2017-11-15T10:02:20-06:00 2016-12-31 752570395 DURBIN & COMPANY LLP 2950 50TH STREET LUBBOCK TX 79413 990 2016-01-01 752723993 LONGVIEW WELLNESS CENTER INC LONG 9037582610 PO BOX 3647 LONGVIEW TX 756063647 TIMOTHY CHAD JONES CEO 9037582610 2017-11-15 1 GAYLE L DE HAAS P01774581 8067911591 2017-11-02 12.44.95.50 2017-11-15 10:01:55 CS P 00DC5DC89968C6BE560901454C496131615A7D99 00DC5DC89968C6BE560901454C496131615A7D99 2016 2017-02-10 21:41:12Z WELLNESS POINTE TIMOTHY CHAD JONES 1107 EAST MARSHALL AVE LONGVIEW TX 75601 15211763 0 X WWW.WELLNESSPOINTE.ORG X 1997 TX TO PROVIDE ACCESS TO HIGH QUALITY MEDICAL, DENTAL AND SOCIAL SERVICES ACROSS THE PATIENT LIFECYCLE WITHOUT REGARD TO INSURANCE STATUS OR ABILITY TO PAY. 11 11 231 20 0 0 5411046 6104411 7309450 8466701 7364 5281 216093 635370 12943953 15211763 0 0 0 0 9825944 8486755 0 0 0 3796593 7326163 13622537 15812918 -678584 -601155 5214383 4641356 1844547 1872675 3369836 2768681 X TO PROVIDE ACCESS TO HIGH QUALITY MEDICAL, DENTAL AND SOCIAL SERVICES ACROSS THE PATIENT LIFECYCLE WITHOUT REGARD TO INSURANCE STATUS OR ABILITY TO PAY. 0 0 12102066 9102071 PROVIDE MEDICAL CARE, OBSTETRIC & PEDIATRIC CARE, DENTAL SERVICES, PRENATAL AND NEWBORN HEALTHCARE, PSYCHIATRIC AND BEHAVIOR COUNSELING AND OPTOMETRY TO INDIGENT, UNINSURED AND UNDER-INSURED PATIENTS. THE ORGANIZATION SERVED 17,340 PATIENTS DURING 2016. 798940 ADMINISTERED THE WOMEN'S, INFANTS AND CHILDREN'S ("WIC") PROGRAM TO PROVIDE NUTRITIONAL EDUCATION AND VOUCHERS FOR WIC APPROVED NUTRITIONAL FOODS. ALSO PROVIDED TRAINING AND SUPPORT FOR BREAST FEEDING FOR NEW MOTHERS. THE ORGANIZATION SERVED AN AVERAGE OF 4,767 PARTICIPANTS PER MONTH DURING 2016. 299323 PROVIDED HOME VISITING SERVICES DESIGNED TO SUPPORT AND STRENGTHEN THE PARENT-CHILD RELATIONSHIP TO IMPROVE THE HEALTH, DEVELOPMENT AND WELL-BEING FOR THE CHILD AND FAMILY TO 79 FAMILIES DURING 2016. 95894 PROVIDED ALCOHOL, DRUG AND ANGER MANAGEMENT COUNSELING TO 1,816 PATIENTS IN 2016. 279354 PROVIDED HIV PREVENTION AND TREATMENT RELATED SERVICES TO 8,751 PATIENTS IN 2016. 432619 PROJECT REACH HELPED 80 TEXAS ADOLESCENTS IN 2016 IMPROVE OVERALL HEALTH AND WELL-BEING BY INCREASING PROTECTIVE FACTORS AND BUILD RESILIENCY IN ADOLESCENTS THROUGH A COMPREHENSIVE HEALTH ADOLESCENT INITIATIVE WITH IMPLENTATION OF EVIDENCE-BASED YOUTH DEVELOPMENT STRATEGIES BY A LOCAL COUNCIL BASED ON LOCAL NEED AND POPULATION TO SERVE. 807867 14008196 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 33 0 1 231 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 1 1 1 0 X CHAD JONES AND TALIA PETERSON 9037582610 1107 EAST MARSHALL AVE LONGVIEW TX 75601 MARY ANN MILLER PRESIDENT 1.00 X X 0 0 0 DEENA SHELTON VICE-PRESIDENT 1.00 X X 0 0 0 ALLEN LIZZA TREASURER 1.00 X X 0 0 0 RIC BRACK DIRECTOR 1.00 X 0 0 0 JOYCELYNE FADOJUTIMI DIRECTOR 1.00 X 0 0 0 JOHN GREEN DIRECTOR 1.00 