East Texas Medical Center Reg Healthcare: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: East Texas Medical Center Reg Healthcare (EIN 37-1623919)
Tax period: 2014-11-01 to 2015-10-31
Filed: 2016-07-08
IRS object ID: 201641909349300109
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-07-08T06:41:56-07:00	ReturnTs
Tax Period End	2015-10-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-11-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	371623919	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Byron Hale	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2016-07-08	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-09-27 15:27:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	$792,562,312	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5692	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ETMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care. We measure our success by how our efforts improve the quality of life for people and communities in east Texas.	ActivityOrMissionDesc
Voting Members Governing Body	119	VotingMembersGoverningBodyCnt
Voting Members Independent	79	VotingMembersIndependentCnt
Total Employee	7602	TotalEmployeeCnt
Total Volunteers	416	TotalVolunteersCnt
Total Gross UBI	$1,210,412	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,138,350	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$768,748	PYContributionsGrantsAmt
CY Contributions Grants	$661,286	CYContributionsGrantsAmt
PY Program Service Revenue	$795,305,037	PYProgramServiceRevenueAmt
CY Program Service Revenue	$779,515,621	CYProgramServiceRevenueAmt
PY Investment Income	-$1,350,966	PYInvestmentIncomeAmt
CY Investment Income	$1,822,735	CYInvestmentIncomeAmt
PY Other Revenue	$10,645,237	PYOtherRevenueAmt
CY Other Revenue	$6,071,121	CYOtherRevenueAmt
PY Total Revenue	$805,368,056	PYTotalRevenueAmt
CY Total Revenue	$788,070,763	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,054,505	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$14,745,811	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$368,077,595	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$364,047,174	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$462,710,532	PYOtherExpensesAmt
CY Other Expenses	$414,407,858	CYOtherExpensesAmt
PY Total Expenses	$835,842,632	PYTotalExpensesAmt
CY Total Expenses	$793,200,843	CYTotalExpensesAmt
PY Revenues Less Expenses	-$30,474,576	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,130,080	CYRevenuesLessExpensesAmt
Total Assets BOY	$983,881,465	TotalAssetsBOYAmt
Total Assets EOY	$917,830,476	TotalAssetsEOYAmt
Total Liabilities BOY	$481,814,940	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$403,849,630	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$502,066,525	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$513,980,846	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care. We measure our success by how our efforts improve the quality of life for people and communities in east Texas.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$523,502,897	ExpenseAmt
Grant	$14,651,044	GrantAmt
Revenue	$545,776,533	RevenueAmt
Desc	"East Texas Medical Center Regional Helthcare System (the ""System"") is the parent company which wholly-owns and operates 24-subsidiary organizations. The system is headquartered in Tyler, Texas and its operations extends in all directions from Tyler, Texas, in an approximate 100-mile radius.All general acute-care hospitals not included in amounts on lines 4b, 4c and 4d. ETMC - Tyler has 502 licensed beds.ETMC - Athens has 119 licensed beds.ETMC - Carthage has 49 Licensed beds.ETMC - Clarksville had 49 Licensed beds - Closed Operations 12-31-2014.ETMC - Crockett had 49 Licensed beds - Closed Operations 5-31-2015. ETMC - Fairfield has 48 Licensed beds.ETMC - Gilmer had 37 Licensed beds - Closed Operations 10-31-2014.ETMC - Henderson has 49 Licensed beds.ETMC - Jacksonville has 74 Licensed beds.ETMC - Mount Vernon had 49 Licensed beds - Closed Operations 12-31-2014.ETMC - Trinity has 30 Licensed beds.ETMC - Pittsburg has 25 Licensed beds.ETMC - Quitman has 25 Licensed beds.The hospital's medical facilities offer a full range of medical services on an inpatient and outpatient basis. Including obstetrics, surgery, intensive care, physical therapy, mental health, cancer, kidney transplants, interventional radiology, trauma care and 24-hour emergency services.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$94,471,279	ExpenseAmt
Revenue	$65,875,196	RevenueAmt
Desc	ETMC - Healthcare Associates provides physician clinical services to and in connection with delivery of health care by System, its affiliate tax-exempt hospitals and other health care organizations. ETMC HCA currently employs 150+ physicians, the majority of the employed physicians specialize in primary care.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$40,403,257	ExpenseAmt
Revenue	$37,641,301	RevenueAmt
