2015-11-09T15:37:21-06:00 2014-12-31 BKD LLP 14241 DALLAS PKWY STE 1100 DALLAS TX 75254 990 2014-01-01 751912147 United Regional Health Care System % STEPHEN P CALVERT UNIT 9407648299 1600 Eleventh Street Wichita Falls TX 76301 Phyllis Cowling PRESIDENT & CEO 9407648299 2015-11-16 true Jeanette Verrelli P00742631 9727028262 2014 2016-04-25 22:37:26Z PHYLLIS COWLING 1600 ELEVENTH STREET WICHITA FALLS TX 76301 348012545 false X WWW.UNITEDREGIONAL.ORG X 1983 TX ORGANIZED AND OPERATED FOR THE PURPOSE of developing and operating an integrated health care system. 15 11 2070 300 0 0 1512833 1143604 315989511 332170298 19868992 14666741 -1015000 0 336356336 347980643 8992000 14443094 0 0 116968104 121767237 0 0 0 156246310 158438698 282206414 294649029 54149922 53331614 573726278 624071034 127883031 125965492 445843247 498105542 X TO 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. false false 251723184 14443094 332170298 UNITED 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) 251723184 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false true true false false false false false true true true false false true 207 0 true 2070 true false false false false false false false false false false X 15 11 false false false false false true true true true false false false true true true true true true true true true X STEPHEN P CALVERT 9407648299 1600 ELEVENTH STREET WICHITA FALLS TX 76301 X PHYLLIS COWLING PRESIDENT & CEO 40.0 2.0 X X 843526 0 39945 FRED LANGNER MD DIRECTOR 1.0 0.0 X 148460 0 0 ANDR DESIR MD DIRECTOR 1.0 0.0 X 114467 0 0 ASHwINKUMAR PATEL MD DIRECTOR 1.0 0.0 X 45154 0 0 BARRY HARDIN DIRECTOR 1.0 0.0 X 0 0 0 CARLA SCHMEHL DIRECTOR 1.0 0.0 X 0 0 0 DOUG KUNKle DIRECTOR 1.0 0.0 X 0 0 0 GARY OZIER MD DIRECTOR 1.0 0.0 X 0 0 0 LARRY COOK PAST CHAIRMAN 1.0 0.0 X X 0 0 0 MIKE ELYEA DIRECTOR 1.0 0.0 X 0 0 0 PAUL FOLEY DIRECTOR 1.0 0.0 X 0 0 0 R KEN HINES DIRECTOR 1.0 0.0 X 0 0 0 RITA VOKES DIRECTOR 1.0 0.0 X 0 0 0 YVONNE HEARN MD DIRECTOR 1.0 1.0 X 0 0 0 JOHN LUIG JR DIRECTOR 1.0 0.0 X 0 0 0 TERRY PATTON SECRETARY/TREASURER 1.0 0.0 X 0 0 0 TOM WILSON DIRECTOR 1.0 0.0 X 0 0 0 BLAKE ANDREWS CHAIRMAN 1.0 0.0 X X 0 0 0 NANCY TOWNLEY SR. VP OF OPERATIONS 40.0 2.0 X 433931 0 48496 ROBERT PERT CHIEF FINANCIAL OFFICER 40.0 2.0 X 388716 0 49524 JOHN S HOYER MD VP OF MEDICAL AFFAIRS 40.0 2.0 X 387821 0 42012 STEPHANIE JO BROWN VP OF MARKETING 40.0 0.0 X 221603 0 29035 RICHARD CARPENTER VP OF FACILITIES 40.0 0.0 X 212261 0 38008 KRISTI FAULKNER VP OF HUMAN RESOURCES 40.0 0.0 X 181019 0 32461 Adonna Lowe VP of Patient Care/clinic svs 40.0 0.0 X 26400 0 30024 JOHNNY ROBERTS VP UR Physician Group 2.0 40.0 X 0 227213 33274 MATTHEW BAKER DIRECTOR OF PHARMACY 40.0 0.0 X 164410 0 31934 NORA VALDEZ NURSE SPECIALIST 40.0 0.0 X 174680 0 0 JAMES BEASLEY CLINICAL PHARMACIST 40.0 0.0 X 159732 0 28278 DENISE BLAIR NURSE SPECIALIST (PT CARE) 40.0 0.0 X 192178 0 23248 KELLY PRUITT NURSE SPECIALIST (PT CARE) 40.0 0.0 X 163591 0 19189 3857949 227213 445428 77 false true false CLINICAL PARTNERS WICHITA FALLS 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 CLINICAL SERVICES 2737480 PRICEWATERHOUSECOOPERS LLP PO BOX 952282 DALLAS TX 75395 PROFESSIONAL SERVICE 841949 TITANIUM EMERGENCY GROUP LLP PO BOX 3407 WICHITA FALLS TX 76307 CLINICAL SERVICES 1709668 NORTH CENTRAL TX MEDICAL FOUNDATION 1301 3RD ST STE 200 WICHITA