East Texas Medical Center Reg Healthcare: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: East Texas Medical Center Reg Healthcare (EIN 37-1623919)
Tax period: 2010-11-01 to 2011-10-31
Filed: 2012-09-05
IRS object ID: 201212499349300321
Schema version: 2010v3.2
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 B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-09-05T09:54:39-07:00	Timestamp
Tax Period End Date	2011-10-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-11-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	371623919	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	East Texas Medical Center Reg Healthcare	BusinessNameLine1
Business Name Line2	Group Return	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	EAST	NameControl
Phone	9035963719	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 South Beckham Avenue	AddressLine1
City	Tyler	City
State	TX	State
ZIP Code	75701	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Byron Hale	Name
Title	CFO	Title
Date Signed	2012-08-30	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	814498384	GrossReceipts
Group Return For Affiliates	true	GroupReturnForAffiliates
All Affiliates Included	true	AllAffiliatesIncluded
Group Exemption Number	5692	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.ETMC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Activity Or Mission Description	To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care. We measure our success by how our efforts improve the quality of life for people and communities in east Texas.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	117	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	79	NbrIndependentVotingMembers
Total Nbr Employees	8019	TotalNbrEmployees
Total Nbr Volunteers	417	TotalNbrVolunteers
Total Gross UBI	1328282	TotalGrossUBI
Net Unrelated Business Txbl Income	1327282	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5540905	ContributionsGrantsPriorYear
Contributions Grants Current Year	1245976	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	980066773	ProgramServiceRevenuePriorYear
Program Service Revenue CY	804474763	ProgramServiceRevenueCY
Investment Income Prior Year	320609	InvestmentIncomePriorYear
Investment Income Current Year	537060	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4099732	OtherRevenuePriorYear
Other Revenue Current Year	4211730	OtherRevenueCurrentYear
Total Revenue Prior Year	990028019	TotalRevenuePriorYear
Total Revenue Current Year	810469529	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2703512	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	4820305	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	378246784	SalariesEtcPriorYear
Salaries Etc Current Year	374743279	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	934	TotalFundrsngExpCurrentYear
Other Expense Prior Year	550554783	OtherExpensePriorYear
Other Expenses Current Year	409042780	OtherExpensesCurrentYear
Total Expenses Prior Year	931505079	TotalExpensesPriorYear
Total Expenses Current Year	788606364	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	58522940	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	21863165	RevenuesLessExpensesCY
Total Assets BOY	846665396	TotalAssetsBOY
Total Assets EOY	845087044	TotalAssetsEOY
Total Liabilities BOY	399109164	TotalLiabilitiesBOY
Total Liabilities EOY	385832791	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	447556232	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	459254253	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care. We measure our success by how our efforts improve the quality of life for people and communities in east Texas.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	516343812	Expense
Grants	635953	Grants
Revenue	574357297	Revenue
Description	"East Texas Medical Center Regional Helthcare System (the ""System"") is the parent company which wholly-owns and operates 24-subsidiary organizations. The system is headquartered in Tyler, Texas and its operations extends in all directions from Tyler, Texas, in an approximate 100-mile radius.All general acute-care hospitals not included in amounts on lines 4b, 4c and 4d. ETMC - Tyler has 536 licensed beds.ETMC - Athens has 119 licensed beds.ETMC - Carthage has 49 Licensed beds.ETMC - Clarksville has 49 Licensed beds.ETMC - Crockett has 49 Licensed beds. ETMC - Fairfield has 48 Licensed beds.ETMC - Gilmer has 37 Licensed beds.ETMC - Henderson has 49 Licensed beds.ETMC - Jacksonville has 74 Licensed beds.ETMC - Mount Vernon has 49 Licensed beds.ETMC - Trinity has 30 Licensed beds.ETMC - Pittsburg has 25 Licensed beds.ETMC - Quitman has 25 Licensed beds.The hospital's medical facilities offer a full range of medical services on an inpatient and outpatient basis. Including obstetrics, surgery, intensive care, physical therapy, mental health, cancer, kidney transplants, interventional radiology, trauma care and 24-hour emergency services.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	73498480	Expense
