2023-11-02T09:08:21-05:00 2022-12-31 742533381 JAYNES REITMEIER BOYD & THERRELL PC 5400 BOSQUE BLVD STE 600 WACO TX 767104459 990 2022-01-01 742867580 HEART OF TEXAS COMMUNITY HEALTH CENTER INC HEAR 2543134200 1600 PROVIDENCE DRIVE WACO TX 767072261 ANNETTE BALLEW CFO 2543134200 2023-10-30 1 ANNETTE BALLEW 999009999 0 NANCY A LIVINGSTON P00044678 2547764190 2023-10-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z WACO FAMILY MEDICINE JACKSON GRIGGS 1600 PROVIDENCE DRIVE WACO TX 767072261 77075800 0 X N/A X 1998 TX IMPROVE THE WELLNESS OF THE UNDERSERVED AND VULNERABLE RESIDENTS OF THE HEART OF TEXAS BY PROVIDING EFFECTIVE ACCESS TO HIGH QUALITY, COMPREHENSIVE PRIMARY HEALTHCARE; AND BY EDUCATING TOMORROW'S FAMILY PHYSICIANS AND HEALTHCARE PROFESSIONALS. 13 13 728 185 0 0 59267538 61488152 15149199 15432168 70162 155480 0 0 74486899 77075800 0 0 0 0 46079602 51222123 0 0 0 22038065 26937684 68117667 78159807 6369232 -1084007 45785038 45016277 7963387 8278633 37821651 36737644 IMPROVE THE WELLNESS OF THE UNDERSERVED AND VULNERABLE RESIDENTS OF THE HEART OF TEXAS BY PROVIDING EFFECTIVE ACCESS TO HIGH QUALITY, COMPREHENSIVE PRIMARY HEALTHCARE; AND BY EDUCATING TOMORROW'S FAMILY PHYSICIANS AND HEALTHCARE PROFESSIONALS. 0 0 53428752 9937236 MEDICAL CARE TO THE POOR OF MCLENNAN COUNTY, TEXAS THROUGH DIRECT BILLING OF GOVERNMENT PROGRAMS, PATIENTS' INSURANCE, AND THE PATIENTS THEMSELVES. 20777848 5494932 MEDICAL CARE TO THE POOR OF MCLENNAN COUNTY, TEXAS THROUGH A SUBCONTRACT WITH ANOTHER 501(C)(3) ORGANIZATION (MCLENNAN COUNTY MEDICAL EDUCATION AND RESEARCH FOUNDATION: 74-1873453) 74206600 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 178 0 1 728 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X ANNETTE BALLEW 2543134200 1600 PROVIDENCE DRIVE WACO TX 767072261 ALFRED SOLANO PRESIDENT/BOARD CHAIR 01/22-5/22 1.00 X X 0 0 0 KRISTEN PADILLA PRESIDENT/BOARD CHAIR 6/22-12/22 1.00 X X 0 0 0 GEORGE JOHNSON FIRST VP 1.00 X X 0 0 0 SHERRY WILLIAMS SECOND VP 1.00 X X 0 0 0 MARK HOBBS SECRETARY 1.00 X X 0 0 0 DELIA ANZALDUA-RIVERA DIRECTOR/QA LIASION/CPIC 1.00 X 0 0 0 TIMOTHY MARCUS BARRETT DIRECTOR 1.00 X 0 0 0 TASHITA BIBLES DIRECTOR 1.00 X 0 0 0 WILLIAM CLIFTON JR DIRECTOR 1.00 X 0 0 0 MALCOLM DUNCAN JR DIRECTOR 1.00 X 0 0 0 GLORIA GUERRA DIRECTOR 1.00 X 0 0 0 JOSHUA CABALLERO DIRECTOR 10/22-12/22 1.00 X 0 0 0 HECTOR SABIDO DIRECTOR 01/22-08/22 1.00 X 0 0 0 MILDRED WHATLEY DIRECTOR 1.00 X 0 0 0 JACKSON GRIGGS MD CEO 40.00 X 480167 0 7750 D MIKE HARDINJR MD CCO 40.00 X 233543 0 7750 ANNETTE BALLEW CFO 40.00 X 179668 0 7700 JOHN GILLMD CMIO 40.00 X 165603 0 7650 MATTHEW POLK PHD COO 40.00 X 157934 0 7650 DALE BARRON CAO 40.00 X 114056 0 900 RYAN LASCHOBER MD FAMILY PHYSICIAN INTERIM RES PRGM DIR 40.00 X 270041 0 7750 KELLEY REYNOLDSMD DEPUTY CMO 40.00 X 242004 0 7750 CLIFTON MARTIN JR DDS DEPUTY CDO 40.00 X 184336 0 7500 LANCE KELLY PHD DEPUTY CBHO 40.00 X 182909 0 7700 KIMBERLY MICUSMD OB/GYN 40.00 X 324293 0 7750 FLOYD WATSONMD FAMILY PHYSICIAN 40.00 X 338520 0 7750 KEVIN STEELEMD FAMILY PHYSICIAN 40.00 X 305269 0 7750 ANDREW PHAMMD FAMILY PHYSICIAN 40.00 X 310965 0 7750 