STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UNITED REGIONAL HEALTH CARE SYSTEM INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
UNITED REGIONAL HEALTH CARE SYSTEM INC (EIN 75-1912147)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-09
IRS object ID
201543139349302039
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

FieldValueIRS element (for citing)
Return2015-11-09T15:37:21-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114241 DALLAS PKWY STE 1100AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75254ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN751912147EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1United Regional Health Care SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% STEPHEN P CALVERTInCareOfNm
Business Name ControlUNITBusinessNameControlTxt
Phone9407648299PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Eleventh StreetAddressLine1Txt
CityWichita FallsCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPhyllis CowlingPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone9407648299PhoneNum
Signature2015-11-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeanette VerrelliPreparerPersonNm
PTINP00742631PTIN
Phone9727028262PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPHYLLIS COWLINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1Txt
CityWICHITA FALLSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$348,012,545GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNITEDREGIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionORGANIZED AND OPERATED FOR THE PURPOSE of developing and operating an integrated health care system.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee2070TotalEmployeeCnt
Total Volunteers300TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,512,833PYContributionsGrantsAmt
CY Contributions Grants$1,143,604CYContributionsGrantsAmt
PY Program Service Revenue$315,989,511PYProgramServiceRevenueAmt
CY Program Service Revenue$332,170,298CYProgramServiceRevenueAmt
PY Investment Income$19,868,992PYInvestmentIncomeAmt
CY Investment Income$14,666,741CYInvestmentIncomeAmt
PY Other Revenue-$1,015,000PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$336,356,336PYTotalRevenueAmt
CY Total Revenue$347,980,643CYTotalRevenueAmt
PY Grants And Similar Paid$8,992,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$14,443,094CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$116,968,104PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$121,767,237CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$156,246,310PYOtherExpensesAmt
CY Other Expenses$158,438,698CYOtherExpensesAmt
PY Total Expenses$282,206,414PYTotalExpensesAmt
CY Total Expenses$294,649,029CYTotalExpensesAmt
PY Revenues Less Expenses$54,149,922PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$53,331,614CYRevenuesLessExpensesAmt
Total Assets BOY$573,726,278TotalAssetsBOYAmt
Total Assets EOY$624,071,034TotalAssetsEOYAmt
Total Liabilities BOY$127,883,031TotalLiabilitiesBOYAmt
Total Liabilities EOY$125,965,492TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$445,843,247NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$498,105,542NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO OPERATE NONPROFIT HOSPITALS OR HOSPITAL FACILITIES, CLINICS, AND RELATED MEDICAL AND SURGICAL SERVICES BY PROVIDING SUCH SERVICES TO PERSONS THAT DO HAVE THE ABILITY TO PAY, AND TO THEREBY PROVIDE CHARITABLE MEDICAL, SURGICAL, AND HOSPITAL CARE FOR SICK, INJURED, AFFLICTED, INFIRM, DISABLED, OR DESTITUTE PERSONS THAT DO NOT HAVE THE ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$251,723,184ExpenseAmt
Grant$14,443,094GrantAmt
Revenue$332,170,298RevenueAmt
DescUNITED REGIONAL HEALTH CARE SYSTEM, A 325-BED HOSPITAL, PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF HEALTH CARE SERVICES. IN ADDITION TO INPATIENT BEDS, THERE ARE 20 NEWBORN BASSINETTES INCLUDING 6 INTERMEDIATE NURSERY BASSINETTES AND 31 ER BEDS. IN 2014, INPATIENTS RECEIVED 63,705 PATIENT DAYS OF CARE AND 134,911 OUTPATIENT AND EMERGENCY OCCURRENCES OF SERVICE. ADDITIONAL PROGRAMS WHICH BENEFIT THE COMMUNITY INCLUDE: RESIDENCY/HEALTH PROFESSIONS TRAINING: AT ANY ONE TIME, THERE MAY BE UP TO 24 RESIDENTS IN TRAINING AT UNITED REGIONAL HEALTH CARE SYSTEM. THE RESIDENTS ARE PART OF THE UNITED REGIONAL HEALTH CARE SYSTEM PROGRAM IN PARTNERSHIP WITH THE WICHITA FALLS FAMILY PRACTICE RESIDENCY PROGRAM (THROUGH AN AFFILIATION WITH THE SOUTHWESTERN SCHOOL OF MEDICINE). STUDENTS IN NURSING, PHARMACY, LABORATORY TECHNOLOGY, RADIOLOGY, RESPIRATORY THERAPY AND OTHER ASSOCIATED HEALTH SCIENCES PROFESSIONS ALSO STUDY HERE. PREVENTIVE CARE A PRIORITY: UNITED REGIONAL HEALTH CARE SYSTEM HAS TAKEN STEPS TO ENHANCE PREVENTIVE CARE FOR PEOPLE OF ALL AGES THROUGH THE DEVELOPMENT OF LOW COST SCREENING PROGRAMS, VACCINATION CLINICS, AS WELL AS OTHER OUTREACH EDUCATION SERVICES. OTHER SERVICES ARE PROVIDED THROUGH THE UNITED REGIONAL REFERENCE LAB BOTH LOW COST FEE-FOR-SERVICE SCREENINGS AND FREE SCREENINGS AT COMMUNITY HEALTH FAIRS (CHOLESTEROL, PSA, TRIGLYCERIDES, ETC.) DESIGNATED TRAUMA CENTER: UNITED REGIONAL IS DESIGNATED LEVEL 2 TRAUMA CENTER FOR THE REGION BY THE HEALTH AND HUMAN SERVICES COMMISSION OF THE STATE OF TEXAS. IN 2014, 677 PATIENTS WERE SEEN AT UNITED REGIONAL HEALTH CARE SYSTEM AND RECORDED IN ITS TRAUMA REGISTRY. UNITED REGIONAL HEALTH CARE SYSTEM'S EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY/7 DAYS A WEEK MEETING THE NEEDS OF THE COMMUNITY WITH AN AVERAGE OF 205 VISITS PER DAY. COMMUNITY CONNECTIONS: UNITED REGIONAL HEALTH CARE SYSTEM REACHES OUT TO PEOPLE AND COMMUNITIES THROUGHOUT ITS PRIMARY SERVICE AREA OF WICHITA COUNTY AND ITS SECONDARY SERVICE AREA OF 8 SURROUNDING COUNTIES CONSISTING OF ARCHER, BAYLOR, CLAY, HARDEMAN, JACK, MONTAGUE, WILBARGER AND YOUNG COUNTIES. THROUGH COOPERATIVE AGREEMENTS WITH LOCAL GOVERNMENTS AND HOSPITALS, UNITED REGIONAL PROVIDES FUNDING FOR A NUMBER OF HEALTHCARE SERVICES. COMMUNITY EDUCATION: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES THE FOLLOWING TYPES OF COMMUNITY EDUCATION: COMMUNITY EDUCATION SEMINARS WITH PRESENTATIONS BY PHYSICIANS ON HEALTH ISSUES AND TREATMENT OPTIONS; HEALTHY YOU NEWSLETTER, SENT TO APPROXIMATELY 50,000 HOUSEHOLDS, PROVIDING HEALTH PROMOTION AND DISEASE PREVENTION INFORMATION, AS WELL AS HOSPITAL SERVICES; 55-ADVANTAGE SENIOR PROGRAM, PROVIDING SPEAKERS ON A VARIETY OF HEALTH-RELATED TOPICS; AND PARTICIPATION IN A VARIETY OF COMMUNITY HEALTH FAIRS AND EVENTS PROMOTING GENERAL HEALTH AND PROVIDING HEALTH SCREENINGS. CHARITY CARE: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES MEDICAL CARE TO MEMBERS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE AT COST IN THE AMOUNT OF $ 5,066,927 (FORM 990 SCHEDULE H COST) WAS PROVIDED IN THE CURRENT YEAR AND UNREIMBURSED COST OF PROVIDING MEANS TESTED PUBLIC HEALTH CARE PROGRAMS OF $569,078. COMMUNITY BENEFITS: THE ESTIMATED COST OF PROVIDING ADDITIONAL COMMUNITY BENEFITS DURING 2014 WAS $14,662,989 WHICH INCLUDED THE FOLLOWING: UNREIMBURSED COST OF EMERGENCY AND TRAUMA CARE $7,348,102 UNREIMBURSED COST OF FREE STANDING CLINICS $7,314,887. DONATIONS MADE BY THE HOSPITAL TO AREA CHARITABLE ORGANIZATIONS $13,986,382 TOTAL COSTS OF ADDITIONAL COMMUNITY BENEFITS $28,649,371 SOURCE: 2014 ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (STATE OF TEXAS MANDATORY REPORT)Desc
