TY 2019 Form 990EZ

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? To provide support and service to the physician and healthcare providers each individually providing healthcare services to patients. Membership is limited to healthcare providers collectively having a common interest in being in network with managed care organizations and desire to lower their medical practice expenses through group purchasing initiatives.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 Managed Care Operations - To provide our membership healthcare providers, access to participation with insurance company and health plan networks. Enabling members to participate in the networks used by beneficiaries of those insurance company and health plans provides patients with greater access to healthcare choices and availability. The Texas Professional Healthcare Alliance Inc. (TPHAI) brings these options and opportunities to the membership in support of their practice. (Grants $ 46,543) If this amount includes foreign grants, check here ...			28a
29 Expense Reduction - To identify and facilitate group purchasing opportunities allowing the individual members to realize discounts and savings as being part of a larger group from what otherwise alone they may not be able to realize. Savings on medical supplies, office supplies, merchant card services and other vendor services that support their practice operations. Members benefit from access to the negotiated savings arrangement but each hold an agreement or contract with the vendors directly. (Grants $ 5,075) If this amount includes foreign grants, check here ...			29a
30 Patient Support Services - Identify and facilitate programs to assist the patients of our member healthcare providers with patient service programs that result in discounted health care costs. This would include, as an example, identifying and offering pharmacy discount cards so uninsured patients can receive discounts and savings on healthcare services. (Grants $ 988) If this amount includes foreign grants, check here ...			30a
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32	52,606

(a) Name and title	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)
Leroy Sterling MD President	5.00	0
Alfred Louis MD Secretary	5.00	0
Baxter Montgomery Treasurer	5.00	0
Kenneth Klingensmith Executive Dir.	10.00	27,251

(a) Name and title

(b) Average
hours per week
devoted to position

(c) Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-)

(d) Health benefits, contributions to employee benefit plans, and
deferred compensation

(e) Estimated amount
of other compensation

Leroy Sterling MD

President

5.00

Alfred Louis MD

Secretary

5.00

Baxter Montgomery

Treasurer

5.00

Kenneth Klingensmith

Executive Dir.

10.00

27,251

Yes

Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................

Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..

49a

Did the organization make any transfers to an exempt non-charitable related organization?......

49a

If "Yes," was the related organization a section 527 organization?................

49b

Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and title of each employee	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
NONE

Total number of other employees paid over $100,000 ............. bullet

Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and business address of each independent contractor	(b) Type of service	(c) Compensation
NONE

Return Reference	Explanation
Other Expenses.1001	Advertising and Promotion $40
Other Expenses.1002	Office Expenses $1016
Other Expenses.1003	Information Technology $8357
Other Expenses.1	Credentialing fees $13070
Other Expenses.2	Bank and merchant fees $1880
Other Expenses.3	Call center $966

Return Reference

Explanation

Other Expenses.1001

Advertising and Promotion $40

Other Expenses.1002

Office Expenses $1016

Other Expenses.1003

Information Technology $8357

Other Expenses.1

Credentialing fees $13070

Other Expenses.2

Bank and merchant fees $1880

Other Expenses.3

Call center $966

1	Contributions, gifts, grants, and similar amounts received ....................	1
2	Program service revenue including government fees and contracts ................	2	62,814
3	Membership dues and assessments .............................	3	41,743
4	Investment income ....................................	4
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b	0
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b	0
c	Less: direct expenses from gaming and fundraising events ...	6c	0
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b	0
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) ....................	8
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	104,557

10	Grants and similar amounts paid (list in Schedule O) ................	10
11	Benefits paid to or for members ......................	11
12	Salaries, other compensation, and employee benefits ................	12	27,251
13	Professional fees and other payments to independent contractors ............	13	22,120
14	Occupancy, rent, utilities, and maintenance ...................	14
15	Printing, publications, postage, and shipping ...................	15	268
16	Other expenses (describe in Schedule O) ...................	16	25,329
17	Total expenses. Add lines 10 through 16 .................	17	74,968

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	29,589
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19	34,253
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20	-17,076
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	46,766

Sign Here

	Signature of officer	Date

	Type or print name and title

Software ID:	19009920
Software Version:	2019v5.0

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures