2015-10-15T14:10:26-05:00 2014-11-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-12-01 743001674 LONE STAR CIRCLE OF CARE % JON CALVIN CFO LONE 5126860523 205 E UNIVERSITY AVE GEORGETOWN TX 78626 JON CALVIN CFO 5126860523 2015-10-13 true Brian D Todd P00422601 5126860523 2013 2016-02-25 16:41:14Z JON CALVIN CFO 205 E UNIVERSITY AVE STE 200 GEORGETOWN TX 78626 73482729 false X WWW.LSCCTX.ORG X 2001 TX LONE STAR CIRCLE OF CARE IS COMMITTED TO THE PURSUIT OF PATIENT-CENTERED HEALTH CARE, SPECIFICALLY PROVIDING MEDICAL PROGRAMS, BEHAVIORAL HEALTH, DENTAL CARE & HEALTH EDUCATION. 11 11 796 40 0 0 21587903 19740595 54713845 52903118 16463 -3029107 248519 795485 76566730 70410091 30000 217166 0 0 46147151 44349015 0 0 2673439 26833870 29337167 73011021 73903348 3555709 -3493257 30213367 28035128 16404615 17659633 13808752 10375495 X LONE STAR CIRCLE OF CARE IS COMMITTED TO THE PURSUIT OF COMMUNITY-WIDE ACCESS TO A BEHAVIORALLY ENHANCED, PATIENT-CENTERED HEALTH CARE HOME, THAT PROVIDES ACCOUNTABLE CARE FOR ALL PATIENTS, FOCUSING ON THE UNDERSERVED. SEE SCHEDULE O. false false 45394139 43281986 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 104,992 PEDIATRIC PATIENT VISITS, 64,152 FAMILY MEDICINE PATIENTS VISITS, 51,085 OB/GYN PATIENT VISITS, INCLUDING 2,157 BABY DELIVERIES AND FILLED 187,712 PRESCRIPTIONS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION ABOUT THE SERVICES PROVIDED. 11517916 7865148 INTEGRATED BEHAVIORAL HEALTH: LONE STAR CIRCLE OF CARE'S INTEGRATED BEHAVIORAL HEALTH MODEL ADDRESSES THE COMPLETE PRIMARY MEDICAL & MENTAL HEALTH NEEDS OF ADULT, ADOLESCENT, SENIOR & PEDIATRIC PATIENTS. BY PROVIDING CONTINUOUS ACCESS TO TREATMENT & MEDICATIONS, LSCC IS HELPING TO REDUCE EMERGENCY ROOM VISITS & CRISES RELATED TO UNTREATED MENTAL HEALTH ISSUES. SERVICES PROVIDED INCLUDE PSYCHIATRY, PSYCHOTHERAPY & COUNSELING FOR SENIORS, ADULTS, ADOLESCENTS & CHILDREN. THE BEHAVIORAL HEALTH CLINICS PROVIDED 61,207 PATIENT VISITS LAST YEAR. 4065147 1504267 DENTAL CARE: LONE STAR CIRCLE OF CARE PROVIDES GENERAL DENTISTRY SERVICES FOR ADULTS AND CHILDREN IN THE CENTRAL TEXAS COMMUNITY. LSCC'S GCC DENTAL CENTER IN GEORGETOWN IS DEDICATED TO PROVIDING AFFORDABLE, ACCESSIBLE CARE TO THE UNINSURED AND UNDER-SERVED. LSCC PROVIDED 15,135 PATIENT VISITS IN THE PAST YEAR. 677524 217166 251717 61654726 true true false true false false false false false false true false false false false false false true false false false false false false false false false true false true false false false false false false false false true false false false false true true true false false true 26 0 true 796 true false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true false false X JON CALVIN CFO 5126860523 205 E UNIVERSITY AVE STE 200 GEORGETOWN TX 78626 JACK HUNNICUTT CHAIR 1.0 0.0 X X 0 0 0 TIM KENNEDY VICE PRESIDENT 1.0 0.0 X X 0 0 0 SCOTT ALACRON MEMBER ENDING 4/2014 1.0 0.0 X 0 0 0 AMY MEDRANO MEMBER 1.0 0.0 X 0 0 0 ELIZABETH JOHNSON MEMBER 1.0 0.0 X 0 0 0 KAREN COLE SECRETARY 1.0 0.0 X X 0 0 0 JACK GAREY MEMBER ENDING 1/2014 1.0 0.0 X 0 0 0 JOHN GUSTAINIS TREASURER 1.0 0.0 X X 0 0 0 