2017-10-12T13:56:50-05:00 2016-11-30 910189318 Moss Adams LLP 101 Second Street Suite 900 San Francisco CA 94105 990 2015-12-01 743001674 Lone Star Circle of Care LONE 5126860523 205 East University Avenue No 200 Georgetown TX 78626 Jon Calvin CFO 5126860523 2017-10-12 1 Joua V Lo P01225144 4159561500 2017-10-09 2015 2021-01-29 14:40:06Z Rhonda Mundhenk 205 East University Avenue No 200 Georgetown TX 78626 66064291 0 X https://lonestarcares.org/ X 2001 TX Lone Star Circle of Care provides exceptional and accessible patient centered healthcare for our Texas neighbors, focusing on the underserved. 12 12 571 13 0 0 18112617 16070902 48706295 49549673 7844 213933 117446 -1912 66944202 65832596 0 0 0 0 35446285 38553227 0 0 1871085 22536795 22180614 57983080 60733841 8961122 5098755 33773433 35194463 14762983 11085258 19010450 24109205 X LONE STAR CIRCLE OF CARE PROVIDES EXCEPTIONAL AND ACCESSIBLE PATIENT CENTERED HEALTHCARE FOR OUR TEXAS NEIGHBORS. 0 0 43809961 0 39782808 MEDICAL PROGRAMS: LONE STAR CIRCLE OF CARE (LSCC) HAS MULTIPLE MEDICAL SERVICE LINES THAT PROVIDE PRIMARY & ACUTE MEDICAL CARE INCLUDING PREVENTION, DIAGNOSIS, AND TREATMENT OF CHRONIC CONDITIONS. IN THE PAST YEAR, LSCC PROVIDED 96,492 PEDIATRIC PATIENT VISITS, 66,682 FAMILY MEDICINE AND SENIOR CARE PATIENT VISITS, 47,133 OB/GYN PATIENT VISITS (INCLUDING 1,827 BABY DELIVERIES), 1,997 OPTOMETRY VISITS, AND FILLED 147,811 PRESCRIPTIONS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION ABOUT THE SERVICES PROVIDED. 6173296 0 7609895 INTEGRATED BEHAVIORAL HEALTH: LSCC'S INTEGRATED BEHAVIORAL HEALTH MODEL ADDRESSES THE COMPLETE PRIMARY MEDICAL AND MENTAL HEALTH NEEDS OF ADULT, ADOLESCENT, SENIOR, AND PEDIATRIC PATIENTS. BY PROVIDING CONTINUOUS ACCESS TO TREATMENT AND MEDICATIONS, LSCC IS HELPING TO REDUCE EMERGENCY ROOM VISITS AND CRISES RELATED TO UNTREATED MENTAL HEALTH ISSUES. SERVICES PROVIDED INCLUDE PSYCHIATRY, PSYCHOTHERAPY, AND COUNSELING FOR SENIORS, ADULTS, ADOLESCENTS, AND CHILDREN. THE BEHAVIORAL HEALTH CLINICS PROVIDED 54,487 PATIENT VISITS LAST YEAR. 2182026 0 1326868 DENTAL CARE: LSCC PROVIDES GENERAL DENTISTRY SERVICES FOR ADULTS AND CHILDREN IN THE CENTRAL TEXAS COMMUNITY. LSCC'S GCC DENTAL CENTER IN GEORGETOWN AND ROUND ROCK DENTAL CLINIC ARE DEDICATED TO PROVIDING AFFORDABLE, ACCESSIBLE CARE TO THE UNINSURED AND UNDER-SERVED. LSCC PROVIDED 9,369 PATIENT VISITS IN THE PAST YEAR. 0 0 830102 Other program services include a $561,000 payment received related to Health Information Technology through the Meaningful Use Program and $269,102 related to other income, including medical records, nurse care coordination, workers compensation dividends, etc. 0 0 830102 52165283 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 30 0 1 571 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JON CALVIN CFO 5126860523 205 E UNIVERSITY AVE STE 200 Georgetown TX 78626 Jack Hunnicutt Chair 1.00 0.00 X X 0 0 0 Tim Kennedy Vice President 1.00 0.00 X X 0 0 0 Cynthia Brien Vice President 1.00 0.00 X X 0 0 0 Steve Pena Treasurer 1.00 0.00 X X 0 0 0 Karen Cole Secretary 1.00 0.00 X X 0 0 0 Amy Medrano Board Member 1.00 0.00 X 0 0 0 Doak Fling Board Member 1.00 0.00 X 0 0 0 Elizabeth Johnson Board Member 1.00 0.00 X 0 0 0 John Gustainis Board Member 1.00 0.00 X 0 0 0 Scott Alarcon Board Member 1.00 0.00 X 0 0 0 Michelle Robertson Board Member 1.00 0.00 X 0 0 0 Roland Valle Board Member 1.00 0.00 X 0 0 0 Rhonda Mundhenk Chief Executive Officer 55.00 0.00 X 294670 0 15048 Jon Calvin Chief Financial Officer 55.00 0.00 X 263237 0 14412 Kathleen Butler CMO / Chief Quality Officer 50.00 0.00 X 329728 0 12101 Russell Phelps DO - OB/GYN Medical Director 40.00 0.00 X 307572 0 12101 Andrew Mahaffey VP of OB/GYN Services 40.00 0.00 X 532900 0 13694 Tara Heyliger MD/ - OB/GYN 40.00 0.00 X 294497 0 10091 Kimberlee Coleman-Henderson MD - OB/GYN 40.00 0.00 X 297042 0 15366 DAVID BILLUE DO - OB/GYN 40.00 0.00 X 299107 0 15052 2618753 0 107865 84 0 1 0 ColoMetro Inc PO Box 340399 Austin TX 78734 Broadband Services 734478 NextGen HealthCare PO Box 511449 Los Angeles CA 900518004 Hosting and Maintenance Services 528785 Clinical Pathology Labs Inc PO Box 141669 Austin TX 78734 Lab Services 491189 Quest Diagnostics PO Box 841725 Dallas TX 752841725 Lab Services 328797 PressOne 38-31 Crescent St Long Island NY 11101 Voice and Data Hosting Services 298565 6 8026627 8044275 2735186 16070902 Patient Serv. Revenue 624100 48719571 48719571 EHR Revenue 621400 561000 561000 other revenue 900099 269102 269102 49549673 35522 35522 410106 231695 178411 178411 178411 Loss - Equity Investee 900099 -1912 -1912 -1912 65832596 49549673 0 212021 1052744 18108 791246 243390 31218645 27420759 3067797 730089 3770818 3222358 483486 64974 2511020 2125301 336971 48748 37241 37241 115577 115577 3264824 2748128 348835 167861 291827 230640 35670 25517 1629285 1287487 200008 141790 960761 774284 173985 12492 4893620 4287030 505689 100901 142680 112764 17440 12476 93292 73732 11403 8157 280017 98006 99714 82297 1911624 1477511 293576 140537 295929 204698 64842 26389 Pharmaceutical Supplies 5233709 5228725 4984 0 Bad Debt Expense 1284565 1284565 Medical Supplies 878679 871311 6437 931 Dues & Subscriptions 280488 221678 34284 24526 586496 478198 68288 40010 60733841 52165283 6697473 1871085 1120856 1118108 9634837 11490606 6866661 6855271 2718338 2803868 878596 931055 422608 536878 20207065 10428290 10311422 9778775 716 362298 133478 1457101 1546424 33773433 35194463 5175454 3418580 33333 63483 7892049 5956144 387000 387000 1275147 1260051 14762983 11085258 X 11693706 16960427 7316744 7148778 19010450 24109205 33773433 35194463 5098755 0 X 0 1 X 1 1 1 X 12731560 21587903 19740595 18112617 16070902 88243577 12731560 21587903 19740595 18112617 16070902 88243577 126974 88116603 11725 225999 132680 1790 35522 407716 88651293 258321752 0.99400 0.99570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 Part II-B, Line 1: The organization pays dues to the National Association of Community Health Centers (NACHC) and the Texas Association of Community Health Centers (TACHC). A portion of these dues may be used for lobbying purposes. 5223655 617810 4605845 4178565 2569966 1608599 10378648 7240514 3138134 426197 426197 9778775 Deferred Rent Liability 1260051 1260051 64871681 323650 -1284565 -960915 65832596 0 65832596 59774123 323650 1913 325563 59448560 1285281 1285281 60733841 Part XI, Line 2d - Other Adjustments: Bad Dabt Expense -1,284,565. Part XII, Line 2d - Other Adjustments: Expenses of LSCC Enterprises 1,913. Part XII, Line 4b - Other Adjustments: Bad Debt Expense 1,284,565. OTHER 716. X X X 0 0 0 0 0 0 0 0 0 Rhonda Mundhenk Chief Executive Officer 294220 0 0 0 450 0 0 0 15048 0 309718 0 0 0 Jon Calvin Chief Financial Officer 262879 0 0 0 358 0 0 0 14412 0 277649 0 0 0 Kathleen Butler CMO / Chief Quality Officer 328693 0 0 0 1035 0 0 0 12101 0 341829 0 0 0 Russell Phelps DO - OB/GYN Medical Director 306897 0 0 0 675 0 0 0 12101 0 319673 0 0 0 Andrew Mahaffey VP of OB/GYN Services 512965 0 0 0 19935 0 0 0 13694 0 546594 0 0 0 Tara Heyliger MD/ - OB/GYN 294047 0 0 0 450 0 0 0 10091 0 304588 0 0 0 Kimberlee Coleman-Henderson MD - OB/GYN 296592 0 0 0 450 0 0 0 15366 0 312408 0 0 0 DAVID BILLUE DO - OB/GYN 296137 0 0 0 2970 0 0 0 15052 0 314159 0 0 0 X 1 2735186 FMV 0 0 1 0 Part I, Column (b): All non-cash contributions received were in the form of vaccines, which were received from one donor. Form 990, Part III, Line 1: ORGANIZATION'S MISSION: LONE STAR CIRCLE OF CARE PROVIDES EXCEPTIONAL AND ACCESSIBLE PATIENT CENTERED HEALTHCARE FOR OUR TEXAS NEIGHBORS. VISION STATEMENT: WE WILL ELIMINATE HEALTH INEQUALITIES TO FACILITATE WELLNESS AND OPTIMAL LIVING FOR ALL, HELPING STRENGTHEN OUR COMMUNITIES. CORE VALUES: INTEGRITY, INNOVATION, COMPASSION, RESPECT, SERVICE, EXCELLENCE LONE STATE CIRCLE OF CARE (LSCC) IS A 501(C)(3) NONPROFIT, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER (FQHC) NETWORK THAT PROVIDES A PATIENT-CENTERED HEALTH CARE HOME TO UNINSURED AND UNDERINSURED RESIDENTS OF CENTRAL TEXAS. IN 2016, LSCC OPERATED CLINICS THROUGHOUT WILLIAMSON, TRAVIS, BELL, BASTROP, AND BURNETT COUNTIES. SERVICES INCLUDE: PRIMARY MEDICAL CARE THAT IS FOCUSED BY AGE GROUP (PEDIATRICS, ADOLESCENTS, ADULTS, AND SENIORS); COMPREHENSIVE OBY/GYN SERVICES; GENERAL DENTISTRY; OPTOMETRY; PHARMACY SERVICES; AND ENABLING SERVICES SUCH AS INTERPRETERS AND INSURANCE ELIGIBILITY SCREENERS. A ROBUST AND FULLY INTEGRATED BEHAVIORAL HEALTH PROGRAM, WITH APPROXIMATELY 31 CLINICIANS ON STAFF, PROVIDES NECESSARY PSYCHIATRIC AND PSYCHOTHERAPY SERVICES TO PATIENTS WHO WOULD OTHERWISE NOT HAVE ACCESS TO CARE. LSCC ACCEPTS MEDICAID, CHILDREN'S HEALTH INSURANCE PROGRAM, MEDICARE AND OTHER PUBLICLY INSURED PATIENTS, AND UNINSURED PATIENTS PAY A SLIDING SCALE FEE BASED ON THEIR INCOME AND HOUSEHOLD SIZE. LSCC IS ACCREDITED BY THE JOINT COMISSION AND HAS ACHIEVED A LEVEL 3 PATIENT CENTERED MEDICAL HOME RECOGNITION FROM THE NCQA. SINCE RECEIVING FQHC STATUS IN 2004, LSCC HAS FORGED NUMEROUS STRATEGIC PARTNERSHIPS, LEVERAGING FQHC BENEFITS WITH INVESTMENTS FROM OTHER STAKEHOLDERS, INCLUDING FOUNDATIONS, GOVERNMENT, AND HOSPITAL SYSTEMS. WITH THE SUPPORT OF THESE MANY PARTNERS, CAPACITY HAS GROWN FROM 10,000 VISITS IN 2002 TO OVER 276,160 VISITS IN 2016. LSCC WILL CONTINUE IDENTIFYING OPPORTUNITIES TO COLLABORATE AND LEVERAGE ITS RESOURCES TO PROVIDE SUSTAINABLE, QUALITY PRIMARY HEALTH CARE FOR THE REGION. Form 990, Part III, Line 4a MEDICAL PROGRAMS: LONE STAR CIRCLE OF CARE (LSCC) HAS MULTIPLE MEDICAL SERVICE LINES THAT PROVIDE PRIMARY AND ACUTE MEDICAL CARE INCLUDING PREVENTION, DIAGNOSIS AND TREATMENT OF CHRONIC CONDITIONS. IN THE PAST YEAR, LSCC PROVIDED 276,160 PATIENT VISITS ACROSS ALL SERVICE LINES. LSCC SERVICE LINES INCLUDE: 1) PEDIATRIC: PRIMARY AND ACUTE MEDICAL CARE FOR CHILDREN AND ADOLESCENTS. IN THE PAST YEAR, LSCC PROVIDED 96,492 VISITS. 