FURP.ORG / PUBLIC DATA EXPLORER

INTEGRATED CARE COLLABORATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
INTEGRATED CARE COLLABORATION (EIN 31-1624871)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-12
IRS object ID
201503169349303425
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-12T13:23:09-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721396621PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14210 SPICEWOOD SPRINGS RD STE 108AddressLine1Txt
CityAUSTINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP787598653ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311624871EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTEGRATED CARE COLLABORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINTEBusinessNameControlTxt
Phone5128042090PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18627 N MOPAC NO 300AddressLine1Txt
CityAUSTINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78759ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEDIE L MORRISPersonNm
Person TitleEXECUTIVE DIRECTOR & CFOPersonTitleTxt
Phone5128042090PhoneNum
Signature2015-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonK DALE COOPERPreparerPersonNm
PTINP00142251PTIN
Phone5123461880PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEDIE L MORRISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18627 N MOPAC NO 300AddressLine1Txt
CityAUSTINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78759ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,121,558GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ICC-CENTEX.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTHE ICC IS AN ALLIANCE OF HEALTH CARE SAFETY NET PROVIDERS THAT WORK TOGETHER TO IMPROVE THE EFFICIENCY AND QUALITY OF HEALTH CARE SERVICES AVAILABLE FOR UNINSURED INDIVIDUALS IN CENTRAL TEXAS (WILLIAMSON, TRAVIS, AND HAYS COUNTIES). ICC ACTS AS A CONVENER AND INCUBATOR AND IS NOT A HEALTH PROVIDER.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,538,628PYProgramServiceRevenueAmt
CY Program Service Revenue$2,121,438CYProgramServiceRevenueAmt
PY Investment Income$461PYInvestmentIncomeAmt
CY Investment Income$120CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,539,089PYTotalRevenueAmt
CY Total Revenue$2,121,558CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,212,326PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$784,487CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$31,633CYTotalFundraisingExpenseAmt
PY Other Expenses$2,188,536PYOtherExpensesAmt
CY Other Expenses$1,572,834CYOtherExpensesAmt
PY Total Expenses$3,400,862PYTotalExpensesAmt
CY Total Expenses$2,357,321CYTotalExpensesAmt
PY Revenues Less Expenses-$861,773PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$235,763CYRevenuesLessExpensesAmt
Total Assets BOY$2,105,716TotalAssetsBOYAmt
Total Assets EOY$1,629,969TotalAssetsEOYAmt
Total Liabilities BOY$799,824TotalLiabilitiesBOYAmt
Total Liabilities EOY$559,840TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,305,892NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,070,129NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ICC IS AN ALLIANCE OF HEALTH CARE SAFETY NET PROVIDERS THAT WORK TOGETHER TO IMPROVE THE EFFICIENCY AND QUALITY OF HEALTH CARE SERVICES AVAILABLE FOR UNINSURED INDIVIDUALS IN CENTRAL TEXAS (WILLIAMSON, TRAVIS, AND HAYS COUNTIES). ICC ACTS AS A CONVENER AND INCUBATOR AND IS NOT A HEALTH PROVIDER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,385,215ExpenseAmt
Revenue$1,506,221RevenueAmt
DescICARE SYSTEM/HEALTH INFORMATION TECHNOLOGY: ICC OWNS, MAINTAINS, AND OPERATES A REGIONAL HIE CALLED THE ICARE 2.0 SYSTEM. THE NEW SYSTEM ALLOWS THE ICC AND ITS MEMBERS TO:-ACHIEVE MEANINGFUL USE STANDARDS BY MAXIMIZING MEMBER OPPORTUNITIES TO DEMONSTRATE MEANINGFUL USE OF INFORMATION EXCHANGE, CARE COORDINATION AND PUBLIC HEALTH PARTICIPATION THROUGH HIE.-EXPAND AND ENHANCE CARE COORDINATION PROGRAMS.-IMPROVE HEALTH OUTCOMES AND COMMUNITY HEALTH.-EXPAND AND ENHANCE RESEARCH AND EVALUATION CAPABILITIES.-MEET THE GOALS OF THE STATE OF TEXAS STRATEGIC HIE PLAN TO CONNECT 80% OF PHYSICIANS AND HOSPITAL IN A 47 COUNTY REGION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$296,181ExpenseAmt
Revenue$339,430RevenueAmt
DescACCESS AND COMMUNITY COLLABORATION: ICC FACILITATES COMMUNITY BASED ENROLLMENT FOR INCREASED ACCESS AND COMMUNITY INTEGRATION. ICC MEMBERS HAVE ACCESS TO A COMMON ELIGIBILITY PROGRAM, MEDICAIDER, THROUGH WHICH PATIENTS ARE SCREENED FOR ELIGIBILITY FOR THIRD PARTY FUNDING AND FEDERAL, STATE AND LOCAL HEALTH COVERAGE PROGRAMS. THE PATIENT PRESCRIPTION ASSISTANCE PROGRAM (PPAP) IS ALSO AVAILABLE TO MEMBERS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$217,006ExpenseAmt
