UNITED REGIONAL HEALTH CARE SYSTEM INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: UNITED REGIONAL HEALTH CARE SYSTEM INC (EIN 75-1912147)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-04
IRS object ID: 202143089349300204
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-04T06:34:17-05:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14241 DALLAS PARKWAY SUITE 1100	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75254	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	751912147	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	United Regional Health Care System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% STEPHEN P CALVERT	InCareOfNm
Business Name Control	UNIT	BusinessNameControlTxt
Phone	9407648299	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 Eleventh Street	AddressLine1Txt
City	Wichita Falls	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PHYLLIS COWLING	PersonNm
Person Title	PRESIDENT AND CEO	PersonTitleTxt
Phone	9727028262	PhoneNum
Signature	2021-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	PHYLLIS	PersonFirstNm
Person Last	COWLING	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEANETTE VERRELLI	PreparerPersonNm
PTIN	P00742631	PTIN
Phone	9727028262	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PHYLLIS COWLING	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 ELEVENTH STREET	AddressLine1Txt
City	WICHITA FALLS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$393,433,311	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UNITEDREGIONAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	ORGANIZED AND OPERATED FOR THE PURPOSE OF DEVELOPING AND OPERATING AN INTEGRATED HEALTH CARE SYSTEM.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2442	TotalEmployeeCnt
Total Volunteers	178	TotalVolunteersCnt
Total Gross UBI	$580,005	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$521,004	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,375,944	PYContributionsGrantsAmt
CY Contributions Grants	$12,822,699	CYContributionsGrantsAmt
PY Program Service Revenue	$405,054,768	PYProgramServiceRevenueAmt
CY Program Service Revenue	$369,858,899	CYProgramServiceRevenueAmt
PY Investment Income	$14,053,384	PYInvestmentIncomeAmt
CY Investment Income	$8,776,855	CYInvestmentIncomeAmt
PY Other Revenue	$49,714	PYOtherRevenueAmt
CY Other Revenue	$580,005	CYOtherRevenueAmt
PY Total Revenue	$420,533,810	PYTotalRevenueAmt
CY Total Revenue	$392,038,458	CYTotalRevenueAmt
PY Grants And Similar Paid	$18,255,010	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$15,570,711	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$142,851,680	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$150,491,129	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$218,290,801	PYOtherExpensesAmt
CY Other Expenses	$199,988,648	CYOtherExpensesAmt
PY Total Expenses	$379,397,491	PYTotalExpensesAmt
CY Total Expenses	$366,050,488	CYTotalExpensesAmt
PY Revenues Less Expenses	$41,136,319	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,987,970	CYRevenuesLessExpensesAmt
Total Assets BOY	$826,178,398	TotalAssetsBOYAmt
Total Assets EOY	$925,775,441	TotalAssetsEOYAmt
Total Liabilities BOY	$64,661,500	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$118,296,064	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$761,516,898	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$807,479,377	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO OPERATE NONPROFIT HOSPITALS OR HOSPITAL FACILITIES, CLINICS, AND RELATED MEDICAL AND SURGICAL SERVICES BY PROVIDING SUCH SERVICES TO PERSONS THAT DO HAVE THE ABILITY TO PAY, AND TO THEREBY PROVIDE CHARITABLE MEDICAL, SURGICAL, AND HOSPITAL CARE FOR SICK, INJURED, AFFLICTED, INFIRM, DISABLED, OR DESTITUTE PERSONS THAT DO NOT HAVE THE ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$296,888,635	ExpenseAmt
Grant	$15,570,711	GrantAmt
Revenue	$369,858,899	RevenueAmt
Desc	UNITED REGIONAL HEALTH CARE SYSTEM, A 325-BED HOSPITAL, PROMOTES TH HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF HEALTH CARE SERVICES. IN ADDITION TO INPATIENT BEDS, THERE ARE 36 NEWBORN BASSINETTES INCLUDING 13 INTERMEDIATE NURSERY BASSINETTES AND 42 ER BEDS. ADDITIONAL PROGRAMS WHICH BENEFIT THE COMMUNITY INCLUDE: STUDENTS IN NURSING, PHARMACY, LABORATORY TECHNOLOGY, RADIOLOGY, RESPIRATORY THERAPY AND OTHER ASSOCIATED HEALTH SCIENCES PROFESSIONS ALSO STUDY HERE. PREVENTIVE CARE A PRIORITY: UNITED REGIONAL HEALTH CARE SYSTEM HAS TAKEN STEPS TO ENHANCE PREVENTIVE CARE FOR PEOPLE OF ALL AGES THROUGH THE DEVELOPMENT OF LOW COST SCREENING PROGRAMS, VACCINATION CLINICS, AS WELL AS OTHER OUTREACH EDUCATION SERVICES. OTHER SERVICES ARE PROVIDED THROUGH THE UNITED REGIONAL REFERENCE LAB INCLUDE BOTH LOW COST FEE-FOR-SERVICE SCREENINGS AND FREE SCREENINGS AT COMMUNITY HEALTH FAIRS (CHOLESTEROL, PSA, TRIGLYCERIDES, ETC.) DESIGNATED TRAUMA CENTER: UNITED REGIONAL IS DESIGNATED LEVEL 2 TRAUMA CENTER FOR THE REGION BY THE HEALTH AND HUMAN SERVICES COMMISSION OF THE STATE OF TEXAS. UNITED REGIONAL HEALTH CARE SYSTEM'S EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY/7 DAYS A WEEK MEETING THE NEEDS OF THE COMMUNITY WITH AN AVERAGE OF 174 VISITS PER DAY. COMMUNITY CONNECTIONS: UNITED REGIONAL HEALTH CARE SYSTEM REACHES OUT TO PEOPLE AND COMMUNITIES THROUGHOUT ITS PRIMARY SERVICE AREA OF WICHITA COUNTY AND ITS SECONDARY SERVICE AREA OF 8 SURROUNDING COUNTIES CONSISTING OF ARCHER, BAYLOR, CLAY, HARDEMAN, JACK, MONTAGUE, WILBARGER AND YOUNG COUNTIES. THROUGH COOPERATIVE AGREEMENTS WITH LOCAL GOVERNMENTS AND HOSPITALS, UNITED REGIONAL PROVIDES FUNDING FOR A NUMBER OF HEALTHCARE SERVICES. COMMUNITY EDUCATION: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES THE FOLLOWING TYPES OF COMMUNITY EDUCATION: COMMUNITY EDUCATION SEMINARS WITH FACEBOOK LIVE PRESENTATIONS BY PHYSICIANS ON HEALTH ISSUES AND TREATMENT OPTIONS; HEALTH EDUCATION EMAILS, SENT TO APPROXIMATELY 17,000 REGISTERED PARTICIPANTS, PROVIDING HEALTH PROMOTION AND DISEASE PREVENTION INFORMATION AND INFORMATION ON FREE EDUCATIONAL PROGRAMS; SENIOR FOCUSED PROGRAM, PROVIDING A DRIVE-THROUGH INFLUENZA VACCINATION CLINIC; AND PARTICIPATION IN A HEALTHY LIFESTYLE CLASS FOR KIDS. CHARITY CARE: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES MEDICAL CARE TO MEMBERS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. ESTIMATED COST OF PROVIDING ADDITIONAL COMMUNITY BENEFITS DURING 2020 WAS $25,496,376 WHICH INCLUDED THE FOLLOWING: UNREIMBURSED COST OF EMERGENCY AND TRAUMA CARE $10,754,601 UNREIMBURSED COST OF FREE STANDING CLINICS $14,741,775 DONATIONS MADE BY THE HOSPITAL TO AREA CHARITABLE ORGANIZATIONS $17,301,318 TOTAL COSTS OF ADDITIONAL COMMUNITY BENEFITS $42,797,694 SOURCE: 2020 ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (STATE OF TEXAS MANDATORY REPORT)	Desc
Total Program Service Expenses	$296,888,635	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	228	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2442	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	STEPHEN P CALVERT	PersonNm
Phone	9407648299	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 ELEVENTH STREET	AddressLine1Txt
City	WICHITA FALLS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76301	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
PHYLLIS COWLING
PRESIDENT AND CEO	40.0	2.5	Yes (X)	Yes (X)	$1,183,272	$0	$114,229
NANCY TOWNLEY
SR VP OF OPERATIONS	40.0	2.5		Yes (X)	$802,975	$0	$59,920
ROBERT PERT
CHIEF FINANCIAL OFFICER	40.0	2.5		Yes (X)	$577,535	$0	$63,151
STEPHANIE MCDONELL
CHIEF INFORMATION OFFICER	40.0	2.5		Yes (X)	$464,182	$0	$43,897
KRISTI FAULKNER
VP OF HUMAN RESOURCES	40.0	2.5		Yes (X)	$408,750	$0	$49,455
JANE RITTER
VP OF PATIENT CARE/CLINICAL SV	40.0	2.5		Yes (X)	$352,010	$0	$55,189
JOHNNY ROBERTS
VP UR PHYSICIAN GROUP	40.0	2.5		Yes (X)	$346,145	$0	$53,918
BRETT MAY MD
DIRECTOR	1.0	40.0	Yes (X)		$0	$281,280	$36,865
MICHELLE NELSON
SR DIRECTOR OF HEALTH IMPROVEM	40.0	0.0			$195,483	$0	$38,751	Yes (X)
DWAYNE MCKEE
DIRECTOR OF CIBI	40.0	0.0			$202,834	$0	$31,243	Yes (X)
NATHAN WOOTEN
DIRECTOR OF PHARMACY	40.0	0.0			$187,993	$0	$39,276	Yes (X)
STEPHEN CALVERT
SR DIRECTOR OF ACCOUNTING AND	40.0	0.0			$189,499	$0	$36,779	Yes (X)
SHELLEY MOSER
SR DIRECTOR OF QUALITY & SAFET	40.0	0.0			$195,057	$0	$30,434	Yes (X)
ANNE DABOVICH
VP OF PATIENT CARE/CLINICAL SV	40.0	2.5		Yes (X)	$209,945	$0	$11,850
ANDRE DESIRE MD
DIRECTOR	1.0	0.0	Yes (X)		$119,343	$0	$0
KEITH WILLIAMSON MD
DIRECTOR	1.0	0.0	Yes (X)		$32,358	$0	$0
LINDA CASTILLO
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ALLEN FLACK MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ROBERT FORRESTER DBA
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
KELLY FRISTOE
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
BARRY HARDIN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
KEN HINES
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JOHN LUIG
SECRETARY & TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
LACEY MORGAN
VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
STEPHANIE SPAIN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL STANFORD
BOARD CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MARGARET STEWART
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
TIM CORNELIUS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
KINLEY HEGGLUND
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
BLAKE ANDREWS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DEANDREA DAVIS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
YVONNE HEARN MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
FRED LANGNER MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
TERRY PATTON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,467,381	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$281,280	TotReportableCompRltdOrgAmt
Total Other Compensation	$664,957	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	222	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
LA MAGNA HEALTH PLLC
1631 11TH STREET	WICHITA FALLS	TX	76301	CLINICAL SERVICES	$6,485,895
MEDEFIS CONSOLIDATED
PO BOX 5068	NEW YORK	NY	10087	CONTRACT LABOR	$4,339,185
WICHITA FALLS ANESTHESIA PLLC
1600 11TH STREET	WICHITA FALLS	TX	76301	CLINICAL SERVICES	$3,706,443
NEUROLOGICAL SURGERY SPECIALISTS OF
3808 KEMP BLVD SUITE A	WICHITA FALLS	TX	76308	CLINICAL SERVICES	$2,651,417
ACUTE CARE SURGERY TEXOMA PLLC
PO BOX 3386	WICHITA FALLS	TX	76301	CLINICAL SERVICES	$2,357,675

