2017-11-06T13:49:13-06:00 2016-12-31 752393478 WHITLEY PENN LLP 8343 DOUGLAS AVENUE STE 400 DALLAS TX 75225 990 2016-01-01 752813621 ELLIS COUNTY COALITION FOR HEALTH OPTIONS INC ELLI 9729232440 411 EAST JEFFERSON STREET WAXAHACHIE TX 75165 RANDY RODEN CHIEF FINANCIAL OFFICER 9729232440 2017-11-02 1 CURTIS MAXFIELD P00445178 2143939300 12.0.230.112 2017-11-02 21:22:45 CD P DA3E60640D6C1298DD715361446E517AD29E4A42 E1A53D438F3A62E303FFD2CADADD0DF4B8764238 2016 2018-03-14 21:41:22Z HOPE CLINIC RANDY RODEN 411 EAST JEFFERSON STREET WAXAHACHIE TX 75165 4409553 0 X WWW.CALL4HOPE.ORG X 2000 TX PROVIDES HEALTH, DENTAL, AND BEHAVIORAL HEALTH CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS. THESE SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 10 10 69 10 0 0 1847757 2259632 1744396 2149636 369 285 2157 0 3594679 4409553 989 0 0 0 2003178 2717241 0 0 38976 1430150 1421293 3434317 4138534 160362 271019 993707 1109309 386038 230621 607669 878688 PROVIDES HEALTH, DENTAL, AND BEHAVIORAL HEALTH CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS. 0 0 3065704 2149636 PROVIDED HEALTH, DENTAL, AND BEHAVIORAL HEALTH CARE AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND SURROUNDING AREAS AND TO INDIGENT CITIZENS OF ELLIS COUNTY REGARDLESS OF THEIR ABILITY TO PAY. 3065704 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 14 0 69 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 1 0 X RANDY RODEN 9729232440 201 FERRIS AVENUE SUITE L WAXAHACHIE TX 75165 JO ANN LIVINGSTON PRESIDENT 5.00 X X 0 0 0 RAY PIKE VICE PRESIDENT 2.00 X X 0 0 0 DR CODY MOORE TREASURER 1.00 X X 0 0 0 CHRISTINA EWING SECRETARY 1.00 X X 0 0 0 ELLA MCMAHAN PARTIAL YEAR FORMER SECRETARY 1.00 X X 0 0 0 ROBERTO ALVAREZ DIRECTOR 1.00 X 0 0 0 FRANK MORRIS DIRECTOR 2.00 X 0 0 0 DIANA BUCKLEY DIRECTOR 1.00 X 0 0 0 BOBBIE JONES DIRECTOR 1.00 X 0 0 0 CHANTE DOUGLAS DIRECTOR 1.00 X 0 0 0 HEIDI SCHOONOVER DIRECTOR 1.00 X 0 0 0 LINDA BROWN PARTIAL YEAR FORMER DIRECTOR 1.00 X 0 0 0 MARIA ALFARO PARTIAL YEAR FORMER DIRECTOR 1.00 X 0 0 0 DARYL TILLERY PARTIAL YEAR FORMER DIRECTOR 1.00 X 0 0 0 JESSE DE LEON PARTIAL YEAR FORMER DIRECTOR 1.00 X 0 0 0 BARBARA CLARK CEO 45.00 X 69811 0 0 DR DONALD MONDRAGON CMO 32.00 X 151642 0 0 RANDY RODEN CFO 45.00 X 22619 0 0 PAUL BEGNOCHE PARTIAL YEAR FORMER CEO 40.00 X 42431 0 0 DR RODOLFO URBY PARTIAL YEAR FORMER CMO 16.00 X 6912 0 0 RENEE FILSON PARTIAL YEAR FORMER INTERIM CFO 10.00 X 49500 0 0 DR JAMES YARMCHUK MEDICAL DOCTOR 45.00 X 143365 0 0 DR ELMER T HODGES JR DENTAL DIRECTOR 32.00 X 133221 0 0 619501 0 0 3 0 1 0 0 1895123 364509 272814 2259632 PROGRAM SERVICE FEES 621110 2149636 2149636 2149636 285 285 4409553 2149636 0 285 X 342916 308108 32554 2254 1939491 1742624 184120 12747 3116 1300 1698 118 256711 107104 139920 9687 175007 73016 95387 6604 2500 2500 56508 56508 711702 541332 170370 5125 5125 38709 16150 21098 1461 158181 52122 101345 4714 26085 26085 20840 13378 7462 