MANISH PATELMD FAMILY PHYSICIAN 40.00 X 316650 0 7750 LUIS F ARROYO CHIEF OF STAFF 40.00 X 112169 0 7400 3918127 0 116250 94 0 1 0 J&M QUALITY CLEANING 3332 WINGATE WACO TX 76706 CLEANING/HOUSEKEEPING 644714 DEWITT CONTRACTING 14022 WORTHHAM BEND RD CHINA SPRING TX 76633 CONSTRUCTION 297885 CAPSTONE MECHANICAL 7100 IMPERIAL DR WACO TX 76712 HVAC REPAIR/MAINTENANCE 180385 RESTORATION DENTAL LAB 1000 COLUMBUS AVE STE A WACO TX 76701 DENTAL LABORATORY 155382 4 10092620 51395532 61488152 MEDICAL CARE TO POOR-A 900099 9937236 9937236 MEDICAL CARE TO POOR-B 900099 5494932 5494932 15432168 155480 155480 77075800 15432168 0 155480 2096205 1257723 838482 40754381 39531750 1222631 861366 820144 41222 4628556 4422445 206111 2881615 2757948 123667 68153 68153 153167 153167 2100783 1680626 420157 1680573 1512516 168057 1251788 1126609 125179 6021807 5720717 301090 658660 592794 65866 654308 654308 204648 40000 164648 PHARMACEUTICALS 9809439 9809439 CLINICAL SUPPLIES 3786600 3786600 MISCELLANEOUS 322720 290448 32272 RECRUITING 225038 202533 22505 78159807 74206600 3953207 0 11850 16800 29609515 28730749 9335326 9040589 449958 525540 84658 68002 13398543 6963896 6293731 6434647 0 199950 45785038 45016277 5364020 5380071 2599367 2898562 7963387 8278633 X 37821651 36737644 0 0 0 0 37821651 36737644 45785038 45016277 -1084007 0 X X 0 1 X 1 1 1 X 44595973 52767737 46143764 59267538 61488152 264263164 44595973 52767737 46143764 59267538 61488152 264263164 264263164 105743 179527 139322 70162 155480 650234 264913398 73990688 0.99750 0.99770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 228680 228680 1742964 846783 896181 5163823 1976045 3187778 6263076 4141068 2122008 6434647 X 83156628 0 83156628 -6080828 -6080828 77075800 75864959 0 75864959 2294848 2294848 78159807 PART X, LINE 2: FEDERAL AND STATE TAXES THE CENTER HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE IN THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW; HOWEVER, THE CENTER IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE CENTER FILES TAX RETURNS IN THE US FEDERAL JURISDICTION. PART XI, LINE 4B - OTHER ADJUSTMENTS: FISCAL YEAR OF 9/30 ON AUDIT VS CALENDAR YEAR 12/31 ON FORM 990(TIMING DIFF) -6,080,828. PART XII, LINE 4B - OTHER ADJUSTMENTS: FISCAL YEAR OF 9/30 ON AUDIT VS CALENDAR YEAR 12/31 ON FORM 990(TIMING DIFF) 2,294,848. X X X 0 0 0 0 0 0 0 0 0 JACKSON GRIGGS MD CEO 480167 0 0 0 0 0 0 0 7750 0 487917 0 0 0 FLOYD WATSONMD FAMILY PHYSICIAN 238520 0 100000 0 0 0 0 0 7750 0 346270 0 0 0 KIMBERLY MICUSMD OB/GYN 319293 0 5000 0 0 0 0 0 7750 0 332043 0 0 0 MANISH PATELMD FAMILY PHYSICIAN 216650 0 100000 0 0 0 0 0 7750 0 324400 0 0 0 ANDREW PHAMMD FAMILY PHYSICIAN 213189 0 97776 0 0 0 0 0 7750 0 318715 0 0 0 KEVIN STEELEMD FAMILY PHYSICIAN 245328 0 59941 0 0 0 0 0 7750 0 313019 0 0 0 RYAN LASCHOBER MD FAMILY PHYSICIAN INTERIM RES PRGM DI 265041 0 5000 0 0 0 0 0 7750 0 277791 0 0 0 KELLEY REYNOLDSMD DEPUTY CMO 216456 0 25548 0 0 0 0 0 7750 0 249754 0 0 0 D MIKE HARDINJR MD CCO 231043 0 2500 0 0 0 0 0 7750 0 241293 0 0 0 CLIFTON MARTIN JR DDS DEPUTY CDO 175735 0 8601 0 0 0 0 0 7500 0 191836 0 0 0 LANCE KELLY