PEDIPLACE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PEDIPLACE (EIN 75-2512752)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-02
IRS object ID
201121229349300522
Schema version
2010v3.2
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)
Timestamp2011-05-02T10:05:07-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Barry N Finkelstein CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line114881 Quorum Dr 410 LB 9AddressLine1
CityDallasCity
StateTXState
ZIP Code752547014ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752512752EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PEDIPLACE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPEDINameControl
Phone9724367962Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1512 S OLD ORCHARD SUITE 126AddressLine1
CityLEWISVILLECity
StateTXState
ZIP Code75067ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLARRY ROBINSName
TitleExecutive DirecTitle
Date Signed2011-04-29DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameBARRY N FINKELSTEINName
Phone9729341577Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts2291496GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.PEDIPLACE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionPROVIDE MEDICAL SERVICES TO UNINSURED AND UNDER INSURED CHILDREN IN SOUTHERN DENTON COUNTY, TEXAS AND SURROUNDING COMMUNITIES. OUR MISSION IS MAKING HEALTHCARE A REALITY FOR EVERY KID.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees31TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year559888ContributionsGrantsPriorYear
Contributions Grants Current Year887558ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1285229ProgramServiceRevenuePriorYear
Program Service Revenue CY1352727ProgramServiceRevenueCY
Investment Income Prior Year7235InvestmentIncomePriorYear
Investment Income Current Year5338InvestmentIncomeCurrentYear
Other Revenue Prior Year6842OtherRevenuePriorYear
Other Revenue Current Year27871OtherRevenueCurrentYear
Total Revenue Prior Year1859194TotalRevenuePriorYear
Total Revenue Current Year2273494TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1091029SalariesEtcPriorYear
Salaries Etc Current Year1252272SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year151030TotalFundrsngExpCurrentYear
Other Expense Prior Year638784OtherExpensePriorYear
Other Expenses Current Year706290OtherExpensesCurrentYear
Total Expenses Prior Year1729813TotalExpensesPriorYear
Total Expenses Current Year1958562TotalExpensesCurrentYear
Revenues Less Expenses Prior Year129381RevenuesLessExpensesPriorYear
Revenues Less Expenses CY314932RevenuesLessExpensesCY
Total Assets BOY784473TotalAssetsBOY
Total Assets EOY1108511TotalAssetsEOY
Total Liabilities BOY60023TotalLiabilitiesBOY
Total Liabilities EOY69129TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY724450NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1039382NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE MEDICAL SERVICES TO UNINSURED AND UNDER INSURED CHILDREN IN SOUTHERN DENTON COUNTY, TEXAS AND SURROUNDING COMMUNITIES. OUR MISSION IS MAKING HEALTHCARE A REALITY FOR EVERY KID.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1623893Expense
Revenue1380598Revenue
DescriptionTHIS ORGANIZATION PROVIDES MEDICAL SERVICES TO UNDER-INSURED AND UNINSURED CHILDREN IN SOUTHERN DENTON COUNTY, TEXAS AND SURROUNDING COMMUNITIES.Description
Total Program Service Expense1623893TotalProgramServiceExpense
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 EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees31NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLARRY ROBINSNamePerson
Telephone Number9724367962TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1512 S OLD ORCHARD 126AddressLine1
CityLEWISVILLECity
StateTXState
ZIP Code750674370ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
STEPHEN SMALLY
Director1.00X000
SHAWN BLACK
Director1.00X000
S T NEWTON
Director1.00X000
ROBERT RAMIREZ
Director1.00X000
MIKE FRYE
Director1.00X000
MELISSA DEWITT
Director1.00X000
LYNN BENJAMIN
Vice President1.00X000X
LINDA BURNEY-FUHR
President2.00X000X
LARRY SMITH
Treasurer2.00X000X
LARRY ROBINS
Executive Direc45.00X13068900X
KEVIN ROGERS
Director1.00X000
JOHN O'NEILL
Director1.00X000
JOHN ALLEN
Director1.00X000
JERRY ROY
Director1.00X000
JEFF BRANNEN
Vice President1.00X000X
DARLA KINCAID
Director1.00X000
CARY WIGINGTON
Director1.00X000
CAROL POPE CODY
Director2.00X000
CAROL LONGACRE
Director1.00X000
CARL MENCKHOFF
Director1.00X000
BECKY KERBOW
Secretary1.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org130689TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns129660FederatedCampaigns
Fundraising Events9616FundraisingEvents
Government Grants118548GovernmentGrants
All Other Contributions629734AllOtherContributions
Noncash Contributions142367NoncashContributions
Total Contributions887558TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDICAL SERVICESDescription
Business Code621300BusinessCode
Total Revenue Column1352727TotalRevenueColumn
Related Or Exempt Function Income1352727RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1352727TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5338TotalRevenueColumn
Exclusion$5,338ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events45873GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events9616CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses18002FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column27871TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2273494TotalRevenueColumn
