SERVICE ORGANIZATION OF WEST TEXAS: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SERVICE ORGANIZATION OF WEST TEXAS (EIN 38-3755079)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-04
- IRS object ID
- 201732169349301163
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-04T16:10:46-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 752570395 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DURBIN & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2950 50TH STREET | AddressLine1Txt |
| City | LUBBOCK | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79413 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383755079 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SERVICE ORGANIZATION OF WEST TEXAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SERV | BusinessNameControlTxt |
| Phone | 8067760606 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2950 50TH STREET | AddressLine1Txt |
| City | LUBBOCK | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79413 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | J BRANDON DURBIN | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 8067760606 | PhoneNum |
| Signature | 2017-08-04 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GAYLE DE HAAS | PreparerPersonNm |
| PTIN | P01774581 | PTIN |
| Phone | 8067911591 | PhoneNum |
| Preparation | 2017-08-04 | PreparationDt |
| 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) |
|---|---|---|
| Principal Officer | LARRY MULLINS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 N MAIN | AddressLine1Txt |
| City | LOCKNEY | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79241 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $52,994,745 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | TO ASSIST IN THE FINANCING OF HEALTH CARE TO THE PUBLIC, PRIMARILY IN UNDERSERVED RURAL AREAS BY CONTRACTING WITH DIFFERENT MEDICAL PROVIDERS TO PROVIDE THEIR SERVICES TO THESE UNDERSERVED COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $43,362,921 | PYContributionsGrantsAmt |
| CY Contributions Grants | $52,992,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $787 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,745 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $43,363,708 | PYTotalRevenueAmt |
| CY Total Revenue | $52,994,745 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $46,998,290 | PYOtherExpensesAmt |
| CY Other Expenses | $54,266,639 | CYOtherExpensesAmt |
| PY Total Expenses | $46,998,290 | PYTotalExpensesAmt |
| CY Total Expenses | $54,266,639 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,634,582 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,271,894 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,842,112 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,570,218 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,842,112 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,570,218 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO ASSIST IN THE FINANCING OF HEALTH CARE TO THE PUBLIC, PRIMARILY, IN UNDERSERVED RURAL AREAS BY CONTRACTING WITH DIFFERENT MEDICAL PROVIDERS TO PROVIDE THEIR SERVICES TO THESE UNDERSERVED COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $54,266,639 | ExpenseAmt |
| Desc | INDIGENT CARE SUPPORT SERVICES FOR THE WEST TEXAS AREA. | Desc |
| Total Program Service Expenses | $54,266,639 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 106 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE HOLLERS | PersonNm |
| Phone | 8067911591 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2950 50TH STREET | AddressLine1Txt |
| City | LUBBOCK | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79413 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|
| LARRY MULLINS | |||||
| PRESIDENT/CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 |
| STEVE BECK | |||||
| VICE PRESIDENT/VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 |
| LETHA STOKES | |||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 |
| JOHN EVERETT | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| SUANN PARRISH | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| JOHN HENDERSON | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| RYAN BARNARD | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| LINDA RAZOR | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| DEBBIE MILLER | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| GAYLA QUILLIN | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| LEROY SCHAFFNER | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| GENE SCHULER | |||||
| DIRECTOR (FORMER) | 1.00 | Yes (X) | $0 | $0 | $0 |
| JONATHAN BAILEY | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| CINDY KLEIN | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| JEFF TURNER | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| MIKE CLICK | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| CHRISTY FRANCIS | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| JEFF BARNHART | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| CANDY POWELL | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| BETSY BRISCOE | |||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DISCOVERY MEDICAL NETWORK | |||||
| 2950 50TH STREET | LUBBOCK | TX | 79413 | STAFFING | $15,152,091 |
| COVENANT MEDICAL GROUP | |||||
| 3420 22ND PLACE | LUBBOCK | TX | 79410 | MEDICAL SERVICES | $3,615,922 |
| CONCORD MEDICAL GROUP | |||||
| 3004 50TH STREET SUITE D | LUBBOCK | TX | 79413 | MEDICAL SERVICES | $2,740,726 |
| TEXAS EMERGENCY ROOM SERVICES | |||||
| 7032 COLLECTION CENTER DR | CHICAGO | IL | 60693 | MEDICAL SERVICES | $1,777,830 |
| EMERGENCY STAFFING | |||||