Total Program Service Expenses$251,723,184TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document207IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2070EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEPHEN P CALVERTPersonNm
Phone9407648299PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1Txt
CityWICHITA FALLSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PHYLLIS COWLING
PRESIDENT & CEO40.02.0Yes (X)Yes (X)$843,526$0$39,945
FRED LANGNER MD
DIRECTOR1.00.0Yes (X)$148,460$0$0
ANDR DESIR MD
DIRECTOR1.00.0Yes (X)$114,467$0$0
ASHwINKUMAR PATEL MD
DIRECTOR1.00.0Yes (X)$45,154$0$0
BARRY HARDIN
DIRECTOR1.00.0Yes (X)$0$0$0
CARLA SCHMEHL
DIRECTOR1.00.0Yes (X)$0$0$0
DOUG KUNKle
DIRECTOR1.00.0Yes (X)$0$0$0
GARY OZIER MD
DIRECTOR1.00.0Yes (X)$0$0$0
LARRY COOK
PAST CHAIRMAN1.00.0Yes (X)Yes (X)$0$0$0
MIKE ELYEA
DIRECTOR1.00.0Yes (X)$0$0$0
PAUL FOLEY
DIRECTOR1.00.0Yes (X)$0$0$0
R KEN HINES
DIRECTOR1.00.0Yes (X)$0$0$0
RITA VOKES
DIRECTOR1.00.0Yes (X)$0$0$0
YVONNE HEARN MD
DIRECTOR1.01.0Yes (X)$0$0$0
JOHN LUIG JR
DIRECTOR1.00.0Yes (X)$0$0$0
TERRY PATTON
SECRETARY/TREASURER1.00.0Yes (X)$0$0$0
TOM WILSON
DIRECTOR1.00.0Yes (X)$0$0$0
BLAKE ANDREWS
CHAIRMAN1.00.0Yes (X)Yes (X)$0$0$0
NANCY TOWNLEY
SR. VP OF OPERATIONS40.02.0Yes (X)$433,931$0$48,496
ROBERT PERT
CHIEF FINANCIAL OFFICER40.02.0Yes (X)$388,716$0$49,524
JOHN S HOYER MD
VP OF MEDICAL AFFAIRS40.02.0Yes (X)$387,821$0$42,012
STEPHANIE JO BROWN
VP OF MARKETING40.00.0Yes (X)$221,603$0$29,035
RICHARD CARPENTER
VP OF FACILITIES40.00.0Yes (X)$212,261$0$38,008
KRISTI FAULKNER
VP OF HUMAN RESOURCES40.00.0Yes (X)$181,019$0$32,461
Adonna Lowe
VP of Patient Care/clinic svs40.00.0Yes (X)$26,400$0$30,024
JOHNNY ROBERTS
VP UR Physician Group2.040.0Yes (X)$0$227,213$33,274
MATTHEW BAKER
DIRECTOR OF PHARMACY40.00.0$164,410$0$31,934Yes (X)
NORA VALDEZ
NURSE SPECIALIST40.00.0$174,680$0$0Yes (X)
JAMES BEASLEY
CLINICAL PHARMACIST40.00.0$159,732$0$28,278Yes (X)
DENISE BLAIR
NURSE SPECIALIST (PT CARE)40.00.0$192,178$0$23,248Yes (X)
KELLY PRUITT
NURSE SPECIALIST (PT CARE)40.00.0$163,591$0$19,189Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,857,949TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$227,213TotReportableCompRltdOrgAmt
Total Other Compensation$445,428TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K77IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CLINICAL PARTNERS WICHITA FALLS
7032 COLLECTION CENTER DRIVECHICAGOIL60693CLINICAL SERVICES$2,737,480
PRICEWATERHOUSECOOPERS LLP
PO BOX 952282DALLASTX75395PROFESSIONAL SERVICE$841,949
TITANIUM EMERGENCY GROUP LLP
PO BOX 3407WICHITA FALLSTX76307CLINICAL SERVICES$1,709,668
NORTH CENTRAL TX MEDICAL FOUNDATION
1301 3RD ST STE 200WICHITA FALLSTX76301CLINICAL SERVICES$916,067
Critical Care Specialist of North T
1208 Brook StreetWICHITA FALLSTX76301Clinical Services$967,126
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K50CntrctRcvdGreaterThan100KCnt
Related Organizations$1,143,604RelatedOrganizationsAmt
Total Contributions$1,143,604TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$329,768,204$329,768,204
SUPPORTING REVENUE900099$1,786,380$1,786,380
RELATED RENTAL REVENUE900099$615,714$615,714
FieldValueIRS element (for citing)
Total Program Service Revenue$332,170,298TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,805,631TotalRevenueColumnAmt
Exclusion$6,805,631ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,683,770SecuritiesAmt
Other$209,242OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$31,902OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,683,770SecuritiesAmt
Other$177,340OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,861,110TotalRevenueColumnAmt
Exclusion$7,861,110ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$347,980,643TotalRevenueColumnAmt
Related Or Exempt Func Income$332,170,298RelatedOrExemptFuncIncomeAmt
Exclusion$14,666,741ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$14,443,094TotalAmt
Program Services$14,443,094ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,312,453TotalAmt
Program Services$2,484,340ProgramServicesAmt
Management And General$828,113ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$103,958TotalAmt
Program Services$77,968ProgramServicesAmt
Management And General$25,990ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$101,603,346TotalAmt
Program Services$76,202,507ProgramServicesAmt
Management And General$25,400,839ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,052,857TotalAmt
Program Services$2,289,643ProgramServicesAmt
Management And General$763,214ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,300,239TotalAmt
Program Services$4,725,179ProgramServicesAmt
Management And General$1,575,060ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,394,384TotalAmt
Program Services$5,545,788ProgramServicesAmt
Management And General$1,848,596ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$177,440TotalAmt
Management And General$177,440ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$516,852TotalAmt
Management And General$516,852ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$34,756,808TotalAmt
Program Services$26,067,608ProgramServicesAmt
Management And General$8,689,200ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$997,963TotalAmt
Program Services$748,472ProgramServicesAmt
Management And General$249,491ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,233,356TotalAmt
Program Services$4,386,354ProgramServicesAmt
Management And General$847,002ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$943,301TotalAmt
Program Services$707,476ProgramServicesAmt
Management And General$235,825ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,227,461TotalAmt
Program Services$2,420,596ProgramServicesAmt
Management And General$806,865ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$664,196TotalAmt
Program Services$498,147ProgramServicesAmt
Management And General$166,049ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$354,141TotalAmt
Program Services$21,677ProgramServicesAmt
Management And General$332,464ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,539,742TotalAmt
Program Services$4,539,742ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,516,545TotalAmt
Program Services$18,516,545ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,249,567TotalAmt
Program Services$2,245,029ProgramServicesAmt
Management And General$4,538ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$34,492,030$34,492,030
MEDICAL SUPPLIES$49,690,210$49,690,210
EQUIPMENT RENTAL & MAINT.$1,693,888$1,270,416$423,472
FOOD SERVICE EXPENSE$205,700$154,275$51,425

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$179,498TotalAmt
Program Services$196,088ProgramServicesAmt
Management And General-$16,590ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$294,649,029TotalAmt
Program Services$251,723,184ProgramServicesAmt
Management And General$42,925,845ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,429BOYAmt
EOY$157,206EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$28,632,905BOYAmt
EOY$37,430,425EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$26,197,285BOYAmt
EOY$26,309,909EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,152,265BOYAmt
EOY$6,287,616EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,512,008BOYAmt
EOY$3,722,460EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$389,083,912LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$231,102,644LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$161,799,165BOYAmt
EOY$157,981,268EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$304,772,636BOYAmt
EOY$336,977,159EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$42,655,585BOYAmt
EOY$55,204,991EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$573,726,278BOYAmt
EOY$624,071,034EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,634,852BOYAmt
EOY$22,678,269EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$92,614,557BOYAmt
EOY$91,550,223EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,633,622BOYAmt
EOY$11,737,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$127,883,031BOYAmt
EOY$125,965,492EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$445,843,247BOYAmt
EOY$498,105,542EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$445,843,247BOYAmt
EOY$498,105,542EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$573,726,278BOYAmt
EOY$624,071,034EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$53,331,614ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,069,319NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$33,412OtherActivitiesAmt
Total Lobbying Expenditures$33,412TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES: THE HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES %LOBBYING $LOBBYING TAVH $8,240 100% $8,240 THA $77,515 19.49% $15,108 AHA $44,141 22.80% $10,064 ------------------------------------------- TOTAL $33,412ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,413,719BeginningYearBalanceAmt
Contributions$2,630ContributionsAmt
End Year Balance$1,416,349EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,580,533BeginningYearBalanceAmt
Grants Or Scholarships$166,814GrantsOrScholarshipsAmt
End Year Balance$1,413,719EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,580,533BeginningYearBalanceAmt
End Year Balance$1,580,533EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,363,593BeginningYearBalanceAmt
Contributions$216,940ContributionsAmt
End Year Balance$1,580,533EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,293,792BeginningYearBalanceAmt
Contributions$69,801ContributionsAmt
End Year Balance$1,363,593EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.79269BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.20731PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,139,760OtherCostOrOtherBasisAmt
Book Value$11,139,760BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$170,389,287OtherCostOrOtherBasisAmt
Depreciation$74,746,301DepreciationAmt
Book Value$95,642,986BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$201,979,913OtherCostOrOtherBasisAmt
Depreciation$155,087,207DepreciationAmt
Book Value$46,892,706BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,574,952OtherCostOrOtherBasisAmt
Depreciation$1,269,136DepreciationAmt
Book Value$4,305,816BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$157,981,268TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATE$48,252,248
EST DUE FROM 3RD-PARTY PAYERS$6,159,127
INTEREST RECEIVABLE$456,903
UNAMORTIZED BOND COST$336,713
FieldValueIRS element (for citing)
Total Book Value Other Assets$55,204,991TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescSELF-INSURANCE LIABILITYDesc
Amt$11,737,000Amt
FieldValueIRS element (for citing)
Total Liability$11,737,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$325,969,892TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,069,319NetUnrealizedGainsInvstAmt
Other Revenue-$19,828,324OtherRevenueAmt
Revenue Not Reported-$20,897,643RevenueNotReportedAmt
Revenue Subtotal$346,867,535RevenueSubtotalAmt
Investment Expenses Not Incld$516,852InvestmentExpensesNotIncldAmt
Other Revenues Not Included$596,256OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,113,108RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$347,980,643TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$280,595,719TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$21,124,263OtherExpensesIncludedAmt
Expenses Not Reported$21,124,263ExpensesNotReportedAmt
Expenses Subtotal$259,471,456ExpensesSubtotalAmt
Investment Expenses Not Incld2$516,852InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$34,660,721OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$35,177,573ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$294,649,029TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS. FUNDS ARE USED TO ADVANCE AND PROMOTE THE HEALTH AND WELL-BEING OF PEOPLE AND ORGANIZATIONS IN THE COMMUNITY AND SURROUNDING AREAS.
