2022-02-17T09:32:47-06:00 2020-06-30 DR4586-TX WINTER STORM BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2019-07-01 274005511 Bellville Medical Center % CRAIG MORLEY BELL 9794137400 44 North Cummings Bellville TX 77418 CRAIG MORLEY CFO 9794137400 2021-06-15 true Jeanette Verrelli P00742631 9727028262 2019 2022-09-23 18:48:47Z X DANIEL BONK 44 North Cummings Bellville TX 77418 12106891 false X www.bellvillemc.org X 2010 TX Bellville Medical Center's ("BMC") Primary purpose is to support the residents of Austin COUNTY, TEXAS WITH QUALITY HEALTHCARE. BMC IS THE ONLY HOSPITAL IN THE COUNTY. 5 4 123 4 0 0 83629 1622043 6944932 10471094 -2153180 13554 2262581 200 7137962 12106891 0 0 0 0 5210259 5403973 0 0 0 8123788 7297235 13334047 12701208 -6196085 -594317 7188347 6716694 1051719 6372665 6136628 344029 X BMC's mission is to provide quality healthcare to the residents of Austin County, Texas and the surrounding communities. true false 10031157 0 10471294 BMC offers convenient, close-to-home in-patient care and out-patient services, outpatient surgical services and complete imaging and laboratory services. The hospital also offers skilled nursing care, observation beds, swing beds, and physical therapy, occupational and speech therapy. The physician-staffed emergency department is a level IV trauma center and a level II stroke center. 10031157 true true false true false false false false false false true false false false true false false true false false false false false false false false true true false false false false false false false false false false false false false false false false true false false false true 56 0 123 true false false false false false false false false false false false false X 5 4 false true false false true true false true true false false false true true true true true true true false X CRAIG MORLEY 9794137400 44 NORTH CUMMINGS BELLVILLE TX 77418 X DON BOSSE MD PHYSICIAN/DIRECTOR 40.0 0.0 X 134193 0 0 STEPHEN FRANK WEYER CFO End: 12/2019 40.0 0.0 X 60347 0 0 CRAIG MORLEY CFO Start: 12/2019 40.0 0.0 X 2825 0 0 Tony Causey VICE-Chair 1.0 1.0 X X 0 0 0 Mike Koehn CHAIR 1.0 1.0 X X 0 0 0 Bryan Maedgen Director 1.0 1.0 X 0 0 0 ANN FORD DIRECTOR 1.0 0.0 X 0 0 0 JUANITA ROMANS CEO 40.0 0.0 X 0 0 0 197365 0 0 1 false false false CONCORD MEDICAL GROUP OF TEXAS PLLC 2800 corporate dr 103 FLOWER MOUND TX 75028 MEDICAL STAFF 452760 ERH SHARED SERVICES LLC 185 SOUTH STATE STREET SUITE 1300 SALT LAKE CITY UT 84111 MGMT SERVICES 452232 CERNER CORPORATION 2800 ROCK CREEK PARKWAY NORTH KANSAS CITY MO 64117 IT SERVICES 184487 3 1075000 547043 4664 1622043 Net Patient Service Revenue 622110 9031878 9031878 Incentive Revenue 900099 1266108 1266108 Medical Office Rent Revenue 531190 165548 165548 OTHER OPERATING REVENUE 622110 7560 7560 10471094 13554 13554 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS INCOME 900099 200 200 200 12106891 10471294 13554 X 0 0 0 0 197365 147254 50111 0 4720271 3521975 1198296 0 10433 7784 2649 475904 355089 120815 799163 596285 202878 0 0 0 0 0 2334823 1742098 592725 16938 16350 588 68945 51442 17503 0 0 1183541 883083 300458 20049 14959 5090 0 1116 833 283 5907 4407 1500 0 39660 29592 10068 86244 64350 21894 Bad Debt Expense 919766 919766 Medical Supplies 1249143 1249143 Equip Repairs & Maintenance 295136 220212 74924 Dues & Subscriptions 87005 64918 22087 189799 141617 48182 12701208 10031157 2670051 0 531531 4016035 0 0 0 0 544750 962749 0 0 0 0 0 0 222884 249045 9454 47782 2090129 718438 70258 1371691 0 0 0 0 0 0 0 0 5809470 69392 7188347 6716694 1051719 868869 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5503796 1051719 6372665 X 6136628 344029 0 0 6136628 344029 7188347 6716694 X -594317 -5198282 X true true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 300 300 false SCHEDULE C, PART II-B, LINE 1i OTHER ACTIVITIES: Bellville Medical Center pays Dues to TORCH. 