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	57	CntrctRcvdGreaterThan100KCnt
Related Organizations	$645,753	RelatedOrganizationsAmt
Government Grants	$12,120,413	GovernmentGrantsAmt
All Other Contributions	$56,533	AllOtherContributionsAmt
Total Contributions	$12,822,699	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	621110	$367,584,079	$367,584,079
Supporting Revenue	900099	$1,619,144	$1,619,144
Related Rental Revenue	531120	$655,676	$655,676

Field	Value	IRS element (for citing)
Total Program Service Revenue	$369,858,899	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,259,503	TotalRevenueColumnAmt
Exclusion	$9,259,503	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$900,283	SecuritiesAmt
Other	$11,922	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,394,853	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$494,570	SecuritiesAmt
Other	$11,922	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$482,648	TotalRevenueColumnAmt
Exclusion	-$482,648	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PASS-THROUGH REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$580,005	TotalRevenueColumnAmt
Unrelated Business Revenue	$580,005	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$580,005	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$392,038,458	TotalRevenueColumnAmt
Related Or Exempt Func Income	$369,858,899	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$580,005	UnrelatedBusinessRevenueAmt
Exclusion	$8,776,855	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$15,570,711	TotalAmt
Program Services	$15,570,711	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,948,124	TotalAmt
Program Services	$494,812	ProgramServicesAmt
Management And General	$4,453,312	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$127,595	TotalAmt
Program Services	$45,736	ProgramServicesAmt
Management And General	$81,859	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$129,305,475	TotalAmt
Program Services	$99,951,802	ProgramServicesAmt
Management And General	$29,353,673	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,314,056	TotalAmt
Program Services	$2,674,894	ProgramServicesAmt
Management And General	$639,162	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,304,184	TotalAmt
Program Services	$2,586,547	ProgramServicesAmt
Management And General	$717,637	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,491,695	TotalAmt
Program Services	$7,118,771	ProgramServicesAmt
Management And General	$2,372,924	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$113,810	TotalAmt
Management And General	$113,810	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$190,432	TotalAmt
Management And General	$190,432	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,471,244	TotalAmt
Management And General	$1,471,244	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$55,108,943	TotalAmt
Program Services	$41,474,531	ProgramServicesAmt
Management And General	$13,634,412	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$442,457	TotalAmt
Program Services	$331,843	ProgramServicesAmt
Management And General	$110,614	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,633,435	TotalAmt
Program Services	$8,604,878	ProgramServicesAmt
Management And General	$2,028,557	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,347,200	TotalAmt
Program Services	$4,760,400	ProgramServicesAmt
Management And General	$1,586,800	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,098,203	TotalAmt
Program Services	$2,323,652	ProgramServicesAmt
Management And General	$774,551	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$287,463	TotalAmt
Program Services	$215,597	ProgramServicesAmt
Management And General	$71,866	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$141,305	TotalAmt
Program Services	$7,580	ProgramServicesAmt
Management And General	$133,725	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$73,973	TotalAmt
Program Services	$73,973	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,666,296	TotalAmt
Program Services	$13,821,907	ProgramServicesAmt
Management And General	$8,844,389	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,336,998	TotalAmt
Program Services	$1,336,998	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Bad Debt Expense	$29,053,949	$29,053,949
Medical Supplies	$58,690,707	$58,690,707
Equipment expenses	$2,383,377	$1,787,533	$595,844
Covid-19 Expenses	$6,157,521	$4,618,141	$1,539,380

