2018-08-13T10:00:37-05:00 2017-09-30 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2016-10-01 550853118 CENTRAL TEXAS COMMUNITY HEALTH CENTERS DBA COMMUNITYCARE CENT 5129789000 2115 KRAMER STE 100 AUSTIN TX 78758 CAROLYN KONECNY CFO 5129789000 2018-08-06 1 SEAN HOLCOMB P01249221 5123703200 2016 2022-09-23 18:48:47Z COMMUNITYCARE JAESON FOURNIER 2115 KRAMER STE 100 AUSTIN TX 78758 98948721 0 X WWW.COMMUNITYCARETX.ORG X 2003 TX COMMUNITYCARE OPERATES 20 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 15 15 914 15 0 0 8757480 10636803 89270765 88311918 0 0 0 0 98028245 98948721 0 0 0 0 57327481 60923392 0 0 0 36733378 35146993 94060859 96070385 3967386 2878336 28910878 33077660 13665828 14954274 15245050 18123386 COMMUNITYCARE OPERATES 20 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 0 0 70287359 88311918 COMMUNITYCARE OPERATED 20 PRIMARY CARE CLINICS IN TRAVIS COUNTY INCLUDING ONE CLINIC FOR AIDS AND HIV SERVICES AND ONE CLINIC SERVING THE HOMELESS. THE CLINICS PROVIDE COMPREHENSIVE PRIMARY CARE INCLUDING OB/GYN SERVICES AND PEDIATRICS. COMMUNITYCARE EXPERIENCED 279,789 MEDICAL; 16,997 BEHAVIORAL HEALTH; AND 48,080 DENTAL ENCOUNTERS IN FISCAL YEAR 2017 SERVING MEDICAID, MEDICARE, UNINSURED, AND UNDERINSURED POPULATIONS. COMMUNITYCARE PARTNERS WITH TRAVIS COUNTY HEALTHCARE DISTRICT TO PROVIDE SERVICES TO LOW INCOME PATIENTS ELIGIBLE FOR THE DISTRICT'S MEDICAL ASSISTANCE PROGRAM. 70287359 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 77 0 914 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X CAROLYN KONECNY 5129789000 2115 KRAMER SUITE 100 AUSTIN TX 78758 FLETCHER BROWN BOARD MEMBER 1.00 X X 0 0 0 DR TOM COOPWOOD BOARD MEMBER 1.00 X X 0 0 0 KC BARNER BOARD MEMBER 1.00 X 0 0 0 DR AISHA WHITE BOARD MEMBER 1.00 X 0 0 0 BARBARA SHIRLEY BOARD MEMBER 1.00 X X 0 0 0 DEBBIE LOCKLEAR CONSUMER BOARD MEMBER 1.00 X 0 0 0 MONICA GARCIA CONSUMER BOARD MEMBER 1.00 X 0 0 0 CLAUDIA WILLIAMS BOARD MEMBER 1.00 X 0 0 0 CHRIS RIOS TREASURER 1.00 X X 0 0 0 EVA ROBERTS CONSUMER BOARD MEMBER 1.00 X 0 0 0 DAVID HART CONSUMER BOARD MEMBER 1.00 X 0 0 0 BILL LITTLE CONSUMER BOARD MEMBER 1.00 X X 0 0 0 TEDDY MCDANIEL BOARD MEMBER 1.00 X 0 0 0 LAURA SANCHEZ BOARD MEMBER 1.00 X 0 0 0 SUSAN CARBAJAL BOARD MEMBER 1.00 X 0 0 0 GEORGE MILLER CHIEF EXECUTIVE OFFICER 40.00 X 308399 0 30767 CAROLYN KONECNY CHIEF FINANCIAL OFFICER 40.00 X 219263 0 18793 THERESA SABELLA CHIEF OPERATING OFFICER 40.00 X 209367 0 25338 LANE GREER CHIEF LEGAL COUNSEL 40.00 X 175266 0 16199 ALAN SCHALSCHA CHIEF MEDICAL OFFICER 40.00 X 66019 0 1831 JAESON FOURNIER CHIEF EXECUTIVE OFFICER 40.00 X 0 0 0 DAVID ESCAMILLA ASSOCIATE MEDICAL DIRECTOR 40.00 X 283382 0 21097 JAMES ZACHARY PHYSICIAN 40.00 X 249112 0 24086 CONSTANCIO V CONCEPCION