Civic Intelligence

Lone Star Community Health Center

EIN 30-0038860 • 501(c)3 • Conroe, TX

Profile

Providing compassionate, affordable healthcare and preparing tomorrow's family medicine professionals.

605 S Conroe Medical DriveConroe, TX 77304

www.lonestarfamily.org

Siviq Scores

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

Liabilities / Assets

76th percentile

0.55x

Higher debt load relative to assets than 76% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.44x

Higher debt load relative to revenue than 62% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

23rd percentile

-4.9%

Higher net margin than 23% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

73rd percentile

$384,999

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

70th percentile

12%

Faster asset growth than 70% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

38th percentile

3.0%

Faster revenue growth than 38% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$25,722,156

Up $2,670,283 (+12%) from 2023

Liabilities

Up

$14,168,114

Up $4,064,863 (+40%) from 2023

Net Assets

Down

$11,554,042

Down $1,394,580 (-11%) from 2023

Revenue

Up

$32,445,033

Up $959,459 (+3.0%) from 2023

Expenses

Up

$34,021,413

Up $3,173,422 (+10%) from 2023

Net Income

Down

-$1,576,380

Down $2,213,963 (-347%) from 2023

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2010: $6,786,822Liabilities 2010: $679,030Net Assets 2010: $6,107,7922010Assets 2011: $8,063,360Liabilities 2011: $1,302,744Net Assets 2011: $6,760,6162011Assets 2012: $18,580,113Liabilities 2012: $12,003,628Net Assets 2012: $6,576,4852012Assets 2013: $18,646,756Liabilities 2013: $10,080,942Net Assets 2013: $8,565,8142013Assets 2014: $19,226,712Liabilities 2014: $9,948,191Net Assets 2014: $9,278,5212014Assets 2015: $20,296,564Liabilities 2015: $10,206,903Net Assets 2015: $10,089,6612015Assets 2016: $20,205,443Liabilities 2016: $9,999,609Net Assets 2016: $10,205,8342016Assets 2017: $20,662,300Liabilities 2017: $9,643,231Net Assets 2017: $11,019,0692017Assets 2018: $20,973,989Liabilities 2018: $9,722,356Net Assets 2018: $11,251,6332018Assets 2019: $20,298,046Liabilities 2019: $9,620,916Net Assets 2019: $10,677,1302019Assets 2020: $21,994,902Liabilities 2020: $12,915,546Net Assets 2020: $9,079,3562020Assets 2021: $22,264,475Liabilities 2021: $10,159,071Net Assets 2021: $12,105,4042021Assets 2022: $21,889,195Liabilities 2022: $9,503,328Net Assets 2022: $12,385,8672022Assets 2023: $23,051,873Liabilities 2023: $10,103,251Net Assets 2023: $12,948,6222023Assets 2024: $25,722,156Liabilities 2024: $14,168,114Net Assets 2024: $11,554,0422024

Highlighted filing

2024

Assets$25,722,156
Liabilities$14,168,114
Net Assets$11,554,042

Operations Trend

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

$40M$30M$20M$10M$0-$10MExpenses 2010: $10,309,0732010Expenses 2011: $12,226,3092011Expenses 2012: $13,154,0812012Expenses 2013: $14,035,6352013Revenue 2014: $16,689,452Expenses 2014: $15,976,745Net Income 2014: $712,7072014Revenue 2015: $19,127,788Expenses 2015: $18,316,648Net Income 2015: $811,1402015Revenue 2016: $21,003,144Expenses 2016: $20,886,971Net Income 2016: $116,1732016Revenue 2017: $23,058,437Expenses 2017: $22,245,202Net Income 2017: $813,2352017Revenue 2018: $23,660,356Expenses 2018: $23,427,792Net Income 2018: $232,5642018Revenue 2019: $24,379,141Expenses 2019: $24,889,149Net Income 2019: -$510,0082019Revenue 2020: $4,745,903Expenses 2020: $4,578,903Net Income 2020: $167,0002020Revenue 2021: $32,249,676Expenses 2021: $29,292,681Net Income 2021: $2,956,9952021Revenue 2022: $30,112,836Expenses 2022: $30,837,732Net Income 2022: -$724,8962022Revenue 2023: $31,485,574Expenses 2023: $30,847,991Net Income 2023: $637,5832023Revenue 2024: $32,445,033Expenses 2024: $34,021,413Net Income 2024: -$1,576,3802024

