2022-08-30T10:49:36-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 801 CHERRY ST SUITE 1400 FORT WORTH TX 76102 990 2021-01-01 542117989 NORTH TEXAS AREA COMMUNITY HEALTH CENTER NORT 8175466477 2332 BEVERLY HILLS DR FORT WORTH TX 76114 JERRY L PYRON CPA CFO 8175466477 2022-08-25 1 JERRY PYRON CPA 999009999 MICHAELA J CROMAR CPA P00895728 8178775000 2022-08-25 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z GERRIE WHITAKER 2332 BEVERLY HILLS DR FORT WORTH TX 76114 12066221 0 X WWW.NTACHC.ORG X 2004 TX PROVIDE COMPREHENSIVE, AFFORDABLE, QUALITY, PRIMARY HEALTH CARE TO UNDERSERVED COMMUNITIES. 13 13 152 13 0 0 5932605 6654944 3898862 4178531 99614 98730 523815 707218 10454896 11639423 0 0 0 0 5958237 6380127 72308 72000 158254 4868877 5157364 10899422 11609491 -444526 29932 14951878 16210174 11624039 12421874 3327839 3788300 X PROVIDE A COMMUNITY MEDICAL HOME THROUGH ACCESSIBLE, COMPASSIONATE, AND QUALITY HEALTHCARE SERVICES IN A COMMUNITY-BASED ENVIRONMENT, MAXIMIZING THE USE OF PUBLIC AND PRIVATE RESOURCES TO AID NTACHC PATIENTS TO OBTAIN, REGAIN, AND MAINTAIN OPTIMUM HEALTH AND FUNCTION. THE CENTER PROVIDES ACCESS TO SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. 1 0 9520334 4885749 THE ORGANIZATION PROVIDES PRIMARY HEALTH CARE TO A PREDOMINANTLY UNINSURED AND UNDERINSURED POPULATION IN ITS THREE LOCATIONS. DURING THE COMPANY'S LAST FISCAL YEAR 2021, THE CLINICS SERVED NEARLY 12,795 PATIENTS AND PROVIDED 33,081 PATIENT VISITS. THE CLINICS TOGETHER PROVIDE FAMILY MEDICINE, PEDIATRICS, AND OB/GYN SERVICES AND COLLABORATE WITH OTHER AREA ORGANIZATIONS AND SPECIALISTS TO ENSURE COMPREHENSIVE CARE FOR ITS PATIENTS. DURING THE YEAR THE ORGANIZATION WAS GIVEN A GRANT FROM THE STATE OF TEXAS FOR FAMILY PLANNING, EXPANDED PRIMARY HEALTH CARE, HEALTHY TEXAS WOMEN AND PRIMARY HEALTH CARE PROGRAMS. THE ORGANIZATION PROVIDED SERVICES TO THE PRIVATE PATIENT POPULATION. THE ORGANIZATION SAW 2,045 PATIENTS, A TOTAL OF 4,637 ENCOUNTERS FOR THESE PROGRAMS. 9520334 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 31 0 152 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X JERRY PYRON 8175466477 2332 BEVERLY HILLS DRIVE FORT WORTH TX 76114 CARLOS MORALES PRESIDENT 2.00 X X 0 0 0 DIANN SANCHEZ VICE PRESIDENT 2.00 X X 0 0 0 ROSEMARY GALDIANO TREASURER 2.00 1.00 X X 0 0 0 LORI KENNEDY SECRETARY 2.00 X X 0 0 0 ANTHONY COLANTINO DIRECTOR 1.00 X 0 0 0 CHERYL JONES DIRECTOR 1.00 X 0 0 0 DANIELA ARROYO DIRECTOR 1.00 X 0 0 0 ERIN CARLSON DIRECTOR 1.00 X 0 0 0 GLEN EDNEY DIRECTOR 1.00 X 0 0 0 GREGORY EASTIN DIRECTOR 1.00 1.00 X 0 0 0 JOHN REED DIRECTOR 1.00 X 0 0 0 RACHEL ARELLANO DIRECTOR 1.00 X 0 0 0 TERESA MONTES DIRECTOR 1.00 X 0 0 0 WILLIAM VENABLE DIRECTOR 1.00 X 0 0 0 GERRIE WHITAKER EXECUTIVE DIRECTOR 45.00 1.00 X 167630 0 8003 JERRY PYRON CFO 45.00 1.00 X 141361 