2024-04-25T05:58:25-05:00 2023-06-30 640903390 GRANTHAMPOOLE PLLC 1062 HIGHLAND COLONY PKWY STE 201 RIDGELAND MS 39157 990 2022-07-01 640703779 COMMUNITY HEALTH CENTER ASSOC OF MS COMM 6019811817 PO BOX 11745 JACKSON MS 39283 TERRENCE SHIRLEY CEO/EXECUTIVE DIRECTOR 6019811817 2024-04-23 1 TERRENCE SHIRLEY 999009999 0 BRADFORD C HATCHETT CPA P00966914 6014992400 2024-04-22 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TERRENCE SHIRLEY PO BOX 11745 JACKSON MS 39283 10664446 0 X WWW.CHCAMS.ORG X 1981 MS THE COMMUNITY HEALTH CENTER ASSOCIATION OF MISSISSIPPI REPRESENTS THE INTERESTS OF ITS MEMBERS IN STATEWIDE EFFORTS TO IMPROVE ACCESS TO HEALTH CARE FOR THE MEDICALLY UNDER SERVED AND INDIGENT POPULATION OF MISSISSIPPI. 23 23 17 23 0 0 9320118 7792751 1834056 2070897 17186 1300 12000 3500 11183360 9868448 3294449 2978998 0 0 1793026 1993295 0 0 0 4975436 3887845 10062911 8860138 1120449 1008310 5536082 4610739 3132120 1162561 2403962 3448178 THE COMMUNITY HEALTH CENTER ASSOCIATION OF MISSISSIPPI REPRESENTS THE INTERESTS OF ITS MEMBERS IN STATEWIDE EFFORTS TO IMPROVE ACCESS TO HEALTH CARE FOR THE MEDICALLY UNDER SERVED AND INDIGENT POPULATION OF MISSISSIPPI. 0 0 7878612 2978998 2074397 THE ASSOCIATION PROVIDES TECHNICAL AND ADMINISTRATIVE ASSISTANCE TO 21 501(C)(3) COMMUNITY HEALTH CENTERS IN THE STATE OF MISSISSIPPI. 7878612 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 73 0 1 17 1 0 0 0 0 0 0 0 0 0 0 0 0 X 23 23 1 0 0 0 1 1 0 1 1 0 0 1 1 1 0 1 1 0 0 0 MS X SANDI MUNDEN CPA 6019811817 6400 LAKEOVER ROAD SUITE A JACKSON MS 39213 JANICE BACON CLINICAL REPRESENTATIVE 2.00 X 0 0 0 STEVEN COLLIER MEMBER AT LARGE 1.00 X 0 0 0 SABRINA HOWZE MEMBER AT LARGE 1.00 X 0 0 0 BUTCH JACKSON DIRECTOR 1.00 X 0 0 0 KATRINA COLLINS DIRECTOR 1.00 X 0 0 0 SALLY TOLER SECRETARY 2.00 X X 0 0 0 WILBERT JONES DIRECTOR 1.00 X 0 0 0 JANICE ROBINSON DIRECTOR 1.00 X 0 0 0 MARGARET GRAY DIRECTOR 1.00 X 0 0 0 JAMES OLIVER DIRECTOR 1.00 X 0 0 0 ROBERT SMITH DIRECTOR 1.00 X 0 0 0 AURELIA JONES-TAYLOR MEMBER AT LARGE 1.00 X 0 0 0 CLIFTON RODGERS DIRECTOR 1.00 X 0 0 0 MARILYN SUMERFORD DIRECTOR 1.00 X 0 0 0 ROZELL CHAPMAN PRESIDENT 5.00 X X 0 0 0 JOHN FAIRMAN DIRECTOR 1.00 X 0 0 0 RASHAD N ALI IMMEDIATE PAST PRESIDENT 2.00 X 0 0 0 JAMES COLEMAN PRESIDENT ELECT 2.00 X 0 0 0 LOUISE PATTERSON CONSUMER REPRESENTATIVE 2.00 X 0 0 0 JILL BISHOP DIRECTOR 1.00 X 0 0 0 ANGEL GREER TREASURER 2.00 X X 0 0 0 JASMINE CHAPMAN DIRECTOR 1.00 X 0 0 0 BILL STONE DIRECTOR 1.00 X 0 0 0 CHRIS ROBY CHIEF OPERATING OFFICER 40.00 X 149330 0 24218 TERRENCE SHIRLEY CHIEF EXECUTIVE OFFICER 40.00 X 234060 0 37705 SANDI MUNDEN CHIEF FINANCIAL OFFICER 40.00 X 144983 0 23476 528373 0 85399 3 0 1 0 0 220500 6428335 1143916 7792751 PROGRAM ADMINISTRATIVE 561000 671327 671327 BROADBAND REVENUE 541519 349629 349629 CONFERENCE AND WORKSHO 611710 321447 321447 MANAGEMENT SERVICES 611430 250097 250097 OTHER 900099 232957 232957 245440 245440 2070897 17298 17298 3500 0 3500 3500 3500 780000 795998 -15998 -15998 -15998 9868448 2074397 0 1300 2978998 2978998 528373 380429 147944 982736 706412 276324 234445 168872 65573 140533 101184 39349 107208 