2017-12-13T13:15:15-06:00 2016-11-30 TX, Hurricane Harvey BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2015-12-01 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 2017-11-15 true Jeanette Verrelli P00742631 9727028262 2015 2017-02-10 21:41:12Z X MARLEN J TRUJILLO 800 W SAM HOUSTON PKWY S S 200 HOUSTON TX 77042 8982395 false X WWW.SBCHC.NET X 2003 TX SBCHC REDUCES AREA HEALTH DISPARITIES BY CREATING A NEIGHBORHOOD-BASED HEALTH CENTER TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES THAT ARE... (SEE SCHEDULE O) 12 12 125 44 0 2854308 4303314 3890417 4626087 1791 1531 41224 34242 6787740 8965174 2600 906 0 0 4239191 4821876 0 0 7740 2713438 4145612 6955229 8968394 -167489 -3220 5017369 5563787 1539214 1981852 3478155 3581935 THE MISSION IS TO INCREASE THE NUMBER OF HEALTHY FAMILIES IN OUR COMMUNITY BY PROVIDING HIGH QUALITY, COMPREHENSIVE HEALTHCARE SERVICES. false false 7165763 906 4635043 Spring Branch Community Health Center (SBCHC) is a Federally Qualified Health Center (FQHC) operating five locations in Houston and Harris County. Three clinics are located in the Spring Branch area of Houston, and two are in West Houston, with the newest location in the City of Katy. During the 2016 fiscal year, SBCHC provided 50,272 visits to 15,196 individual patients. SBCHC provides primary medical care to patients of all ages, focusing on pediatric, womens health, and adult medicine. The services are complemented by behavioral health and dental services. SBCHC also utilizes a mobile clinic to conduct outreach, health screenings and health promotion in the community. 7165763 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 false true false false false false false false false false true false false false false false false false false true 39 0 125 true false false false false false true true false false false false X 12 12 false true 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 JOHN KEMPER CHAIRMAN OF THE BOARD 1.0 0.0 X X 0 0 0 MARIO GUAJARDO MD VICE CHAIRMAN OF THE BOARD 1.0 0.0 X X 0 0 0 JORGE SERA BOARD TREASURER 1.0 0.0 X X 0 0 0 MARIE-LOUISE ZELMAT BOARD SECRETARY 1.0 0.0 X X 0 0 0 FARAH BUCK RN DIRECTOR 1.0 0.0 X 0 0 0 LOUIS FAILLACE MD DIRECTOR 1.0 0.0 X 0 0 0 MINGA HERRERA-FERNANDEZ DIRECTOR 1.0 0.0 X 0 0 0 RICARDO BARCELO DIRECTOR 1.0 0.0 X 0 0 0 IGNACIO PUJOL DIRECTOR 1.0 0.0 X 0 0 0 TERESA JACKSON DIRECTOR 1.0 0.0 X 0 0 0 LYDIA JUNEK DIRECTOR 1.0 0.0 X 0 0 0 LESTER WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 JOHNNA CARLSON DIRECTOR 1.0 0.0 X 0 0 0 SONG TAYLER PAK DIRECTOR 1.0 0.0 X 0 0 0 GABINO TARANGO DIRECTOR 1.0 0.0 X 0 0 0 MARLEN TRUJILLO CEO 40.0 0.0 X 175615 0 17768 MICHAEL BSAIBES COO 40.0 0.0 X 117996 0 10694 ROBERT DARROW CFO END MAY 2016 40.0 0.0 X 100385 0 5759 SON DUONG INTERIM CMO 40.0 0.0 X 125868 0 3781 RACHNA BHARTI CMO Jan - Nov 2016 40.0 0.0 X 0 0 0 MARY ELLEN MCEVOY CCO Start May 2016 40.0 0.0 X 8513 0 