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METHODIST HOSPITAL PLAINVIEW TEXAS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
METHODIST HOSPITAL PLAINVIEW TEXAS (EIN 75-2426010)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201201359349306400
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-14T17:14:20-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1201 MAIN STREET SUITE 1100AddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752426010EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1METHODIST HOSPITAL PLAINVIEWBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMETHNameControl
Phone8062913357Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12601 DIMMITT ROADAddressLine1
CityPLAINVIEWCity
StateTXState
ZIP Code790721833ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEANNA ADLERName
TitleCONTROLLERTitle
Date Signed2012-05-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8173351900Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1COVENANT HOSPITAL PLAINVIEWBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonALAN N KINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12601 DIMMITT ROADAddressLine1
CityPLAINVIEWCity
StateTXState
ZIP Code790721833ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32119447GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.covenanthealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionSee Schedule OActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees375TotalNbrEmployees
Total Nbr Volunteers36TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year99225ContributionsGrantsPriorYear
Contributions Grants Current Year188155ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34085975ProgramServiceRevenuePriorYear
Program Service Revenue CY31737404ProgramServiceRevenueCY
Investment Income Prior Year73956InvestmentIncomePriorYear
Investment Income Current Year193888InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year34259156TotalRevenuePriorYear
Total Revenue Current Year32119447TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20723GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY21117GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14155010SalariesEtcPriorYear
Salaries Etc Current Year14077596SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18446493OtherExpensePriorYear
Other Expenses Current Year14818123OtherExpensesCurrentYear
Total Expenses Prior Year32622226TotalExpensesPriorYear
Total Expenses Current Year28916836TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1636930RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3202611RevenuesLessExpensesCY
Total Assets BOY16397147TotalAssetsBOY
Total Assets EOY20840770TotalAssetsEOY
Total Liabilities BOY11551703TotalLiabilitiesBOY
Total Liabilities EOY12974009TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4845444NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7866761NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense26484397Expense
Grants21117Grants
Revenue31737404Revenue
DescriptionSee schedule ODescription
Total Program Service Expense26484397TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109673NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees375NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCLAY TAYLORNamePerson
Telephone Number8062964265TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12601 DIMMITT ROADAddressLine1
CityPLAINVIEWCity
StateTXState
ZIP Code790721833ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PAT ALVAREZ
BOARD MEMBER2.0X000
IRENE FAVILA
BOARD MEMBER2.0X000
ALLEN HARE
BOARD MEMBER2.0X000
ALAN KING
CEO50.0X022860010868X
BARBARA KISER
BOARD MEMBER2.0X000
SERGIO LARA MD
BOARD MEMBER2.0X02981421017
REED MULLIKEN
BOARD MEMBER2.0X000
KATHRYN PRESSLEY
BOARD MEMBER/CHAIR5.0X000
RAYMOND RAMIREZ
BOARD MEMBER2.0X000
NANCY STUKEY
BOARD MEMBER2.0X000
MARK TRUE
BOARD MEMBER2.0X000
KARL WARDLOW
BOARD MEMBER2.0X000
MARK WARREN
BOARD MEMBER2.0X000
DAVID WRIGHT DO
BOARD MEMBER2.0X035797614912
MARILYN BIGGS
BOARD MEMBER (UNTIL 12/31/10)2.0X000
CHARLES SMITH DO
BOARD MEMBER (UNTIL 12/31/10)2.0X031817915138
DON WILLIAMS
BOARD MEMBER2.0X000
STEVEN BECK
VP - REGIONAL SERVICES15.0026743625581X
CLAY TAYLOR
CFO50.0000X
CHRISTOPHER WORTHAM
DIR NURSING SERVICES50.0137310024793X
CLAYTON DANIEL
CERT. REG. NURSE ANES50.015257108542X
PEGGY ORTIZ
CERT. REG. NURSE ANES50.0138918015766X
MICHAEL WRIGHT
CLINICAL PHARMACIST50.0133101016019X
KATHLEEN DAWSON
CERT. REG. NURSE ANES50.0118358010349X
LESLIE HACKETT
MGR NURSING50.0103180022927X
FieldValueIRS element (for citing)
Total Reportable Comp From Org783438TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1470333TotalReportableCompFrmRltdOrgs
Total Other Compensation165912TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TEXAS ANESTHESIA SPECIALISTS PA
