2020-10-09T15:09:43-05:00 2019-11-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2018-12-01 300198705 Spring Branch Community Health Center % MARLEN J TRUJILLO SPRI 7134626565 800 W Sam Houston Pkwy S Suite 200 Houston TX 77042 MARLEN J TRUJILLO CEO 7134626565 2020-10-15 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 75465920202835000028 2020-10-09 P 1C60FAF0AC2A8BD4E3CA6ED12D96AC64AEE5A6B9 EB976710118F518B8933A72D91D1D85239D99EDA 2018 2021-01-29 14:40:06Z MARLEN J TRUJILLO 800 W SAM HOUSTON PKWY S 200 HOUSTON TX 77042 13555533 false X WWW.SBCHC.NET X 2003 TX SBCHC REDUCES AREA HEALTH DISPARITIES BY CREATING A NEIGHBORHOOD-BASED HEALTH CENTER TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES THAT ARE... (SEE SCHEDULE O) 12 12 168 109 0 0 4157419 6189917 7283838 7199193 -62080 32299 78575 108660 11457752 13530069 0 240 0 0 7133521 7953800 0 0 80530 4073822 4129426 11207343 12083466 250409 1446603 10089798 10975451 2261301 1700351 7828497 9275100 THE MISSION IS TO INCREASE THE NUMBER OF HEALTHY FAMILIES IN OUR COMMUNITY BY PROVIDING HIGH QUALITY COMPREHENSIVE HEALTHCARE SERVICES. false false 9749895 240 7299025 Spring Branch Community Health Center (SBCHC) is a Federally Qualified Health Center (FQHC) operating six locations in Houston and Harris County. Three clinics are located in the Spring Branch area of Houston, and three clinics are in West Houston. During the 2019 fiscal year, SBCHC provided 63,047 visits to 20,089 individual patients. SBCHC provides primary medical care to patients of all ages and ethnic groups, with a focus on pediatric, womens health, and adult medicine. Mental health and oral health services complement the delivery of medical care, positively affecting the complete wellness of the patient. SBCHC also utilizes a mobile clinic to conduct outreach, health screenings, and health promotion in the community. 9749895 true true false false false false false false false false true false false false true false true false false false false false false false true false false false false true false false false false false false false false true false false false false false false false false true 23 0 168 true false false false false false true true false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true true false X MARLEN J TRUJILLO 7134626565 800 W SAM HOUSTON PKWY S SUITE 200 HOUSTON TX 77042 X JOHN KEMPER CHAIRMAN 2.0 0.0 X X 0 0 0 LOUIS FAILLACE MD VICE-CHAIR 1.0 0.0 X X 0 0 0 JORGE SERA TREASURER 1.0 0.0 X X 0 0 0 IGNACIO PUJOL SECRETARY 1.0 0.0 X X 0 0 0 MARIE-LOUISE ZELMAT DIRECTOR 1.0 0.0 X 0 0 0 CARLOS A MORENO MD DIRECTOR 1.0 0.0 X 0 0 0 TERESA JACKSON DIRECTOR 1.0 0.0 X 0 0 0 LYDIA JUNEK DIRECTOR 1.0 0.0 X 0 0 0 LESTER WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 AMY WRIGHT EDD DIRECTOR 1.0 0.0 X 0 0 0 JOSE CARLOS INTERIANO MD DIRECTOR 1.0 0.0 X 0 0 0 BILL GAUL DIRECTOR 1.0 0.0 X 0 0 0 FARAH BUCK APRN FNP-BC DIRECTOR End: 02/19 1.0 0.0 X 0 0 0 DOMINGA HERRERA-FERNANDEZ DIRECTOR End: 02/19 1.0 0.0 X 0 0 0 MARLEN J TRUJILLO CEO 40.0 0.0 X 191924 0 25702 MICHAEL BSAIBES COO 40.0 0.0 X 123997 0 13823 DAVID KRUSLESKI MD CMO EFFECTIVE 5/2018 40.0 0.0 X 203458 0 23721 LORI MCCAIN CFO 40.0 0.0 X 110775 0 20533 GERARD PEPERONE CDO 40.0 0.0 X 79607 0 7656 MICHAEL SMITH CPO 40.0 0.0 X 0 0 0 EMAN ALHARBI MD PHYSICIAN 40.0 0.0 X 152313 0 15301 LUCHIA LANGLEY APRN FNP-C