2023-06-09T07:00:44-07:00 2022-12-31 752593210 Sutton Frost Cary LLP 600 Six Flags Dr Suite 600 Arlington TX 76011 990 2022-01-01 752512752 PEDIPLACE INC PEDI 9724367962 502 S OLD ORCHARD 126 LEWISVILLE TX 75067 LARRY ROBINS President & CEO 2023-06-09 true LARRY ROBINS 999009999 true Carroll Elizabeth Arnott P01965628 8176498083 2 AAL1 IAL1 FAL1 2022 2023-04-26 12:10:37Z LARRY ROBINS 502 S OLD ORCHARD 126 LEWISVILLE TX 75067 8128074 false X www.pediplace.org X 1993 TX TO PROVIDE MEDICAL SERVICES TO UNINSURED AND UNDER-INSURED CHILDREN LIVING IN NORTH TEXAS. OUR MISSION IS TO MAKE HEALTHCARE A REALITY FOR EVERY KID. 25 25 38 421 0 3582912 4635615 1069409 1335809 3062 -33826 -10930 -18323 4644453 5919275 0 0 1854935 2035868 15750 15750 291936 1915723 1955136 3786408 4006754 858045 1912521 2701486 4903380 144452 404464 2557034 4498916 TO PROVIDE MEDICAL SERVICES TO UNINSURED AND UNDER-INSURED CHILDREN LIVING IN NORTH TEXAS. OUR MISSION IS TO MAKE HEALTHCARE A REALITY FOR EVERY KID. false false 3477909 1335809 PEDIPLACE PROVIDED PRIMARY PEDIATRIC MEDICAL SERVICES TO MORE THAN 5,800 UNINSURED AND UNDER-INSURED CHILDREN LIVING THROUGHOUT NORTH TEXAS. 3477909 true true false false false false false false false true true true false false true true true false false false false false false true true false false false false true false false false false false false false false true false false false false false false false false true 2 0 true 38 true false false false false false true true false 0 false false false false false false false X 25 25 true false false false false true false true true false false true true true true true true true true false X X LARRY ROBINS 9724367962 502 S OLD ORCHARD 126 LEWISVILLE TX 75067 LARRY ROBINS President & CEO 50.00 0.00 X 232832 0 4552 CASSANDRA SINGLETON DIRECTOR OF CLINIC 40.00 0.00 133920 0 2745 KATHLEEN MCHUGH NURSE PRACTINIONER 40.00 0.00 116934 0 2373 SANDRA RODRIGUEZ NURSE PRACTIONER 40.00 0.00 107181 0 1993 JEFF BRANNEN Director 0.50 0.00 X 0 0 0 TERRY ALLEN Treasurer 1.50 0.00 X X 0 0 0 JEFFREY KAJS Director 0.50 0.00 X 0 0 0 RYAN SCHROER IMM PAST CHAIR. 1.00 0.00 X 0 0 0 R VON BEOUGHER PE Director 0.50 0.00 X 0 0 0 NANI ISWARA Director 0.50 0.00 X 0 0 0 TOM AUGUSTINE Director 0.50 0.00 X 0 0 0 ARICIO BLASKO Director 0.50 0.00 X 0 0 0 CARL MENCKHOFF MD Chairman 1.50 0.00 X X 0 0 0 SHAWN BLACK Director 0.50 0.00 X 0 0 0 DAVID FRAZIER Director 0.50 0.00 X 0 0 0 JACK PHILLIPS Director 0.50 0.00 X 0 0 0 JOHN MARTIN Director 0.50 0.00 X 0 0 0 SESHU RAO CHAIR-ELECT 1.00 0.00 X X 0 0 0 JAMES KERBOW Director 0.50 0.00 X 0 0 0 JAMIE WILSON ED D Director 0.50 0.00 X 0 0 0 BOBBIE MITCHELL Director 0.50 0.00 X 0 0 0 JANA PARROTT CHAMBERLAIN Director 0.50 0.00 X 0 0 0 TRISHA SHEFFIELD Secretary 1.00 0.00 X X 0 0 0 PATRICIA GONZALEZ Director 0.50 0.00 X 0 0 0 KEVIN ROGERS ED D Director 0.50 0.00 X 0 0 0 SCOTT HURST Director 0.50 0.00 X 0 0 0 PAM SPOONER Director 0.50 0.00 X 0 0 0 KALPANA KELKAR MD FAAP Director 0.50 0.00 X 0 0 0 DAMITA WILLIAMS EDD RN Director 0.50 0.00 X 0 0 0 590867 11663 4 false