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      <GrantsToDomesticIndividuals>
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      <BenefitsToMembers>
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      <FeesForServicesLobbying>
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      <FeesForServicesInvstMgmntFees>
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      <Travel>
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      <TravelEntrtnmntPublicOfficials>
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      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>115209</Total>
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      <Interest>
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      <OtherExpenses>
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        <ProgramServices>1436608</ProgramServices>
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      <OtherExpenses>
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      <OtherExpenses>
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      <OtherExpenses>
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        <Explanation>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.</Explanation>
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        <Identifier>NON-CASH CONTRIBUTION</Identifier>
        <ReturnReference>SCHEDULE M, PART I, LINE 20</ReturnReference>
        <Explanation>ALL VACCINE CONTRIBUTIONS WERE FROM ONE DONOR.</Explanation>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 1</ReturnReference>
        <Explanation>MISSION STATEMENT: LONE STAR CIRCLE OF CARE IS COMMITTED TO THE PURSUIT OF COMMUNITY-WIDE ACCESS TO A TRUE, BEHAVIORALLY ENHANCED, PATIENT CENTERED HEALTH HOME, PROVIDING ACCOUNTABLE CARE FOR ALL PATIENTS, FOCUSING ON THE UNDERSERVED. VISION STATEMENT: WE STRIVE TO DELIVER QUALITY PRIMARY HEALTH CARE IN A DIGNIFIED, COMPASSIONATE, AND FQHC-COMPLIANT ENVIRONMENT. WE WILL OPERATE WITHIN A SUSTAINABLE FINANCIAL FRAMEWORK AND IN THE CONTEXT OF CAPACITY, RESOURCE AND PRUDENT EXPANSION CONSTRAINTS IN PURSUIT OF SHAPING HEALTHY COMMUNITIES. WE WILL SEEK TO INCLUDE AS MANY STAKEHOLDERS AND SUPPORTING RESOURCES AS POSSIBLE TO BUILD, MAINTAIN, AND EXPAND A VIABLE, VITAL, AND RESPONSIVE LONG-TERM, PRIMARY CARE SAFETY NET AND CIRCLE OF CARE FOR OUR PATIENTS AND THE COMMUNITIES WE SERVICE. CORE VALUES: INTEGRITY, INNOVATION, COMPASSION, RESPECT, LEADERSHIP LONE STAR CIRCLE OF CARE IS A 501(C)(3) NONPROFIT, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER (FQHC) NETWORK THAT PROVIDES A PATIENT-CENTERED HEALTHCARE HOME TO UNINSURED AND UNDERINSURED RESIDENTS OF CENTRAL TEXAS. IN 2011, LSCC OPERATED CLINICS THROUGHOUT WILLIAMSON, TRAVIS, AND BELL COUNTIES. SERVICES INCLUDE PRIMARY MEDICAL CARE THAT IS FOCUSED BY AGE GROUP: PEDIATRICS, ADOLESCENTS, ADULTS, AND SENIORS; COMPREHENSIVE OB/GYN SERVICES; GENERAL DENTISTRY; PHARMACY SERVICES; AND ENABLING SERVICES SUCH AS INTERPRETERS AND INSURANCE ELIGIBILITY SCREENERS. A ROBUST AND FULLY INTEGRATED BEHAVIORAL HEALTH PROGRAM, WITH OVER 30 CLINICIANS ON STAFF, PROVIDES NECESSARY PSYCHIATRIC AND PSYCHOTHERAPY SERVICES TO PATIENTS WHO WOULD OTHERWISE NOT HAVE ACCESS TO CARE. LSCC ACCEPTS MEDICAID, CHIP, 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 COMMISSION AND HAS ACHIEVED 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 COMMUNITY PARTNERS, CAPACITY HAS GROWN FROM 10,000 VISITS IN 2002 TO A PROJECTED 360,000 VISITS IN 2012. LSCC WILL CONTINUE IDENTIFYING OPPORTUNITIES TO COLLABORATE AND LEVERAGE ITS RESOURCES TO PROVIDE SUSTAINABLE, QUALITY PRIMARY HEALTH CARE FOR THE REGION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>LONE STAR CIRCLE OF CARE 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 298,269 PATIENT VISITS ACROSS ALL SERVICE LINES. LSCC INCREASED ACCESS TO CARE BY EXPANDING OR OPENING NEW CLINICS IN GEORGETOWN, AUSTIN, TAYLOR, AND HARKER HEIGHTS, TX. LSCC SERVICE LINES INCLUDE: 1) PEDIATRIC: PRIMARY AND ACUTE MEDICAL CARE FOR CHILDREN AND ADOLESCENTS. IN THE PAST YEAR, LSCC PROVIDED 81,387 VISITS. 