FURP.ORG / PUBLIC DATA EXPLORER

COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTERS INC (EIN 74-2412898)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-08
IRS object ID
201222839349300167
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-08T13:52:37-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WISAN SMITH RACKER & PRESCOTT LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1155 N 400 W STE 400AddressLine1
CitySALT LAKE CITYCity
StateUTState
ZIP Code84103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742412898EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone8014126920Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 WEST 7200 SOUTH SUITE AAddressLine1
CityMIDVALECity
StateUTState
ZIP Code84047ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEXTER PEARCEName
TitleEXECUTIVE DIRECTORTitle
Phone8014126920Phone
Date Signed2012-09-20DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDANIEL P RINEHARTName
Phone8013282011Phone
Date Prepared2012-10-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEXTER PEARCENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1220 WEST 7200 SOUTH SUITE AAddressLine1
CityMIDVALECity
StateUTState
ZIP Code84047ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16065816GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.CHC-UT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileUTStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY, PATIENT-CENTERED PRIMARY HEALTH CARE, DENTAL AND OTHER SERVICES TO THE MEDICALLY UNDERSERVED IN UTAH REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees192TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7930152ContributionsGrantsPriorYear
Contributions Grants Current Year8554196ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6917861ProgramServiceRevenuePriorYear
Program Service Revenue CY7485810ProgramServiceRevenueCY
Investment Income Prior Year-11754InvestmentIncomePriorYear
Investment Income Current Year2127InvestmentIncomeCurrentYear
Other Revenue Prior Year17522OtherRevenuePriorYear
Other Revenue Current Year23683OtherRevenueCurrentYear
Total Revenue Prior Year14853781TotalRevenuePriorYear
Total Revenue Current Year16065816TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8520222SalariesEtcPriorYear
Salaries Etc Current Year8594936SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year27002TotalFundrsngExpCurrentYear
Other Expense Prior Year5773252OtherExpensePriorYear
Other Expenses Current Year5442408OtherExpensesCurrentYear
Total Expenses Prior Year14293474TotalExpensesPriorYear
Total Expenses Current Year14037344TotalExpensesCurrentYear
Revenues Less Expenses Prior Year560307RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2028472RevenuesLessExpensesCY
Total Assets BOY3775442TotalAssetsBOY
Total Assets EOY5931468TotalAssetsEOY
Total Liabilities BOY864562TotalLiabilitiesBOY
Total Liabilities EOY992116TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2910880NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4939352NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE QUALITY, PATIENT-CENTERED PRIMARY HEALTH CARE, DENTAL AND OTHER SERVICES TO THE MEDICALLY UNDERSERVED IN UTAH REGARDLESS OF THEIR ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11944777Expense
Revenue7485810Revenue
DescriptionCOMMUNITY HEALTH CENTERS PROVIDED PRIMARY MEDICAL CARE TO 23,000 PATIENTS WITH OVER 68,000 INDIVIDUAL VISITS, ORAL HEALTH CARE TO 3,000 PATIENTS WITH OVER 8,000 INDIVIDUAL VISITS AND BEHAVIORAL HEALTH CARE TO OVER 500 PATIENTS WITH OVER 800 INDIVIDUAL VISITS. THESE SERVICES ARE PROVIDED THROUGH DIRECT SERVICE HEALTH CLINICS TO LOW INCOME AND MEDICALLY UNDERSERVED POPULATIONS THROUGHOUT THE STATE OF UTAH. PRIMARY MEDICAL CARE INCLUDES A SPECIAL EMPHASIS ON PEDIATRIC MEDICINE, WITH OVER 12,000 WELL CHILD CHECKUPS AND 23,000 VACCINES GIVEN TO CHILDREN UNDER 18. ORAL HEALTH CARE INCLUDES AN EDUCATIONAL OUTREACH PROGRAM AND FLUORIDE TREATMENTS FOR CHILDREN IN LOCAL TITLE I ELEMENTARY SCHOOLS.Description
Total Program Service Expense11944777TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees192NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledUTStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8014126920TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1220 WEST 7200 SOUTH SUITE AAddressLine1
CityMIDVALECity
StateUTState
ZIP Code84047ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JOSE MANUEL GAYTAN
DIRECTOR1.50X32500
GERRY MARTY
DIRECTOR1.50X32500
JOAQUIN CHAVEZ
DIRECTOR1.50X32500
BONNIE HORROCKS
DIRECTOR1.50X32500
LIDIA PEREZ
DIRECTOR1.50X32500
SUZANNE DRAPER
PRESIDENT1.50X000X
BOB BUNNELL
TREASURER1.50X000X
CINDY WHITE
SECRETARY1.50X000X
MIKE WEILER
DIRECTOR1.50X000
SUSAN JOHNSTON
DIRECTOR1.50X000
MARK BRUNSON
DIRECTOR1.50X000
WESLEY THOMPSON
DIRECTOR1.50X000
RACHAEL HOOLEY
DIRECTOR1.50X000
ROCIO GUZMAN
DIRECTOR1.50X000
JOHN LEWIS
DIRECTOR1.50X000
DEXTER PEARCE
EXEC. DIRECT40.00119788013197X
CARL WHITTAKER
PHYSICIAN40.00186271021632X
KEITH HORWOOD
MED. DIR/PHY40.00172635021096X
DAVID TUROK
PHYSICIAN32.00140698019110X
DAVID GONTRUM
PHYSICIAN40.00138748023835X
DAVID ROBINSON
PHYSICIAN40.00124895015181X
FieldValueIRS element (for citing)
