FURP.ORG / PUBLIC DATA EXPLORER

SERVICE ORGANIZATION OF SAN ANTONIO: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SERVICE ORGANIZATION OF SAN ANTONIO (EIN 37-1591815)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-07-29
IRS object ID
201412109349300001
Schema version
2012v2.3
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)
Timestamp2014-07-29T04:32:14-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEWIS KAUFMAN REID STUKEY GATTIS & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12308 W 5THAddressLine1
CityPLAINVIEWCity
StateTXState
ZIP Code79072ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN371591815EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SERVICE ORGANIZATION OF SAN ANTONIOBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSERVNameControl
Phone8067911591Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12950 50TH STREETAddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code79413ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRANDON DURBINName
TitleADMINISTRATORTitle
Phone8067911591Phone
Date Signed2014-07-29DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARTIN C LEWISName
Phone8062934287Phone
Date Prepared2014-07-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN STRIEBYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1414 NAVARRO ST STE 600AddressLine1
CitySAN ANTONIOCity
StateTXState
ZIP Code78205ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7266730GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteNONEWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO ASSIST IN THE FINANCING OF HEALTH CARE TO THE PUBLIC, PRIMARILY IN UNDERSERVED RURAL AREAS BY CONTRACTING WITH DIFFERENT MEDICAL PROVIDERS TO PROVIDE THEIR SERVICES TO THESE UNDERSERVED COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year12852551ContributionsGrantsPriorYear
Contributions Grants Current Year7266700ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year30InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year12852551TotalRevenuePriorYear
Total Revenue Current Year7266730TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10778372OtherExpensePriorYear
Other Expenses Current Year9448128OtherExpensesCurrentYear
Total Expenses Prior Year10778372TotalExpensesPriorYear
Total Expenses Current Year9448128TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2074179RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2181398RevenuesLessExpensesCY
Total Assets BOY3718002TotalAssetsBOY
Total Assets EOY1536604TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3718002NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1536604NetAssetsOrFundBalancesEOY
Mission DescriptionTO ASSIST IN THE FINANCING OF HEALTH CARE TO THE PUBLIC, PRIMARILY IN UNDERSERVED RURAL AREAS BY CONTRACTING WITH DIFFERENT MEDICAL PROVIDERS TO PROVIDE THEIR SERVICES TO THESE UNDERSERVED COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9448128Expense
DescriptionINDIGENT CARE SUPPORT SERVICES FOR THE SAN ANTONIO AREA OF TEXAS.Description
Total Program Service Expense9448128TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DISCOVERY HEALTHCARE CONSULTING GRPBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8067911591TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12950 50TH STREETAddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code79413ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
JOHN STIEBY
PRESIDENT/CH1.00XX000
MICHAEL THOMPSON
VICE-PRESIDE1.00XX000
JANICE SIMONS
SECRETARY/TR1.00XX000
JIM BUCKNER
1.00X000
THOMAS NORDWICK
1.00X000
DAVID LEE
1.00X000
ERNEST FLORES
000X
FieldValueIRS element (for citing)
Formers ListedtrueFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DISCOVERY MEDICAL NETWORK INC
2950 50TH STREETLUBBOCKTX79413PHYSICIAN SVCS3450757
CLINICAL PARTNERS INC
7032 COLLECTION CENTER DRIVECHICAGOIL60693PHYSICIAN SVCS1447450
SOUTHWEST MEDICAL ASSOC
PO BOX 2168ROCKPORTTX78381PHYSICIAN SVCS841615
SOUTHWEST TEXAS ANESTHESIA PA
11720 HWY 173CHARLOTTETX78011PHYSICIAN SVCS505000
EMERGENCY STAFFING SOLUTIONS
17304 PRESTON ROAD STE 1400DALLASTX75252PHYSICIAN SVCS475172
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
All Other Contributions7266700AllOtherContributions
Total Contributions7266700TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30TotalRevenueColumn
Related Or Exempt Function Income30RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7266730TotalRevenueColumn
Related Or Exempt Function Income30RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total482346Total
Program Services482346ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8961589Total
Program Services8961589ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total274Total
Program Services274ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total3919Total
Program Services3919ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9448128Total
Program Services9448128ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3718002BOY
EOY1536604EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3718002BOY
EOY1536604EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3718002BOY
EOY1536604EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3718002BOY
EOY1536604EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3718002BOY
EOY1536604EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2181398ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
KARNES COUNTY HOSPITAL DISTRICT
7417182153falsetruetrue$194,028
DIMMITT REGIONAL HOSPITAL DISTRICT
2716130783falsetruetrue$1,253,626
FRIO HOSPITAL DISTRICT
7425481543falsetruetrue$1,454,411
MEDINA COUNTY HOSPITAL DISTRICT
2704924343falsetruetrue$2,800,401
UVALDE COUNTY HOSPITAL AUTHORITY
7416031203falsetruetrue$3,745,662
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts9448128SumOfAmounts
General ExplanationTHE ORGANIZATION INCLUDES MEMBERS FROM THE SURROUNDING RURAL AREA HOSPITALS AND HOSPITAL DISTRICTS WHO MEET AS THE GOVERNING BODY TO DETERMINE THE INDIGENT CARE NEEDS OF THE AREAS INCLUDED IN THE ORGANIZATIONS TARGETED AREA. THE ORGANIZATION THEN EXPENDS FUNDS TO COVER THOSE INDIGENT CARE NEEDS WHICH ULTIMATELY BENEFIT EACH OF THE SUPPORTED ORGANIZATIONS LISTED IN SCHEDULE A, LINE 11(H).GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonERNEST FLORESNamePerson

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3THE ORGANIZATION DELEGATED ITS CONTROL OVER MANAGEMENT DUTIES TO DISCOVERY HEALTHCARE CONSULTING GROUP, 2950 50TH STREET, LUBBOCK, TEXAS, 79413
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE ORGANIZATION CONSISTS OF ONE CLASS OF MEMBERS.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AMEMBERS ARE ELECTED AS A RESULT OF FINDING OTHER PUBLICLY SUPPORTED HOSPITALS OR PUBLIC ENTITIES DOMICILED IN THE STATE OF TEXAS WHO DESIRE TO AFFILIATE WITH EACH OTHER IN ORDER TO IMPROVE HEALTH CARE DELIVERY IN THEIR RESPECTIVE COMMUNITIES.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE GOVERNING BODY CONSITS ENTIRELY OF DIRECTORS/MEMBERS AND AS SUCH ALL DECISIONS OF THE GOVERNING BODY ARE THEREBY CONTEMPORANEOUSLY APPROVED BY THE MEMBERS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE GOVERNING BODY REVIEWS THE FORM 990 AT THE MEETING FOLLOWING THE COMPLETION OF THE RETURN.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION REQUIRES EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER TO ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B) HAS READ AND UNDERSTANDS THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY, AND D) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION, THE ORGANIZATION CONDUCTS PERIODIC REVIEWS OF ITS CONFLICT OF INTEREST PROCEDURES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11GPHARMACY SERVICES 162,786 0 0 PHYSICIAN SUPPORT SERVICES 7,191,203 0 0 DIAGNOSTIC SERVICES 239,148 0 0 PHYSICAL THERAPY SERVICES 314,014 0 0 ANESTHESIA SERVICES 1,037,938 0 0 EMS SERVICES 16,500 0 0