2022-11-15T08:10:20-06:00 2021-12-31 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2021-01-01 742865171 GEORGETOWN HEALTHCARE COMMUNITY SERVICES GEOR 5129312221 2425 WILLIAMS DRIVE 101 GEORGETOWN TX 786283206 SCOTT ALARCON CEO 5129312221 2022-11-14 1 SCOTT ALARCON 999009999 SEAN HOLCOMB P01249221 5123703200 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z SCOTT ALARCON 2425 WILLIAMS DRIVE 101 GEORGETOWN TX 786283206 3829453 0 X N/A X 1997 TX THE ORGANIZATION ASSISTS GEORGETOWN HEALTHCARE SYSTEM IN ITS EFFORTS TO IMPROVE THE SOCIAL DETERMINANTS OF HEALTH IN OUR LOCAL COMMUNITY. THE ORGANIZATION ASSISTS GEORGETOWN HEALTHCARE SYSTEM IN THEIR WORK WITH OTHER NON-PROFT ORGANIZATIONS. TOGETHER, OUR TWO ORGANIZATIONS PROVIDE FOR THE UNMET NEEDS OF OUR COMMUNITY, IN PART, BY OFFERING SPACE TO NON-PROFIT ORGANIZATIONS AT SUBSTANTIALLY LESS THAN FAIR MARKET VALUE. ADDITIONALLY, OUR TWO ORGANIZATIONS HAVE COLLABORATED WITH A LOCAL FEDERALLY QUALIFIED HEALTH CENTER TO CREATE A ONE STOP MEDICAL HOME FOR THE UNINSURED AND UNDERINSURED COMMUNITY POPULATION. 18 18 0 0 0 0 0 0 1811038 2069819 2921 1395 174945 495934 1988904 2567148 1291400 1831400 0 0 0 0 0 0 0 951741 1375846 2243141 3207246 -254237 -640098 11141636 10463436 9431644 9393542 1709992 1069894 X THE ORGANIZATION ASSISTS GEORGETOWN HEALTHCARE SYSTEM IN ITS EFFORTS TO IMPROVE THE SOCIAL DETERMINANTS OF HEALTH IN OUR LOCAL COMMUNITY. THE ORGANIZATION ASSISTS GEORGETOWN HEALTHCARE SYSTEM IN THEIR WORK WITH OTHER NON-PROFT ORGANIZATIONS. TOGETHER, OUR TWO ORGANIZATIONS PROVIDE FOR THE UNMET NEEDS OF OUR COMMUNITY, IN PART, BY OFFERING SPACE TO NON-PROFIT ORGANIZATIONS AT SUBSTANTIALLY LESS THAN FAIR MARKET VALUE. ADDITIONALLY, OUR TWO ORGANIZATIONS HAVE COLLABORATED WITH A LOCAL FEDERALLY QUALIFIED HEALTH CENTER TO CREATE A ONE STOP MEDICAL HOME FOR THE UNINSURED AND UNDERINSURED COMMUNITY POPULATION. 0 0 3207246 1831400 2651694 UTILIZE REAL ESTATE HOLDINGS TO ASSIST OTHER COMMUNITY NON-PROFIT ORGANIZATIONS THAT PROVIDE SAFETY NET SERVICES FOR THE GEORGETOWN COMMUNITY BY PROVIDING LEASE SPACE AT LESS THAN FAIR MARKET VALUE. 3207246 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 25 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SAM SCHULTZ CFO 5129312221 2425 WILLIAMS DRIVE 101 GEORGETOWN TX 786283206 JIM DONOVAN MD CHAIR 2.00 X 0 0 0 BRADLEY SMITH CHAIR-ELECT 1.50 X 0 0 0 ALMA MOLLEUR PAST CHAIR 1.50 X 0 0 0 STEVE WEST SECRETARY 1.50 X 0 0 0 DENISSE BALDWIN BOARD MEMBER 1.50 X 0 0 0 J BRAD CURLEE BOARD MEMBER 1.00 X 0 0 0 TIM HARRIS BOARD MEMBER 1.00 X 0 0 0 ASHLIE HOLLADAY BOARD