2012-08-02T10:00:33-05:00 2011-09-30 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2010-10-01 550853118 CENTRAL TEXAS COMMUNITY HEALTH CENTERS DBA COMMUNITYCARE CENT 5129789000 15 WALLER STREET 5TH FLOOR AUSTIN TX 78702 CAROLYN KONECNY 5129789000 2012-07-26 1 SEAN HOLCOMB 5123703200 2010 2016-02-24 21:20:13Z DAVID VLIET 15 WALLER STREET 5TH FLOOR AUSTIN TX 78702 57866418 0 X WWW.COMMUNITYCARETX.ORG X 2003 TX COMMUNITYCARE OPERATES 21 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 13 13 619 17 0 0 38317711 41288269 13266500 16578149 0 0 0 0 51584211 57866418 0 0 0 0 33159263 37609897 0 0 0 17669231 19371929 50828494 56981826 755717 884592 17199142 14610048 16195962 12722276 1003180 1887772 COMMUNITYCARE OPERATES 21 HEALTH CENTER LOCATIONS OFFERING COMPREHENSIVE PRIMARY CARE SERVICES FOR THE ENTIRE FAMILY INCLUDING PEDIATRICS, BEHAVIORAL HEALTH SERVICES, AND DENTAL CARE. 0 0 41892896 16578149 COMMUNITYCARE OPERATED 21 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 173,600 MEDICAL; 13,671 BEHAVIORAL HEALTH; AND 28,292 DENTAL ENCOUNTERS IN FISCAL YEAR 2011 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. 41892896 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 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 0 1 54 0 1 619 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 1 1 1 1 0 X CAROLYN KONECNY 5129789038 15 WALLER STREET 5TH FLOOR AUSTIN TX 78702 DAVID CAMPOS 1.00 X 0 0 0 KAREN FROMBERG 1.00 X X 0 0 0 WILLIAM KUYKENDALL 1.00 X 0 0 0 LAURA MORENO 1.00 X X 0 0 0 BOB MARTIN 1.00 X 0 0 0 MARY LOUISE ADAMS 1.00 X 0 0 0 FLETCHER BROWN 1.00 X X 0 0 0 STEVEN HAAG 1.00 X 0 0 0 DALE CURRY 1.00 X 0 0 0 DEBBIE LOCKLEAR 1.00 X 0 0 0 BARBARA SHIRLEY 1.00 X 0 0 0 HELEN SMITH 1.00 X 0 0 0 NICKI HURD 1.00 X 0 0 0 DAVID VLIET 40.00 X 213625 0 22663 CAROLYN KONECNY 40.00 X 160333 0 15095 LESLEE A FROEHLICH 40.00 X 155125 0 14825 DAVID FRANCIS ESCAMILLA 40.00 X 231934 0 19445 DAVID VANDER STRATEN 40.00 X 210044 0 27390 JAMES ALLEN ZACHARY 40.00 X 200543 0 23027 TODD E CRUMP 40.00 X 193923 0 14301 HERMINIO ZUIXADA BEZERRA 40.00 X 183270 0 22076 SHARON SATSUKI ITAYA 40.00 X 194906 0 24550 1743703 0 183372 51 0 1 0 WHITE GLOVE TECHNOLOGIES LLC 2136 RUTLAND DR SUITE B AUSTIN TX 78758 TECHNOLOGY SERVICES 1989161 AUSTIN TRAVIS COUNTY MHMR CENTER 1430 COLLIER STREET AUSTIN TX 78704 BEHAVIORAL HEALTH PROVIDERS 1283552 LABORATORY CORPORATION OF AMERICA HOLDIN PO BOX 2270 BURLINGTON NC 27216 LAB SERVICES AT CLINICS 926194 CENTRAL AUSTIN PHYSICIANS PA 6300 LA CALMA DRIVE SUITE 200 AUSTIN TX 78752 PHYSICIANS AT CLINIC 720938 ALLIED BARTON SECURITY SERVICES LLC 161 WASHINGTON STREET SUITE 600 CONSHOHOCKEN PA 19428 SECURITY OFFICERS 553298 8 41288269 41288269 PATIENT SERVICE REVENU 621300 16578149 16578149 16578149 57866418 16578149 0 0 833045 680945 152100 29311311 24158001 5153310 5399274 4027164 1372110 2066267 1541191 525076 88819 35292 53527 54793 21772 33021 6227280 3244095 2983185 17134 10406 6728 624573 454298 170275 2667896 30206 2637690 103359 62771 40588 9764 5930 3834 64129 13723 50406 150941 87960 62981 CONTRACT LABOR 2584787 2518279 66508 DRUGS & MEDICINE 2311182 1900608 410574 BAD DEBT EXPENSE 1284007 1282941 1066 EQUIPMENT RENTAL & MAIN 868364 477989 390375 MISCELLANEOUS EXPENSE 835076 507891 327185 1479825 831434 648391 56981826 41892896 15088930 0 7780727 8989879 1045968 1458317 7700585 3147571 77943 231945 127841 246895 580891 95347 439570 485544 26508 49897 17199142 14610048 5447782 5213109 166790 10748180 7342377 16195962 12722276 X 1003180 1887772 1003180 1887772 17199142 14610048 884592 0 X X 0 1 1 X 1 1 X 23544340 38317711 41288269 103150320 23544340 38317711 41288269 103150320 103150320 103150320 37988643 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100943 16569 84374 340999 55971 285028 138949 22807 116142 485544 57866418 56981826 884592 0 884592 57866418 0 57866418 0 57866418 56981826 0 56981826 0 56981826 X X X 0 0 0 0 0 0 0 0 0 DAVID VLIET 213625 0 0 0 0 0 13194 0 9469 0 236288 0 0 0 CAROLYN KONECNY 160333 0 0 0 0 0 9567 0 5528 0 175428 0 0 0 LESLEE A FROEHLICH 155125 0 0 0 0 0 9297 0 5528 0 169950 0 0 0 DAVID FRANCIS ESCAMILLA 231934 0 0 0 0 0 13917 0 5528 0 251379 0 0 0 DAVID VANDER STRATEN 210044 0 0 0 0 0 12910 0 14480 0 237434 0 0 0 JAMES ALLEN ZACHARY 200543 0 0 0 0 0 12263 0 10764 0 223570 0 0 0 TODD E CRUMP 193923 0 0 0 0 0 11653 0 2648 0 208224 0 0 0 HERMINIO ZUIXADA BEZERRA 183270 0 0 0 0 0 11313 0 10763 0 205346 0 0 0 SHARON SATSUKI ITAYA 194906 0 0 0 0 0 12053 0 12497 0 219456 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE TRAVIS COUNTY HEALTHCARE DISTRICT BOARD ELECTS 2 MEMBERS. 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 A, LINE 8B THE COMMITTEES MAKE RECOMMENDATIONS AND PROVIDE INFORMATION TO THE BOARD. A COMMITTEE DECISION IS NOT CONSIDERED FINAL AND THE COMMITTEE RECOMMENDATION IS LATER CONSIDERED BY THE BOARD AND THEN THE BOARD TAKES ACTION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED AT THE MONTHLY BOARD MEETING. 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.