2022-12-15T16:06:57-06:00 2022-01-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2021-02-01 742176836 BROWNSVILLE COMMUNITY HEALTH CLINIC CORP % ENRIQUE A GARCIA FINANCE DI BROW 9565487501 191 E PRICE ROAD BROWNSVILLE TX 785213527 PAULA S GOMEZ CEO 9565487501 2022-06-08 true PAULA GOMEZ 999009999 Krystal K Creach P01248198 4178658701 2 2021 2022-09-23 18:48:47Z BROWNSVILLE COMMUNITY HEALTH CENTER PAULA S GOMEZ 191 E PRICE ROAD BROWNSVILLE TX 785213527 22511167 false X WWW.BROWNSVILLECHC.ORG X 1978 TX TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE INCLUDING MEDICAL CARE FOR ALL LIFE STAGES, ANCILLARY SERVICES, AND DENTAL SERVICES. SCHEDULE O FOR ADDITIONAL INFORMATION. 14 14 291 15 0 0 11490807 9691955 9175761 12615795 119892 85260 0 0 20786460 22393010 0 0 0 0 15943392 15601382 0 0 0 4986528 5595463 20929920 21196845 -143460 1196165 20648274 21958146 1915753 2029460 18732521 19928686 AT BROWNSVILLE COMMUNITY HEALTH CENTER (BCHC) OUR GOAL IS TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES WITH EXCELLENCE AND DIGNITY TO OUR COMMUNITY. false false 13091104 7621042 BROWNSVILLE CHC PROVIDES PRIMARY HEALTH CARE FOR ALL LIFE CYCLES THROUGH ADULT MEDICINE, WOMEN'S HEALTH, AND PEDIATRICS. SERVICES INCLUDE SICK CHILD VISITS, WELL-CHILD VISITS, PHYSICALS, VISION/HEARING SCREENINGS, IMMUNIZATIONS, AND MENTAL HEALTH SERVICES. DURING THE CALENDAR YEAR 2021, MEDICAL CARE SERVICES PROVIDED A TOTAL OF 57,898 ENCOUNTERS TO 14,767 PATIENTS WITH A STAFF OF 19 FTE PRIMARY PHYSICIANS AND MID-LEVEL PROVIDERS AND 166 FTE NURSES, OTHER MEDICAL STAFF INCLUDING A LABORATORY THAT IS COLA AND OSHA CERTIFIED, RADIOLOGY, FACILITY, NON-CLINICAL SUPPORT STAFF, AND ADMINISTRATION. 911459 4752364 BROWNSVILLE CHC PROVIDES ON-SITE ENABLING SERVICES. THESE SERVICES INCLUDE SOCIAL SERVICES, CASE MANAGEMENT, PATIENT EDUCATION, AND PHARMACY STAFF AND PHARMACEUTICALS. DURING THE FISCAL YEAR, ENABLING SERVICES PROVIDED A TOTAL OF 8,062 ENCOUNTERS TO 3,825 PATIENTS WITH A STAFF OF 16 FTE'S. 424874 242389 BROWNSVILLE CHC PROVIDES DENTAL SERVICES INCLUDING DENTAL EXAMS, CLEANINGS, SEALANTS, FILLINGS, EXTRACTIONS, AND PEDIATRIC DENTISTRY. DURING THE FISCAL YEAR, DENTAL SERVICES PROVIDED A TOTAL OF 6,600 ENCOUNTERS TO 2,939 PATIENTS WITH A STAFF OF 7 FTE'S INCLUDING DENTISTS AND DENTAL HYGIENISTS. 14427437 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 50 0 true 291 true false false false false false false false false false false false false false X 14 14 false false false false false false false true true false false true true true true true true true true false X ENRIQUE A GARCIA FINANCE DI 9565487501 191 E PRICE ROAD BROWNSVILLE TX 785213527 NISSAR HUSSAIN PHYSICIAN 50.0 0.0 X 828167 0 33069 JOEY ANDREW T UGALINO PHYSICIAN 50.0 0.0 X 363693 0 35169 ROBERTO DIAZ-GONZALEZ PHYSICIAN 50.0 0.0 X 332008 0 28180 HENRY L IMPERIAL PHYSICIAN/MEDICAL