2023-10-16T14:13:59-05:00 2022-11-30 410746749 CLIFTONLARSONALLEN LLP 475 REGENCY PARK SUITE 175 OFALLON IL 62269 990 2021-12-01 300198705 SPRING BRANCH COMMUNITY HEALTH CENTER SPRI 7134626565 800 W SAM HOUSTON PKWY S 200 HOUSTON TX 77042 MARLEN J TRUJILLO CEO 7134626565 2023-10-16 1 MARLEN TRUJILLO 999009999 JEFF PARKER P00970069 6182331200 2023-10-16 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MARLEN J TRUJILLO 800 W SAM HOUSTON PKWY S 200 HOUSTON TX 77042 25399395 0 X WWW.SBCHC.NET X 2003 TX SEE SCH. O 12 12 313 29 0 0 10386665 16973867 8532662 8398464 10619 6366 -7309 -292 18922637 25378405 0 0 0 0 12799842 17379020 0 0 0 5869413 8059973 18669255 25438993 253382 -60588 11147952 12032224 2720520 3665380 8427432 8366844 X TO INCREASE THE NUMBER OF HEALTHY FAMILIES IN OUR COMMUNITY BY PROVIDING HIGH QUALITY, COMPREHENSIVE HEALTH SERVICES. 0 0 15008160 0 8373269 SPRING BRANCH COMMUNITY HEALTH CENTER (SBCHC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) OPERATING EIGHT LOCATIONS IN HOUSTON AND HARRIS COUNTY. FOUR CLINICS ARE LOCATED IN THE SPRING BRANCH AREA OF HOUSTON, THREE CLINICS ARE IN WEST HOUSTON, AND ONE CLINIC IS IN NORTHWEST HOUSTON. DURING THE 2022 FISCAL YEAR, SBCHC PROVIDED 80,671 VISITS, INCLUDING 3,907 VIRTUAL VISITS TO 25,436 INDIVIDUAL PATIENTS. SBCHC OFFERED VIRTUAL VISITS FOR MEDICAL AND MENTAL HEALTH SERVICES TO PATIENTS WHO WERE MORE COMFORTABLE WITH THAT OPTION IN LIEU OF AN IN-PERSON VISIT. SBCHC PROVIDES PRIMARY MEDICAL CARE TO PATIENTS OF ALL AGES AND ETHNIC GROUPS, WITH A FOCUS ON PEDIATRIC, WOMEN'S HEALTH, AND ADULT MEDICINE. MENTAL HEALTH AND ORAL HEALTH SERVICES COMPLEMENT THE DELIVERY OF MEDICAL CARE, POSITIVELY AFFECTING THE COMPLETE WELLNESS OF THE PATIENT. SBCHC ALSO UTILIZES A MOBILE CLINIC TO CONDUCT OUTREACH, HEALTH SCREENINGS, AND HEALTH PROMOTION IN THE COMMUNITY. 3752040 0 25195 SPRING BRANCH COMMUNITY HEALTH CENTER'S SUPPORTIVE HOUSING PROGRAMS PROVIDE EFFECTIVE INTERVENTION FOR MANY DIFFERENT TYPES OF HOUSEHOLDS EXPERIENCING HOMELESSNESS, INCLUDING THOSE WITH NO INCOME, WITH DISABILITIES, AND WITH POOR RENTAL HISTORY. SBCHC'S SUPPORTIVE HOUSING PROGRAMS ARE A COMBINATION OF AFFORDABLE HOUSING AND SUPPORT SERVICES DESIGNED TO HELP INDIVIDUALS AND FAMILIES USE HOUSING AS A PLATFORM FOR HEALTH AND RECOVERY FOLLOWING A PERIOD OF HOMELESSNESS, HOSPITALIZATION OR INCARCERATION OR FOR YOUTH AGING OUT OF FOSTER CARE. DURING THE 2022 FISCAL YEAR, SBCHC PROVIDED SUPPORTIVE HOUSING SERVICES TO 812 INDIVIDUALS LIVING IN 419 HOUSEHOLDS. 