2023-08-14T10:50:29-05:00 2022-09-30 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2021-10-01 550853118 CENTRAL TEXAS COMMUNITY HEALTH CENTERS CENT 5129789000 2115 KRAMER STE 100 AUSTIN TX 78758 JAESON FOURNIER CEO 5129789000 2023-08-09 1 JAESON FOURNIER 999009999 SEAN HOLCOMB P01249221 5123703200 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z COMMUNITYCARE JAESON FOURNIER 2115 KRAMER STE 100 AUSTIN TX 78758 177488039 0 X WWW.COMMUNITYCARETX.ORG X 2003 TX COMMUNITYCARE OPERATES 27 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 13 13 1523 0 0 0 18577341 21047184 130806848 156049980 51299 144722 0 0 149435488 177241886 0 0 0 0 97789042 108384487 0 0 0 44186805 55774537 141975847 164159024 7459641 13082862 65663850 75818706 29910114 27466266 35753736 48352440 COMMUNITYCARE OPERATES 27 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 0 0 131049512 156049980 COMMUNITYCARE OPERATED 27 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 356,596 MEDICAL; 24,532 BEHAVIORAL HEALTH; AND 53,729 DENTAL ENCOUNTERS IN FISCAL YEAR 2022 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. 131049512 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 76 0 1523 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 EMILIA KERIC CHIEF RISK OFFICER 40.00 X 259236 0 18710 JAESON FOURNIER CHIEF EXECUTIVE OFFICER 40.00 X 378930 0 28714 JOY SLOAN CHIEF FINANCIAL OFFICER 40.00 X 222702 0 31105 NICHOLAS YAGODA CHIEF MEDICAL OFFICER 40.00 X 277399 0 31191 YVONNE CAMARENA CHIEF OPERATING OFFICER 40.00 X 237922 0 25882 TARA TROWER DOOLITTLE CHIEF STRATEGY OFFICER 40.00 X 118462 0 8941 DAVID ESCAMILLA PHYSICIAN - FAMILY MEDICINE 40.00 X 268148 0 22049 REDDY PADMA PAGADI PHYSICIAN - FAMILY MEDICINE 40.00 X 267283 0 32444 ASHLEY CHOUCROUN DIRECTOR - WOMEN'S HEALTH 40.00 X 312933 0 35272 CONSTANCIO V CONCEPCION PHYSICIAN - PEDIATRICS 40.00 X 282825 0 23389 JAMES LLOYD DENTIST 40.00 X 311359 0 23815 JAMES ZACHARY PHYSICIAN-INFECTIOUS DISEA 40.00 X 271756 0 29369 SUSAN DUBOIS DIRECTOR - SPECIALTY CARE 40.00 X 282064 0 24007 ALAN GEORGE SCHALSCHA FORMER CHIEF MEDICAL OFFICER 40.00 X 208718 0 20782 3699737 0 355670 162 1 1 0 EPIC HOSTING 1979 MILKY WAY VERONA WI 53593 CLINICAL SOFTWARE 3767407 SCRIPT CARE LTD 6380 FOLSOME DRIVE BEAUMONT TX 77706 PBM DISPENSING FEES 2692338 LANGUAGE SERVICES ASSOCIATES INC 455 BUSINESS CENTER DRIVE SUITE 100 HORSHAM PA 19044 INTERPRETATION SERVICES 2326665 QUEST DIAGNOSTICS PO BOX 822510 PHILADELPHIA PA 19182 LAB SERVICES 1855149 AUSTIN MEDICAL EDUCATION PROGRAMS (AMEP) PO BOX 34147 AUSTIN TX 78265 PHYSICIAN SERVICES 1852333 39 19600399 1446785 21047184 PATIENT SERVICE REVENU 621300 133291213 133291213 SERVICE DELIVERY 621300 22758767 22758767 156049980 81248 81248 309627 246153 63474 63474 63474 177241886 156049980 0 144722 2229118 1741401 487717 84256530 65821739 18434791 4716980 3684935 1032045 11427558 8927281 2500277 5754301 4495297 1259004 46403 28959 17444 37535 23425 14110 15806217 14168511 1637706 53749 33544 20205 1468036 916176 551860 7987462 4984840 3002622 8448004 5272257 3175747 330312 246586 83726 74137 46268 27869 316415 197469 118946 355887 222104 133783 DRUGS, MEDICINE & SUPPL 18466643 17854983 611660 BAD DEBT EXPENSE 2383737 2383737 0 164159024 131049512 33109512 0 22836307 26020521 2933175 7545954 2498613 3449320 16715232 16079223 636243 225353 907284 655361 5244767 1251280 1287509 3993487 17849487 17849487 65663850 75818706 10695036 14034026 1125992 906327 4180000 3040000 6767382 4723895 7141704 4762018 29910114 27466266 X 35753736 48352440 35753736 48352440 65663850 75818706 13082862 -484158 0 X X 0 1 X 1 1 1 X 10391742 12428910 13878706 18577341 21047184 76323883 10391742 12428910 13878706 18577341 21047184 76323883 76323883 48206 81248 129454 76453337 607010491 0.99830 0.99930 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1279040 436317 842723 1062730 790551 272179 2902997 24412 2878585 3993487 DEFERRED RENT 109683 CONTINGENT EARNOUT PAYABLE 4652335 4762018 177074778 0 177074778 167108 167108 177241886 164476074 317050 317050 164159024 0 164159024 PART XI, LINE 4B - OTHER ADJUSTMENTS: ADJ TO TIE TO TOTAL EXPENSES PER AUDITED FINANCIAL STATEMENTS-NO NET EFFECT 167,108. PART XII, LINE 2D - OTHER ADJUSTMENTS: ADJ TO TIE TO TOTAL EXPENSES PER AUDITED FINANCIAL STATEMENTS-NO NET EFFECT -167,108. UNREALIZED LOSS INCLUDED IN EXPENSES PER AUDITED FINANCIAL STATEMENTS 484,158. X X X X X 0 0 0 0 0 0 0 0 0 JAESON FOURNIER CHIEF EXECUTIVE OFFICER 375230 0 1000 0 2700 0 16272 0 12442 0 407644 0 0 0 ASHLEY CHOUCROUN DIRECTOR - WOMEN'S HEALTH 311933 0 1000 0 0 0 17400 0 17872 0 348205 0 0 0 JAMES LLOYD DENTIST 310479 0 880 0 0 0 16113 0 7702 0 335174 0 0 0 NICHOLAS YAGODA CHIEF MEDICAL OFFICER 272535 0 1000 0 3864 0 16352 0 14839 0 308590 0 0 0 CONSTANCIO V CONCEPCION PHYSICIAN - PEDIATRICS 276974 0 1000 0 4851 0 14612 0 8777 0 306214 0 0 0 SUSAN DUBOIS DIRECTOR - SPECIALTY CARE 281064 0 1000 0 0 0 15975 0 8032 0 306071 0 0 0 JAMES ZACHARY PHYSICIAN-INFECTIOUS DISEA 265566 0 1000 0 5190 0 15629 0 13740 0 301125 0 0 0 REDDY PADMA PAGADI PHYSICIAN - FAMILY MEDICINE 261806 0 1000 0 4477 0 14641 0 17803 0 299727 0 0 0 DAVID ESCAMILLA PHYSICIAN - FAMILY MEDICINE 262692 0 800 0 4656 0 14017 0 8032 0 290197 0 0 0 EMILIA KERIC CHIEF RISK OFFICER 254992 0 1000 0 3244 0 11962 0 6748 0 277946 0 0 0 YVONNE CAMARENA CHIEF OPERATING OFFICER 232462 0 1000 0 4460 0 13440 0 12442 0 263804 0 0 0 JOY SLOAN CHIEF FINANCIAL OFFICER 221702 0 1000 0 0 0 13302 0 17803 0 253807 0 0 0 ALAN GEORGE SCHALSCHA FORMER CHIEF MEDICAL OFFICER 203665 0 1000 0 4053 0 12220 0 8562 0 229500 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 XII, LINE 2C THE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR.