2014-08-15T09:59:37-05:00 2013-12-31 752570395 DURBIN & COMPANY LLP 2950 50TH STREET LUBBOCK TX 79413 990 2013-01-01 752252866 HEALTH SERVICES OF NORTH TEXAS INC HEAL 9403811501 4401 NORTH I-35 SUITE 312 DENTON TX 76207 DOREEN RUE CEO 9403811501 2014-08-15 JONATHAN PHILLIPS P01605460 8067911591 2014-07-22 2013 2015-11-30 17:44:51Z DOREEN RUE 4401 NORTH I-35 SUITE 312 DENTON TX 76207 4958218 0 X WWW.HEALTHNTX.ORG X 1988 TX IMPROVING THE QUALITY OF LIFE FOR ALL NORTH TEXANS THROUGH MEDICAL CARE, SUPPORT SERVICES AND ADVOCACY. 17 17 67 0 0 0 4031538 4545999 316405 366947 5431 6406 128512 -15624 4481886 4903728 1124046 0 0 0 2454787 2644807 115351 0 36018 1021985 2026661 4716169 4671468 -234283 232260 1935181 2153375 358375 344309 1576806 1809066 X HEALTH SERVICES OF NORTH TEXAS WAS ESTABLISHED IN 1988 IN RESPONSE TO THE FIRST DOCUMENTED CASES OF HIV/AIDS IN DENTON COUNTY. OVER ITS TWENTY-FIVE YEAR HISTORY, ITS ROLE AND MISSION HAS EXPANDED TO INCLUDE PRIMARY MEDICAL CARE TARGETING THE ENTIRE COMMUNITY; CASE MANAGEMENT AND SUPPORT SERVICES FOR INDIVIDUALS LIVING WITH HIV; MENTAL HEALTH COUNSELING; AND GUARDIANSHIP SERVICES. ADDITIONALLY, THE AGENCY TODAY COVERS A FIVE-COUNTY REGION WITH OFFICES AT TWO LOCATIONS. HSNT RECEIVED A CERTIFICATE AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), A DESIGNATION THAT WILL PROVIDE THE COMMUNITY WITH QUALITY CARE DELIVERED WITHIN A MEDICAL HOME MODEL. AS HEALTH SERVICES OF NORTH TEXAS' MISSION HAS GROWN, IT HAS BECOME INCREASINGLY CLIENT-CENTERED, GOVERNED BY A BOARD OF DIRECTORS WHO ARE REPRESENTATIVE OF THE COMMUNITIES SERVED. TODAY, THE MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS ARE CONSUMER MEMBERS. OUR BOARD OF DIRECTORS ACTIVELY PARTICIPATES IN ACTIVITIES THAT DIRECT OUR MISSION. 0 0 1842720 369795 PRIMARY MEDICAL HEALTHCARE: HEALTHCARE IS AVAILABLE AT THE MEDICAL CENTER FOR CHILDREN AND ADULTS WITH A FOCUS ON ESTABLISHING A MEDICAL HOME FOR COMPREHENSIVE HEALTHCARE. SERVICES INCLUDE: PREVENTIVE CARE, WELL-CHILD AND WELL-ADULT EXAMS, EDUCATION AND IMMUNIZATIONS. TREATMENT IS AVAILABLE FOR A WIDE RANGE OF ACUTE AND CHRONIC PHYSICAL, MENTAL AND SOCIAL HEALTH CONDITIONS SUCH AS INFECTIOUS DISEASES, DIABETES, AND HIGH BLOOD PRESSURE. THE MEDICAL CENTER HAS A LONG HISTORY OF PROVIDING EXPERT SPECIALTY CARE FOR HIV/AIDS INCLUDING DISEASE MANAGEMENT AND TREATMENT ADHERENCE. THE CLINICAL TEAM INCLUDES PHYSICIANS, MID-LEVEL PROVIDERS, NURSES, CERTIFIED MEDICAL ASSISTANTS, AND OTHER PROFESSIONALS WHO PROVIDE QUALITY, AFFORDABLE HEALTHCARE REGARDLESS OF ABILITY TO PAY. INSURANCE, MEDICAID, MEDICARE, CHIP, AND SLIDING FEE PATIENTS ARE ACCEPTED. 753288 HOUSING ASSISTANCE:PROVIDES ASSISTANCE TO LOW-INCOME HIV+ PERSONS WITH THE PAYMENT OF RENT AND UTILITIES (EMERGENCY AND LONG-TERM). LONG TERM PROGRAM REQUIRES ANNUAL CLIENT ELIGIBILITY RE-CERTIFICATION PROCESS OR IF THERE IS A SIGNIFICANT LIFE CHANGE THE AGENCY BECOMES AWARE OF COULD CAUSE MORE THAN ONE RE-CERTIFICATION ANNUALLY. SHORT TERM PROGRAM REQUIRES ELIGIBILITY CERTIFICATION FOR EACH EVENT. 