2022-08-12T14:00:47-05:00 2021-09-30 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2020-10-01 550853118 CENTRAL TEXAS COMMUNITY HEALTH CENTERS CENT 5129789000 2115 KRAMER STE 100 AUSTIN TX 78758 JAESON FOURNIER CEO 5129789000 2022-08-08 1 JAESON FOURNIER 999009999 SEAN HOLCOMB P01249221 5123703200 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z COMMUNITYCARE JAESON FOURNIER 2115 KRAMER STE 100 AUSTIN TX 78758 149435488 0 X WWW.COMMUNITYCARETX.ORG X 2003 TX COMMUNITYCARE OPERATES 26 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 13 13 1358 0 0 0 13878706 18577341 125686329 130806848 0 51299 0 0 139565035 149435488 0 0 0 0 86471161 97789042 0 0 0 44926996 44186805 131398157 141975847 8166878 7459641 62398802 65663850 34104707 29910114 28294095 35753736 COMMUNITYCARE OPERATES 26 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 0 0 108891265 130806848 COMMUNITYCARE OPERATED 26 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 334,762 MEDICAL; 11,741 BEHAVIORAL HEALTH; AND 51,330 DENTAL ENCOUNTERS IN FISCAL YEAR 2021 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. 108891265 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 82 0 1358 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 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 GUY P SWENSON SECRETARY 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 KAREN SILES BOARD MEMBER 1.00 X 0 0 0 MARIA DEL PILAR SANCHEZ VICE CHAIRMAN 1.00 X X 0 0 0 STEVEN GARRETT NON CONSUMER BOARD MEMBER 1.00 X 0 0 0 CARLOS GORMAZ CONSUMER BOARD MEMBER 1.00 X 0 0 0 KIMBERLY JOHNSON CONSUMER BOARD MEMBER 1.00 X 0 0 0 ALAN SCHALSCHA CHIEF MEDICAL OFFICER 40.00 X 383630 0 33732 EMILIA KERIC CHIEF RISK OFFICER 40.00 X 213527 0 19660 JAESON FOURNIER CHIEF EXECUTIVE OFFICER 40.00 X 344390 0 32944 JOY SLOAN CHIEF FINANCIAL OFFICER 40.00 X 203704 0 27219 NICHOLAS YAGODA ASSOCIATE CHIEF MEDICAL OFFICER 40.00 X 254018 0 15454 YVONNE CAMARENA CHIEF OPERATING OFFICER 40.00 X 187570 0 22029 DAVID ESCAMILLA DIRECTOR PROVIDER EDUCATION AND TRAINING 40.00 X 251478 0 20533 MATTHEW BALTHAZAR VP HEALTH CENTER ADVANCEME 40.00 X 193934 0 18110 ASHLEY CHOUCROUN DIRECTOR - WOMEN'S HEALTH 40.00 X 293612 0 25565 CONSTANCIO V CONCEPCION PHYSICIAN - PEDIATRICS 40.00 X 270041 0 24313 JAMES LLOYD DENTIST 40.00 X 339774 0 15606 JAMES ZACHARY PHYSICIAN-INFECTIOUS DISEASE 40.00 X 266634 0 26101 SUSAN DUBOIS DIRECTOR - SPECIALTY CARE 40.00 X 264485 0 22337 3466797 0 303603 144 0 1 0 QUEST DIAGNOSTICS PO BOX 822510 PHILADELPHIA PA 19182 LAB SERVICES 2748135 AUSTIN MEDICAL EDUCATION PROGRAMS (AMEP) PO BOX 34147 AUSTIN TX 78265 PHYSICIAN SERVICES 1113719 LANGUAGE SERVICES ASSOCIATES INC 455 BUSINESS CENTER DRIVE SUITE 100 HORSHAM PA 19044 INTERPRETATION SERVICES 1099563 SETONUT AUSTIN DELL MEDICAL SCHOOL UNIV 1345 PHILOMENA STE4101 AUSTIN TX 78723 PHYSICIAN SERVICES 972480 G4S SECURITY SERVICES 1395 UNIVERSITY BLVD JUPITER FL 33458 SECURITY SERVICES 648939 19 17425311 1152030 18577341 PATIENT SERVICE REVENU 621300 101193492 101193492 SERVICE DELIVERY 621300 29613356 29613356 130806848 48206 48206 3093 0 3093 3093 3093 149435488 130806848 0 51299 X 2221932 1738674 483258 75819148 59328916 16490232 3813983 2984463 829520 10480645 8201165 2279480 5453334 4267265 1186069 35486 17728 17758 111022 55463 55559 15577527 12213123 3364404 62395 31170 31225 1675820 837183 838637 5363479 2679411 2684068 7838319 3915757 3922562 237135 144114 93021 97254 48585 48669 329060 164387 164673 272305 136034 136271 DRUGS, MEDICINE & SUPPL 11118816 10660505 458311 BAD DEBT EXPENSE 1466459 1466459 0 MISCELLANEOUS 1728 863 865 141975847 108891265 33084582 0 26236955 22836307 2889507 2933175 1336082 2498613 11828988 16715232 479473 636243 459328 907284 2222374 934865 1318982 1287509 17849487 17849487 62398802 65663850 11207659 10695036 1642636 1125992 5320000 4180000 4952722 6767382 10981690 7141704 34104707 29910114 X 28294095 35753736 28294095 35753736 62398802 65663850 7459641 0 X X 0 1 X 1 1 1 X 10636803 10391742 12428910 13878706 18577341 65913502 10636803 10391742 12428910 13878706 18577341 65913502 65913502 48206 48206 65961708 539272429 0.99930 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 848095 331264 516831 1062730 582927 479803 311549 20674 290875 1287509 DEFERRED RENT 177369 CONTINGENT EARNOUT PAYABLE 6964335 7141704 149292312 0 149292312 143176 143176 149435488 141832671 0 141832671 143176 143176 141975847 PART XI, LINE 4B - OTHER ADJUSTMENTS: INCOME ITEMS REPORTED ON STATEMENT OF REVENUE FOR 990, STATEMENT OF FUNCTIONAL EXPENSES FOR AUDITED FINANCIAL STATEMENTS 143,176. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCOME ITEMS REPORTED ON STATEMENT OF REVENUE FOR 990, STATEMENT OF FUNCTIONAL EXPENSES FOR AUDITED FINANCIAL STATEMENTS 143,176. X X X X X 0 0 0 0 0 0 0 0 0 ALAN SCHALSCHA CHIEF MEDICAL OFFICER 376543 0 500 0 6587 0 18595 0 15137 0 417362 0 0 0 JAESON FOURNIER CHIEF EXECUTIVE OFFICER 343132 0 500 0 758 0 18247 0 14697 0 377334 0 0 0 JAMES LLOYD DENTIST 339334 0 440 0 0 0 10212 0 5394 0 355380 0 0 0 ASHLEY CHOUCROUN DIRECTOR - WOMEN'S HEALTH 293237 0 375 0 0 0 11502 0 14063 0 319177 0 0 0 CONSTANCIO V CONCEPCION PHYSICIAN - PEDIATRICS 264805 0 500 0 4736 0 14237 0 10076 0 294354 0 0 0 JAMES ZACHARY PHYSICIAN-INFECTIOUS DISEASE 261032 0 500 0 5102 0 15337 0 10764 0 292735 0 0 0 SUSAN DUBOIS DIRECTOR - SPECIALTY CARE 263985 0 500 0 0 0 15557 0 6780 0 286822 0 0 0 DAVID ESCAMILLA DIRECTOR PROVIDER EDUCATION AND TRAI 246544 0 400 0 4534 0 13627 0 6906 0 272011 0 0 0 NICHOLAS YAGODA ASSOCIATE CHIEF MEDICAL OFFICER 249885 0 500 0 3633 0 14975 0 479 0 269472 0 0 0 EMILIA KERIC CHIEF RISK OFFICER 213027 0 500 0 0 0 12764 0 6896 0 233187 0 0 0 JOY SLOAN CHIEF FINANCIAL OFFICER 203204 0 500 0 0 0 12174 0 15045 0 230923 0 0 0 MATTHEW BALTHAZAR VP HEALTH CENTER ADVANCEME 193434 0 500 0 0 0 11214 0 6896 0 212044 0 0 0 YVONNE CAMARENA CHIEF OPERATING OFFICER 183335 0 500 0 3735 0 11236 0 10793 0 209599 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 575,623. MANAGEMENT AND GENERAL EXPENSES 576,623. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,152,246. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 4,764,902. MANAGEMENT AND GENERAL EXPENSES 18,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,783,477. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 36,597. MANAGEMENT AND GENERAL EXPENSES 36,661. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,258. OTHER SERVICES: PROGRAM SERVICE EXPENSES 2,184,014. MANAGEMENT AND GENERAL EXPENSES 1,371,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,555,102. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,651,987. MANAGEMENT AND GENERAL EXPENSES 1,361,457. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,013,444. 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.