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ALLIANCE HEALTH SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ALLIANCE HEALTH SERVICES INC (EIN 62-0841121)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-04
IRS object ID
201702779349301130
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-10-04T13:10:47-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN620841121EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALLIANCE HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlALLIBusinessNameControlTxt
Phone9013808000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16400 SHELBY VIEW DRIVE No 101AddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38134ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTOPHER MCLEANPersonNm
Person TitleCFOPersonTitleTxt
Phone9013808000PhoneNum
Signature2017-10-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmy BibbyPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.25.12.224IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-10-04IPDt
IP Tm13:08:06IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdADBFC64F84809A3D359AE279AE52D225AAF16287AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEUGENE CASHMAN IIIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16400 SHELBY VIEW DRIVE No 101AddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38134ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,278,319GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.METHODISTHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionALLIANCE HEALTH SERVICES, INC. ("AHS") COMPLIES WITH METHODIST LE BONHEUR HEALTHCARE STANDARDS TO PROVIDE SAFE AND EFFECTIVE TREATMENT, INCLUDING THE PERSONNEL, EQUIPMENT, SUPPLIES AND MEDICATIONS TO PATIENTS IN THEIR HOME OR HOSPICE RESIDENCE RATHER THAN THE HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee430TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$524,722PYContributionsGrantsAmt
CY Contributions Grants$600,000CYContributionsGrantsAmt
PY Program Service Revenue$28,087,360PYProgramServiceRevenueAmt
CY Program Service Revenue$30,557,516CYProgramServiceRevenueAmt
PY Investment Income$300PYInvestmentIncomeAmt
CY Investment Income$300CYInvestmentIncomeAmt
PY Other Revenue$127,781PYOtherRevenueAmt
CY Other Revenue$120,503CYOtherRevenueAmt
PY Total Revenue$28,740,163PYTotalRevenueAmt
CY Total Revenue$31,278,319CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,470,969PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,417,510CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,557,409PYOtherExpensesAmt
CY Other Expenses$12,012,465CYOtherExpensesAmt
PY Total Expenses$31,028,378PYTotalExpensesAmt
CY Total Expenses$35,429,975CYTotalExpensesAmt
PY Revenues Less Expenses-$2,288,215PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,151,656CYRevenuesLessExpensesAmt
Total Assets BOY$17,312,110TotalAssetsBOYAmt
Total Assets EOY$17,395,264TotalAssetsEOYAmt
Total Liabilities BOY$2,648,327TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,945,097TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,663,783NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,450,167NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION STATEMENT OF METHODIST LE BONHEUR HEALTHCARE AND ITS RELATED COMPANIES IS THE FOLLOWING: METHODIST LE BONHEUR HEALTHCARE, IN PARTNERSHIP WITH ITS MEDICAL STAFFS, WILL COLLABORATE WITH PATIENTS AND THEIR FAMILIES TO BE THE LEADER IN PROVIDING HIGH QUALITY, COST-EFFECTIVE PATIENT-AND FAMILY-CENTERED CARE. SERVICES WILL BE PROVIDED IN A MANNER WHICH SUPPORTS THE HEALTH MINISTRIES AND SOCIAL PRINCIPLES OF THE UNITED METHODIST CHURCH TO BENEFIT THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$21,835,385ExpenseAmt
Revenue$27,043,388RevenueAmt
DescALLIANCE HEALTH SERVICES IS A SUBSIDIARY OF THE METHODIST LE BONHEUR HEALTHCARE SYSTEM AND DEMONSTRATES COMMUNITY BENEFIT BY PARTICIPATING IN A VARIETY OF ACTIVITIES THROUGHOUT THE YEAR. ALLIANCE HEALTH SERVICES ENCOMPASSES HOME HEALTH, HOME MEDICAL EQUIPMENT, AND HOSPICE.PLEASE SEE OUR EXTENDED STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,549,273ExpenseAmt
Revenue$3,514,128RevenueAmt
DescOUR LARGEST COMMUNITY INITIATIVE IS THE OPERATION OF A HOSPICE RESIDENCE. A FREE-STANDING HOSPICE RESIDENCE WITH 30-BEDS ON SIX ACRES IS PART OF ALLIANCE HEALTH SERVICES, INC. SINCE 1979, METHODIST HOSPICE HAS PROVIDED COMPASSIONATE CARE AND SUPPORT TO INDIVIDUALS AND THEIR FAMILIES WHO ARE FACING LIFE'S FINAL JOURNEY. AS ONE OF THE FIRST HOSPICES IN THE COUNTRY TO RECEIVE MEDICARE CERTIFICATION, METHODIST HOSPICE WORKS TO HELP EASE THE END-OF-LIFE TRANSITION FOR OVER 150 FAMILIES IN THE MID-SOUTH EVERY DAY. WE'VE BUILT A PLACE-- A HOME, SO FULL OF LIGHT, LOVE AND COMPASSION THAT IT SPILLS OUTSIDE AND TOUCHES EVERYTHING THAT SURROUNDS IT. IT IS A PLACE LIKE HOME FOR THOSE WITH A SHORT TIME TO LIVE AND A PLACE FOR FAMILIES AND FRIENDS TO SHARE IN THE LAST DAYS OF A LOVED ONE'S LIFE. OUR RESIDENCE REPRESENTS THE VERY BEST CARE AT THE END OF LIFE--THE VERY BEST OF US AS HUMAN BEINGS. IT IS OUR WORK MADE REAL AND VISIBLE.THERE MAY COME A TIME WHEN THE CARE OF THE PATIENT IS TOO DIFFICULT TO MANAGE IN THE HOME, OR THE PATIENT HAS NO HOME TO GO TO - THAT IS WHERE THE METHODIST HOSPICE RESIDENCE CAN HELP. BUILT TO FUNCTION AS A HOSPITAL, WITH THE LOOK AND FEEL OF A HOME, THE RESIDENCE CAN MEET MOST PATIENTS' NEEDS WHEN CARE IN THE HOME IS NO LONGER POSSIBLE. OUR RESIDENCE INCLUDES THESE UNIQUE FEATURES: - COMFORTS FROM HOME ARE ENCOURAGED: PHOTOS, BEDDING, PERSONAL MEMENTOS, ETC. - BEDS MAY BE WHEELED OUTSIDE TO THE GARDEN - VIEWS OF THE WALKING PATHS AND GARDENS ABOUND FOR THOSE WHO CANNOT GO OUTSIDE - 30 BEDROOMS, FIVE OF WHICH ARE EQUIPPED TO CARE FOR INFANTS AND CHILDREN - PRIVATE BATHS AND COMFORTABLE SURROUNDINGS IN EACH BEDROOM - 24-HOUR OPEN ACCESS FOR FAMILY, FRIENDS AND PETS TO VISITTHE METHODIST HOSPICE RESIDENCE MAKES IT POSSIBLE TO PROVIDE A PLACE WHERE PATIENTS CAN EMBRACE LIFE TO THE FULLEST AND HAVE THE DIGNITY THEY DESERVE DURING THEIR FINAL STAGE OF LIFE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$27,384,658TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document54IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee430EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUE WAUGHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9015160656PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11211 UNION AVENUE SUITE 600AddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38104ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
GARY SHORB
CEO2.0048.00Yes (X)Yes (X)$0$1,915,680$156,695
CHRISTOPHER MCLEAN
TREASURER2.0048.00Yes (X)Yes (X)$0$947,055$194,618
NIKKI POLIS
BOARD MEMBER2.0048.00Yes (X)$0$433,857$90,625
MITCH GRAVES
PRESIDENT2.0048.00Yes (X)Yes (X)$0$499,453$119,711
TOM BRABYN
SECRETARY2.0038.00Yes (X)$0$173,104$32,805
EUGENE CASHMAN III
VP/CEO AFFILIATED SERV40.00Yes (X)$315,190$0$49,485
PETER AZOGINI
PHYSICAL THERAPIST40.00$135,458$0$8,893Yes (X)
REGINA BAPTISTE
DIRECTOR40.00$174,837$0$27,216Yes (X)
CHARLES BRYANT
PHYSICAL THERAPIST40.00$138,312$0$9,158Yes (X)
JACQUELINE LLOYD
CNO40.00$125,517$0$14,869Yes (X)
HELEN SCHLESSINGER
DIRECTOR40.00$125,515$0$21,556Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,014,829TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,969,149TotReportableCompRltdOrgAmt
Total Other Compensation$725,631TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K21IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Enclara Health LLC
PO Box 95000-7220PhiladelphiaPA191957220Pharmacy Services$458,195
Hospital Housekeeping Systems LLC
PO BOX 826AustinTX782930826Cleaning Services$376,025
JAMES W MARTIN MD LLC
PO BOX 407MASONTN380490407PHYSician Services$149,806
KRISTY L BRYAN MD
2799 MARYLAND CIR WMEMPHISTN381334959PHYSician Services$101,409
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$600,000RelatedOrganizationsAmt
Total Contributions$600,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET HOME CARE, HEALTH621610$26,986,852$26,986,852
NET HOSPICE HOUSE623000$3,566,050$3,566,050
RECOVERIES OF BAD DEBTS900099$4,614$4,614
FieldValueIRS element (for citing)
Total Program Service Revenue$30,557,516TotalProgramServiceRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$300OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$300OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$300TotalRevenueColumnAmt
Exclusion$300ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER MISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$120,503TotalRevenueColumnAmt
Exclusion$120,503ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$120,503OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,278,319TotalRevenueColumnAmt
Related Or Exempt Func Income$30,557,516RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$120,803ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$364,675TotalAmt
Management And General$364,675ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,426,693TotalAmt
Program Services$14,326,439ProgramServicesAmt
Management And General$4,100,254ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,208,451TotalAmt
Program Services$921,317ProgramServicesAmt
Management And General$287,134ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,016,542TotalAmt
Program Services$1,537,401ProgramServicesAmt
Management And General$479,141ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,401,149TotalAmt
Program Services$1,068,229ProgramServicesAmt
Management And General$332,920ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,119TotalAmt
Management And General$8,119ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,975,283TotalAmt
Program Services$1,615,880ProgramServicesAmt
Management And General$359,403ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$32TotalAmt
Program Services$32ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,012,868TotalAmt
Program Services$535,768ProgramServicesAmt
Management And General$477,100ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$262,078TotalAmt
Program Services$159,581ProgramServicesAmt
Management And General$102,497ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$610,907TotalAmt
Program Services$332,513ProgramServicesAmt
Management And General$278,394ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$738,678TotalAmt
Program Services$682,301ProgramServicesAmt
Management And General$56,377ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$905,461TotalAmt
Program Services$721,237ProgramServicesAmt
Management And General$184,224ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$117,196TotalAmt
Program Services$31,771ProgramServicesAmt
Management And General$85,425ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL EQUIPMENT$3,994,711$3,994,711
MEDICAL SUPPLIES$1,590,884$1,448,872$142,012
overhead & administrati$767,976$767,976
MISCELLANEOUS EXPENSES$28,272$8,606$19,666

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,429,975TotalAmt
Program Services$27,384,658ProgramServicesAmt
Management And General$8,045,317ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,210BOYAmt
EOY$31,186EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,508,671BOYAmt
EOY$5,742,050EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,880,973BOYAmt
EOY$4,289,735EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$113,084BOYAmt
EOY$148,603EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,380,269LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,196,579LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,792,172BOYAmt
EOY$7,183,690EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,312,110BOYAmt
EOY$17,395,264EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,440,738BOYAmt
EOY$2,543,717EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$207,589BOYAmt
EOY$401,380EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,648,327BOYAmt
EOY$2,945,097EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,663,783BOYAmt
EOY$14,450,167EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,663,783BOYAmt
EOY$14,450,167EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,312,110BOYAmt
EOY$17,395,264EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$4,151,656ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$3,938,040OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$250,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$570,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$550,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$524,722CurrentTaxYearMinus1YearAmt
Current Tax Year$600,000CurrentTaxYearAmt
Total$2,494,722TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,251,879CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,320,089CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,843,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,087,360CurrentTaxYearMinus1YearAmt
Current Tax Year$30,557,516CurrentTaxYearAmt
Total$131,060,444TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,501,879CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,890,089CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,393,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,612,082CurrentTaxYearMinus1YearAmt
Current Tax Year$31,157,516CurrentTaxYearAmt
Total$133,555,166TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$133,555,166PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$7,509CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$36,281CurrentTaxYearMinus3YearsAmt
Total-$43,790TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$7,509CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$36,281CurrentTaxYearMinus3YearsAmt
Total-$43,790TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$68,318CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,178CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$55,255CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$127,781CurrentTaxYearMinus1YearAmt
Current Tax Year$120,503CurrentTaxYearAmt
Total$429,035TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,562,688CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,910,986CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,448,855CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,739,863CurrentTaxYearMinus1YearAmt
Current Tax Year$31,278,019CurrentTaxYearAmt
Total$133,940,411TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99710PublicSupportCY509Pct
Public Support PY5090.99670PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$617,572OtherCostOrOtherBasisAmt
Book Value$617,572BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,875,142OtherCostOrOtherBasisAmt
Depreciation$1,510,493DepreciationAmt
Book Value$3,364,649BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,150,815OtherCostOrOtherBasisAmt
Depreciation$1,102,197DepreciationAmt
Book Value$48,618BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,417,485OtherCostOrOtherBasisAmt
Depreciation$3,444,230DepreciationAmt
Book Value$2,973,255BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$319,255OtherCostOrOtherBasisAmt
Depreciation$139,659DepreciationAmt
Book Value$179,596BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,183,690TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$401,380Amt
FieldValueIRS element (for citing)
Total Liability$401,380TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$35,216,359TotalRevEtcAuditedFinclStmtAmt
Other Revenue$3,938,040OtherRevenueAmt
Revenue Not Reported$3,938,040RevenueNotReportedAmt
Revenue Subtotal$31,278,319RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$31,278,319TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$35,429,975TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$35,429,975ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$35,429,975TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:THE ORGANIZATION CONSOLIDATES ITS AUDIT WITH ITS CORPORATE PARENT AND OTHER SUBSIDIARIES OF THE PARENT. THE FOLLOWING STATEMENT REFLECTS THE FIN 48 FOOTNOTE OF THE CONSOLIDATED GROUP. THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE SYSTEM AND ALL OF THE NONPROFIT AFFILIATES FOR WHICH THE SYSTEM OR ITS BOARD OF DIRECTORS IS CONTROLLING MEMBER ARE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). AS QUALIFIED TAX-EXEMPT ORGANIZATIONS, THE SYSTEM'S NONPROFIT AFFILIATES MUST OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THEIR TAX-EXEMPT STATUS. INCOME TAX FROM THE OPERATIONS OF THE SYSTEM'S WHOLLY OWNED FOR-PROFIT SUBSIDIARY, AMBULATORY OPERATIONS, INC., AND ITS SUBSIDIARIES IS NOT SIGNIFICANT. THE SYSTEM APPLIES FASB ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE HAS BEEN NO IMPACT ON THE SYSTEM'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF TOPIC 740.
