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HIDALGO COUNTY CLINICAL SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HIDALGO COUNTY CLINICAL SERVICES INC (EIN 42-1719654)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-04-11
IRS object ID
201411019349300801
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-04-11T10:07:22-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN721396621EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14210 SPICEWOOD SPRINGS RD STE 108AddressLine1
CityAUSTINCity
StateTXState
ZIP Code787598653ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN421719654EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HIDALGO COUNTY CLINICAL SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHIDANameControl
Phone5128993995Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12801 VIA FORTUNAAddressLine1
CityAUSTINCity
StateTXState
ZIP Code787467573ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJIM DARLINGName
TitleGENERAL COUNSELTitle
Phone5123229413Phone
Date Signed2014-03-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameK DALE COOPERName
PTINP00142251PTIN
Phone5123461880Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOE RILEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1135 PASEO DEL PRADO STE 14AddressLine1
CityENDINBURGCity
StateTXState
ZIP Code78539ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3685721GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2006YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionPROVIDE CHARITY HEALTH CARE SERVICES TO THE INDIGENT IN HIDALGO COUNTY TEXAS. THE CORP DOES NOT BILL OR COLLECT ANY FEES FOR CARE PROVIDED TO THE INDIGENT. ALL REVENUE COMES FROM THE MEMBERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6956720ProgramServiceRevenuePriorYear
Program Service Revenue CY3685721ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6956720TotalRevenuePriorYear
Total Revenue Current Year3685721TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5466593OtherExpensePriorYear
Other Expenses Current Year4731166OtherExpensesCurrentYear
Total Expenses Prior Year5466593TotalExpensesPriorYear
Total Expenses Current Year4731166TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1490127RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1045445RevenuesLessExpensesCY
Total Assets BOY2116233TotalAssetsBOY
Total Assets EOY1070788TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2116233NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1070788NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE CHARITY HEALTH CARE SERVICES TO THE INDIGENT IN HIDALGO COUNTY TEXAS. THE CORP DOES NOT BILL OR COLLECT ANY FEES FOR CARE PROVIDED TO THE INDIGENT. ALL REVENUE COMES FROM THE MEMBERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4726774Expense
Revenue3685721Revenue
DescriptionPROVIDE CHARITY HEALTH CARE SERVICES TO THE INDIGENT IN HIDALGO COUNTY TEXAS. THE CORP DOES NOT BILL OR COLLECT ANY FEES FOR CARE PROVIDED TO THE INDIGENT. ALL REVENUE COMES FROM THE MEMBERS.Description
Total Program Service Expense4726774TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096257NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JIM DARLING GENERAL COUNSELBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5123229413TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1135 PASEO DEL PRADO STE 14AddressLine1
CityEDINBURGCity
StateTXState
ZIP Code785399626ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LAWRENCE R GELMAN MD
TREASURER1.00XX000
SANDRA ESQUIVEL MD
DIRECTOR1.00X000
STEVEN J HAVENER MD
DIRECTOR1.00X000
CHEVY C LEE MD
DIRECTOR1.00X000
DANIEL P MCLEAN MD
DIRECTOR1.00X000
JOE RILEY
PRESIDENT1.00X000
JAMES A SUMMERSETT III
FIRST VICE-PRESIDENT1.00X000
MAURA WALSH
SECOND VICE-PRESIDENT1.00X000
JAVIER IRUEGAS
THIRD VICE-PRESIDENT1.00X000
LORENZO OLIVAREZ JR
SECRETARY1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEDIMPACT HEALTHCARE SYSTEM INC
DEPARTMENT 9288LOS ANGELESCA90084MEDICAL SERVICES963939
NUESTRA CLINICA DEL VALLE INC
PO BOX 1689PHARRTX78577MEDICAL SERVICES333159
SOUTH TEXAS BACK INSTITUTE
721 LINDBERG AVEMCALLENTX78501MEDICAL SERVICES135004
TEXAS ONCOLOGY PA
PO BOX 911230DALLASTX75391MEDICAL SERVICES130785
VHS HARLIGEN HOSPITAL COMPANY
2101 PEASE STREETHARLIGENTX78550MEDICAL SERVICES106704
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionREVENUE FOR INDIGENT CDescription
Business Code624100BusinessCode
Total Revenue Column3685721TotalRevenueColumn
Related Or Exempt Function Income3685721RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3685721TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3685721TotalRevenueColumn
Related Or Exempt Function Income3685721RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROFESSIONAL HEALTH CAR47267744726774
SUPPLIES23962396
OTHER EXPENSE11251125
BANK FEES & SERVICE CHA871871

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4731166Total
Program Services4726774ProgramServices
Management And General4392ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2116233BOY
EOY1070788EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2116233BOY
EOY1070788EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2116233BOY
EOY1070788EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2116233BOY
