COMMUNITY CARE COLLABORATIVE: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY CARE COLLABORATIVE (EIN 46-1185754)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-15
- IRS object ID
- 201822279349302177
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-15T13:43:07-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 742900215 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAXWELL LOCKE & RITTER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CONGRESS AVENUE SUITE 1100 | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 787019682 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461185754 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE COLLABORATIVE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 5129788300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8701 N MOPAC EXPRESSWAY NO 200 | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78759 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JONATHAN MORGAN | PersonNm |
| Person Title | INTERIM EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5129788300 | PhoneNum |
| Signature | 2018-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SEAN HOLCOMB | PreparerPersonNm |
| PTIN | P01249221 | PTIN |
| Phone | 5123703200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | JONATHAN MORGAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8701 N MOPAC EXPRESSWAY NO 200 | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78759 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $113,582,366 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COMMUNITYCARECOLLABORATIVE.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | OPTIMIZE THE HEALTH OF OUR POPULATION WHILE USING OUR RESOURCES EFFICIENTLY AND EFFECTIVELY | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $119,485,518 | PYContributionsGrantsAmt |
| CY Contributions Grants | $113,358,229 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $27,594 | PYInvestmentIncomeAmt |
| CY Investment Income | $60,912 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $163,225 | CYOtherRevenueAmt |
| PY Total Revenue | $119,513,112 | PYTotalRevenueAmt |
| CY Total Revenue | $113,582,366 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,744,200 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,933,138 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $118,235,090 | PYOtherExpensesAmt |
| CY Other Expenses | $121,900,880 | CYOtherExpensesAmt |
| PY Total Expenses | $122,979,290 | PYTotalExpensesAmt |
| CY Total Expenses | $126,834,018 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,466,178 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$13,251,652 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $48,059,370 | TotalAssetsBOYAmt |
| Total Assets EOY | $40,930,201 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,742,372 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,864,855 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,316,998 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,065,346 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | DEVELOP, IMPLEMENT AND MAINTAIN AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (IDS) FOR THE SAFETY NET POPULATION IN TRAVIS COUNTY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $72,115,931 | ExpenseAmt |
| Desc | DELIVERY OF HEALTHCARE SERVICES TO THE SAFETY NET POPULATION OF TRAVIS COUNTY; DEVELOPMENT AND PLANNING THE IMPLEMENTATION OF AN INTEGRATED DELIVERY SYSTEM FOR THE SAFETY NET POPULATION OF TRAVIS COUNTY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,186,178 | ExpenseAmt |