PHYSICIAN 40.00 X 244673 0 19779 LE-WAI THANT PHYSICIAN 40.00 X 235427 0 25935 LARRY BIRDWELL PHYSICIAN 40.00 X 210605 0 22041 PADMA REDDY PHYSICIAN 40.00 X 199053 0 23945 2400566 0 229811 87 0 1 0 QUEST DIAGNOSTICS PO BOX 822510 PHILADELPHIA PA 19182 LAB SERVICES 1947200 CENTRAL AUSTIN PHYSICIANS PA 6300 LA CALMA DRIVE SUITE 200 AUSTIN TX 78752 PHYSICIAN SERVICES 1895108 AUSTIN CRITICAL CARE SPECIALISTS PA 6300 LA CALMA DRIVE SUITE 200 AUSTIN TX 78752 PHYSICIAN SERVICES 840027 FASPSYCH 8687 EAST VIA DE VENTURA SCOTTSDALE AZ 85285 PHYSICIAN SERVICES 305770 AUSTIN RADIOLOGICAL ASSOCIATION PO BOX 4099 AUSTIN TX 78765 RADIOLOGICAL SERVICES 136971 15 10456083 180720 10636803 SERVICE DELIVERY 621300 50716975 50716975 PATIENT SERVICE REVENUE 621300 37594943 37594943 88311918 98948721 88311918 0 0 X 1375721 1064024 311697 47046586 36508618 10537968 9151159 6816536 2334623 3349926 2495300 854626 89563 1607 87956 80513 1445 79068 18163131 13279263 4883868 69509 42021 27488 1304885 876549 428336 1132454 859052 273402 4603564 75150 4528414 264806 160087 104719 3313 2003 1310 47 7 40 312124 175313 136811 189515 165 189350 DRUGS, MEDICINE & SUPPL 6545938 5543889 1002049 BAD DEBT EXPENSE 2384994 2384994 MISCELLANEOUS 2637 1336 1301 96070385 70287359 25783026 0 20322616 19751093 1048637 1400733 6234923 10614810 0 10000 237425 237336 344795 586633 2008197 1531142 722482 477055 28910878 33077660 8534179 8651077 714630 1452062 4074436 4507988 342583 343147 13665828 14954274 X 15245050 18123386 15245050 18123386 28910878 33077660 2878336 0 X X 0 1 X 1 1 1 X 44808774 51866881 9048855 8757480 10636803 125118793 44808774 51866881 9048855 8757480 10636803 125118793 125118793 125118793 310702797 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 858322 627928 230394 1002163 823425 178738 147712 79789 67923 477055 DEFERRED RENT 343147 343147 96563727 0 96563727 2384994 2384994 98948721 93685391 0 93685391 2384994 2384994 96070385 PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS NETTED AGAINST REVENUE IN AUDITED FINANCIAL STATEMENTS 2,384,994. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS NETTED AGAINST REVENUE IN AUDITED FINANCIAL STATEMENTS 2,384,994. X 1 1 X X X X 1 0 0 0 0 0 0 0 0 GEORGE MILLER CHIEF EXECUTIVE OFFICER 308399 0 0 0 0 0 18537 0 12230 0 339166 0 0 0 CAROLYN KONECNY CHIEF FINANCIAL OFFICER 210079 0 0 0 9184 0 13128 0 5665 0 238056 0 0 0 THERESA SABELLA CHIEF OPERATING OFFICER 197460 0 0 0 11907 0 13108 0 12230 0 234705 0 0 0 LANE GREER CHIEF LEGAL COUNSEL 175266 0 0 0 0 0 10500 0 5699 0 191465 0 0 0 DAVID ESCAMILLA ASSOCIATE MEDICAL DIRECTOR 255906 0 0 0 27476 0 15284 0 5813 0 304479 0 0 0 JAMES ZACHARY PHYSICIAN 230012 0 0 0 19100 0 14996 0 9090 0 273198 0 0 0 CONSTANCIO V CONCEPCION PHYSICIAN 215320 0 5341 0 24012 0 14115 0 5664 0 264452 0 0 0 LE-WAI THANT PHYSICIAN 216557 0 0 0 18870 0 14840 0 11095 0 261362 0 0 0 LARRY BIRDWELL PHYSICIAN 193462 0 0 0 17143 0 13027 0 9014 0 232646 0 0 0 PADMA REDDY PHYSICIAN 183941 0 0 0 15112 0 12684 0 11261 0 222998 0 0 0 PART I, LINE 1A THE ORGANIZATION PAID SOCIAL CLUB DUES FOR GEORGE MILLER UNTIL HIS SEPARATION ON 1/31/17. PAYMENT OF THE DUES WAS PART OF HIS WRITTEN EMPLOYMENT CONTRACT. PART I, LINE 4A SEVERANCE PAYMENTS OF $50,750 AND $66,739 WERE PAID TO GEORGE MILLER AND THERESA SABELLA, RESPECTIVELY. ALAN SCHALSCHA OFFICER RECRUITING AND RETENTION OF A HIGHLY QUALIFIED OFFICER X 10000 10000 0 0 1 10000 FORM 990, PART VI, SECTION A, LINE 7A TRAVIS COUNTY HEALTH DISTRICT, DBA CENTRAL HEALTH CAN APPOINT 2 MEMBERS TO THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE CO-APPLICANT AGREEMENT WITH TRAVIS COUNTY HEALTHCARE DISTRICT GIVES THE DISTRICT AUTHORITY CONCERNING CERTAIN DECISIONS ABOUT BUDGET, BOARD MEMBERSHIP, CEO EMPLOYMENT AND POLICIES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND AT THE MONTHLY BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C REPORTS ARE RUN TO MONITOR THE PROGRESS OF SUBMITTED DISCLOSURE FORMS AND DISCREPANCIES ARE REPORTED TO EXECUTIVE MANAGEMENT FOR ENFORCEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD SET POLICY THAT COMPENSATION WOULD REFLECT MARKET RATES. IMPLEMENTATION OF THE SALARY STRUCTURE, SETTING PAY GRADES AND RELATED COMPENSATION IS DELEGATED TO THE CEO BY THE BOARD. INDEPENDENT MARKET SURVEYS ARE PURCHASED TO EVALUATE ALL POSITIONS AND ESTABLISH PAY GRADES AND USED TO DETERMINE THE SCALE FOR MERIT INCREASES EACH YEAR. THIS IS THE PROCESS FOR ALL EMPLOYEES INCLUDING KEY EMPLOYEES. THE BOARD REVIEWS PERFORMANCE AND APPROVES COMPENSATION FOR THE CEO USING MARKET SURVEY INFORMATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,343,830. MANAGEMENT AND GENERAL EXPENSES 143,719. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,487,549. BILLING STATEMENT AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 1,362,102. MANAGEMENT AND GENERAL EXPENSES 890,997. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,253,099. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 4,264,231. MANAGEMENT AND GENERAL EXPENSES 2,819,681. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,083,912. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 3,165. MANAGEMENT AND GENERAL EXPENSES 173,189. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,354. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,305,935. MANAGEMENT AND GENERAL EXPENSES 856,282. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,162,217. FORM 990, PART XII, LINE 2C THE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR.