HEALTH SERVICES OF NORTH TEXAS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH SERVICES OF NORTH TEXAS INC (EIN 75-2252866)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-06-22
- IRS object ID
- 202201739349300810
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-06-22T09:01:42-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 752570395 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DURBIN & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2950 50TH STREET | AddressLine1Txt |
| City | LUBBOCK | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79413 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752252866 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH SERVICES OF NORTH TEXAS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 9403811501 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4401 NORTH I-35 SUITE 312 | AddressLine1Txt |
| City | DENTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76207 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOREEN RUE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9403811501 | PhoneNum |
| Signature | 2022-06-22 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DOREEN | PersonFirstNm |
| Person Last | RUE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRENT FULLER | PreparerPersonNm |
| PTIN | P01974090 | PTIN |
| Phone | 8067911591 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DOREEN RUE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4401 NORTH I-35 SUITE 312 | AddressLine1Txt |
| City | DENTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76207 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,687,605 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHNTX.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | IMPROVING THE QUALITY OF LIFE FOR ALL NORTH TEXANS THROUGH MEDICAL CARE, SUPPORT SERVICES AND ADVOCACY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 196 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,491,514 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,831,380 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,380,951 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,597,726 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$15,623 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,299 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,286,795 | PYOtherRevenueAmt |
| CY Other Revenue | $256,200 | CYOtherRevenueAmt |
| PY Total Revenue | $15,143,637 | PYTotalRevenueAmt |
| CY Total Revenue | $19,687,605 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,931,353 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,940,231 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,221,118 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,407,409 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,950,212 | PYOtherExpensesAmt |
| CY Other Expenses | $4,237,619 | CYOtherExpensesAmt |
| PY Total Expenses | $15,102,683 | PYTotalExpensesAmt |
| CY Total Expenses | $18,585,259 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $40,954 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,102,346 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,063,087 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,344,300 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,825,986 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,004,853 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,237,101 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,339,447 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HSNT IS COMMITTED TO PROVIDING QUALITY, AFFORDABLE HEALTHCARE FOR THE ENTIRE FAMILY FROM NEWBORNS TO SENIORS, INCLUDING PRENATAL CARE, WOMEN'S HEALTH, BEHAVIORAL HEALTH, A ROBUST PEDIATRIC PROGRAM, PRESCRIPTION ASSISTANCE AND INFECTIOUS DISEASE SPECIALTY CARE THROUGH SIX COMMUNITY HEALTH CENTERS WITH A COMBINED 24-26 PROVIDERS. THROUGH THESE SERVICES, AND PARTNERSHIPS WITH OTHER ORGANIZATIONS, HSNT IS MAKING SIGNIFICANT HEADWAY IN ACHIEVING OUR VISION OF, "A HEALTHY COMMUNITY." WE OFFER A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE, MAKING SERVICES AFFORDABLE, WE DO NOT TURN ANYONE AWAY DUE TO INABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,939,559 | ExpenseAmt |
| Grant | $2,901,743 | GrantAmt |
| Revenue | $7,980,128 | RevenueAmt |
