION RENTS A BUILDING FROM BJ3,LLC FOR $16,000 PER MONTH. BJ3, LLC IS OWNED BY DR. BARBARA LEVIN & DR. JOSHUA GETTINGER WHO WERE EXECUTIVE DIRECTOR & MEDICAL DIRECTOR FOR FISCAL YEAR END 6/30/12. Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. Pt VI, Line 11a THE CEO AND FINANCE COMMITTEE REVIEWS THE FORM 990 AND THEN PRESENTS TO FULL BOARD. Pt VI, Line 15 STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY AND SALARY INCREASES ARE BOARD APPROVED. Pt XII, Line 2c THE CEO OVERSEES FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT. Pt VI, Line 12c ANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN. Pt VI, Line 2 DR. LEVIN AND DR. GETTINGER WERE THE CEO AND MEDICAL DIRECTOR FOR A PORTION OF THE FISCAL YEAR AND THEY HAVE A PERSONAL RELATIONSHIP.