MEMBER 1.00 X 0 0 0 CHAR HU PHD BOARD MEMBER 1.00 X 0 0 0 PETE INMAN BOARD MEMBER 1.00 X 0 0 0 CINDY LOCKE BOARD MEMBER 1.00 X 0 0 0 STACEY MATHEWS BOARD MEMBER 1.00 X 0 0 0 LINDA MEIGS BOARD MEMBER 1.00 X 0 0 0 RODNEY MORALES BOARD MEMBER 1.00 X 0 0 0 SOFIA NELSON BOARD MEMBER 1.00 X 0 0 0 KARIN SLADEK BOARD MEMBER 1.00 X 0 0 0 MATT SMITH BOARD MEMBER 1.00 X 0 0 0 ROBERT STERN MD BOARD MEMBER 1.00 X 0 0 0 M SCOTT ALARCON CEO 40.00 X 0 347722 31713 RICHARD SCHULTZ CFO 40.00 X 0 269698 19762 MARY S PUKYS VP-STRATEGIC PHILANTHROPY 40.00 X 0 170625 18957 0 788045 70432 0 0 1 0 0 FACILITY RENTAL TO COMM HEALTH SE 900099 2069819 2069819 2069819 1395 1395 1176364 1262305 -85941 -85941 -85941 PROPERTY DAMAGE INSURANCE PROCEED 900099 565124 565124 OTHER INCOME 900099 16751 16751 581875 2567148 2651694 0 -84546 1831400 1831400 16751 16751 11784 11784 1329 1329 694755 694755 647253 647253 3974 3974 3207246 3207246 0 0 421619 647684 61953 10701 47889 94185 27540709 17829843 10610175 9710866 11141636 10463436 637774 999672 8793870 8393870 9431644 9393542 X 1709992 1069894 1709992 1069894 11141636 10463436 -640098 0 X X 0 1 X 1 0 X X 1 GEORGETOWN HEALTHCARE SYSTEM INC 742427148 3 1 1440000 0 1 1440000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2607577 2607577 24466761 17516466 6950295 325760 186223 139537 130125 127154 2971 10486 10486 9710866 DUE TO AFFILIATED ENTITIES 8393870 8393870 1 GEORGETOWN HEALTHCARE SYSTEM 2425 WILLIAMS DR SUITE 101 GEORGETOWN TX 78628 742427148 501(C)(3) 1440000 0 TO PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION BLUEBONNET TRAILS COMMUNITY MHMR CENTER 711 N COLLEGE GEORGETOWN TX 78628 742795332 170 227400 0 TO PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION OVERTON INDEPENDENT SCHOOL DISTRICT (OISD) 111 E MCKAY OVERTON TX 75684 756002177 170 114000 0 TO PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION CASA OF WILLIAMSON COUNTY TX 2100 SCENIC DR 110 GEORGETOWN TX 78626 264371605 501(C)(3) 50000 0 SUPPORT FOR CASE SUPERVISORS OF CASA VOLUNTEERS 4 0 PART I, LINE 2: THE FUNDS THIS ORGANIZATION PROVIDED TO GEORGETOWN HEALTHCARE SYSTEM (GHS) WERE USED TO AUGMENT THAT ORGANIZATION'S GRANT ACTIVITIES. THE GRANT PROCESS IMPLEMENTED BY GHS MONITORS THE USE OF GRANT FUNDS BY REQUIRING ANY GRANTEES RECEIVING IN EXCESS OF $10,000 TO PROVIDE INTERIM AND FINAL REPORTS WITHIN THEIR GRANT PERIOD. GRANT PERIODS ARE TYPICALLY 1-2 YEARS IN DURATION. THE REPORTS MUST IDENTIFY PROGRAM GOALS AND OUTCOME MEASUREMENTS. GRANT APPLICANTS SEEKING FUNDS IN EXCESS OF $10,000 ARE REQUIRED TO SUBMIT FINANCIAL STATEMENTS