Civic Intelligence

Galveston County Clinical Services Inc

990 • Fiscal year 2020 • EIN 27-1056537

Sep 01, 2019 to Aug 31, 2020 • Filed on Jan 15, 2021

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2801 Via Fortuna Suite 500Austin, TX 78746

(512) 899-3995

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

43rd percentile

0.02x

Higher debt load relative to assets than 43% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Liabilities / Revenue

29th percentile

0.00x

Higher debt load relative to revenue than 29% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Net Margin

82nd percentile

33%

Higher net margin than 82% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Top Officer Pay

51st percentile

$0

Higher top officer pay than 51% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Assets

$44,240

No earlier filing loaded for comparison.

Net Assets

$43,373

No earlier filing loaded for comparison.

Liabilities

$867

No earlier filing loaded for comparison.

Revenue

$901,580

No earlier filing loaded for comparison.

Expenses

$606,181

No earlier filing loaded for comparison.

Net Income

$295,399

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

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

Highlighted filing

2020

Assets$44,240
Liabilities$867
Net Assets$43,373

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2020

Revenue$901,580
Expenses$606,181
Net Income$295,399
Jump To
Filing Snapshot
Filing Period
Sep 1, 2019 to Aug 31, 2020
Signed
Jan 15, 2021
Return Version
2019v5.2
Gross Receipts
$901,580
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$0$44,233▲ $44,233
Cash and Non-Interest-Bearing Accounts$11,520$7▼ $11,513
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$11,520$44,240▲ $32,720
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$263,546$867▼ $262,679
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$263,546$867▼ $262,679
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-252,026$43,373▲ $295,399
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$-252,026$43,373▲ $295,399
Total Liabilities and Net Assets / Fund Balance$11,520$44,240▲ $32,720
Compensation and Service Providers

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Chca Clear Lake LP Mainland MeMedical Services500 MEDICAL CENTER BLVD, Webster, TX 77598$887,534
Ut Md Anderson Cancer CenterMedical Services1515 Holcombe Blvd, Houston, TX 77030$145,663
Orthopedic Hospital LtdMedical Services7401 SOUTH MAIN, Houston, TX 77030$123,874
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$901,580
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$295,399
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$606,181
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$606,181--$606,181
Total Functional Expenses$606,181$0$0$606,181
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Chca Clear Lake Lp-clear Lake RegCommon Corporate OfficerHealth Care ServicesNo$418,850
Orthopedic Hospital LtdCommon Corporate OfficerHealth Care ServicesNo$24,497

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
Yes
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. 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, 2019. 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
Jeff Sliwinski
Title
Secretary
Phone
5124761040
Signed
2021-01-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeff Sliwinski Secretary
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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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0CHCA CLEAR LAKE LP-CLEAR LAKE REG
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm1ORTHOPEDIC HOSPITAL LTD
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0COMMON CORPORATE OFFICER
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt1COMMON CORPORATE OFFICER
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0HEALTH CARE SERVICES
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1HEALTH CARE SERVICES
IRS990ScheduleL/SupplementalInformationDetail/ExplanationTxt0TROY VILLARREAL IS PRESIDENT OF GALVESTON COUNTY CLINICAL SERVICES AND SERVES AS AN OFFICER FOR CHCA CLEAR LAKE, L.P.- CLEAR LAKE REGIONAL MEDICAL CENTER AND ORTHOPEDIC HOSPITAL, LTD. PAYMENTS MADE TO BOTH ENTITIES WERE PURSUANT TO NEGOTIATED CONTRACTS BETWEEN THE PARTIES AND WERE CONDUCTED AT ARMS LENGTH.
IRS990ScheduleL/SupplementalInformationDetail/FormAndLineReferenceDesc0TRANSACTIONS INVOLVING INTERESTED PERSONS
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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. 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, 2019. 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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