COMMUNITY HEALTH CENTER OF LUBBOCK INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTER OF LUBBOCK INC (EIN 75-2424925)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201123159349300537
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)
Timestamp2011-11-11T11:40:04-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BOLINGER SEGARS GILBERT AND MOSS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18215 NASHVILLE AVENUEAddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code79423ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752424925EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTER OF LUBBOCK INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone8067652611Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11313 BROADWAY STE 5AddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code79401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL SULLIVANName
TitleCEOTitle
Phone8067652611Phone
Date Signed2011-11-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMatt R WillisName
Phone8067473806Phone
Date Prepared2011-11-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL SULLIVANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11313 BROADWAY STE 5AddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code79401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11654701GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHCLUBBOCK.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionPROVIDE QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO THOSE IN NEED.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees176TotalNbrEmployees
Total Nbr Volunteers45TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5942480ContributionsGrantsPriorYear
Contributions Grants Current Year5967522ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5399640ProgramServiceRevenuePriorYear
Program Service Revenue CY5655735ProgramServiceRevenueCY
Investment Income Prior Year47134InvestmentIncomePriorYear
Investment Income Current Year31444InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11389254TotalRevenuePriorYear
Total Revenue Current Year11654701TotalRevenueCurrentYear
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 Year6644238SalariesEtcPriorYear
Salaries Etc Current Year7390901SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4935803OtherExpensePriorYear
Other Expenses Current Year4620069OtherExpensesCurrentYear
Total Expenses Prior Year11580041TotalExpensesPriorYear
Total Expenses Current Year12010970TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-190787RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-356269RevenuesLessExpensesCY
Total Assets BOY5790712TotalAssetsBOY
Total Assets EOY6371588TotalAssetsEOY
Total Liabilities BOY1978150TotalLiabilitiesBOY
Total Liabilities EOY2915295TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3812562NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3456293NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE QUALITY PRIMARY AND PREVENTATAIVE HEALTH CARE SERVICES TO THOSE IN NEED.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11024847Expense
Revenue5655735Revenue
DescriptionPROVIDED HEALTH CARE SERVICES FOR UNDERPRIVILEGED ADULTS AND CHILDREN INCLUDING WOMENS HEALTH SERVICES, PRENATAL SERVICES, EYE CARE SERVICES, SENIOR SERVICES, PEDIATRIC AND ADULT DENTAL SERVICES, SOCIAL SERVICES PROGRAMS AND OUTREACH SERVICES. THE ORGANIZATION SERVES FIVE COUNTIES IN THE WEST TEXAS AREA. THE FIVE COUNTIES ARE LUBBOCK, CROSBY, LYNN, TERRY AND GARZA. THE ORGANIZATION ALSO OPERATES MOBILE MEDICAL AND DENTAL VANS. DURING 2010 THE ORGANIZATION PROVIDED MEDICAL SERVICES TO APPROXIMATELY 27,697 INDIVIDUALS AND CHILDREN.Description
Total Program Service Expense11024847TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Footnote1ReportFin48Footnote
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 Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
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 With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees176NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
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 Chapters0LocalChapters
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GINGER RIEWE CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8067652611TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11313 BROADWAY STE 5AddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code79401ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
PILAR MARTINEZ
PRESIDENT2.00XX000
NATALIA CAMPOS
PRESIDENT - ELECT2.00XX000
LORENZA ONTIVEROS
SECRETARY2.00XX000
KATHIE KARNES
TREASURER4.50XX000
JEFF MALPIEDE
DIRECTOR 1/10-4/10 COO 8/10-12/102.00XX252630479
BERTHA MARTINEZ
DIRECTOR2.00X000
ERMINIA MARTINEZ
DIRECTOR0.70X000
MARGARET GAINES
DIRECTOR1.00X000
CAROL WHEELER 110 - 510
DIRECTOR1.00X000
E JAY WHEELER 110 - 510
DIRECTOR1.00X000
FLO CUELLAR
DIRECTOR1.00X000
PATRICIA HAWKINS
DIRECTOR1.00X000
BRIDGET FAULKENBERRY 710 - 1210
DIRECTOR1.00X000
CHRIS COMER 1210 - 1210
DIRECTOR1.00X000
JAMES JOHNSON 1210 - 1210
DIRECTOR1.00X000
MICHAEL SULLIVAN
CEO40.00X122717026762
GINGER RIEWE
CFO40.00X97378013544
ELIZABETH LOPEZ
CHIEF DEVELOPMENT OFFICER40.00X96126014458
HARLAN WILLIS
PHYSICIAN32.00132645015861X
XOCHITL ANDERTON
DENTAL DIRECTOR40.00133550016108X
MARION NEWTON
PHYSICIAN40.00127979021745X
SUVIPA WIRI
PHYSICIAN40.0013745207315X
ERICA MCDONALD
DENTIST40.00107320013976X
FieldValueIRS element (for citing)
Total Reportable Comp From Org980430TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation130248TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants5319620GovernmentGrants
All Other Contributions647902AllOtherContributions
Noncash Contributions544639NoncashContributions
Total Contributions5967522TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL & PROGRAM FEES62140045130124513012
MEDICARE & MEDICAID62140010916941091694
GOVERNMENTAL FEES6214005102951029
FieldValueIRS element (for citing)
Total Program Service Revenue5655735TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column31444TotalRevenueColumn
Exclusion$31,444ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11654701TotalRevenueColumn
Related Or Exempt Function Income5655735RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$31,444ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total396727Total
Program Services361021ProgramServices
Management And General35706ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5537805Total
Program Services5078398ProgramServices
Management And General459407ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total343595Total
Program Services312671ProgramServices
Management And General30924ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total667970Total
Program Services561418ProgramServices
Management And General106552ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total444804Total
Program Services390571ProgramServices
Management And General54233ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24463Total
Program Services10184ProgramServices
Management And General14279ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29500Total
Management And General29500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1378105Total
Program Services1339832ProgramServices
Management And General38273ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total276890Total
Program Services248080ProgramServices
Management And General28810ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total50722Total
Program Services40334ProgramServices
Management And General10388ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total636580Total
Program Services573035ProgramServices
Management And General63545ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total112729Total
Program Services61804ProgramServices
Management And General50925ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total187811Total
Program Services164542ProgramServices
Management And General23269ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total110337Total
Program Services110337ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total241671Total
Program Services236415ProgramServices
Management And General5256ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total80190Total
Program Services69698ProgramServices
Management And General10492ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES1118594110388814706
BAD DEBTS243343243343
EQUIP. RENTALS & REPAIR74395698674528
LICENSE & DUES42752374225330
MISCELLANEOUS1198711987