10% of these dues are RELATED TO lobbying expenses. 10000 10000 2080129 718438 1361691 1371691 0 PROVIDER RELIEF FUNDS 3521267 PAYCHECK PROTECTION PROGRAM LOAN 1132500 ESTIMATED AMOUNTS DUE TO 3RD-PARTY PAYERS 850029 5503796 10808633 -925673 -925673 11734306 372585 372585 12106891 11775535 11775535 925673 925673 12701208 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH TAX RETURN: BAD DEBT EXPENSE ($919,766) INTEREST EXPENSE ($5,907) ------------- TOTAL ($925,673) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIALS WITH TAX RETURN: CAPITAL GRANTS AND CONTRIBUTIONS $372,585 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIALS WITH TAX RETURN: BAD DEBT EXPENSE $919,766 INTEREST EXPENSE $5,907 ----------- TOTAL $925,673 true true X true X 300. true X 500. true true false true true 628038 628038 0.05330 65019 36839 28180 0.00240 7269 1305 5964 0.00050 700326 38144 662182 0.05620 49331 49331 0.00420 49331 49331 0.00420 749657 38144 711513 0.06040 true 919766 349511 2051579 3318370 -1266791 X false 1 1 BELLVILLE MEDICAL CENTER 44 North Cummings Bellville TX 77418 www.bellvillemc.org 100120 X X X BELLVILLE MEDICAL CENTER 1 false false true X X X X X X X X X 18 true true true true X SEE PART V, SECTION C X true 18 true SEE PART V, SECTION C false true X 300. 500. X X X X true true X X X true X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 PERSONS FROM THE COMMUNITY: THE CHNA REPORT INCORPORATES DATA FROM THREE SOURCES: -EXISTING DATA FROM PUBLIC SOURCES -QUALITATIVE DATA FROM COMMUNITY DISCUSSION GROUPS IN THE BRAZOS VALLEY REGION -RANDOMLY SAMPLE HOUSEHOLD AND PURPOSIVE SAMPLED CLINIC BASED SURVEYS. THE EXISTING DATA COMPRISED OF DATA FROM LOCAL STATE AND FEDERAL SOURCES, INCLUDING THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, THE US CENSUS BUREAU, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SURVEY FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION, THE TEXAS WORKFORCE COMMISSION, THE KAISER FAMILY FOUNDATION, THE TEXAS DEPARTMENT OF PUBLIC SAFETY, THE EPISCOPAL HEALTH FOUNDATION, AND THE COUNTY HEALTH RANKINS PROJECT AT THE UNIVERSITY OF WISCONSIN. COMMUNITY DISCUSSION GROUPS WERE ORGANIZED WITH ASSISTANCE FROM LOCAL COMMUNITY CONTACTS. INCLUDED IN THE GROUPS WERE CLINICAL AND OTHER MEDICAL/HEALTH/HUMAN SERVICE PROVIDERS, COMMUNITY LEADERS, AND GENERAL CONSUMERS OF HEALTH AND HEALTH-RELATED CARE. A MAJORITY OF THE HOUSEHOLD SURVEYS WERE CONDUCTED THROUGH A RANDOM SAMPLE OF ADULT RESIDENTS WITH MOBILE OR LANDLINE TELEPHONES BILLED TO A RESIDENCE IN THE GREATER BRAZOS VALLEY REGION. THE IDENTIFIED RESIDENTS WERE MAILED A SURVEY AND WERE INVITED TO ANONYMOUSLY RESPOND ONLINE OR VIA A TOLL-FREE CALL. THOSE THAT DID NOT RESPOND WERE CALLED TO SEE IF THEY WOULD LIKE TO PARTICIPATE IN THE SURVEY. ADDITIONAL RESIDENTS IN THE BRAZOS VALLEY REGION WERE INCLUDED BY SURVEYING PATIENTS IN WAITING ROOMS OF LOCAL HEALTH-RELATED ORGANIZATIONS THAT SERVE A LOW SOCIOECONOMIC STATUS AND/OR MINORITY POPULATION. SCHEDULE H, PART V, SECTION B, LINE 6A & 6B OTHER HOSPITAL FACILITIES & OTHER ORGANIZATIONS: BMC WAS AFFILIATED WITH