ST MARKS MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: ST MARKS MEDICAL CENTER (EIN 74-3019849)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-13
IRS object ID: 201611349349302626
Schema version: 2014v6.0
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 J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-13T10:19:39-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2323 VICTORY AVENUE SUITE 2000	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	743019849	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Mark's Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% RICK MONTOLONGO	InCareOfNm
Business Name Control	STMA	BusinessNameControlTxt
Phone	9792422200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE ST MARKS PLACE	AddressLine1Txt
City	LA GRANGE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	789452040	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICK MONTOLONGO	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	9792422200	PhoneNum
Signature	2016-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Stephanie Lew	PreparerPersonNm
PTIN	P01080011	PTIN
Phone	2149698000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Rick Montolongo	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One St Marks Place	AddressLine1Txt
City	La Grange	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78945	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$35,056,523	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.smmctx.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2001	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	To provide quality, compassionate health care and promote wellness for our community through modern technology and caring professionals.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	317	TotalEmployeeCnt
Total Volunteers	50	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$338,996	PYContributionsGrantsAmt
CY Contributions Grants	$45,680	CYContributionsGrantsAmt
PY Program Service Revenue	$29,108,660	PYProgramServiceRevenueAmt
CY Program Service Revenue	$33,755,639	CYProgramServiceRevenueAmt
PY Investment Income	$11,186	PYInvestmentIncomeAmt
CY Investment Income	$17,274	CYInvestmentIncomeAmt
PY Other Revenue	$2,655,520	PYOtherRevenueAmt
CY Other Revenue	$1,095,660	CYOtherRevenueAmt
PY Total Revenue	$32,114,362	PYTotalRevenueAmt
CY Total Revenue	$34,914,253	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	$11,780,343	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$14,256,717	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$18,880,796	PYOtherExpensesAmt
CY Other Expenses	$19,470,251	CYOtherExpensesAmt
PY Total Expenses	$30,661,139	PYTotalExpensesAmt
CY Total Expenses	$33,726,968	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,453,223	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,187,285	CYRevenuesLessExpensesAmt
Total Assets BOY	$37,819,662	TotalAssetsBOYAmt
Total Assets EOY	$36,694,399	TotalAssetsEOYAmt
Total Liabilities BOY	$27,905,119	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$25,592,568	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$9,914,543	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$11,101,831	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To provide quality, compassionate health care and promote wellness for our community through modern technology and caring professionals.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$31,236,918	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$34,414,914	RevenueAmt
Desc	ST. MARK'S MEDICAL CENTER (SMMC) IS A COMMUNITY HEALTH PROVIDER THAT SERVES THE COMMUNITY REGARDLESS OF ANY INDIVIDUAL'S RACE, CREED, NATIONALITY, OR ABILITY TO PAY FOR SERVICES INCLUDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE IN SUPPORT OF THE HOSPITAL'S HEALTHCARE MISSION. DURING THE YEAR ENDED JUNE 30, 2015, WE HAD 2,020 ADMISSIONS, 7,112 PATIENT DAYS, 10,643 ER VISITS, 502 INPATIENT SURGERIES AND 958 OUTPATIENT SURGERIES. SMMC UTILIZES THE MOST ADVANCED TECHNOLOGIES RIVALING THOSE OF MAJOR CITIES IN A COMFORTABLE ENVIRONMENT CLOSE TO HOME. WE OFFER INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES WITH COMPASSIONATE CARE, FOCUSING ON RESPECT AND CARE FOR THE WHOLE PERSON. SMMC ISN'T JUST CONVENIENT; IT'S A PLACE FOR ADVANCED MEDICAL CARE THAT JUST HAPPENS TO BE CLOSE TO HOME. ST. MARK'S HAS THE EXPERTISE AND RESOURCES FOR YOU AND YOUR FAMILY. WORKING TOGETHER, OUR GOAL IS TO PROVIDE MEMBERS OF THE COMMUNITY WITH "ADVANCED HOMETOWN HEALTHCARE." ST. MARK'S IS A HOSPITAL DESIGNED TO CHANGE THE WAY YOU THINK ABOUT HOSPITALS. FROM ADVANCED TECHNOLOGIES THAT RIVAL THOSE OF MAJOR METROPOLITAN INSTITUTIONS, TO A LEVEL OF SERVICE SURPASSING THAT OF ANY HOSPITAL ANYWHERE, WE ARE MAKING "ADVANCED HOMETOWN HEALTHCARE" THE CENTER OF EVERYTHING WE DO. OUR GUIDING PRINCIPLES FOCUS ON RESPECT AND CARE FOR THE WHOLE PERSON, WITH OUR BELIEFS CENTERED ON THE GOLDEN RULE AS THE STANDARD BY WHICH WE TREAT EVERY PATIENT. AT ST. MARK'S MEDICAL CENTER, WE ARE DETERMINED TO BUILD AN UNRIVALED REPUTATION FOR OUR OUTSTANDING SERVICE AND DELIVERY OF CARE. WE OFFER ADVANCED SERVICES AND PROGRAMS INCLUDING A SERENE BIRTHING CENTER, SPECIALTY CLINICS, COMPREHENSIVE PUBLIC HEALTH SERVICES AND SPECIALIZED NUTRITION PROGRAMS FOR WOMEN, INFANTS AND CHILDREN. BEST OF ALL, ST. MARK'S BRINGS ALL OF THIS WITHIN REACH, SO YOU DON'T HAVE TO TRAVEL TO GET THE CARE YOU NEED. CARE THAT JUST HAPPENS TO BE CLOSE TO HOME. ST. MARK'S HAS THE EXPERTISE AND RESOURCES FOR YOU AND YOUR FAMILY. WORKING TOGETHER, OUR GOAL IS TO PROVIDE MEMBERS OF THE COMMUNITY WITH "ADVANCED HOMETOWN HEALTHCARE."	Desc
Total Program Service Expenses	$31,236,918	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	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	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	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	57	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	317	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	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	false	LocalChaptersInd
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	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	RICK MONTOLONGO	PersonNm
Phone	9792422111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE ST MARKS PLACE	AddressLine1Txt
City	La Grange	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	789452040	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Dudley Piland
Chairman	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Ronald Clay Rightmer
Vice Chairman	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Thomas Borgstedte DO
Director	1.0	0.0	Yes (X)		$0	$0	$0
Gary Pietsch
Director	1.0	0.0	Yes (X)		$0	$0	$0
Lori Berger
Director	1.0	0.0	Yes (X)		$0	$0	$0
William Torkildsen
Director (UNTIL 10/14)	1.0	0.0	Yes (X)		$0	$0	$0
Jim Jaeger
Director	1.0	0.0	Yes (X)		$0	$0	$0
Wilson Weber
Director	1.0	39.0	Yes (X)		$0	$720,921	$124,152
MARK CLAYTON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Russ Juno
Director (as of 10/14)	1.0	0.0	Yes (X)		$0	$0	$0
Linda Morrison
Director (as of 10/14)	1.0	0.0	Yes (X)		$0	$0	$0
Philip Burket
Director (as of 10/14)	1.0	0.0	Yes (X)		$0	$0	$0
Joe Bailey
Director	1.0	0.0	Yes (X)		$0	$0	$0
Denise Harlan
Director	1.0	0.0	Yes (X)		$0	$0	$0
Allyson Borgstedte DO
Secretary-Board	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SHANE KERNELL
PRESIDENT/CEO	40.0	0.0		Yes (X)	$0	$185,617	$23,214
Rick Montolongo
Assistant Admin	40.0	0.0		Yes (X)	$0	$129,410	$25,609
Jeff Casbeer
CFO	40.0	0.0		Yes (X)	$0	$96,285	$26,646
DAVID BUTLER