Total Reportable Comp From Org884660TotalReportableCompFromOrg
Total Other Compensation114051TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LABORATORY CORP OF AMERICA
PO BOX 12140BURLINGTONNC27216LAB TESTING479043
ECLINICAL WORKS
TWO TECHNOLOGY DRIVEWESTBOROUGHMA01581WEB/IT SUPPORT137484
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Federated Campaigns140960FederatedCampaigns
Government Grants6202591GovernmentGrants
All Other Contributions2210645AllOtherContributions
Noncash Contributions1442147NoncashContributions
Total Contributions8554196TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code624100BusinessCode
Total Revenue Column7485810TotalRevenueColumn
Related Or Exempt Function Income7485810RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7485810TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2127TotalRevenueColumn
Exclusion$2,127ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMEDICAL RECORD RECEIPTSDescription
Business Code624110BusinessCode
Total Revenue Column23683TotalRevenueColumn
Exclusion$23,683ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue23683TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16065816TotalRevenueColumn
Related Or Exempt Function Income7485810RelatedOrExemptFunctionIncome
Exclusion$25,810ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total134610Total
Management And General134610ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6346812Total
Program Services5552162ProgramServices
Management And General785331ManagementAndGeneral
Fundraising9319Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total501081Total
Program Services425356ProgramServices
Management And General74938ManagementAndGeneral
Fundraising787Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1124300Total
Program Services1002976ProgramServices
Management And General119598ManagementAndGeneral
Fundraising1726Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total488133Total
Program Services404690ProgramServices
Management And General82694ManagementAndGeneral
Fundraising749Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25453Total
Management And General25453ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39105Total
Management And General39105ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1583661Total
Program Services1225409ProgramServices
Management And General344311ManagementAndGeneral
Fundraising13941Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total387923Total
Program Services251738ProgramServices
Management And General136185ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total734601Total
Program Services626119ProgramServices
Management And General108482ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total68218Total
Program Services36978ProgramServices
Management And General31240ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total39230Total
Program Services39230ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total194004Total
Program Services91400ProgramServices
Management And General102604ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total13643Total
Program Services3164ProgramServices
Management And General10479ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES20822522082252
SMALL EQUIPMENT/SUPPLIES8286582865
DUES & FEES639543456528909480
RECRUITMENT415112688714624

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total85988Total
Program Services58986ProgramServices
Management And General27002ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14037344Total
Program Services11944777ProgramServices
Management And General2065565ManagementAndGeneral
Fundraising27002Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY832656BOY
EOY875190EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY504543BOY
EOY2313825EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY821078BOY
EOY544590EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY625123BOY
EOY484691EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY103909EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16000BOY
EOY29566EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3320519LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1752819LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY971017BOY
EOY1567700EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5025BOY
EOY11997EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3775442BOY
EOY5931468EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY708562BOY
EOY648927EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY179481EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY156000BOY
EOY163708EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY864562BOY
EOY992116EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2734201BOY
EOY4666385EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY176679BOY
EOY272967EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2910880BOY
EOY4939352EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3775442BOY
EOY5931468EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2028472ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10230378CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10021326CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11326568CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7930152CurrentTaxYearMinus1Year