true false COMMUNITY MEDICAL ASSOCIATES PO BOX 265 ARGYLE TX 76226 MEDICAL PERSONNEL 206005 1 175000 157026 1313878 2989711 950334 4635615 MEDICAL SERVICES 900099 1335809 1335809 1335809 5637 5637 0 0 0 2141356 2180819 -39463 -39463 -39463 9657 157026 27980 -18323 -18323 0 0 0 5919275 1335809 -52149 X 0 0 0 0 237384 196407 14034 26943 0 1547455 1280334 91484 175637 29344 24225 2175 2944 95877 79150 7107 9620 125808 104091 7438 14279 0 0 19151 8410 10079 662 0 15750 15750 4930 4930 424726 357622 62971 4133 13537 6768 6769 11385 9798 766 821 0 0 105529 91864 4583 9082 20305 5244 9327 5734 0 0 0 0 114920 114920 39883 35728 3480 675 IN-KIND PATIENT CARE COSTS 950334 950334 PATIENT CARE COSTS 102151 102151 SOFTWARE/LICENSING 73643 63161 5231 5251 HUMAN RESOURCES 23650 20176 2162 1312 50992 27526 11142 12324 4006754 3477909 236909 291936 523880 102382 1741468 1184546 265846 1053863 67101 73476 0 0 0 0 0 932223 850076 98569 82147 0 2170717 0 0 4622 236249 2701486 4903380 84162 114911 60290 43750 245803 144452 404464 X 2432034 2869430 125000 1629486 2557034 4498916 2701486 4903380 1912521 29361 X false true X true false X 2343410 2463393 3622791 3582912 4635615 16648121 1452960 1297725 1037620 1069409 1335809 6193523 0 0 0 3796370 3761118 4660411 4652321 5971424 22841644 0 0 22841644 1924 2384 2505 3062 5637 15512 0 1924 2384 2505 3062 5637 15512 -200 -200 0 3798094 3763502 4662916 4655383 5977061 22856956 0.99930 0.99930 0.00070 0.00070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1500000 -15514 1484486 1.00000 true false false 352759 339004 13755 38391 29167 9224 541073 481905 59168 82147 2170717 right of use obligation 245803 245803 X 6008731 29361 65025 94386 5914345 4930 4930 5919275 4066849 65025 65025 4001824 4930 4930 4006754 Part X : FIN48 Footnote PediPlace is exempt from federal income taxes under section 501(c)(3) of the Internal Revenue Code (IRC) and has not been classified as a private foundation as defined in the IRC. Income generated from activities unrelated to PediPlaces exempt purposes is subject to tax under IRC Section 511. PediPlace had no unrelated business income for the year ended December 31, 2022. Accordingly, no provision has been made for federal income tax. GAAP requires the evaluation of tax positions taken in the course of preparing PediPlaces tax returns and recognition of a tax liability (or asset) if PediPlace has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed the tax positions taken by PediPlace, and has concluded that as of December 31, 2022, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. X X true TX RACE 2022 135573 130044 5529 1000 5529 1600 7869 POKER PARTY 31110 26982 4128 1100 4128 3718 3036 166683 157026 9657 2100 9657 5318 10905 27980 -18323 X X X X false false false false false false false false false LARRY ROBINS President & CEO 191814 32618 8400 4552 237384 X 21214 FMV X 44 5623 FMV X 11396 923497 FMV false true false Form 990, Part VI, Section A, Line 2 Terry Allen, Board Treasurer, is an employee of Frost Bank where PediPlace maintains a deposit account. Form 