77190 30018 41710 32198 9512 2330 2330 48477 48477 133993 127892 6101 342339 143708 198631 28228 28228 21837 21837 CONSULTANTS 2148895 2024543 124352 TELEPHONE AND POSTAGE 501590 501573 17 MISCELLANEOUS 301788 292780 9008 SUPPLIES 146241 131513 14728 170417 141006 29411 8860138 7878612 981526 0 2830007 2981060 2044585 504957 437945 351872 8560 10846 1262542 832479 190665 430063 24320 331941 5536082 4610739 2009373 746932 1122747 284352 0 131277 3132120 1162561 X 2403962 3448178 2403962 3448178 5536082 4610739 X 1008310 35905 1 X 0 1 X 1 1 1 X 1888733 1806913 3025402 9320118 7792751 23833917 1888733 1806913 3025402 9320118 7792751 23833917 23833917 24648 18838 11942 17186 17298 89912 23923829 0.99620 0.99490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 788594 545100 243494 473948 287379 186569 430063 OTHER ASSETS 28254 PAYROLL EMPLOYEE RETENTION CREDIT RECEIVABLE 172410 RIGHT OF USE LEASE 131277 331941 OPERATING RIGHT OF USE LEASE ST 37772 OPERATING RIGHT OF USE LEASE LT 93505 131277 X 9902023 35905 35905 9866118 2330 2330 9868448 8857807 -1 -1 8857808 2330 2330 8860138 PART X, LINE 2: THE ASSOCIATION IS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES IT HAS NO MATERIAL UNCERTAIN TAX POSITIONS OR ANY RELATED PENALTIES AND INTEREST TO ACCRUE FOR THE YEAR ENDED JUNE 30, 2023 AND ACCORDINGLY, THERE ARE NO LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. ANNUALLY, THE ASSOCIATION FILES INTERNAL REVENUE SERVICE (IRS) FORM 990 WITH THE FEDERAL GOVERNMENT. AS OF JUNE 30, 2023, FILINGS OF SUCH FORM FOR FISCAL YEARS 2020 AND LATER ARE OPEN TO EXAMINATION BY TAXING AUTHORITIES. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING -1. 0 CENTRAL MISSISSIPPI HEALTH SERVICES 1134 WINTER ST JACKSON MS 39204 640426295 0 101666 FMV GRANT TO HEALTH CENTER TO ADVANCE HEALTH EQUITY FOR MISSISSIPPIANS BY EXPANDING ACCESS TO COVID-19 VACCINES TO UNDERSERVED COMMUNITIES AND DIRECT RELIEF FOOD INSECURITY PROJECT. GA CARMICHAEL FAMILY HEALTH CTR PO BOX 588 CANTON MS 39046 640580940 0 20350 FMV GRANT TO HEALTH CENTER FOR BABY & ME, AND DIRECT RELIEF FOOD INSECURITY PROJECT AARON E HENRY COMMUNITY HEALTH CENTER PO BOX 1216 CLARKSDALE MS 38614 640624495 0 10000 FMV GRANT TO HEALTH CENTER FOR CONDUCTING A TRAINING PROGRAM FOR THE UCSF GRANT. COASTAL FAMILY HEALTH CENTER PO BOX 475 BILOXI MS 39533 640592416 0 76725 FMV GRANT TO HEALTH CENTER FOR BABY & ME, AND DIRECT RELIEF FOOD INSECURITY PROJECT DELTA HEALTH CENTER PO BOX 900 MOUND BAYOU MS 38762 640443928 0 68750 FMV GRANT TO HEALTH CENTER TO ADVANCE HEALTH EQUITY FOR MISSISSIPPIANS BY EXPANDING ACCESS TO COVID-19 VACCINES TO UNDERSERVED COMMUNITIES AND DIRECT RELIEF FOOD INSECURITY PROJECT. CLAIBORNE COUNTY FAMILY HEALTH CENTER 2045 US-61 PORT GIBSON MS 39150 640561149 0 7500 FMV GRANT TO HEALTH CENTER TO PROVIDE QUALITY, ACCESSIBLE, AVAILABLE, AFFORDABLE, MANAGED PRIMARY AND PREVENTIVE HEALTH CARE SERVICES EAST CENTRAL MISSISSIPPI HEALTH CARE 1490 MS-487 SEBASTOPOL MS 39359 640610471 0 10000 FMV GRANT TO HEALTH CENTER TO PROVIDE PRIMARY HEALTH CARE SERVICES TO COMMUNITY RESIDENTS OF EC MS HEAL MISSISSIPPI 338 OAK ST JACKSON MS 