Highlighted filing

2024

Revenue$32,445,033
Expenses$34,021,413
Net Income-$1,576,380

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$25.7$14.2$11.6$32.4$34.0$1.58
2023Detailed filing. Detailed filing data is available for this year.$23.1$10.1$12.9$31.5$30.8$0.64
2022Detailed filing. Detailed filing data is available for this year.$21.9$9.50$12.4$30.1$30.8$0.72
2021Detailed filing. Detailed filing data is available for this year.$22.3$10.2$12.1$32.2$29.3$2.96
2020Detailed filing. Detailed filing data is available for this year.$22.0$12.9$9.08$4.75$4.58$0.17
2019Detailed filing. Detailed filing data is available for this year.$20.3$9.62$10.7$24.4$24.9$0.51
2018Detailed filing. Detailed filing data is available for this year.$21.0$9.72$11.3$23.7$23.4$0.23
2017Detailed filing. Detailed filing data is available for this year.$20.7$9.64$11.0$23.1$22.2$0.81
2016Detailed filing. Detailed filing data is available for this year.$20.2$10.00$10.2$21.0$20.9$0.12
2015Detailed filing. Detailed filing data is available for this year.$20.3$10.2$10.1$19.1$18.3$0.81
2014Detailed filing. Detailed filing data is available for this year.$19.2$9.95$9.28$16.7$16.0$0.71
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.6$10.1$8.57$14.0
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.6$12.0$6.58$13.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.06$1.30$6.76$12.2
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.79$0.68$6.11$10.3
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 16, 2025
Return Version
2024v5.2
Gross Receipts
$32,494,618
Mission and Program Overview

Mission

It is the mission of lone star family health center to provide high quality, easily accessible health services to the underserved and the community at large.

Since 2002, lone star family health center (lsfhc) has served as the source of high-quality, affordable healthcare of choice for underserved, uninsured, and underinsured populations in montgomery county and the surrounding area. A 501 (c) 3 non-profit organization and the only federally qualified health center (fqhc) headquartered in montgomery county, lsfhc's mission is to provide compassionate, affordable healthcare and prepare tomorrow's family medicine professionals. Our central clinical site and central administrative office in conroe is located just 35 miles north of houston, texas. We have additional locations in the communities of spring, grangerland, willis, and huntsville. Lsfhc is open to all people who seek care, but most of our clients come from the most economically depressed and underserved census tracts in the area. Over the past twenty years of service, lsfhc has established itself as a quality, reliable source of primary care with dignity for the underserved.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$9,406,548$8,668,980▼ $737,568
Cash and Non-Interest-Bearing Accounts$6,578,391$1,970,549▼ $4,607,842
Accounts Receivable$1,214,712$1,753,171▲ $538,459
Intangible Assets$676,224$1,096,347▲ $420,123
Pledges and Grants Receivable$520,788$593,406▲ $72,618
Prepaid Expenses and Deferred Charges$266,014$253,095▼ $12,919
Savings and Temporary Cash Investments$210,271$217,482▲ $7,211
Inventories for Sale or Use$12,555$20,464▲ $7,909
Total Assets$23,051,873$25,722,156▲ $2,670,283
Other Assets Total$4,166,370$11,148,662▲ $6,982,292
Liabilities
Mortgage Notes Payable Secured by Investment Property$6,836,804$9,815,564▲ $2,978,760
Accounts Payable and Accrued Expenses$2,134,025$3,026,312▲ $892,287
Other Liabilities$672,059$1,107,138▲ $435,079
Deferred Revenue$460,363$219,100▼ $241,263
Total Liabilities$10,103,251$14,168,114▲ $4,064,863
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$12,556,071$11,275,793▼ $1,280,278
Net Assets With Donor Restrictions$392,551$278,249▼ $114,302
Total Net Assets Fund Balance$12,948,622$11,554,042▼ $1,394,580
Total Liabilities and Net Assets / Fund Balance$23,051,873$25,722,156▲ $2,670,283

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,363,102$4,647,863$9,010,965
Equipment$1,013,035$6,763,511$7,776,546
Leasehold Improvements$2,030,713$3,197,000$5,227,713
Land$1,162,576-$1,162,576
Other Land Buildings$99,554$284,408$383,962
Other Assets Org$315,451--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Lata JoshiChief Medical OfficerFT$337,580$47,419$384,999
Thomas Jonathan PattonOb GynFT$330,167$27,765$357,932
Daniel PorterMedical DirectorFT$297,583$30,016$327,599
Juliana GarrOb GynFT$274,452$43,629$318,081
Lynette WynnOb GynFT$273,008$37,314$310,322
Karen HarwellChief Executive OfficerFT$251,329$56,783$308,112
Sarah MoseleyOb GynFT$268,682$34,060$302,742
Heidi AlbrightChief Operating OfficerFT$208,538$26,862$235,400
Matthew GullickChief Financial OfficerFT$176,526$20,487$197,013