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,791,335	TotalAmt
Program Services	$1,343,673	ProgramServicesAmt
Management And General	$447,662	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$366,050,488	TotalAmt
Program Services	$296,888,635	ProgramServicesAmt
Management And General	$69,161,853	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$215,102	BOYAmt
EOY	$206,660	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$49,833,386	BOYAmt
EOY	$96,802,582	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,833,456	BOYAmt
EOY	$42,750,579	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,694,090	BOYAmt
EOY	$9,992,217	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,123,202	BOYAmt
EOY	$7,354,328	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$427,629,813	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$228,511,558	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$206,512,096	BOYAmt
EOY	$199,118,255	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$422,296,527	BOYAmt
EOY	$470,361,824	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$92,670,539	BOYAmt
EOY	$99,188,996	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$826,178,398	BOYAmt
EOY	$925,775,441	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$53,584,440	BOYAmt
EOY	$51,784,837	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,077,060	BOYAmt
EOY	$66,511,227	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,661,500	BOYAmt
EOY	$118,296,064	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$761,516,898	BOYAmt
EOY	$807,479,377	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$761,516,898	BOYAmt
EOY	$807,479,377	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$826,178,398	BOYAmt
EOY	$925,775,441	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,987,970	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$26,640,208	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$6,665,699	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$106,665	OtherActivitiesAmt
Total Lobbying Expenditures	$106,665	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES: THE HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES %LOBBYING $LOBBYING TAVH $ 5,823 100% $ 5,823 THA $ 59,220 8.31% $ 4,921 AHA $ 49,573 25.56% $12,671 MCDERMOTT & CONSULTING $ 8,250 100% $ 8,250 DON GILBERT & ASSOC $ 180,000 41.67% $75,000 --------------------------------------------------------------------- TOTAL $ 302,866 $106,665	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$493,631	BeginningYearBalanceAmt
End Year Balance	$493,631	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$839,392	BeginningYearBalanceAmt
Other Expenditures	$345,761	OtherExpendituresAmt
End Year Balance	$493,631	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$839,392	BeginningYearBalanceAmt
End Year Balance	$839,392	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$839,392	BeginningYearBalanceAmt
End Year Balance	$839,392	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,416,349	BeginningYearBalanceAmt
End Year Balance	$1,416,349	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.59480	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.40520	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,168,093	OtherCostOrOtherBasisAmt
Book Value	$15,168,093	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$220,091,974	OtherCostOrOtherBasisAmt
Depreciation	$106,405,897	DepreciationAmt
Book Value	$113,686,077	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$190,400,977	OtherCostOrOtherBasisAmt
Depreciation	$120,164,436	DepreciationAmt
Book Value	$70,236,541	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,968,769	OtherCostOrOtherBasisAmt
Depreciation	$1,941,225	DepreciationAmt
Book Value	$27,544	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$199,118,255	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Due from Affiliates	$85,965,780
Interest Receivable	$308,820
Est from 3rd Party Payors	$12,556,952
REINSURANCE RECEIVABLE	$357,444

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$99,188,996	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Est due to third party payors	$2,067,915
Self Insurance liabilities	$8,751,000
DUE TO AFFILIATE	$71,068
CARES ACT LIABILITIES	$50,174,824
CHAT LIABILITY	$5,446,420

Field	Value	IRS element (for citing)
Total Liability	$66,511,227	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS. FUNDS ARE USED TO ADVANCE AND PROMOTE THE HEALTH AND WELL-BEING OF PEOPLE AND ORGANIZATIONS IN THE COMMUNITY AND SURROUNDING AREAS. THE FUNDS DESIGNATED BY THE BOARD ARE NOT CURRENTLY BEING USED.
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 V, COLUMNS C & D	RESTATEMENT OF ENDOWMENT FUNDS: THE ENDOWMENT FUND BALANCES PER THE FINANCIAL STATEMENTS FOR 2017 AND 2018 WERE RESTATED DUE TO THE RECLASSIFICATION OF NET ASSETS. BOARD DESIGNATED ASSETS WERE RECLASSIFIED TO REMOVE THE DESIGNATION AND COMBINED WITH TEMPORARY RESTRICTED NET ASSETS IN MARCH OF 2019.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,461,732	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,385,503	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,076,229	NetCommunityBenefitExpnsAmt
Total Expense	0.05960	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,429,459	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,640,001	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,789,458	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,044,628	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$707,967	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,336,661	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,935,819	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,733,471	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,202,348	NetCommunityBenefitExpnsAmt
Total Expense	0.07480	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,805	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$73,805	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,170,223	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,673,847	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,496,376	NetCommunityBenefitExpnsAmt
Total Expense	0.07560	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,570,711	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,570,711	NetCommunityBenefitExpnsAmt
Total Expense	0.04620	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,814,739	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,673,847	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,140,892	NetCommunityBenefitExpnsAmt
Total Expense	0.12200	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,750,558	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,407,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,343,240	NetCommunityBenefitExpnsAmt
Total Expense	0.19680	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	30956	PersonsServedCnt
Total Community Benefit Expns	$31,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,880	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,842	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	30956	PersonsServedCnt
Total Community Benefit Expns	$31,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,880	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,842	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$29,053,949	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,905,395	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$108,558,772	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$114,129,585	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,570,813	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
UNITED REGIONAL
CARDIOVASCULAR SERVICES	0.5	0.5
health care system

cardiology LLC

united regional
surgical management	0.5	0.5
health care system

surgery llc

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNITED REGIONAL HEALTH CARE SYSTEM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 ELEVENTH STREET	AddressLine1Txt
City	WICHITA FALLS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76301	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.UNITEDREGIONAL.ORG	WebsiteAddressTxt
State License	000417	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	UNITED REGIONAL HEALTH CARE SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	PERSONS WHO REPRESENT THE COMMUNITY: UNITED REGIONAL CONDUCTED 27 INTERVIEWS WITH THE TWO GROUPS OUTLINED IN IRS FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. DURING THESE INTERVIEWS, THE HOSPITAL DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. BACKGROUND INFORMATION ON EACH INTERVIEWEE WAS ALSO GATHERED. THE INTERVIEWEES WERE INDIVIDUALS FROM VARIOUS NOT-FOR-PROFIT GROUPS, HEALTH CARE FACILITIES, GOVERNMENTAL AGENCIES AND OTHER AREAS OF THE COMMUNITY. THESE INDIVIDUALS WERE FROM THE FOLLOWING ORGANIZATIONS: -HELEN FARABEE CENTER -WICHITA FALLS AREA FOOD BANK -WICHITA FALLS CITY COUNCIL -GUFFEY'S PHARMACY -HOSPICE OF WICHITA FALLS -WICHITA COUNTY HEALTH DEPARTMENT -UNITED REGIONAL HEALTH CARE SYSTEM -FINANCIAL PARTNERS -WICHITA COUNTY -THE KITCHEN -UNITED REGIONAL FOUNDATION -ELECTRA MEMORIAL HOSPITAL -WICHITA FALLS ISD -PRESBYTERIAN MANOR -NORTH CENTRAL TEXAS COMMUNITY HEALTH CENTER -WICHITA FALLS FAITH MISSION -NORTH TEXAS AREA UNITED WAY -BOYS AND GIRLS CLUB OF WICHITA FALLS -WILSON SCHOOL OF NURSING -AMERICAN CANCER SOCIETY
SCHEDULE H, PART V, SECTION B, LINE 7A & 10A	CHNA & Implementation strategy website: The CHNA And implementation strategy can be found at WWW.UNITEDREGIONAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 20E	EFFORTS TO NOTIFY INDIVIDUALS OF FINANCIAL ASSISTANCE POLICY: NEITHER THE UNITED REGIONAL HEALTH CARE SYSTEM, NOR THIRD PARTIES AUTHORIZED BY URHCS, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART V, SECTION B, LINE 11	NEEDS ADDRESSED AND NOT ADDRESSED: UNITED REGIONAL IDENTIFIED AND PRIORITIZED 6 NEEDS USING A STRUCTURED MATRIX IN THE IMPLEMENTATION STRATEGY. THE NEEDS ARE: 1. ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS: UNITED REGIONAL WILL CONTINUE TO RECRUIT AND EMPLOY ADDITIONAL PHYSICIANS TO THE COMMUNITY, AS WELL AS PHYSICIANS EMPLOYED BY THE UNITED REGIONAL PHYSICIAN GROUP. VIA ITS EMPLOYED PHYSICIAN GROUP, UNITED REGIONAL WILL CONTINUE TO OPERATE A PRIMARY CARE WALK-IN CLINIC, CAREPLUS, AS WELL AS ECARE, A VIRTUAL OPTION FOR RESIDENTS. 2. ACCESS TO SPECIALTY CARE SERVICES AND PROVIDERS: UNITED REGIONAL WILL CONTINUE TO EXPAND SPECIALTY CARE CAPACITY BY RECRUITING AND EMPLOYING ADDITIONAL SPECIALTY PHYSICIANS TO THE COMMUNITY. UNITED REGIONAL WILL CONTINUE TO OFFER PALLIATIVE CARE/SUPPORTIVE CARE SERVICES, DESIGNED TO ASSIST PATIENTS WHO HAVE CHRONIC DISEASES TO ACCESS THE MEDICAL AND EMOTIONAL SUPPORT NEEDED TO BEST MANAGE THEIR DISEASE PROCESSES WITH A FOCUS ON PRLIEF OF PAIN, STRESS AND OTHER DEBILITATING SYMPTOMS OF SERIOUS ILLNESS. 3. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES: UNITED REGIONAL WILL CONTINUE TO INCREASE EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC CONCERNING WELLNESS TOPICS AND HEALTH RISK CONCERNS, PREVENTIVE CARE AND HEALTHY LIFESTYLE CHOICES THROUGH MEDIA OUTLETS AND HOSTING AND/OR PARTICIPATING IN LOCAL HEALTH-RELATED EVENTS. CURRENT EXAMPLES INCLUDE: CPR, PREPARED CHILDBIRTH, SMOKING CESSATION, BREAST FEEDING, HEALTHY YOU TV SERIES, DIABETES EDUCATION, PRENATAL CLASSES, 55 ADVANTAGE, SENIOR FOCUS AND WOMEN'S EXPO. 4. ACCESS TO AFFORDABLE, HIGH NUTRITIONAL QUALITY FOOD OPTIONS: IN CONJUNCTION WITH THE WICHITA FALLS AREA FOOD BANK, UNITED REGIONAL WORKS TO PROVIDE HEALTHY FOOD BOXES FOR PATIENTS PARTICIPATING IN DIABETES EDUCATION, HEART FAILURE CLINIC AND OUTPATIENT INFUSION AND POST-OPERATIVE PATIENTS WHO ARE FOOD INSECURE. ALSO, IN CONJUNCTION WITH THE WICHITA FALLS AREA FOOD BANK, UNITED REGIONAL OFFERS A MOBILE FOOD PANTRY AT SIX DIFFERENT LOCATIONS-ONCE EACH PER MONTH-IN AN EFFORT TO HAVE A HUNGER-FREE COMMUNITY. 5. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS: UNITED REGIONAL WILL CONTINUE TO PROVIDE CASE MANAGEMENT SERVICES AND APPROPRIATE REFERRALS FOR PATIENTS WHO PRESENT TO THE HOSPITAL OR EMERGENCY DEPARTMENT WITH MENTAL OR BEHAVIORAL HEALTH CONDITIONS ON AN AS NEEDED BASIS. UNITED REGIONAL WILL CONTINUE TO PROVIDE PSYCHIATRIC TELEHEALTH SERVICES FOR APPLICABLE PATIENTS. 6. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS: UNITED REGIONAL WILL CONTINUE TO PROVIDE MEDICAL CARE TO ALL PATIENTS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. UNITED REGIONAL WILL CONTINUE TO OPERATE ITS HEART FAILURE CLINIC. UNITED REGIONAL'S IMPLEMENTATION PLAN ADDRESSES ALL NEEDS IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. SEE THE SCHEDULE H, PART VI, LINE 5 DISCLOSURE FOR ADDITIONAL INFORMATION UPDATING UNITED REGIONAL'S PROGRESS ADDRESSING THESE NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 16A, 16B & 16C	MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUmmary are AVAILABLE AT THE FOLLOWING ADDRESS: https://www.unitedregional.org/patients-and-visitors/billing-questions-and -answers/financial-assistance/
SCHEDULE H, PART V, SECTION B	501R COMPLIANCE: DURING A COMPLIANCE REVIEW OF THE ORGANIZATION'S FINANCIAL ASSISTANCE DOCUMENTS, MANAGEMENT BECAME AWARE OF AN INADVERTENT ERROR WHICH RESULTED IN NON-COMPLIANCE WITH 501R REGULATIONS. THE PLAIN LANGUAGE SUMMARY ON THE FACE OF THE WEBSITE AND THE DOWNLOADABLE DOCUMENT REFERENCE 2016 AND 2017 FOR THE CALCULATION OF AMOUNTS GENERALLY BILLED (AGB). MANAGEMENT IS IN THE PROCESS OF UPDATING THE STATEMENT WITH CURRENT INFORMATION.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT ADJUSTMENTS: THE ORGANIZATION'S BAD DEBT ADJUSTMENTS WERE CALCULATED USING THE ADJUSTMENT AMOUNT REPORTED AS REVENUE DEDUCTIONS ON THE INTERNAL FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS DETERMINED BY ESTIMATING THAT 10% OF THE BAD DEBT WOULD LIKELY BE CHARITY CARE. THIS IS THE APPROXIMATE PERCENTAGE OF PATIENTS NOT COMPLETING THE PAPER WORK TO APPLY FOR CHARITY CARE. BAD DEBT EXPENSE REPRESENTS GROSS CHARGES ADJUSTED FOR APPROPRIATE DISCOUNTS AND PAYMENTS ON ACCOUNTS.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT FOOTNOTE: PATIENT CARE SERVICE REVENUE ON PAGE 16 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8	COSTING METHODOLOGY: THE HOSPITAL USES MEDICARE COST REPORT METHODOLOGY TO DETERMINE MEDICARE ALLOWABLE COST, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $5,570,813. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION PRACTICES: HOSPITAL PERSONNEL MAKE GOOD FAITH EFFORTS TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, GOVERNMENTAL PROGRAMS AND ASSISTANCE IN APPLYING. SECTION 7.2 OF THE CHARITY AND BAD DEBT POLICY STATES: REQUIRED INFORMATION AND DOCUMENTATION AS NOTED IN THIS POLICY MUST BE PROVIDED BEFORE ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE DETERMINED. ONCE THE REQUIREMENTS HAVE BEEN MET, A WRITTEN NOTICE WILL BE MAILED TO THE PATIENT INFORMING THEM OF THE DETERMINATION DECISION. NO COLLECTION EFFORTS WILL BE PURSUED ON A FINANCIAL ASSISTANCE APPLICATION FOR THE ELIGIBLE AMOUNT AFTER SUCH DETERMINATION IS MADE.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: UNITED REGIONAL HEALTH CARE SYSTEM (URHCS) PROVIDES EMERGENCY, TRAUMA, OUTPATIENT AND SHORT TERM GENERAL ACUTE CARE INPATIENT CARE IN THE WICHITA FALLS AREA. IN CONJUNCTION WITH OTHER INTERESTED ORGANIZATIONS, IT UNDERTAKES PROJECTS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. FOR EXAMPLE, URHCS COLLABORATES WITH OTHER COMMUNITY HEALTH ORGANIZATIONS TO CREATE A HEALTHY WICHITA REPORT WHICH IS UPDATED PERIODICALLY. THIS REPORT ASSESSES THE HEALTHCARE SERVICES PROVIDED IN THE COMMUNITY TO COMPARE THE OUTCOMES TO STATE AND FEDERAL OUTCOMES AND DETERMINE IF THE COMMUNITY HEALTH NEEDS ARE BEING MET OR ADDITIONAL RESOURCES NEED TO BE DIRECTED TO PARTICULAR HEALTH AREAS.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL INFORMS PATIENTS OF THE CHARITY CARE PROGRAM AND HOW TO APPLY FOR CHARITY CARE. THIS IS DONE BY POSTING NOTICES IN PATIENT REGISTRATION AREAS AND PROVIDING WRITTEN NOTICES TO PATIENTS. ALL PATIENT STATEMENTS HAVE AN ASSISTANCE APPLICATION ON THE REVERSE SIDE AND AN ALERT ON THE FRONT FOR THOSE ELIGIBLE OR INTERESTED IN APPLYING. THIS INCLUDES ALL STATEMENT NOTIFICATIONS AND NOT JUST PATIENT SHARE STATEMENTS. FURTHERMORE IT IS THE POLICY OF URHCS TO ASSIST PATIENTS WITH INFORMATION AND RESOURCES FOR POTENTIALLY QUALIFYING FOR GOVERNMENTAL OR OTHER FINANCIAL ASSISTANCE PROGRAMS. THE BUSINESS OFFICE WILL REFER THOSE PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM A GOVERNMENTAL PROGRAM TO THE APPROPRIATE PROGRAM, SUCH AS MEDICAID, COUNTY INDIGENT, CRIME VICTIMS, OR OTHER PROGRAM, OR TO THE HOSPITAL'S CONTRACTED ELIGIBILITY VENDOR FOR SCREENING FOR GOVERNMENTAL PROGRAM COVERAGE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: URHCS PRIMARY SERVICE AREA IS MADE UP OF WICHITA COUNTY. WICHITA COUNTY CONTAINS THE CITY OF WICHITA FALLS WHERE URHCS IS LOCATED. ACCORDING TO THE HUMAN RESOURCES AND SERVICES ADMINISTRATION, US DEPARTMENT OF HEALTH AND HUMAN SERVICES, WICHITA FALLS HAS SEVERAL CENSUS TRACTS FEDERALLY DESIGNATED AS MEDICALLY UNDER-SERVED, INCLUDING CENSUS TRACT 102 WHERE URHCS IS LOCATED. CENSUS DATA FOR WICHITA FALLS IS AS FOLLOWS: MEDIAN HOUSEHOLD INCOME (2019 EST.): $ 47,476 PER CAPITA INCOME (2019 EST.): $ 24,330 UNDER AGE 18 CHILDREN BELOW POVERTY LEVEL (2019 EST.): 22% MEDIAN EARNINGS OF FULL-TIME WORKERS, FEMALE (2019 EST.): $32,535 PERSONS BELOW POVERTY LEVEL (2019 EST.): 18.4% EMPLOYED PERSON WITHOUT HEALTH INSURANCE COVERAGE 19 TO 64 YEARS (2019 EST.) : 17.3%. URHCS IS RECOGNIZED BY MEDICARE AS QUALIFYING FOR SOLE COMMUNITY HOSPITAL STATUS AND SERVES A DISPROPORTIONATE SHARE OF LOW-INCOME PATIENTS. UNITED REGIONAL QUALIFIES AS A DISPROPORTIONATE SHARE HOSPITAL FOR BOTH THE MEDICARE AND MEDICAID PROGRAMS.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS THAT REPRESENTS THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. UNITED REGIONAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. UNITED REGIONAL OPERATES A LEVEL 2 TRAUMA UNIT FOR THE REGION. THE HOSPITAL PROVIDES TRAINING COURSES FOR NURSING AND ALLIED HEALTH PROFESSIONALS FOR THE COMMUNITIES IT SERVES. THE HOSPITAL PARTICIPATES IN MEDICAID AND IS THE MANDATED WICHITA COUNTY HEALTHCARE FACILITY. THE HOSPITAL ALSO PROVIDES NUMEROUS AVENUES TO EDUCATE THE COMMUNITY ON HEALTH INITIATIVES SUCH AS HEALTH FAIRS, NEWSLETTERS/EMAILS, SOCIAL MEDIA OUTREACH AND LECTURE SERIES ON CHRONIC AND ACUTE HEALTH ISSUES. UNITED REGIONAL REINVESTS SURPLUS FUNDS IN THE FACILITIES TO ENSURE PATIENTS ARE PROVIDED WITH STATE OF THE ART MEDICAL CARE. IN 2019 THE HOSPITAL CONDUCTED A COMPREHENSIVE SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT. SIX SIGNIFICANT COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND AN IMPLEMENTATION PLAN WAS DEVELOPED TO DIRECTLY ADDRESS THE SIX IDENTIFIED PRIORITIES. DURING 2020, THE HOSPITAL CONTINUED TO ADDRESS ITEMS FROM THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS AND PROGRAMS ADDRESSED IN 2020 ARE: -ACCESS TO PRIMARY CARE SERVICES AND PROVIDERS: IN 2020 UNITED REGIONAL HAS RECRUITED OR ASSISTED WITH RECRUITMENT OF 3 PRIMARY CARE PHYSICIANS. UNITED REGIONAL CONTINUED TO OFFER THE FUTURE IN THE FALLS PROGRAM. THIS PROGRAM STAYS IN CONTACT WITH MEDICAL STUDENTS, INTERNS AND RESIDENTS FROM THE WICHITA FALLS AREA TO ENCOURAGE THEM TO RETURN TO PRACTICE IN WICHITA FALLS ONCE THEY GRADUATE FROM RESIDENCY. THIS PROGRAM PROVIDES STIPENDS AND SHADOWING OF SPECIALISTS TO ASSIST WITH THEIR EDUCATION. -ACCESS TO SPECIALTY CARE SERICES AND PROVIDERS: IN 2020 UNITED REGIONAL HAS RECRUITED OR ASSISTED WITH RECRUITMENT OF PHYSICIANS IN THE FOLLOWING SPECIALTIES: - OBGYN (1) - FAMILY MEDICINE (3) - NEUROLOGY (1) - ORTHO (1) - INTERVENTIONAL CARDIOLOGIST (1) - THORACIC SURGEON (1) -PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES: IN 2020, UNITED REGIONAL SPONSORED COMMUNITY EDUCATION PROGRAMS, CLASSES, HEALTH FAIRS, SEMINARS AND OTHER EVENTS. THE EVENTS INCLUDED PREVENTATIVE HEART HEALTH, COVID READINESS, SPORTS PHYSICALS, ADVANCE DIRECTIVES, MAMMOGRAMS, DIABETES TELEHEALTH, HAND CONDITIONS, HOSPITALS ARE SAFE AND READY, LAP BAND REDO, COVID TESTING AND FLU SHOT PROMOTIONS. TOTAL ATTENDANCE WAS OVER 1,000 COMMUNITY MEMBERS IN ATTENDANCE THROUGH MEDIA OUTLETS AND HOSTING AND/OR PARTICIPATING IN LOCAL HEALTH-RELATED EVENTS. -ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE: IN 2020, 1,838 PATIENTS WERE IDENTIFIED FOR MENTAL/BEHAVIORAL HEALTH REFERRAL OR INTERVENTION. UNITED REGIONAL STAFFS A SANE (SEXUAL ASSAULT NURSE EXAMINER) THAT IS TRAINED TO TREAT SEXUALLY ASSAULTED PATIENTS. UNITED REGIONAL CONTINUES TO PROVIDE ADDITIONAL SERVICES THROUGH PSYCHIATRIC TELEHEALTH. -ACCESS TO AFFORDABLE, HIGH NUTRITIONAL QUALITY FOOD: IN CONJUNCTION WITH THE WICHITA FALLS AREA FOOD BANK, UNITED REGIONAL PROVIDED 488 FOOD BOXES TO PATIENTS AND THEIR FAMILIES. A MOBILE FOOD PANTRY WAS OFFERED AT SIX DIFFERENT LOCATIONS-ONCE EACH PER MONTH-IN AN EFFORT TO HAVE A HUNGER-FREE COMMUNITY. UNITED REGIONAL ALSO SENT A NURSE TO EACH MOBILE PANTRY DISTRIBUTION SITE TO OFFER FREE, VOLUNTARY BLOOD PRESSURE AND BLOOD SUGAR CHECKS. -ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS: PHYSICIAN REFERRAL, CLASS REGISTRATION, AND NURSE TRIAGE SERVICES WERE OFFERED AT NO CHARGE TO THE COMMUNITY THROUGH THE UNITED REGIONAL'S "CALL-A-NURSE" PHONE LINE. REFERRALS ARE PROVDED FOR LOCAL PHYSICIANS AS WELL AS OTHER COMMUNITY HEALTH CARE SERVICES. IN 2020, THEIR WERE 793 PHYSICIAN AND SERVICE REFERRAL CALLS RECEIVED. THEIR WERE 4,802 NURSE TRIAGE CALLS AND 247 COMMUNITY MEMBERS ENROLLED IN VARIOUS CLASSES. IN 2020, UNITED REGIONAL PROVIDED 41 MAMMOGRAMS THROUGH CHARITY CARE FOR FEMALES THAT WERE QUALIFIED. UNITED REGIONAL CONTINUED TO OFFER A TRANSITION CLINIC TO PROVIDE CARE COODINATION ACTIVITIES TO VARIOUS AT-RISK PATIENT POPULATIONS. IT PROVIDES TEMPORARY COVERAGE FOR PATIENTS WITH HEART FAILURE, DIABETES, PNEUMONIA, COPD, SEPSIS, AND SURGICAL SITE INFECTION FOLLOW UP. IN 2020 THE TRANSITION CLINIC HAD 4,156 KEPT APPOINTMENTS.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: N/A
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: URHCS FILES AN ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (ASCBS) WITH THE STATE OF TEXAS. THE CALCULATION OF COMMUNITY BENEFIT FOR THE ASCBS DIFFERS FROM THE CALCULATIONS REQUIRED FOR THE IRS SCHEDULE H REPORTING. THEREFORE, THE INFORMATION REPORTED IN THE TWO REPORTS IS INCONSISTENT.
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSES: BAD DEBT EXPENSE OF $29,053,949 WAS INCLUDED IN TOTAL EXPENSE ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN COLUMN (F).
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL CONDUCTED ACTIVITIES TO PROMOTE AND SUPPORT THE HEALTH OF THE COMMUNITY THROUGH EDUCATION AND SUPPORT GROUPS. THESE ACTIVITIES INCLUDED THE FOLLOWING: -Breathsavers: A pulmonary support group that is held quarterly for adults with pulmonary diseases (COPD, asthma, emphysema and chronic bronchitis) and is designed to assist those with pulmonary disease to develop self-care skills for a more active life and to find support among others with the disease. No programs were held in 2020 due to the Covid-19 virus. -Child Passenger Safety Education: A program in which parents view a "Safe Riders of Texas" video and car seats are checked for appropriateness for the child. A child passenger safety certified technician is available for education and performs safety seat inspections at the hospital as well as participates in community education programs on proper installation and safety. Due to Covid-19 precautions, public events were cancelled. However, a few seats were checked and/or replaced on an individual basis. -Community Education Seminars: Provides health seminars to the community on a variety of health topics including weight loss surgery, cardiac and heart rhythm disorders, gynecological issues, orthopedic conditions and urological conditions. -Continuing Nursing Education: Provides nursing education to employees, community nurses and emergency response personnel from the local and surrounding communities. -Diabetes Education Self-Management Program: Provides a Diabetes Education program to help instruct patients on how to manage their medication and diet to maintain a better quality of life. -Diabetes Support Group: A Type 2/Type 1 Diabetes Support Group for the community to provide ongoing support and education to diabetes patients. -Family Health Education Class Offerings: To help new parents make an easier transition to parenthood, the hospital offers a variety of prenatal classes. In addition, the hospital assists Sheppard Air Force Base with their monthly prenatal orientation. -Health Education - Emails: Emails are sent to those who registered to receive monthly health education providing information on upcoming educational programs offered free of charge as well as education on a variety of health topics. -Healthy Lifestyle Class for Kids: In collaboration with the YMCA an after school program was developed to reduce diabetes and obesity and to improve the overall health of children in the community by teaching them healthy eating habits, learning about the importance of staying active and reducing screen time as well as the affects of diabetes on one's overall health. -Heart Failure Clinic: A clinic that assesses patient's post-discharge health and address lifestyle changes to stay healthy and avoid readmission. Patients participate in the clinic once a week for a month and then return to their cardiologist for scheduled appointments. -Joint Camp: Prepares patients for upcoming hip, knee or shoulder replacement surgery. -Preventive Care for All Ages: An educational guide that offers information on the preventive care services that are provided to everyone under health insurance plans and which services men, women and children should receive throughout their lives. -Primary Care Education: A brochure providing young families who frequent the Emergency Department for pediatric care with information about establishing a relationship with a primary care physician. -Senior Focus: AN EDUCATION FAIR FOR SENIOR ADULTS THAT PROVIDES HEALTH INFORMATION, CHOLESTEROL SCREENINGS AND FLU SHOTS. Due to concerns with Covid-19 the Senior Focus event typically held was transformed into a drive-through influenza vaccination clinic to reduce crowds and maintain social distancing. -Smoking Cessation Course: A course designed to educate and help individuals stop smoking. -Sports Medicine Services: Provided sports physicals for local high school and college athletes and provides medical coverage at high school football games.
SCHEDULE H, PART I, LINE 6B	COMMUNITY BENEFIT REPORT: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE OBTAINED BY REQUEST FROM UNITED REGIONAL ADMINISTRATION OFFICES OR COMMUNITY BENEFITS OFFICES. THE COMMUNITY BENEFIT REPORT IS ALSO ON FILE WITH THE HEALTH AND HUMAN SERVICES COMMISSION OF THE STATE OF TEXAS.
Schedule H, Part I, Line 3C	FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - ASSET LEVEL - MEDICAL INDIGENCY - UNDERINSURANCE STATUS - RESIDENCY
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEETS 5 and 6 WERE COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT. The cost computed on worksheet 8 were from the hospital's income statement and grant schedule.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 11TH ST	WICHITA FALLS	TX	76301	752761467	501(C)(3)	$445,711	General support
WICHITA FALLS AREA FOOD BANK
1230 MIDWESTERN PARKWAY	WICHITA FALLS	TX	76307	751812865	501(C)(3)	$250,000	MOBILE PANTRY PROGRAM
THE WICHITA COUNTY MEDICAL ALLIANCE
PO BOX 13	WICHITA FALLS	TX	76307	352173373	501(C)(3)	$40,000	General Support
SERVICE ORGANIZATION OF NORTH TEXAS
2950 50TH STREET	LUBBOCK	TX	79413	800368789	501(C)(3)	$14,835,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES GENERAL CONTRIBUTIONS TO THE COMMUNITY, NATIONAL CHARITIES AND OTHER COMPANIES FOR THE FURTHERANCE OF THEIR MISSION OR PURPOSE. THE ORGANIZATIONS MAKE THEIR REQUESTS IN WRITING. THESE CONTRIBUTIONS ARE REVIEWED AND APPROVED BY APPROPRIATELY AUTHORIZED BOARD ACTION; OR OFFICERS; OR EMPLOYEES AS APPROPRIATE IN THE CIRCUMSTANCE IN EACH INSTANCE OF SUCH CONTRIBUTION BEING MADE. UNITED REGIONAL FOLLOWS UP WITH EACH ORGANIZATION TO MAKE SURE EACH CONTRIBUTION WAS USED FOR ITS INTENDED PURPOSE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
BRETT MAY MD
DIRECTOR	$0	$260,427	$0	$0	$0	$20,853	$0	$5,536	$0	$31,329	$0	$318,145
PHYLLIS COWLING
PRESIDENT AND CEO	$747,808	$0	$298,865	$0	$136,599	$0	$101,400	$0	$12,829	$0	$1,297,501	$0	$74,644
NANCY TOWNLEY
SR VP OF OPERATIONS	$579,533	$0	$205,914	$0	$17,528	$0	$30,900	$0	$29,020	$0	$862,895	$0
ROBERT PERT
CHIEF FINANCIAL OFFICER	$420,784	$0	$148,033	$0	$8,718	$0	$30,900	$0	$32,251	$0	$640,686	$0
STEPHANIE MCDONELL
CHIEF INFORMATION OFFICER	$349,906	$0	$109,762	$0	$4,514	$0	$30,900	$0	$12,997	$0	$508,079	$0
ANNE DABOVICH
VP OF PATIENT CARE/CLINICAL SV	$202,864	$0	$1,425	$0	$5,656	$0	$9,800	$0	$2,050	$0	$221,795	$0
KRISTI FAULKNER
VP OF HUMAN RESOURCES	$304,096	$0	$99,463	$0	$5,191	$0	$29,856	$0	$19,599	$0	$458,205	$0
JOHNNY ROBERTS
VP UR PHYSICIAN GROUP	$283,764	$0	$53,019	$0	$9,362	$0	$29,710	$0	$24,208	$0	$400,063	$0
JANE RITTER
VP OF PATIENT CARE/CLINICAL SV	$244,765	$0	$103,963	$0	$3,282	$0	$27,845	$0	$27,344	$0	$407,199	$0
STEPHEN CALVERT
SR DIRECTOR OF ACCOUNTING AND	$187,853	$0	$1,425	$0	$221	$0	$7,623	$0	$29,156	$0	$226,278	$0
MICHELLE NELSON
SR DIRECTOR OF HEALTH IMPROVEM	$193,098	$0	$1,425	$0	$960	$0	$5,746	$0	$33,005	$0	$234,234	$0
NATHAN WOOTEN
DIRECTOR OF PHARMACY	$183,843	$0	$3,925	$0	$225	$0	$8,094	$0	$31,182	$0	$227,269	$0
DWAYNE MCKEE
DIRECTOR OF CIBI	$198,619	$0	$1,425	$0	$2,790	$0	$6,717	$0	$24,526	$0	$234,077	$0
SHELLEY MOSER
SR DIRECTOR OF QUALITY & SAFET	$190,041	$0	$2,425	$0	$2,591	$0	$8,051	$0	$22,383	$0	$225,491	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 6

EXPLANATION OF COMPENSATION CONTINGENT ON NET EARNINGS: A RANGE BETWEEN 20% AND 25% OF ANNUAL BONUS IS BASED ON CONSOLIDATED NET OPERATING INCOME. OTHER BONUS CRITERIA INVOLVE QUALITY SCORES, SERVICE SCORES AND INDIVIDUAL GOALS.

Schedule J, Part I, Line 4B

DEFERRED COMPENSATION PLAN: UNITED REGIONAL HEALTH CARE SYSTEM OFFERS A DEFERRED COMPENSATION PLAN. CERTAIN MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES MAY ELECT TO PARTICIPATE, IF ELIGIBLE, IN A DEFERRED COMPENSATION PLAN WHICH IS IN COMPLIANCE WITH THE IRC SECTION 457(F), ELIGIBLE DEFERRED COMPENSATION PLAN SPONSORED BY A TAX EXEMPT ORGANIZATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE 2020 TAX YEAR: NAME AMOUNT IN W-2 AMOUNT DEFERRED --------------------------------------------------------------------- PHYLLIS COWLING $74,644 $70,500

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
NATALIE STARY
DAUGHTER OF OFFICER	$90,954	SALARY	false
LA MAGNA HEALTH PLLC
SEE PART V	$6,485,895	HOSPITALIST FEES	false
ABBY CHANDLER
SISTER-IN-LAW OF DIRECTOR	$36,641	SALARY	false
PATHOLOGY ASSOCIATES OF NORTH TEXAS
SEE PART V	$2,206,922	PROFESSIONAL FEES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, COLUMN(B)	FormAndLineReferenceDesc
Explanation	ADDITIONAL INFORMATION ON TRANSACTIONS WITH INTERESTED PERSONS: Andre Desire, MD, Director, is a more than 35% owner of La Magna Health PLLC, an organization doing business with the hospital. ALLEN FLACK, MD, DIRECTOR, IS A MORE THAN 35% OWNER OF PATHOLOGY ASSOCIATES OF NORTH TEXAS, PA, AN ORGANIZATION DOING BUSINESS WITH THE HOSPITAL.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	FAMILY OR BUSINESS RELATIONSHIP: BRETT MAY, MD AND FREDERICK LANGNER ARE BOTH MORE THAN 5% OWNERS IN ACUTE CARE SURGERY TEXOMA PLLC. YVONNE HEARN, MD IS AN EMPLOYEE OF PATHOLOGY ASSOCIATES OF NORTH TEXAS WHERE ALLEN FLACK, MD IS A MORE THAN 35% OWNER.
FORM 990, PART VI, SECTION A, LINE 4	CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS WERE AMENDED AND RESTATED EFFECTIVE MARCH 11, 2020. A CHANGE WAS MADE TO THE QUALIFICATIONS AND ELECTION OF OFFICERS.
FORM 990, PART VI, SECTION A, LINE 7A	POWER TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY: THE WICHITA COUNTY-CITY OF WICHITA FALLS, TEXAS HOSPITAL BOARD (WHB) APPOINTS ONE INDIVIDUAL TO SERVE EX OFFICIO AS A VOTING DIRECTOR. THE INDIVIDUAL APPOINTED BY THE WHB DOES NOT HAVE TO BE A MEMBER OF THE WHB BUT MUST MEET THE QUALIFICATIONS FOR DIRECTORS SET FORTH BY THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL: THE JOINT CITY-COUNTY BOARD HAS APPROVAL REGARDING BOND FINANCING AND APPROVAL OF THE BUDGET.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW THE FORM 990: THE EXECUTIVE COMMITTEE CHARTER, AS APPROVED BY THE UNITED REGIONAL HEALTH CARE SYSTEM BOARD, DELEGATES THE REVIEW OF 990S TO THE EXECUTIVE COMMITTEE AND THE FINANCE/AUDIT COMMITTEE. ALL MEMBERS OF THE COMMITTEE ARE PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. THE 990 IS REVIEWED BY MANAGEMENT OFFICIALS OF THE HOSPITAL AND THE EXECUTIVE COMMITTEE OF THE BOARD. FOLLOWING OPPORTUNITY TO REVIEW AND UPON RECOMMENDATION OF THE EXECUTIVE AND FINANCE/AUDIT COMMITTEES, THE SYSTEM'S BOARD APPROVES THE FORM 990S.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL OFFICERS, DIRECTORS, AND CERTAIN EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE FORMS ARE REVIEWED INITIALLY BY THE CHIEF COMPLIANCE OFFICER AND THE CEO FOR POTENTIAL CONFLICTS. ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS.
FORM 990, PART VI, SECTION B, LINE 15A & 15B	PROCESS USED TO DETERMINE COMPENSATION OF MANAGEMENT AND OTHER OFFICERS: THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL REVIEW OF COMPENSATION OF THE CEO. ADDITIONALLY, A COMPENSATION CONSULTANT PROVIDES MARKET COMPARISONS ON AN EVERY OTHER YEAR BASIS. THIS WAS LAST COMPLETED IN 2019. AN ANNUAL COMPENSATION REVIEW IS PERFORMED BY THE CEO FOR ALL OTHER OFFICERS OF THE ORGANIZATION WITHIN THE PARAMETERS SET BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REVIEWS ALL OTHER CORPORATE OFFICERS EVERY OTHER YEAR UTILIZING THE MARKET COMPARISONS PROVIDED BY THE COMPENSATION CONSULTANT. ALL COMPENSATION REVIEWS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE'S MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS AVAILABLE TO THE PUBLIC: AN AD IS RUN IN THE LOCAL PAPER ON AN ANNUAL BASIS INFORMING THE COMMUNITY THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE OTHER DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VI, SECTION A, LINE 1A	DELEGATION OF AUTHORITY: THE EXECUTIVE COMMITTEE HAS AUTHORITY TO TRANSACT ALL BUSINESS OF THE BOARD IN THE GOVERNANCE OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO THE LIMITATIONS SET FORTH IN THE BYLAWS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARD.
FORM 990, PART VII, SECTION A	Compensation of Officers and Directors: Directors reported on part vii, section a are compensated for professional services as physicians and not as directors. Directors receiving 1099 income from united regional is compensation related to administrative and general services rendered to clinical areas of the organization, other professional services and for trauma or other off-hour availability.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: INTERCOMPANY TRANSFERS ($6,665,699)
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:28547223
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:9441092
FORM 990 PART IX LINE 11G	DESCRIPTION:SERVICE CONTRACTS TOTAL FEES:8709677
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMPORARY LABOR TOTAL FEES:6210657
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1963867
FORM 990 PART IX LINE 11G	DESCRIPTION:TRANSPORT TOTAL FEES:175211
FORM 990 PART IX LINE 11G	DESCRIPTION:CATERING EXPENSE TOTAL FEES:61216

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 ELEVENTH STREET	WICHITA FALLS	TX	76301	752761467	SUPPORT	TX	501(C)(3)	12, TYPE I	URHCS	Yes (true)
CITY OF WICHITA FALLS-WC HOSPITAL BOARD
1300 SEVENTH STREET	WICHITA FALLS	TX	76301	756002771	OVERSIGHT	TX	GOVT	N/A	NA	false
RATHGEBER HOSPITALITY HOUSE
1615 TWELFTH STREET	WICHITA FALLS	TX	76301	752811394	LODGING	TX	501(C)(3)	7	URHC FDN	Yes (true)
UNITED REGIONAL HEALTH CARE SYSTEM AUXIL
1600 ELEVENTH STREET	WICHITA FALLS	TX	76301	756004656	BENEVOL SVCS	TX	501(C)(3)	12, TYPE I	URHCS	Yes (true)
UNITED REGIONAL PHYSICIAN GROUP
1600 ELEVENTH STREET	WICHITA FALLS	TX	76301	752925491	HEALTH CARE	TX	501(C)(3)	10	URHCS	Yes (true)
TEXOMA HIE
1600 ELEVENTH STREET	WICHITA FALLS	TX	76301	463617299	HTH INFO EXCH	TX	501(C)(3)	10	URHCS	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	UNITED REGIONAL PROFESSIONAL SERVICES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 ELEVENTH STREET	AddressLine1Txt
City	WICHITA FALLS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76301	ZIPCd

Field	Value	IRS element (for citing)
EIN	752549298	EIN
Primary Activities	MGMT SERVICES	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	URHCS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C-CORPORATION	EntityTypeTxt
Share Of Total Income	$3,870,234	ShareOfTotalIncomeAmt
Share Of EOY Assets	$19,091,771	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
UNITED REGIONAL HEALTH CARE FOUNDATION
B	$445,711	Cash Value
UNITED REGIONAL HEALTH CARE FOUNDATION
C	$645,753	Cash Value
UNITED REGIONAL PHYSICIAN GROUP
A	$449,738	FMV
UNITED REGIONAL PHYSICIAN GROUP
Q	$7,987,575	CASH VALUE
United regional prof services corp
r	$606,426	cash value
UNITED REGIONAL HEALTH CARE FOUNDATION
r	$62,040	cash value
united regional physician group
r	$5,997,261	cash value

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 2, COLUMN (D)	FormAndLineReferenceDesc
Explanation	METHOD OF DETERMINING AMOUNTS FOR TRANSACTIONS DESCRIBED IN LINES 1B, 1C, 1Q, 1R: AMOUNTS REPORTED IN LINE 2, COLUMN (C) FOR THESE TRANSACTION TYPES ARE STATED AT CASH VALUE. METHOD OF DETERMINING AMOUNTS FOR TRANSACTIONS DESCRIBED IN LINE 1A: AMOUNTS REPORTED ON LINE 2, COLUMN (C) FOR THESE TRANSACTION TYPES ARE AT FAIR MARKET VALUE AND ARE COMPARABLE TO TRANSACTIONS BETWEEN TWO OR MORE UNRELATED PARTIES DEALING AT ARM'S LENGTH.	ExplanationTxt