18760200 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 51 0 313 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARLEN J TRUJILLO 7134626565 800 W SAM HOUSTON PKWY S 200 HOUSTON TX 77042 JOHN KEMPER CHAIR 1.00 X X 0 0 0 LYDIA JUNEK VICE-CHAIR 1.00 X X 0 0 0 MARIE-LOUISE ZELMAT VICE-CHAIR UNTIL 9/27/22 1.00 X X 0 0 0 IGNACIO PUJOL SECRETARY 1.00 X X 0 0 0 JORGE SERA TREASURER 1.00 X X 0 0 0 PATRICIA CABRERA MEMBER 1.00 X 0 0 0 LOUIS FAILLACE MD MEMBER 1.00 X 0 0 0 BILL GAUL MEMBER 1.00 X 0 0 0 TERESA JACKSON MEMBER 1.00 X 0 0 0 DANIEL JENKINS MD MEMBER 1.00 X 0 0 0 CARLOS A MORENO MD MEMBER 1.00 X 0 0 0 LESTER WILLIAMS MEMBER 1.00 X 0 0 0 AMY WRIGHT EDD MEMBER 1.00 X 0 0 0 MARLEN TRUJILLO CEO 40.00 X 251830 0 23377 MICHAEL BSAIBES COO 40.00 X 143676 0 13476 DAVID KRUSLESKI MD CMO 40.00 X 221014 0 27867 LORI MCCAIN CFO 40.00 X 129649 0 18727 GERARD PEPERONE CDO 40.00 X 110139 0 12592 MICHAEL SMITH CPO 40.00 X 102757 0 11600 JOE FUENTES JR CTO 40.00 X 99432 0 8817 JOHN BLAKE CHRO 40.00 X 96418 0 17749 DAVID HOBSON MD PAST CHIEF MEDICAL OFFICER 40.00 X 128025 0 28 EMAN ALHARBI PHYSICIAN 40.00 X 162002 0 12004 ENRIQUE GONZALES PHYSICIAN 40.00 X 168451 0 8202 JOSUE MALDONADO CUSTODIO PHYSICIAN 40.00 X 161864 0 8719 JARED PARKINSON DENTIST 40.00 X 159843 0 24721 SASHA ROBEYE PHYSICIAN 40.00 X 196521 0 16257 2131621 0 204136 23 0 1 0 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 CONTRACT DIAGNOSTIC LABORATORY SERVICES 230189 NEORHINO LLC 5120 WOODWAY DR SUITE 7010 HOUSTON TX 77056 REMOTE MANAGED IT SERVICES 209683 RANDSTAD PO BOX 2084 CAROL STREAM IL 60132 CONTRACT AND TEMPORARY STAFFING SERVICES 126705 TEXAS TELE-PHYSICIANS PO BOX 785667 PHILADELPHIA PA 19178 TELEPSYCHIATRY SERVICES 125348 4 74457 13230892 3668518 1571984 16973867 NET PATIENT SERVICE REVENUE 621110 7903801 7903801 PHARMACY REVENUE 446110 270931 270931 QUALITY INCENTIVES 621110 215084 215084 MEDICAL RECORDS REVENUE 561000 8648 8648 8398464 6366 6366 9880 74457 20990 -11110 -11110 MISCELLANEOUS REVENUE 900999 10818 10818 10818 25378405 8398464 0 6074 1417173 1049295 367878 13083130 9686934 3396196 245212 181558 63654 1526153 1129985 396168 1107352 819899 287453 27071 27071 74480 74480 2265779 1677615 588164 27274 20194 7080 344798 255293 89505 371393 274985 96408 981665 726839 254826 132642 98210 34432 17596 13028 4568 63714 47175 16539 538039 398372 139667 63646 47124 16522 DONATION RELATED EXPENS 1572194 1164075 408119 HEALTHCARE SUPPLIES 1259889 932840 327049 DUES & SUBSCRIPTIONS 103820 76870 26950 EDUCATIONAL/TRAINING 66861 49505 17356 149112 110404 38708 25438993 18760200 6678793 0 314582 248660 1917669 1400930 962011 1644430 918169 1503821 234738 449118 126978 55033 9209568 3018297 6634843 6191271 38962 538961 11147952 12032224 1178753 2356972 1404095 1226821 137672 81587 2720520 3665380 X 7235654 6580404 1191778 1786440 8427432 8366844 11147952 12032224 -60588 0 X X 0 0 1 0 X 4157419 6189917 6014173 10386665 16973867 43722041 4157419 6189917 6014173 10386665 16973867 43722041 43722041 2163 32299 37888 10619 6366 89335 24481 34292 4214 10818 73805 43885181 0.99630 0.99520 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING REVENUE - 2017 AMOUNT: $ 24,481. 