2025-09-05T17:38:26+00:00 2024-09-30 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2024-01-01 742867580 HEART OF TEXAS COMMUNITY HEALTH CENTER INC HEAR 2543134200 1600 PROVIDENCE DRIVE WACO TX 767072261 CRAIG HARGENRADER CFO 2543134200 2025-09-05 true true Amber Sherrill P00748683 5013721040 2025-09-05 2024 2025-03-06 01:10:19Z WACO FAMILY MEDICINE CRAIG HARGENRADER 1600 PROVIDENCE DRIVE WACO TX 767072261 70167325 false 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 12 0 185 0 11172690 13741789 75968295 55964810 949807 379847 60577 58608 88151369 70145054 3540 2600 0 52821852 48220719 0 0 33844736 31595242 86670128 79818561 1481241 -9673507 45253509 38972124 7462696 10854818 37790813 28117306 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. false false 65151642 2600 53168441 PROVIDE MEDICAL CARE TO THE POOR OF MCLENNAN COUNTY, TEXAS THROUGH DIRECT BILLINGS OF GOVERNMENT PROGRAMS, PATIENTS' INSURANCE, THE PATIENTS THEMSELVES, AND A SUBCONTRACT WITH MCLENNAN COUNTY MEDICAL EDUCATION AND RESEARCH FOUNDATION. 65151642 true true false false false false false false false false true false false true true false false true false false false false false false false false false false false false false false false false false true false false false false true false false false false true true true false false true X 0 0 0 false false false false false false false false false false false false X 13 12 false false false false false false false true true false false false true true true true true true false false false false X Craig Hargenrader 2543134200 1600 PROVIDENCE DRIVE Waco TX 767072261 GEORGE JOHNSON 1ST VICE PRESIDENT 1.0 0 X X 0 0 0 KRISTEN PADILLA BOARD CHAIR 1.0 0 X X 0 0 0 MARK HOBBS SECRETARY 1.0 0 X X 0 0 0 MIKE HARDIN President 20.0 1.0 X X 0 0 0 SHERRY WILLIAMS 2ND VICE PRESIDENT 1.0 0 X X 0 0 0 CHET EDWARDS BOARD MEMBER 1.0 0 X 0 0 0 DELIA ANZALDUA BOARD MEMBER 1.0 0 X 0 0 0 GLORIA GUERRA BOARD MEMBER 1.0 0 X 0 0 0 JIM MORRISON BOARD MEMBER 1.0 0 X 0 0 0 JOSH CABALLERO BOARD MEMBER 1.0 0 X 0 0 0 LACY MCNAMEE BOARD MEMBER 1.0 16.0 X 0 0 0 LARRY JAYNES BOARD MEMBER 1.0 0.0 X 0 0 0 MALCOLM DUNCAN BOARD MEMBER 1.0 0 X 0 0 0 MARC BARRETT BOARD MEMBER 1.0 0 X 0 0 0 MILDRED WATLEY BOARD MEMBER 1.0 0 X 0 0 0 TASHITA BIBLES BOARD MEMBER 1.0 0 X 0 0 0 WILLIAM CLIFTON JR BOARD MEMBER 1.0 0 X 0 0 0 ALEXANDRA JONES ADESINA Chief Equity Officer 20.0 20.0 X 0 0 0 ANNETTE BALLEW Chief Financial Officer 20.0 0 X 0 0 0 DALE BARRON Chief Advancement Officer 20.0 20.0 X 0 0 0 FERNANDO ARROYO Chief People Officer 20.0 20.0 X 0 0 0 JACKSON GRIGGS MD Chief Executive Officer 20.0 21.0 X 0 0 0 JOHN GILL CHIEF MED INFO OFFICER - THRU 12/2023 20.0 20.0 X 0 0 0 KELLY NIEVES CHIEF MED INFO OFFICER - SINCE 8/2024 20.0 20.0 X 0 0 0 MATTHEW POLK Chief Operating Officer 20.0 20.0 X 0 0 0 0 0 0 0 false false false 0 66393 3464144 10211252 2346940 13741789 PATIENT REVENUE 621110 34850813 34850813 PHARMACY REVENUE 621110 18317628 18317628 MANAGEMENT FEES REVENUE 900099 2796369 2796369 0 0 0 0 55964810 402118 402118 0 0 0 22271 0 -22271 -22271 -22271 0 OTHER INCOME 900099 44094 44094 CAFETERIA PLAN FORFEITURES 900099 14514 14514 0 0 0 0 58608 70145054 53168441 0 3234824 2600 2600 40273237 31061233 9212004 820825 633071 187754 3446622 2658250 788372 3680035 2838273 841762 50369 50369 74583 74583 2845409 2194557 650852 0 94440 72838 21602 6753051 5208374 1544677 2008952 1549429 459523 878805 677789 201016 152482 117604 34878 74009 57080 16929 105 81 24 691821 691821 MEDICAL SUPPLIES 15424306 15424306 NON OPERATING EXPENSE 882681 680779 201902 STAFF DEVELOPMENT 423842 326893 96949 RECRIUTING 385771 297531 88240 854616 659133 