2015-07-14T13:45:20-05:00 2014-09-30 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2013-10-01 550853118 CENTRAL TEXAS COMMUNITY HEALTH CENTERS CENT 5129789000 2115 KRAMER STE 100 AUSTIN TX 78758 CAROLYN KONECNY CFO 5129789000 2015-07-09 1 SEAN HOLCOMB P01249221 5123703200 2013 2016-02-25 16:41:14Z COMMUNITYCARE GEORGE MILLER 2115 KRAMER STE 100 AUSTIN TX 78758 80273872 0 X WWW.COMMUNITYCARETX.ORG X 2003 TX COMMUNITYCARE OPERATES 25 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 15 15 705 17 0 0 44808774 51866881 25345375 28406991 0 0 0 0 70154149 80273872 0 0 0 0 41526592 46785411 0 0 0 26769686 30336263 68296278 77121674 1857871 3152198 17531967 24048463 10870624 14234922 6661343 9813541 COMMUNITYCARE OPERATES 25 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 0 0 55155490 28406991 COMMUNITYCARE OPERATED 25 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 224,184 MEDICAL; 15,691 BEHAVIORAL HEALTH; AND 48,815 DENTAL ENCOUNTERS IN FISCAL YEAR 2014 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. 55155490 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 68 0 705 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 1 1 1 1 0 X CAROLYN KONECNY 5129789000 2115 KRAMER SUITE 100 AUSTIN TX 78758 FLETCHER BROWN CHAIRMAN 1.00 X X 0 0 0 DEBBIE LOCKLEAR CONSUMER BOARD MEMBER 1.00 X 0 0 0 BARBARA SHIRLEY CONSUMER BOARD MEMBER 1.00 X 0 0 0 DAVID HART CONSUMER BOARD MEMBER 1.00 X 0 0 0 CHRIS RIOS BOARD MEMBER 1.00 X 0 0 0 DAVID WILLIAMS VICE CHAIRMAN 1.00 X X 0 0 0 KAREN FROMBERG TREASURER 1.00 X X 0 0 0 BILL LITTLE SECRETARY 1.00 X X 0 0 0 MONICA GARCIA CONSUMER BOARD MEMBER 1.00 X 0 0 0 EVA ROBERTS CONSUMER BOARD MEMBER 1.00 X 0 0 0 DR MARY LOU ADAMS BOARD MEMBER 1.00 X 0 0 0 CLAUDIA WILLIAMS BOARD MEMBER 1.00 X 0 0 0 GREG KNAUPE BOARD MEMBER 1.00 X 0 0 0 CAROLYN KONECNY CHIEF FINANCIAL OFFICER 40.00 X 184805 0 18323 GEORGE MILLER CHIEF EXECUTIVE OFFICER 40.00 X 100779 0 6211 THERESA SABELLA CHIEF OPERATING OFFICER 40.00 X 168576 0 32615 LEILA WILLIAMS ASSISTANT CHIEF MEDICAL OFFICER 40.00 X 206169 0 19753 NEDREA CLAYTON-WESTBROOKS CHRO 40.00 X 114219 0 17351 DEBORAH MORRIS-HARRIS CMO 40.00 X 78637 0 954 AMANDA HILL CLO 40.00 X 31633 0 5976 CONSTANCIO CONCEPCION PHYSICIAN 40.00 X 216876 0 22937 DAVID ESCAMILLA PHYSICIAN 40.00 X 245432 0 24754 JAMES ZACHARY PHYSICIAN 40.00 X 231690 0 31732 ALINA RAMOS PHYSICIAN 40.00 X 199696 0 27293 LE-WAI THANT PROVIDER 40.00 X 210062 0 35939 LESLEE A FROEHLICH FORMER CHIEF EXECUTIVE OFFICER 40.00 X 330967 0 24899 DANIEL CROWE FORMER CHIEF MEDICAL OFFICER 40.00 X 144250 0 9666 2463791 0 278403 74 1 1 0 CENTRAL AUSTIN PHYSICIANS PA 6300 LA CALMA DRIVE SUITE 200 AUSTIN TX 78752 CONTRACT PHYSICAN SERVICES 937979 LABORATORY CORPORATION OF AMERICA PO BOX 2270 BURLINGTON NC 27216 LAB SERVICES AT CLINICS 735212 INTERIM PHYSICIANS 12140 WOODCREST EXECUTIVE DR 310 ST LOUIS MO 63141 CONTRACT PHYSICAN SERVICES 696376 ALLIED BARTON SECURITY SERVICES LLC 161 WASHINGTON STREET SUITE 600 CONSHOHOCKEN PA 19428 SECURITY GUARD SERVICES 482598 SALLY HENLY 7600 LONG POINT DRIVE AUSTIN TX 78731 LEGAL SERVICES 140450 10 7105801 44761080 51866881 PATIENT SERVICE REVENUE 621300 28406991 28406991 28406991 80273872 28406991 0 0 X 986002 783751 202251 36433515 29451500 6982015 6805766 5052789 1752977 2560128 1900710 659418 125232 61875 63357 49731 24571 25160 12621315 7761199 4860116 55409 22133 33276 1041772 612207 429565 3339477 1667324 1672153 4029597 4029597 220620 88126 132494 33637 13436 20201 16651 15623 1028 432253 194821 237432 118571 118571 DRUGS, MEDICINE & SUPPL 