Revenue	50180247	Revenue
Description	ETMC - Healthcare Associates provides physician clinical services to and in connection with delivery of health care by System, its affiliate tax-exempt hospitals and other health care organizations. ETMC HCA currently employs 105+ physicians consisting on 43 Family Practitioners, 11 specializing in Internal Medicine, 5 specializing in pediatrics, and the balance in other specialties.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	46262976	Expense
Revenue	40100176	Revenue
Description	ETMC Tyler has a fleet of ground emergency ambulances serving East Texas. The System operates an extensive network of 85 ground ambulances, with each stationed at different locations to achieve optimal geographic coverage and response time throughout the System's service area.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	74304892	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	4184352	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	73691677	TotalOfOtherProgramServiceRev
Total Program Service Expense	710410160	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	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	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1013	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	8019	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
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
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	117	NbrVotingGoverningBodyMembers
Number Independent Voting Members	79	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Bonnie Stone	NamePerson
Telephone Number	9035963719	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1417 South Beckham Avenue	AddressLine1
City	Tyler	City
State	TX	State
ZIP Code	75701	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (148 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	FormerFormer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
William Roberson DO
Director	2.00	X	59250	0	0
Wendy Hudman
CFO	40.00		81682	0	21157	X
Wayne Morris
Director	2.00	X	0	0	0
Wayne Mask MD
Director	2.00	X	0	0	0
Warren Robicheaux
Administrator	40.00	X	146860	0	14254	X
Wade Ridley
Director	12.00	X	0	0	0	X
WR Christensen MD
Director	2.00	X	74750	0	0
Virginia Lewis
Director	2.00	X	0	0	0
Vatra Solomon
Director	2.00	X	0	0	0
Tony Myers
Former VP EMS	40.00		376251	0	30025		X
Tommy O'Gorman
CFO	40.00		155242	0	20091	X
Tom Woldert
Director	2.00	X	0	0	0
Todd Sigmon
VP Oncology	40.00		151465	0	25438	X
Tina Elkins MD
Director	2.00	X	0	0	0
Tim Culp
Director	2.00	X	0	0	0
Thom Lambert
Director	2.00	X	0	0	0
Terry Cutler
Administrator	40.00	X	216992	0	20371	X
Ted Trimble MD
Former Director	0.00		365827	0	9934		X
Ted Austin
Director	2.00	X	0	0	0
Steven C Roosth
Director	2.00	X	0	0	0
Steve Bishop CPA
Director	2.00	X	0	0	0
Stephen Rydzak MD
Director	40.00	X	622092	0	731	X
Slayton Bonner
Director	2.00	X	0	0	0
Samual Houston MD
Director	2.00	X	0	0	0
Sam Raborn MD
Director	40.00	X	266635	0	0
Sam Dawson
Director	2.00	X	0	0	0
Ruth Raz Cook
Administrator	40.00	X	158465	0	21774	X
Rosemary Burns
Director	2.00	X	0	0	0
Ron Schwartz
VP EMS	40.00		168937	0	22601			X
Ron Franks
Director	2.00	X	0	0	0
Ron Donaldson MD
Director	12.00	X	900	0	0
Rodney Watkins
Director	2.00	X	0	0	0
Robyn Rogers
Director	2.00	X	0	0	0
Robert Nichols
Director	2.00	X	0	0	0
Robert Evans
SR VP/Administr	40.00		604073	0	28106	X
Ravi Kumar Sreerama MD
Director	2.00	X	12950	0	0
Randy Randall MD
Former Director	40.00		503401	0	9934		X
R Scott Confer
Director	2.00	X	0	0	0
Phil Caron
CFO	40.00		145562	0	20707	X
Perry O'Brian Jr
Director	2.00	X	0	0	0
Perry Henderson
Administrator	40.00	X	284965	0	21983	X
Peggy Lowry
Director	2.00	X	0	0	0
Paula Anthony
Director	40.00	X	0	458246	26421
Patrick L Wallace
Administrator	40.00	X	558682	0	29786	X
Patricia Smith
Director	2.00	X	0	0	0
Nghia Truong MD
Director	40.00	X	579218	0	10609
Neil Adelman MD
Former Director	0.00		202511	0	10609		X
Ned Muse
Director	2.00	X	0	0	0
Mike Thomas
Director	40.00	X	0	502463	29797
Mike Gray
VP Human Resour	40.00		0	652104	25465			X
Michelle Brookshire
Director	2.00	X	0	0	0
Michael J Klouda
Physician	40.00		700629	0	10609				X
Michael Banks DDS
Director	2.00	X	0	0	0
Michael Austin MD