195483 0 79818561 65151642 14666919 0 607099 1036326 15587210 8322966 63422 9053941 6791565 0 40000 0 0 0 960941 1183247 91439 243032 12479498 6972808 6003073 5506690 0 805910 0 12949806 14978966 45253509 38972124 5697917 8578953 1309483 845548 0 0 455296 1430317 7462696 10854818 X 37790813 28117306 37790813 28117306 45253509 38972124 -9673507 0 X false true true true true X 46143764 59267538 61488152 11172690 13741789 191813933 0 0 46143764 59267538 61488152 11172690 13741789 191813933 0 191813933 139322 70162 155480 946510 402118 1713592 0 0 0 0 60577 58608 119185 193646710 173315349 0.99054 0.9933 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 12047.0, COLUMN E - 44094.0, COLUMN F - 56141.0; DESCRIPTION - CREDIT CARD RBATE, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 35838.0, COLUMN E - 0.0, COLUMN F - 35838.0; DESCRIPTION - CAFETERIA PLAN FORFEITURES, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 12692.0, COLUMN E - 14514.0, COLUMN F - 27206.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 228680 228680 1724831 925601 799230 5274712 2343794 2930918 5251275 3703413 1547862 5506690 RIGHT OF USE ASSETS 586471 DUE TO AFFILIATE 14192545 HCCP INVESTOR UNITS 199950 14978966 Federal Income Taxes LEASE PAYABLE 593307 DUE TO AFFILATES 837010 1430317 90755231 266906 20343271 20610177 70145054 0 0 70145054 101737089 266906 21651622 21918528 79818561 0 0 79818561 Schedule D, Part X, Line 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Loss on disposition - 22271 ADJUSTMENT FOR CHANGE IN ACCOUNTING PERIOD - 20321000 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 ADJUSTMENT FOR CHANGE IN ACCOUNTING PERIOD - 21629351 LOSS ON DISPOSITION - 22271 Craig Hagenrader CFO Forgivable Loans X 25000 25000 false false true Dr Alexandra Jones Adesina Chief Equity Officer Forgivable loan X 25000 15000 false false true 40000 27934 3959846 Market value 0 false false false Form 990, Part V, Line 2a ALL EMPLOYEES ARE PAID BY A COMMON PAYMASTER, MCLENNAN COUNTY MEDICAL EDUCATION AND RESEARCH FOUNDATION, A RELATED ENTITY. THE NUMBER OF EMPLOYEES REPORTED ON PART V LINE 2A IS THE NUMBER OF EMPLOYEES DOING WORK FOR HEART OF TEXAS COMMUNITY HEALTH CENTER INC Form 990, Part V, Line 1a 2B & Part VII Sec A & B THE ENTITY IS FILING A SHORT YEAR RETURN DUE TO A CHANGE IN ACCOUNTING PERIOD. THERE IS NO CALENDAR YEAR ENDED WITHIN THE TAX YEAR,THEREFORE, THESE LINES ARE ALL ZERO, PER THE FILIING INSTRUCTIONS. THE RETURN'S ACCOUNTING PERIOD IS BEING CHANGED TO MATCH THE YEAR END OF THE FINANCIAL STATEMENT AUDIT Form 990, Part VI, Line 12c INDIVIDUALS AFFILIATED WITH HOTCHC MUST STRIVE TO MAKE DECISIONS FAIRLY AND OBJECTIVELY AND ALWAYS ACT IN THE BEST INTERESTS OF HOTCHC, WITHOUT REGARD TO ANY PERSONAL PECUNIARY BENEFIT OR ANY BENEFIT TO A THIRD-PARTY, AND WITH UNDIVIDED ALLEGIANCE. AS HOTCHC IS A FEDERAL GRANTEE UNDER THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, THESE STANDARDS FOR MANAGING CONFLICTS OF INTEREST ARE ALSO NECESSARY TO COMPLY WITH THE FEDERAL UNIFORM ADMINISTRATIVE REQUIREMENTS SET FORTH AT 2 CFR §200.318(C) AND DHHS REGULATIONS FOUND AT 45 CFR §75.327(C). NO INDIVIDUALS AFFILIATED WITH HOTCHC SHALL PARTICIPATE IN HOTCHC'S SELECTION, AWARD, OR ADMINISTRATION OF ANY CONTRACT OR GRANT, PAID IN WHOLE OR IN PART WITH FEDERAL FUNDS, WHEN A REAL OR APPARENT CONFLICT OF INTEREST IS INVOLVED. IT IS THE POLICY OF HOTCHC THAT ALL INTERESTS SHALL BE FULLY DISCLOSED BY ANY INDIVIDUAL AFFILIATED WITH HOTCHC REGARDLESS OF WHETHER A CONFLICT OF INTEREST IS DETERMINED TO EXIST. HOTCHC REQUIRES THAT ALL INDIVIDUALS AFFILIATED WITH HOTCHC AND PERSONS SEEKING TO AFFILIATE WITH HOTCHC DISCLOSE IN WRITING