2016-08-12T10:48:13-05:00 2015-09-30 752570395 DURBIN & COMPANY LLP 2950 50TH STREET LUBBOCK TX 79413 990 2014-10-01 371591815 SERVICE ORGANIZATION OF SAN ANTONIO SERV 8067911591 2950 50TH STREET LUBBOCK TX 79413 J BRANDON DURBIN ADMINISTRATOR 8067911591 2016-08-12 GAYLE L DE HAAS P01774581 8067911591 2014 2016-12-15 16:53:06Z JOSEPH RAFFERTY 414 NAVARRO ST SUITE 600 SAN ANTONIO TX 78205 12230142 0 X N/A X 2009 TX TO ASSIST IN THE FINANCING OF HEALTH CARE TO THE PUBLIC, PRIMARILY IN UNDERSERVED RURAL AREAS BY CONTRACTING WITH DIFFERENT MEDICAL PROVIDERS TO PROVIDE THEIR SERVICES TO THESE UNDERSERVED COMMUNITIES. 6 6 0 0 0 0 10779200 12230064 0 0 424 78 0 0 10779624 12230142 0 0 0 0 0 0 0 0 0 12253702 12222807 12253702 12222807 -1474078 7335 62527 74862 0 5000 62527 69862 TO ASSIST IN THE FINANCING OF HEALTHCARE TO THE PUBLIC, PRIMARILY IN THE UNDERSERVED RURAL AREAS BY CONTRACTING WITH DIFFERENT MEDICAL PROVIDERS TO PROVIDE THEIR SERVICES TO THESE UNDERSERVED COMMUNITIES. 0 0 12222807 12230064 INDICGENT CARE USPPORT SERVICES FOR THE SAN ANTONIO, TEXAS AREA. 12222807 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 1 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X MICHELLE HOLLERS 8067911591 2950 50TH STREET LUBBOCK TX 79413 X JOSEPH RAFFERTY PRESIDENT/CHAIR 1.00 X 0 0 0 JANICE SIMONS SECRETARY/TREASURER 1.00 X 0 0 0 MARICELA BENAVIDES DIRECTOR 1.00 X 0 0 0 JIM BUCKNER DIRECTOR 1.00 X 0 0 0 THOMAS NORDWICK DIRECTOR 1.00 X 0 0 0 DAVID LEE DIRECTOR 1.00 X 0 0 0 JOHN STIEBY PRESIDENT/CHAIR (FORMER) 1.00 X 0 0 0 MICHAEL THOMPSON VICE PRESIDENT (FORMER) 1.00 X 0 0 0 0 0 0 0 0 0 0 DISCOVERY MEDICAL NETWORK 2950 50TH STREET LUBBOCK TX 79413 STAFFING 4119637 CONCORD MEDICAL GROUP 3004 50TH STREET STE D LUBBOCK TX 79413 MEDICAL SERVICES 1287018 CLINICAL PARTNERS 7032 COLLECTION CENTER DR CHICAGO IL 60693 MEDICAL SERVICES 1144025 SOUTHWEST MEDICAL ASSOCIATION PO BOX 2168 ROCKPORT TX 78381 MEDICAL SERVICES 907734 SOUTH TEXAS HOSPITALISTS ASSOCIATION 802 BARTON BLVD AUSTIN TX 78704 MEDICAL SERVICES 547500 13 12230064 12230064 78 78 12230142 0 0 78 X 12218647 12218647 180 180 3980 3980 12222807 12222807 0 0 62527 74862 62527 74862 5000 0 5000 X 62527 69862 62527 69862 62527 74862 7335 0 X 0 0 0 X X 5 KARNES COUNTY HOSPITAL DISTRICT 741718215 3 0 1179573 0 DIMMITT REGIONAL HOSPITAL DISTRICT 271613078 3 0 1538251 0 FRIO HOSPITAL DISTRICT 742548154 3 0 1585365 0 MEDINA COUNTY HOSPITAL DISTRICT 270492434 3 0 2668920 0 UVALDE COUNTY HOSPITAL AUTHORITY 741603120 3 0 4699561 0 5 11671670 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART I, LINE 1 THE BYLAWS DESIGNATE SUPPORTED ORGANIZATIONS AS PUBLIC HOSPITALS, HOSPITAL DISTRICTS OR OTHER GOVERNMENTAL POLITICAL SUBDIVISIONS OF THE STATE OF TEXAS DESCRIBEED IN IRC SECTION 170(C). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED FORM 990, PART VI, SECTION A, LINE 6 SOSA HAS ONE CLASS OF MEMBERS. MEMBERS CONSIST OF PUBLIC HOSPITALS, PUBLIC ENTITIES OR PRIVATE HOSPITALS. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER IS ALLOWED TO APPOINT AT LEAST ONE DIRECTOR TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS RECEIVE THE FORM 990 FOR REVIEW. AFTER IT HAS BEEN APPROVED, THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER TO ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B) HAS READ AND UNDERSTANDS THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY AND D) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND, IN ORDER FOR IT TO MAINTAIN ITS FEDERAL TAX EXEMPTION STATUS, MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION, THE ORGANIZATION CONDUCTS PERIODIC REVIEWS. FORM 990, PART VI, SECTION C, LINE 19 EXCEPT AS PROVIDED FOR IN THE ORGANIZATION'S FORM 1023 AND FORM 990S, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY NOR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 159,185. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,185. PHYSICIAN SUPPORT : PROGRAM SERVICE EXPENSES 9,807,412. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,807,412. DIAGNOSTIC SERVICES: PROGRAM SERVICE EXPENSES 209,120. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 209,120. PHYSICAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 356,109. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 356,109. ANESTHESIA SERVICES: PROGRAM SERVICE EXPENSES 1,127,844. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,127,844. CONSULTING FEES: PROGRAM SERVICE EXPENSES 546,977. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 546,977. EMS SERVICES: PROGRAM SERVICE EXPENSES 12,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,000.