Director	40.00	X	311160	0	10609
Mark Leitner
Administrator	40.00	X	202416	0	25813	X
Lucia Williams MD
Director	2.00	X	0	0	0
Lisa Graves MD
Director	40.00	X	300911	0	9934
Linda K Dean
Director	2.00	X	0	0	0
Leesa N Hedge
Director	2.00	X	0	0	0
Lee Williams
Director	2.00	X	0	0	0
Lawrence Quan MD
Director	2.00	X	141130	0	0
Laura Vanecek
Director	2.00	X	0	0	0
Larry King
Director	2.00	X	0	0	0
Larry Durrett
Director	12.00	X	0	0	0
Larry Cunningham DO
Director	40.00	X	437202	0	10609
Kim Pearson-Wahl
Vice President	40.00		0	408187	25415	X
Kenneth McGee
Director	2.00	X	0	0	0
Kenneth Kemp MD
Director	40.00	X	323728	0	10609
Ken Greer
Director	2.00	X	0	0	0
Karen Wies MD
Director	40.00	X	400617	0	10609
Joseph M Conflitti
Physician	40.00		1527108	0	10609				X
Jorge Leal
Administrator	40.00	X	79907	0	10026	X
Jon Johnston
Director	2.00	X	0	0	0
John T Wilson
Director	2.00	X	0	0	0
John Payne
Director	2.00	X	0	0	0
John Magouyrk
Director	2.00	X	0	0	0
John Hart
Administrator	40.00	X	177916	0	14769	X
John H Keller Jr MD
Director	40.00	X	252797	0	9934
John F Nielsen MD
Director	2.00	X	0	0	0
John Cain
Director	2.00	X	0	0	0
Joe Angle
ViceChairmn&Dir	2.00	X	0	0	0	X
Jim Hines
CFO	40.00		104051	0	16473	X
Jessica Parish
Director	2.00	X	0	0	0
Jerry Webster
Director	2.00	X	0	0	0
Jerry Massey
VP & Dir	40.00	X	0	505204	29753	X
Jeff Taylor
Director	2.00	X	0	0	0
Jean Latortue MD
Director	40.00	X	389430	0	10609
James Wynne
Director	12.00	X	0	0	0
James H Reynolds
Director	2.00	X	0	0	0
James Blanton
CFO	40.00		152213	0	23327	X
James Dee Dopson MD
Director	2.00	X	0	0	0
Jack Endres
Administrator	40.00	X	183596	0	23034	X
Jack Bowen
Corp Dir Affiliate Projects	0.00		0	176020	16174		X
Ilanko Upendran MD
Director	40.00	X	249901	0	0
I P Reese
Physician	40.00		628002	0	10609				X
Hernan E Miranda MD
Former Director	40.00		47447	0	2652		X
Heidi McKeller MD
Director	2.00	X	0	0	0
Harry Tilley
Director	2.00	X	0	0	0
Harold Beaird
Director	2.00	X	0	0	0
Gerry Dominguez
CFO	40.00		129329	0	16314	X
George T Hall
Director	2.00	X	0	0	0
George Robinson
Director	2.00	X	0	0	0
Gary Patterson
Director	2.00	X	0	0	0
Gary M Hudson
Administrator	40.00	X	212348	0	24338	X
Gary Gunder
Former CFO	40.00		144299	0	19206		X
Gary Gross MD
Director	2.00	X	0	0	0
Freddie Sanchez
VP Material Mgm	40.00		0	611420	25517			X
Fred A Heirich
Director	2.00	X	0	0	0
Ennis Christenberry
Director	2.00	X	0	0	0
Elmer G Ellis
President & Dir	40.00	X	0	1995131	38281	X
Eddie Howard
VP/Administr	40.00	X	624650	0	25956	X
Doug Johnston DO
Director	40.00	X	249333	0	10609
Donald E Arego MD
Director	40.00	X	350015	0	10609
Dennis S Devinney
Physician	40.00		1868736	0	10609				X
David Travis
CFO	40.00		175632	0	25212	X
David Mandel MD
Former Director	40.00		226149	0	0		X
David Jones MD
Director	2.00	X	0	0	0
David Johnson MD
Director	2.00	X	72000	0	0
David E Holdredge
Director	2.00	X	0	0	0
David Craig MD
Director	2.00	X	0	0	0
Curt Smith
Dir of HomeHlth	40.00		28588	0	5732	X
Comm Dale Lagrone
Director	2.00	X	0	0	0
Cody Anderson
Physician	40.00		838013	0	10609				X
Christopher Haeckler MD
Director	2.00	X	0	0	0
Charles Lowry
Director	2.00	X	0	0	0
Charles Halstead
Director	2.00	X	0	0	0
Charles Broadway
Director	2.00	X	0	0	0
Byron Hale
Treasurer & Dir	40.00	X	0	648387	33711	X
Bryan Price
Director	2.00	X	0	0	0
Bryan Hyland MD
Director	40.00	X	300606	0	10609
Brody Clark
Administrator	40.00	X	160702	0	5059	X
Brian Holcomb
Director	2.00	X	0	0	0
Brian Ballard
Director	2.00	X	0	0	0
Brett Kirkham
Administrator	40.00	X	63542	0	10630	X
Billy Langford
Director	2.00	X	0	0	0
Bill James
Director	2.00	X	0	0	0
Bill Clawater
Director	2.00	X	0	0	0
Becki Mangum
Treasurer	40.00		0	131996	21254	X
Barry Hughes
Director	2.00	X	0	0	0
BG Hartley
Director	12.00	X	0	0	0
Arron Duvall MD
Director	2.00	X	0	0	0
Anthony Davis MD
Former Director	0.00		317986	0	10609		X
Ann Lake
Director	2.00	X	0	0	0
Andrew Roberts MD
Director	40.00	X	593645	0	10609
Andrew Hoover MD
Former Director	0.00		129288	0	9934		X
Allen Bell
Director	2.00	X	0	0	0
Alan Hale
Director	2.00	X	0	0	0
AR Barrett DO
Former Director	40.00		163970	0	10609		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	18995702	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	6089158	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1037985	TotalOtherCompensation
Number Individuals GT100 K	372	NumberIndividualsGT100K
Formers Listed	true	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
Siemens Medical Solutions
PO Box 120001 Dept 0733	Dallas	TX	753120733	Software System Main	2632596
Pulmonary Specialists
912 So Fleishel	Tyler	TX	75701	Diagnostic Services	2511083
Metro Aviation Inc