SCHEDULE D, PART XI, LINE 2DRECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO Return: Bad Debt Expense $(34,492,030) Contribution Expense in Audit Revenue 19,663 Classification Differences (334,463) UNITED REGIONAL PHYSICIAN GROUP REVENUE 12,025,592 UNITED REGIONAL PROFESSIONAL SERVICES REVENUE 1,593,737 RATHGEBER HOSPITALITY HOUSE REVENUE 495,960 UNITED REGIONAL HC FOUNDATION REVENUE 6,202,405 UNITED REGIONAL HC FOUNDATION RESTRICTED REVENUES (5,339,188) ------------------ Total $(19,828,324)
SCHEDULE D, PART XII, LINE 2DRECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO return: PHYSICIAN INCOME in audit expense $(418,916) UNITED REGIONAL PHYSICIAN GROUP EXPENSE 19,385,551 UNITED REGIONAL PROFESSIONAL SERVICES EXPENSE (264,801) RATHGEBER HOSPITALITY HOUSE EXPENSE 476,752 UNITED REGIONAL HC FOUNDATION EXPENSE 2,123,017 GAIN ON DISPOSAL OF PROPERTY (177,340) ------------------ Total $21,124,263
SCHEDULE D, PART XII, LINE 4BRECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO Return: Bad Debt Expense $34,492,030 Contribution Expense in Audit Revenue (19,663) Classification Differences 188,354 ------------------ Total $34,660,721
SCHEDULE D, PART XI, LINE 4BRECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO return: Physician income in audit expense $418,916 GAIN ON DISPOSAL OF PROPERTY 177,340 ------------------ TOTAL $596,256
SCHEDULE D, PART X, LINE 2LIABILITIES FOR UNCERTAIN TAX POSITIONS: URHCS, URPG, URF and RHH have been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code (IRC) and a similar provision of state law. However, these entities are subject to federal income tax on any unrelated business taxable income. URPSC and TIA are taxed as corporations. With a few exceptions, URHCS and its consolidated entities are no longer subject to U.S. federal examinations by tax authorities for years before 2011.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other175.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,771,171TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,704,244DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,066,927NetCommunityBenefitExpnsAmt
Total Expense0.01960TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,610,819TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,546,576DirectOffsettingRevenueAmt
Net Community Benefit Expns$64,243NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,288,588TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$719,510DirectOffsettingRevenueAmt
Net Community Benefit Expns$569,078NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,670,578TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$57,970,330DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,700,248NetCommunityBenefitExpnsAmt
Total Expense0.02200TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$746,367TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$757,613DirectOffsettingRevenueAmt
Net Community Benefit Expns-$11,246NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,821,408TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,158,419DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,662,989NetCommunityBenefitExpnsAmt
Total Expense0.05660TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,986,382TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,986,382NetCommunityBenefitExpnsAmt
Total Expense0.05400TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,554,157TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,916,032DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,638,125NetCommunityBenefitExpnsAmt
Total Expense0.11060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$107,224,735TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,886,362DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,338,373NetCommunityBenefitExpnsAmt
Total Expense0.13260TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$34,492,030BadDebtExpenseAmt
Bad Debt Expense Attributable$3,449,203BadDebtExpenseAttributableAmt
Reimbursed By Medicare$87,935,883ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$94,741,977CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$6,806,094MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
United Regional
Healthcare System
Cardiology LLC
cardiovascular services0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNITED REGIONAL HEALTH CARE SYSTEMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1Txt
CityWICHITA FALLSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.unitedregional.orgWebsiteAddressTxt
State License000417StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNITED REGIONAL HEALTH CARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care175.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On Website URLXFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLXFAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website URLXFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5Persons who Represent the Community: UNITED REGIONAL CONDUCTED 18 INTERVIEWS WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52. DURING THESE INTERVIEWS, THE HOSPITAL DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. THE INTERVIEWEES WERE INDIVIDUALS FROM VARIOUS NOT-FOR-PROFIT GROUPS, HEALTH CARE FACILITIES, GOVERNMENTAL AGENCIES AND OTHER AREAS OF THE COMMUNITY. THESE INDIVIDUALS WERE FROM THE FOLLOWING ORGANIZATIONS: HELEN FARABEE CENTERS (MHMR) UNITED REGIONAL HEALTH SYSTEM WALGREENS PHARMACY MANAGER HOSPICE OF WICHITA FALLS WICHITA FALLS HEALTH DISTRICT wICHITA COUNTY COURT THE KITCHEN/RED DOOR/GREEN DOOR SENIOR CENTERS cOMMUNITY HEALTHCARE CENTER (FQHC) WICHITA FALLS AREA FOOD BANK WICHITA FALLS ISD PRESBYTERIAN MANOR/HOUSE OF HOPE NORTH TEXAS AREA UNITED WAY MSU WILSON SCHOOL OF NURSING WICHITA FALLS CITY COUNCIL Health Board FAITH MISSION/FAITH REFUGE TEXAS ASSOCIATION OF HEALTH UNDERWRITERS
SCHEDULE H, PART V, SECTION B, LINE 11CHNA Did not address all needs: UNITED REGIONAL DECIDED NOT TO SPECIFICALLY ADDRESS THE NEED FOR MENTAL AND BEHAVIORAL HEALTH CARE SERVICES. THE HOSPITAL DOES NOT CURRENTLY OFFER MENTAL OR BEHAVIORAL HEALTH SERVICES, AND WHEN A PATIENT NEEDING THESE SERVICES COMES THROUGH THE EMERGENCY DEPARTMENT, THE PATIENT IS STABILIZED AND TRANSFERRED TO AN APPROPRIATE FACILITY.
