INTEGRATED CARE COLLABORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- INTEGRATED CARE COLLABORATION (EIN 31-1624871)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-08
- IRS object ID
- 201322819349300032
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-08T15:41:17-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721396621 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARR RIGGS & INGRAM LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4210 SPICEWOOD SPRINGS RD STE 108 | AddressLine1 |
| City | AUSTIN | City |
| State | TX | State |
| ZIP Code | 787598653 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311624871 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTEGRATED CARE COLLABORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | INTE | NameControl |
| Phone | 5128042090 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8627 N MOPAC NO 140 | AddressLine1 |
| City | AUSTIN | City |
| State | TX | State |
| ZIP Code | 78759 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CARL D ANGEL | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 5128042090 | Phone |
| Date Signed | 2013-08-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | K DALE COOPER | Name |
| PTIN | P00142251 | PTIN |
| Phone | 5123461880 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CARL D ANGEL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8627 N MOPAC NO 140 | AddressLine1 |
| City | AUSTIN | City |
| State | TX | State |
| ZIP Code | 78759 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2914735 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ICC-CENTEX.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | THE 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4922783 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2914126 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 837 | InvestmentIncomePriorYear |
| Investment Income Current Year | 609 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4923620 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2914735 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 942949 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1362904 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 71644 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1180655 | OtherExpensePriorYear |
| Other Expenses Current Year | 1997121 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2123604 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3360025 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2800016 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -445290 | RevenuesLessExpensesCY |
| Total Assets BOY | 3895815 | TotalAssetsBOY |
| Total Assets EOY | 2935999 | TotalAssetsEOY |
| Total Liabilities BOY | 1282860 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 768334 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2612955 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2167665 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1372916 | Expense |
| Revenue | 1457063 | Revenue |
| Description | ICARE 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 274583 | Expense |
| Revenue | 291413 | Revenue |
| Description | ACCESS 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1098333 | Expense |
| Revenue | 1165650 | Revenue |
| Description | MEMBER 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 2745832 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | EDIE MORRIS | NamePerson |
| Telephone Number | 5128042090 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8627 N MOPAC SUITE 140 | AddressLine1 |
| City | AUSTIN | City |
| State | TX | State |
| ZIP Code | 78759 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JESUS GARZA | |||||||
| BOARD CHAIR | 0.00 | X | 0 | 0 | 0 | ||
| PETE PERIALAS | |||||||
| BOARD TREASURER | 0.00 | X | 0 | 0 | 0 | ||
| TRISH YOUNG BROWN | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| DAVID EVANS | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| EARL MAXWELL | |||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | ||
| CARL D ANGEL | |||||||
| EXECUTIVE DIRECTOR | 32.00 | 0 | 154643 | 0 | X | ||
| CAROLE TAMAYO | |||||||
| DIRECTOR OF TECHNOLOGY | 40.00 | 0 | 135260 | 0 | X | ||
| DANA CRAVEN | |||||||
| IT PROJECT MANAGER | 40.00 | 0 | 136760 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 426663 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CENTEX SYSTEMS SUPPORT SERVICES | |||||
| 8627 N MOPAC STE 350 | AUSTIN | TX | 78759 | PURCHASE OF UPGRADED HIE AND RELATED EQU | 1316803 |
| LONE STAR CIRCLE OF CARE | |||||
| 205 E UNIVERSITY AVE STE 200 | GEORGETOWN | TX | 78626 | REIMBURSEMENT FOR PAYROLL AND BENEFITS A | 1109005 |
| ATCICMHMR | |||||
| PO BOX 3548 | AUSTIN | TX | 78764 | REIMBURSEMENT FOR PAYROLL AND BENEFITS | 389804 |
| NETWORK SCIENCES | |||||
| 14205 BURNET RD STE 110 | AUSTIN | TX | 78728 | MEDICAIDER PRODUCT & SERVICES | 386750 |
| EW CONSULTING INC | |||||
| 7904 BURRELL DR | AUSTIN | TX | 78757 | DIRECTOR OF SERVICES FOR THE HIE | 105257 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEMBERSHIP FEES | 519100 | 1645095 | 1645095 |
| HIE U.S DHHS FUNDING | 519100 | 1082097 | 1082097 |
| HIE MEMBER FUNDING | 519100 | 160000 | 160000 |
| MISCELLANEOUS REVENUE | 519100 | 26934 | 26934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2914126 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 609 | TotalRevenueColumn |
| Exclusion | $609 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2914735 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2914126 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $609 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 417575 | Total |
| Program Services | 315019 | ProgramServices |
| Management And General | 89027 | ManagementAndGeneral |
| Fundraising | 13529 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 713652 | Total |
| Program Services | 538379 | ProgramServices |
| Management And General | 152151 | ManagementAndGeneral |
| Fundraising | 23122 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152074 | Total |
| Program Services | 114725 | ProgramServices |
| Management And General | 32422 | ManagementAndGeneral |
| Fundraising | 4927 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79603 | Total |
| Program Services | 60053 | ProgramServices |
| Management And General | 16971 | ManagementAndGeneral |
| Fundraising | 2579 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20571 | Total |
| Program Services | 19686 | ProgramServices |
| Management And General | 885 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 598264 | Total |
| Program Services | 566575 | ProgramServices |
| Management And General | 31689 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19123 | Total |
| Program Services | 14426 | ProgramServices |
| Management And General | 4077 | ManagementAndGeneral |
| Fundraising | 620 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 520138 | Total |
| Program Services | 497260 | ProgramServices |
| Management And General | 22627 | ManagementAndGeneral |
| Fundraising | 251 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115297 | Total |
| Program Services | 86980 | ProgramServices |
| Management And General | 24581 | ManagementAndGeneral |
