2014-07-31T15:01:11-05:00 2013-12-31 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2013-01-01 742865171 GEORGETOWN HEALTHCARE COMMUNITY SERVICES GEOR 5129312221 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 SCOTT ALARCON CEO 5129312221 2014-06-27 1 SEAN HOLCOMB P01249221 5123703200 2014-06-27 2013 2015-11-30 17:44:51Z SCOTT ALARCON 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 4192416 0 X N/A X 1997 TX OPERATES A DRUG AND ALCOHOL TREATMENT CENTER FOR RESIDENTS REFERRED BY THE TEXAS DEPARMENT OF CRIMINAL JUSTICE. MANAGE ASSETS PURCHASED BY THE ORGANIZATION TO FURTHER THE EXEMPT PURPOSE OF GEORGETOWN HEALTHCARE SYSTEM. 12 12 43 0 0 0 0 0 2350744 3019510 4384 7860 277519 -49506 2632647 2977864 0 237876 0 0 904943 896481 0 0 0 1407761 1397420 2312704 2531777 319943 446087 18379431 17635725 19015597 17625648 -636166 10077 TO ASSIST GEORGETOWN HEALTHCARE SYSTEM IN FULFILLING ITS MISSION TO PROMOTE QUALITY ACCESSIBLE HEALTHCARE FOR ALL PERSONS IN GEORGETOWN AND THE SURROUNDING AREA. 0 0 1669154 1354476 PROVIDED DRUG AND ALCOHOL TREATMENT FOR RESIDENTS REFERRED BY THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE. 758371 237876 1665034 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. 91147 EXPENSES RELATED TO THE MANAGEMENT OF ASSETS HELD BY THE ORGANIZATION AND UTILIZED TO FURTHER THE GRANT MAKING ACTIVITIES OF GEORGETOWN HEALTHCARE SYSTEM. 2518672 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 32 0 1 43 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 DOAK FLING CHAIR 2.00 X 0 0 0 KAREN COLE CHAIR-ELECT 1.50 X 0 0 0 BARBARA H BRIGHTWELL PAST CHAIR 1.50 X 0 0 0 DALE ILLIG SECRETARY 1.50 X 0 0 0 ALMA GUZMAN EXECUTIVE COMMITTEE 1.50 X 0 0 0 DARRICK MCGILL EXECUTIVE COMMITTEE 1.50 X 0 0 0 AUSTIN BRYAN BOARD MEMBER 1.00 X 0 0 0 KAREN CROSBY BOARD MEMBER 1.00 X 0 0 0 LARRY J HEMENES BOARD MEMBER 1.00 X 0 0 0 JOAN MAIER 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 M SCOTT ALARCON CEO 40.00 X 0 227833 23771 RICHARD SCHULTZ CFO 40.00 X 0 168510 25580 0 396343 49351 0 0 1 0 KYSER ENTERPRISES INC 300 BAR T DRIVE FLORENCE TX 76527 CONSTRUCTION SERVICE 110357 IE2 CONSTRUCTION 11002-B METRIC BLVD AUSTIN TX 78758 CONSTRUCTION SERVICE 106822 2 FACILITY RENTAL TO COMM HEALTH SE 900099 1665034 1665034 PATIENT SERVICE REVENUE 623990 1354476 1354476 3019510 7860 7860 1165046 1214552 -49506 -49506 -49506 2977864 3019510 0 -41646 237876 237876 685690 685690 20537 20537 116586 116586 73668 73668 118245 118245 12917 12917 120 120 1231 1231 21981 21981 473449 473449 11370 11370 607402 607214 188 16667 16667 SUPPLIES 124611 124611 MISC EXPENSES 8908 8908 DUES AND SUBSCRIPTIONS 519 519 2531777 2518672 13105 0 353956 587420 104751 277241 104886 91076 25612447 8932459 17815838 16679988 18379431 17635725 455473 658856 15479 5753712 5227067 12806412 11724246 19015597 17625648 X -636166 10077 -636166 10077 18379431 17635725 X 446087 200156 X X 0 1 X 1 0 X 1900776 2283714 2540203 2607424 2781634 12113751 1900776 2283714 2540203 2607424 2781634 12113751 0 0 0 12113751 1305702 972499 1187769 1157803 1172906 5796679 1305702 972499 1187769 1157803 1172906 5796679 3206478 3256213 3727972 3765227 3954540 17910430 0.67640 0.68540 0.32360 0.31460 X 2367377 2367377 22462735 8719862 13742873 389629 89818 299811 165667 122779 42888 227039 227039 16679988 DUE TO AFFILIATED ENTITIES 11724246 11724246 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. WILLIAMSON COUNTY COMMUNITY COORDINATED CHILDCARE INC 805 W UNIVERSITY AVE NO 102 GEORGETOWN TX 78626 611575836 501(C)(3) 17330 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. 3 0 0 0 0 0 0 0 0 0 0 M SCOTT ALARCON CEO 0 224233 0 0 0 3600 0 11967 0 11804 0 251604 0 0 RICHARD SCHULTZ CFO 0 168510 0 0 0 0 0 9197 0 16383 0 194090 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 B, LINE 11 THE ORGANIZATION'S TAX RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. AN INITAL DRAFT OF THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS, MANAGEMENT, AND A THIRD PARTY TAX CONSULTANT PRIOR TO FINALIZATION. AFTER ANY CHANGES RESULTING FROM THE REVIEW BY THE BOARD 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 THE GHS BOARD DRAFTED AN EXECUTIVE COMPENSATION PHILOSOPHY TO BE USED WHEN DETERMINING EXECUTIVE COMPENSATION FOR THE ORGANIZATION. THIS PHILOSOPHY WILL BE UTILIZED TO DETERMINE THE ANNUAL COMPENSATION OF THE CHIEF EXECUTIVE OFFICER (CEO) AND THE CHIEF FINANCIAL OFFICER (CFO). AS PART OF THIS PROCESS, THE COMPENSATION COMMITTEE CONTRACTED WITH RODEGHERO AND ASSOCIATES TO ASSIST IN THE DEVELOPMENT OF FAIR MARKET VALUE EXECUTIVE COMPENSATION. DR. JAMES RODEGHERO, A COMPENSATION AND BENEFIT EXPERT, CREATED AN EXECUTIVE COMPENSATION GUIDELINE FOR THE CEO AND CFO USING COMPARISON DATA FROM MULTIPLE PUBLIC INFORMATION SECTORS. THOSE SOURCES INCLUDED: ERI: FOUNDATIONS (ASSETS) BASE, ERI: COMMUNITY FOUNDATIONS (FTE'S) BASE, ERI: COMMUNITY FOUNDATIONS (BUDGET) BASE, CHRONICLE OF PHILANTHROPY (REGRESSED TO THE ORGANIZATION ASSETS) BASE, CHRONICLE OF PHILANTHROPY (NORMS; ALL) (ASSETS) BASE; ERI PROPERTY MANAGEMENT (REVENUE) BASE, AS WELL AS PUBLICLY AVAILABLE 990 FILINGS FOR NONPROFIT ORGANIZATIONS OF A SIMILAR SIZE AND TYPE. MARKET SALARY AVERAGES 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 GHS 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 ON INTEREST RATE SWAP 200,156. 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 GEORGETOWN HEALTHCARE SPECIAL ASSET FOUNDATION 2425 WILLIAMS DRIVE GEORGETOWN TX 78628 743023706 TO ASSIST GEORGETOWN HEALTHCARE SYSTEM. TX 501(C)(3) LINE 11B, II GEORGETOWN HEALTHCARE SYSTEM 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0