NURSE PRACTITIONER 40.0 0.0 X 107319 0 10291 MARITA OBENZA MD PHYSICIAN 40.0 0.0 X 162689 0 22421 SASHA ROBEYE MD PHYSICIAN 40.0 0.0 X 153940 0 16704 MEGHAN THOMEER DO PHYSICIAN 40.0 0.0 X 173550 0 24208 DAVID HOBSON MD CMO THRU 3/2018 28.5 0.0 X 155123 0 1398 1614695 0 181758 13 true true false UNITED CONSTRUCTORS OF TEXAS INC 6989 W LITTLE YORK STE F HOUSTON TX 77040 CONSTRUCTION 319510 UT HEALTH SCIENCE CENTER DEPT OF OB 6431 FANNIN STREET HOUSTON TX 77030 CONTRACT PROVIDERS 291405 NEO RHINO LLC 710 N POST OAK RD STE 555 HOUSTON TX 77024 REMOTE IT MANAGEMENT 167896 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LABORATORY TESTING 153371 ULTRASOUND SERVICES LLC 440 COBIA DRIVE STE 704 KATY TX 77494 ULTRASOUND SERVICES 131215 5 44200 3372328 2773389 505658 6189917 Net Patient Service Revenue 621110 7049704 7049704 Pharmacy Revenue 446110 149489 149489 7199193 32299 32299 0 0 0 0 0 0 34292 44200 25464 8828 8828 0 0 0 0 0 0 Miscellaneous Revenue 900099 94778 94778 Medical Records Revenue 561000 5054 5054 99832 13530069 7299025 41127 240 240 0 0 0 866139 210337 580972 74830 132113 132113 5693886 5043383 650503 71633 59594 12039 689117 631004 58113 500912 378381 117526 5005 0 0 54544 54544 0 0 0 1091374 873714 217660 22581 638 21943 427200 190568 235937 695 187756 16985 170771 0 638556 564451 74105 16885 9394 7491 0 9611 3136 6475 50338 43085 7253 0 450240 445853 4387 44446 25181 19265 Medical Supplies & Equipment 1011035 1011035 Bad Debt Expense 69339 69339 Staff Training 34029 23964 10065 Recruiting & Retention 21456 17500 3956 36 36 12083466 9749895 2253041 80530 363401 470984 777987 1648580 402823 1052368 551298 721206 0 0 0 0 0 0 117508 117443 38094 108095 8382605 1609438 7015712 6773167 0 0 0 0 0 0 0 0 822975 83608 10089798 10975451 891817 727357 0 0 0 0 0 0 0 0 0 0 1160175 841043 0 0 209309 131951 2261301 1700351 X 7291113 7002647 537384 2272453 0 0 7828497 9275100 10089798 10975451 1446603 X false true X true true true X 2854308 4303314 9926376 4157419 6189917 27431334 0 0 2854308 4303314 9926376 4157419 6189917 27431334 0 27431334 1791 1531 1119 2163 32299 38903 0 44616 42507 31222 24481 34292 177118 27647355 28010766 0.99219 0.99360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 836554 836554 5899982 764796 5135186 605413 321446 283967 933414 523196 410218 107242 107242 6773167 0 Deferred Rent 32241 Tenant Improvement Allowance 99710 131951 11668671 422356 422356 11246315 2283754 2283754 13530069 12039591 25464 25464 12014127 69339 69339 12083466 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: NET ASSETS RELEASED FROM RESTRICTION $491,695 BAD DEBT EXPENSE $ (69,339) ------------- TOTAL $422,356 SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: CONTRIBUTIONS IN TRNA $2,226,764 FUNDRAISING EXPENSES $ (25,464) GRANTS FOR ACQUISITION OF P&e $ 82,454 ------------ TOTAL $2,283,754 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: FUNDRAISING EXPENSES $25,464 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $69,339 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. FALL HARVEST LU 78492 44200 34292 550 7171 8925 8818 0 78492 44200 34292 550 7171 8925 8818 25464 8828 X X X X false false false false false false false false false MARLEN J TRUJILLO CEO 191424 0 500 0 0 0 9837 0 15865 0 217626 0 DAVID HOBSON MD CMO THRU 3/2018 154998 0 125 0 0 0 0 0 1398 0 156521 0 DAVID KRUSLESKI MD CMO