STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

FORT BEND FAMILY HEALTH CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FORT BEND FAMILY HEALTH CENTER INC (EIN 74-1951476)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202221369349314787
Schema version
2020v4.2
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

FieldValueIRS element (for citing)
Return2022-05-16T17:06:03-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721396621PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 VETERANS BLVD SUITE 350AddressLine1Txt
CityMETAIRIECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70005ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN741951476EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FORT BEND FAMILY HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFORTBusinessNameControlTxt
Phone2813424530PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 AUSTIN STREETAddressLine1Txt
CityRICHMONDCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77469ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL R DOTSONPersonNm
Person TitleCEOPersonTitleTxt
Phone2813424530PhoneNum
Signature2022-05-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastDOTSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELISSA Y DUHON CPAPreparerPersonNm
PTINP01336607PTIN
Phone5048379116PhoneNum
Preparation2022-05-16PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ACCESSHEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMICHAEL R DOTSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 AUSTIN STREETAddressLine1Txt
CityRICHMONDCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77469ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$36,676,489GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MYACCESSHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionACCESSHEALTH PROVIDES MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND OTHER RELATED SERVICES TO INDIVIDUALS IN SURROUNDING COMMUNITIES WHO WISH TO RECEIVE CARE. ACCESS HEALTH IS DEDICATED TO EXCELLENCE IN PROVIDING INTEGRATED HEALTH CARE SERVICES TO IMPROVE THE QUALITY OF LIFE IN THE COMUNITIES IT SERVES.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee270TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,529,917PYContributionsGrantsAmt
CY Contributions Grants$12,838,129CYContributionsGrantsAmt
PY Program Service Revenue$11,295,961PYProgramServiceRevenueAmt
CY Program Service Revenue$23,830,016CYProgramServiceRevenueAmt
PY Investment Income$5,951PYInvestmentIncomeAmt
CY Investment Income$8,344CYInvestmentIncomeAmt
PY Other Revenue-$13,683PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$24,818,146PYTotalRevenueAmt
CY Total Revenue$36,676,489CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,012,709PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,973,886CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,640CYTotalFundraisingExpenseAmt
PY Other Expenses$9,198,345PYOtherExpensesAmt
CY Other Expenses$14,060,107CYOtherExpensesAmt
PY Total Expenses$24,211,054PYTotalExpensesAmt
CY Total Expenses$28,033,993CYTotalExpensesAmt
PY Revenues Less Expenses$607,092PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,642,496CYRevenuesLessExpensesAmt
Total Assets BOY$17,341,717TotalAssetsBOYAmt
Total Assets EOY$27,328,464TotalAssetsEOYAmt