Desc	ETMC Tyler has a fleet of ground emergency ambulances serving East Texas. The System operates an extensive network of 60 ground ambulances, with each stationed at different locations to achieve optimal geographic coverage and response time throughout the System's service area.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$66,621,996	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$94,767	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$68,709,989	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$724,999,429	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	917	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7602	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	119	GoverningBodyVotingMembersCnt
Independent Voting Member	79	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (145 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Elmer G Ellis
President & Dir	0.00	40.00	Yes (X)	Yes (X)	$0	$1,124,806	$21,215
Byron Hale
Treasurer & Dir	0.00	40.00	Yes (X)	Yes (X)	$0	$538,421	$27,240
Sharon Clark
Director	2.00	0.00	Yes (X)		$0	$0	$0
Kirk Hopkins
Officer & Direc	0.00	40.00	Yes (X)	Yes (X)	$0	$218,300	$24,014
Mike Thomas
Director	0.00	40.00	Yes (X)		$0	$342,797	$27,838
Paula Anthony
Director	0.00	40.00	Yes (X)	Yes (X)	$0	$405,034	$25,696
Stephen Rydzak MD
Director	40.00	0.00	Yes (X)	Yes (X)	$641,068	$0	$582
Art Chance
Director	40.00	0.00	Yes (X)		$263,922	$0	$27,540
Terry Morrow
Director	2.00	0.00	Yes (X)		$0	$0	$0
Matthew Wylie
Administrator	40.00	0.00	Yes (X)	Yes (X)	$97,711	$0	$27,154
Eddie Howard
VP/Administrato	40.00	0.00	Yes (X)	Yes (X)	$359,370	$0	$25,923
Patrick L Wallace
Administrator	40.00	0.00	Yes (X)	Yes (X)	$316,799	$0	$27,798
Gary M Hudson
Administrator	40.00	0.00	Yes (X)	Yes (X)	$183,488	$0	$23,267
Bobby Smithson
Director	2.00	0.00	Yes (X)		$0	$0	$0
Charles Broadway
Director	2.00	0.00	Yes (X)		$0	$0	$0
Wayne Propst MD
Director	2.00	0.00	Yes (X)		$7,596	$0	$0
Terry Cutler
Administrator	40.00	0.00	Yes (X)	Yes (X)	$199,876	$0	$23,204
Ruth Cook
Administrator	40.00	0.00	Yes (X)	Yes (X)	$156,256	$0	$24,437
Perry Henderson
Administrator	0.00	40.00	Yes (X)	Yes (X)	$0	$316,103	$25,824
Mark Leitner
Administrator	40.00	0.00	Yes (X)	Yes (X)	$212,749	$0	$25,598
Douglas R Flanders MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Jack Endres
Administrator	40.00	0.00	Yes (X)	Yes (X)	$200,740	$0	$25,663
Dorian Roge
Director	2.00	0.00	Yes (X)		$0	$0	$0
Warren Robicheaux
Administrator	40.00	0.00	Yes (X)	Yes (X)	$203,354	$0	$23,178
Adron Neill
Director	2.00	0.00	Yes (X)		$0	$0	$0
Beverly Waddleton MD
Director	40.00	0.00	Yes (X)		$36,680	$0	$0
Curt Smith
Dir of HomeHlth	40.00	0.00	Yes (X)	Yes (X)	$116,039	$0	$22,270
Billy Langford
Director	2.00	0.00	Yes (X)		$0	$0	$0
Ernest Dews
Director	2.00	0.00	Yes (X)		$0	$0	$0
Ernest Snapka Jr
Director	2.00	0.00	Yes (X)		$0	$0	$0
Gordon Uretsky MD
Director	40.00	0.00	Yes (X)		$228,901	$0	$12,138
Alan Hale
Director	2.00	0.00	Yes (X)		$0	$0	$0
Allen Bell
Director	2.00	0.00	Yes (X)		$0	$0	$0
Harry Tilley
Director	2.00	0.00	Yes (X)		$0	$0	$0
Andrew Roberts MD
Director	40.00	0.00	Yes (X)	Yes (X)	$449,334	$0	$12,138
Ann Lake
Director	2.00	0.00	Yes (X)		$0	$0	$0
Rocky Gill
Director	2.00	0.00	Yes (X)		$0	$0	$0
Barry Hughes
Director	2.00	0.00	Yes (X)		$0	$0	$0
BG Hartley
Director	12.00	0.00	Yes (X)		$0	$0	$0
Bill Clawater
Director	2.00	0.00	Yes (X)		$0	$0	$0
Bill James
Director	2.00	0.00	Yes (X)		$0	$0	$0
Jeff Taylor
Director	2.00	0.00	Yes (X)		$0	$0	$0
Brian Ballard
Director	2.00	0.00	Yes (X)		$0	$0	$0
Brian Holcomb
Director	2.00	0.00	Yes (X)		$0	$0	$0
Bryan Hyland MD
Director	40.00	0.00	Yes (X)		$340,532	$0	$12,138
Bryan Price
Director	2.00	0.00	Yes (X)		$0	$0	$0
John Cain
Director	2.00	0.00	Yes (X)		$0	$0	$0
Charles Halstead
Director	2.00	0.00	Yes (X)		$0	$0	$0
Sebetha Jenkins-Booker PHD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Paul Hines
Director	2.00	0.00	Yes (X)		$0	$0	$0
Paul McGaha DO
Director	2.00	0.00	Yes (X)		$0	$0	$0
David Craig MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Donald Lewis
Director	2.00	0.00	Yes (X)		$0	$0	$0
David Johnson MD
Director	2.00	0.00	Yes (X)		$72,000	$0	$0
David Jones MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
David Latham MD
Former Director	2.00	0.00	Yes (X)		$0	$0	$0
David Mandel MD
Director	40.00	0.00	Yes (X)		$234,820	$0	$0
Laura Vanecek
Director	2.00	0.00	Yes (X)		$0	$0	$0
Donald E Arego MD
Director	40.00	0.00	Yes (X)		$305,858	$0	$12,138
Doug Johnston DO
Director	40.00	0.00	Yes (X)		$306,646	$0	$12,138
Ennis Christenberry
Director	2.00	0.00	Yes (X)		$0	$0	$0
Fred A Heirich
Director	2.00	0.00	Yes (X)		$0	$0	$0
Gary Gross MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Elam Swann
Director	2.00	0.00	Yes (X)		$0	$0	$0
George Robinson
Director	2.00	0.00	Yes (X)		$0	$0	$0
George T Hall
Director	2.00	0.00	Yes (X)		$0	$0	$0
Holley Howard
Director	2.00	0.00	Yes (X)		$0	$0	$0
Harold Beaird
Director	2.00	0.00	Yes (X)		$0	$0	$0
Sharlet Slough DO
Director	40.00	0.00	Yes (X)		$95,000	$0	$0
JB Smith
Director	2.00	0.00	Yes (X)		$0	$0	$0
Troy Robinson
Director	2.00	0.00	Yes (X)		$0	$0	$0
J Michael Orms MD
Director	40.00	0.00	Yes (X)		$317,193	$0	$12,138
Jamie Wylie
Administrator	40.00	0.00	Yes (X)	Yes (X)	$84,943	$0	$23,169
Jerry Webster
Director	2.00	0.00	Yes (X)		$0	$0	$0