Board Members and Trustees

NameTitle
Duke CoonChairman of the Board
Rodrigo ChavesVice Chairman of the Board
Alfredo HasseyDirector
Ana Stella MdDirector
Anthony SheltonDirector
Chris GriceDirector
Denise CipollaDirector
Hector ForestierDirector
Karen LononDirector
Lane Aiena MdDirector
Paola GormanDirector
Stephanie AtkinsSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$9,900,927
Program Service Revenue
$22,402,188
Investment Income
$141,918
Other Revenue
$0
All Other Contributions
$2,377,952
Change in Net Assets
$-1,576,380

Audited Revenue Reconciliation

Revenue per Audited Statements
$31,572,144
Revenue Not Reported on Financial Statements
$872,889
Revenue Not Reported on Form 990
$231,385
Other Revenue Adjustments
$872,889
Total Revenue per Audited Statements
$31,803,529
Total Revenue per Form 990
$32,445,033
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$22,430,183
Other Expenses$11,591,230
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$14,440,686$2,260,758-$16,701,444
Fees for Services Other$1,374,484$1,797,005-$3,171,489
Other Employee Benefits$1,956,451$458,780-$2,415,231
Payroll Taxes$1,133,465$265,793-$1,399,258
Office Expenses$699,481$600,192-$1,299,673
Occupancy$782,006$408,590-$1,190,596
Current Officers, Directors, Trustees, and Key Employees-$1,125,524-$1,125,524
Depreciation Depletion$223,800$818,110-$1,041,910
Pension Plan Contributions$638,905$149,821-$788,726
Information Technology$312,957$268,535-$581,492
All Other Expenses$206,746$177,401-$384,147
Insurance$151,799$130,251-$282,050
Interest-$267,740-$267,740
Advertising$121,858$104,561-$226,419
Other Expenses$92,503$79,373-$171,876
Fees for Services Legal-$102,072-$102,072
Travel$47,925$41,122-$89,047
Fees for Services Accounting-$80,510-$80,510
Total Functional Expenses$24,737,620$9,283,793$0$34,021,413

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$34,021,413
Total Expenses per Audited Statements$33,198,109
Expenses per Audited Statements$33,148,524
Expenses Not Reported on Financial Statements$872,889
Other Expense Adjustments$872,889
Expenses Not Reported on Form 990$49,585
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$1,107,138
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

The executive committee shall include the chairman, the vice-chairman, secretary and not less than two other directors designated by the board. The executive committee shall convene as necessary and, under the direction of the full board, shall act for the corporation in all matters during the interim periods between meetings of the full board. The executive committee shall be responsible for all critical business.

Form 990, Part VI, Section B, Line 11B

The form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. Management reviews the form 990 prior to its filing with the irs. Review is performed at a minimum by the chief financial officer and chief executive officer who trace information contained within the draft form 990 back to source documentation checking for accurate compilation by the outside accounting firm. The audit/finance committee and full governing board receives a copy of the form 990 for review; this occurs prior to filing when possible. There is minimal review performed by individual board members.

Form 990, Part VI, Section B, Line 12C

Each director, principal officer and member of a committee with board delegated powers shall annually sign a statement which affirms that such person: a. Has received a copy of the conflicts of interest policy; b. Has read and understands the policy; c. Has agreed to comply with the policy; and d. Understands that the corporation is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. To ensure that the corporation operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted. The periodic reviews include the following subjects: a. Whether compensation arrangements and benefits are reasonable and are the result of arm's-length bargaining. B. Whether acquisitions of physician practices and other provider services result in inurement or impermissible private benefit. C. Whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further the corporation's charitable purposes and do not result in inurement or impermissible private benefit. D. Whether agreements to provide health care and agreements with other health care providers, employees, and third-party payors further the corporation's charitable purposes and do not result in inurement or impermissible private benefit.