2018 AMOUNT: $ 34,292. MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 4,214. 2021 AMOUNT: $ 10,818. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 836554 836554 5983752 1528361 4455391 776321 614645 161676 1195278 875291 319987 417663 417663 6191271 DEFERRED RENT 81587 81587 FALL HARVEST LUNCHEON 84337 74457 9880 3105 700 8903 4000 4282 84337 74457 9880 3105 700 8903 4000 4282 20990 -11110 X X X X X 0 0 0 0 0 0 0 0 0 MARLEN TRUJILLO CEO 216668 0 35162 0 0 0 10926 0 12451 0 275207 0 0 0 DAVID KRUSLESKI MD CMO 220739 0 275 0 0 0 11537 0 16330 0 248881 0 0 0 SASHA ROBEYE PHYSICIAN 186296 0 10225 0 0 0 0 0 16257 0 212778 0 0 0 JARED PARKINSON DENTIST 159693 0 150 0 0 0 8391 0 16330 0 184564 0 0 0 ENRIQUE GONZALES PHYSICIAN 168351 0 100 0 0 0 1313 0 6889 0 176653 0 0 0 EMAN ALHARBI PHYSICIAN 161752 0 250 0 0 0 0 0 12004 0 174006 0 0 0 JOSUE MALDONADO CUSTODIO PHYSICIAN 161764 0 100 0 0 0 1830 0 6889 0 170583 0 0 0 MICHAEL BSAIBES COO 143176 0 500 0 0 0 6681 0 6795 0 157152 0 0 0 X 190 1560296 FMV X AUCTION ITEMS 1 3105 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD MAY ESTABLISH AN EXECUTIVE COMMITTEE, WHICH SHALL CONSIST OF NOT LESS THAN THREE DIRECTORS WHO SHALL BE ELECTED BY THE BOARD AT ITS ANNUAL MEETING. THE EXECUTIVE COMMITTEE SHALL BY COMPOSED OF THE CHAIRPERSON, VICE-CHAIRPERSON, SECRETARY, AND TREASURE. THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND THE CHIEF MEDICAL OFFICER WILL SERVE IN AN ADVISORY CAPACITY AND ARE NOT ABLE TO VOTE ON ANY MATTER SUBMITTED TO THE EXECUTIVE COMMITTEE. PLEASE REFER TO ARTICLE 7.1 OF THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED BY THE ORGANIZATION TO REVIEW FORM 990: BOTH THE CEO AND CFO REVIEW ALL THE INFORMATION ON THE FEDERAL FORM 990. THE FINAL FORM 990 IS DISTRIBUTED TO THE FULL BOARD FOR REVIEW AND APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY: EVERY BOARD MEMBER AND EVERY EMPLOYEE COMPLETES A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. BOARD MEMBERS THAT HAVE A POTENTIAL CONFLICT OF INTEREST EXCUSE THEMSELVES FROM PARTICIPATING IN DISCUSSIONS PERTAINING TO THE CONFLICT AND ARE PROHIBITED FROM VOTING ON ANY ACTION ITEMS PERTAINING TO THE CONFLICT. MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AND OTHER EMPLOYEES HAVING A POTENTIAL CONFLICT OF INTEREST ARE PROHIBITED FROM THE SELECTION, MANAGEMENT AND/OR SUPERVISION OF THE PARTY IN QUESTION. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION OF CEO AND OTHER OFFICERS: CEO COMPENSATION IS REVIEWED AND DETERMINED BY A SPECIAL COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT IS CHAIRED BY THE CHAIR OF THE BOARD. THE COMMITTEE USES ANNUAL SALARY SURVEYS FROM THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS AS WELL AS COMPENSATION INFORMATION FROM THE FORM 990 OF OTHER HOUSTON AREA FQHCS. THE CEO COMPENSATION IS DOCUMENTED IN THE MINUTES OF THE COMMITTEE, APPROVED BY THE BOARD, AND IS INCLUDED IN THE CEO'S WRITTEN EMPLOYMENT AGREEMENT. THE CEO AND CFO REVIEW ANNUAL SALARY SURVEYS FROM THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS AS WELL AS COMPENSATION INFORMATION FROM THE FORM 990 OF OTHER HOUSTON-AREA FQHCS FOR COMPARISON PURPOSES TO DETERMINE THE COMPENSATION OF ALL OTHER OFFICERS. ALL OFFICERS HAVE A WRITTEN EMPLOYMENT AGREEMENT THAT INCLUDES COMPENSATION INFORMATION. ALL EMPLOYMENT AGREEMENTS ARE FILED IN EACH PERSON'S INDIVIDUAL PERSONNEL FILE IN THE HUMAN RESOURCES DEPARTMENT. THE BOARD OF DIRECTORS APPROVES COMPENSATION FOR ALL OFFICERS AND EMPLOYEES AS PART OF THE PROCESS OF APPROVING THE ORGANIZATION'S ANNUAL OPERATING BUDGET. FORM 990, PART VI, SECTION C, LINE 19 PROCESS OF HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 3B: THE FYE 11/30/22 AUDIT IS IN PROCESS AND WILL BE COMPLETED AS SOON AS POSSIBLE. FORM 990, PAGE 1, PART I, LINE 1 SPRING BRANCH COMMUNITY HEALTH CENTER (SBCHC) REDUCES AREA HEALTH DISPARITIES BY CREATING NEIGHBORHOOD-BASED HEALTH CENTERS TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES THAT ARE CULTURALLY COMPETENT, LINGUISTICALLY APPROPRIATE AND CLIENT-DRIVEN IN LOCATIONS EASILY ACCESSIBLE BY PUBLIC TRANSPORTATION. SBCHC AIMS TO DECREASE HEALTH DISPARITIES AND INCREASE THE NUMBER OF HEALTHY INDIVIDUALS AND HEALTHY FAMILIES IN THE COMMUNITIES IT SERVES. SBCHC IS AN IMPORTANT COMPONENT OF THE PRIMARY CARE SAFETY-NET IN HOUSTON AND HARRIS COUNTY WHERE APPROXIMATELY ONE MILLION PEOPLE (23.8% OF RESIDENTS) ARE UNINSURED AND/OR MEDICALLY UNDERSERVED. SBCHC'S VISION IS TO CHAMPION COMMUNITY WELLNESS BY PROVIDING INTEGRATED HEALTH SERVICES TO ALL. SBCHC'S COMMITMENT TO QUALITY OF CARE REMAINS ONE OF ITS TOP PRIORITIES, PROVIDING COMPREHENSIVE SERVICES ACROSS ALL OF ITS SPECIALTIES. SBCHC AIMS TO SHIFT THE DYNAMIC OF CARE TOWARDS BEING PATIENT CENTERED, AND BECOMING A PREFERRED MEDICAL HOME FOR THE COMMUNITY. SBCHC WAS FORMED IN JULY 2003 AND BEGAN SEEING UNINSURED AND UNDERINSURED PATIENTS IN MAY 2004, SPECIFICALLY, THE MEDICALLY UNDERSERVED POPULATION IN THE SPRING BRANCH AREA OF HOUSTON. SBCHC WAS DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER IN 2005. IN DECEMBER 2012, SBCHC BECAME ONE OF ONLY 10% OF THE FQHCS IN THE UNITED STATES WITH JOINT COMMISSION ACCREDITATION AND PRIMARY CARE