Part XI, Line 2d - Other Adjustments:EQUITY TRANSFERS FROM AFFILIATES 3,938,040.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GARY SHORB
CEO$0$984,903$0$765,473$0$165,304$0$141,621$0$15,074$0$2,072,375$0$421,155
CHRISTOPHER MCLEAN
TREASURER$0$618,928$0$237,759$0$90,368$0$179,997$0$14,621$0$1,141,673$0$129,069
NIKKI POLIS
BOARD MEMBER$0$304,451$0$93,216$0$36,190$0$82,836$0$7,789$0$524,482$0$45,914
MITCH GRAVES
PRESIDENT$0$328,005$0$116,142$0$55,306$0$105,926$0$13,785$0$619,164$0$56,185
TOM BRABYN
SECRETARY$0$159,666$0$13,438$0$0$0$20,345$0$12,460$0$205,909$0$0
EUGENE CASHMAN III
VP/CEO AFFILIATED SERV$246,851$0$63,801$0$4,538$0$30,322$0$19,163$0$364,675$0$0$0
REGINA BAPTISTE
DIRECTOR$154,028$0$14,624$0$6,185$0$22,300$0$4,916$0$202,053$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3THE BOARD OF METHODIST LE BONHEUR HEALTHCARE, A RELATED ORGANIZATION AND CORPORATE OVERSIGHT ENTITY, CONDUCTS THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR ITS OFFICERS AND KEY EMPLOYEES: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION STUDY / SURVEY - APPROVAL BY THE BOARD / COMPENSATION COMMITTEE
Part I, Lines 4a-bTHE PURPOSE OF THE METHODIST LE BONHEUR HEALTHCARE CONSOLIDATED EXECUTIVE DEFERRED COMPENSATION PLAN IS TO PROVIDE RETIREMENT BENEFITS FOR CERTAIN EXECUTIVE LEVEL EMPLOYEES IN ADDITION TO THE BENEFITS PROVIDED THROUGH THE OTHER RETIREMENT PLANS THAT ARE SPONSORED BY THE COMPANY. IT IS INTENDED THAT THIS PLAN COMPLY WITH INTERNAL REVENUE CODE SECTION 457(F) AND QUALIFY FOR THE SHORT TERM DEFERRAL EXCEPTION TO CODE SECTION 409A. UNDER THE PLAN, CORPORATE EXECUTIVES AT OR ABOVE THE VICE PRESIDENT LEVEL ARE ELIGIBLE TO RECEIVE EXECUTIVE DEFERRED COMPENSATION CREDITS DEPENDING ON THEIR POSITION CLASSIFICATION [6%,8%,10%,12% OF BASE SALARY]. EACH PLAN YEAR, THE EXECUTIVE MUST ELECT A DEFERRED VESTING DATE TO BE APPLIED TO THE DEFERRED COMPENSATION CREDIT THAT WILL BE EARNED IN THAT PLAN YEAR. THE DEFERRED VESTING DATE IS SUBJECT TO A VESTING SCHEDULE THAT REQUIRES A MINIMUM DEFERRAL OF 5 YEARS TO BECOME VESTED. UPON REACHING AGE 55, THE MINIMUM DEFERRAL IS REDUCED TO 3 YRS. UPON REACHING AGE 60, THE MINIMUM DEFERRAL IS REDUCED TO 2 YRS. AT AGE 64, A CASH EQUIVALENT IS PROVIDED TO THE EXECUTIVE AND NO ADDITIONAL DEFERRALS ARE MADE UNDER THIS PLAN. THE PLAN IS UNFUNDED WITH ALL BENEFITS PAID FROM THE COMPANY'S GENERAL ASSETS. HOWEVER, THE EXECUTIVE IS ALLOWED TO DIRECT THE INVESTMENTS OF HIS DEFERRED COMPENSATION CREDIT IN A MENU OF INVESTMENT ALTERNATIVES MADE AVAILABLE BY THE COMPANY. UPON VESTING, A DISTRIBUTION IS PROVIDED LESS APPLICABLE TAX. IN THE CASE OF A VOLUNTARY TERMINATION OF EMPLOYMENT BY THE EXECUTIVE OR INVOLUNTARY TERMINATION OF EMPLOYMENT FOR CAUSE BY THE COMPANY, THE NON-VESTED FUNDS ARE FORFEITED. ACCELERATED VESTING (100%) IS ALLOWED UPON DEATH, DISABILITY OR AN INVOLUNTARY TERMINATION BY THE COMPANY WITHOUT CAUSE. ALLOCATIONS TO THE 457(F) PLAN