Form 990, Part VI, Section B, Line 15

Compensation was originally determined for the current ceo in february 2017 by the board of directors based on a third party compensation study from arthur j. Gallagher and co. Compensation is reviewed annually by the full board of directors alongside market data provided by the director of human resources. Performance review is discussed in an executive session of the board with documented minutes kept on file by the secretary. The most recent year in which the compensation process described above was performed in 2024. For other officers and key employees, compensation ranges are set by director of human resources and reviewed at least annually for comparative purposes utilizing subscription data from a minimum of two purchased outside compensation surveys. An annual performance evaluation is performed by the ceo for each other officer and key employee. Any changes to compensation are documented on a personnel action form, approved by the director of human resources and the cfo. Performance evaluations and personnel action forms are kept within the organization's personnel files. The process described here was last completed in 2024.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy, and financial statements are available to be mailed or emailed to the public.

Filing and Contact Details

Filer

Filer Name
Lone Star Community Health Center
EIN
30-0038860
Phone
9365394004
Address
605 S CONROE MEDICAL DRIVE, CONROE, TX 77304
Doing Business As
Lone Star Family Health Center

Signing Officer

Name
Karen Harwell
Title
Chief Financial Officer
Phone
9365394004
Signed
2025-10-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Matthew Gullick
Formed
2002
Legal Domicile
TX
Voting Board Members
12
Independent Board Members
12
Employees
281
Volunteers
12

Preparer

Firm
Cliftonlarsonallen Llp
Address
475 REGENCY PARK SUITE 175, OFALLON, IL 62269
Preparer
Erika Martinez
Phone
6182331200
Supplemental Narrative

Additional Explanations

Form 990, Page 12, Part XII, Line 2C

This process has not changed from the prior year.

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Rental expenses netted against income 49,585.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Bad debt expense 872,889.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Rental expenses netted against income 49,585.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Bad debt expense 872,889.

Raw XML AppendixShowing 400 of 752 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0SINCE 2002, LONE STAR FAMILY HEALTH CENTER (LSFHC) HAS SERVED AS THE SOURCE OF HIGH-QUALITY, AFFORDABLE HEALTHCARE OF CHOICE FOR UNDERSERVED, UNINSURED, AND UNDERINSURED POPULATIONS IN MONTGOMERY COUNTY AND THE SURROUNDING AREA. A 501 (C) 3 NON-PROFIT ORGANIZATION AND THE ONLY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) HEADQUARTERED IN MONTGOMERY COUNTY, LSFHC'S MISSION IS TO PROVIDE COMPASSIONATE, AFFORDABLE HEALTHCARE AND PREPARE TOMORROW'S FAMILY MEDICINE PROFESSIONALS. OUR CENTRAL CLINICAL SITE AND CENTRAL ADMINISTRATIVE OFFICE IN CONROE IS LOCATED JUST 35 MILES NORTH OF HOUSTON, TEXAS. WE HAVE ADDITIONAL LOCATIONS IN THE COMMUNITIES OF SPRING, GRANGERLAND, WILLIS, AND HUNTSVILLE. LSFHC IS OPEN TO ALL PEOPLE WHO SEEK CARE, BUT MOST OF OUR CLIENTS COME FROM THE MOST ECONOMICALLY DEPRESSED AND UNDERSERVED CENSUS TRACTS IN THE AREA. OVER THE PAST TWENTY YEARS OF SERVICE, LSFHC HAS ESTABLISHED ITSELF AS A QUALITY, RELIABLE SOURCE OF PRIMARY CARE WITH DIGNITY FOR THE UNDERSERVED.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIRMAN OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14CHIEF OPERATING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt15CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt16MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17OB GYN
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IRS990/ProgSrvcAccomActy2Grp/Desc0CONROE FAMILY MEDICINE RESIDENCY PROGRAM (CFMR) - WE OPERATE THE CONROE FAMILY MEDICINE RESIDENCY PROGRAM THAT TRAINS 36 FAMILY MEDICINE RESIDENTS OVER A 3-YEAR PERIOD IN PARTNERSHIP WITH THE CONROE MEDICAL EDUCATION FOUNDATION (CMEF) AND HCA HOUSTON HEALTHCARE CONROE. CFMR IS AN UNOPPOSED, ACGME-ACCREDITED, COMMUNITY-BASED RESIDENCY WITH A LONG HISTORY OF PREPARING HIGHLY TRAINED PHYSICIANS WHO PRACTICE IN A VARIETY OF SETTINGS. IN 2024, 100% OF GRADUATING RESIDENTS PASSED THEIR MEDICAL BOARD EXAMINATIONS.
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