| Desc | PERFORMED REQUIRED SERVICES AS DICTATED BY TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES COMMISSION AS A PERFORMING PROVIDER UNDER THE TEXAS HEALTHCARE AND QUALITY IMPROVEMENT PROGRAM, A STATEWIDE MEDICAID 1115 WAIVER PROGRAM COMMONLY KNOWN AS DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PROGRAM). | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $35,000,000 | ExpenseAmt |
| Desc | AFFILIATION AGREEMENT WITH UNIVERSITY OF TEXAS AUSTIN DELL MEDICAL SCHOOL ("DELL MEDICAL SCHOOL") FOR PARTICIPATION IN AND ASSISTANCE WITH THE DEVELOPMENT OF AN INTEGRATED DELIVERY SYSTEM ("IDS") FOR THE SAFETY NET POPULATION OF TRAVIS COUNTY AS FOLLOWS:- ASSISTANCE TO THE COMMUNITY CARE COLLABORATIVE ("CCC") IN SERVING LOW-INCOME COMMUNITIES THROUGH PROVISION OF OPPORTUNITIES TO TRAIN RESIDENTS AND MEDICAL STUDENTS IN COMMUNITY-BASED SETTINGS- ASSISTANCE TO CENTRAL HEALTH AND CCC IN DEVELOPING APPROPRIATE LEVELS OF CLINICAL SERVICES AT CLINIC LOCATIONS IN TRAVIS COUNTY- PROMOTE EFFECTIVE AND EFFICIENT MEDICAL PRACTICE BY TRAINING PROFESSIONALS TO WORK TOGETHER IN MULTI-DISCIPLINARY TEAMS- PROVIDE MEDICAL CARE WITH A FOCUS ON PREVENTATIVE HEALTHCARE AND MULTITUDE OF FACTORS THAT IMPACT HEALTH OUTCOMES- RECRUIT, TRAIN, AND EDUCATE MEDICAL STUDENTS INCLUDING THOSE FROM DIVERSE ETHNIC AND CULTURAL BACKGROUNDS- GENERATE AND UTILIZE DATA TO EDUCATE PHYSICIANS AND PATIENTS ON METHODS TO ACHIEVE BETTER HEALTH OUTCOMES AND REDUCE HEALTH DISPARITIES IN TRAVIS COUNTY- PROVIDE CLINICAL SERVICES TO THE RESIDENTS OF TRAVIS COUNTY AT CLINICS AND OTHER FACILITIES AS PROVIDERS FOR THE INTEGRATED DELIVERY SYSTEM- PARTICIPATE IN THE JOINT AFFILIATION COMMITTEE ("JAC") BETWEEN CCC, CENTRAL HEALTH, DELL MEDICAL SCHOOL TO COORDINATE THE RELATIONSHIP OF THE PARTIES AND SERVE AS A VEHICLE OF COMMUNICATION IN PLANNING AN IDS, MEDICAL EDUCATION, RESEARCH AND PATIENT CARE IN TRAVIS COUNTY- PERIODICALLY, AT LEAST ANNUALLY, THROUGH THE JAC, INFORM CENTRAL HEALTH AND THE CCC OF ITS ACTIVITIES AND ACHIEVEMENTS - OBTAIN ACCREDITATION AND REMAIN AN ACCREDITED MEDICAL SCHOOL | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $125,302,109 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFF KNODEL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5129788191 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8701 N MOPAC EXPRESSWAY SUITE 200 | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78759 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| CHRISTIE GARBE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $215,647 | $28,599 | ||
| GREG HARTMAN | |||||||
| VICE-CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| LARRY WALLACE | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $239,239 | $79,746 | $23,323 | Yes (X) | |
| PATRICIA YOUNG BROWN | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $353,503 | $36,248 | Yes (X) | |
| STEPHANIE MCDONALD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $124,907 | $13,542 | ||
| TIM LAFREY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFF KNODEL | |||||||
| CFO | 10.00 | $62,002 | $186,006 | $9,450 | Yes (X) | ||
| JONATHAN MORGAN | |||||||
| INTERIM EXECUTIVE DIRECTOR | 40.00 | $144,044 | $0 | $30,635 | Yes (X) | ||
| MARK HERNANDEZ | |||||||
| CMO | 40.00 | $322,539 | $0 | $24,808 | Yes (X) | ||
| MICHELLE VASSAR | |||||||
| SECRETARY | 40.00 | $53,709 | $0 | $15,280 | Yes (X) | ||
| SHANNON SEFCIK | |||||||
| SECRETARY | 40.00 | $45,399 | $0 | $20,149 | Yes (X) | ||
| DIANE HOSMER | |||||||
| DIRECTOR OF MEDICAL MANAGE | 40.00 | $134,317 | $0 | $28,585 | Yes (X) | ||
| EMILY HAFNER | |||||||
| DIRECTOR OF IT/IS SYSTEMS | 40.00 | $125,414 | $0 | $19,613 | Yes (X) | ||
| RANDY FLOYD | |||||||
| CHIEF LEGAL OFFICER | 40.00 | $149,447 | $0 | $25,867 | Yes (X) | ||
| RUSSELL CHAUNCEY | |||||||