ASSISTANT SECRETARY	1.0	39.0		Yes (X)	$0	$414,327	$30,535
Tammy Hartfield
CNO	40.0	0.0			$0	$121,438	$22,832	Yes (X)
Michael Diclemente
PHYSICIAN	40.0	0.0			$327,959	$0	$0	Yes (X)
Russel Clark
PHYSICIAN	40.0	0.0			$433,524	$0	$0	Yes (X)
THOMAS PATTON
PHYSICIAN	40.0	0.0			$148,235	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$909,718	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,667,998	TotReportableCompRltdOrgAmt
Total Other Compensation	$252,988	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
Stryker
PO Box 93213	Chicago	IL	60673	Orthopedic Implants	$1,027,965
Cardinal Health
PO Box 847370	Dallas	TX	75284	Medical Supplies	$876,228
Medline
PO Box 121080	Dallas	TX	75312	Medical supplies	$656,501
Prince Food Systems
11001 Wilcrest Drive Ste 200	Houston	TX	77099	Cafeteria Service	$550,933
Equity
4653 Trueman Blvd Ste 100	Hilliard	OH	43026	Medical Office Bldg	$548,128

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
All Other Contributions	$45,680	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$45,680	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$33,755,639	TotalRevenueColumnAmt
Related Or Exempt Func Income	$33,755,639	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$33,755,639	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,274	TotalRevenueColumnAmt
Exclusion	$17,274	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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$376,880	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$142,270	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$234,610	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$234,610	TotalRevenueColumnAmt
Exclusion	$234,610	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MEDICARE - E.H.R. FUNDING	900099	$627,196	$627,196	$0	$0
CAFETERIA INCOME	900099	$188,849	$0	$0	$188,849
MEDICAL RECORDS	900099	$12,927	$0	$0	$12,927

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,078	TotalRevenueColumnAmt
Related Or Exempt Func Income	$32,078	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$861,050	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,914,253	TotalRevenueColumnAmt
Related Or Exempt Func Income	$34,414,913	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$453,660	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$11,973,554	TotalAmt
Program Services	$11,427,494	ProgramServicesAmt
Management And General	$546,060	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$78,267	TotalAmt
Management And General	$78,267	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,450,495	TotalAmt
Program Services	$1,450,495	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$754,401	TotalAmt
Program Services	$713,954	ProgramServicesAmt
Management And General	$40,447	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	-$12,619	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	-$12,619	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$238,236	TotalAmt
Management And General	$238,236	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,195	TotalAmt
Program Services	$1,195	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,178,426	TotalAmt
Program Services	$2,178,426	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$76,933	TotalAmt
Management And General	$76,933	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$901,731	TotalAmt
Management And General	$901,731	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$476,658	TotalAmt
Program Services	$476,658	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,754,516	TotalAmt
Program Services	$2,754,516	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$101,451	TotalAmt
Program Services	$50,410	ProgramServicesAmt
Management And General	$51,041	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$24,693	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$24,693	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$296,101	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$296,101	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$240,000	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$240,000	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,629,607	TotalAmt
Program Services	$2,629,607	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$434,712	TotalAmt
Program Services	$425,552	ProgramServicesAmt
Management And General	$9,160	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$4,727,123	$4,727,123	$0	$0
Bad Debt	$4,274,485	$4,274,485	$0	$0
DUES/SUBSCRIPTIONS	$99,159	$99,159	$0	$0
COMMUNITY RELATIONS	$42,438	$42,438	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$14,594	TotalAmt
Program Services	-$14,594	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$33,726,968	TotalAmt
Program Services	$31,236,918	ProgramServicesAmt
Management And General	$2,490,050	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,299,486	BOYAmt
EOY	$1,363,085	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,179	BOYAmt
EOY	$8,179	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,655,678	BOYAmt
EOY	$4,078,716	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$39,373	BOYAmt
EOY	$39,670	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$750,583	BOYAmt
EOY	$856,817	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,139,823	BOYAmt
EOY	$686,221	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$35,084,843	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$9,758,606	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$27,445,334	BOYAmt
EOY	$25,326,237	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,731,206	BOYAmt
EOY	$2,894,941	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$750,000	BOYAmt
EOY	$750,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$690,533	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,819,662	BOYAmt
EOY	$36,694,399	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,394,966	BOYAmt
EOY	$4,161,440	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$23,378,205	BOYAmt
EOY	$21,286,986	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$131,948	BOYAmt
EOY	$144,142	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,905,119	BOYAmt
EOY	$25,592,568	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,914,543	BOYAmt
EOY	$11,101,831	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,914,543	BOYAmt
EOY	$11,101,831	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$37,819,662	BOYAmt
EOY	$36,694,399	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,187,285	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$3	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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$1,195	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Other Activities	$0	OtherActivitiesAmt
Total Lobbying Expenditures	$1,195	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B	FormAndLineReferenceDesc
Explanation	Membership Dues to THA and TORCH: St. Mark's Medical Center Paid $2,800 to Torch and $7,370.69 to THA in 2014. The portion of dues that were used for lobbying purposes was 10% for Torch and 12.42% for THA. Total dues paid for lobbying activities were ($2,800 X .10) + ($7,370.69 X .1242) = $1,195.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,060,000	OtherCostOrOtherBasisAmt
Book Value	$1,060,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,017,562	OtherCostOrOtherBasisAmt
Depreciation	$3,402,571	DepreciationAmt
Book Value	$18,614,991	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$231,161	OtherCostOrOtherBasisAmt
Depreciation	$1,700	DepreciationAmt
Book Value	$229,461	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,194,157	OtherCostOrOtherBasisAmt
Depreciation	$6,354,335	DepreciationAmt
Book Value	$4,839,822	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$581,963	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$581,963	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$25,326,237	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	MORTGAGE RESERVE FUND	Desc
Book Value	$2,894,941	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,894,941	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	THIRD PARTY PAYABLES	Desc
Amt	$144,142	Amt

Field	Value	IRS element (for citing)
Total Liability	$144,142	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$30,639,768	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$4,274,485	OtherRevenueAmt
Revenue Not Reported	-$4,274,485	RevenueNotReportedAmt
Revenue Subtotal	$34,914,253	RevenueSubtotalAmt
Total Revenue Per Form990	$34,914,253	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$28,910,920	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$28,910,920	ExpensesSubtotalAmt
Other Expenses Not Included	$4,816,048	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$4,816,048	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$33,726,968	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part XI, Line 2D	Reconciliation of Revenue per AFS with Revenue per Return: Provision for Uncollectible Accounts - ($4,274,485)
Schedule D, Part XII, Line 4b	Reconciliation of Expenses per AFS with Revenue per Return: Provision for Uncollectible Accounts - $4,274,485 Prior period audit restatements - $ 541,560 Rounding - $ 3 ----------------------------------------------------- Total $4,816,048

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	150.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
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	$257,750	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$209,759	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,991	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,003,151	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,762,209	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$759,058	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,260,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,971,968	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$711,067	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,977	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,977	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,667,920	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,378,738	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$289,182	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,692,897	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,378,738	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$314,159	NetCommunityBenefitExpnsAmt
Total Expense	0.01060	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,953,798	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,350,706	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$396,908	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,274,485	BadDebtExpenseAmt
Bad Debt Expense Attributable	$128,750	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$8,811,109	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$9,025,946	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$214,837	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	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Mark's Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One St Marks Place	AddressLine1Txt
City	La Grange	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78945	ZIPCd

Field	Value	IRS element (for citing)
Website Address	wwww.smmctx.org	WebsiteAddressTxt
State License	008234	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	St Mark's Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	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	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.smmctx.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.smmctx.org	StrategyWebsiteURLTxt
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	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	150.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
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 Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
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	Yes (true)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Line 5	THE ORGANIZATION PROVIDED COMMUNITY HOSPITAL CORPORATION WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN FAYETTE AND LEE COUNTIES INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, NINE IN DEPTH INTERVIEWS WERE CONDUCTED USING A STruCTURED INTERVIEW GUIDE. EXTENSIVE NOTES WERE TAKEN DURING EACH INTERVIEW anD THEN QUANTIFIED BASeD ON RESPONSES, COMMUNITIES AND POpuLATIONS (MINORITY, ELDERLY, UN/UNDERINSURED, ETC.) SERVED, AND PRIORITIES IDENTIFIED BY RESPONDENTS. QUALITATIVE DATA FROM THE INTERVIEWS WAS ALSO ANALYZED AND REPORTED. THE PERSONS INTERVIEWED WERE: * DR. RANDY ALBERS: SUPERINTENDENT, LA GRANGE INDEPENDENT SCHOOL DISTRICT * DR. THOMAS BORSTEDTE, DO: LEAD PHYSICIAN, LA GRANGE FAMILY HEALTH CENTER; MEDICAL DIRECTOR, HOSPICE BRAZOS VALLEY * JUDGE PAUL E. FISCHER: COUNTY JUDGE, LEE COUNTY * CATHY HORN: CHAIR OF THE BOARD OF DIRECTORS, TEJAS HEALTHCARE * DR. DEBBIE IRWIN, MD: CEO/CMO, TEJAS HEALTHCARE * JUDGE ED JANECKA: COUNTY JUDGE, FAYETTE COUNTY * ALAN LAW: SUPERINTENDENT, GIDDINGS INDEPENDENT SCHOOL DISTRICT * MARGIE MCKEE: NURSING HOME ADMINISTRATOR, MONUMENT HILL REHABILITATION AND NURSING CENTER * JUDY VIRE, RN, FNP, BC: NURSE PRACTITIONER, ST. MARK'S FLATONIA CLINIC
Schedule H, Part V, Line 11	A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR ST. MARK'S MEDICAL CENTER (SMMC) FROM OCTOBER 2012 TO MAY 2013. THE HOSPITAL'S STUDY AREA WAS DEFINED AS FAYETTE AND LEE COUNTIES. THE ANALYSIS INCLUDED A CAREFUL REVIEW OF THE MOST CURRENT HEALTH DATA AVAILABLE AND INPUT FROM NUMEROUS COMMUNITY REPRESENTATIVES WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH. FINDINGS INDICATED THAT THERE WERE FOUR SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY SMMC. HOSPITAL LEADERSHIP PRIORITIZED THOSE FOUR NEEDS USING A STRUCTURE MATRIX AND DECIDED TO ADDRESS EACH NEED. THE FINAL LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS LISTED BELOW: 1. ADDITIONAL PRIMARY AND SPECIALTY CARE PROVIDERS AND SERVICES 2. PREVENTION AND EDUCATION REGARDING PREVENTABLE CONDITIONS AND CHRONIC DISEASES 3. ACCESS TO MENTAL HEALTH SERVICES AND PROVIDERS 4. HEALTH DISPARITIES AMONG SPECIAL POPULATIONS SMMC LEADERSHIP HAS DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THESE PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HOSPITAL'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES AND ANTICIPATED IMPACT AND EVALUATION.
Schedule H, Part V, Line 13H	ALL PATIENTS AND INSURANCES ARE BILLED AT 100% OF CHARGES. WE CONTRACTUALLY NEGOTIATE WITH PAYORS TO ACCEPT SOMETHING LESS THAN 100% OF CHARGES. MEDICARE PAYS BASED ON FEE SCHEDULES AND DRG'S, ETC. SELF PAY AND THOSE QUALIFYING FOR FINANCIAL ASSISTANCE ARE ALL BILLED AT 100% OF CHARGES UNTIL SUCH TIME IT IS DETERMINED THAT THEY QUALIFY FOR FINANCIAL ASSISTANCE. BASED UPON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE ON A SLIDING SCALE, UP TO A MAXIMUM OF 95%. PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE HAVE THEIR ACCOUNTS REDUCED BASED ON THE LEVEL OF FINANCIAL ASSISTANCE. THE BALANCE OF THE ACCOUNT AFTER APPLICATION OF THE DISCOUNT IS HANDLED CONSISTENT WITH THE HOSPITAL'S COLLECTION POLICY.