Jessica Parish
Director	2.00	0.00	Yes (X)		$0	$0	$0
Joe Angle
ViceChairmn&Dir	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
John Payne
Director	2.00	0.00	Yes (X)		$0	$0	$0
John English MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
John Magouyrk
Director	2.00	0.00	Yes (X)		$0	$0	$0
John T Wilson
Director	2.00	0.00	Yes (X)		$0	$0	$0
Jon Johnston
Director	2.00	0.00	Yes (X)		$0	$0	$0
Karen Wies MD
Director	40.00	0.00	Yes (X)		$392,686	$0	$12,138
Jean Burroughs
Director	2.00	0.00	Yes (X)		$0	$0	$0
Kenneth Kemp MD
Director	40.00	0.00	Yes (X)		$281,267	$0	$12,138
Kenneth McGee
Director	2.00	0.00	Yes (X)		$0	$0	$0
Larry Durrett
Director	12.00	0.00	Yes (X)		$0	$0	$0
Larry King
Director	2.00	0.00	Yes (X)		$0	$0	$0
Mark Hamilton MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Leesa N Hedge
Director	2.00	0.00	Yes (X)		$0	$0	$0
John Gradberg
Director	2.00	0.00	Yes (X)		$0	$0	$0
Lisa Graves MD
Director	40.00	0.00	Yes (X)	Yes (X)	$401,908	$0	$12,138
Angela Tseng MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Michael Austin MD
Director	40.00	0.00	Yes (X)		$418,986	$0	$10,917
Michael Banks DDS
Director	2.00	0.00	Yes (X)		$0	$0	$0
Michelle Brookshire
Director	2.00	0.00	Yes (X)		$0	$0	$0
Kathy Babin
Director	2.00	0.00	Yes (X)		$0	$0	$0
Michael Young
Director	2.00	0.00	Yes (X)		$0	$0	$0
Nghia Truong MD
Director	40.00	0.00	Yes (X)		$696,963	$0	$12,138
Virginia Lewis
Director	2.00	0.00	Yes (X)		$0	$0	$0
Patricia Smith
Director	2.00	0.00	Yes (X)		$0	$0	$0
Peggy Lowry
Director	2.00	0.00	Yes (X)		$0	$0	$0
Paul Latta DDS
Director	2.00	0.00	Yes (X)		$0	$0	$0
Robert Nichols
Director	2.00	0.00	Yes (X)		$0	$0	$0
Robyn Rogers
Director	2.00	0.00	Yes (X)		$0	$0	$0
Rodney Watkins
Director	2.00	0.00	Yes (X)		$0	$0	$0
Ron Donaldson MD
Director	12.00	0.00	Yes (X)		$900	$0	$0
Ron Franks
Director	2.00	0.00	Yes (X)		$0	$0	$0
Rosemary Burns
Director	2.00	0.00	Yes (X)		$0	$0	$0
Sam Dawson
Director	2.00	0.00	Yes (X)		$0	$0	$0
Sam Raborn MD
Director	40.00	0.00	Yes (X)		$300,854	$0	$0
Samual Houston MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Stayton Bonner
Director	2.00	0.00	Yes (X)		$0	$0	$0
Steve Bishop CPA
Director	2.00	0.00	Yes (X)		$0	$0	$0
Steven C Roosth
Director	2.00	0.00	Yes (X)		$0	$0	$0
Ravi Konidala MD
Director	40.00	0.00	Yes (X)		$263,359	$0	$12,138
Brock Lutz MD
Director	2.00	0.00	Yes (X)		$10,800	$0	$0
William A Elfarr MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Wade Ridley
Director	12.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
WR Christensen MD
Director	2.00	0.00	Yes (X)		$357,015	$0	$11,294
Wayne Mask MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Gary Babbitt MD
Director	40.00	0.00	Yes (X)		$307,568	$0	$11,294
Gerald Akpassa MD
Director	40.00	0.00	Yes (X)		$532,726	$0	$12,138
Carroll Roge
Officer	0.00	40.00		Yes (X)	$0	$205,918	$16,457
Kim Cooley
Vice President	0.00	40.00		Yes (X)	$0	$332,942	$19,289
Robert Evans
SR VP/Administr	40.00	0.00		Yes (X)	$432,905	$0	$25,749
James Blanton
CFO	40.00	0.00		Yes (X)	$159,658	$0	$24,868
Becki Mangum
Treasurer	0.00	40.00		Yes (X)	$0	$148,037	$24,164
David Travis
CFO	40.00	0.00		Yes (X)	$187,408	$0	$25,586
Patrick Swindle
Administrator	40.00	0.00		Yes (X)	$48,812	$0	$16,755
Sam Brown
CFO	40.00	0.00		Yes (X)	$186,165	$0	$24,392
Phil Caron
CFO	40.00	0.00		Yes (X)	$186,752	$0	$23,484
Freddie Sanchez
VP Materiels Management	0.00	40.00			$0	$489,516	$25,652	Yes (X)
David Langston
VP Human Resources	0.00	40.00			$0	$245,360	$27,409	Yes (X)
Ron Schwartz
VP EMS	40.00	0.00			$313,631	$0	$27,741	Yes (X)
Dennis S Devinney
Physician	40.00	0.00			$1,561,438	$0	$12,138		Yes (X)
Joseph M Conflitti
Physician	40.00	0.00			$1,259,154	$0	$12,138		Yes (X)
Alireza Behboudi
Physician	40.00	0.00			$1,208,653	$0	$12,138		Yes (X)
Eldor L Brish
Physician	40.00	0.00			$1,147,330	$0	$12,138		Yes (X)
Michael J Klouda
Physician	40.00	0.00			$730,069	$0	$12,138		Yes (X)
Gerry Dominguez
CFO	40.00	0.00			$108,701	$0	$11,926			Yes (X)
Armol Deshpande MD
Former Director (FY 12)	40.00	0.00			$422,890	$0	$10,917			Yes (X)
Jean Latortue MD
Former Director (FY 11)	40.00	0.00			$722,864	$0	$12,138			Yes (X)
Lawrence Quan MD
Former Director (FY 11)	2.00	0.00			$134,810	$0	$0			Yes (X)
Roger Sessions MD
Former Director (FY 12)	40.00	0.00			$539,731	$0	$12,138			Yes (X)
William Roberson D
Former Director (FY 11)	2.00	0.00			$59,908	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$18,806,786	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,367,234	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,020,126	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	381	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Metro Aviation Inc
PO Box 7008	Shreveport	LA	711377008	Helicopter Maint.	$4,045,659
Clinical Pathology Lab
PO Box 141669	Austin	TX	78714	Laboratory Tests	$3,098,680
Hospital Housekeeping Systems
PO Box 826	San Antonio	TX	78293	Housekeeping Service	$2,370,402
Blumberg Ribner Inc
315 S Beverly Drive 505	Beverly Hills	CA	902124316	Consultants of Provi	$1,782,971
Tyler Neurosurgical Assoc
700 Olympic Plaza 850	Tyler	TX	75701	Neurological Service	$1,777,500