2) FAMILY PRACTICE: 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. THIS YEAR LSCC PROVIDED 69,737 PATIENT VISITS AND INCREASED CAPACITY WITH THE EXPANSION OF THE BEN WHITE CLINIC. 3) WOMEN'S HEALTH: OBSTETRICS AND GYNECOLOGY, INCLUDING THOROUGH PRENATAL CARE, LABOR AND DELIVERY, AND POSTPARTUM CARE. OB/GYN PROVIDERS DELIVERED 1,269 BABIES THIS YEAR. 4) INTEGRATED BEHAVIORAL HEALTH: PSYCHIATRY, PSYCHOTHERAPY, &amp; COUNSELING FOR ADULTS, SENIORS, ADOLESCENTS, AND CHILDREN. IN THE PAST YEAR, LSCC PROVIDED 37,219 BEHAVIORAL HEALTH VISITS. 5) SENIOR: MEDICAL SERVICES TAILORED FOR OLDER ADULTS. LSCC PROVIDED 7,284 SENIOR VISITS OVER THE PAST YEAR. 6) VISION: THIS IS LSCCS LATEST SERVICE LINE ADDITION WHICH OPENED DURING FISCAL YEAR 2012. LSCCS VISION CLINIC PROVIDED OVER 1,100 VISTS IN THE YEAR. LSCC ALSO PROVIDES DENTAL SERVICES THROUGH CLINICS LOCATED IN GEORGETOWN AND ROUND ROCK, TX. DURING THE PAST YEAR, 10,634 DENTAL VISITS WERE PROVIDED.</Explanation>
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      <GeneralExplanation>
        <Identifier>OTHER PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4D</ReturnReference>
        <Explanation>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: - LEARNING TO MANAGE DIABETES OR ASTHMA - EXPECTING THEIR FIRST CHILD - LEARNING ABOUT BEING ACTIVE AND EATING HEALTHY - TEACHING THEIR CHILDREN TO BE HEALTHY IN ADDITION, THE ORGANIZATION PASSED THROUGH GRANTS TO SUBRECIPIENTS. SEE SCHEDULE I FOR MORE INFORMATION. CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS IN FEBRUARY 2011. SIGNIFICANT CHANGES INCLUDE AN UPDATED MISSION STATEMENT AND A CHANGE IN REGISTERED AGENT FROM THE CHIEF EXECUTIVE OFFICER TO THE CHIEF FINANCIAL OFFICER. REGARDING DIRECTORS, ONLY SERVICE AFTER DECEMBER 1, 2010, IS CONSIDERED WHEN CALCULATING TEN CONSECUTIVE YEARS OF SERVICE AS DIRECTOR. QUORUM FOR MEETINGS OF THE BOARD WAS CHANGED FROM MAJORITY TO FORTY PERCENT OF THE NUMBER OF DIRECTORS THEN IN OFFICE, THREE OF WHICH ARE BOTH ELECTED OFFICERS OF THE BOARD AND MEMBERS OF THE EXECUTIVE COMMITTEE. DIRECTORS ARE ALLOWED TO VOTE BY PROXY EXECUTED IN WRITING BY THE DIRECTOR. THE CONFLICT OF INTEREST POLICY WAS EXPANDED TO DEFINE "FAMILY MEMBER" AS SPOUSE, ANCESTORS, SIBLINGS, CHILDREN, GRANDCHILDREN, AND GREAT-GRANDCHILDREN OF THE SUBJECT PERSON, THE SPOUSES OF SUCH SIBLINGS, CHILDREN, GRANDCHILDREN, AND GREAT-GRANDCHILDREN, AND ANY OTHER FAMILY MEMBER LIVING IN THE SAME HOUSEHOLD AS THE SUBJECT PERSON AND RELATED BY BLOOD OR MARRIAGE. THE NEW BYLAWS ALSO SPECIFY THAT CHANGES TO THE BYLAWS MUST BE APPROVED BY A MAJORITY VOTE OF THE DIRECTORS AT A MEETING AT WHICH QUORUM IS PRESENT. UPON DISSOLUTION OF THE CORPORATION, THE BYLAWS NOW STATE THAT THE ASSETS OF THE CORPORATION (OR PROCEEDS FROM SALE OF THOSE ASSETS) SHOULD BE DISTRIBUTED TO ANOTHER EXEMPT ORGANIZATION ORGANIZED AND OPERATING FOR THE SAME OR SIMILAR PURPOSES OF THAT OF LONE STAR CIRCLE OF CARE, OR TO ONE OR MORE CORPORATIONS, FUNDS OR FOUNDATIONS OPERATING EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, LITERARY, OR EDUCATIONAL PURPOSES, AS SELECTED BY THE BOARD.</Explanation>
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      <GeneralExplanation>
        <Identifier>REVIEW OF FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>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 VIA THE COMPANY WEBSITE FOR THEIR REVIEW AND FEEDBACK BEFORE IT IS FILED.</Explanation>
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        <Identifier>CONFLICT OF INTEREST</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
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      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>THE 2011 CEO COMPENSATION REVIEW WAS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD USING COMPARATIVE DATA PROVIDED BY GUIDESTAR.</Explanation>
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      <GeneralExplanation>
        <Identifier>DOCUMENT DISCLOSURE</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
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</Return>