182 LORI MCCAIN CFO START NOV 2016 40.0 0.0 X 0 0 0 PAULINE DUNGLINSON INTERIM CFO JUNE-NOV 2016 40.0 0.0 X 0 0 0 MEGHAN THOMEER DO PHYSICIAN 40.0 0.0 X 142673 0 19393 LAURENA MOORE DDS DENTAL DIRECTOR end sept 2015 40.0 0.0 X 111711 0 20957 PATRICK FITZWATER PHYSICIAN ASSISTANT 40.0 0.0 X 107357 0 4921 SHRUTI VARADARAJAN FORMER CMO end aug 2015 40.0 0.0 X 101684 0 3372 991802 0 86827 8 true true false UT HEALTH SCIENCE CENTER DEPT OF OB 6431 FANIN ST HOUSTON TX 77030 CONTRACT PROVIDERS 297820 FORNEY CONSTRUCTION 8945 LONG POINT SUITE 200 HOUSTON TX 77055 CONSTRUCTION 227898 UNITED SOLUTIONS MSO 3030 E 29TH ST SUITE 101 BRYAN TX 778023471 CONTRACT BILLING 177161 LABCORP 7207 NORTH GESSNER HOUSTON TX 77040 LABORATORY 136939 4 X 45417 2432699 1825198 1129607 4303314 NET PATIENT REVENUE 621400 4491814 4491814 PHARMACY REVENUE 446110 28023 28023 EHR INCENTIVE REVENUE 900099 106250 106250 4626087 1531 1531 0 0 0 0 0 0 42507 45417 17221 25286 25286 0 0 Miscellaneous Revenue 900099 8956 8956 8956 8965174 4635043 26817 X 906 906 0 0 0 773987 613280 160707 0 3333985 2642497 691488 48519 38330 10189 368602 291195 77407 296783 234459 62324 0 3721 3721 41821 41821 0 0 0 1237990 978984 259006 54228 26775 19713 7740 405951 158078 247873 73184 54360 18824 0 533731 446184 87547 25154 0 25154 0 10888 10888 38889 30722 8167 0 86435 67028 19407 18165 9454 8711 Medical Supplies & Equip 1496538 1496538 Bad Debt Expense 67127 67127 Staff Training 34382 9846 24536 . 0 17408 17408 8968394 7165763 1794891 7740 377293 525202 848659 835864 538589 153782 262906 403780 0 0 0 0 0 0 0 126314 41125 14645 4029230 548962 2930814 3480268 0 0 0 0 0 0 0 0 17983 23932 5017369 5563787 581573 876557 0 0 0 0 0 0 0 0 0 0 936554 904521 0 0 21087 200774 1539214 1981852 X 3396655 3241194 81500 340741 0 0 3478155 3581935 5017369 5563787 X -3220 107000 X false true X true true true X 1292273 1385712 2151416 2854308 4303314 11987023 0 0 1292273 1385712 2151416 2854308 4303314 11987023 58827 11928196 3948 2630 1676 1791 1531 11576 0 0 0 34747 25286 60033 0 12058632 17914786 0.98918 0.98800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 836554 836554 2469396 142730 2326666 65912 50928 14984 476968 355304 121664 180400 0 180400 3480268 0 TENANT IMPROVEMENT ALLOWANCE 174493 Deferred Rent 26281 200774 8668129 25002 25002 8643127 322047 322047 8965174 8943490 25002 17221 42223 8901267 67127 67127 8968394 Schedule D, Part XI, Line 4B Reconciliation of Revenue of Audited Financial Statements With Return: Contribution Revenue included in net assets per the audit $272,141 Bad Debt Expense $67,127 Fundraising Expense $(17,221) ----------------- $322,047 Schedule D, Part XII, Line 2D Reconciliation of Expense of Audited Financial Statements With Return: Fundraising Expense $17,221 Schedule D, Part XII, Line 4B Reconciliation of Expense of Audited Financial Statements With Return: Bad Debt Expense $67,127 