Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 6,189,917 | 6,014,173 | 10,386,665 | 16,973,867 | 12,565,760 | 52,130,382 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 6,189,917 | 6,014,173 | 10,386,665 | 16,973,867 | 12,565,760 | 52,130,382 |
| 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) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 52,130,382 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 6,189,917 | 6,014,173 | 10,386,665 | 16,973,867 | 12,565,760 | 52,130,382 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 32,299 | 37,888 | 10,619 | 6,366 | 37,620 | 124,792 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 4,214 | 10,818 | 82,722 | 97,754 | ||
| 11 | Total support. Add lines 7 through 10 | 52,352,928 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 on 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 4,214. 2021 AMOUNT: $ 10,818. 2022 AMOUNT: $ 82,722. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 1 | SPRING BRANCH COMMUNITY HEALTH CENTER (SBCHC) REDUCES AREA HEALTH DISPARITIES BY CREATING NEIGHBORHOOD-BASED HEALTH CENTERS TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES THAT ARE CULTURALLY COMPETENT, LINGUISTICALLY APPROPRIATE, AND CLIENT-DRIVEN IN LOCATIONS EASILY ACCESSIBLE BY PUBLIC TRANSPORTATION. SBCHC AIMS TO DECREASE HEALTH DISPARITIES AND INCREASE THE NUMBER OF HEALTHY INDIVIDUALS AND HEALTHY FAMILIES IN THE COMMUNITIES IT SERVES. SBCHC IS AN IMPORTANT COMPONENT OF THE PRIMARY CARE SAFETY-NET IN HOUSTON AND HARRIS COUNTY WHERE APPROXIMATELY 1.1 MILLION PEOPLE (31.4% OF RESIDENTS) ARE UNINSURED AND/OR MEDICALLY UNDERSERVED. SBCHC'S VISION IS TO CHAMPION COMMUNITY WELLNESS BY PROVIDING INTEGRATED HEALTH SERVICES TO ALL. SBCHC'S COMMITMENT TO QUALITY OF CARE REMAINS ONE OF ITS TOP PRIORITIES, PROVIDING COMPREHENSIVE SERVICES ACROSS ALL ITS SPECIALTIES. SBCHC AIMS TO SHIFT THE DYNAMIC OF CARE TOWARDS BEING PATIENT CENTERED AND BECOMING A PREFERRED MEDICAL HOME FOR THE COMMUNITY. SBCHC WAS FORMED IN JULY 2003 AND BEGAN SEEING UNINSURED AND UNDERINSURED PATIENTS IN MAY 2004, SPECIFICALLY, THE MEDICALLY UNDERSERVED POPULATION IN THE SPRING BRANCH AREA OF HOUSTON. SBCHC WAS DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER IN 2005. IN DECEMBER 2012, SBCHC BECAME ONE OF ONLY 10% OF THE FQHCS IN THE UNITED STATES WITH JOINT COMMISSION ACCREDITATION AND PRIMARY CARE MEDICAL HOME CERTIFICATION. SBCHC EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL BY DEMONSTRATING COMPLIANCE WITH THE JOINT COMMISSION'S NATIONAL STANDARDS FOR HEALTH CARE QUALITY AND SAFETY. SBCHC ALSO RECEIVED CERTIFICATION AS A PRIMARY CARE MEDICAL HOME (PCMH). A PCMH MUST BE PATIENT-CENTERED, PROVIDE COMPREHENSIVE AND COORDINATED CARE, AND UTILIZE A SYSTEMS-BASED APPROACH TO QUALITY AND SAFETY. TO INCREASE ACCESS TO HEALTH CARE TO THOSE MOST IN NEED, SBCHC EXPANDED TO WEST HOUSTON IN 2013, TO KATY IN 2016, AND TO CYPRESS IN 2017. SBCHC ALSO ADDED AN ADDITIONAL LOCATION IN SPRING BRANCH IN 2017, INSIDE THE MABEE WHOLELIFE SERVICE CENTER, A MULTI-PURPOSE FACILITY THAT IS A COLLABORATIVE OF SEVERAL AREA NON-PROFIT ORGANIZATIONS. SBCHC ADDED RAPID REHOUSING AND HOMELESS PREVENTION SERVICES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS IN LATE 2020. THROUGHOUT THE COVID-19 PANDEMIC, SBCHC REMAINED OPEN TO PROVIDE SERVICES BOTH IN-PERSON AND VIRTUALLY AND OFFERED COVID-19 TESTING AND VACCINATIONS TO THE COMMUNITY. IN JANUARY 2022, SBCHC EXPANDED TO NORTHWEST HARRIS COUNTY BY OPENING A PEDIATRIC CLINIC WITHIN THE NORTHWEST ASSISTANCE MINISTRIES FACILITY. IN MARCH 2022, SBCHC OPENED A WOMEN'S HEALTH CLINIC IN THE MEMORIAL AREA OF HOUSTON. SBCHC HAS GROWN FROM ONE TO EIGHT CLINIC LOCATIONS AND HAS A MOBILE CLINIC TO FURTHER ITS REACH AND INCREASE ACCESS IN UNDERSERVED AREAS. SBCHC IS THE ONLY FQHC IN THE SPRING