ST JOSEPH REGIONAL HEALTH SYSTEM ("SJRHS") PART OF CATHOLIC HEALTH INITIATIVES ("CHI") FROM 07/01/18 TO 05/06/19 IN THE TAX YEAR ENDING 06/30/19. THE BRAZOS VALLEY REGION HEALTH ASSESSMENT (CHNA REPORT) DOES NOT SPECIFICALLY NAME THE HOSPITALS OR OTHER HEALTHCARE FACILITIES. HOWEVER, THE CHNA REPORT DOES SPECIFY THE COUNTIES INCLUDED IN THE CHNA REPORT - AUSTIN, BRAZOS, BURLESON, GRIMES, LEON, MADISON, ROBERTSON, AND WASHINGTON COUNTIES OF THE STATE OF TEXAS. BELLVILLE IS IN AUSTIN COUNTY. AUSTIN COUNTY IS SPECIFICALLY INCLUDED AS PART OF THE SERVICE DELIVERY AREA OF ORGANIZATIONS REPRESENTED BY THE BRAZOS VALLEY HEALTH COALITION, WHICH INCLUDES SJRHS. SJRHS INCLUDES HOSPITALS IN THE OTHER COUNTIES OF THE BRAZOS VALLEY. SJRHS INCLUDES NON-HOSPITAL HEALTHCARE FACILITIES IN THE BRAZOS VALLEY. THE CHNA REPORT INCLUDES THESE FACILITIES. SCHEDULE H, PART V, SECTION B, LINE 7B & 10A COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN: https://stjoseph.stlukeshealth.org/about-us/community-benefit SCHEDULE H, part V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: SJRHS TRANSFERRED ITS INTEREST IN BMC TO BELLVILLE HOSPITAL DISTRICT "BHD" ON MAY 7, 2019. BMC WAS INCLUDED IN THE BRAZOS VALLEY CHNA REPORT CONDUCTED IN THE 2018 TAX YEAR. THE TOP ISSUES IDENTIFIED BY AUSTIN COUNTY RESIDENTS (THE AREA BMC SERVES) INCLUDED BEING A MEDICALLY UNDERSERVED AREA, LACK OF TRANSPORTATION, LIMITED MENTAL HEALTH SERVICES, AND LACK OF RESOURCES FOR YOUTH AND SENIORS. THROUGH THE BHD, BMC HAS EXPANDED ITS SERVICES TO ITS COMMUNITY TO INCLUDE A CERTIFIED LEVEL IV TRAUMA AND CERTIFIED LEVEL II STROKE ER AND AVAILABLE AIR AMBULANCE. BMC HAS EXPANDED ON THE NUMBER OF SPECIALISTS, INCLUDING GENERAL SURGERY, ONCOLOGY, CARDIOLOGY, PODIATRY, OPTHALMOLOGY, OB/GYN, UROLOGY, ENT, AND PAIN MANAGEMENT. PRIMARY CARE PROVIDERS INCLUDE INTERNAL AND FAMILY MEDICINE AND PEDIATRICS. ITS THERAPY DEPARTMENT PROVIDES INPATIENT AND OUTPATIENT CARE. BMC CONTINUES TO ASSESS ITS COMMUNITY NEEDS AND TAKE STEPS TO MEET THOSE NEEDS. SCHEDULE H, PART V, SECTION B 501R COMPLIANCE: WHEN THE HOSPITAL WAS AFFILIATED WITH ST JOSEPH REGIONAL HEALTH SYSTEM, IT FOLLOWED THE FINANCIAL ASSISTANCE POLICY OF THE CATHOLIC HEALTH INITIATIVES. UPON SEPARATING FROM THE AFFILIATED SYSTEM MAY 2019, THE HOSPITAL NEEDED TO CREATE ITS OWN FINANCIAL ASSISTANCE POLICY. DURING THE 2020 FISCAL YEAR, THE HOSPITAL HAS IDENTIFIED A FEW AREAS WITHIN THE FINANCIAL ASSISTANCE DOCUMENTS WHERE IT IS NOT YET FULLY COMPLIANT WITH FINAL 501R REGULATIONS. THE POLICY NEEDS TO HAVE BILLING AND COLLECTIONS LANGUAGE ADDED, AS WELL AS EXTRAORDINARY COLLECTION ACTIONS POLICIES. THE POLICY ALSO NEEDS LANGUAGE DESCRIBING THE TIME PERIOD TO APPLY AND THE PROVIDERS COVERED UNDER THE POLICY. WHEN THE POLICY HAS BEEN UPDATED, IT ALONG WITH THE PLAIN LANGUAGE SUMMARY AND APPLICATION WILL BE LOADED ONTO THE HOSPITAL'S WEBSITE. MANAGEMENT IS WORKING DILIGENTLY TO MAINTAIN COMPLIANCE AND WILL CORRECT ANY ADDITIONAL FAILURES TO COMPLY AS THEY ARE IDENTIFIED. 1 TRI-COUNTY ER 1036 NORTH CIRCLE DRIVE ste 102 SEALY TX 77474 ER CLINIC SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $919,766 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF PERCENT OF TOTAL EXPENSE IN THIS COLUMN. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY FOR COMMUNITY BENEFIT COSTS: THE AMOUNTS REPORTED ON THE TABLE ON PART I, LINE 7 WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM COMPLETING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES FROM THE IRS INSTRUCTIONS. WORKSHEET 5 WAS COMPLETED USING THE AHA SURVEY. SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -ASSET LEVEL -MEDICAL INDIGENCY -INSURANCE STATUS -UNDERINSURANCE STATUS SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE AMOUNT REPORTED IS BASED ON THE BAD DEBT PER THE ORGANIZATION'S INCOME STATEMENT. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER FINANCIAL ASSISTANCE POLICY: THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY USING THE COST TO CHARGE RATIO METHODOLOGY. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: The District reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients, and others. The District provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $1,266,791. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE COMMUNITY'S NEEDS INFORMATION IS GARNERED FROM PATIENT SATISFACTION SURVEYS, EMPLOYEES, AND PHYSICIANS IN ADDITION TO THE CHNA CONDUCTED EVERY THREE YEARS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: Current practice at BMC is that if a patient asks about FAP, we share all of our information. We do not presently proactively inform a patient about our FAP. If a patient inquires, we gladly share the information with the patient. As the hospital updates the financial assistance policy, procedures will be put in place to educate all patients of financial assistance opportunities. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: Bellville is a city in the U.S. state of Texas and the seat of Austin County. The city's population was 4,097 at the 2010 census. It sits in a rural setting about half-way between Houston and Austin Texas, in between state highway 290 and interstate 90. Austin county has a population of approx. 30,000. The racial makeup of the county is 80.22% White, 10.64% African American, 0.28% Native American, 0.29% Asian, 6.99% from other races, and 1.58% from two or more races. About 16.13% of the population was Hispanic or Latino of any race. The median income for a household in the county was $38,615, and for a family was $46,342. The nearest hospitals are in Brenham (18 miles northwest) and Katy (33 miles southeast). Over 50% of patients served are covered by medicare, with 25% with commercial, 12% self-pay and 13% Medicaid. The county has 4 active primary care physicians with approx. 5 midlevel providers. The hospital is supported by a local tax district. Most specialty based medical providers are based outside of the county and associated with other hospitals. A few specialists rotate through on a weekly basis at the hospital. Population has been relatively stable until recently there have been a number of new housing starts (Sealy 1000 and Bellville 400). Some new industry and economic growth has also recently been added in Sealy. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE ORGANIZATION'S HOSPITAL FACILITIES PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. THE ORGANIZATION'S HOSPITAL FACILITIES HAVE AN OPEN MEDICAL STAFF. ITS BOARD IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITIES TREAT PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: NOT APPLICABLE SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: TEXAS Form 990, Part VI, Section A, Line 1a Delegation of Authority: When the board is not in session the Executive Committee shall have and exercise all of the authority of the Board in the management of the hospital, unless such authority is limited by the board or bylaws. Form 990, Part