2026-08-10T13:39:06-05:00 2025-09-30 351178661 BLUE & CO LLC 2821 W SEVENTH ST STE 270 FORT WORTH TX 76107 990 2024-10-01 260223749 CHAMBERS COMMUNITY HEALTH CENTER CHAM 4092673143 PO BOX 398 ANAHUAC TX 77514 ANN NEWTON CEO 4092673143 2026-08-10 1 0 LUKE LAMB P01936021 8067911591 2026-08-10 2024 2025-03-06 01:10:19Z ANN NEWTON PO BOX 398 ANAHUAC TX 77514 10355309 0 X WWW.CHAMBERSHEALTH.ORG X 2007 TX PROVIDE HIGH QUALITY, AFFORDABLE PRIMARY CARE AND PREVENTION TO CHAMBERS COUNTY'S VULNERABLE POPULATIONS. 12 8 3 0 0 0 3633579 2418993 5671665 7936316 0 0 723118 0 10028362 10355309 0 0 0 0 0 1268341 0 0 0 9268816 9729885 9268816 10998226 759546 -642917 5781048 5313381 769241 944491 5011807 4368890 PROVIDE HIGH QUALITY, AFFORDABLE PRIMARY CARE AND PREVENTITIVE SERVICES, INCLUDING MEDICAL, MENTAL, AND ORAL HEALTH TO SOUTHEAST TEXAS' VULNERABLE POPULATIONS. 0 0 10998226 0 7936316 PROVIDE HIGH QUALITY, AFFORDABLE PRIMARY CARE AND PREVENTITIVE SERVICES, INCLUDING MEDICAL, MENTAL, AND ORAL HEALTH TO SOUTHEAST TEXAS' VULNERABLE POPULATIONS. 10998226 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 8 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 TX X PEGGY HAMILTON 4092673143 PO BOX 398 ANAHUAC TX 77514 LAURA LEE PARK CHAIR 1.00 0.00 X X 0 0 0 GILFRED BOULLION VICE CHAIR 1.00 0.00 X X 0 0 0 BECKY EVANS SECRETARY 1.00 0.00 X X 0 0 0 AMY TAPP TRUSTEE 1.00 0.00 X 0 0 0 LINDA TINNERMAN TRUSTEE 1.00 0.00 X 0 0 0 GENE BIALOWAS TRUSTEE 1.00 0.00 X 0 0 0 BERTHA WHITE TRUSTEE 1.00 0.00 X 0 0 0 SANDRA DEQUEANT TRUSTEE 1.00 0.00 X 0 0 0 GERALDINE BROWN TRUSTEE 1.00 0.00 X 0 0 0 DONNA BOULLION TRUSTEE 1.00 0.00 X 0 0 0 PASTOR LLOYD WALTERS TRUSTEE 1.00 0.00 X 0 0 0 BEVERLY WALTERS TRUSTEE 1.00 0.00 X 0 0 0 ELISSA LOFGREN CLINIC EXECUTIVE DIRECTOR 40.00 0.00 X 138023 0 13705 ANN NEWTON CEO 0.00 40.00 X 0 209010 13679 ROBERT PASCASIO CEO (THROUGH MARCH 2024) 0.00 40.00 X 0 70769 4887 KIMBERLY COOPER CFO 13.00 27.00 X 52818 107237 17104 CATHERINE MUSCAT DIRECTOR OF NURSING 0.00 40.00 X 0 144986 12954 ALEXIS PIERRE IV DDS FAGD DIRECTOR OF DENTISTRY 40.00 0.00 X 233363 0 17559 DONALD HARPER RN & NURSE PRACTITIONER 40.00 0.00 X 166349 0 9619 ANTHONY CAPILI MD PHYSICIAN 24.00 16.00 X 254800 163591 20501 JOHN REDMAN MD PHYSICIAN 26.00 14.00 X 310135 165531 21672 1155488 861124 131680 3 0 1 0 TRUBRIDGE 54 ST EMANUAL ST MOBILE AL 36602 MEDICAL SERVICES 324556 INTEGRATIVE HEALTH 3780 NW 83RD ST GAINESVILLE FL 32606 MEDICAL SERVICES 132851 2 2177205 241788 2418993 NET PATIENT SERVICE RE 621110 7936316 7936316 7936316 10355309 7936316 0 0 204819 204819 892478 892478 63700 63700 40357 40357 66987 66987 1036501 1036501 55 55 83976 83976 295648 295648 1196785 1196785 27313 27313 52500 52500 REIMBURSEMENT SALARIES 5551616 5551616 SUPPLIES 1420521 1420521 MEMBERSHIP DUES 45055 45055 OTHER OPERATING EXPENSE 19915 19915 10998226 10998226 0 0 1465159 1489345 513978 543793 187882 189446 4000 16131 3610029 3074666 5781048 5313381 769241 944491 769241 944491 X 5011807 4368890 5011807 4368890 5781048 5313381 -642917 0 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 INTERCOMPANY DUE TO / FROM 3074666 3074666 0 0 0 0 0 0 0 0 0 JOHN REDMAN MD PHYSICIAN 250058 133466 60077 32065 0 0 13366 7134 764 408 324265 173073 0 0 ANTHONY CAPILI MD PHYSICIAN 214933 137995 39867 25596 0 0 12485 8016 0 0 267285 171607 0 0 ALEXIS PIERRE IV DDS FAGD DIRECTOR OF DENTISTRY 222495 0 10868 0 0 0 15494 0 2065 0 250922 0 0 0 ANN NEWTON CEO 0 159010 0 50000 0 0 0 11232 0 2447 0 222689 0 0 KIMBERLY COOPER CFO 52818 107237 0 0 0 0 3503 7111 2142 4348 58463 118696 0 0 DONALD HARPER RN & NURSE PRACTITIONER 123926 0 42423 0 0 0 7321 0 2298 0 175968 0 0 0 CATHERINE MUSCAT DIRECTOR OF NURSING 0 144986 0 0 0 0 0 9383 0 3571 0 157940 0 0 ELISSA LOFGREN CLINIC EXECUTIVE DIRECTOR 138023 0 0 0 0 0 9295 0 4410 0 151728 0 0 0 FORM 990, PART V, LINE 2A, EMPLOYEES REPORTED ON FORM W-3: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (DISTRICT), EIN 76-0153629, A RELATED GOVERNMENTAL UNIT, IS THE COMMON PAYING AGENT FOR CHAMBERS COMMUNITY HEALTH CENTER. THEREFORE, ALL APPLICABLE IRS TAX FILINGS ARE REPORTED BY THE DISTRICT. FOR PURPOSES OF REPORTING THE NUMBER OF EMPLOYEES ON THE FORM 990, LINE 2A FOR CHAMBERS COMMUNITY HEALTH CENTER, THERE WERE 3 REPORTED FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF AT LEAST FIVE BOARD MEMBERS, INCLUDING THREE ELECTED OFFICERS AND, IF POSSIBLE, ONE BOARD MEMBER WHO IS ALSO ON THE CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (DISTRICT) BOARD. DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE SHALL POSSESS AND MAY EXERCISE ALL THE POWERS AND FUNCTIONS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT AND DIRECTION OF THE AFFAIRS OF THE ORGANIZATION IN ALL CASES IN WHICH SPECIFIC DIRECTION SHALL NOT HAVE BEEN GIVEN BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL MEET AT THE CALL OF THE CHAIRPERSON. ALL ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD OF DIRECTORS AT ITS MEETING NEXT SUCCEEDING SUCH ACTION AND THE FULL BOARD OF DIRECTORS MUST VOTE ON THESE ACTIONS AND RECORD THEM IN THE BOARD MINUTES. REGULAR MINUTES OF THE PROCEEDINGS OF THE EXECUTIVE COMMITTEE SHALL BE KEPT. FORM 990, PART VI, SECTION A, LINE 2 PASTOR LLYOD WALTERS AND BEVERLY WALTERS - FAMILY RELATIONSHIP DONNA BOULLION AND GILFRED BOULLION - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE PUBLIC ACCOUNTING FIRM. DURING THE RETURN PREPARATION AND REVIEW PROCESS, THE PUBLIC ACCOUNTING FIRM COLLABORATES WITH THE ORGANIZATION'S CFO TO ENSURE THAT A COMPLETE AND ACCURATE TAX RETURN IS PREPARED. UPON COMPLETION, THE FORM 990 IS REVIEWED WITH THE ORGANIZATION'S CFO AND PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR COMMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, EACH DIRECTOR MUST SIGN A STATEMENT WHICH AFFIRMS THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES, WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IF A CONFLICT WERE TO ARISE, THE DIRECTOR WOULD ABSTAIN FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 LINES 15A & 15B ARE ANSWERED "NO" IN ACCORDANCE WITH THE IRS INSTRUCTIONS. THE ORGANIZATION DOES NOT COMPENSATE EMPLOYEES, OFFICERS, OR BOARD MEMBERS. RATHER, ALL COMPENSATION REPORTED IS PAID BY CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1, A RELATED GOVERNMENTAL UNIT, THAT IS THE COMMON PAYING AGENT FOR THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1 PO BOX 398 ANAHUAC TX 77514 760153629 MEDICAL SERVICES TX 115 GOVERNMENTAL UNIT 0 BAYSIDE HEALTHCARE FOUNDATION PO BOX 398 ANAHUAC TX 77514 205853573 FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF HOSPITAL DISTRICT TX 501(C)(3) 7 CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0