Schedule H, Part V, Line 16I	FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE WHEN REGISTERING, THROUGH DISCHARGE PLANNING ETC. OUR STATEMENTS FOR SELF PAY HAVE A TAG LINE STATING IF THEY THINK THEY QUALIFY FOR FINANCIAL ASSISTANCE TO PLEASE CALL THIS NUMBER. WHENEVER A BILL IS DISCUSSED AND A PATIENT INDICATES THEY CAN'T PAY UPFRONT, FINANCIAL ASSISTANCE IS EXPLAINED TO THEM SO THAT IN THE EVENT IT APPLIES THEY KNOW ABOUT IT. IT IS ALSO POSTED ON BULLETIN BOARDS THROUGHOUT THE HOSPITAL THAT FINANCIAL ASSISTANCE IS AVAILABLE.
Schedule H, Part V, Line 22d	ALL PATIENTS AND INSURANCES ARE BILLED AT 100% OF CHARGES. WE CONTRACTUALLY NEGOTIATE WITH PAYORS TO ACCEPT SOMETHING LESS THAN 100% OF CHARGES. MEDICARE PAYS BASED ON FEE SCHEDULES AND DRG'S, ETC. SELF PAY AND THOSE QUALIFYING FOR FINANCIAL ASSISTANCE ARE ALL BILLED AT 100% OF CHARGES UNTIL SUCH TIME IT IS DETERMINED THAT THEY QUALIFY FOR FINANCIAL ASSISTANCE. BASED UPON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE ON A SLIDING SCALE, UP TO A MAXIMUM OF 95%. PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE HAVE THEIR ACCOUNTS REDUCED BASED ON THE LEVEL OF FINANCIAL ASSISTANCE. THE BALANCE OF THE ACCOUNT AFTER APPLICATION OF THE DISCOUNT IS HANDLED CONSISTENT WITH THE HOSPITAL'S COLLECTION POLICY. IF A PATIENT QUALIFIES FOR 100% CHARITY, THE ENTIRE ACCOUNT IS WRITTEN-OFF. IF THEY QUALIFY FOR PARTIAL CHARITY, THE CHARITY PORTION IS WRITTEN OFF AND THE PATIENT RECEIVES MONTHLY STATEMENTS WITH REGARD TO THE SELF-PAYMENT BALANCE. FULL PAYMENT IS EXPECTED FROM THE PATIENT. AFTER 180 DAYS FROM DATE OF SERVICE, IF THE SELF-PAYMENT BALANCE REMAINS UNPAID, THIS AMOUNT IS TURNED OVER TO A COLLECTION AGENCY AND THE ACCOUNT IS MOVED TO BAD DEBT AR.
Schedule H, Part V, Line 24	ALL PATIENTS AND INSURANCES ARE BILLED AT 100% OF CHARGES. WE CONTRACTUALLY NEGOTIATE WITH PAYORS TO ACCEPT SOMETHING LESS THAN 100% OF CHARGES. MEDICARE PAYS BASED ON FEE SCHEDULES AND DRG'S, ETC. SELF PAY AND THOSE QUALIFYING FOR FINANCIAL ASSISTANCE ARE ALL BILLED AT 100% OF CHARGES UNTIL SUCH TIME IT IS DETERMINED THAT THEY QUALIFY FOR FINANCIAL ASSISTANCE. BASED UPON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE ON A SLIDING SCALE, UP TO A MAXIMUM OF 95%. PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE HAVE THEIR ACCOUNTS REDUCED BASED ON THE LEVEL OF FINANCIAL ASSISTANCE. THE BALANCE OF THE ACCOUNT AFTER APPLICATION OF THE DISCOUNT IS HANDLED CONSISTENT WITH THE HOSPITAL'S COLLECTION POLICY.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
St Mark's Medical Center Flatonia
511 S Faires St	Flatonia	TX	78941	Clinic
St Mark's Clinic
One St Marks Place	La Grange	TX	78945	OB/GYN and Orthopedic Clinic

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3C	SMMC uses both financial status as well as amount of medical debt to determine charity status.
Schedule H, Part I, Line 6A	The community benefit report was prepared by the parent organization.
Schedule H, Part I, Line 7, Column F	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $33,726,968. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $4,274,485. THIS LEFT A TOTAL EXPENSE OF $29,452,483 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
Schedule H, Part I, Line 7B	THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION ("HHSC") REPLACED THE HISTORICAL MEDICAID UPL PROGRAM WITH THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM WAIVER ("WAIVER"). THE WAIVER INCLUDES AN UNCOMPENSATED CARE ("UC") POOL WHICH HSHC USES TO MAKE SUPPLEMENTAL MEDICAID PAYMENTS TO HOSPITALS TO HELP DEFRAY UNCOMPENSATED CARE COSTS RELATED TO PROVIDING CARE TO MEDICAID ELIGIBLES OR TO INDIVIDUALS WHO HAVE NO SOURCE OF THIRD PARTY COVERAGE. TO QUALIFY FOR UC PAYMENTS, HOSPITALS MUST SUBMIT A UC APPLICATION TO HHSC WHICH REPORTS THE HOSPITAL'S COST OF PROVIDING UNCOMPENSATED CARE BASED ON THE UC METHODOLOGY PROSCRIBED BY HHSC. FOR THE PERIOD OF JULY 1, 2014 THROUGH JUNE 30, 2015, ST. MARK'S RECEIVED $253,000 IN DSH PAYMENTS and $183,000 in UPL payments AS SUPPLEMENTAL REIMBURSEMENT FOR THE COST OF TREATING MEDICAID ELIGIBLE INDIVIDUALS AND INDIVIDUALS WITHOUT A SOURCE OF THIRD PARTY COVERAGE. SCHEDULE H, PART II ST. MARK'S MEDICAL CENTER OFFERS A DEDICATED COMMUNITY SPACE TO AVAIL OUR COMMUNITY A WIDE RANGE OF BENEFITS THAT INCLUDE INCREASING PUBLIC AWARENESS OF HEALTH, COMMUNITY, AND POTENTIAL THREATS THROUGH MEETINGS, SCREENINGS, AND PUBLIC EDUCATION CLASSES. CIVIC ORGANIZATIONS THAT HAVE USED THE COMMUNITY SPACE FOR MEETINGS AND CLASSES INCLUDE THE LIONS CLUB FOR BOARD MEETINGS, THE ROTARY BOARD FOR BOARD MEETINGS, TURTLE WING FOUNDATION FOR SPEECH TRAINING FOR CHILDREN, AND SAINT DAVID'S FOR CERTIFICATION CLASSES. OTHER ORGANIZATIONS THAT HAVE USED THE SPACE INCLUDE BLINN COLLEGE FOR LVN CLASSES, VICTORIA COLLEGE FOR NURSING ORIENTATION CLASSES, AND ST. MARK'S FOUNDATION. THE SPACE HAS ALSO BEEN USED FOR PUBLIC HEALTH ISSUE MEETINGS TO DISCUSS ISSUES SUCH AS CHUNGA DISEASE, EMS STAFF EDUCATION, AUXILIARY VOLUNTEER CLASSES, TRAUMA EDUCATION, TOWN HALL MEETINGS, PUBLIC HEART DISEASE CLASSES, CPR/ACLS CLASSES, ORTHOPEDIC AWARENESS SEMINARS, ER TRAINING, AND TMC CLASSES.
