2016-11-15T09:30:14-06:00 2015-12-31 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2015-01-01 742865171 GEORGETOWN HEALTHCARE COMMUNITY SERVICES GEOR 5129312221 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 SCOTT ALARCON CEO 5129312221 2016-11-06 1 SEAN HOLCOMB P01249221 5123703200 2016-11-06 2015 2017-02-10 21:41:12Z SCOTT ALARCON 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 4238102 0 X N/A X 1997 TX OPERATES A DRUG AND ALCOHOL TREATMENT CENTER FOR RESIDENTS REFERRED BY THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE. MANAGE ASSETS PURCHASED BY THE ORGANIZATION TO FURTHER THE EXEMPT PURPOSE OF GEORGETOWN HEALTHCARE SYSTEM. 12 12 30 0 0 0 0 0 3113620 2463027 15956 398449 -52209 -120326 3077367 2741150 961659 219480 0 0 944801 712202 0 0 0 1257611 1092152 3164071 2023834 -86704 717316 16736292 16303833 16828618 15653999 -92326 649834 X TO ASSIST GEORGETOWN HEALTHCARE SYSTEM IN FULFILLING ITS MISSION TO PROMOTE QUALITY ACCESSIBLE HEALTHCARE FOR ALL PERSONS IN GEORGETOWN AND THE SURROUNDING AREA. 0 1 997711 884604 PROVIDED DRUG AND ALCOHOL TREATMENT FOR RESIDENTS REFERRED BY THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE. 939420 219480 1578423 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. 69563 EXPENSES RELATED TO THE MANAGEMENT OF ASSETS HELD BY THE ORGANIZATION AND UTILIZED TO FURTHER THE GRANT MAKING ACTIVITIES OF GEORGETOWN HEALTHCARE SYSTEM. 2006694 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 36 0 1 30 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X RICHARD SCHULTZ CFO 5129312221 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 KAREN COLE CHAIR 2.00 X 0 0 0 DARRICK MCGILL CHAIR-ELECT 1.50 X 0 0 0 DOAK FLING PAST CHAIR 1.50 X 0 0 0 ALMA GUZMAN SECRETARY 1.50 X 0 0 0 JOAN MAIER EXECUTIVE COMMITTEE 1.50 X 0 0 0 AUSTIN BRYAN BOARD MEMBER 1.00 X 0 0 0 JIM DONOVAN MD BOARD MEMBER 1.00 X 0 0 0 DALE ILLIG BOARD MEMBER 1.00 X 0 0 0 SCOTT MATTHEW BOARD MEMBER 1.00 X 0 0 0 LINDA MEIGS BOARD MEMBER 1.00 X 0 0 0 RICHARD PEARCE MD BOARD MEMBER 1.00 X 0 0 0 JOHN STOCK BOARD MEMBER 1.00 X 0 0 0 M SCOTT ALARCON CEO 40.00 X 0 261126 25379 RICHARD SCHULTZ CFO 40.00 X 0 199343 20528 0 460469 45907 0 0 1 0 KYSER ENTERPRISES 300 BAR T DRIVE FLORENCE TX 76527 CONSTRUCTION SERVICE 438322 IE2 CONSTRUCTION 2205 W BRAKER LANE AUSTIN TX 78758 CONSTRUCTION SERVICE 244316 2 FACILITY RENTAL TO COMM HEALTH SE 900099 1578423 1578423 PATIENT SERVICE REVENUE 623990 884604 884604 2463027 12462 12462 1149542 1269868 -120326 -120326 -120326 613071 227084 385987 385987 385987 2741150 2463027 0 278123 219480 219480 512718 512718 16394 16394 113168 113168 69922 69922 72775 72775 16800 16800 18895 18895 688 688 18373 18373 261392 261392 10256 10256 592365 592025 340 9513 9513 SUPPLIES 86012 86012 MISC EXPENSES 5068 5068 DUES AND SUBSCRIPTIONS 15 15 2023834 2006694 17140 0 257164 224000 289296 174882 82947 66409 26336648 10498106 16106885 15838542 16736292 16303833 626210 523890 4903162 4525065 11299246 10605044 16828618 15653999 X -92326 649834 -92326 649834 16736292 16303833 X 717316 24844 X X 0 1 X 1 0 X 2540203 2607424 2781634 2151961 2243547 12324769 2540203 2607424 2781634 2151961 2243547 12324769 0 0 0 12324769 1187769 1157803 1172906 1199238 1162004 5879720 1187769 1157803 1172906 1199238 1162004 5879720 3727972 3765227 3954540 3351199 3405551 18204489 0.67700 0.68480 0.32300 0.31520 X 2607577 2607577 22346804 10301661 12045143 385155 109218 275937 117713 87227 30486 879399 879399 15838542 DUE TO AFFILIATED ENTITIES 10605044 10605044 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. 0 BLUEBONNET TRAILS COMMUNITY MHMR CENTER 1009 N GEORGETOWN STREET ROUND ROCK TX 78664 742795332 N/A-GOVERNMENTAL 209880 FMV DISCOUNTED RENT TO PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION. LITERACY COUNCIL OF WILLIAMSON COUNTY 2411 WILLIAMS DRIVE STE 1 GEORGETOWN TX 78628 742392855 501(C)(3) 9600 FMV DISCOUNTED RENT TO PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION. 2 0 0 0 0 0 0 0 0 0 M SCOTT ALARCON CEO 0 253926 0 0 0 7200 0 12696 0 12683 0 286505 0 0 RICHARD SCHULTZ CFO 0 198243 0 0 0 1100 0 9657 0 10871 0 219871 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 III, LINE 3 STATE FUNDING FOR THE OPERATION OF NORTHEAST TEXAS TREATMENT CENTER WAS NOT RENEWED FOR SFY 2016. OPERATIONS CEASED AS OF AUGUST 31, 2015. FORM 990, PART VI, SECTION B, LINE 11 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 ORGANIZATION'S COMPENSATION COMMITTEE FOLLOWS AN EXECUTIVE COMPENSATION PLAN DEVELOPED AND RATIFIED BY THE BOARD OF DIRECTORS WHEN DETERMINING EXECUTIVE COMPENSATION. 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 BOARD CONTRACTED WITH SMITHPILOT IN 2015 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 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-PROFITS 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 CEO AND CFO WERE ESTABLISHED USING THIS DATA. THE COMPENSATION COMMITTEE'S RECOMMENDATIONS FOR THE CEO AND CFO WERE RATIFIED BY THE FULL BOARD. 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 24,844. 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 GEORGETOWN HEALTHCARE FOUNDATION 2425 WILLIAMS DRIVE GEORGETOWN TX 78628 742626552 TO ASSIST GEORGETOWN HEALTHCARE SYSTEM. TX 501(C)(3) LINE 11A, I GEORGETOWN HEALTHCARE SYSTEM 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0