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
- Form 990
- Schedule A
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-09-28T10:03:43-00:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270016388 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST 380 FAMILY CARE FACILITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WEST | NameControl |
| Phone | 9406830300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 DOCTORS HOSPITAL DR | AddressLine1 |
| City | BRIDGEPORT | City |
| State | TX | State |
| ZIP Code | 76426 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL IBARRA III | Name |
| Title | CFO | Title |
| Date Signed | 2011-11-20 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ABRAHAM IBARRA | Name |
| Phone | 8307732292 | Phone |
| Date Prepared | 2012-09-28 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH TEXAS COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BC GREEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 DOCTORS HOSPITAL DR | AddressLine1 |
| City | BRIDGEPORT | City |
| State | TX | State |
| ZIP Code | 76426 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 19891520 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NTCHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | 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. 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 Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 291 | TotalNbrEmployees |
| Total Nbr Volunteers | 107 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 4500 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 250000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19315575 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 19486398 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 198267 | InvestmentIncomePriorYear |
| Investment Income Current Year | 25461 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 142219 | OtherRevenuePriorYear |
| Other Revenue Current Year | 129661 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 19660561 | TotalRevenuePriorYear |
| Total Revenue Current Year | 19891520 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8830109 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9537982 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22251274 | OtherExpensePriorYear |
| Other Expenses Current Year | 21062194 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 31081383 | TotalExpensesPriorYear |
| Total Expenses Current Year | 30600176 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -11420822 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -10708656 | RevenuesLessExpensesCY |
| Total Assets BOY | 47515945 | TotalAssetsBOY |
| Total Assets EOY | 40610678 | TotalAssetsEOY |
| Total Liabilities BOY | 69067241 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 72879546 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -21551296 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -32268868 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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 | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 29275269 | Expense |
| Description | The 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 Rev | 19616059 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 29275269 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 37 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 291 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DANIEL E IBARRA III | NamePerson |
| Telephone Number | 9406830300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 DOCTORS HOSPITAL DR | AddressLine1 |
| City | BRIDGEPORT | City |
| State | TX | State |
| ZIP Code | 76426 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| BILLIE CAROL GREEN JR | |||||||
| CHAIRMAN | 003.00 | X | 0 | 0 | 0 | ||
| JOHN CRISP | |||||||
| VICE CHAIRMAN | 001.00 | X | 0 | 0 | 0 | ||
| FRED MEYERS | |||||||
| SECRETARY | 001.00 | X | 0 | 0 | 0 | ||
| JIMMY HORNER PHD | |||||||
| TREASURER | 001.00 | X | 0 | 0 | 0 | ||
| JOANNE BENEKE | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| SHAWN WHITE MD | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| MIKE RUSS | |||||||
| BOARD MEMBER | 001.00 | X | 0 | 0 | 0 | ||
| MAX L LUDEKE FACHE | |||||||
| CEO | 040.00 | 165173 | 0 | 0 | X | X | |
| DANIEL E IBARRA III | |||||||
| CFO | 040.00 | 84474 | 0 | 0 | X | ||
| SHARON SAUNDERS | |||||||
| CNO | 040.00 | 115988 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 365635 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DR STEVE LONGACRE MD PA | |||||
| 710 CROWS POINT | BRIDGEPORT | TX | 76426 | PHYS ER SERVICES | 1456548 |
| CLINICAL PARTNER PA | |||||
| PO BOX 4502 | LONGVIEW | TX | 75606 | ANESTHESIA SERVICES | 556544 |
| VIRTUAL RADIOLOGIC PROFESSIONALS OF | |||||
| DEPARTMENT 7080 | CAROL STREAM | IL | 60112 | RADIOLOGIC SERVICES | 140889 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 841725 | DALLAS | TX | 75284 | LABORATORY SERVICES | 126391 |
| WEST 380 MOB LLC | |||||
| 1903 DOCTORS HOSPITAL DRIVE 20 | BRIDGEPORT | TX | 76426 | MEDICAL SPACE | 123210 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| All Other Contributions | 250000 | AllOtherContributions |
| Total Contributions | 250000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 19486398 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 19486398 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25461 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 24638 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 24638 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24638 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn |
|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | 20506 |
| CAFETERIA SALES | 722210 | 51195 |
| REBATES | 900099 | 28208 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5114 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 105023 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19891520 | TotalRevenueColumn |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276216 | Total |
| Program Services | 262405 | ProgramServices |
| Management And General | 13811 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7736300 | Total |
| Program Services | 7349485 | ProgramServices |
| Management And General | 386815 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 879970 | Total |
| Program Services | 835972 | ProgramServices |
| Management And General | 43999 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 645496 | Total |
| Program Services | 613221 | ProgramServices |
| Management And General | 32275 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252257 | Total |
| Program Services | 239644 | ProgramServices |
| Management And General | 12613 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335075 | Total |
| Program Services | 318321 | ProgramServices |
| Management And General | 16754 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43568 | Total |
| Program Services | 41390 | ProgramServices |
| Management And General | 2178 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4172635 | Total |