MICHELLE ROBERTSON MEMBER 1.0 0.0 X 0 0 0 ROLAND VALLE MEMBER 1.0 0.0 X 0 0 0 RACHEL LUNA MEMBER 1.0 0.0 X 0 0 0 TERRI BROUSSARD WILLIAMS MEMBER ENDING 4/2014 1.0 0.0 X 0 0 0 STEVE PENA MEMBER BEGINNING 9/2014 1.0 0.0 X 0 0 0 GREG HARTMAN MEMBER 1.0 0.0 X 0 0 0 PETER PERIALAS CEO ENDING 5/2014 40.0 0.0 X 521426 0 21536 MARC WELCH CFO ENDING 5/2014 40.0 0.0 X 298606 0 22401 JON CALVIN CFO BEGINNING 5/2014 40.0 0.0 X 134497 0 14930 RHONDA MUNDHENK CEO BEGINNING 5/2014 40.0 0.0 X 267626 0 17722 TAMARAH DUPERVAL-BROWNLEE PRESIDENT OF MEDICAL AFFAIRS 40.0 0.0 X 385992 0 18542 RUSSELL PHELPS DO - OB/GYN MEDICAL DIRECTOR 40.0 0.0 X 410752 0 21922 KATHLEEN BUTLER CMO/CHIEF QUALITY OFFICER 40.0 0.0 X 282204 0 17200 ANDREW MAHAFFEY VP OF OB/GYN SERVICES 40.0 0.0 X 440311 0 20880 BROOKIE ARMSTRONG CHIEF DENTAL OFFICER 40.0 0.0 X 304391 0 19339 SABRINA HANNA MD - OB/GYN ENDING 3/2014 40.0 0.0 X 285748 0 7318 3331553 0 181790 112 false true false AMERICAN CONSTRUCTORS CONSTRUCTION 3717654 IE2 CONSTRUCTION INC CONSTRUCTION 2135454 LUTHER STREET MD CONTRACT PROVIDER 163648 BKD LLP TAX/AUDIT/CONSULTING 101895 CSD OF TEXAS TRANSLATION SERVICES 100537 5 10002057 9738538 2526846 19740595 PATIENT SERVICE REVENUE 624100 51065538 51065538 EHR INCENTIVE 621400 641529 641529 RENTAL INCOME FROM AFFILIATES 531120 259144 259144 OTHER REVENUE 900099 936907 936907 52903118 1316 1316 0 0 131364 131364 0 131364 131364 42215 3072638 -3030423 -3030423 -3030423 0 0 0 Gain on Extinguishment of Debt 900099 114533 114533 GAIN ON EXTINGUISHMENT OF ACCTS PAYABLE 900099 575650 575650 LOSS ON EQUITY INVESTEE 900099 -26062 -26062 664121 70410091 52903118 -2233622 217166 217166 0 0 0 1553851 689882 863969 0 35333950 30270854 3943828 1119268 0 4877629 3802253 830750 244626 2583585 1997940 458317 127328 0 273007 273007 82034 82034 0 0 0 6140119 4748284 1089230 302605 233705 180729 41458 11518 1032414 809286 171553 51575 1634998 1264378 290042 80578 0 4785097 3706141 842766 236190 147457 114032 26158 7267 0 98529 76194 17479 4856 455059 159268 113766 182025 0 2419246 1799444 371437 248365 265803 194948 45310 25545 MEDICAL SUPPLIES & DRUGS 6414832 6414832 BAD DEBT 4711791 4711791 LICENSES, DUES, SUBSCRIPTIONS 469567 363126 83299 23142 RECRUITING & RETENTION 173509 134178 30780 8551 73903348 61654726 9575183 2673439 30366 883298 4402282 2953621 5225794 7064403 2275757 2549633 0 0 0 0 0 0 954772 814581 464072 661718 19777448 7826749 9512312 11950699 303598 186206 9883 0 0 0 828687 591117 6205844 379852 30213367 28035128 8933481 6409764 0 0 108109 41667 0 0 0 0 0 0 6751025 10821202 612000 387000 0 0 16404615 17659633 X 7440609 3767872 6368143 6607623 0 0 13808752 10375495 30213367 28035128 -3493257 60000 X false true X true true true X 12196433 14073839 12731560 21587903 19740595 80330330 0 0 12196433 14073839 12731560 21587903 19740595 80330330 141045 80189285 3969 3050 11725 225999 132680 377423 0 0 80707753 235752383 0.99358 0.98597 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: 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. THE ORGANIZATION ALSO PAID FEES TO THE LUCAS LAW FIRM, PLLC, WHICH IS AN ADVISOR ON LEGISLATIVE AND REGULATORY MATTERS. THE ARRANGEMENT WITH LUCAS LAW FIRM, PLLC ENDED IN APRIL 2014. A PORTION OF THESE FEES MAY BE USED FOR LOBBYING PURPOSES. 