2021-09-17T16:27:45-05:00 2020-12-31 752570395 DURBIN & COMPANY LLP 2950 50TH STREET LUBBOCK TX 79413 990 2020-01-01 752252866 HEALTH SERVICES OF NORTH TEXAS INC HEAL 9403811501 4401 NORTH I-35 SUITE 312 DENTON TX 76207 DOREEN RUE CEO 9403811501 2021-09-17 DOREEN RUE 999009999 CHRISTOPHER TITSWORTH P01262502 8067911591 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DOREEN RUE 4401 NORTH I-35 SUITE 312 DENTON TX 76207 15164194 0 X WWW.HEALTHNTX.ORG X 1988 TX IMPROVING THE QUALITY OF LIFE FOR ALL NORTH TEXANS THROUGH MEDICAL CARE, SUPPORT SERVICES AND ADVOCACY. 12 12 172 0 0 0 5152757 6491514 13932999 7380951 3330 -15623 23359 1286795 19112445 15143637 2032929 2931353 0 0 6614167 8221118 0 0 79618 10304752 3950212 18951848 15102683 160597 40954 6511707 7063087 2313747 2825986 4197960 4237101 X HEALTH SERVICES OF NORTH TEXAS WAS ESTABLISHED IN 1988 IN RESPONSE TO THE FIRST DOCUMENTED CASES OF HIV/AIDS IN DENTON COUNTY. OVER ITS TWENTY-SIX YEAR HISTORY, ITS ROLE AND MISSION HAS EXPANDED TO INCLUDE PRIMARY MEDICAL CARE TARGETING THE ENTIRE COMMUNITY; CASE MANAGEMENT AND SUPPORT SERVICES FOR INDIVIDUALS LIVING WITH HIV; MENTAL HEALTH COUNSELING; AND GUARDIANSHIP SERVICES. ADDITIONALLY, THE AGENCY TODAY COVERS A FIVE-COUNTY REGION WITH OFFICES AT TWO LOCATIONS. HSNT RECEIVED A CERTIFICATE AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), A DESIGNATION THAT WILL PROVIDE THE COMMUNITY WITH QUALITY CARE DELIVERED WITHIN A MEDICAL HOME MODEL. AS HEALTH SERVICES OF NORTH TEXAS' MISSION HAS GROWN, IT HAS BECOME INCREASINGLY CLIENT-CENTERED, GOVERNED BY A BOARD OF DIRECTORS WHO ARE REPRESENTATIVE OF THE COMMUNITIES SERVED. TODAY, THE MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS ARE CONSUMER MEMBERS. OUR BOARD OF DIRECTORS ACTIVELY PARTICIPATES IN ACTIVITIES THAT DIRECT OUR MISSION. 0 0 11216887 943340 12089870 PRIMARY MEDICAL HEALTHCARE: HEALTHCARE IS AVAILABLE AT THE MEDICAL CENTER FOR CHILDREN AND ADULTS WITH A FOCUS ON ESTABLISHING A MEDICAL HOME FOR COMPREHENSIVE HEALTHCARE. SERVICES INCLUDE: PREVENTIVE CARE, WELL-CHILD AND WELL-ADULT EXAMS, EDUCATION AND IMMUNIZATIONS. TREATMENT IS AVAILABLE FOR A WIDE RANGE OF ACUTE AND CHRONIC PHYSICAL, MENTAL AND SOCIAL HEALTH CONDITIONS SUCH AS INFECTIOUS DISEASES, DIABETES, AND HIGH BLOOD PRESSURE. THE MEDICAL CENTER 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, CERTIFIED MEDICAL ASSISTANTS AND OTHER PROFESSIONALS WHO PROVIDE QUALITY, AFFORDABLE HEALTHCARE REGARDLESS OF ABILITY TO PAY. INSURANCE, MEDICAID, MEDICARE, CHIP AND SLIDING FEE PATIENTS ARE ACCEPTED. 