CHIEF FINANCIAL OFFICER

2012-10-08T15:27:59-07:00 2012-05-31 TERRY HORNE CPA & ASSOCIATES 732 WEST MAIN STREET LEBANON TN 37087 990 2011-06-01 237085643 RURAL HEALTH SERVICES INC RURA 8035939283 PO BOX 277 CLEARWATER SC 29822 ROBERT T REEL JR CHIEF FINANCIAL OFFICER 8035939283 2012-09-10 true TERRY HORNE 6154447293 2012-10-08 2011 2016-02-24 21:20:13Z ROBERT T REEL JR PO BOX 277 CLEARWATER SC 298220277 3729437 false X WWW.MJWCHC.ORG X 1970 SC THIS ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 10 10 53 0 0 1387600 1099020 1922543 2628317 52 0 2100 3310195 3729437 0 0 1805747 2436676 0 0 1471633 1269347 3277380 3706023 32815 23414 778904 1200248 1230558 1628488 -451654 -428240 THIS ORGANIZATION PROVIDES HEALTH CARE false false 2945385 2628317 THE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF CLEARWATER, SOUTH CAROLINA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THIER TAX EXEMPT PURPOSE. OVER 26,650 VISITS WERE PROVIDED DURING THE YEAR. 2945385 true true 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 false false false true false true false false false false false false false false true 13 0 true 53 true false false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false SC X ROBERT T REEL JR CFO 8035939283 PO BOX 277 CLEARWATER SC 29822 MONA FLANIGAN BOARD CHAIR 1.00 X 0 0 0 KENNETH BALDWIN VICE CHAIR 1.00 X 0 0 0 DIEGA GARCIA BOARD MEMBER 1.00 X 0 0 0 LILLIE JUMPP BOARD MEMBER 1.00 X 0 0 0 SANDY MCCOLLUM BOARD MEMBER 1.00 X 0 0 0 SHEVONIE MEALER TREASURER 1.00 X 0 0 0 ANTOINETTE NOBLE-WEB SECRETARY 1.00 X 0 0 0 JASON PRICE BOARD MEMBER 1.00 X 0 0 0 LIZ STEWART BOARD MEMBER 1.00 X 0 0 0 HARVEY TOLLISON BOARD MEMBER 1.00 X 0 0 0 CAROLYN EMANUEL-MCCLAIN CHIEF EXECUTIVE OFFICER 40.00 X 125000 0 3576 ROBERT T REEL JR CHIEF FINANCIAL OFFICER 40.00 X 75000 0 3576 FREDERIC WORIAX MEDICAL DIRECTOR 40.00 X 160000 0 8625 ERIC M SCHLEUTER MEDICAL DIRECTOR 40.00 X 103810 0 7187 GARY FISCHBACH PHYSICIAN 40 X 128419 4312 592229 27276 4 false true false 885941 213079 70586 1099020 PATIENT FEES 621110 2628317 2628317 2100 2100 2100 2100 3729437 2628317 2100 463810 263810 200000 0 1643390 1600321 43069 0 197402 174040 23362 0 132074 117546 14528 0 16717 0 16717 0 20625 0 20625 0 326926 177762 149164 0 525417 381645 143772 0 62720 0 62720 0 143142 128827 14315 0 52143 14145 37998 0 23187 20868 2319 0 97118 65069 32049 0 1352 1352 0 0 3706023 2945385 760638 0 66584 21715 273650 376720 17601 58987 1978819 1278057 421069 700762 42064 778904 1200248 1001863 608159 28568 200127 1020329 1230558 1628488 X -454469 -433265 2815 5025 -451654 -428240 778904 1200248 23414 X false true true X true true X 720961 1024603 1461937 1387600 1099020 5694121 720961 1024603 1461937 1387600 1099020 5694121 5694121 2143 854 335 52 2100 5484 5699605 8349338 0.99900 0.99900 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 51068 51068 1258491 864997 393494 669260 413060 256200 700762 3729437 3706023 23414 23414 3729437 3729437 3729437 3706023 3706023 3706023 false false false false false false false false false FREDERIC WORIAX 160000 8625 168625 PAUL EMANUEL NEPHEW TO CEO 122530 MIS TECHNICAL SUPPORT false 1 THE ORGANIZATION EXECUTED A CONTRACT WITH THE NEPHEW OF THE CEO TO PROVIDE MIS TECHNICAL SUPPORT WHICH WAS SIGNED BY BOARD. X 1106 55305 # OF CONTRIBUTIONS ARE EST @ FMV X LAB SERVICES 3056 15281 # OF CONTRIBUTIONS ARE EST @ FMV false false false Pt VI, Line 11a MANAGEMENT AND THE BOARD REVIEW AND APPROVE THE FORM 990 BEFORE Pt VI, Line 11a IT IS FILED WITH THE IRS. Pt VI, Line 12c ANNUALLY, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST Pt VI, Line 12c STATEMENT THAT COMPLIES WIH THE CONFLICT OF INTEREST POLICY. Pt VI, Line 15 THE ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY Pt VI, Line 15 HEALTH CENTERS, AND WITH THIS MEMBERSHIP IS ABLE TO RECEIVE COMPLETED Pt VI, Line 15 COMPENSATION SURVEYS THAT LIST COMPENSATION BY FUNCTION AND REGION Pt VI, Line 15 OF EMPLOYMENT. USING THIS SURVEY IS THE INITIAL STATE OF COMPENSATION Pt VI, Line 15 EVAULATION. THE ORGANIZATION ALSO WILL REVIEW THE APPLICANT'S REQUESTED Pt VI, Line 15 COMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY Pt VI, Line 15 BUDGETED BASELINES AS APPROVED BY THE BOARD. THESE DOCUMENTS ARE Pt VI, Line 15 AVAILABLE IN COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT Pt VI, Line 15 THROUGH HRSA. Pt VI, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT Pt VI, Line 19 OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.