| Desc | PRIMARY MEDICAL HEALTHCARE: QUALITY MEDICAL CARE IS PROVIDED AT SIX OF OUR HEALTH CENTER LOCATIONS FOR THE ENTIRE FAMILY WITH AN EMPHASIS ON ESTABLISHING A MEDICAL HOME FOR COMPREHENSIVE HEALTHCARE. SERVICES INCLUDE A FOCUS ON PREVENTATIVE CARE, PEDIATRICS, INFECTIOUS DISEASE DIAGNOSIS AND TREATMENT, WOMEN'S HEALTH, INCLUDING PRENATAL CARE, OB AND LABOR AND DELIVERY. TREATMENT IS AVAILABLE FOR A WIDE RANGE OF ACUTE AND CHRONIC PHYSICAL, MENTAL AND SOCIAL HEALTH CONDITIONS INCLUDING DIABETES, HYPERTENSION, DEPRESSION, AND ADHD TO NAME A FEW. TO SUPPORT PATIENT ADHERENCE TO TREATMENT RECOMMENDATIONS, HSNT OFFERS MULTIPLE PRESCRIPTION ASSISTANCE PROGRAMS AND CASE MANAGEMENT SERVICES. HSNT HAS A LONG HISTORY OF PROVIDING EXPERT SPECIALTY CARE FOR HIV/AIDS INCLUDING DISEASE MANAGEMENT AND TREATMENT ADHERENCE. THE CLINICAL TEAM INCLUDES PHYSICIANS, MID-LEVEL PROVIDERS, NURSES, LCSW'S, CERTIFIED MEDICAL ASSISTANTS, AND OTHER PROFESSIONALS WHO PROVIDE QUALITY, AFFORDABLE HEALTHCARE REGARDLESS OF ABILITY OF PAY. HEALTHCARE SERVICES INCLUDE ESTABLISHING ELIGIBILITY FOR AND GAINING ACCESS TO AFFORDABLE HEALTHCARE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $495,077 | ExpenseAmt |
| Grant | $213,595 | GrantAmt |
| Revenue | $294,168 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH SERVICES:INTEGRATED BEHAVIORAL HEALTH CARE SUPPORTS BOTH MENTAL AND PHYSICAL WELL-BEING FOR OPTIMAL HEALTH AND PRODUCTIVITY. COUNSELORS USE A COLLABORATIVE, COMPREHENSIVE TREATMENT APPROACH THAT CONSIDERS PSYCHOLOGICAL, SOCIAL, ENVIRONMENTAL AND BIOLOGICAL FACTORS FOR EMPOWERING CLIENTS TO IMPROVE THEIR ABILITY TO FUNCTION WITH LIFE CIRCUMSTANCES AND SITUATIONS. MENTAL HEALTH SCREENING, ASSESSMENTS AND THERAPY ARE AVAILABLE FOR ISSUES SUCH AS DEPRESSION, ANXIETY, RELATIONSHIP PROBLEMS, LIFE-SKILLS DEVELOPMENT, SUBSTANCE ABUSE, BEHAVIORAL DIAGNOSES, POST-TRAUMATIC STRESS, GRIEF AND THE CHALLENGES OF ACUTE OR CHRONIC HEALTH CONDITIONS. TREATMENT SERVICES INCLUDES INDIVIDUAL THERAPY, MARRIAGE AND FAMILY THERAPY, AND CRISIS INTERVENTIONS SERVICES. ALL PATIENTS THAT VISIT A PRIMARY CARE PROVIDER ARE ASKED TO COMPLETE A DEPRESSION SCREENING TO DETERMINE IF BEHAVIORAL HEALTH SERVICES ARE NEEDED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $507,397 | ExpenseAmt |
| Grant | $387,212 | GrantAmt |
| Revenue | $1,203 | RevenueAmt |
| Desc | CASE MANAGEMENT SERVICES:CASE MANAGEMENT PROVIDES CLIENTS/PATIENTS GUIDANCE AND ASSISTANCE IN OBTAINING MEDICAL, MEDICATION, SOCIAL, COMMUNITY, LEGAL, FINANCIAL, AND OTHER NEEDED SERVICES. CASE MANAGERS ASSESS CLIENT NEEDS AND RESOURCES AND DESIGN AN INDIVIDUALIZED CLIENT/PATIENT CENTERED SERVICE PLAN TO ADDRESS CRISIS SITUATIONS, MINIMIZE PROBLEMS WITH RECEIVING SERVICES, AND STABILIZE LIFE CIRCUMSTANCES. LINKING PATIENTS TO NEEDED SERVICES AND ADDRESSING BARRIERS TO RECEIVING SERVICES ENABLES THEM TO FOCUS ON THEIR HEALTH. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $3,685,444 | $210,997 | $4,334,493 | PHARMACEUTICAL ASSISTANCE:ASSIST WITH ACCESS TO AFFORDABLE PRESCRIPTION MEDICATIONS. |
| $199,077 | $171,534 | $0 | MEDICAL TRANSPORTATION:PROVIDES CLIENTS WITH DOOR-TO-DOOR VAN SERVICE TO AND FROM MEDICAL AND SOCIAL SERVICE APPOINTMENTS AND BUS TOKENS FOR LOCAL TRANSPORTATION WHERE AVAILABLE. |
| $91,740 | $89,069 | $0 | INSURANCE ASSISTANCE:ASSISTS WITH THE PAYMENT OF HEALTH INSURANCE PREMIUMS, DEDUCTIBLES, AND CO-PAYS FOR CLIENTS WHO MEET ELIGIBILITY CRITERIA. |
| $620,211 | $607,802 | $0 | HOUSING ASSISTANCE:PROVIDES ASSISTANCE TO LOW-INCOME PERSON LIVING WITH HIV WITH THE PAYMENT OF RENT AND UTILITIES (EMERGENCY AND LONG-TERM). LONG TERM PROGRAM REQUIRES ANNUAL CLIENT ELIGIBILITY RE-CERTIFICATION PROCESS OR IF THERE IS A SIGNIFICANT LIFE CHANGE THAT AGENCY BECOMES AWARE OF COULD CAUSE MORE THAN ONE RE-CERTIFICATION ANNUALLY. SHORT TERM PROGRAM REQUIRES ELIGIBILITY CERTIFICATION FOR EACH EVENT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $4,596,472 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,079,402 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $4,334,493 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $16,538,505 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 89 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 196 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAMELA BARNES CFO | PersonNm |
| Phone | 9403811501 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4401 NORTH I-35 SUITE 312 | AddressLine1Txt |
| City | DENTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76207 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MICHAEL FOSTER CPA | ||||||||