VI, Section A, Line 3 Delegation of Management: The District entered into a management agreement with ERH LLC to manage the Hospital. Services included providing executive assistance and the oversight of day-to-day operations. Per IRS guidance, no compensation is shown on Form 990, Part VII for the calendar year for this individual: Juanita Romans $154,666 Form 990, Part VI, Section A, Line 6 Members and Shareholders: The sole member of the hospital is Bellville Hospital District. Form 990, Part VI, Section A, Line 7a Members with power to elect governing body: The District has the power to appoint and remove all board members for the Hospital. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990: MANAGEMENT REVIEWS THE RETURN AND PROVIDES IT TO THE BOARD OF DIRECTORS AFTER FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: EXCEPT AS PROVIDED IN BMC'S FORM 1023 AND FORM 990'S, BMC DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR AND ENFORCE COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE OFFICERS AND DIRECTORS ANNUALLY DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. THE STATEMENTS ARE READ DURING THE BOARD MEETING, AND IF A CONFLICT IS FOUND TO EXIST, THE CONFLICT MEMBER RECUSES THEMSELVES FROM VOTING AND DISCUSSIONS. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW: For both the CEO and CFO positions, compensation for these positions were reviewed against external comparative data and approved by the board and the management company (ERH). FORM 990, PART III, LINE 2 SIGNIFICANT PROGRAMS NOT PREVIOUSLY REPORTED: THE HOSPITAL OPENED TRI-COUNTY ER DURING THE FISCAL YEAR AS A FREE STANDING EMERGENCY ROOM OPERATING UNDER THE HOSPITAL'S LICENSE. Form 990, Box B AMENDED RETURN: AT THE TIME OF ORIGINALLY FILING THE RETURN, THE ORGANIZATION WAS IN THE PROCESS OF AN AUDIT OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED June 30, 2020. THE ORGANIZATION IS AMENDING THE RETURN TO REFLECT THE CORRECT FINANCIAL STATEMENT AMOUNTS FOR THE PERIOD IN QUESTION. IN ADDITION, SCHEDULE D WAS COMPLETED TO RECONCILE FROM THE AUDIT TO THE RETURN AND SOME REVENUE AND EXPENSE ITEMS WERE REVISED TO RECONCILE TO THE ISSUED FINANCIAL STATEMENTS. THE UPDATES TO THE REVENUES ALSO RESULTED IN UPDATES TO THE AMOUNTS IN SCHEDULE H AND CONTRIBUTIONS REPORTED IN SCHEDULE B. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: ON MAY 7, 2019, THE DISTRICT ENTERED INTO A MEMBERSHIP INTEREST TRANSFER AGREEMENT, WHERE CERTAIN ASSETS AND OPERATIONS WERE TRANSFERRED FROM THE ST JOSEPH REGIONAL HEALTH SYSTEM TO UNDER CONTROL OF THE DISTRICT. THIS TRANSFER TRIGGERED THE RESTART OF OPERATIONS UNDER THE HOSPITAL'S NEW NAME, BELLVILLE MEDICAL CENTER. THE AMOUNT REPORTED ON PART XI, LINE 9 INCLUDES THE CLOSING OF THE BOOKS UNDER THE PRIOR OWNER, AS WELL AS ASSETS TRANSFERRED BETWEEN THE HOSPITAL AND ITS MEMBER. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:738232 FORM 990 PART IX LINE 11G DESCRIPTION:VENDOR ADMIN FEE TOTAL FEES:709690 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:69305 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:273363 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:13650 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:100946 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:429637 BELLVILLE HOSPITAL DISTRICT 44 North Cummings bellville TX 77418 760636528 Hospital TX GOVT N/A NA false false false true false false false false false false false true false false false false false false false false