FOR THE YEAR INCLUDE THE FOLLOWING: EUGENE CASHMAN III - $ 15,161 CHRISTOPHER MCLEAN - $ 74,991 NIKKI POLIS - 39,351 ALLOCATIONS TO THE SERP PLAN FOR THE YEAR INCLUDE THE FOLLOWING: CHRISTOPHER MCLEAN - $ 25,991 THE FOLLOWING INDIVIDUALS RECEIVED 457(F) PAYOUTS. THIS AMOUNT REPRESENTS THE FULLY VESTED PORTION PURSUANT TO THE 457(F) PLAN. THIS AMOUNT WAS REFLECTED IN COLUMN (C) ON THE PRIOR YEARS FORM 990 AS REQUIRED. PAYOUTS FROM THE PLAN FROM FOR THE YEAR: CHRISTOPHER MCLEAN - $ 80,657 NIKKI POLIS - 29,308 IN ADDITION, GARY SHORB RECEIVED AN EXECUTIVE RETIREMENT LUMP SUM PAYOUT. ONCE AN EXECUTIVE REACHES THE AGE OF 64 THEN THEY ARE NO LONGER ELIGIBLE TO PARTICIPATE IN THE 457(F) PLAN. A LUMP SUM IS PAID ANNUALLY ON THE LAST PAY PERIOD OF THE YEAR, EQUIVALENT TO THE CONTRIBUTION THAT WOULD HAVE BEEN MADE TO THE 457(F) PLAN. THIS AMOUNT REPRESENTS THE FULLY VESTED PORTION PURSUANT TO THE 457(F) PLAN. THIS AMOUNT WAS REFLECTED IN COLUMN (C) ON THE PRIOR YEAR'S FORM 990 AS REQUIRED. PAYOUTS FROM THE EXECUTIVE RETIREMENT PLAN FOR THE YEAR: GARY SHORB - $ 118,636 THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT THIS YEAR: HELEN SCHLESSINGER $37,446
Part I, Line 7THE MANAGEMENT INCENTIVE PLAN INTENDS TO REWARD MANAGEMENT FOR THE ACHIEVEMENT OF PERFORMANCE AGAINST A PRE-ESTABLISHED SET OF BALANCED AND CHALLENGING GOALS. THE PLAN ALSO INCLUDES A PROVISION THAT DEFERS VESTING OF A PORTION OF THE AWARD SUBJECT TO CONTINUED EMPLOYMENT (WITH A SUBSTANTIAL RISK OF FORFEITURE) TO ENCOURAGE RETENTION OF EXECUTIVES. AT THE AGE OF 64 AND HAVING 5 YEARS' SERVICE, ALL UNVESTED DEFERRALS WILL VEST AND BE PAID AS SOON AS ADMINISTRATIVELY FEASIBLE IN THE CALENDAR YEAR OF THE VESTING EVENT. THIS PLAN IS REVIEWED BY AN EXTERNAL THIRD-PARTY CONSULTANT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aTHE ORGANIZATION HOSTS AN ANNUAL HOSPICE CELEBRATION OF LIFE, A SPECIAL SERVICE TO REMEMBER LOVED ONES WHO WERE IN OUR HOSPICE PROGRAM AND PASSED AWAY. CAMP BRAVEHEARTS, A FREE FAMILY GRIEF CAMP, IS OFFERED ANNUALLY TO HELP CHILDREN AND THEIR FAMILIES WHO HAVE LOST A LOVED ONE UNDERSTAND AND PROCESS GRIEF. THROUGH GAMES, MUSIC, AND ART, TRAINED PROFESSIONALS AND VOLUNTEERS HELP PARTICIPANTS EXPLORE THEIR EMOTIONS, THOUGHTS, AND QUESTIONS INVOLVING GRIEF AND WALK BESIDE THEM AS THEY TAKE THEIR FIRST STEPS IN THE HEALING PROCESS. ADDITIONALLY, ALLIANCE STAFF PARTICIPATED IN NUMEROUS HEALTH FAIRS THROUGHOUT THE COMMUNITY: UNIVERSITY PLACE, LEWIS SENIOR CITIZENS' CENTER, METHODIST SOUTH HOSPITAL, METHODIST NORTH HOSPITAL, IMPACT BAPTIST CHURCH, LUTHERAN VILLAGE, JEWISH COMMUNITY CENTER, HORSESHOE CASINO, ROADHOUSE CASINO, GRAINGER, FUTURE ELECTRONICS, HOLLYWOOD CASINO, NIKE, FEDEX RETIREES, AND TATE COUNTY. SPEAKERS WERE PROVIDED TO A VARIETY OF CHURCHES AND SPECIAL PROGRAMS THROUGHOUT THE COMMUNITY, AS WELL AS A SLEEP DISORDER PROGRAM AND A HOSPICE SERIES ON THE LOCAL LIBRARY'S TELEVISION CHANNEL.
