METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATION (EIN 62-1403517)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-12
- IRS object ID
- 201513169349305776
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-12T17:02:57-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621403517 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | METH | BusinessNameControlTxt |
| Phone | 9013808000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6400 SHELBY VIEW NO 101 | AddressLine1Txt |
| City | MEMPHIS | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38134 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER MCLEAN | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 9013808000 | PhoneNum |
| Signature | 2015-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MITCH GRAVES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6400 SHELBY VIEW NO 101 | AddressLine1Txt |
| City | MEMPHIS | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38134 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,978,018 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.METHODISTHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES CONVENIENT AND EASILY-ACCESSIBLE MEDICAL TREATMENT WITHOUT AN APPOINTMENT FOR NON-LIFE-THREATENING INJURIES AND ILLNESSES THAT CAN OCCUR WITHOUT WARNING. IN MANY INSTANCES, A TRIP TO THE HOSPITAL EMERGENCY ROOM CAN BE COMPLETELY AVOIDED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 213 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,010,310 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,561,088 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,135 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,842,953 | PYOtherRevenueAmt |
| CY Other Revenue | $2,416,930 | CYOtherRevenueAmt |
| PY Total Revenue | $14,853,263 | PYTotalRevenueAmt |
| CY Total Revenue | $9,975,883 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,490,519 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,584,367 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,506,988 | PYOtherExpensesAmt |
| CY Other Expenses | $3,073,954 | CYOtherExpensesAmt |
| PY Total Expenses | $13,997,507 | PYTotalExpensesAmt |
| CY Total Expenses | $9,658,321 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $855,756 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $317,562 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,760,639 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,708,311 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,737,919 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $687,376 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,022,720 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,020,935 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION STATEMENT OF METHODIST LE BONHEUR HEALTHCARE AND ITS RELATED COMPANIES IS THE FOLLOWING: METHODIST LE BONHEUR HEALTHCARE, IN PARTNERSHIP WITH ITS MEDICAL STAFFS, WILL COLLABORATE WITH PATIENTS AND THEIR FAMILIES TO BE THE LEADER IN PROVIDING HIGH QUALITY, COST-EFFECTIVE PATIENT-AND FAMILY-CENTERED CARE. SERVICES WILL BE PROVIDED IN A MANNER WHICH SUPPORTS THE HEALTH MINISTRIES AND SOCIAL PRINCIPLES OF THE UNITED METHODIST CHURCH TO BENEFIT THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,258,388 | ExpenseAmt |
| Revenue | $8,177,933 | RevenueAmt |
| Desc | METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES (MHCCA) IS A PART OF THE METHODIST LE BONHEUR HEALTHCARE (MLH) FAMILY OF COMPANIES AND PARTICIPATES IN COMBINED COMMUNITY BENEFIT ACTIVITIES WITH OTHER MLH AFFILIATES. AS A SUBSIDIARY OF MLH, IT SERVES AS AN INTEGRAL COMPONENT OF THE METHODIST MISSION TO PROVIDE A HIGH QUALITY CONTINUUM OF CARE THROUGHOUT THE SERVICE AREA. PATIENTS ARE ABLE TO OBTAIN MEDICAL TREATMENT ON AN OUTPATIENT BASIS WITHOUT UTILIZING AN EMERGENCY ROOM OR OTHER HOSPITAL-BASED FACILITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MHCCA OPERATES MINOR MEDICAL, URGENT CARE, AND AFTER HOURS CARE CLINICS, RADIOLOGY CENTERS, EMPLOYER CLINICS, OCCUPATIONAL MEDICINE, AND PROVIDES FLU SHOTS IN THE MEMPHIS, TN AREA. FOR A MORE COMPLETE REPORT OF SYSTEM-WIDE ACTIVITIES, REFER TO THE MLH FORM 990. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,258,388 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 213 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUE WAUGH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9015160656 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1211 UNION AVENUE SUITE 600 | AddressLine1Txt |
