2017-06-02T09:29:36-07:00 2016-12-31 Sutton Frost Cary LLP 600 Six Flags Dr Suite 600 Arlington TX 76011 990 2016-01-01 752512752 PEDIPLACE INC PEDI 9724367962 502 OLD ORCHARD LEWISVILLE TX 75067 LARRY ROBINS President & CEO 2017-06-02 true Amy Michie P00956657 8176498083 2016 2021-01-29 14:40:06Z LARRY ROBINS 502 OLD ORCHARD 126 LEWISVILLE TX 75067 2882570 false 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. 20 20 41 638 700 1161631 1404503 1501822 1455686 3550 2546 -16208 2667003 2846527 0 0 1996084 2053052 0 221759 820847 1013077 2816931 3066129 -149928 -219602 1895239 1775809 96205 196377 1799034 1579432 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 false 2590149 1455686 PEDIPLACE PROVIDED PRIMARY PEDIATRIC MEDICAL SERVICES TO MORE THAN 6,500 UNINSURED AND UNDER-INSURED CHILDREN LIVING THROUGHOUT NORTH TEXAS. 2590149 true true false false false false false false false true true false false false false true true false false false false false false false true false false false false true false false false false false false false false true false true true false false false false false false false false false true 2 0 true 41 true false false false false false false true true false 0 false false false false false false false false false false X 20 20 false false false false false false false true true false false true true true true true true true true false X LARRY ROBINS 9724367962 502 OLD ORCHARD LEWISVILLE TX 75067 KEVIN ROGERS EdD IMM. PAST CHAIR 1.00 0.00 X X 0 0 0 MELISSA DEWITT CPA Chairman 2.00 0.00 X X 0 0 0 OWEN LYON CPA Treasurer 1.00 0.00 X X 0 0 0 JONATHAN ALDIS CHAIR-ELECT 1.00 0.00 X X 0 0 0 DEBRA NAYLOR MD Director 1.00 0.00 X 0 0 0 RVON BEOUGHER PE Director 1.00 0.00 X 0 0 0 JIM BREWER Director 1.00 0.00 X 0 0 0 MURRAY COVENS Director 1.00 0.00 X 0 0 0 ALISON HOLLENDER Director 1.00 0.00 X 0 0 0 DOUG KILLOUGH Director 1.00 0.00 X 0 0 0 DARLA KINCAID MD Director 1.00 0.00 X 0 0 0 SUSIE MORRISSEY Director 1.00 0.00 X 0 0 0 DR ZACH MUELLERRNDNPNEA-BC Secretary 1.00 0.00 X X 0 0 0 MATT NEWTON Director 1.00 0.00 X 0 0 0 CURTIS SAMUELS Director 1.00 0.00 X 0 0 0 MIKE SCHNITTKER Director 1.00 0.00 X 0 0 0 RYAN SCHROER Director 1.00 0.00 X 0 0 0 JIM SPOONER Director 1.00 0.00 X 0 0 0 JACK TOWSLEY Director 1.00 0.00 X 0 0 0 TERRANCE WASHINGTON Director 1.00 0.00 X 0 0 0 LARRY ROBINS President & CEO 50.00 0.00 X 210659 0 13592 CASSANDRA SINGLETON DIR. CLINICAL OPS. 40.00 0.00 X 104549 0 9347 315208 22939 2 false true false 0 472033 115941 222928 593601 110352 1404503 MEDICAL SERVICES 900099 1455686 1455686 1455686 2546 2546 0 0 0 0 19135 115941 36043 -16908 -16908 0 0 OTHER REVENUE 700 700 700 2846527 1455686 700 -14362 0 0 0 0 224251 186128 20183 17940 0 1666355 1401851 115286 149218 0 162446 140635 10861 10950 0 0 0 0 0 0 0 229810 229810 1444 603 259 582 8557 4991 2930 636 51940 45013 1364 5563 0 239995 193269 45709 1017 13523 3445 4665 5413 0 11580 4201 6062 1317 0 0 113721 113721 28964 25417 2352 1195 IN-KIND PATIENT CARE COSTS 110352 110352 PATIENT CARE COSTS 61710 61710 CONTRACT PROFESSIONAL SERVICES 59419 41662 13174 4583 EQUIPMENT 25533 18793 5556 1184 56529 8548 25820 22161 3066129 2590149 254221 221759 124225 225024 1035922 706465 371709 217481 68175 93220 0 0 0 0 0 1465176 944607 282158 520569 0 0 0 0 13050 13050 1895239 1775809 64405 156502 31800 39875 96205 196377 X 1461034 1414921 327500 154011 10500 10500 1799034 1579432 1895239 1775809 -219602 X false true X true false X 898467 1849631 1238556 1161631 1404503 6552788 1164695 1336514 1645115 1501822 1455686 7103832 0 0 0 2063162 3186145 2883671 2663453 2860189 13656620 0 0 13656620 2968 4035 2532 3550 2546 15631 0 2968 4035 2532 3550 2546 15631 0 43637 700 44337 2066130 3190180 2929840 2667003 2863435 13716588 0.99560 0.99520 0.00110 0.00140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10500 10500 10500 10500 10500 10500 10500 10500 10500 10500 1.00000 false false false 909300 909300 423260 423260 132616 944607 -811991 520569 X 2905399 58872 58872 2846527 2846527 3125001 58872 58872 3066129 3066129 Part X : FIN48 Footnote The Organization 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 the Organizations exempt purposes is subject to tax under IRC Section 511. The Organization had no unrelated business income for the years ended December 31, 2016. Accordingly, no provision has been made for federal income tax in the accompanying financial statements. GAAP requires the evaluation of tax positions taken in the course of preparing the Organizations tax returns and recognition of a tax liability (or asset) if the Organization 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 the Organization, and has concluded that as of December 31, 2016, 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. The Organizations form 990, Federal Return of Organization Exempt for Income Tax, is generally subject to examination by the Internal Revenue Services for three years from the date of filing. false GALA 112245 93280 18965 1512 91 500 18300 2870 4569 POKER PARTY 22831 22661 170 2720 1837 3644 135076 115941 19135 4232 91 500 20137 2870 8213 36043 -16908 X X X X false false false false false false false false false false LARRY ROBINS President & CEO 168680 33579 8400 8124 5468 224251 MURRY COVENS DIRECTOR 15600 GRANT WRITING false SUSIE MORRISSEY DIRECTOR 15807 JANITORIAL SERVICES false X 68 110352 FMV false false false 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. NO SUCH REQUESTS WERE MADE FOR 2016. 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 TWO FUNDRAISING EVENTS IS CALCULATED AS FOLLOWS:CONTRIBUTIONS FROM FUNDRAISING EVENT REPORTED ON PART VIII, LINE 1C $ 115,941GROSS INCOME FROM FUNDRAISING EVENT REPORT ON PART VIII, LINE 8A 19,135LESS: DIRECT COSTS OF EVENT REPORTED ON PART VIII, LINE 8B (36,043) NET ECONOMIC BENEFIT OF FUNDRAISING EVENTS $ 99,033