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 HAR LUNCH 87924 45417 42507 7083 2439 7699 0 0 0 0 0 0 0 0 0 0 87924 45417 42507 0 0 7083 2439 0 7699 17221 25286 X X false false false false false false false false false MEGHAN THOMEER DO PHYSICIAN 142470 0 203 0 0 0 308 0 19085 0 162066 0 MARLEN TRUJILLO CEO 155088 0 20527 0 0 0 6373 0 11395 0 193383 0 SHRUTI VARADARAJAN FORMER CMO end aug 2015 95865 0 5819 0 0 0 3353 0 19 0 105056 0 X 24 1129607 FMV false false false SCHEDULE M, PART I, COLUMN B Number of Contributions or items contributed: column B represents the number of contributions received. SCHEDULE M, PART I, LINE 20, Column (c) Additional Information: Vaccines from the State of texas "Vaccine for Children" (VFC) program provides SBCHC vaccines at no cost to 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 I, LINE 1 ORGANIZATION'S SIGNIFICANT ACTIVITIES: (CONTINUED FROM PAGE 1)... CULTURALLY COMPETENT, LINGUISTICALLY APPROPRIATE AND CLIENT-DRIVEN IN A LOCATION EASILY ACCESSIBLE TO PUBLIC TRANSPORTATION. SBCHC AIMS TO DECREASE HEALTH DISPARITIES AND INCREASE THE NUMBER OF HEALTHY INDIVIDUALS AND HEALTHY FAMILIES IN THE COMMUNITIES WE SERVE. WE ARE A MODEST BUT IMPORTANT AND GROWING COMPONENT OF THE PRIMARY CARE SAFETY-NET IN HOUSTON/HARRIS COUNTY WHERE 1.1 MILLION PEOPLE ARE UNINSURED AND/OR MEDICALLY UNDERSERVED. THOUGH THE PRIMARY CARE SAFETY-NET HAS GROWN SIGNIFICANTLY SINCE 2005 (IN 2005, 2 FQHCS SERVED THE COUNTY COMPARED WITH 12 TODAY), IT STILL HAS FAR TO GO IN SERVING THE HEALTHCARE NEEDS OF A LARGE - AND GROWING - UNDERSERVED POPULATION. OUR VISION IS TO BE THE LEADING PRIMARY HEALTH CARE ORGANIZATION IN WEST HOUSTON SERVING MORE THAN 20,000 PATIENTS IN THE NEXT TWO TO THREE YEARS THROUGH OUR COMMUNITY BASED CLINICS. OUR COMMITMENT TO QUALITY OF CARE WILL REMAIN ONE OF OUR TOP PRIORITIES, PROVIDING COMPREHENSIVE SERVICES ACROSS ALL OF OUR SPECIALTIES. WE AIM TO SHIFT THE DYNAMIC OF CARE TOWARDS BEING PATIENT CENTERED, AND BECOMING A PREFERRED MEDICAL HOME FOR ALL WHO SEEK IT. SBCHC WAS FORMED IN 2003 AND BEGAN SEEING UNINSURED AND UNDERINSURED PATIENTS IN MAY 2004, SPECIFICALLY, THE MEDICALLY UNDERSERVED POPULATION (MUP) IN SPRING BRANCH, AND IN 2013 EXPANDED TO WEST HOUSTON. SBCHC HAS GROWN FROM ONE TO FOUR CLINIC LOCATIONS, AND HAS LAUNCHED A MOBILE CLINIC TO FURTHER ITS REACH AND INCREASE ACCESS IN UNDERSERVED AREAS. DESIGNATED AS A FEDERALLY QUALIFIED HEALTHCARE CENTER (FQHC) IN 2005, SBCHC REDUCES AREA HEALTH DISPARITIES BY CREATING A NEIGHBORHOOD-BASED HEALTH CENTER TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES THAT ARE CULTURALLY COMPETENT, LINGUISTICALLY APPROPRIATE AND CLIENT-DRIVEN IN A LOCATION EASILY ACCESSIBLE TO PUBLIC TRANSPORTATION. IN DECEMBER 2012, SBCHC BECAME ONE OF ONLY 10% OF THE FQHCS IN THE U.S. 