2390 1195 1195 38493 34586 3654 253 9628 4017 5248 363 REPAIRS AND MAINTENANCE 142400 142400 BAD DEBT 140875 140875 EQUIPMENT RENTAL 18228 11614 6614 PROFESSIONAL DUES 14891 14891 34738 13158 20805 775 4138534 3065704 1033854 38976 1787 750 245462 347244 137639 200445 12896 3441 872144 317459 593179 554685 2744 2744 993707 1109309 294533 167052 34703 34703 56802 28866 386038 230621 X 607669 878688 607669 878688 993707 1109309 271019 0 X X 0 1 X 1 1 1 X 1367420 1598820 1585251 1847757 2259632 8658880 1367420 1598820 1585251 1847757 2259632 8658880 57680 8601200 1534 1990 2707 369 285 6885 3147 3147 8668912 0.99220 0.99820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19000 19000 583749 97491 486258 186225 146225 40000 83170 73743 9427 554685 INTERBANK LOAN 28866 28866 X 4409553 0 4409553 0 4409553 4138534 0 4138534 0 4138534 PART X, LINE 2: THE CLINIC IS GENERALLY EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C) 3) OF THE INTERNAL REVENUE CODE, AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION. GAAP PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. MANAGEMENT BELIEVES THAT IT HAS NOT TAKEN A TAX POSITION THAT, IF CHALLENGED, WOULD HAVE A MATERIAL EFFECT ON THE CLINIC'S FINANCIAL STATEMENTS. THE CLINIC FILES FORM 990 IN THE UNITED STATES FEDERAL JURISDICTION WITHIN THE UNITED STATES AND NO TAX RETURNS ARE CURRENTLY UNDER EXAMINATION BY ANY TAX AUTHORITIES. X 0 0 0 0 0 0 0 0 0 DR DONALD MONDRAGON CMO 151642 0 0 0 0 0 0 0 0 0 151642 0 0 0 YOLANDE OWENS FORMER CEO OPERATING LOAN X 107000 34703 0 0 0 34703 SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS: FROM TIME TO TIME, AND WITHOUT BOARD APPROVAL, THE FORMER CHIEF EXECUTIVE OFFICER MADE LOANS TO THE CLINIC IN THE FORM OF SHORT TERM ADVANCES TO FUND OPERATIONAL COSTS OF THE CLINIC. OUTSTANDING BALANCES OF THESE SHORT TERM ADVANCES TOTALED APPROXIMATELY $35,000 AT DECEMBER 31, 2016 AND 2015, RESPECTIVELY. THESE SHORT TERM ADVANCES ARE CURRENTLY DUE AND DO NOT BEAR INTEREST. X 29 272814 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE CEO AND CFO PRIOR TO FILING. THE FULL BOARD IS PRESENTED A COPY AT A SUBSEQUENT MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD AND STAFF ARE ASKED TO REVIEW AND SIGN A NEW FORM ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD APPROVES A RANGE OF SALARIES DURING THE ANNUAL BUDGET PROCESS FOR ALL POSITIONS BASED ON RESEARCH AND COMPARABLES AT THE FEDERAL LEVEL USING GUIDELINES UNDER HRSA TO ENSURE COMPETITIVE SALARIES FOR ALL POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,000. PATIENT SERVICE EXPENSE: PROGRAM SERVICE EXPENSES 541,332. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 541,332. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,344. OUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 158,026. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,026. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT DURING THE CURRENT YEAR.