2012-03-29T16:53:47-05:00 2011-08-31 WEAVER AND TIDWELL LLP 2821 W 7TH STREET SUITE 700 FORT WORTH TX 76107 990 2010-09-01 741547909 AUSTIN TRAVIS COUNTY MHMR CENTER AUST 5124474141 PO BOX 3548 AUSTIN TX 78764 CHARLES E HARRISON COOCFO 5124474141 2012-03-29 1 DANIEL M STEWART 8173327905 2010 2016-02-24 21:20:13Z AUSTIN TRAVIS COUNTY INTEGRAL CARE CHARLES E HARRISON JR 1430 COLLIER STREET AUSTIN TX 78704 58406778 0 X HTTP://WWW.INTEGRALCARE.ORG/ X INSTRUMENTALITY OF A GOVERNMENTAL UNIT 1967 TX ATCIC'S MISSION IS TO IMPROVE THE LIVES OF PEOPLE AFFECTED BY BEHAVIORAL HEALTH AND DEVELOPMENTAL AND/OR INTELLECTUAL CHALLENGES. 9 9 738 656 0 0 38141714 38589506 11882084 19269292 112686 87083 0 460897 50136484 58406778 0 0 0 0 29278322 30708028 0 0 0 18825784 25468736 48104106 56176764 2032378 2230014 29832186 31791334 5436854 5128723 24395332 26662611 X ATCIC'S MISSION IS TO IMPROVE THE LIVES OF PEOPLE AFFECTED BY BEHAVIORAL HEALTH AND DEVELOPMENTAL AND/OR INTELLECTUAL CHALLENGES. 0 0 35675708 27149173 14863141 BEHAVIORAL HEALTH DISABILITIES SERVICES FOR THE AUSTIN-TRAVIS COUNTY AREA SERVING CLIENTS THROUGH RESIDENTIAL SERVICES, FAMILY SUPPORT, AND CASE MANAGEMENT. 6615696 4705694 3286012 INTELLECTUAL AND DEVELOPMENTAL DISABILITIES SERVICES FOR THE AUSTIN-TRAVIS COUNTY AREA SERVING CLIENTS THROUGH RESIDENTIAL SERVICES AND FAMILY SUPPORT. 5677795 2839064 3529364 SUBSTANCE ABUSE SERVICES FOR THE AUSTIN-TRAVIS COUNTY AREA 1732668 1646250 300997 EARLY CHILDHOOD INTERVENTION SERVICES FOR THE AUSTIN-TRAVIS COUNTY AREA SERVING CLIENTS AGE 0-3 WITH DEVELOPMENTAL DISABILITIES - INCLUDING ASSESSMENT, COORDINATION, SPEECH, OCCUPATIONAL, AND PHYSICAL THERAPY. 1732668 1646250 300997 49701867 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 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 1 1 1 0 0 1 367 0 1 738 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X CHARLES E HARRISON JR 5124474141 1430 COLLIER STREET AUSTIN TX 78704 MATTHEW SNAPP PHD 2.00 X X 0 0 0 RICHARD E HOPKINS 2.00 X X 0 0 0 BRENDA COLEMAN-BEATTIE 2.00 X 0 0 0 EXALTON A DELCO PHD 2.00 X 0 0 0 HAL KATZ 2.00 X 0 0 0 MARTHA A MARTINEZ 2.00 X 0 0 0 TOM YOUNG 2.00 X 0 0 0 ROBERT CHAPA JR 2.00 X X 0 0 0 VINCENT TORRES 2.00 X 0 0 0 DAVID EVANS 40.00 X 220704 0 21245 CHARLES E HARRISON JR 40.00 X 112640 0 12938 JAMES VAN NORMAN MD 40.00 X 181720 0 14973 RUSSELL W BACH MD 40.00 X 176879 0 22124 GHULAM M KHAN MD 40.00 X 173680 0 18418 CARMEN ZEGARRA MD 40.00 X 174673 0 15743 JEFFREY JOSEPHS MD 40.00 X 167904 0 15425 BYRON WILKENFELD MD 40.00 X 169722 0 9597 1377922 0 130463 8 0 1 0 AUSTIN LAKES HOSPITAL PO BOX 302109 AUSTIN TX 78703 PSYCHIATRIC SERVICES 4594749 SETON SHOAL CREEK HOSPITAL 3501 MILLS AVE AUSTIN TX 45431 PSYCHIATRIC SERVICES 3319762 GERLOFF COMPANY 14955 BULVERDE RD SAN ANTONIO TX 78247 CONSTRUCTION SERVICES 1377181 