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, GIVE COMPREHENSIVE AND COORDINATED CARE AND UTILIZE A SYSTEMS-BASED APPROACH TO QUALITY AND SAFETY. SBCHC IS THE ONLY FQHC IN THE SPRING BRANCH AND WEST HOUSTON SERVICE AREA PROVIDING COMPREHENSIVE MEDICAL SERVICES AT A DISCOUNT TO THE UNDER- AND UNINSURED POPULATION. COMMUNITY HEALTH WORKERS ASSIST PATIENTS AT EACH LOCATION WITH ADDITIONAL SOCIAL SERVICES SUCH AS APPLICATION ASSISTANCE FOR MEDICAID/CHIP, PHARMACY ASSISTANCE PROGRAMS, SNAP AND WIC. REFERRAL SPECIALISTS/PATIENT CARE COORDINATORS ASSIST PATIENTS AT EACH LOCATION WITH REFERRALS TO SPECIALTY SERVICES. SBCHC MAINTAINS A STAFF THAT IS 90% BILINGUAL TO CREATE A WELCOMING AND ACCOMMODATING CLINIC ENVIRONMENT. OUR BIGGEST DIFFERENCE AMONG OTHER ORGANIZATIONS IS OUR APPROACH TO SUPPORT THE WHOLE WELLBEING OF OUR PATIENTS THAT EXTENDS BEYOND THEIR MEDICAL NEEDS. THE PATIENTS WE TREAT HAVE FINANCIAL, EDUCATION, HOUSING, MENTAL HEALTH AND OTHER NEEDS. THROUGH OUR RELATIONSHIPS WITH OTHER ORGANIZATIONS WE HAVE BEEN ABLE TO BUILD STRONG COLLABORATIONS/PARTNERSHIPS TO PROVIDE SUPPORT TO EACH INDIVIDUAL EVERY STEP OF THE WAY. NOT ONLY ARE WE A HEALTH CENTER BUT WE ARE ALSO A SOCIAL SERVICES ORGANIZATION COMMITTED TO ENSURING THAT ALL COMMUNITY RESIDENTS ARE HEALTHY AND THAT WE BUILD A HEALTHIER COMMUNITY AS A WHOLE. FORM 990, PART VI, SECTION A, LINE 3 DELEGATION OF MANAGEMENT DUTIES: IN JUNE OF 2016, THE ORGANIZATION ENTERED INTO A MANAGEMENT CONTRACT WITH PAULINE DUNGLINSON, AN INDEPENDENT CONTRACTOR. PAULINE SERVED AS THE INTERIM CHIEF FINANCIAL OFFICER OF THE ORGANIZATION UNTIL NOVEMBER 2016. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII BECAUSE SHE WASN'T PAID DURING CALENDAR YEAR 2015. 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. IT IS THEN PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. THE FINAL FORM 990 WILL BE DISTRIBUTED TO THE FULL BOARD TO APPROVE BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12 MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY: EVERY BOARD MEMBER AND MEMBER OF THE EXECUTIVE MANAGEMENT TEAM 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. FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION OF CEO AND OTHER OFFICERS: CEO COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS THROUGH ANNUAL PERFORMANCE REVIEWS. THE BOARD USES SURVEYS FROM THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS TO HELP DETERMINE COMPENSATION. EMPLOYEESOTHER OFFICERS' COMPENSATIONS ARE DETERMINED BY THE CEO UTILIZING THE SAME SURVEYS. ALL HAVE ANNUAL REVIEWS WHICH AFFECT COMPENSATION. DOCUMENTATION OF ALL REVIEWS ARE KEPT IN THE EMPLOYEES' FILES. 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS: CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE $107,000 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:819791 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:275056 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:9640 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING SERVICES TOTAL FEES:133503