0 15568 PATRICIA RODRIQGUEZ MEDICAL DIRECTOR 45.00 X 238912 0 20798 LATASHA JARRETT LEFT IN 2021 MEDICAL DIRECTOR 45.00 X 31098 0 4673 CHRISTA BOLDEN FAMILY PRACTICE 40.00 X 125261 0 6897 DINESH GOWDA FAMILY PRACTICE 40.00 X 155623 0 3107 YUBARAJA BHATTARAI FAMILY PRACTICE 40.00 X 171700 0 16859 MADHAVI GAVIRNENI FAMILY PRACTICE 40.00 X 139065 0 3349 MONICA FALCON FAMILY PRACTICE 40.00 X 111730 0 23134 ALEXANDER VANDERZANT PHYSICIAN ASSISTANT 40.00 X 102611 0 14249 1384991 0 116637 9 0 1 0 OSIS PO BOX 772852 CHICAGO IL 60677 ERM SOFTWARE 216894 NIGHT LINE JANITORIAL SERVICE INC 16970 DALLAS PARKWAY 100 DALLAS TX 75248 JANITORAL SERVICES 139008 ACCLAIM PHYSICIAN GROUP 1500 S MAIN ST FORT WORTH TX 76104 CONTRACT PROVIDERS 124880 TOWN NORTH ARLINGTON PARTNERS LLC 4809 COLE AVE STE 330 DALLAS TX 75205 CONSULTING SERVICES 120000 4 6014376 640568 218553 6654944 PATIENT SERVICES REVENUE 621110 4115736 4115736 MISCELLANEOUS CLINIC REVENUE 621110 62795 62795 4178531 98730 98730 1134016 426798 707218 707218 11639423 4885749 0 98730 591781 222241 336334 33206 4934976 4371080 546071 17825 57308 41247 6591 9470 408867 359304 32105 17458 387195 337780 46248 3167 10665 10665 65760 65760 72000 72000 1115498 957921 155277 2300 59770 14962 44808 36218 21288 14234 696 288652 243055 45597 1246349 1238446 7903 9220 7667 1553 405024 270 404754 150933 144456 6477 51021 22527 28494 SUPPLIES 774849 749304 23413 2132 PHARMACY EXPENSES 264789 264789 MAINTENANCE AND REPAIRS 195121 192211 2910 EQUIPMENT RENTAL 182286 96252 86034 301209 235534 65675 11609491 9520334 1930903 158254 379192 195877 320953 244502 105094 334449 368158 935169 9852000 9852000 38673 21195 38962 15738 4257723 1653619 2567794 2604104 1281052 2007140 14951878 16210174 604758 836874 534655 485751 7219343 6672777 3265283 4426472 11624039 12421874 X 3198834 3768300 129005 20000 3327839 3788300 14951878 16210174 29932 430529 0 X 0 1 X 1 1 1 X 5477611 5278165 4829183 5932605 6654944 28172508 5477611 5278165 4829183 5932605 6654944 28172508 583930 27588578 30799 5211 244885 99614 98730 479239 28651747 21646306 0.96290 0.96950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 129005 290500 399505 20000 64694 463900 399589 129005 250000 90000 275306 64694 525000 275000 250000 347500 1325000 1672500 1.00000 0 0 613680 613680 2222184 442871 1779313 52773 52773 0 1369086 1157975 211111 2604104 SECURITY DEPOSITS 7041 QALICB INVESTMENT 1704539 DUE FROM QALICB 295560 2007140 DEFERRED RENT 2835129 DUE TO QALICB 1591343 4426472 X PART X, LINE 2: THE CENTER IS ORGANIZED AS A NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THIS SECTION EXEMPTS THE CENTER FROM TAXES ON INCOME. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. TAXES ARE PAID ON NET INCOME EARNED FROM SOURCES UNRELATED TO THE EXEMPT PURPOSES. THERE WAS NO NET INCOME FROM UNRELATED BUSINESS FOR THE PERIODS ENDED DECEMBER 31, 2021 AND DECEMBER 31, 2020. THE CENTER'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. X X X X X X 0 HYDEN INC PO BOX 470784 FORT WORTH TX 76147 CAPITAL CAMPAIGN FUNDRAISING 0 50000 72000 -22000 50000 72000 -22000 X X X 0 0 0 0 0 0 0 0 0 PATRICIA RODRIQGUEZ MEDICAL DIRECTOR 238912 0 0 0 0 0 0 0 20798 0 259710 0 0 0 YUBARAJA BHATTARAI FAMILY PRACTICE 171700 0 0 0 0 0 3700 0 13159 0 188559 0 0 0 GERRIE WHITAKER EXECUTIVE DIRECTOR 167630 0 0 0 0 0 0 0 8003 0 175633 0 0 0 DINESH GOWDA FAMILY PRACTICE 155623 0 0 0 0 0 0 0 3107 0 158730 0 0 0 JERRY PYRON CFO 141361 0 0 0 0 0 2746 0 12822 0 156929 0 0 0 X 203 218553 FAIR MARKET VALUE 0 0 0 0 PART I, COLUMN (B): AMOUNT IN COLUMN B IS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART III, LINE 2 THE ORGANIZATION OPENED A VISION CLINIC IN AUGUST 2021. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEE MAY TAKE ACTION ON BEHALF OF THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED TO THE BOARD AND SIGNED BY THE CFO BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY TO INFORM THE BOARD OF ANY CONFLICTS THAT ARISE DURING THE YEAR. WHEN A MEMBER OR OFFICER SELF-IDENTIFIES A CONFLICT, THE FULL BOARD OF DIRECTORS IS INFORMED OF IT AND MUST DELIBERATE AND APPROVE IT. THE BOARD THEN DETERMINES THE APPROPRIATE RESPONSE, WHICH GENERALLY WILL INVOLVE THE MEMBER THAT HAS THE CONFLICT RECUSING THEMSELVES FROM ANY DISCUSSION INVOLVING THAT SUBJECT AND ANY VOTES THAT MAY BE REQUIRED. IN ADDITION, FAMILY MEMBERS OF THE OFFICERS AND BOARD MEMBERS ARE PROHIBITED FROM ENTERING INTO ANY BUSINESS TRANSACTION WITH THE ORGANIZATION OR SERVING ON THE BOARD OR ITS COMMITTEES. CEO AND CFO ARE CHARGED WITH REGULAR AND CONSISTENT MONITORING AND ENFORCING OF CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE THE CEO'S COMPENSATION, THE BOARD OF DIRECTORS UTILIZES INFORMATION GATHERED FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS WHICH PERFORMS AN ANNUAL SALARY SURVEY OF EXECUTIVE DIRECTORS, CFOS, AND CMOS. THE SURVEY COMPILES INFORMATION BY REGION, CENTER SIZE, PATIENT ENCOUNTERS, ETC. TO ESTABLISH MEDIUM AND MEDIAN RANGES FOR THESE POSITIONS. THE BOARD ALSO CONSULTS WITH THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS (TACHC). IN ADDITION, THE BOARD GATHERS DATA FROM OTHER LOCAL AGENCIES TO ESTABLISH A FAIR AND REASONABLE SALARY. THE BOARD'S DISCUSSION AND DECISION IS RECORDED IN THE MEETING MINUTES. OTHER KEY POSITION SALARIES ARE BASED ON SIMILAR AREA DATA. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. NTACHC QALICB 2332 BEVERLY HILLS DR FORT WORT TX 76114 814967086 HOLDING CORPORATION TX 501(C)(3) LINE 12B, II N/A 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 NTACHC QALICB K 971895 CASH TRANSFERED NTACHC QALICB K 82367 CASH TRANSFERED