Civic Intelligence

Community Care Collaborative

990 • Fiscal year 2014 • EIN 46-1185754

Oct 01, 2013 to Sep 30, 2014 • Filed on Aug 13, 2015

1111 E Cesar Chavez StreetAustin, TX 78701

(512) 978-8464

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

36th percentile

0.20x

Higher debt load relative to assets than 36% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Liabilities / Revenue

6th percentile

0.04x

Higher debt load relative to revenue than 6% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Net Margin

40th percentile

2.8%

Higher net margin than 40% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2014

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

$19,300,327

No earlier filing loaded for comparison.

Net Assets

$15,414,963

No earlier filing loaded for comparison.

Liabilities

$3,885,364

No earlier filing loaded for comparison.

Revenue

$109,234,989

No earlier filing loaded for comparison.

Expenses

$106,213,767

No earlier filing loaded for comparison.

Net Income

$3,021,222

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$60M$40M$20M$0Assets 2014: $19,300,327Liabilities 2014: $3,885,364Net Assets 2014: $15,414,9632014Assets 2015: $41,556,275Liabilities 2015: $6,773,099Net Assets 2015: $34,783,1762015Assets 2016: $48,059,370Liabilities 2016: $16,742,372Net Assets 2016: $31,316,9982016Assets 2017: $40,930,201Liabilities 2017: $22,864,855Net Assets 2017: $18,065,3462017Assets 2018: $37,137,798Liabilities 2018: $27,049,491Net Assets 2018: $10,088,3072018Assets 2019: $34,571,259Liabilities 2019: $18,839,474Net Assets 2019: $15,731,7852019Assets 2020: $27,354,413Liabilities 2020: $11,038,285Net Assets 2020: $16,316,1282020Assets 2021: $26,566,581Liabilities 2021: $12,443,437Net Assets 2021: $14,123,1442021Assets 2022: $17,136,806Liabilities 2022: $13,198,398Net Assets 2022: $3,938,4082022Assets 2023: $188,000Liabilities 2023: $188,000Net Assets 2023: $02023Assets 2024: $84,037Liabilities 2024: $82,500Net Assets 2024: $1,5372024

Highlighted filing

2014

Assets$19,300,327
Liabilities$3,885,364
Net Assets$15,414,963

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0-$50MRevenue 2014: $109,234,989Expenses 2014: $106,213,767Net Income 2014: $3,021,2222014Revenue 2015: $126,389,986Expenses 2015: $107,021,773Net Income 2015: $19,368,2132015Revenue 2016: $119,513,112Expenses 2016: $122,979,290Net Income 2016: -$3,466,1782016Revenue 2017: $113,582,366Expenses 2017: $126,834,018Net Income 2017: -$13,251,6522017Revenue 2018: $118,654,341Expenses 2018: $126,631,380Net Income 2018: -$7,977,0392018Revenue 2019: $132,603,123Expenses 2019: $126,959,645Net Income 2019: $5,643,4782019Revenue 2020: $60,539,135Expenses 2020: $59,954,792Net Income 2020: $584,3432020Revenue 2021: $59,378,843Expenses 2021: $61,571,827Net Income 2021: -$2,192,9842021Revenue 2022: $45,102,001Expenses 2022: $55,286,737Net Income 2022: -$10,184,7362022Revenue 2023: $9,379,071Expenses 2023: $13,317,479Net Income 2023: -$3,938,4082023Revenue 2024: $2,500Expenses 2024: $963Net Income 2024: $1,5372024

Highlighted filing

2014

Revenue$109,234,989
Expenses$106,213,767
Net Income$3,021,222
Jump To
Filing Snapshot
Filing Period
Oct 1, 2013 to Sep 30, 2014
Signed
Aug 13, 2015
Return Version
2013v4.0
Gross Receipts
$109,234,989
Mission and Program Overview

Mission

Develop, implement and maintain an integrated healthcare delivery system (ids) for the safety net population in travis county.

To provide high quality, cost effective, patient centered care that improves health outcomes through expanded care coordination, types of care, and patient management.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$7,755,527$14,286,618▲ $6,531,091
Savings and Temporary Cash Investments$5,643,917$5,001,274▼ $642,643
Accounts Receivable$0$12,435▲ $12,435
Total Assets$13,399,444$19,300,327▲ $5,900,883
Liabilities
Accounts Payable and Accrued Expenses$1,005,703$3,709,566▲ $2,703,863
Other Liabilities$0$175,798▲ $175,798
Total Liabilities$1,005,703$3,885,364▲ $2,879,661
Net Assets / Fund Balance
Unrestricted Net Assets$12,393,741$15,414,963▲ $3,021,222
Total Net Assets Fund Balance$12,393,741$15,414,963▲ $3,021,222
Total Liabilities and Net Assets / Fund Balance$13,399,444$19,300,327▲ $5,900,883
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Sarah CookMedicaid Waiver DirectorPT$127,506$127,506
Laura MilesSecretaryPT$38,154$38,154

