Civic Intelligence

Galveston County Clinical Services Inc

EIN 27-1056537 • 501(c)3 • Austin, TX

Profile

Facilitate the delivery of health care services to indigent persons in galveston county, texas. The corporation does not bill or collect any fees for care provided to the indigent. All revenue comes from payments from the members.

Refreshing map…

2801 Via Fortuna Suite 500Austin, TX 78746

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2021

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2021

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2021

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2021

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Assets

Down

$0

Down $44,240 (-100%) from 2020

Liabilities

Down

$0

Down $867 (-100%) from 2020

Net Assets

Down

$0

Down $43,373 (-100%) from 2020

Revenue

Down

$0

Down $901,580 (-100%) from 2020

Expenses

Down

$43,373

Down $562,808 (-93%) from 2020

Net Income

Down

-$43,373

Down $338,772 (-115%) from 2020

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60K$40K$20K$0Assets 2020: $44,240Liabilities 2020: $867Net Assets 2020: $43,3732020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2021

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500KRevenue 2020: $901,580Expenses 2020: $606,181Net Income 2020: $295,3992020Revenue 2021: $0Expenses 2021: $43,373Net Income 2021: -$43,3732021

Highlighted filing

2021

Revenue$0
Expenses$43,373
Net Income-$43,373

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Sep 1, 2020 to Aug 31, 2021
Signed
Feb 11, 2022
Return Version
2020v4.1
Gross Receipts
$0
Mission and Program Overview

Mission

Facilitate the delivery of health care services to indigent persons in galveston county, texas. The corporation does not bill or collect any fees for care provided to the indigent. All revenue comes from payments from the members.

Facilitate the delivery of health care services to indigent persons in galveston county, tx. The corporation does not bill or collect any fees for care provided to the indigent.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$44,233$0▼ $44,233
Cash and Non-Interest-Bearing Accounts$7$0▼ $7
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$44,240$0▼ $44,240
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$867$0▼ $867
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$867$0▼ $867
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$43,373$0▼ $43,373
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$43,373$0▼ $43,373
Total Liabilities and Net Assets / Fund Balance$44,240$0▼ $44,240
Compensation and Service Providers

Board Members and Trustees

NameTitle
Troy VillarrealPresident
Carl Vartian MdDirector
Mujtaba Ali-kahn MdDirector
Augusto Sepulveda MdDirector (12/8/20-8/31/21)
Stephen Nesbit DoDirector (9/1/20-12/8/20)
Jeff SliwinskiSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-43,373
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$43,373
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$43,373--$43,373
Total Functional Expenses$43,373$0$0$43,373
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Part VI-officers, Directors, or Key Employee Business Relationships

The corporation's directors are or have been either employed or have medical staff privileges, at the corporation's member or at an organization affiliated with the member of the corporation. The corporation's officers are officers of the corporation's member.

Part VI - Governance, Management and Disclosures

SECTION A. GOVERNING BODY AND MANAGEMENT THE MEMBER ACTS AS THE GOVERNING BODY OF THE CORPORATION AND CONTROLS THE FINANCIAL ASPECTS OF THE CORPORATION. ITEM 2 - THE CORPORATION'S DIRECTORS ARE OR HAVE BEEN EITHER EMPLOYED OR HAVE MEDICAL STAFF PRIVILEGES AT THE CORPORATION'S MEMBER OR AT AN ORGANIZATION AFFILIATED WITH THE MEMBER OF THE CORPORATION. ITEM 6 - THE CORPORATION IS ORGANIZED AS A MEMBER CORPORATION UNDER TEXAS LAW AND HAS ONE MEMBER. THIS MEMBER APPOINTS THE DIRECTORS OF THE CORPORATION AND THE OFFICERS. EACH DIRECTOR AND SUCCESSOR DIRECTOR SHALL AT ALL TIMES BE A PHYSICIAN DULY LICENSED TO PRACTICE MEDICINE BY THE TEXAS MEDICAL BOARD AND ACTIVELY ENGAGED IN THE PRACTICE OF MEDICINE AND SHALL HAVE, OR SATISFY, SUCH OTHER QUALIFICATIONS AS MAY BE SET FORTH IN THE BYLAWS OF THE CORPORATION. ITEM 7a - NO PERSON SHALL BECOME A MEMBER OF THE CORPORATION WITHOUT THE UNANIMOUS VOTE OF THE THEN CURRENT MEMBERS. ITEM 7b - THE DECISIONS OF THE MEMBER WITH RESPECT TO THE TERMINATION OR THE RETENTION OF A PHYSICIAN TO PROVIDE MEDICAL SERVICES ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS. ITEM 8b - THE CORPORATION HAS NO COMMITTEES AUTHORIZED TO ACT ON BEHALF OF THE GOVERNING BODY. ITEM 9 - OFFICER AND DIRECTOR ADDRESSES Officers: TROY VILLARREAL, PRESIDENT 3737 BUFFALO SPEEDWAY, SUITE 1400 HOUSTON, TX 77098 JEFF SLIWINSKI, SECRETARY 3737 BUFFALO SPEEDWAY, SUITE 1400 HOUSTON, TX 77098 Directors: STEPHEN NESBIT, D.O. (9/1/2020-12/8/2020) 3737 BUFFALO SPEEDWAY, SUITE 1400 HOUSTON, TX 77098 AUGUSTO SEPULVEDA, M.D.(12/8/2020-8/31/2021) 3737 BUFFALO SPEEDWAY, SUITE 1400 HOUSTON, TX 77098 CARL VARTIAN, M.D. 7777 SOUTHWEST FWY., SUITE 740 HOUSTON, TX 77074 MUJTABA ALI-KAHN, M.D. 22999 US HWY 59 N. KNIGWOOD, TX 77339 SECTION B. POLICIES ITEM 11 - A COPY OF THE FORM 990 WAS PROVIDED TO THE MEMBER FOR REVIEW PRIOR TO FILING. LINE 12b - CONSISTENT WITH THE REQUIREMENTS OF THE TEXAS MEDICAL BOARD, THE DIRECTORS DISCLOSE INTERESTS BIENNIALLY. LINE 12c - BEFORE ENTERING ANY CONTRACTUAL OBLIGATIONS, THE CORPORATION'S OBLIGATIONS ARE REVIEWED BY OUTSIDE COUNSEL FOR CONFLICTS OF INTEREST. SECTION C. DISCLOSURE LINE 19 - THE CORPORATION PROVIDES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY UPON REQUEST.

Part VII - Compensation of Independent Contractors

The organization utilizes the services of the third-party administrator(tpa) listed below to process payments made to the providers of healthcare services to the organization. The tpa reported payments made on behalf of the organization to vendors on form 1099-misc issued under the tpa's federal identification number for the calendar year december 31, 2020. Boon-chapman 2 waterway avenue, suite 650 the woodlands, tx 77380

Filing and Contact Details

Filer

Filer Name
Galveston County Clinical Services Inc
EIN
27-1056537
In Care Of
% JESSICA COTTEY
Phone
5128993995
Address
2801 VIA FORTUNA SUITE 500, AUSTIN, TX 78746

Signing Officer

Name
Troy Villarreal
Title
President
Phone
5124761040
Signed
2022-02-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Troy Villarreal President
Formed
2009
Legal Domicile
TX
Voting Board Members
1
Independent Board Members
1
Employees
0
Volunteers
0

Preparer

Firm
Mikeska Monahan & Peckham Pc
Address
100 CONGRESS AVENUE SUITE 990, AUSTIN, TX 78701
Preparer
Kathleen Monahan
Phone
5124761040
Supplemental Narrative

Additional Explanations

Page 2, Part III - Statement of Program Service Accomplishments

Line 3, the organization ceased conducting or made significant changes in how it conducts its program services: effective on 02/01/2020, galveston county clinical services, inc assigned all service contracts to galveston county. Galveston county clinical services, inc has not renewed contracts for services and will not be entering into any new contracts.