Current Tax Year8554196CurrentTaxYear
Total48062620Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10230378CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10021326CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11326568CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7930152CurrentTaxYearMinus1Year
Current Tax Year8554196CurrentTaxYear
Total48062620Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total4172675AmountsSubstContributorsTotal
Public Support Total17043889945PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30022CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21717CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9170CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27CurrentTaxYearMinus1Year
Current Tax Year2127CurrentTaxYear
Total63063Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year24065CurrentTaxYearMinus1Year
Current Tax Year23683CurrentTaxYear
Total47748Total
FieldValueIRS element (for citing)
Total Support48173431TotalSupport
Gross Receipts From Admissions Etc34247966GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.91110PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99600PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis89635InvestmentCostOrOtherBasis
Book Value89635BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis465365InvestmentCostOrOtherBasis
Depreciation139609Depreciation
Book Value325756BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1633797InvestmentCostOrOtherBasis
Depreciation1028501Depreciation
Book Value605296BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1000747InvestmentCostOrOtherBasis
Depreciation536610Depreciation
Book Value464137BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis130975InvestmentCostOrOtherBasis
Depreciation48099Depreciation
Book Value82876BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1567700TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionGOVERNMENT CONTRACT LIABILITYDescription
Amount$163,708Amount
FieldValueIRS element (for citing)
Total Of Amounts163708TotalOfAmounts
Total Revenue16065816TotalRevenue
Total Expenses14037344TotalExpenses
Excess Or Deficit For Year2028472ExcessOrDeficitForYear
Excess Or Deficit Per FS2028472ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18925124TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities2859308DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F9902859308RevenueNotRptdF990
Revenue Subtotal16065816RevenueSubtotal
Total Revenue Per Form99016065816TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16896652TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities2859308DonatedServicesUseOfFacilities
Expenses Not Rptd F9902859308ExpensesNotRptdF990
Expenses Subtotal14037344ExpensesSubtotal
Total Expenses Per Form99014037344TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
CARL WHITTAKER
73486112785186273005207903
KEITH HORWOOD
11672955906172643832193731
DAVID TUROK
1359994699140705040159808
DAVID GONTRUM
8221256536138759960162583

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1INTERMOUNTAIN HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipDIREC / OFFICERRelationship
Amount Of Transaction2093649AmountOfTransaction
Description Of TransactionIN-KIND DONATIONSDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L PART VReturnReference
Explanation1RELATIONSHIP BETWEEN INTERESTED PERSONS AND ORGANIZATION SUZANNE DRAPER THE PRESIDENT OF THE BOARD OF COMMUNITY HEALTH CENTERS INC IS EMPLOYED BY AND IS AN OFFICER OF INTERMOUNTAIN HEALTHCARE INTERMOUNTAIN HEALTHCARE PROVIDES DONATED SERVICES IN THE FORM OF MEDICAL SERVICES 701046 AND XRAY SERVICES 1392603Explanation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions984NumberOfContributions
Noncash Contribs Rptd F9901442147NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FINANCE DIRECTOR COMPARES THE FORM 990 TO THE AUDITED FINANCIAL STATEMENTS AND REVIEWS THE VARIOUS OTHER DISCLOSURES WITH THE EXECUTIVE DIRECTOR. A COPY OF THE FORM 990 IS ALSO PRESENTED, DISCUSSED AND APPROVED BY THE BOARD OF GOVERNORS.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CHUMAN RESOURCES REQUIRES ALL NEW EMPLOYEES AND BOARD MEMBERS TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT. OUR COMPLIANCE OFFICER REVIEWS ALL CONFLICT OF INTEREST STATEMENTS AND INVESTIGATES ANY POTENTIAL CONFLICTS. BOARD MEMBERS DO NOT VOTE ON ISSUES FOR WHICH THEY MAY HAVE A CONFLICT OF INTEREST.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AHUMAN RESOURCES CONDUCTS A COMPENSATION STUDY AND MAKE RECOMMENDATIONS TO A COMMITTEE OF THE BOARD CHARGED WITH EVALUATING THE EXECUTIVE DIRECTOR'S JOB PERFORMANCE. THE COMMITTEE THEN APPROVES THE EXECUTIVE DIRECTOR'S COMPENSATION AND RENEWAL OF EMPLOYMENT AGREEMENT.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE ORGANIZATION'S OFFICERS' AND KEY EMPLOYEES' COMPENSATION IS DETERMINED BY ANNUAL REVIEW AND APPROVAL BY THE ORGANIZATION'S BOARD OF DIRECTORS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND COMPANY POLICIES CAN BE OBTAINED BY CONTACTING PHIL WEIMER EITHER BY PHONE AT 801-412-6920 OR BY MAIL AT 220 WEST 7200 SOUTH, SUITE A, MIDVALE UT 84047.