AUSTIN RECOVERY 8402 CROSS PARK DR AUSTIN TX 78754 DRUG AND ALCOHOL TREATMENT 1076548 TWG INVESTMENTS LTD (WOOD GROUP) 3610 BARNETT RD WICHITA FALLS TX 76310 BEHAVIORAL HEALTH SERVICES 963347 17 140135 38449371 38589506 OTHER CHARGES FOR SERV 623990 11205598 11205598 MEDICARE/MEDICAID 623990 7693253 7693253 PATIENT FEES 623990 370441 370441 19269292 87083 87083 460897 460897 460897 460897 58406778 19730189 0 87083 564220 564220 23126271 19883384 3242887 902307 741866 160441 4412775 3696010 716765 1702455 1607698 94757 9818 9818 78000 78000 71447 7121 64326 1855570 1570098 285472 3019066 2435821 583245 682964 645765 37199 2776 2776 1102711 867648 235063 162743 109271 53472 CONTRACTS AND CONSULTAN 15106573 14999179 107394 PRESCRIPTION DRUGS AND 1541056 1541056 OTHER OPERATING COST 923147 692038 231109 CLIENT SUPPORT COST 792137 790079 2058 TRANSPORTATION 120728 114833 5895 56176764 49701867 6474897 0 915263 10735856 10901224 5999610 6018320 62323 43440 130030 257131 23348969 9798315 12784025 13550654 120342 105302 29832186 31791334 3522961 3365599 610913 530621 27064 20706 1275916 1211797 5436854 5128723 X 13529341 13133270 12756961 11638371 24395332 26662611 29832186 31791334 X 2230014 37265 X X 0 1 1 X 1 1 X 27699168 28131057 34528379 36823452 38589506 165771562 27699168 28131057 34528379 36823452 38589506 165771562 165771562 654377 474926 216955 107183 87083 1540524 167312086 19730189 0.99080 0.98780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1887517 1887517 18071216 7458077 10613139 2877367 2010183 867184 512869 330055 182814 13550654 ACCRUED COMPENSATED ABSENCES 1211797 1211797 X X X 0 1 0 0 0 0 0 0 0 DAVID EVANS 188341 0 31763 0 600 0 21245 0 0 0 241949 0 0 0 JAMES VAN NORMAN MD 181000 0 0 0 720 0 14973 0 0 0 196693 0 0 0 RUSSELL W BACH MD 176879 0 0 0 0 0 22124 0 0 0 199003 0 0 0 GHULAM M KHAN MD 172960 0 0 0 720 0 18418 0 0 0 192098 0 0 0 CARMEN ZEGARRA MD 174073 0 0 0 600 0 15743 0 0 0 190416 0 0 0 JEFFREY JOSEPHS MD 167904 0 0 0 0 0 15425 0 0 0 183329 0 0 0 BYRON WILKENFELD MD 169122 0 0 0 600 0 9597 0 0 0 179319 0 0 0 PART I, LINE 4B DAVID EVANS FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY FINANCIAL SERVICES PERSONNEL AS WELL AS COO/CFO, WHO IS AUTHORIZED TO SIGN THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO FILL OUT AN ANNUAL CONFLICTS DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE STATE OF TEXAS CLASSIFICATION SYSTEM AND MARKET SURVEYS FOR SPECIFIC POSITIONS ARE REVIEWED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE FORM 990 IS AVAILABLE ON GUIDESTAR AND UPON REQUEST. AUDIT REVIEW PROCESS FORM 990 PART XII, LINE 2C THE BOARD OF TRUSTEES (GOVERNING BODY) REVIEWS AND APPROVES THE ANNUAL FINANCIAL AUDIT RELATED ORGANIZATIONS FORM 990, SCHEDULE R, PART IV RELATED ORGANIZATIONS: INFORMATION REGARDING SUSIDIARIES NATURE OF