FALLS TX 76301 CLINICAL SERVICES 916067 Critical Care Specialist of North T 1208 Brook Street WICHITA FALLS TX 76301 Clinical Services 967126 50 1143604 1143604 PATIENT SERVICE REVENUE 621110 329768204 329768204 SUPPORTING REVENUE 900099 1786380 1786380 RELATED RENTAL REVENUE 900099 615714 615714 332170298 6805631 6805631 0 0 0 0 0 7683770 209242 31902 7683770 177340 7861110 7861110 0 0 0 0 347980643 332170298 14666741 X 14443094 14443094 0 0 0 3312453 2484340 828113 103958 77968 25990 101603346 76202507 25400839 3052857 2289643 763214 6300239 4725179 1575060 7394384 5545788 1848596 0 177440 177440 0 0 0 516852 516852 34756808 26067608 8689200 997963 748472 249491 5233356 4386354 847002 943301 707476 235825 0 3227461 2420596 806865 664196 498147 166049 0 354141 21677 332464 4539742 4539742 0 18516545 18516545 2249567 2245029 4538 BAD DEBT EXPENSE 34492030 34492030 MEDICAL SUPPLIES 49690210 49690210 EQUIPMENT RENTAL & MAINT. 1693888 1270416 423472 FOOD SERVICE EXPENSE 205700 154275 51425 179498 196088 -16590 294649029 251723184 42925845 0 4429 157206 28632905 37430425 0 0 26197285 26309909 0 0 0 0 0 0 6152265 6287616 3512008 3722460 389083912 231102644 161799165 157981268 304772636 336977159 0 0 0 0 0 0 42655585 55204991 573726278 624071034 22634852 22678269 0 0 0 0 92614557 91550223 0 0 0 0 0 0 0 0 12633622 11737000 127883031 125965492 X 445843247 498105542 0 0 0 0 445843247 498105542 573726278 624071034 53331614 -1069319 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 33412 33412 false SCHEDULE C, PART II-B, LINE 1I LOBBYING 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 $33,412 1413719 2630 1416349 1580533 166814 1413719 1580533 1580533 1363593 216940 1580533 1293792 69801 1363593 0.79269 0.20731 false true true 11139760 11139760 170389287 74746301 95642986 0 0 0 201979913 155087207 46892706 5574952 1269136 4305816 157981268 DUE FROM AFFILIATE 48252248 EST DUE FROM 3RD-PARTY PAYERS 6159127 INTEREST RECEIVABLE 456903 UNAMORTIZED BOND COST 336713 55204991 0 SELF-INSURANCE LIABILITY 11737000 11737000 X 325969892 -1069319 -19828324 -20897643 346867535 516852 596256 1113108 347980643 280595719 21124263 21124263 259471456 516852 34660721 35177573 294649029 SCHEDULE D, PART V, LINE 4 INTENDED 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 2D RECONCILIATION 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 2D RECONCILIATION 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 4B RECONCILIATION 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 4B RECONCILIATION 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 2 LIABILITIES 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. true true X true X 175. true X true true false true true 33771171 28704244 5066927 0.01960 28610819 28546576 64243 0.00020 1288588 719510 569078 0.00220 63670578 57970330 5700248 0.02200 746367 757613 -11246 28821408 14158419 14662989 0.05660 13986382 13986382 0.05400 43554157 14916032 28638125 0.11060 107224735 72886362 34338373 0.13260 false 34492030 3449203 87935883 94741977 -6806094 X true true United Regional Healthcare System Cardiology LLC cardiovascular services 0.50000 0.50000 1 1 UNITED REGIONAL HEALTH CARE SYSTEM 1600 ELEVENTH STREET WICHITA FALLS TX 76301 www.unitedregional.org 000417 X X X X UNITED REGIONAL HEALTH CARE SYSTEM 1 false false true X X X X X X X X 13 true false false true X SEE PART V, SECTION C X true 13 true SEE PART V, SECTION C false false true X 175. 