East Texas Medical Center Reg Healthcare: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: East Texas Medical Center Reg Healthcare (EIN 37-1623919)
Tax period: 2015-11-01 to 2016-10-31
Filed: 2017-06-29
IRS object ID: 201701809349300015
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-06-29T08:18:22-07:00	ReturnTs
Tax Period End	2016-10-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-11-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	371623919	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	East Texas Medical Center Reg Healthcare	BusinessNameLine1Txt
Business Name Line2	Group Return	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	EAST	BusinessNameControlTxt
Phone	9035963719	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 South Beckham Avenue	AddressLine1Txt
City	Tyler	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75701	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Byron Hale	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2017-06-29	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	$827,377,479	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5692	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ETMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care. We measure our success by how our efforts improve the quality of life for people and communities in east Texas.	ActivityOrMissionDesc
Voting Members Governing Body	103	VotingMembersGoverningBodyCnt
Voting Members Independent	67	VotingMembersIndependentCnt
Total Employee	7257	TotalEmployeeCnt
Total Volunteers	294	TotalVolunteersCnt
Total Gross UBI	$2,171,856	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,095,803	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$661,286	PYContributionsGrantsAmt
CY Contributions Grants	$706,435	CYContributionsGrantsAmt
PY Program Service Revenue	$779,515,621	PYProgramServiceRevenueAmt
CY Program Service Revenue	$799,759,985	CYProgramServiceRevenueAmt
PY Investment Income	$1,822,735	PYInvestmentIncomeAmt
CY Investment Income	$3,838,859	CYInvestmentIncomeAmt
PY Other Revenue	$6,071,121	PYOtherRevenueAmt
CY Other Revenue	$17,858,870	CYOtherRevenueAmt
PY Total Revenue	$788,070,763	PYTotalRevenueAmt
CY Total Revenue	$822,164,149	CYTotalRevenueAmt
PY Grants And Similar Paid	$14,745,811	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$19,140,874	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$364,047,174	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$375,044,248	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$414,407,858	PYOtherExpensesAmt
CY Other Expenses	$444,625,802	CYOtherExpensesAmt
PY Total Expenses	$793,200,843	PYTotalExpensesAmt
CY Total Expenses	$838,810,924	CYTotalExpensesAmt
PY Revenues Less Expenses	-$5,130,080	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$16,646,775	CYRevenuesLessExpensesAmt
Total Assets BOY	$917,830,476	TotalAssetsBOYAmt
Total Assets EOY	$912,100,264	TotalAssetsEOYAmt
Total Liabilities BOY	$403,849,630	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$417,513,878	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$513,980,846	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$494,586,386	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care. We measure our success by how our efforts improve the quality of life for people and communities in east Texas.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$557,621,113	ExpenseAmt
Grant	$19,047,913	GrantAmt
Revenue	$554,210,936	RevenueAmt
Desc	"East Texas Medical Center Regional Helthcare System (the ""System"") is the parent company which wholly-owns and operates 20-subsidiary organizations. The system is headquartered in Tyler, Texas and its operations extends in all directions from Tyler, Texas, in an approximate 100-mile radius.All general acute-care hospitals not included in amounts on lines 4b, 4c and 4d. ETMC - Tyler has 502 licensed beds.ETMC - Athens has 119 licensed beds.ETMC - Carthage has 49 Licensed beds.ETMC - Fairfield has 48 Licensed beds.ETMC - Henderson has 49 Licensed beds.ETMC - Jacksonville has 74 Licensed beds.ETMC - Trinity has 30 Licensed beds.ETMC - Pittsburg has 25 Licensed beds.ETMC - Quitman has 25 Licensed beds.The hospital's medical facilities offer a full range of medical services on an inpatient and outpatient basis. Including obstetrics, surgery, intensive care, physical therapy, mental health, cancer, kidney transplants, interventional radiology, trauma care and 24-hour emergency services.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$104,920,200	ExpenseAmt
Revenue	$66,803,684	RevenueAmt
Desc	ETMC - Healthcare Associates provides physician clinical services to and in connection with delivery of health care by System, its affiliate tax-exempt hospitals and other health care organizations. ETMC HCA currently employs 150+ physicians, the majority of the employed physicians specialize in primary care.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$35,384,805	ExpenseAmt
Grant	$100	GrantAmt
Revenue	$29,433,762	RevenueAmt
Desc	ETMC EMS has a fleet of ground emergency ambulances serving East Texas. The System operates an extensive network of 60 ground ambulances, with each stationed at different locations to achieve optimal geographic coverage and response time throughout the System's service area.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$71,931,607	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$92,861	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$73,861,126	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$769,857,725	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	834	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7257	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	103	GoverningBodyVotingMembersCnt
Independent Voting Member	67	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Bonnie Stone	PersonNm
Phone	9035963719	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1417 South Beckham Avenue	AddressLine1Txt
City	Tyler	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75701	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (134 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Elmer G Ellis
President & Dir	0.00	40.00	Yes (X)	Yes (X)	$0	$1,165,405	$21,703
Byron Hale
Treasurer & Dir	0.00	40.00	Yes (X)	Yes (X)	$0	$558,238	$28,516
Sharon Clark
Director	2.00	0.00	Yes (X)		$0	$0	$0
Ron Schwartz
VP EMS	40.00	40.00	Yes (X)		$333,872	$0	$28,419
Paula Anthony
Director	0.00	40.00	Yes (X)		$0	$431,745	$26,449
Stephen Rydzak MD
Director	40.00	0.00	Yes (X)	Yes (X)	$670,071	$0	$739
Terry Morrow
Director	2.00	0.00	Yes (X)		$0	$0	$0
Eddie Howard
VP/Administrato	40.00	0.00	Yes (X)	Yes (X)	$384,360	$0	$26,657
Patrick L Wallace
Administrator	40.00	0.00	Yes (X)	Yes (X)	$349,075	$0	$28,323
Gary M Hudson
Administrator	40.00	0.00	Yes (X)	Yes (X)	$199,769	$0	$18,388
Charles Broadway
Director	2.00	0.00	Yes (X)		$0	$0	$0
Wayne Propst MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Ruth Cook
Administrator	40.00	0.00	Yes (X)	Yes (X)	$171,407	$0	$26,740
Perry Henderson
Administrator	0.00	40.00	Yes (X)	Yes (X)	$0	$355,685	$26,388
Mark Leitner
Administrator	40.00	0.00	Yes (X)	Yes (X)	$218,859	$0	$27,063
Jack Endres
Administrator	40.00	0.00	Yes (X)	Yes (X)	$215,256	$0	$26,226
Warren Robicheaux
Administrator	40.00	0.00	Yes (X)	Yes (X)	$217,529	$0	$24,077
Adron Neill
Director	2.00	0.00	Yes (X)		$0	$0	$0
Beverly Waddleton MD
Director	40.00	0.00	Yes (X)		$176,459	$0	$12,138
Curt Smith
Dir of HomeHlth	40.00	0.00	Yes (X)	Yes (X)	$123,159	$0	$24,044
Allen Bell
Director	2.00	0.00	Yes (X)		$0	$0	$0
Harry Tilley
Director	2.00	0.00	Yes (X)		$0	$0	$0
Andrew Bentley MD
Director	40.00	0.00	Yes (X)	Yes (X)	$482,163	$0	$12,138
Ann Lake
Director	2.00	0.00	Yes (X)		$0	$0	$0
Rocky Gill
Director	2.00	0.00	Yes (X)		$0	$0	$0
Barry Hughes
Director	2.00	0.00	Yes (X)		$0	$0	$0
BG Hartley
Director	12.00	0.00	Yes (X)		$0	$0	$0
Bill Clawater
Director	2.00	0.00	Yes (X)		$0	$0	$0
Evan Smith MD
Director	40.00	0.00	Yes (X)		$402,813	$0	$12,138
Jeff Taylor
Director	2.00	0.00	Yes (X)		$0	$0	$0
Brian Ballard
Director	2.00	0.00	Yes (X)		$0	$0	$0
Brian Holcomb
Director	2.00	0.00	Yes (X)		$0	$0	$0
Bryan Hyland MD
Director	40.00	0.00	Yes (X)		$362,987	$0	$12,138
Bryan Price
Director	2.00	0.00	Yes (X)		$0	$0	$0
John Cain
Director	2.00	0.00	Yes (X)		$0	$0	$0
Charles Halstead
Director	2.00	0.00	Yes (X)		$0	$0	$0
Sebetha Jenkins-Booker PHD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Curtis E Grey MD
Director	2.00	0.00	Yes (X)		$26,251	$0	$0
Dale Lagrone
Director	2.00	0.00	Yes (X)		$0	$0	$0
David Craig MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Donald Lewis
Director	2.00	0.00	Yes (X)		$0	$0	$0
David Johnson MD
Director	2.00	0.00	Yes (X)		$72,000	$0	$0
David Jones MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
David Latham MD
Former Director	2.00	0.00	Yes (X)		$0	$0	$0
Donna Bennett
Director	2.00	0.00	Yes (X)		$0	$0	$0
Laura Vanecek
Director	2.00	0.00	Yes (X)		$0	$0	$0
Donald E Arego MD
Director	40.00	0.00	Yes (X)		$348,614	$0	$12,138
Doug Johnston DO
Director	40.00	0.00	Yes (X)		$354,564	$0	$12,138
Eldor Brish MD
Director	40.00	0.00	Yes (X)		$1,256,815	$0	$12,138
Fred A Heirich
Director	2.00	0.00	Yes (X)		$0	$0	$0
Gary Gross MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Elam Swann
Director	2.00	0.00	Yes (X)		$0	$0	$0
George Robinson
Director	2.00	0.00	Yes (X)		$0	$0	$0
George T Hall
Director	2.00	0.00	Yes (X)		$0	$0	$0
Holley Howard
Director	2.00	0.00	Yes (X)		$0	$0	$0
Harold Beaird
Director	2.00	0.00	Yes (X)		$0	$0	$0
JB Smith
Director	2.00	0.00	Yes (X)		$0	$0	$0
Troy Robinson
Director	2.00	0.00	Yes (X)		$0	$0	$0
J Michael Orms MD
Director	40.00	0.00	Yes (X)		$310,468	$0	$12,138
Jack Dickerson
Director	2.00	0.00	Yes (X)		$0	$0	$0
Jerry Webster
Director	2.00	0.00	Yes (X)		$0	$0	$0
Jessica Parish
Director	2.00	0.00	Yes (X)		$0	$0	$0
Joe Angle
ViceChairmn&Dir	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
John Payne
Director	2.00	0.00	Yes (X)		$0	$0	$0
Joyce Starling MD
Director	40.00	0.00	Yes (X)		$163,481	$0	$10,917
John Magouyrk
Director	2.00	0.00	Yes (X)		$0	$0	$0
John T Wilson
Director	2.00	0.00	Yes (X)		$0	$0	$0
Jon Johnston
Director	2.00	0.00	Yes (X)		$0	$0	$0
Karen Wies MD
Director	40.00	0.00	Yes (X)		$537,526	$0	$10,844
Jean Burroughs
Director	2.00	0.00	Yes (X)		$0	$0	$0
Larry Durrett
Director	12.00	0.00	Yes (X)		$0	$0	$0
Larry King
Director	2.00	0.00	Yes (X)		$0	$0	$0
Lawrence Quan MD
Director	2.00	0.00	Yes (X)		$178,297	$0	$0
Leesa N Hedge
Director	2.00	0.00	Yes (X)		$0	$0	$0
Lisa Graves MD
Director	40.00	0.00	Yes (X)	Yes (X)	$477,051	$0	$12,138
Marinel Munda MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Michael Austin MD
Director	40.00	0.00	Yes (X)		$416,870	$0	$10,917
Michael Banks DDS
Director	2.00	0.00	Yes (X)		$0	$0	$0
Michelle Brookshire
Director	2.00	0.00	Yes (X)		$0	$0	$0
Kathy Babin
Director	2.00	0.00	Yes (X)		$0	$0	$0
Michael Young
Director	2.00	0.00	Yes (X)		$0	$0	$0
Ned Muse
Director	2.00	0.00	Yes (X)		$0	$0	$0
Virginia Lewis
Director	2.00	0.00	Yes (X)		$0	$0	$0
Patricia Smith
Director	2.00	0.00	Yes (X)		$0	$0	$0
Paul Latta DDS
Director	2.00	0.00	Yes (X)		$0	$0	$0
Robert Nichols
Director	2.00	0.00	Yes (X)		$0	$0	$0
Robyn Rogers
Director	2.00	0.00	Yes (X)		$0	$0	$0
Rodney Watkins
Director	2.00	0.00	Yes (X)		$0	$0	$0
Randy Karnes
Director	2.00	0.00	Yes (X)		$0	$0	$0
Ron Franks
Director	2.00	0.00	Yes (X)		$0	$0	$0
Rosemary Burns
Director	2.00	0.00	Yes (X)		$0	$0	$0
Sam Dawson
Director	2.00	0.00	Yes (X)		$0	$0	$0
Salah Almohammed MD
Director	40.00	0.00	Yes (X)		$387,385	$0	$12,138
Samual Houston MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Stayton Bonner
Director	2.00	0.00	Yes (X)		$0	$0	$0
Steven Potter MD
Director	40.00	0.00	Yes (X)		$783,839	$0	$12,138
Steven C Roosth
Director	2.00	0.00	Yes (X)		$0	$0	$0
Ravi Konidala MD
Director	40.00	0.00	Yes (X)		$139,920	$0	$6,069
Brock Lutz MD
Director	2.00	0.00	Yes (X)		$10,800	$0	$0
Sue Murray
Director	2.00	0.00	Yes (X)		$0	$0	$0
Todd Parrish MD
Director	40.00	0.00	Yes (X)		$390,671	$0	$0
WR Christensen MD
Director	2.00	0.00	Yes (X)		$325,785	$0	$11,294
Wayne Mask MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Tony Farmer
CFO	40.00	40.00		Yes (X)	$175,612	$0	$25,331
Kim Cooley
Vice President	0.00	40.00		Yes (X)	$0	$354,164	$19,727
Robert Evans
SR VP/Administr	40.00	0.00		Yes (X)	$463,318	$0	$26,363
James Blanton
CFO	40.00	0.00		Yes (X)	$170,815	$0	$25,720
Becki Mangum
Treasurer	0.00	40.00		Yes (X)	$0	$153,669	$24,847
David Travis
CFO	40.00	0.00		Yes (X)	$201,935	$0	$24,293
Patrick Swindle
Administrator	40.00	0.00		Yes (X)	$36,973	$0	$15,506
Janet Andersen
CFO	40.00	0.00		Yes (X)	$17,835	$0	$13
Phil Caron
CFO	40.00	0.00		Yes (X)	$199,331	$0	$24,140
Freddie Sanchez
VP Materiels Management	0.00	40.00			$0	$510,116	$26,266	Yes (X)
David Langston
VP Human Resources	0.00	40.00			$0	$261,244	$27,987	Yes (X)
Carroll Roge
VP Marketing	0.00	40.00			$0	$219,045	$16,763	Yes (X)
Dennis S Devinney
Physician	40.00	0.00			$1,530,945	$0	$12,138		Yes (X)
Joseph M Conflitti
Physician	40.00	0.00			$1,218,535	$0	$12,138		Yes (X)
Alireza Behboudi
Physician	40.00	0.00			$1,163,101	$0	$12,138		Yes (X)
Michael J Klouda
Physician	40.00	0.00			$716,419	$0	$12,138		Yes (X)
Stephen Gale
Physician	40.00	0.00			$662,184	$0	$12,138		Yes (X)
Armol Deshpande MD
Former Director (FY 12)	40.00	0.00			$459,304	$0	$10,844			Yes (X)
Roger Sessions MD
Former Director (FY 12)	40.00	0.00			$522,089	$0	$12,138			Yes (X)
William Roberson D
Former Director (FY 11)	2.00	0.00			$326,872	$0	$12,138			Yes (X)
Mike Thomas
Director	0.00	40.00			$0	$365,772	$28,644			Yes (X)
Terry Cutler
Former Administrator	40.00	0.00			$97,588	$0	$7,849			Yes (X)
Sam Brown
Former CFO	40.00	0.00			$77,767	$0	$10,222			Yes (X)
Andrew Roberts MD
Former Director (FY 15)	40.00	0.00			$118,508	$0	$0			Yes (X)
David Mandel MD
Former Director (FY 15)	40.00	0.00			$190,238	$0	$0			Yes (X)
Gary Babbitt MD
Former Director (FY 15)	40.00	0.00			$325,068	$0	$11,294			Yes (X)
Garald Akpassa MD
Former Director (FY 15)	40.00	0.00			$546,368	$0	$12,138			Yes (X)
Gordon Uretsky MD
Former Director (FY 15)	40.00	0.00			$248,361	$0	$12,138			Yes (X)
Kenneth Kemp MD
Former Director (FY 15)	40.00	0.00			$189,510	$0	$12,138			Yes (X)
Nghia Truong MD
Former Director (FY 12)	40.00	0.00			$764,521	$0	$12,138			Yes (X)
Sam Raborn MD
Former Director (FY 15)	40.00	0.00			$433,883	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$21,345,196	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,375,083	TotReportableCompRltdOrgAmt
Total Other Compensation	$976,618	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	464	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Metro Aviation Inc
PO Box 7008	Shreveport	LA	711377008	Helicopter Maint.	$3,748,237
Philips Health Care
PO Box 10355	Atlanta	GA	303840355	Equipment Serv Maint	$3,658,332
Cerner Health Services
PO Box 959167	St Louis	MO	63195	Software Systm Maint	$3,357,866
Hospital Housekeeping Systems
PO Box 826	San Antonio	TX	78293	Housekeeping Service	$2,593,856
East Texas Anesthesiology Assoc
3200 Troup Hwy Ste 200	Tyler	TX	75701	Anesthesiology Serv	$2,078,666

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	95	CntrctRcvdGreaterThan100KCnt
Fundraising	$5,500	FundraisingAmt
Government Grants	$75,000	GovernmentGrantsAmt
All Other Contributions	$625,935	AllOtherContributionsAmt
Total Contributions	$706,435	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Contract/Outside Services	$4,247,211	$2,150,408	$2,096,803
Intercompany Revenue	$7,707,208	$7,705,268		$1,940
Medicaid EHR Incentive Pm	$6,052,945	$6,052,945
Mgmt Allocation	$45,941,941	$45,941,941
Net Patient Revenue	$724,309,508	$724,309,508

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,501,172	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,501,172	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$799,759,985	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,308,165	TotalRevenueColumnAmt
Exclusion	$1,308,165	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$7,731,658	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$5,200,964	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$2,530,694	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,530,694	TotalRevenueColumnAmt
Exclusion	$2,530,694	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$600	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$5,500	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$12,366	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$11,766	TotalRevenueColumnAmt
Exclusion	-$11,766	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$4,048,577	GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,048,577	TotalRevenueColumnAmt
Unrelated Business Revenue	$75,053	UnrelatedBusinessRevenueAmt
Exclusion	$3,973,524	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Blue Cross Settlement	$10,000,000	$10,000,000
Cafeteria/Dietary Rev	$3,136,501	$3,136,501
Parking Lot	$588,612	$588,612

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$96,946	TotalRevenueColumnAmt
Exclusion	$96,946	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,822,059	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$822,164,149	TotalRevenueColumnAmt
Related Or Exempt Func Income	$797,661,242	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,171,856	UnrelatedBusinessRevenueAmt
Exclusion	$21,624,616	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$19,048,013	TotalAmt
Program Services	$19,048,013	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$92,861	TotalAmt
Program Services	$92,861	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,034,187	TotalAmt
Management And General	$7,034,187	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$298,288,045	TotalAmt
Program Services	$293,922,242	ProgramServicesAmt
Management And General	$4,365,803	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,941,298	TotalAmt
Program Services	$8,627,405	ProgramServicesAmt
Management And General	$313,893	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$40,807,921	TotalAmt
Program Services	$39,258,849	ProgramServicesAmt
Management And General	$1,549,072	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,972,797	TotalAmt
Program Services	$19,212,640	ProgramServicesAmt
Management And General	$760,157	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$85,779	TotalAmt
Program Services	$76,038	ProgramServicesAmt
Management And General	$9,741	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$44,633	TotalAmt
Program Services	$14,038	ProgramServicesAmt
Management And General	$30,595	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

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

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,310,220	TotalAmt
Program Services	$1,233,537	ProgramServicesAmt
Management And General	$76,683	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,570,412	TotalAmt
Program Services	$3,501,474	ProgramServicesAmt
Management And General	$68,938	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,133,004	TotalAmt
Program Services	$3,122,007	ProgramServicesAmt
Management And General	$10,997	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$30,048,188	TotalAmt
Program Services	$29,956,279	ProgramServicesAmt
Management And General	$91,909	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$358,642	TotalAmt
Program Services	$286,238	ProgramServicesAmt
Management And General	$72,404	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$799,347	TotalAmt
Program Services	$743,055	ProgramServicesAmt
