2022-11-14T15:38:53-06:00 2021-12-31 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2021-01-01 742699762 La Esperanza Clinic Inc % ROSIE CASTANEDA LAES 3256585339 2029 W Beauregard San Angelo TX 76901 DEAN MUNN CEO 9727028262 2022-11-15 true DEAN MUNN 999009999 Jeanette Verrelli P00742631 9727028262 2022-11-15 2 2021 2022-09-23 18:48:47Z DEAN MUNN 2029 W BEAUREGARD SAN ANGELO TX 76901 9950971 false X WWW.ESPERANZAHEALTH.ORG X 1994 TX LA ESPERANZA CLINIC PROVIDES QUALITY MEDICAL, DENTAL, AND SOCIAL SERVICES TO ALL PEOPLE PARTICULARLY THE MEDICALLY UNDERSERVED AND UNDERINSURED. 7 7 137 8 0 0 3622719 5081704 4398412 4609908 184936 77968 52324 181391 8258391 9950971 0 0 0 0 6137152 6169908 0 0 0 2164070 2182405 8301222 8352313 -42831 1598658 7768382 9434904 1282809 1261578 6485573 8173326 X THE MISSION OF LA ESPERANZA CLINIC IS TO PROVIDE QUALITY PRIMARY AND PREVENTATIVE HEALTH AND DENTAL CARE SERVICES TO ALL PEOPLE, PARTICULARLY THE MEDICALLY UNDERSERVED OF SAN ANGELO AND THE CONCHO VALLEY. false false 4252888 3736693 LA ESPERANZA CLINIC'S MEDICAL PRACTICE SERVED 8,527 PATIENTS WITH 23,024 TOTAL ENCOUNTERS IN 2021. SERVICES INCLUDE PRIMARY MEDICAL CARE, DIAGNOSIS AND TREATMENT OF ILLNESSES, MANAGEMENT OF CHRONIC ILLNESSES, SCREENING AND DISEASE PREVENTION, PHYSICAL EXAMINATIONS, WELL-CHILD EXAMINATIONS, CHILDHOOD AND ADULT IMMUNIZATIONS, AND LIMITED URGENT CARE. 644842 566574 LA ESPERANZA CLINIC'S DENTAL PRACTICE SERVED 1,639 PATIENTS WITH 3,491 TOTAL ENCOUNTERS IN 2021. FULL PREVENTATIVE DENTAL SERVICES ARE PROVIDED INCLUDING EXAMS, X-RAYS, CLEANING, SEALANTS TO PREVENT CAVITIES IN CHILDREN, AND PATIENT EDUCATION ON PREVENTION, AS WELL AS, OTHER PREVENTATIVE SERVICES. OTHER DENTAL SERVICES OFFERED INCLUDE FILLINGS AND EXTRACTIONS. 385316 338549 LA ESPERANZA CLINIC'S MENTAL HEALTH PRACTICE SERVED 676 PATIENTS IN 2021 WITH 2,086 ENCOUNTERS. THIS PRACTICE OFFERS SERVICES INCLUDING TELE-PSYCHIATRY, SUBSTANCE ABUSE SERVICES, AND COUNSELING. 24382 21423 LA ESPERANZA CLINIC'S ENABLING SERVICES HELPS PATIENTS THROUGH CARE COORDINATION AND BENEFITS ASSISTANCE. 24382 21423 5307428 true true false false false false false false false true true true false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 5 0 true 137 true false false false false false false false false false false false false X 7 7 false false false false false false false true true false false true true true true true true true true false X ROSIE CASTANEDA 3259475623 2029 W BEAUREGARD SAN ANGELO TX 76901 MARC WIMPEE CHIEF MEDICAL DIRECTOR 40.0 0.0 X 230500 0 0 TEENA DOTSON PHYSICIAN ASSISTANT 40.0 0.0 X 169882 0 13250 ROBERT RUIZ DENTAL DIRECTOR 40.0 0.0 X 153219 0 24437 SCOTT LINDSEY NURSE PRACTITIONER 40.0 0.0 X 146381 0 13897 MARY BETH LUTTRELL NURSE PRACTITIONER 40.0 0.0 X 148409 0 8009 LAURA ODOM NURSE PRACTITIONER 40.0 0.0 X 137144 0 18432 DEBRA SOSOLIK CHIEF ADMIN OFFIC. END: 12/21 40.0 0.0 X 132205 0 14633 DEAN MUNN CHIEF EXECUTIVE OFFICER 40.0 0.0 X 132095 0 13188 ROSA CASTANEDA CHIEF FINANCIAL OFFICER 40.0 0.0 X 108287 0 15463 LOUIE PEREZ BOARD CHAIR 1.0 0.0 X X 0 0 0 QUINDA FEIL-DUNCAN BOARD VICE CHAIR START: 11/21 1.0 0.0 X X 0 0 0 STEPHEN FRANCO BOARD