Form 990, Part VI, Section A, line 6ALLIANCE HEALTH SERVICES, INC. IS A SUBSIDIARY OF METHODIST LE BONHEUR HEALTHCARE (MLH, 58-1454711),THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Section A, line 7aAS THE SOLE MEMBER OF THE ORGANIZATION, METHODIST LE BONHEUR HEALTHCARE ELECTS ALL MEMBERS OF THE GOVERNING BODY FOR ALLIANCE HEALTH SERVICES, INC.
Form 990, Part VI, Section A, line 7bTHE MEMBER SHALL, FROM TIME TO TIME, ADOPT AND PROMULGATE SUCH AMENDMENTS, AS IT SHALL DEEM APPROPRIATE TO THE BYLAWS AND TO THE GENERAL POLICIES AND GUIDELINES OF THE CORPORATION, ALL OF WHICH SHALL BE CONSISTENT WITH THE PURPOSES OF THE CORPORATION. UPON REQUEST BY THE BOARD OF DIRECTORS AND AT SUCH OTHER TIMES AS THE MEMBER MAY SELECT, THE MEMBER SHALL REVIEW THE AFFAIRS OF THE CORPORATION AND TAKE SUCH ACTION AS IT MAY DEEM APPROPRIATE IN ACCORDANCE WITH THE BYLAWS. THE FOLLOWING ITEMS, AFTER BEING REVIEWED AND ADOPTED BY THE BOARD OF DIRECTORS, SHALL BE SUBMITTED TO THE MEMBER FOR APPROVAL: - IN THE LAST MONTH OF EACH FISCAL YEAR, A LONG RANGE PLAN, ONE (1) YEAR CAPITAL IMPROVEMENT PLAN, AND A ONE (1) YEAR OPERATING BUDGET OF THE CORPORATION'S ENSUING FISCAL YEAR, AND, THEREAFTER, ANY ACTION WHICH WILL RESULT IN A SUBSTANTIAL CHANGE IN THE EXPENDITURES OR REVENUE FORECAST IN ANY SUCH PLANS OR BUDGETS; - ANY CREATION, OR SUBSTANTIVE AMENDMENT OR A CONTRACT, LEASE OR OTHER AGREEMENT OF WHICH THE CORPORATION IS A PARTY WHICH INVOLVES AN OBLIGATION, OR A POTENTIAL OBLIGATION, ON THE PART OF THE CORPORATION IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000), UNLESS SUCH TRANSACTION HAS BEEN PREVIOUSLY APPROVED WITHIN THE CAPITAL OR OPERATING BUDGETS; - ANY SALE, EXCHANGE, GIFT, MORTGAGE, OPTION, LEASE WITH A TERM IN EXCESS OF ONE YEAR, OR OTHER DISPOSITION OF ANY REAL PROPERTY (INCLUDING IMPROVEMENTS THEREON) OR INTEREST THEREIN OWNED BY THE CORPORATION, OR ANY OTHER ASSET OR ASSETS OWNED BY THE CORPORATION WITH A VALUE IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000) EXCEPT WITH RESPECT TO TRANSACTIONS SPECIFIED AND PREVIOUSLY APPROVED WITHIN THE CAPITAL OR OPERATING BUDGETS; - ANY APPLICATION FOR A GOVERNMENT GRANT; - ANY AMENDMENT OR RESTATEMENT OF THE CORPORATE CHARTER OR ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; - ANY INDEMNIFICATION OF PERSONS BY THE CORPORATION EXCEPT AS SPECIFIED IN THE BYLAWS; - ANY ACTION OR INACTION AT VARIANCE WITH THE STATED POLICIES OF THE CORPORATION WHICH POLICIES HAVE BEEN APPROVED BY THE MEMBER; AND - ANY OTHER MATTERS AS MAY BE REQUIRED BY LAW TO BE SUBMITTED TO THE MEMBER OF A NOT-FOR-PROFIT CORPORATION.
