PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVANCEMENT: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PLAINVIEW FOUNDATION FOR RURAL HEALTH ADVANCEMENT (EIN 75-2878960)
Tax period: 2012-09-01 to 2013-08-31
Filed: 2013-11-13
IRS object ID: 201323179349302457
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-13T10:42:51-06:00	Timestamp
Tax Period End Date	2013-08-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEWIS KAUFMAN REID STUKEY GATTIS & CO PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2308 W 5TH	AddressLine1
City	PLAINVIEW	City
State	TX	State
ZIP Code	79072	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-09-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	752878960	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PLAINVIEW FOUNDATION FOR RURAL	BusinessNameLine1
Business Name Line2	HEALTH ADVANCEMENT	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	PLAI	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	705 - 2ND	AddressLine1
City	HART	City
State	TX	State
ZIP Code	79043	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RETTA KNOX	Name
Title	EXECUTIVE DIRECTOR	Title
Date Signed	2013-11-05	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	THAD K REID	Name
Phone	8062934287	Phone
Date Prepared	2013-11-05	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	673078	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	OPERATION OF TELEMEDICINE AND SCHOOL BASED CLINICS IN RURAL COUNTIES WITHOUT A PRIMARY CARE CLINIC, PROVIDING GENERAL MEDICAL CARE, URGENT CARE, PRENATAL CARE AND WELL CHILD CARE IN UNDER-SERVED, LOW- SOCIO-ECONOMIC AREAS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	6	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	11	TotalNbrEmployees
Total Nbr Volunteers	6	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	686738	ContributionsGrantsPriorYear
Contributions Grants Current Year	615362	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	69330	ProgramServiceRevenuePriorYear
Program Service Revenue CY	57716	ProgramServiceRevenueCY
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	756068	TotalRevenuePriorYear
Total Revenue Current Year	673078	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	153400	SalariesEtcPriorYear
Salaries Etc Current Year	146943	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	606117	OtherExpensePriorYear
Other Expenses Current Year	458925	OtherExpensesCurrentYear
Total Expenses Prior Year	759517	TotalExpensesPriorYear
Total Expenses Current Year	605868	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-3449	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	67210	RevenuesLessExpensesCY
Total Assets BOY	119800	TotalAssetsBOY
Total Assets EOY	170465	TotalAssetsEOY
Total Liabilities BOY	22909	TotalLiabilitiesBOY
Total Liabilities EOY	6364	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	96891	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	164101	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	OPERATION OF TELEMEDICINE AND SCHOOL BASED CLINICS IN RURAL COUNTIES WITHOUT A PRIMARY CARE CLINIC, PROVIDING GENERAL MEDICAL CARE, URGENT CARE, PRENATAL CARE AND WELL CHILD CARE IN UNDER-SERVED, LOW- SOCIO-ECONOMIC AREAS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	559246	Expense
Description	OPERATION OF TELEMEDICINE AND SCHOOL BASED CLINICS IN RURAL COUNTIES WITHOUT A PRIMARY CARE CLINIC, PROVIDING GENERAL MEDICAL CARE, URGENT CARE, PRENATAL CARE AND WELL CHILD CARE IN UNDER-SERVED, LOW- SOCIO-ECONOMIC AREAS.	Description
Total Program Service Expense	559246	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	11	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	6	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	LKRSG CO PC	NamePerson
Telephone Number	8062934287	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2308 W 5TH STREET	AddressLine1
City	PLAINVIEW	City
State	TX	State
ZIP Code	79072	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
DANNY RODRIGUEZ
SECRETARY/TR	1.00	X	X	0	0	0
MARTY GERBER
DIRECTOR/PRE	1.00	X	X	0	0	0
SIDNEY ONTAI
DIRECTOR	1.00	X		0	0	0
PAUL ROGERS
DIRECTOR	1.00	X		0	0	0
BILLY PHILIPS JR
DIRECTOR	1.00	X		0	0	0
PATRICIA CASTILLO
DIRECTOR	1.00	X		0	0	0
RETTA KNOX
EXECUTIVE DI	45.00		X	49200	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	49200	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	615362	GovernmentGrants
Noncash Contributions	129578	NoncashContributions
Total Contributions	615362	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CO-PAYMENTS	27885	27885
MEDICAID	25725	25725
PRIVATE INSURANCE	2153	2153
CHIP	1920	1920
MEDICARE	33	33

Field	Value	IRS element (for citing)
Total Program Service Revenue	57716	TotalProgramServiceRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	673078	TotalRevenueColumn
Related Or Exempt Function Income	57716	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	136283	Total
Program Services	123983	ProgramServices
Management And General	12300	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10660	Total
Program Services	6812	ProgramServices
Management And General	3848	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	8350	Total
Management And General	8350	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	166605	Total
Program Services	166605	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	548	Total
Program Services	548	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	11447	Total
Program Services	5723	ProgramServices
Management And General	5724	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	129578	Total
Program Services	116620	ProgramServices
Management And General	12958	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1981	Total
Program Services	1981	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	608	Total
Program Services	608	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2827	Total
Program Services	2685	ProgramServices
Management And General	142	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
EQUIPMENT - FEDERAL GRANT	86629	86629
PHAMACEUTICALS	12852	12852
DENTAL SUPPLIES	9965	9965
UTILITIES	7704	5778	1926

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	19831	Total
Program Services	18457	ProgramServices
Management And General	1374	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	605868	Total
Program Services	559246	ProgramServices
Management And General	46622	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	99486	BOY
EOY	133948	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	18184	BOY
EOY	34995	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	8383	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6861	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2130	BOY
EOY	1522	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	119800	BOY
EOY	170465	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	22909	BOY
EOY	6364	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	22909	BOY
EOY	6364	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	96891	BOY
EOY	164101	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	96891	BOY
EOY	164101	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	119800	BOY
EOY	170465	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	67210	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	true	AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
FS Audited	false	FSAudited
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	66930	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	260061	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	259169	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	686738	CurrentTaxYearMinus1Year
Current Tax Year	615362	CurrentTaxYear
Total	1888260	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	66930	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	260061	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	259169	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	686738	CurrentTaxYearMinus1Year
Current Tax Year	615362	CurrentTaxYear
Total	1888260	Total

Field	Value	IRS element (for citing)
Public Support Total170	1888260	PublicSupportTotal170
Total Support	1888260	TotalSupport
Gross Receipts From Admissions Etc	389640	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	1.00000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	1.00000	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8383	OtherCostOrOtherBasis
Depreciation	6861	Depreciation
Book Value	1522	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1522	TotalOfBookValueLandBuildings

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercial

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	129578	NoncashContribsRptdF990
Method Of Determining Revenues	FMV RENTAL	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	OPERATION OF TELEMEDICINE AND SCHOOL BASED CLINICS IN RURAL COUNTIES WITHOUT A PRIMARY CARE CLINIC, PROVIDING GENERAL MEDICAL CARE, URGENT CARE, PRENATAL CARE AND WELL CHILD CARE IN UNDER-SERVED, LOW- SOCIO-ECONOMIC AREAS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	EXECUTIVE DIRECTOR ADN BOARD OF DIRECTORS REVIEWS TAX RETURN AND ATTACHMENTS BEFORE FILING.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	BOARD OF DIRECTORS REVIEW AND APPROVE THE SALARY OF THE EXECUTIVE DIRECTOR AND IS DOCUMENTED IN THE BOARD'S MINUTES. NO OTHER OFFICERS RECEIVE COMPENSATION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	MADE AVAILABLE UPON REQUEST
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	CONTRACTED MEDICAL SERVICES 166,605 0 0