SAN JACINTO MEDICAL GROUP

Address
4401 Garth Road
Baytown, TX 77521
Contact
Phone: +1 (281) 420-8765
Nonprofit
NTEE: E31 - Group Health Practice (Health Maintenance Organizations)
EIN: 76-0516915

Mission

See Schedule O
 20112010
Basic features of the organization
Year of formation1996
Metropolitan statistical area3362
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Sum of reportable (W2/1099) compensation$0.00$568,706.00
Number of employees33
Number of people compensated >$100k03
Number of volunteers00
Personnel
Agim, Onyinye
Title Physician
Name of key/compensated person Onyinye Agim MD
Position of compensated person
Highest compensated employees (>$100k) True
Average hours per week working for org 40.00
Reportable compensation from org $195,254.00
Breakdown of reportable comp
Base reportable compensation from org $171,054.00
Bonus and incentive reportable compensation $0.00
Other reportable compensation from org $24,200.00
Retirement and other deferred compensation $0.00
Nontaxable benefits from org $16,348.00
Compensation from org previously reported as deferred $0.00
Other comp, non-reportable, from org and related orgs $16,348.00
Sum of all compensation from org $211,602.00
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00
Cmo, Bruce
TitleDirectorDirector
Name of key/compensated personBruce Kennedy MD CMOBruce Kennedy MD CMO
Position of compensated person
Average hours per week working for org2.002.00
Reportable compensation from org$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00
Bonus and incentive reportable compensation$0.00$0.00
Other reportable compensation from org$0.00$0.00
Retirement and other deferred compensation$0.00$0.00
Nontaxable benefits from org$0.00$0.00
Compensation from org previously reported as deferred$0.00$0.00
Other comp, non-reportable, from org and related orgs$48,587.00$59,892.00
Sum of all compensation from org$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $309,229.00$308,214.00
Gares, Donna
TitlePresident & CEOPresident & CEO
Name of key/compensated personDonna GaresDonna Gares
Position of compensated person
Average hours per week working for org2.002.00
Reportable compensation from org$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00
Bonus and incentive reportable compensation$0.00$0.00
Other reportable compensation from org$0.00$0.00
Retirement and other deferred compensation$0.00$0.00
Nontaxable benefits from org$0.00$0.00
Compensation from org previously reported as deferred$0.00$0.00
Other comp, non-reportable, from org and related orgs$42,780.00$40,682.00
Sum of all compensation from org$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $502,152.00$439,672.00
Gladu, Rebecca
TitleDirectorDirector
Name of key/compensated personRebecca Gladu MDRebecca Gladu MD
Position of compensated person
Average hours per week working for org2.002.00
Reportable compensation from org$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00
Bonus and incentive reportable compensation$0.00$0.00
Other reportable compensation from org$0.00$0.00
Retirement and other deferred compensation$0.00$0.00
Nontaxable benefits from org$0.00$0.00
Compensation from org previously reported as deferred$0.00$0.00
Other comp, non-reportable, from org and related orgs$35,431.00$44,511.00
Sum of all compensation from org$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $222,914.00$209,153.00
Hawkins, Clare
TitleDirector-ChairpersonDirector-Chairperson
Name of key/compensated personClare Hawkins MDClare Hawkins MD
Position of compensated person
Average hours per week working for org2.002.00
Reportable compensation from org$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00
Bonus and incentive reportable compensation$0.00$0.00
Other reportable compensation from org$0.00$0.00
Retirement and other deferred compensation$0.00$0.00
Nontaxable benefits from org$0.00$0.00
Compensation from org previously reported as deferred$0.00$0.00
Other comp, non-reportable, from org and related orgs$48,728.00$49,954.00
Sum of all compensation from org$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $254,437.00$251,382.00
Iranmanesh, Hamidreza
Title Physician
Name of key/compensated person Hamidreza Iranmanesh MD
Position of compensated person
Highest compensated employees (>$100k) True
Average hours per week working for org 40.00
Reportable compensation from org $177,283.00
Breakdown of reportable comp
Base reportable compensation from org $153,305.00
Bonus and incentive reportable compensation $23,060.00
Other reportable compensation from org $918.00
Retirement and other deferred compensation $0.00
Nontaxable benefits from org $24,961.00
Compensation from org previously reported as deferred $0.00
Other comp, non-reportable, from org and related orgs $24,961.00
Sum of all compensation from org $202,244.00
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00
Kwende, Corentine
Title Physician
Name of key/compensated person Corentine Kwende MD
Position of compensated person
Highest compensated employees (>$100k) True
Average hours per week working for org 40.00
Reportable compensation from org $196,169.00
Breakdown of reportable comp
Base reportable compensation from org $169,821.00
Bonus and incentive reportable compensation $25,720.00
