2019-07-15T08:45:30-05:00 2018-09-30 990 2017-10-01 463047378 Limestone Hillcrest Healthcare Partnership LIME 2542159256 2401 S 31st Street Temple TX 76508 Richard Perkins Treasurer 2542159256 2019-07-15 198.205.17.200 2019-07-15 08:45:27 CD P E6E6B1DEE2C3A01552DA3A94E9AF66566F60AB34 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2017 2019-02-21 02:37:17Z James Morrison MD 2401 S 31st Street Temple TX 76508 757671 0 X N/A X 2013 TX To alleviate the burden of financing indigent health care in the community. 4 4 0 4 0 0 1027618 757671 0 0 0 0 0 0 1027618 757671 0 0 0 0 0 0 0 0 0 1067868 762493 1067868 762493 -40250 -4822 21459 16637 0 0 21459 16637 X To alleviate the burden of financing indigent health care in the community. 0 0 762493 0 0 See 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). 762493 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 X 4 4 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 X Richard Perkins 2542029450 100 Hillcrest Medical Blvd Waco TX 76712 X James Morrison MD President 1.00 X X 0 0 0 Richard Perkins Vice President/Treasurer 3.00 X X 0 0 0 Michael Williams Secretary 3.00 X X 0 0 0 Larry Price Director 1.00 X 0 0 0 0 0 0 0 0 0 0 Concord Medical Group 3004 50th Street Suite D Lubbock TX 79413 Medical 661188 Shared Imaging LLC Lock Box 88544 Milwaukee WI 53288 Medical 219000 Providence Health Alliance PO Box 20308 Waco TX 76702 Medical 208039 3 757671 757671 757671 0 0 0 X 761876 761876 617 617 762493 762493 0 0 21459 16637 21459 16637 0 0 X 21459 16637 21459 16637 21459 16637 -4822 0 X 0 0 0 X 1227072 1246572 1404162 1027617 757671 5663094 1227072 1246572 1404162 1027617 757671 5663094 5663094 5663094 1.00000 1.00000 X Form 990, Part VI, Section A, line 2 Business 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 6 Members 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 7a Election 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 7b Governing 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 11b Process 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 12c Process 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 19 Process 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 11g ER 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.