DIRECTOR 50.0 0.0 X 276028 0 19427 CARLOS H LOUBRIEL PHYSICIAN 50.0 0.0 X 248613 0 18409 RICARDO A PACHECO TORRES PHYSICIAN 50.0 0.0 X 247296 0 16813 PAULA S GOMEZ CHIEF EXECUTIVE OFFICER 50.0 0.0 X 215003 0 17034 ENRIQUE A GARCIA FINANCE DIRECTOR 50.0 0.0 X 108662 0 21924 EDELMIRO GARCIA CHAIRMAN 1.0 0.0 X X 0 0 0 CASSANDRA GUILLEN BOARD MEMBER 1.0 0.0 X 0 0 0 RAUL RODRIGUEZ VICE CHAIRMAN BEG 01/22 1.0 0.0 X X 0 0 0 NYLA GORDON SECRETARY 1.0 0.0 X X 0 0 0 MOISES GOMEZ TREASURER 1.0 0.0 X X 0 0 0 JUAN GUERRA PARLIAMENTARIAN BEG 01/22 1.0 0.0 X X 0 0 0 LUZ SILVA BOARD MEMBER LARGE #1 BEG 1/22 1.0 0.0 X X 0 0 0 JAMES WALKER BOARD MEMBER AT LARGE #2 1.0 0.0 X X 0 0 0 REYNALDO BARRON BOARD MEMBER 1.0 0.0 X 0 0 0 HERMILA GIL BOARD MEMBER 1.0 0.0 X 0 0 0 SILVIA MORAN BOARD MEMBER BEG 01/22 1.0 0.0 X 0 0 0 MARIA ENEDELIA BOARD MEMBER 1.0 0.0 X 0 0 0 RUDY PEREZ BOARD MEMBER 1.0 0.0 X 0 0 0 MARIA TREVINO BOARD MEMBER 1.0 0.0 X 0 0 0 2619470 0 190025 22 false true false BKD LLP 910 E ST LOUIS SPRINGFIELD MO 65801 AUDIT/TAX/CONS 100224 1 8978176 713779 9691955 NET PATIENT SERVICE REVENUE 624100 6880001 6880001 CONTRACT 340B REVENUE 624100 5609799 5609799 EHR INCENTIVE REVENUE 900099 107511 107511 OTHER PROGRAM SERVICE REVENUE 900099 18484 18484 12615795 20117 20117 0 0 0 0 0 183300 118157 65143 65143 65143 0 0 0 0 0 0 0 0 0 0 22393010 12615795 85260 0 0 0 0 658078 295455 362623 0 12093390 8636349 3457041 345486 247323 98163 1628086 1160829 467257 876342 615686 260656 0 75916 75916 101860 101860 0 0 8780 8780 1450378 1199974 250404 121147 121147 750787 204483 546304 210648 49 210599 0 305598 43870 261728 36644 555 36089 0 29308 29308 0 0 833494 559478 274016 19788 19788 MEDICAL SUPPLIES & DRUGS 1463237 1463237 LICENSES, DUES, SUBSCRIPTIONS 134184 149 134035 RECRUITING & RETENTION 53694 53694 21196845 14427437 6769408 0 1080285 2998679 10958009 10467507 358853 522933 488142 571740 0 0 0 0 0 0 63925 71968 245190 190186 18266076 11504511 7153761 6761565 0 0 0 0 0 0 0 0 300109 373568 20648274 21958146 1631351 1951367 0 0 181596 0 0 0 0 0 0 0 102806 78093 0 0 0 0 1915753 2029460 X 18189676 19309369 542845 619317 18732521 19928686 20648274 21958146 1196165 X false true X true true true X 8096778 8156741 8780122 11490807 9691955 46216403 0 231956 228116 225551 334707 420074 1440404 8328734 8384857 9005673 11825514 10112029 47656807 0 47656807 122646 136219 195321 119892 20117 594195 0 0 48251002 48817010 0.98769 0.98557 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 605203 605203 12634136 7610151 5023985 1713551 1474846 238705 3060350 2419514 640836 252836 252836 6761565 22662689 420074 199476 619550 22043139 349871 349871 22393010 21542996 420074 -65143 354931 21188065 8780 8780 21196845 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D OTHER REVENUE INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $ 208,256 NET ASSETS RELEASED