Other reportable compensation from org $628.00
Retirement and other deferred compensation $10,043.00
Nontaxable benefits from org $28,197.00
Compensation from org previously reported as deferred $0.00
Other comp, non-reportable, from org and related orgs $38,240.00
Sum of all compensation from org $234,409.00
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00
Love, Frances
TitleFormer Officer 
Name of key/compensated personFrances Love 
Position of compensated person
Average hours per week working for org0.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$26,368.00 
Sum of all compensation from org$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $108,238.00 
Scraper, Carol
Title Secretary
Name of key/compensated person Carol Scraper
Position of compensated person
Average hours per week working for org 2.00
Reportable compensation from org $0.00
Other comp, non-reportable, from org and related orgs $10,343.00
Corresponding comp from related orgs
Reportable compensation from related orgs  $34,940.00
Siebenaler, Chris
TitleFormer OfficerFormer Officer
Name of key/compensated personChris SiebenalerChris Siebenaler
Position of compensated person
Average hours per week working for org0.000.00
Reportable compensation from org$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00
Bonus and incentive reportable compensation$0.00$0.00
Other reportable compensation from org$0.00$0.00
Retirement and other deferred compensation$0.00$0.00
Nontaxable benefits from org$0.00$0.00
Compensation from org previously reported as deferred$0.00$0.00
Other comp, non-reportable, from org and related orgs$51,330.00$49,997.00
Sum of all compensation from org$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $480,347.00$404,116.00
Sturgis, Jonathan
TitleSecretary/TreasurerTreasurer
Name of key/compensated personJonathan SturgisJonathan Sturgis
Position of compensated person
Average hours per week working for org2.002.00
Reportable compensation from org$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org$0.00$0.00
Bonus and incentive reportable compensation$0.00$0.00
Other reportable compensation from org$0.00$0.00
Retirement and other deferred compensation$0.00$0.00
Nontaxable benefits from org$0.00$0.00
Compensation from org previously reported as deferred$0.00$0.00
Other comp, non-reportable, from org and related orgs$39,756.00$39,487.00
Sum of all compensation from org$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $215,574.00$211,924.00
Purpose: mission, activities, & accomplishments
Mission or significant activitiesSee Schedule OSee Schedule O
Program service expenses, total$499,491.00$1,238,440.00
Programs, including revenue & expenses
The San Jacinto Medical Group primarily supports other patient care related activities at San Jacinto Methodist Hospital.
Program expenses$499,491.00$1,238,440.00
Program revenue$497,741.00$1,012,252.00
Program descriptionThe San Jacinto Medical Group primarily supports other patient care related activities at San Jacinto Methodist Hospital.The San Jacinto Medical Group provides occupational health care services and supports other patient care related activities at San Jacinto Methodist Hospital.
Financial data
Revenue
Total revenue$497,741.00$1,012,252.00
Revenue from contributions (total)$0.00$0.00
Investment income, current yr$0.00$0.00
Total revenue from grants, etc., current yr$0.00$0.00
Total unrelated business revenue$0.00$0.00
Other revenue, current yr$84,592.00$367,114.00
Net unrelated business taxable revenue$0.00$0.00
Program service revenue (total)$413,149.00$645,138.00
Gross receipts$497,741.00$1,012,252.00
Other types of revenue
Miscellaneous revenue (total)$84,592.00$367,114.00
Net rental income$0.00$0.00
Expense categories (totals)
Total functional expenses: sum of all$499,491.00$1,709,493.00
Total functional expenses: program service $499,491.00$1,238,440.00
Total functional expenses: management and general$0.00$471,053.00
Total functional expenses: fundraising$0.00$0.00
Fees for services
Fundraising service fees (total)$0.00$0.00
General management fees (total)$114,767.00 
Assets and liabilities
Total assets$55,211.00$63,958.00
Total assets, beginning of year$63,958.00$162,193.00
Total liabilities$1,629,005.00$1,636,002.00
Total liabilities, beginning of year$1,636,002.00$1,036,996.00
Unrestricted net assets, end of yr-$1,573,794.00-$1,572,044.00
Net assets-$1,573,794.00-$1,572,044.00
Net assets, beginning of year-$1,572,044.00-$874,803.00
Other liabilities$1,628,393.00$1,616,769.00
Other assets $0.00
Cash: non-interest bearing, beginning of year $100.00
Other financial variables
Revenue less expenses-$1,750.00-$697,241.00
Accounts receivable, net$34,818.00$43,565.00
Accounts payable & accrued expenses$612.00$19,233.00
Total net assets or fund balances-$1,573,794.00-$1,572,044.00
Governance and accountability
Number of voting members33
Number of independent voting members00
Financial sheets auditedTrueTrue
Accrual accountingTrueTrue
Tax year start date2011-01-012010-01-01
Tax year end date2011-12-012010-12-01
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990
Date e-filing submitted2012-12-262011-11-30
IRS schema version2011v1.22010v3.4
Filing identifier201233179349302238201133129349302453
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