Related Or Exempt Function Income1380598RelatedOrExemptFunctionIncome
Exclusion$5,338ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total130689Total
Program Services43563ProgramServices
Management And General43563ManagementAndGeneral
Fundraising43563Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total914282Total
Program Services807102ProgramServices
Management And General41288ManagementAndGeneral
Fundraising65892Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total21366Total
Program Services17272ProgramServices
Management And General2624ManagementAndGeneral
Fundraising1470Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total105957Total
Program Services86254ProgramServices
Management And General8604ManagementAndGeneral
Fundraising11099Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total79978Total
Program Services65107ProgramServices
Management And General6494ManagementAndGeneral
Fundraising8377Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13371Total
Management And General13371ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total214371Total
Program Services209095ProgramServices
Management And General5276ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5851Total
Fundraising5851Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16172Total
Program Services12938ProgramServices
Management And General1617ManagementAndGeneral
Fundraising1617Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total84190Total
Program Services67810ProgramServices
Management And General16380ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total6416Total
Management And General6416ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total27502Total
Program Services22630ProgramServices
Management And General3930ManagementAndGeneral
Fundraising942Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total23951Total
Program Services17830ProgramServices
Management And General5752ManagementAndGeneral
Fundraising369Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
UTILITIES16494131953299
TELEPHONE162591300716261626
REPAIRS AND MAINTENANCE298302326754041159
PHYSICIAN EXPENSES133962133962
BAD DEBT2962929629

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total88292Total
Program Services61232ProgramServices
Management And General17995ManagementAndGeneral
Fundraising9065Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1958562Total
Program Services1623893ProgramServices
Management And General183639ManagementAndGeneral
Fundraising151030Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY324171BOY
EOY596274EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY161035BOY
EOY162615EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY158998BOY
EOY225333EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY66113BOY
EOY53795EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2829BOY
EOY2200EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16225BOY
EOY15983EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis418952LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec368141LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY53602BOY
EOY50811EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1500BOY
EOY1500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY784473BOY
EOY1108511EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY60023BOY
EOY69129EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY60023BOY
EOY69129EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY704236BOY
EOY816136EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9714BOY
EOY212746EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10500BOY
EOY10500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY724450BOY
EOY1039382EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY784473BOY
EOY1108511EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses314932ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years488348CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years442351CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years515001CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year559888CurrentTaxYearMinus1Year
Current Tax Year887558CurrentTaxYear
Total2893146Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years908339CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1089294CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1166146CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1285229CurrentTaxYearMinus1Year
Current Tax Year1352727CurrentTaxYear
Total5801735Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1396687CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1531645CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1681147CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1845117CurrentTaxYearMinus1Year
Current Tax Year2240285CurrentTaxYear
Total8694881Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5098694881PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years470CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years614CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6526CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7235CurrentTaxYearMinus1Year
Current Tax Year5338CurrentTaxYear