| City | MEMPHIS | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38104 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| GARY SHORB | ||||||||
| BOARD CHAIRMAN | 2.00 | 48.00 | Yes (X) | Yes (X) | $0 | $1,893,994 | $584,846 | |
| CHRISTOPHER MCLEAN | ||||||||
| TREASURER | 2.00 | 48.00 | Yes (X) | Yes (X) | $0 | $881,550 | $207,519 | |
| NIKKI POLIS | ||||||||
| BOARD MEMBER | 2.00 | 48.00 | Yes (X) | $0 | $309,369 | $81,158 | ||
| THOMAS BRABYN | ||||||||
| SECRETARY | 2.00 | 38.00 | Yes (X) | $0 | $145,125 | $39,705 | ||
| MITCH GRAVES | ||||||||
| PRESIDENT (THROUGH OCTOBER 2014) | 2.00 | 48.00 | Yes (X) | $0 | $455,919 | $126,973 | ||
| EUGENE CASHMAN | ||||||||
| PRESIDENT (AS OF NOVEMBER 2014) | 2.00 | 40.00 | Yes (X) | $0 | $248,924 | $40,003 | ||
| DAVID CUMMINGS | ||||||||
| ADMINISTRATOR | 40.00 | $137,719 | $0 | $17,591 | Yes (X) | |||
| DIANA DEDMON | ||||||||
| APN/NP MINOR MED | 40.00 | $133,799 | $0 | $20,605 | Yes (X) | |||
| JEFFREY LOWREY | ||||||||
| PHYSICIAN | 40.00 | $240,199 | $0 | $52,529 | Yes (X) | |||
| RHONDA PARKS | ||||||||
| PHYSICIAN | 40.00 | $187,067 | $0 | $25,619 | Yes (X) | |||
| LOUIS REISS | ||||||||
| PHYSICIAN | 40.00 | $160,568 | $0 | $25,753 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $859,352 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,934,881 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,222,301 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ECLINICAL WORKS LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 847950 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02284 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MEDICAL SERVICES | ServicesDesc |
| Compensation | $133,409 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE | 623000 | $7,216,466 | $7,216,466 |
| CORP HEALTH SCREENINGS | 624100 | $344,622 | $344,622 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,561,088 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,135 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,135 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,135 | TotalRevenueColumnAmt |
| Exclusion | -$2,135 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| MANAGEMENT FEES | 900099 | $1,800,085 | $1,800,085 | |
| BAD DEBT RECOVERIES | 900099 | $616,845 | $616,845 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,416,930 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,975,883 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,177,933 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,797,950 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,383,125 | TotalAmt |
| Program Services | $4,836,661 | ProgramServicesAmt |
| Management And General | $546,464 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,290 | TotalAmt |
| Program Services | $221,288 | ProgramServicesAmt |
| Management And General | $25,002 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $572,983 | TotalAmt |
| Program Services | $514,817 | ProgramServicesAmt |
| Management And General | $58,166 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,969 | TotalAmt |
| Program Services | $343,194 | ProgramServicesAmt |
| Management And General | $38,775 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,000 | TotalAmt |
| Program Services | $50,000 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,905 | TotalAmt |
| Program Services | $12,925 | ProgramServicesAmt |
| Management And General | $2,980 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568,432 | TotalAmt |
| Program Services | $528,620 | ProgramServicesAmt |
| Management And General | $39,812 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,171 | TotalAmt |
| Management And General | $105,171 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,043 | TotalAmt |
| Program Services | $35,169 | ProgramServicesAmt |
| Management And General | $131,874 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $567,386 | TotalAmt |
| Program Services | $546,943 | ProgramServicesAmt |
| Management And General | $20,443 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,081 | TotalAmt |
| Program Services | $7,515 | ProgramServicesAmt |
| Management And General | $3,566 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,906 | TotalAmt |
| Program Services | $25,563 | ProgramServicesAmt |
| Management And General | $7,343 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,576 | TotalAmt |
| Program Services | $42,576 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,331 | TotalAmt |
| Program Services | $372,331 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,277 | TotalAmt |
| Program Services | $61,984 | ProgramServicesAmt |
| Management And General | $4,293 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $638,802 | $638,802 | |
| CORPORATE ALLOCATION | $416,044 | $416,044 | |
| BAD DEBT EXPENSE | $20,000 | $20,000 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,658,321 | TotalAmt |
| Program Services | $8,258,388 | ProgramServicesAmt |
| Management And General | $1,399,933 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,454 | BOYAmt |
| EOY | $63,783 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,293,705 | BOYAmt |
| EOY | $643,046 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $712,001 | BOYAmt |
| EOY | $24,089 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,886,085 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,152,197 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,574,799 | BOYAmt |
| EOY | $733,888 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,791,048 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,632 | BOYAmt |
| EOY | $5,243,505 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,760,639 | BOYAmt |
| EOY | $6,708,311 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,244,439 | BOYAmt |
| EOY | $687,376 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,559 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,441,921 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,737,919 | BOYAmt |
| EOY | $687,376 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,022,720 | BOYAmt |
| EOY | $6,020,935 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,022,720 | BOYAmt |
| EOY | $6,020,935 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,760,639 | BOYAmt |
| EOY | $6,708,311 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $317,562 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $680,653 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,935,793 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,220,819 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,630,712 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,010,310 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,561,088 | CurrentTaxYearAmt |
| Total | $62,358,722 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,287,431 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,206,770 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,323,208 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,842,953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,416,931 | CurrentTaxYearAmt |
| Total | $8,077,293 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,223,224 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,427,589 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,953,920 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,853,263 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,978,019 | CurrentTaxYearAmt |
