2016-08-31T09:25:27-05:00 2015-12-31 752393478 WHITLEY PENN LLP 8343 DOUGLAS AVENUE STE 400 DALLAS TX 75225 990 2015-01-01 752813621 ELLIS COUNTY COALITION FOR HEALTH OPTIONS INC ELLI 9729232440 411 EAST JEFFERSON STREET WAXAHACHIE TX 75165 BARBARA CLARK CHIEF EXECUTIVE OFFICER 9729232440 2016-08-29 1 CURTIS MAXFIELD P00445178 2143939300 2015 2016-12-15 16:53:06Z HOPE CLINIC BARBARA CLARK 411 EAST JEFFERSON STREET WAXAHACHIE TX 75165 3596968 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. 11 11 72 10 0 0 1585251 1847757 1337865 1744396 2707 369 -3579 2157 2922244 3594679 1351 989 0 0 1853950 2003178 0 0 31496 960041 1430150 2815342 3434317 106902 160362 758745 993707 311438 386038 447307 607669 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 2543765 989 1748842 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. 2543765 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 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 6 0 72 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 1 0 X X RENEE FILSON 9729232440 201 FERRIS AVENUE SUITE L WAXAHACHIE TX 75165 JOANN LIVINGSTON PRESIDENT 5.00 X X 0 0 0 ROBERTO ALVAREZ VICE PRESIDENT 2.00 X X 0 0 0 JESSE DELEON TREASURER 2.00 X X 0 0 0 ELLA MCMAHAN SECRETARY 2.00 X X 0 0 0 FRANK NORRIS MEMBER 1.00 X 0 0 0 CODY MOORE DDS MEMBER 1.00 X 0 0 0 DARYL TILLERY MEMBER 1.00 X 0 0 0 MARIA ALFARO MEMBER 1.00 X 0 0 0 BOBBIE JONES MEMBER 1.00 X 0 0 0 RAY PIKE MEMBER 1.00 X 0 0 0 LINDA BROWN MEMBER 1.00 X 0 0 0 PAUL BEGNOCHE CHIEF EXECUTIVE OFFICER 40.00 X 72137 0 0 DAN SHEPHERD INTERIM CHIEF EXECUTIVE OFFICER 20.00 X 42500 0 0 RENEE FILSON INTERIM CHIEF FINANCIAL OFFICER 15.00 X 36000 0 0 DR RODOLFO URBY CHIEF MEDICAL OFFICER 10.00 X 48768 0 0 ELMER HODGES DDS CHIEF DENTAL OFFICER 40.00 X 125099 0 0 324504 0 0 1 0 0 0 0 4361 1459370 384026 318955 1847757 PROGRAM SERVICE FEES 621110 1744396 1744396 1744396 369 369 0 4361 2289 -2289 -2289 OTHER REVENUE 900099 3147 3147 INCOME MEDICAL RECORDS 621110 1299 1299 4446 3594679 1748842 0 -1920 X 989 989 199405 172049 25933 1423 1423097 1227862 185080 10155 1640 694 897 49 244984 103683 133951 7350 134052 56734 73296 4022 270 270 39310 39310 909431 812772 96659 2889 2889 39400 16675 21543 1182 156050 54920 97237 3893 35532 35532 9357 9357 4375 2188 2187 76617 66106 9964 547 8045 3405 4399 241 OTHER EXPENSES 69722 69722 REPAIRS AND MAINTENANCE 18651 18651 BAD DEBT 15182 15182 PROFESSIONAL DUES 14280 14280 31039 9805 20787 447 3434317 2543765 859056 31496 150 1787 144931 245462 71230 137639 12896 872144 278965 541289 593179 1145 2744 758745 993707 189044 294533 34703 34703 87691 56802 311438 386038 X 447307 607669 447307 607669 758745 993707 160362 0 X X 0 1 X 1 1 1 X 1071547 1367420 1598820 1585251 1847757 7470795 1071547 1367420 1598820 1585251 1847757 7470795 7470795 1378 1534 1990 2707 369 7978 2409 3147 5556 7484329 0.99820 0.99840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40203 40203 19000 19000 583749 82888 500861 10114 4621 5493 176111 123762 52349 83170 67694 15476 593179 LINE OF CREDIT VINTAGE BANK 14674 VINTAGE BANK LOAN 39723 LEAF PHONE LEASE 2405 56802 X 3596968 2289 2289 3594679 0 3594679 3436606 2289 2289 3434317 0 3434317 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 IN 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. TAX RETURNS SUBSEQUENT TO 2011 ARE OPEN FOR POTENTIAL EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISER EXPENSES 2,289. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISER EXPENSES 2,289. 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 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, 2015. THESE SHORT TERM ADVANCES ARE CURRENTLY DUE AND DO NOT BEAR INTEREST. X 32 306724 FAIR MARKET VALUE X DTC MOTORS 4 5367 FAIR MARKET VALUE X HANDPIECES 7 5354 FAIR MARKET VALUE X ROTARY INSTRUMENTS 24 1510 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 WAS REVIEWED BY THE CEO, CLINIC DIRECTOR, CFO, BOARD PRESIDENT AND FINANCE COMMITTEE MEMBER PRIOR TO FILING. THE FULL BOARD WAS 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 FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,979. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,979. PATIENT SERVICE EXPENSE: PROGRAM SERVICE EXPENSES 812,772. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 812,772. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,935. OUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 81,745. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,745. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT DURING THE CURRENT YEAR.