| CHIEF OF PERFORMANCE EXCELLENCE | 40.00 | $131,881 | $0 | $9,485 | Yes (X) | ||
| SANDRA SIMMONS | |||||||
| DIRECTOR OF HIT OUTREACH | 40.00 | $134,527 | $0 | $17,605 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,542,518 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $959,809 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $303,189 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CENTRAL TEXAS COMMUNITY HEALTH CENTERS | |||||
| PO BOX 17366 | AUSTIN | TX | 787607366 | MEDICAL SERVICES | $51,868,528 |
| UNIVERSITY OF TEXAS AT AUSTIN | |||||
| 110 INNER CAMPUS DRIVE STOP K5300 | AUSTIN | TX | 78712 | PROVIDER SERVICES | $35,000,000 |
| AUSTIN TRAVIS COUNTY INTEGRAL CARE | |||||
| PO BOX 3548 | AUSTIN | TX | 787643548 | MEDICAL SERVICES | $8,655,401 |
| LONESTAR CIRCLE OF CARE | |||||
| 205 E UNIVERSITY AVE SUITE 200 | GEORGETOWN | TX | 78626 | MEDICAL SERVICES | $4,349,003 |
| PEOPLE'S COMMUNITY CLINIC | |||||
| 1101 CAMINO LA COSTA | AUSTIN | TX | 78752 | MEDICAL SERVICES | $2,589,845 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $24,615,508 | RelatedOrganizationsAmt |
| Government Grants | $62,692,721 | GovernmentGrantsAmt |
| All Other Contributions | $26,050,000 | AllOtherContributionsAmt |
| Total Contributions | $113,358,229 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,912 | TotalRevenueColumnAmt |
| Exclusion | $60,912 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $163,225 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $163,225 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $163,225 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,582,366 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $163,225 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $60,912 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,542,518 | TotalAmt |
| Program Services | $1,209,667 | ProgramServicesAmt |
| Management And General | $332,851 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,668,557 | TotalAmt |
| Program Services | $2,092,726 | ProgramServicesAmt |
| Management And General | $575,831 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,923 | TotalAmt |
| Program Services | $125,414 | ProgramServicesAmt |
| Management And General | $34,509 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,107 | TotalAmt |
| Program Services | $218,096 | ProgramServicesAmt |
| Management And General | $60,011 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,033 | TotalAmt |
| Program Services | $222,743 | ProgramServicesAmt |
| Management And General | $61,290 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,884 | TotalAmt |
| Program Services | $832 | ProgramServicesAmt |
| Management And General | $36,052 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,661 | TotalAmt |
| Program Services | $230,725 | ProgramServicesAmt |
| Management And General | $37,936 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,073 | TotalAmt |
| Program Services | $275,273 | ProgramServicesAmt |
| Management And General | $7,800 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25 | TotalAmt |
| Program Services | $21 | ProgramServicesAmt |
| Management And General | $4 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,450 | TotalAmt |
| Program Services | $161,840 | ProgramServicesAmt |
| Management And General | $26,610 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,448,862 | TotalAmt |
| Program Services | $1,244,278 | ProgramServicesAmt |
| Management And General | $204,584 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $873,336 | TotalAmt |
| Program Services | $750,018 | ProgramServicesAmt |
| Management And General | $123,318 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,835 | TotalAmt |
| Program Services | $27,340 | ProgramServicesAmt |
| Management And General | $4,495 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,792 | TotalAmt |
| Program Services | $11,845 | ProgramServicesAmt |
| Management And General | $1,947 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,273 | TotalAmt |
| Program Services | $113,596 | ProgramServicesAmt |
| Management And General | $18,677 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HEALTH CARE DELIVERY | $66,153,028 | $66,153,028 | |
| AFFILIATION AGREEMENT | $35,000,000 | $35,000,000 | |
| DSRIP PROJECT | $17,428,218 | $17,428,218 | |
| OTHER EXPENSES | $38,790 | $33,312 | $5,478 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,653 | TotalAmt |
| Program Services | $3,137 | ProgramServicesAmt |
| Management And General | $516 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,834,018 | TotalAmt |
| Program Services | $125,302,109 | ProgramServicesAmt |
| Management And General | $1,531,909 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $851,033 | BOYAmt |
| EOY | $878,578 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,658,261 | BOYAmt |
| EOY | $39,745,783 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,199 | BOYAmt |
| EOY | $83,428 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,374 | BOYAmt |
| EOY | $185,909 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,503 | BOYAmt |
| EOY | $36,503 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,059,370 | BOYAmt |
| EOY | $40,930,201 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,506,058 | BOYAmt |
| EOY | $19,359,139 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,801,052 | BOYAmt |
| EOY | $2,801,052 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,262 | BOYAmt |
| EOY | $704,664 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,742,372 | BOYAmt |
| EOY | $22,864,855 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,316,998 | BOYAmt |
| EOY | $18,065,346 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,316,998 | BOYAmt |
| EOY | $18,065,346 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,059,370 | BOYAmt |
| EOY | $40,930,201 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$13,251,652 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,592,316 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $109,216,011 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $126,379,293 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $119,485,518 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $113,358,229 | CurrentTaxYearAmt |
| Total | $502,031,367 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,592,316 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $109,216,011 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $126,379,293 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $119,485,518 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $113,358,229 | CurrentTaxYearAmt |
| Total | $502,031,367 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $502,031,367 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,978 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,978 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,693 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,594 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,912 | CurrentTaxYearAmt |
| Total | $120,155 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $163,225 | CurrentTaxYearAmt |
| Total | $163,225 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $502,314,747 | TotalSupportAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATE | Desc |