| Total | $70,436,015 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $70,436,015 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,243 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $755 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | -$2,135 | CurrentTaxYearAmt |
| Total | $863 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,243 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $755 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | -$2,135 | CurrentTaxYearAmt |
| Total | $863 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,225,467 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,428,344 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,953,920 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,853,263 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,975,884 | CurrentTaxYearAmt |
| Total | $70,436,878 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99980 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00020 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $203,064 | OtherCostOrOtherBasisAmt |
| Depreciation | $157,374 | DepreciationAmt |
| Book Value | $45,690 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,735,934 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,464,148 | DepreciationAmt |
| Book Value | $271,786 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,947,087 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,530,675 | DepreciationAmt |
| Book Value | $416,412 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $733,888 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $307,835 |
| DUE FROM AFFILIATES | $4,935,670 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,243,505 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,039,690 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $63,807 | OtherRevenueAmt |
| Revenue Not Reported | $63,807 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,975,883 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,975,883 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,041,475 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,041,475 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $616,846 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $616,846 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,658,321 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION CONSOLIDATES ITS AUDIT WITH ITS CORPORATE PARENT AND OTHER SUBSIDIARIES OF THE PARENT. THE FOLLOWING STATEMENT REFLECTS THE FIN 48 FOOTNOTE OF THE CONSOLIDATED GROUP. THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE SYSTEM AND ALL OF THE NONPROFIT AFFILIATES FOR WHICH THE SYSTEM OR ITS BOARD OF DIRECTORS IS CONTROLLING MEMBER ARE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). AS QUALIFIED TAX-EXEMPT ORGANIZATIONS, THE SYSTEM'S NONPROFIT AFFILIATES MUST OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THEIR TAX-EXEMPT STATUS. INCOME TAX FROM THE OPERATIONS OF THE SYSTEM'S WHOLLY OWNED FOR-PROFIT SUBSIDIARY, AMBULATORY OPERATIONS, INC., AND ITS SUBSIDIARY IS NOT SIGNIFICANT. THE SYSTEM APPLIES FASB ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE HAS BEEN NO IMPACT ON THE SYSTEM'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF TOPIC 740. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | EQUITY TRANSFER FROM AFFILIATE 649,436. MINORITY INTEREST REVENUE 31,217. BAD DEBT EXPENSE -616,846. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 616,846. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY SHORB | ||||||||||||||
| BOARD CHAIRMAN | $0 | $884,106 | $0 | $328,798 | $0 | $681,090 | $0 | $568,878 | $0 | $15,968 | $0 | $2,478,840 | $0 | $641,866 |
| CHRISTOPHER MCLEAN | ||||||||||||||
| TREASURER | $0 | $605,094 | $0 | $158,897 | $0 | $117,559 | $0 | $185,191 | $0 | $22,328 | $0 | $1,089,069 | $0 | $136,822 |
