Civic Intelligence

Williamson County Clinical Services Inc

990 • Fiscal year 2020 • EIN 27-3325775

Sep 01, 2019 to Aug 31, 2020 • Filed on Mar 24, 2021

2801 Via Fortuna Ste 500Austin, TX 78746-7573

(512) 899-3995

Siviq Scores

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

Liabilities / Assets

100th percentile

8.59x

Higher debt load relative to assets than 100% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Liabilities / Revenue

18th percentile

0.00x

Higher debt load relative to revenue than 18% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Net Margin

45th percentile

2.9%

Higher net margin than 45% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Top Officer Pay

37th percentile

$0

Higher top officer pay than 37% of similar nonprofits.

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

2020 filings • 501(c)3 • $1M-$5M 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

$1,525

No earlier filing loaded for comparison.

Net Assets

-$11,577

No earlier filing loaded for comparison.

Liabilities

$13,102

No earlier filing loaded for comparison.

Revenue

$4,467,200

No earlier filing loaded for comparison.

Expenses

$4,337,963

No earlier filing loaded for comparison.

Net Income

$129,237

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.

$20K$10K$0-$10K-$20KAssets 2020: $1,525Liabilities 2020: $13,102Net Assets 2020: -$11,5772020Assets 2021: $5,317Liabilities 2021: $0Net Assets 2021: $5,3172021Assets 2022: $5,796Liabilities 2022: $0Net Assets 2022: $5,7962022Assets 2023: $0Liabilities 2023: $0Net Assets 2023: $02023

Highlighted filing

2020

Assets$1,525
Liabilities$13,102
Net Assets-$11,577

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2020: $4,467,200Expenses 2020: $4,337,963Net Income 2020: $129,2372020Revenue 2021: $1,624,106Expenses 2021: $1,607,212Net Income 2021: $16,8942021Revenue 2022: $749,386Expenses 2022: $748,907Net Income 2022: $4792022Revenue 2023: $0Expenses 2023: $5,796Net Income 2023: -$5,7962023

Highlighted filing

2020

Revenue$4,467,200
Expenses$4,337,963
Net Income$129,237
Jump To
Filing Snapshot
Filing Period
Sep 1, 2019 to Aug 31, 2020
Signed
Mar 24, 2021
Return Version
2019v5.2
Gross Receipts
$4,467,200
Mission and Program Overview

Mission

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

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$412,985$1,525▼ $411,460
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$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$412,985$1,525▼ $411,460
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$553,799$13,102▼ $540,697
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$553,799$13,102▼ $540,697
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-140,814$-11,577▲ $129,237
Total Net Assets Fund Balance$-140,814$-11,577▲ $129,237
Total Liabilities and Net Assets / Fund Balance$412,985$1,525▼ $411,460
Compensation and Service Providers

Board Members and Trustees

NameTitle
Shari CollierPresident
John Marietta MdDirector
Kenneth Mitchell MdDirector
William H Rice MdDirector
Marian WuSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Williamson County Cities Health DHealth Care Services355 TEXAS AVE, Round Rock, TX 78664$1,600,000
Daughters Of Charity Hlth Srvs Of AHealth Care Services1345 PHILOMENA ST, Austin, TX 78723$952,900
Scott White Hosp Univ MedHealth Care Services2401S 31st St, Temple, TX 76508-0001$919,413
St Davids HospitalHealth Care ServicesPO BOX 406176, Atlanta, GA 30384-6176$887,936
National Employee Benefit CompaniesHealth Care Services8505 FREEPORT PKWY STE 500, Irving, TX 75063-2591$528,558
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,467,200
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$129,237
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,337,963
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$1,246--$1,246
Total Functional Expenses$4,337,963$0$0$4,337,963
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
ST DAVID'S HEALTHCARE ENTITIESOfficers/directorsPayment for Medical ServicesNo$855,396

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
Filing and Contact Details

Filer

Filer Name
Williamson County Clinical Services Inc
EIN
27-3325775
In Care Of
% STEPHEN ELWELL
Phone
5128993995
Address
2801 VIA FORTUNA STE 500, AUSTIN, TX 78746-7573

Signing Officer

Name
Shari Collier
Title
President
Phone
5128993995
Signed
2021-03-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Shari Collier
Formed
2010
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

Officers, Directors or Key Employee Business Relationships

The corporation's officers are all employees of the corporation's sole member, st. David's healthcare, or one of its affiliates.

Governance, Management and Disclosures

SECTION A. GOVERNING BODY AND MANAGEMENT. THE SOLE 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 HOSPITAL. THE SOLE MEMBER APPOINTS THE DIRECTORS OF THE CORPORATION AND THE OFFICERS. THE DIRECTORS APPOINTED BY THE MEMBER MUST BE APPROVED BY THE CURRENT DIRECTORS. 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 MEMBER(S). ITEM 7b - THE DECISIONS OF THE MEMBER(S) 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: SHARI COLLIER, PRESIDENT 98 SAN JACINTO BLVD, SUITE 1800 AUSTIN, TX 78701 MARIAN WU, SECRETARY 98 SAN JACINTO BLVD, SUITE 1800 AUSTIN, TX 78701 Directors: JOHN MARIETTA, M.D. ST DAVID'S MEDICAL CENTER 1025 EAST 32ND ST. AUSTIN, TX 78705 KENNETH MITCHELL, M.D 98 SAN JACINTO BLVD., SUITE 1800 AUSTIN, TX 78701 WILLIAM H. RICE, M.D. 98 SAN JACINTO BLVD., SUITE 1800 AUSTIN, TX. 78701 SECTION B. POLICIES ITEM 11 - A COPY OF THE FORM 990 WAS PROVIDED TO THE MEMBERS FOR REVIEW PRIOR TO FILING. LINE 12b - THE CORPORATION ADOPTED A CONFLICT OF INTEREST POLICY ON JULY 21, 2010 THAT REQUIRES ANNUAL DISCLOSURE OF ANY CONFLICT OF INTEREST. CONSISTENT WITH THE REQUIREMENTS OF THE TEXAS MEDICAL BOARD, THE DIRECTORS MUST 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.

Compensation to 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 114 vendors on form 1099-misc issued under the organization's fin number for the calendar year december 31, 2019. Web-tpa fin# 75-2611444 po box 2445 grapevine, tx. 76099-2445

Statement of Program Service Accomplishments

Part iii - page 2 - line 3 williamson county clinical services, inc. Operates under 2 programs to deliver health care to indigent persons. The first program consists of a montly payment to williamson cities & health district for health care services. The second is a reimbursement program that reimburses numerous health care providers. The reimbursement part is being discontinued, but the monthly payment to williamson cities & health district will be continued.

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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0ST DAVID'S HEALTHCARE ENTITIES
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0OFFICERS/DIRECTORS
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0PAYMENT FOR MEDICAL SERVICES
IRS990ScheduleL/SupplementalInformationDetail/ExplanationTxt0THE CORPORATION'S DIRECTORS AND OFFICERS ARE ALL EMPLOYEES OF THE CORPORATION'S SOLE MEMBER, ST. DAVID'S HEALTHCARE PARTNERSHIP LLP, OR ONE OF ITS AFFILIATES. THE AMOUNT ABOVE REPRESENTS PAYMENTS TO THIS ENTITY OR ONE OF ITS AFFILIATES.
IRS990ScheduleL/SupplementalInformationDetail/FormAndLineReferenceDesc0PAYMENTS TO INTERESTED PERSONS
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE CORPORATION'S OFFICERS ARE ALL EMPLOYEES OF THE CORPORATION'S SOLE MEMBER, ST. DAVID'S HEALTHCARE, OR ONE OF ITS AFFILIATES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1SECTION A. GOVERNING BODY AND MANAGEMENT. THE SOLE 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 HOSPITAL. THE SOLE MEMBER APPOINTS THE DIRECTORS OF THE CORPORATION AND THE OFFICERS. THE DIRECTORS APPOINTED BY THE MEMBER MUST BE APPROVED BY THE CURRENT DIRECTORS. 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 MEMBER(S). ITEM 7b - THE DECISIONS OF THE MEMBER(S) 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: SHARI COLLIER, PRESIDENT 98 SAN JACINTO BLVD, SUITE 1800 AUSTIN, TX 78701 MARIAN WU, SECRETARY 98 SAN JACINTO BLVD, SUITE 1800 AUSTIN, TX 78701 Directors: JOHN MARIETTA, M.D. ST DAVID'S MEDICAL CENTER 1025 EAST 32ND ST. AUSTIN, TX 78705 KENNETH MITCHELL, M.D 98 SAN JACINTO BLVD., SUITE 1800 AUSTIN, TX 78701 WILLIAM H. RICE, M.D. 98 SAN JACINTO BLVD., SUITE 1800 AUSTIN, TX. 78701 SECTION B. POLICIES ITEM 11 - A COPY OF THE FORM 990 WAS PROVIDED TO THE MEMBERS FOR REVIEW PRIOR TO FILING. LINE 12b - THE CORPORATION ADOPTED A CONFLICT OF INTEREST POLICY ON JULY 21, 2010 THAT REQUIRES ANNUAL DISCLOSURE OF ANY CONFLICT OF INTEREST. CONSISTENT WITH THE REQUIREMENTS OF THE TEXAS MEDICAL BOARD, THE DIRECTORS MUST 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 114 VENDORS ON FORM 1099-MISC ISSUED UNDER THE ORGANIZATION'S FIN NUMBER FOR THE CALENDAR YEAR DECEMBER 31, 2019. WEB-TPA FIN# 75-2611444 PO BOX 2445 GRAPEVINE, TX. 76099-2445
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3PART III - PAGE 2 - LINE 3 WILLIAMSON COUNTY CLINICAL SERVICES, INC. OPERATES UNDER 2 PROGRAMS TO DELIVER HEALTH CARE TO INDIGENT PERSONS. THE FIRST PROGRAM CONSISTS OF A MONTLY PAYMENT TO WILLIAMSON CITIES & HEALTH DISTRICT FOR HEALTH CARE SERVICES. THE SECOND IS A REIMBURSEMENT PROGRAM THAT REIMBURSES NUMEROUS HEALTH CARE PROVIDERS. THE REIMBURSEMENT PART IS BEING DISCONTINUED, BUT THE MONTHLY PAYMENT TO WILLIAMSON CITIES & HEALTH DISTRICT WILL BE CONTINUED.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0OFFICERS, DIRECTORS OR KEY EMPLOYEE BUSINESS RELATIONSHIPS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1GOVERNANCE, MANAGEMENT AND DISCLOSURES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2COMPENSATION TO INDEPENDENT CONTRACTORS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1SEE PART VII - SUPPLEMENTAL INFORMATION
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