2013-11-15T07:42:10-06:00 2012-12-31 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2012-01-01 742865171 GEORGETOWN HEALTHCARE COMMUNITY SERVICES GEOR 5129312221 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 78628 SCOTT ALARCON 5129312221 2013-11-05 1 SEAN HOLCOMB P01249221 5123703200 2013-11-05 2012 2016-02-25 16:41:14Z X SCOTT ALARCON 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 78628 3765227 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. 14 14 30 0 0 0 0 0 1361258 2350744 -73334 4384 1565275 277519 2853199 2632647 0 0 0 0 938605 904943 0 0 0 1451990 1407761 2390595 2312704 462604 319943 19526570 18379431 20088875 19015597 -562305 -636166 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 1403176 0 1344832 PROVIDED DRUG AND ALCOHOL TREATMENT FOR RESIDENTS REFERRED BY THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE. 796378 1005912 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. 96139 EXPENSES RELATED TO THE MANAGEMENT OF ASSETS HELD BY THE ORGANIZATION AND UTILIZED TO FURTHER THE GRANT MAKING ACTIVITIES OF GEORGETOWN HEALTHCARE SYSTEM. 2295693 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 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 1 0 0 0 1 41 0 1 30 1 0 0 0 0 0 0 0 0 0 0 X 14 14 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 78628 BARBARA H BRIGHTWELL 2.00 X 0 0 0 DOAK FLING 1.50 X 0 0 0 STEPHEN D SCHAEFER OD 1.50 X 0 0 0 DALE ILLIG 1.50 X 0 0 0 KAREN COLE 1.50 X 0 0 0 ALMA GUZMAN 1.50 X 0 0 0 DARRICK MCGILL 1.50 X 0 0 0 AUSTIN BRYAN 1.00 X 0 0 0 KAREN CROSBY 1.00 X 0 0 0 LARRY J HEMENES 1.00 X 0 0 0 JOAN MAIER 1.00 X 0 0 0 LINDA MEIGS 1.00 X 0 0 0 RICHARD PEARCE MD 1.00 X 0 0 0 JAKE SCHRUM 1.00 X 0 0 0 M SCOTT ALARCON 40.00 X 0 227717 32472 RICHARD SCHULTZ 40.00 X 0 167217 21386 0 394934 53858 0 0 1 0 ADAY AND ASSOCIATES LLC 1810 CR 122 NORTH ROUND ROCK TX 78665 CONSTRUCTION SERVICE 348554 KYSER ENTERPRISES INC 300 BAR T DRIVE FLORENCE TX 76527 CONSTRUCTION SERVICE 302926 IE2 CONSTRUCTION 11002 -B METRIC BLVD AUSTIN TX 78758 CONSTRUCTION SERVICE 223756 3 PATIENT SERVICE REVENUE 623990 1344832 1344832 FACILITY RENTAL TO COMM HEALTH SE 900099 1005912 1005912 2350744 4384 4384 1410099 1132580 277519 277519 277519 2632647 2350744 0 281903 679087 679087 14864 14864 146067 146067 64925 64925 116636 116636 153 143 10 16800 16800 913 913 554 554 18595 18595 479140 479127 13 7183 7183 598450 598262 188 31357 31357 SUPPLIES 130430 130430 MISC EXPENSES 7178 7178 DUES AND SUBSCRIPTIONS 372 372 2312704 2295693 17011 0 726154 353956 141169 104751 93726 104886 25605761 7789923 18565521 17815838 19526570 18379431 276443 455473 5567489 5753712 14244943 12806412 20088875 19015597 X -562305 -636166 -562305 -636166 19526570 18379431 X 319943 -393804 X X 0 1 X 1 0 X 3030528 1900776 2283714 2540203 2350744 12105965 3030528 1900776 2283714 2540203 2350744 12105965 0 0 0 12105965 675051 1305702 972499 1187769 1414483 5555504 675051 1305702 972499 1187769 1414483 5555504 3705579 3206478 3256213 3727972 3765227 17661469 0.68540 0.70000 0.31460 0.30000 X 2367377 2367377 22281420 7598853 14682567 389629 77882 311747 146944 113188 33756 420391 420391 17815838 DUE TO AFFILIATED ENTITIES 12806412 12806412 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 TAX IN THE ACCOMPANYING FINANCIAL STATEMENTS; HOWEVER, THERE MAY BE IMMATERIAL TAXES DUE TO DEBT FINANCED PRIVATE PURPOSE ACTIVITIES THAT MANAGEMENT HAS ELECTED NOT TO RECORD AS A LIABILITY. THE ORGANIZATION WAS INCLUDED IN GEORGETOWN HEALTHCARE SYSTEM, INC'S COMBINED INDEPENDENT AUDITED FINANCIAL STATEMENTS FOR THE TAX YEAR. 0 0 0 0 0 0 0 0 0 M SCOTT ALARCON 0 227717 0 0 0 0 0 9109 0 23363 0 260189 0 0 RICHARD SCHULTZ 0 167217 0 0 0 0 0 6689 0 14697 0 188603 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. SUPPLEMENTAL INFORMATION PART III 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: UNREALIZED LOSS ON INTEREST RATE SWAP -393,804. ITS PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT DID NOT CHANGE FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S OVERSIGHT PROCESS AND 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