2018-10-12T19:44:59-05:00 2017-11-30 910189318 Moss Adams LLP 101 Second Street Suite 900 San Francisco CA 94105 990 2016-12-01 743001674 Lone Star Circle of Care LONE 5126860523 205 East University Avenue No 200 Georgetown TX 78626 Jon Calvin Chief Financial Officer 5126860523 2018-10-12 1 Joua V Lo P01225144 4159561500 2018-10-10 12.129.7.100 2018-10-12 15:22:57 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 5029E8FD9FE66385FA59B177B15FCADA276E8E0F 2016 2018-06-14 16:35:46Z Rhonda Mundhenk 205 East University Avenue No 200 Georgetown TX 78626 71351004 0 X https://lonestarcares.org/ X 2001 TX Lone Star Circle of Care provides exceptional and accessible patient centered healthcare for our Texas neighbors, focusing on the underserved. 13 13 568 14 0 0 16070902 17794696 49549673 53509223 213933 47032 -1912 -180 65832596 71350771 0 0 0 0 38553227 41508386 0 0 1979403 22180614 23905088 60733841 65413474 5098755 5937297 35194463 40330495 11085258 10288570 24109205 30041925 X LONE STAR CIRCLE OF CARE PROVIDES EXCEPTIONAL AND ACCESSIBLE PATIENT CENTERED HEALTHCARE FOR OUR TEXAS NEIGHBORS. 0 0 47146595 42965147 MEDICAL PROGRAMS: LONE STAR CIRCLE OF CARE (LSCC) HAS MULTIPLE MEDICAL SERVICE LINES THAT PROVIDE PRIMARY & ACUTE MEDICAL CARE INCLUDING PREVENTION, DIAGNOSIS, AND TREATMENT OF CHRONIC CONDITIONS. IN THE PAST YEAR, LSCC PROVIDED 103,152 PEDIATRIC PATIENT VISITS, 63,470 FAMILY MEDICINE PATIENT VISITS, 7,836 SENIOR CARE PATIENT VISITS, 46,402 OB/GYN PATIENT VISITS (INCLUDING 1,648 BABY DELIVERIES), 1,691 OPTOMETRY VISITS, AND FILLED 153,964 PRESCRIPTIONS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION ABOUT THE SERVICES PROVIDED. 6815731 8088653 INTEGRATED BEHAVIORAL HEALTH: LSCC'S INTEGRATED BEHAVIORAL HEALTH MODEL ADDRESSES THE COMPLETE PRIMARY MEDICAL AND MENTAL HEALTH NEEDS OF ADULT, ADOLESCENT, SENIOR, AND PEDIATRIC PATIENTS. BY PROVIDING CONTINUOUS ACCESS TO TREATMENT AND MEDICATIONS, LSCC IS HELPING TO REDUCE EMERGENCY ROOM VISITS AND CRISES RELATED TO UNTREATED MENTAL HEALTH ISSUES. SERVICES PROVIDED INCLUDE PSYCHIATRY, PSYCHOTHERAPY, AND COUNSELING FOR SENIORS, ADULTS, ADOLESCENTS, AND CHILDREN. THE BEHAVIORAL HEALTH CLINICS PROVIDED 60,174 PATIENT VISITS LAST YEAR. 2428381 1426691 DENTAL CARE: LSCC PROVIDES GENERAL DENTISTRY SERVICES FOR ADULTS AND CHILDREN IN THE CENTRAL TEXAS COMMUNITY. LSCC'S GCC DENTAL CENTER IN GEORGETOWN AND DENTAL CLINICS IN ROUND ROCK, MARBLE FALLS, AND BASTROP ARE DEDICATED TO PROVIDING AFFORDABLE, ACCESSIBLE CARE TO THE UNINSURED AND UNDER-SERVED. LSCC PROVIDED 10,094 PATIENT VISITS IN THE PAST YEAR. 0 1028732 Other program services include a $616,250 payment received related to Health Information Technology through the Meaningful Use Program and $412,482 related to other income, including medical records and nurse care coordination. 