2013-08-29T17:11:18-05:00 2012-12-31 272602152 BKM SOWAN HORAN LLP 15301 DALLAS PARKWAY SUITE 960 ADDISON TX 75001 990 2012-01-01 752813621 ELLIS COUNTY COALITION FOR HEALTH OPTIONS INC ELLI 9729232440 411 EAST JEFFERSON STREET WAXAHACHIE TX 75165 HARRY HICKEY 9729232440 2013-08-28 1 BRAD MARCKX P00570005 2145453965 2012 2016-02-24 21:20:13Z HOPE CLINIC HARRY HICKEY 1016 ASPEN LN MANSFIELD TX 76063 2472953 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 38 5 0 0 1071547 1427113 832284 1032178 1378 1534 2409 3667 1907618 2464492 0 0 0 0 1314320 1693358 0 0 82542 563072 709734 1877392 2403092 30226 61400 639365 708083 165775 289768 473590 418315 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 2073490 PROVIDED HEALTH, DENTAL, AND MENTAL CARE AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND SURROUNDING AREAS AND TO INDIGENT CITIZENS OF ELLIS COUNTY REGARDLESS OF THEIR ABILITY TO PAY. 2073490 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 7 0 38 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 X X BARBARA CLARK ELLIS COUNTY COALITION FOR HEALTH 9729232440 411 EAST JEFFERSON STREET WAXAHACHIE TX 75165 DR JEFF KOSORIS DDS 5.00 X X 0 0 0 SANDRA SMITH 2.00 X X 0 0 0 TOM CRABB 2.00 X X 0 0 0 JOANN LIVINGSTON 2.00 X X 0 0 0 DALE MEYLER 1.00 X 0 0 0 DR PATTI POWELL 1.00 X 0 0 0 JUANITA JOHNSON 1.00 X 0 0 0 BRETT KEMP 1.00 X 0 0 0 LEAH WILSON 1.00 X 0 0 0 ROBERTO ALVAREZ 1.00 X 0 0 0 YOLANDE OWENS 40.00 X 92081 0 0 DAVID MORRISON 40.00 X 61869 0 0 CORY HOFFMAN 20.00 X 30000 0 0 TONJOLIQUE JACKSON 40.00 X 118862 0 0 302812 0 0 1 0 0 0 0 50826 1205736 170551 97984 1427113 PROGRAM SERIVCE FEES, 621110 1032178 1032178 1032178 1534 1534 8461 42365 8461 0 INCOME MEDICAL RECORDS 3327 3327 HEALTH FAIR DONATIONS 340 340 3667 2464492 1035845 0 1534 X 183950 167468 11255 5227 1274396 1160208 77974 36214 1616 1616 128814 96891 21797 10126 104582 95213 6397 2972 2253 2253 12270 12270 368684 303854 64830 7741 7741 34706 32521 2185 7015 3787 3228 6594 3297 3297 33918 30508 2328 1082 3969 3613 243 113 BAD DEBTS 71160 71160 LICENSES/PERMITS/FEES 40288 40288 UTILITIES 20609 18762 1261 586 REPAIRS & MAINTENANCE 19469 19469 81058 24293 30543 26222 2403092 2073490 247060 82542 10862 372 17628 34563 111098 150301 661704 139707 498927 521997 850 850 639365 708083 60404 36450 129325 229364 165775 289768 X 362312 418315 71075 0 40203 0 473590 418315 639365 708083 X 61400 -112529 -4146 X 0 1 X 1 1 1 X 161906 884088 1870605 1071547 1367420 5355566 161906 884088 1870605 1071547 1367420 5355566 5355566 5349 1742 1378 1534 10003 2409 2409 5367978 0.99770 X 0 40203 40203 40203 40203 19000 19000 435842 36875 398967 10081 1598 8483 131758 36211 95547 65023 65023 0 521997 LINE OF CREDIT VINTAGE BANK 70042 VINTAGE BANK LOAN 45732 US BANK - LEASE #3 585 LEAF PHONE LEASE 18633 ACCRUED COMPENSATION 59693 ACCRUED VACATION 3604 CURRENT PORTION OF CAPITAL LEASE 7250 OVERDRAFT LIABILITY 23825 229364 2464492 0 2464492 0 2464492 2407238 4146 4146 2403092 0 2403092 PART XII, LINE 2D - OTHER ADJUSTMENTS: DEPRECIATION ADJUSTMENT SEEDS OF HOPE 50826 42365 8461 8461 50826 42365 8461 8461 8461 0 YOLANDE OWENS OPERATIONS CEO OPERATING LOAN X 107000 60404 0 1 1 60404 0 X MEDICAL SERVICES 1 7750 COST X MEDICAL SUPPLIES 2 81849 COST X OFFICE SUPPLIES 5 2885 COST X EQUIPMENT 1 5500 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE RETURN WAS PRESENTED TO THE BOARD, FORMALLY DISCUSSED AND APPROVED AT THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS POLICY - THE BOARD AND STAFF ARE ASKED TO REVIEW AND SIGN A NEW FORM ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR OFFICERS - 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 UPON REQUEST OTHER FEES FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,840. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,840. OUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,287. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,287. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 22,449. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,449. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,094. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,094. PATIENT SERVICE EXPENSE: PROGRAM SERVICE EXPENSES 302,014. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 302,014. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: DIFFERENCE IN DEPRECIATION PER GAAP AND TAX -4,146.