400. X X X X true true X X X true X X X X X X X X true X false X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 Persons 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 11 CHNA 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 20E efforts 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 22D How 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 & 16C MEASURES 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 & 10 CHNA & IMPLEMENTATION STRATEGY WEBSITE: THE CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT HTTP://WWW.UNITEDREGIONAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. 1 Wichita Falls Endoscopy Center 1500 tenth street wichita falls TX 76301 ambulatory surgery center SCHEDULE H, PART I, LINE 6B Community 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 7 Financial 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 7G Subsidized 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 2 Bad 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 3 Bad 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 4 Bad 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 8 Costing 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 9B Collection 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 2 Needs 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 3 Patient 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 4 community 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 5 Promotion 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 6 Affiliated Health Care System: N/A SCHEDULE H, PART VI, LINE 7 State 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. true SERVICE ORGANIZATION OF NORTH TEXAS 2950 50TH STREET LUBBOCK TX 79413 800368789 501(C)(3) 13700000 General Support UNITED REGIONAL HEALTH CARE FOUNDATION 1600 ELEVENTH STREET WICHITA FALLS TX 76301 751579910 501(C)(3) 743094 SUPPORT AN EVENT 2 SCHEDULE I, PART I, LINE 2 PROCEDURES 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. X X X false true false false false true true false false PHYLLIS COWLING PRESIDENT & CEO 514518 0 174180 0 154828 0 30500 0 9445 0 883471 0 0 0 NANCY TOWNLEY SR. VP OF OPERATIONS 304364 0 90274 0 39293 0 30500 0 17996 0 482427 0 0 0 ROBERT PERT CHIEF FINANCIAL OFFICER 310608 0 72608 0 5500 0 25000 0 24524 0 438240 0 0 0 JOHN S HOYER MD VP OF MEDICAL AFFAIRS 318662 0 63659 0 5500 0 25000 0 17012 0 429833 0 0 0 STEPHANIE JO BROWN VP OF MARKETING 189872 0 26231 0 5500 0 19422 0 9613 0 250638 0 0 0 RICHARD CARPENTER VP OF FACILITIES 187463 0 24798 0 0 0 19177 0 18831 0 250269 0 0 0 KRISTI FAULKNER VP OF HUMAN RESOURCES 170250 0 10769 0 0 0 19177 0 13284 0 213480 0 0 0 MATTHEW BAKER DIRECTOR OF PHARMACY 158154 0 1128 0 5128 0 8583 0 23351 0 196344 0 0 0 NORA VALDEZ NURSE SPECIALIST 173552 0 1128 0 0 0 0 0 0 0 174680 0 0 0 JAMES BEASLEY CLINICAL PHARMACIST 152259 0 1128 0 6345 0 8308 0 19970 0 188010 0 0 0 DENISE BLAIR NURSE SPECIALIST (PT CARE) 191050 0 1128 0 0 0 9669 0 13579 0 215426 0 0 0 KELLY PRUITT NURSE SPECIALIST (PT CARE) 159284 0 1128 0 3179 0 3403 0 15786 0 182780 0 0 0 JOHNNY ROBERTS VP UR Physician Group 0 206881 0 14024 0 6308 0 18297 0 14977 0 260487 0 0 SCHEDULE J, PART I, LINE 6 EXPLANATION 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 4B Supplemental 