METHODIST HOSPITAL PLAINVIEW TEXAS: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- METHODIST HOSPITAL PLAINVIEW TEXAS (EIN 75-2426010)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201421349349300702
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T03:04:48-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CONGRESS AVENUE SUITE 1800 | AddressLine1 |
| City | AUSTIN | City |
| State | TX | State |
| ZIP Code | 78701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752426010 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST HOSPITAL PLAINVIEW | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % CLAY TAYLOR | InCareOfName |
| Name Control | METH | NameControl |
| Phone | 8062965531 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 DIMMITT ROAD | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | PLAINVIEW | City |
| State | TX | State |
| ZIP Code | 790721833 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEVEN BECK | Name |
| Title | BD MBR/VP REG SVCS/INTERIM SEC | Title |
| Date Signed | 2014-05-12 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5124789881 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT HOSPITAL PLAINVIEW | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ALAN N KING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 DIMMITT ROAD | AddressLine1 |
| City | PLAINVIEW | City |
| State | TX | State |
| ZIP Code | 790721833 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 35448222 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COVENANTPLAINVIEW.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 398 | TotalNbrEmployees |
| Total Nbr Volunteers | 37 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 99653 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 32847103 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 35418926 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 42841 | InvestmentIncomePriorYear |
| Investment Income Current Year | 29296 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 32989597 | TotalRevenuePriorYear |
| Total Revenue Current Year | 35448222 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 26915 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 16531 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 15020289 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16951742 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 16421013 | OtherExpensePriorYear |
| Other Expenses Current Year | 17919112 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 31468217 | TotalExpensesPriorYear |
| Total Expenses Current Year | 34887385 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1521380 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 560837 | RevenuesLessExpensesCY |
| Total Assets BOY | 21455591 | TotalAssetsBOY |
| Total Assets EOY | 25270053 | TotalAssetsEOY |
| Total Liabilities BOY | 12067450 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15310274 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9388141 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9959779 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 31200542 | Expense |
| Grants | 16531 | Grants |
| Revenue | 35418926 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 31200542 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 91 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 398 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CLAY TAYLOR | NamePerson |
| Telephone Number | 8062965531 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 DIMMITT ROAD | AddressLine1 |
| City | PLAINVIEW | City |
| State | TX | State |
| ZIP Code | 790721833 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|---|
| JEFFREY SNYDER | |||||||||
| BOARD MEMBER/ VICE-CHAIR | 5.0 | 0.0 | X | X | 0 | 0 | 0 | ||
| NANCY STUKEY | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| MARK TRUE | |||||||||
| BOARD MEMBER/CHAIR | 5.0 | 0.0 | X | X | 0 | 0 | 0 | ||
| KARL WARDLOW | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| MARK WARREN | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| DAVID WRIGHT DO | |||||||||
| BOARD MEMBER | 2.0 | 48.0 | X | 0 | 318098 | 15015 | |||
| PATRICIA ALVAREZ | |||||||||
| BOARD MEMBER (THRU 12/31/12) | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| STEVEN BECK | |||||||||
| REGIONAL VP | 10.0 | 40.0 | X | X | 0 | 300915 | 34471 | ||
| JOHN N BERTSCH | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| ALLEN HARE | |||||||||
| BD MBR/CO-CHR (THRU 12/31/12) | 5.0 | 0.0 | X | 0 | 0 | 0 | |||
| BARBARA KISER | |||||||||
| BOARD MEMBER/SECRETARY | 3.0 | 0.0 | X | X | 0 | 0 | 0 | ||
| DOUGLAS KOPP MD | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| KATHRYN PRESSLEY | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| RAYMOND RAMIREZ | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| ALAN KING | |||||||||
| BOARD MEMBER/CEO | 25.0 | 25.0 | X | X | 0 | 266055 | 22646 | ||
| STEPHEN TAYLOR | |||||||||
| CFO | 50.0 | 0.0 | X | 141641 | 0 | 7097 | |||
| CYNTHIA HANBY | |||||||||
| CLINICAL PHARMACIST | 40.0 | 0.0 | 119471 | 0 | 20914 | X | |||
| SERGIO LARA MD | |||||||||
| CHIEF OF STAFF | 50.0 | 0.0 | 0 | 401631 | 1020 | X | |||
| SALLY BIRD | |||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | 112452 | 0 | 10325 | X | |||