Total Liabilities BOY$8,020,601TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,450,887TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,321,116NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,877,577NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFORT BEND FAMILY HEALTH CENTER, INC. IS DEDICATED TO EXCELLENCE IN PROVIDING INTEGRATED HEALTH CARE SERVICES TO IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES. ACCESSHEALTH WILL ENABLE TO ACHIEVE A PERSONAL STATE OF WELLNESS THROUGH THE OFFERING OF HIGH QUALITY SERVICES WITH COMPASSION, COMPETENCE AND INTEGRITY, WHICH WILL ADDRESS THEIR PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS. TO THAT END, THE CENTER'S CARE PROVIDERS, EMPLOYEES, VOLUNTEERS, AND BOARD MEMBERS WILL COLLABORATE WITH PATIENTS, THEIR FAMILIES, AND OTHER COMMUNITY ORGANIZATIONS TO ACHIEVE ITS MISSION. VALUES DIVERSITY: ACCESSHEALTH VALUES THE DIVERSITY OF THE COMMUNITY AND THEENRICHMENT THIS BRINGS TO THE RELATIONSHIPS WITH EACH OTHER AND CLIENTS. ACCESSHEALTH VALUES INDIVIDUAL OPINIONS AND RECOGNIZES THEIR IMPORTANCE IN ACCOMPLISHING ITS GOALS. INTEGRITY: ACCESSHEALTH PRACTICES AND PROMOTES THE PRINCIPLES OF TRUST, RESPONSIBILITY AND HONESTY. ACCESSHEALTH RECOGNIZES ITS ROLE AS A STEWARD OF PUBLIC AND PRIVATEMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$19,641,909ExpenseAmt
Revenue$15,727,811RevenueAmt
DescACCESS HEALTH IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HEALTH CENTER. ACCESSHEALTH PRIMARILY TARGETS THE MEDICALLY UNDESERVED OF FORT BEND AND WALLER COUNTIES, BUT OPENS ITS DOORS TO ALL WHO WISH TO RECEIVE CARE, WITHOUT REGARD TO INCOME OR CIRCUMSTANCE. DURING FYE 06/30/21, ACCESSHEALTH PROVIDED 56,318 MEDICAL ENCOUNTERS, 4,948 DENTAL ENCOUNTERS, AND 9,469 BEHAVIORAL HEALTH ENCOUNTERS. ACCESSHEALTH IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION FOCUSING ON PROVIDING PRIMARY HEALTH CARE SERVICES FOR THE LOW-INCOME POPULATION OF FORT BEND AND WALLER COUNTIES, BUT OPENS ITS DOORS TO ALL WHO WISH TO RECEIVE CARE WITHOUT REGARD TO INCOME OR CIRCUMSTANCE. ACCESSHEALTH WAS INCORPORATED ON DECEMBER 8, 1975. FUNDING TO ESTABLISH THE WIC PROGRAM WAS OBTAINED IN JULY 1976. IN JANUARY 1977, ACCESSHEALTH BECAME A FUNDED AGENCY OF THE UNITED WAY OF GREATER HOUSTON. THE COMMUNITY PEDIATRIC CLINIC WAS ESTABLISHED IN 1980, A COMPREHENSIVE MATERNITY PROGRAM WAS ESTABLISHED IN JULY 1984, AND AN ADULT CLINIC WAS OPENED IN AUGUST 1989. ACCESSHEALTH BEGAN PROVIDING MEDICAL SERVICES IN A NEW CLINIC SITE IN STAFFORD, TEXAS, IN SEPTEMBER 1994. A FORTY-FOOT MOBILE CLINIC BECAME OPERATIONAL IN SUMMER 2001. ACCESSHEALTH EXPANDED SERVICE DELIVERY TO WALLER COUNTY THROUGH THE MOBILE CLINIC IN MARCH2002, AND THEN FURTHER EXPANDED INTO A LARGER BUILDING IN JULY 2016. IN 2018, CONSTRUCTION BEGAN ON AN EVEN LARGER BUILDING AT OUR BROOKSHIRE LOCATION FOR FURTHER EXPANSION OF SERVICES. BEHAVIORAL HEALTH SERVICES ARE PROVIDED BY CLINICAL SOCIAL WORKERS, AND LICENSED PROFESSIONALCOUNSELORS. A FULL-SERVICE DENTAL CLINIC OPENED IN ACCESSHEALTH'S STAFFORD CENTER LOCATION IN FEBRUARY 2005. A FAMILY PRACTICE MEDICAL CLINIC WAS OPENED IN MISSOURI CITY, FORT BEND COUNTY, TEXAS IN JULY 2011. ACCESSHEALTH BEGAN OFFERING PEDIATRIC SERVICES AT THE MISSOURI CITY LOCATION IN JULY 2018. A SECOND MISSOURI CITY FAMILY PRACTICE MEDICAL CLINIC OPENED IN SEPTEMBER 2018. THIS CLINIC OPERATES OUT OF OUR 2001 MOBILE CLINIC AND SERVES THE