CENTRAL TEXAS COMMUNITY HEALTH CENTERS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CENTRAL TEXAS COMMUNITY HEALTH CENTERS (EIN 55-0853118)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-11
IRS object ID
201442239349301189
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-11T12:36:30-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN742900215EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MAXWELL LOCKE & RITTER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1401 CONGRESS AVENUE SUITE 1100AddressLine1
CityAUSTINCity
StateTXState
ZIP Code787019682ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550853118EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL TEXAS COMMUNITY HEALTH CENTERSBusinessNameLine1
Business Name Line2DBA COMMUNITYCAREBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone5129789000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12115 KRAMER SUITE 100AddressLine1
CityAUSTINCity
StateTXState
ZIP Code78758ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCAROLYN KONECNYName
TitleCFOTitle
Phone5129789000Phone
Date Signed2014-08-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSEAN HOLCOMBName
PTINP01249221PTIN
Phone5123703200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1COMMUNITYCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonGEORGE MILLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12115 KRAMER SUITE 100AddressLine1
CityAUSTINCity
StateTXState
ZIP Code78758ZIPCode
FieldValueIRS element (for citing)
Gross Receipts70154149GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COMMUNITYCARETX.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionCOMMUNITYCARE OPERATES 22 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees656TotalNbrEmployees
Total Nbr Volunteers17TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year44182570ContributionsGrantsPriorYear
Contributions Grants Current Year44808774ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20337882ProgramServiceRevenuePriorYear
Program Service Revenue CY25345375ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year64520452TotalRevenuePriorYear
Total Revenue Current Year70154149TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year40147365SalariesEtcPriorYear
Salaries Etc Current Year41526592SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year21457387OtherExpensePriorYear
Other Expenses Current Year26769686OtherExpensesCurrentYear
Total Expenses Prior Year61604752TotalExpensesPriorYear
Total Expenses Current Year68296278TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2915700RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1857871RevenuesLessExpensesCY
Total Assets BOY16216183TotalAssetsBOY
Total Assets EOY17531967TotalAssetsEOY
Total Liabilities BOY11412711TotalLiabilitiesBOY
Total Liabilities EOY10870624TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4803472NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6661343NetAssetsOrFundBalancesEOY
Mission DescriptionCOMMUNITYCARE OPERATES 22 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense50046070Expense
Revenue25345375Revenue
DescriptionCOMMUNITYCARE OPERATED 22 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 215,281 MEDICAL; 13,162 BEHAVIORAL HEALTH; AND 43,399 DENTAL ENCOUNTERS IN FISCAL YEAR 2013 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.Description
Total Program Service Expense50046070TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109672NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees656NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CAROLYN KONECNYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5129789000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12115 KRAMER SUITE 100AddressLine1
CityAUSTINCity
StateTXState
ZIP Code78758ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM KUYKENDALL
BOARD MEMBER1.00XX000
MARY LOU ADAMS
BOARD MEMBER1.00X000
FLETCHER BROWN
BOARD MEMBER1.00XX000
STEVEN HAAG
CONSUMER BOARD MEMBER1.00X000
DALE CURRY
CONSUMER BOARD MEMBER1.00XX000
DEBBIE LOCKLEAR
CONSUMER BOARD MEMBER1.00X000
BARBARA SHIRLEY
CONSUMER BOARD MEMBER1.00X000
NICKI HURD
CONSUMER BOARD MEMBER1.00X000
MARY ANNE CAMPOS
CONSUMER BOARD MEMBER1.00X000
DAVID HART
CONSUMER BOARD MEMBER1.00X000
MAURICIO REGUERO
CONSUMER BOARD MEMBER1.00X000
CHRIS RIOS
BOARD MEMBER1.00X000
DAVE WILLIAMS
BOARD MEMBER1.00X000
KAREN FROMBERG
BOARD MEMBER1.00XX000
BILL LITTLE
CONSUMER BOARD MEMBER1.00X000
MONICA GARCIA
CONSUMER BOARD MEMBER1.00X000
EVA ROBERTS
CONSUMER BOARD MEMBER1.00X000
CAROLYN KONECNY
CHIEF FINANCIAL OFFICER40.00X172096017328
LESLEE A FROEHLICH
INTERIM CHIEF EXECUTIVE OF40.00X199137020914
JULIE THORPE
INTERIM CHIEF OPERATING OFFICER40.00X132949016422
GEORGE MILLER
CHIEF EXECUTIVE OFFICER40.00X001108
THERESA SABELLA
CHIEF OPERATING OFFICER40.00X127376024895
LEILA WILLIAMS
INTERIM CHIEF MEDICAL OFFICER40.00X007486
DANIEL CROWE
CHIEF MEDICAL OFFICER40.00X236180018593
CONSTANCIO CONCEPCION
PHYSICIAN40.00213119022748X
DAVID ESCAMILLA
PHYSICIAN40.00225449023566X
JAMES ZACHARY
PHYSICIAN40.00217383026458X
ALINA RAMOS
PHYSICIAN40.00216615024764X
HERMINIO BEZERRA
PHYSICIAN40.00193392022841X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1933696TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation227123TotalOtherCompensation
Number Individuals GT100 K67NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WHITE GLOVE TECHNOLOGIES LLC
8341 CROSS PARK DRIVE SUITE BAUSTINTX78754INFORMATION TECHNOLOGY SERVICES1330069
CENTRAL AUSTIN PHYSICIANS PA
6300 LA CALMA DRIVE SUITE 200AUSTINTX78752STAFFING SERVICES708676
LABORATORY CORPORATION OF AMERICA HOLDIN
PO BOX 2270BURLINGTONNC27216LAB SERVICES AT CLINICS570034
ALLIED BARTON SECURITY SERVICES LLC
161 WASHINGTON STREET SUITE 600CONSHOHOCKENPA19428SECURITY OFFICERS506720
CLINICAL PATHOLOGY LABORATORIES INC
9200 WALL STREETAUSTINTX78754LABORATORY SERVICES432920
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Government Grants44808774GovernmentGrants
Total Contributions44808774TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621300BusinessCode
Total Revenue Column25345375TotalRevenueColumn
Related Or Exempt Function Income25345375RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue25345375TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column70154149TotalRevenueColumn
Related Or Exempt Function Income25345375RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total974485Total
Program Services801596ProgramServices
Management And General172889ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total32271074Total
Program Services26766933ProgramServices
Management And General5504141ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6017779Total
Program Services4614751ProgramServices
Management And General1403028ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2263254Total
Program Services1735583ProgramServices
Management And General527671ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total247044Total
Program Services119358ProgramServices
Management And General127686ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total42375Total
Program Services20473ProgramServices
Management And General21902ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10936577Total
Program Services6639380ProgramServices
Management And General4297197ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total45988Total
Program Services19953ProgramServices
Management And General26035ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1045068Total
Program Services656625ProgramServices
Management And General388443ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2927084Total
Program Services1592912ProgramServices
Management And General1334172ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3627724Total
Program Services111297ProgramServices
Management And General3516427ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total134807Total
Program Services58490ProgramServices
Management And General76317ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3362Total
Program Services1459ProgramServices
Management And General1903ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total22547Total
Program Services21845ProgramServices
Management And General702ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total344493Total
Program Services173217ProgramServices
Management And General171276ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total101189Total
Management And General101189ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DRUGS, MEDICINE & SUPPL46836204105075578545
BAD DEBT EXPENSE25992132598702511
MISCELLANEOUS85958421174

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total68296278Total
Program Services50046070ProgramServices
Management And General18250208ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8273964BOY
EOY12102912EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1880195BOY
EOY1213628EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3956699BOY
EOY1676632EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY510834EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY242993BOY
EOY286593EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY349260BOY
EOY405258EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2039329LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec703219LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1513072BOY
EOY1336110EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16216183BOY
EOY17531967EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4949136BOY
EOY6414351EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY123341BOY
EOY68232EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY6340234BOY
EOY4388041EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11412711BOY
EOY10870624EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4803472BOY
EOY6661343EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4803472BOY
EOY6661343EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16216183BOY
EOY17531967EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1857871ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23544340CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38317711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41288269CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44182570CurrentTaxYearMinus1Year
Current Tax Year44808774CurrentTaxYear
Total192141664Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23544340CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38317711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41288269CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44182570CurrentTaxYearMinus1Year
Current Tax Year44808774CurrentTaxYear
Total192141664Total
FieldValueIRS element (for citing)
Public Support Total170192141664PublicSupportTotal170
Total Support192141664TotalSupport
Gross Receipts From Admissions Etc83671900GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1701.00000PublicSupportPertcentage170
Public Support Pertcent Prior Year1.00000PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis816828OtherCostOrOtherBasis
Depreciation263432Depreciation
Book Value553396BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1013431OtherCostOrOtherBasis
Depreciation351354Depreciation
Book Value662077BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis209070OtherCostOrOtherBasis
Depreciation88433Depreciation
Book Value120637BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1336110TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt70154149TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal70154149RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99070154149TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt68296278TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal68296278ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99068296278TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CAROLYN KONECNY
CHIEF FINANCIAL OFFICER1720960000011575057530189424000
LESLEE A FROEHLICH
INTERIM CHIEF EXECUTIVE OF1991370000015872050420220051000
THERESA SABELLA
CHIEF OPERATING OFFICER12737600000108430140520152271000
DANIEL CROWE
CHIEF MEDICAL OFFICER2361800000012217063760254773000
CONSTANCIO CONCEPCION
PHYSICIAN2131190000017045057030235867000
DAVID ESCAMILLA
PHYSICIAN2254490000017927056390249015000
JAMES ZACHARY
PHYSICIAN2173830000017471089870243841000
ALINA RAMOS
PHYSICIAN2166150000016828079360241379000
HERMINIO BEZERRA
PHYSICIAN1933920000013878089630216233000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE ORGANIZATION PAYS SOCIAL CLUB DUES FOR ITS CEO. PAYMENT OF THE DUES IS PART OF THE CEO'S WRITTEN EMPLOYMENT CONTRACT.
PART I, LINE 4ADANIEL CROWE, FORMER CHIEF MEDICAL OFFICER, WAS PAID A SEVERANCE OF $72,692 IN EXCHANGE FOR SEVERANCE FROM SERVICE UNDER A RESIGNATION AGREEMENT. LESLEE A. FROEHLICH, FORMER INTERIM CHIEF EXECUTIVE OFFICER, WAS PAID A SEVERACE OF $150,000 FOR SEVERANCE FROM SERVICE UNDER A TERMINATION AGREEMENT.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 7ATHE TRAVIS COUNTY HEALTHCARE DISTRICT BOARD ELECTS 2 MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 8BTHE 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 11THE FORM 990 IS REVIEWED AT THE MONTHLY BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 15THE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,648,683. MANAGEMENT AND GENERAL EXPENSES 1,714,304. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,362,987. BILLING STATEMENT AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 1,017,264. MANAGEMENT AND GENERAL EXPENSES 658,402. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,675,666. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,141,722. MANAGEMENT AND GENERAL EXPENSES 1,386,184. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,527,906. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 266,097. MANAGEMENT AND GENERAL EXPENSES 172,225. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 438,322. OTHER SERVICES: PROGRAM SERVICE EXPENSES 565,614. MANAGEMENT AND GENERAL EXPENSES 366,082. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 931,696.OTHER FEES
FORM 990, PART XII, LINE 2CTHE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR.

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