| NIKKI POLIS | ||||||||||||||
| BOARD MEMBER | $0 | $254,349 | $0 | $48,850 | $0 | $6,170 | $0 | $72,493 | $0 | $8,665 | $0 | $390,527 | $0 | $0 |
| THOMAS BRABYN | ||||||||||||||
| SECRETARY | $0 | $136,873 | $0 | $8,052 | $0 | $200 | $0 | $16,134 | $0 | $23,571 | $0 | $184,830 | $0 | $0 |
| MITCH GRAVES | ||||||||||||||
| PRESIDENT (THROUGH OCTOBER 2014) | $0 | $319,230 | $0 | $46,271 | $0 | $90,418 | $0 | $106,345 | $0 | $20,628 | $0 | $582,892 | $0 | $75,377 |
| EUGENE CASHMAN | ||||||||||||||
| PRESIDENT (AS OF NOVEMBER 2014) | $0 | $230,530 | $0 | $17,597 | $0 | $797 | $0 | $18,867 | $0 | $21,136 | $0 | $288,927 | $0 | $0 |
| DAVID CUMMINGS | ||||||||||||||
| ADMINISTRATOR | $134,866 | $0 | $2,705 | $0 | $148 | $0 | $9,466 | $0 | $8,125 | $0 | $155,310 | $0 | $0 | $0 |
| DIANA DEDMON | ||||||||||||||
| APN/NP MINOR MED | $133,580 | $0 | $0 | $0 | $219 | $0 | $2,750 | $0 | $17,855 | $0 | $154,404 | $0 | $0 | $0 |
| JEFFREY LOWREY | ||||||||||||||
| PHYSICIAN | $222,198 | $0 | $291 | $0 | $17,710 | $0 | $29,265 | $0 | $23,264 | $0 | $292,728 | $0 | $0 | $0 |
| RHONDA PARKS | ||||||||||||||
| PHYSICIAN | $177,945 | $0 | $1,887 | $0 | $7,235 | $0 | $10,035 | $0 | $15,584 | $0 | $212,686 | $0 | $0 | $0 |
| LOUIS REISS | ||||||||||||||
| PHYSICIAN | $160,568 | $0 | $0 | $0 | $0 | $0 | $19,117 | $0 | $6,636 | $0 | $186,321 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE BOARD OF METHODIST LE BONHEUR HEALTHCARE, A RELATED ORGANIZATION AND CORPORATE OVERSIGHT ENTITY, CONDUCTS THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR ITS OFFICERS AND KEY EMPLOYEES: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION STUDY / SURVEY - APPROVAL BY THE BOARD / COMPENSATION COMMITTEE |
| PART I, LINE 4B | THE PURPOSE OF THE METHODIST LE BONHEUR HEALTHCARE CONSOLIDATED EXECUTIVE DEFERRED COMPENSATION PLAN IS TO PROVIDE RETIREMENT BENEFITS FOR CERTAIN EXECUTIVE LEVEL EMPLOYEES IN ADDITION TO THE BENEFITS PROVIDED THROUGH THE OTHER RETIREMENT PLANS THAT ARE SPONSORED BY THE COMPANY. IT IS INTENDED THAT THIS PLAN COMPLY WITH INTERNAL REVENUE CODE SECTION 457(F) AND QUALIFY FOR THE SHORT TERM DEFERRAL EXCEPTION TO CODE SECTION 409A. UNDER THE PLAN, CORPORATE EXECUTIVES AT OR ABOVE THE VICE PRESIDENT LEVEL ARE ELIGIBLE TO RECEIVE EXECUTIVE DEFERRED COMPENSATION CREDITS DEPENDING ON THEIR POSITION CLASSIFICATION [6%,8%,10%,12% OF BASE SALARY]. EACH PLAN YEAR, THE EXECUTIVE MUST ELECT A DEFERRED VESTING DATE TO BE APPLIED TO THE DEFERRED COMPENSATION CREDIT THAT WILL BE EARNED IN THAT PLAN YEAR. THE DEFERRED VESTING DATE IS SUBJECT TO A VESTING SCHEDULE THAT REQUIRES A MINIMUM DEFERRAL OF 5 YEARS TO BECOME VESTED. UPON REACHING AGE 55, THE MINIMUM DEFERRAL IS REDUCED TO 3 YRS. UPON REACHING AGE 60, THE MINIMUM DEFERRAL IS REDUCED TO 2 YRS. AT AGE 64, A CASH EQUIVALENT IS PROVIDED TO THE EXECUTIVE AND NO ADDITIONAL DEFERRALS ARE MADE UNDER THIS PLAN. THE PLAN IS UNFUNDED WITH ALL BENEFITS PAID FROM THE COMPANY'S GENERAL ASSETS. HOWEVER, THE EXECUTIVE IS ALLOWED TO DIRECT THE INVESTMENTS OF HIS DEFERRED COMPENSATION CREDIT IN A MENU OF INVESTMENT ALTERNATIVES MADE AVAILABLE BY THE COMPANY. UPON VESTING, A DISTRIBUTION IS PROVIDED LESS APPLICABLE TAX. IN THE CASE OF A VOLUNTARY TERMINATION OF EMPLOYMENT BY THE EXECUTIVE OR INVOLUNTARY TERMINATION OF EMPLOYMENT FOR CAUSE BY THE COMPANY, THE NON-VESTED FUNDS ARE FORFEITED. ACCELERATED VESTING (100%) IS ALLOWED UPON DEATH, DISABILITY OR AN INVOLUNTARY TERMINATION BY THE COMPANY WITHOUT CAUSE. ALLOCATIONS TO THE PLAN FROM RELATED ORGANIZATIONS FOR 2014 INCLUDE THE FOLLOWING: CHRISTOPHER MCLEAN - $ 73,384 MITCH GRAVES - 41,876 NIKKI POLIS - 30,782 THE FOLLOWING INDIVIDUALS RECEIVED 457(F) PAYOUTS. THIS AMOUNT REPRESENTS THE FULLY VESTED PORTION PURSUANT TO THE 457(F) PLAN. THIS AMOUNT WAS REFLECTED IN COLUMN (C) ON THE PRIOR YEARS FORM 990 AS REQUIRED. PAYOUTS FROM THE PLAN FROM RELATED ORGANIZATIONS FOR 2014 INCLUDE THE FOLLOWING: CHRISTOPHER MCLEAN - 98,808 MITCH GRAVES - 58,605 GARY SHORB - 558,092 IN ADDITION, GARY SHORB RECEIVED AN EXECUTIVE RETIREMENT LUMP SUM PAYOUT. THIS AMOUNT REPRESENTS THE FULLY VESTED PORTION PURSUANT TO THE 457(F) PLAN. THIS AMOUNT WAS REFLECTED IN COLUMN (C) ON THE PRIOR YEAR'S FORM 990 AS REQUIRED. PAYOUTS FROM THE EXECUTIVE RETIREMENT PLAN FROM RELATED ORGANIZATIONS FOR 2014: GARY SHORB - $ 103,197 |
| PART I, LINE 7 | THE MANAGEMENT INCENTIVE PLAN INTENDS TO REWARD MANAGEMENT FOR THE ACHIEVEMENT OF PERFORMANCE AGAINST A PRE-ESTABLISHED SET OF BALANCED AND CHALLENGING GOALS. THE PLAN ALSO INCLUDES A PROVISION THAT DEFERS VESTING OF A PORTION OF THE AWARD SUBJECT TO CONTINUED EMPLOYMENT (WITH A SUBSTANTIAL RISK OF FORFEITURE) TO ENCOURAGE RETENTION OF EXECUTIVES. THIS PLAN IS REVIEWED BY AN EXTERNAL THIRD-PARTY CONSULTANT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES IS A SUBSIDIARY OF METHODIST LE BONHEUR HEALTHCARE (MLH, 58-1454711), WITH THE PERSONS SITTING ON THE BOARD OF DIRECTORS OF MLH SERVING AS THE MEMBERS OF ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE MEMBERS OF THE ORGANIZATION, THE MLH BOARD OF DIRECTORS ELECTS ALL MEMBERS OF THE GOVERNING BODY FOR METHODIST HEALTHCARE COMMUNITY CARE ASSOC. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS SHALL, FROM TIME TO TIME, ADOPT AND PROMULGATE SUCH AMENDMENTS AS THEY SHALL DEEM APPROPRIATE TO THESE BYLAWS AND TO THE GENERAL POLICIES AND GUIDELINES OF THE CORPORATION, ALL OF WHICH SHALL BE CONSISTENT WITH THE PURPOSES OF THE CORPORATION. UPON REQUEST BY THE BOARD OF DIRECTORS AND AT SUCH TIMES AS THE MEMBERS MAY SELECT, THE MEMBERS SHALL REVIEW THE AFFAIRS OF THE CORPORATION AND TAKE SUCH ACTION AS THEY MAY DEEM APPROPRIATE IN ACCORDANCE WITH THESE BYLAWS. THE FOLLOWING ITEMS SHALL, AFTER BEING REVIEWED AND ADOPTED BY THE BOARD OF DIRECTORS, BE SUBMITTED FOR APPROVAL BY THE MEMBERS: - IN THE LAST MONTH OF EACH FISCAL YEAR, A LONG RANGE PLAN, A THREE (3) YEAR CAPITAL IMPROVEMENT PLAN, A ONE (1) YEAR CAPITAL IMPROVEMENT PLAN, AND A ONE (1) YEAR OPERATING BUDGET OF THE CORPORATION'S ENSUING FISCAL YEAR, AND THEREAFTER, ANY ACTION THAT WILL RESULT IN A SUBSTANTIAL CHANGE IN THE EXPENDITURES OR REVENUE FORECAST IN ANY SUCH PLANS OR BUDGET; - ANY CREATION OR SUBSTANTIVE AMENDMENT OF A CONTRACT, LEASE OR OTHER AGREEMENT OF WHICH THE CORPORATION IS A PARTY WHICH INVOLVES AN OBLIGATION, OR A POTENTIAL OBLIGATION, ON THE PART OF THE CORPORATION IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000), UNLESS SUCH TRANSACTION HAS BEEN PREVIOUSLY APPROVED WITHIN THE CAPITAL OR OPERATING BUDGETS; - ANY SALE, EXCHANGE, GIFT, MORTGAGE, OPTION, LEASE, WITH A TERM OF ONE YEAR, OR OTHER DISPOSITION OF: (1) ANY REAL PROPERTY (INCLUDING IMPROVEMENTS THEREON OR INTEREST THEREIN OWNED BY THE CORPORATION; OR (2) ANY OTHER ASSET OR ASSETS OWNED BY THE CORPORATION WITH A VALUE IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS, EXCEPT WITH RESPECT TO TRANSACTIONS SPECIFIED AND PREVIOUSLY APPROVED WITHIN THE CAPITAL OR OPERATING BUDGETS; - ANY APPLICATION FOR A GOVERNMENT GRANT - ANY AMENDMENT OR RESTATEMENT OF THE CORPORATE CHARTER OR ANY PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE ORGANIZATION - ANY INDEMNIFICATION OF PERSONS BY THE CORPORATION EXCEPT AS SPECIFIED IN THESE BYLAWS - ANY ACTION OR INACTION AT VARIANCE WITH THE PREVIOUSLY APPROVED AND STATED POLICIES OF THE CORPORATION - THE TERMINATION, NEGOTIATION, IMPLEMENTATION, NON-RENEWAL OR ANY OTHER ACTION TAKEN WITH RESPECT TO ANY MANAGEMENT CONTRACT - ANY RELEASE OR CANCELLATION BY THE CORPORATION OF A CLAIM OR RIGHT OF ACTION AGAINST ANOTHER PARTY IN AMOUNTS IN EXCESS OF $500,000 - THE SELECTION OF ANY BANKING INSTITUTION AS A DESPOSITORY OF CORPORATE FUNDS - ANY OTHER MATTERS AS MAY BE REQUIRED BY LAW TO BE SUBMITTED TO THE MEMBERS OF A NOT-FOR-PROFIT CORPORATION |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH INPUT FROM HUMAN RESOURCES, LEGAL, COMPLIANCE, AND FINANCE DEPARTMENTS AND EXTERNAL FINANCIAL CONSULTANTS. FINANCIAL INFORMATION IS RECONCILED TO AUDITED FINANCIAL STATEMENTS AS APPROPRIATE. THE INFORMATION TO BE DISCLOSED REGARDING COMPENSATION IS REVIEWED WITH THE COMPENSATION COMMITTEE OF THE BOARD. THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER OF MLH AND MANAGEMENT OF THE ORGANIZATION AS APPROPRIATE. A COPY OF THE RETURN IS PROVIDED TO EACH BOARD MEMBER VIA E-MAIL PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | METHODIST LE BONHEUR HEALTHCARE, THE PARENT ORGANIZATION, EMPLOYS A COMPLIANCE OFFICER WHO MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY FOR ALL VOTING BOARD MEMBERS AND APPLICABLE OFFICERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY THE BOARD OF DIRECTORS OF METHODIST LE BONHEUR HEALTHCARE, THE PARENT ORGANIZATION. AN EXTERNAL INDEPENDENT CONSULTANT ADVISES THE BOARD COMPENSATION COMMITTEE ON EXECUTIVE SALARY AND INCENTIVE COMPENSATION. BENEFITS ARE PERIODICALLY BENCHMARKED BY A SEPARATE EXTERNAL CONSULTANT AND ANY CHANGES ARE APPROVED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS AND IS A SUBGROUP OF THE FULL BOARD OF DIRECTORS. THE COMPENSATION CONSULTANT ANNUALLY DEVELOPS TOTAL CASH COMPENSATION COMPARISONS OF PEER NON-PROFIT SYSTEMS ESTABLISHED BY THE COMPENSATION COMMITTEE. THE COMPENSATION CONSULTANT INTERPRETS THE INFORMATION AND PROVIDES AN OPINION OF REASONABLENESS ON THE TOTAL CASH COMPENSATION PACKAGE. THE COMPENSATION COMMITTEE APPROVES ANY CHANGES TO THE COMPENSATION AND EXECUTIVE BENEFIT STRUCTURE OF THE CEO AND OTHER TOP EXECUTIVES, OTHERWISE KNOWN AS DISQUALIFIED CANDIDATES. ALL OTHER COMPENSATION DECISIONS ARE DETERMINED BY ARRANGEMENT AS DELEGATED BY THE BOARD OF DIRECTORS. THE COMMITTEE DOCUMENTS ALL DETERMINATIONS. |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT OUR WEBSITE IN THE "ABOUT US" SECTION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED IN A CONSOLIDATION WITH ITS CORPORATE PARENT, METHODIST LE BONHEUR HEALTHCARE, AND RELATED SUBSIDIARIES. INFORMATION ON FINANCIAL STATEMENTS IS AVAILABLE BY CONTACTING THE ORGANIZATION'S CORPORATE OFFICE. PLEASE SEE FORM 990, PART VI, LINE 20 FOR DETAILS. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS FOR ALL AFFILIATES OF METHODIST LE BONHEUR HEALTHCARE ARE ALSO AVAILABLE BY REQUEST. |
| FORM 990, PART VI, SECTION A, LINE 1B: INDEPENDENCE OF BOARD: | METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES (MHCCA) IS A SUBSIDIARY OF METHODIST LE BONHEUR HEALTHCARE (MLH, 58-1454711). THE PERSONS WHO COMPRISE THE BOARD OF DIRECTORS OF MLH ARE MEMBERS OF MHCCA. THE BOARD OF MHCCA FAILS TO MEET THE DEFINITION OF INDEPENDENCE FOR THE PURPOSE OF THE FORM 990 DUE TO THE FACT THAT DIRECTORS ARE COMPENSATED BY THE MEMBER ORGANIZATION. THE BOARD OF THE MEMBER ORGANIZATION HAS A MAJORITY OF INDEPENDENT DIRECTORS AND THROUGH ITS MEMBERSHIP HAS A CONSIDERABLE OVERLAP OF CONTROL WITH MHCCA AND ITS OTHER SUBSIDIARIES. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFERS FROM AFFILIATES 649,436. MINORITY INTEREST REVENUE (LOSS) 31,217. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST HEALTHCARE DIALYSIS CENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1211 UNION AVE SUITE 700 | AddressLine1Txt |
| City | MEMPHIS | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205678661 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| METHODIST LE BONHEUR HEALTHCARE | |||||||||||
| 1211 UNION AVENUE SUITE 700 | MEMPHIS | TN | 38104 | 581454711 | SUPPORTING ORGANIZATION | TN | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| METHODIST HEALTHCARE - MEMPHIS HOSPITALS | |||||||||||
| 1265 UNION AVENUE | MEMPHIS | TN | 38104 | 620479367 | HOSPITALS | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE - FAYETTE HOSPITAL | |||||||||||
| 214 LAKEVIEW DRIVE | SOMERVILLE | TN | 38068 | 620862334 | HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST EXTENDED CARE HOSPITAL INC | |||||||||||