SCHEDULE H, PART V, SECTION B, LINE 20Eefforts to notify individuals of financial assistance policy: NEITHER THE UNITED REGIONAL HEALTH CARE SYSTEM, NOR THIRD PARTIES AUTHORIZED BY URHCS, 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.
SCHEDULE H, PART V, SECTION B, LINE 22DHow hospital determines amounts charged to FAP-eligible individuals: INDIVIDUALS WHO DID NOT HAVE INSURANCE AND QUALIFY FOR FINANCIAL ASSISTANCE CAN HAVE UP TO 100% OF THE HOSPITAL SERVICE CHARGES REDUCED TO ZERO. INDIVIDUALS THAT PARTIALLY QUALIFY FOR ASSISTANCE WILL HAVE THEIR BILLS REDUCED LOWER THAN THE AGGREGATE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16CMEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY APPLICATION IS AVAILABLE AT THE FOLLOWING ADDRESS: HTTP://WWW.UNITEDREGIONAL.ORG/FINANCIAL-ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY AND THE PLAIN LANGUAGE SUMMARY WILL BE MADE AVAILABLE AT THE SAME WEBSITE ON 1/1/2016 AS REQUIRED FOR COMPLIANCE WITH FINAL 501R REGULATIONS.
SCHEDULE H, PART V, SECTION B, LINES 7 & 10CHNA & IMPLEMENTATION STRATEGY WEBSITE: THE CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT HTTP://WWW.UNITEDREGIONAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wichita Falls Endoscopy CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 tenth streetAddressLine1Txt
Citywichita fallsCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd
FieldValueIRS element (for citing)
Facilityambulatory surgery centerFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6BCommunity Benefit Report: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE OBTAINED BY REQUEST FROM UNITED REGIONAL ADMINISTRATION OFFICES OR COMMUNITY BENEFITS OFFICES. THE COMMUNITY BENEFIT REPORT IS ALSO ON FILE WITH THE HEALTH AND HUMAN SERVICES COMMISSION OF THE STATE OF TEXAS.
SCHEDULE H, PART I, LINE 7Financial Assistance and Certain Other Benefits at Cost: THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 WAS USED TO DETERMINE COST FOR LINES 7A, 7B AND 7C. ACTUAL COST PER GENERAL LEDGER WAS USED TO DETERMINE AMOUNTS ON LINES 7F, 7G AND 7I.
SCHEDULE H, PART I, LINE 7, COLUMN (F)Percent of Total Expense: BAD DEBT EXPENSE OF $34,492,030 WAS INCLUDED IN TOTAL EXPENSE ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN COLUMN (F).
SCHEDULE H, PART I, LINE 7GSubsidized Health Services: COSTS OF $20,005,873 WERE INCLUDED IN SUBSIDIZED HEALTH SERVICES ON LINE 7G FOR COMMUNITY CLINICS.
SCHEDULE H, PART III, SECTION A, LINE 2Bad Debt Expense: THE ORGANIZATION'S BAD DEBT EXPENSE WAS CALCULATED USING THE EXPENSE REPORTED ON THE FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3Bad debt attributable to patients eligible for financial assiStance: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS DETERMINED BY ESTIMATING THAT 10% OF THE BAD DEBT WOULD LIKELY BE CHARITY CARE. THIS IS THE APPROXIMATE PERCENTAGE OF PATIENTS NOT COMPLETING THE PAPER WORK TO APPLY FOR CHARITY CARE. BAD DEBT EXPENSE REPRESENTS GROSS CHARGES ADJUSTED FOR APPROPRIATE DISCOUNTS AND PAYMENTS ON ACCOUNTS.
SCHEDULE H, PART III, SECTION A, LINE 4Bad Debt Footnote: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, URHCS ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, URHCS ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, URHCS RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. URHCS' ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 94% AND 93% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2014 AND 2013, RESPECTIVELY. URHCS' WRITE-OFFS DECREASED APPROXIMATELY $747,000 FROM APPROXIMATELY $34,079,000 FOR THE YEAR ENDED DECEMBER 31, 2013, TO APPROXIMATELY $33,332,000 FOR THE YEAR ENDED DECEMBER 31, 2014. THIS DECREASE WAS PRIMARILY DUE TO SLIGHT SHIFTS IN PAYER MIX.
SCHEDULE H, PART III, SECTION B, LINE 8Costing Methodology & MEDICARE SHORTFALL: THE HOSPITAL USES MEDICARE COST REPORT METHODOLOGY TO DETERMINE MEDICARE ALLOWABLE COST, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. UNITED REGIONAL CONSIDERS ANY SHORTFALL IN PAYMENT TO BE A COMMUNITY BENEFIT DUE TO THE DECLINING RATES OF REIMBURSEMENT FROM THOSE PROGRAMS DOES NOT KEEP PACE WITH THE INCREASING COSTS OF PROVIDING CARE TO THOSE BENEFICIARIES.