EAST SIDE OF FORT BEND COUNTY. IN APRIL 2019, ACCESSHEALTH RECEIVED A NEW MOBILE CLINIC THROUGH GRANT FUNDING. IT IS EQUIPPED TO SERVE MEDICAL AND DENTAL PATIENTS AND WILL ACT AS A NEW TRULY MOBILE DELIVERY SITE. MEDICAL SERVICES INCLUDE COMPREHENSIVE PRIMARY HEALTH CARE, PREVENTIVE HEALTH SERVICES, TRANSLATION, LABORATORY, RADIOLOGY, PHARMACY, AND MEDICAL CASE MANAGEMENT FOR PERSONS WHO ARE HIV-POSITIVE. THE DENTAL CLINIC PROVIDES PREVENTIVE, RESTORATIVE AND EMERGENCY SERVICES. BEHAVIORAL HEALTH SERVICES ARE INTEGRATED WITH PRIMARY HEALTH SERVICES AND INCLUDE PSYCHOTHERAPY AND CARE COORDINATION. THE MAIN OFFICE OF ACCESSHEALTH IS LOCATED IN RICHMOND, FORT BEND COUNTY, TEXAS. THE SERVICES INCLUDE PRIMARY HEALTH CARE FOR ALL AGE GROUPS WITH AN EMPHASIS ON PREVENTION, IMMUNIZATIONS, WELLNESS VISITS, FAMILY PLANNING, PRENATAL CARE, ACUTE CARE, CHRONIC DISEASE MANAGEMENT, CANCER SCREENING, NUTRITION EDUCATION, LABORATORY, PHARMACY, BEHAVIORAL HEALTH SERVICES, MEDICAL CASE MANAGEMENT, AND REFERRAL. THE SECOND DELIVERY SITE IS LOCATED IN THE UNITED WAY SERVICE CENTER IN STAFFORD, FORT BEND COUNTY, TEXAS. THE SERVICES INCLUDE A PEDIATRIC CLINIC, THE DENTAL CLINIC AND THE WIC PROGRAM. THE THIRD DELIVERY SITE IS IN WALLER COUNTY. WE MOVED OUR OPERATION FROM A MOBILE CLINIC TO A MODULAR BUILDING IN BROOKSHIRE, TEXAS, IN SEPTEMBER 2015. THE SERVICES INCLUDE PRIMARY HEALTH CARE FOR ALL AGE GROUPS WITH AN EMPHASIS ON PREVENTION, IMMUNIZATIONS, WELLNESS VISITS, FAMILY PLANNING, PRENATAL CARE, ACUTE CARE, CHRONIC DISEASE MANAGEMENT, CANCER SCREENING, LABORATORY, PHARMACY, AND REFERRAL. THE FOURTH DELIVERY SITE IS IN MISSOURI CITY, FORT BEND COUNTY, TEXAS, CO-LOCATED IN A COUNTY PRECINCT BUILDING. THE SERVICES INCLUDE PRIMARY HEALTH CARE FOR ALL AGE GROUPS WITH AN EMPHASIS ON PREVENTION, WELLNESS VISITS, FAMILY PLANNING, ACUTE CARE, CHRONIC DISEASE MANAGEMENT, CANCER SCREENING, LABORATORY, PHARMACY AND REFERRAL, AND HIV SERVICES. THE FIFTH DELIVERY SITE IS IN MISSOURI CITY, FORT BEND COUNTY, TEXAS, ON THE PROPERTY OF FORT BEND COMMUNITY CHURCH IN EAST FORT BEND COUNTY. THE SERVICES INCLUDE PRIMARY HEALTH CARE FOR ALL AGE GROUPS WITH AN EMPHASIS ON PREVENTION, WELLNESS VISITS, FAMILY PLANNING, ACUTE CARE, CHRONIC DISEASE MANAGEMENT, LABORATORY, AND REFERRAL.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,197,520ExpenseAmt
Revenue$8,102,205RevenueAmt
DescACCESSHEALTH PROVIDES THE WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM AT 11 SITES IN FORT BEND, WHARTON, AUSTIN, COLORADO, AND WALLER COUNTIES. ALL WIC CLIENTS ARE WELCOME AT ANY ACCESSHEALTH CLINIC LOCATION FOR MEDICAL SERVICES. WIC SITES ARE LOCATED IN ROSENBERG, STAFFORD, WHARTON, BELLVILLE, SEALY, COLUMBUS, EAGLE LAKE, WEIMAR, KATY, BROOKSHIRE, AND PRAIRIE VIEW. DURING THE FYE 6/30/21, ACCESSHEALTH SERVED APPROXIMATELY 14,872 INDIVIDUALS THROUGH ITS WIC PROGRAM. THE WIC NUTRITION PROGRAM PROVIDES NUTRITION EDUCATION AND COUNSELING, NUTRITIOUS SUPPLEMENTAL FOODS (I.E., EGGS, MILK, CHEESE, INFANT FORMULA, BABY FOOD, FRESH AND FROZEN FRUITS AND VEGETABLES, JUICE, DRIED BEANS, WHOLE GRAIN CEREALS, BREADS AND TORTILLAS, TOFU, SOY MILK, AND CANNED FISH), AND HELPS PREGNANT, POSTPARTUM AND BREASTFEEDING WOMEN, INFANTS AND CHILDREN UNDER AGE FIVE ACCESS HEALTH CARE SERVICES IN ORDER TO IMPROVE THEIR HEALTH AND NUTRITIONAL STATUS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$22,839,429TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee270EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREW FUGETT SENIOR DIRECTOR OF FINANCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2813424530PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 AUSTIN STREETAddressLine1Txt
CityRICHMONDCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77469ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ALINA GONZALEZ
MEMBER2.00Yes (X)$0$0$0
BRENDA PATTON
MEMBER2.00Yes (X)$0$0$0
BRIAN MACHART
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
CAROLYN FIELDS
SECRETARY2.00Yes (X)$0$0$0Yes (X)
DAVID TIMMERMEYER
MEMBER2.00Yes (X)$0$0$0
FRANCIS ORTEGA
MEMBER2.00Yes (X)$0$0$0
GEORGE KUEBLER
MEMBER2.00Yes (X)$0$0$0
JARED JAMESON
TREASURER2.00Yes (X)$0$0$0Yes (X)
JIMMY CANTU
MEMBER2.00Yes (X)$0$0$0
JOHANNA COMPEAN
MEMBER2.00Yes (X)$0$0$0
JONATHAN PURSCH
MEMBER2.00Yes (X)$0$0$0
JULIUS JUNKER
MEMBER2.00Yes (X)$0$0$0
LIONEL MARTIN
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
ROBIN KHAN
MEMBER2.00Yes (X)$0$0$0
TARIQ ZAFAR
MEMBER2.00Yes (X)$0$0$0
JARED WILLIAMS
CFO45.00$154,500$0$4,635Yes (X)
MICHAEL DOTSON
CEO45.00$250,063$0$6,489Yes (X)
PALAK RAJESH JALAN
CHIEF POPULATION OFFICER45.00$123,415$0$2,952Yes (X)
MICHAEL LAWSON
CHIEF MEDICAL OFFICER50.00$229,662$0$6,890Yes (X)
AIDA L VIGIL-SANCHEZ
PHYSICIAN50.00$301,301$0$9,039Yes (X)
ALMAS ZANE
PHYSICIAN50.00$184,958$0$5,549Yes (X)
GELATIA TESFAYE
PHYSICIAN50.00$132,813$0$3,984Yes (X)
JOANNA RODRIGUEZ
PHYSICIAN50.00$197,632$0$5,929Yes (X)
JUAN C MARTINEZ
PHYSICIAN50.00$145,314$0$4,359Yes (X)
LA CINDY DELVALLE
PHYSICIAN50.00$212,442$0$6,373Yes (X)
MARCQWON DAYWALKER
PHYSICIAN50.00$200,900$0$1,515Yes (X)
MELANIE DEGROOT
PHYSICIAN50.00$181,097$0$5,433Yes (X)
NISHA VARGHESE JOSEPH
PHYSICIAN50.00$190,229$0$5,707Yes (X)
SON DUONG
FAMILY PRACTICE DIRECTOR50.00$226,729$0$6,802Yes (X)
TAHIRA ZAIDI
PHYSICIAN50.00$191,860$0$5,756Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,922,915TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$81,412TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LABORATORY CORPORATION OF AMERICA HOLDIN
531 SOUTH SPRING STREETBURLINGTONNC27215LAB SERVICE$1,565,902
PROTIVITI INC
12269 COLLECTIONS CENTER DRIVECHICAGOIL60693STAFFING AGENCY$1,441,866
CARDINAL HEALTH
PO BOX 847370DALLASTX75284PHARMACY SERVICES$1,061,135
NEXTGEN HEALTHCARE INC
3525 PIEDMONT RDATLANTAGA30305ELECTRONIC HEALTH RE$850,399
ULTRASTAFF
1818 MEMORIAL DR 200HOUSTONTX77007STAFFING AGENCY$830,136
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Federated Campaigns$603,896FederatedCampaignsAmt
Government Grants$9,239,372GovernmentGrantsAmt
All Other Contributions$2,994,861AllOtherContributionsAmt
Total Contributions$12,838,129TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE624100$14,406,443$14,406,443
OTHER REVENUE624100$9,423,573$9,423,573
FieldValueIRS element (for citing)
Total Program Service Revenue$23,830,016TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,344TotalRevenueColumnAmt
Exclusion$8,344ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,676,489TotalRevenueColumnAmt
Related Or Exempt Func Income$23,830,016RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,344ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$942,720TotalAmt
Program Services$755,799ProgramServicesAmt
Management And General$186,921ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,747,283TotalAmt
Program Services$8,616,334ProgramServicesAmt
Management And General$2,130,949ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$375,028TotalAmt
Program Services$288,411ProgramServicesAmt
Management And General$86,617ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,046,515TotalAmt
Program Services$804,811ProgramServicesAmt
Management And General$241,704ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$862,340TotalAmt
Program Services$663,173ProgramServicesAmt
Management And General$199,167ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$28,105TotalAmt
Program Services$23,407ProgramServicesAmt
Management And General$4,689ManagementAndGeneralAmt
Fundraising$9FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$128,512TotalAmt
Program Services$107,029ProgramServicesAmt
Management And General$21,442ManagementAndGeneralAmt
Fundraising$41FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,987,983TotalAmt
Program Services$6,652,642ProgramServicesAmt
Management And General$1,332,786ManagementAndGeneralAmt
Fundraising$2,555FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$125,524TotalAmt
Program Services$102,520ProgramServicesAmt
Management And General$22,988ManagementAndGeneralAmt
Fundraising$16FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,367,589TotalAmt
Program Services$1,116,960ProgramServicesAmt
Management And General$250,457ManagementAndGeneralAmt
Fundraising$172FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,219TotalAmt
Program Services$11,613ProgramServicesAmt
Management And General$2,604ManagementAndGeneralAmt
Fundraising$2FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,407,802TotalAmt
Program Services$1,304,836ProgramServicesAmt
Management And General$102,895ManagementAndGeneralAmt
Fundraising$71FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$67,255TotalAmt
Program Services$54,930ProgramServicesAmt
Management And General$12,317ManagementAndGeneralAmt
Fundraising$8FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$43,334TotalAmt
Program Services$35,393ProgramServicesAmt
Management And General$7,936ManagementAndGeneralAmt
Fundraising$5FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$65,098TotalAmt
Program Services$50,374ProgramServicesAmt
Management And General$14,244ManagementAndGeneralAmt
Fundraising$480FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$592,792TotalAmt
Program Services$428,328ProgramServicesAmt
Management And General$164,464ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,413TotalAmt
Program Services$5,238ProgramServicesAmt
Management And General$1,174ManagementAndGeneralAmt
Fundraising$1FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUG$2,071,145$1,691,579$379,305$261
MISCELLANEOUS$58,781$48,009$10,765$7
LICENSES, DUES & SUBSCR$56,338$46,013$10,318$7
SPECIAL ASSISTANCE$31,572$25,786$5,782$4

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,645TotalAmt
Program Services$6,244ProgramServicesAmt
Management And General$1,400ManagementAndGeneralAmt
Fundraising$1FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,033,993TotalAmt
Program Services$22,839,429ProgramServicesAmt
Management And General$5,190,924ManagementAndGeneralAmt
Fundraising$3,640FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$757,679BOYAmt