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12010970Total
Program Services11024847ProgramServices
Management And General986123ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1220BOY
EOY1270EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2767326BOY
EOY2278540EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY65155BOY
EOY80044EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY666702BOY
EOY720199EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY289248BOY
EOY304167EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY69666BOY
EOY119320EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4702887LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1850439LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1920513BOY
EOY2852448EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10882BOY
EOY15600EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5790712BOY
EOY6371588EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY325338BOY
EOY216910EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1236575BOY
EOY2215336EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY416237BOY
EOY483049EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1978150BOY
EOY2915295EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1020676BOY
EOY989067EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2791886BOY
EOY2467226EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3812562BOY
EOY3456293EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5790712BOY
EOY6371588EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-356269ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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)
Hospital170b1 AiiiXHospital170b1Aiii

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1196901OtherCostOrOtherBasis
Book Value1196901BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis976865OtherCostOrOtherBasis
Depreciation80113Depreciation
Book Value896752BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis192805OtherCostOrOtherBasis
Depreciation192805Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2336316OtherCostOrOtherBasis
Depreciation1577521Depreciation
Book Value758795BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2852448TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED WAGES$273,138
ACCRUED VACATION$187,412
ACCRUED AUDIT FEE$22,499
FieldValueIRS element (for citing)
Total Of Amounts483049TotalOfAmounts
Total Revenue11654701TotalRevenue
Total Expenses12010970TotalExpenses
Excess Or Deficit For Year-356269ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-356269ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11676406TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities21705DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99021705RevenueNotRptdF990
Revenue Subtotal11654701RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011654701TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12032675TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities21705DonatedServicesUseOfFacilities
Expenses Not Rptd F99021705ExpensesNotRptdF990
Expenses Subtotal12010970ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012010970TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X:ON JANUARY 1, 2009, CHCL ADOPTED THE "UNCERTAIN TAX POSITIONS" PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THE PRIMARY TAX POSITION OF CHCL IS ITS FILING STATUS AS A TAX EXEMPT ENTITY. CHCL DETERMINED THAT IT IS MORE LIKELY THAN NOT THAT THEIR TAX POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS), OR OTHER STATE TAXING AUTHORITY AND THAT ALL TAX BENEFITS ARE LIKELY TO BE REALIZED UPON SETTLEMENT WITH TAXING AUTHORITIES.
Part IX THE AMOUNT OF OTHER ASSETS ON FORM 990, PAGE 11, PART X, LINE 15 DOES NOT EQUAL OR EXCEED 5 PERCENT OF THE TOTAL ASSETS ON FORM 990, PAGE 11, PART X, LINE 16, COLUMN B. CONSEQUENTLY IN ACCORDANCE WITH IRS INSTRUCTIONS SCHEDULE D, PART IX HAS BEEN LEFT BLANK.

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions37NumberOfContributions
Noncash Contribs Rptd F990544639NoncashContribsRptdF990
Method Of Determining RevenuesDONOR-PROVIDED INVOICESMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2DIRECTORS PILAR MARTINEZ AND BERTHA MARTINEZ ARE HUSBAND AND WIFE.
Form 990, Part VI, Section B, line 11MANAGEMENT PRESENTED A COPY OF THE FORM 990 TO THE BOARD FOR DISCUSSION, REVIEW AND APPROVAL PRIOR TO FILING. THE DISCUSSION AND REVIEW WAS PERFORMED AT THE BOARD MEETING IMMEDIATELY BEFORE FILING THE FORM 990.
ALL EMPLOYEES, OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE AN ATTACHMENT DETAILING ANY POSSIBLE CONFLICTS.Form 990, Part VI, Section B, line 12c
THE BOARD OF DIRECTORS USE A SALARY COMPARISON REPORT PREPARED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS WHEN DETERMINING THE CEO'S SALARY. THE REPORT PROVIDES COMPARATIVE SALARY INFORMATION FOR HEALTH CENTERS BASED ON SIZE AND LOCATION. THE BOARD OF DIRECTORS AND CEO USE A SALARY COMPARISON REPORT PREPARED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS WHEN DETERMINING THE OTHER EMPLOYEE OFFICER'S SALARY. THE REPORT PROVIDES COMPARATIVE SALARY INFORMATION FOR HEALTH CENTERS BASED ON SIZE AND LOCATION.Form 990, Part VI, Section B, line 15
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING BY THE PUBLIC AT THE ORGANIZATION'S OFFICE IN LUBBOCK, TX.Form 990, Part VI, Section C, line 19
AUDIT COMMITTEETHE BOARD OF DIRECTORS HAVE ASSIGNED MEMBERS TO AN AUDIT COMMITTEE TO OVERSEE THE FINANCIAL STATEMENT AUDIT AND SELECT THE INDEPENDENT FINANCIAL STATEMENT AUDITOR.Form 990, Part XI, Line 2c

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