EOY1070788EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2116233BOY
EOY1070788EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1045445ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8982446CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5910904CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7851777CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6956720CurrentTaxYearMinus1Year
Current Tax Year3685721CurrentTaxYear
Total33387568Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8982446CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5910904CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7851777CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6956720CurrentTaxYearMinus1Year
Current Tax Year3685721CurrentTaxYear
Total33387568Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50933387568PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years6278CurrentTaxYearMinus2Years
Total6278Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years6278CurrentTaxYearMinus2Years
Total6278Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8982446CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5910904CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7858055CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6956720CurrentTaxYearMinus1Year
Current Tax Year3685721CurrentTaxYear
Total33393846Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99980PublicSupportPercentage509
Prior Year Support Percentage0.99980PriorYearSupportPercentage
Investment Income Percentage0.00020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00020PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2THE CORPORATION'S DIRECTORS ARE OR HAVE BEEN EITHER EMPLOYED OF HAVE MEDICAL STAFF PRIVILEGES AT THE CORPORATION'S MEMBERS OR AT AN ORGANIZATION AFFILIATED WITH A MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION IS ORGANIZED AS A MEMBER CORPORATION UNDER TEXAS LAW AND HAS FIVE MEMBER HOSPITALS. THESE MEMBERS APPOINT THE DIRECTORS OF THE CORPORATION AND THE OFFICERS. EACH DIRECTOR AND SUCCESSOR DIRECTOR SHALL AT ALL TIMES BE A PHYSICIAN DULY LICENSED TO PRACTICE MEDICINE BY THE TEXAS MEDICAL BOARD AND ACTIVELY ENGAGED IN THE PRACTICE OF MEDICINE AND SHALL HAVE OR SATISFY SUCH OTHER QUALIFICATIONS AS MAY BE SET FORTH IN THE BYLAWS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ANO PERSON SHALL BECOME A MEMBER OF THE CORPORATION WITHOUT THE UNANIMOUS VOTE OF THE THEN CURRENT MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BTHE DECISIONS OF THE MEMBERS WITH RESPECT TO THE RETENTION OR TERMINATION OF A PHYSICIAN TO PROVIDE MEDICAL SERVICES ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 8BTHE CORPORATION HAS NO COMMITTEES AUTHORIZED TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11ORGANIZATION DOES NOT PROVIDE A COPY OF FORM 990 TO ALL MEMBERS OF ITS GOVERNING BODY BEFORE FILING THE FORM. FORM 990 IS PROVIDED UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 12CBEFORE ENTERING ANY CONTRACTUAL OBLIGATIONS, THE CORPORATION'S OBLIGATIONS ARE REVIEWED BY OUTSIDE COUNSEL FOR CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 19THE CORPORATION PROVIDES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY UPON REQUEST.
FEDERAL FOOTNOTESTHE CORPORATION REIMBURSES INDEPENDENT CONTRACTORS (PHYSICIANS AND OTHER PROFESSIONAL HEALTH CARE PROVIDERS) FOR MEDICAL SERVICES THEY PROVIDE TO INDIGENT PERSONS WHO RESIDE IN HIDALGO COUNTY, TEXAS. THE REIMBURSEMENT RATES ARE SET USING THE APPLICABLE MEDICAID FEE SCHEDULE PUBLISHED BY THE TMHP. ALL PROVIDERS ARE COMPENSATED BASED ON THE SAME FEE SCHEDULE. PAYMENTS VARY BASED SOLELY ON THE SERVICES PROVIDED AND ARE STRICTLY BASED ON THE HMHP FEE SCHEDULE.PART VII, SECTION B - INDEPENDENT CONTRACTORS
OFFICERS, DIRECTORS OR KEY EMPLOYEES BUSINESS RELATIONSHIPSTHE CORPORATION'S DIRECTORS ARE OR HAVE BEEN EITHER EMPLOYED OR HAVE MEDICAL STAFF PRIVILEGES AT THE CORPORATION'S MEMBERS OR AT AN ORGANIZATION AFFILIATED WITH A MEMBER OF THE CORPORATION. THE CORPORATION'S OFFICERS ARE OFFICERS OF THE CORPORATION'S MEMBERS. THE CORPORATION DID NOT MAKE ANY PAYMENTS TO ANY OFFICER, DIRECTOR, OR OTHER INTERESTED PERSON THAT IS REQUIRED TO BE DISCLOSED IN THE SCHEDULE L.PAGE 4, PART IV CHECKLIST OF REQUIRED SCHEDULES
ITEM 9A - OFFICER AND DIRECTOR ADDRESS DIRECTORS: LAWRENCE R. GELMAN, M.D., SECRETARY & DIRECTOR 5501 SOUTH MCCOLL EDINBURG, TX 78539 CHEVY C. LEE, M.D. 1913 SOUTH 1ST, SUITE 100 MCALLEN, TX 78503 DANIEL P. MCLEAN, M.D. 1801 SOUTH 5TH, SUITE 120 MCALLEN, TX 78503 SANDRA ESQUIVEL, M.D. 1330 EAST 6TH STREET, SUITE 201 WESLACO, TX 78596 STEVEN J. HAVENER, M.D. 1920 E. GRIFFIN PARKWAY MISSION, TX 78572 OFFICERS: MAURA WALSH, THIRD VICE-PRESIDENT 7400 FANNIN, SUITE 650 HOUSTON, TX 77054 LORENZO OLIVAREZ, JR., FIRST VICE-PRESIDENT 1400 W. TRENTON ROAD EDINBURG, TX 78539 JAMES A. SUMMERSETT, III, PRESIDENT 1401 EAST EIGHTH STREET WESLACO, TX 78596 JOE RILEY, TREASURER 301 W. EXPRESSWAY 83 MCALLEN, TX 78503 JAVIER IRUEGAS, SECOND VICE-PRESIDENT 900 S. BRYAN ROAD MISSION, TX 78572
LINE 12B - CONSISTENT WITH THE REQUIREMENTS OF THE TEXAS MEDICAL BOARD, THE DIRECTORS DISCLOSE INTERESTS BIENNIALLY. THE CORPORATION ADOPTED A CONFLICT OF INTEREST POLICY ON SEPTEMBER 8, 2009.