PO Box 7008	Shreveport	LA	711377008	Helicopter Maint.	3453478
Clinical Pathology Labs Inc
PO Box 141669	Austin	TX	787141669	Laboratory Services	3251509
Athens Emergency Medicine Assoc PA
PO Box82368	Lafayette	LA	705982368	Emergency Physicians	4218419

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	102	NumberOfContractorsGT100K
Fundraising Events	25900	FundraisingEvents
All Other Contributions	1220076	AllOtherContributions
Total Contributions	1245976	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Revenue	738329397	738329397
Mgmt Allocation	31396128	31396128
Medicaid EHR Incentive Pm	6575029	6575029
Intercompany Revenue	8655086	8655086
Contract/Outside Services	9694867	8557112	1137755

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9824256	TotalRevenueColumn
Related Or Exempt Function Income	9633729	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	190527	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	804474763	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	526881	TotalRevenueColumn
Exclusion	$526,881	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2059	TotalRevenueColumn
Exclusion	$2,059	ExclusionAmount

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	4015823	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	4005644	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	10179	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	10179	TotalRevenueColumn
Exclusion	$10,179	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	15330	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	25900	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	23211	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-7881	TotalRevenueColumn
Exclusion	-$7,881	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	357306	GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	357306	TotalRevenueColumn
Exclusion	$357,306	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Parking Lot	568129	$568,129
Miscellaneous Income	71069	$71,069
Cafeteria/Dietary Rev	3258859	$3,258,859

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-37811	TotalRevenueColumn
Exclusion	-$37,811	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3860246	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	810469529	TotalRevenueColumn
Related Or Exempt Function Income	803146481	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1328282	UnrelatedBusinessRevenue
Exclusion	$4,748,790	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	630352	Total
Program Services	630352	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	4189953	Total
Program Services	4189953	ProgramServices

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	8978535	Total
Management And General	8978535	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	293134485	Total
Program Services	287172747	ProgramServices
Management And General	5961738	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11331805	Total
Program Services	10936211	ProgramServices
Management And General	395594	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	39847800	Total
Program Services	37916118	ProgramServices
Management And General	1931682	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	21450654	Total
Program Services	20396629	ProgramServices
Management And General	1054025	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	65865	Total
Management And General	65865	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	107785	Total
Program Services	97936	ProgramServices
Management And General	9849	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	254725	Total
Program Services	61697	ProgramServices
Management And General	193028	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

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	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	888427	Total
Program Services	755264	ProgramServices
Management And General	133163	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4557197	Total
Program Services	4497037	ProgramServices
Management And General	60160	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1054310	Total
Program Services	1045360	ProgramServices
Management And General	8950	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	21246006	Total
Program Services	21132473	ProgramServices
Management And General	113533	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	372813	Total
Program Services	260554	ProgramServices
Management And General	112259	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	805206	Total
Program Services	759450	ProgramServices
Management And General	45756	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	13265498	Total
