Liabilities / Assets
50th percentile
Higher debt load relative to assets than 50% of similar nonprofits.
EIN 75-2429644 • 501(c)3 • Wichita Falls, TX
Profile
Provide access to quality, affordable, primary care and preventive services by reaching out to everyone, including the underserved. See schedule o for more information.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
50th percentile
Higher debt load relative to assets than 50% of similar nonprofits.
Liabilities / Revenue
31st percentile
Higher debt load relative to revenue than 31% of similar nonprofits.
Net Margin
29th percentile
Higher net margin than 29% of similar nonprofits.
Top Officer Pay
97th percentile
Higher top officer pay than 97% of similar nonprofits.
Top officer pay equals 5.0% of source-year revenue.
Asset Growth
16th percentile
Faster asset growth than 16% of similar nonprofits.
Revenue Growth
43rd percentile
Faster revenue growth than 43% of similar nonprofits.
Assets
Up$23,864,942
Up $5,078,049 (+27%) from 2022
Liabilities
Up$5,375,585
Up $1,726,397 (+47%) from 2022
Net Assets
Up$18,489,357
Up $3,351,652 (+22%) from 2022
Revenue
Up$34,954,921
Up $4,557,592 (+15%) from 2022
Expenses
Up$31,603,269
Up $2,455,632 (+8.4%) from 2022
Net Income
Up$3,351,652
Up $2,101,960 (+168%) from 2022
Most recent year
2023 • Form 990Summary only. Only limited summary data is available for this year.
The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2021 below.
Provide access to quality, affordable, primary care and preventive services by reaching out to everyone, including the underserved. See schedule o for more information.
TO PROVIDE ACCESS TO QUALITY AFFORDABLE PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES IN A SAFE ENVIRONMENT TO THE UNDERSERVED RESIDENTS OF NORTH CENTRAL TEXAS. See Schedule O
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $6,826,951 | $6,753,533 | ▼ $73,418 |
| Savings and Temporary Cash Investments | $3,971,013 | $2,829,077 | ▼ $1,141,936 |
| Cash and Non-Interest-Bearing Accounts | $596,504 | $2,483,097 | ▲ $1,886,593 |
| Pledges and Grants Receivable | $1,416,187 | $2,072,796 | ▲ $656,609 |
| Accounts Receivable | $1,069,380 | $1,615,183 | ▲ $545,803 |
| Inventories for Sale or Use | $288,951 | $709,272 | ▲ $420,321 |
| Prepaid Expenses and Deferred Charges | $225,683 | $225,449 | ▼ $234 |
| Other Notes and Loans Receivable, Net | $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 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $14,394,669 | $16,688,407 | ▲ $2,293,738 |
| Other Assets Total | $0 | $0 | → $0 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $1,615,832 | $1,907,586 | ▲ $291,754 |
| Mortgage Notes Payable Secured by Investment Property | $87,500 | $717,500 | ▲ $630,000 |
| Other Liabilities | $3,090,793 | $175,308 | ▼ $2,915,485 |
| Grants Payable | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $4,794,125 | $2,800,394 | ▼ $1,993,731 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $9,435,030 | $13,791,025 | ▲ $4,355,995 |
| Net Assets With Donor Restrictions | $165,514 | $96,988 | ▼ $68,526 |
| Total Net Assets Fund Balance | $9,600,544 | $13,888,013 | ▲ $4,287,469 |
| Total Liabilities and Net Assets / Fund Balance | $14,394,669 | $16,688,407 | ▲ $2,293,738 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $5,997,031 | $4,433,758 | $10,430,789 |
| Equipment | $551,296 | $3,259,913 | $3,811,209 |
| Land | $205,206 | - | $205,206 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Bruce Rajala Do | Physician | FT | $1,210,840 | $600 | $1,211,440 |
| Terry Johnson Md | Pediatrician | FT | $559,523 | $41,259 | $600,782 |
| Ellaheh Ebrahim Md | CMO | FT | $381,312 | $42,643 | $423,955 |
| Pukhraj Rai Md | Pediatrician | FT | $265,546 | $33,949 | $299,495 |
| Yao Huang Md | Physician | FT | $259,071 | $35,649 | $294,720 |