Total20183Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years470CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years614CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6526CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7235CurrentTaxYearMinus1Year
Current Tax Year5338CurrentTaxYear
Total20183Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1397157CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1532259CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1687673CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1852352CurrentTaxYearMinus1Year
Current Tax Year2245623CurrentTaxYear
Total8715064Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99770PublicSupportPercentage509
Prior Year Support Percentage0.99810PriorYearSupportPercentage
Investment Income Percentage0.00230InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00190PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis261036OtherCostOrOtherBasis
Depreciation246395Depreciation
Book Value14641BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis157916OtherCostOrOtherBasis
Depreciation121746Depreciation
Book Value36170BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings50811TotalOfBookValueLandBuildings
Total Revenue2273494TotalRevenue
Total Expenses1958562TotalExpenses
Excess Or Deficit For Year314932ExcessOrDeficitForYear
Tot Revenue Etc Audited Fincl Stmt2273494TotRevenueEtcAuditedFinclStmt
Revenue Subtotal2273494RevenueSubtotal
Total Revenue Per Form9902273494TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1958562TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1958562ExpensesSubtotal
Total Expenses Per Form9901958562TotalExpensesPerForm990

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SPRING BANQUETNameOfEvent1
Gross Receipts Event155489GrossReceiptsEvent1
Charitable Contributions Event19616CharitableContributionsEvent1
Gross Revenue Event145873GrossRevenueEvent1
Non Cash Prizes Event12815NonCashPrizesEvent1
Rent Facility Costs Event14515RentFacilityCostsEvent1
Food And Beverage Event110672FoodAndBeverageEvent1
Gross Receipts Total55489GrossReceiptsTotal
Charitable Contributions Total9616CharitableContributionsTotal
Gross Revenue Total Events45873GrossRevenueTotalEvents
Non Cash Prizes Total Events2815NonCashPrizesTotalEvents
Rent Facility Costs Total Events4515RentFacilityCostsTotalEvents
Food And Beverage Total Events10672FoodAndBeverageTotalEvents
Direct Expense Summary Events18002DirectExpenseSummaryEvents
Net Income Summary27871NetIncomeSummary

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonCOMMUNITY MEDICAL ASSOCIATES INCNamePerson
FieldValueIRS element (for citing)
RelationshipCOMMON BOARD MEMBERRelationship
Amount Of Transaction125712AmountOfTransaction
Description Of TransactionCONTRACT PHYSICIAN SERVICDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (6 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XSTUDENT NURSES16118580FAIR VALUE
XPROFESSIONAL FE27169FAIR VALUE
XMISCELLANEOUS22072COST
XOFFICE EQUIP24650COST
XMEDICAL SUPPLIE11646COST
XDOCTOR SERVICES48250FAIR VALUE
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableCOPIES OF REQUESTED GOVERNING DOCUMENTS AND OPEN PAGES OF FORM 990 ARE MADE AVAILABLE UPON REQUEST. NO SUCH REQUESTS WERE RECEIVED DURING 2010..
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY BY A COMMITTEE APPOINTED BY THE PRESIDENT OF THE BOARD OF DIRECTORS. BASE SALARY IS COMPARED WITH SIMILAR NOT-FOR-PROFIT AND FOR-PROFIT ORGANIZATIONS. STAFF SIZE, ANNUAL BUDGET, MARKET TRENDS AND SKILL LEVEL IS USED TO DETERMINE COMPARABLE SALARIES. BENCHMARK INFORMATION FROM OTHER EMPLOYERS AND SUMMARY DATA COMPILED FROM NOT-FOR-PROFIT ENTITY SURVEYS PRESENTED BI-ANNUALLY BY THE COUNCIL OF GREATER DALLAS IS CONSULTED. ANNUAL PERFORMANCE MEASUREMENTS ARE ESTABLISHED TO EVALUATE BONUS GUIDELINES.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHE TONE FOR A HIGH LEVEL OF ETHICS IS SET AT THE TOP. THE BOARD OF DIRECTORS IMPARTS ITS EXPECTATIONS TO ALL LEVELS OF MANAGEMENT. IN CONNECTION THEREWITH, ALL BOARD MEMBERS, MEMBERS OF COMMITTEES WHO ARE NOT BOARD MEMBERS, OFFICERS AND EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. THE SIGNED FORMS ARE REVIEWED AND THE ACCOUNTING DEPARTMENT IS ADVISED OF ANY DISCLOSED CONFLICTS. ANY INDIVIDUAL WITH A POSSIBLE CONFLICT, OR WHO PERCEIVES OR RECOGNIZES A CONFLICT OF OTHERS, IS ENCOURAGED TO DISCUSS THE MATTER WITH THEIR IMMEDIATE SUPERVISOR. ALL CONFLICTS ARE ULTIMATELY TO BE DISCUSSED WITH THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessIN APRIL 2011, AFTER PREPARATION OF THE FORM 990 AND BEFORE FILING OF THE FORM, THE PREPARER ATTENDED THE EXECUTIVE COMMITTEE MEETING. THE FILING REQUIREMENTS AND INFORMATION REQUIREMENTS WERE DISCUSSED AND ANY QUESTIONS RELATING TO THE 2010 FORM 990 WERE ADDRESSED. A COPY OF THE TAX RETURN WAS PROVIDED TO THE ORGANIZATION FOR ITS FILES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MEDICAL ASSOCIATES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1385 W MAIN STREET SUITE AAddressLine1
CityLEWISVILLECity
StateTXState
ZIP Code75057ZIPCode
FieldValueIRS element (for citing)
EIN710899862EIN
Primary ActivitiesCONTRACT PHYSICIAN SERVICESPrimaryActivities
Legal Domicile StateTXLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MEDICAL ASSOCIATES INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeoTransactionType
Amount Involved125712AmountInvolved

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