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Limesone Hillcrest Healthcare: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
Limesone Hillcrest Healthcare (EIN 46-3047378)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-07-15
IRS object ID
201921969349300527
Schema version
2017v2.3
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)
Return2019-07-15T08:45:30-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463047378EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Limestone Hillcrest HealthcareBusinessNameLine1Txt
Business Name Line2PartnershipBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLIMEBusinessNameControlTxt
Phone2542159256PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12401 S 31st StreetAddressLine1Txt
CityTempleCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76508ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRichard PerkinsPersonNm
Person TitleTreasurerPersonTitleTxt
Phone2542159256PhoneNum
Signature2019-07-15SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address198.205.17.200IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-07-15IPDt
IP Tm08:45:27IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE6E6B1DEE2C3A01552DA3A94E9AF66566F60AB34AtSubmissionCreationDeviceId
At Submission Filing Device Id6C9B1A35775087DBDB8A6D25ECA509C7F6C27838AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJames Morrison MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12401 S 31st StreetAddressLine1Txt
CityTempleCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76508ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$757,671GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTo alleviate the burden of financing indigent health care in the community.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,027,618PYContributionsGrantsAmt
CY Contributions Grants$757,671CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,027,618PYTotalRevenueAmt
CY Total Revenue$757,671CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,067,868PYOtherExpensesAmt
CY Other Expenses$762,493CYOtherExpensesAmt
PY Total Expenses$1,067,868PYTotalExpensesAmt
CY Total Expenses$762,493CYTotalExpensesAmt
PY Revenues Less Expenses-$40,250PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,822CYRevenuesLessExpensesAmt
Total Assets BOY$21,459TotalAssetsBOYAmt
Total Assets EOY$16,637TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,459NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,637NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo alleviate the burden of financing indigent health care in the community.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$762,493ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescSee Schedule OLimestone Hillcrest Healthcare Partnership (the Organization") is composed of members who are public and private hospitals in the State of Texas and desire to participate in the State of Texas Healthcare Transformation and Quality Improvement Program 1115 Waiver (the "1115 Waiver") in order to assist with the provision of indigent care in the community. The present members of the Organization are Hillcrest Baptist Medical Center dba Baylor Scott & White Medical Center-Hillcrest (BSWMC-Hillcrest) and South Limestone Hospital District (SLHD) (collectively the "Members"). BSWMC-Hillcrest is a Texas non-profit corporation and recognized as a tax-exempt organization by the Internal Revenue Service pursuant to Section 501(c)(3). SLHD is a political subdivision of the State of Texas and an entity described under Internal Revenue Code Sections 115 and l70(c).Desc
Total Program Service Expenses$762,493TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Richard PerkinsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2542029450PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Hillcrest Medical BlvdAddressLine1Txt
CityWacoCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76712ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
James Morrison MD
President1.00Yes (X)Yes (X)$0$0$0
Richard Perkins
Vice President/Treasurer3.00Yes (X)Yes (X)$0$0$0
Michael Williams
Secretary3.00Yes (X)Yes (X)$0$0$0
Larry Price
Director1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Concord Medical Group
3004 50th Street Suite DLubbockTX79413Medical$661,188
Shared Imaging LLC
Lock Box 88544MilwaukeeWI53288Medical$219,000
Providence Health Alliance
PO Box 20308WacoTX76702Medical$208,039
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$757,671AllOtherContributionsAmt
Total Contributions$757,671TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$757,671TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$761,876TotalAmt
Program Services$761,876ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$617TotalAmt
Program Services$617ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$762,493TotalAmt
Program Services$762,493ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,459BOYAmt
EOY$16,637EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,459BOYAmt
EOY$16,637EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,459BOYAmt
EOY$16,637EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,459BOYAmt
EOY$16,637EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,459BOYAmt
EOY$16,637EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$4,822ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,227,072CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,246,572CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,404,162CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,027,617CurrentTaxYearMinus1YearAmt
Current Tax Year$757,671CurrentTaxYearAmt
Total$5,663,094TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,227,072CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,246,572CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,404,162CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,027,617CurrentTaxYearMinus1YearAmt
Current Tax Year$757,671CurrentTaxYearAmt
Total$5,663,094TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,663,094PublicSupportTotal170Amt
Total Support$5,663,094TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Business relationship: Richard Perkins is employed by and an officer of BSWMC-Hillcrest, one of the members of the Organization. James Morrison M.D. is also an employee of BSWMC-Hillcrest. Larry Price and Michael Williams are both employed by and officers of SLHD, one of the members of the Organization.
Form 990, Part VI, Section A, line 6Members or stockholders: The organization is a Texas nonprofit membership organization in which BSWMC-Hillcrest, a tax exempt, Texas nonprofit corporation and SLHD, a political subdivision of the State of Texas, are members.
Form 990, Part VI, Section A, line 7aElection of members of governing body by members, stockholders, or other persons: BSWMC-Hillcrest and SLHD have control and substantial reserved powers over the organization, including those to elect and remove the governing body of the organization.
Form 990, Part VI, Section A, line 7bGoverning body decisions subject to approval: Certain rights and powers were reserved to the organization's members, BSWMC-Hillcrest and SLHD, including: Approval of annual operating and capital budgets, financial expenditures deviating more than $5,000 from the annual budget, sale, lease or transfer of property, merger, acquisitions or consolidations, borrowing or lending money, giving or seeking grants, settlement of litigation, appointment and removal of directors, confirmation and removal of officers, appointment and removal of administrator, creation, ownership, acquisition or affiliation, approval of strategic plan and aleration, amendment or repeal of Bylaws.
Form 990, Part VI, Section B, line 11bProcess used to review the Form 990: The Form 990 is prepared and reviewed by the Baylor Scott & White Health tax department. Upon completion, the Form 990 is reviewed by the organization's Treasurer. A complete final copy of the return is provided to the organization's board of directors prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cProcess used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with an actual or perceived ability to influence the organization have the duty to disclose annually and otherwise promptly as potential conflicts are identified, any familial, professional or financial relationships with entities or individuals that do, or seek to do business with the organization or that compete with the organization. These individuals include the organization's officers, governing body, management, physicians with administrative services agreements and other key personnel who interact with outside organizations or businesses on behalf of the organization. The LHHP Board of Directors reviews all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual.
Form 990, Part VI, Section C, line 19Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's certificate of formation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. The organization's other governing documents, conflicts of interest policy, and financial statements are not made available to the public.
Form 990, Part IX, line 11gER Coverage: Program service expenses 459,906. Management and general expenses 0. Fundraising expenses 0. Total expenses 459,906. Mobile MRI: Program service expenses 146,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 146,000. Psychiatry: Program service expenses 155,970. Management and general expenses 0. Fundraising expenses 0. Total expenses 155,970.