2019-11-14T16:28:19-06:00 2018-12-31 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2018-01-01 742865171 GEORGETOWN HEALTHCARE COMMUNITY SERVICES GEOR 5129312221 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 SCOTT ALARCON CEO 5129312221 2019-11-13 1 SEAN HOLCOMB P01249221 5123703200 2019-11-13 168.215.174.114 2019-11-13 22:38:41 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D2E54320406E88E44B1087A31322C69934823994 2018 2020-04-17 16:48:07Z SCOTT ALARCON 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 2954516 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. 15 15 0 0 0 0 0 0 1438364 1600746 7943 5956 -120741 238670 1325566 1845372 0 388826 0 0 0 0 0 0 0 804000 1065453 804000 1454279 521566 391093 13840681 12994049 12164181 10884130 1676500 2109919 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 1301351 388826 1638784 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. 48058 EXPENSES RELATED TO THE MANAGEMENT OF ASSETS HELD BY THE ORGANIZATION AND UTILIZED TO FURTHER THE GRANT MAKING ACTIVITIES OF GEORGETOWN HEALTHCARE SYSTEM. 1349409 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 30 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 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 NO 101 GEORGETOWN TX 786283206 DARRICK MCGILL CHAIR 2.00 X 0 0 0 ALMA MOLLEUR CHAIR-ELECT 1.50 X 0 0 0 KAREN COLE PAST CHAIR 1.50 X 0 0 0 D SCOTT MATTHEW SECRETARY 1.50 X 0 0 0 ASHLIE KOENIG BOARD MEMBER 1.50 X 0 0 0 CARRIE BRADSHAW BOARD MEMBER 1.00 X 0 0 0 J BRAD CURLEE BOARD MEMBER 1.00 X 0 0 0 JIM DONOVAN MD 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 SOFIA NELSON BOARD MEMBER 1.00 X 0 0 0 BRADLEY SMITH BOARD MEMBER 1.00 X 0 0 0 JOHN STOCK BOARD MEMBER 1.00 X 0 0 0 STEVE WEST BOARD MEMBER 1.00 X 0 0 0 M SCOTT ALARCON CEO 40.00 X 0 297903 30117 RICHARD SCHULTZ CFO 40.00 X 0 219102 24569 0 517005 54686 0 0 1 0 KYSER ENTERPRISES 300 BAR T DRIVE FLORENCE TX 76527 CONSTRUCTION SERVICES 251514 1 FACILITY RENTAL TO COMM HEALTH SE 900099 1600746 1600746 1600746 5956 5956 1309776 1109144 200632 200632 200632 OTHER INCOME 900099 38038 38038 38038 1845372 1638784 0 206588 388826 388826 12523 12523 4068 2168 1900 1723 955 768 352200 307906 44294 689926 632882 57044 5013 4149 864 1454279 1349409 104870 0 145938 243050 112592 82412 53855 46472 26783178 14161063 13528296 12622115 13840681 12994049 500075 481631 3649062 3223629 8015044 7178870 12164181 10884130 X 1676500 2109919 1676500 2109919 13840681 12994049 X 391093 42326 X X 0 1 X 1 0 X X 1 GEORGETOWN HEALTHCARE SYSTEM INC 742427148 3 1 388826 0 1 388826 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2607577 2607577 23497733 13907803 9589930 271258 137435 133823 129155 115825 13330 277455 277455 12622115 DUE TO AFFILIATED ENTITIES 7178870 7178870 X PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR ANY UNRELATED BUSINESS ACTIVITIES. NO EXPENSE HAS BEEN PROVIDED FOR INCOME TAXES IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. THE ORGANIZATION WAS INCLUDED IN GEORGETOWN HEALTHCARE SYSTEM, INC'S COMBINED INDEPENDENT AUDITED FINANCIAL STATEMENTS FOR THE TAX YEAR. 1 GEORGETOWN HEALTHCARE SYSTEM 2425 WILLIAMS DR SUITE 101 GEORGETOWN TX 78628 742427148 501(C)(3) 388826 TO PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION 1 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. 0 0 0 0 0 0 0 0 0 M SCOTT ALARCON CEO 0 290403 0 0 0 7500 0 13987 0 16130 0 328020 0 0 RICHARD SCHULTZ CFO 0 217902 0 0 0 1200 0 10597 0 13972 0 243671 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 2017 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 XI, LINE 9: UNREALIZED GAIN/-LOSS ON INTEREST RATE SWAP 42,326. 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 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0