PHD DEPUTY CBHO 177909 0 5000 0 0 0 0 0 7700 0 190609 0 0 0 ANNETTE BALLEW CFO 179668 0 0 0 0 0 0 0 7700 0 187368 0 0 0 JOHN GILLMD CMIO 165603 0 0 0 0 0 0 0 7650 0 173253 0 0 0 MATTHEW POLK PHD COO 157934 0 0 0 0 0 0 0 7650 0 165584 0 0 0 SEE SUPPLEMENTAL INFORMATION 0 FORM 990, PAGE 4, LINE 28C THE ORGANIZATION WAS A PARTY TO A BUSINESS TRANSACTION WITH ANOTHER CHARITABLE ORGANIZATION OF WHICH SOME OF THE CURRENT OFFICERS OR DIRECTORS ARE ALSO OFFICERS OR DIRECTORS. ACCORDING TO THE IRS INSTRUCTIONS FOR SCHEDULE L, TAX-EXEMPT ORGANIZATIONS ARE NOT INCLUDED IN THE DEFINITION OF INTERESTED PARTIES FOR WHICH DISCLOSURE OF TRANSACTIONS MUST BE MADE; THEREFORE, THE TRANSACTIONS ARE NOT INCLUDED IN PART IV OF SCHEDULE L. BECAUSE THE QUESTION ON PAGE 4, LINE 28C DOES NOT INDICATE THE EXCEPTION,THE ORGANIZATION HAS ANSWERED "YES" TO LINE 28C. FORM 990, PART VI, SECTION B, LINE 11B IF TIME PERMITS BEFORE THE DUE DATE OF THE RETURN, A COPY IS MAILED TO BOARD MEMBERS PRIOR TO FILING AND AN OPPORTUNITY TO DISCUSS IS PRESENTED AT THE NEXT BOARD MEETING. OTHERWISE, THE BOARD IS PROVIDED THE 990 AND AN OPPORTUNITY FOR QUESTIONS FOLLOWING THE FILING. THE BOARD IS GIVEN THE PUBLIC DISCLOSURE COPY IN ORDER TO PROTECT DONOR ANONYMINITY; HOWEVER, IF A BOARD MEMBER REQUESTS THE COPY WITHOUT DONOR INFORMATION REDACTED, THE COPY IS PROVIDED TO THEM. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY AT BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DETERMINED BY THE BOARD ANNUALLY FOR THE EXECUTIVE DIRECTOR(CEO) AND BY THE EXECUTIVE DIRECTOR ANNUALLY FOR OTHER KEY EMPLOYEES. SALARIES ARE SET BASED ON INDUSTRY STANDARDS. THE DECISIONS REGARDING SALARIES ARE RECORDED IN THE BOARD MINUTES AND IN EMPLOYEE RECORDS AS PART OF THEIR PERFORMANCE REVIEW PROCESS. ALSO, THE DETERMINATION OF SALARIES IS AN INHERENT ASPECT OF THE ANNUAL BUDGETING PROCESS. FORM 990, PART VI, SECTION C, LINE 19 ALL ARE AVAILABLE AND PROVIDED UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEARS. MCLENNAN COUNTY MEDICAL EDUCATION & RESEARCH FOUNDATION 1600 PROVIDENCE DRIVE WACO TX 76707 741873453 MEDICAL EDUCATION TX 501(C)(3) 4 N/A 0 WACO FAMILY PRACTICE FOUNDATION 1600 PROVIDENCE DRIVE WACO TX 76707 742446071 SUPPORT 501(C)(3)S TX 501(C)(3) 11-TYPE I N/A 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 MCLENNAN COUNTY MEDICAL EDUCATION AND RESEARCH FOUNDATION L 3200126 ACTUAL WACO FAMILY PRACTICE FOUNDATION K 2813628 ACTUAL WACO FAMILY PRACTICE FOUNDATION L 197400 ACTUAL PART II & PART V, LINE 1(L) COMPENSATION IS FILED PROPERLY WITH MCLENNAN COUNTY MEDICAL EDUCATION & RESEARCH FOUNDATION(MCMERF) THROUGH AN AGREED-UPON ARRANGEMENT. PART II & PART V, LINE 1(K) PERSONAL AND REAL PROPERTY LEASES WITH WACO FAMILY PRACTICE FOUNDATION (WFPF) ARE USED EXCLUSIVELY FOR THE EXEMPT PURPOSE RELATED TO PROVIDING HEALTHCARE. PART II & PART V, LINE 1(L) COMPENSATION FOR SERVICES RENDERED IS RECEIVED FROM MCLENNAN COUNTY MEDICAL EDUCATION AND RESEARCH FOUNDATION (MCMERF) AND WACO FAMILY PRACTICE FOUNDATION (WFPF)ACCORDING TO THE MANAGEMENT SERVICES AGREEMENT BETWEEN HEART OF TEXAS COMMUNITY HEALTH CENTER AND MCMERF AND WFPF.