| Brock Pierce Md | Physician | FT | $257,012 | $200 | $257,212 |
| Allen Patterson | CEO | FT | $193,520 | $43,476 | $236,996 |
| Kristi Mccasland | Cfoo | FT | $183,084 | $21,642 | $204,726 |
| Name | Title |
|---|---|
| Stephen Shelton | Chairman |
| Glenn Barham | Vice Chairman |
| Alicia Perez | Director |
| Angela Stahler | Director |
| Ashvin Patel Md | Director |
| David Flack Md | Director |
| David Wolverton | Director |
| James Tippit | Director |
| Kris Gossom | Director |
| Rick Schleider | Director |
| Roger Palma | Director |
| Russell Bryant | Director |
| Susan Reagan | Director |
| Virgil Nesbit | Director |
| Wesley Holmes | Director |
| Allison Duncan | Secretary |
| Iliana Jaramillo | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Beauty Star INC | Medical Supplier | 1641 NILE DR, Corpus Christi, TX 78412 | $403,424 |
| Tlc Janitorial | Janitorial | 3002 SAXET, Wichita Falls, TX 76306 | $108,090 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Drugs and Medical Supplies | 10 | $194,617 | Fair Market Value (FMV) |
| Total Noncash Contributions | 10 | $194,617 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $19,113,673 |
| Other Expenses | $7,316,313 |
| Grants and Similar Amounts Paid | $2,021 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $12,821,880 | $2,430,231 | - | $15,252,111 |
| Other Employee Benefits | $1,284,750 | $258,399 | - | $1,543,149 |
| Office Expenses | $793,070 | $392,937 | - | $1,186,007 |
| Payroll Taxes | $716,502 | $168,068 | - | $884,570 |
| Current Officers, Directors, Trustees, and Key Employees | $127,187 | $738,491 | - | $865,678 |
| Occupancy | $518,300 | $121,576 | - | $639,876 |
| Information Technology | $289,233 | $279,111 | - | $568,344 |
| Pension Plan Contributions | $488,867 | $79,298 | - | $568,165 |
| Depreciation Depletion | $504,650 | $62,508 | - | $567,158 |
| Fees for Services Other | $404,109 | $91,001 | - | $495,110 |
| Insurance | $208,825 | $45,422 | - | $254,247 |
| Advertising | - | $172,413 | - | $172,413 |
| Travel | $85,814 | $33,981 | - | $119,795 |
| Fees for Services Accounting | - | $94,612 | - | $94,612 |
| Conferences and Meetings | $34,608 | $40,252 | - | $74,860 |
| Other Expenses | $17,227 | $44,192 | - | $61,419 |
| All Other Expenses | - | $57,107 | - | $57,107 |
| Fees for Services Legal | - | $20,628 | - | $20,628 |
| Grants to Domestic Individuals | $2,021 | - | - | $2,021 |
| Total Functional Expenses | $21,270,150 | $5,161,857 | $0 | $26,432,007 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $26,432,007 |
| Total Expenses per Audited Statements | $25,355,696 |
| Expenses per Audited Statements | $24,922,441 |
| Expenses Not Reported on Financial Statements | $1,509,566 |
| Other Expense Adjustments | $1,509,566 |
| Expenses Not Reported on Form 990 | $433,255 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| 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 |
| Liability | Amount |
|---|---|
| Est Self Insurance Cost | $175,308 |
“Process to review the form 990: 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. A final copy is presented to each voting member to review and ask questions before filing. The organization's officers also review the form 990 prior to it being filed with the irs.”
“Process to monitor compliance with conflict of interest policy: when new board members start their volunteer services, they are required to sign the board of directors-conflict of interest disclosure. After starting their service, each board member and employee is required annually to sign a new conflict of interest disclosure. The disclosure they sign instructs them that if their situation changes, they are required to inform the chairman of the board of directors in writing. The chairman will then inform the remaining board members. If a conflict is identified, the director abstains from discussion and voting.”