515923 378005 HOUSING ASSISTANCE:PROVIDES ASSISTANCE TO LOW-INCOME HIV+ PERSONS 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 THE AGENCY BECOMES AWARE OF COULD CAUSE MORE THAN ONE RE-CERTIFICATION ANNUALLY. SHORT TERM PROGRAM REQUIRES ELIGIBILITY CERTIFICATION FOR EACH EVENT. 665663 55818 CASE MANAGEMENT:CASE MANAGEMENT PROVIDES CLIENTS ADVICE 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-CENTERED SERVICE PLAN TO ADDRESS CRISIS SITUATIONS, MINIMIZE PROBLEMS WITH RECEIVING SERVICES, AND STABILIZE LIFE CIRCUMSTANCES. LINKING CLIENTS TO NEEDED SERVICES AND ADDRESSING BARRIERS TO RECEIVING SERVICES ENCOURAGES CLIENTS TO FOCUS ON THEIR MEDICAL CARE. 1741391 1554190 1805190 PHARMACEUTICAL ASSISTANCE:ASSIST WITH ACCESS AND THE PAYMENT OF PRESCRIPTION MEDICINE. 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. INSURANCE ASSISTANCE:ASSISTS WITH THE PAYMENT OF HEALTH INSURANCE PREMIUMS, DEDUCTIBLES, AND CO-PAYS FOR CLIENTS WHO MEET ELIGIBILITY CRITERIA. COMMUNITY OUTREACH AND ENROLLMENT:A SERVICE DESIGNED TO ASSIST HEALTH CENTER PATIENTS IN ESTABLISHING ELIGIBILITY FOR AND GAINING ACCESS TO FEDERAL, STATE, AND LOCAL PROGRAM THAT PROVIDE OR FINANCIALLY SUPPORT THE PROVISION OF MEDICAL, SOCIAL, HOUSING, EDUCATIONAL, OR OTHER RELATED SERVICES. BEHAVIORAL HEALTH SERVICES:INTEGRATED BEHAVIORAL HEALTH CARE SUPPORTS BOTH MENTAL AND PHYSICAL WELL-BEING FOR OPTIMAL HEALTH AND PRODUCTIVITY. COUNSELORS USE A COLLOBARATIVE, 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 IS AVAILABLE FOR ISSUES SUCH AS DEPRESSION, ANXIETY, RELATIONSHIP PROBLEMS, LIFE-SKILLS DEVELOPMENT, SUBSTANCE ABUSE, BEHAVIORAL DIAGNOSES, POST-TRAUMATICE STRESS, GRIEF AND THE CHALLENGES OF ACUTE OR CHRONIC HEALTH CONDITIONS. TREATMENT SERVICES INCLUDE INDIVIDUAL AND GROUP THERAPY, MARRIAGE AND FAMILY THERAPY, AND CRISIS INTERVENTION SERVICES 1741391 1554190 1805190 14139864 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 84 0 1 172 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X PAMELA BARNES CFO 9403811501 4401 NORTH I-35 SUITE 312 DENTON TX 76207 MICHAEL FOSTER CPA PRESIDENT AS OF 3/16 2.00 X X 0 0 0 TRANG DANG-LE VICE PRESIDENT 2.00 X X 0 0 0 DALE TAMPKE TREASURER 2.00 X X 0 0 0 JAMES HENDERSON SECRETARY 2.00 X X 0 0 0 JUDGE DAVID GARCIA PRESIDENT TERMED 1/15 2.00 X X 0 0 0 M DEAN PERKINS DDS MPH MEMBER 2.00 X 0 0 0 HOWARD SHAW MD MEMBER 2.00 X 0 0 0 MELISSA ANN WINANS MBA-HCM MSN RN MEMBER 2.00 X 0 0 0 APRIL POWELL MEMBER 2.00 X 0 0 0 M HAMED HUSAIN MEMBER 2.00 X 0 0 0 LEE BROWN MEMBER 2.00 X 0 0 0 SARA SCHROEDER MEMBER 2.00 X 0 0 0 DOREEN RUE CEO 40.00 X 259186 0 0 PAMELA BARNES CFO 40.00 X 141446 0 0 DEBRA B LAYMAN COO 40.00 X 192819 0 0 CHRISTOPHER REDDEN CIO 40.00 X 132060 0 0 DR JASON SIEGEL MEDICAL DIRECTOR 40.00 X 