2014-11-17T14:28:56-06:00 2013-12-31 752393478 WHITLEY PENN LLP 8343 DOUGLAS AVENUE STE 400 DALLAS TX 75225 990 2013-01-01 752813621 ELLIS COUNTY COALITION FOR HEALTH OPTIONS INC ELLI 9729232440 411 EAST JEFFERSON STREET WAXAHACHIE TX 75165 DAN SHEPHERD CHIEF EXECUTIVE OFFICER 9729232440 2014-11-17 1 CURTIS MAXFIELD P00445178 2143939300 2013 2015-11-30 17:44:51Z HOPE CLINIC DAN SHEPHERD 411 EAST JEFFERSON STREET WAXAHACHIE TX 75165 2813519 0 X WWW.HOPECLINICELLISCOUNTY.COM X 2000 TX PROVIDES HEALTH, DENTAL, AND MENTAL 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. 10 10 48 25 0 0 1427113 1598820 1032178 1208243 1534 1990 3667 -6638 2464492 2802415 0 715 0 0 1693358 1922716 0 0 102429 709734 952748 2403092 2876179 61400 -73764 708083 668803 289768 328398 418315 340405 PROVIDES HEALTH, DENTAL, AND MENTAL CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS. 0 0 2282417 715 1212709 PROVIDED HEALTH, DENTAL, AND MEDICAL CARE AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND SURROUNDING AREAS AND TO INDIGENT CITIZENS OF ELLIS COUNTY REGARDLESS OF THEIR ABILITY TO PAY. 2282417 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 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 1 48 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 1 0 X X BARBARA CLARK 9729232440 411 EAST JEFFERSON STREET WAXAHACHIE TX 75165 DR JEFF KOSORIS DDS PRESIDENT 5.00 0.00 X X 0 0 0 SANDRA SMITH VICE PRESIDENT 2.00 0.00 X X 0 0 0 TOM CRABB TREASURER 2.00 0.00 X X 0 0 0 JOANN LIVINGSTON SECRETARY 2.00 0.00 X X 0 0 0 DALE MEYLER DIRECTOR 1.00 0.00 X 0 0 0 DR PATTI POWELL DIRECTOR 1.00 0.00 X 0 0 0 JUANITA JOHNSON DIRECTOR 1.00 0.00 X 0 0 0 BRETT KEMP DIRECTOR 1.00 0.00 X 0 0 0 LINDA BROWN DIRECTOR 1.00 0.00 X 0 0 0 ROBERTO ALVAREZ DIRECTOR 1.00 0.00 X 0 0 0 ELLA MCMAHAN DIRECTOR 1.00 0.00 X 0 0 0 JESSE DELEON DIRECTOR 1.00 0.00 X 0 0 0 YOLANDE OWENS CHIEF EXECUTIVE OFFICER 40.00 0.00 X 86967 0 0 DAVID MORRISON CHIEF INFORMATION OFFICER 40.00 0.00 X 40444 0 0 CORY HOFFMAN CHIEF FINANCIAL OFFICER 20.00 0.00 X 15241 0 0 HARRY HICKEY CHIEF FINANCIAL OFFICER 20.00 0.00 X 23429 0 0 DR BEVERLY RICE DENTIST 40.00 0.00 X 123364 0 0 289445 0 0 1 0 0 0 0 49420 1253144 296256 158235 1598820 PROGRAM SERVICE FEES 621110 1208243 1208243 1208243 1990 1990 0 49420 11104 -11104 -11104 INCOME MEDICAL RECORDS 621110 4466 4466 4466 2802415 1212709 0 -9114 X 715 715 166081 144104 17115 4862 1458536 1265543 150302 42691 4689 4689 144727 61346 64936 18445 148683 65711 64618 18354 1425 1425 457871 391302 66569 4542 4542 28863 12756 12544 3563 44809 19803 19474 5532 10378 10378 6596 1528 5068 11018 5509 5509 28609 24825 2948 836 8042 3554 3495 993 BAD DEBTS 249566 249566 REPAIRS AND MAINTENANCE 35830 35830 PROFESSIONAL DUES 17841 17841 LICENSES 15711 15711 31647 16722 13281 1644 2876179 2282417 491333 102429 372 373 34563 36106 0 74562 150301 0 730224 172462 521997 557762 850 0 708083 668803 0 155001 60404 47601 229364 125796 289768 328398 X 418315 340405 418315 340405 708083 668803 -73764 -4146 0 X X 0 1 X 1 1 1 X 884088 1870605 1071547 1367420 1598820 6792480 884088 1870605 1071547 1367420 1598820 6792480 6792480 1742 1378 1534 1990 6644 2409 2409 6801533 0.99870 0.99770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40203 40203 40203 40203 19000 19000 499151 53997 445154 10081 2604 7477 136969 50838 86131 65023 65023 0 557762 LINE OF CREDIT VINTAGE BANK 70389 VINTAGE BANK LOAN 36233 US BANK - LEASE #3 585 LEAF PHONE LEASE 18589 125796 X 2813519 11104 11104 2802415 0 2802415 2887283 11104 11104 2876179 0 2876179 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. THE CLINIC FOLLOWS THE GUIDANCE UNDER GAAP, WHICH 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 2009 ARE OPEN FOR POTENTIAL EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISER EXPENSES 11,104. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISER EXPENSES 11,104. SEEDS OF HOPE 43295 43295 3064 4732 MILES FOR HOPE 6125 6125 433 2875 49420 49420 3497 7607 11104 -11104 YOLANDE OWENS CEO OPERATING LOAN X 107000 47601 0 0 0 47601 SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS: IN AUGUST 2012, THE CLINIC ENTERED INTO A NOTE WITH THE CHIEF EXECUTIVE OFFICER IN THE AMOUNT OF $30,000. THE OUTSTANDING AMOUNT WAS PAID OFF BY THE MATURITY DATE OF MARCH 2014.IN SEPTEMBER 2012, THE CLINIC ENTERED INTO A NOTE WITH THE CHIEF EXECUTIVE OFFICER IN THE AMOUNT OF $22,000. THE OUTSTANDING AMOUNT WAS PAID OFF BY THE MATURITY DATE OF MARCH 2014.IN MARCH 2013, THE CLINIC ENTERED INTO A NOTE WITH THE CHIEF EXECUTIVE OFFICER IN THE AMOUNT OF $15,000. THE OUTSTANDING AMOUNT WAS PAID OFF BY THE MATURITY DATE OF MARCH 2014.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, 2013. THESE SHORT TERM ADVANCES ARE CURRENTLY DUE AND DO NOT BEAR INTEREST. X MEDICAL SUPPL 20 150082 COST X EQUIPMENT 3 5195 COST X OFFICE SUPPLI 4 2958 COST 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 PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 37,760. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,760. PATIENT SERVICE EXPENSE : PROGRAM SERVICE EXPENSES 391,302. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 391,302. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,291. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,291. OUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,518. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,518. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT DURING THE CURRENT YEAR.