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	101	CntrctRcvdGreaterThan100KCnt
Fundraising	$23,500	FundraisingAmt
All Other Contributions	$637,786	AllOtherContributionsAmt
Total Contributions	$661,286	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Affiliate Premiums	$3,898,336	$3,898,336
Contract/Outside Services	$3,751,929	$2,612,579	$1,139,350
Intercompany Revenue	$7,682,704	$7,680,864		$1,840
Mgmt Allocation	$35,708,575	$35,708,575
Net Patient Revenue	$718,003,019	$718,003,019

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,471,058	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,471,058	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$779,515,621	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,083,746	TotalRevenueColumnAmt
Exclusion	$1,083,746	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$5,223,243	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$4,484,254	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$738,989	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$738,989	TotalRevenueColumnAmt
Exclusion	$738,989	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$16,845	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$23,500	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$7,295	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,550	TotalRevenueColumnAmt
Exclusion	$9,550	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,103,028	GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,103,028	TotalRevenueColumnAmt
Unrelated Business Revenue	$71,062	UnrelatedBusinessRevenueAmt
Exclusion	$2,031,966	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Cafeteria/Dietary Rev	$3,418,959	$3,418,959
Miscellaneous Income	$59,701	$59,701
Parking Lot	$607,307	$607,307

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$127,424	TotalRevenueColumnAmt
Exclusion	-$127,424	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,958,543	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$788,070,763	TotalRevenueColumnAmt
Related Or Exempt Func Income	$778,374,431	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,210,412	UnrelatedBusinessRevenueAmt
Exclusion	$7,824,634	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$14,651,044	TotalAmt
Program Services	$14,651,044	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$94,767	TotalAmt
Program Services	$94,767	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,916,173	TotalAmt
Management And General	$6,916,173	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$290,313,519	TotalAmt
Program Services	$285,836,712	ProgramServicesAmt
Management And General	$4,476,807	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,322,989	TotalAmt
Program Services	$7,056,215	ProgramServicesAmt
Management And General	$266,774	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,568,828	TotalAmt
Program Services	$37,983,841	ProgramServicesAmt
Management And General	$1,584,987	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,925,665	TotalAmt
Program Services	$19,118,112	ProgramServicesAmt
Management And General	$807,553	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$213,895	TotalAmt
Program Services	$209,743	ProgramServicesAmt
Management And General	$4,152	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	-$80,851	TotalAmt
Program Services	$35,335	ProgramServicesAmt
Management And General	-$116,186	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

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

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$456,530	TotalAmt
Program Services	$379,910	ProgramServicesAmt
Management And General	$76,620	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,612,336	TotalAmt
Program Services	$3,541,410	ProgramServicesAmt
Management And General	$70,926	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,397,104	TotalAmt
Program Services	$2,383,849	ProgramServicesAmt
Management And General	$13,255	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$29,232,256	TotalAmt
Program Services	$29,117,434	ProgramServicesAmt
Management And General	$114,822	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$381,006	TotalAmt
Program Services	$313,481	ProgramServicesAmt
Management And General	$67,525	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$813,056	TotalAmt
Program Services	$756,734	ProgramServicesAmt
Management And General	$56,322	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,762,841	TotalAmt
Program Services	$14,757,653	ProgramServicesAmt
Management And General	$5,188	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$7,358	TotalAmt
Program Services	$6,660	ProgramServicesAmt
Management And General	$698	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,877,526	TotalAmt
Program Services	$28,875,219	ProgramServicesAmt
Management And General	$2,307	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,895,835	TotalAmt
Program Services	$5,828,381	ProgramServicesAmt
Management And General	$67,454	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Supplies	$111,773,446	$111,624,122	$149,324
Physician/Medical Spec. Fees	$57,685,916	$53,952,802	$3,733,114
System Fee	$43,910,533		$43,910,533
Outside Services	$34,416,973	$32,957,094	$1,459,879

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$80,052,098	TotalAmt
Program Services	$75,518,911	ProgramServicesAmt
Management And General	$4,533,187	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$793,200,843	TotalAmt
Program Services	$724,999,429	ProgramServicesAmt
Management And General	$68,201,414	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$222,798,965	BOYAmt
EOY	$62,897,359	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,179,687	BOYAmt
EOY	$5,017,577	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,482,317	BOYAmt
EOY	$72,392,923	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,887,117	BOYAmt
EOY	$12,585,109	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,293,995	BOYAmt
EOY	$5,895,648	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$590,805,500	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$397,357,830	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$210,342,323	BOYAmt
EOY	$193,447,670	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,218,215	BOYAmt
EOY	$7,049,944	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$440,668,846	BOYAmt
EOY	$558,534,246	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$983,881,465	BOYAmt
EOY	$917,830,476	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$60,240,482	BOYAmt
EOY	$49,759,523	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$891,085	BOYAmt
EOY	$603,075	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$77,858,868	BOYAmt
EOY	$72,950,534	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$854,376	BOYAmt
EOY	$748,538	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$341,970,129	BOYAmt
EOY	$279,787,960	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$481,814,940	BOYAmt
EOY	$403,849,630	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$494,801,504	BOYAmt
EOY	$506,422,770	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,240,694	BOYAmt
EOY	$4,533,749	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$502,066,525	BOYAmt
EOY	$513,980,846	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$983,881,465	BOYAmt
EOY	$917,830,476	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$5,130,080	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$17,044,401	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$73,733	OtherActivitiesAmt
Total Lobbying Expenditures	$73,733	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,308,565	BeginningYearBalanceAmt
Contributions	$874,950	ContributionsAmt
Investment Earnings Or Losses	$70,190	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,183,202	OtherExpendituresAmt
End Year Balance	$6,070,503	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.27000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.29000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.44000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$360,009	OtherCostOrOtherBasisAmt
Book Value	$360,009	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$182,140,495	OtherCostOrOtherBasisAmt
Depreciation	$82,439,577	DepreciationAmt
Book Value	$99,700,918	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,403,749	OtherCostOrOtherBasisAmt
Depreciation	$12,465,696	DepreciationAmt
Book Value	$21,938,053	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$324,910,113	OtherCostOrOtherBasisAmt
Depreciation	$265,719,182	DepreciationAmt
Book Value	$59,190,931	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,991,134	OtherCostOrOtherBasisAmt
Depreciation	$36,733,375	DepreciationAmt
Book Value	$12,257,759	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$193,447,670	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDesc	Book ValueBookValueAmt
Accrued Interest Receivable	$804
Bonds Receivables & Unamortized Bond Exp	$3,292,646
Deposits on Equip & Various Items	$15,000
Due From Affiliates	$525,652,226
Due From Outside Entities	$18,762,830
Estimated 3rd Party Settlement	$724,500
Goodwill-Athens Cancer Institute net	$1,000,000
Restricted Funds	$9,086,238
Rounding	$1
Rounding	$1

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$558,534,246	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Capital Lease Obligations	$19,466,343
Deferred Direct & Admin Expenses	$31,885,476
Due to Affiliates	$192,572,905
Estimated 3rd Party Settlement	$750,503
Investment In Cyberknife	-$83,659
Noncurrent Pension Liability	$34,522,696
Other Noncurrent Liabilities	$673,696