SCHEDULE H, PART III, SECTION C, LINE 9BCollection Practices: HOSPITAL PERSONNEL MAKE GOOD FAITH EFFORTS TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, GOVERNMENTAL PROGRAMS AND ASSISTANCE IN APPLYING. SECTION 6.6 OF THE CHARITY AND BAD DEBT POLICY STATES: "AS SOON AS SUFFICIENT INFORMATION IS AVAILABLE CONCERNING THE PATIENT'S FINANCIAL RESOURCES AND ELIGIBILITY FOR GOVERNMENTAL ASSISTANCE, A DETERMINATION WILL BE MADE CONCERNING THE PATIENT'S ELIGIBILITY FOR CHARITY. IN MOST CASES, THE DETERMINATION DECISION WILL BE MADE WITHIN 10 BUSINESS DAYS. A WRITTEN NOTICE WILL BE MAILED TO THE PATIENT INFORMING THEM OF THE DETERMINATION DECISION. NO COLLECTION EFFORTS WILL BE PURSUED ON A CHARITY ACCOUNT FOR THE ELIGIBLE AMOUNT AFTER SUCH DETERMINATION IS MADE."
SCHEDULE H, PART VI, LINE 2Needs Assessment: UNITED REGIONAL HEALTH CARE SYSTEM (URHCS) PROVIDES EMERGENCY, TRAUMA, OUTPATIENT AND SHORT TERM GENERAL ACUTE CARE INPATIENT CARE IN THE WICHITA FALLS AREA. IN CONJUNCTION WITH OTHER INTERESTED ORGANIZATIONS, IT UNDERTAKES PROJECTS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. FOR EXAMPLE, URHCS COLLABORATES WITH OTHER COMMUNITY HEALTH ORGANIZATIONS TO CREATE A "HEALTHY WICHITA" REPORT WHICH IS UPDATED PERIODICALLY. THIS REPORT ASSESSES THE HEALTHCARE SERVICES PROVIDED IN THE COMMUNITY TO COMPARE THE OUTCOMES TO STATE AND FEDERAL OUTCOMES AND DETERMINE IF THE COMMUNITY HEALTH NEEDS ARE BEING MET OR ADDITIONAL RESOURCES NEED TO BE DIRECTED TO PARTICULAR HEALTH AREAS.
SCHEDULE H, PART VI, LINE 3Patient Education of Eligibility for assistance: THE HOSPITAL INFORMS PATIENTS OF THE CHARITY CARE PROGRAM AND HOW TO APPLY FOR CHARITY CARE. THIS IS DONE BY POSTING NOTICES IN PATIENT REGISTRATION AREAS AND PROVIDING WRITTEN NOTICES TO PATIENTS. ALL PATIENT STATEMENTS HAVE AN ASSISTANCE APPLICATION ON THE REVERSE SIDE AND AN ALERT ON THE FRONT FOR THOSE ELIGIBLE OR INTERESTED IN APPLYING. THIS INCLUDES ALL STATEMENT NOTIFICATIONS AND NOT JUST PATIENT SHARE STATEMENTS. FURTHERMORE, IT IS THE POLICY OF URHCS TO ASSIST PATIENTS WITH INFORMATION AND RESOURCES FOR POTENTIALLY QUALIFYING FOR GOVERNMENTAL OR OTHER FINANCIAL ASSISTANCE PROGRAMS. THE BUSINESS OFFICE WILL REFER THOSE PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM A GOVERNMENTAL PROGRAM TO THE APPROPRIATE PROGRAM, SUCH AS MEDICAID, COUNTY INDIGENT, CRIME VICTIMS, OR OTHER PROGRAM, OR TO THE HOSPITAL'S CONTRACTED ELIGIBILITY VENDOR FOR SCREENING FOR GOVERNMENTAL PROGRAM COVERAGE.
SCHEDULE H, PART VI, LINE 4community information: URHCS PRIMARY SERVICE AREA IS MADE UP OF WICHITA COUNTY. WICHITA COUNTY CONTAINS THE CITY OF WICHITA FALLS WHERE URHCS IS LOCATED. ACCORDING TO THE HUMAN RESOURCES AND SERVICES ADMINISTRATION, US DEPARTMENT OF HEALTH AND HUMAN SERVICES, WICHITA FALLS HAS SEVERAL CENSUS TRACTS FEDERALLY DESIGNATED AS MEDICALLY UNDER-SERVED, INCLUDING CENSUS TRACT 102 WHERE URHCS IS LOCATED. CENSUS DATA FOR WICHITA COUNTY IS AS FOLLOWS: MEDIAN HOUSEHOLD INCOME (2013 EST.): $ 44,028 PER CAPITA INCOME (2013 EST.): $ 22,635 UNDER AGE 18 CHILDREN BELOW POVERTY LEVEL (2013 EST.): 24.8% MEDIAN EARNINGS OF FULL-TIME WORKERS, FEMALE (2013 EST.): $ 30,306 PERSONS BELOW POVERTY LEVEL (2013 EST.): 17.8% PERSON WITHOUT HEALTH INSURANCE COVERAGE 18 TO 64 YEARS (2013 EST.) : 28.7% URHCS IS RECOGNIZED BY MEDICARE AS QUALIFYING FOR SOLE COMMUNITY HOSPITAL STATUS AND SERVES A DISPROPORTIONATE SHARE OF LOW-INCOME PATIENTS. UNITED REGIONAL QUALIFIES AS A DISPROPORTIONATE SHARE HOSPITAL FOR BOTH THE MEDICARE AND MEDICAID PROGRAMS.
SCHEDULE H, PART VI, LINE 5Promotion of COmmunity Health: THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS THAT REPRESENTS THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. URHCS EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. UNITED REGIONAL OPERATES A LEVEL 2 TRAUMA UNIT FOR THE REGION. THE HOSPITAL CONTRACTS WITH A FAMILY RESIDENCY PROGRAM TO ASSIST IN TRAINING PRIMARY CARE PHYSICIANS AS WELL AS TRAINING COURSES FOR NURSING AND ALLIED HEALTH PROFESSIONALS FOR THE COMMUNITIES IT SERVES. THE HOSPITAL PARTICIPATES IN MEDICAID AND IS THE MANDATED WICHITA COUNTY HEALTHCARE FACILITY. URHCS REINVESTS SURPLUS FUNDS IN THE FACILITIES TO ENSURE PATIENTS ARE PROVIDED WITH STATE OF THE ART MEDICAL CARE.