| ELIZABETH WOODS | |||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | 106707 | 0 | 1056 | X | |||
| LESLIE HACKETT | |||||||||
| CHIEF NURSING OFFICER | 40.0 | 0.0 | 124950 | 0 | 25719 | X | |||
| RICHARD DUSTIN | |||||||||
| PHARMACIST IN CHARGE | 40.0 | 0.0 | 175581 | 0 | 21775 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 780802 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1286699 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 160038 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TEXAS ANESTHESIA SPECIALISTS PA | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | ANESTHESIA SERVICES | 904996 |
| COMMUNITY THERAPY SERVICES INC | |||||
| 109 N WESTRIDGE RD | PLAINVIEW | TX | 79072 | PHYSICAL THERAPY SVC | 667246 |
| DIAGNOSTIC MANAGEMENT GROUP | |||||
| PO DRAWER 2757 | ABILENE | TX | 79604 | DIAGNOSTIC IMAGING | 208720 |
| HEALTHCARE CODING CONSULTING | |||||
| 8270 COLLEGE PARKWAY SUITE 101-103 | FORT MYERS | FL | 33919 | CHART CODING | 151435 |
| CONCORD MEDICAL GROUP | |||||
| 3004 50TH STREET SUITE D | LUBBOCK | TX | 79413 | ER COVERAGE | 122863 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Fundraising Events | 0 | FundraisingEvents |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | 31588353 | 31588353 | 0 | $0 |
| PRISON SERVICE CONTRACT | 900099 | 1615499 | 1615499 | 0 | $0 |
| CAFETERIA REVENUE | 722212 | 428375 | 428375 | 0 | $0 |
| MEDICAL OFFICE BUILDING RENTAL INCOME | 531120 | 274855 | 274855 | 0 | $0 |
| All other program service revenue | 900099 | 1511844 | 1511844 | 0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 35418926 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29296 | TotalRevenueColumn |
| Exclusion | $29,296 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Direct Expenses | 0 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35448222 | TotalRevenueColumn |
| Related Or Exempt Function Income | 35418926 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $29,296 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16531 | Total |
| Program Services | 16531 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143652 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 143652 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11643509 | Total |
| Program Services | 11116838 | ProgramServices |
| Management And General | 526671 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 654306 | Total |
| Program Services | 647128 | ProgramServices |
| Management And General | 7178 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3502145 | Total |
| Program Services | 3243423 | ProgramServices |
| Management And General | 258722 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1008130 | Total |
| Program Services | 885077 | ProgramServices |
| Management And General | 123053 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 289296 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 289296 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9500 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 9500 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6898333 | Total |
| Program Services | 6592759 | ProgramServices |
| Management And General | 305574 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111386 | Total |
| Program Services | 11334 | ProgramServices |
| Management And General | 100052 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1383421 | Total |
| Program Services | 906366 | ProgramServices |
| Management And General | 477055 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 425 | Total |
| Program Services | 425 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2140404 | Total |
| Program Services | 1123252 | ProgramServices |
| Management And General | 1017152 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61357 | Total |
| Program Services | 26857 | ProgramServices |
| Management And General | 34500 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2114 | Total |
| Program Services | 1232 | ProgramServices |
| Management And General | 882 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1096919 | Total |
| Program Services | 1096919 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 392576 | Total |
| Program Services | 752 | ProgramServices |
| Management And General | 391824 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL SUPPLIES | Description |
| Total | 5533381 | Total |
| Program Services | 5531649 | ProgramServices |
| Management And General | 1732 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34887385 | Total |
| Program Services | 31200542 | ProgramServices |
| Management And General | 3686843 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1258149 | BOY |
| EOY | 1752147 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7137536 | BOY |
| EOY | 10945393 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4916054 | BOY |
| EOY | 4923512 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 205202 | BOY |
| EOY | 296876 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 317765 | BOY |
| EOY | 278795 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21261 | BOY |
| EOY | 16994 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19381636 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12325300 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7414915 | BOY |