Field	Value	IRS element (for citing)
Total Liability	$279,787,960	TotalLiabilityAmt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agrmt Prof Fundraising Acty	false	AgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Bell Golf Tournament	Event1Nm
Gross Receipts Event1	$40,345	GrossReceiptsEvent1Amt
Charitable Contri Event1	$23,500	CharitableContriEvent1Amt
Gross Revenue Event1	$16,845	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$7,295	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$40,345	GrossReceiptsTotalAmt
Charitable Contributions Tot	$23,500	CharitableContributionsTotAmt
Gross Revenue Total Events	$16,845	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$7,295	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$7,295	DirectExpenseSummaryEventsAmt
Net Income Summary	$9,550	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,647,379	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,624,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,022,705	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,830,429	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,118,969	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,711,460	NetCommunityBenefitExpnsAmt
Total Expense	0.00970	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,003,035	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,491,335	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,511,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,480,843	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,234,978	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,245,865	NetCommunityBenefitExpnsAmt
Total Expense	0.02170	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$351,477	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,858	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$296,619	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$712,439	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$175,524	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$536,915	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$86,413,813	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,985,874	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,427,939	NetCommunityBenefitExpnsAmt
Total Expense	0.01440	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$211,683	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,938	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$119,745	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,493,842	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,493,842	NetCommunityBenefitExpnsAmt
Total Expense	0.02330	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,183,254	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,308,194	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,875,060	NetCommunityBenefitExpnsAmt
Total Expense	0.03900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$212,664,097	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$164,543,172	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,120,925	NetCommunityBenefitExpnsAmt
Total Expense	0.06070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,762,352	BadDebtExpenseAmt
Reimbursed By Medicare	$215,281,505	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$293,507,519	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$78,226,014	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	FinancialAssistancePrvsnInd
Hospital Facilities	13	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (13 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	Facility Reporting GroupFacilityReportingGroupCd
East Texas Medical Cntr-Athens
1	2000 South Palestine	Athens	TX	75751	Yes (X)	A
East Texas Medical Cntr-Cartha
2	409 West Cottage Road	Carthage	TX	75633	Yes (X)	A
East Texas Medical Cntr-Clarks
3	3000 West Main Hwy 82 W	Clarksville	TX	75426	Yes (X)	A
East Texas Medical Cntr-Crocke
4	1100 Loop 304 East	Crockett	TX	75835	Yes (X)	A
East Texas Medical Cntr-Fairfi
5	125 Newman Street	Fairfield	TX	75840	Yes (X)	A
East Texas Medical Cntr-Hender
7	300 Wilson Street	Henderson	TX	75652	Yes (X)	A
East Texas Medical Cntr-Jackso
8	501 S Ragsdale Street	Jacksonville	TX	75768	Yes (X)	A
East Texas Medical Cntr-MtVern
9	500 S State Highway 37	Mount Vernon	TX	75457	Yes (X)	A
East Texas Medical Cntr-Pittsb
10	414 Quitman Street	Pittsburg	TX	75686	Yes (X)	A
East Texas Medical Cntr-Quitma
11	117 N Winnsboro Street	Quitman	TX	75783	Yes (X)	A
East Texas Medical Cntr-Trinit
12	317 Prospect Drive	Trinity	TX	75862	Yes (X)	A
East Texas Medical Cntr-Tyler
13	1000 South Beckham Avenue	Tyler	TX	75701	Yes (X)	A
East Texas Medical Cntr-Specia
14	1000 South Beckham Avenue	Tyler	TX	75701	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

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

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC (East Texas Medical Center). Individuals interview included representatives of: * AgriLife (extension services) - Natural Resources & FCS County Health * Aley United Methodist Church * Allstate * Andrews Center * Area Minister * Austin Bank * Bank Texas * Bethesda Health Clinic * Big Brothers, Big Sisters * Bogata Funeral Home * Boys and Girls Club * Camp County Judge * Car dealership * Carthage Courtesy Club * Carthage ISD * CASA - Court Appointed Special Advocates * Central Baptist Church * Chamber of Commerce * Cherokee County Health Department * City Manager, City of Mineola * City Manager, City of Trinity * City of Annona - Mayor * City of Clarksville - Mayor, City Secretary, City Manager * City of Crockett - Mayor, City Manager * City of Henderson, City Manager * City of Quitman * Clayton Church * Community National Bank * Crisis Center of Anderson and Cherokee Counties * Department of Assistive and Rehabilitative Services * Dept. of Housing and Urban Development (HUD) * Disciples Clinic * Dodd Motor Company * East Texas Crisis Center * East Texas Food Bank * East Texas Medical Center EMS * ETCOG - Agency on Aging * ETMC Quitman board of directors * Fairfield Hospital District Board * Family Peace Project * First Baptist Church, Fairfield * First Baptist Church, Pittsburg * First Baptist Church, Teague * First Federal Community Bank * First National Bank of Gilmer * First National Bank of Mount Vernon * First United Methodist Church * Flight of the Phoenix Museum * Franklin County - Treasurer, County Judge * Franklin County Chamber of Commerce * Freestone County, Justice of the Peace * Freestone ISD * Gilmer Chamber of Commerce * Gilmer ISD * Heart to Heart * Henderson County - Indigent Care; Senior Citizen's Program * Henderson ISD * Henderson Memorial Hospital Foundation * Hispanic Business Alliance * Home for Vets * HOPE * Houston County Courier * Jacksonville Economic Development Corporation * Jacksonville Police Department * Joy Works - Eastern Hills Church of Christ * Literacy Council * Luminant * Mayor, City of Beckville * Mayor, City of Pittsburg * Mayor, City of Quitman * Mayor, City of Trinity * Meals on Wheels * Medical Staff * Mount Vernon ISD - School Nurse * NE Texas Public Health District * Office of the County Judge, Panola County * Our Lady of Sorrows * Panola College, Nursing & Health Sciences * PATH * Pittsburg ISD * Rusk County Child Advocacy Center * Rusk County Health Clinic * Rusk County Judge * Sheriff, Trinity County * Small Business/Chamber of Commerce * St. Edwards Catholic Church * St. Matthew's Episcopal Church * State Farm Insurance * Texas Dept. of State Health Services * Texas Dept. of State Health Services, area Emergency Operations Coordinator * The Chaparral Center, Alto * Trinity County Hospital District board of directors * Tyler Area Chamber of Commerce * Tyler Police Department * Upshur County Judge * Watkins Insurance Agency * West Place Nursing Home * Women's Center of East Texas * Wood County Chief Appraiser * Wood County Electric Coop * Zion Travelers Baptist ChurchThe interview task force included the administrator from each ETMC Hospital, as well as members of the ETMC Regional Healthcare System's CHNA team.
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationEast Texas Flight Ambulance dba Air OneETMC Healthcare AssociatesETMC Specialty Hospital
Part V, Line 7d - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.
Part V, Line 22d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