SCHEDULE H, PART VI, LINE 6Affiliated Health Care System: N/A
SCHEDULE H, PART VI, LINE 7State Filing of community Benefit Report: URHCS FILES AN ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (ASCBS) WITH THE STATE OF TEXAS. THE CALCULATION OF COMMUNITY BENEFIT FOR THE ASCBS DIFFERS FROM THE CALCULATIONS REQUIRED FOR THE IRS SCHEDULE H REPORTING. THEREFORE, THE INFORMATION REPORTED IN THE TWO REPORTS IS INCONSISTENT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
SERVICE ORGANIZATION OF NORTH TEXAS
2950 50TH STREETLUBBOCKTX79413800368789501(C)(3)$13,700,000General Support
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 ELEVENTH STREETWICHITA FALLSTX76301751579910501(C)(3)$743,094SUPPORT AN EVENT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES GENERAL CONTRIBUTIONS TO THE COMMUNITY AND NATIONAL CHARITIES FOR THE FURTHERANCE OF THEIR MISSION. THE ORGANIZATIONS MAKE THEIR REQUESTS IN WRITING. THESE CONTRIBUTIONS ARE REVIEWED AND APPROVED BY APPROPRIATELY AUTHORIZED BOARD ACTION; OR OFFICERS; OR EMPLOYEES AS APPROPRIATE IN THE CIRCUMSTANCE IN EACH INSTANCE OF SUCH CONTRIBUTION BEING MADE. UNITED REGIONAL FOLLOWS UP WITH EACH ORGANIZATION TO MAKE SURE EACH cONTRIBUTION WAS USED FOR ITS INTENDED PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PHYLLIS COWLING
PRESIDENT & CEO$514,518$0$174,180$0$154,828$0$30,500$0$9,445$0$883,471$0$0$0
NANCY TOWNLEY
SR. VP OF OPERATIONS$304,364$0$90,274$0$39,293$0$30,500$0$17,996$0$482,427$0$0$0
ROBERT PERT
CHIEF FINANCIAL OFFICER$310,608$0$72,608$0$5,500$0$25,000$0$24,524$0$438,240$0$0$0
JOHN S HOYER MD
VP OF MEDICAL AFFAIRS$318,662$0$63,659$0$5,500$0$25,000$0$17,012$0$429,833$0$0$0
STEPHANIE JO BROWN
VP OF MARKETING$189,872$0$26,231$0$5,500$0$19,422$0$9,613$0$250,638$0$0$0
RICHARD CARPENTER
VP OF FACILITIES$187,463$0$24,798$0$0$0$19,177$0$18,831$0$250,269$0$0$0
KRISTI FAULKNER
VP OF HUMAN RESOURCES$170,250$0$10,769$0$0$0$19,177$0$13,284$0$213,480$0$0$0
MATTHEW BAKER
DIRECTOR OF PHARMACY$158,154$0$1,128$0$5,128$0$8,583$0$23,351$0$196,344$0$0$0
NORA VALDEZ
NURSE SPECIALIST$173,552$0$1,128$0$0$0$0$0$0$0$174,680$0$0$0
JAMES BEASLEY
CLINICAL PHARMACIST$152,259$0$1,128$0$6,345$0$8,308$0$19,970$0$188,010$0$0$0
DENISE BLAIR
NURSE SPECIALIST (PT CARE)$191,050$0$1,128$0$0$0$9,669$0$13,579$0$215,426$0$0$0
KELLY PRUITT
NURSE SPECIALIST (PT CARE)$159,284$0$1,128$0$3,179$0$3,403$0$15,786$0$182,780$0$0$0
JOHNNY ROBERTS
VP UR Physician Group$0$206,881$0$14,024$0$6,308$0$18,297$0$14,977$0$260,487$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 6EXPLANATION OF COMPENSATION CONTINGENT ON NET EARNINGS: A RANGE BETWEEN 20% AND 25% OF ANNUAL BONUS IS BASED ON CONSOLIDATED NET OPERATING INCOME. OTHER BONUS CRITERIA INVOLVE QUALITY SCORES, SERVICE SCORES AND INDIVIDUAL GOALS.
SCHEDULE J, PART I, LINE 4BSupplemental nonqualified retirement plan: UNITED REGIONAL HEALTH CARE SYSTEM OFFERS A DEFERRED COMPENSATION PLAN. CERTAIN MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES MAY ELECT TO PARTICIPATE, IF ELIGIBLE, IN A DEFERRED COMPENSATION PLAN WHICH IS IN COMPLIANCE WITH THE IRC SECTION 457(F), ELIGIBLE DEFERRED COMPENSATION PLAN SPONSORED BY A TAX EXEMPT ORGANIZATION. THE FOLLOWING INDIVIDUALS participated in the plan during the 2014 tax year: NAME AMOUNT --------------------------------------- PHYLLIS COWLING $ 54,915

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1North Texas Healthcare Facilities DevelopmentBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN900049824BondIssuerEIN
CUSIP662823cg6CUSIPNum
Bond Issued2007-07-12BondIssuedDt
Issue Price$93,891,074IssuePriceAmt
PurposeConstruction of Bridwell TowerPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$93,891,074TotalProceedsAmt
In Reserve Fund$4,384,937InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$26,749,095RefundingEscrowAmt
Issuance Costs From Proceeds$2,757,042IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$60,000,000CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2010SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingYes (true)AdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceArbitrageFormAndLineReferenceDesc
ExplanationSchedule K, Part Iv, line 2c series 2007 bonds - rebate computation performed 07/12/2014ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
WICHITA FALLS DIALYSIS
SEE PART V$726,473PROFESSIONAL FEESfalse
ASHLEY MCBROOM
DIRECTORS FAMILY MEMBER$42,056SALARIES AND WAGESfalse
TRENTON MCBROOM
DIRECTORS FAMILY MEMBER$61,902SALARIES AND WAGESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, COLUMN(B)FormAndLineReferenceDesc
ExplanationADDITIONAL INFORMATION ON TRANSACTIONS WITH INTERESTED PERSONS: ASHWINKUMAR PATEL, DIRECTOR, IS A MORE THAN 35% OWNER OF WITCHITA FALLS DIALYSIS, AN ORGANIZATION DOING BUSINESS WITH THE HOSPITAL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ADelegation of Authority: THE EXECUTIVE COMMITTEE HAS AUTHORITY TO TRANSACT ALL BUSINESS OF THE BOARD IN THE GOVERNANCE OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO THE LIMITATIONS SET FORTH IN THE BYLAWS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7APower to Elect or Appoint Members of the Governing Body: THE WICHITA COUNTY-CITY OF WICHITA FALLS, TEXAS HOSPITAL BOARD (WHB) APPOINTS ONE INDIVIDUAL TO SERVE EX OFFICIO AS A VOTING DIRECTOR. THE INDIVIDUAL APPOINTED BY THE WHB DOES NOT HAVE TO BE A MEMBER OF THE WHB BUT MUST MEET THE QUALIFICATIONS FOR DIRECTORS SET FORTH BY THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7BDecisions of the Governing Body subject to approval: THE JOINT CITY-COUNTY BOARD HAS APPROVAL REGARDING BOND FINANCING AND APPROVAL OF THE BUDGET.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW THE FORM 990: THE EXECUTIVE COMMITTEE CHARTER, AS APPROVED BY THE UNITED REGIONAL HEALTH CARE SYSTEM BOARD, DELEGATES THE REVIEW OF 990S TO THE EXECUTIVE COMMITTEE. ALL MEMBERS OF THE COMMITTEE ARE PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. THE 990 IS REVIEWED BY MANAGEMENT OFFICIALS OF THE HOSPITAL AND THE EXECUTIVE COMMITTEE OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE FORMS ARE REVIEWED INITIALLY BY THE CHIEF COMPLIANCE OFFICER AND THE CEO FOR POTENTIAL CONFLICTS. ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS.