| PRESIDENT AS OF 3/16 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TRANG DANG-LE | ||||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DALE TAMPKE | ||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES HENDERSON | ||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HOWARD SHAW MD | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA ANN WINANS MBA-HCM MSN RN | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| APRIL POWELL | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| M HAMED HUSAIN | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LEE BROWN | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SARA SCHROEDER | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDGE CHANCE OLIVER | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BELINDA HERNANDEZ | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| KIMBERLY MIDDLETON MD | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DOREEN RUE | ||||||||
| CEO | 40.00 | Yes (X) | $274,237 | $0 | $0 | |||
| PAMELA BARNES | ||||||||
| CFO | 40.00 | Yes (X) | $143,813 | $0 | $0 | |||
| DEBRA B LAYMAN | ||||||||
| COO | 40.00 | Yes (X) | $200,802 | $0 | $0 | |||
| CHRISTOPHER REDDEN | ||||||||
| CIO | 40.00 | Yes (X) | $153,011 | $0 | $0 | |||
| DR JASON SIEGEL | ||||||||
| MEDICAL DIRECTOR | 40.00 | $302,075 | $0 | $0 | Yes (X) | |||
| DR SHANNON STARR | ||||||||
| PHYSICIAN | 40.00 | $222,913 | $0 | $0 | Yes (X) | |||
| DR JYOTSNA KUPPANNAGARI | ||||||||
| PHYSICIAN | 40.00 | $175,126 | $0 | $0 | Yes (X) | |||
| JOSEPH HALLOCK NP | ||||||||
| NURSE PRACTIONER | 40.00 | $150,582 | $0 | $0 | Yes (X) | |||
| MARY LOYA NP | ||||||||
| NURSE PRACTIONER | 40.00 | $137,046 | $0 | $0 | Yes (X) | |||
| KERRY GAMBLE NP | ||||||||
| NURSE PRACTIONER | 40.00 | $136,902 | $0 | $0 | Yes (X) | |||
| DR PARUL KAUSHIK | ||||||||
| PHYSICIAN | 40.00 | $131,556 | $0 | $0 | Yes (X) | |||
| TABITHA MURIUKI NP | ||||||||
| NURSE PRACTIONER | 40.00 | $123,749 | $0 | $0 | Yes (X) | |||
| JANICE HILL NP | ||||||||
| NURSE PRACTIONER | 40.00 | $129,086 | $0 | $0 | Yes (X) | |||
| ANN ELLISON NP | ||||||||
| NURSE PRACTIONER | 40.00 | $102,893 | $0 | $0 | Yes (X) | |||
| VERONICA TERAN NP | ||||||||
| NURSE PRACTIONER | 40.00 | $112,761 | $0 | $0 | Yes (X) | |||
| SONIA ESTEP NP | ||||||||
| NURSE PRACTIONER | 40.00 | $126,590 | $0 | $0 | Yes (X) | |||
| BETHANY ISMAEL NP | ||||||||
| NURSE PRACTIONER | 40.00 | $115,382 | $0 | $0 | Yes (X) | |||
| BEVERLY JOHNSON PA | ||||||||
| PHYSICIAN ASSISTANT | 40.00 | $124,673 | $0 | $0 | Yes (X) | |||
| DR CRYSTAL MCLEOD | ||||||||
| PHYSICIAN | 40.00 | $149,564 | $0 | $0 | Yes (X) | |||
| NARGIZA ALIEV NP | ||||||||
| NURSE PRACTIONER | 40.00 | $127,534 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,140,295 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| R AND B BILLING SOLUTIONS | |||||
| PO BOX 1563 | PILOT POINT | TX | 76258 | MEDICAL BILLING | $638,013 |
| EON CONSULTING | |||||
| 400 W OAK STREET STE 201 | DENTON | TX | 76201 | IT CONSULTING | $390,222 |
| ECLINICALWORKS LLC | |||||
| PO BOX 847950 | BOSTON | MA | 02284 | ELECTRONIC HEALTH RECORD | $241,957 |
| ANTONIO ASIS-HIGH RISK CLINIC AND L&D | |||||
| 2665 SCRIPTURE ST DENTON NORTH | DENTON | TX | 76201 | CONSULTING | $154,778 |
| L&R PHYSICIAN SERVICES | |||||
| 7873 W DEAVER RD | COLUMBUS | IN | 47201 | E-PSYCHIATRY SERVICES | $123,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,870,352 | GovernmentGrantsAmt |
| All Other Contributions | $961,028 | AllOtherContributionsAmt |
| Total Contributions | $6,831,380 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SVC REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $12,597,726 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,597,726 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,597,726 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,299 | TotalRevenueColumnAmt |
| Exclusion | $2,299 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $256,200 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $256,200 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $256,200 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,687,605 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,853,926 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,299 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,940,231 | TotalAmt |
| Program Services | $4,940,231 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,458,585 | TotalAmt |
| Program Services | $2,939,797 | ProgramServicesAmt |
| Management And General | $518,788 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,458,784 | TotalAmt |
| Program Services | $3,789,966 | ProgramServicesAmt |
| Management And General | $668,818 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $887,567 | TotalAmt |
| Program Services | $754,432 | ProgramServicesAmt |
| Management And General | $133,135 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,473 | TotalAmt |
| Program Services | $512,102 | ProgramServicesAmt |
| Management And General | $90,371 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,903 | TotalAmt |
