2021-06-04T15:01:06-07:00 2020-12-31 752593210 Sutton Frost Cary LLP 600 Six Flags Dr Suite 600 Arlington TX 76011 990 2020-01-01 752512752 PEDIPLACE INC PEDI 9724367962 502 S OLD ORCHARD LEWISVILLE TX 75067 LARRY ROBINS President & CEO 2021-06-04 true LARRY ROBINS 999009999 Carroll Elizabeth Arnott P01965628 8176498083 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z LARRY ROBINS 502 S OLD ORCHARD 126 LEWISVILLE TX 75067 4676887 false X www.pediplace.org X 1993 TX TO PROVIDE MEDICAL SERVICES TO UNINSURED AND UNDER-INSURED CHILDREN LIVING IN NORTH TEXAS. OUR MISSION IS TO MAKE HEALTHCARE A REALITY FOR EVERY KID. 22 22 38 314 0 2463393 3622791 1297725 1037620 2384 2505 -11380 -8892 3752122 4654024 0 0 1804746 1721451 15600 15600 246890 1774809 2371639 3595155 4108690 156967 545334 1309268 1960192 155613 261203 1153655 1698989 X TO PROVIDE MEDICAL SERVICES TO UNINSURED AND UNDER-INSURED CHILDREN LIVING IN NORTH TEXAS. OUR MISSION IS TO MAKE HEALTHCARE A REALITY FOR EVERY KID. false true 3633857 1037620 PEDIPLACE PROVIDED PRIMARY PEDIATRIC MEDICAL SERVICES TO MORE THAN 5,600 UNINSURED AND UNDER-INSURED CHILDREN LIVING THROUGHOUT NORTH TEXAS. 3633857 true true false false false false false false false false true false false false false true true false false false false false false true true false false false false true false false false false false true false false true false false false false false false false false true 1 0 true 38 true false false false false false true true false 0 false false false false false false false X 22 22 false false false false false true false true true false false true true true true true true true true false X LARRY ROBINS 9724367962 502 S OLD ORCHARD 126 LEWISVILLE TX 75067 LARRY ROBINS President & CEO 40.00 0.00 X 231919 0 14501 CASSANDRA SINGLETON DIRECTOR OF CLINIC 40.00 0.00 133749 0 6434 JEFF BRANNEN Director 1.00 0.00 X 0 0 0 TERRY ALLEN Treasurer 1.00 0.00 X X 0 0 0 SPENCER TURNER FACHE Director 1.00 0.00 X 0 0 0 DR ZACH MUELLERRNDNPNEA-BC IMM PAST CHAIR. 1.00 0.00 X X 0 0 0 R VON BEOUGHER PE Director 1.00 0.00 X 0 0 0 NANI ISWARA Director 1.00 0.00 X 0 0 0 TERRI CARTWRIGHT Director 1.00 0.00 X 0 0 0 MURRAY COVENS Director 1.00 0.00 X 0 0 0 CARL MENCKHOFF MD CHAIR-ELECT 1.00 0.00 X X 0 0 0 SHAWN BLACK Director 1.00 0.00 X 0 0 0 DAVID FRAZIER Director 1.00 0.00 X 0 0 0 JACK PHILLIPS Director 1.00 0.00 X 0 0 0 SESHU RAO Secretary 1.00 0.00 X X 0 0 0 JAMES KERBOW Director 1.00 0.00 X 0 0 0 JAMIE WILSON ED D Director 1.00 0.00 X 0 0 0 DONALD LYLES Director 1.00 0.00 X 0 0 0 KRIS VAUGHN Director 1.00 0.00 X 0 0 0 KEVIN ROGERS ED D Director 1.00 0.00 X 0 0 0 MICHELLE FORBES Director 1.00 0.00 X 0 0 0 RYAN SCHROER Chairman 1.00 0.00 X X 0 0 0 TRISHA SHEFFIELD Director 1.00 0.00 X 0 0 0 SCOTT HURST Director 1.00 0.00 X 0 0 0 365668 20935 2 false true false COMMUNITY MEDICAL ASSOCIATES PO BOX 265 ARGYLE TX 76226 MEDICAL PERSONNEL 184182 1 300076 105654 441738 2775323 1508962 3622791 MEDICAL SERVICES 900099 1037620 1037620 1037620 2505 2505 0 0 0 0 