Schedule H, Part III, Line 2	THE BAD DEBT REPORTED ON LINE 2 IS THE BAD DEBT FROM THE AUDITED FINANCIAL STATEMENTS. THE METHODOLOGY TO ESTIMATE BAD DEBT IS TO RESERVE SELF-PAY ACCOUNTS ACCORDINGLY: UNBILLED - 60% 0-30 DAYS - 65% 31-60 DAYS - 70% 91-120 DAYS - 80% 121-150 DAYS - 90% >151 DAYS - 100% SELF-PAY AFTER INSURANCE CLAIMS ARE RESERVED AT THE FOLLOWING LEVELS: UNBILLED - 0% 31-60 DAYS - 40% 61-90 DAYS - 50% 91-120 DAYS - 60% 121-150 DAYS - 70% 151-180 DAYS - 80% >181 DAYS - 100%
Schedule H, Part III, Line 3	THE ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON THOSE PATIENTS WHO DID NOT QUALIFY FOR 100% CHARITY. SMMC DOES HAVE LEVELS OF CHARITY BASED ON THE POVERTY GUIDELINES SO IT IS POSSIBLE THAT A PATIENT RECEIVES 90% WRITE-OFF WITH A 10% BALANCE DUE.
Schedule H, Part III, Line 4	THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE AT NET REALIZABLE AMOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 80% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF JUNE 30, 2015 AND 2014. THE MEDICAL CENTER'S ALLOWANCE INCREASED BY APPROXIMATELY $671,000 DUE TO OVERALL GROWTH OF ACCOUNTS RECEIVABLE, THE GROWTH OF SELF-PAY ACCOUNTS RECEIVABLE, AND OVERALL INCREASE IN THE AVERAGE AGE OF ACCOUNTS RECEIVABLE. PATIENT ACCOUNT WRITE-OFFS WERE APPROXIMATELY $3,800,000 AND $3,100,000 FOR THE YEARS ENDED JUNE 30, 2015 AND 2014, respectively.
Schedule H, Part III, Line 8	MEDICARE PAYS LESS THAN ACTUAL COST TO PROVIDE THOSE SERVICES. THE HOSPITAL BELIEVES THE SHORTFALL IS PART OF THE COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL. MEDICARE IS APPROXIMATELY 1/2 OF OUR BUSINESS FROM A COST STANDPOINT. WE ARE A COMMUNITY HOSPITAL THAT PROVIDES PATIENTS EASY ACCESS TO HEALTH CARE AT A REASONABLE DISTANCE FROM THEIR HOME SO THEY DO NOT HAVE TO DRIVE TO THE NEXT TOWN FOR EMERGENCY SERVICES AND OR INPATIENT SERVICES. THE COST INFORMATION PROVIDED WAS OBTAINED FROM OUR MEDICARE COST REPORT.
Schedule H, Part III, Line 9B	IF A PATIENT QUALIFIES FOR 100% CHARITY, THE ENTIRE ACCOUNT IS WRITTEN-OFF. IF THEY QUALIFY FOR PARTIAL CHARITY, THE CHARITY PORTION IS WRITTEN OFF AND THE PATIENT RECEIVES MONTHLY STATEMENTS WITH REGARD TO THE SELF-PAYMENT BALANCE. FULL PAYMENT IS EXPECTED FROM THE PATIENT. AFTER 180 DAYS FROM DATE OF SERVICE, IF THE SELF-PAYMENT BALANCE REMAINS UNPAID, THIS AMOUNT IS TURNED OVER TO A COLLECTION AGENCY AND THE ACCOUNT IS MOVED TO BAD DEBT ACCOUNTS RECEIVABLE.
Schedule H, Part VI, Line 2	Needs Assessment: A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR ST. MARK'S MEDICAL CENTER (SMMC) FROM OCTOBER 2012 TO MAY 2013. THE HOSPITAL'S STUDY AREA WAS DEFINED AS FAYETTE AND LEE COUNTIES. THE ANALYSIS INCLUDED A CAREFUL REVIEW OF THE MOST CURRENT HEALTH DATA AVAILABLE AND INPUT FROM NUMEROUS COMMUNITY REPRESENTATIVES WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH. FINDINGS INDICATED THAT THERE WERE FOUR SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY SMMC. HOSPITAL LEADERSHIP PRIORITIZED THOSE FOUR NEEDS USING A STRUCTURE MATRIX AND DECIDED TO ADDRESS EACH NEED. THE FINAL LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS LISTED BELOW: 1. ADDITIONAL PRIMARY AND SPECIALTY CARE PROVIDERS AND SERVICES 2. PREVENTION AND EDUCATION REGARDING PREVENTABLE CONDITIONS AND CHRONIC DISEASES 3. ACCESS TO MENTAL HEALTH SERVICES AND PROVIDERS 4. HEALTH DISPARITIES AMONG SPECIAL POPULATIONS SMMC LEADERSHIP HAS DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY ADDRESS THESE PRIORITIES. THE OBJECTIVES WERE IDENTIFIED BY STUDYING THE PRIORITIZED HEALTH NEEDS, WITHIN THE CONTEXT OF THE HOSPITAL'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF FINITE RESOURCES. THE PLAN INCLUDES A RATIONALE FOR EACH PRIORITY, FOLLOWED BY OBJECTIVES, SPECIFIC IMPLEMENTATION ACTIVITIES AND ANTICIPATED IMPACT AND EVALUATION.