| Program Services | 3964003 | ProgramServices |
| Management And General | 208632 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67201 | Total |
| Program Services | 63841 | ProgramServices |
| Management And General | 3360 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 508202 | Total |
| Program Services | 482792 | ProgramServices |
| Management And General | 25410 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45370 | Total |
| Program Services | 43102 | ProgramServices |
| Management And General | 2269 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4185211 | Total |
| Program Services | 3975950 | ProgramServices |
| Management And General | 209261 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3825236 | Total |
| Program Services | 3633974 | ProgramServices |
| Management And General | 191262 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148691 | Total |
| Program Services | 141256 | ProgramServices |
| Management And General | 7435 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 4102031 | 4102031 | |
| SUPPLIES | 1991999 | 1892399 | 99600 |
| MINOR EQUIPMENT | 121814 | 115723 | 6091 |
| EQUIPMENT RENTAL/ MAINTENANCE | 186000 | 176700 | 9300 |
| DUES AND SUBSCRIPTIONS | 57637 | 54755 | 2882 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1019267 | Total |
| Program Services | 968305 | ProgramServices |
| Management And General | 50960 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30600176 | Total |
| Program Services | 29275269 | ProgramServices |
| Management And General | 1324907 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1056819 | BOY |
| EOY | 14524 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15000 | BOY |
| EOY | 15000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2174363 | BOY |
| EOY | 1955206 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 818945 | BOY |
| EOY | 807764 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 218838 | BOY |
| EOY | 183801 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 43878315 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8658277 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38860254 | BOY |
| EOY | 35220038 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2049296 | BOY |
| EOY | 612996 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2322430 | BOY |
| EOY | 1801349 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47515945 | BOY |
| EOY | 40610678 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3865496 | BOY |
| EOY | 7882011 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58372185 | BOY |
| EOY | 58414800 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 360000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6329560 | BOY |
| EOY | 6222735 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69067241 | BOY |
| EOY | 72879546 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -21551296 | BOY |
| EOY | -32268868 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -21551296 | BOY |
| EOY | -32268868 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47515945 | BOY |
| EOY | 40610678 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -10708656 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -8916 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Included On FS | false | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 230716 | InvestmentCostOrOtherBasis |
| Book Value | 201747 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 32005157 | InvestmentCostOrOtherBasis |
| Depreciation | 4354198 | Depreciation |
| Book Value | 27650959 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 9583316 | InvestmentCostOrOtherBasis |
| Depreciation | 3537635 | Depreciation |
| Book Value | 6045681 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2059126 | InvestmentCostOrOtherBasis |
| Depreciation | 737475 | Depreciation |
| Book Value | 1321651 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 35220038 | TotalOfBookValueLandBuildings |
| Total Revenue | 19891520 | TotalRevenue |
| Total Expenses | 30600176 | TotalExpenses |
| Excess Or Deficit For Year | -10708656 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -10708656 | ExcessOrDeficitPerFS |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 0000000100.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 744793 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 744793 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02430 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 744793 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 744793 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02430 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 30000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 30000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 30000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 30000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 774793 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 774793 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02530 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,174,076 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 4085287 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 4698080 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -612793 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIDGEPORT DOCTORS HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 DOCTORS HOSPITAL DR | AddressLine1 |
| City | BRIDGEPORT | City |
| State | TX | State |
| ZIP Code | 76426 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Schedule I IRS990ScheduleI
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MAX L LUDEKE FACHE | NamePerson |
| Base Compensation Filing Org | 165173 | BaseCompensationFilingOrg |
| Total Compensation Filing Org | 165173 | TotalCompensationFilingOrg |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| TARRANT COUNTY CULTURAL EDU FAC HOSPITAL REV BONDS | ||||||
| 043833551 | 87638QAA7 | 2007-01-12 | 22430000 | CONSTRUCTION AND OPERATIONS | false | false |
| TARRANT COUNTY CULTURAL EDU FAC HOSPITAL REV BONDS | ||||||
| 043833551 | 87638QAB5 | 2007-01-12 | 36700000 | CONSTRUCTION AND OPERATIONS | false | false |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Loan To OrganizationLoanToOrganization | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement | Original PrincipalOriginalPrincipalAmount |
|---|---|---|---|---|---|
| DR RAY ORGANIZING SPONSOR | |||||
| X | 250000 | false | true | false | |
| BLALOCK CRNA ORGANIZING SPONSOR | |||||
| X | 250000 | false | true | false | $200,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 500000 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990 Part VI | 11A | The organizations form 990 is provided to the governing body at the organizations Board Meeting before it was filed. |
| Form 990 Part VI | 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 | 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 | 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. |
| 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. |