X 0 0 0 LANCE LARISON DIRECTOR 1.00 X 0 0 0 CASEY ROBERTSON DIRECTOR 1.00 X 0 0 0 BARBARA SMITH DIRECTOR 1.00 X 0 0 0 GABRIELA SOLIZ DIRECTOR 1.00 X 0 0 0 MATT TOOKER DIRECTOR 1.00 X 0 0 0 TIMOTHY CHAD JONES CEO 40.00 X 227746 0 0 TALIA PETERSON CFO 40.00 X 117687 0 0 ANNETTE OKPEKI CMO 40.00 X 233610 0 0 MELISSA BRITTAIN COO 40.00 X 83916 0 0 JEFFREY BROWN BUSINESS DEVELOPMENT 40.00 X 101869 0 0 MICHAEL ESEDEBE PHYSICIAN 40.00 X 301031 0 0 JACLYN GILLIAM CMN 40.00 X 164663 0 0 RANDY MOORE PHYSICIAN ASSISTANT 40.00 X 106999 0 0 JENNIFER SMITH DENTIST 40.00 X 113090 0 0 RAMON VILLAFRIA PHYSICIAN 40.00 X 213638 0 0 KHOSHUNDA WILLIAMS PHYSICIAN ASSISTANT 40.00 X 100046 0 0 1764295 0 0 10 0 1 0 DAMON W SPENCER 6320 MISTRY TRAIL DALLAS TX 75248 DENTAL SERVICES 281661 FRANK J TIBILETTI 1300 LEDUKE BLVD LONGVIEW TX 75601 OB-GYN SERVICES 121233 2 5206917 897494 864301 6104411 PROGRAM SERVICE 621110 8466701 8466701 8466701 5281 5281 PHARMACY 340B 624100 311268 311268 INCENTIVE REVENUE 624100 154712 154712 COMMUNITY HEALTHCORE R 624100 128560 128560 40830 40830 635370 15211763 9102071 0 5281 X 662959 233610 429349 6860131 6093120 767011 95197 70005 25192 281214 259918 21296 587254 546221 41033 80619 80619 1884896 1875207 9689 190048 188135 1913 258911 204325 54586 35348 31141 4207 836803 831720 5083 160390 141096 19294 62396 54861 7535 21083 21083 358551 358551 43506 43506 BAD BEDT 1392436 1392436 IN KIND EXPENSE 863832 863832 MEDICAL SUPPLIES 626670 626670 MEDICAL RECORDS 172634 172444 190 338040 278247 59793 15812918 14008196 1804722 0 533634 242627 1267515 1011900 1027985 569456 86438 99644 43382 28860 6395862 4368483 2255429 2027379 0 661490 5214383 4641356 1344858 1292389 174592 499689 405694 1844547 1872675 X 3369836 2768681 3369836 2768681 5214383 4641356 -601155 0 X 1 X 1 X 1 1 1 X 4285269 4894035 5146794 5411046 6104411 25841555 4285269 4894035 5146794 5411046 6104411 25841555 25841555 14353 9086 7840 7363 5281 43923 25885478 0.99830 0.99750 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 121225 121225 2861710 1649942 1211768 78906 53814 25092 3308979 2656261 652718 25042 8466 16576 2027379 OTHER RECEIVABLES 661490 661490 X 13819327 -1392436 -1392436 15211763 0 15211763 14420482 0 14420482 1392436 1392436 15812918 PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(C)(3). IT EVALUATES AND ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ACS 740, INCOME TAXES (FORMERLY FASB INTERPRETATIONS 48 (FIN 48)) ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS STANDARD REQUIRES CERTAIN DISCLOSURES ABOUT UNCERTAIN INCOME TAX POSITIONS. THE ORGANIZATION EVALUATES ANY UNCERTAIN TAX POSITIONS USING THE PROVISIONS OF ACS 450, CONTINGENCIES. AS A RESULT, MANAGMENT DOES NOT BELIEVE ANY UNCERTAIN TAX POSITIONS CURRENTLY EXIST AND NO LOSS CONTINGENCY HAS BEEN RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS FILED ALL APPLICABLE TAX RETURNS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -1,392,436. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 1,392,436. X X 0 0 0 0 0 0 0 0 0 TIMOTHY CHAD JONES CEO 227746 0 0 0 0 0 0 0 0 0 227746 0 0 0 ANNETTE OKPEKI CMO 233610 0 0 0 0 0 0 0 0 0 233610 0 0 0 MICHAEL ESEDEBE PHYSICIAN 301031 0 0 0 0 0 0 0 0 0 301031 0 0 0 JACLYN GILLIAM CMN 164663 0 0 0 0 0 0 0 0 0 164663 0 0 0 RAMON VILLAFRIA PHYSICIAN 213638 0 0 0 0 0 0 0 0 0 213638 0 0 0 CASEY ROBERTSON BOARD MEMBER 79125 OPERATING LEASE 0 CASEY ROBERTSON BOARD MEMBER 136073 MEDICAL CLAIMS 0 PART IV CASEY ROBERTSON, A BOARD MEMBER, IS THE CHIEF EXECUTIVE OFFICER FOR A LOCAL HOSPITAL WHERE THE ORGANIZATION HAS CURRENT OPERATING LEASE AGREEMENTS. FURTHERMORE, THE ORGANIZATION HAS A CONTRACT WITH THIS LOCAL HOSPITAL FOR EMPLOYEE MEDICAL CLAIMS PAID RELATED TO THE ORGANIZATION'S SELF-FUNDED INSURANCE PLAN.IN ADDITION, THE ORGANIZATION ENTRED INTO A DONATION AGREEMENT IN 2015 WITH THE HOSPITAL FOR A ONE TIME IRREVOCABLE DONATION IN THE AMOUNT OF $45,000 TO BE DISBURSED IN FOUR EQUAL PAYMENTS DURING THE PERIOD FROM MARCH 1, 2015 TO FEBRUARY 29, 2016. THE DONATION WAS TO PROVIDE SUPPORT FOR THE ORGANIZATION'S CHARITABLE MISSION. AT THE END OF 2015, THE ORGANIZATION HAD RECEIVED $33,750 AND THE REMIAING $11,250 WAS RECORDED AS A RECIEVABLE. IN JANUARY 2017, THE ORGANIZATION AND THE HOSPITAL ENTERED INTO ANOTHER ONE TIME IRREVOCABLE DONATION AGREEMENT TO THE ORGANIZATION. BOTH THE HOSPITAL AND THE ORGANIZATION AGREED THAT THE 2015 AGREEMENT WAS TERMINATED AND THE FINAL PAYMENT OF $11,250 WOULD BE WAIVED UPON MAKING THE 2017 AGREEMENT. THE ORGANIZATION DISCHARGED AND RELEASED THE HOSPITAL FROM ANY LIABILITY ARISING FROM THE 2015 AGREEMENT. X 1000 821537 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B AN OUTSIDE, INDEPENDENT ACCOUNTING FIRM PREPARES THE ORGANIZATION'S FORM 990. THE ORGANIZATION'S CEO, CFO AND BOARD CHAIR REVIEW THE RETURN BEFORE PROVIDING THE RETURN TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REMINDS ALL SENIOR MANAGEMENT AND MANAGERS TO BE VIGILANT IN RECOGNIZING CONFLICTS OF INTEREST AS THEY ARISE. THE ORGANIZATION, ITS EMPLOYEES AND BOARD MEMBERS ARE LOCATED IN A RELATIVELY SMALL TOWN WHERE BUSINESS INTERESTS AND RELATIONS ARE WELL KNOWN TO THE PUBLIC. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S SENIOR MANAGEMENT AND BOARD UTILIZE COMPENSTION COMPARABILITY DATA PROVIDED ANNUALLY BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS TO ESTABLISH COMPENSATION FOR SENIOR OFFICIALS AND MANAGERS. FORM 990, PART VI, SECTION C, LINE 19 EXCEPT AS PROVIDED FOR IN THE ORGANIZATION'S FORM 1023 AND FORM 990S, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,875,207. MANAGEMENT AND GENERAL EXPENSES 9,689. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,884,896.