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 A North Texas Healthcare Facilities Development 900049824 662823cg6 2007-07-12 93891074 Construction of Bridwell Tower false false false A 0 0 93891074 4384937 0 26749095 2757042 0 0 60000000 0 0 2010 false true true true A false false false false 0 0.00000 0.00000 false false false true A false false false true false false 0 false 0 false true A true Arbitrage Schedule K, Part Iv, line 2c series 2007 bonds - rebate computation performed 07/12/2014 WICHITA FALLS DIALYSIS SEE PART V 726473 PROFESSIONAL FEES false ASHLEY MCBROOM DIRECTORS FAMILY MEMBER 42056 SALARIES AND WAGES false TRENTON MCBROOM DIRECTORS FAMILY MEMBER 61902 SALARIES AND WAGES false SCHEDULE L, PART IV, COLUMN(B) ADDITIONAL 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. FORM 990, PART VI, SECTION A, LINE 1A Delegation 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 7A Power 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 7B Decisions 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 11B PROCESS 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 12C MONITORING 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 & 15B Process 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 19 Documents 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 A Compensation 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 11G DESCRIPTION:CATERING EXPENSES TOTAL FEES:22029 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:5427388 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:19120470 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1370453 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE CONTRACTS TOTAL FEES:8271374 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY LABOR TOTAL FEES:434225 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSPORT TRANSFER SERVICE TOTAL FEES:119281 FORM 990 PART IX LINE 11G DESCRIPTION:INTERCOMPANY PURCHASE SERVICE TOTAL FEES:-8412 UNITED REGIONAL HEALTH CARE FOUNDATION 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752761467 SUPPORT TX 501(C)(3) 11A URHCS true RATHGEBER HOSPITALITY HOUSE 1615 TWELFTH STREET WICHITA FALLS TX 76301 752811394 LODGING TX 501(C)(3) 7 URHCS true UNITED REGIONAL PHYSICIAN GROUP 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752925491 HEALTH CARE TX 501(C)(3) 9 URHCS true UNITED REGIONAL HEALTH CARE SYSTEM AUXIL 1600 ELEVENTH STREET WICHITA FALLS TX 76301 756004656 BENEVOL SVCS TX 501(C)(3) 11A URHCS true CITY OF WICHITA FALLS-WC HOSPITAL BOARD 1300 SEVENTH STREET WICHITA FALLS TX 76301 756002771 OVERSIGHT TX GOVERNMENT N/A NA false texoma hie 1600 eleventh street wichita falls TX 76301 463617299 inactive TX 501(c)(3) 9 URHCS true UNITED REGIONAL PROFESSIONAL SERVICES 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752549298 MGMT SERVICES TX URHCS C-Corporation 1370173 7601671 1.00000 true Texoma Insurance Agency 1600 eleventh street wichita falls TX 76301 422683761 insurance TX na c-corporation 0 124998 1.00000 true true true true false false false false false false false false false true true false false true true true UNITED REGIONAL PHYSICIAN GROUP A 48250 SEE PART VII UNITED REGIONAL HEALTH CARE FOUNDATION C 1112816 SEE PART VII UNITED REGIONAL PHYSICIAN GROUP Q 5831000 SEE PART VII PART V, LINE 2, COLUMN (D): METHOD 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.