2021-08-13T14:36:37-05:00 2020-09-30 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2019-10-01 550853118 CENTRAL TEXAS COMMUNITY HEALTH CENTERS CENT 5129789000 2115 KRAMER STE 100 AUSTIN TX 78758 JAESON FOURNIER CEO 5129789000 2021-08-12 1 SEAN HOLCOMB P01249221 5123703200 2019 2022-09-23 18:48:47Z COMMUNITYCARE JAESON FOURNIER 2115 KRAMER STE 100 AUSTIN TX 78758 139565035 0 X WWW.COMMUNITYCARETX.ORG X 2003 TX COMMUNITYCARE OPERATES 31 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 10 10 1230 0 0 0 12428910 13878706 99832089 125686329 0 0 0 0 112260999 139565035 0 0 0 0 71178059 86471161 0 0 0 39777530 44926996 110955589 131398157 1305410 8166878 38889577 62398802 18762360 34104707 20127217 28294095 COMMUNITYCARE OPERATES 31 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 0 0 103390690 125686329 COMMUNITYCARE OPERATED 31 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 292,218 MEDICAL; 16,996 BEHAVIORAL HEALTH; AND 37,067 DENTAL ENCOUNTERS IN FISCAL YEAR 2020 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. 103390690 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 83 0 1230 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 1 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 CONSUMER BOARD MEMBER 1.00 X 0 0 0 CHRIS RIOS TREASURER 1.00 X X 0 0 0 CLAUDIA WILLIAMS CONSUMER BOARD MEMBER 1.00 X 0 0 0 DEBBIE LOCKLEAR CONSUMER BOARD MEMBER 1.00 X 0 0 0 DR TOM COOPWOOD CHAIRMAN 1.00 X X 0 0 0 KAREN SILES BOARD MEMBER 1.00 X 0 0 0 GUY P SWENSON SECRETARY 1.00 X X 0 0 0 MARIA DEL PILAR SANCHEZ VICE CHAIRMAN 1.00 X X 0 0 0 JESUS SAMANO GARAY CONSUMER BOARD MEMBER 1.00 X 0 0 0 JOSE CANO CONSUMER BOARD MEMBER 1.00 X 0 0 0 ALAN SCHALSCHA CHIEF MEDICAL OFFICER 40.00 X 317348 0 35052 EMILIA KERIC CHIEF RISK OFFICER 40.00 X 203312 0 18804 JAESON FOURNIER CHIEF EXECUTIVE OFFICER 40.00 X 328550 0 30479 YVONNE CAMARENA CHIEF OPERATING OFFICER 40.00 X 180360 0 24756 JOY SLOAN CHIEF FINANCIAL OFFICER 40.00 X 131923 0 10584 DAVID ESCAMILLA ASSOCIATE MEDICAL DIRECTOR 40.00 X 256044 0 25715 NICHOLAS YAGODA DIRECTOR, PRIMARY CARE 40.00 X 233068 0 17525 MATTHEW BALTHAZAR VP HEALTH CENTER ADVANCEMENT 40.00 X 173182 0 16635 CONSTANCIO V CONCEPCION PHYSICIAN - PAEDIATRICS 40.00 X 257278 0 25325 JAMES ZACHARY PHYSICIAN - FAMILY MEDICINE 40.00 X 248946 0 30379 LE-WAI THANT CLINICAL REGIONAL DIRECTOR 40.00 X 255901 0 33158 JEFFREY HAGEN PHYSICIAN - OB/GYN 40.00 X 292996 0 29465 SUSAN DUBOIS DIRECTOR - SPECIALITY CARE 40.00 X 249008 0 20727 CAROLYN KONECNY FORMER CHIEF FINANCIAL OFFICER 40.00 X 121361 0 2470 3249277 0 321074 124 1 1 0 QUEST DIAGNOSTICS PO BOX 822510 PHILADELPHIA PA 19182 LAB SERVICES 2013760 AUSTIN TRAVIS COUNTY MHMR CENTER 1430 COLLIER STREET AUSTIN TX 78704 BEHAVIORAL HEALTH SERVICES 1961094 SETONUT AUSTIN DELL MEDICAL SCHOOL UNIV 1345 PHILOMENA STE4101 AUSTIN TX 78723 PHYSICIAN SERVICES 1634112 AUSTIN MEDICAL EDUCATION PROGRAMS (AMEP) PO BOX 34147 AUSTIN TX 78265 PHYSICIAN SERVICES 1162145 LANGUAGE SERVICES ASSOCIATES INC 455 BUSINESS CENTER DRIVE SUITE 100 HORSHAM PA 19044 INTERPRETATION SERVICES 1059513 18 12736165 1142541 13878706 PATIENT SERVICE REVENU 621300 99959364 99959364 SERVICE DELIVERY 621300 25726965 25726965 125686329 139565035 125686329 0 0 X 2003333 1584790 418543 67121138 53097982 14023156 12621798 9984813 2636985 4724892 3737753 987139 119252 53002 66250 108965 48430 60535 17103936 14727367 2376569 41449 18422 23027 1312974 583556 729418 2714401 1206426 1507975 6999180 3110812 3888368 239125 138431 100694 93696 41644 52052 250294 111244 139050 204085 90706 113379 DRUGS, MEDICINE & SUPPL 14509609 13603900 905709 BAD DEBT EXPENSE 1268516 1268516 TAXES - EXCISE AND OTHE 253 112 141 MISCELLANEOUS -38739 -17216 -21523 131398157 103390690 28007467 0 20377341 26236955 0 2889507 1395284 1336082 13259236 11828988 658019 479473 856814 459328 2546736 1227754 930483 1318982 1412400 17849487 38889577 62398802 10968846 11207659 1968589 1642636 0 5320000 5526927 4952722 297998 10981690 18762360 34104707 X 20127217 28294095 20127217 28294095 38889577 62398802 8166878 0 X X 0 1 X 1 1 1 X 8757480 10636803 10391742 12428910 13878706 56093641 8757480 10636803 10391742 12428910 13878706 56093641 56093641 56093641 497736346 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1397999 790678 607321 1076396 382369 694027 72341 54707 17634 1318982 DEFERRED RENT 244603 CONTINGENT EARNOUT PAYABLE 10737087 10981690 138296519 0 138296519 1268516 1268516 139565035 130129641 0 130129641 1268516 1268516 131398157 PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS NETTED AGAINST REVENUE IN AUDITED FINANCIAL STATEMENTS 1,268,516. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS NETTED AGAINST REVENUE IN AUDITED FINANCIAL STATEMENTS 1,268,516. X X X 0 0 0 0 0 0 0 0 0 ALAN SCHALSCHA CHIEF MEDICAL OFFICER 317348 0 0 0 0 0 23125 0 11927 0 352400 0 0 0 EMILIA KERIC CHIEF RISK OFFICER 203312 0 0 0 0 0 12180 0 6624 0 222116 0 0 0 JAESON FOURNIER CHIEF EXECUTIVE OFFICER 328550 0 0 0 0 0 15693 0 14786 0 359029 0 0 0 YVONNE CAMARENA CHIEF OPERATING OFFICER 180360 0 0 0 0 0 14404 0 10352 0 205116 0 0 0 DAVID ESCAMILLA ASSOCIATE MEDICAL DIRECTOR 256044 0 0 0 0 0 19086 0 6629 0 281759 0 0 0 NICHOLAS YAGODA DIRECTOR, PRIMARY CARE 233068 0 0 0 0 0 17171 0 354 0 250593 0 0 0 MATTHEW BALTHAZAR VP HEALTH CENTER ADVANCEMENT 173182 0 0 0 0 0 10011 0 6624 0 189817 0 0 0 CONSTANCIO V CONCEPCION PHYSICIAN - PAEDIATRICS 257278 0 0 0 0 0 18701 0 6624 0 282603 0 0 0 JAMES ZACHARY PHYSICIAN - FAMILY MEDICINE 248946 0 0 0 0 0 19915 0 10464 0 279325 0 0 0 LE-WAI THANT CLINICAL REGIONAL DIRECTOR 255901 0 0 0 0 0 20007 0 13151 0 289059 0 0 0 JEFFREY HAGEN PHYSICIAN - OB/GYN 292996 0 0 0 0 0 16689 0 12776 0 322461 0 0 0 SUSAN DUBOIS DIRECTOR - SPECIALITY CARE 249008 0 0 0 0 0 14653 0 6074 0 269735 0 0 0 CAROLYN KONECNY FORMER CHIEF FINANCIAL OFFICER 121361 0 0 0 0 0 1682 0 788 0 123831 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED AS FOLLOWS: - REPLACED THE TERM "FQHC" WITH "CORPORATION" THROUGHOUT TO CLARIFY TYPE OF ORGANIZATION THAT IS COMMUNITYCARE AND ADDED REFERENCE TO "HEALTH CENTER PROGRAM" WHEREVER GOVERNANCE WAS UNIQUE TO HRSA REQUIRED AUTHORITIES. - ARTICLE II. UPDATED MISSION AND INCLUDED A PURPOSE STATEMENT. - SECTION 4.01. CLARIFIED DESCRIPTION OF THE BOARD AS A CO-APPLICANT, RATHER THAN AS THE FQHC. - SECTION 4.01. ADDED KEY AUTHORITIES SUCH AS SELECTING AN INDEPENDENT AUDITOR TO PERFORM THE ANNUAL AUDIT AND SELECTING, EVALUATING AND DISMISSING THE CEO. - SECTION 4.02. ADDED LANGUAGE PROHIBITING THIRD PARTIES FROM APPROVAL AUTHORITY OR VETO POWER WITH REGARD TO THE REQUIRED AUTHORITIES. - SECTION 4.03. STRUCK MOST OF THE BUDGET PROCESS AND REPLACED WITH A HIGH-LEVEL SUMMARY OF ACTUAL, CURRENT PROCESS WITH CENTRAL HEALTH. DETAILED PROCEDURES WILL BE OUTLINED IN THE CO-APPLICANT AGREEMENT. - SECTION 