2023-05-01T08:43:17-05:00 2022-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2021-07-01 621583270 CHRIST COMMUNITY HEALTH SERVICES INC % SHANTELLE LEATHERWOOD CHRI 9012608500 2595 CENTRAL AVENUE MEMPHIS TN 38104 TALIA PETERSON CFO 9012608500 2023-05-15 true TALIA PETERSON XXX-XX-XXXX Krystal K Creach P01248198 4178658701 2023-05-15 3 2021 2023-04-26 12:10:37Z SHANTELLE LEATHERWOOD 2595 CENTRAL AVENUE MEMPHIS TN 38104 61375768 false X WWW.CHRISTCOMMUNITYHEALTH.ORG X 1994 TN CHRIST COMMUNITY HEALTH SERVICES, INC. PROVIDES HEALTH CARE SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION USING A FAITH-BASED METHODOLOGY. 15 15 523 19 0 0 16948978 24544912 28913725 36825589 -1691392 5267 0 0 44171311 61375768 0 0 0 0 31672725 36828225 0 0 0 15340785 21090847 47013510 57919072 -2842199 3456696 20480820 23284531 10148427 7751138 10332393 15533393 X CHRIST COMMUNITY HEALTH SERVICES PROVIDES HIGH QUALITY HEALTHCARE TO THE UNDER-SERVED IN THE CONTEXT OF DISTINCTIVELY CHRISTIAN SERVICE. SEE SCHEDULE O FOR ADDITIONAL DETAILS. false false 45916153 36825589 CHRIST COMMUNITY HEALTH SERVICES PROVIDES A BROAD RANGE OF SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION USING A FAITH-BASED METHODOLOGY. SERVICES INCLUDE ADULT AND PEDIATRIC PRIMARY CARE, OBSTETRICS/GYNECOLOGY, HIV CARE MANAGEMENT, PRENATAL AND PARENTING CLASSES, SOCIAL WORK, BEHAVIORAL HEALTH, DENTISTRY, PHARMACY, AND VARIOUS OUTREACH PROGRAMS. DURING THE YEAR, THE CENTER HAD APPROXIMATELY 195,075 PATIENT ENCOUNTERS. 45916153 true true false true false false false false false false true false false true false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 86 0 true 523 true false false false false false false false false false false false false X 15 15 false false false false false false false true true false false true true true true true true true true false TN X X SHANTELLE LEATHERWOOD 9012608500 2595 CENTRAL AVE MEMPHIS TN 38104 DR MARIA FERNANDEZ PHYSICIAN 40.0 0.0 X 265318 0 4249 REGINIQUE GREEN PHYSICIAN 40.0 0.0 X 222701 0 6532 DR KATHERINE LIU PHYSICIAN 40.0 0.0 X 224472 0 4249 SHANTELLE LEATHERWOOD CHIEF EXECUTIVE OFFICER 40.0 1.0 X 203516 0 9953 DR ANDREW NEARN PHYSICIAN 40.0 0.0 X 203106 0 9952 BENJAMIN ANDREWS CHIEF MEDICAL OFFICER 40.0 0.0 X 193709 0 6532 SAMUEL B EDWARDS PHYSICIAN 40.0 0.0 X 186859 0 9953 DAVID GUY CFO END 09/21 40.0 1.0 X 162995 0 6533 WILL JACKSON COO 40.0 0.0 X 140265 0 11752 TALIA PETERSON CFO BEG 02/21 40.0 1.0 X 48095 0 1178 MYRA MARTIN DIRECTOR 1.0 0.0 X 0 0 0 ROSS DYER CHAIR 1.0 1.0 X X 0 0 0 BILL GRIFFIN DIRECTOR 1.0 0.0 X 0 0 0 MARCUS LEWIS DIRECTOR END 08/21 1.0 0.0 X 0 0 0 NORMA HUNT SECRETARY 1.0 0.0 X X 0 0 0 CAROL JACKSON DIRECTOR 1.0 0.0 X 0 0 0 LARRY LLOYD DIRECTOR END 07/21 1.0 0.0 X 0 0 0 SHARON NORWOOD DIRECTOR 1.0 0.0 X 0 0 0 BOBBY CRENSHAW DIRECTOR 1.0 0.0 X 0 0 0 JOSEPH ALDRIDGE