2023-09-22T13:51:19-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2022-01-01 371067171 HENDERSON COUNTY RURAL HEALTH CENTER INC HEND 3098672734 PO BOX 198 OQUAWKA IL 61469 SHANNON COURSON EXECUTIVE DIRECTOR 3098672734 2023-09-20 1 SHANNON COURSON 999009999 0 CHRIS MANDERFIELD P01238973 6305738600 2023-09-20 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z EAGLE VIEW COMMUNITY HEALTH SYSTEM SHANNON COURSON PO BOX 198 OQUAWKA IL 61469 6162817 0 X WWW.EAGLEVIEWHEALTH.ORG X 1978 IL TO PROVIDE MEDICAL AND DENTAL CARE TO UNDER AND UNINSURED PATIENTS 10 10 81 10 0 0 2780961 4529476 1632085 1580220 379 625 27965 52496 4441390 6162817 0 0 0 0 2945444 3382901 0 0 1913 1335500 1667141 4280944 5050042 160446 1112775 4358948 6126469 1130183 1784929 3228765 4341540 X THE ORGANIZATION IS COMMITTED TO PROVIDE ACCESS TO QUALITY, COST-EFFECTIVE MEDICAL, ORAL (DENTAL) AND BEHAVIORAL HEALTH CARE TO THE COMMUNITY, ESPECIALLY WHERE THERE IS A SHORTAGE, THE DEVELOPMENT AND IMPLEMENTATION OF PROGRAMS WITHOUT REGARD TO AGE, RACE, NATIONALITY, GENDER, SEXUAL ORIENTATION, RELIGION, POLITICAL BELIEFS OR ABILITY TO PAY, THE BELIEF THAT ALL PEOPLE HAVE THE RIGHT TO QUALITY HEALTH CARE AND THAT SUCH ACCESS WILL IMPROVE THE HEALTH OF THE ENTIRE COMMUNITY 0 0 3668792 1580220 FEDERALLY QUALIFIED HEALTH CENTER RECEIVING 330 GRANT FUNDING TO ASSISNT IN PROVIDING ONGOING HEALTHCARE SERVICES (MEDICA, DENTAL AND BEHAVIORAL HEALTH) TO UNINSURED, UNDERINSURED AND UNDERSERVED COMMUNITIES BY MAKING HEALTHCARE MORE ACCESSIBLE AND AFFORDABLE. OUR DEDICATED HEALTHCARE PROVIDERS STRIVE TO SERVE THE DIVERSE NEEDS OF THE COMMUNITIES WE SERVE. DURING 2020, OUR PATIENTS IN OQUAWKA AND STRONGHURST WERE ABLE TO RECEIVE QUALITY HEALTHCARE SERVICES BECAUSE OF THIS PROGRAM. 3668792 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 66 0 81 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X THE ORGANIZATION 3098672734 PO BOX 198 OQUAWKA IL 61469 ANGELA MYERS DIRECTOR 2.00 X 0 0 0 BRADLEY RAY PRESIDENT 2.00 X X 0 0 0 JAMES BLENDER TREASURER 2.00 X X 0 0 0 KAREN COLE SECRETARY 2.00 X X 0 0 0 NANCY MOWEN VICE-PRESIDENT 2.00 X X 0 0 0 CHASE GIBB DIRECTOR 2.00 X 0 0 0 DILLIAN VANCIL DIRECTOR 2.00 X 0 0 0 BOBBIE TAPSCOTT DIRECTOR 2.00 X 0 0 0 DAVE GILES DIRECTOR 2.00 X 0 0 0 THOMAS HILL DIRECTOR 2.00 X 0 0 0 ASANTE MUYUNGGA CFO 40.00 X 60000 0 0 SHANNON COURSON EXECUTIVE DIRECTOR 40.00 X 85177 0 4692 STACY WADDELL DIRECTOR OF QUALITY 40.00 X 70441 0 0 EDWARD MURPHY CEO (UNTIL AUGUST 2022) 40.00 X 122016 0 4039 ALEXANDRIA OSTROWSKI DOCTOR OF DENTAL MEDICINE 40.00 X 100961 0 3462 YVONNE FILLMORE FAMILY NURSE PRACTITIONER 40.00 X 129802 0 5000 ZACHARY GOMOLA DENTAL DIRECTOR 40.00 X 142800 0 5000 JNAJEE HARRIS DENTAL DIRECTOR 40.00 X 100373 0 2885 811570 0 25078 5 0 0 0 BUSH CONSTRUCTION 5401 VICTORIA AVENUE DAVENPORT IA 52807 CONSTRUCTION 1215192 OCHIN PO BOX 5426 PORTLAND OR 972285426 ELECTRONIC HEALTH RECORD/EPIC 270145 2 4494191 35285 4529476 PATIENT MEDICAL, DENTA 624110 1419734 1419734 PHARMACEUTICAL SALES 624110 160486 160486 1580220 625 625 MISCELLANEOUS REVENUE 621400 52496 52496 52496 6162817 1580220 0 53121 337635 253226 84409 2398551 1798913 599638 379204 284403 94801 267511 200633 66878 130531 41426 89105 14201 4507 9694 116438 116438 36794 33114 3680 112549 112549 59847 44885 14962 314 314 24944 24944 314978 220485 94493 52439 52439 MEDICAL & PHARMACY SUPP 337649 337649 SUBSCRIPTION & DUES 132687 99518 33169 UTILITIES & WASTE 126777 76065 50712 LAB FEES 45031 45031 161962 112499 47550 1913 5050042 3668792 1379337 1913 1802083 1343587 241651 896137 109 109 6780716 2895080 2314105 3885636 1000 1000 4358948 6126469 317609 1150578 282127 201539 530447 432812 1130183 1784929 X 3228765 4341540 3228765 4341540 4358948 6126469 1112775 0 X 0 1 X 1 1 1 X 1666914 1603847 3502237 2780961 3998492 13552451 1666914 1603847 3502237 2780961 3998492 13552451 13552451 591 432 641 379 625 2668 6228 13523 27965 52496 100212 13655331 0.99250 0.99380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2630 2630 4711203 1665790 3045413 2065917 1229290 836627 966 966 3885636 X 6162817 0 6162817 0 6162817 5050042 0 5050042 0 5050042 PART X, LINE 2: THE ORGANIZATION, AN ILLINOIS NONPROFIT CORPORATION, IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE LAW, EXCEPT FOR TAXES PERTAINING TO UNRELATED BUSINESS INCOME, IF ANY. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARTIABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(VI) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER THIS GUIDANCE, THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON AN EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX EXEMPT STATUS OF THE ORGANIZATION, THE CONTINUED TAX-EXEMPT STATUS OF BONDS ISSUED BY THE ORGANIZATION, AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE ORGANIZATION WAS NOT REQUIRED TO RECORD A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. X X X 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B ELECTRONIC FILE OF FORM 990 SENT TO EXECUTIVE DIRECTOR, MANAGEMENT FORWARDS FILE ON TO BOARD MEMBERS FOR THEIR REVIEW FORM 990, PART VI, SECTION B, LINE 12C ANNUAL REVIEW OF POLICY AT BOARD MEETING FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE TOP MANAGEMENT SALARY, THE NACHC SALARY SURVEY IS ANALYZED AND THE BOARD OF DIRECTORS VOTES ON THE CONTRACTED SALARY AMOUNT FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.