| 225 SOUTH CLAYBROOK | MEMPHIS | TN | 38104 | 621518342 | HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE PRIMARY CARE ASSOCIATES | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 582078931 | INACTIVE HOSPITAL | TN | 501(C)(3) | LINE 9 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| ALLIANCE HEALTH SERVICES INC | |||||||||||
| 6400 SHELBY VIEW SUITE 101 | MEMPHIS | TN | 38134 | 620841121 | HEALTHCARE | TN | 501(C)(3) | LINE 9 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE FOUNDATION | |||||||||||
| 1211 UNION AVENUE SUITE 450 | MEMPHIS | TN | 38104 | 237320638 | FOUNDATION | TN | 501(C)(3) | LINE 11A, I | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| LE BONHEUR CHILDREN'S HOSPITAL FOUNDATION | |||||||||||
| 850 POPLAR AVENUE BLDG 2 | MEMPHIS | TN | 38105 | 621872938 | FOUNDATION | TN | 501(C)(3) | LINE 11A, I | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| LE BONHEUR COMMUNITY HEALTH AND WELL-BEING | |||||||||||
| 50 PEABODY PLACE | MEMPHIS | TN | 38103 | 621251288 | FOUNDATION | TN | 501(C)(3) | LINE 7 | 0 | LE BONHEUR CHILDREN'S FOUNDATION | |
| METHODIST HEALTHCARE-JONESBORO HOSPITAL | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 710499625 | INACTIVE HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE-DYERSBURG HOSPITAL | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 621155084 | INACTIVE HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE CENTRAL MS MEDICAL ASSOCIATES | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 640884720 | INACTIVE HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE-JACKSON HOSPITAL | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 640794199 | INACTIVE HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE-MIDDLE MISSISSIPPI HOSPITAL | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 640698911 | INACTIVE HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE-OLIVE BRANCH HOSPITAL | |||||||||||
| 1211 UNION AVENUE SUITE 700 | MEMPHIS | TN | 38104 | 640889822 | HOSPITAL | MS | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| NORTH SURGERY CENTER LP | |||||||
| 3960 NEW COVINGTON PIKE | MEMPHIS | TN | 38128 | 621685756 | SURGERY CENTER | TN | N/A |
| METHODIST SURGERY CENTER-GERMANTOWN LP | |||||||
| 1363 S GERMANTOWN ROAD | GERMANTOWN | TN | 38138 | 621659904 | SURGERY CENTER | TN | N/A |
| HAMILTON EYE INSTITUTE SURGERY CENTER LP | |||||||
| 930 MADISON AVE 3RD FLOOR | MEMPHIS | TN | 38103 | 202873438 | SURGERY CENTER | TN | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMBULATORY OPERATIONS INC | ||||||||||||
| 1211 UNION AVENUE SUITE 600 | MEMPHIS | TN | 38104 | 621157166 | MEDICAL SERVICES | TN | METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES | C | $9,647,744 | $11,139,638 | 1.00000 | 0 |
| SOLUS MANAGEMENT SERVICES INC | ||||||||||||
| 6400 SHELBY VIEW SUITE 101 | MEMPHIS | TN | 38134 | 621361349 | HEALTH SERVICES MANAGEMENT | TN | AMBULATORY OPERATIONS INC | C | $1,704,597 | $4,226,772 | 1.00000 | 0 |
| MEMPHIS PROFESSIONAL BUILDING INC | ||||||||||||
| 1211 UNION AVENUE SUITE 600 | MEMPHIS | TN | 38104 | 621847544 | INVESTMENTS | TN | AMBULATORY OPERATIONS INC | C | $4,226,772 | $5,624,555 | 1.00000 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, COLUMNS (D) AND (E): | THE ORGANIZATION DOES NOT TRACK ASSETS AND REVENUES DISCRETELY UNDER THE DISREGARDED ENTITIES LISTED ON SCHEDULE R, PART I. THE DISREGARDED ENTITIES ARE CREATED TO PROVIDE A UNIQUE BILLING IDENTIFICATION FOR CERTAIN TYPES OF TRANSACTIONS. THERE ARE NO SEPARATE ASSETS AND REVENUES FOR THE DISREGARDED ENTITIES LISTED. |
| PART IV, COLUMNS (F) AND (G): | AMBULATORY OPERATIONS, INC., SOLUS MANAGEMENT SERVICES, INC., AND MEMPHIS PROFESSIONAL BUILDING, INC. TOGETHER FILE A CONSOLIDATED TAX RETURN. AMBULATORY OPERATIONS, INC. IS THE PARENT CORPORATION OF THE GROUP. THE AMOUNTS SHOWN IN PART IV FOR COLUMNS (F) AND (G) ARE SHOWN PRE-CONSOLIDATION. |