| Program Services | $67,918 | ProgramServicesAmt |
| Management And General | $11,985 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,093 | TotalAmt |
| Program Services | $42,579 | ProgramServicesAmt |
| Management And General | $7,514 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,450,329 | TotalAmt |
| Program Services | $1,232,780 | ProgramServicesAmt |
| Management And General | $217,549 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,569 | TotalAmt |
| Program Services | $48,084 | ProgramServicesAmt |
| Management And General | $8,485 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,785 | TotalAmt |
| Program Services | $183,417 | ProgramServicesAmt |
| Management And General | $32,368 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $606,273 | TotalAmt |
| Program Services | $515,332 | ProgramServicesAmt |
| Management And General | $90,941 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,908 | TotalAmt |
| Program Services | $4,172 | ProgramServicesAmt |
| Management And General | $736 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,746 | TotalAmt |
| Program Services | $38,884 | ProgramServicesAmt |
| Management And General | $6,862 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,298 | TotalAmt |
| Program Services | $54,653 | ProgramServicesAmt |
| Management And General | $9,645 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,969 | TotalAmt |
| Program Services | $116,424 | ProgramServicesAmt |
| Management And General | $20,545 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,519 | TotalAmt |
| Program Services | $74,391 | ProgramServicesAmt |
| Management And General | $13,128 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $747,604 | $635,463 | $112,141 |
| EQUIPMENT RENT & MAINTE | $580,443 | $493,377 | $87,066 |
| OTHER OPERATING EXPENSE | $111,180 | $94,503 | $16,677 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,585,259 | TotalAmt |
| Program Services | $16,538,505 | ProgramServicesAmt |
| Management And General | $2,046,754 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,946,367 | BOYAmt |
| EOY | $3,368,646 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,649 | BOYAmt |
| EOY | $566,756 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $816,078 | BOYAmt |
| EOY | $669,924 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,022 | BOYAmt |
| EOY | $312,892 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $490,675 | BOYAmt |
| EOY | $685,730 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,366,631 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $637,708 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,854,867 | BOYAmt |
| EOY | $2,728,923 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,429 | BOYAmt |
| EOY | $11,429 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,063,087 | BOYAmt |
| EOY | $8,344,300 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,285,677 | BOYAmt |
| EOY | $1,515,394 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,310,680 | BOYAmt |
| EOY | $1,259,830 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,629 | BOYAmt |
| EOY | $219,629 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,825,986 | BOYAmt |
| EOY | $3,004,853 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,237,101 | BOYAmt |
| EOY | $5,339,447 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,237,101 | BOYAmt |
| EOY | $5,339,447 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,063,087 | BOYAmt |
| EOY | $8,344,300 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,102,346 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,777,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,075,654 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,152,757 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,491,514 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,831,380 | CurrentTaxYearAmt |
| Total | $30,328,812 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,777,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,075,654 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,152,757 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,491,514 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,831,380 | CurrentTaxYearAmt |
| Total | $30,328,812 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $30,328,812 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,124 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,652 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,208 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,934 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,299 | CurrentTaxYearAmt |