7032 COLLECTION CENTER DRIVECHICAGOIL60693ANESTHESIA SERVICES964171
CONCORD MEDICAL GROUP
PO BOX 489MULESHOETX793470489EMERGENCY ROOM SVCS804185
COMMUNITY THERAPY SYSTEMS INC
109 N WESTRIDGE RDPLAINVIEWTX79072PHYSICAL THERAPY SVC653342
ALSCO INC
404 N UNIVERSITYLUBBOCKTX79415LINEN SERVICE242459
DIAGNOSTIC MANAGEMENT GROUP
PO BOX DRAWER 2757ABILENETX79604DIAGNOSTIC IMAGING226544
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Related Organizations172906RelatedOrganizations
All Other Contributions15249AllOtherContributions
Noncash Contributions32474NoncashContributions
Total Contributions188155TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6221102868297228682972
ALL OTHER PROGRAM SERVICE REVENUE90009924322832432283
CAFETERIA REVENUE722310384152384152
MEDICAL OFFICE BUILDING RENTAL INCOME531120237997237997
FieldValueIRS element (for citing)
Total Program Service Revenue31737404TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column66947TotalRevenueColumn
Exclusion$66,947ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities126941Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities126941Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column126941TotalRevenueColumn
Exclusion$126,941ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32119447TotalRevenueColumn
Related Or Exempt Function Income31737404RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$193,888ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total21117Total
Program Services21117ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total123073Total
Program Services0ProgramServices
Management And General123073ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9649563Total
Program Services9273995ProgramServices
Management And General375568ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total536127Total
Program Services536127ProgramServices
Management And General0ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2953477Total
Program Services2895056ProgramServices
Management And General58421ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total815356Total
Program Services774052ProgramServices
Management And General41304ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total302440Total
Program Services0ProgramServices
Management And General302440ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10000Total
Program Services0ProgramServices
Management And General10000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5757380Total
Program Services5405609ProgramServices
Management And General351771ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total60003Total
Program Services0ProgramServices
Management And General60003ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5823367Total
Program Services5662389ProgramServices
Management And General160978ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1763333Total
Program Services1241931ProgramServices
Management And General521402ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total53501Total
Program Services22874ProgramServices
Management And General30627ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8515Total
Program Services1579ProgramServices
Management And General6936ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total645360Total
Program Services645360ProgramServices
Management And General0ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total394224Total
Program Services4308ProgramServices
Management And General389916ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28916836Total
Program Services26484397ProgramServices
Management And General2432439ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1793328BOY
EOY1276984EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5873645BOY
EOY9492426EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4908176BOY
EOY4094677EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY295504BOY
EOY177427EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY987934BOY
EOY429593EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7771BOY
EOY91304EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14928755LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10214626LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2530789BOY
EOY4714129EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY564230EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16397147BOY
EOY20840770EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1615964BOY
EOY1804933EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9935739BOY
EOY11169076EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11551703BOY
EOY12974009EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4845444BOY
EOY7866761EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4845444BOY