| EOY | 7056336 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184709 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21455591 | BOY |
| EOY | 25270053 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2174426 | BOY |
| EOY | 6091582 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9893024 | BOY |
| EOY | 9218692 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12067450 | BOY |
| EOY | 15310274 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9388141 | BOY |
| EOY | 9959779 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9388141 | BOY |
| EOY | 9959779 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21455591 | BOY |
| EOY | 25270053 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 560837 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 10801 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4943409 | OtherCostOrOtherBasis |
| Depreciation | 981882 | Depreciation |
| Book Value | 3961527 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2542897 | OtherCostOrOtherBasis |
| Depreciation | 2012789 | Depreciation |
| Book Value | 530108 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11736744 | OtherCostOrOtherBasis |
| Depreciation | 9330629 | Depreciation |
| Book Value | 2406115 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 158586 | OtherCostOrOtherBasis |
| Book Value | 158586 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7056336 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES - CHS | Description |
| Amount | $9,218,692 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9218692 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC 740 (FIN48) FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PART X, LINE 2 | ReturnReference |
| Explanation | ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2013 OR 2012. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 175. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2756 | PersonsServed |
| Total Community Benefit Expense | 1921141 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1921141 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05510 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4689 | PersonsServed |
| Total Community Benefit Expense | 5634888 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3795490 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1839398 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05270 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 327 | PersonsServed |
| Total Community Benefit Expense | 1532384 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 305585 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1226799 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03520 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7772 | PersonsServed |
| Total Community Benefit Expense | 9088413 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4101075 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4987338 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14300 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 1278 | PersonsServed |
| Total Community Benefit Expense | 7395 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7395 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 1278 | PersonsServed |
| Total Community Benefit Expense | 7395 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7395 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 9050 | PersonsServed |
| Total Community Benefit Expense | 9095808 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4101075 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4994733 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14320 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $7,467,425 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 5641000 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 6564669 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -923669 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST HOSPITAL PLAINVIEW | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 DIMMITT ROAD | AddressLine1 |
| City | PLAINVIEW | City |
| State | TX | State |
| ZIP Code | 790721833 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.covenanthealth.org | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST HOSPITAL PLAINVIEW | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 175. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notified All Patients | X | NotifiedAllPatients |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 4 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| COVENANT HEALTHCARE CENTER PLAINVIEW | ||||
| 2222 W 24TH STREET | PLAINVIEW | TX | 79072 | MEDICAL CLINIC |
| COVENANT HEALTHCARE CENTER PLAINVIEW | ||||
| 2502 XENIA | PLAINVIEW | TX | 79072 | MEDICAL CLINIC |
| MARSHALL FORMBY UNIT - PRISON CLINIC | ||||
| 998 COUNTY RD AA | PLAINVIEW | TX | 79072 | MEDICAL CLINIC |
| JB WHEELER UNIT - PRISON CLINIC | ||||
| 986 COUNTY ROAD AA | PLAINVIEW | TX | 79072 | MEDICAL CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| SCHEDULE H, PART I, LINE 7 | THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. | |
| SCHEDULE H, PART III, LINE 2 | THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE. | |