39203 820959746 0 45927 FMV GRANT TO HEALTH CENTER TO EMPOWER MS ON THE IMPORTANCE OF HEALTHY EATING AND ACTIVE LIVING JACKSON-HINDS COMPREHENSIVE HEALTH CTR 3502 W NORTHSIDE DR JACKSON MS 39213 640506107 0 7500 FMV GRANT TO HEALTH CENTER TO ELIMINATE DISPARITIES IN HEALTH CARE ACCESS FOR THESE GROUPS LOUISIANA PRIMARY CARE ASSOCIATION INC 503 COLONIAL DRIVE BATON ROUGE LA 70806 721040949 0 1468165 FMV GRANT TO HEALTH CENTER TO PROMOTE ACCESSIBLE, AFFORDABLE, QUALITY PRIMARY HEALTHCARE SERVICES FOR THE UNINSURED AND MEDICALLY UNDERSERVED POPULATIONS MALLORY COMMUNITY HEALTH CENTER 201 EAST WASHINGTON ST GREENWOOD MS 38935 640829371 0 7500 FMV GRANT TO HEALTH CENTER TO PROVIDE HIGH QUALITY, CUSTOMER ORIENTED AND COST-EFFECTIVE HEALTHCARE SERVICES IN A SAFE AND ACCESSIBLE ENVIRONMENT SOUTHEAST MISSISSIPPI RURAL HEALTH 5488 US 49 HATTIESBURG MS 39401 640625076 0 7500 FMV GRANT TO HEALTH CENTER TO PROVIDE ACCESS TO AFFORABLE QUALITY PRIMARY AND PREVENTIVE HEALTH CARE COMMUNITY HEALTH CENTERS OF ARKANSAS INC 706 W 4TH ST NORTH LITTLE ROCK AR 72114 710610075 0 1058285 FMV GRANT TO HEALTH CENTER TO EXPAND ACCESS TO AFORDABLE QUALITY CARE, AND CREATE A UNIFIED VOICE FOR CHCS AND THE PATIENTS THEY SERVE FAMILY HEALTH CENTER 117 SOUTH 11TH AVE LAUREL MS 39440 640732896 0 11631 FMV GRANT TO HEALTH CENTER TO PROED QUALITY, INTRGRATED AND COMPREHENSIVE HEALTH CARE SERVICES THAT ARE ACCESSIBLE TO ALL OUTREACH HEALTH SERVICES 137 EUCUTTA ST PO BOX 527 SHUBUTA MS 39360 640736857 0 25000 FMV GRANT TO HEALTH CENTER TO PROMOTE ACCESSIBLE, AFFORDABLE, QUALITY PRIMARY HEALTHCARE SERVICES FOR THE UNINSURED AND MEDICALLY UNDERSERVED POPULATIONS NEW MOUNT ZION BAPTIST CHURCH WILLIE TOBIAS JR 140 WEST MAPLE STREET JACKSON MS 39203 640846517 0 15000 FMV GRANT TO HEALTH CENTER TO PROVIDE QUALITY, ACCESSIBLE, AVAILABLE, AFFORDABLE, MANAGED PRIMARY AND PREVENTIVE HEALTH CARE SERVICES X 0 0 0 0 0 0 0 0 0 TERRENCE SHIRLEY CHIEF EXECUTIVE OFFICER 234060 0 0 0 0 0 37705 0 0 0 271765 0 0 0 CHRIS ROBY CHIEF OPERATING OFFICER 149330 0 0 0 0 0 24218 0 0 0 173548 0 0 0 SANDI MUNDEN CHIEF FINANCIAL OFFICER 144983 0 0 0 0 0 23476 0 0 0 168459 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 TWO DIRECTORS ARE RELATED AS FATHER AND SON. ROZELL CHAPMAN IS THE SON OF JASMIN CHAPMAN. THEY ARE EMPLOYED BY TWO DIFFERENT MEDICAL FACILITIES BUT BOTH SERVE ON THIS BOARD AS DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE ASSOCIATION SERVES ITS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ARE ELECTED BY THE CURRENT COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER, AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING 1. MS HEALTH SAFE NET 6400 LAKEOVER ROAD SUITE A JACKSON MS 39283 462178740 ASSISTING COMMUNITY HEALTH CENTERS IN MS TO BECOME PATIENT-CENTERED MEDICAL MS 501(C)(3) LINE 7 0 PRIMARY CARE COALITION OF MISSISSIPPI LLC (PPC) PO BOX 11745 JACKSON MS 39283 462849552 CONTRACTING WITH HEALTH PLANS MS N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 MS HEALTH SAFE NET L 250097 FAIR MARKET VALUE PRIMARY CARE COALITION J 3500 FAIR MARKET VALUE PRIMARY CARE COALITION L 443990 FAIR MARKET VALUE