Form 990, Part VI, Section B, line 11bTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH INPUT FROM HUMAN RESOURCES, LEGAL, COMPLIANCE, AND FINANCE DEPARTMENTS AND EXTERNAL FINANCIAL CONSULTANTS. FINANCIAL INFORMATION IS RECONCILED TO AUDITED FINANCIAL STATEMENTS AS APPROPRIATE. THE INFORMATION TO BE DISCLOSED REGARDING COMPENSATION IS REVIEWED WITH THE COMPENSATION COMMITTEE OF THE BOARD. THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER OF MLH AND MANAGEMENT OF THE ORGANIZATION AS APPROPRIATE. A COPY OF THE RETURN IS PROVIDED TO EACH BOARD MEMBER VIA E-MAIL PRIOR TO FILING THE RETURN.
Form 990, Part VI, Section B, line 12cMETHODIST LE BONEHUR HEALTHCARE, THE PARENT ORGANIZATION, EMPLOYS A COMPLIANCE OFFICER WHO MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY FOR ALL VOTING BOARD MEMBERS AND APPLICABLE OFFICERS.
Form 990, Part VI, Section B, line 15COMPENSATION FOR OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY THE BOARD OF DIRECTORS OF METHODIST LE BONHEUR HEALTHCARE, THE PARENT ORGANIZATION. AN EXTERNAL INDEPENDENT CONSULTANT ADVISES THE BOARD COMPENSATION COMMITTEE ON EXECUTIVE SALARY AND INCENTIVE COMPENSATION. BENEFITS ARE PERIODICALLY BENCHMARKED BY A SEPARATE EXTERNAL CONSULTANT AND ANY CHANGES ARE APPROVED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS AND IS A SUBGROUP OF THE FULL BOARD OF DIRECTORS. THE COMPENSATION CONSULTANT ANNUALLY DEVELOPS TOTAL CASH COMPENSATION COMPARISONS OF PEER NON-PROFIT SYSTEMS ESTABLISHED BY THE COMPENSATION COMMITTEE. THE COMPENSATION CONSULTANT INTERPRETS THE INFORMATION AND PROVIDES AN OPINION OF REASONABLENESS ON THE TOTAL CASH COMPENSATION PACKAGE. THE COMPENSATION COMMITTEE APPROVES ANY CHANGES TO THE COMPENSATION AND EXECUTIVE BENEFIT STRUCTURE OF THE CEO AND OTHER TOP EXECUTIVES, OTHERWISE KNOWN AS DISQUALIFIED CANDIDATES. ALL OTHER COMPENSATION DECISIONS ARE DETERMINED BY ARRANGEMENT AS DELEGATED BY THE BOARD OF DIRECTORS. THE COMMITTEE DOCUMENTS ALL DETERMINATIONS.
Form 990, Part VI, Section C, line 18PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT OUR WEBSITE IN THE "ABOUT US" SECTION.
Form 990, Part VI, Section C, line 19THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED IN A CONSOLIDATION WITH ITS CORPORATE PARENT, METHODIST LE BONHEUR HEALTHCARE, AND RELATED SUBSIDIARIES. INFORMATION ON FINANCIAL STATEMENTS IS AVAILABLE BY CONTACTING THE ORGANIZATION'S CORPORATE OFFICE. PLEASE SEE FORM 990, PART VI, LINE 20 FOR DETAILS. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS FOR ALL AFFILIATES OF METHODIST LE BONHEUR HEALTHCARE ARE ALSO AVAILABLE BY REQUEST.
PART VI, SECTION A, LINE 1B: INDEPENDENCE OF BOARD:ALLIANCE HEALTH SERVICES IS A SUBSIDIARY OF METHODIST LE BONHEUR HEALTHCARE (MLH, 58-1454711), WHICH SERVES AS THE MEMBER OF THE ORGANIZATION. THE BOARD OF ALLIANCE HEALTH SERVICES FAILS TO MEET THE DEFINITION OF INDEPENDENCE FOR THE PURPOSE OF THE FORM 990 DUE TO THE FACT THAT ALL OF THE DIRECTORS ARE COMPENSATED BY MLH. THE BOARD OF MLH HAS A MAJORITY OF INDEPENDENT DIRECTORS AND THROUGH ITS MEMBERSHIP HAS A CONSIDERABLE OVERLAP OF CONTROL WITH ALLIANCE HEALTH SERVICES AND ITS OTHER SUBSIDIARIES.
