Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
BROWNSVILLE COMMUNITY HEALTH CLINIC CORP
Employer identification number
74-2176836
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
7,328,654
11,935,198
11,432,087
7,709,333
8,174,890
46,580,162
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
244,294
244,279
488,573
4
Total. Add lines 1 through 3
7,328,654
11,935,198
11,432,087
7,953,627
8,419,169
47,068,735
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
1,431,790
6
Public support. Subtract line 5 from line 4.
45,636,945
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
7,328,654
11,935,198
11,432,087
7,953,627
8,419,169
47,068,735
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
114,722
159,133
129,115
102,891
76,529
582,390
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
0
11
Total support (Add lines 7 through 10).
47,651,125
12
Gross receipts from related activities, etc. (see instructions)
..................
12
37,435,318
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
95.773 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
94.692 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
BROWNSVILLE COMMUNITY HEALTH CLINIC CORP
Employer identification number
74-2176836
Return Reference
Explanation
FORM 990, PART I, LINE 1
ORGANIZATION'S MISSION: VISION: BCHC WILL BE A COMMUNITY ORIENTED COMPREHENSIVE PRIMARY CARE CENTER THAT WILL STRIVE TO MAINTAIN A COMPETITIVE EDGE IN THE CHANGING HEALTH CARE ENVIRONMENT. CORE VALUES: EXCELLENCE, TEAMWORK, PERFORMANCE IMPROVEMENT, COMMUNITY ORIENTATION, RESPONSIVENESS TO NEEDS, EMPOWERMENT, AND SERVICE TO ALL, REGARDLESS OF ABILITY TO PAY AT THE TIME OF SERVICE. PURPOSE: THE PURPOSE OF THIS CORPORATION SHALL INCLUDE THE FOLLOWING: TO ESTABLISH AND OPERATE A COMMUNITY HEALTH CENTER (CHC) FOR THE FAMILIES LIVING IN THE SERVICE AREA, INCLUDING BUT NOT LIMITED TO MEDICALLY INDIGENT PERSONS, TO PROVIDE DIRECT ACCESS TO COMPREHENSIVE PRIMARY HEALTH CARE AND PREVENTIVE HEALTH CARE TO THE RESIDENTS OF THE SERVICE AREA IN A MANNER CONSISTENT WITH THEIR DIGNITY AND IDENTITY, BASED ON ABILITY TO PAY AS PER FEDERAL POVERTY GUIDELINES, TO PROMOTE COMMUNITY AWARENESS OF THE NEED FOR PREVENTIVE PRIMARY HEALTH CARE, TO DEVELOP AND/OR COORDINATE RESOURCES THAT IMPACT ON THE COMMUNITY'S HEALTH STATUS, TO EMPHASIZE EFFECTIVE PROJECT MANAGEMENT, QUALITY OF CARE, PRODUCTIVITY COMPLIANCE, AND MOVEMENT TOWARD ECONOMIC SELF-SUFFICIENCY, AND TO APPLY FOR GRANTS FROM THE UNITED STATES GOVERNMENT, THE STATE OF TEXAS, OTHER PRIVATE AGENCIES, AND CONTRACTUAL OR OTHER OPPORTUNITIES TO CARRY OUT THE PURPOSE STATED ABOVE.
FORM 990, PART I, LINE 6
NUMBER OF VOLUNTEERS: TOTAL NUMBER OF VOLUNTEERS INCLUDES VOLUNTEER BOARD OF DIRECTOR MEMBERS.