67520 67520 4673376 134131 4539245 4160941 1803930 2357011 10068867 5888688 4180179 806744 806744 11950699 63999434 1134076 -5859118 -4725042 68724476 1685615 1685615 70410091 67672171 1074076 894348 1968424 65703747 8199601 8199601 73903348 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $(4,711,791) BAD DEBT EXPENSE 67,044 EXPENSES OF LSCC ENTERPRISES 2,340,483 NET ASSETS RELEASED FROM RESTRICTIONS (3,160,515) EXPENSES FROM DISCONTINUED OPERATIONS (394,339) EXPENSES FROM ABANDONMENT OF PROJECTS ---------- $(5,859,118) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 2,579,963 TEMPORARILY RESTRICTED CONTRIBUTIONS (894,348) LOSS ON DISPOSAL OF FIXED ASSETS ------------ $ 1,685,615 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 894,348 LOSS ON DISPOSAL OF FIXED ASSETS SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 4,711,791 BAD DEBT EXPENSE ( 67,044) EXPENSES OF LSCC ENTERPRISES 3,160,515 EXPENSES FROM DISCONTINUED OPERATIONS 394,339 EXPENSES FROM ABANDONMENT OF PROJECTS ---------- $ 8,199,601 true CHILDREN'S OPTIMAL HEALTH 1206 WEST 38TH ST AUSTIN TX 78705 262559516 501(C)(3) 47500 SUPPORT 1 SCHEDULE I, PART I, LINE 2 MONITORING GRANT FUNDS: THE ORGANIZATION HAS A SUB-RECIPIENT GRANT MANAGEMENT & MONITORING POLICY. INCLUDED IN THIS POLICY ARE STEWARDSHIP ACTIVITIES WITH REGARD TO SUB-RECIPIENTS OF AWARDS FOR MONITORING SUB-RECIPIENT REPORTING, RECORDKEEPING AND INTERNAL OPERATION AND ACCOUNTING CONTROL SYSTEMS. X true true X X X false false false false false false false false false PETER PERIALAS CEO ENDING 5/2014 497211 0 0 0 24215 0 0 0 21536 0 542962 0 0 0 MARC WELCH CFO ENDING 5/2014 271146 0 0 0 27460 0 0 0 22401 0 321007 0 0 0 TAMARAH DUPERVAL-BROWNLEE PRESIDENT OF MEDICAL AFFAIRS 367874 0 0 0 18118 0 0 0 18542 0 404534 0 0 0 RUSSELL PHELPS DO - OB/GYN MEDICAL DIRECTOR 407409 0 0 0 3343 0 0 0 21922 0 432674 0 0 0 KATHLEEN BUTLER CMO/CHIEF QUALITY OFFICER 281196 0 0 0 1008 0 0 0 17200 0 299404 0 0 0 ANDREW MAHAFFEY VP OF OB/GYN SERVICES 420928 0 0 0 19383 0 0 0 20880 0 461191 0 0 0 BROOKIE ARMSTRONG CHIEF DENTAL OFFICER 279198 0 0 0 25193 0 0 0 19339 0 323730 0 0 0 SABRINA HANNA MD - OB/GYN ENDING 3/2014 285091 0 0 0 657 0 0 0 7318 0 293066 0 0 0 RHONDA MUNDHENK CEO BEGINNING 5/2014 267188 0 0 0 438 0 0 0 17722 0 285348 0 0 0 X 1 2526846 FMV false true false SCHEDULE M, PART I, LINE 20 DRUGS AND MEDICAL SUPPLIES CONTRIBUTION: ALL VACCINE CONTRIBUTIONS WERE FROM ONE DONOR. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: VISION STATEMENT: EVERYONE IN CENTRAL TEXAS, REGARDLESS OF THEIR SOCIOECONOMIC BACKGROUND OR INSURANCE STATUS, WILL HAVE AN ACCESSIBLE, AFFORDABLE, AND CULTURALLY/LINGUISTICALLY APPROPRIATE HEALTH CARE HOME. CORE VALUES: INTEGRITY, INNOVATION, COMPASSION, RESPECT, LEADERSHIP LONE STAR CIRCLE OF CARE 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 2014, LSCC OPERATED CLINICS THROUGHOUT WILLIAMSON, TRAVIS, BELL AND BURNET COUNTIES. SERVICES INCLUDE PRIMARY MEDICAL CARE THAT IS FOCUSED BY AGE GROUP: PEDIATRICS, ADOLESCENTS, ADULTS, AND SENIORS; COMPREHENSIVE OB/GYN SERVICES; GENERAL DENTISTRY; PHARMACY SERVICES; AND ENABLING SERVICES SUCH AS INTERPRETERS AND INSURANCE ELIGIBILITY SCREENERS. A ROBUST AND FULLY INTEGRATED BEHAVIORAL HEALTH PROGRAM, WITH APPROXIMATELY 29 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 COMMISSION AND HAS ACHIEVED 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 COMMUNITY PARTNERS, CAPACITY HAS GROWN FROM 10,000 VISITS IN 2002 TO OVER 317,000 VISITS IN 2014. LSCC WILL CONTINUE IDENTIFYING OPPORTUNITIES TO COLLABORATE AND LEVERAGE ITS RESOURCES TO PROVIDE SUSTAINABLE, QUALITY PRIMARY HEALTH CARE FOR THE REGION. 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 317,022 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 104,992 VISITS. 2) FAMILY MEDICINE: 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 64,152 PATIENT VISITS. 3) WOMEN'S HEALTH: OBSTETRICS AND GYNECOLOGY, INCLUDING THOROUGH PRENATAL CARE, LABOR AND DELIVERY, AND POSTPARTUM CARE. OB/GYN PROVIDERS PROVIDED 51,085 PATIENT VISITS, INCLUDING DELIVERING 2,157 BABIES THIS YEAR. 4) INTEGRATED BEHAVIORAL HEALTH: PSYCHIATRY, PSYCHOTHERAPY, & COUNSELING FOR ADULTS, SENIORS, ADOLESCENTS, AND CHILDREN. IN THE PAST YEAR, LSCC PROVIDED 61,207 BEHAVIORAL HEALTH VISITS. 5) SENIOR: MEDICAL SERVICES TAILORED FOR OLDER ADULTS. LSCC PROVIDED 10,729 SENIOR VISITS OVER THE PAST YEAR. 6) DENTAL: LSCCS DENTAL CLINIC PROVIDED 15,135 VISITS IN THE YEAR. 7) VISION: LSCC'S VISION CLINIC PROVIDED 1,837 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: - LEARNING TO MANAGE DIABETES OR ASTHMA - EXPECTING THEIR FIRST CHILD - LEARNING ABOUT BEING ACTIVE AND EATING HEALTHY - TEACHING THEIR CHILDREN TO BE HEALTHY FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: SCHOOL-ENGAGED HEALTH CLINICS: LSCC PARTNERED WITH SEVERAL CENTRAL TEXAS INDEPENDENT SCHOOL DISTRICTS TO ESTABLISH INTEGRATED, COORDINATED CARE DELIVERED TO STUDENTS AND SCHOOL STAFF ON SCHOOL CAMPUSES BY A TEAM OF MEDICAL AND BEHAVIORAL HEALTH PROVIDERS WHO WERE DIRECTLY EMPLOYED BY LSCC. SCHOOL-ENGAGED HEALTH CLINICS PROVIDED 7,885 VISITS IN THE YEAR. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990: 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 VIA THE COMPANY WEBSITE FOR THEIR REVIEW AND FEEDBACK BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST: 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 15A COMPENSATION REVIEW: THE 2014 CEO COMPENSATION REVIEW WAS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD USING COMPARATIVE DATA PROVIDED BY GUIDESTAR. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: 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 STE 212-220 GEORGETOWN TX 78633 261594450 IT TX 501(C)(3) 11 A I NA false LSCC ENTERPRISES INC 205 E UNIVERSITY AVE SUITE 300 GEORGETOWN TX 78626 461912682 HOLDING CO TX LSCC C CORP -26062 3039 1.00000 true false true false false false false false false false true false false true false true false true false false CENTEX SYSTEMS SUPPORT SERVICES J 259144 FMV CENTEX SYSTEMS SUPPORT SERVICES O/Q 3319561 FMV