Civic Intelligence

Community Care Collaborative

990 • Fiscal year 2019 • EIN 46-1185754

Oct 01, 2018 to Sep 30, 2019 • Filed on Aug 13, 2020

8701 N Mopac Expressway No 200Austin, TX 78759

(512) 978-8300

Siviq Scores

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

Liabilities / Assets

71st percentile

0.54x

Higher debt load relative to assets than 71% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Liabilities / Revenue

20th percentile

0.14x

Higher debt load relative to revenue than 20% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Net Margin

52nd percentile

4.3%

Higher net margin than 52% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Top Officer Pay

35th percentile

$359,558

Higher top officer pay than 35% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Asset Growth

7th percentile

-6.9%

Faster asset growth than 7% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Revenue Growth

73rd percentile

12%

Faster revenue growth than 73% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Assets

Down

$34,571,259

Down $2,566,539 (-6.9%) from 2018

Net Assets

Up

$15,731,785

Up $5,643,478 (+56%) from 2018

Liabilities

Down

$18,839,474

Down $8,210,017 (-30%) from 2018

Revenue

Up

$132,603,123

Up $13,948,782 (+12%) from 2018

Expenses

Up

$126,959,645

Up $328,265 (+0.3%) from 2018

Net Income

Up

$5,643,478

Up $13,620,517 (+171%) from 2018

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

2019

Assets$34,571,259
Liabilities$18,839,474
Net Assets$15,731,785

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

2019

Revenue$132,603,123
Expenses$126,959,645
Net Income$5,643,478
Jump To
Filing Snapshot
Filing Period
Oct 1, 2018 to Sep 30, 2019
Signed
Aug 13, 2020
Return Version
2018v3.2
Gross Receipts
$132,603,123
Mission and Program Overview

Mission

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

Optimize the health of our population while using our resources efficiently and effectively

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$25,751,225$33,865,184▲ $8,113,959
Accounts Receivable$144,021$393,998▲ $249,977
Prepaid Expenses and Deferred Charges$361,984$184,566▼ $177,418
Cash and Non-Interest-Bearing Accounts$10,844,065$91,008▼ $10,753,057
Total Assets$37,137,798$34,571,259▼ $2,566,539
Other Assets Total$36,503$36,503→ $0
Liabilities
Accounts Payable and Accrued Expenses$24,386,672$15,610,954▼ $8,775,718
Deferred Revenue$773,780$1,961,042▲ $1,187,262
Other Liabilities$1,889,039$1,267,478▼ $621,561
Total Liabilities$27,049,491$18,839,474▼ $8,210,017
Net Assets / Fund Balance
Unrestricted Net Assets$10,088,307$15,731,785▲ $5,643,478
Total Net Assets Fund Balance$10,088,307$15,731,785▲ $5,643,478
Total Liabilities and Net Assets / Fund Balance$37,137,798$34,571,259▼ $2,566,539
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mark HernandezChief Medical OfficerFT$331,647$22,674$354,321
James BrownAssociate Chief Medical OfficerFT$247,998$22,068$270,066
Jonathan MorganExecutive DirectorFT$209,303$21,889$231,192
Randy FloydChief Legal OfficerFT$181,671$15,608$197,279
Sarah CookDirector of Ids Strategy PlannerFT$155,727$11,132$166,859
Sandra C SimmonsDirector of Hit OutreachFT$142,535$10,178$152,713
Joseph KotlarczykDirector of Accountable Health PlanFT$130,859$17,128$147,987
Stephanie Lee McdonaldDirector--$147,452$147,452
Melanie DielloDirector of Project Management & ImpFT$132,085$9,003$141,088
Decker PatrickTechnical Architect IiFT$111,813$21,243$133,056
Clark JohnChief Information OfficerPT$93,943$150,192$93,943
Shannon SefcikSecretaryFT$67,154$14,092$81,246
Jeffrey KnodelChief Financial OfficerPT$63,342$195,400$63,342