0 1028732 56390707 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 30 0 1 568 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JON CALVIN CFO 5126860523 205 E UNIVERSITY AVE STE 200 Georgetown TX 78626 Jack Hunnicutt Board Member - Chair 1.00 X X 0 0 0 Scott Alarcon Board Member - Vice President 1.00 X X 0 0 0 Cynthia Brien Board Member - Vice President 1.00 X X 0 0 0 Steve Pena Board Member - Treasurer 1.00 X X 0 0 0 Karen Cole Board Member - Secretary 1.00 X X 0 0 0 Amy Medrano Board Member 1.00 X 0 0 0 Doak Fling Board Member 1.00 X 0 0 0 Elizabeth Johnson Board Member 1.00 X 0 0 0 John Gustainis Board Member 1.00 X 0 0 0 Mark Schroeder Board Member 1.00 X 0 0 0 Michelle Robertson Board Member through 9/28/2017 1.00 X 0 0 0 Roland Valle Board Member 1.00 X 0 0 0 Rudolph Metayer Board Member 1.00 X 0 0 0 Sofia Nelson Board Member 1.00 X 0 0 0 Rhonda Mundhenk CEO 55.00 X 378217 0 12801 Jonathan Calvin CFO 55.00 X 275489 0 13215 Kathleen Butler CMO / Chief Quality Officer 40.00 X 354399 0 10738 Melissa Valdez MD - Dir. of Psych & Behav Health 40.00 X 265519 0 11032 Adeyoyin Okunade MD - Family Practice Medical Dir. 40.00 X 220819 0 14161 Andrew Mahaffey VP of OB/GYN Services 40.00 X 420189 0 13642 Kimberlee Coleman-Henderson MD - OB/GYN 40.00 X 305435 0 12174 David Billue DO - OB/GYN 40.00 X 284055 0 13642 Tara Heyliger MD - OB/GYN 40.00 X 293613 0 10237 Richard Shea MD - OB/GYN 40.00 X 286467 0 14171 3084202 0 125813 83 0 1 0 Quest Diagnostics PO Box 841725 Dallas TX 752841725 Lab Services 679900 Itentive Healthcare Solutions 1 Pierce Place ITASCA IL 60143 HOSTING & MAINTENANCE SERVICES 489340 American International Translators PO Box 90848 Austin TX 78709 Translation Services 335942 Northstar Elite Construction & Consultin 36250 FM 3156 New Braunfels TX 98132 CONSTRUCTION 296189 Screamer Company 107 Leland Street Austin TX 78704 Advertising 238700 13 8419550 9375146 3327106 17794696 Patient Service Rev 624100 52480491 52480491 EHR Revenue 621400 616250 616250 other revenue 621400 412482 412482 53509223 47265 47265 233 -233 -233 -233 Loss - Equity Investee 900099 -180 -180 -180 71350771 53509223 0 46852 1629066 345234 1033012 250820 32655763 28931573 2938262 785928 454506 402004 46139 6363 4106040 3545276 484027 76737 2663011 2276768 331990 54253 172792 172792 84988 84988 3219099 2716600 280782 221717 338405 264176 46601 27628 1606387 1247538 229170 129679 1118020 868378 227328 22314 5434468 4738316 579534 116618 161596 126150 22253 13193 80613 62931 11101 6581 246517 84556 88671 73290 1742749 1398681 247915 96153 304421 216726 63180 24515 Pharmaceutical Supplies 5902602 5892319 10283 0 Bad Debt Expense 1552229 1552229 Medical