COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION INC (EIN 22-1179701)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-09
IRS object ID
201123139349300902
Schema version
2010v3.4
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)
Timestamp2011-11-09T10:07:02-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TYLER SIMMS & STSAUVEUR CPAS PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line119 MORGAN DRIVEAddressLine1
CityLEBANONCity
StateNHState
ZIP Code03766ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN221179701EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTERS OF THE RUTLAND REGIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone8024685641Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1275 ROUTE 30 NORTHAddressLine1
CityBOMOSEENCity
StateVTState
ZIP Code05732ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGRANT WHITMERName
TitleEXECUTIVE DIRECTORTitle
Phone8024685641Phone
Date Signed2011-10-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameW JAY SIMMSName
Phone6036530044Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGRANT WHITMERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1275 ROUTE 30 NORTHAddressLine1
CityBOMOSEENCity
StateVTState
ZIP Code05732ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12681170GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHCRR.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileVTStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY HEALTH CARE AND AND DISEASE PREVENTION SERVICES FOR ALL THE RESIDENTS OF THE RUTLAND REGIONActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees165TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2227846ContributionsGrantsPriorYear
Contributions Grants Current Year2663910ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8522761ProgramServiceRevenuePriorYear
Program Service Revenue CY9995422ProgramServiceRevenueCY
Investment Income Prior Year5984InvestmentIncomePriorYear
Investment Income Current Year4625InvestmentIncomeCurrentYear
Other Revenue Prior Year90379OtherRevenuePriorYear
Other Revenue Current Year17213OtherRevenueCurrentYear
Total Revenue Prior Year10846970TotalRevenuePriorYear
Total Revenue Current Year12681170TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7443024SalariesEtcPriorYear
Salaries Etc Current Year8176446SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2945754OtherExpensePriorYear
Other Expenses Current Year3763917OtherExpensesCurrentYear
Total Expenses Prior Year10388778TotalExpensesPriorYear
Total Expenses Current Year11940363TotalExpensesCurrentYear
Revenues Less Expenses Prior Year458192RevenuesLessExpensesPriorYear
Revenues Less Expenses CY740807RevenuesLessExpensesCY
Total Assets BOY3041710TotalAssetsBOY
Total Assets EOY4199572TotalAssetsEOY
Total Liabilities BOY1801440TotalLiabilitiesBOY
Total Liabilities EOY2218495TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1240270NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1981077NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE QUALITY HEALTH CARE AND DISEASE PREVENTION SERVICES FOR ALL THE RESIDENTS OF THE RUTLAND REGIONMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8935815Expense
Revenue10012635Revenue
DescriptionCOMMUNITY 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.Description
Total Program Service Expense8935815TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees165NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL GARDNERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8024685641TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1275 ROUTE 30 NORTHAddressLine1
CityBOMOSEENCity
StateVTState
ZIP Code05732ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BOB HEDDEN
DIRECTOR1.00X000
CLAUDE LAPERLE
CHAIRMAN1.00X000X
GORDON CHADER
DIRECTOR1.00X000
MARY NEMETH
DIRECTOR1.00X000
LARRY JENSEN
VICE CHAIR1.00X000X
LYNN SAUNDERS
DIRECTOR1.00X000
ROBERT CROSS MD
DIRECTOR1.00X000
ROLAND GIBSON
DIRECTOR1.00X000
RONALD BARRETT
DIRECTOR1.00X000
RICHARD GRIFFITH
DIRECTOR1.00X000
CAROL LEE
DIRECTOR1.00X000
SALLY WOOD
DIRECTOR1.00X000
JOANNE CALVI
DIRECTOR1.00X000
GRANT WHITMER
EXECUTIVE DIRECTOR40.00126450023218X
MICHAEL GARDNER
TREASURER/CFO40.0088650020296X
BRADLEY BERRYHILL MD
MEDICAL DIRECTOR40.00194446026363X
HANS DIERCKSEN MD
PHYSICIAN40.00182291027603X
STEPHEN ROSEMUS
PHYSICIAN40.00141088023832X
CARL BECKLER MD
PHYSICIAN40.00177377026313X
GEORGE FJELD MD
PHYSICIAN40.00209089013574X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1119391TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation161199TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants1597244GovernmentGrants
All Other Contributions1066666AllOtherContributions
Total Contributions2663910TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code621110BusinessCode
Total Revenue Column9995422TotalRevenueColumn
Related Or Exempt Function Income9995422RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9995422TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4625TotalRevenueColumn
Exclusion$4,625ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column17213TotalRevenueColumn
Related Or Exempt Function Income17213RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue17213TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12681170TotalRevenueColumn
Related Or Exempt Function Income10012635RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,625ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total258613Total
Management And General258613ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6205915Total
Program Services5173605ProgramServices
Management And General1032310ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total319766Total
Program Services249755ProgramServices
Management And General70011ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total883532Total
Program Services639989ProgramServices
Management And General243543ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total508620Total
Program Services403503ProgramServices
Management And General105117ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total50350Total
Management And General50350ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19000Total
Management And General19000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1238Total
Management And General1238ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total76478Total
Program Services17236ProgramServices
Management And General59242ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total634542Total
Program Services485291ProgramServices
Management And General149251ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total876682Total
Program Services854580ProgramServices
Management And General22102ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11779Total
Program Services11779ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total33094Total
Management And General33094ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total82951Total
Program Services40994ProgramServices
Management And General41957ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total18692Total
Program Services8876ProgramServices
Management And General9816ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BILLING SERVICES551861551861
BAD DEBT EXPENSE542354542354
OTHER CLINICAL EXPENSE437123437123
PROFESSIONAL FEES17873015364125089
EQUIPMENT AND MAINT. RE16350414039123113

