2011-08-04T11:21:32-05:00 2010-09-30 Maxwell Locke & Ritter LLP 401 Congress Avenue Suite 1100 Austin TX 787019682 990 2009-10-01 550853118 Central Texas Community Health Centers dba CommUnityCare CENT 5129789000 15 Waller Street 5th Floor Austin TX 78702 Carolyn Konecny 5129789000 2011-08-02 1 Sean Holcomb 5123703200 2009 2016-02-24 21:20:13Z David Vliet 15 Waller Street 5th Floor Austin TX 78702 51584211 0 X WWW.COMMUNITYCARETX.ORG X 2003 TX CommUnityCare operates 18 health center locations offering comprehensive primary care services for the entire family including pediatrics, behavioral health services, and dental care. 15 15 547 17 0 0 23544340 38317711 8143994 13266500 0 0 31688334 51584211 0 0 20462862 33159263 0 0 10978009 17669231 31440871 50828494 247463 755717 13001566 17199142 12754103 16195962 247463 1003180 CommUnityCare operates 18 health center locations offering comprehensive primary care services for the entire family including pediatrics, behavioral health services, and dental care. 0 0 37979682 13266500 CommUnityCare operated 18 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 179,924 medical; 13,782 behavioral health; and 28,855 dental encounters in fiscal year 2010 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. 37979682 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 34 0 547 1 0 0 0 0 0 0 0 0 0 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 5129789038 15 Waller Street 5th Floor Austin TX 78702 David Campos 1.00 X 0 0 0 Jessie Cleveland 1.00 X 0 0 0 Estella Duran 1.00 X 0 0 0 Karen Fromberg 1.00 X 0 0 0 Hal Katz 1.00 X X 0 0 0 William Kuykendall 1.00 X 0 0 0 Rose Lancaster 1.00 X 0 0 0 Alfredia Miller 1.00 X 0 0 0 Julia Mitchell 1.00 X X 0 0 0 Henry Narvaez 1.00 X X 0 0 0 Renee Hopper 1.00 X 0 0 0 Laura Moreno 1.00 X 0 0 0 bob martin 1.00 X 0 0 0 mary louise adams 1.00 X 0 0 0 fletcher brown 1.00 X 0 0 0 david vander straten 40.00 X 149563 0 19519 david vLIET 40.00 X 150844 0 16540 carolyn konecny 40.00 X 43736 0 4584 Leslee A Froehlich 40.00 X 109178 0 11353 james allen zachary 40.00 X 149695 0 17240 todd e crump 40.00 X 142913 0 13425 herminio zuixada bezerra 40.00 X 137955 0 18932 Constancio Vicencio Concepcion 40.00 X 137914 0 13111 David Francis Escamilla 40.00 X 158468 0 14348 stephen e miller 40.00 X 161728 0 0 1341994 0 129052 34 1 1 0 Austin Travis County MHMR Center 1430 Collier Street Austin TX 78704 Behavioral health providers 900408 Laboratory corporation of america holdin PO Box 12140 Burlington NC 27216 Lab services at clinics 703511 Central Austin Physicians PA 6300 La Calma Drive Suite 200 Austin TX 78752 Physicians at clinic 532640 White Glove Technologies LLC 2136 Rutland Dr Suite B Austin TX 78758 Technology services 464170 Allied Barton Security Services LLC 161 Washington Street Suite 600 Conshohocken PA 19428 Security officers 311179 8 38317711 38317711 Patient Service Revenu 621300 13266500 13266500 13266500 51584211 13266500 0 0 505317 412619 92698 26311668 21484909 4826759 4445893 3446435 999458 1896385 1470069 426316 20976 13156 7820 29000 18188 10812 6018695 3078462 2940233 25163 14188 10975 629162 484158 145004 2162089 36204 2125885 134677 76333 58344 7900 4454 3446 28560 4157 24403 121958 70942 51016 Drugs & Medicine 3630072 3335181 294891 Contract labor 2263757 2189357 74400 Equipment rental & main 820189 416829 403360 Bad debt expense 778666 778666 0 Computer equipment & so 270437 248484 21953 727930 396891 331039 50828494 37979682 12848812 0 4385905 7780727 1595197 1045968 6361473 7700585 110898 77943 340413 127841 470789 31219 207680 439570 0 26508 13001566 17199142 4302869 5447782 8322187 10748180 129047 0 12754103 16195962 X 247463 1003180 247463 1003180 13001566 17199142 X 0 1 1 X 1 1 X 23544340 38317711 61862051 23544340 38317711 61862051 61862051 61862051 21410494 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 92353 6038 86315 208859 19552 189307 169577 5629 163948 439570 51584211 50828494 755717 0 755717 51584211 0 51584211 0 51584211 50828494 0 50828494 0 50828494 Part X: Description of Uncertain Tax Positions Under FIN 48: The FASB issued new guidance within ASC 740-10, Income Taxes, effective for years beginning after December 15, 2008. It clarified the accounting for uncertainty in income taxes recognized in the financial statements. CommUnityCare adopted the amended provisions during the year ended September 30, 2010. This standard had no effect on CommUnityCare's financial position, results of operations or cash flows. X X X X 0 0 0 0 0 0 0 0 0 david vander straten 149563 0 0 0 0 0 9222 0 10297 0 169082 0 0 0 david vLIET 150844 0 0 0 0 0 9303 0 7237 0 167384 0 0 0 james allen zachary 149695 0 0 0 0 0 9186 0 8054 0 166935 0 0 0 todd e crump 142913 0 0 0 0 0 8589 0 4836 0 156338 0 0 0 herminio zuixada bezerra 137955 0 0 0 0 0 8635 0 10297 0 156887 0 0 0 Constancio Vicencio Concepcion 137914 0 0 0 0 0 8275 0 4836 0 151025 0 0 0 David Francis Escamilla 158468 0 0 0 0 0 9512 0 4836 0 172816 0 0 0 stephen e miller 161728 0 0 0 0 0 0 0 0 0 161728 0 0 0 HAL KATZ BOARD CHAIR 7433 In 2009, Community Care engaged two attorneys with Brown, McCarroll, LLP for legal counsel - one for medical peer review and Texas Medical Board Counsel, and the other for medical records, HIPAA and nursing peer reviw counsel. The total expenditures for the contracts for FY 2010 totaled $7,432.50. Our Board Chair in 2009 and 2010 was also an attorney with Brown, McCarroll, but had no involvement in either of these contracts and provided no legal services nor was involved in the procurement of the contracts. The former Board Chair chose to resign in December, 2010 and is no longer a member of the Board. 0 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 XI, Line 2c The process of selecting an independent accountant and oversight of the audit has not changed from the prior year.