ACTIVITIES: CAPITAL ARE BEHAVIORAL HEALTH CARE CORPORATION (CABHCC) - WAS INCORPORATED AS A TEXAS NON-PROFIT CORPORATION IN MARCH OF 1996 AND WAS APPROVED BY THE TEXAS STATE BOARD OF MEDICAL EXAMINERS IN MAY OF 1996. THE CENTER IS THE SOLE CORPORATE MEMBER OF CABHCC AND AS SUCH, HAS TOTAL CONTROL OF THE FINANCIAL OPERATIONS. THE CENTER ENTERED INTO A CONTRACT WITH CABHCC EFFECTIVE SEPTEMBER 1, 1996. CURRENTLY, THE CONTRACT RENEWS AUTOMATICALLY EACH FISCAL YEAR UNLESS NOTICE IS PROVIDED BY EITHER PARTY. CABHCC IS SOLELY RESPONSIBLE FOR MAINTAINING A BEHAVIORAL HEALTH CARE NETWORK TO ARRANGE OR PROVIDE BEHAVIORAL HEALTH SERVICES UNDER CAPITATED AND OTHER FINANCIAL ARRANGEMENTS. THESE SERVICES SHALL BE PROVIDED TO THE CABHCC'S DESIGNATED MEMBERS WHO ARE WITHIN THE CENTER'S SERVICE AREA. CABHCC IS ACCOUNTED FOR AS AN ENTERPRISE FUND IN THE BASIC FINANCIAL STATEMENTS OF THE CENTER AND HAS AN AUGUST 31 FISCAL YEAR END. CABHCC USES THE ACCRUAL BASIS OF ACCOUNTING. COMPLETE FINANCIAL STATEMENTS OF CABHCC CAN BE OBTAINED FROM THE ADMINISTRATIVE OFFICES OF THE CENTER. TEJAS BEHAVIORAL HEALTH SERVICES, INC (TEJAS) - TEJAS IS A BEHAVIORAL HEALTH ORGANIZATION CERTIFIED BY THE TEXAS STATE BOARD OF MEDICAL EXAMINERS PURSUANT TO SECTION 162 OF THE MEDICAL PRACTICE ACT. TEJAS WAS CREATED BY A LOCAL PROVIDER AND THE CENTER. TEJAS WAS DESIGNED TO PROVIDE BEHAVIORAL HEALTH SERVICES FOR GOVERNMENTAL PROGRAMS INCLUDING CHIP AND STAR MEMBERS. EFFECTIVE DECEMBER 1, 2004, THE CENTER OBTAINED A CONTROLLING INTEREST IN TEJAS. AS A RESULT, TEJAS IS ACCOUNTED FOR AS AN ENTERPRISE FUND IN THE BASIC FINANCIAL STATEMENTS FOR THE CENTER AND HAS AN AUGUST 31 FISCAL YEAR END. TEJAS USES THE ACCRUAL BASIS OF ACCOUNTING. COMPLETE FINANCIAL STATEMENTS OF TEJAS CAN BE OBTAINED FROM THE ADMINISTRATIVE OFFICES OF THE CENTER. NEW MILESTONES FOUNDATION INC 1430 COLLIER STREET AUSTIN TX 78704 732399174 SUPPORT ATCMHMRC TX 501(C)(3) 11 TYPE III-FI 0 TEJAS BEHAVIORAL HEALTH SERVICES INC 1430 COLLIER ST AUSTIN TX 78704 742945455 BEHAVIOR HEALTH SERVICES FOR GOVT PROGRAMS TX AUSTIN TRAVIS COUNTY MHMR CENTER C -15040 131130 1.00000 CAPITAL AREA BEHAVIORAL HEALTH CARE CORP 1430 COLLIER ST AUSTIN TX 78704 742789558 BEHAVIORAL HEALTH CARE SERVICES NETWORK TX AUSTIN TRAVIS COUNTY MHMR CENTER C 1.00000 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 NEW MILESTONES FOUNDATION C 140135 NEW MILESTONES FOUNDATION K 112218 TEJAS BEHAVIORAL HEALTH SERVICES INC K 151153 THIS RETURN IS BEING FILED BETWEEN MARCH 1, 2012 AND MARCH 30,2012 AS DIRECTED BY THE IRS IN NOTICE 2012-4, BECAUSE ELECTRONIC FILING WAS NOT AVAILABLE JANUARY 1, 2012 THROUGH FEBRUARY 29, 2012. WE REQUEST THAT PENALTIES BE WAIVED BECAUSE IT WOULD BE INEQUITABLE TO IMPOSE A PENALTY ON US DUE TO THE UNUSUAL CIRCUMSTANCES REQUIRING US TO DELAY THE FILING OF THIS RETURN.