EOY$1,184,732EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,382,404BOYAmt
EOY$12,390,748EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,265,929BOYAmt
EOY$4,824,116EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,433,009BOYAmt
EOY$2,168,067EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$191,798BOYAmt
EOY$200,125EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$143,757BOYAmt
EOY$232,618EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,949,475LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,630,742LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,246,241BOYAmt
EOY$6,318,733EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$920,900BOYAmt
EOY$9,325EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,341,717BOYAmt
EOY$27,328,464EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,212,157BOYAmt
EOY$3,817,999EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,586,100BOYAmt
EOY$2,586,100EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,222,344BOYAmt
EOY$3,046,788EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,020,601BOYAmt
EOY$9,450,887EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,325,493BOYAmt
EOY$13,967,986EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,995,623BOYAmt
EOY$3,909,591EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,321,116BOYAmt
EOY$17,877,577EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,341,717BOYAmt
EOY$27,328,464EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,642,496ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$86,035PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,114,791CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,162,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,354,976CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,529,917CurrentTaxYearMinus1YearAmt
Current Tax Year$12,838,129CurrentTaxYearAmt
Total$63,000,138TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,114,791CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,162,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,354,976CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,529,917CurrentTaxYearMinus1YearAmt
Current Tax Year$12,838,129CurrentTaxYearAmt
Total$63,000,138TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$63,000,138PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,804CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,696CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,262CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,951CurrentTaxYearMinus1YearAmt
Current Tax Year$8,344CurrentTaxYearAmt
Total$32,057TotalAmt
FieldValueIRS element (for citing)
Total Support$63,032,195TotalSupportAmt
Public Support CY1700.99950PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II-B, LINE 1:THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS. A PORTION OF DUES MAY BE USED FOR LOBBYING ACTIVITIES BY THESE ASSOCIATIONS.
SCHEDULE C, PART II-B, LINE 1GTHE ORGANIZATION DIRECTLY INTERACTS WITH LEGISLATORS REGARDING KEY HEALTH CARE ISSUES AT INDUSTRY CONFERENCES AND OCCASIONALLY CORRESPONDS VIA EMAIL WITH LEGISLATORS. THE COSTS ASSOCIATED WITH THESE CONTACTS ARE MINIMAL. IN ADDITION, THE ORGANIZATION'S CEO, MARKETING AND DEVELOPMENT OFFICER AND PUBLIC POLICY OFFICER ALSO MEET WITH ELECTED OFFICIALS WHEN THEY ARE IN THE ORGANIZATION'S HOME DISTRICT FOR TOURS AND SUCH.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$596,023OtherCostOrOtherBasisAmt