MEDICAL HOME CERTIFICATION. SBCHC EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL BY DEMONSTRATING COMPLIANCE WITH THE JOINT COMMISSION'S NATIONAL STANDARDS FOR HEALTH CARE QUALITY AND SAFETY. SBCHC ALSO RECEIVED CERTIFICATION AS A PRIMARY CARE MEDICAL HOME (PCMH). A PCMH MUST BE PATIENT-CENTERED, PROVIDE COMPREHENSIVE AND COORDINATED CARE, AND UTILIZE A SYSTEMS-BASED APPROACH TO QUALITY AND SAFETY. TO INCREASE ACCESS TO HEALTH CARE TO THOSE MOST IN NEED, SBCHC EXPANDED TO WEST HOUSTON IN 2013, TO KATY IN 2016, AND TO CYPRESS IN 2017. SBCHC ALSO ADDED AN ADDITIONAL LOCATION IN SPRING BRANCH IN 2017, INSIDE THE MABEE WHOLELIFE SERVICE CENTER, A MULTI-PURPOSE FACILITY THAT IS A COLLABORATIVE OF SEVERAL AREA NON-PROFIT ORGANIZATIONS. SBCHC ADDED RAPID REHOUSING AND HOMELESS PREVENTION SERVICES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS IN LATE 2020. THROUGHOUT THE COVID-19 PANDEMIC, SBCHC REMAINED OPEN TO PROVIDE SERVICES BOTH IN-PERSON AND VIRTUALLY AND OFFERED COVID-19 TESTING AND VACCINATIONS TO THE COMMUNITY. IN JANUARY 2022, SBCHC EXPANDED TO NORTHWEST HARRIS COUNTY BY OPENING A PEDIATRIC CLINIC WITHIN THE NORTHWEST ASSISTANCE MINISTRIES FACILITY. IN MARCH 2022, SBCHC OPENED A WOMEN'S HEALTH CLINIC IN THE MEMORIAL AREA OF HOUSTON. SBCHC HAS GROWN FROM ONE TO EIGHT CLINIC LOCATIONS AND HAS A MOBILE CLINIC TO FURTHER ITS REACH AND INCREASE ACCESS IN UNDERSERVED AREAS. SBCHC IS THE ONLY FQHC IN THE SPRING BRANCH, WEST HOUSTON AND NORTHWEST HOUSTON SERVICE AREA PROVIDING COMPREHENSIVE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES AT A DISCOUNT TO THE UNDERINSURED AND UNINSURED POPULATIONS. ASSISTANCE FOR PATIENTS WITH ADDITIONAL SOCIAL SERVICES SUCH AS APPLICATION ASSISTANCE FOR MEDICAID, CHIP, HEALTHCARE MARKETPLACE, SNAP AND WIC, IS AVAILABLE AT ALL CLINIC LOCATIONS. REFERRAL SPECIALISTS/PATIENT CARE COORDINATORS ASSIST PATIENTS WITH REFERRALS TO SPECIALTY SERVICES, AND COORDINATION OF MEDICAL CARE. THE MAJORITY OF SBCHC STAFF ARE BILINGUAL IN ORDER TO CREATE A WELCOMING AND ACCOMMODATING CLINIC ENVIRONMENT. SBCHC SETS ITSELF APART FROM OTHER ORGANIZATIONS IN ITS APPROACH TO SUPPORT THE WHOLE WELL BEING OF ITS PATIENTS THAT EXTENDS BEYOND THEIR MEDICAL NEEDS. THE PATIENTS THAT SBCHC TREATS HAVE FINANCIAL, EDUCATIONAL, HOUSING, MENTAL HEALTH, AND OTHER NEEDS. THROUGH SBCHC'S RELATIONSHIPS WITH OTHER ORGANIZATIONS, IT HAS BEEN ABLE TO BUILD STRONG COLLABORATIONS AND PARTNERSHIPS TO PROVIDE SUPPORT TO EACH INDIVIDUAL TO ADDRESS ALL THE SOCIAL DETERMINANTS OF HEALTH. NOT ONLY IS SBCHC A PRIMARY CARE MEDICAL HOME, IT IS ALSO A COMMUNITY CENTERED HEALTH HOME, COMMITTED TO ENSURING THAT ALL COMMUNITY RESIDENTS ARE HEALTHY, AND THAT IT CONTRIBUTES TO A HEALTHIER COMMUNITY.