| SCHEDULE H, PART III, LINE 4 | PAGE 11 OF THE FINANCIAL STATEMENTS - THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. | |
| SCHEDULE H, PART III, LINE 8 | AS A CATHOLIC HEALTH CARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT. THE MEDICARE COST REPORT SUBMITTED FOR THE FISCAL YEAR USES CMS STANDARD COSTING METHODS. THIS METHOD INCLUDES SPECIFIC STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS. | |
| SCHEDULE H, PART III, LINE 9B | COVENANT HOSPITAL PLAINVIEW PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTIONS POLICY APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR A PARTIAL DISCOUNT. | |
| METHODIST HOSPITAL PLAINVIEW | COMMUNITY REPRESENTATIVES WERE INVITED TO A SERIES OF COMMUNITY MEETINGS THAT INCLUDED 8 TO 10 REPRESENTATIVES PER GROUP. COMMUNITY LEADERS INCLUDED COUNTY ELECTED OFFICIALS, CITY ELECTED OFFICIALS, CITY AND COUNTY ADMINISTRATIVE OFFICERS, PHYSICIANS AND HEALTH INDUSTRY REPRESENTATIVES, COMMUNITY BUSINESS REPRESENTATIVES, LEADERS OF THE FAITH COMMUNITY, PUBLIC HEALTH REPRESENTATIVES, MANAGED CARE REPRESENTATIVES, LEADERS FROM VARIOUS RACIAL/ETHNIC MINORITY GROUPS, LOW-INCOME AND MEDICALLY UNDERSERVED RESIDENTS, SCHOOL OFFICIALS, REPRESENTATIVES FROM THE LOCAL CHAMBER OF COMMERCE, AND OTHER COMMUNITY LEADERS WHO COULD INFORM DIALOGUE ON IDENTIFYING COMMUNITY HEALTH NEEDS.THE MEETINGS WERE SCHEDULED FOR APPROXIMATELY 45 MINUTES TO ONE HOUR. SOME SUPPLEMENTAL MEETINGS WITH THE HOSPITAL BOARD AND INDIVIDUALS WHO COULD NOT PARTICIPATE IN THE GROUP MEETINGS WERE SCHEDULED BY PHONE. SINCE THE FEDERAL REGULATIONS REQUIRE THE INVOLVEMENT OF SPECIFIC INDIVIDUALS, SUCH AS A PUBLIC HEALTH REPRESENTATIVE, AND THESE INDIVIDUALS DO NOT GENERALLY RESIDE IN SMALL COMMUNITIES, THESE INTERVIEWS WERE SCHEDULED BY TELEPHONE. THESE REPRESENTATIVES WERE SELECTED BECAUSE THEY WERE FAMILIAR WITH THE LOCAL COMMUNITY, BUT RESIDE OUTSIDE THE COMMUNITY. | SCHEDULE H, PART V, SECTION B, LINE 3 |
| METHODIST HOSPITAL PLAINVIEW | THE WEB ADDRESS IS: HTTP://WWW.COVENANTPLAINVIEW.ORG/DOCUMENTS/COMMUNITY_BENEFITS/COVENANT_PLA INVIEW_CHNA_READY_FOR_FINAL.PDF | SCHEDULE H, PART V, SECTION B, LINE 5A |
| METHODIST HOSPITAL PLAINVIEW | ALTHOUGH COVENANT HOSPITAL PLAINVIEW CANNOT ADDRESS ALL COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COVENANT HOSPITAL PLAINVIEW CHNA, MAKING THE CHNA REPORT FINDINGS PUBLICLY AVAILABLE IS THE FIRST STEP TO ENCOURAGE LOCAL COORDINATION OF SERVICES AND RESOURCES AND INFORM FUTURE PROGRAM DEVELOPMENT AND CARE COORDINATION OF COVENANT HOSPITAL PLAINVIEW COMMUNITY BENEFIT EFFORTS. REASONS FOR NOT ADDRESSING ALL NEEDS INCLUDE RESOURCE CONSTRAINTS, CURRENT STAFFING AND AREAS OF EXPERTISE LIMITATIONS THAT PREVENT COVENANT HEALTH PLAINVIEW FROM ADDRESSING ALL THE COMMUNITY HEALTH NEEDS IDENTIFIED. BELOW WE OUTLINE REASONS PER IDENTIFIED NEED. DENTAL HEALTH AND DENTAL CARE WILL BE EXPLORED AS A FUTURE INITIATIVE, WHEN PARTNERSHIPS ARE ESTABLISHED WITH OTHER AGENCIES PROVIDING DENTAL CARE AND STAFFING ARRANGEMENTS CAN BE MADE. TEEN PREGNANCY, TOBACCO USE, AND LACK OF TRANSPORTATION TO HEALTH AND HUMAN SERVICES WILL NOT BE ADDRESSED DIRECTLY THROUGH A PROGRAM DUE TO RESOURCE CONSTRAINTS. HOWEVER, COVENANT HOSPITAL PLAINVIEW IS A DESIGNATED TOBACCO-FREE CAMPUS. ACCESS TO MEDICAL CARE AND ACCESS TO SPECIALTY CARE WILL NOT BE FORMALLY ADDRESSED IN THIS CB PLAN/ IMPLEMENTATION STRATEGY REPORT; HOWEVER, THE FINDINGS WILL INFORM COVENANT HOSPITAL PLAINVIEW PHYSICIAN RECRUITMENT EFFORTS. PREMATURE DEATH AND MORTALITY RATE WILL NOT BE FORMALLY ADDRESSED THROUGH A COMMUNITY BENEFIT PROGRAM, HOWEVER, CHNA FINDINGS WILL BE DISSEMINATED TO THE PUBLIC AND OPPORTUNITIES CAN ARISE FOR COMMUNITY ENGAGEMENT AROUND FUTURE PREVENTION EFFORTS. ALTHOUGH ACCESS TO HEALTH INSURANCE WILL NOT BE FORMALLY ADDRESSED BY COVENANT HOSPITAL PLAINVIEW, IN LIGHT OF HEALTH CARE REFORM, COVENANT HOSPITAL PLAINVIEW WILL EXPLORE THE OPPORTUNITY TO ENGAGE AND PARTNER WITH HEALTH INSURANCE EXCHANGE EDUCATION CAMPAIGN TO EXPAND UNDERSTANDING OF THE NEW LAW AND OPPORTUNITY FOR HEALTH INSURANCE ENROLLMENT IN THE SERVICES AREA. MENTAL HEALTH IS ALREADY ADDRESSED BY THE MENTAL HEALTH AND MENTAL RETARDATION CENTER (MHMRC). COVENANT HOSPITAL PLAINVIEW IS EXPLORING THE OPPORTUNITY TO PARTNER WITH THE MHMRC TO COORDINATE MENTAL HEALTH CARE FOR PERSONS WHO PRESENT AT THE COVENANT HOSPITAL PLAINVIEW EMERGENCY DEPARTMENT FOR MENTAL HEALTH CARE. PRELIMINARY DISCUSSIONS INCLUDE EXPLORING PREVENTION EFFORTS THAT INCLUDE CARE COORDINATION TO ENSURE APPROPRIATE CARE AND TREATMENT OF COMMUNITY RESIDENTS WITH MENTAL HEALTH ISSUES. CHP WILL CONTINUE TO PARTNER WITH OTHER COMMUNITY OUTREACH PROGRAMS TO SUPPORT THEIR EFFORTS IN ADDRESSING COMMUNITY NEEDS. FOR FURTHER INFORMATION, PLEASE SEE THE IMPLEMENTATION STRATEGY FOUND AT: http://www.covenantplainview.org/documents/Community_Benefits/CovenantPlai nviewFY14Implementation_Plan_FINAL.pdf | SCHEDULE H, PART V, SECTION B, LINE 7 |
| METHODIST HOSPITAL PLAINVIEW | THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT. | SCHEDULE H, PART V, SECTION B, LINE 12H |