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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt02801 VIA FORTUNA 500 AustinTx 7
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IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0JEFF SLIWINSKI WAS THE SECRETARY OF GALVESTON COUNTY CLINICAL SERVICES, INC. WHEN IT WAS DISSOLVED. HE IS ALSO THE PRESIDENT AND A DIRECTOR OF SOUTHERN HEALTHCARE ALLIANCE. THE BALANCE OF ENDING CASH $43,372 WAS DONATED BY GALVESTON COUNTY CLINICAL SERVICES, INC. TO SOUTHERN HEALTHCARE ALLIANCE. BOTH ARE 501(C)(3) CHARITIES. JEFF SLIWINSKI RECEIVED NO DIRECT BENEFIT FROM HIS POSITION AS AN OFFICER AND DIRECTOR OF EITHER ORGANIZATION. JEFF SLIWINSKI GULF COAST DIVISION, INC. 3737 BUFFALO SPEEDWAY, SUITE 1400 HOUSTON, TX. 77098
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 - Schedule N - line 2a
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE CORPORATION'S DIRECTORS ARE OR HAVE BEEN EITHER EMPLOYED OR HAVE MEDICAL STAFF PRIVILEGES, AT THE CORPORATION'S MEMBER OR AT AN ORGANIZATION AFFILIATED WITH THE MEMBER OF THE CORPORATION. THE CORPORATION'S OFFICERS ARE OFFICERS OF THE CORPORATION'S MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1SECTION A. GOVERNING BODY AND MANAGEMENT THE MEMBER ACTS AS THE GOVERNING BODY OF THE CORPORATION AND CONTROLS THE FINANCIAL ASPECTS OF THE CORPORATION. ITEM 2 - THE CORPORATION'S DIRECTORS ARE OR HAVE BEEN EITHER EMPLOYED OR HAVE MEDICAL STAFF PRIVILEGES AT THE CORPORATION'S MEMBER OR AT AN ORGANIZATION AFFILIATED WITH THE MEMBER OF THE CORPORATION. ITEM 6 - THE CORPORATION IS ORGANIZED AS A MEMBER CORPORATION UNDER TEXAS LAW AND HAS ONE MEMBER. THIS MEMBER APPOINTS THE DIRECTORS OF THE CORPORATION AND THE OFFICERS. EACH DIRECTOR AND SUCCESSOR DIRECTOR SHALL AT ALL TIMES BE A PHYSICIAN DULY LICENSED TO PRACTICE MEDICINE BY THE TEXAS MEDICAL BOARD AND ACTIVELY ENGAGED IN THE PRACTICE OF MEDICINE AND SHALL HAVE, OR SATISFY, SUCH OTHER QUALIFICATIONS AS MAY BE SET FORTH IN THE BYLAWS OF THE CORPORATION. ITEM 7a - NO PERSON SHALL BECOME A MEMBER OF THE CORPORATION WITHOUT THE UNANIMOUS VOTE OF THE THEN CURRENT MEMBERS. ITEM 7b - THE DECISIONS OF THE MEMBER WITH RESPECT TO THE TERMINATION OR THE RETENTION OF A PHYSICIAN TO PROVIDE MEDICAL SERVICES ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS. ITEM 8b - THE CORPORATION HAS NO COMMITTEES AUTHORIZED TO ACT ON BEHALF OF THE GOVERNING BODY. ITEM 9 - OFFICER AND DIRECTOR ADDRESSES Officers: TROY VILLARREAL, PRESIDENT 3737 BUFFALO SPEEDWAY, SUITE 1400 HOUSTON, TX 77098 JEFF SLIWINSKI, SECRETARY 3737 BUFFALO SPEEDWAY, SUITE 1400 HOUSTON, TX 77098 Directors: STEPHEN NESBIT, D.O. (9/1/2020-12/8/2020) 3737 BUFFALO SPEEDWAY, SUITE 1400 HOUSTON, TX 77098 AUGUSTO SEPULVEDA, M.D.(12/8/2020-8/31/2021) 3737 BUFFALO SPEEDWAY, SUITE 1400 HOUSTON, TX 77098 CARL VARTIAN, M.D. 7777 SOUTHWEST FWY., SUITE 740 HOUSTON, TX 77074 MUJTABA ALI-KAHN, M.D. 22999 US HWY 59 N. KNIGWOOD, TX 77339 SECTION B. POLICIES ITEM 11 - A COPY OF THE FORM 990 WAS PROVIDED TO THE MEMBER FOR REVIEW PRIOR TO FILING. LINE 12b - CONSISTENT WITH THE REQUIREMENTS OF THE TEXAS MEDICAL BOARD, THE DIRECTORS DISCLOSE INTERESTS BIENNIALLY. LINE 12c - BEFORE ENTERING ANY CONTRACTUAL OBLIGATIONS, THE CORPORATION'S OBLIGATIONS ARE REVIEWED BY OUTSIDE COUNSEL FOR CONFLICTS OF INTEREST. SECTION C. DISCLOSURE LINE 19 - THE CORPORATION PROVIDES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION UTILIZES THE SERVICES OF THE THIRD-PARTY ADMINISTRATOR(TPA) LISTED BELOW TO PROCESS PAYMENTS MADE TO THE PROVIDERS OF HEALTHCARE SERVICES TO THE ORGANIZATION. THE TPA REPORTED PAYMENTS MADE ON BEHALF OF THE ORGANIZATION TO VENDORS ON FORM 1099-MISC ISSUED UNDER THE TPA'S FEDERAL IDENTIFICATION NUMBER FOR THE CALENDAR YEAR DECEMBER 31, 2020. BOON-CHAPMAN 2 WATERWAY AVENUE, SUITE 650 THE WOODLANDS, TX 77380
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3LINE 3, THE ORGANIZATION CEASED CONDUCTING OR MADE SIGNIFICANT CHANGES IN HOW IT CONDUCTS ITS PROGRAM SERVICES: EFFECTIVE ON 02/01/2020, GALVESTON COUNTY CLINICAL SERVICES, INC ASSIGNED ALL SERVICE CONTRACTS TO GALVESTON COUNTY. GALVESTON COUNTY CLINICAL SERVICES, INC HAS NOT RENEWED CONTRACTS FOR SERVICES AND WILL NOT BE ENTERING INTO ANY NEW CONTRACTS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0PART VI-OFFICERS, DIRECTORS, OR KEY EMPLOYEE BUSINESS RELATIONSHIPS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1PART VI - GOVERNANCE, MANAGEMENT AND DISCLOSURES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2PART VII - COMPENSATION OF INDEPENDENT CONTRACTORS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3PAGE 2, PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS
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