BRANCH, WEST HOUSTON AND NORTHWEST HOUSTON SERVICE AREA PROVIDING COMPREHENSIVE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES AT A DISCOUNT TO THE UNDERINSURED AND UNINSURED POPULATIONS. ASSISTANCE FOR PATIENTS WITH ADDITIONAL SOCIAL SERVICES SUCH AS APPLICATION ASSISTANCE FOR MEDICAID, CHIP, HEALTHCARE MARKETPLACE, SNAP, AND WIC, IS AVAILABLE AT ALL CLINIC LOCATIONS. REFERRAL SPECIALISTS/PATIENT CARE COORDINATORS ASSIST PATIENTS WITH REFERRALS TO SPECIALTY SERVICES, AND COORDINATION OF MEDICAL CARE. THE MAJORITY OF SBCHC STAFF ARE BILINGUAL IN ORDER TO CREATE A WELCOMING AND ACCOMMODATING CLINIC ENVIRONMENT. SBCHC SETS ITSELF APART FROM OTHER ORGANIZATIONS IN ITS APPROACH TO SUPPORT THE WHOLE WELLBEING OF ITS PATIENTS THAT EXTENDS BEYOND THEIR MEDICAL NEEDS. THE PATIENTS THAT SBCHC TREATS HAVE FINANCIAL, EDUCATIONAL, HOUSING, MENTAL HEALTH, AND OTHER NEEDS. THROUGH SBCHC'S RELATIONSHIPS WITH OTHER ORGANIZATIONS, IT HAS BEEN ABLE TO BUILD STRONG COLLABORATIONS AND PARTNERSHIPS TO PROVIDE SUPPORT TO EACH INDIVIDUAL TO ADDRESS ALL THE NON-MEDICAL DRIVERS OF HEALTH. AS A PRIMARY CARE MEDICAL HOME, SBCHC IS COMMITTED TO ENSURING THAT ALL COMMUNITY RESIDENTS ARE HEALTHY AND THAT IT CONTRIBUTES TO A HEALTHIER COMMUNITY. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE BOARD MAY ESTABLISH AN EXECUTIVE COMMITTEE, WHICH SHALL CONSIST OF NOT LESS THAN THREE DIRECTORS WHO SHALL BE ELECTED BY THE BOARD AT ITS ANNUAL MEETING. THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRPERSON, VICE-CHAIRPERSON, SECRETARY, AND TREASURER. THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND THE CHIEF MEDICAL OFFICER WILL SERVE IN AN ADVISORY CAPACITY AND ARE NOT ABLE TO VOTE ON ANY MATTER SUBMITTED TO THE EXECUTIVE COMMITTEE. PLEASE REFER TO ARTICLE 7.1 OF THE BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | BOTH THE CEO AND CFO REVIEW ALL OF THE INFORMATION REPORTED ON THE FEDERAL FORM 990. THE FINAL FORM 990 IS DISTRIBUTED TO THE FULL BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EVERY BOARD MEMBER AND EVERY EMPLOYEE COMPLETES A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. BOARD MEMBERS THAT HAVE A POTENTIAL CONFLICT OF INTEREST EXCUSE THEMSELVES FROM PARTICIPATING IN DISCUSSIONS PERTAINING TO THE CONFLICT AND ARE PROHIBITED FROM VOTING ON ANY ACTION ITEMS PERTAINING TO THE CONFLICT. MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AND OTHER EMPLOYEES HAVING A POTENTIAL CONFLICT OF INTEREST ARE PROHIBITED FROM THE SELECTION, MANAGEMENT AND/OR SUPERVISION OF THE PARTY IN QUESTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | CEO COMPENSATION IS REVIEWED AND DETERMINED BY A SPECIAL COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT IS CHAIRED BY THE CHAIR OF THE BOARD. THE COMMITTEE USES ANNUAL SALARY SURVEYS FROM THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS AS WELL AS COMPENSATION INFORMATION FROM THE FORM 990 OF OTHER HOUSTON AREA FQHCS. THE CEO COMPENSATION IS DOCUMENTED IN THE MINUTES OF THE COMMITTEE, APPROVED BY THE BOARD, AND IS INCLUDED IN THE CEO'S WRITTEN EMPLOYMENT AGREEMENT. THE CEO AND CFO REVIEW ANNUAL SALARY SURVEYS FROM THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS AS WELL AS COMPENSATION INFORMATION FROM THE FORM 990 OF OTHER HOUSTON-AREA FQHCS FOR COMPARISON PURPOSES TO DETERMINE THE COMPENSATION OF ALL OTHER OFFICERS. ALL OFFICERS HAVE A WRITTEN EMPLOYMENT AGREEMENT THAT INCLUDES COMPENSATION INFORMATION. ALL EMPLOYMENT AGREEMENTS ARE FILED IN EACH PERSON'S INDIVIDUAL PERSONNEL FILE IN THE HUMAN RESOURCES DEPARTMENT. THE BOARD OF DIRECTORS APPROVES COMPENSATION FOR ALL OFFICERS AND EMPLOYEES AS PART OF THE PROCESS OF APPROVING THE ORGANIZATION'S ANNUAL OPERATING BUDGET. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
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| Software Version: |