5.02(2). ADDED LANGUAGE THAT ALLOWS A LEGAL GUARDIAN OF A PATIENT OR A LEGAL SPONSOR OF AN IMMIGRANT PATIENT TO BE CONSIDERED A CONSUMER FOR PURPOSES OF BOARD REPRESENTATION. - SECTION 5.02(3). ADDED HEALTHCARE AS AN INDUSTRY THAT NON-CONSUMERS CAN REPRESENT. - SECTION 5.02(5). ADDED REFERENCE TO THE NORTH AMERICAN CLASSIFICATION SYSTEM THAT WE USE TO DEFINE THE HEALTH CARE INDUSTRY FOR PURPOSES OF THE 10% INCOME REQUIREMENT. - SECTION 5.04. ADDED PROHIBITION AGAINST THIRD PARTY REQUIRING REMOVAL OF ANY DIRECTOR. ADDED NOTIFICATION REQUIREMENTS TO CENTRAL HEALTH IN THE EVENT A CENTRAL HEALTH APPOINTED BOARD DIRECTOR IS REMOVED OR SUSPENDED. - SECTION 5.05. ADDED PROCEDURES FOR DIRECTOR RESIGNATIONS. - SECTION 5.07. ADDED A PROCESS FOR TAKING ACTION OUTSIDE OF A MEETING. - SECTION 6.01-6.02. CLARIFIED INTENT OF BOARD RECRUITMENT EFFORTS, MOVED UP THE ELECTION DATE FOR REAPPOINTMENTS, TERMS TO BEGIN UPON REAPPOINTMENT AND ADDED PROHIBITIONS AROUND THIRD PARTY SELECTION/APPOINTMENT OF BOARD DIRECTORS. - SECTION 7.02. ALIGNED OFFICER APPOINTMENTS WITH DIRECTOR APPOINTMENTS. - ARTICLE VII. CLARIFIED AND STRENGTHENED RESPONSIBILITIES OF CHAIRMAN, SECRETARY AND TREASURER. - ARTICLE VIII. STRUCK QUALITY AND PERFORMANCE IMPROVEMENT COMMITTEE, MEDICAL PEER REVIEW COMMITTEE AND NURSING PEER REVIEW COMMITTEE AS THESE ARE NOT COMMITTEES OF THE BOARD, BUT RATHER STAFF COMMITTEES, BUT KEPT REFERENCE REGARDING AUTHORITY TO ESTABLISH AND OVERSEE PEER REVIEW FUNCTIONS (AT SECTION 4.01(7). - SECTION 8.02. CLARIFIED FUNCTION OF EXECUTIVE COMMITTEE. - SECTION 8.04. CHANGED FREQUENCY OF STRATEGIC PLANNING COMMITTEE FROM ANNUALLY TO QUARTERLY. - SECTION 8.06. STRUCK REQUIREMENT TO HOLD AT LEAST TWO PATIENT EXPERIENCE COMMITTEE MEETINGS AS PUBLIC FORUMS AS OBJECTIVE WILL BE ACHIEVED THROUGH PATIENT ADVISORY COUNCIL. - SECTION 9.01. CLARIFIED FUNCTION OF EXECUTIVE SESSION. - SECTION 9.10. CLARIFIED AND EXPANDED CIRCUMSTANCES FOR BOARD COMPENSATION. - SECTION 10.02-10.04. STRUCK MOST OF SELECTION PROCESS OF CEO AS THIS IS ENCOMPASSED IN CO-APPLICANT AGREEMENT. CLARIFIED THAT BOARD IS RESPONSIBLE FOR SELECTING AND DISMISSING THE CEO. - SECTION 12.02. ADDED A CONFIDENTIALITY REQUIREMENT. - SECTION 12.03. ADDED PROHIBITIONS AGAINST ACTING INDIVIDUALLY ON BEHALF OF THE BOARD, DIRECTING STAFF, AND TAKING ACTIONS THAT RUN AFOUL CHARITABLE, TAX-EXEMPT PURPOSES. - SECTION 13.02. STRUCK ACCESS AND AUDIT PROCEDURES FROM ARTICLE XIII AS THOSE ARE ENCOMPASSED IN CO-APPLICANT AGREEMENT AND STRUCK CENTRAL HEALTH FROM APPROVAL PROCESS OF INDEPENDENT AUDIT. 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 766,188. MANAGEMENT AND GENERAL EXPENSES 957,698. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,723,886. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 7,584,181. MANAGEMENT AND GENERAL EXPENSES 129,498. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,713,679. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 50,268. MANAGEMENT AND GENERAL EXPENSES 62,832. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,100. OTHER SERVICES: PROGRAM SERVICE EXPENSES 948,710. MANAGEMENT AND GENERAL EXPENSES 789,413. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,738,123. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,378,020. MANAGEMENT AND GENERAL EXPENSES 437,128. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,815,148. 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.