| METHODIST HOSPITAL PLAINVIEW | THE ORGANIZATION POSTS ITS SUMMARIZED FINANCIAL ASSISTANCE NOTICE IN ALL ADMITTING AREAS IN BOTH ENGLISH AND SPANISH AND PROVIDES THE FULL POLICY UPON REQUEST. SUMMARIZED NOTICES OF THE POLICY ARE AVAILABLE ON ITS WEBSITE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR UNINSURED PATIENTS. BILINGUAL PATIENT ACCOUNT REPRESENTATIVES ARE AVAILABLE TO ADDRESS QUESTIONS AND ASSIST IN THE COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION IN ENGLISH OR SPANISH. | SCHEDULE H, PART V, SECTION B, LINE 14G |
| METHODIST HOSPITAL PLAINVIEW | THE ORGANIZATION POSTS ITS SUMMARIZED FINANCIAL ASSISTANCE NOTICE IN ALL ADMITTING AREAS IN BOTH ENGLISH AND SPANISH AND PROVIDES THE FULL POLICY UPON REQUEST. SUMMARIZED NOTICES OF THE POLICY ARE AVAILABLE ON ITS WEBSITE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR UNINSURED PATIENTS. BILINGUAL PATIENT ACCOUNT REPRESENTATIVES ARE AVAILABLE TO ADDRESS QUESTIONS AND ASSIST IN THE COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION IN ENGLISH OR SPANISH. | SCHEDULE H, PART V, SECTION B, LINE 18E |
| METHODIST HOSPITAL PLAINVIEW | FOR PATIENTS WITH A FAMILY INCOME BETWEEN 176% AND 300% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR CATASTROPHIC CASES WITH A PATIENT RESPONSIBILITY GREATER THAN $75,000, MEDICARE RATES ARE USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED. | SCHEDULE H, PART V, SECTION B, LINE 20D |
| NEEDS ASSESSMENT | THE COVENANT HOSPITAL PLAINVIEW COMMUNITY NEEDS ASSESSMENT WAS DEVELOPED TO IDENTIFY LOCAL HEALTH NEEDS. THE COMMUNITY NEEDS ASSESSMENT HAD TWO MAJOR COMPONENTS. THE FIRST WAS A PRIMARY DATA COLLECTION PHASE IN THE COMMUNITY CONDUCTED THROUGH INTERVIEWS WITH A CROSS-SECTION OF COMMUNITY REPRESENTATIVES AND LEADERS TO DETERMINE LOCAL ISSUES AND CONCERNS THAT AFFECTED HEALTH AND THE HEALTH OF THE COMMUNITY. THE SECOND PHASE WAS THE COLLECTION AND COMPILATION OF SECONDARY DATA FROM PUBLIC SOURCES THAT COULD BE USED TO DEFINE THE STATUS OF THE COMMUNITYS HEALTH AND WELL-BEING. THESE TWO DATA SOURCES WERE COMBINED INTO A SUMMARY THAT COULD BE USED TO DETERMINE PRIORITIES AND DEVELOP PLANS AND STRATEGIES TO IMPROVE COMMUNITY HEALTH. | SCHEDULE H, PART VI, LINE 2 |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. | SCHEDULE H, PART VI, LINE 3 |
| COMMUNITY INFORMATION | PLAINVIEW IS LOCATED ON THE HIGH PLAINS OF TEXAS AND SERVES THE INDUSTRIAL, COMMERCIAL AND AGRICULTURAL NEEDS OF A FOUR-COUNTY AREA (HALE, CASTRO, FLOYD, AND SWISHER COUNTIES). ALTHOUGH PLAINVIEW AND THE SERVICE AREA COUNTIES ARE LOCATED BETWEEN AMARILLO, TEXAS AND LUBBOCK, TEXAS, VIRTUALLY ALL PATIENT OUTMIGRATION GOES TO LUBBOCK, TEXAS. EACH SERVICE AREA COUNTY HAS ITS OWN HOSPITAL THAT PROVIDES PRIMARY AND SECONDARY CARE. POVERTY LEVEL: ABOUT HALF OR MORE OF THE COVENANT HOSPITAL PLAINVIEW SERVICE AREA POPULATION ARE LIVING UNDER 200% OF THE FPL. THIS INDICATOR FOR THE STATE OF TEXAS IS ABOUT 38% AND 32% FOR THE U.S. OVER ONE THIRD OF THE CHILDREN IN THE COUNTIES OF CASTRO (35%) AND FLOYD (33%) ARE LIVING BELOW FPL, WHICH IS SIGNIFICANTLY HIGHER THAN THE NATION AND THE STATE OF TEXAS. ON THE OTHER HAND, POVERTY AMONG CHILDREN IS LOWER THAN THE STATE OR NATION IN SWISHER COUNTY (14%). ALL COVENANT HOSPITAL PLAINVIEW SERVICE AREA COUNTIES HAVE A HIGH PARTICIPATION (OVER 59%) OF YOUTH PARTICIPATING IN THE FREE OR REDUCED LUNCH PROGRAM. OTHER HOSPITALS: OTHER HOSPITALS IN COUNTIES SERVED BY COVENANT HOSPITAL PLAINVIEW INCLUDE: MANGOLD MEMORIAL HOSPITAL, SWISHER MEMORIAL HOSPITAL, AND PLAINS MEMORIAL HOSPITAL. FOR A LIST OF OTHER HEALTH CARE FACILITIES WITHIN HALE COUNTY, CASTRO COUNTY, FLOYD COUNTY AND SWISHER COUNTY, REFER TO APPENDIX 3 OF COVENANT HOSPITAL PLAINVIEW'S CHNA ACCESSIBLE ONLINE AT: HTTP://WWW.COVENANTPLAINVIEW.ORG/DOCUMENTS/COMMUNITY_BENEFITS/COVENANT_PLA INVIEW_CHNA_READY_FOR_FINAL.PDF | SCHEDULE H, PART VI, LINE 4 |
| PROMOTION OF COMMUNITY HEALTH | AS PART OF THE LARGEST HEALTH SYSTEM IN WEST TEXAS, COVENANT HOSPITAL PLAINVIEW OFFERS MORE MEDICAL SPECIALTIES AND HEALTH SERVICES THAN ANY OTHER PROVIDER IN OUR SERVICE AREA. WE ARE COMMITTED TO PROVIDING THE PEOPLE OF OUR COMMUNITY WITH THE BEST POSSIBLE HEALTH CARE FROM BIRTH TO ADULTHOOD AND THROUGH THE END OF LIFE. COVENANT HOSPITAL PLAINVIEW LEADS THE WAY TO THE FUTURE OF HEALTH CARE, FROM OBSTETRICS AND SURGERY TO REHABILITATION. SERVICES PROVIDED INCLUDE: DIABETES EDUCATION , EMERGENCY SERVICES, ENDOSCOPY, GASTROENTEROLOGY, CHILDHOOD OBESITY PREVENTION, INTENSIVE CARE, LABORATORY SERVICES, LITHOTRIPSY, NUTRITIONAL CONSULTS, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, PEDIATRICS, PHYSICAL AND SPEECH THERAPY, RADIOLOGY SERVICES, SLEEP CENTER, SPIRITUAL CARE, SURGICAL SERVICES, UROLOGY, AND WOUND CARE. | SCHEDULE H, PART VI, LINE 5 |
| AFFILIATED HEALTH CARE SYSTEM | COVENANT HOSPITAL PLAINVIEW IS A HEALING MINISTRY OF ST. JOSEPH HEALTH SYSTEM, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH SYSTEM CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION THEN FUNDS PROGRAMS IN COMMUNITIES SERVED BY ST. JOSEPH HEALTH HOSPITALS THAT EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH SYSTEM: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE. | SCHEDULE H, PART VI, LINE 6 |
| STATE FILING OF COMMUNITY BENEFIT REPORT | TEXAS | SCHEDULE H, PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS | Identifier |
| Return Reference | FORM 990, SCHEDULE I | ReturnReference |
| Explanation | DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF COVENANT HOSPITAL, PLAINVIEW. WE RELY ON THE GOVERNANCE PRACTICES OF THOSE ORGANIZATIONS TO ENSURE APPROPRIATE USE OF THE FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID WRIGHT DO | ||||||||||||||
| BOARD MEMBER | 0 | 223406 | 0 | 89731 | 0 | 4961 | 0 | 8000 | 0 | 7015 | 0 | 333113 | 0 | 0 |
| LESLIE HACKETT | ||||||||||||||
| CHIEF NURSING OFFICER | 121643 | 0 | 1500 | 0 | 1807 | 0 | 12806 | 0 | 12913 | 0 | 150669 | 0 | 0 | 0 |
| RICHARD DUSTIN | ||||||||||||||
| PHARMACIST IN CHARGE | 174052 | 0 | 1500 | 0 | 29 | 0 | 2864 | 0 | 18911 | 0 | 197356 | 0 | 0 | 0 |
| SERGIO LARA MD | ||||||||||||||
| CHIEF OF STAFF | 0 | 251782 | 0 | 137128 | 0 | 12721 | 0 | 0 | 0 | 1020 | 0 | 402651 | 0 | 0 |
| STEVEN BECK | ||||||||||||||
| REGIONAL VP | 0 | 182783 | 0 | 68355 | 0 | 49777 | 0 | 20000 | 0 | 14471 | 0 | 335386 | 0 | 0 |
| ALAN KING | ||||||||||||||
| BOARD MEMBER/CEO | 0 | 168279 | 0 | 60966 | 0 | 36810 | 0 | 8183 | 0 | 14463 | 0 | 288701 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF CEO PAID BY EXEMPT PARENT | SCHEDULE J, PART I, LINE 3 | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, COVENANT HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O FOR FORM 990, PART VI, LINE 15A AND 15B FOR THE PROCESS THAT IS COMPLETED BY ST. JOSEPH HEALTH SYSTEM. |
| DESCRIPTION OF NON-FIXED PAYMENTS | SCHEDULE J, PART I, LINE 7 | A PORTION OF EXECUTIVES SALARIES ARE PLACED "AT-RISK" AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. |
Schedule L IRS990ScheduleL
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 0 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | WRIGHT FAMILY PRACTICE | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | DAVID WRIGHT, D.O., OWNER | Relationship |
| Amount Of Transaction | 114336 | AmountOfTransaction |
| Description Of Transaction | LEASE | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION STATEMENT | FORM 990, PART I, LINE 1 & PART III, LINE 1 | COVENANT HOSPITAL PLAINVIEW IS COMMITTED TO EXTEND CHRISTIAN MINISTRY BY CARING FOR THE WHOLE PERSON-BODY, MIND AND SPIRIT-AND BY WORKING WITH OTHERS TO IMPROVE HEALTH AND QUALITY OF LIFE IN OUR COMMUNITIES. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | COVENANT HOSPITAL PLAINVIEW IS DEDICATED TO PROVIDING THE COMMUNITY OF PLAINVIEW, TEXAS AND HALE COUNTY, WORLD-CLASS HEALTH CARE, CLOSE TO HOME. OUR 100-BED FACILITY IS HOME TO OVER 300 MEDICAL PROFESSIONALS WHOSE MISSION IS TO GIVE OUR PATIENTS THE BEST POSSIBLE CARE AT EACH AND EVERY VISIT. COVENANT HEALTH AND COVENANT HOSPITAL PLAINVIEW ARE FAITH-BASED, NOT-FOR-PROFIT HEALTHCARE INSTITUTIONS, STRIVING EVERY DAY TO PROVIDE HALE COUNTY RESIDENTS WITH THE REGIONS TOP PROVIDERS INCLUDING SURGEONS AND SPECIALISTS. SERVICES INCLUDE: CORPORATE WELLNESS, EMERGENCY SERVICES, ENDOSCOPY, GASTROENTEROLOGY, INTENSIVE CARE, LABORATORY SERVICES, LITHOTRIPSY, NUTRITIONAL CONSULTS, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, PEDIATRICS, PHYSICAL AND SPEECH THERAPY, RADIOLOGY SERVICES, SLEEP CENTER, SPIRITUAL CARE, SURGICAL SERVICES, UROLOGY, AND WOUND CARE. THREE MISSION OUTCOMES STRATEGICALLY GUIDE OUR MINISTRY WORK COVENANT HOSPITAL PLAINIVEW IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1) SACRED ENCOUNTERS, 2) PERFECT CARE AND 3) HEALTHIEST COMMUNITIES. EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER. THE GOAL OF SACRED ENCOUNTER HAS A DIRECT CONNECTION TO THE OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENTS EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION. WE SEEK TO DEVELOP COMMUNITY HEALTH INITIATIVES THAT IMPACT LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. FINANCIAL ASSISTANCE PROGRAM WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY COVENANT HOSPITAL PLAINVIEW HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE AND/OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. HEALTHY BODY, MIND, AND SPIRIT THROUGH HK2020 COVENANT HOSPITAL PLAINVIEWS HK2020 CHILDREN'S PROGRAM IN CREATING A HEALTHIER NEXT GENERATION. HK2020 WAS CREATED AS A COMMUNITY PARTNERSHIP TO ENCOURAGE PHYSICAL ACTIVITY AND INITIALLY FUNDED THROUGH INITIATIVES OF THE ST. JOSEPH HEALTH SYSTEM. IT IS A FREE PROGRAM WITH MONTHLY HEALTHY FAMILY ACTIVITIES AND MOTIVATIONAL TOOLS TO ENCOURAGE FAMILIES TO LEAD HEALTHIER LIVES BODY, MIND, AND SPIRIT. FOR MORE INFORMATION ABOUT COVENANT HOSPITAL PLAINVIEW PLEASE VISIT HTTP://WWW.COVENANTPLAINVIEW.ORG/ FOR MORE INFORMATION ABOUT COVENANT HEALTH, GO TO: HTTP://WWW.COVENANTHEALTH.ORG FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG |
| DESCRIPTION OF CLASSES OF MEMBERS OF STOCKHOLDERS | FORM 990, PART VI, LINE 6 | COVENANT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT HOSPITAL PLAINVIEW. |
| DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS | FORM 990, PART VI, LINE 7A | COVENANT HOSPITAL PLAINVIEW HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE BOARD. ALL DIRECTORS APPOINTMENTS THAT COME FROM THE COVENANT HOSPITAL PLAINVIEW BOARD AS NOMINATIONS MUST BE APPROVED BY COVENANT HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH SYSTEM, AS THE ORGANIZATIONAL SPONSOR. |
| DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS | FORM 990, PART VI, LINE 7B | THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. |