5922242 5177512 744730 BAD DEBT EXPENSE 2326590 2326590 0 MISCELLANEOUS 3166 1323 1843 77121674 55155490 21966184 0 12102912 17703503 1213628 1722560 1676632 2658247 510834 0 286593 365530 405258 477204 2256891 1135472 1336110 1121419 17531967 24048463 6414351 7905374 1186783 4388041 4846873 68232 295892 10870624 14234922 X 6661343 9813541 6661343 9813541 17531967 24048463 3152198 0 X X 0 1 X 1 1 1 X 38317711 41288269 44182570 44808774 51866881 220464205 38317711 41288269 44182570 44808774 51866881 220464205 220464205 220464205 103934897 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 944147 466560 477587 1103674 530202 573472 209070 138710 70360 1121419 DEFERRED RENT 295892 295892 80273872 0 80273872 0 80273872 77121674 0 77121674 0 77121674 X 1 1 X X 1 0 0 0 0 0 0 0 0 CAROLYN KONECNY CHIEF FINANCIAL OFFICER 184805 0 0 0 0 0 12347 0 5976 0 203128 0 0 0 THERESA SABELLA CHIEF OPERATING OFFICER 168576 0 0 0 0 0 14160 0 18455 0 201191 0 0 0 LEILA WILLIAMS ASSISTANT CHIEF MEDICAL OFFICER 206169 0 0 0 0 0 5778 0 13975 0 225922 0 0 0 CONSTANCIO CONCEPCION PHYSICIAN 211804 0 5072 0 0 0 16961 0 5976 0 239813 0 0 0 DAVID ESCAMILLA PHYSICIAN 245432 0 0 0 0 0 18778 0 5976 0 270186 0 0 0 JAMES ZACHARY PHYSICIAN 226338 0 5352 0 0 0 18323 0 13409 0 263422 0 0 0 ALINA RAMOS PHYSICIAN 195379 0 4317 0 0 0 15841 0 11452 0 226989 0 0 0 LE-WAI THANT PROVIDER 210062 0 0 0 0 0 17484 0 18455 0 246001 0 0 0 LESLEE A FROEHLICH FORMER CHIEF EXECUTIVE OFFICER 170967 0 10000 0 150000 0 18923 0 5976 0 355866 0 0 0 DANIEL CROWE FORMER CHIEF MEDICAL OFFICER 71558 0 0 0 72692 0 4154 0 5512 0 153916 0 0 0 PART I, LINE 1A THE ORGANIZATION PAYS SOCIAL CLUB DUES FOR ITS CEO. PAYMENT OF THE DUES IS PART OF THE CEO'S WRITTEN EMPLOYMENT CONTRACT. PART I, LINE 4A AS REPORTED IN SCHEDULE J, PART II, COLUMN III, LINES 9 AND 10 SEVERANCE PAYMENTS WERE PAID TO DANIEL CROWE, FORMER CHIEF MEDICAL OFFICER, AND LESLEE FROEHLICH, FORMER INTERIM CHIEF EXECUTIVE OFFICER. THESE PAYMENTS WERE PREVIOUSLY ERRONEOUSLY DISCLOSED ON SCHEDULE J, PART III, FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013. THEY ARE BEING REPORTED ON THIS FORM 990 CORRECTLY BUT ARE NOT ADDITIONAL PAYMENTS TO WHAT WAS PREVIOUSLY REPORTED. FORM 990, PART VI, SECTION A, LINE 7A THE TRAVIS COUNTY HEALTHCARE DISTRICT BOARD ELECTS 2 MEMBERS. 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 A, LINE 8B THE COMMITTEES MAKE RECOMMENDATIONS AND PROVIDE INFORMATION TO THE BOARD. A COMMITTEE DECISION IS NOT CONSIDERED FINAL AND THE COMMITTEE RECOMMENDATION IS LATER CONSIDERED BY THE BOARD AND THEN THE BOARD TAKES ACTION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED AT THE MONTHLY BOARD MEETING. 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 4,995,765. MANAGEMENT AND GENERAL EXPENSES 767,686. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,763,451. BILLING STATEMENT AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 711,479. MANAGEMENT AND GENERAL EXPENSES 1,069,685. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,781,164. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,488,365. MANAGEMENT AND GENERAL EXPENSES 2,232,090. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,720,455. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 184,385. MANAGEMENT AND GENERAL EXPENSES 188,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 373,185. OTHER SERVICES: PROGRAM SERVICE EXPENSES 381,205. MANAGEMENT AND GENERAL EXPENSES 601,855. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 983,060. 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.