CO-CHAIR 1.0 1.0 X X 0 0 0 REBECCA KERNAN DIRECTOR 1.0 0.0 X 0 0 0 FLORENCE JONES DIRECTOR 1.0 0.0 X 0 0 0 ANGELA ROGERS DIRECTOR 1.0 0.0 X 0 0 0 KIRK BAILEY DIRECTOR 1.0 0.0 X 0 0 0 ORPHEUS TRIPLETT TREASURER 1.0 0.0 X X 0 0 0 JERRY GAY DIRECTOR 1.0 0.0 X 0 0 0 ANDRES MATA DIRECTOR END 10/21 1.0 0.0 X 0 0 0 HOWARD EDDINGS DIRECTOR BEG 10/21 1.0 0.0 X 0 0 0 1851036 0 70883 50 false true false 0 23480333 1064579 24544912 NET PATIENT SERVICE REVENUE 624100 34651216 34651216 CAPITATION REVENUE 624100 1628413 1628413 OTHER REVENUE 900099 545960 545960 36825589 5267 5267 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61375768 36825589 5267 X 0 0 0 0 812564 163789 648775 0 30700502 26730823 3969679 319839 256072 63767 2744568 761008 1983560 2250752 1838151 412601 0 62386 62386 78882 78882 0 0 0 6624397 4307090 2317307 321751 120431 201320 1478361 889669 588692 2261940 1477001 784939 0 1606295 1424665 181630 102356 57153 45203 0 292897 185474 107423 97815 97815 0 857792 651878 205914 97176 97176 MEDICAL SUPPLIES & DRUGS 6823433 6823433 LICENSES, DUES, SUBSCRIPTIONS 178723 67760 110963 REPAIRS AND MAINTENANCE 206643 161756 44887 57919072 45916153 12002919 0 4050781 1341280 406537 406604 1768208 2038309 1418824 2849092 0 0 0 0 0 0 74268 43486 275181 373737 21938655 11741922 10702119 10196733 240906 223729 0 0 0 0 0 0 1543996 5811561 20480820 23284531 4767789 5747877 0 0 811245 0 0 0 0 0 0 0 4569393 2003261 0 0 0 0 10148427 7751138 X 9490591 14784674 841802 748719 10332393 15533393 20480820 23284531 3456696 -15235 1759539 X false true X true true true X 9441293 8146332 11321871 16948978 24544912 70403386 0 0 9441293 8146332 11321871 16948978 24544912 70403386 0 70403386 343 872 7004 47927 5267 61413 0 0 70464799 159516805 0.99913 0.99890 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE TENNESSEE PRIMARY CARE ASSOCIATION (TPCA). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 998697 998697 10130678 3949467 6181211 3984896 2770608 1214288 6064480 5021847 1042633 759904 759904 10196733 EST AMT DUE FROM 3RD PTY PYRS 5183381 OTHER RECEIVABLES 616080 DEPOSITS 12100 5811561 61546848 -15235 71097 321771 377633 61169215 206553 206553 61375768 57990169 71097 71097 57919072 57919072 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ 321,771 NET ASSETS RELEASED FROM RESTRICTION FORM 990, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 206,553 CONTRIBUTIONS WITH DONOR RESTRICTIONS X X X X true false false false false false false false false DAVID GUY CFO END 09/21 92489 0 0 0 70506 0 0 0 6533 0 169528 0 0 0 SHANTELLE LEATHERWOOD CHIEF EXECUTIVE OFFICER 197411 0 105 0 6000 0 0 0 9953 0 213469 0 0 0 BENJAMIN ANDREWS CHIEF MEDICAL OFFICER 193709 0 0 0 0 0 0 0 6532 0 200241 0 0 0 REGINIQUE GREEN PHYSICIAN 222548 0 153 0 0 0 0 0 6532 0 229233 0 0 0 WILL JACKSON COO 140164 0 101 0 0 0 0 0 11752 0 152017 0 0 0 DR KATHERINE LIU PHYSICIAN 224310 0 162 0 0 0 0 0 4249 0 228721 0 0 0 DR MARIA FERNANDEZ PHYSICIAN 264720 0 160 0 438 0 0 0 4249 0 269567 0 0 0 DR ANDREW NEARN PHYSICIAN 202950 0 156 0 0 0 0 0 9952 0 213058 0 0 0 SAMUEL B EDWARDS PHYSICIAN 186859 0 0 0 0 0 0 0 9953 0 196812 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT: DAVID GUY RECEIVED A SEVERANCE PAYMENT OF $70,506. THIS EMPLOYEE WORKED THROUGH SEPTEMBER 30, 2021, BUT WAS PAID THROUGH DECEMBER 31, 2021. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: CHRIST COMMUNITY HEALTH SERVICES PROVIDES HIGH QUALITY HEALTH CARE TO THE UNDERSERVED IN THE CONTEXT OF DISTINCTIVELY CHRISTIAN SERVICE. WE RECOGNIZE THAT JESUS CHRIST IS THE TRUE HEALER OF INDIVIDUALS AND THEIR COMMUNITIES AND SOURCE OF OUR ABILITY TO SERVE. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED TO THEM BY THE ACCOUNTING DEPARTMENT AT CCHS. AFTER THE FORM 990 IS PREPARED, IT IS REVIEWED BY THE CONTROLLER AND CFO OF CCHS. IT IS ALSO PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ONCE A YEAR, BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO CERTIFY THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY RELATIONSHIPS WHICH MIGHT HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THIS IS REVIEWED BY THE SERVICE AND QUALITY IMPROVEMENT MANAGER. BOARD MEMBERS WHO ARE DETERMINED TO HAVE A CONFLICT OF INTEREST WILL ABSTAIN FROM PARTICIPATING IN DISCUSSION OR VOTING ON THE MATTER RELATED TO THAT CONFLICT. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW: THE CEO AND OTHER OFFICERS' COMPENSATION IS REVIEWED AND COMPARED TO THE SALARY AND BENEFITS GUIDE COMPILED BY THE ASSOCIATION OF COMMUNITY HEALTH CENTERS. ADDITIONALLY, AN INDEPENDENT CONSULTANT IS ENGAGED FROM TIME TO TIME TO REVIEW COMPENSATION AND EMPLOYMENT CONTRACTS. THE BOARD APPROVES ALL COMPENSATION DURING THEIR REVIEW OF THE ANNUAL BUDGET. THE REVIEW OF OTHER OFFICERS AND KEY EMPLOYEES IS PERFORMED ANNUALLY THROUGH THE REVIEW OF SALARIES IN THE BUDGET. THE LAST CEO COMPENSATION STUDY WAS PERFORMED JULY 2020 BY PERFORMANCE POINT LLC AND GIVEN TO THE BOARD THAT MAKES DECISIONS ON CEO COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ANNUAL REPORT AS WELL AS THE 990 ARE ON THE ORGANIZATION'S WEBSITE. GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST POLICY, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:BILLING SERVICES TOTAL FEES:2729091 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:2264542 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:1114620 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE LABORATORY TOTAL FEES:516144 CCHS HOLDING NP INC 2595 CENTRAL AVE MEMPHIS TN 38104 843584507 HEALTH SRVCS TN 501(C)(3) 7 CHRIST COMM true false false false true false false false false false false true false false false false false false false false CCHS HOLDING NP INC D 184626 FMV