Community Health Centers of South Central Texas Inc

Nonprofit profile at a glance

EIN
741548089
IRS 990 coverage
2009–2023
Forms available
Form 990 2023
Location
Gonzales, TX, USA
Phone
8306726511
Rating
64
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Reported finances

Revenue
$18,493,455
Expenses
$19,726,258
Assets
$17,328,776
Liabilities
$2,367,515

Source: IRS Form 990. Selected filing: tax year 2023. Amounts in USD.

Leadership & pay

23 people listed

Executive titles in this filing

  • MR RAFAEL DE LA PAZ (CEO)
  • MR CHARLES PATTERSON (PRESIDENT)
  • MS ROSIE FLORES (VICE PRESIDENT)

Highest reported compensation

  • MR RAFAEL DE LA PAZ (CEO): $233,910 total reported compensation
  • DR JAY SIU (PHYSICIAN): $232,808 total reported compensation
  • DR DEBRA IRWIN (CHIEF MEDICAL DIRECTOR): $226,130 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2023. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Providing primary medical, dental and behavioral health services. Whether on site or through referral. Through a seamless array providing primary medical, dental and behavioral health services.

What it reported doing in 2023

Medical - Community Health Centers of South Central Texas, Inc. CHCSCT has 40 years of continuous operations which target populations with residents below 100 of the federal poverty guidelines. One of the continuing expectations of CHCSCT is to accurately access and subsequently address the unique health status indicators of these residents and then to provide services. Services provided by the Center are comprehensive in scope, coordinating the overall physical, mental, and social services needs of the clients. CHCSCT strives to treat the entire person and goes well beyond that of traditionally described as a primary or ambulatory care center. Staff prides itself on services whether provided on site or through referral. Through a seamless array of health care, some of the services provided are Obstetrics health education Title XX Title X Title V Womens Health Infants Children WIC Transportation Social Service Case Management referrals to specialist and radiology.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - The filed numbers largely add up and most voting board members are independent. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of total spending goes to programs.

Rating breakdown

  • Financial Efficiency: 53
  • Transparency & Controls: 61
  • Accountability: 91
  • Sustainability: 27
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 61%; rating input score 61
  • Program expense ratio: 57.1%; rating input score 57
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 10th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -6.7%; rating input score 16; 16th percentile among comparable filings
  • Total-asset coverage ratio: 0.88; rating input score 32; 32nd percentile among comparable filings
  • Liabilities to assets ratio: 0.14; rating input score 69; 69th percentile among comparable filings
  • Officer compensation ratio: 10.8%; rating input score 16; 16th percentile among comparable filings

Growth

  • Program expense growth: 3.8% per year; rating input score 100; 35th percentile among comparable filings
  • Revenue growth: 8% per year; rating input score 100; 66th percentile among comparable filings
  • Asset growth: 10.9% per year; rating input score 100; 69th percentile among comparable filings

Details

  • Where the money goes: 61% of revenue deployed · 57.1% of spending went to programs
  • Governance: 10 of 10 board members independent · 7 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $11.3M in reported program spending
  • Leadership: top reported pay $234K · 23 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 3 contractors listed · $781K reported
  • Consistency: 27 of 28 current checks pass · 1 finding to review
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 13 filing years from 2009 to 2023
  • Contacts: How to reach this organization
  • Money network: 13 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Financial Efficiency: Program expense ratio scored 57/100.
  • High — Sustainability: Operating margin scored 16/100.
  • Review — Accountability: Governance controls: Independent financial-statement audit not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 32/100.
  • Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
  • High — Sustainability: Officer compensation ratio scored 16/100.