265834 0 0 DR SHANNON STARR PHYSICIAN 40.00 X 209773 0 0 DR JYOTSNA KUPPANNAGARI PHYSICIAN 40.00 X 166940 0 0 JOSEPH HALLOCK NP NURSE PRACTIONER 40.00 X 142579 0 0 MARY LOYA NP NURSE PRACTIONER 40.00 X 129035 0 0 KERRY GAMBLE NP NURSE PRACTIONER 40.00 X 125568 0 0 1765240 0 0 11 0 1 0 R AND B BILLING SOLUTIONS PO BOX 1563 PILOT POINT TX 76258 MEDICAL BILLING 457053 EON CONSULTING 400 W OAK STREET STE 201 DENTON TX 76201 IT CONSULTING 375299 ECLINICALWORKS LLC PO BOX 847950 BOSTON MA 02284 ELECTRONIC HEALTH RECORD 207802 L&R PHYSICIAN SERVICES 7873 W DEAVER RD COLUMBUS IN 47201 E-PSYCHIATRY SERVICES 126035 4 4800901 1690613 878000 6491514 PATIENT SVC REVENUE 621400 17027377 17027377 PROV FOR DBTFUL ACCTS 621400 -9646426 -9646426 7380951 4934 4934 20557 -20557 -20557 -20557 GAIN ON DEBT EXTINGUIS 900099 1264200 1264200 MISCELLANEOUS INCOME 624200 22595 22595 1286795 15143637 7403546 0 1248577 2931353 2931353 725511 656288 69223 6239253 5643952 530615 64686 137454 125744 10090 1620 591639 541236 43429 6974 527261 482342 38704 6215 1140374 1140374 213335 213335 1006662 993305 13234 123 66760 33288 33472 144161 32527 111634 66787 57781 9006 MEDICAL SUPPLIES 1135702 1135699 3 MISCELLANEOUS 141564 122475 19089 DUES 34867 30165 4702 15102683 14139864 883201 79618 1785190 1946367 686848 564649 633294 816078 346165 379022 9186 0 20010 490675 3355606 500739 3019585 2854867 11429 11429 6511707 7063087 697262 1285677 10000 1358964 1310680 257521 219629 2313747 2825986 X 4197960 4237101 4197960 4237101 6511707 7063087 40954 -1813 0 X 1 X 1 X 1 1 1 X 4746851 5777507 6075654 5152757 6491514 28244283 4746851 5777507 6075654 5152757 6491514 28244283 28244283 9038 4124 4652 5208 4934 27956 2910 7921 17766 4755 33352 28305591 30989352 0.99780 0.99740 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 257000 257000 2417426 153730 2263696 681180 347009 334171 2854867 MEDICAID WRAP PAYMENT SYSTEM LIABILITY 219629 219629 X PART X, LINE 2: 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. 1 MEDICAL ASSISTANCE 13772 772139 BOOK HOUSING ASSISTANCE 70 378005 BOOK INSURANCE ASSISTANCE 20 55818 BOOK PHARMACEUTICAL ASSISTANCE 484 1554190 BOOK PART I, LINE 2: 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. 0 0 0 0 0 0 0 0 0 DOREEN RUE CEO 259186 0 0 0 0 0 0 0 0 0 259186 0 0 0 DEBRA B LAYMAN COO 192819 0 0 0 0 0 0 0 0 0 192819 0 0 0 DR JASON SIEGEL MEDICAL DIRECTOR 265834 0 0 0 0 0 0 0 0 0 265834 0 0 0 DR SHANNON STARR PHYSICIAN 209773 0 0 0 0 0 0 0 0 0 209773 0 0 0 DR JYOTSNA KUPPANNAGARI PHYSICIAN 166940 0 0 0 0 0 0 0 0 0 166940 0 0 0 X 1 741000 FMV X USE OF BLDGS 2 137000 FMV 0 0 0 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.