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total85539Total
Program Services22528ProgramServices
Management And General63011ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11940363Total
Program Services8935815ProgramServices
Management And General3004548ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY202918BOY
EOY82104EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY452413BOY
EOY357510EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1344687BOY
EOY1720311EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY15135BOY
EOY7635EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY227900BOY
EOY130293EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY48982BOY
EOY112357EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY61252BOY
EOY259402EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1686837LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec156877LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY688423BOY
EOY1529960EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3041710BOY
EOY4199572EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1141480BOY
EOY1454211EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY100000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY637236BOY
EOY648552EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22724BOY
EOY15732EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1801440BOY
EOY2218495EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1240270BOY
EOY1981077EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1240270BOY
EOY1981077EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3041710BOY
EOY4199572EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses740807ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2243500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2253999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years563792CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2227846CurrentTaxYearMinus1Year
Current Tax Year2663910CurrentTaxYear
Total9953047Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5762711CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6724775CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1845612CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8522761CurrentTaxYearMinus1Year
Current Tax Year9995422CurrentTaxYear
Total32851281Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8006211CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8978774CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2409404CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10750607CurrentTaxYearMinus1Year
Current Tax Year12659332CurrentTaxYear
Total42804328Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50942804328PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23308CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14274CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3214CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5984CurrentTaxYearMinus1Year
Current Tax Year4625CurrentTaxYear
Total51405Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23308CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14274CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3214CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5984CurrentTaxYearMinus1Year
Current Tax Year4625CurrentTaxYear
Total51405Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16855CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14249CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8353CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year90379CurrentTaxYearMinus1Year
Current Tax Year17213CurrentTaxYear
Total147049Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8046374CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9007297CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2420971CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10846970CurrentTaxYearMinus1Year
Current Tax Year12681170CurrentTaxYear
Total43002782Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99540PublicSupportPercentage509
Prior Year Support Percentage0.99370PriorYearSupportPercentage
Investment Income Percentage0.00120InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00170PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis412395OtherCostOrOtherBasis
Depreciation14990Depreciation
Book Value397405BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis262179OtherCostOrOtherBasis
Depreciation11224Depreciation
Book Value250955BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis447059OtherCostOrOtherBasis
Depreciation130663Depreciation
Book Value316396BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis565204OtherCostOrOtherBasis
Book Value565204BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1529960TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCAPITAL LEASEDescription
Amount$15,732Amount
FieldValueIRS element (for citing)
Total Of Amounts15732TotalOfAmounts
Total Revenue12681170TotalRevenue
Total Expenses11940363TotalExpenses
Excess Or Deficit For Year740807ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS740807ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12681170TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal12681170RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012681170TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11940363TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11940363ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011940363TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRADLEY BERRYHILL MD
1944460000000263630220809000
HANS DIERCKSEN MD
1822910000018000258030209894000
STEPHEN ROSEMUS
1410880000019610218710164920000
CARL BECKLER MD
1773770000018750244380203690000
GEORGE FJELD MD
2090890000018480117260222663000

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonBRADLEY BERRYHILL MDNamePerson
Purpose Of LoanAN EDUCATIONAL LOAN TO BENEFIT THE EMPLOYEE AND THE ORGANIZATION AS A WHOLEPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$50,000OriginalPrincipalAmount
Balance Due7635BalanceDue
Default0Default
Approved By Board0ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due7635TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3THE 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 B, LINE 11A COPY OF THE 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW BEFORE FILING.
NEW BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY.FORM 990, PART VI, SECTION B, LINE 12C
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 B, LINE 15
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19

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