FROM RESTRICTION (8,780) FIDUCIARY FEES ---------- $ 199,476 SCHEDULE D, PART XI, LINE 4B OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT LINE 1: $ 284,728 TEMPORARILY RESTRICTED CONTRIBUTIONS 65,143 GAIN ON DISPOSAL OF PROPERTY ---------- $ 349,871 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 8,780 FIDUCIARY FEES SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ (65,143) GAIN ON DISPOSAL OF PROPERTY X X X X false false false true false false false false false PAULA S GOMEZ CHIEF EXECUTIVE OFFICER 201916 0 5202 0 7885 0 6520 0 10514 0 232037 0 0 0 NISSAR HUSSAIN PHYSICIAN 215037 0 598961 0 14169 0 8700 0 24369 0 861236 0 0 0 JOEY ANDREW T UGALINO PHYSICIAN 225639 0 107345 0 30709 0 8700 0 26469 0 398862 0 0 0 ROBERTO DIAZ-GONZALEZ PHYSICIAN 262374 0 31790 0 37844 0 8700 0 19480 0 360188 0 0 0 CARLOS H LOUBRIEL PHYSICIAN 213953 0 18863 0 15797 0 2613 0 15796 0 267022 0 0 0 RICARDO A PACHECO TORRES PHYSICIAN 182736 0 58083 0 6477 0 7454 0 9359 0 264109 0 0 0 HENRY L IMPERIAL PHYSICIAN/MEDICAL DIRECTOR 241959 0 9569 0 24500 0 8367 0 11060 0 295455 0 0 0 SCHEDULE J, PART I, LINE 5A PRODUCTIVITY BONUSES: PHYSICIAN SHALL RECEIVE FORTY PERCENT (40%) OF COLLECTIONS FROM VISITS AND PROCEDURES PERFORMED BY PHYSICIAN AT HOSPITAL AND NURSING HOMES, EXCEPT FOR THE FOLLOWING: FEES FOR SERVING AS STAND-BY PHYSICIAN FOR UNASSIGNED PATIENTS (DROP-IN CALL), AND RELATIVE VALUE UNIT (RVU) PAYMENTS FOR UNCOMPENSATED PATIENT CARE. FOR THESE EXCEPTIONS, PHYSICIAN SHALL RECEIVE THE AMOUNT COLLECTED, LESS FIVE PERCENT FOR CLINIC ADMINISTRATIVE EXPENSES. FURTHER, PHYSICIAN SHALL RECEIVE BONUS COMPENSATION TO THE EXTENT PHYSICIAN OBTAINS CERTAIN SPECIFIED PRODUCTIVITY GRADES AND PERFORMANCE GOALS. FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION: THE BROWNSVILLE COMMUNITY HEALTH CENTER'S MISSION AND VISION IS TO BE A COMMUNITY ORIENTED COMPREHENSIVE PRIMARY CARE CENTER THAT WILL STRIVE TO MAINTAIN A COMPETITIVE EDGE IN THE CHANGING HEALTH CARE ENVIRONMENT. OUR CORE VALUES INCLUDE EXCELLENCE, TEAMWORK, PERFORMANCE IMPROVEMENT, COMMUNITY ORIENTATION, RESPONSIVENESS TO THE NEEDS OF PATIENT EMPOWERMENT, AND SERVICE TO ALL REGARDLESS OF ABILITY TO PAY AT THE TIME OF SERVICE CONSISTENT WITH THE FEDERAL POVERTY GUIDELINES. THE PURPOSE OF THIS CORPORATION IS TO ESTABLISH AND OPERATE A COMMUNITY HEALTH CENTER (CHC) IN THE SERVICE AREA AND TO PROVIDE DIRECT ACCESS TO COMPREHENSIVE PRIMARY HEALTH CARE AND PREVENTIVE HEALTH CARE TO THE RESIDENTS OF THE SERVICE AREA IN A MANNER CONSISTENT WITH THEIR DIGNITY AND IDENTITY, TO PROMOTE COMMUNITY AWARENESS OF THE NEED FOR PREVENTIVE PRIMARY HEALTH CARE, TO DEVELOP AND/OR COORDINATE RESOURCES THAT IMPACT ON THE COMMUNITY'S HEALTH STATUS, TO EMPHASIZE EFFECTIVE PROJECT MANAGEMENT, QUALITY OF CARE, PRODUCTIVITY COMPLIANCE, AND MOVEMENT TOWARD ECONOMIC SELF-SUFFICIENCY, AND TO APPLY FOR GRANTS FROM THE UNITED STATES GOVERNMENT, THE STATE OF TEXAS, OTHER PRIVATE AGENCIES, INCLUDING CONTRACTUAL OR OTHER OPPORTUNITIES TO CARRY OUT THE PURPOSE STATED ABOVE. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FINANCE DIRECTOR REVIEWS THE 990 IN DETAIL AND A COPY OF THE 990 IS INCLUDED WITH EACH BOARD MEMBER'S PACKET ONE WEEK PRIOR TO THE BOARD MEETING. THE 990 IS FIRST PRESENTED TO THE FINANCE COMMITTEE WHICH MEETS BEFORE THE FULL BOARD. IF APPROVED BY THE FINANCE COMMITTEE, THE CHAIRMAN SENDS THE 990 WITH A RECOMMENDATION FOR APPROVAL TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL MEMBERS OF THE BOARD OF DIRECTORS, ADMINISTRATORS AND NON-BOARD MEMBERS APPOINTED TO BOARD COMMITTEES ARE OBLIGATED TO DECLARE ANY CONFLICT OF INTEREST AT THE BEGINNING OF EACH CALENDAR YEAR OR IF ANY SITUATION ARISES THAT WOULD DIRECTLY OR INDIRECTLY INVOLVE A DECISION THAT WOULD IMPACT THEIR PERSONAL OR PROFESSIONAL INTEREST OR INVOLVEMENT. ALL BOARD MEMBERS, ADMINISTRATORS, OR NON-BOARD MEMBERS APPOINTED TO A BOARD COMMITTEE UPON ELECTION, SELECTION, OR APPOINTMENT, WILL COMPLETE AND SIGN A BROWNSVILLE COMMUNITY HEALTH CENTER CONFLICT OF INTEREST FORM. IF APPLICABLE, CONFLICT OF INTEREST FORMS ARE TO BE SUBMITTED TO THE CHAIRPERSON OF THE BROWNSVILLE COMMUNITY HEALTH CENTER BOARD OF DIRECTORS PRIOR TO A BOARD MEETING. THOSE BOARD MEMBERS MAY NOT MAKE A MOTION OR VOTE ON MOTIONS INVOLVING ISSUES FOR WHICH THEY HAVE DECLARED A CONFLICT. REFUSAL OR FAILURE TO DECLARE A CONFLICT OF INTEREST MAY BE THE BASIS FOR TERMINATION OF MEMBERSHIP ON THE BOARD OF DIRECTORS OR DISMISSAL AS A MEMBER OF A BOARD COMMITTEE. FORM 990, PART VI, SECTION B, LINES 15A & 15B EXECUTIVE COMPENSATION REVIEW: HUMAN RESOURCES CONDUCTS A SALARY COMPARABILITY SURVEY IN ORDER TO HAVE UP TO DATE DATA TO ATTRACT AND RETAIN TALENT OR AS REQUESTED BY THE CHIEF EXECUTIVE OFFICER. INFORMATION IS COMPILED FROM VETTED SOURCES SUCH AS TWC-BLS AND AN INDEPENDENT THIRD PARTY JOB PRICING VENDOR IF NECESSARY. BCHC ALSO COMPARES AGAINST DATA FROM FEDERAL AND STATE ASSOCIATION ANNUAL SALARY AND BENEFITS REPORTS WHICH INCLUDE JOB PRICING/AGGREGATE DATA FROM OTHER COMMUNITY HEALTH CENTERS IN A STATE AND NATIONAL LEVELS. THE SALARY SURVEY DATA IS THEN USED AS A BASIS TO DETERMINE SALARY RANGE AND RECOMMENDATIONS. THE SALARY BENCHMARKS AND SOURCES USED WERE PRESENTED TO THE BOARD OF DIRECTORS AND APPROVED IN JULY OF 2021. THE HUMAN RESOURCES DIRECTOR PERFORMED A REVIEW OF COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND OTHER KEY EMPLOYEES. ADDITIONALLY, COMPENSATION DATA AND SOURCES FOR THE CHIEF EXECUTIVE OFFICER WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS IN NOVEMBER 2021. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THROUGH THE FREEDOM OF INFORMATION ACT, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUESTS ADDRESSED TO THE CHAIRMAN OF THE BOARD.