13971 105654 22863 -8892 -8892 0 0 0 4654024 1037620 -6387 0 0 0 0 246412 68084 82954 95374 0 1288132 1171239 32833 84060 5230 5230 81159 66245 5784 9130 100518 81286 7539 11693 0 0 14500 7250 7250 0 15600 15600 0 275081 259295 14358 1428 1467 1321 73 73 6882 4178 2000 704 69420 34710 34710 0 178330 149252 20362 8716 10007 3159 3490 3358 0 0 0 0 97638 97638 24050 20820 2975 255 IN-KIND PATIENT CARE COSTS 1508949 1508949 SOFTWARE/LICENSING 61921 53926 1044 6951 PATIENT CARE COSTS 60502 60502 HUMAN RESOURCES 19168 15549 1420 2199 43724 25224 11151 7349 4108690 3633857 227943 246890 65700 30900 701740 1459956 234045 243911 82159 36159 0 0 0 0 0 891744 707100 205611 184644 0 0 0 0 20013 4622 1309268 1960192 123324 82090 32289 29213 149900 155613 261203 X 850786 1470056 302869 228933 1153655 1698989 1309268 1960192 545334 X false true X true false X 1404503 1757095 2343410 2463393 3622791 11591192 1455686 1421874 1452960 1297725 1037620 6665865 0 0 0 2860189 3178969 3796370 3761118 4660411 18257057 0 0 18257057 2546 3253 1924 2384 2505 12612 0 2546 3253 1924 2384 2505 12612 700 400 -200 900 0 2863435 3182622 3798094 3763502 4662916 18270569 0.99930 0.99910 0.00070 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 352759 277440 75319 32946 19426 13520 506039 410234 95805 184644 X 4658961 4937 4937 4654024 4654024 4113627 4937 4937 4108690 4108690 Part X : FIN48 Footnote PediPlace is exempt from federal income taxes under section 501(c)(3) of the Internal Revenue Code (IRC) and has not been classified as a private foundation as defined in the IRC. Income generated from activities unrelated to PediPlaces exempt purposes is subject to tax under IRC Section 511. PediPlace had no unrelated business income for the year ended December 31, 2020. Accordingly, no provision has been made for federal income tax. GAAP requires the evaluation of tax positions taken in the course of preparing PediPlaces tax returns and recognition of a tax liability (or asset) if PediPlace has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed the tax positions taken by PediPlace, and has concluded that as of December 31, 2020, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. X X true N TEXAS NP RESOURCES 10450 COUNTESS DR DALLAS TX 75229 GRANT WRITER false 112000 15600 96400 112000 15600 96400 TX GALA 119625 105654 13971 500 13971 4645 3747 119625 105654 13971 500 13971 4645 3747 22863 -8892 X X X X false false false false false false false false false LARRY ROBINS President & CEO 192248 30948 8723 13392 1109 246420 MURRAY COVENS DIRECTOR 15600 GRANT WRITING false X 100230 FMV X 12295 1408732 false true false Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services PEDIPLACE'S BOARD OF DIRECTORS CEASED OPERATIONS AT THE DALLAS CLINIC LOCATION EFFECTIVE 12/31/2019. PEDIPLACE VACATED THE PREMISES EFFECTIVE FEBRUARY 2020 TO COINCIDE WITH THE END OF THE LEASE AT THAT FACILITY. Form 990, Part VI, Line 11b: Form 990 Review Process AFTER THE PREPARATION OF AND BEFORE FILING THE 990, A PREPARER COPY IS SUBMITTED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. ONCE FILED, THE ORGANIZATON IS PROVIDED A PUBLIC INSPECTION COPY FOR THEIR FILES. NEW BOARD MEMBERS RECEIVE A COPY OF FORM 990 FOR THE PERIOD LAST PREPARED AT THE BEGINNING OF THEIR BOARD SERVICE. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts THE TONE FOR A HIGH LEVEL OF ETHICS IS SET AT THE TOP. THE BOARD OF DIRECTORS IMPARTS ITS EXPECTATIONS TO ALL LEVELS OF MANAGEMENT. IN CONNECTION THEREWITH, ALL BOARD MEMBERS, MEMBERS OF COMMITTEES WHO ARE NOT BOARD MEMBERS, OFFICERS, AND EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST STATEMENT. THE SIGNED STATEMENTS ARE REVIEWED AND THE ACCOUNTING DEPARTMENT IS ADVISED OF ANY DISCLOSED CONFLICTS. ANY INDIVIDUAL WITH A POSSIBLE CONFLICT, OR WHO PERCEIVES OR RECOGNIZES A CONFLICT OF OTHERS, IS ENCOURAGED TO DISCUSS THE MATTER WITH THEIR IMMEDIATE SUPERVISOR. ALL CONFLICTS ARE ULTIMATELY DISCUSSED WITH THE BOARD OF DIRECTORS. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management THE PRESIDENT/CEO'S COMPENSATION IS REVISED ANNUALLY BY A COMMITTEE APPOINTED BY THE BOARD CHAIR. BASE SALARY IS COMPARED WITH SIMILAR NOT-FOR-PROFITS AND FOR-PROFIT ORGANIZATIONS. STAFF SIZE, ANNUAL BUDGET, MARKET TRENDS AND SKILL LEVEL ARE USED TO DETERMINE COMPARABLE SALARIES IN THE HEALTHCARE INDUSTRY. BENCHMARK INFORMATION FROM OTHER EMPLOYERS AND SUMMARY DATA COMPILED FROM NOT-FOR-PROFIT ENTITY SURVEYS PRESENTED BI-ANNUALLY BY THE COMMUNITY COUNCIL OF GREATER DALLAS AND GUIDE STAR'S ANNUAL COMPENSATION REPORT ARE CONSULTED. ANNUAL PERFORMANCE MEASUREMENTS ARE ESTABLISHED TO EVALUATE BONUS GUIDELINES. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees OTHER OFFICERS ARE UNPAID. KEY EMPLOYEE COMPENSATION IS DETERMINED BY THE PRESIDENT AND CEO IN CONSULTATION WITH MEMBERS OF THE BOARD OF DIRECTORS. SALARIES ARE COMPARED WITH SIMILAR NOT-FOR-PROFIT AND FOR-PROFIT ORGANIZATIONS. STAFF SIZE, ANNUAL BUDGET, MARKET TRENDS AND SKILL LEVEL ARE USED TO DETERMINE COMPARABLE SALARIES IN THE HEALTHCARE INDUSTRY. BENCHMARK INFORMATION FROM OTHER EMPLOYERS, AND SUMMARY DATA COMPILED FROM NOT-FOR-PROFIT ENTITY SURVEYS PRESENTED BI-ANNUALLY BY THE COMMUNITY COUNCIL OF GREATER DALLAS BIENNIAL COMPENSATION REPORT ARE CONSULTED. ANNUAL PERFORMANCE MEASUREMENTS ARE ESTABLISHED TO EVALUATE BONUS GUIDELINES. ANNUAL PERFORMANCE EVALUATIONS ARE CONDUCTED TO DETERMINE MERIT INCREASES. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available COPIES OF GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. PEDIPLACE WILL PERIODICALLY UPLOAD THESE DOCUMENTS TO GUIDESTAR.COM AS PART OF OUR ORGANIZATION'S PROFILE. FORM 990, PART VIII INCOME FROM FUNDRAISING EVENTS THE NET ECONOMIC BENEFIT FROM OUR FUNDRAISING EVENT IS CALCULATED AS FOLLOWS:CONTRIBUTIONS FROM FUNDRAISING EVENT REPORTED ON PART VIII, LINE 1C $ 13,971GROSS INCOME FROM FUNDRAISING EVENT REPORT ON PART VIII, LINE 8A 105,654LESS: DIRECT COSTS OF EVENT REPORTED ON PART VIII, LINE 8B (22,863) NET ECONOMIC BENEFIT OF FUNDRAISING EVENTS $ 96,762