Supplies 851089 843324 6938 827 Dues & Subscriptions 318392 248553 43845 25994 770721 629375 94553 46793 65413474 56390707 7043364 1979403 1118108 274087 11490606 13650468 6855271 6296769 2803868 6043871 931055 987090 536878 488261 20752220 10792123 9778775 9960097 133478 0 1546424 2629852 35194463 40330495 3418580 4440323 63483 28330 5956144 4758799 387000 1260051 1061118 11085258 10288570 X 16960427 22794748 7148778 7247177 24109205 30041925 35194463 40330495 X 5937297 -4577 X 0 1 X 1 1 1 X 21587903 19740595 18112617 16070902 17794696 93306713 21587903 19740595 18112617 16070902 17794696 93306713 93306713 225999 132680 1790 35522 47265 443256 93749969 259382154 0.99530 0.99400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 Part II-B, Line 1: The organization pays dues to the National Association of Community Health Centers (NACHC) and the Texas Association of Community Health Centers (TACHC). A portion of these dues may be used for lobbying purposes. 5231222 953630 4277592 5090389 2879401 2210988 10430609 6959092 3471517 9960097 Assets Limited As to Use - Debt Service Fund 2148333 Assets Limited As to Use - Deferred Comp Plan Assets 298419 Other Receivables 183100 2629852 Deferred Rent Liability 1061118 1061118 69976223 177681 -1552229 -1374548 71350771 0 71350771 64038926 177681 177681 63861245 1552229 1552229 65413474 Part XI, Line 2d - Other Adjustments: Bad Debt Expense -1,552,229. Part XII, Line 4b - Other Adjustments: Bad Debt Expense 1,552,229. X X X 0 0 0 0 0 0 0 0 0 Rhonda Mundhenk CEO 377797 0 0 0 420 0 0 0 12801 0 391018 0 0 0 Jonathan Calvin CFO 275153 0 0 0 336 0 0 0 13215 0 288704 0 0 0 Kathleen Butler CMO / Chief Quality Officer 353433 0 0 0 966 0 0 0 10738 0 365137 0 0 0 Melissa Valdez MD - Dir. of Psych & Behav Health 264889 0 0 0 630 0 0 0 11032 0 276551 0 0 0 Adeyoyin Okunade MD - Family Practice Medical Dir. 220189 0 0 0 630 0 0 0 14161 0 234980 0 0 0 Andrew Mahaffey VP of OB/GYN Services 400383 0 0 0 19806 0 0 0 13642 0 433831 0 0 0 Kimberlee Coleman-Henderson MD - OB/GYN 305015 0 0 0 420 0 0 0 12174 0 317609 0 0 0 David Billue DO - OB/GYN 281283 0 0 0 2772 0 0 0 13642 0 297697 0 0 0 Tara Heyliger MD - OB/GYN 293193 0 0 0 420 0 0 0 10237 0 303850 0 0 0 Richard Shea MD - OB/GYN 285501 0 0 0 966 0 0 0 14171 0 300638 0 0 0 X 1 3327106 FMV 0 0 1 0 Part I, Column (b): All non-cash contributions received were in the form of vaccines, which were received from one donor. Form 990, Part III, Line 1: ORGANIZATION'S MISSION: LONE STAR CIRCLE OF CARE PROVIDES EXCEPTIONAL AND ACCESSIBLE PATIENT CENTERED HEALTHCARE FOR OUR TEXAS NEIGHBORS. VISION STATEMENT: WE WILL ELIMINATE HEALTH INEQUALITIES TO FACILITATE WELLNESS AND OPTIMAL LIVING FOR ALL, HELPING STRENGTHEN OUR COMMUNITIES. CORE VALUES: INTEGRITY, INNOVATION, COMPASSION, RESPECT, SERVICE, EXCELLENCE LONE STATE CIRCLE OF CARE (LSCC) IS A 501(C)(3) NONPROFIT, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER (FQHC) NETWORK THAT PROVIDES A PATIENT-CENTERED HEALTH CARE HOME TO UNINSURED AND UNDERINSURED RESIDENTS OF CENTRAL TEXAS. IN 2017, LSCC OPERATED CLINICS THROUGHOUT WILLIAMSON, TRAVIS, BELL, BASTROP, AND BURNETT COUNTIES. SERVICES INCLUDE: PRIMARY MEDICAL CARE THAT IS FOCUSED BY AGE GROUP (PEDIATRICS, ADOLESCENTS, ADULTS, AND SENIORS); COMPREHENSIVE OBY/GYN SERVICES; GENERAL DENTISTRY; OPTOMETRY; PHARMACY SERVICES; AND ENABLING SERVICES SUCH AS INTERPRETERS AND INSURANCE ELIGIBILITY SCREENERS. A ROBUST AND FULLY INTEGRATED BEHAVIORAL HEALTH PROGRAM, WITH APPROXIMATELY 33 CLINICIANS ON STAFF, PROVIDES NECESSARY PSYCHIATRIC AND PSYCHOTHERAPY SERVICES TO PATIENTS WHO WOULD OTHERWISE NOT HAVE ACCESS TO CARE. LSCC ACCEPTS MEDICAID, CHILDREN'S HEALTH INSURANCE PROGRAM, MEDICARE AND OTHER PUBLICLY INSURED PATIENTS, AND UNINSURED PATIENTS PAY A SLIDING SCALE FEE BASED ON THEIR INCOME AND HOUSEHOLD SIZE. LSCC IS ACCREDITED BY THE JOINT COMISSION AND HAS ACHIEVED A LEVEL 3 PATIENT CENTERED MEDICAL HOME RECOGNITION FROM THE NCQA. SINCE RECEIVING FQHC STATUS IN 2004, LSCC HAS FORGED NUMEROUS STRATEGIC PARTNERSHIPS, LEVERAGING FQHC BENEFITS WITH INVESTMENTS FROM OTHER STAKEHOLDERS, INCLUDING FOUNDATIONS, GOVERNMENT, AND HOSPITAL SYSTEMS. WITH THE SUPPORT OF THESE MANY PARTNERS, CAPACITY HAS GROWN FROM 10,000 VISITS IN 2002 TO 292,819 VISITS IN 2017. LSCC WILL CONTINUE IDENTIFYING OPPORTUNITIES TO COLLABORATE AND LEVERAGE ITS RESOURCES TO PROVIDE SUSTAINABLE, QUALITY PRIMARY HEALTH CARE FOR THE REGION. Form 990, Part III, Line 4a MEDICAL PROGRAMS: LONE STAR CIRCLE OF CARE (LSCC) HAS MULTIPLE MEDICAL SERVICE LINES THAT PROVIDE PRIMARY AND ACUTE MEDICAL CARE INCLUDING PREVENTION, DIAGNOSIS AND TREATMENT OF CHRONIC CONDITIONS. IN THE PAST YEAR, LSCC PROVIDED 292,819 PATIENT VISITS ACROSS ALL SERVICE LINES. LSCC SERVICE LINES INCLUDE: 1) PEDIATRIC: PRIMARY AND ACUTE MEDICAL CARE FOR CHILDREN AND ADOLESCENTS. IN THE PAST YEAR, LSCC PROVIDED 103,152 VISITS. 2) FAMILY MEDICINE AND SENIOR CARE: LSCC PROVIDES A PRIMARY CARE HOME FOR A LARGE, UNINSURED ADULT POPULATION. PATIENTS HAVE ACCESS TO ROUTINE AND ACUTE CARE AS WELL AS CHRONIC DISEASE PREVENTION, TREATMENT AND MANAGEMENT. IN THE PAST YEAR, LSCC PROVIDED 71,306 PATIENT VISITS. 3) WOMEN'S HEALTH: OBSTETRICS AND GYNECOLOGY, INCLUDING THOROUGH PRENATAL CARE, LABOR AND DELIVERY, AND POSTPARTUM CARE. OB/GYN PROVIDERS PROVIDED 46,402 PATIENT VISITS, INCLUDING DELIVERING 1,648 BABIES THIS YEAR. 4) INTEGRATED BEHAVIORAL HEALTH: PSYCHIATRY, PSYCHOTHERAPY, AND COUNSELING FOR ADULTS, SENIORS, ADOLESCENTS, AND CHILDREN. IN THE PAST YEAR, LSCC PROVIDED 60,174 BEHAVIORAL HEALTH VISITS. 5) SENIOR: MEDICAL SERVICES TAILORED FOR OLDER ADULTS. LSCC PROVIDED 7,836 SENIOR VISITS OVER THE PAST YEAR. 6) DENTAL: LSCC'S DENTAL CLINIC PROVIDED 10,094 VISITS IN THE YEAR. 7) VISION: LSCC'S VISION CLINIC PROVIDED 1,691 VISITS IN THE YEAR. 8) HEALTH EDUCATION CLASSES: LSCC TEAMED UP WITH VARIOUS LOCAL PARTNERS TO PROVIDE FREE HEALTH EDUCATION CLASSES TO OUR PATIENTS AND THE LOCAL COMMUNITY. THESE CLASSES ARE A VALUABLE RESOURCE TO INDIVIDUALS AND FAMILIES WHO ARE: (I) LEARNING TO MANAGE DIABETES OR ASTHMA; (II) EXPECTING THEIR FIRST CHILD; (III) LEARNING ABOUT BEING ACTIVE AND EATING HEALTHY; AND (IV) TEACHING THEIR CHILDREN TO BE HEALTHY. Form 990, Part VI, Section B, line 11b THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. UPON RECEIPT OF THE FORM 990 FROM THE INDEPENDENT ACCOUNTANT, AND PRIOR TO SUBMISSION TO THE IRS, THE CFO REVIEWS THE RETURN FOR REASONABLENESS COMPARED TO THE FINAL AUDITED FINANCIAL STATEMENTS. THE FORM IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND FEEDBACK BEFORE IT IS FILED. Form 990, Part VI, Section B, line 12c ALL MEMBERS OF THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE SHALL COMPLETE AND SIGN A CONFLICT OF INTEREST CERTIFICATE ANNUALLY, AT THE START OF THE MEMBER'S TERM OR AT THE START OF THE CORPORATION'S FISCAL YEAR, WHICHEVER COMES FIRST. SHOULD A CONFLICT ARISE, THE BOARD MEMBER WILL ABSTAIN FROM PARTICIPATING IN VOTING RELATED TO THE TRANSACTION. Form 990, Part VI, Section B, line 15 THE CEO COMPENSATION REVIEW WAS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD USING THIRD PARTY COMPENSATION RESOURCES FOR COMPARISON AND REASONABLENESS. THIS PROCESS WAS LAST COMPLETED IN AUGUST 2015, WITH AN EFFECTIVE DATE OF SEPTEMBER 2015. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WAS REVIEWED AND APPROVED BY THE CEO, WHO TAKES INTO ACCOUNT INDUSTRY COMPENSATION DATA, ALONG WITH THE SIZE AND COMPLEXITY OF THE COMPARABLE ORGANIZATIONS. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE MADE AVAILABLE UPON REQUEST. IN ADDITION, THE FORM 990 IS PUBLIC INFORMATION. Form 990, Part XI, line 9: Transfer of Net Assets from Dissolved Corporation -4,577. Centex Systems Support Services 4500 Williams Dr Suite 212-220 Georgetown TX 78633 261594450 IT TX 501(c)(3) Line 12a, I Lone Star Circle of Care 1 LSCC ENTERPRISES INC 205 E University Ave Suite 300 Georgetown TX 78626 461912682 Holding Co. TX Lone Star Circle of Care C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Centex Systems Support Services S 58367 Book Value Schedule R, Part II and Schedule R, Part IV: Both Centex Systems Support Services and LSCC Enterprises, Inc. wound down and dissolved during the organization's tax year.