2019-07-30T08:45:22-05:00 2018-09-30 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2017-10-01 550853118 CENTRAL TEXAS COMMUNITY HEALTH CENTERS CENT 5129789000 2115 KRAMER STE 100 AUSTIN TX 78758 JAESON FOURNIER CEO 5129789000 2019-07-24 1 SEAN HOLCOMB P01249221 5123703200 64.250.11.34 2019-07-24 17:01:24 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D4F3E3F08227D51943B34A7937F561B643D5963D 2017 2019-02-21 02:37:17Z COMMUNITYCARE JAESON FOURNIER 2115 KRAMER STE 100 AUSTIN TX 78758 105026987 0 X WWW.COMMUNITYCARETX.ORG X 2003 TX COMMUNITYCARE OPERATES 24 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 10 10 957 11 0 41905 10636803 10391742 88311918 94635245 0 0 0 0 98948721 105026987 0 0 0 0 60923392 66750236 0 0 0 35146993 37578330 96070385 104328566 2878336 698421 33077660 36536950 14954274 17715143 18123386 18821807 X COMMUNITYCARE OPERATES 24 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 0 0 81885986 94635245 COMMUNITYCARE OPERATED 24 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 287,498 MEDICAL; 16,517 BEHAVIORAL HEALTH; AND 52,503 DENTAL ENCOUNTERS IN FISCAL YEAR 2018 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.ON JUNE 28, 2018 COMMUNITYCARE ACQUIRED FOUR AUSTIN OBSTETRICS/GYNECOLOGY CLINICS. IN ASSUMING THE OPERATIONS OF AUSTIN OB/GYN PRACTICES INTO COMMUNITYCARE'S EXPANSIVE NETWORK OF HEALTH CENTERS, THE ORGANIZATION HELPS ENSURE CONTINUED ACCESS FOR THOUSANDS OF AUSTIN-AREA WOMEN TO REPRODUCTIVE HEALTH, GYNECOLOGY AND PREGNANCY SERVICES CLOSE TO THEIR HOMES. 81885986 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 76 0 957 1 1 1 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X PHILIP DEFALCO 5129789022 2115 KRAMER SUITE 100 AUSTIN TX 78758 BARBARA SHIRLEY SECRETARY 1.00 X X 0 0 0 BLYTHE PLUNKETT BOARD MEMBER 1.00 X 0 0 0 CHRIS RIOS CHAIRMAN 1.00 X X 0 0 0 CLAUDIA WILLIAMS BOARD MEMBER 1.00 X 0 0 0 DEBBIE LOCKLEAR CONSUMER BOARD MEMBER 1.00 X 0 0 0 DR TOM COOPWOOD TREASURER 1.00 X X 0 0 0 FLETCHER BROWN BOARD MEMBER 1.00 X 0 0 0 KAREN SILES BOARD MEMBER 1.00 X 0 0 0 KC BARNER VICE CHAIRMAN 1.00 X X 0 0 0 MONICA GARCIA CONSUMER BOARD MEMBER 1.00 X 0 0 0 ALAN SCHALSCHA CHIEF MEDICAL OFFICER 40.00 X 287364 0 27692 CAROLYN KONECNY CHIEF FINANCIAL OFFICER 40.00 X 239165 0 19726 JAESON FOURNIER CHIEF EXECUTIVE OFFICER 40.00 X 164724 0 10625 LANE GREER CHIEF LEGAL COUNSEL 40.00 X 187438 0 17127 YVONNE CAMARENA CHIEF OPERATING OFFICER 40.00 X 133962 0 17186 DAVID ESCAMILLA ASSOCIATE MEDICAL DIRECTOR 40.00 X 282033 0 20667 ALINA MILIAN RAMOS PHYSICIAN 40.00 X 205338 0 24317 CONSTANCIO V CONCEPCION PHYSICIAN 40.00 X 227845 0 19299 JAMES ZACHARY PHYSICIAN 40.00 X 246999 0 24317 LE-WAI THANT CLINICAL REGIONAL DIRECTOR PEDIATRICS 40.00 X 237459 0 26462 PADMA REDDY PHYSICIAN 40.00 X 199568 0 24653 GEORGE MILLER FORMER CHIEF EXECUTIVE OFFICER 40.00 X 116496 0 4705 THERESA SABELLA FORMER CHIEF OPERATING OFFICER 40.00 X 242526 0 16016 2770917 0 252792 95 1 1 0 QUEST DIAGNOSTICS PO BOX 822510 PHILADELPHIA PA 19182 LAB SERVICES 2181602 AUSTIN TRAVIS COUNTY MHMR CENTER 1430 COLLIER STREET AUSTIN TX 78704 BEHAVIORAL HEALTH SERVICES 1840468 SETONUT AUSTIN DELL MEDICAL SCHOOL UNIV 1345 PHILOMENA STE4101 AUSTIN TX 78723 PHYSICIAN SERVICES 1680696 CENTRAL AUSTIN PHYSICIANS PA 6300 LA CALMA DRIVE SUITE 200 AUSTIN TX 78752 PHYSICIAN SERVICES 1562872 AUSTIN MEDICAL EDUCATION PROGRAMS (AMEP) PO BOX 34147 AUSTIN TX 78265 PHYSICIAN SERVICES 1207205 12 10213194 178548 48483 10391742 PATIENT SERVICE REVENU 621300 69277381 69277381 SERVICE DELIVERY 621300 25357864 25357864 94635245 105026987 94635245 0 0 X 1407707 1123486 284221 51232783 41014528 10218255 10458360 8052513 2405847 3651386 2811419 839967 61759 1997 59762 75541 2443 73098 17664071 12372865 5291206 26621 15010 11611 1223538 852453 371085 2142027 1432030 709997 4757799 3790103 967696 250544 141264 109280 600 338 262 249124 195055 54069 175003 