Management And General	$56,292	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,133,250	TotalAmt
Program Services	$14,118,533	ProgramServicesAmt
Management And General	$14,717	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$35,712	TotalAmt
Program Services	$35,672	ProgramServicesAmt
Management And General	$40	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,982,779	TotalAmt
Program Services	$27,981,407	ProgramServicesAmt
Management And General	$1,372	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,982,607	TotalAmt
Program Services	$5,928,246	ProgramServicesAmt
Management And General	$54,361	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Supplies	$117,641,504	$117,453,881	$187,623
Physician/Medical Spec. Fees	$79,081,841	$74,598,916	$4,482,925
System Fee	$45,962,382		$45,962,382
Outside Services	$36,492,248	$35,105,823	$1,386,425

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$77,963,254	TotalAmt
Program Services	$75,540,571	ProgramServicesAmt
Management And General	$2,422,683	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$838,810,924	TotalAmt
Program Services	$769,857,725	ProgramServicesAmt
Management And General	$68,953,199	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$62,897,359	BOYAmt
EOY	$22,353,828	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,017,577	BOYAmt
EOY	$5,133,938	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,000	BOYAmt
EOY	$10,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$72,392,923	BOYAmt
EOY	$73,802,765	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,585,109	BOYAmt
EOY	$12,943,996	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,895,648	BOYAmt
EOY	$5,771,907	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$606,181,221	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$416,846,233	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$193,447,670	BOYAmt
EOY	$189,334,988	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,049,944	BOYAmt
EOY	$8,802,959	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$558,534,246	BOYAmt
EOY	$593,945,883	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$917,830,476	BOYAmt
EOY	$912,100,264	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$49,759,523	BOYAmt
EOY	$55,393,794	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$603,075	BOYAmt
EOY	$623,234	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$72,950,534	BOYAmt
EOY	$71,702,198	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$748,538	BOYAmt
EOY	$642,750	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$279,787,960	BOYAmt
EOY	$289,151,902	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$403,849,630	BOYAmt
EOY	$417,513,878	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$506,422,770	BOYAmt
EOY	$486,670,181	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,533,749	BOYAmt
EOY	$4,891,878	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,024,327	BOYAmt
EOY	$3,024,327	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$513,980,846	BOYAmt
EOY	$494,586,386	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$917,830,476	BOYAmt
EOY	$912,100,264	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$16,646,775	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$2,747,685	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$76,138	OtherActivitiesAmt
Total Lobbying Expenditures	$76,138	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	The organization pays membership dues to member organiations which may engage in lobbying activities. Therfore, a portion of the dues are attributable to lobbying activities. This amount represents a specified percentage of total dues paid.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,558,076	BeginningYearBalanceAmt
Contributions	$338,861	ContributionsAmt
Investment Earnings Or Losses	$235,768	InvestmentEarningsOrLossesAmt
Other Expenditures	$216,500	OtherExpendituresAmt
End Year Balance	$7,916,205	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,265,021	BeginningYearBalanceAmt
Contributions	$336,322	ContributionsAmt
Investment Earnings Or Losses	$169,080	InvestmentEarningsOrLossesAmt
Other Expenditures	$212,347	OtherExpendituresAmt
End Year Balance	$7,558,076	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,402,237	BeginningYearBalanceAmt
Contributions	$452,285	ContributionsAmt
Investment Earnings Or Losses	$635,449	InvestmentEarningsOrLossesAmt
Other Expenditures	$224,950	OtherExpendituresAmt
End Year Balance	$7,265,021	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,394,150	BeginningYearBalanceAmt
Contributions	$1,070,831	ContributionsAmt
Investment Earnings Or Losses	$555,764	InvestmentEarningsOrLossesAmt
Other Expenditures	$618,508	OtherExpendituresAmt
End Year Balance	$6,402,237	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,070,504	BeginningYearBalanceAmt
Contributions	$394,384	ContributionsAmt
Investment Earnings Or Losses	$272,531	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,343,269	OtherExpendituresAmt
End Year Balance	$5,394,150	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.27000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.28000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.45000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$361,505	OtherCostOrOtherBasisAmt
Book Value	$361,505	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$180,680,892	OtherCostOrOtherBasisAmt
Depreciation	$88,376,379	DepreciationAmt
Book Value	$92,304,513	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,081,932	OtherCostOrOtherBasisAmt
Depreciation	$13,759,519	DepreciationAmt
Book Value	$22,322,413	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$339,761,566	OtherCostOrOtherBasisAmt
Depreciation	$276,027,396	DepreciationAmt
Book Value	$63,734,170	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,295,326	OtherCostOrOtherBasisAmt
Depreciation	$38,682,939	DepreciationAmt
Book Value	$10,612,387	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$189,334,988	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
Accrued Interest Receivable	$317
Bonds Receivables & Unamortized Bond Exp	$3,302,554
Deposits on Equip & Various Items	$15,500
Due From Affiliates	$568,397,562
Due From Outside Entities	$11,108,556
Estimated 3rd Party Settlement	$1,011,225
Goodwill-Athens Cancer Institute net	$1,000,000
Restricted Funds	$9,110,168
Rounding	$1

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$593,945,883	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Capital Lease Obligations	$14,611,722
Deferred Direct & Admin Expenses	$44,281,320