FOR 990, PART VI, SECTION B, LINE 15A & 15BProcess Used to Determine compensation of management and key employees: THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL REVIEW OF COMPENSATION OF THE CEO AND REVIEWS ALL CORPORATE OFFICERS COMPENSATION EVERY OTHER YEAR. THE EXECUTIVE COMMITTEE MAKES FINAL RECOMMENDATIONS REGARDING COMPENSATION OF THE CEO ANNUALLY AND ALL OFFICERS EVERY OTHER YEAR. A COMPENSATION CONSULTANT PROVIDES MARKET COMPARISONS ON AN EVERY OTHER YEAR BASIS. THIS WAS COMPLETED IN 2009, 2011 AND 2013. AN ANNUAL COMPENSATION REVIEW IS PERFORMED BY THE CEO FOR ALL OTHER OFFICERS OF THE ORGANIZATION WITHIN THE PARAMETERS SET BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REVIEWS ALL OTHER CORPORATE OFFICERS OTHER THAN THE CEO EVERY OTHER YEAR.
FORM 990, PART VI, SECTION C, LINE 19Documents Available to the Public: An ad is run in the local paper on an annual basis informing the community the financial statements are available to the public upon request. The other documents are not made available to the public.
FORM 990, PART VII, SECTION ACompensation of Officers and Directors: Directors reported on part vii, section a are compensated for professional services as physicians and not as directors. Directors receiving 1099 income from united regional is compensation related to administrative and general services rendered to clinical areas of the organization, other professional services and for trauma or other off-hour availability.
FORM 990 PART IX LINE 11GDESCRIPTION:CATERING EXPENSES TOTAL FEES:22029
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:5427388
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:19120470
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:1370453
FORM 990 PART IX LINE 11GDESCRIPTION:SERVICE CONTRACTS TOTAL FEES:8271374
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY LABOR TOTAL FEES:434225
FORM 990 PART IX LINE 11GDESCRIPTION:TRANSPORT TRANSFER SERVICE TOTAL FEES:119281
FORM 990 PART IX LINE 11GDESCRIPTION:INTERCOMPANY PURCHASE SERVICE TOTAL FEES:-8412

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 ELEVENTH STREETWICHITA FALLSTX76301752761467SUPPORTTX501(C)(3)11AURHCSYes (true)
RATHGEBER HOSPITALITY HOUSE
1615 TWELFTH STREETWICHITA FALLSTX76301752811394LODGINGTX501(C)(3)7URHCSYes (true)
UNITED REGIONAL PHYSICIAN GROUP
1600 ELEVENTH STREETWICHITA FALLSTX76301752925491HEALTH CARETX501(C)(3)9URHCSYes (true)
UNITED REGIONAL HEALTH CARE SYSTEM AUXIL
1600 ELEVENTH STREETWICHITA FALLSTX76301756004656BENEVOL SVCSTX501(C)(3)11AURHCSYes (true)
CITY OF WICHITA FALLS-WC HOSPITAL BOARD
1300 SEVENTH STREETWICHITA FALLSTX76301756002771OVERSIGHTTXGOVERNMENTN/ANAfalse
texoma hie
1600 eleventh streetwichita fallsTX76301463617299inactiveTX501(c)(3)9URHCSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
UNITED REGIONAL PROFESSIONAL SERVICES
1600 ELEVENTH STREETWICHITA FALLSTX76301752549298MGMT SERVICESTXURHCSC-Corporation$1,370,173$7,601,6711.00000Yes (true)
Texoma Insurance Agency
1600 eleventh streetwichita fallsTX76301422683761insuranceTXnac-corporation$0$124,9981.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
UNITED REGIONAL PHYSICIAN GROUP
A$48,250SEE PART VII
UNITED REGIONAL HEALTH CARE FOUNDATION
C$1,112,816SEE PART VII
UNITED REGIONAL PHYSICIAN GROUP
Q$5,831,000SEE PART VII

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 2, COLUMN (D):FormAndLineReferenceDesc
ExplanationMETHOD OF DETERMINING AMOUNTS FOR TRANSACTIONS DESCRIBED IN LINES 1C AND 1Q: AMOUNTS REPORTED IN LINE 2, COLUMN (C) FOR THESE TRANSACTION TYPES ARE STATED AT CASH VALUE. METHOD OF DETERMINING AMOUNTS FOR TRANSACTIONS DESCRIBED IN LINES 1A,M,N: AMOUNTS REPORTED ON LINE 2, COLUMN (C) FOR THESE TRANSACTION TYPES ARE AT FAIR MARKET VALUE AND ARE COMPARABLE TO TRANSACTIONS BETWEEN TWO OR MORE UNRELATED PARTIES DEALING AT ARM'S LENGTH.ExplanationTxt