Book Value$596,023BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,942,410OtherCostOrOtherBasisAmt
Depreciation$3,174,561DepreciationAmt
Book Value$3,767,849BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,123,761OtherCostOrOtherBasisAmt
Depreciation$1,098,877DepreciationAmt
Book Value$24,884BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,472,623OtherCostOrOtherBasisAmt
Depreciation$2,357,304DepreciationAmt
Book Value$1,115,319BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$814,658OtherCostOrOtherBasisAmt
Book Value$814,658BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,318,733TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$36,676,489TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$36,676,489RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$36,676,489TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,033,993TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$28,033,993ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,033,993TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationUNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THE ORGANIZATION IS EXEMPT FROM TAXES ON INCOME OTHER THAN UNRELATED BUSINESS INCOME. UNRELATED BUSINESS INCOME RESULTS FROM RENT, ADMINISTRATION OF SELF-INSURANCE ACTIVITIES, AND COMMISSIONS. THE ORGANIZATION UTILIZES THE ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FASB ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF JUNE 30, 2021 AND 2020, THE ORGANIZATION HAS NO UNCERTAIN TAX PROVISIONS THAT QUALIFY FOR RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AIDA L VIGIL-SANCHEZ
PHYSICIAN$210,000$0$91,301$0$0$0$9,039$0$0$0$310,340$0$0$0
MICHAEL DOTSON
CEO$204,167$0$45,296$0$600$0$6,489$0$0$0$256,552$0$0$0
MICHAEL LAWSON
CHIEF MEDICAL OFFICER$221,000$0$8,062$0$600$0$6,890$0$0$0$236,552$0$0$0
SON DUONG
FAMILY PRACTICE DIRECTOR$200,000$0$26,729$0$0$0$6,802$0$0$0$233,531$0$0$0
LA CINDY DELVALLE
PHYSICIAN$206,500$0$5,942$0$0$0$6,373$0$0$0$218,815$0$0$0
JOANNA RODRIGUEZ
PHYSICIAN$184,898$0$12,734$0$0$0$5,929$0$0$0$203,561$0$0$0
MARCQWON DAYWALKER
PHYSICIAN$184,288$0$16,612$0$0$0$1,515$0$0$0$202,415$0$0$0
TAHIRA ZAIDI
PHYSICIAN$183,500$0$8,360$0$0$0$5,756$0$0$0$197,616$0$0$0
NISHA VARGHESE JOSEPH
PHYSICIAN$185,000$0$5,229$0$0$0$5,707$0$0$0$195,936$0$0$0
ALMAS ZANE
PHYSICIAN$175,750$0$9,208$0$0$0$5,549$0$0$0$190,507$0$0$0
MELANIE DEGROOT
PHYSICIAN$175,337$0$5,760$0$0$0$5,433$0$0$0$186,530$0$0$0
JARED WILLIAMS
CFO$145,625$0$8,275$0$600$0$4,635$0$0$0$159,135$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$430,837NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescIN-KIND RENTDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$45,132NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION RECEIVED DRUGS AND MEDICAL SUPPLIES FROM ONE CONTRIBUTOR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE FINANCE DEPARTMENT OF THE ORGANIZATION. THE ORGANIZATION'S CFO AND DIRECTOR OF FISCAL RESOURCES WILL REVIEW THE FORM 990 IN DETAIL, THEN A COPY WILL BE PRESENTED TO THE CEO AND EACH MEMBER OF THE FINANCE COMMITTEE FOR REVIEW DURING THE FINANCE COMMITTEE MEETING. FINALLY, THE FULL BOARD RECEIVES A COPY TO REVIEW AND IT IS DISCUSSED AND APPROVED AT THE BOARD OF DIRECTORS MEETING PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL STAFF AND BOARD OF