Due to Affiliates	$184,745,487
Estimated 3rd Party Settlement	$741,850
Investment In Cyberknife	-$83,659
Noncurrent Pension Liability	$44,272,422
Other Noncurrent Liabilities	$582,762
Rounding	-$2

Field	Value	IRS element (for citing)
Total Liability	$289,151,902	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,861,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,693,291	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$168,054	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,965,895	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,838,672	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$127,223	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,452,306	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,048,775	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,403,531	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,279,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,580,738	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,698,808	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$403,907	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,538	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$341,369	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$783,138	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$147,638	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$635,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,326,949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,492,034	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,834,915	NetCommunityBenefitExpnsAmt
Total Expense	0.02250	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$191,328	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,464	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,864	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,148,776	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,148,776	NetCommunityBenefitExpnsAmt
Total Expense	0.02760	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,854,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,784,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,069,424	NetCommunityBenefitExpnsAmt
Total Expense	0.05140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$204,133,644	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$158,365,412	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,768,232	NetCommunityBenefitExpnsAmt
Total Expense	0.05470	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$81,159	BadDebtExpenseAmt
Reimbursed By Medicare	$195,280,372	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$259,055,427	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$63,775,055	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	FinancialAssistancePrvsnInd
Hospital Facilities	10	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (10 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	Facility Reporting GroupFacilityReportingGroupCd
East Texas Medical Cntr-Athens
1	2000 South Palestine	Athens	TX	75751	Yes (X)	A
East Texas Medical Cntr-Cartha
2	409 West Cottage Road	Carthage	TX	75633	Yes (X)	A
East Texas Medical Cntr-Fairfi
5	125 Newman Street	Fairfield	TX	75840	Yes (X)	A
East Texas Medical Cntr-Hender
6	300 Wilson Street	Henderson	TX	75652	Yes (X)	A
East Texas Medical Cntr-Jackso
7	501 S Ragsdale Street	Jacksonville	TX	75768	Yes (X)	A
East Texas Medical Cntr-Pittsb
9	414 Quitman Street	Pittsburg	TX	75686	Yes (X)	A
East Texas Medical Cntr-Quitma
10	117 N Winnsboro Street	Quitman	TX	75783	Yes (X)	A
East Texas Medical Cntr-Trinit
11	317 Prospect Drive	Trinity	TX	75862	Yes (X)	A
East Texas Medical Cntr-Tyler
12	1000 South Beckham Avenue	Tyler	TX	75701	Yes (X)	A
East Texas Medical Cntr-Specia
13	1000 South Beckham Avenue	Tyler	TX	75701	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	10	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.0000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Actions On Nonpayment	false	FAPActionsOnNonpaymentInd
Collection Activities	Yes (true)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC (East Texas Medical Center). Individuals interview included representatives of: * A Matter of Balance - community fall provention program* Allstate Insurance* Andrew Center* Athens Independent School District* Beckville Independent School District* Bethesda Health Clinic* Camp County EMS* Camp County Judge* Camp County Sheriff* Carthage Independent School District* Carthage Primary School* CASA for Kids of East Texas* Century 21 Realty* City of Carthage Mayor* City of Pittsburg Mayor* City of Pittsburg Police Chief* Crisis Center of Anderson & Cherokee Counties* Deputy Chief Appraiser* East Texas Crisis Center* East Texas Food Bank* Emergency Medical Resources* ET Council on Alcoholism & Drug Abuse* ETMC Athens OB Clinic* ETMC Care Coordinator* ETMC EMS* ETMC First Physicians Clinic* ETMC Institutional Review Board (IRB)* ETMC Quitman Auxiliary* ETMC Trinity Admissions Department* Express Employment Professionals* Fairfield Emergency Medical Services director & board member* Fairfield Hospital District* Family Resource Center* First Baptist Church - Pittsburg, TX* First United Methodist Church - Jacksonville, TX* Food Pantry* Former Prison Official* Gary Independent School District* Gateway Community Centers (MHMR)* Gibson Pharmacy* Hairdresser* Heavenly Threads Quilt Shop* Henderson Independent School District* Henderson Memorial Hospital Foundation* HOPE* Hospice of East Texas* In His Image Ministries* Jacksonville Fire Department* Jacksonville Police Department* Labor of Love* Local Pator - Carthage, TX* Luminant* Meals on Wheels* Mental Health Task Force* Northeast Texas Child Advocacy Center* Northeast Texas Public Health District* Panola College* Panola County* Panola County Court of Law* PATH* Pilgrim Bank* Pittsburg Dentist* Quitman & Mineola Clinics* Refuge of Light* Resident - Dew, TX* Resident - Fairfield, TX* Retired Trinity Residents* Rusk County Clinic* Rusk County Judge* Rusk County Sheriff Office* Salvation Army* St. Matthews Episcopal Church* TAMU AgriLife Extension Service* Texas Dept. of State Health Services* The Clothes Closet* The Help Center* Trinity Tabernacle Assembly of God* Tyler Police Department* United Way of Smith County* Wesley House Assisted Living* Women's Health* Wood County Central Hospital District* Wood County Electric Cooperative* YMCAThe interview task force included the administrator from each ETMC Hospital, as well as members of the ETMC Regional Healthcare System's CHNA team.