Board Members and Trustees

NameTitle
Lariman WallaceChair
Willie LopezVice-chair
Craig CordolaDirector
Mike GeeslinDirector
William Andy DavisDirector

Highest Paid Contractors

ContractorServicesLocationCompensation
Central Texas Community Health CentersMedical ServicesPO BOX 17366, Austin, TX 78760-7366$58,655,620
University Of Texas At AustinProvider Services110 INNER CAMPUS DRIVE STOP K5300, Austin, TX 78712$36,621,298
Austin Travis County Integral CareMedical ServicesPO BOX 3548, Austin, TX 78764-3548$7,062,166
People's Community ClinicMedical Services1101 CAMINO LA COSTA, Austin, TX 78752$2,297,499
Lone Star Circle Of CareMedical Services205 EAST UNIVERSITY AVENUE STE 200, Georgetown, TX 78626$1,498,499
Revenue and Support

Revenue Composition

Contributions and Grants
$131,980,352
Program Service Revenue
$0
Investment Income
$622,771
Other Revenue
$0
All Other Contributions
$21,266,490
Change in Net Assets
$5,643,478

Audited Revenue Reconciliation

Revenue per Audited Statements
$132,603,123
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$691,333
Total Revenue per Audited Statements
$133,294,456
Total Revenue per Form 990
$132,603,123
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$120,051,903
Salaries, Compensation, and Employee Benefits$6,907,742
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,771,553$750,441-$4,521,994
Current Officers, Directors, Trustees, and Key Employees$1,142,376$227,303-$1,369,679
Occupancy$716,093$147,417-$863,510
Information Technology$619,652$127,564-$747,216
Other Employee Benefits$349,887$69,618-$419,505
Payroll Taxes$294,387$58,575-$352,962
Pension Plan Contributions$203,175$40,427-$243,602
Office Expenses$133,846$27,554-$161,400
Insurance$81,817$16,843-$98,660
Other Expenses$59,820$12,315-$72,135
Fees for Services Accounting$39,693$8,171-$47,864
Travel$34,843$7,173-$42,016
Fees for Services Other$33,287$6,852-$40,139
Fees for Services Legal$13,152$2,708-$15,860
Conferences and Meetings$11,744$2,418-$14,162
All Other Expenses$2,101$432-$2,533
Advertising$30$6-$36
Total Functional Expenses$125,453,828$1,505,817$0$126,959,645

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$127,650,978
Expenses per Audited Statements$126,959,645
Total Expenses per Form 990$126,959,645
Expenses Not Reported on Form 990$691,333
Expenses Not Reported on Financial Statements$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$1,267,478
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
Yes
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

Mike geeslin, jeffrey knodel, stephanie lee mcdonald, jonathan morgan and lariman wallace are each employed by central health. Craig cordola, william andy davis, willie lopez and mark hernandez are all 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. (20) approval of fiscal policies that will provide for approval of variations in the annual budget and capital budget. 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

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.

Filing and Contact Details

Filer

Filer Name
Community Care Collaborative
EIN
46-1185754
Phone
5129788300
Address
8701 N MOPAC EXPRESSWAY NO 200, AUSTIN, TX 78759

Signing Officer

Name
Jonathan Morgan
Title
Executive Director
Phone
5129788300
Signed
2020-08-13
Discuss with paid preparer
Yes

Organization Details

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

Preparer

Firm
Maxwell Locke & Ritter Llp
Address
401 CONGRESS AVENUE SUITE 1100, AUSTIN, TX 78701-9682
Preparer
Sean Holcomb
Phone
5123703200
Supplemental Narrative

Additional Explanations

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.

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IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt7SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt8EXECUTIVE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9CHIEF LEGAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt10CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt11ASSOCIATE CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR OF IDS STRATEGY PLANNER
IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14TECHNICAL ARCHITECT II
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR OF HIT OUTREACH
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR OF PROJECT MANAGEMENT & IMP
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR OF ACCOUNTABLE HEALTH PLAN
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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 WAIVER 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- 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
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