2014-08-11T12:36:30-05:00 2013-09-30 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2012-10-01 550853118 CENTRAL TEXAS COMMUNITY HEALTH CENTERS DBA COMMUNITYCARE CENT 5129789000 2115 KRAMER SUITE 100 AUSTIN TX 78758 CAROLYN KONECNY 5129789000 2014-08-05 1 SEAN HOLCOMB P01249221 5123703200 2012 2015-11-30 17:44:51Z X COMMUNITYCARE GEORGE MILLER 2115 KRAMER SUITE 100 AUSTIN TX 78758 70154149 0 X WWW.COMMUNITYCARETX.ORG X 2003 TX COMMUNITYCARE OPERATES 22 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 15 15 656 17 0 0 44182570 44808774 20337882 25345375 0 0 0 0 64520452 70154149 0 0 0 0 40147365 41526592 0 0 0 21457387 26769686 61604752 68296278 2915700 1857871 16216183 17531967 11412711 10870624 4803472 6661343 COMMUNITYCARE OPERATES 22 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 0 0 50046070 25345375 COMMUNITYCARE 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. 50046070 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 72 0 656 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 WILLIAM KUYKENDALL 1.00 X X 0 0 0 MARY LOU ADAMS 1.00 X 0 0 0 FLETCHER BROWN 1.00 X X 0 0 0 STEVEN HAAG 1.00 X 0 0 0 DALE CURRY 1.00 X X 0 0 0 DEBBIE LOCKLEAR 1.00 X 0 0 0 BARBARA SHIRLEY 1.00 X 0 0 0 NICKI HURD 1.00 X 0 0 0 MARY ANNE CAMPOS 1.00 X 0 0 0 DAVID HART 1.00 X 0 0 0 MAURICIO REGUERO 1.00 X 0 0 0 CHRIS RIOS 1.00 X 0 0 0 DAVE WILLIAMS 1.00 X 0 0 0 KAREN FROMBERG 1.00 X X 0 0 0 BILL LITTLE 1.00 X 0 0 0 MONICA GARCIA 1.00 X 0 0 0 EVA ROBERTS 1.00 X 0 0 0 CAROLYN KONECNY 40.00 X 172096 0 17328 LESLEE A FROEHLICH 40.00 X 199137 0 20914 JULIE THORPE 40.00 X 132949 0 16422 GEORGE MILLER 40.00 X 0 0 1108 THERESA SABELLA 40.00 X 127376 0 24895 LEILA WILLIAMS 40.00 X 0 0 7486 DANIEL CROWE 40.00 X 236180 0 18593 CONSTANCIO CONCEPCION 40.00 X 213119 0 22748 DAVID ESCAMILLA 40.00 X 225449 0 23566 JAMES ZACHARY 40.00 X 217383 0 26458 ALINA RAMOS 40.00 X 216615 0 24764 HERMINIO BEZERRA 40.00 X 193392 0 22841 1933696 0 227123 67 0 1 0 WHITE GLOVE TECHNOLOGIES LLC 8341 CROSS PARK DRIVE SUITE B AUSTIN TX 78754 INFORMATION TECHNOLOGY SERVICES 1330069 CENTRAL AUSTIN PHYSICIANS PA 6300 LA CALMA DRIVE SUITE 200 AUSTIN TX 78752 STAFFING SERVICES 708676 LABORATORY CORPORATION OF AMERICA HOLDIN PO BOX 2270 BURLINGTON NC 27216 LAB SERVICES AT CLINICS 570034 ALLIED BARTON SECURITY SERVICES LLC 161 WASHINGTON STREET SUITE 600 CONSHOHOCKEN PA 19428 SECURITY OFFICERS 506720 CLINICAL PATHOLOGY LABORATORIES INC 9200 WALL STREET AUSTIN TX 78754 LABORATORY SERVICES 432920 9 44808774 44808774 PATIENT SERVICE REVENUE 621300 25345375 25345375 25345375 70154149 25345375 0 0 X 974485 801596 172889 32271074 26766933 5504141 6017779 4614751 1403028 2263254 1735583 527671 247044 119358 127686 42375 20473 21902 10936577 6639380 4297197 45988 19953 26035 1045068 656625 388443 2927084 1592912 1334172 3627724 111297 3516427 134807 58490 76317 3362 1459 1903 22547 21845 702 344493 173217 171276 101189 101189 DRUGS, MEDICINE & SUPPL 4683620 4105075 578545 BAD DEBT EXPENSE 2599213 2598702 511 MISCELLANEOUS 8595 8421 174 68296278 50046070 18250208 0 8273964 12102912 1880195 1213628 3956699 1676632 0 510834 242993 286593 349260 405258 2039329 703219 1513072 1336110 16216183 17531967 4949136 6414351 123341 68232 6340234 4388041 11412711 10870624 X 4803472 6661343 4803472 6661343 16216183 17531967 1857871 0 X X 0 1 X 1 1 1 X 23544340 38317711 41288269 44182570 44808774 192141664 23544340 38317711 41288269 44182570 44808774 192141664 192141664 192141664 83671900 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 816828 263432 553396 1013431 351354 662077 209070 88433 120637 1336110 70154149 0 70154149 0 70154149 68296278 0 68296278 0 68296278 X 0 1 X X X 1 0 0 0 0 0 0 0 0 CAROLYN KONECNY 172096 0 0 0 0 0 11575 0 5753 0 189424 0 0 0 LESLEE A FROEHLICH 199137 0 0 0 0 0 15872 0 5042 0 220051 0 0 0 THERESA SABELLA 127376 0 0 0 0 0 10843 0 14052 0 152271 0 0 0 DANIEL CROWE 236180 0 0 0 0 0 12217 0 6376 0 254773 0 0 0 CONSTANCIO CONCEPCION 213119 0 0 0 0 0 17045 0 5703 0 235867 0 0 0 DAVID ESCAMILLA 225449 0 0 0 0 0 17927 0 5639 0 249015 0 0 0 JAMES ZACHARY 217383 0 0 0 0 0 17471 0 8987 0 243841 0 0 0 ALINA RAMOS 216615 0 0 0 0 0 16828 0 7936 0 241379 0 0 0 HERMINIO BEZERRA 193392 0 0 0 0 0 13878 0 8963 0 216233 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 DANIEL 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. 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. OTHER FEES FORM 990, PART IX, LINE 11G CONTRACT 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. 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.