2020-08-17T11:04:22-05:00 2019-09-30 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2018-10-01 550853118 CENTRAL TEXAS COMMUNITY HEALTH CENTERS CENT 5129789000 2115 KRAMER STE 100 AUSTIN TX 78758 JAESON FOURNIER CEO 5129789000 2020-08-10 1 SEAN HOLCOMB P01249221 5123703200 64.250.9.178 2020-08-10 11:28:10 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D4F3E3F08227D51943B34A7937F561B643D5963D 2018 2020-09-23 17:36:50Z COMMUNITYCARE JAESON FOURNIER 2115 KRAMER STE 100 AUSTIN TX 78758 112260999 0 X WWW.COMMUNITYCARETX.ORG X 2003 TX COMMUNITYCARE OPERATES 30 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 10 10 1013 0 0 0 10391742 12428910 94635245 99832089 0 0 0 0 105026987 112260999 0 0 0 0 66750236 71178059 0 0 0 37578330 39777530 104328566 110955589 698421 1305410 36536950 38889577 17715143 18762360 18821807 20127217 COMMUNITYCARE OPERATES 30 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 0 0 87625458 99832089 COMMUNITYCARE OPERATED 30 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 311,123 MEDICAL; 18,801 BEHAVIORAL HEALTH; AND 51,105 DENTAL ENCOUNTERS IN FISCAL YEAR 2019 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. 87625458 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 77 0 1013 1 0 0 0 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 JOY SLOAN CFO 5129789811 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 SEEMEEN ALAM BOARD MEMBER 1.00 X 0 0 0 ALAN SCHALSCHA CHIEF MEDICAL OFFICER 40.00 X 310265 0 37264 CAROLYN KONECNY CHIEF FINANCIAL OFFICER 40.00 X 217354 0 19699 EMILIA KERIC CHIEF RISK OFFICER 40.00 X 153498 0 15938 JAESON FOURNIER CHIEF EXECUTIVE OFFICER 40.00 X 297495 0 31105 LANE GREER CHIEF LEGAL COUNSEL 40.00 X 181144 0 14882 YVONNE CAMARENA CHIEF OPERATING OFFICER 40.00 X 172123 0 20957 DAVID ESCAMILLA ASSOCIATE MEDICAL DIRECTOR 40.00 X 303535 0 21448 ALINA MILIAN RAMOS PHYSICIAN 40.00 X 228441 0 24442 CONSTANCIO V CONCEPCION PHYSICIAN 40.00 X 260074 0 20724 JAMES ZACHARY PHYSICIAN 40.00 X 252113 0 25646 LE-WAI THANT CLINICAL REGIONAL DIRECTOR 40.00 X 258519 0 29877 PADMA REDDY PHYSICIAN 40.00 X 224013 0 26730 2858574 0 288712 110 0 1 0 QUEST DIAGNOSTICS PO BOX 822510 PHILADELPHIA PA 19182 LAB SERVICES 2095014 AUSTIN TRAVIS COUNTY MHMR CENTER 1430 COLLIER STREET AUSTIN TX 78704 BEHAVIORAL HEALTH SERVICES 1700312 SETONUT AUSTIN DELL MEDICAL SCHOOL UNIV 1345 PHILOMENA STE4101 AUSTIN TX 78723 PHYSICIAN SERVICES 1607156 CENTRAL AUSTIN PHYSICIANS PA 6300 LA CALMA DRIVE SUITE 200 AUSTIN TX 78752 PHYSICIAN SERVICES 1455335 AUSTIN MEDICAL EDUCATION PROGRAMS (AMEP) PO BOX 34147 AUSTIN TX 78265 PHYSICIAN SERVICES 714836 14 11904654 524256 12428910 PATIENT SERVICE REVENU 621300 73920164 73920164 SERVICE DELIVERY 621300 25911925 25911925 99832089 112260999 99832089 0 0 X 1796704 1435576 361128 54645104 43739252 10905852 10837756 8503553 2334203 3898495 3058849 839646 89246 3607 85639 52328 2115 50213 15600964 11008073 4592891 16111 9242 6869 1160403 789367 371036 2445751 1403018 1042733 5356081 3763688 1592393 258735 148425 110310 182 104 78 52 52 242120 170820 71300 174369 50867 123502 DRUGS, MEDICINE & SUPPL 11318149 10493340 824809 BAD DEBT EXPENSE 3045098 3045098 TAXES - EXCISE AND OTHE 16400 30 16370 MISCELLANEOUS 1541 434 1107 110955589 87625458 23330131 0 16574847 20377341 721284 1395284 16109130 13259236 833 0 589031 658019 479164 856814 2329234 1398751 650261 930483 1412400 1412400 36536950 38889577 11214777 10968846 1332243 1968589 4836730 5526927 331393 297998 17715143 18762360 X 18821807 20127217 18821807 20127217 36536950 38889577 1305410 0 X X 0 1 X 1 1 1 X 9048855 8757480 10636803 10391742 12428910 51263790 9048855 8757480 10636803 10391742 12428910 51263790 51263790 51263790 451417765 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1178215 714198 464017 944287 510178 434109 206732 174375 32357 930483 DEFERRED RENT 297998 297998 109215901 0 109215901 3045098 3045098 112260999 107910491 0 107910491 3045098 3045098 110955589 PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS NETTED AGAINST REVENUE IN AUDITED FINANCIAL STATEMENTS 3,045,098. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS NETTED AGAINST REVENUE IN AUDITED FINANCIAL STATEMENTS 3,045,098. X X X X 0 0 0 0 0 0 0 0 0 ALAN SCHALSCHA CHIEF MEDICAL OFFICER 310265 0 0 0 0 0 22196 0 15068 0 347529 0 0 0 CAROLYN KONECNY CHIEF FINANCIAL OFFICER 216054 0 0 0 1300 0 13007 0 6692 0 237053 0 0 0 EMILIA KERIC CHIEF RISK OFFICER 153498 0 0 0 0 0 9246 0 6692 0 169436 0 0 0 JAESON FOURNIER CHIEF EXECUTIVE OFFICER 297495 0 0 0 0 0 16075 0 15030 0 328600 0 0 0 LANE GREER CHIEF LEGAL COUNSEL 181144 0 0 0 0 0 9241 0 5641 0 196026 0 0 0 YVONNE CAMARENA CHIEF OPERATING OFFICER 168623 0 0 0 3500 0 10500 0 10457 0 193080 0 0 0 DAVID ESCAMILLA ASSOCIATE MEDICAL DIRECTOR 298044 0 0 0 5491 0 14757 0 6691 0 324983 0 0 0 ALINA MILIAN RAMOS PHYSICIAN 224450 0 0 0 3991 0 12842 0 11600 0 252883 0 0 0 CONSTANCIO V CONCEPCION PHYSICIAN 255397 0 0 0 4677 0 14032 0 6692 0 280798 0 0 0 JAMES ZACHARY PHYSICIAN 247158 0 0 0 4955 0 14893 0 10753 0 277759 0 0 0 LE-WAI THANT CLINICAL REGIONAL DIRECTOR 253653 0 0 0 4866 0 14953 0 14924 0 288396 0 0 0 PADMA REDDY PHYSICIAN 219926 0 0 0 4087 0 13467 0 13263 0 250743 0 0 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 BILLING STATEMENT AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 1,520,266. MANAGEMENT AND GENERAL EXPENSES 1,129,872. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,650,138. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 3,638,119. MANAGEMENT AND GENERAL EXPENSES 2,731,388. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,369,507. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 2,190. MANAGEMENT AND GENERAL EXPENSES 52,012. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,202. OTHER SERVICES: PROGRAM SERVICE EXPENSES 574,905. MANAGEMENT AND GENERAL EXPENSES 452,291. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,027,196. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,272,593. MANAGEMENT AND GENERAL EXPENSES 227,328. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,499,921. 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.