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

Supplemental Information Detail SupplementalInformationDetail (6 entries)

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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Sonet Service Organization	BusinessNameLine1Txt

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)
Cash Grant	$14,582,801	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	Indigent Care Donation	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (55 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt
Alireza Behboudi
Physician	$716,009	$490,485	$2,159	$12,138	$1,220,791
Andrew Roberts MD
Director	$440,485	$6,024	$2,825	$12,138	$461,472
Armol Deshpande MD
Former Director (FY 12)	$421,169		$1,721	$10,917	$433,807
Art Chance
Director	$261,939		$1,983	$27,540	$291,462
Becki Mangum
Treasurer						$147,162	$875	$24,164	$172,201
Bryan Hyland MD
Director	$277,494	$61,563	$1,475	$12,138	$352,670
Byron Hale
Treasurer & Dir						$526,083	$12,338	$27,240	$565,661
Carroll Roge
Officer						$204,427	$1,491	$16,457	$222,375
David Langston
VP Human Resources						$242,789	$2,571	$27,409	$272,769
David Mandel MD
Director	$187,438	$45,068	$2,314		$234,820
David Travis
CFO	$185,435		$1,973	$25,586	$212,994
Dennis S Devinney
Physician	$694,744	$863,824	$2,870	$12,138	$1,573,576
Donald E Arego MD
Director	$292,100	$10,469	$3,289	$12,138	$317,996
Doug Johnston DO
Director	$172,420	$132,786	$1,440	$12,138	$318,784
Eddie Howard
VP/Administrato	$347,354		$12,016	$25,923	$385,293
Eldor L Brish
Physician	$430,014	$715,562	$1,754	$12,138	$1,159,468
Elmer G Ellis
President & Dir						$1,079,990	$44,816	$21,215	$1,146,021
Freddie Sanchez
VP Materiels Management						$314,556	$10,494	$25,652	$515,168	$164,466
Gary Babbitt MD
Director	$304,344		$3,224	$11,294	$318,862
Gary M Hudson
Administrator	$173,675		$9,813	$23,267	$206,755
Gerald Akpassa MD
Director	$531,163		$1,563	$12,138	$544,864
Gerry Dominguez
CFO	$93,045		$15,656	$11,926	$120,627
Gordon Uretsky MD
Director	$219,244	$6,959	$2,698	$12,138	$241,039
J Michael Orms MD
Director	$316,008		$1,185	$12,138	$329,331
Jack Endres
Administrator	$192,383		$8,357	$25,663	$226,403
James Blanton
CFO	$158,031		$1,627	$24,868	$184,526
Jean Latortue MD
Former Director (FY 11)	$722,052		$812	$12,138	$735,002
Joseph M Conflitti
Physician	$695,100	$561,123	$2,931	$12,138	$1,271,292
Karen Wies MD
Director	$170,448	$220,276	$1,962	$12,138	$404,824
Kenneth Kemp MD
Director	$242,974	$36,548	$1,745	$12,138	$293,405
Kim Cooley
Vice President						$322,417	$10,525	$19,289	$352,231
Kirk Hopkins
Officer & Direc						$212,026	$6,274	$24,014	$242,314
Lawrence Quan MD
Former Director (FY 11)	$134,810				$134,810
Lisa Graves MD
Director	$139,848	$260,708	$1,352	$12,138	$414,046
Mark Leitner
Administrator	$203,995		$8,754	$25,598	$238,347
Michael Austin MD
Director	$195,609	$221,767	$1,610	$10,917	$429,903
Michael J Klouda
Physician	$542,420	$185,104	$2,545	$12,138	$742,207
Mike Thomas
Director						$339,313	$3,484	$27,838	$370,635
Nghia Truong MD
Director	$432,664	$262,527	$1,772	$12,138	$709,101
Patrick L Wallace
Administrator	$303,900		$12,899	$27,798	$344,597
Paula Anthony
Director						$343,636	$61,398	$25,696	$430,730
Perry Henderson
Administrator						$313,429	$2,674	$25,824	$341,927
Phil Caron
CFO	$177,332		$9,420	$23,484	$210,236
Ravi Konidala MD
Director	$185,720	$76,514	$1,125	$12,138	$275,497
Robert Evans
SR VP/Administr	$420,061		$12,844	$25,749	$458,654
Roger Sessions MD
Former Director (FY 12)	$492,278	$42,294	$5,159	$12,138	$551,869
Ron Schwartz
VP EMS	$302,916		$10,715	$27,741	$341,372
Ruth Cook
Administrator	$147,513		$8,743	$24,437	$180,693
Sam Brown
CFO	$176,470		$9,695	$24,392	$210,557
Sam Raborn MD
Director	$135,000	$164,420	$1,434		$300,854
Stephen Rydzak MD
Director	$459,418	$177,652	$3,998	$582	$641,650
Terry Cutler
Administrator	$191,239		$8,637	$23,204	$223,080
WR Christensen MD
Director	$356,145		$870	$11,294	$368,309
Warren Robicheaux
Administrator	$195,132		$8,222	$23,178	$226,532
William Roberson D
Former Director (FY 11)	$59,833		$75		$59,908

Supplemental Information Detail SupplementalInformationDetail

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,230,000	$10,081,130	$898,543	$74,500	$898,543	$9,108,087	2009	false	false	Yes (true)	Yes (true)
B	$1,230,000	$10,068,035	$725,080		$725,080	$9,342,955	2009	false	false	Yes (true)	Yes (true)
C	$985,000	$10,000,067	$252,733		$252,733	$9,747,334	2009	false	false	Yes (true)	Yes (true)
D	$700,000	$7,000,001	$863,244	$7,000	$863,244	$6,129,757	2009	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr
A	$1,486,104	$5,831,638	$5,831,638	Yes (true)	false	Yes (true)	Yes (true)
B		$35,173,533		false	false	Yes (true)	Yes (true)	$3,501,820	$3,044,708	$286,000	$4,124,014	$27,261,699	2013