TREASURER 1.0 0.0 X X 0 0 0 MONICA NAVARRO BOARD SECRETARY 1.0 0.0 X X 0 0 0 KRISTA CLARK DIRECTOR 0.5 0.0 X 0 0 0 FRED ALVAREZ DIRECTOR START: 1/21 0.5 0.0 X 0 0 0 RICKIE MARTINEZ DIRECTOR END: 10/21 0.5 0.0 X 0 0 0 STACIE WETZ DIRECTOR END: 12/21 0.5 0.0 X 0 0 0 WILL LIGHTFOOT DIRECTOR END: 12/21 0.5 0.0 X 0 0 0 MASON AREISPE DIRECTOR END: 12/21 0.5 0.0 X 0 0 0 FONDA GALINDO DIRECTOR START: 1/21 0.5 0.0 X 0 0 0 1358122 0 121309 14 false true false FORVIS LLP 14241 Dallas Pkwy 1100 DALLAS TX 75254 ACCOUNTING SERVICES 105271 1 X 4971542 110162 5081704 Net Patient Service Revenue 621110 3651987 3651987 PHARMACY REVENUE 446110 957921 957921 4609908 63828 63828 0 0 0 0 0 14140 14140 14140 14140 0 0 0 0 0 0 0 0 0 Miscellaneous Income 900099 48153 48153 Medical Records 561000 5178 5178 INSURANCE PROCEEDS 900099 128060 128060 181391 9950971 4663239 206028 0 0 0 0 646371 75468 570903 0 4675196 2928900 1746296 109886 103659 6227 329184 311294 17890 409271 388807 20464 0 738 738 104516 104516 0 0 6015 6015 246126 236925 9201 79944 79944 168603 46213 122390 351989 282568 69421 0 120137 102370 17767 39715 39715 0 35331 5361 29970 9108 9108 0 248331 86916 161415 30540 29013 1527 Bad Debt 323733 323733 Medical Supplies & Drugs 371489 371489 Licenses, Dues, Subscription 41582 14712 26870 Recruitment & Retention 415 415 4093 4093 8352313 5307428 3044885 0 266990 218017 483249 485002 1054589 1475925 499271 566292 0 0 0 0 0 0 62175 76162 19788 18916 7897712 3856112 3120127 4041600 1031874 1167749 1224504 1377359 0 0 0 0 5815 7882 7768382 9434904 457273 526249 0 0 0 0 0 0 0 0 0 0 0 735329 0 0 825536 0 1282809 1261578 X 6477366 8065119 8207 108207 6485573 8173326 7768382 9434904 1598658 89095 X false true X true true true X 3311458 2904690 3172673 3622719 5081704 18093244 4400702 4382605 4672780 4450736 4663239 22570062 0 0 0 7712160 7287295 7845453 8073455 9744943 40663306 0 0 0 40663306 32779 30267 42214 34596 63828 203684 0 32779 30267 42214 34596 63828 203684 0 31529 6867 22413 0 128060 188869 7776468 7324429 7910080 8108051 9936831 41055859 0.99044 0.99396 0.00496 0.00443 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1224504 158870 6015 1377359 1140423 89485 5404 1224504 952283 193504 5364 1140423 1039657 -82012 5362 952283 904600 140092 5035 1039657 1.00000 true false 749651 749651 4004944 3128414 876530 230193 146820 83373 2385365 401544 1983821 527559 179334 348225 4041600 INVESTMENT IN FOUNDATION 1377359 C 1377359 9610318 89095 -323733 -234638 9844956 6015 100000 106015 9950971 8022565 8022565 6015 323733 329748 8352313 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS: THE FUNDS, AND ALL NET EARNINGS, WILL BE HELD EXCLUSIVELY FOR THE BENEFIT OF THE LA ESPERANZA CLINIC OF SAN ANGELO, TEXAS. ALL ASSETS OF THE FUND ARE HELD AND ADMINISTERED BY THE SAN ANGELO AREA FOUNDATION, A TEXAS NONPROFIT CORPORATION HAVING ITS PRINCIPAL PLACE OF BUSINESS IN TOM GREEN COUNTY, TEXAS. SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D Reconciliation of Revenue per Audited Financial Statements to Return: Bad Debt Expense $(323,733) SCHEDULE D, PART XI, LINE 4B Reconciliation of REVENUE per Audited Financial Statements to Return: CONTRIBUTIONS WITH DONOR RESTRICTIONS $100,000 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS TO RETURN: BAD DEBT EXPENSE $323,733 X X X false false false false false false false false false MARC WIMPEE CHIEF MEDICAL DIRECTOR 230500 0 0 0 0 0 0 0 0 0 230500 0 0 0 TEENA DOTSON PHYSICIAN ASSISTANT 169882 0 0 0 0 0 4997 0 8253 0 183132 0 0 0 ROBERT RUIZ DENTAL DIRECTOR 153219 0 0 0 0 0 6715 0 17722 0 177656 0 0 0 MARY BETH LUTTRELL NURSE PRACTITIONER 148409 0 0 0 0 0 5768 0 2241 0 156418 0 0 0 SCOTT LINDSEY NURSE PRACTITIONER 142516 0 0 0 3865 0 5644 0 8253 0 160278 0 0 0 LAURA ODOM NURSE PRACTITIONER 134348 0 0 0 2796 0 6114 0 12318 0 155576 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990: THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CEO AND CFO REVIEW THE FORM 990 IN DETAIL WITH THE CPA PREPARING THE FORM 990. NEXT, THE FINANCE COMMITTEE IS PRESENTED WITH THE 990. ONCE REVIEWED, THE FINANCE COMMITTEE CHAIR PRESENTS THE 990 TO THE ENTIRE BOARD FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: BOARD MEMBERS AND ALL EMPLOYEES ARE GIVEN COPIES OF THE CONFLICT OF INTEREST POLICY ANNUALLY TO REVIEW. THE POLICY GIVES THE DEFINITION OF A CONFLICT OF INTEREST AND DESCRIBES ALL ACTIVITIES THAT FALL UNDER THE POLICY. BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO SIGN THE POLICY, ACKNOWLEDGING THEIR UNDERSTANDING. IN ADDITION, THE POLICY STATES THAT EVERY BOARD MEMBER MUST PROMPTLY BRING ANY INFORMATION CONCERNING ANY VIOLATION OF THE POLICY BY ANY OTHER BOARD MEMBER TO THE ATTENTION OF THE CHIEF EXECUTIVE OFFICER OR THE BOARD OF DIRECTORS. IF THE BOARD MEMBER BELIEVES THAT THE CEO MAY BE IMPLICATED IN THE VIOLATION, THE INFORMATION SHOULD BE PROVIDED TO THE CHAIRMAN OF THE BOARD OF DIRECTORS. IF IT IS DETERMINED A CONFLICT EXISTS, THE INDIVIDUAL WITH THE CONFLICT MAY NOT VOTE ON ANY MATTERS RELATING TO THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION DETERMINATION AND REVIEW: COMPENSATION FOR THE CEO IS ANNUALLY DETERMINED THROUGH BOARD OF DIRECTOR DELIBERATIONS. A BOARD OF DIRECTOR SUB-COMMITTEE FIRST REVIEWS THE 2021 TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS COMPENSATION SURVEY DATA AND THEN MAKES RECOMMENDATIONS TO THE FULL BOARD. FULL BOARD OF DIRECTOR APPROVAL IS REQUIRED. THE REVIEW IS DOCUMENTED IN THE HR DEPARTMENT'S PERSONNEL FILES. COMPENSATION CONTRACTS FOR OTHER OFFICER AND KEY EMPLOYEE POSITIONS ARE ANNUALLY DETERMINED THROUGH REVIEWS OF THE 2021 TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS COMPENSATION SURVEY DATA AND LOCAL PEER SURVEYS. THE MOST RECENT REVIEW WAS CONDUCTED IN 2021 BY THE BOARD OF DIRECTORS. THE REVIEW IS DOCUMENTED IN THE HR DEPARTMENT'S PERSONNEL FILES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FOR REVIEW UPON REQUEST. COPIES WILL BE PROVIDED TO THOSE REQUESTING DOCUMENTS. FORM 990, PART VIII, COLUMN I, LINES 7A, 7B, & 7C REALIZED GAINS: THE AMOUNT BEING DISCLOSED IN COLUMN I, LINE 7C REPRESENTS THE REALIZED GAIN OR LOSS BEING ALLOCATED TO LA ESPERANZA THROUGH ITS ENDOWMENT ASSETS HELD BY SAN ANGELO AREA FOUNDATION. THE FOUNDATION HAS A POOLED INVESTMENT PORTFOLIO, AS SUCH PROCEEDS AND BASIS INFORMATION CANNOT BE ACCURATELY DETERMINED.