| Total | $21,217 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,921 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,766 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,755 | CurrentTaxYearMinus2YearsAmt |
| Total | $30,442 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $30,380,471 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $30,989,352 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99830 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99780 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $257,000 | InvestmentCostOrOtherBasisAmt |
| Book Value | $257,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,417,426 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $497,412 | DepreciationAmt |
| Book Value | $1,920,014 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $692,205 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $140,296 | DepreciationAmt |
| Book Value | $551,909 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,728,923 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAID WRAP PAYMENT SYSTEM LIABILITY | Desc |
| Amt | $219,629 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $219,629 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | HEALTH SERVICES OF NORTH TEXAS, INC. IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION EVALUATES AND ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (FORMERLY FASB INTERPRETATION 48 (FIN 48) ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS STANDARD REQUIRES CERTAIN DISCLOSURES ABOUT UNCERTAIN INCOME TAX POSITIONS. THE ORGANIZATION EVALUATES ANY UNCERTAIN TAX POSITIONS USING THE PROVISIONS OF ASC 450, CONTINGENCIES. AS A RESULT, MANAGEMENT DOES NOT BELIEVE THAT ANY UNCERTAIN TAX POSITIONS CURRENTLY EXIST AND NO LOSS CONTINGENCY HAS BEEN RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION HAS FILED ALL APPLICABLE TAX RETURNS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|
| MEDICAL ASSISTANCE | 16504 | $917,419 | BOOK |
| HOUSING ASSISTANCE | 60 | $465,313 | BOOK |
| INSURANCE ASSISTANCE | 30 | $55,818 | BOOK |
| PHARMACEUTICAL ASSISTANCE | 17018 | $2,654,492 | BOOK |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | INDIVIDUALS WHO RECEIVE ASSISTANCE FROM HSNT APPLY FOR ASSISTANCE. FUNDS ARE DISTRIBUTED TO SERVICE PROVIDERS ONLY AFTER THE INDIVIDUAL'S APPLICATION FOR ASSISTANCE HAS BEEN APPROVED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR JASON SIEGEL | ||||||||||||||
| MEDICAL DIRECTOR | $302,075 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $302,075 | $0 | $0 | $0 |
| DOREEN RUE | ||||||||||||||
| CEO | $274,237 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $274,237 | $0 | $0 | $0 |
| DR SHANNON STARR | ||||||||||||||
| PHYSICIAN | $222,913 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $222,913 | $0 | $0 | $0 |
| DEBRA B LAYMAN | ||||||||||||||
| COO | $200,802 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $200,802 | $0 | $0 | $0 |
| DR JYOTSNA KUPPANNAGARI | ||||||||||||||
| PHYSICIAN | $175,126 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $175,126 | $0 | $0 | $0 |
| CHRISTOPHER REDDEN | ||||||||||||||
| CIO | $153,011 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $153,011 | $0 | $0 | $0 |
| JOSEPH HALLOCK NP | ||||||||||||||
| NURSE PRACTIONER | $150,582 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $150,582 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $206,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | USE OF BLDGS | Desc |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $146,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | MANAGEMENT REVIEWS THE FORM 990. IT PRESENTS THE FORM 990 IN DETAIL TO THE BOARD OF DIRECTORS FINANCIAL COMMITTEE. THE CHAIR OF THE FINANCIAL COMMITTEE PRESENTS THE FORM 990 TO THE ENTIRE BOARD OF DIRECTORS FOR APPROVAL. AFTER BOARD APPROVAL, THE RETURN IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST IS INCLUDED IN HSNT'S BY-LAWS AND IN THE STANDARDS OF CONDUCT IN WHICH ALL BOARD MEMBER AND STAFF RECEIVE A COPY DURING THE ORIENTATION PROCESS. ALL BOARD MEMBERS SIGN A WRITTEN CONFLICT OF INTEREST DISCLOSING ALL CONFLICTS, IF ANY. THIS PROCESS IS RECERTIFIED ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO INCLUDES REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS; USING COMPARABILTY DATA OF SIMILAR ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | INFORMATION ABOUT THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS REPORTED ON THE FORM 1023 AND FORM 990S IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. ANY INFORMATION ON THESE DOCUMENTS THAT IS NOT INCLUDED ON THE FORM 1023 AND FORM 990S IS NOT MADE AVAIALBE TO THE PUBLIC. |