AS PART OF THE APPLICATION PROCESS AND MUST SUBMIT CURRENT FINANCIAL STATEMENTS AS PART OF THEIR INTERIM AND FINAL REPORTS. SCHEDULE I, PART II, LINE 1, COMMUNITY SUPPORT: IN 2018, THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION AWARDED HB 13 FUNDS TO BLUEBONNET TRAILS COMMUNITY SERVICES (BTCS) TO SUPPORT SYSTEMS OF CARE FOSTERING COLLABORATIONS AMONG COMMUNITY PARTNERS IN EXPANDING ACCESS TO HEALTHCARE SERVICES. THE LEGISLATION REQUIRED DEMONSTRATION OF A 50% MATCH FROM THE COMMUNITY SUPPORTING STATE DOLLARS. IN 2019, THE REPORTING ORGANIZATION PROVIDED A GRANT TO BTCS WHICH HAS ENABLED THEM TO SECURE THE MATCHING FUNDS. IN DOING SO, BTCS HAS EXPANDED THE USE OF ITS CRISIS RESPITE UNIT, WHICH IN TURN HAS ENABLED THEM TO EXPAND SERVICES FOR FAMILIES IN WILLIAMSON COUNTY. IN 2020, THE REPORTING ORGANIZATION ENTERED INTO AN AGREEMENT WITH THE OVERTON, TX INDEPENDENT SCHOOL DISTRICT TO CREATE A CAREER AND TECHNOLOGY CENTER FOR HIGH SCHOOL STUDENTS. THE DISTRICT CREATED AN INTER-LOCAL AGREEMENT WITH FOUR OTHER AREA SCHOOL DISTRICTS; ARP, WEST RUSK, LEVERETTS CHAPEL, AND CARLISLE. THROUGH A GRANT PROVIDED BY THE REPORTING ORGANIZATION THESE SCHOOL DISTRICTS WERE ABLE TO LEASE A FACILITY AND CONSOLIDATE THE CAREER AND TECHNOLOGY COURSE OFFERINGS TO THEIR COMBINED STUDENT POPULATION. ADDITIONALLY, BY WAY OF THE INTER-LOCAL AGREEMENT, THE DISTRICTS WERE ABLE TO PARTNER WITH KILGORE COLLEGE AND THE UNIVERSITY OF TEXAS AT TYLER TO PROVIDE ON SITE DUAL CREDIT COURSE INSTUCTORS FOR THEIR STUDENTS. THE SCHOOL DISTRICTS IN THE INTER-LOCAL AGREEMENT SERVE A RURAL, AND UNDERPRIVLEDGED DEMOGRAPHIC. AS A RESULT OF THIS NEW CENTER, OVER 150 STUDENTS ARE ENROLLED IN EITHER DUAL CREDIT COLLEGE COURSES OR COURSES THAT WILL ENABLE THEM TO FIND EMPLOYMENT IMMEDIATELY UPON GRADUATION IN CAREERS THAT PAY A LIVING WAGE. 0 0 0 0 0 0 0 0 0 M SCOTT ALARCON CEO 0 340222 0 0 0 7500 0 16448 0 15265 0 379435 0 0 RICHARD SCHULTZ CFO 0 262498 0 0 0 7200 0 12187 0 7575 0 289460 0 0 MARY S PUKYS VP-STRATEGIC PHILANTHROPY 0 169425 0 0 0 1200 0 8023 0 10934 0 189582 0 0 PART I, LINE 3 GEORGETOWN HEALTHCARE COMMUNITY SERVICES DOES NOT HAVE EMPLOYEES, BUT IS ADMINISTERED AND RUN BY EMPLOYEES OF GEORGETOWN HEALTHCARE SYSTEM, INC. SCHEDULE J, PART II, ROW (II): RELATED ORGANIZATION: GEORGETOWN HEALTHCARE SYSTEM, INC. 74-2427148 FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BOARD OF DIRECTORS OF THE REPORTING ORGANIZATION IS APPOINTED BY THE BOARD OF DIRECTORS OF GEORGETOWN HEALTHCARE SYSTEM, WHICH IS THE SUPPORTED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S