Revenue$275,787RevenueAmt
DescMEMBER ANALYTICS TO SUPPORT COMMUNITY COLLABORATION: ICARE 2.0 INCLUDES A ROBUST DATA WAREHOUSE AND ANALYTICS SOLUTION THAT FACILITATES PERFORMANCE-BASED OUTCOMES AND VALIDATED PATIENT INFORMATION WHICH DRIVES EVIDENCE-BASED PROGRAMS. THE SOLUTION ALSO SUPPORTS COMMUNITY HEALTH RESEARCH BY TRACKING POPULATION CARE PATTERNS, MEASURING EFFECTS OF PUBLIC POLICY CHANGES AND IDENTIFYING HEALTHCARE UTILIZATION PATTERNS. ICC ANALYTICS PROVIDE VALUABLE DATA THAT HELPS TO INCREASE ACCESS TO CARE, IMPROVE CARE COORDINATION AND PROVIDE MORE EFFICIENT AND APPROPRIATE CARE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,898,402TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEDIE MORRISPersonNm
Phone5128042090PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18627 N MOPAC SUITE 300AddressLine1Txt
CityAUSTINCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78759ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TRISH YOUNG BROWN
BOARD CHAIR & DIRECTOR0.00Yes (X)$0$0$0
DAVID EVANS
BOARD VICE CHAIR & DIRECTOR0.00Yes (X)$0$0$0
EARL MAXWELL
DIRECTOR0.00Yes (X)$0$0$0
GREG HARTMAN
DIRECTOR0.00Yes (X)$0$0$0
EDIE MORRIS
EXECUTIVE DIRECTOR & CFO40.00$0$106,860$0Yes (X)
CARL D ANGEL
FORMER EXECUTIVE DIRECTOR32.00$0$114,349$0Yes (X)
CAROLE TAMAYO
DIRECTOR OF TECHNOLOGY40.00$0$145,054$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$366,263TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LONE STAR CIRCLE OF CARE
205 E UNIVERSITY AVE STE 200GEORGETOWNTX78626REIMBURSEMENT FOR PAYROLL AND BENEFITS$649,454
AUSTIN TRAVIS COUNTY INTEGRAL CARE
PO BOX 3548AUSTINTX78764REIMBURSEMENT FOR PAYROLL AND BENEFITS$396,465
NETWORK SCIENCES
14205 BURNET RD STE 110AUSTINTX78728MEDICAIDER PRODUCT & SERVICES$340,388
CENTEX SYSTEMS SUPPORT SERVICES
8627 N MOPAC STE 350AUSTINTX78759HIE SUPPORT$258,842
QUALITY SYSTEMS INC
12301-B RIATA TRACE PARKWAY SUITEAUSTINTX78727ANNUAL LICENSES$251,757
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBERSHIP FEES519100$2,005,595$2,005,595
MISCELLANEOUS REVENUE519100$115,843$115,843
FieldValueIRS element (for citing)
Total Program Service Revenue$2,121,438TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$120TotalRevenueColumnAmt
Exclusion$120ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,121,558TotalRevenueColumnAmt
Related Or Exempt Func Income$2,121,438RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$120ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$784,487TotalAmt
Program Services$487,693ProgramServicesAmt
Management And General$270,375ManagementAndGeneralAmt
Fundraising$26,419FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,695TotalAmt
Management And General$2,695ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,500TotalAmt
Management And General$21,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,087,692TotalAmt
Program Services$1,029,121ProgramServicesAmt
Management And General$53,357ManagementAndGeneralAmt
Fundraising$5,214FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$44,738TotalAmt
Management And General$44,738ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MIRTH FEES$213,687$213,687
ICARE 2.0 SUPPORT SERVI$171,650$171,650
IT SUPPORT SERVICES$34,621$34,621
OUTREACH/IAK$26,251$26,251

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$30,000TotalAmt
Program Services-$30,000ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,357,321TotalAmt
Program Services$1,898,402ProgramServicesAmt
Management And General$427,286ManagementAndGeneralAmt
Fundraising$31,633FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$27,463BOYAmt
EOY$217,078EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$98,126BOYAmt
EOY$90,244EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,280BOYAmt
EOY$65,104EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$105,084BOYAmt
EOY$83,275EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,375,231LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,227,177LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,822,763BOYAmt
EOY$1,148,054EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$26,214EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,105,716BOYAmt
EOY$1,629,969EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$499,824BOYAmt
EOY$259,840EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$300,000BOYAmt
EOY$300,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$799,824BOYAmt
EOY$559,840EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,305,892BOYAmt
EOY$1,070,129EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,305,892BOYAmt
EOY$1,070,129EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,105,716BOYAmt
EOY$1,629,969EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$235,763ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,947CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$637,688CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,082,097CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$661,914CurrentTaxYearMinus1YearAmt
Total$2,416,646TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,947CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$637,688CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,082,097CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$661,914CurrentTaxYearMinus1YearAmt
Total$2,416,646TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,416,646PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$837CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$609CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$461CurrentTaxYearMinus1YearAmt
Current Tax Year$120CurrentTaxYearAmt
Total$2,047TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$26,934CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$241,619CurrentTaxYearMinus1YearAmt
Current Tax Year$115,843CurrentTaxYearAmt
Total$384,396TotalAmt
FieldValueIRS element (for citing)
Total Support$2,803,089TotalSupportAmt
Gross Receipts Rltd Activities$11,670,973GrossReceiptsRltdActivitiesAmt
Public Support CY1700.86210PublicSupportCY170Pct
Public Support PY1700.88840PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,375,231OtherCostOrOtherBasisAmt
Depreciation$2,227,177DepreciationAmt
Book Value$1,148,054BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,148,054TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,354,224TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$232,666DonatedServicesAndUseFcltsAmt
Revenue Not Reported$232,666RevenueNotReportedAmt
Revenue Subtotal$2,121,558RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,121,558TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,589,987TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$232,666DonatedServicesUseFcltsAmt
Expenses Not Reported$232,666ExpensesNotReportedAmt
Expenses Subtotal$2,357,321ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,357,321TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFOOTNOTE TO FINANCIAL STATEMENTS REGARDING INCOME TAX STATUS: ICC QUALIFIES AS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CONSEQUENTLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT ANY PROVISIONS FOR INCOME TAXES. ICC HAS TAKEN NO UNCERTAIN TAX POSITIONS DURING OR FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013. ICC CONTINUALLY EVALUATES THE TAX EFFECTS OF EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW, AND NEW AUTHORITATIVE RULINGS. IN ADDITION, TAX YEARS 2014, 2013 AND 2012 ARE OPEN TAX YEARS SUBJECT TO EXAMINATION BY THE IRS FOR WHICH ICC COULD BE LIABLE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS, WHO ARE THE SAFETY NET PROVIDERS BELONGING TO THE ALLIANCE.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE BOARD TREASURER AND IS LATER PRESENTED AT THE NEXT BOARD MEETING FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CTHE OFFICERS, DIRECTOR AND KEY EMPLOYEES ARE REQUIRED ANNUALLY TO SUBMIT A SIGNED STATEMENT AFFIRMING THAT THE POLICY HAS BEEN REVIEWED AND COMPLIED WITH.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD EVALUATES AND APPROVES ALL NEW EMPLOYEES' SALARIES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE ON REQUEST.
FORM 990, PART VII, PAGE 7ICC PERSONNEL ARE PAID THROUGH LONESTAR CIRCLE OF CARE AND AUSTIN TRAVIS COUNTY INTEGRAL CARE VIA A CONTRACTUAL ARRANGEMENT BETWEEN THE TWO ENTITIES. ALL SALARIES AND BENEFITS ARE PAID BY LONESTAR CIRCLE OF CARE AND AUSTIN TRAVIS COUNTY INTEGRAL CARE AND ARE THEN INVOICED TO THE ICC. WHEN THE ICC PAYS THESE INVOICES, THE EXPENSES ARE CODED TO THE APPROPRIATE ACCOUNTS SUCH AS SALARY EXPENSE AND BENEFIT EXPENSE. ICC DOES NOT ISSUE W-2'S OR A W-3; ALL ARE ISSUED THROUGH LONESTAR CIRCLE OF CARE AND AUSTIN TRAVIS COUNTY INTEGRAL CARE. HOWEVER, COMPENSATION FOR THE EXECUTIVE DIRECTOR AND EMPLOYEES PAID OVER $100,000 ARE BEING REFLECTED IN COLUMN (E).
FORM 990, PART IX, LINE 11GOFFICE OPERATIONS: PROGRAM SERVICE EXPENSES 770,952. MANAGEMENT AND GENERAL EXPENSES 53,357. FUNDRAISING EXPENSES 5,214. TOTAL EXPENSES 829,523. MEDICAIDER: PROGRAM SERVICE EXPENSES 180,750. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,750. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 49,773. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,773. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 10,583. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,583. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 17,063. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,063.