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC FairfieldETMC Henderson ETMC JacksonvilleETMC PittsburgETMC QuitmanETMC TrinityETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationEast Texas Flight Ambulance dba Air OneETMC Healthcare AssociatesETMC Specialty HospitalETMC EMS
Part V, Line 7d - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.
Part V, Line 22d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
East Texas Medical Center - Rehab
701 Olympic Plaza Circle	Tyler	TX	75701	Rehabilitation Center, Physical and Occupational, Inpatient and Outpatient
East Texas Medical Center - Foundation
1000 S Beckham Ave	Tyler	TX	75701	Support related hospitals within the system through raising, management and distribution of charitab
East Texas Medical Center - Healthcare Associates
1000 S Beckham Ave	Tyler	TX	75701	Physicians
East Texas Medical Center - Home Services
1000 S Beckham Ave	Tyler	TX	75701	Home Healthcare Services
East Texas Medical Center - Self Insurance Trust
1000 S Beckham Ave	Tyler	TX	75701	Insurance coverage for the East Texas Medical Center Regional Healthcare System.
East Texas Flight Ambulance dba Air One
1000 S Beckham Ave	Tyler	TX	75701	Provide air ambulance service.
East Texas Medical Center Specialty Services
PO Box 6720	Tyler	TX	75711	Cardiovascular services
ETMC EMS
1000 South Beckham Avenue	Tyler	TX	75701	Provide ground ambulance service.

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	The Organization does not pursue collection of amounts determined to qualify as charity care and therefore are not considered in the collection policy.
Part VI - Needs Assessment	The community health needs assessment process adopted by ETMC was divided into three major components:- Internal and External Data Collection and Analysis- Community Assessment of Community Need- ETMC Provider InputThe community health needs assessment process is designed to measure positive and negative progress relative to selected health status indicators; target needs by population group, geographic market segment and health issue; consider community input and feedback; and identify opportunities for program and service development and enhancement.
Part VI - Patient Education of Eligibility for Assistance	Notifications of financial assistance and the Charity Care program are posted in the patient admission areas and emergency departments, and also printed in local newspapers. The Charity Care policy and application for financial assistance are also available on the internet at www.etmc.org. Additionally, notification of availability of financial assistance is noted on all patient billing statements, along with the phone number of whom to contact for financial assistance. In addition, direct contact is made to those individuals that the organization beleves may qualify for Charity Care, based on lack of insurance or other indications, to explain the availability of financial assistance and to request the individual complete and returned an application.
Part VI - Community Information	The 20 county service area is composed of about 16 percent of the population over age 65, an increasing Hispanic population, 60 percent of households defined as 'working poor' or poverty level, with 40 percent uninsured or underinsured.
Part V - Explanation of Number of Facility Type	One Rehabilitation Center and three Home Healthcare services.
Part VI - Additional Information	Uncompensated care program funds were evenly allocated to uninsured and Medicaid patient costs.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
American Heart Association
PO Box 50040	Prescott	AZ	86304	$7,000	$0	Donation
Bethesda Health Clinic
409 W Ferguston	Tyler	TX	75702	$12,500	$0	Donation
Sonet Service Organization
2950 50th Street	Lubbock	TX	79413	$9,439,509	$0	Indigent Care Donation

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	Senior management will review the needs and give approval to support a variety of agencies, service organziations and projects related to meeting health and human service needs for Tyler and East Texas, as well as those contributing to overall quality of life for the community. Contributions were made in terms of financial and in-kind donations, agencies and organizations supported are non-profit.The ETMC Helping Hands Fund was established to help our fellow employees who may encounter substantial emergency situations and needs. Through generous gifts on the part of ETMC personnel, we are able to help our own by offering immediate, short-term financial assistance to those in need. The Helping Hands Fund is managed through the East Texas Medical Center Foundation and ETMC Human Resources, and governed by an employee review committee.Due to the special nature of the Chaplains Fund, flexibility is essential in its operating procedures. The following guidelines are designed as general policies to be followed by the Chaplains office and the ETMC Foundation.Administration The ETMC Tyler Chaplains Fund is a restricted account under the East Texas Medical Center Foundation. The ETMC Tyler Chaplain supervises the Chaplains Fund on a day-to-day basis. In addition to the Chaplain, the President and Chief Financial Officer of the East Texas Medical Center Regional Healthcare System has signature authorization over the Chaplains Fund account. The Chaplains Fund is included in the financial statements presented at meetings of the ETMC Foundations Board of Directors. The Foundation staff, Board and Executive Committee may help address issues and govern the fund as needed.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (59 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt
Alireza Behboudi
Physician	$643,161	$517,781	$2,159	$12,138	$1,175,239
Andrew Bentley MD
Director	$467,306	$13,050	$1,807	$12,138	$494,301
Andrew Roberts MD
Former Director (FY 15)	$117,636		$872		$118,508
Armol Deshpande MD
Former Director (FY 12)	$457,583		$1,721	$10,844	$470,148
Becki Mangum
Treasurer						$152,719	$950	$24,847	$178,516
Beverly Waddleton MD
Director	$174,514		$1,945	$12,138	$188,597
Bryan Hyland MD
Director	$279,956	$81,556	$1,475	$12,138	$375,125
Byron Hale
Treasurer & Dir						$559,453	-$1,215	$28,516	$586,754