990, Part VI, Section B, Line 11b AFTER THE PREPARATION OF AND BEFORE FILING THE 990, A PREPARER COPY IS SUBMITTED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. ONCE FILED, THE ORGANIZATON IS PROVIDED A PUBLIC INSPECTION COPY FOR THEIR FILES. NEW BOARD MEMBERS RECEIVE A COPY OF FORM 990 FOR THE PERIOD LAST PREPARED AT THE BEGINNING OF THEIR BOARD SERVICE. Form 990, Part VI, Section B, Line 12c THE TONE FOR A HIGH LEVEL OF ETHICS IS SET AT THE TOP. THE BOARD OF DIRECTORS IMPARTS ITS EXPECTATIONS TO ALL LEVELS OF MANAGEMENT. IN CONNECTION THEREWITH, ALL BOARD MEMBERS, MEMBERS OF COMMITTEES WHO ARE NOT BOARD MEMBERS, OFFICERS, AND EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST STATEMENT. THE SIGNED STATEMENTS ARE REVIEWED AND THE ACCOUNTING DEPARTMENT IS ADVISED OF ANY DISCLOSED CONFLICTS. ANY INDIVIDUAL WITH A POSSIBLE CONFLICT, OR WHO PERCEIVES OR RECOGNIZES A CONFLICT OF OTHERS, IS ENCOURAGED TO DISCUSS THE MATTER WITH THEIR IMMEDIATE SUPERVISOR. ALL CONFLICTS ARE ULTIMATELY DISCUSSED WITH THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, Line 15a THE PRESIDENT/CEO'S COMPENSATION IS REVISED ANNUALLY BY A COMMITTEE APPOINTED BY THE BOARD CHAIR. BASE SALARY IS COMPARED WITH SIMILAR NOT-FOR-PROFITS AND FOR-PROFIT ORGANIZATIONS. STAFF SIZE, ANNUAL BUDGET, MARKET TRENDS AND SKILL LEVEL ARE USED TO DETERMINE COMPARABLE SALARIES IN THE HEALTHCARE INDUSTRY. BENCHMARK INFORMATION FROM OTHER EMPLOYERS AND SUMMARY DATA COMPILED FROM NOT-FOR-PROFIT ENTITY SURVEYS PRESENTED BI-ANNUALLY BY THE COMMUNITY COUNCIL OF GREATER DALLAS AND GUIDE STAR'S ANNUAL COMPENSATION REPORT ARE CONSULTED. ANNUAL PERFORMANCE MEASUREMENTS ARE ESTABLISHED TO EVALUATE BONUS GUIDELINES. Form 990, Part VI, Section B, Line 15b OTHER OFFICERS ARE UNPAID. KEY EMPLOYEE COMPENSATION IS DETERMINED BY THE PRESIDENT AND CEO IN CONSULTATION WITH MEMBERS OF THE BOARD OF DIRECTORS. SALARIES ARE COMPARED WITH SIMILAR NOT-FOR-PROFIT AND FOR-PROFIT ORGANIZATIONS. STAFF SIZE, ANNUAL BUDGET, MARKET TRENDS AND SKILL LEVEL ARE USED TO DETERMINE COMPARABLE SALARIES IN THE HEALTHCARE INDUSTRY. BENCHMARK INFORMATION FROM OTHER EMPLOYERS, AND SUMMARY DATA COMPILED FROM NOT-FOR-PROFIT ENTITY SURVEYS PRESENTED BI-ANNUALLY BY THE COMMUNITY COUNCIL OF GREATER DALLAS BIENNIAL COMPENSATION REPORT ARE CONSULTED. ANNUAL PERFORMANCE MEASUREMENTS ARE ESTABLISHED TO EVALUATE BONUS GUIDELINES. ANNUAL PERFORMANCE EVALUATIONS ARE CONDUCTED TO DETERMINE MERIT INCREASES. Form 990, Part VI, Section C, Line 19 COPIES OF GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. PEDIPLACE WILL PERIODICALLY UPLOAD THESE DOCUMENTS TO GUIDESTAR.COM AS PART OF OUR ORGANIZATION'S PROFILE. FORM 990, PART VIII INCOME FROM FUNDRAISING EVENTS THE NET ECONOMIC BENEFIT FROM OUR FUNDRAISING EVENT IS CALCULATED AS FOLLOWS:CONTRIBUTIONS FROM FUNDRAISING EVENT REPORTED ON PART VIII, LINE 1C $ 157,026GROSS INCOME FROM FUNDRAISING EVENT REPORT ON PART VIII, LINE 8A 9,657LESS: DIRECT COSTS OF EVENT REPORTED ON PART VIII, LINE 8B (27,980) NET ECONOMIC BENEFIT OF FUNDRAISING EVENTS $ 138,703