EOY7866761EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16397147BOY
EOY20840770EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3202611ReconcilationRevenueExpenses
Reconcilation Other Changes-181294ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2547848OtherCostOrOtherBasis
Depreciation178643Depreciation
Book Value2369205BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2385829OtherCostOrOtherBasis
Depreciation1726231Depreciation
Book Value659598BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9995078OtherCostOrOtherBasis
Depreciation8309752Depreciation
Book Value1685326BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings4714129TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATES-CHSDescription
Amount$11,169,076Amount
FieldValueIRS element (for citing)
Total Of Amounts11169076TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierCONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740)Identifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationACCOUNTING 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 OR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2011 OR 2010.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedCAPTIVE INSURANCESpecificServicesProvided
Total Expenditures357417TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent357417SubtotalAmountSpent
Total Amount Spent357417TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierMETHOD OF ACCOUNTINGIdentifier
Return ReferenceSCHEDULE F, PART I, LINE 3, COLUMN (F)ReturnReference
ExplanationTHE AMOUNT IN COLUMN (F) WAS DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage175.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2053974TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2053974NetCommunityBenefitExpense
Percent Of Total Expense0.07100PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5374728TotalCommunityBenefitExpense
Direct Offsetting Revenue5274656DirectOffsettingRevenue
Net Community Benefit Expense100072NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense7428702TotalCommunityBenefitExpense
Direct Offsetting Revenue5274656DirectOffsettingRevenue
Net Community Benefit Expense2154046NetCommunityBenefitExpense
Percent Of Total Expense0.07450PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7428702TotalCommunityBenefitExpense
Direct Offsetting Revenue5274656DirectOffsettingRevenue
Net Community Benefit Expense2154046NetCommunityBenefitExpense
Percent Of Total Expense0.07450PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,146,448BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare5120189AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare28830146CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-23709957MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1METHODIST HOSPITAL PLAINVIEWBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12601 DIMMITT ROADAddressLine1
CityPLAINVIEWCity
StateTXState
ZIP Code790721833ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1METHODIST HOSPITAL PLAINVIEWBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
COVENANT HEALTHCARE CENTER PLAINVIEW
2222 W 24TH STREETPLAINVIEWTX79072MEDICAL CLINIC
COVENANT HEALTHCARE CENTER PLAINVIEW
2502 XENIAPLAINVIEWTX79072MEDICAL CLINIC
MARSHALL FORMBY UNIT - PRISON CLINIC
998 COUNTY RD AAPLAINVIEWTX79072MEDICAL CLINIC
J B WHEELER UNIT - PRISON CLINIC
986 COUNTY RD AAPLAINVIEWTX79072MEDICAL CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 6A:COVENANT HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES COVENANT HOSPITAL PLAINVIEW.
SCHEDULE H, PART I, LINE 7:THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO, WHICH WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
SCHEDULE H, PART III, LINE 4:THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. COLLECTION ACTIONS ARE NOT PURSUED ON THESE ACCOUNTS ONCE THEY ARE RECLASSIFIED AS FINANCIAL ASSISTANCE. THERE IS NO OTHER AMOUNT OF BAD DEBT THAT SHOULD BE REPORTED AS FINANCIAL ASSISTANCE. FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: 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 SUBMITTED FOR THE FISCAL YEAR USING 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:SJHS PATIENT ACCOUNTS ARE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MAKES 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 PERFORMS AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIES FOR CHARITY CARE. ACCOUNTS FOR PATIENTS WHO QUALIFY FOR CHARITY CARE ARE WRITTEN OFF AND COLLECTION EFFORTS ARE NOT PURSUED.
SCHEDULE H, PART VI, LINE 2:COVENANT HOSPITAL PLAINVIEW CONTRACTS WITH FORESIGHT CONSULTING UTILIZING CMS DRG DATA AND POPULATION DATA AND ANALYSIS. WE DO A COMMUNITY NEEDS ASSESSMENT FOR PHYSICIAN PROVIDER NEEDS.NEEDS ASSESSMENT
SCHEDULE H, PART VI, LINE 3:THE ORGANIZATION POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES ARE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES ARE ALSO POSTED AT LOCATIONS WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT CAN OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATE LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS ARE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND IS OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE.PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
SCHEDULE H, PART VI, LINE 4:PLAINVIEW IS LOCATED IN HALE COUNTY APPROXIMATELY 45 MILES NORTH OF LUBBOCK IN THE PANHANDLE OF TEXAS. ACCORDING TO THE MOST RECENT QUICK FACTS PRODUCED BY THE U.S. CENSUS BUREAU, HALE COUNTY HAS AN APPROXIMATE POPULATION OF 35,408. COVENANT HOSPITAL PLAINVIEW DRAWS PATIENTS FROM A 7 COUNTY RADIUS. IN 2009, IT WAS ESTIMATED THAT HALE COUNTY WAS COMPOSED OF 54% HISPANIC, 38% CAUCASIAN, 6% BLACK, 1.4% AMERICAN INDIAN OR ALASKA NATIVE AND .6% ASIAN POPULATION. ADDITIONALLY, IT IS ESTIMATED THAT ALMOST 30% OF OUR POPULATION IS UNDER THE AGE OF 18, WHILE ALMOST 13% OF OUR POPULATION IS OVER THE AGE OF 65.COMMUNITY INFORMATION
SCHEDULE H, PART VI, LINE 5:COVENANT HOSPITAL PLAINVIEW OFFERS NUMEROUS OPPORTUNITIES TO THE COMMUNITY IT SERVES, SUCH AS MONTHLY SUPPORT GROUPS, CHILDBIRTH PREPARATION COURSE, COMMUNITY CPR CLASSES, ANNUAL COMMUNITY HEALTH FAIR, CORPORATE WELLNESS SCREENINGS, HK2020 (HEALTHY KIDS CLUB), IN ADDITION TO THE PARTICIPATION AND SUPPORT OF COMMUNITY EVENTS SUCH AS RELAY FOR LIFE, UNITED WAY, COTTON BARRON'S BALL, AMERICAN HEART ASSOCIATION'S "GO RED", ADA'S STEP OUT TO FIGHT DIABETES, AND A DIABETES GOLF TOURNAMENT, JUST TO NAME A FEW. THE HOSPITAL ALSO PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE FOLLOWING MEANS. HAVING A COMMUNITY-BASED BOARD ENSURES THAT COMMUNITY PERSPECTIVES ON HEALTH AND SAFETY ARE INCLUDED AND CONSIDERED. STAFF PRIVILEGES ARE EXTENDED, OR GRANTED, TO THOSE QUALIFIED PHYSICIANS IN THE COMMUNITY WHO HAVE BEEN CREDENTIALED THROUGH THE MEDICAL STAFF'S CREDENTIALING PROCESS AND PRACTICE IN VARIOUS DEPARTMENTS THROUGHOUT COVENANT HOSPITAL PLAINVIEW. THROUGH PARTICIPATION IN HOSPITAL AND HEALTH SYSTEM INITIATIVES AND PROGRAMS, SURPLUS FUNDS ARE USED FOR PATIENT CARE, EDUCATION, OR RESEARCH.PROMOTION OF COMMUNITY HEALTH
SCHEDULE H, PART VI, LINE 6:GIVING BACK TO THE COMMUNITY PERMEATES EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH SYSTEM, WE HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. ON AN ANNUAL BASIS, 10 PERCENT OF OUR NET OPERATING INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR. THE ST. JOSEPH HEALTH SYSTEM FOUNDATION, A MEMBER OF ST. JOSEPH HEALTH SYSTEM, IS CHARGED WITH THE DISTRIBUTION OF THESE FUNDS. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET OPERATING INCOME TO COMMUNITY BENEFIT SERVICES FOR THE ECONOMICALLY POOR, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS. COVENANT HOSPITAL PLAINVIEW IS A PART OF ST. JOSEPH HEALTH SYSTEM OF ORANGE, CALIFORNIA. AN ANNUAL COMMUNITY BENEFIT REPORT IS SUBMITTED TO ST. JOSEPH HEALTH SYSTEM, BUT THEY ARE NOT REQUIRED TO SUBMIT THE REPORT TO THE STATE OF CALIFORNIA.AFFILIATED HEALTH CARE SYSTEM
SCHEDULE H, PART VI, LINE 7:TEXAS MINISTRIES REPORT TO STATE OF TEXAS DEPARTMENT OF STATE HEALTH SERVICES IN ACCORDANCE WITH THE TEXAS HEALTH AND SAFETY CODE - SECTION 311.045.STATE FILING OF COMMUNITY BENEFIT REPORT

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1COVENANT HEALTH SYSTEM FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13623 22ND PLACEAddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code79410ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient752897026EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant7175AmountOfCashGrant
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationDONATIONS 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 FUNDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEVEN BECK
015053005040006650601583409747029301700
ALAN KING
01561100351410373490010868023946800
SERGIO LARA MD
0218886063300015956001017029915900
DAVID WRIGHT DO
02221240130096057560800006912037288800
CLAYTON DANIEL
15240900016204586039560161113000
PEGGY ORTIZ
138669000249042760114900154684000
CHRISTOPHER WORTHAM
99528017359020423083730164200162103000
CHARLES SMITH DO
021094309658301065300015138033331700

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 1AST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL FOR CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. COMPANION TRAVEL IS AN ESSENTIAL PART OF THE TRUSTEE CONFERENCE. THE FOLLOWING TRUSTEES RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. ALAN KING - $326 MARK WARREN - $326 EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION.
SCHEDULE J, PART I, LINE 3THE 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 FOR THE PROCESS USED BY COVENANT HEALTH SYSTEM'S PARENT TO DETERMINE EXECUTIVE COMPENSATION.
SCHEDULE J, PART I, LINE 7A PORTION OF THE EXECUTIVE'S SALARY IS PLACED "AT-RISK" AND IS 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

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
TO-DO PARTNERSHIP
DON WILLIAMS - PARTNER343468RENTAL - RURAL HEALTH BUILDINGfalse
DR DAVID L WRIGHT DO
OWNER126936LEASE & EQUIPMENT RENTALfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMEDICAL EQUIPMENTDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99032474NoncashContribsRptdF990
Method Of Determining RevenuesCOST / SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSION STATEMENTFORM 990, PART I, LINE 1 & PART III, LINE 1AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, COVENANT HOSPITAL PLAINVIEW IS COMMITTED TO EXTENDING 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 PEOPLE IN THE COMMUNITIES WE SERVE.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AREALIZING OUR MISSION AS A NOT-FOR-PROFIT, COVENANT HOSPITAL PLAINVIEW HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 40 YEARS. SERVING THE COMMUNITIES OF HALE COUNTY, COVENANT HOSPITAL PLAINVIEW IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF WOMEN'S SERVICES, MAMMOGRAPHY SCREENING, DIAGNOSTIC RADIOLOGY, NUCLEAR MEDICINE, EMERGENCY CARE, SLEEP STUDY, PHYSICAL THERAPY, INTENSIVE CARE, AND GENERAL MEDICINE WITH OVER 290 EMPLOYEES COMMITTED TO REALIZING THE MISSION, COVENANT HOSPITAL PLAINVIEW IS ONE OF THE LARGEST EMPLOYERS IN THE REGION. COVENANT HOSPITAL PLAINVIEW, A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORS" AND MINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. TODAY THE ST. JOSEPH HEALTH SYSTEM IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY AND 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. OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES, AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE. THREE MISSION OUTCOMES COVENANT HOSPITAL PLAINVIEW IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1. 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. RECENTLY ONE OF OUR WOMEN'S SERVICES NURSES ASSISTED AN EXHAUSTED NEW MOTHER THAT WAS A PATIENT IN OUR FACILITY. THE NEW MOTHER WAS DETERMINED TO BREASTFEED AND VOICED SEVERAL TIMES THAT SHE DID NOT WANT THE BABY TO HAVE FORMULA, BUT SHE WAS GETTING EXHAUSTED AND DISCOURAGED. WHEN IT WAS TIME FOR THE NEWBORN TO EAT, DEDE, OUR NURSE, HELD THE BABY TO THE MOTHER'S BREAST SO THE INFANT COULD EAT WHILE THE MOTHER CONTINUED TO SLEEP. IT WOULD HAVE BEEN MUCH EASIER FOR DEDE TO ALLOW THE MOTHER TO GIVE UP AND TAKE THE INFANT TO THE NURSERY AND GIVE THE BABY A BOTTLE, BUT SHE KNEW HOW IMPORTANT IT WAS TO THIS MOTHER, THEREFORE IT WAS IMPORTANT TO DEDE. THIS IS JUST ONE EXAMPLE OF A SACRED ENCOUNTER AT COVENANT HOSPITAL PLAINVIEW. 2. ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENT'S EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. WE BELIEVE AT COVENANT HOSPITAL PLAINVIEW THAT PAYING ATTENTION TO DETAIL IS VITAL TO OUR OPERATIONS. RECENTLY GLORIA, ONE OF OUR LAB TECHNICIANS WAS LOOKING FOR A SAMPLE AND REALIZED THAT A MISTAKE HAD BEEN MADE ON A PATIENT LABEL. ALTHOUGH NO TEST ERROR REACHED THE PATIENT, SHE WAS CONCERNED THAT IT WAS A TUBE LABELED IN A LARGE BATCH OF SAMPLES THAT WERE RECEIVED AT ONE TIME. SHE RE-VERIFIED EVERY TUBE IN OUR RACKS TO MAKE SURE THAT NO OTHER ERRORS HAD OCCURRED WHICH COULD HAVE POTENTIALLY IMPACTED ANY PATIENT. SHE THEN LET US KNOW THAT EVERYTHING WAS OKAY, BUT SHE THOUGHT THAT WE SHOULD HAVE LUBBOCK DO THE SAME THING. GLORIA WENT THAT EXTRA STEP WITHOUT BEING TOLD IN ORDER TO ENSURE THE BEST CARE FOR OUR PATIENTS. THE ONLY WAY TO ACHIEVE PERFECT CARE IS TO HAVE EMPLOYEES LIKE GLORIA WHO WILL TAKE THE EXTRA STEPS TO MAKE SURE THAT WHEN MISTAKES OCCUR, THEY DO NOT REACH THE PATIENT. 3. 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. COVENANT HOSPITAL PLAINVIEW HAS SEVERAL PROGRAMS AVAILABLE TO OUR COMMUNITY AND OUR PATIENTS. WE CURRENTLY HOLD A FREE DIABETES FORUM FOR ANYONE WHO WOULD LIKE TO RECEIVE MORE INFORMATION REGARDING DIABETES. WE HAVE CREATED A PROGRAM FOR HEALTH KIDS CALLED HK2020. THIS PROGRAM IS FOR ALL HALE COUNTY CHILDREN TO PARTICIPATE IN AND IT RAISES AWARENESS REGARDING CHILDHOOD OBESITY. THE OBJECTIVE OF THIS PROGRAM IS TO ESTABLISH A LONG-TERM MEASURABLE PROGRAM TO POSITIVELY AFFECT THE PREVALENCE OF CHILDHOOD OBESITY IN HALE COUNTRY OVER THE NEXT 12nYEARS. PROGRAM SERVICE ACCOMPLISHMENTS EXAMPLE: NAME: FINANCIAL ASSISTANCE PROGRAM GOAL: WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY COVENANT HOSPITAL PLAINVIEW, AS A MINISTRY OF ST. JOSEPH HEALTH SYSTEM, HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. FACTORS USED IN DETERMINING ELIGIBILITY FOR PATIENT FINANCIAL ASSISTANCE INCLUDE INCOME LEVEL, ASSET LEVEL, AND MEDICAL INDIGENCE. KEY PARTNERS: MINISTRY BUSINESS OFFICE ACCOMPLISHMENTS: WE HAD 252 CHARITY ADMISSIONS THIS YEAR. FOR MORE INFORMATION ON COVENANT HOSPTIAL PLAINVIEW: WWW.COVENANTHEALTH.ORG FOR MORE INFORMATION ON THE ST. JOSEPH HEALTH SYSTEM GO TO: WWW.STJOE.ORG
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6COVENANT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT HOSPITAL PLAINVIEW.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, LINE 7ACOVENANT 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 MINISTRY, AS THE ORGANIZATIONAL SPONSOR.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, LINE 7BTHE 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 &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11BTHE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2012 MEETING. DURING THE BOARD FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE BOARD FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12COFFICERS, 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 WILL REVIEW THE MATTER AND WILL 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 TO THE BOARD FOR DISCUSSION AND VOTE.
PROCESS USED TO DETERMINE COMPENSATIONFORM 990, PART VI, LINES 15A & 15BTHE 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. DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN 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, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN SEPTEMBER 2011.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, LINE 19THE 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.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIISTEVEN BECK IS THE VP OF REGIONAL SERVICES OF COVENANT HEALTH SYSTEM (CHS), COVENANT HOSPITAL PLAINVIEW (CHPL), AND COVENANT HOSPITAL LEVELLAND (CHL). HE DEVOTES 20 HOURS PER WEEK TO CHS, 15 HOURS PER WEEK TO CHPL AND 15 HOURS PER WEEK TO CHL.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5RECLASS OF NON-OPERATING INTEREST INCOME $ 3,269 FOUNDATION DONATIONS $(172,906) CONTRIBUTION FROM HOSPITAL AUXILIARY OF PLAINVIEW $ (11,657) --------- TOTAL $(181,294)
OVERSIGHT OR SELECTION PROCESSFORM 990, PART XII, LINE 2CTHE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANOSAN JUAN CAPISTRANOCA92675330574214HEALTHCARECA501(C)(3)7MHRMC
COVENANT HEALTH PARTNERS
3615 19TH STREETLUBBOCKTX79410611573313HEALTHCARETX501(C)(3)11, ICHS
COVENANT HEALTH SYSTEM
3615 19TH STREETLUBBOCKTX79410752765566HEALTHCARETX501(C)(3)3SJHS
COVENANT HEALTH SYSTEM FOUNDATION
4000 24TH STREETLUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHS
COVENANT MEDICAL GROUP
3420 22ND PLACELUBBOCKTX79410752743883HEALTHCARETX501(C)(3)3CHS
HOME CARE PARTNERS
1165 MONTGOMERY DRSANTA ROSACA95405680318656INACTIVECA501(C)(3)3SRMH
HOSPICE OF LUBBOCK
1102 SLIDE ROADLUBBOCKTX79414752133781HEALTHCARETX501(C)(3)9CHS
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREETLUBBOCKTX79410752220963HEALTHCARETX501(C)(3)7CHS
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREETLUBBOCKTX79410752428911HEALTHCARETX501(C)(3)3CHS
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUELEVELLANDTX79336752246348HEALTHCARETX501(C)(3)3CHS
MISSION HOSPITAL REG MED CTR FDN
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691330406118HEALTHCARECA501(C)(3)7MHRMC
MISSION HOSPITAL REGIONAL MEDICAL CENTER
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691951643360HEALTHCARECA501(C)(3)3SJHS
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREETNAPACA94558941243669HEALTHCARECA501(C)(3)3SJHS
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVEFORTUNACA95540942779313FOUNDATIONCA501(C)(3)7RMH
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVEFORTUNACA95540941384665HEALTHCARECA501(C)(3)3SJHS
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVESANTA ROSACA95405941231005HEALTHCARECA501(C)(3)3SJHS
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1NA
SRM ALLIANCE HOSPITAL SERVICES
400 NORTH MCDOWELL BLVDPETALUMACA94954680395200HEALTHCARECA501(C)(3)3SRMH
ST JOSEPH HEALTH FDN OF N CALIFORNIA
PO BOX 552SANTA ROSACA95405680338070INACTIVECA501(C)(3)11, ISRMH
ST JOSEPH HEALTH MINISTRY
500 S MAIN STREET SUITE 400ORANGECA92868271666576RELIGIOUS ORGCA501(C)(3)1SSJO
ST JOSEPH HEALTH SYSTEM
500 S MAIN STREET SUITE 700ORANGECA92868953589356HEALTHCARECA501(C)(3)11, ISJHM
ST JOSEPH HEALTH SYSTEM FOUNDATION
500 S MAIN STREET SUITE 1000ORANGECA92868330143024HEALTHCARECA501(C)(3)7SJHS
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DR BROHNERT PARKCA94928680331084HEALTHCARECA501(C)(3)9SJHS
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREETEUREKACA95501941156596HEALTHCARECA501(C)(3)3SJHS
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3SJHS
ST JUDE HOSPITAL YORBA LINDA
279 E IMPERIAL HWY 750FULLERTONCA92835330185031HEALTHCARECA501(C)(3)3SJHS
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVEFULLERTONCA92835951643325HEALTHCARECA501(C)(3)3SJHS
ST JUDE MEMORIAL FOUNDATION
1440 N HARBOR BLVD 200FULLERTONCA92835953607229HEALTHCARECA501(C)(3)11, ISJMC
ST MARY MEDICAL CENTER
18300 HIGHWAY 18APPLE VALLEYCA92307951914489HEALTHCARECA501(C)(3)3SJHS
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREETLUBBOCKTX79410751653181HEALTHCARETX501(C)(3)7CHS
TALLER SAN JOSE
801 NORTH BROADWAYSANTA ANACA92701593816355WORKFORCE DEVCA501(C)(3)2SSJO

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Primary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTHCANAN/A00false$0false0.00000
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTHCANAN/A00false$0false0.00000
METHODIST DIAGNOSTIC IMAGING
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
SHA LLC
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
LUBBOCK SURGERY CENTER LTD
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
COVENANT LONG-TERM CARE LP
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
HERITAGE INVESTMENT GROUP
INVESTMENTCANAN/A00false$0false0.00000
MISSION AMBULATORY SURGICENTER
HEALTHCARE SVCSCANAN/A00false$0false0.00000
COMPREHENSIVE IMAGING PARTNERS
HEALTHCARE SVCSCANAN/A00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountry
ST JOSEPH PROF SVCS ENTERPRISES INC
500 S MAIN STREET SUITE 700ORANGECA92868330155323HEALTHCARE SVCSCANAC-CORP000.00000
AMERICAN UNITY GROUP LTD
2107 OXFORD STREET SUITE 300LUBBOCKTX79410CAPTIVE INSURANCENAC-CORP000.00000BD
ALLIANCE PHYSICIAN SERVICES
INACTIVECANAC-CORP000.00000
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARE SVCSCANAC-CORP000.00000
MISSION MEDICAL CENTER ASSOCIATION
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330201044HEALTHCARE SVCSCANAC-CORP000.00000
ST JOSEPH YORBA PARK
INACTIVECANAC-CORP000.00000
LUBBOCK METHODIST HOSPITAL SERVICES
PO BOX 1201LUBBOCKTX79410752118585HEALTHCARE SVCSTXNAC-CORP000.00000
LUBBOCK METHODIST HOSPITAL PRACTICE MGMT
2107 OXFORD STREET SUITE 300LUBBOCKTX79410752578995INACTIVETXNAC-CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (44 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
AMERICAN UNITY GROUP LTD
Q357417
CAMINO HEALTH CENTER
0
COVENANT HEALTH PARTNERS
0
COVENANT HEALTH SYSTEM FOUNDATION
0
COVENANT MEDICAL GROUP
0
HOME CARE PARTNERS
0
HOSPICE OF LUBBOCK
0
LUBBOCK METHODIST HOSPITAL FOUNDATION
0
METHODIST CHILDREN'S HOSPITAL
0
METHODIST HOSPITAL LEVELLAND
0
MISSION HOSPITAL REG MED CTR FDN
0
MISSION HOSPITAL REGIONAL MEDICAL CENTER
0
QUEEN OF THE VALLEY MEDICAL CENTER
0
REDWOOD MEMORIAL FOUNDATION
0
REDWOOD MEMORIAL HOSPITAL
0
SANTA ROSA MEMORIAL HOSPITAL
0
SRM ALLIANCE HOSPITAL SERVICES
0
ST JOSEPH HEALTH FDN OF N CALIFORNIA
0
ST JOSEPH HEALTH SYSTEM FOUNDATION
0
ST JOSEPH HOME CARE NETWORK
0
ST JOSEPH HOSPITAL OF EUREKA
0
ST JOSEPH HOSPITAL OF ORANGE
0
ST JUDE HOSPITAL YORBA LINDA
0
ST JUDE HOSPITAL INC
0
ST JUDE MEMORIAL FOUNDATION
0
ST MARY MEDICAL CENTER
0
ST MARY OF THE PLAINS HOSPITAL FOUNDATION
0
TALLER SAN JOSE
0
ST JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY
0
ST JOSEPH HEALTH SYSTEM HOME CARE SERVICES
0
METHODIST DIAGNOSTIC IMAGING
0
SHA LLC
0
LUBBOCK SURGERY CENTER LTD
0
COVENANT LONG-TERM CARE LP
0
HERITAGE INVESTMENT GROUP I LLC
0
MISSION AMBULATORY SURGICENTER LTD
0
COMPREHENSIVE IMAGING PARTNERS OF OC LLC
0
ST JOSEPH PROF SVCS ENTERPRISES INC
0
ALLIANCE PHYSICIAN SERVICES
0
MISSION VIEJO MEDICAL VENTURES
0
MISSION MEDICAL CENTER ASSOCIATION
0
ST JOSEPH YORBA PARK
0
LUBBOCK METHODIST HOSPITAL SERVICES
0
LUBBOCK METHODIST HOSPITAL PRACTICE MGMT
0

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIPIdentifier
Return ReferenceSCHEDULE R, PART IIIReturnReference
ExplanationST. 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: 4000 24TH STREET 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: 500 S. MAIN STREET STE. 1000 ORANGE, CA 92868 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 92868Explanation