EFFECTIVE 5/2018 203333 0 125 0 0 0 1300 0 22421 0 227179 0 EMAN ALHARBI MD PHYSICIAN 152213 0 100 0 0 0 0 0 15301 0 167614 0 MARITA OBENZA MD PHYSICIAN 162564 0 125 0 0 0 0 0 22421 0 185110 0 SASHA ROBEYE MD PHYSICIAN 153865 0 75 0 0 0 0 0 16704 0 170644 0 MEGHAN THOMEER DO PHYSICIAN 173300 0 250 0 0 0 8907 0 15301 0 197758 0 X 97 504963 FMV X 200 BAGS OF CHOCOLATE 1 320 RETAIL VALUE X 5 BOTTLES OF CHAMPAGNE 1 175 RETAIL VALUE X 2 GIFT BASKETS 1 200 RETAIL VALUE false false false SCHEDULE M, PART I, COLUMN B Number of Contributions or items contributed: column B represents the number of contributions received. SCHEDULE M, PART I, LINE 20, COLUMN (C) VACCINES FROM THE STATE OF TEXAS "VACCINE FOR CHILDREN" (VFC) PROGRAM PROVIDES SBCHC. SBCHC MUST FOLLOW ELIGIBILITY GUIDELINES FROM THE STATE AND ADMINISTER THESE VACCINES TO ELIGIBLE PATIENTS. VACCINES ARE SHIPPED TO SBCHC DIRECTLY FROM PHARMACEUTICAL COMPANIES SUCH AS MERCK AND OTHER COMPANIES. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED BY THE ORGANIZATION TO REVIEW FORM 990: BOTH THE CEO AND CFO REVIEW ALL THE INFORMATION ON THE FEDERAL FORM 990. THE FINAL FORM 990 IS DISTRIBUTED TO THE FULL BOARD FOR REVIEW AND APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY: EVERY BOARD MEMBER AND EVERY EMPLOYEE COMPLETES A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. BOARD MEMBERS THAT HAVE A POTENTIAL CONFLICT OF INTEREST EXCUSE THEMSELVES FROM PARTICIPATING IN DISCUSSIONS PERTAINING TO THE CONFLICT AND ARE PROHIBITED FROM VOTING ON ANY ACTION ITEMS PERTAINING TO THE CONFLICT. MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AND OTHER EMPLOYEES HAVING A POTENTIAL CONFLICT OF INTEREST ARE PROHIBITED FROM THE SELECTION, MANAGEMENT AND/OR SUPERVISION OF THE PARTY IN QUESTION. FORM 990, PART VI, SECTION B, LINE 15A & 15b PROCESS FOR DETERMINING COMPENSATION OF CEO AND OTHER OFFICERS: CEO COMPENSATION IS REVIEWED AND DETERMINED BY A SPECIAL COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT IS CHAIRED BY THE PRESIDENT OF THE BOARD. THE COMMITTEE USES ANNUAL SALARY SURVEYS FROM THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS AS WELL AS COMPENSATION INFORMATION FROM THE FORM 990 OF OTHER HOUSTON AREA FQHCS. THE CEO COMPENSATION IS DOCUMENTED IN THE MINUTES OF THE COMMITTEE, APPROVED BY THE BOARD, AND IS INCLUDED IN THE CEO'S WRITTEN EMPLOYMENT AGREEMENT. THE CEO AND CFO REVIEW ANNUAL SALARY SURVEYS FROM THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS AS WELL AS COMPENSATION INFORMATION FROM THE FORM 990 OF OTHER HOUSTON-AREA FQHCS FOR COMPARISON PURPOSES TO DETERMINE THE COMPENSATION OF ALL OTHER OFFICERS. ALL OFFICERS HAVE A WRITTEN EMPLOYMENT AGREEMENT THAT INCLUDES COMPENSATION INFORMATION. ALL EMPLOYMENT AGREEMENTS ARE FILED IN EACH PERSON'S INDIVIDUAL PERSONNEL FILE IN THE HUMAN RESOURCES DEPARTMENT. THE BOARD OF DIRECTORS APPROVES COMPENSATION FOR ALL OFFICERS AND EMPLOYEES AS PART OF THE PROCESS OF APPROVING THE ORGANIZATION'S ANNUAL OPERATING BUDGET. FORM 990, PART VI, SECTION C, LINE 19 PROCESS OF HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART I, LINE 1 ORGANIZATION'S SIGNIFICANT ACTIVITIES: (CONTINUED FROM PAGE 1)... culturally competent, linguistically appropriate and client-driven in locations easily accessible by public transportation. SBCHC aims to decrease health disparities and increase the number of healthy