| Amt | $704,664 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $704,664 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $114,392,671 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $810,305 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $810,305 | RevenueNotReportedAmt |
| Revenue Subtotal | $113,582,366 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $113,582,366 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $127,644,323 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $810,305 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $810,305 | ExpensesNotReportedAmt |
| Expenses Subtotal | $126,834,018 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $126,834,018 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTIE GARBE | ||||||||||||||
| DIRECTOR | $0 | $215,647 | $0 | $0 | $0 | $0 | $0 | $17,086 | $0 | $11,513 | $0 | $244,246 | $0 | $0 |
| LARRY WALLACE | ||||||||||||||
| EXECUTIVE DIRECTOR | $239,239 | $79,746 | $0 | $0 | $0 | $0 | $0 | $12,888 | $0 | $10,435 | $239,239 | $103,069 | $0 | $0 |
| PATRICIA YOUNG BROWN | ||||||||||||||
| CHAIR | $0 | $353,503 | $0 | $0 | $0 | $0 | $0 | $21,682 | $0 | $14,566 | $0 | $389,751 | $0 | $0 |
| JEFF KNODEL | ||||||||||||||
| CFO | $62,002 | $186,006 | $0 | $0 | $0 | $0 | $0 | $4,766 | $0 | $4,684 | $62,002 | $195,456 | $0 | $0 |
| JONATHAN MORGAN | ||||||||||||||
| INTERIM EXECUTIVE DIRECTOR | $144,044 | $0 | $0 | $0 | $0 | $0 | $0 | $11,901 | $0 | $18,734 | $144,044 | $30,635 | $0 | $0 |
| MARK HERNANDEZ | ||||||||||||||
| CMO | $269,472 | $0 | $53,067 | $0 | $0 | $0 | $7,950 | $0 | $16,858 | $0 | $347,347 | $0 | $0 | $0 |
| DIANE HOSMER | ||||||||||||||
| DIRECTOR OF MEDICAL MANAGE | $134,317 | $0 | $0 | $0 | $0 | $0 | $0 | $11,351 | $0 | $17,234 | $134,317 | $28,585 | $0 | $0 |
| RANDY FLOYD | ||||||||||||||
| CHIEF LEGAL OFFICER | $149,447 | $0 | $0 | $0 | $0 | $0 | $8,585 | $0 | $17,282 | $0 | $175,314 | $0 | $0 | $0 |
| SANDRA SIMMONS | ||||||||||||||
| DIRECTOR OF HIT OUTREACH | $134,527 | $0 | $0 | $0 | $0 | $0 | $0 | $10,800 | $0 | $6,805 | $134,527 | $17,605 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | CENTRAL HEALTH, A RELATED ORGANIZATION, PERFORMED A COMPENSATION STUDY TO DETERMINE THE COMPENSATION OF THE EXECUTIVE DIRECTOR ROLE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | PATRICIA YOUNG BROWN, LARRY WALLACE, JEFF KNODEL, STEPHANIE MCDONALD AND CHRISTIE GARBE ARE EACH EMPLOYED BY CENTRAL HEALTH. GREG HARTMAN AND TIM LAFREY ARE EACH EMPLOYED BY SETON. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE OFFICERS OF THE ORGANIZATION ARE EMPLOYEES OF CENTRAL HEALTH, A RELATED ORGANIZATION OR SETON, AN UNRELATED ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION SHALL HAVE MEMBERS. THE MEMBERS OF THE ORGANIZATION SHALL BE DIVIDED INTO MEMBERSHIP CLASSES. INITIALLY, THE ORGANIZATION SHALL HAVE ONLY CLASS A MEMBERS. BY MUTUAL AGREEMENT OF THE CLASS A MEMBERS, THE CORPORATION MAY (A) INCREASE THE NUMBER OF CLASS A MEMBERS AND (B) CREATE ONE OR MORE ADDITIONAL CLASSES OF MEMBERS. ANY ADDITIONAL MEMBERS SHALL (I) BE WHOLLY COMMITTED TO THE MISSION, PURPOSES, AND OBJECTIVES OF THE ORGANIZATION, INCLUDING A SUBSTANTIAL FOCUS ON DEVELOPING PROJECTS THAT WILL TRANSFORM THE PRESENT DELIVERY SYSTEM AND ELIMINATE THE PRESENT, FRAGMENTED, NON-COLLABORATIVE STRUCTURE, (II) DEMONSTRATE A WILLINGNESS AND COMMITMENT TO PROVIDE SUBSTANTIAL CHARITY CARE SERVICES AND TO PROVIDE SERVICES TO THE SAFETY NET POPULATION OF TRAVIS COUNTY WITHOUT REGARD TO PAYMENT, AND (III) ACCEPT AND AGREE TO AN APPROPRIATE FINANCIAL COMMITMENT AND ACCEPTANCE OF FINANCIAL RISK TO SUPPORT THE ORGANIZATION COMMENSURATE WITH ITS MEMBERSHIP INTEREST AS DETERMINED BY THE CLASS A MEMBERS. THE CLASS A MEMBERS OF THE ORGANIZATION ARE CENTRAL HEALTH, WHICH HAS A 51% MEMBERSHIP INTEREST, AND SETON, WHICH HAS A 49% MEMBERSHIP INTEREST. |