Form 990, Part XI, line 9:EQUITY TRANSFER FROM AFFILIATE 3,938,040.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
METHODIST LE BONHEUR HEALTHCARE
1211 UNION AVENUE SUITE 700MEMPHISTN38104581454711SUPPORTING ORGANIZATIONTN501(c)(3)Line 12b, IIN/A0
METHODIST HEALTHCARE - MEMPHIS HOSPITALS
1265 UNION AVENUEMEMPHISTN38104620479367HOSPITALSTN501(c)(3)Line 30METHODIST LE BONHEUR HEALTHCARE
METHODIST HEALTHCARE-FAYETTE HOSPITAL
214 LAKEVIEW DRIVESOMERVILLETN38068620862334HOSPITALTN501(c)(3)Line 30METHODIST LE BONHEUR HEALTHCARE
METHODIST EXTENDED CARE HOSPITAL INC
225 SOUTH CLAYBROOKMEMPHISTN38104621518342HOSPITALTN501(c)(3)Line 30METHODIST LE BONHEUR HEALTHCARE
METHODIST HEALTHCARE PRIMARY CARE ASSOCIATES
1211 UNION AVENUE SUITE 657MEMPHISTN38104582078931PHYSICIAN PRACTICESTN501(c)(3)Line 100METHODIST LE BONHEUR HEALTHCARE
METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES
6400 SHELBY VIEW SUITE 101MEMPHISTN38134621403517OUTPATIENT HEALTHCARETN501(c)(3)Line 100METHODIST LE BONHEUR HEALTHCARE
METHODIST HEALTHCARE FOUNDATION
1211 UNION AVENUE SUITE 450MEMPHISTN38104237320638FOUNDATIONTN501(c)(3)Line 12a, I0METHODIST LE BONHEUR HEALTHCARE
LE BONHEUR CHILDREN'S HOSPITAL FOUNDATION
850 POPLAR AVENUE BLDG 2MEMPHISTN38105621872938FOUNDATIONTN501(c)(3)Line 12a, I0METHODIST LE BONHEUR HEALTHCARE
LE BONHEUR COMMUNITY HEALTH AND WELL-BEING
50 PEABODY PLACEMEMPHISTN38103621251288FOUNDATIONTN501(c)(3)Line 70LE BONHEUR CHILDREN'S FOUNDATION
METHODIST HEALTHCARE-JONESBORO HOSPITAL
1211 UNION AVENUE SUITE 657MEMPHISTN38104710499625INACTIVE HOSPITALTN501(c)(3)Line 30METHODIST LE BONHEUR HEALTHCARE
METHODIST HEALTHCARE-DYERSBURG HOSPITAL
1211 UNION AVENUE SUITE 657MEMPHISTN38104621155084INACTIVE HOSPITALTN501(c)(3)Line 30METHODIST LE BONHEUR HEALTHCARE
METHODIST HEALTHCARE CENTRAL MS MEDICAL ASSOCIATES
1211 UNION AVENUE SUITE 657MEMPHISTN38104640884720PHYSICIAN PRACTICESTN501(c)(3)Line 30METHODIST LE BONHEUR HEALTHCARE
METHODIST HEALTHCARE-JACKSON HOSPITAL
1211 UNION AVENUE SUITE 657MEMPHISTN38104640794199INACTIVE HOSPITALTN501(c)(3)Line 30METHODIST LE BONHEUR HEALTHCARE
METHODIST HEALTHCARE-MIDDLE MISSISSIPPI HOSPITAL
1211 UNION AVENUE SUITE 657MEMPHISTN38104640698911INACTIVE HOSPITALTN501(c)(3)Line 30METHODIST LE BONHEUR HEALTHCARE
METHODIST HEALTHCARE-OLIVE BRANCH HOSPITAL
1211 UNION AVENUE SUITE 700MEMPHISTN38104640889822hOSPITALMS501(c)(3)Line 30METHODIST LE BONHEUR HEALTHCARE

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
NORTH SURGERY CENTER LP
3960 NEW COVINGTON PIKEMEMPHISTN38128621685756SURGERY CENTERTNN/A
METHODIST SURGERY CENTER-GERMANTOWN LP
1363 S GERMANTOWN ROADGERMANTOWNTN38138621659904SURGERY CENTERTNN/A
HAMILTON EYE INSTITUTE SURGERY CENTER LP
930 MADISON AVE 3RD FLOORMEMPHISTN38103202873438SURGERY CENTERTNN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
AMBULATORY OPERATIONS INC
1211 UNION AVENUE SUITE 600MEMPHISTN38104621157166MEDICAL AND MANAGEMENT SERVICESTNN/AC0
SOLUS MANAGEMENT SERVICES INC
6400 SHELBY VIEW SUITE 1010MEMPHISTN38134621361349HEALTH SERVICES MANAGEMENTTNN/AC0
MEMPHIS PROFESSIONAL BUILDING INC
1211 UNION AVENUE SUITE 600MEMPHISTN38104621847544INVESTMENTSTNN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd