HUNTSVILLE MEMORIAL HOSITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HUNTSVILLE MEMORIAL HOSITAL (EIN 20-3069241)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-04-15
- IRS object ID
- 201541069349300729
- Schema version
- 2013v4.0
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-04-15T16:06:01-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 721396621 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARR RIGGS & INGRAM LLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO RIVERWAY FLOOR 15 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203069241 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALKER COUNTY HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WALK | BusinessNameControlTxt |
| Phone | 9362913411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4001 | AddressLine1 |
| City | HUNTSVILLE | City |
| State | TX | State |
| ZIP Code | 773424001 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHANNON BROWN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9362913411 | PhoneNum |
| Signature | 2015-04-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID DONNELLY | PreparerPersonNm |
| PTIN | P00956426 | PTIN |
| Phone | 7136218090 | PhoneNum |
| Preparation | 2015-04-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUNTSVILLE MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHANNON BROWN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 MEMORIAL HOSPITAL DRIVE | AddressLine1 |
| City | HUNTSVILLE | City |
| State | TX | State |
| ZIP Code | 77340 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $95,080,234 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HUNTSVILLEMEMORIAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | WE ARE DEVOTED TO THE HEALTH AND WELL-BEING OF OUR REGIONAL COMMUNITIES BY PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT EVERY DAY WITH A SPIRIT OF WARMTH, COMPASSION AND PERSONAL PRIDE. WE ACHIEVE THIS THROUGH ADVANCED AND EFFICIENT MEDICAL CARE WITH STRONG SELF-GOVERNANCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 759 | TotalEmployeeCnt |
| Total Volunteers | 67 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $63,515 | PYContributionsGrantsAmt |
| CY Contributions Grants | $30,334 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $88,086,935 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $86,093,571 | CYProgramServiceRevenueAmt |
| PY Investment Income | $647,282 | PYInvestmentIncomeAmt |
| CY Investment Income | $203,100 | CYInvestmentIncomeAmt |
| PY Other Revenue | $414,122 | PYOtherRevenueAmt |
| CY Other Revenue | $1,671,489 | CYOtherRevenueAmt |
| PY Total Revenue | $89,211,854 | PYTotalRevenueAmt |
| CY Total Revenue | $87,998,494 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,073,484 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,911,689 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $37,317,086 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $37,182,631 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $54,876,864 | PYOtherExpensesAmt |
| CY Other Expenses | $45,352,862 | CYOtherExpensesAmt |
| PY Total Expenses | $93,267,434 | PYTotalExpensesAmt |
| CY Total Expenses | $84,447,182 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,055,580 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,551,312 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $65,047,220 | TotalAssetsBOYAmt |
| Total Assets EOY | $74,377,425 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,824,182 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,191,388 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $36,223,038 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,186,037 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE ARE DEVOTED TO THE HEALTH AND WELL-BEING OF OUR REGIONAL COMMUNITIES BY PROVIDING EXCEPTIONAL CARE TO EVERY PATIENT EVERY DAY WITH A SPIRIT OF WARMTH, COMPASSION AND PERSONAL PRIDE. WE ACHIEVE THIS THROUGH ADVANCED AND EFFICIENT MEDICAL CARE WITH STRONG SELF-GOVERNANCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $67,945,803 | ExpenseAmt |
| Grant | $1,911,689 | GrantAmt |
| Revenue | $86,093,571 | RevenueAmt |
| Desc | TO PROVIDE BENEVOLENT AND CHARITABLE SERVICES FOR THE SICK, INFIRM, AND AFFLICTED RESIDENTS OF WALKER COUNTY THROUGH THE ESTABLISHMENT, MAINTENANCE, SUPPORT, AND OPERATION OF A HOSPITAL. | Desc |
| Total Program Service Expenses | $67,945,803 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 497 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 759 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHANNON L BROWN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9364352230 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 MEMORIAL HOSPITAL DRIVE | AddressLine1 |
| City | HUNTSVILLE | City |
| State | TX | State |
| ZIP Code | 77340 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DANA GIBSON PHD CPA | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID ALLEN PRIER MD | ||||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NANCY GAERTNER | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DON JOHNSON | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSA VALLES | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE SCOTT | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MORRIS JOHNSON | ||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY DEAHL MD | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN KNIGHT MD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| URMIL SHULKA MD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SAM BURRIS | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM DURHAM | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HELEN WATKINS PHD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JACK CHOATE | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SALLY I NELSON | ||||||||
| CEO | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| GUY GROS | ||||||||
| CFO | 40.00 | $215,390 | $0 | $8,317 | Yes (X) | |||
| SHANNON BROWN | ||||||||
| CEO - EX - OFFICIO | 40.00 | $254,834 | $0 | $231 | Yes (X) | 1.00 | ||
| SHEILA HOGUE ARD | ||||||||
| CNO | 40.00 | $160,655 | $0 | $19,434 | Yes (X) | |||
| DONNA STEWART | ||||||||
| RN | 40.00 | $135,980 | $0 | $44 | Yes (X) | |||
| ELIZABETH ROGERS | ||||||||
| RN | 40.00 | $151,884 | $0 | $103 | Yes (X) | |||
| JULIE M PICKENS | ||||||||
| RN | 40.00 | $125,398 | $0 | $57 | Yes (X) | |||
| LILLIAN M GULLEDGE-WARD | ||||||||
| RN | 40.00 | $124,167 | $0 | $142 | Yes (X) | |||
| MARIBEL STEELE | ||||||||
| RN | 40.00 | $122,666 | $0 | $13,783 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,290,974 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $42,111 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JT VAUGHN CONSTRUCTION LLC | |||||
| 10355 WESTPARK DRIVE | HOUSTON | TX | 77042 | CONSTRUCTION | $1,664,641 |
| MORRISON MANAGEMENT SPECIALISTS INC | |||||
| 5801 PEACHTREE DUNWOODY ROAD | ATLANTA | GA | 30342 | MANAGEMENT | $1,445,806 |
| COMPREHENSIVE PHARMACY SERVICES | |||||
| PO BOX 1000 DEPT 176 | MEMPHIS | TN | 38148 | PHARMACY | $1,020,538 |
| MEMORIAL HERMAN HOSPITAL SYSTEM | |||||
| 9301 SOUTHWEST FWY | HOUSTON | TX | 77074 | MANAGEMENT | $1,015,124 |
| HOSPITAL HOUSEKEEPING SYSTEMS LLC | |||||
| 216 EAST 4TH STREET | AUSTIN | TX | 78701 | HOUSEKEEPING | $794,763 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 73 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $28,325 | GovernmentGrantsAmt |
| All Other Contributions | $2,009 | AllOtherContributionsAmt |
| Total Contributions | $30,334 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ROUTINE & ANCILLARY SERVICES | 621990 | $85,869,590 | $85,869,590 |
| EDUCATION NURSING REVENUE | 621990 | $223,981 | $223,981 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $86,093,571 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $165,871 | TotalRevenueColumnAmt |
| Exclusion | $165,871 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119,101 | TotalRevenueColumnAmt |
| Exclusion | $119,101 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $40,320 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $40,320 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,320 | TotalRevenueColumnAmt |
| Exclusion | $40,320 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,118,969 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,074,964 | SecuritiesAmt |
| Other | $6,776 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $44,005 | SecuritiesAmt |
| Other | -$6,776 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,229 | TotalRevenueColumnAmt |
| Exclusion | $37,229 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| EHR INCENTIVE PROGRAM PAYMENTS | 900099 | $1,396,729 | $1,396,729 |
| OTHER INCOME | 900099 | $53,672 | $53,672 |
| MEDICAL RECORDS REVENUE | 900099 | $30,173 | $30,173 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,494 | TotalRevenueColumnAmt |
| Exclusion | $31,494 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,512,068 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,998,494 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $86,093,571 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,874,589 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,910,239 | TotalAmt |
| Program Services | $1,910,239 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,450 | TotalAmt |
| Program Services | $1,450 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $751,038 | TotalAmt |
| Program Services | $633,651 | ProgramServicesAmt |
| Management And General | $117,387 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,164,693 | TotalAmt |
| Program Services | $24,606,251 | ProgramServicesAmt |
| Management And General | $4,558,442 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,134,897 | TotalAmt |
| Program Services | $957,513 | ProgramServicesAmt |
| Management And General | $177,384 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,993,224 | TotalAmt |
| Program Services | $3,369,083 | ProgramServicesAmt |
| Management And General | $624,141 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,138,779 | TotalAmt |
| Program Services | $1,804,488 | ProgramServicesAmt |
| Management And General | $334,291 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,832 | TotalAmt |
| Program Services | $11,582 | ProgramServicesAmt |
| Management And General | $580,250 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,643 | TotalAmt |
| Management And General | $137,643 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,350,341 | TotalAmt |
| Program Services | $5,012,886 | ProgramServicesAmt |
| Management And General | $1,337,455 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,933 | TotalAmt |
| Program Services | $191,154 | ProgramServicesAmt |
| Management And General | $280,779 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $455,104 | TotalAmt |
| Program Services | $124,088 | ProgramServicesAmt |
| Management And General | $331,016 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,069,311 | TotalAmt |
| Program Services | $236,615 | ProgramServicesAmt |
| Management And General | $832,696 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,869 | TotalAmt |
| Program Services | $15,869 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,606 | TotalAmt |
| Program Services | $56,559 | ProgramServicesAmt |
| Management And General | $33,047 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,176 | TotalAmt |
| Management And General | $651,176 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,931,571 | TotalAmt |
| Program Services | $3,931,571 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,012 | TotalAmt |
| Management And General | $470,012 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $9,889,010 | $9,441,077 | $447,933 |
| PURCHASES SERVICES | $9,748,173 | $6,097,955 | $3,650,218 |
| BAD DEBT EXPENSE | $7,235,175 | $7,235,175 | |
| REPAIR AND MAINTENANCE | $2,328,199 | $1,270,051 | $1,058,148 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,917,907 | TotalAmt |
| Program Services | $1,038,546 | ProgramServicesAmt |
| Management And General | $879,361 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,447,182 | TotalAmt |
| Program Services | $67,945,803 | ProgramServicesAmt |
| Management And General | $16,501,379 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,413 | BOYAmt |
| EOY | $3,951,287 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,433,549 | BOYAmt |
| EOY | $4,396,259 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,750,692 | BOYAmt |
| EOY | $13,321,075 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$288,769 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,689,539 | BOYAmt |
| EOY | $1,908,194 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $587,387 | BOYAmt |
| EOY | $818,713 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $70,944,270 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $45,154,625 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,235,884 | BOYAmt |
| EOY | $25,789,645 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,767,108 | BOYAmt |
| EOY | $5,000,000 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,544,648 | BOYAmt |
| EOY | $10,493,524 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,086,769 | BOYAmt |
| EOY | $8,698,728 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,047,220 | BOYAmt |
| EOY | $74,377,425 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,447,783 | BOYAmt |
| EOY | $12,264,092 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,549,218 | BOYAmt |
| EOY | $16,682,533 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,827,181 | BOYAmt |
| EOY | $5,244,763 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,824,182 | BOYAmt |
| EOY | $34,191,388 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,095,940 | BOYAmt |
| EOY | $40,056,978 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,098 | BOYAmt |
| EOY | $129,059 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,223,038 | BOYAmt |
| EOY | $40,186,037 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,047,220 | BOYAmt |
| EOY | $74,377,425 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,551,312 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $337,049 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $74,638 | OtherChangesInNetAssetsAmt |
| 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | $2,225 | PoliticalExpendituresAmt |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $2,225 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $2,225 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AMOUNT REPORTED IN PART II-B, QUESTION 1F REPRESENTS PORTION OF DUES PAID TO TRADE ASSOCIATIONS THAT IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $699,139 | OtherCostOrOtherBasisAmt |
| Book Value | $699,139 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,707,388 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,353,814 | DepreciationAmt |
| Book Value | $9,353,574 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,070,026 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,404,314 | DepreciationAmt |
| Book Value | $665,712 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,600,599 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,396,497 | DepreciationAmt |
| Book Value | $14,204,102 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $867,118 | OtherCostOrOtherBasisAmt |
| Book Value | $867,118 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,789,645 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ESTIMATED DUE TO THIRD PARTIES | $5,999,855 |
| DUE FROM AFFILIATE | $351,216 |
| ASSETS LIMITED AS TO USE | $2,306,179 |
| OTHER | $41,478 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,698,728 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $5,123,084 |
| ASSET RETIREMENT OBLIGATION | $121,679 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,244,763 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $81,098,407 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $337,049 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $337,049 | RevenueNotReportedAmt |
| Revenue Subtotal | $80,761,358 | RevenueSubtotalAmt |
| Other Revenues Not Included | $7,237,136 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $7,237,136 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $87,998,494 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $77,212,007 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $77,212,007 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $7,235,175 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $7,235,175 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $84,447,182 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE IN AUDIT REVENUE 7,235,175. INVESTMENT INCOME RECORDED TO NET ASSETS 1,961. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE IN AUDIT REVENUE 7,235,175. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,450,582 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,450,582 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03170 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,635,624 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,330,903 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,304,721 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04280 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,124 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,124 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,091,330 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,330,903 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,760,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07460 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $363,784 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $362,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $708,321 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $223,996 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $484,325 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,653,858 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,653,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,725,963 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $224,996 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,500,967 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03240 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,817,293 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,555,899 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,261,394 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10700 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,235,175 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,808,794 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,504,454 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,379,787 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,875,333 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 HUNTSVILLE HEART & VASCULAR CENTER LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HEART & VASCULAR CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.51000 | OrgProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALKER COUNTY HOSPITAL CORPORATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 MEMORIAL HOSPITAL DRIVE | AddressLine1 |
| City | HUNTSVILLE | City |
| State | TX | State |
| ZIP Code | 77340 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALKER COUNTY HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.HUNTSVILLEMEMORIAL.COM | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Residency | Yes (X) | ResidencyInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| 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 (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION A: | WALKER COUNTY HOSPITAL CORPORATION HAS ONE FACILITY THAT INCLUDES THE ACUTE CARE HOSPITAL, I/P REHAB, AMBULATORY SURGERY CENTER, O/P IMAGING CENTER, AND RURAL HEALTH CARE CLINIC.NEEDS ASSESSMENTIN THE PAST, HUNTSVILLE MEMORIAL HOSPITAL HAS CONTRACTED WITH A 3RD PARTY VENDOR TO CONDUCT A COMMUNITY NEEDS ASSESSMENT AND MARKET ANALYSIS. THE COMMUNITY ASSESSMENT IS EVALUATED AND REPORTED EVERY THREE (3) YEARS AND THE MARKET ANALYSIS EVERY 1-2 YEARS AS NEEDED. AFTER DATA IS GATHERED AND FULL ASSESSMENT COMPLETED, THIS INFORMATION IS REPORTED TO THE HOSPITAL LEADERSHIP TEAM AND BOARD OF DIRECTORS. HOSPITAL LEADERS UTILIZE THE INFORMATION GATHERED IN BOTH OF THESE REPORTS TO FORMAT OUR STRATEGIC PLAN FOR THE NEXT FISCAL YEAR, AS WELL AS A FIVE YEAR PLAN. PATIENT EDUCATION OF ELIGIBILITY OF ASSISTANCETHE PATIENT IS ENCOURAGED TO APPLY FOR CHARITY AS EARLY AS POSSIBLE IN THE ACCOUNT MANAGEMENT PROCESS. CHARITY APPLICATION AND QUALIFICATIONS GUIDELINES ARE GIVEN UP FRONT IN REGISTRATION. THE SELF PAY BALANCES ARE SENT TO A MEDICAID ELIGIBILITY COMPANY, WHO SCREENS PATIENTS FROM DAY 1 TO DAY 60. THE SELF PAY BALANCES ARE RETURNED IF THE COMPANY IS UNABLE TO REACH THE PATIENT OR THE PATIENT DOES NOT QUALIFY. SELF PAY BALANCES THAT ARE RETURNED ARE SENT TO AN EARLY OUT COMPANY, WHO HAS OUR CHARITY GUIDELINES, IF THE PATIENT EXPRESSES AN INABILITY TO PAY, THEY ARE REFERRED TO THE HOSPITAL FOR SCREENING. ONCE A COMPLETED APPLICATION IS RECEIVED AND APPROVED, ANY ACCOUNT BALANCES ARE ADJUSTED ACCORDING TO THE LEVEL OF CHARITY THE PATIENT HAS QUALIFIED FOR. IF THE ACCOUNT IS WITH A COLLECTION AGENCY, IT IS RETURNED TO THE HOSPITAL.COMMUNITY INFORMATIONHUNTSVILLE MEMORIAL HOSPITAL IS A JOINT COMMISSION-ACCREDITED, NOT-FOR-PROFIT ACUTE CARE COMMUNITY HOSPITAL. SINCE 1927, WE HAVE PROVIDED CHARITABLE HEALTH CARE SERVICES, DELIVERING QUALITY HEALTHCARE TO THE RESIDENTS OF WALKER COUNTY AND THE SURROUNDING COMMUNITIES. FOUNDED IN 1835, HUNTSVILLE IS ONE OF TEXAS' OLDEST CITIES AND THE HOME OF SAM HOUSTON, THE FIRST AND THIRD PRESIDENT OF THE REPUBLIC OF TEXAS. WE ARE HOME TO SAM HOUSTON STATE UNIVERSITY AND THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE (THE ONLY STATE AGENCY WITH HEADQUARTERS OUTSIDE OF AUSTIN). THE CITY OF HUNTSVILLE IS PART OF WALKER COUNTY IN EAST TEXAS, APPROXIMATELY 70 MILES NORTH OF HOUSTON AND 170 MILES SOUTH OF DALLAS VIA INTERSTATE 45. IT IS ON TEXAS HIGHWAY 30 (WEST TO BRYAN-COLLEGE STATION) AND HIGHWAY 190 (EAST TO LIVINGSTON). OTHER CITIES IN WALKER COUNTY INCLUDE NEW WAVERLY AND RIVERSIDE. HUNTSVILLE COVERS 31 SQUARE MILES, WHILE WALKER COUNTY INCLUDES 790 SQUARE MILES. THE POPULATION OF HUNTSVILLE IS 35,078, NEW WAVERLY IS 950, AND RIVERSIDE IS 425. THE POPULATION IN WALKER COUNTY IS 61,758. WALKER COUNTY IS LOCATED NEAR LAKE LIVINGSTON AND LAKE CONROE AND IS SURROUNDED BY THE SAM HOUSTON NATIONAL FOREST. WALKER COUNTY IS PROUD TO HOST A CULTURALLY DIVERSE COMMUNITY. THE POPULATION DENSITY IS 78 PEOPLE PER SQUARE MILE (30/KM^2). THERE ARE 21,099 HOUSING UNITS AT AN AVERAGE DENSITY OF 27 PER SQUARE MILE (10/KM^2). THE RACIAL MAKEUP OF THE COUNTY IS 67.9% WHITE, 23.88% BLACK OR AFRICAN AMERICAN, 0.35% NATIVE AMERICAN, 0.77% ASIAN, 0.05% PACIFIC ISLANDER, 4.42% FROM OTHER RACES, AND 1.41% FROM TWO OR MORE RACES. 14.11% OF THE POPULATION ARE HISPANIC OR LATINO OF ANY RACE.PROMOTION OF COMMUNITY HEALTHHUNTSVILLE MEMORIAL HOSPITAL'S COMMITMENT TO CHARITABLE CARE GOES BACK TO THE 1927 HOSPITAL CHARTER PROMISING "BENEVOLENT AND CHARITABLE" SERVICES FOR THE "SICK AND INFIRM." OUR GOAL IS TO EDUCATE AND BUILD AWARENESS, PROMOTING HEALTHY LIFESTYLES IN WALKER COUNTY. WE BELIEVE IN GIVING BACK TO THE COMMUNITY THROUGH A NUMBER OF VALUABLE HEALTH RESOURCES SUCH AS EDUCATIONAL MATERIALS, HANDS-ON CLASSES AND INFORMATIVE EVENTS. ON A MONTHLY BASIS, THE HOSPITAL HOLDS FREE COMMUNITY EDUCATION SESSIONS THAT ARE OPEN TO THE PUBLIC. THESE FORUMS PROVIDE CITIZENS A CHANCE TO DETECT A HEALTH THREAT AT ITS EARLIEST, MOST TREATABLE STAGE OR A WAY TO LEARN MORE ABOUT A LOVED ONE'S ILLNESS. EACH SESSION FEATURES A LOCAL PHYSICIAN AS THE KEY SPEAKER AND IS ALSO ASSOCIATED WITH A MEDICAL SCREENING. NOT ONLY DO WE PROVIDE ADVANCED CARE WITH A FRIENDLY TOUCH, WE ALSO FOCUS ON GIVING BACK TO THE GREAT COMMUNITY OF WALKER COUNTY EACH AND EVERY YEAR. WE PROVIDE REDUCED- OR NO-COST CARE FOR THOSE WITH FINANCIAL CHALLENGES. WE EDUCATE AND PRODUCE TOP-NOTCH NURSES THROUGH OUR ACCREDITED JOE G. DAVIS SCHOOL OF VOCATIONAL NURSING. WE RECRUIT EXPERT PHYSICIANS INTO OUR OPEN MEDICAL STAFF. UNDER THE LEADERSHIP OF OUR BOARD OF DIRECTORS, AND THROUGH THE DEDICATION OF OUR PROFESSIONAL HEALTH CARE STAFF, HUNTSVILLE MEMORIAL HOSPITAL IS SETTING THE STANDARD IN QUALITY HEALTH CARE TODAY. HUNTSVILLE MEMORIAL HOSPITAL IS ALSO ABLE TO GAIN VALUABLE INSIGHT FROM LOCAL COMMUNITY LEADERS WHO SERVE ON OUR FOUNDATION BOARD AND COMMUNITY ADVISORY BOARD.THE HUNTSVILLE MEMORIAL HOSPITAL MEDICAL CLINIC WAS ESTABLISHED IN 1992 TO MEET THE PRIMARY HEALTH CARE NEEDS OF THE RESIDENTS OF WALKER COUNTY. IT IS AN AMBULATORY ACUTE CARE CLINIC THAT PROVIDES CARE FOR PATIENTS OF ALL AGES. SERVICES INCLUDE PEDIATRIC CARE, ADOLESCENT MEDICINE AND ADULT MEDICINE. |
| WALKER COUNTY HOSPITAL CORPORATION | PART V, SECTION B, LINE 3: THE ORGANIZATION GATHERED INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY TELEPHONE INTERVIEWS WITH KEY ORGANIZATIONS AND INSTITUTIONS WITHIN THE COMMUNITY. GATHERED DATA WAS REVIEWED TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY. |
| WALKER COUNTY HOSPITAL CORPORATION | PART V, SECTION B, LINE 20D: THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE CALCULATED USING A SLIDING SCALE BASED UPON FEDERAL POVERTY GUIDELINES. IN ALL CASES, AMOUNTS CHARGED TO PATIENTS WILL BE BELOW THE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE, THE AVERAGE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE, AND MEDICARE RATES. |
| SCHEDULE H, PART V, LINE 16, 17, & 18 | NEITHER HUNTSVILLE MEMORIAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY HMH, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| PART V, SECTION B, LINE 6A | THE IMPLEMENTATION STRATEGY IS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IS POSTED ONLINE AT THE FOLLOWING WEBSITE ADDRESS:HTTP://WWW.HUNTSVILLEMEMORIAL.COM/RES/FILES/12/HMH%20FY2014%20COMMUNITY%20BENEFIT%20PLAN.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| HUNTSVILLE HEART & VASCULAR CENTER LLC | ||||
| 110 MEMORIAL HOSPITAL DRIVE | HUNTSVILLE | TX | 77340 | HEART & VASCULAR CENTER |
| HUNTSVILLE MEMORIAL AUXILIARY | ||||
| 110 MEMORIAL HOSPITAL DRIVE | HUNTSVILLE | TX | 77340 | AUXILIARY |
| HMH PHYSICIAN ORGANIZATION | ||||
| 129 MEDICAL PARK LANE | HUNTSVILLE | TX | 77340 | ORTHOPEDIC PHYSICIAN OFFICE |
| PHYSICIAN OFFICES-DRBRUCE &DRWARRIER | ||||
| 125 MEDICAL PARK LANE SUITE D | HUNTSVILLE | TX | 77340 | PHYSICIAN OFFICES |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | GRADUATED SCALE UP TO 200% OF FPG TO DETERMINE DISCOUNT. |
| PART I, LINE 6A: | HUNTSVILLE MEMORIAL HOSPITAL AND THE MATTHEWS GROUP WORK TOGETHER TO PREPARE THE ANNUAL COMMUNITY BENEFIT REPORT. HUNTSVILLE MEMORIAL HOSPITAL'S COMMITMENT TO CHARITABLE CARE GOES BACK TO OUR 1927 HOSPITAL CHARTER PROMISING "BENEVOLENT AND CHARITABLE" SERVICES FOR THE "SICK, INFIRM AND AFFLICTED." WE KEPT THIS PROMISE EVERY YEAR BY HELPING OUR COMMUNITY THROUGH EDUCATIONAL PROGRAMS AND SUPPORT GROUPS. IN ADDITION,HMH INCURRED COSTS EXCEEDING $3 MILLION FROM ITS CHARITY CARE PROGRAMS AND OVER $5 MILLION IN UNREIMBURSED COSTS FROM MEDICARE AND STATE MEDICAID CARE. ALL INFORMATION REGARDING HUNTSVILLE MEMORIAL HOSPITAL'S COMMUNITY BENEFIT REPORT CAN BE LOCATED ON THE EXTERNAL WEBSITE. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE OF $7,235,175 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN.IN ADDITION TO CHARITY CARE PROVIDED BY THE HOSPITAL TO RESIDENTS OF WALKER COUNTY, THE WALKER COUNTY HOSPITAL DISTRICT HAS A SPECIFIC INDIGENT CARE PROGRAM FOR WALKER COUNTY RESIDENTS THAT PROVIDES ADDITIONAL CHARITY CARE RESOURCES TO THE COMMUNITY OUTSIDE HOSPITAL CARE. THE HOSPITAL PROVIDES CARE TO PATIENTS QUALIFYING UNDER THE COUNTY'S INDIGENT CARE PROGRAM. IF PATIENTS DO NOT QUALIFY FOR THE COUNTY'S PROGRAM, THEY ARE THEN ABLE TO APPLY TO THE HOSPITAL'S CHARITY CARE PROGRAM. THE COUNTY'S INDIGENT CARE PROGRAM PROVIDES ADDITIONAL CHARITY CARE RESOURCES TO THE COMMUNITY FOR NON-HOSPITAL RELATED HEALTHCARE SERVICES REDUCING THE OVERALL COMMUNITY BENEFIT PERCENTAGE OF THE HOSPITAL FOR SERVICES IT WOULD HAVE PROVIDED WERE THE PROGRAM NOT IN PLACE. THE ORGANIZATION BELIEVES THE COMMUNITY BENEFIT AS A PERCENTAGE OF EXPENSES REPORTED IN SCHEDULE H, PART I, LINE 7 IS REASONABLE GIVEN THE ADDITIONAL CHARITY CARE RESOURCES TO THE COMMUNITY PROVIDED BY THE WALKER COUNTY HOSPITAL DISTRICT. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL WAS COMPUTED USING THE ANNUAL MEDICARE COST REPORT FOR THE PERIOD 11/01/12 THRU 10/31/13. THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE SHORTFALL BENEFITS THE COMMUNITY BY LESSENING THE BURDEN OF GOVERNMENT. IN ADDITION, THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. |
| PART III, LINE 9B: | THE HOSPITAL SHALL CONTRIBUTE APPROPRIATE RESOURCES, ADVOCACY AND COMMUNITY SUPPORT TO PROMOTE THE HEALTH STATUS OF THE COMMUNITY, WHICH IT SERVES, WITHIN ITS ECONOMIC ABILITY TO DO SO. CHARITY CARE WILL BE PROVIDED TO PATIENTS WITH A DEMONSTRATED INABILITY TO PAY. THE PURPOSE OF THIS POLICY IS TO ESTABLISH CRITERIA FOR DETERMINING IF A PATIENT'S ACCOUNT QUALIFIES FOR A CHARITY CARE DISCOUNT. THE AMOUNT OF CHARITY CARE TO BE MADE AVAILABLE, AS WELL AS ANY OTHER CHANGES TO THIS POLICY SHALL BE ASSESSED AND DETERMINED BY THE HOSPITAL'S CHIEF EXECUTIVE OFFICER ON AN ANNUAL BASIS, AND WILL ADHERE TO STATE GUIDELINES FOR NON-PROFIT FACILITIES, IF APPLICABLE. THE AMOUNT OF CHARITY CARE AS WELL AS THE OTHER TERMS OF THIS POLICY MAY BE CHANGED BY THE HOSPITAL'S CHIEF EXECUTIVE OFFICER. |
| PART III, LINE 2: | EXPLANATION: THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS.THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM APPROXIMATELY 98 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2013 TO 100 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2014. THE HOSPITAL'S WRITE-OFFS DECREASED FROM APPROXIMATELY $21,442,000 FOR THE YEAR ENDED JUNE 30, 2013 TO APPROXIMATELY $7,235,000 FOR THE YEAR ENDED JUNE 30, 2014. THE DECREASE IN WRITE-OFFS RESULTED FROM A SUBSTANTIAL INCREASE IN DISCOUNTS ON UNINSURED CHARGES IN FISCAL YEAR 2014, WHICH REDUCED SELF-PAY RECEIVABLES, AND THE TIMING AND AMOUNT OF RECEIVABLES BEING WORKED, DUE TO A CHANGE IN THIRD-PARTY BUSINESS OFFICE ADMINISTRATORS. |
| PART III, LINE 3: | EXPLANATION: AMOUNTS REPORTED ON LINE 3 ARE THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS, ESTIMATED AT 25%. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HMH PHYSICIANS ORGANIZATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 MEMORIAL HOSPITAL DRIVE | AddressLine1 |
| City | HUNTSVILLE | City |
| State | TX | State |
| ZIP Code | 77342 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 760500960 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $1,889,475 | CashGrantAmt |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GUY GROS | ||||||||||||||
| CFO | $182,390 | $0 | $33,000 | $0 | $0 | $0 | $0 | $0 | $8,317 | $0 | $223,707 | $0 | $0 | $0 |
| SHANNON BROWN | ||||||||||||||
| CEO - EX - OFFICIO | $194,834 | $0 | $60,000 | $0 | $0 | $0 | $0 | $0 | $231 | $0 | $255,065 | $0 | $0 | $0 |
| SHEILA HOGUE ARD | ||||||||||||||
| CNO | $150,655 | $0 | $10,000 | $0 | $0 | $0 | $0 | $0 | $19,434 | $0 | $180,089 | $0 | $0 | $0 |
| ELIZABETH ROGERS | ||||||||||||||
| RN | $151,612 | $0 | $272 | $0 | $0 | $0 | $0 | $0 | $103 | $0 | $151,987 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | MEMORIAL HERMANN HOSPITAL SYSTEM (MHHS), ALSO A TEXAS NONPROFIT CORPORATION, MANAGED THE OPERATIONS OF THE HOSPITAL THROUGH AN OPERATING AGREEMENT. UNDER THE OPERATING AGREEMENT, MHHS PROVIDED DAY-TO-DAY OPERATIONS MANAGEMENT OF THE HOSPITAL. THE MANAGEMENT AGREEMENT BETWEEN MHHS AND THE HOSPITAL EXPIRED ON APRIL 30, 2013. MANAGEMENT FEES, EXPENSE REIMBURSEMENTS, AND OTHER AMOUNTS PAID PURSUANT TO THIS AGREEMENT FOR THE YEARS ENDED JUNE 30, 2014 AND 2013, WAS APPROXIMATELY $704,494 AND $1,401,000, RESPECTIVELY. THE FOLLOWING INDIVIDUALS WERE REPORTED IN FORM 990, PART VII BUT SHOWN WITH NO COMPENSATION PER IRS GUIDANCE. THEIR COMPENSATION UNDER THEIR EMPLOYMENT WITH MHHS, AN UNRELATED ENTITY, FOR SERVICES TO THE HOSPITAL ARE AS FOLLOWS: SALLY I NELSON, CEO $195,225 SHANNON BROWN, CEO $ 93,820 DAVID FICKLEN, MD, CMO $ 85,948 |
| PART I, LINE 6 | THE INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE CONSOLIDATED EBITDA OF WCHC. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JUDY BURRIS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | WIFE OF MEMBER | RelationshipDescriptionTxt |
| Transaction | $1,242 | TransactionAmt |
| Transaction | EMPLOYMENT | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | MEMORIAL HERMANN HOSPITAL SYSTEM (MHHS), ALSO A TEXAS NONPROFIT CORPORATION, MANAGED THE OPERATIONS OF THE HOSPITAL THROUGH AN OPERATING AGREEMENT. UNDER THE OPERATING AGREEMENT, MHHS PROVIDED DAY-TO-DAY OPERATIONS MANAGEMENT OF THE HOSPITAL. THE MANAGEMENT AGREEMENT BETWEEN MHHS AND THE HOSPITAL EXPIRED ON APRIL 30, 2013. MANAGEMENT FEES, EXPENSE REIMBURSEMENTS, AND OTHER AMOUNTS PAID PURSUANT TO THIS AGREEMENT FOR THE YEARS ENDED JUNE 30, 2014 AND 2013, WAS APPROXIMATELY $704,494 AND $1,401,000, RESPECTIVELY. THE FOLLOWING INDIVIDUALS WERE REPORTED IN FORM 990, PART VII BUT SHOWN WITH NO COMPENSATION PER IRS GUIDANCE. THEIR COMPENSATION UNDER THEIR EMPLOYMENT WITH MHHS, AN UNRELATED ENTITY, FOR SERVICES TO THE HOSPITAL ARE AS FOLLOWS: SALLY I NELSON, CEO $195,225 SHANNON BROWN, CEO $ 93,820 DAVID FICKLEN, MD, CMO $ 85,948 |
| FORM 990, PART VI, SECTION B, LINE 11 | THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE CFO FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION FOLLOWS A CONFLICT OF INTEREST DISCLOSURE PROCESS WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS ("COVERED PERSONS") TO DISCLOSE POTENTIAL CONFLICTS. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICE, GENERAL COUNSEL, OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON(S) OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLY UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USED AON HEWITT TO DEVELOP THE COMPENSATION PLAN AND AON HEWITT UTILIZED NUMEROUS MARKET SURVEYS TO ESTABLISH THE PLAN. THE PLAN WAS DEVELOPED BY AN INDEPENDENT PERSON AND APPROVED BY THE FINANCE COMMITTEE AND BOARD. HMH ALSO UTILIZES SALARY REVIEWS AND SURVEYS FOR COMPARISON WHEN DETERMINING COMPENSATION OF HIGHLY COMPENSATED EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTERET POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN PENSION LIABILITY 74,636. ROUNDING ADJUSTMENTS 2. |
| FORM 990, PART V, LINE 3A | THE TAXPAYER HAS DETERMINED IN GOOD FAITH THAT THE TAXPAYER DOES NOT HAVE ANY ACTIVITIES GENERATING UNRELATED BUSINESS TAXABLE INCOME ( AS DEFINED IN IRC SECTION 152 (A)) IN THE CURRENT YEAR. THEREFORE, THE TAXPAYER IS NOT REQUIRED TO FILE ANY RETURN OTHER THAN FORM 990. |
| SCHEDULE J PART I | PURSUANT TO THE MANAGEMENT AGREEMENT BETWEEN WALKER COUNTY HOSPITAL CORPORATION D/B/A HUNTSVILLE MEMORIAL HOSPITAL ("HMH") AND MEMORIAL HERMANN HOSPITAL SERVICES ("MHHS"), THE SALARIES OF SALLY I. NELSON, SHANNON L. BROWN, DAVID R. FICKLEN AND SUSAN WHITE ARE PAID BY MHHS. HMH PAYS MHHS A MANAGEMENT FEE TO COVER THE SALARIES OF THESE INDIVIDUALS FOR SERVING AS OFFICERS OF HMH. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HMH PHYSICIAN ORGANIZATION | ||||||||||
| 110 MEMORIAL HOSPITAL DRIVE | HUNTSVILLE | TX | 77340 | 760500960 | HOSPITAL | TX | 501(C)(3) | 3 | HMH | Yes (1) |
| HUNSTVILLE MEMORIAL HOSPITAL AUXILIARY | ||||||||||
| 110 MEMORIAL HOSPITAL DRIVE | HUNTSVILLE | TX | 77340 | 741508450 | SUPPORT ORG | TX | 501(C)(3) | 9 | 0 | |
| HUNTSVILLE MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 110 MEMORIAL HOSPITAL DRIVE | HUNTSVILLE | TX | 77340 | 273311765 | SUPPORT ORG | TX | 501(C)(3) | 11A | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | 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 | 0 | 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 | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HMH PHYSICIAN ORGANIZATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionTypeTxt |
| Involved | $1,889,475 | InvolvedAmt |
| Method Of Amount Determination | BOOK BASIS | MethodOfAmountDeterminationTxt |