| 17304 PRESTON ROAD SUITE 1400 | DALLAS | TX | 75252 | STAFFING | $1,643,050 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 65 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $52,992,000 | AllOtherContributionsAmt |
| Total Contributions | $52,992,000 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,745 | TotalRevenueColumnAmt |
| Exclusion | $2,745 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,994,745 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,745 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,261,904 | TotalAmt |
| Program Services | $54,261,904 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60 | TotalAmt |
| Program Services | $60 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,675 | TotalAmt |
| Program Services | $4,675 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,266,639 | TotalAmt |
| Program Services | $54,266,639 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,842,112 | BOYAmt |
| EOY | $1,570,218 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,842,112 | BOYAmt |
| EOY | $1,570,218 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,842,112 | BOYAmt |
| EOY | $1,570,218 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,842,112 | BOYAmt |
| EOY | $1,570,218 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,842,112 | BOYAmt |
| EOY | $1,570,218 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,271,894 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 18 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (18 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| LOCKNEY MEMORIAL HOSPITAL DISTRICT DBA MANGOLD MEMORIAL HOSPITAL | ||||
| 751424965 | 3 | 0 | $1,232,697 | $0 |
| MEDICAL ARTS HOSPITAL DBA DAWSON COUNTY HOSPITAL DISTRICT | ||||
| 432080293 | 3 | 0 | $4,446,790 | $0 |
| SCURRY COUNTY HOSPITAL DBA COGDELL MEMORIAL HOSPITAL | ||||
| 752403687 | 3 | 0 | $2,419,087 | $0 |
| YOAKUM COUNTY HOSPITAL | ||||
| 756001212 | 3 | 0 | $2,309,447 | $0 |
| CHILDRESS HOSPITAL DISTRICT DBA CHILDRESS REGIONAL MEDICAL | ||||
| 751228349 | 3 | 0 | $2,309,225 | $0 |
| SWISHER COUNTY HOSPITAL DISTRICT | ||||
| 756002556 | 3 | 0 | $2,337,443 | $0 |
| CASTRO COUNTY HOSPITAL DISTRICT DBA PLAINS MEMORIAL | ||||
| 756003939 | 3 | 0 | $1,680,274 | $0 |
| CROSBYTON COUNTY HOSPITAL DISTRICT | ||||
| 861165977 | 3 | 0 | $1,020,000 | $0 |
| PARMER MEDICAL CENTER | ||||
| 750703337 | 3 | 0 | $375,000 | $0 |
| DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT | ||||
| 751702162 | 3 | 0 | $3,764,475 | $0 |
| DEAF SMITH COUNTY HOSPITAL DISTRICT | ||||
| 756001297 | 3 | 0 | $3,738,132 | $0 |
| HANSFORD COUNTY HOSPITAL DISTRICT | ||||
| 237297190 | 3 | 0 | $1,549,975 | $0 |
| LAMB COUNTY HOSPITAL DBA LAMB HEALTHCARE | ||||
| 752388515 | 3 | 0 | $1,415,243 | $0 |
| MOORE COUNTY HOSPITAL DISTRICT | ||||
| 751302152 | 3 | 0 | $3,439,694 | $0 |
| BROWNFIELD REGIONAL MEDICAL CENTER | ||||
| 751227032 | 3 | 0 | $1,622,406 | $0 |
| HEMPHILL COUNTY HOSPITAL DISTRICT | ||||
| 756002888 | 3 | 0 | $1,417,926 | $0 |
| SEMINOLE HOSPITAL DISTRICT | ||||
| 751362671 | 3 | 0 | $1,147,776 | $0 |
| LUBBOCK COUNTY HOSPITAL DISTRICT | ||||
| 751301362 | 3 | 0 | $16,755,000 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 18 | SupportedOrganizationsTotalCnt |
| Support Sum | $52,980,590 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | 0 | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE BYLAWS DESIGNATE SUPPORTED ORGANIZATIONS AS PUBLIC HOSPITALS, HOSPITAL DISTRICTS OR OTHER GOVERNMENTAL POLITICAL SUBDIVISIONS OF THE STATE OF TEXAS DESCRIBED IN IRC SECTION 170(C). | ExplanationTxt |
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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION CONSISTS OF ONE CLASS OF MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS ARE ELECTED AS A RESULT OF FINDING OTHER PUBLICLY SUPPORTED HOSPITALS OR PUBLIC ENTITIES DOMICILED IN THE STATE OF TEXAS WHO DESIRE TO AFFILIATE WITH EACH OTHER IN ORDER TO IMPROVE HEALTH CARE DELIVERY IN THEIR RESPECTIVE COMMUNITIES. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE GOVERNING BODY CONSISTS ENTIRELY OF DIRECTORS/MEMBERS AND AS SUCH ALL DECISIONS OF THE GOVERNING BODY ARE THEREBY CONTEMPORANEOUSLY APPROVED BY THE MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE GOVERNING BODY REVIEWS THE FORM 990 AT THE MEETING FOLLOWING THE COMPLETION OF THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER TO ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B) HAS READ AND UNDERSTANDS THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY, AND D) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION, THE ORGANIZATION CONDUCTS PERIODIC REVIEWS. |
| FORM 990, PART VI, SECTION C, LINE 19 | EXCEPT AS PROVIDED FOR IN ITS FORM 1023 AND FORM 990S, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY NOR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 2,126,449. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,126,449. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 506,639. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 506,639. PHYSICIAN SUPPORT: PROGRAM SERVICE EXPENSES 49,203,868. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,203,868. ULTRASOUND SERVICES: PROGRAM SERVICE EXPENSES 76,245. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,245. DIAGNOSTIC SERVICES: PROGRAM SERVICE EXPENSES 124,670. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,670. PHYSICAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 942,719. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 942,719. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,281,314. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,281,314. |