| FORM 990, PART VI, SECTION A, LINE 7A | PARAGRAPH 3.5 FROM THE MASTER AGREEMENT WITH SETON HEALTHCARE: "OPERATING BOARD OF DIRECTORS. THE CCC SHALL INITIALLY HAVE A FIVE-PERSON OPERATING BOARD OF DIRECTORS ("CCC BOARD OR "CCC OPERATING BOARD"), COMPOSED OF THREE CENTRAL HEALTH APPOINTEES ("CENTRAL HEALTH BOARD REPRESENTATIVES") AND TWO SETON APPOINTEES ("SETON BOARD REPRESENTATIVES"). EACH PARTY SHALL HAVE THE RIGHT TO SELECT, REMOVE, AND REPLACE ITS BOARD APPOINTEES IN ITS SOLE AND EXCLUSIVE DISCRETION. THE PARTIES MAY MUTUALLY AGREE TO CHANGE THE SIZE AND COMPOSITION OF THE CCC BOARD CONSISTENT WITH THE TERMS OF THE CCC GOVERNING DOCUMENTS. |
| FORM 990, PART VI, SECTION A, LINE 7B | PURSUANT TO SECTION 3.6 - CENTRAL HEALTH UNILATERAL POWERS; 3.8 - RESERVED POWERS AND 3.9 - MATERIAL DECISIONS FROM THE MASTER AGREEMENT. 3.6 CENTRAL HEALTH UNILATERAL POWERS: THE PARTIES ACKNOWLEDGE AND AGREE THAT, SUBJECT TO THE TERMS OF THIS AGREEMENT, CENTRAL HEALTH RETAINS THE UNILATERAL RIGHT IN ITS SOLE AND EXCLUSIVE DISCRETION TO MAKE THE DECISIONS SET FORTH BELOW: (1) FUNDING OF THE INTEGRATED DELIVERY SYSTEM (IDS) AND THE INTER-GOVERNMENTAL TRANSFER (IGT) AS SET FORTH IN SECTION 4.2; (2) APPROVAL, SUPPORT, AND FUNDING OF WOMEN'S HEALTH PROJECTS, OR OTHER PROJECTS, DEEMED NECESSARY FOR THE COMMUNITY BY CENTRAL HEALTH THAT SETON CANNOT PARTICIPATE IN AS A RESULT OF ERD RESTRICTIONS; (3) DETERMINATION OF THE MATTERS SET FORTH IN SECTION 3.13(I); AND (4) APPROVAL, SUPPORT, AND/OR FUNDING ANY TYPE OF PROJECT IF CENTRAL HEALTH AS A HOSPITAL DISTRICT IS OBLIGATED BY LAW TO PROVIDE SUCH PROJECT AND IF THE CCC IS UNABLE OR UNWILLING TO SUPPORT OR FUND SUCH PROJECT. SUCH UNILATERAL RIGHTS DO NOT (I) AFFECT OR OVERRIDE CENTRAL HEALTH'S DUTY TO COMPLY WITH OTHER TERMS OF THIS AGREEMENT AND ALL ANCILLARY AGREEMENTS OR (II) PRECLUDE SETON FROM TERMINATING THIS AGREEMENT AS SPECIFICALLY PERMITTED BY ITS TERMS. 3.8 RESERVED POWERS: IN THEIR CAPACITY AS MEMBERS OF THE CCC, CENTRAL HEALTH AND SETON SHALL HAVE SOLE AND EXCLUSIVE POWER AND AUTHORITY BY MUTUAL AGREEMENT, FOLLOWING CONSULTATION WITH THE CCC BOARD, TO MAKE THE DECISIONS AND TAKE THE CORPORATE ACTIONS (COLLECTIVELY REFERRED TO AS THE "RESERVED POWERS") FOR AND ON BEHALF OF CCC AS SET FORTH BELOW: (1) AMENDMENT OR RESTATEMENT OF THE CCC'S RESTATED CERTIFICATE OF FORMATION OR BYLAWS; (2) CHANGE IN THE TAX-EXEMPT STATUS OR PURPOSE OF THE CCC; (3) ADMISSION OF ANY NEW MEMBER TO THE CCC OR ANY TRANSFER BY ANY MEMBER OF ITS MEMBERSHIP INTEREST IN THE CCC; (4) CAPITAL CONTRIBUTION TO THE CCC (EXCEPT AS PERMITTED OR REQUIRED BY THE AGREEMENT) OR ASSUMPTION OR GUARANTEE OF DEBT OF THE CCC BY EITHER MEMBER; (5) PAYMENT OF MONIES OR CONVEYANCE OF ASSETS BY THE CCC TO ANY MEMBER OR AN AFFILIATE OF A MEMBER; (6) ANY AGREEMENT (OR AMENDMENT OF AN EXISTING AGREEMENT) BETWEEN THE CCC AND A MEMBER OR AN AFFILIATE OF A MEMBER (EXCEPT AS PERMITTED OR REQUIRED BY THE AGREEMENT); (7) MERGER, ACQUISITION, CONSOLIDATION, REORGANIZATION OF THE CCC OR, EXCEPT FOR MANDATORY DISSOLUTION PURSUANT TO SECTION 8.1.2 OF THE AGREEMENT, DISSOLUTION AS PERMITTED BY THIS AGREEMENT; (8) CREATION OF COMMITTEES AND APPOINTMENT OF OFFICERS AND COMMITTEE MEMBERS IN ACCORDANCE WITH THE CCC GOVERNING DOCUMENTS; (9) APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS, THE FISCAL AND PURCHASING POLICIES, AND ANY MATERIAL DEVIATION FROM THE ANNUAL OPERATING OR CAPITAL BUDGETS OR FISCAL AND PURCHASING POLICIES; (10) INCURRENCE OF DEBT OVER $25,000, EXCLUDING TRADE PAYABLES; (11) CONVEYANCE OF ANY ASSET OVER $25,000; (12) ADOPTION OF THE BUSINESS AND STRATEGIC PLAN OF THE CCC AND THE IDS; (13) DETERMINATION OF THE COVERED POPULATION TO BE SERVED BY THE IDS (INCLUDING WITHOUT LIMITATION THE POPULATION COVERED BY MAP) AS SET FORTH IN THE CCC/SETON SERVICES AGREEMENT; (14) FILING OF ANY VOLUNTARY PETITION IN BANKRUPTCY OR FOR THE APPOINTMENT OF A RECEIVER; (15) APPROVAL OF ANY CONTRACT OVER $100,000 IN VALUE OR THAT INCLUDES A TERM OF GREATER THAN ONE YEAR; (16) APPROVAL OF FUTURE DSRIP PROJECTS FOR OR TO BE FUNDED, MANAGED, OR IMPLEMENTED BY THE CCC; (17) FILING OF ANY VOLUNTARY PETITION IN BANKRUPTCY OR FOR THE APPOINTMENT OF A RECEIVER; (18) ELECTION AND REMOVAL OF CCC OFFICERS AND DESIGNATION OF TITLES FOR SUCH OFFICERS; AND (19) APPROVAL OF THE COORDINATION AND FUNDING OF THE FQHCS AS SET FORTH IN SECTION 4.5. THE CENTRAL HEALTH BOARD, BY RESOLUTION, WILL DETAIL HOW CENTRAL HEALTH'S APPROVAL OF ANY RESERVED POWER OR UNILATERAL RIGHT RESERVED TO CENTRAL HEALTH UNDER THIS AGREEMENT OR BYLAWS (INCLUDING IN ITS CAPACITY AS A MEMBER) WILL BE OBTAINED WHETHER BY VOTE OF THE CENTRAL HEALTH BOARD OR BY APPROVAL OF A CENTRAL HEALTH OFFICER; HOWEVER, SETON MAY RELY ON ANY ACTION APPROVED IN ACCORDANCE WITH THE CCC BYLAWS, AND ANY SUCH ACTION SHALL BE CONSIDERED TO BE A VALID ACT OF THE CCC 3.9 MATERIAL DECISIONS: THE ACTIONS AND DECISIONS OF THE CCC SET FORTH BELOW (COLLECTIVELY REFERRED TO AS THE "MATERIAL DECISIONS") MUST BE APPROVED BY BOTH A MAJORITY OF THE CENTRAL HEALTH BOARD REPRESENTATIVES AND BOTH OF THE SETON BOARD REPRESENTATIVES IN ORDER TO BECOME EFFECTIVE: (1) COMPOSITION AND SELECTION OF THE CCC PROVIDER NETWORK AND THE FORM OF THE PROVIDER CONTRACTS; (2) BENEFIT PLAN AND CARE MANAGEMENT APPROACH TO SERVICES TO BE OFFERED BY THE CCC TO THE COVERED POPULATION (INCLUDING WITHOUT LIMITATION THE POPULATION COVERED BY MAP); (3) APPROVAL OF ANY APPLICATION OR REQUEST FOR ANY GRANTS OR AWARDS, SERVICE AGREEMENTS, OR PROVIDER CONTRACTS; AND (4) EMPLOYMENT OF ANY INDIVIDUAL (INCLUDING APPROVAL OF ANY EMPLOYMENT CONTRACT) OR ENTERING INTO ANY PERSONAL SERVICE CONTRACT NOT SPECIFICALLY CONTEMPLATED IN THE ANNUAL BUDGET. THE CENTRAL HEALTH BOARD BY RESOLUTION SHALL INSTRUCT THE CENTRAL HEALTH BOARD REPRESENTATIVES REGARDING THEIR AUTHORITY TO VOTE ON ISSUES BEFORE THE CCC OPERATING BOARD WITH OR WITHOUT CENTRAL HEALTH BOARD APPROVAL; HOWEVER, SETON MAY RELY ON ANY ACTION APPROVED IN ACCORDANCE WITH THE CCC BYLAWS, AND ANY SUCH ACTION SHALL BE CONSIDERED TO BE A VALID ACT OF THE CCC. |
| FORM 990, PART VI, SECTION A, LINE 8B | CCC DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY OFFICERS, WITH THE ASSISTANCE OF COUNSEL, PRIOR TO FILING. A COPY IS ALSO PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST ONCE THEY BECOME AWARE OF THE CONFLICT IN ADDITION TO ANNUAL SIGNED DISCLOSURES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PUBLISHES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ON ITS WEBSITE AND THEY ARE ALSO AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS OF OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRAVIS COUNTY HEALTHCARE DISTRICT DBA CENTRAL HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E CESAR CHAVEZ | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061730907 | EIN |
| Primary Activities | HEALTHCARE DISTRICT | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| TRAVIS COUNTY HEALTHCARE DISTRICT DBA CENTRAL HEALTH | ||
| C | $24,615,508 | FAIR MARKET VALUE/CASH |
| TRAVIS COUNTY HEALTHCARE DISTRICT DBA CENTRAL HEALTH | ||
| O | $4,659,268 | FAIR MARKET VALUE/CASH |
| TRAVIS COUNTY HEALTHCARE DISTRICT DBA CENTRAL HEALTH | ||
| P | $1,053,590 | FAIR MARKET VALUE/CASH |