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West 380 Family Care Facility: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
West 380 Family Care Facility (EIN 27-0016388)
Tax period
2010-01-01 to 2010-12-31
Filed
2012-09-28
IRS object ID
201202739349300600
Schema version
2010v3.4
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)
Timestamp2012-09-28T10:03:43-00:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN270016388EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WEST 380 FAMILY CARE FACILITYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone9406830300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11905 DOCTORS HOSPITAL DRAddressLine1
CityBRIDGEPORTCity
StateTXState
ZIP Code76426ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDANIEL IBARRA IIIName
TitleCFOTitle
Date Signed2011-11-20DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameABRAHAM IBARRAName
Phone8307732292Phone
Date Prepared2012-09-28DatePrepared
Self EmployedXSelfEmployed
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 Line1NORTH TEXAS COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonBC GREENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11905 DOCTORS HOSPITAL DRAddressLine1
CityBRIDGEPORTCity
StateTXState
ZIP Code76426ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19891520GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NTCHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO PROVIDE A MEDICAL HOME FOR OUR PATIENTS AND FAMILY. THIS WILL BE ACCOMPLISHED THROUGH AN ENVIRONMENT THAT FOCUSES ON GUIDING AND RESTORING OUR PATIENTS TO THE BEST HEALTH POSSIBLE. OUR MISSION IS TO PROVIDE A MEDICAL HOME FOR OUR PATIENTS AND FAMILY. THIS WILL BE ACCOMPLISHED THROUGH AN ENVIRONMENT THAT FOCUSES ON GUIDING AND RESTORING OUR PATIENTS TO THE BEST HEALTH POSSIBLE.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees291TotalNbrEmployees
Total Nbr Volunteers107TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year4500ContributionsGrantsPriorYear
Contributions Grants Current Year250000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19315575ProgramServiceRevenuePriorYear
Program Service Revenue CY19486398ProgramServiceRevenueCY
Investment Income Prior Year198267InvestmentIncomePriorYear
Investment Income Current Year25461InvestmentIncomeCurrentYear
Other Revenue Prior Year142219OtherRevenuePriorYear
Other Revenue Current Year129661OtherRevenueCurrentYear
Total Revenue Prior Year19660561TotalRevenuePriorYear
Total Revenue Current Year19891520TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8830109SalariesEtcPriorYear
Salaries Etc Current Year9537982SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year22251274OtherExpensePriorYear
Other Expenses Current Year21062194OtherExpensesCurrentYear
Total Expenses Prior Year31081383TotalExpensesPriorYear
Total Expenses Current Year30600176TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-11420822RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-10708656RevenuesLessExpensesCY
Total Assets BOY47515945TotalAssetsBOY
Total Assets EOY40610678TotalAssetsEOY
Total Liabilities BOY69067241TotalLiabilitiesBOY
Total Liabilities EOY72879546TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-21551296NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-32268868NetAssetsOrFundBalancesEOY
Mission DescriptionOUR MISSION IS TO PROVIDE A MEDICAL HOME FOR OUR PATIENTS AND FAMILY. THIS WILL BE ACCOMPLISHED THROUGH AN ENVIRONMENT THAT FOCUSES ON GUIDING AND RESTORING OUR PATIENTS TO THE BEST HEALTH POSSIBLEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense29275269Expense
DescriptionThe hospital provides inpatient and outpatient medical services to the residents of Wise County and surrounding communities including medical, surgical, and rehabilitative services.In addition,we provide radiology, pathology, laboratory, and inpatient pharmacy department.Description
Total Of Other Program Service Rev19616059TotalOfOtherProgramServiceRev
Total Program Service Expense29275269TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees291NumberOfEmployees
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
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
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 PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDANIEL E IBARRA IIINamePerson
Telephone Number9406830300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11905 DOCTORS HOSPITAL DRAddressLine1
CityBRIDGEPORTCity
StateTXState
ZIP Code76426ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BILLIE CAROL GREEN JR
CHAIRMAN003.00X000
JOHN CRISP
VICE CHAIRMAN001.00X000
FRED MEYERS
SECRETARY001.00X000
JIMMY HORNER PHD
TREASURER001.00X000
JOANNE BENEKE
BOARD MEMBER001.00X000
SHAWN WHITE MD
BOARD MEMBER001.00X000
MIKE RUSS
BOARD MEMBER001.00X000
MAX L LUDEKE FACHE
CEO040.0016517300XX
DANIEL E IBARRA III
CFO040.008447400X
SHARON SAUNDERS
CNO040.0011598800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org365635TotalReportableCompFromOrg
Number Individuals GT100 K3NumberIndividualsGT100K
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
DR STEVE LONGACRE MD PA
710 CROWS POINTBRIDGEPORTTX76426PHYS ER SERVICES1456548
CLINICAL PARTNER PA
PO BOX 4502LONGVIEWTX75606ANESTHESIA SERVICES556544
VIRTUAL RADIOLOGIC PROFESSIONALS OF
DEPARTMENT 7080CAROL STREAMIL60112RADIOLOGIC SERVICES140889
QUEST DIAGNOSTICS
PO BOX 841725DALLASTX75284LABORATORY SERVICES126391
WEST 380 MOB LLC
1903 DOCTORS HOSPITAL DRIVE 20BRIDGEPORTTX76426MEDICAL SPACE123210
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions250000AllOtherContributions
Total Contributions250000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column19486398TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue19486398TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column25461TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real24638Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real24638Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column24638TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
MISCELLANEOUS REVENUE90009920506
CAFETERIA SALES72221051195
REBATES90009928208

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column5114TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue105023TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19891520TotalRevenueColumn

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total276216Total
Program Services262405ProgramServices
Management And General13811ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7736300Total
Program Services7349485ProgramServices
Management And General386815ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total879970Total
Program Services835972ProgramServices
Management And General43999ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total645496Total
Program Services613221ProgramServices
Management And General32275ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total252257Total
Program Services239644ProgramServices
Management And General12613ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total335075Total
Program Services318321ProgramServices
Management And General16754ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43568Total
Program Services41390ProgramServices
Management And General2178ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4172635Total
Program Services3964003ProgramServices
Management And General208632ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total67201Total
Program Services63841ProgramServices
Management And General3360ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total508202Total
Program Services482792ProgramServices
Management And General25410ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total45370Total
Program Services43102ProgramServices
Management And General2269ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total4185211Total
Program Services3975950ProgramServices
Management And General209261ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3825236Total
Program Services3633974ProgramServices
Management And General191262ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total148691Total
Program Services141256ProgramServices
Management And General7435ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE41020314102031
SUPPLIES1991999189239999600
MINOR EQUIPMENT1218141157236091
EQUIPMENT RENTAL/ MAINTENANCE1860001767009300
DUES AND SUBSCRIPTIONS57637547552882

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1019267Total
Program Services968305ProgramServices
Management And General50960ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total30600176Total
Program Services29275269ProgramServices
Management And General1324907ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1056819BOY
EOY14524EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY15000BOY
EOY15000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2174363BOY
EOY1955206EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY818945BOY
EOY807764EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY218838BOY
EOY183801EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis43878315LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8658277LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY38860254BOY
EOY35220038EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2049296BOY
EOY612996EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2322430BOY
EOY1801349EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY47515945BOY
EOY40610678EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3865496BOY
EOY7882011EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY58372185BOY
EOY58414800EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY500000BOY
EOY360000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6329560BOY
EOY6222735EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY69067241BOY
EOY72879546EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY-21551296BOY
EOY-32268868EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-21551296BOY
EOY-32268868EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY47515945BOY
EOY40610678EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-10708656ReconcilationRevenueExpenses
Reconcilation Other Changes-8916ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis230716InvestmentCostOrOtherBasis
Book Value201747BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis32005157InvestmentCostOrOtherBasis
Depreciation4354198Depreciation
Book Value27650959BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis9583316InvestmentCostOrOtherBasis
Depreciation3537635Depreciation
Book Value6045681BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2059126InvestmentCostOrOtherBasis
Depreciation737475Depreciation
Book Value1321651BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings35220038TotalOfBookValueLandBuildings
Total Revenue19891520TotalRevenue
Total Expenses30600176TotalExpenses
Excess Or Deficit For Year-10708656ExcessOrDeficitForYear
Excess Or Deficit Per FS-10708656ExcessOrDeficitPerFS

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage0000000100.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense744793TotalCommunityBenefitExpense
Net Community Benefit Expense744793NetCommunityBenefitExpense
Percent Of Total Expense0.02430PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense744793TotalCommunityBenefitExpense
Net Community Benefit Expense744793NetCommunityBenefitExpense
Percent Of Total Expense0.02430PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Total Community Benefit Expense30000TotalCommunityBenefitExpense
Net Community Benefit Expense30000NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Total Community Benefit Expense30000TotalCommunityBenefitExpense
Net Community Benefit Expense30000NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Total Community Benefit Expense774793TotalCommunityBenefitExpense
Net Community Benefit Expense774793NetCommunityBenefitExpense
Percent Of Total Expense0.02530PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,174,076BadDebtExpenseAmount
Amount Reimbursed By Medicare4085287AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare4698080CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-612793MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
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 Line1BRIDGEPORT DOCTORS HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11905 DOCTORS HOSPITAL DRAddressLine1
CityBRIDGEPORTCity
StateTXState
ZIP Code76426ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Schedule I IRS990ScheduleI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMAX L LUDEKE FACHENamePerson
Base Compensation Filing Org165173BaseCompensationFilingOrg
Total Compensation Filing Org165173TotalCompensationFilingOrg

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
TARRANT COUNTY CULTURAL EDU FAC HOSPITAL REV BONDS
04383355187638QAA72007-01-1222430000CONSTRUCTION AND OPERATIONSfalsefalse
TARRANT COUNTY CULTURAL EDU FAC HOSPITAL REV BONDS
04383355187638QAB52007-01-1236700000CONSTRUCTION AND OPERATIONSfalsefalse

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Loan To OrganizationLoanToOrganizationBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreementOriginal PrincipalOriginalPrincipalAmount
DR RAY ORGANIZING SPONSOR
X250000falsetruefalse
BLALOCK CRNA ORGANIZING SPONSOR
X250000falsetruefalse$200,000
FieldValueIRS element (for citing)
Total Balance Due500000TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI11AThe organizations form 990 is provided to the governing body at the organizations Board Meeting before it was filed.
Form 990 Part VI12cBoard members and key members of management are required to complete Conflict of Interest Statements each year disclosing any organizations in which they hold ownership or management positions which are 1. Doing business with the hospital 2. Might reasonably be expected or potentiallly do business with the hospital. 3. Compete with the hospital All major contracts must be approved by the board, and in the event a board member has a conflict of interest, that member is required to recuse themselves from discussion or voting on the contract.
Form 990 Part VIAThe CEO compensation for 2010 was deliberated and approved by the Board after reviewing comparable salary data provided by the Human Resources department through its relationship with the Texas Hospital Association and the Texas Organiation of Rural and Community Hospitals.
Form 990 Part VI15bThe Human Resources department, through its relationship with the Texas Hospital Association and the Texas Organization of Rural and Community Hospitals, provides management and the Board with comparable salary information for all key positions. This information is used by management set compensation ranges for all positions. Each month the Board reviews budget to actual reports, including salary information, and requires explanations for major variances.
Form 990 Part VI Section B Line 11A The organizations form 990 is provided to the governing body at the organizations Board Meeting before it was filed. Form 990 Part VI Section B Line 12c Board members and key members of management are required to complete Conflict of Interest Statements each year disclosing any organizations in which they hold ownership or management positions which are 1. Doing business with the hospital 2. Might reasonably be expected or potentiallly do business with the hospital. 3. Compete with the hospital All major contracts must be approved by the board, and in the event a board member has a conflict of interest, that member is required to recuse themselves from discussion or voting on the contract. Form 990 Part VI Section B Line A The CEO compensation for 2010 was deliberated and approved by the Board after reviewing comparable salary data provided by the Human Resources department through its relationship with the Texas Hospital Association and the Texas Organiation of Rural and Community Hospitals. Form 990 Part VI Section B Line 15b The Human Resources department, through its relationship with the Texas Hospital Association and the Texas Organization of Rural and Community Hospitals, provides management and the Board with comparable salary information for all key positions. This information is used by management set compensation ranges for all positions. Each month the Board reviews budget to actual reports, including salary information, and requires explanations for major variances.