2021-10-13T18:38:40-05:00 2020-11-30 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2019-12-01 300198705 Spring Branch Community Health Center % MARLEN J TRUJILLO SPRI 7134626565 800 W Sam Houston Pkwy S Suite 200 Houston TX 77042 MARLEN J TRUJILLO CEO 7134626565 2021-10-15 true Jeanette Verrelli P00742631 9727028262 2019 2022-09-23 18:48:47Z MARLEN J TRUJILLO 800 W SAM HOUSTON PKWY S 200 HOUSTON TX 77042 13037539 false X WWW.SBCHC.NET X 2003 TX SPRING BRANCH COMMUNITY HEALTH CENTER (SBCHC) REDUCES AREA HEALTH DISPARITIES BY CREATING NEIGHBORHOOD-BASED HEALTH CENTERS TO PROVIDE...(SEE SCHEDULE O) 12 12 206 15 0 0 6189917 6014173 7199193 6834184 32299 37888 108660 140712 13530069 13026957 240 6503 0 0 7953800 9722547 0 0 175590 4129426 4398957 12083466 14128007 1446603 -1101050 10975451 12121798 1700351 3947748 9275100 8174050 X THE MISSION IS TO INCREASE THE NUMBER OF HEALTHY FAMILIES IN OUR COMMUNITY BY PROVIDING HIGH QUALITY COMPREHENSIVE HEALTHCARE SERVICES. false false 11525998 6503 6985478 SPRING BRANCH COMMUNITY HEALTH CENTER (SBCHC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) OPERATING SIX LOCATIONS IN HOUSTON AND HARRIS COUNTY. THREE CLINICS ARE LOCATED IN THE SPRING BRANCH AREA OF HOUSTON, AND THREE CLINICS ARE IN WEST HOUSTON. DURING THE 2020 FISCAL YEAR, SBCHC PROVIDED 44,554 VISITS, INCLUDING 15,488 VIRTUAL VISITS TO 16,294 INDIVIDUAL PATIENTS. The COVID-19 Pandemic impacted the number of people served in 2020. SBCHC QUICKLY IMPLEMENTED VIRTUAL VISITS FOR MEDICAL AND MENTAL HEALTH SERVICES, BUT THE NUMBER OF PATIENT VISITS DROPPED SIGNIFICANTLY FROM THE PRIOR YEAR. 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. IN LATE 2020, SBCHC BEGAN PROVIDING RAPID REHOUSING SERVICES TO INDIVIDUALS EXPERIENCING HOMELESSNESS. 11525998 true true false false false false false false false false true false false false true false true false false false false false false false true false false false true true false false false false false false false false true false false false false false false false false true 35 0 206 true false false false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true true false X MARLEN J TRUJILLO 7134626565 800 W SAM HOUSTON PKWY S SUITE 200 HOUSTON TX 77042 X DAVID KRUSLESKI MD CMO 40.0 0.0 X 211296 0 26131 MARLEN J TRUJILLO CEO 40.0 0.0 X 184282 0 26003 SASHA ROBEYE MD PHYSICIAN 40.0 0.0 X 175674 0 23313 MARITA OBENZA MD PHYSICIAN 40.0 0.0 X 157426 0 23687 EMAN ALHARBI MD PHYSICIAN 40.0 0.0 X 160223 0 15640 MICHAEL BSAIBES COO 40.0 0.0 X 137807 0 15229 MEGHAN THOMEER DO PHYSICIAN 30.0 0.0 X 137218 0 10937 LORI MCCAIN CFO 40.0 0.0 X 114700 0 22575 BERNADETTE BONAPARTE MD PHYSICIAN 24.0 0.0 X 133609 0 1089 David Hobson MD FORMER CMO 28.5 0.0 X 131239 0 0 GERARD PEPERONE CDO 40.0 0.0 X 86038 0 13074 MICHAEL SMITH CPO 40.0 0.0 X 20333 0 694 AMY WRIGHT EDD DIRECTOR 1.0 0.0 X 0 0 0 BILL GAUL DIRECTOR 1.0 0.0 X 0 0 0 CARLOS A MORENO MD DIRECTOR 1.0 0.0 X 0 0 0 IGNACIO PUJOL SECRETARY 1.0 0.0 X X 0 0 0 JOHN KEMPER CHAIRMAN 2.0 0.0 X X 0 0 0 JORGE SERA TREASURER 1.0 0.0 X X 0 0 0 JOSE CARLOS INTERIANO MD DIRECTOR 1.0 0.0 X 0 0 0 LESTER WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 LOUIS FAILLACE MD DIRECTOR 1.0 0.0 X 0 0 0 LYDIA JUNEK DIRECTOR 1.0 0.0 X 0 0 0 MARIE-LOUISE ZELMAT VICE-CHAIR 1.0 0.0 X X 0 0 0 TERESA JACKSON DIRECTOR 1.0 0.0 X 0 0 0 1649845 0 178372 13 true true false UT HEALTH SCIENCE CENTER DEPT OF OB 6431 FANNIN STREET HOUSTON TX 77030 CONTRACT PROVIDERS 296509 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LABORATORY TESTING 177208 NEO RHINO LLC 710 N POST OAK RD STE 555 HOUSTON TX 77024 REMOTE IT MANAGEMENT 138751 3 33848 3738596 2241729 743366 6014173 Net Patient Service Revenue 621110 6645428 6645428 Pharmacy Revenue 446110 188756 188756 6834184 37888 37888 0 0 0 0 0 0 0 33848 10582 -10582 -10582 0 0 0 0 0 0 Miscellaneous Revenue 900099 147257 147257 Medical Records Revenue 561000 4037 4037 151294 13026957 6985478 27306 602 602 5901 5901 0 0 995536 296250 621720 77566 163542 163542 7061899 6182852 806161 72886 76123 59031 14726 2366 935249 840905 83898 10446 490198 457426 22585 10187 0 600 600 56195 56195 0 0 0 855718 618794 236924 8911 1881 7030 191887 49278 141891 718 359884 156123 203390 371 0 709395 629001 80394 22498 6355 16014 129 0 7876 4748 3118 10 32360 30479 1881 0 411604 408003 3601 50332 29347 20985 Medical Supplies & Equipment 1272694 1239461 33233 Bad Debt Expense 284996 284996 RECRUITING & RETENTION 60297 29874 30423 DUES, LICENSES & PERMITS 73710 31149 41650 911 14128007 11525998 2426419 175590 470984 453712 1648580 2399345 1052368 1380783 721206 508371 0 0 0 0 0 0 117443 172348 108095 59618 9019452 2021042 6773167 6998410 0 0 0 0 0 0 0 0 83608 149211 10975451 12121798 727357 749955 0 0 0 0 0 0 0 0 0 0 841043 1488761 0 0 131951 1709032 1700351 3947748 X 7002647 6104862 2272453 2069188 9275100 8174050 10975451 12121798 -1101050 X false true X true true true X 4303314 9926376 4157419 6189917 6014173 30591199 0 0 4303314 9926376 4157419 6189917 6014173 30591199 740389 29850810 1531 1119 2163 32299 37888 75000 0 42507 31222 24481 34292 0 132502 30798701 31099350 0.96922 0.99220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 836554 836554 5917312 1008432 4908880 723926 409570 314356 961454 603040 358414 580206 580206 6998410 0 PAYCHECK PROTECTION PROGRAM LOAN 1521400 Deferred Rent 32849 Tenant Improvement Allowance 154783 1709032 12786199 1344221 1344221 11441978 1584979 1584979 13026957 13853593 10582 10582 13843011 284996 284996 14128007 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: NET ASSETS RELEASED FROM RESTRICTION $1,629,217 BAD DEBT EXPENSE $(284,996) ------------- TOTAL $1,344,221 SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: CONTRIBUTIONS WITH DONOR RESTRICTIONS $1,536,289 FUNDRAISING EXPENSES $ (10,582) GRANTS FOR ACQUISITION OF P&e $ 59,272 ------------ TOTAL $1,584,979 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: FUNDRAISING EXPENSES $10,582 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $284,996 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: 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. FALL HARVEST LU 33848 33848 10582 0 33848 33848 10582 10582 -10582 true Transportation 18 901 FMV Bus passes Cancer Care Program 20 5000 SCHEDULE I, PART I, Line 2 PROCEDURES FOR MONITORING THE USE OF GRANTS FUNDS IN THE U.S.: The bus passes were provided to patients receiving substance use disorder therapy who did not have reliable transportation to get to the clinic for their sessions or medical visits. A log was maintained that included the date the bus pass was provided, the name of the recipient, and the number of passes received. SBCHC received a private foundation grant to assist patients undergoing cancer treatment. The donor specified that the funds were to be used for non-treatment related assistance. Assistance with utility bills, cell phone bills, groceries, and other housing-related services was provided. X X X X false false false false false false false false false MARLEN J TRUJILLO CEO 183782 0 500 0 0 0 9473 0 16530 0 210285 0 0 0 MICHAEL BSAIBES COO 137307 0 500 0 0 0 6991 0 8238 0 153036 0 0 0 DAVID KRUSLESKI MD CMO 211121 0 175 0 0 0 2609 0 23522 0 237427 0 0 0 EMAN ALHARBI MD PHYSICIAN 160073 0 150 0 0 0 0 0 15640 0 175863 0 0 0 MARITA OBENZA MD PHYSICIAN 157426 0 0 0 0 0 0 0 23687 0 181113 0 0 0 SASHA ROBEYE MD PHYSICIAN 175549 0 125 0 0 0 0 0 23313 0 198987 0 0 0 David Hobson MD FORMER CMO 131064 0 175 0 0 0 0 0 0 0 131239 0 0 0 X 2258 FMV X 39 726283 FMV X DISASTER RELIEF TENT 1 524 FMV X DENTAL SUPPLIES 2 5790 FMV X VITAMINS & BLANKETS 2 7791 RETAIL VALUE X GIFT BASKETS 1 720 RETAIL VALUE false false false SCHEDULE M, PART 1, COLUMN B Number of Contributions or items contributed: column B represents the number of contributions received. SCHEDULE M, PART I, LINE 20, COLUMN (C) VACCINES FROM THE STATE OF TEXAS "VACCINE FOR CHILDREN" (VFC) PROGRAM PROVIDES SBCHC. SBCHC MUST FOLLOW ELIGIBILITY GUIDELINES FROM THE STATE AND ADMINISTER THESE VACCINES TO ELIGIBLE PATIENTS. VACCINES ARE SHIPPED TO SBCHC DIRECTLY FROM PHARMACEUTICAL COMPANIES SUCH AS MERCK AND OTHER COMPANIES. 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 15A & 15B 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 I, Line 1 ORGANIZATION'S SIGNIFICANT ACTIVITIES: (CONTINUED FROM PAGE 1)... 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 1.4 million people (19.7% 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 has grown from one to six clinic locations, and has a mobile clinic to further its reach and increase access in underserved areas. SBCHC added rapid rehousing services for individuals experiencing homelessness in late 2020. Throughout the COVID-19 Pandemic, SBCHC remained open to provide services both in-person and virtually. SBCHC is the only FQHC in the Spring Branch and West 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 wellbeing 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.