2) FAMILY MEDICINE AND SENIOR CARE: LSCC PROVIDES A PRIMARY CARE HOME FOR A LARGE, UNINSURED ADULT POPULATION. PATIENTS HAVE ACCESS TO ROUTINE AND ACUTE CARE AS WELL AS CHRONIC DISEASE PREVENTION, TREATMENT AND MANAGEMENT. IN THE PAST YEAR, LSCC PROVIDED 66,682 PATIENT VISITS. 3) WOMEN'S HEALTH: OBSTETRICS AND GYNECOLOGY, INCLUDING THOROUGH PRENATAL CARE, LABOR AND DELIVERY, AND POSTPARTUM CARE. OB/GYN PROVIDERS PROVIDED 47,133 PATIENT VISITS, INCLUDING DELIVERING 1,827 BABIES THIS YEAR. 4) INTEGRATED BEHAVIORAL HEALTH: PSYCHIATRY, PSYCHOTHERAPY, AND COUNSELING FOR ADULTS, SENIORS, ADOLESCENTS, AND CHILDREN. IN THE PAST YEAR, LSCC PROVIDED 54,487 BEHAVIORAL HEALTH VISITS. 5) SENIOR: MEDICAL SERVICES TAILORED FOR OLDER ADULTS. LSCC PROVIDED 6,709 SENIOR VISITS OVER THE PAST YEAR. 6) DENTAL: LSCC'S DENTAL CLINIC PROVIDED 9,369 VISITS IN THE YEAR. 7) VISION: LSCC'S VISION CLINIC PROVIDED 1,997 VISITS IN THE YEAR. 8) HEALTH EDUCATION CLASSES: LSCC TEAMED UP WITH VARIOUS LOCAL PARTNERS TO PROVIDE FREE HEALTH EDUCATION CLASSES TO OUR PATIENTS AND THE LOCAL COMMUNITY. THESE CLASSES ARE A VALUABLE RESOURCE TO INDIVIDUALS AND FAMILIES WHO ARE: (I) LEARNING TO MANAGE DIABETES OR ASTHMA; (II) EXPECTING THEIR FIRST CHILD; (III) LEARNING ABOUT BEING ACTIVE AND EATING HEALTHY; AND (IV) TEACHING THEIR CHILDREN TO BE HEALTHY. Form 990, Part VI, Section B, line 11 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. UPON RECEIPT OF THE FORM 990 FROM THE INDEPENDENT ACCOUNTANT, AND PRIOR TO SUBMISSION TO THE IRS, THE CFO REVIEWS THE RETURN FOR REASONABLENESS COMPARED TO THE FINAL AUDITED FINANCIAL STATEMENTS. THE FORM IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND FEEDBACK BEFORE IT IS FILED. Form 990, Part VI, Section B, line 12c ALL MEMBERS OF THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE SHALL COMPLETE AND SIGN A CONFLICT OF INTEREST CERTIFICATE ANNUALLY, AT THE START OF THE MEMBER'S TERM OR AT THE START OF THE CORPORATION'S FISCAL YEAR, WHICHEVER COMES FIRST. SHOULD A CONFLICT ARISE, THE BOARD MEMBER WILL ABSTAIN FROM PARTICIPATING IN VOTING RELATED TO THE TRANSACTION. Form 990, Part VI, Section B, line 15 THE CEO COMPENSATION REVIEW WAS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD USING THIRD PARTY COMPENSATION RESOURCES FOR COMPARISON AND REASONABLENESS. THIS PROCESS WAS LAST COMPLETED IN AUGUST 2015, WITH AN EFFECTIVE DATE OF SEPTEMBER 2015; THE CEO'S SALARY HAS BEEN STATIC SINCE THIS DATE. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WAS REVIEWED AND APPROVED BY THE CEO, WHO TAKES INTO ACCOUNT INDUSTRY COMPENSATION DATA, ALONG WITH THE SIZE AND COMPLEXITY OF THE COMPARABLE ORGANIZATIONS. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE MADE AVAILABLE UPON REQUEST. IN ADDITION, THE FORM 990 IS PUBLIC INFORMATION. Centex Systems Support Services 4500 Williams Dr Suite 212-220 Georgetown TX 78633 261594450 IT TX 501(c)(3) 11 A I Lone Star Circle of Care 1 LSCC ENTERPRISES INC 205 E University Ave Suite 300 Georgetown TX 78626 461912682 Holding Co. TX Lone Star Circle of Care C 934 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0