Schedule H, Part VI, Line 3	Patient Education of Eligibility for Assistance: ALL SELF-PAY WITHOUT ABILITY TO PAY AT TIME OF SERVICE ARE REFERRED TO OUR ELIGIBILITY VENDOR. THIS ALLOWS THEM TO BE ASSESSED FOR ANY PROGRAMS THAT MAY COVER THEIR MEDICAL EXPENSES SUCH AS MEDICAID, COUNTY PROGRAMS OR ANY OTHER STATE PROGRAMS THAT MAY BE AVAILABLE.
Schedule H, Part VI, Line 4	Community Information: THE PRIMARY SERVICE AREA IS LEE AND FAYETTE COUNTIES. THE ESTIMATED PRIMARY SERVICE AREA (PSA) 2012 POPULATION IS APPROXIMATELY 41,500. THE PSA GROWTH RATE FOR THE NEXT 5 YEARS IS EXPECTED TO INCREASE APPROXIMATELY 4.6%. THE PSA POPULATION HAS SUBSTANTIALLY HIGHER PERCENTAGES OF OLDER RESIDENTS (AGES 65+) THAN THE STATE OF TEXAS. THE OLDER RESIDENTS COMPRISE APPROXIMATELY 19.5% OF THE OVERALL PSA POPULATION. THE MAJORITY OF RESIDENTS IN THE PSA IDENTIFY AS WHITE-NON HISPANIC, WITH THE NEXT LARGEST RACE/ETHNICITY IS THE HISPANIC POPULATIONS. THE PSA POPULATION IS EXPECTED TO EXPERIENCE THE MAJORITY OF THEIR GROWTH IN THE HISPANIC POPULATION. THE MEDIAN HOUSEHOLD INCOMES IN THE PSA ARE COMPARABLE TO THE STATE OF TEXAS. THE PSA HAS A LOWER PERCENTAGE OF FAMILIES BELOW THE POVERTY RATE THAN THE STATE OF TEXAS. THE UNEMPLOYMENT RATE IN THE PSA IS LOWER THAN THE STATE OF TEXAS AND THE UNITED STATES.
Schedule H, Part VI, Line 5	Promotion of Community Health: DURING THIS FISCAL YEAR, ST. MARK'S PARTICIPATED IN MANY COMMUNITY AND WELLNESS ACTIVITIES INCLUDING: HEALTH FAIRS IN 5 AREA COMMUNITIES, CAR SAFETY SEAT CHECK UPS WITH THE AGRILIFE EXTENSION SERVICE AND LOCAL AIR AMBULANCE; PRESENTED EDUCATIONAL PROGRAMS ON TRANSESOPHAGEAL FUNDOPLICATIONS, HEALTHY HEART CHOICES, MAMMOGRAPHY SCREENING/CANCER EVENT IN LEE COUNTY, MATERNITY FAIRS, CAREER EDUCATION DAYS, SUMMER CAMP FOR HIGH SCHOOL TO PROMOTE HEALTHCARE CAREERS, PROGRAM FOR REDUCTION OF READMISSIONS WITH LOCAL NURSING HOMES, DIABETES EDUCATION, SMOKING CESSATION, MENDED HEARTS PROGRAM FOR CARDIAC DISEASE PATIENTS, AND CHIP HEART PROGRAM. ST. MARK'S ALSO HOSTS A WEEKLY RADIO PROGRAM WITH HEALTH EDUCATION TOPICS AND GUEST SPEAKERS. ST. MARK'S PARTNERS WITH THE SCHOOL SYSTEM TO PROVIDE GUEST LECTURES IN BIOLOGY AND HEALTH EDUCATION AS WELL AS HIGH SCHOOL PHYSICAL EXAMS FOR ATHLETICS, FLU SHOTS FOR COUNTY EMPLOYEES AND WELLNESS SCREENING. FUNDRAISING EVENTS ARE HELD BY OUR EMPLOYEES IN THE COMMUNITY TO INCLUDE: CAR SEATS FOR KIDS, COATS IN THE WINTER, DEPUTY SANTA GIFTS AT CHRISTMAS, FOOD DRIVES DURING THANKSGIVING, ANGEL TREE FOR HOSPICE PATIENTS. OTHER COMMUNITY EVENTS INCLUDE PARTICIPATION IN RELAY FOR LIFE, LIONS CLUB GUEST SPEAKERS, BREAST CANCER AWARENESS, ROTARY, UNITED WAY, CHILD PROTECTIVE SERVICE - CHILD ABUSE AWARENESS, BLOOD DRIVES, BASIC LIFE SUPPORT, CPR CLASSES, PALS AND ATLS. ST. MARK'S HAS ALWAYS HAD OPEN APPLICATION PROCESS FOR ALL ACTIVE AND CONSULTING MEDICAL STAFF. ALL STAFF MUST BE BOARD CERTIFIED OR ELIGIBLE TO TAKE BOARD EXAM TO QUALIFY FOR STAFF MEMBERSHIP. THE BOARD OF DIRECTORS ARE REPRESENTATIVES FROM THE COMMUNITIES WE SERVE INCLUDING FAYETTE AND LEE COUNTY RESIDENTS. BOARD MEMBERS SERVE 2 AND/OR 3 YEAR TERMS. BOARD MEMBERS ARE ELECTED AND APPROVED BY CHC. SURPLUS FUNDS ARE USED TO PURCHASE NEEDED HOSPITAL EQUIPMENT AND ASSIST WITH RECRUITING OF PHYSICIANS TO OUR COMMUNITIES. ST. MARK'S PROVIDES AN INCOME GUARANTEE TO RECRUITED PHYSICIANS THAT JOIN OTHER PRACTICES IN THE COMMUNITIES.
Schedule H, Part VI, Line 6	Affiliated Health Care System: ST. MARK'S MEDICAL CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
Schedule H, Part VI, Line 7	State Filing of Community Benefit Report: Texas

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	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	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SHANE KERNELL
PRESIDENT/CEO	$0	$148,179	$0	$25,080	$0	$12,358	$0	$12,619	$0	$10,595	$0	$208,831	$0	$0
Rick Montolongo
Assistant Admin	$0	$106,419	$0	$5,973	$0	$17,018	$0	$5,231	$0	$20,378	$0	$155,019	$0	$0
Wilson Weber
Director	$0	$446,425	$0	$220,314	$0	$54,182	$0	$95,733	$0	$28,419	$0	$845,073	$0	$0
DAVID BUTLER
ASSISTANT SECRETARY	$0	$277,564	$0	$112,370	$0	$24,393	$0	$5,374	$0	$25,161	$0	$444,862	$0	$0
Michael Diclemente
PHYSICIAN	$327,959	$0	$0	$0	$0	$0	$0	$0	$0	$0	$327,959	$0	$0	$0
Russel Clark
PHYSICIAN	$433,524	$0	$0	$0	$0	$0	$0	$0	$0	$0	$433,524	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3	Supplemental Compensation Information: THE ORGANIZATION'S EXECUTIVES, INCLUDING THE CEO, ARE EMPLOYED BY THE PARENT ORGANIZATION Community Hospital Corporation (CHC) AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THIS PROCESS FOR THE YEAR ENDED JUNE 30, 2015 FOR ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS.
Schedule J, Part I, Line 4B	NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: -WILSON WEBER - $114,464 -DAVID BUTLER - $16,193
Schedule J, Part I, Line 7	A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM paid by the organization WAS BASED ON EARNINGS BEFORE INTEREST, DEPRECIATION AND AMORTIZATION. - Shane Kernell - $25,080 - Tammy Hartfield - $14,071 - Rick Montelongo - $5,973 - Jeff Casbeer - $1,236

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2	Officer, Director, Trustee, Key Employee Family or Business Relationship: DR. THOMAS BORGSTEDTE AND DR. ALLYSON BORGSTEDTE ARE MARRIED.
Form 990, Part VI, Line 3	Description of Management Arrangement: COMMUNITY Hospital CORPORATION (CHC) PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL.
Form 990, Part VI, Line 6	Description of Classes of Members or Stockholders: COMMUNITY Hospital CORPORATION, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF SAINT MARK'S MEDICAL CENTER.
Form 990, Part VI, Line 7A	Description of Classes of Persons and the Nature of Their Rights: COMMUNITY HOSPITAL CORPORATION (CHC) AS THE SOLE MEMBER OF SAINT MARK'S MEDICAL CENTER (SMMC) ELECTS THE MEMBERS OF THE BOARD OF DIRECTORS OF SMMC AND IS EMPOWERED WITH THE ABILITY TO REMOVE DIRECTORS, WITH OR WITHOUT CAUSE.
Form 990, Part VI, Line 7B	Descr Classes of Persons/Decisions Requiring Appr/Type of Voting Rights: RESERVED POWERS OF THE MEMBER: WHILE THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS, THE APPROVAL OF THE MEMBER FOLLOWING APPROVAL BY THE BOARD OF DIRECTORS SHALL BE NECESSARY FOR THE FOLLOWING MATTERS: (A) THE ESTABLISHMENT OF OR ANY CHANGE IN THE ACTIVITIES, PHILOSOPHY, MISSION OR PURPOSE OF THE CORPORATION AS SET BY THE MEMBER; (B) ANY AMENDMENTS OR REVISIONS TO THE CERTIFICATE OF FORMATION OR BYLAWS OF THE CORPORATION; (C) ANY AMENDMENTS OR REVISIONS OF THE CERTIFICATE OF FORMATION OR BYLAWS OF ANY SUBSIDIARY CORPORATION OF THE CORPORATION; (D) THE CREATION OF, OR INVESTMENT IN, ANY SUBSIDIARY ENTITY, PARTNERSHIP OR VENTURE; (E) ANY AMENDMENT, REVISION OR TERMINATION OF THE PARTNERSHIP AGREEMENT OF ANY PARTNERSHIP OR REGULATIONS OF ANY LIMITED LIABILITY COMPANY TO WHICH THE CORPORATION IS A PARTY; (F) THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; (G) ALL MATERIAL EXPENDITURE DEVIATIONS ($25,000 IN ANY SINGLE OR SERIES OF TRANSACTIONS) FROM THE ANNUAL OPERATING AND CAPITAL BUDGETS; (H) THE PURCHASE OR ACQUISITION OF ANY REAL PERSONAL, OR MIXED PROPERTY BY THE CORPORATION IN EXCESS OF $25,000 THAT IS NOT PROVIDED FOR IN THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS; (I) THE SALE, MORTGAGE, ENCUMBRANCE, TRANSFER, LEASE, GIFT, OR OTHER DISPOSITION OF ANY REAL PROPERTY OF THE CORPORATION; (J) ANY SALE, GIFT, EXCHANGE, LEASE, MORTGAGE OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY, "TRANSFER") OF THE PERSONAL PROPERTY OF THE CORPORATION (TANGIBLE OR INTANGIBLE) IF THE SUM OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS PER FISCAL YEAR, EXCEED $50,000.00; (K) ANY DEBT OR FINANCING ARRANGEMENT OF THIS CORPORATION, EXCEPT USUAL AND CUSTOMARY TRADE DEBTS WHICH IS INCURRED IN THE ORDINARY COURSE OF BUSINESS OF THE CORPORATION; (L) SETTLEMENT OF ANY CLAIMS OR LITIGATION INVOLVING THE CORPORATION; (M) THE MERGER, DISSOLUTION, OR CONSOLIDATION OF THE CORPORATION OR SUBSIDIARY CORPORATION; (N) THE EXECUTION, REVISION, AMENDMENT, EXTENSION, NON-RENEWAL OR TERMINATION OF ANY MANAGEMENT, EMPLOYMENT, LEASE, OR SERVICE CONTRACT, WITH AN ANNUAL COMPENSATION IN EXCESS OF $30,000 OR AN AGGREGATE COMPENSATION IN EXCESS OF $50,000; (O) ANY DEBTS, LOANS, GUARANTIES, OR GRANTS NOT INCLUDED AND APPROVED AS PART OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS; (P) THE ELECTION OF THE MEMBERS OF THE BOARD OF DIRECTORS OR THE REMOVAL OF SAID BOARD MEMBER, WHETHER WITH OR WITHOUT CAUSE; (Q) THE APPROVAL OF THE EMPLOYEE POLICIES AND BENEFITS PROGRAMS OF THE CORPORATION; (R) THE APPROVAL OF MAJOR DEVELOPMENT CAMPAIGNS AND FUND-RAISING; AND (S) THE APPROVAL OF THE FINANCE MANAGEMENT SYSTEM FOR THE CORPORATION.
Form 990, Part VI, Line 11B	Description of Process Used by Management &/or Governing Body to Review 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. ELECTRONIC COPIES ARE PROVIDED TO EACH BOARD MEMBER VIA EMAIL UPON COMPLETION OF THE FORM PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12C	Description of Process to Monitor Transactions for Conflicts of Interest: A FINANCIAL INTEREST IS NOT NECESSARILY A CONFLICT OF INTEREST. A PERSON WHO HAS A FINANCIAL INTEREST MAY HAVE A CONFLICT OF INTEREST ONLY IF THE APPROPRIATE BOARD OR COMMITTEE DECIDES THAT A CONFLICT OF INTEREST EXISTS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST (1) AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. (2) THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (3) AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. (4) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE AND DISCIPLINARY AND CORRECTIVE ACTION.
Form 990, Part VI, Lines 15A & 15B	Offices & Positions for which Process was Used, & Year Process was Begun: THE ORGANIZATION'S EXECUTIVES, INCLUDING THE CEO, ARE EMPLOYED BY THE PARENT ORGANIZATION CHC AND THEREFORE FOLLOW THE COMPENSATION POLICY OF CHC. CHC ENGAGED SULLIVAN COTTER TO CONDUCT A COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON JULY 1ST OF EACH YEAR.
Form 990, Part VI, Line 19	Governing Documents, Conflict of Interest Policy Available to Public: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. FORM 990, PART XI, LINE 9 ROUNDING 3

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 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
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
POST OFFICE BOX 1591	BEAUMONT	TX	77704	741303720	HOSPITAL	TX	501(C)(3)	3	SWCH INC	false
BAPTIST PHYSICIANS NETWORK
3080 COLLEGE STREET	BEAUMONT	TX	77701	760453250	PRIMARY CARE	TX	501(C)(3)	3	BHSET	false
ARTESIA GENERAL HOSPITAL
702 NORTH 13TH STREET	ARTESIA	NM	88210	742851819	HOSPITAL	NM	501(C)(3)	3	CHC	false
SOUTHWEST COMMUNITY HOSPITAL INC
7800 N DALLAS PARKWAY Ste 200	PLANO	TX	75024	752725353	Support org	TX	501(C)(3)	11D-III-O	CHC	false
YOAKUM COMMUNITY HOSPITAL
1200 CARL RAMERT DRIVE	YOAKUM	TX	77995	742323822	HOSPITAL	TX	501(C)(3)	3	CHC	false
CONTINUECARE HOSPITAL OF TYLER
800 E DAWSON STREET	TYLER	TX	75701	200991990	HOSPITAL	DE	501(C)(3)	3	CCC	false
CONTINUECARE HOSPITAL OF SOUTHEAST TEXAS
7800 N DALLAS PARKWAY Ste 200	PLANO	TX	75024	201150480	HOSPITAL	TX	501(C)(3)	3	CCC	false
CHC COMMUNITY CARE LLC
7800 N DALLAS PARKWAY Ste 200	PLANO	TX	75024	371485773	SUPPORT ORG	DE	501(C)(3)	11C-III-FI	CHC	false
CONTINUECARE HOSPITAL OF MIDLAND
4214 ANDREWS HIGHWAY	MIDLAND	TX	79703	463053684	HOSPITAL	DE	501(C)(3)	3	CCC	false
CONTINUECARE HOSPITAL at HENDRICK MED CT
1900 PINE STREET 5TH FLOOR	ABILENE	TX	79601	463607347	HOSPITAL	DE	501(C)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT BAKERSFIELD
7800 N DALLAS PARKWAY Ste 200	PLANO	TX	75024	465236524	HOSPITAL	DE	501(C)(3)	3	CCC	false
CONTINUECARE HOSP BAP HLT MADISONVILLE
900 Hospital Drive 4th Floor	Madisonville	KY	42431	465033192	HOSPITAL	DE	501(C)(3)	3	CCC	false
CONTINUECARE HOSP AT BPTST HLT PADUCAH
2501 Kentucky Avenue 5th FL	Paducah	KY	42003	465032999	HOSPITAL	DE	501(C)(3)	3	CCC	false
CONTINUECARE HOSPITAL AT BAPTIST HEALTH
1 TRILLIUM WAY	CORBIN	KY	40701	200925675	HOSPITAL	KY	501(C)(3)	3	CCC	false
CRAWLEY MEMORIAL HOSPITAL
706 KINGS STREET	KINGS MOUNTAIN	NC	28086	560691100	HOSPITAL	NC	501(C)(3)	3	CAR CC	false
CAROLINAS COMMUNITY CARE
7800 N DALLAS PARKWAY Ste 200	PLANO	TX	75024	465590355	SUPPORT ORG	DE	501(C)(3)	11B-II	CHC	false
CAROLINAS CONTINUECARE HOSPITAL
7800 N DALLAS PARKWAY Ste 200	PLANO	TX	75024	463796709	HOSPITAL	DE	501(C)(3)	3	CAR CC	false
JELLICO COMMUNITY HOSPITAL INC
188 Hospital Lane	Jellico	TN	37762	620924706	HOSPITAL	TN	501(C)(3)	3	CHC	false
MERCY RESTORATIVE CARE HOSPITAL INC
10648 Park Road	Charlotte	NC	28210	753054855	HOSPITAL	NC	501(C)(3)	3	CAR CC	false
CONTINUECARE HOSPITAL AT ODESSA INC
500 W 4th Street	Odessa	TX	79761	473539943	HOSPITAL	DE	501(C)(3)	3	CCC	false
COMMUNITY HOSPITAL CORP(FKA VHASW CHC
7800 N DALLAS PARKWAY Ste 200	PLANO	TX	75024	752638469	SUPPORT ORG	TX	501(C)(3)	11C-III-FI	NA	false
St Mark's Medical Center Foundation
One St Marks Place	La Grange	TX	78945	742795943	support org	TX	501(C)(3)	7	NA	false
YOAKUM COMMUNITY HOSPITAL FOUNDATION
1200 Carl Ramert Drive	Yoakum	TX	77995	453609830	support org	TX	501(C)(3)	11a-1	ych	false
BHSETX Foundation
810 Hospital Drive 235	beaumont	TX	77701	611557670	support org	TX	501(C)(3)	7	BHSETX	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
COMMUNITY HEALTH ASSURANCE SPC LTD
CAYMAN ISLANDS POB 69GT	GRAND CAYMAN	CJ	CAPTIVE INSURANCE	CJ	CHC	C Corp	false
COMMUNITY HOSPITAL CONSULTING
			MGMT CONSULTING		CHC	C Corp	false	7800 N DALLAS PARKWAY 200	PLANO	TX	75024	204710183	TX

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	false	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	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Community Hospital Corporation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	p	TransactionTypeTxt
Involved	$3,193,649	InvolvedAmt
Method Of Amount Determination	cost	MethodOfAmountDeterminationTxt