Carroll Roge
VP Marketing						$217,458	$1,587	$16,763	$235,808
David Langston
VP Human Resources						$258,412	$2,832	$27,987	$289,231
David Mandel MD
Former Director (FY 15)	$151,666	$36,359	$2,213		$190,238
David Travis
CFO	$199,832		$2,103	$24,293	$226,228
Dennis S Devinney
Physician	$694,096	$833,979	$2,870	$12,138	$1,543,083
Donald E Arego MD
Director	$291,944	$53,381	$3,289	$12,138	$360,752
Doug Johnston DO
Director	$171,752	$181,372	$1,440	$12,138	$366,702
Eddie Howard
VP/Administrato	$369,683		$14,677	$26,657	$411,017
Eldor Brish MD
Director	$433,346	$821,715	$1,754	$12,138	$1,268,953
Elmer G Ellis
President & Dir						$1,121,340	$44,065	$21,703	$1,187,108
Evan Smith MD
Director	$397,097	$3,515	$2,201	$12,138	$414,951
Freddie Sanchez
VP Materiels Management						$334,856	$10,794	$26,266	$536,382	$164,466
Garald Akpassa MD
Former Director (FY 15)	$544,650		$1,718	$12,138	$558,506
Gary Babbitt MD
Former Director (FY 15)	$321,844		$3,224	$11,294	$336,362
Gary M Hudson
Administrator	$189,747		$10,022	$18,388	$218,157
Gordon Uretsky MD
Former Director (FY 15)	$244,025	$1,638	$2,698	$12,138	$260,499
J Michael Orms MD
Director	$309,115		$1,353	$12,138	$322,606
Jack Endres
Administrator	$206,206		$9,050	$26,226	$241,482
James Blanton
CFO	$169,056		$1,759	$25,720	$196,535
Joseph M Conflitti
Physician	$694,752	$520,923	$2,860	$12,138	$1,230,673
Joyce Starling MD
Director	$161,031		$2,450	$10,917	$174,398
Karen Wies MD
Director	$165,184	$369,839	$2,503	$10,844	$548,370
Kenneth Kemp MD
Former Director (FY 15)	$141,223	$47,269	$1,018	$12,138	$201,648
Kim Cooley
Vice President						$343,335	$10,829	$19,727	$373,891
Lawrence Quan MD
Director	$176,044	$1,235	$1,018		$178,297
Lisa Graves MD
Director	$139,849	$335,754	$1,448	$12,138	$489,189
Mark Leitner
Administrator	$210,640		$8,219	$27,063	$245,922
Michael Austin MD
Director	$195,728	$219,532	$1,610	$10,917	$427,787
Michael J Klouda
Physician	$542,112	$171,752	$2,555	$12,138	$728,557
Mike Thomas
Director						$360,584	$5,188	$28,644	$394,416
Nghia Truong MD
Former Director (FY 12)	$419,016	$343,733	$1,772	$12,138	$776,659
Patrick L Wallace
Administrator	$336,176		$12,899	$28,323	$377,398
Paula Anthony
Director						$365,633	$66,112	$26,449	$458,194
Perry Henderson
Administrator						$353,003	$2,682	$26,388	$382,073
Phil Caron
CFO	$189,782		$9,549	$24,140	$223,471
Robert Evans
SR VP/Administr	$447,198		$16,120	$26,363	$489,681
Roger Sessions MD
Former Director (FY 12)	$494,119	$22,811	$5,159	$12,138	$534,227
Ron Schwartz
VP EMS	$322,479		$11,393	$28,419	$362,291
Ruth Cook
Administrator	$162,524		$8,883	$26,740	$198,147
Salah Almohammed MD
Director	$385,898		$1,487	$12,138	$399,523
Sam Brown
Former CFO	$71,676		$6,091	$10,222	$87,989
Sam Raborn MD
Former Director (FY 15)	$135,000	$297,302	$1,581		$433,883
Stephen Gale
Physician	$626,786	$33,100	$2,298	$12,138	$674,322
Stephen Rydzak MD
Director	$459,092	$206,981	$3,998	$739	$670,810
Steven Potter MD
Director	$781,217		$2,622	$12,138	$795,977
Terry Cutler
Former Administrator	$58,141		$39,447	$7,849	$105,437
Todd Parrish MD
Director	$374,950	$13,043	$2,678		$390,671
Tony Farmer
CFO	$174,303		$1,309	$25,331	$200,943
WR Christensen MD
Director	$320,865	$4,050	$870	$11,294	$337,079
Warren Robicheaux
Administrator	$209,237		$8,292	$24,077	$241,606
William Roberson D
Former Director (FY 11)	$324,228		$2,644	$12,138	$339,010

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	FormAndLineReferenceDesc
Explanation	Schedule J, Part I, Line 1aCountry club dues are paid for business purpose. Any personal use is reimbursed by the employee.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Camp County Texas
A	756000845	2007-11-29	$10,000,000	New hospital facility	false	false	false
Camp County Texas
B	756000845	2008-03-19	$10,000,000	New hospital facility	false	false	false
Camp County Texas
C	756000845	2009-02-24	$10,000,000	New hospital facility	false	false	false
Camp County Texas
D	756000845	2009-09-09	$7,000,000	New hospital facility	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,500,000	$10,081,130	$898,543	$74,500	$898,543	$9,108,087	false	false	Yes (true)	Yes (true)
B	$1,500,000	$10,068,035	$725,080		$725,080	$9,342,955	false	false	Yes (true)	Yes (true)
C	$1,230,000	$10,000,067	$252,733		$252,733	$9,747,334	false	false	Yes (true)	Yes (true)
D	$870,000	$7,000,001	$863,244	$7,000	$863,244	$6,129,757	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	Yes (true)	false	Yes (true)
B	false	false	false	false	false	Yes (true)	false	Yes (true)
C	false	false	false	false	false	Yes (true)	false	Yes (true)
D	false	false	false	false	false	Yes (true)	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	Yes (true)
B	false	false	false	Yes (true)	false	false	false	Yes (true)
C	false	false	false	Yes (true)	false	false	false	Yes (true)
D	false	false	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI	FormAndLineReferenceDesc
Explanation	Part II, Line 3Total Proceeds exceed the issue price due to investment earnings.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
Rusk County Health Facilities Corporation
A	752499136	2009-09-09	$5,831,638	Assumption memorial hospital bonds	false	false	false
Wood County Central Hospi
B	751249184	2011-11-30	$35,018,198	New Hospital Facility	false	false	false	978324AA9

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt
A	$1,779,440	$5,831,638	$5,831,638	Yes (true)	false	Yes (true)	Yes (true)
B		$35,173,533		false	false	Yes (true)	Yes (true)	$3,501,820	$3,044,708	$286,000	$4,124,014	$27,261,699

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	Yes (true)	false	Yes (true)
B	false	false	false	false	false	Yes (true)	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Regions Bank
A	false	false	false	false	Yes (true)	11.7000	false	false	false	false	false
(no name)
B	false	Yes (true)	false	false	false				false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Express Services Inc	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Director	RelationshipDescriptionTxt
Transaction	$379,175	TransactionAmt
Transaction	Contract Labor Servi	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Client Note 1	Client Note 1 - See schedule H for list of subordinate organizations.
Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: East Texas Flight Ambulance dba Air One has 3 air ambulances. OTHER PROGRAM SERVICES 5: ETMC Tyler has a Behavioral Health Center that provides inpatient and outpatient mental health services. OTHER PROGRAM SERVICES 6: The ETMC Rehabilitation Hospital has 49 licensed beds. It provides inpatient and outpatient services including physical, occupational and speech therapies, cardiac and pulmonary rehabilitation. ETMC Rehabilitation also offers preventive and health enhancement services. OTHER PROGRAM SERVICES 7: The ETMC Specialty Hospital is a long-term, acute hospital licensed for 36 beds. The hospital is dedicated to acute care for the medically complex patient. Specialized programs include ventilator care, complex multi-system medical, CVA/stroke, trauma, oncology and wound care. OTHER PROGRAM SERVICES 8: ETMC Home Services provides non-hospital health care services. OTHER PROGRAM SERVICES 9: East Texas Medical Center Regional Healthcare System Self Insurance Trust provides self insurance coverage for the East Texas Medical Center Regional Healthcare System entities. OTHER PROGRAM SERVICES 10: ETMC Foundation supports the System and affiliate hospitals as well as the charitable companies affiliated with the System. This includes providing financial assistance to the System, raising, managing and distributing of charitable funds and gifts, providing educational programs on medical and health matters and providing for the regional development of healthcare and medical treatment of illnesses, physical and mental disabilities.
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	The following members of ETMC Regional Healthcare System are also board members / key employees of entities affiliated with ETMC Regional Healthcare System: Elmer G. Ellis, Byron Hale, B.G. Hartley, Larry Durrett, Stephen Rydzak, M.D., Freddie Sanchez, David Langston, Carroll Roge and Mike Thomas.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	ETMC Regional Healthcare System is the parent and sole member of the ETMC System affiliates and appoints certain members to the board.
Form 990, Part VI, Line 11b: Form 990 Review Process	The return is prepared by our staff accountant and is reviewed by senior management. It is then presented to the board for their review and comments. The final return is provided to the board prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The organization has a written conflict of interest policy for all employees, officers and trustees. Annually all officers, key employees and trustees are required to complete a conflict of interest form disclosing any actual or potential conflict of interest with the organization. Should any transaction arise that may create a conflict, the transaction is reviewed and appropriate measures are taken.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	Compensation for the CEO, executive directors and top management is reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Compensation for other officers and key employees are reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The organization's governing documents, conflict of interest policy and financial statements are provided upon request.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Cash Mgmt-Dividend to Systems = -$4200000
Other Changes In Net Assets Or Fund Balances - Other Increases	Defined Benefit Plan Adjustment = $0
Other Changes In Net Assets Or Fund Balances - Other Decreases	Defined Benefit Plan Adjustment = -$5308428
Other Changes In Net Assets Or Fund Balances - Other Increases	Eliminate Interco Balance = $7962034
Other Changes In Net Assets Or Fund Balances - Other Increases	ETMC Specialty Services Income on Sys books = $0
Other Changes In Net Assets Or Fund Balances - Other Decreases	ETMC Specialty Services Income on Sys books = -$201290
Other Changes In Net Assets Or Fund Balances - Other Decreases	Interco Cast Transfer to Systems = -$1000000
Other Changes In Net Assets Or Fund Balances - Other Increases	Record Affiliates Closing GL Entries = $0
Other Changes In Net Assets Or Fund Balances - Other Decreases	Record AffiliatesClosing GL Entries = -$0
Other Changes In Net Assets Or Fund Balances - Other Decreases	Rounding = -$1
Audited Financial Statements	The organization was included in consolidated, independent audited financial statements for the tax year.
Fundraising Expenses	Fundraising is conducted at the related organization, ETMC Foundation for all ETMC Regional Healthcare System organizations. The expenses are not charged back to the organization.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ETMC Regional Healthcare SystemETMCRHS
1000 S Beckham	Tyler	TX	75701	751803327	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
First Choice Cooperative
1000 S Beckham Avenue	Tyler	TX	75701	752627236	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Tyler
1000 S Beckham Avenue	Tyler	TX	75701	751803325	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	Yes (true)
ETMC - Rehabilitation Hospital
701 Olympic Plaza Circle	Tyler	TX	75701	752599215	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Home Services
1000 S Beckham Avenue	Tyler	TX	75701	752503960	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC Reg Healthcare Sys Self Ins Trust
1000 S Beckham Avenue	Tyler	TX	75701	756345356	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Specialty Hospital
1000 S Beckham Avenue	Tyler	TX	75701	752547158	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Foundation
1000 S Beckham Avenue	Tyler	TX	75701	752695524	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Healthcare Associates
1000 S Beckham Avenue	Tyler	TX	75701	752605821	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Athens
2000 S Palestine	Athens	TX	75751	751854562	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Carthage
409 Cottage Road	Carthage	TX	75633	752735077	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Fairfield
125 Newman Street	Fairfield	TX	75840	752753454	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Henderson
300 Wilson Street	Henderson	TX	75652	264123728	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Jacksonville
501 South Ragsdale	Jacksonville	TX	75766	752715084	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Trinity
PO Box 471	Trinity	TX	75862	752715898	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Pittsburg
414 Quitman Street	Pittsburg	TX	75686	751919624	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Quitman
PO Box 1000	Quitman	TX	75783	752766160	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC Specialty Services
1000 S Beckham Avenue	Tyler	TX	75701	460847937	Health Service	TX	501 (C) (3)	Exempt	ETMCRHS	false
East Texas Flight Ambulance dba Air One
1000 South Beckham Avenue	Tyler	TX	75701	473192208	Health Service	TX	501 (C) (3)	Exempt	ETMCRHS	false
ETMC EMS
1000 South Beckham Avenue	Tyler	TX	75701	811424190	Health Services	TX	501 (C) (3)	Exempt	ETMCRHS	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ETMC Regional Health Services Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 South Beckham Avenue	AddressLine1Txt
City	Tyler	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75701	ZIPCd

Field	Value	IRS element (for citing)
EIN	751925036	EIN
Primary Activities	Health Services	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corp	EntityTypeTxt
Share Of Total Income	$150,615,123	ShareOfTotalIncomeAmt
Share Of EOY Assets	$56,411,293	ShareOfEOYAssetsAmt
Controlled Organization	false	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ETMC Regional Healthcare SystemETMCRHS
k	$15,763,206	FMV
ETMC Regional Healthcare SystemETMCRHS
p	$51,158,939	FMV
ETMC Regional Healthcare SystemETMCRHS
q	$459,736	FMV