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

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

Field	Value	IRS element (for citing)
Relationship Description	Director	RelationshipDescriptionTxt
Transaction	$378,757	TransactionAmt
Transaction	Contract Labor Servi	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (73 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Client Note 1	Client Note 1 - See schedule H for list of subordinate organizations.
Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: East Texas Flight Ambulance dba Air One has 3 air ambulances. OTHER PROGRAM SERVICES 5: ETMC Tyler has a Behavioral Health Center that provides inpatient and outpatient mental health services. OTHER PROGRAM SERVICES 6: The ETMC Rehabilitation Hospital has 49 licensed beds. It provides inpatient and outpatient services including physical, occupational and speech therapies, cardiac and pulmonary rehabilitation. ETMC Rehabilitation also offers preventive and health enhancement services. OTHER PROGRAM SERVICES 7: The ETMC Specialty Hospital is a long-term, acute hospital licensed for 36 beds. The hospital is dedicated to acute care for the medically complex patient. Specialized programs include ventilator care, complex multi-system medical, CVA/stroke, trauma, oncology and wound care. OTHER PROGRAM SERVICES 8: ETMC Home Services provides non-hospital health care services. OTHER PROGRAM SERVICES 9: East Texas Medical Center Regional Healthcare System Self Insurance Trust provides self insurance coverage for the East Texas Medical Center Regional Healthcare System entities. OTHER PROGRAM SERVICES 10: ETMC Foundation supports the System and affiliate hospitals as well as the charitable companies affiliated with the System. This includes providing financial assistance to the System, raising, managing and distributing of charitable funds and gifts, providing educational programs on medical and health matters and providing for the regional development of healthcare and medical treatment of illnesses, physical and mental disabilities. OTHER PROGRAM SERVICES 11: FirstNet Exchange provided physicians electronic access to medical records - Closed Operations 10-31-2014.
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	The following members of ETMC Regional Healthcare System are also board members / key employees of entities affiliated with ETMC Regional Healthcare System: Elmer G. Ellis, Byron Hale, B.G. Hartley, Larry Durrett, Ron Donaldson, M.D., Stephen Rydzak, M.D., Wade Ridley, James Wynne, Freddie Sanchez, Mike Gray, Mike Thomas and Paula Anthony.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	ETMC Regional Healthcare System is the parent and sole member of the ETMC System affiliates and appoints certain members to the board.
Form 990, Part VI, Line 11b: Form 990 Review Process	The return is prepared by our staff accountant and is reviewed by senior management. It is then presented to the board for their review and comments. The final return is provided to the board prior to filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The organization has a written conflict of interest policy for all employees, officers and trustees. Annually all officers, key employees and trustees are required to complete a conflict of interest form disclosing any actual or potential conflict of interest with the organization. Should any transaction arise that may create a conflict, the transaction is reviewed and appropriate measures are taken.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	Compensation for the CEO, executive directors and top management is reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Compensation for other officers and key employees are reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The organization's governing documents, conflict of interest policy and financial statements are provided upon request.
Form 990, Part IX, Line 24e: Other Expenses	: Column (A) - Total = $0; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	: Column (A) - Total = $0; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Administrative Expenses: Column (A) - Total = $30283; Column (B) - Program Services = $0; Column (C) - Management & General = $30283; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Auto Expense/Fuel/Oil/Diesel: Column (A) - Total = $522398; Column (B) - Program Services = $502512; Column (C) - Management & General = $19886; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Auto Lease: Column (A) - Total = $328623; Column (B) - Program Services = $318211; Column (C) - Management & General = $10412; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Bank Charges: Column (A) - Total = $717002; Column (B) - Program Services = $713459; Column (C) - Management & General = $3543; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Biomed Service: Column (A) - Total = $2054007; Column (B) - Program Services = $2046064; Column (C) - Management & General = $7943; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Claims Expense: Column (A) - Total = $2918242; Column (B) - Program Services = $2918242; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Classified Advertising: Column (A) - Total = $25025; Column (B) - Program Services = $25025; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Collection Fees: Column (A) - Total = $4553059; Column (B) - Program Services = $4548451; Column (C) - Management & General = $4608; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Consulting Fees: Column (A) - Total = $5269532; Column (B) - Program Services = $3210186; Column (C) - Management & General = $2059346; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Contract Labor: Column (A) - Total = $8068654; Column (B) - Program Services = $8059866; Column (C) - Management & General = $8788; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Contract/Outside Maintenance: Column (A) - Total = $13330128; Column (B) - Program Services = $13246850; Column (C) - Management & General = $83278; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Drug Testing Awareness: Column (A) - Total = $27216; Column (B) - Program Services = $27216; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Dues and Subscription: Column (A) - Total = $817197; Column (B) - Program Services = $382928; Column (C) - Management & General = $434269; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Educational Instructors: Column (A) - Total = $108981; Column (B) - Program Services = $108981; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	EE Activities: Column (A) - Total = $25394; Column (B) - Program Services = $25394; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Employee Physicals/Injuries: Column (A) - Total = $8800; Column (B) - Program Services = $8800; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	EMS Ambulance Expense: Column (A) - Total = $2236094; Column (B) - Program Services = $2236058; Column (C) - Management & General = $36; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Equipment Rental: Column (A) - Total = $5497777; Column (B) - Program Services = $5336015; Column (C) - Management & General = $161762; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Hazmat Disposal: Column (A) - Total = $3313; Column (B) - Program Services = $3313; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Helicopter Lease: Column (A) - Total = $4054399; Column (B) - Program Services = $4054399; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Housekeeping: Column (A) - Total = $3401245; Column (B) - Program Services = $3400206; Column (C) - Management & General = $1039; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Infectious/Hazardous Waste: Column (A) - Total = $157168; Column (B) - Program Services = $157168; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Landscaping: Column (A) - Total = $623098; Column (B) - Program Services = $618019; Column (C) - Management & General = $5079; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Late Run Penalties: Column (A) - Total = $70628; Column (B) - Program Services = $70628; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Laundry: Column (A) - Total = $41353; Column (B) - Program Services = $41047; Column (C) - Management & General = $306; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Laundry/Linen Service: Column (A) - Total = $1178875; Column (B) - Program Services = $1178875; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Library Expense: Column (A) - Total = $7724; Column (B) - Program Services = $7724; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Licenses: Column (A) - Total = $469027; Column (B) - Program Services = $446439; Column (C) - Management & General = $22588; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Lost Patient Items Replacement: Column (A) - Total = $14677; Column (B) - Program Services = $14677; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Maintenance General Hospital: Column (A) - Total = $535020; Column (B) - Program Services = $525437; Column (C) - Management & General = $9583; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Management Fees: Column (A) - Total = $1752510; Column (B) - Program Services = $1752510; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Medical Transcription: Column (A) - Total = $51812; Column (B) - Program Services = $51812; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Micro Filming: Column (A) - Total = $440562; Column (B) - Program Services = $440562; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Minor Equipment: Column (A) - Total = $2872538; Column (B) - Program Services = $2836896; Column (C) - Management & General = $35642; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Miscellaneous: Column (A) - Total = $768221; Column (B) - Program Services = $20367; Column (C) - Management & General = $747854; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Nourishments: Column (A) - Total = $765281; Column (B) - Program Services = $682297; Column (C) - Management & General = $82984; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Patient Surveys: Column (A) - Total = $108574; Column (B) - Program Services = $56078; Column (C) - Management & General = $52496; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Personal Vehicle Mileage: Column (A) - Total = $584011; Column (B) - Program Services = $550527; Column (C) - Management & General = $33484; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Postage and Shipping: Column (A) - Total = $876106; Column (B) - Program Services = $836115; Column (C) - Management & General = $39991; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Printing and Publications: Column (A) - Total = $280554; Column (B) - Program Services = $269521; Column (C) - Management & General = $11033; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Professional Fees: Column (A) - Total = $916508; Column (B) - Program Services = $852439; Column (C) - Management & General = $64069; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Public Relations: Column (A) - Total = $114589; Column (B) - Program Services = $63599; Column (C) - Management & General = $50990; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Recruiting Agency Fees: Column (A) - Total = $210376; Column (B) - Program Services = $183479; Column (C) - Management & General = $26897; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Recruiting/ Interview: Column (A) - Total = $471291; Column (B) - Program Services = $222985; Column (C) - Management & General = $248306; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Repairs - Building: Column (A) - Total = $812467; Column (B) - Program Services = $810792; Column (C) - Management & General = $1675; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Repairs - Equipment: Column (A) - Total = $1720013; Column (B) - Program Services = $1695648; Column (C) - Management & General = $24365; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Rounding: Column (A) - Total = $0; Column (B) - Program Services = $3; Column (C) - Management & General = $-3; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Taxes: Column (A) - Total = $110469; Column (B) - Program Services = $109495; Column (C) - Management & General = $974; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Telephone/Cell phones/pagers: Column (A) - Total = $2374724; Column (B) - Program Services = $2196866; Column (C) - Management & General = $177858; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Uniforms/Wearing Apparel/Scrub: Column (A) - Total = $207136; Column (B) - Program Services = $207057; Column (C) - Management & General = $79; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses	Utilities: Column (A) - Total = $7519417; Column (B) - Program Services = $7447673; Column (C) - Management & General = $71744; Column (D) - Fundraising = $0
Other Changes In Net Assets Or Fund Balances - Other Increases	Defined Benefit Plan Adjustment = $0
Other Changes In Net Assets Or Fund Balances - Other Decreases	Defined Benefit Plan Adjustment = -$5002288
Other Changes In Net Assets Or Fund Balances - Other Increases	ETMC Specialty Services Income on Sys books = $0
Other Changes In Net Assets Or Fund Balances - Other Decreases	ETMC Specialty Services Income on Sys books = -$53664
Other Changes In Net Assets Or Fund Balances - Other Increases	Record Affiliates Closing GL Entries = $21929864
Other Changes In Net Assets Or Fund Balances - Other Decreases	Record AffiliatesClosing GL Entries = -$0
Other Changes In Net Assets Or Fund Balances - Other Decreases	Rounding = -$1
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfer FirstNet Assets = -$0
Other Changes In Net Assets Or Fund Balances - Other Increases	Transfer FirstNet Assets = $170490
Audited Financial Statements	The organization was included in consolidated, independent audited financial statements for the tax year.
Fundraising Expenses	Fundraising is conducted at the related organization, ETMC Foundation for all ETMC Regional Healthcare System organizations. The expenses are not charged back to the organization.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (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
ETMC Regional Healthcare SystemETMCRHS
1000 S Beckham	Tyler	TX	75701	751803327	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
First Choice Cooperative
1000 S Beckham Avenue	Tyler	TX	75701	752627236	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Tyler
1000 S Beckham Avenue	Tyler	TX	75701	751803325	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	Yes (true)
ETMC - Rehabilitation Hospital
701 Olympic Plaza Circle	Tyler	TX	75701	752599215	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Home Services
1000 S Beckham Avenue	Tyler	TX	75701	752503960	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC Reg Healthcare Sys Self Ins Trust
1000 S Beckham Avenue	Tyler	TX	75701	756345356	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Specialty Hospital
1000 S Beckham Avenue	Tyler	TX	75701	752547158	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Foundation
1000 S Beckham Avenue	Tyler	TX	75701	752695524	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Healthcare Associates
1000 S Beckham Avenue	Tyler	TX	75701	752605821	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Athens
2000 S Palestine	Athens	TX	75751	751854562	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Carthage
409 Cottage Road	Carthage	TX	75633	752735077	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Clarksville - Closed 123114
PO Drawer 1270	Clarksville	TX	75426	752638020	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Crockett - Closed 53115
1100 Loop 304 East	Crockett	TX	75835	752602621	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Fairfield
125 Newman Street	Fairfield	TX	75840	752753454	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Gilmer - Closed 103114
712 North Wood	Gilmer	TX	75644	200079162	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Henderson
300 Wilson Street	Henderson	TX	75652	264123728	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Jacksonville
501 South Ragsdale	Jacksonville	TX	75766	752715084	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Mount Vernon - Closed 123114
PO Box 477	Mount Vernon	TX	75457	752250730	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Trinity
PO Box 471	Trinity	TX	75862	752715898	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Pittsburg
414 Quitman Street	Pittsburg	TX	75686	751919624	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Quitman
PO Box 1000	Quitman	TX	75783	752766160	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
FirstNet Exchange - Closed 103114
1000 S Beckham Avenue	Tyler	TX	75701	451436671	Health Services	TX	501 (c)(3)	Exempt	ETMCRHS	false
ETMC Specialty Services
1000 S Beckham Avenue	Tyler	TX	75701	460847937	Health Service	TX	501 (C) (3)	Exempt	ETMCRHS	false
East Texas Flight Ambulance dba Air One
1000 South Beckham Avenue	Tyler	TX	75701	473192208	Health Service	TX	501 (C) (3)	Exempt	ETMCRHS	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corp	EntityTypeTxt
Share Of Total Income	$137,688,879	ShareOfTotalIncomeAmt
Share Of EOY Assets	$65,077,898	ShareOfEOYAssetsAmt
Controlled Organization	false	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ETMC Regional Healthcare SystemETMCRHS
k	$16,836,157	FMV
ETMC Regional Healthcare SystemETMCRHS
p	$47,989,577	FMV
ETMC Regional Healthcare SystemETMCRHS
q	$1,189,188	FMV