47918 127085 DRUGS, MEDICINE & SUPPL 8941533 8023825 917708 BAD DEBT EXPENSE 2006890 2006890 MISCELLANEOUS 3280 1849 1431 104328566 81885986 22442580 0 19751093 16574847 1400733 721284 10614810 16109130 10000 833 237336 589031 586633 479164 1806891 1156630 477055 650261 0 1412400 33077660 36536950 8651077 11214777 1452062 1332243 4507988 4836730 343147 331393 14954274 17715143 X 18123386 18821807 18123386 18821807 33077660 36536950 698421 0 X X 0 1 X 1 1 1 X 51866881 9048855 8757480 10636803 10391742 90701761 51866881 9048855 8757480 10636803 10391742 90701761 90701761 90701761 379992667 1.00000 1.00000 X 858322 661733 196589 751929 345870 406059 196640 149027 47613 650261 DEFERRED RENT 331393 331393 103020097 0 103020097 2006890 2006890 105026987 102321676 0 102321676 2006890 2006890 104328566 PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS NETTED AGAINST REVENUE IN AUDITED FINANCIAL STATEMENTS 2,006,890. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS NETTED AGAINST REVENUE IN AUDITED FINANCIAL STATEMENTS 2,006,890. X X X X X 1 0 0 0 0 0 0 0 0 ALAN SCHALSCHA CHIEF MEDICAL OFFICER 282765 0 0 0 4599 0 14769 0 12923 0 315056 0 0 0 CAROLYN KONECNY CHIEF FINANCIAL OFFICER 228845 0 9020 0 1300 0 13843 0 5883 0 258891 0 0 0 JAESON FOURNIER CHIEF EXECUTIVE OFFICER 164724 0 0 0 0 0 4085 0 6540 0 175349 0 0 0 LANE GREER CHIEF LEGAL COUNSEL 179738 0 0 0 7700 0 11241 0 5886 0 204565 0 0 0 YVONNE CAMARENA CHIEF OPERATING OFFICER 131187 0 0 0 2775 0 8326 0 8860 0 151148 0 0 0 DAVID ESCAMILLA ASSOCIATE MEDICAL DIRECTOR 276877 0 0 0 5156 0 14754 0 5913 0 302700 0 0 0 ALINA MILIAN RAMOS PHYSICIAN 197517 0 4000 0 3821 0 12274 0 12043 0 229655 0 0 0 CONSTANCIO V CONCEPCION PHYSICIAN 223373 0 0 0 4472 0 13416 0 5883 0 247144 0 0 0 JAMES ZACHARY PHYSICIAN 242161 0 0 0 4838 0 14541 0 9776 0 271316 0 0 0 LE-WAI THANT CLINICAL REGIONAL DIRECTOR PEDIATRIC 232828 0 0 0 4631 0 14326 0 12136 0 263921 0 0 0 PADMA REDDY PHYSICIAN 195594 0 0 0 3974 0 12517 0 12136 0 224221 0 0 0 GEORGE MILLER FORMER CHIEF EXECUTIVE OFFICER 52348 0 13398 0 50750 0 3334 0 1371 0 121201 0 0 0 THERESA SABELLA FORMER CHIEF OPERATING OFFICER 163738 0 9284 0 69504 0 8853 0 7163 0 258542 0 0 0 PART I, LINE 4A SEVERANCE PAYMENTS OF $50,750 AND $66,739 WERE PAID TO GEORGE MILLER AND THERESA SABELLA, RESPECTIVELY (AS REPORTED ON THE PRIOR YEAR 990). ALAN SCHALSCHA OFFICER RECRUITING AND RETENTION OF A HIGHLY QUALIFIED OFFICER X 10000 833 0 1 1 833 X VACCINATIONS 3950 48483 COST 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 7A TRAVIS COUNTY HEALTH DISTRICT, DBA CENTRAL HEALTH CAN APPOINT 2 MEMBERS TO THE BOARD. 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 B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND AT THE MONTHLY BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C REPORTS ARE RUN TO MONITOR THE PROGRESS OF SUBMITTED DISCLOSURE FORMS AND DISCREPANCIES ARE REPORTED TO EXECUTIVE MANAGEMENT FOR ENFORCEMENT. 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 IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,303,887. MANAGEMENT AND GENERAL EXPENSES 432,756. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,736,643. BILLING STATEMENT AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 1,385,591. MANAGEMENT AND GENERAL EXPENSES 1,071,870. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,457,461. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 3,592,118. MANAGEMENT AND GENERAL EXPENSES 2,834,288. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,426,406. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 3,633. MANAGEMENT AND GENERAL EXPENSES 108,708. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,341. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,087,636. MANAGEMENT AND GENERAL EXPENSES 843,584. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,931,220. 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.