533063 CASE MANAGEMENT:CASE MANAGEMENT PROVIDES CLIENTS ADVICE AND ASSISTANCE IN OBTAINING MEDICAL, MEDICATION, SOCIAL, COMMUNITY, LEGAL, FINANCIAL, AND OTHER NEEDED SERVICES. CASE MANAGERS ASSESS CLIENT NEEDS AND RESOURCES AND DESIGN AN INDIVIDUALIZED CLIENT-CENTERED SERVICE PLAN TO ADDRESS CRISIS SITUATIONS, MINIMIZE PROBLEMS WITH RECEIVING SERVICES, AND STABILIZE LIFE CIRCUMSTANCES. LINKING CLIENTS TO NEEDED SERVICES AND ADDRESSING BARRIERS TO RECEIVING SERVICES ENCOURAGES CLIENTS TO FOCUS ON THEIR MEDICAL CARE. 354939 PHARMACEUTICAL ASSISTANCE:ASSIST WITH ACCESS AND THE PAYMENT OF PRESCRIPTION MEDICINE. 255440 MEDICAL TRANSPORTATION:PROVIDES CLIENTS WITH DOOR-TO-DOOR VAN SERVICE TO AND FROM MEDICAL AND SOCIAL SERVICE APPOINTMENTS AND BUS TOKENS FOR LOCAL TRANSPORTATION WHERE AVAILABLE. 229945 GUARDIANSHIP SERVICES:A LOCAL GUARDIANSHIP PROGRAM SERVING INDIGENT INCAPACITATED ADULTS IN DENTON COUNTY. 205594 NUTRITION CENTERS:PROVIDES WEEKLY FOOD SUPPLEMENTS, HYGIENE PRODUCTS, AND NUTRITIONAL EDUCATION. 185154 INSURANCE ASSISTANCE:ASSISTS WITH THE PAYMENT OF HEALTH INSURANCE PREMIUMS, DEDUCTIBLES, AND CO-PAYS FOR CLIENTS WHO MEET ELIGIBILITY CRITERIA. 109943 MENTAL HEALTH SERVICES:MENTAL HEALTH CARE SUPPORTS BOTH MENTAL AND PHYSICAL WELL-BEING FOR OPTIMAL HEALTH AND PRODUCTIVITY. COUNSELORS USE A COLLABORATIVE, COMPREHENSIVE TREATMENT APPROACH THAT CONSIDERS PSYCHOLOGICAL, SOCIAL, ENVIRONMENTAL, AND BIOLOGICAL FACTORS FOR EMPOWERING CLIENTS TO IMPROVE THEIR ABILITY TO FUNCTION WITH LIFE CIRCUMSTANCES AND SITUATIONS. MENTAL HEALTH SCREENING, ASSESSMENTS, AND THERAPY IS AVAILABLE FOR ISSUES SUCH AS DEPRESSION, ANXIETY, RELATIONSHIP PROBLEMS, LIFE-SKILLS DEVELOPMENT, SUBSTANCE ABUSE, BEHAVIORAL DIAGNOSES, POST-TRAUMATIC STRESS, GRIEF, AND THE CHALLENGES OF ACUTE OR CHRONIC HEALTH CONDITIONS. TREATMENT SERVICES INCLUDE INDIVIDUAL AND GROUP THERAPY, MARRIAGE AND FAMILY THERAPY, AND CRISIS INTERVENTION SERVICES. 53331 COMMUNITY OUTREACH AND ENROLLMENT:A SERVICE DESIGNED TO ASSIST HEALTH CENTER PATIENTS IN ESTABLISHING ELIGIBILITY FOR AND GAINING ACCESS TO FEDERAL, STATE, AND LOCAL PROGRAM THAT PROVIDE OR FINANCIALLY SUPPORT THE PROVISION OF MEDICAL, SOCIAL, HOUSING, EDUCATIONAL, OR OTHER RELATED SERVICES. 1394346 4523417 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 97 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 X PAMELA BARNES CFO 9403811501 4401 NORTH I-35 SUITE 312 DENTON TX 76207 JUDGE ROBERT RAMIREZ PRESIDENT 2.00 X 0 0 0 JACQUELINE JACKSON VICE PRESIDENT 2.00 X 0 0 0 TODD GIBSON TREASURER 2.00 X 0 0 0 JOE MCCARLEY SECRETARY 2.00 X 0 0 0 DAVID DENNIS MEMBER 2.00 X 0 0 0 JERRY GARRETT MEMBER 2.00 X 0 0 0 CORDELIA IKEGWUOHA MEMBER 2.00 X 0 0 0 MARTIN MAINJA MEMBER 2.00 X 0 0 0 GLEN MCKENZIE MEMBER 2.00 X 0 0 0 HERMAN OOSTERWIJK MEMBER 2.00 X 0 0 0 BELINDA PEREZ MEMBER 2.00 X 0 0 0 CHRISTOPHER REDDEN MEMBER 2.00 X 0 0 0 RANDY ROBINSON MEMBER 2.00 X 0 0 0 DR ROBERT SCHWAB MEMBER 2.00 X 0 0 0 DANNY SULLIVAN MEMBER 2.00 X 0 0 0 DALE TAMPKE MEMBER 2.00 X 0 0 0 DR DERRELL BULLS MEMBER (FORMER) 2.00 X 0 0 0 DR JOYCE HEUMAN MEMBER (FORMER) 2.00 X 0 0 0 DOREEN RUE CEO 40.00 X 86588 0 11505 PAMELA BARNES CFO 40.00 X 69933 0 10628 SUSAN STAMBAUGH COO 40.00 X 58837 0 10045 PATRICK S FELICITAS CMO (FORMER) 40.00 X 101565 0 12633 316923 0 44811 1 0 0 0 0 68686 3827296 650017 4545999 NET PATIENT SERVICE RE 621400 366947 366947 366947 6406 6406 36018 68686 54490 -18472 -18472 MISCELLANEOUS INCOME 624200 2848 2848 2848 4903728 369795 0 -12066 X 361734 326221 35513 1748680 1748680 17592 17592 345119 345060 59 171682 168871 2811 2207 2207 483298 436976 46322 85168 85168 59581 56720 2861 56356 56356 557535 557535 64556 63028 1528 27015 24638 2377 55459 37104 18355 42596 42596 TBRA 259448 259448 MEDICAL SUPPLIES 194765 194765 ASSISTANCE TO INDIVIDUA 92270 92270 FUNDRAISING EXPENSES 36018 36018 10389 10389 4671468 4523417 112033 36018 466501 512937 818257 795357 552809 460228 0 23692 10580 12488 562404 226401 76789 336003 10245 12670 1935181 2153375 358375 344309 358375 344309 X 1438294 1704427 138512 104639 1576806 1809066 1935181 2153375 232260 0 X X 1 X 1 X 1 1 1 X 3234309 4307424 4003973 4031538 4545999 20123243 3234309 4307424 4003973 4031538 4545999 20123243 20123243 12397 6361 4805 5431 6406 35400 52679 51693 106258 128512 6539 345681 20504324 0.98140 0.97820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 91227 3651 87576 471177 222750 248427 336003 X 4955948 0 4955948 -52220 -52220 4903728 4689940 0 4689940 -18472 -18472 4671468 PART X, LINE 2: HEALTH SERVICES OF NORTH TEXAS, INC. IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION EVALUATES AND ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (FORMERLY FASB INTERPRETATION 48 (FIN 48) ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS STANDARD REQUIRES CERTAIN DISCLOSURES ABOUT UNCERTAIN INCOME TAX POSITIONS. THE ORGANIZATION EVALUATES ANY UNCERTAIN TAX POSITIONS USING THE PROVISIONS OF ASC 450, CONTINGENCIES. AS A RESULT, MANAGEMENT DOES NOT BELIEVE THAT ANY UNCERTAIN TAX POSITIONS CURRENTLY EXIST AND NO LOSS CONTINGENCY HAS BEEN RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION HAS FILED ALL APPLICABLE TAX RETURNS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE ASSETS RELEASED FROM RESTRICTION PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE X X X X X X X 0 TX HEARTS & HEROES 56016 28008 28008 19284 ROCKIN' ROUND UP 20024 12014 8010 14950 2 28664 28664 20256 104704 68686 36018 54490 54490 -18472 FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENTS REVIEWS THE FORM 990, PRESENTS THE FORM 990 IN DETAIL TO THE BOARD OF DIRECTORS FINANCIAL COMMITTEE, THE CHAIR OF THE FINANCIAL COMMITTEE PRESENTS THE FORM 990 TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST IS INCLUDED IN HSNT'S BY-LAWS AND IN THE STANDARDS OF CONDUCT IN WHICH ALL BOARD MEMBER AND STAFF RECEIVE A COPY DURING THE ORIENTATION PROCESS. ALL BOARD MEMBERS SIGN A WRITTEN CONFLICT OF INTEREST DISCLOSING ALL CONFLICTS, IF ANY. THIS PROCESS IS RECERTIFIED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO INCLUDES REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS; USING COMPARABILTY DATA OF SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 18 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CLINIC SERVICES: PROGRAM SERVICE EXPENSES 436,976. MANAGEMENT AND GENERAL EXPENSES 46,322. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 483,298. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND PREPARATION OF THE ORGANIZATION'S FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT, THIRD-PARTY ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.