FORM 990, PART VI, SECTION A, LINE 4
SIGNIFICANT CHANGES TO BYLAWS: THE BOARD OF DIRECTORS AMENDED THE BYLAWS AS OF OCTOBER 2, 2013. THE NEW BYLAWS REMOVED THE DIFFERENTIATION OF VOTING CLASSES. THE PREVIOUS BYLAWS SEPARATED THE VOTING MEMBERSHIP OF THE BOARD OF DIRECTORS INTO USERS AND NON-USERS. THE BOARD OF DIRECTORS IS NOW RESPONSIBLE FOR PERIODICALLY CONDUCTING A SELF-EVALUATION OVER ITS EFFICIENCY, EFFECTIVENESS, AND COMPLIANCE WITH SECTION 330 REQUIREMENTS. ACCORDING TO THE PREVIOUS BYLAWS, THE DUTY OF OVERSEEING ALL AUDITS, AUDIT PROCEDURES, AND APPROPRIATE BOARD RECOMMENDATIONS ORIGINALLY BELONGED TO THE FINANCE COMMITTEE. THIS DUTY WAS REMOVED AND GIVEN TO THE NEWLY FORMED AUDIT COMMITTEE WITHIN THE AMENDED BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B
REVIEW OF 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. THE FINANCE DIRECTOR REVIEWS THE 990 IN DETAIL AND A COPY OF THE 990 IS INCLUDED WITH EACH BOARD MEMBER'S BOARD PACKET ONE WEEK PRIOR TO OUR BOARD MEETING. THE 990 IS PRESENTED TO THE FINANCE COMMITTEE WHICH MEETS ONE HOUR BEFORE THE FULL BOARD. THE FINANCE COMMITTEE THEN PRESENTS IT TO THE FULL BOARD OF DIRECTORS AND ANSWERS ANY QUESTIONS THEY MAY HAVE.
FORM 990, PART VI, SECTION B, LINE 12C
MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL MEMBERS OF THE BOARD OF DIRECTORS, ADMINISTRATORS AND NON-BOARD MEMBERS APPOINTED TO BOARD COMMITTEES ARE OBLIGATED TO DECLARE A CONFLICT OF INTEREST IN ANY SITUATION THAT DIRECTLY OR INDIRECTLY INVOLVES A DECISION THAT MIGHT IN ANY WAY, SHAPE OR FORM BE BENEFICIAL TO THEIR PERSONAL OR PROFESSIONAL INTEREST OR INVOLVEMENT. ALL BOARD MEMBERS, ADMINISTRATORS, OR NON-BOARD MEMBERS APPOINTED TO A BOARD COMMITTEE UPON ELECTION, SELECTION, OR APPOINTMENT, AND ON A NECESSARY BASIS, WILL COMPLETE AND SIGN A BROWNSVILLE COMMUNITY HEALTH CENTER CONFLICT OF INTEREST FORM. CONFLICT OF INTEREST FORMS ARE TO BE SUBMITTED TO THE CHAIRPERSON OF THE BROWNSVILLE COMMUNITY HEALTH CENTER BOARD OF DIRECTORS PRIOR TO CONSIDERATION OF ANY ISSUE OR DECISION THAT WOULD INVOLVE THE SOURCE OF THE CONFLICT OF INTEREST. THOSE WHO HAVE SUBMITTED A CONFLICT OF INTEREST FORM MAY BE COUNTED FOR A QUORUM, AND PARTICIPATE IN DISCUSSIONS, HOWEVER THEY MAY NOT MAKE A MOTION OR VOTE ON MOTIONS INVOLVING ISSUES/ENTITIES FOR WHICH THEY HAVE DECLARED A CONFLICT. REFUSAL OR FAILURE TO DECLARE A CONFLICT OF INTEREST MAY, IF PROVEN TO THE SATISFACTION OF TWO-THIRDS VOTE OF THE BOARD AT A REGULAR, SPECIAL OR ANNUAL MEETING, AS REFLECTED THROUGH WRITTEN BALLOT, BE A BASIS FOR TERMINATION OF MEMBERSHIP ON THE BOARD OF DIRECTORS, OR DISMISSAL AS A NON-BOARD MEMBER OF A BOARD COMMITTEE.
FORM 990, PART VI, SECTION B, LINES 15A & 15B
COMPENSATION DETERMINATION PROCESS: COMPARISONS NORMALLY FOLLOW THE BASIS FOR ADJUSTMENTS. SALARY COMPARABILITY ANALYSIS ARE GATHERED FROM THE TEXAS WORKFORCE COMMISSION, FROM OTHER HEALTH CENTERS, AND FROM FORM 990's FROM OTHER HEALTH CENTERS. ALL SALARY ADJUSTMENTS ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19
DOCUMENT DISCLOSURE: THROUGH THE FREEDOM OF INFORMATION ACT, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUESTS ADDRESSED TO THE CHAIRMAN OF THE BOARD.
FORM 990, PART XII, LINE 2C
CHANGE OF THE OVERSIGHT AND SELECTION PROCESS: DURING 2013, BCHC CHANGED THE DUTY OF OVERSIGHT AND SELECTION OF THE ANNUAL INDEPENDENT AUDIT FROM THE FINANCE COMMITTEE TO THE AUDIT COMMITTEE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.