| Fundraising | 3736 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12100 | Total |
| Program Services | 9128 | ProgramServices |
| Management And General | 2580 | ManagementAndGeneral |
| Fundraising | 392 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6284 | Total |
| Program Services | 4740 | ProgramServices |
| Management And General | 1340 | ManagementAndGeneral |
| Fundraising | 204 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 284 | Total |
| Program Services | 214 | ProgramServices |
| Management And General | 61 | ManagementAndGeneral |
| Fundraising | 9 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 676236 | Total |
| Program Services | 510152 | ProgramServices |
| Management And General | 144174 | ManagementAndGeneral |
| Fundraising | 21910 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17563 | Total |
| Management And General | 17563 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| DUES - HIE GRANT | 5000 | 3772 | 1066 | 162 |
| DUES AND LICENSES | 1858 | 1402 | 396 | 60 |
| STAFF DEVELOPMNET - HIE | 1722 | 1299 | 367 | 56 |
| MISCELLANEOUS | 1367 | 1031 | 292 | 44 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1314 | Total |
| Program Services | 991 | ProgramServices |
| Management And General | 280 | ManagementAndGeneral |
| Fundraising | 43 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3360025 | Total |
| Program Services | 2745832 | ProgramServices |
| Management And General | 542549 | ManagementAndGeneral |
| Fundraising | 71644 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73368 | BOY |
| EOY | 41308 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 859421 | BOY |
| EOY | 294837 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1250 | BOY |
| EOY | 25563 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 72442 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3382654 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 880805 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2961776 | BOY |
| EOY | 2501849 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3895815 | BOY |
| EOY | 2935999 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 568895 | BOY |
| EOY | 227266 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 697627 | BOY |
| EOY | 541068 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16338 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1282860 | BOY |
| EOY | 768334 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2612955 | BOY |
| EOY | 2167665 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2612955 | BOY |
| EOY | 2167665 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3895815 | BOY |
| EOY | 2935999 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -445290 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 311851 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 126000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34947 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 637688 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1082097 | CurrentTaxYear |
| Total | 2192583 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 311851 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 126000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34947 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 637688 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1082097 | CurrentTaxYear |
| Total | 2192583 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 124500 | AmountsSubstContributorsTotal |
| Public Support Total170 | 2068083 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12145 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1532 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 837 | CurrentTaxYearMinus1Year |
| Current Tax Year | 609 | CurrentTaxYear |
| Total | 15143 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1655 | CurrentTaxYearMinus4Years |
| Current Tax Year | 26934 | CurrentTaxYear |
| Total | 28589 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 2236315 | TotalSupport |
| Gross Receipts From Admissions Etc | 10332071 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.92480 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.71160 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3382654 | OtherCostOrOtherBasis |
| Depreciation | 880805 | Depreciation |
| Book Value | 2501849 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2501849 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 2982985 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 68250 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 68250 | RevenueNotRptdF990 |
| Revenue Subtotal | 2914735 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2914735 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 3428275 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 68250 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 68250 | ExpensesNotRptdF990 |
| Expenses Subtotal | 3360025 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 3360025 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | FOOTNOTE 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, 2012 AND 2011. 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 2012, 2011, AND 2010 ARE OPEN TAX YEARS SUBJECT TO EXAMINATION BY THE IRS FOR WHICH ICC COULD BE LIABLE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CARL D ANGEL | NamePerson |
| Title | EXECUTIVE DIRECTOR | Title |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 154643 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 154643 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS MEMBERS, WHO ARE THE SAFETY NET PROVIDERS BELONGING TO THE ALLIANCE. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 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 12C | THE 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 15 | THE BOARD EVALUATES AND APPROVES ALL NEW EMPLOYEES' SALARIES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE ON REQUEST. | |
| FORM 990, PART VII, PAGE 7 | ICC 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 11G | IT SUPPORT SERVICE: PROGRAM SERVICE EXPENSES 39,907. MANAGEMENT AND GENERAL EXPENSES 1,793. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,700. ICARE 2.0 SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 287,100. MANAGEMENT AND GENERAL EXPENSES 12,900. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300,000. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 18,662. MANAGEMENT AND GENERAL EXPENSES 839. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,501. OUTREACH/IAK: PROGRAM SERVICE EXPENSES 66,990. MANAGEMENT AND GENERAL EXPENSES 3,010. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,000. CONSULTANT: PROGRAM SERVICE EXPENSES 1,516. MANAGEMENT AND GENERAL EXPENSES 129. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,645. CONTRACT LABOR : PROGRAM SERVICE EXPENSES 36,160. MANAGEMENT AND GENERAL EXPENSES 3,089. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,249. HIE CONTRACT LABOR: PROGRAM SERVICE EXPENSES 115,784. MANAGEMENT AND GENERAL EXPENSES 9,891. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,675. AH-ISD/EPIC IMP./DEV./SUPPORT: PROGRAM SERVICE EXPENSES 456. MANAGEMENT AND GENERAL EXPENSES 38. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 494. | OTHER FEES |
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