STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UNITED REGIONAL HEALTH CARE SYSTEM INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
UNITED REGIONAL HEALTH CARE SYSTEM INC (EIN 75-1912147)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-06
IRS object ID
202033119349301293
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-06T13:08:04-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114241 DALLAS PARKWAY SUITE 1100AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75254ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN751912147EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1United Regional Health Care SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% STEPHEN P CALVERTInCareOfNm
Business Name ControlUNITBusinessNameControlTxt
Phone9407648299PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Eleventh StreetAddressLine1Txt
CityWichita FallsCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPHYLLIS COWLINGPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone9727028262PhoneNum
Signature2020-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeanette VerrelliPreparerPersonNm
PTINP00742631PTIN
Phone9727028262PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id76915820203115000000FederalOriginalSubmissionId
Federal Original Submission Id2020-11-06FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEB976710118F518B8933A72D91D1D85239D99EDAAtSubmissionCreationDeviceId
At Submission Filing Device IdEB976710118F518B8933A72D91D1D85239D99EDAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPHYLLIS COWLINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1Txt
CityWICHITA FALLSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$424,674,202GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNITEDREGIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionORGANIZED AND OPERATED FOR THE PURPOSE OF DEVELOPING AND OPERATING AN INTEGRATED HEALTH CARE SYSTEM.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2420TotalEmployeeCnt
Total Volunteers195TotalVolunteersCnt
Total Gross UBI$49,714TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$43,743NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,564,873PYContributionsGrantsAmt
CY Contributions Grants$1,375,944CYContributionsGrantsAmt
PY Program Service Revenue$393,063,034PYProgramServiceRevenueAmt
CY Program Service Revenue$405,054,768CYProgramServiceRevenueAmt
PY Investment Income$14,013,877PYInvestmentIncomeAmt
CY Investment Income$14,053,384CYInvestmentIncomeAmt
PY Other Revenue$115,318PYOtherRevenueAmt
CY Other Revenue$49,714CYOtherRevenueAmt
PY Total Revenue$409,757,102PYTotalRevenueAmt
CY Total Revenue$420,533,810CYTotalRevenueAmt
PY Grants And Similar Paid$34,242,448PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$18,255,010CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$130,988,284PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$142,851,680CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$183,676,274PYOtherExpensesAmt
CY Other Expenses$218,290,801CYOtherExpensesAmt
PY Total Expenses$348,907,006PYTotalExpensesAmt
CY Total Expenses$379,397,491CYTotalExpensesAmt
PY Revenues Less Expenses$60,850,096PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$41,136,319CYRevenuesLessExpensesAmt
Total Assets BOY$723,461,097TotalAssetsBOYAmt
Total Assets EOY$826,178,398TotalAssetsEOYAmt
Total Liabilities BOY$50,422,230TotalLiabilitiesBOYAmt
Total Liabilities EOY$64,661,500TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$673,038,867NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$761,516,898NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$313,426,775ExpenseAmt
Grant$18,255,010GrantAmt
Revenue$405,054,768RevenueAmt
DescUNITED REGIONAL HEALTH CARE SYSTEM, A 325-BED HOSPITAL, PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF HEALTH CARE SERVICES. IN ADDITION TO INPATIENT BEDS, THERE ARE 14 NEWBORN BASSINETTES INCLUDING 14 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 215 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 PRESENTATIONS BY PHYSICIANS ON HEALTH ISSUES AND TREATMENT OPTIONS; HEALTHY YOU NEWSLETTER, SENT TO APPROXIMATELY 50,000 HOUSEHOLDS, PROVIDING HEALTH PROMOTION AND DISEASE PREVENTION INFORMATION, AS WELL AS HOSPITAL SERVICES; 55-ADVANTAGE SENIOR PROGRAM, PROVIDING SPEAKERS ON A VARIETY OF HEALTH-RELATED TOPICS; AND PARTICIPATION IN A VARIETY OF COMMUNITY HEALTH FAIRS AND EVENTS PROMOTING GENERAL HEALTH AND PROVIDING HEALTH SCREENINGS. 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 2019 WAS $27,006,582 WHICH INCLUDED THE FOLLOWING: UNREIMBURSED COST OF EMERGENCY AND TRAUMA CARE $13,367,691 UNREIMBURSED COST OF FREE STANDING CLINICS $13,638,891 DONATIONS MADE BY THE HOSPITAL TO AREA CHARITABLE ORGANIZATIONS $26,019,829 TOTAL COSTS OF ADDITIONAL COMMUNITY BENEFITS $53,026,411 SOURCE: 2019 ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (STATE OF TEXAS MANDATORY REPORT)Desc
Total Program Service Expenses$313,426,775TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document252IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2420EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEPHEN P CALVERTPersonNm
Phone9407648299PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1Txt
CityWICHITA FALLSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PHYLLIS COWLING
PRESIDENT & CEO40.02.5Yes (X)Yes (X)$1,097,476$0$110,870
NANCY TOWNLEY
SR VP OF OPERATIONS40.02.5Yes (X)$696,709$0$54,939
ROBERT PERT
CHIEF FINANCIAL OFFICER40.02.5Yes (X)$521,624$0$55,520
JANE RITTER
VP OF PATIENT CARE/CLINICAL SV40.00.0Yes (X)$358,847$0$53,786
KRISTI FAULKNER
VP OF HUMAN RESOURCES40.00.0Yes (X)$357,028$0$39,320
STEPHANIE MCDONELL
CHIEF INFORMATION OFFICER40.00.0Yes (X)$352,905$0$25,410
JOHNNY ROBERTS
VP UR PHYSICIAN GROUP40.02.5Yes (X)$307,973$0$45,954
RICHARD CARPENTER
VP OF FACILITIES, End: 04/1940.00.0Yes (X)$247,225$0$13,862
DWAYNE MCKEE
DIRECTOR OF CIBI40.00.0$198,538$0$29,519Yes (X)
NATHAN WOOTEN
DIRECTOR OF PHARMACY40.00.0$178,009$0$38,295Yes (X)
SHELLEY MOSER
SR DIRECTOR OF QUALITY & SAFET40.00.0$176,729$0$30,065Yes (X)
JAMES BEASLEY
CLINICAL PHARMACIST40.00.0$173,033$0$33,181Yes (X)
LILA PEREZ
CHARGE NURSE51.00.0$169,458$0$15,862Yes (X)
LEE RODGERS
VP MED AFFAIRS end: 06/1840.00.0$161,830$0$0Yes (X)
ANDRE DESIRE MD
DIRECTOR1.00.0Yes (X)$116,828$0$0
ASHVINKUMAR PATEL MD
DIRECTOR, End: 06/191.00.0Yes (X)$45,169$0$0
BARRY HARDIN
DIRECTOR1.00.0Yes (X)$0$0$0
BLAKE ANDREWS
DIRECTOR1.00.0Yes (X)$0$0$0
KELLY FRISTOE
DIRECTOR1.00.0Yes (X)$0$0$0
ROBERT KINLEY HEGGLUND
DIRECTOR1.00.0Yes (X)$0$0$0
MICHAEL STANFORD
CHAIRMAN1.00.0Yes (X)Yes (X)$0$0$0
MARGARET STEWART
DIRECTOR1.00.0Yes (X)$0$0$0
DEANDREA DAVIS
DIRECTOR1.00.0Yes (X)$0$0$0
KEITH WILLIAMSON MD
DIRECTOR1.00.0Yes (X)$0$0$0
TIM CORNELIUS
DIRECTOR1.00.0Yes (X)$0$0$0
LACEY MORGAN
VICE CHAIR1.00.0Yes (X)Yes (X)$0$0$0
R KEN HINES
DIRECTOR1.00.0Yes (X)$0$0$0
RITA VOKES
DIRECTOR, End: 06/191.00.0Yes (X)$0$0$0
YVONNE HEARN MD
DIRECTOR1.00.0Yes (X)$0$0$0
FRED LANGNER MD
DIRECTOR1.00.0Yes (X)$0$0$0
JOHN LUIG JR
SECRETARY/TREASURER1.00.0Yes (X)Yes (X)$0$0$0
TERRY PATTON
PAST CHAIR1.00.0Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,159,381TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$546,583TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K171IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OXFORD GLOBAL RESOURCES LLC
PO BOX 3256BOSTONMA02241CONTRACT LABOR$6,756,242
LA MAGNA HEALTH PLLC
1631 11TH STREETWICHITA FALLSTX76301CLINICAL SERVICES$6,539,631
MEDEFIS CONSOLIDATED
PO BOX 5068NEW YORKNY10087CONTRACT LABOR$3,714,104
WICHITA FALLS ANESTHESIA PLLC
1600 11TH STREETWICHITA FALLSTX76301CLINICAL SERVICES$2,863,117
ACUTE CARE SURGERY TEXOMA PLLC
1600 BROOK AVEWICHITA FALLSTX76301CLINICAL SERVICES$2,344,285
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K55CntrctRcvdGreaterThan100KCnt
Related Organizations$1,375,944RelatedOrganizationsAmt
All Other Contributions$0AllOtherContributionsAmt
Total Contributions$1,375,944TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621110$403,269,997$403,269,997
Supporting Revenue900099$1,374,179$1,374,179
Related Rental Revenue531120$410,592$410,592
FieldValueIRS element (for citing)
Total Program Service Revenue$405,054,768TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,808,448TotalRevenueColumnAmt
Exclusion$10,808,448ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,374,628SecuritiesAmt
Other$10,700OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,140,392SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,234,236SecuritiesAmt
Other$10,700OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,244,936TotalRevenueColumnAmt
Exclusion$3,244,936ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPASS-THROUGH REVENUEDesc
Business900099BusinessCd
Total Revenue Column$49,714TotalRevenueColumnAmt
Unrelated Business Revenue$49,714UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$49,714OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$420,533,810TotalRevenueColumnAmt
Related Or Exempt Func Income$405,054,768RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$49,714UnrelatedBusinessRevenueAmt
Exclusion$14,053,384ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$18,255,010TotalAmt
Program Services$18,255,010ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,501,445TotalAmt
Program Services$3,376,564ProgramServicesAmt
Management And General$1,124,881ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$310,424TotalAmt
Program Services$232,836ProgramServicesAmt
Management And General$77,588ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$122,628,445TotalAmt
Program Services$91,971,316ProgramServicesAmt
Management And General$30,657,129ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,430,398TotalAmt
Program Services$2,572,799ProgramServicesAmt
Management And General$857,599ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,674,793TotalAmt
Program Services$2,013,431ProgramServicesAmt
Management And General$661,362ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,306,175TotalAmt
Program Services$6,979,631ProgramServicesAmt
Management And General$2,326,544ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$168,650TotalAmt
Management And General$168,650ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$187,240TotalAmt
Management And General$187,240ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,499,625TotalAmt
Management And General$1,499,625ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$57,328,595TotalAmt
Program Services$43,143,815ProgramServicesAmt
Management And General$14,184,780ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$745,174TotalAmt
Program Services$558,916ProgramServicesAmt
Management And General$186,258ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,768,127TotalAmt
Program Services$6,374,854ProgramServicesAmt
Management And General$1,393,273ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,403,102TotalAmt
Program Services$5,552,327ProgramServicesAmt
Management And General$1,850,775ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,043,601TotalAmt
Program Services$2,282,701ProgramServicesAmt
Management And General$760,900ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$649,106TotalAmt
Program Services$486,830ProgramServicesAmt
Management And General$162,276ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$184,262TotalAmt
Program Services$7,597ProgramServicesAmt
Management And General$176,665ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$121,385TotalAmt
Program Services$121,385ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,801,733TotalAmt
Program Services$13,294,697ProgramServicesAmt
Management And General$8,507,036ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,280,571TotalAmt
Program Services$1,280,571ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt Expense$40,832,737$40,832,737
Medical Supplies$70,529,802$70,529,802
Equipment expenses$2,330,783$1,748,586$582,197
Food Services expenses$570,402$427,801$142,601

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,845,906TotalAmt
Program Services$1,382,569ProgramServicesAmt
Management And General$463,337ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$379,397,491TotalAmt
Program Services$313,426,775ProgramServicesAmt
Management And General$65,970,716ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$250,196BOYAmt
EOY$215,102EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$53,022,001BOYAmt
EOY$49,833,386EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,896,091BOYAmt
EOY$39,833,456EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,619,532BOYAmt
EOY$7,694,090EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,807,035BOYAmt
EOY$7,123,202EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$415,856,706LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$209,344,610LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$188,820,379BOYAmt
EOY$206,512,096EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$347,328,165BOYAmt
EOY$422,296,527EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$83,717,698BOYAmt
EOY$92,670,539EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$723,461,097BOYAmt
EOY$826,178,398EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,319,798BOYAmt
EOY$53,584,440EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,102,432BOYAmt
EOY$11,077,060EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,422,230BOYAmt
EOY$64,661,500EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$673,038,867BOYAmt
EOY$761,516,898EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$673,038,867BOYAmt
EOY$761,516,898EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$723,461,097BOYAmt
EOY$826,178,398EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$41,136,319ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$48,161,601NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$819,889OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$150,091OtherActivitiesAmt
Total Lobbying Expenditures$150,091TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES: THE HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES %LOBBYING $LOBBYING TAVH $ 5,823 100.00% $ 5,823 THA $ 59,220 0% $ 0 AHA $ 49,573 22.73% $ 11,268 MCDERMOTT & CONSULTING $ 8,000 100.00% $ 8,000 DON GILBERT & ASSOC $125,000 100.00% $ 125,000 --------------------------------------------------------------------- TOTAL $247,616 $ 150,091ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$839,392BeginningYearBalanceAmt
End Year Balance$839,392EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$839,392BeginningYearBalanceAmt
End Year Balance$839,392EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,416,349BeginningYearBalanceAmt
End Year Balance$1,416,349EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.59480PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.40520TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,074,757OtherCostOrOtherBasisAmt
Book Value$15,074,757BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$220,029,874OtherCostOrOtherBasisAmt
Depreciation$98,828,815DepreciationAmt
Book Value$121,201,059BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$178,237,019OtherCostOrOtherBasisAmt
Depreciation$108,664,350DepreciationAmt
Book Value$69,572,669BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,515,056OtherCostOrOtherBasisAmt
Depreciation$1,851,445DepreciationAmt
Book Value$663,611BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$206,512,096TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Due from Affiliates$77,997,727
Interest Receivable$171,909
Est from 3rd Party Payors$14,500,903
FieldValueIRS element (for citing)
Total Book Value Other Assets$92,670,539TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Est due to third party payors$2,335,281
Self Insurance liabilities$8,621,000
DUE TO AFFILIATE$120,779
FieldValueIRS element (for citing)
Total Liability$11,077,060TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED 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 2ASC 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 B & CRESTATEMENT 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,131,058TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,604,856DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,526,202NetCommunityBenefitExpnsAmt
Total Expense0.02520TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,430,387TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,323,448DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,067,837TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$707,967DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,359,870NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,629,282TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$79,636,271DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,886,072NetCommunityBenefitExpnsAmt
Total Expense0.02920TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,682TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,682NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,451,115TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,334,671DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,116,444NetCommunityBenefitExpnsAmt
Total Expense0.06830TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,255,010TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,255,010NetCommunityBenefitExpnsAmt
Total Expense0.05390TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,715,807TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,334,671DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,381,136NetCommunityBenefitExpnsAmt
Total Expense0.12230TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$148,345,089TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$103,970,942DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,267,208NetCommunityBenefitExpnsAmt
Total Expense0.15150TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served6433PersonsServedCnt
Total Community Benefit Expns$46,857TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,470DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,387NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served6433PersonsServedCnt
Total Community Benefit Expns$46,857TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,470DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,387NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$40,832,737BadDebtExpenseAmt
Bad Debt Expense Attributable$4,083,274BadDebtExpenseAttributableAmt
Reimbursed By Medicare$112,748,398ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$114,383,418CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,635,020MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
united regional
CARDIOVASCULAR SERVICES0.50.5
health care system
cardiology LLC
united regional
surgical management0.50.5
health care system
surgery llc
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNITED REGIONAL HEALTH CARE SYSTEMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1Txt
CityWICHITA FALLSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.UNITEDREGIONAL.ORGWebsiteAddressTxt
State License000417StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNITED REGIONAL HEALTH CARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5PERSONS 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 & 10ACHNA & 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 20EEFFORTS 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 11NEEDS 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 WOMENS EXPO. 4. ACCESS TO AFFORDABLE, HIGH NUTRITIONAL QUALITY FOOD OPTIONS: IN CONJUNCTION WITH THE WICHITA FALLS AREEA 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 & 16CMEASURES 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/

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2BAD 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 3BAD 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 4BAD DEBT FOOTNOTE: SEE NOTE 2: CHANGE IN ACCOUNTING PRINCIPLE ON PAGE 14 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8COSTING 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 $1,635,020. 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 9BCOLLECTION 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 2NEEDS 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 3PATIENT 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 4COMMUNITY 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 (2017 EST.): $ 44,285 PER CAPITA INCOME (2017 EST.): $ 22,843 UNDER AGE 18 CHILDREN BELOW POVERTY LEVEL (2017 EST.): 26.4% MEDIAN EARNINGS OF FULL-TIME WORKERS, FEMALE (2017 EST.): $39,254 PERSONS BELOW POVERTY LEVEL (2017 EST.): 20.9% EMPLOYED PERSON WITHOUT HEALTH INSURANCE COVERAGE 19 TO 64 YEARS (2017 EST.) : 21.1%. 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 5PROMOTION 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 2019, THE HOSPITAL CONTINUED TO ADDRESS ITEMS FROM THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS AND PROGRAMS ADDRESSED IN 2019 ARE: -THE NEED FOR ADDITIONAL PRIMARY CARE AND SPECIALTY PROVIDERS: IN 2019 UNITED REGIONAL HAS RECRUITED OR ASSISTED WITH RECRUITMENT OF 23 PHYSICIANS IN THE FOLLOWING SPECIALTIES: - ANESTHESIA (1) - OBGYN (1) - FAMILY MEDICINE (2) - HOSPITALISTS (10) - NEUROLOGY (1) - PEDIATRICS (1) - CVT (1) - EMERGENCY (1) - UROLOGY (1) - ORTHO (1) OPHTHAMOLOGY (1) - INTERVENTIONAL CARDIOLOGIST (1) - ENT (1) -ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS: IN 2019, CAREPLUS SAW 24,451 PATIENTS, WHICH IS A 23% INCREASE OVER 2018. IN 2019, 434 NEW HEART FAILURE CLINIC PATIENTS WERE SEEN. THERE WERE 2,080 TOTAL VISITS. IN 2019 THE CALL-A-NURSE PHONE LINE REFERRAL SERVICE HAD 284 PHYSICIAN REFERRAL CALLS, 421 SERVICE REFERRAL CALLS, 1,670 CLASSES ENROLLED AND 3,270 NURSE TRIAGE CALLS. -PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESYTLES: IN 2019, UNITED REGIONAL SPONSORED COMMUNITY EDUCATION PROGRAMS, CLASSES, HEALTH FAIRS, SEMINARS AND OTHER EVENTS. THE EVENTS INCLUDED HEART RHYTHM DISORDERS, LOSE THE WEIGHT FOR LIFE, ACHY BREAKY JOINTS, LIVING WITH RHEUMATOID ARTHRITIS, BENEFITS OF CONTINUOUS GLUCOSE MONITORING IN DIABETES, REAL TALK FOR WOMEN, JOINT PAIN, PAIN GETTING OUT OF HAND AND NEUROSURGERY. TOTAL ATTENDANCE WAS OVER 1,000 COMMUNITY MEMBERS. IN ADDITION THERE WERE ALSO PRENATAL CLASSES HELD IN THE COMMUNITY WITH OVER 800 COMMUNITY MEMBERS. UNITED REGIONAL ALSO PARTICIPATED IN A VARIETY OF HEALTH FAIRS AND PRESENTATIONS PROVIDING FREE TESTING, SCREENING AND EDUCATIONAL PRESENTATIONS. UNITED REGIONAL PUBLISHED THREE EDITIONS OF A COMMUNITY MAGAZINE CALLED HEALTHY YOU. IT IS DISTRIBUTED TO APPROXIMATELY 37,000 RESIDENTS IN THE NINE-COUNTY PRIMARY AND SECONDARY SERVICE AREA. TOPICS INCLUDE: BLEEDING CONTROL, MENS HEALTH, PELVIC HEALTH, COMMON SPINE PROBLEMS, GLUTEN FREE RECIPES, MANAGING STRESS AND SURGERY FOR BACK PAIN. -ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE: IN 2019, 997 PATIENTS WERE IDENTIFIED FOR MENTAL/BEHAVIORAL HEALTH REFERRAL OR INTERNENTION. 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: UNITED REGIONAL HEALTH CARE SYSTEM PARTNERED WITH THE HEALTH DISTRICT TO PROMOTE PREVENTION SCREENINGS SUCH AS COLONOSCOPIES, MAMMOGRAMS, ETC. IN CONJUNCTION WITH THE WICHITA FALLS AREA FOOD BANK, UNITED REGIONAL PROVIDED 546 FOOD BOXES TO PATIENTS AND THEIR FAMILIES.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: N/A
SCHEDULE H, PART VI, LINE 7STATE 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 FPERCENT OF TOTAL EXPENSES: BAD DEBT EXPENSE OF $40,832,737 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 IICOMMUNITY 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: -55 ADVANTAGE: A SENIOR AFFINITY PROGRAM HELD EVERY OTHER MONTH TO PROVIDE EDUCATION FOR SENIOR CITIZENS ON VARIOUS HEALTH TOPICS. -BREATHSAVERS: A PULMONARY SUPPORT GROUP THAT MEETS EVERY OTHER MONTH FOR ADULTS WITH PULMONARY DISEASES (COPD, ASTHMA, EMPHYSEMA, AND CHRONIC BRONCHITIS) AND IS DESIGNED TO ASSIST THOSE WITH THE DISEASES TO DEVELOP SELF-CARE SKILLS FOR A MORE ACTIVE LIFE. -CHILD PASSENGER SAFETY EDUCATION: A PROGRAM TO EDUCATE PARENTS ON CHILD PASSENGER SAFETY BY VIEWING A "SAFE RIDERS OF TEXAS" VIDEO, AND PROVIDE CAR SEAT CHECKS BY A CERTIFIED TECHNICIAN FOR PROPER INSTALLATION. THERE WERE 29 SEATS INSPECTED AND INSTALLED AND 26 SEATS WERE REPLACED. -DIABETES SUPPORT GROUP: A TYPE 2/TYPE 1 SUPPORT GROUP AND A PEDIATRIC 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 AS WELL AS INSTRUCTS STUDENTS AT A LOCAL ACCELERATED LEARNING CENTER FOR NONTRADITIONAL HIGH SCHOOL STUDENTS. A COMMUNITY HEALTH EDUCATION SPECIALIST PRESENTS INFORMATION ABOUT THE HOSPITAL'S MOTHER/BABY UNIT, WHAT TO EXPECT DURING THEIR STAY, AS WELL AS PROVIDES GENERAL PRENATAL EDUCATION. -COMMUNITY EDUCATION SEMINARS: PROVIDES LECTURES SERIES TO THE COMMUNITY ON A VARIETY OF HEALTH TOPICS INCLUDING HEART RHYTHM DISORDERS, JOINT REPLACEMENT SURGERY, NON-OPERATIVE TREATMENT FOR NECK AND BACK PAIN, BLADDER INCONTINENCE, HAND PAIN, DEMENTIA AND EAR, NOSE AND THROAT ISSUES. -SENIOR FOCUS: AN EDUCATION FAIR FOR SENIOR ADULTS THAT PROVIDES HEALTH INFORMATION, CHOLESTEROL SCREENINGS AND FLU SHOTS. -SMOKING CESSATION COURSE: A COURSE DESIGNED TO EDUCATE AND HELP INDIVIDUALS STOP SMOKING. -WOMEN'S EXPO/HEART OF A WOMAN: AN EDUCATIONAL FAIR FOR WOMEN THAT PROVIDES EDUCATION AND HEALTH SCREENINGS. SEE SCHEDULE H, PART VI, LINE 5 DISCLOSURE FOR MORE INFORMATION ON THESE ACTIVITIES.
SCHEDULE H, PART I, LINE 6BCOMMUNITY 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 3CFACTORS 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 7COSTING 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 11TH STREETWICHITA FALLSTX76301752761467501(C)(3)$608,010General support
SERVICE ORGANIZATION OF NORTH TEXAS
2950 50TH STREETLUBBOCKTX79413800368789501(C)(3)$17,647,000emergency care & physician support
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURES 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

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PHYLLIS COWLING
PRESIDENT & CEO$702,411$0$290,927$0$104,138$0$98,700$0$12,170$0$1,208,346$0$70,985$0
NANCY TOWNLEY
SR VP OF OPERATIONS$518,656$0$167,523$0$10,530$0$24,700$0$30,239$0$751,648$0$0$0
ROBERT PERT
CHIEF FINANCIAL OFFICER$377,264$0$136,284$0$8,076$0$24,700$0$30,820$0$577,144$0$0$0
STEPHANIE MCDONELL
CHIEF INFORMATION OFFICER$304,786$0$46,377$0$1,742$0$10,500$0$14,910$0$378,315$0$0$0
RICHARD CARPENTER
VP OF FACILITIES, End: 04/19$82,989$0$32,486$0$131,750$0$6,113$0$7,749$0$261,087$0$0$0
KRISTI FAULKNER
VP OF HUMAN RESOURCES$266,585$0$89,845$0$598$0$20,587$0$18,733$0$396,348$0$0$0
JOHNNY ROBERTS
VP UR PHYSICIAN GROUP$241,177$0$43,170$0$23,626$0$20,146$0$25,808$0$353,927$0$0$0
LEE RODGERS
VP MED AFFAIRS end: 06/18$0$0$0$0$161,830$0$0$0$0$0$161,830$0$0$0
JANE RITTER
VP OF PATIENT CARE/CLINICAL SV$266,181$0$85,377$0$7,289$0$18,945$0$34,841$0$412,633$0$0$0
JAMES BEASLEY
CLINICAL PHARMACIST$163,041$0$1,166$0$8,826$0$7,365$0$25,816$0$206,214$0$0$0
LILA PEREZ
CHARGE NURSE$168,235$0$1,166$0$57$0$5,682$0$10,180$0$185,320$0$0$0
NATHAN WOOTEN
DIRECTOR OF PHARMACY$170,776$0$7,076$0$157$0$7,648$0$30,647$0$216,304$0$0$0
DWAYNE MCKEE
DIRECTOR OF CIBI$173,191$0$23,582$0$1,765$0$6,299$0$23,220$0$228,057$0$0$0
SHELLEY MOSER
SR DIRECTOR OF QUALITY & SAFET$172,256$0$2,665$0$1,808$0$7,357$0$22,708$0$206,794$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 6EXPLANATION 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 4Aseverance payment: SEVERANCE IS A VOLUNTARY AGREEMENT THAT SET FORTH THE AGREED UPON SEPARATION DATE FOR EMPLOYMENT AND BENEFITS COVERAGE, THE AMOUNT OF PAYMENT, A CONFIDENTIALITY AGREEMENT CONCERNING COMPANY INFORMATION AND MATERIALS, RETURN OF COMPANY MATERIALS, AND COOPERATION CONCERNING BUSINESS MATTERS. SEVERANCE WAS PAID TO THE FOLLOWING INDIVIDUALs: Lee Rodgers, MD $ 161,830 Richard Carpenter $ 131,363
Schedule J, Part I, Line 4BDEFERRED 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 2019 TAX YEAR: NAME AMOUNT IN W-2 AMOUNT DEFERRED ------------------------------------------------------------- PHYLLIS COWLING $70,985 $68,500

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
WICHITA FALLS DIALYSIS
SEE PART V$770,174PROFESSIONAL FEESfalse
JANA FRISTOE
SPOUSE OF DIRECTOR$73,974SALARYfalse
NATALIE STARY
DAUGHTER OF OFFICER$74,620sALARYfalse
LA MAGNA HEALTH PLLC
SEE PART V$6,539,631HOSPITALIST FEESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, COLUMN(B)FormAndLineReferenceDesc
ExplanationADDITIONAL INFORMATION ON TRANSACTIONS WITH INTERESTED PERSONS: ASHWINKUMAR PATEL, DIRECTOR, IS A MORE THAN 35% OWNER OF WICHITA FALLS DIALYSIS, AN ORGANIZATION DOING BUSINESS WITH THE HOSPITAL. Andre Desire, MD, Director, is a more than 35% owner of La Magna Health PLLC, an organization doing business with the hospital.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7APOWER 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 7BDECISIONS 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 11BPROCESS 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.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING 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 & 15BPROCESS USED TO DETERMINE COMPENSATION OF MANAGEMENT AND OTHER OFFICERS: THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL REVIEW OF COMPENSATION OF THE CEO AND REVIEWS ALL CORPORATE OFFICERS COMPENSATION EVERY OTHER YEAR. THE EXECUTIVE COMMITTEE MAKES FINAL RECOMMENDATIONS REGARDING COMPENSATION OF THE CEO ANNUALLY AND ALL OFFICERS EVERY OTHER YEAR. 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 OTHER THAN THE CEO EVERY OTHER YEAR. ALL COMPENSATION REVIEWS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE'S MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS 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 1ADELEGATION 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 ACompensation 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 9OTHER CHANGES IN NET ASSETS: INTERCOMPANY TRANSFERS ($819,889)
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:33170791
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:8342021
FORM 990 PART IX LINE 11GDESCRIPTION:SERVICE CONTRACTS TOTAL FEES:7793234
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY LABOR TOTAL FEES:5834675
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:1937982
FORM 990 PART IX LINE 11GDESCRIPTION:TRANSPORT TOTAL FEES:125395
FORM 990 PART IX LINE 11GDESCRIPTION:CATERING EXPENSE TOTAL FEES:124497

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 ELEVENTH STREETWICHITA FALLSTX76301752761467SUPPORTTX501(C)(3)12, TYPE IURHCSYes (true)
CITY OF WICHITA FALLS-WC HOSPITAL BOARD
1300 SEVENTH STREETWICHITA FALLSTX76301756002771OVERSIGHTTXGOVTN/ANAfalse
RATHGEBER HOSPITALITY HOUSE
1615 TWELFTH STREETWICHITA FALLSTX76301752811394LODGINGTX501(C)(3)7URHC FDNYes (true)
UNITED REGIONAL HEALTH CARE SYSTEM AUXIL
1600 ELEVENTH STREETWICHITA FALLSTX76301756004656BENEVOL SVCSTX501(C)(3)12, TYPE IURHCSYes (true)
UNITED REGIONAL PHYSICIAN GROUP
1600 ELEVENTH STREETWICHITA FALLSTX76301752925491HEALTH CARETX501(C)(3)10URHCSYes (true)
TEXOMA HIE
1600 ELEVENTH STREETWICHITA FALLSTX76301463617299HTH INFO EXCHTX501(C)(3)10URHCSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
UNITED REGIONAL PROFESSIONAL SERVICES
1600 ELEVENTH STREETWICHITA FALLSTX76301752549298MGMT SERVICESTXURHCSC-CORPORATION$4,319,159$16,204,3311.00000Yes (true)
TEXOMA INSURANCE AGENCY
1600 ELEVENTH STREETWICHITA FALLSTX76301422683761INSURANCETXNAC-CORPORATION$0$01.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
UNITED REGIONAL PHYSICIAN GROUP
a$279,245FMV
UNITED REGIONAL HEALTH CARE FOUNDATION
B$608,010Cash Value
UNITED REGIONAL HEALTH CARE FOUNDATION
C$1,317,298Cash Value
United Regional Physician Group
Q$8,475,570Cash Value
Rathgeber Hospitality House
R$75,164Cash Value
united regional auxiliary
c$58,646cash value

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 2, COLUMN (D)FormAndLineReferenceDesc
ExplanationMETHOD 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