“Ceo and top management official compensation review: the board of directors annually reviews the chief executive officer's performance and determines compensation. This discussion is documented in the minutes. Salaries are set using comparative data from other community health centers of similar operational and financial size.”
“Other officers and key employees compensation review: the chief executive officer determines compensation of other officers and key employees based on data for comparable positions at similar organizations contained in the health center compensation and benefits report published annually by the national association of community health centers, inc. Documentation of the reviews are filed with the human resources department.”
“Availability of documents: the governing documents, conflict of interest policy, and financial statements are available by request for onsite viewing.”
“Delegation of authority: the executive/by-laws committee can recommend new policies or take action upon impromptu cases as may arise wh the board is not in session and shall generally perform such duties and exercise such powers as may be performed and exercised by the governing board from time to time. The fact that the committee has acted shall be conclusive evidence that the governing board was not in session at such time. The committee cannot create new policies, nor change any policy previously adopted by the board of directors. The committee shall not modify any actions taken by the board of directors. The committee shall report on the actions it takes between meetings at the next meeting of the full board. The board shall ratify these decisions by majority vote. If the board opposes a particular decision of the committee, a vote shall be taken to reverse the decision.”
“Organization's mission or most significant activities: community healthcare center's mission and goal is to provide access to quality, affordable, primary care and preventative services by reaching out to everyone, including the underserved. Program services are delivered through six sites: our main clinic, dental clinic, 3rd street clinic, pediatric clinic, the juarez clinic, and our mckinney, tx clinic. The center employs a patient centered medical home care delivery model emphasizing choice and feedback, 24-7 access, collaborative relationships with patients, and superior care coordination between center providers and area specialists. In recognition of satisfactory adoption of this model, the center has been certified by the joint commission as a patient centered medical home in addition to the joint commission's accreditation in recognition of efforts to provide high quality patient care and maximize patient safety efforts.”
“Medical services: in addition to primary care services, community healthcare center takes advantage of programs which may provide eligible patients with services at no cost to them. Breast and cervical cancer control services program: this program targets women ages 40 years and older and african american women, both of whom have a greater incidence of death due to undetected breast and cervical cancers. Community healthcare center provides eligibility services to identify women who qualify for the following related services at no cost to them. Services covered under the program include mammograms, breast ultrasounds, breast biopsies, pap smears, colposcopies with or without biopsies, and surgical consults. Referrals to specialists are coordinated when necessary. Adult diabetic eye screening: community healthcare center added eye screening for adult diabetic patients in 2013. Nurse-family partnership outreach program: nfp is an evidence-based, community health program that helps transform the lives of vulnerable mothers who are pregnant with their first child. Each mother in nfp is partnered with a registered nurse early in her pregnancy and receives ongoing nurse home visits that continue through her child's second birthday.”
“Counseling: behavioral therapy is focused on helping patients understand how changing their behavior can lead to changes in how they are feeling. The goal is usually focused on increasing a patient's engagement in positive ways or socially reinforcing activities. Behavior therapy is a structured approach that carefully measures what the person is doing and then seeks to increase chances for positive experience. Specifically, it helps patients: - identify behaviors that interfere with their having good health - identify positive changes they want to make - develop a plan of positive changes they can make immediately - develop a plan for future positive changes - monitor and their plan as behavior is shaped pharmacy: community healthcare center offers a discounted fee class d pharmacy for the convenience of patients, focusing on the provision of primary care drugs. Patients may have their prescriptions filled elsewhere, particularly for drugs not available in the center pharmacy. The center recognizes that even at a discounted rate, some patients may not be able to afford their medications. We offer assistance programs to eligible patients to further defray costs. Patient pharmaceutical assistance program: as drug costs continue to soar, obtaining prescriptions is often the stumbling block in the continuum of care. Some pharmaceutical companies offer an array of medications available in 90-day supplies at no charge; however, each company has unique processes and requirements. Community healthcare center staff are available to assist patients in navigating the four to six week application process. The center also participates in a sponsored prescription program. A donor supplies the center with a limited variety of medications that treat common ailments associated with a primary care clinic. When one of these drugs is prescribed, a patient who meets the financial qualifications of the program can receive these discounted medications. Center providers and staff make every effort to coordinate these services for eligible patients whenever a program drug is prescribed. Health education: the organization provides information regarding illness and disease-related facts as well as nutrition, diet, and exercise. Outreach services: the organization provides the following: - screenings and education - eligibility workers to assist patients with local, state, and federal programs - department of human services works advisor is on-site for assistance with medicaid, food stamps, and tanf pediatric literacy: recognizing that literacy is the fundamental building block of education, community healthcare center is a reach out and read facility. Reach out and read trains doctors and nurses to advise parents on the importance of reading aloud. The program began in 1989 at boston city hosp when nurses and doctors brought books to the pediatric waiting area so that children and parents could read together while waiting for an appointment. The program emphasizes the importance of literacy as part of preventive checkups for children 6 months to 5 years of age. New developmentally appropriate books are presented to these young patients at each well-child checkup.”