| DESCRIBE THE PROCESS USED BY MANAGEMENT &/0R GOVERNING BODY TO REVIEW 990 | FORM 990, PART VI, QUESTION 11B | THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 WAS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2014 MEETING. DURING THE BOARD FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | FORM 990, PART VI, LINE 12C | OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION, OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE CONFLICTS & COMPENSATION COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS OT THE BOARD FOR DISCUSSION AND VOTE. |
| PROCESS USED TO DETERMINE COMPENSATION | FORM 990, PART VI, LINES 15A & 15B | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, COVENANT HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET AT LEAST 3 TIMES A YEAR AND MAKE ALL CRITICAL DECISIONS IN EXECUTIVE SESSION. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2013. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | FORM 990, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. |
| OTHER FEES EXCEEDING 10% | FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES $3,368,740 PURCHASED SERVICES 3,529,593 ------------ TOTAL 6,898,333 |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 9 | NON-OPERATING GAINS ON THE TRADE IN OF ASSETS $10,801 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTH NETWORK INC | ||||||||||
| 3345 MICHELSON DR STE 100 | IRVINE | CA | 92612 | 461259908 | HEALTHCARE | CA | 501(C)(3) | 11, III | SJHS | true |
| COVENANT HEALTH PARTNERS | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 611573313 | HEALTHCARE | TX | 501(C)(3) | 11,I | CHS | true |
| COVENANT HEALTH SYSTEM | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752765566 | HEALTHCARE | TX | 501(C)(3) | 3 | SJHS | false |
| COVENANT HEALTH SYSTEM FOUNDATION | ||||||||||
| 3623 22ND PLACE | LUBBOCK | TX | 79410 | 752897026 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | true |
| COVENANT MEDICAL GROUP | ||||||||||
| 3420 22ND PLACE | LUBBOCK | TX | 79410 | 752743883 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | true |
| HOAG CHARITY SPORTS | ||||||||||
| 3920 BIRCH ST STE 105 | NEWPORT BEACH | CA | 92660 | 452982422 | SUPPORT | CA | 501(C)(3) | 7 | HHF | true |
| HOAG HOSPITAL FOUNDATION | ||||||||||
| 1 HOAG DR BOX 6100 | NEWPORT BEACH | CA | 92663 | 953222343 | FUNDRAISING | CA | 501(C)(3) | 7 | HMHP | true |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | ||||||||||
| 1 HOAG DR BOX 6100 | NEWPORT BEACH | CA | 92663 | 951643327 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| HOME CARE PARTNERS | ||||||||||
| 1165 MONTGOMERY DR | SANTA ROSA | CA | 95405 | 680318656 | INACTIVE | CA | 501(C)(3) | 3 | SRMH | true |
| HOSPICE OF LUBBOCK | ||||||||||
| 1102 SLIDE ROAD | LUBBOCK | TX | 79414 | 752133781 | HEALTHCARE | TX | 501(C)(3) | 9 | CHS | true |
| LUBBOCK METHODIST HOSPITAL FOUNDATION | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752220963 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | true |
| METHODIST CHILDREN'S HOSPITAL | ||||||||||
| 3610 21ST STREET | LUBBOCK | TX | 79410 | 752428911 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | true |
| METHODIST HOSPITAL LEVELLAND | ||||||||||
| 1900 COLLEGE AVENUE | LEVELLAND | TX | 79336 | 752246348 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | true |
| MISSION HOSPITAL REGIONAL MEDICAL CENTER | ||||||||||
| 27700 MEDICAL CENTER ROAD | MISSION VIEJO | CA | 92691 | 951643360 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| QUEEN OF THE VALLEY MEDICAL CENTER | ||||||||||
| 1000 TRANCAS STREET | NAPA | CA | 94558 | 941243669 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| REDWOOD MEMORIAL FOUNDATION | ||||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 942779313 | FOUNDATION | CA | 501(C)(3) | 7 | RMH | true |
| REDWOOD MEMORIAL HOSPITAL | ||||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 941384665 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| SANTA ROSA MEMORIAL HOSPITAL | ||||||||||
| 1165 MONTGOMERY DRIVE | SANTA ROSA | CA | 95405 | 941231005 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| SISTERS OF ST JOSEPH OF ORANGE | ||||||||||
| 480 S BATAVIA | ORANGE | CA | 92868 | 951643383 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | NA | false |
| SRM ALLIANCE HOSPITAL SERVICES | ||||||||||
| 400 NORTH MCDOWELL BLVD | PETALUMA | CA | 94954 | 680395200 | HEALTHCARE | CA | 501(C)(3) | 3 | SRMH | true |
| ST JOSEPH HEALTH MINISTRY | ||||||||||
| 3345 MICHELSON DR STE 100 | IRVINE | CA | 92612 | 271666576 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | SSJO | false |
| ST JOSEPH HEALTH SYSTEM | ||||||||||
| 3345 MICHELSON DR STE 100 | IRVINE | CA | 92612 | 953589356 | HEALTHCARE | CA | 501(C)(3) | 11, I | SJHM | false |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||||||||||
| 3345 MICHELSON DR STE 100 | IRVINE | CA | 92612 | 330143024 | FOUNDATION | CA | 501(C)(3) | 7 | SJHS | true |
| ST JOSEPH HOME CARE NETWORK | ||||||||||
| 170 PROFESSIONAL CENTER DR B | ROHNERT PARK | CA | 94928 | 680331084 | HEALTHCARE | CA | 501(C)(3) | 9 | SJHS | true |
| ST JOSEPH HOSPITAL OF EUREKA | ||||||||||
| 2700 DOLBEER STREET | EUREKA | CA | 95501 | 941156596 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| ST JOSEPH HOSPITAL OF ORANGE | ||||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 951643359 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| ST JUDE HOSPITAL YORBA LINDA | ||||||||||
| 500 S MAIN STREET STE 1000 | ORANGE | CA | 92868 | 330185031 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| ST JUDE HOSPITAL INC | ||||||||||
| 101 EAST VALENCIA MESA DRIVE | FULLERTON | CA | 92635 | 951643325 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| ST MARY MEDICAL CENTER | ||||||||||
| 18300 HIGHWAY 18 | APPLE VALLEY | CA | 92307 | 951914489 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| ST MARY OF THE PLAINS HOSPITAL FDN | ||||||||||
| 4000 24TH STREET | LUBBOCK | TX | 79410 | 751653181 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | true |
| TALLER SAN JOSE | ||||||||||
| 801 NORTH BROADWAY | SANTA ANA | CA | 92701 | 593816355 | WORKFORCE DEV | CA | 501(C)(3) | 2 | SSJO | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (15 entries)
| EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType |
|---|---|---|---|---|
| ST JOSEPH HLTH SYS HOME HLTH | ||||
| 752177401 | HOME HEALTH | CA | NA | N/A |
| ST JOSEPH HLTH SYS HOME CARE | ||||
| 205477251 | HOME HEALTH | CA | NA | N/A |
| METHODIST DIAGNOSTIC IMAGING | ||||
| HEALTHCARE SVCS | TX | NA | N/A | |
| SHA LLC | ||||
| HEALTHCARE SVCS | TX | NA | N/A | |
| LUBBOCK SURGERY CENTER LTD | ||||
| HEALTHCARE SVCS | TX | CHS | N/A | |
| COVENANT LONG-TERM CARE LP | ||||
| HEALTHCARE SVCS | TX | NA | N/A | |
| HERITAGE INVESTMENT GROUP | ||||
| INVESTMENT | CA | NA | N/A | |
| MISSION AMBULATORY SURGICENTER | ||||
| HEALTHCARE SVCS | CA | NA | N/A | |
| COMPREHENSIVE IMAGING PARTNERS | ||||
| HEALTHCARE SVCS | CA | NA | N/A | |
| ST JOSEPH PHYSICIAN VENTURES | ||||
| REAL ESTATE | CA | NA | N/A | |
| NEWPORT IMAGING CENTER | ||||
| HEALTHCARE SVCS | CA | NA | N/A | |
| HOAG ORTHOPEDIC INSTITUTE | ||||
| HEALTHCARE | CA | NA | N/A | |
| MAIN ST SPECIALTY SURGERY CNTR | ||||
| HEALTHCARE SVCS | CA | NA | N/A | |
| ORTHOPEDIC SURGERY CNTR OF OC | ||||
| HEALTHCARE SVCS | CA | NA | N/A | |
| ADVANCED SURGERY INSTITUTE LLC | ||||
| HEALTHCARE SVCS | CA | NA | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH PROF SVCS ENTERPRISES INC | ||||||||||||||
| 3345 MICHELSON DR STE 100 | IRVINE | CA | 92612 | 330155323 | HEALTHCARE SVCS | CA | NA | C CORP | false | |||||
| AMERICAN UNITY GROUP LTD | ||||||||||||||
| CAPTIVE INSURANCE | NA | C CORP | false | 58 PAR-LA-VILLE ROAD | HAMILTON | HM HX | BD | BD | ||||||
| ALLIANCE PHYSICIAN SERVICES | ||||||||||||||
| INACTIVE | CA | NA | C CORP | false | ||||||||||
| MISSION VIEJO MEDICAL VENTURES | ||||||||||||||
| 27800 MEDICAL CENTER ROAD 354 | MISSION VIEJO | CA | 92691 | 330212905 | HEALTHCARE SVCS | CA | NA | C CORP | false | |||||
| MISSION MEDICAL CENTER ASSOCIATION | ||||||||||||||
| 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | 330201044 | HEALTHCARE SVCS | CA | NA | C CORP | false | |||||
| ST JOSEPH YORBA PARK | ||||||||||||||
| 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | INACTIVE | CA | NA | C CORP | false | ||||||
| LUBBOCK METHODIST HOSP SVCS | ||||||||||||||
| PO BOX 1201 | LUBBOCK | TX | 79410 | 752118585 | HEALTHCARE SVCS | TX | CHS | C CORP | false | |||||
| LUBBOCK METHODIST HOSP PRACTICE MGMT | ||||||||||||||
| PO BOX 1201 | LUBBOCK | TX | 79410 | 752578995 | INACTIVE | TX | CHS | C CORP | false | |||||
| ST JOSEPH HEALTH SOURCE INC | ||||||||||||||
| 2107 OXFORD STREET SUITE 300 | LUBBOCK | TX | 79410 | 461900168 | HEALTHCARE SVCS | CA | NA | C CORP | false | |||||
| HOAG MANAGEMENT SERVICES INC | ||||||||||||||
| 3345 MICHELSON DR STE 100 | IRVINE | CA | 92612 | 330731587 | HEALTHCARE SVCS | CA | NA | C CORP | false | |||||
| COASTAL MANAGEMENT SERVICES ORG | ||||||||||||||
| 1 HOAG DR BOX 6100 | NEWPORT BEACH | CA | 92658 | 330676831 | HEALTHCARE SVCS | CA | NA | C CORP | false | |||||
| DATU HEALTH INC | ||||||||||||||
| 1 HOAG DR BOX 6100 | NEWPORT BEACH | CA | 92658 | 463070062 | IT SVCS | MO | NA | C CORP | false | |||||
| HOAG MEDICAL FOUNDATION | ||||||||||||||
| 16150 MAIN CIRCLE DR STE 250 | CHESTERFIELD | MO | 63017 | 453583707 | HEALTHCARE SVCS | CA | NA | C CORP | false | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP | Identifier |
| Return Reference | SCHEDULE R, PART III | ReturnReference |
| Explanation | ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100 ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183 AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 2301 QUAKER LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 3345 MICHELSON DRIVE, STE. 100 IRVINE, CA 92612 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE. 362 MISSION VIEJO, CA 92691 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC EIN: 26-4591502 ADDRESS: ONE CITY BOULEVARD WEST, SUITE 1100 ORANGE, CA 92868 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE ORANGE, CA 92868 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 MAIN ST SPECIALTY SURGERY CENTER EIN: 95-4813223 ADDRESS: 280 MAIN STREET, ST 100, ORANGE, CA 92868 ORTHOPEDIC SURGERY CENTER OF OC, LLC EIN: 33-0841806 ADDRESS: 22 CORPORATE PLAZA, NEWPORT BEACH, CA 92660 ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 | Explanation |