TAX RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. AN INITIAL DRAFT OF THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND MANAGEMENT PRIOR TO FINALIZATION. AFTER ANY CHANGES RESULTING FROM THE REVIEW HAVE BEEN MADE, THE FINAL VERSION OF FORM 990 IS FILED AND A COPY OF THE FILED FORM IS DISTRIBUTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS AND KEY EMPLOYEES REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. EACH INDIVIDUAL IS REQUIRED TO COMPLETE AND SIGN A DOCUMENT PROVIDED BY THE ORGANIZATION DISCLOSING ANY INTEREST THEY MAY HAVE WHICH COULD GIVE RISE TO A CONFLICT OF INTEREST. THE ORGANIZATION COMPILES A LIST OF ALL DISCLOSURES AND REPORTS IT TO ALL MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 GEORGETOWN HEALTHCARE COMMUNITY SERVICES DOES NOT HAVE EMPLOYEES, BUT IS ADMINISTERED AND RUN BY EMPLOYEES OF GEORGETOWN HEALTHCARE SYSTEM (GHS). THE COMPENSATION COMMITTEE OF GHS FOLLOWS AN EXECUTIVE COMPENSATION PLAN DEVELOPED AND RATIFIED BY THE GHS BOARD WHEN DETERMINING ANNUAL COMPENSATION OF THE GHS CHIEF EXECUTIVE. THIS PHILOSOPHY IS UTILIZED TO DETERMINE THE ANNUAL COMPENSATION OF THE CHIEF EXECUTIVE OFFICER (CEO) AND THE CHIEF FINANCIAL OFFICER (CFO). AS PART OF THIS PROCESS, THE GHS BOARD CONTRACTED WITH SMITHPILOT IN 2019 TO ASSIST IN THE DEVELOPMENT OF FAIR MARKET VALUE EXECUTIVE COMPENSATION. SMITHPILOT IS A COMPANY THAT SPECIALIZES IN EXECUTIVE COMPENSATION ISSUES IN THE NON-PROFIT AREA. SMITHPILOT CREATED AN EXECUTIVE COMPENSATION GUIDELINE FOR THE GHS CEO AND CFO USING COMPARATIVE DATA FROM MULTIPLE NATIONAL PUBLIC INFORMATION SECTORS. THOSE SOURCES INCLUDED: THE GUIDESTAR NONPROFIT COMPENSATION REPORT, PRM'S MANAGEMENT COMPENSATION REPORT FOR NOT-FOR-PROFIT ORGANIZATIONS, COUNCIL ON FOUNDATIONS, GRANTMAKERS SALARY AND BENEFITS SURVEY AND REPORT, INSIDENGO SALARY AND BENEFITS SURVEY AND TOWERS WATSON'S SURVEYS OF TOP MANAGEMENT COMPENSATION; OFFICE AND BUSINESS SUPPORT. MARKET SALARY AVERAGES (GEOGRAPHICALLY FACTORED) FOR BOTH THE GHS CEO AND CFO WERE ESTABLISHED USING THIS DATA. THE GHS COMPENSATION COMMITTEE'S RECOMMENDATIONS FOR THE GHS CEO AND CFO WERE RATIFIED BY THE FULL BOARD OF GEORGETOWN HEALTHCARE SYSTEM. FORM 990, PART VI, SECTION C, LINE 19 THE REPORTING ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S OVERSIGHT PROCESS AND ITS PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT DID NOT CHANGE DURING THE TAX YEAR. GEORGETOWN HEALTHCARE SYSTEM 2425 WILLIAMS DRIVE GEORGETOWN TX 78628 742427148 HOSPITAL TX 501(C)(3) LINE 3 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 1 0