Board Members and Trustees

NameTitle
Patricia Young BrownChair
Christie GarbeDirector
Greg HartmanDirector
Tim LafreyDirector
Jeff KnodelDirector and Chief Financial Officer
Larry WallaceExecutive Director
Mark HernandezCMO
Margo GonzalezSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Central Texas Community Health CentersHealth Care Delivery Services, Primary C-$9,683,438
Lonestar Circle Of CareHealth Care Delivery Services-$1,963,949
Cope Health SolutionsConsulting And Project Management Servic-$1,154,509
Sendero Health Plans INCAdministration Of Health Care Payments T-$875,000
Setonut Southwestern University PhysiciHealth Care Delivery Services-$718,248
Revenue and Support

Revenue Composition

Contributions and Grants
$109,216,011
Program Service Revenue
$0
Investment Income
$18,978
Other Revenue
$0
All Other Contributions
$40,000,000
Change in Net Assets
$3,021,222

Audited Revenue Reconciliation

Revenue per Audited Statements
$109,234,989
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$109,234,989
Total Revenue per Form 990
$109,234,989
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$106,213,767
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$10,634,278$0$0$10,634,278
Fees for Services Legal-$269,334-$269,334
Information Technology-$169,917-$169,917
Fees for Services Other-$18,913-$18,913
Fees for Services Accounting-$12,500-$12,500
Total Functional Expenses$105,656,345$557,422$0$106,213,767

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$106,213,767
Total Expenses per Audited Statements$106,213,767
Total Expenses per Form 990$106,213,767
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliate$175,798
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

Patricia young brown, larry wallace, jeff knodel and christie garbe are each employed by central health.

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. The organization does not have any employees.

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 h

Form 990, Part VI, Section B, Line 11

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.

Filing and Contact Details

Filer

EIN
46-1185754
Phone
5129788464

Signing Officer

Name
John Stephens
Title
Executive Director
Phone
5129788464
Signed
2015-08-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Stephens
Formed
2012
Legal Domicile
TX
Voting Board Members
5
Independent Board Members
2
Employees
0
Volunteers
0

Preparer

Preparer
Sean Holcomb
Phone
5123703200
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, 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.

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IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR AND CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt5EXECUTIVE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt7SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt8SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt9MEDICAID WAIVER DIRECTOR
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IRS990/MissionDesc0IMPLEMENT AND MAINTAIN AN INTEGRATED HEALTHCARE DELIVERY SYSTEM (IDS) FOR THE SAFETY NET POPULATION IN TRAVIS COUNTY AND PARTICIPATE IN THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM, A STATEWIDE MEDICAID 1115 WAIVER PROGRAM.
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IRS990/ProgSrvcAccomActy2Grp/Desc0PERFORMED 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 WAVER PROGRAM COMMONLY KNOWN AS DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PROGRAM).
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IRS990/ProgSrvcAccomActy3Grp/Desc0AFFILIATION 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- ASSIST CCC, CENTRAL HEALTH AND SETON WITH THEIR DSRIP PROJECTS UNDER THE EXISTING MEDICAID 1115 WAIVER PROGRAM- 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- ENGAGE IN CLINICAL RESEARCH TO IMPROVE THE QUALITY OF CARE IN THE COMMUNITY THAT WILL INCLUDE INTEGRATION OF CARE, CULTURAL SENSITIVITY IN TREATMENT AND EFFECTIVE USE OF POPULATION DATA IN THE TREATMENT OF PATIENTS- 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- OBTAIN AND REMAIN AN ACCREDITED MEDICAL SCHOOL- PERIODICALLY, AT LEAST ANNUALLY, REPORT TO THE CENTRAL HEALTH AND CCC BOARD OF DIRECTORS ON THEIR ACTIVITIES AND ACHIEVEMENTS
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0JEFF KNODEL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1LARRY WALLACE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2MARK HERNANDEZ
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0DIRECTOR AND CHIEF FINANCIAL OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1EXECUTIVE DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2CMO
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0PATRICIA YOUNG BROWN, LARRY WALLACE, JEFF KNODEL AND CHRISTIE GARBE ARE EACH EMPLOYED BY CENTRAL HEALTH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE OFFICERS OF THE ORGANIZATION ARE EMPLOYEES OF CENTRAL HEALTH, A RELATED ORGANIZATION OR SETON, AN UNRELATED ORGANIZATION. THE ORGANIZATION DOES NOT HAVE ANY EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3PARAGRAPH 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4PURSUANT 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 H
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST ONCE THEY BECOME AWARE OF THE CONFLICT IN ADDITION TO ANNUAL SIGNED DISCLOSURES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION PUBLISHES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ON ITS WEBSITE AND THEY ARE ALSO AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE PROCESS OF OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART XI, LINE 2C:
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