“Asc 740 footnote: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
“Reconciliation of revenue per audited financials with return: bad debt $(1,509,566) net assets released from restriction 102,377 ----------- total $(1,407,189)”
“Reconciliation of revenue per audited financials with return: additional contributions with restrictions $58,851 loss on disposal of assets (104) ----------- total $58,747”
“Reconciliation of expenses per audited financials with return: bad debt $1,509,566”
“Reconciliation of expenses per audited financials with return: loss on disposal of assets $104”
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/ActivityOrMissionDesc | 0 | TO PROVIDE ACCESS TO QUALITY AFFORDABLE PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES IN A SAFE ENVIRONMENT TO THE UNDERSERVED RESIDENTS OF NORTH CENTRAL TEXAS. See Schedule O |
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| IRS990/Desc | 0 | MEDICAL SERVICES - THE ORGANIZATION PROVIDES THE FOLLOWING PRIMARY CARE SERVICES: ACUTE CARE, CHRONIC ILLNESS MANAGEMENT, ELECTROCARDIOGRAMS, FAMILY PLANNING, FLU SHOTS, IMMUNIZATIONS, LAB TESTS, MEDICAID - TEXAS HEALTH STEPS, OBSTETRICS, PHYSICAL EXAMS, PREVENTATIVE CARE, PRIMARY FAMILY CARE, REFERRALS TO SPECIALISTS IF NEEDED, AND X-RAYS. SEE SCHEDULE O FOR MORE INFORMATION. |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 36.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 60.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 35259 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 41643 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 26949 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 34649 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 31476 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 20642 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | BRUCE RAJALA DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | TERRY JOHNSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ELLAHEH EBRAHIM MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | PUKHRAJ RAI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | YAO HUANG MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | BROCK PIERCE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ALLEN PATTERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | KRISTI MCCASLAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | GLENN BARHAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | RUSSELL BRYANT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ALLISON DUNCAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | DAVID FLACK MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KRIS GOSSOM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | WESLEY HOLMES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ILIANA JARAMILLO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | VIRGIL NESBIT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ROGER PALMA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | ALICIA PEREZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | ASHVIN PATEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | SUSAN REAGAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | RICK SCHLEIDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | STEPHEN SHELTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | ANGELA STAHLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | JAMES TIPPIT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | DAVID WOLVERTON |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1211440 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 565523 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 382312 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 272546 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 260071 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 257212 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 205520 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 184084 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PEDIATRICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PEDIATRICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CFOO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Director |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1992 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -104 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 17 |
| IRS990/GovernmentGrantsAmt | 0 | 8643412 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 2021 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 2021 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 30719580 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 17 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 33 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 279111 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 289233 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 568344 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 45422 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 208825 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 254247 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 288951 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 709272 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2946 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2946 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 50 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 7693671 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 6826951 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 6753533 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 14447204 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 104 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | PROVIDE ACCESS TO QUALITY, AFFORDABLE, PRIMARY CARE AND PREVENTIVE SERVICES BY REACHING OUT TO EVERYONE, INCLUDING THE UNDERSERVED. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 87500 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 717500 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 9600544 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 13888013 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -104 |
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