UPON HIRE OR INITIAL AFFILIATION: (1) ALL INTERESTS THAT MAY CREATE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, AND (2) WHERE APPLICABLE, PROVIDE A STATEMENT SUGGESTING HOW SUCH CONFLICT OF INTEREST COULD BE AVOIDED OR MITIGATED. IN ORDER TO FACILITATE SUCH FULL DISCLOSURE, HOTCHC REQUIRES THAT ALL MEMBERS OF THE BOARD OF DIRECTORS, THE CEO, AND OTHER SENIOR MANAGEMENT PERSONNEL ANNUALLY COMPLETE A "CENTER CONFLICT OF INTEREST STATEMENT AND DISCLOSURE" FORM. IN THE CASE OF A POTENTIALLY CONFLICTED PERSON WHO IS EITHER A BOARD MEMBER OR THE CEO, THAT PERSON MAY MAKE A PRESENTATION TO THE BOARD REGARDING WHETHER HE OR SHE HAS A CONFLICT OF INTEREST AND MAY RESPOND TO RELATED QUESTIONS FROM THE BOARD. HOWEVER, AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING ANY DISCUSSION OF, OR VOTE ON, WHETHER A CONFLICT OF INTEREST EXISTS, AND IF SUCH CONFLICT OF INTEREST IS DETERMINED BY THE BOARD TO EXIST, HE OR SHE SHALL LEAVE THE MEETING DURING ANY DISCUSSION OF, AND VOTING ON, THE TRANSACTION OR ARRANGEMENT THAT INVOLVES THE CONFLICT OF INTEREST. FOR ALL OTHER POTENTIALLY CONFLICTED PERSONS WHO ARE INDIVIDUALS AFFILIATED WITH HOTCHC, THE CEO SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WHEN A CONFLICT ARISES, THE BOARD SHALL, AS IT MAY DEEM APPROPRIATE, APPOINT THE CEO TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT AND MAKE RECOMMENDATIONS. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR, IN THE CASE OF INDIVIDUALS AFFILIATED WITH HOTCHC WHO ARE NOT BOARD MEMBERS OR THE CEO, THE CEO SHALL DETERMINE WHETHER HOTCHC CAN OBTAIN AN EQUIVALENT (OR MORE ADVANTAGEOUS) TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF AN ALTERNATIVE TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR CEO, AS APPLICABLE, SHALL DETERMINE (IF BOARD, THEN BY A MAJORITY VOTE OF THE DISINTERESTED BOARD MEMBERS) WHETHER, NOTWITHSTANDING THE CONFLICT OF INTEREST, THE TRANSACTION OR ARRANGEMENT IS IN HOTCHC'S BEST INTEREST, FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO HOTCHC SUCH THAT IT WOULD CONSTITUTE AN "ARMS-LENGTH" TRANSACTION. IN CIRCUMSTANCES WHERE THERE ARE MATERIAL CONTINUING OR PERVASIVE CONFLICTS OF INTEREST, AN INDIVIDUAL MAY BE REQUIRED BY THE BOARD OF HOTCHC OR THE CEO, AS APPLICABLE, TO WITHDRAW FROM HIS OR HER POSITION WITH HOTCHC UNLESS THE INDIVIDUAL, FAMILY MEMBER OR BUSINESS ASSOCIATE CHOOSES TO DISASSOCIATE FROM THE OUTSIDE POSITION THAT CAUSES THE CONFLICT OF INTEREST. Form 990, Part VI, Line 15 A & B THE ORGANIZATION DOES NOT COMPENSATE THE ORGANIZATION'S CEO, OFFICERS, AND OTHER KEY EMPLOYEES. MCLENNAN COUNTY MEDICAL EDUCATION AND RESEARCH FOUNDATION, A RELATED ORGANIZATION, PAYS COMPENSATION TO THE ORGANIZATION'S CEO, OFFICERS, AND OTHER KEY EMPLOYEES AND HAS A COMPENSATION REVIEW AND APPROVAL PROCESS. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 NONYMINITY HOWEVER, IF A BOARD MEMBER REQUESTS THE COPY WITHOUT DONOR INFORMATION REDACTED, THE COPY IS PROVIDED TO THEM. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. MCLENNAN COUNTY MEDICAL EDUCATION AND RESEARCH FOUNDATION 1600 PROVIDENCE DRIVE WACO TX 76707 741873453 MEDICAL EDUCATION TX 501(c)(3) 4 NA true WACO FAMILY PRACTICE FOUNDATION 1600 PROVIDENCE DRIVE WACO TX 76707 742446071 SUPPORT 501(C)(3)s TX 501(c)(3) Type I NA true false false false true false false false false false false true true false true false false false false Waco Family Practice Foundation D 700000 FMV WACO FAMILY PRACTICE FOUNDATION K 1811032 FMV MCLENNAN COUNTY MEDICAL EDUCATION AND RESEARCH FOUNDATION L 2263337 FMV WACO FAMILY PRACTICE FOUNDATION L 343782 FMV MELENNAN CO MEDICAL EDUCATION AND RESEARCH FOUNDATION O 49574928 FMV