DIRECTORS OF THE CORPORATION HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN GUIDELINES THAT PROHIBIT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. TRANSACTIONS WITH OUTSIDE FIRMS MUST BE CONDUCTED WITHIN A FRAMEWORK ESTABLISHED AND CONTROLLED BY THE EXECUTIVE LEVEL OF THE CORPORATION. BUSINESS DEALINGS WITH OUTSIDE FIRMS SHOULD NOT RESULT IN UNUSUAL GAINS FOR THOSE FIRMS. UNUSUAL GAIN REFERS TO BRIBES, PRODUCT BONUSES, SPECIAL FRINGE BENEFITS, UNUSUAL PRICE BREAKS, AND OTHER WINDFALLS DESIGNED TO ULTIMATELY BENEFIT EITHER THE EMPLOYER, EMPLOYEE, OR BOTH. PROMOTIONAL PLANS THAT COULD BE INTERPRETED TO INVOLVE UNUSUAL GAIN REQUIRE SPECIFIC EXECUTIVE-LEVEL APPROVAL. THE CORPORATION SHALL NOT EMPLOY BOARD MEMBERS OR THEIR RELATIVES, WHETHER RELATED BY BLOOD OR MARRIAGE. AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST OCCURS WHEN AN EMPLOYEE OR BOARD MEMBER IS IN A POSITION TO INFLUENCE A DECISION THAT MAY RESULT IN A PERSONAL GAIN FOR THAT EMPLOYEE, BOARD MEMBER, OR RELATIVE. NO PRESUMPTION OF GUILT IS CREATED BY THE MERE EXISTENCE OF A RELATIONSHIP WITH OUTSIDE FIRMS. IF AN EMPLOYEE OR BOARD MEMBER HAS ANY INFLUENCE ON TRANSACTIONS INVOLVING PURCHASES, CONTRACTS, OR LEASES, IT IS IMPERATIVE THAT HE OR SHE DISCLOSE TO AN OFFICER OF THE CORPORATION AS SOON AS POSSIBLE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO THAT SAFEGUARDS CAN BE ESTABLISHED TO PROTECT ALL PARTIES. ANY BOARD MEMBER OR EMPLOYEE WHO FAILS TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST WILL BE SUBJECT TO DISCIPLINARY ACTION, UP TO AND INCLUDING POSSIBLE TERMINATION OF EMPLOYMENT, BOARD MEMBERSHIP, AND LEGAL ACTION. DIRECTORS OR OFFICERS WHO MAY HAVE A FINANCIAL INTEREST IN SUCH A TRANSACTION SHALL ABSTAIN FROM VOTING IN ANY DECISION THAT INVOLVES SUCH CONTRACT OR TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION HAS A COMMITTEE OF THE BOARD RESPONSIBLE FOR PERFORMING AN EVALUATION OF THE CEO. THIS COMMITTEE EVALUATES THE COMPARABILITY DATA AND EVALUATION AND MAKES A RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD IS THEN RESPONSIBLE FOR THE APPROVAL OF THE RECOMMENDATION. THE CEO'S COMPENSATION REVIEW WAS CONDUCTED IN DECEMBER OF 2009. COMPARABILITY DATA IS USED FOR BOTH THE CEO AND OTHER KEY OFFICERS. THE DATA INCLUDES A REVIEW CONDUCTED BY THE DIRECTOR OF HUMAN RESOURCES THROUGH A NATIONAL SALARY STUDY CONDUCTED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS BASED ON MANY VARIABLES: POSITION, URBAN/RURAL/MIXED, BUDGET SIZE, REGION BY REGION, ETC. COMPARISONS TO LOCAL MARKETS (HOUSTON, TEXAS) ARE ALSO MADE FOR POSITIONS OF SIMILAR RESPONSIBILITY IN SIMILAR ORGANIZATIONS. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN 2019. THE CEO AND THE HUMAN RESOURCES DIRECTOR CONDUCT SALARY COMPARISONS USING ANNUAL SALARY SURVEY INFORMATION FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE UNITED WAY OF GREATER HOUSTON. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN 2019.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND WILL BE MAILED TO THE REQUESTER.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND WILL BE MAILED TO THE REQUESTER.
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,652,642. MANAGEMENT AND GENERAL EXPENSES 1,332,786. FUNDRAISING EXPENSES 2,555. TOTAL EXPENSES 7,987,983.
FORM 990 PART XIITHE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.