individuals and healthy families in the communities it serves. SBCHC is an important component of the primary care safety-net in Houston and Harris County where approximately 1 million people are uninsured and/or medically underserved. Though the primary care safety-net has grown significantly over the last 13 years, it still has far to go in serving the healthcare needs of a large, and growing, underserved population. SBCHCs vision is to be a champion in community wellness by providing integrated primary care services to all who seek it. SBCHCs commitment to quality of care remains one of its top priorities, providing comprehensive services across all of its specialties. SBCHC aims to shift the dynamic of care towards being patient centered, and becoming a preferred medical home for the community. SBCHC was formed in July 2003 and began seeing uninsured and underinsured patients in May 2004, specifically, the medically underserved population in the Spring Branch area of Houston. SBCHC was designated as a Federally Qualified Health Center in 2005. In December 2012, SBCHC became one of only 10% of the FQHCs in the United States with Joint Commission Accreditation and Primary Care Medical Home Certification. SBCHC earned the Joint Commissions Gold Seal of Approval by demonstrating compliance with the Joint Commissions national standards for health care quality and safety. SBCHC also received certification as a Primary Care Medical Home (PCMH). A PCMH must be patient-centered, provide comprehensive and coordinated care, and utilize a systems-based approach to quality and safety. To increase access to health care to those most in need, SBCHC expanded to West Houston in 2013, to Katy in 2016, and to Cypress in 2017. SBCHC also added an additional location in Spring Branch in 2017, inside the Mabee WholeLife Service Center, a multi-purpose facility that is a collaborative of several area non-profit organizations. SBCHC has grown from one to six clinic locations, and has a mobile clinic to further its reach and increase access in underserved areas. SBCHC is the only FQHC in the Spring Branch and West Houston service area providing comprehensive medical, dental, and mental health services at a discount to the underinsured and uninsured populations. Assistance for patients with additional social services such as application assistance for Medicaid, CHIP, Healthcare Marketplace, SNAP and WIC, is available at all clinic locations. Referral specialists/patient care coordinators assist patients with referrals to specialty services, and coordination of medical care. The majority of SBCHC staff are bilingual in order to create a welcoming and accommodating clinic environment. SBCHC sets itself apart from other organizations in its approach to support the whole wellbeing of its patients that extends beyond their medical needs. The patients that SBCHC treats have financial, educational, housing, mental health, and other needs. Through SBCHCs relationships with other organizations, it has been able to build strong collaborations and partnerships to provide support to each individual to address all the social determinants of health. Not only is SBCHC a Primary Care Medical Home, it is also a Community Centered Health Home, committed to ensuring that all community residents are healthy, and that it contributes to a healthier community.