Program Services	13265498	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	33386443	Total
Program Services	33386443	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5087140	Total
Program Services	5049245	ProgramServices
Management And General	37895	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices	FundraisingFundraising
System Fee	55500020	55500020
Supplies	114518335	104325	114413792	218
Physician/Medical Spec. Fees	53177503	228269	52949234
Outside Services	30955645	879581	30075348	716
Contract/Outside Maintenance	9922769	123867	9798902

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	63877093	Total
Program Services	61619917	ProgramServices
Management And General	2257176	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	788606364	Total
Program Services	710410160	ProgramServices
Management And General	78195270	ManagementAndGeneral
Fundraising	934	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	192918525	BOY
EOY	193412347	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6634700	BOY
EOY	4549195	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	1010000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	98176219	BOY
EOY	91835667	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	15754	BOY
EOY	17822	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	16173534	BOY
EOY	14062606	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5634220	BOY
EOY	6398068	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	476622254	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	307559655	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	182059912	BOY
EOY	169062599	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	8995189	BOY
EOY	7312358	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	336057343	BOY
EOY	357426382	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	846665396	BOY
EOY	845087044	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	48654456	BOY
EOY	40129812	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	953921	BOY
EOY	955355	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	47943448	BOY
EOY	46606368	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7923073	BOY
EOY	7267481	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	293634266	BOY
EOY	290873775	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	399109164	BOY
EOY	385832791	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	441247667	BOY
EOY	453183749	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3284238	BOY
EOY	3046177	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3024327	BOY
EOY	3024327	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	447556232	BOY
EOY	459254253	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	846665396	BOY
EOY	845087044	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	21863165	ReconcilationRevenueExpenses
Reconcilation Other Changes	-10165144	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	false	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$92,005	OtherActivitiesAmount
Total Lobbying Expenditures IIB	92005	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	The organization pays membership dues to member organiations which may engage in lobbying activities. Therfore, a portion of the dues are attributable to lobbying activities. This amount represents a specified percentage of total dues paid.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6308565	BeginningOfYearBalance
Contributions	874950	Contributions
Investment Earnings Or Losses	70190	InvestmentEarningsOrLosses
Other Expenditures	1183202	OtherExpenditures
End Of Year Balance	6070503	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5124574	BeginningOfYearBalance
Contributions	3109511	Contributions
Investment Earnings Or Losses	236481	InvestmentEarningsOrLosses
Other Expenditures	2162000	OtherExpenditures
End Of Year Balance	6308566	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9133311	BeginningOfYearBalance
Contributions	-1709058	Contributions
Investment Earnings Or Losses	245536	InvestmentEarningsOrLosses
Other Expenditures	2545214	OtherExpenditures
End Of Year Balance	5124575	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.35000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.35000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	520030	OtherCostOrOtherBasis
Book Value	520030	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	106917639	OtherCostOrOtherBasis
Depreciation	42257759	Depreciation
Book Value	64659880	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11936586	OtherCostOrOtherBasis
Depreciation	7903106	Depreciation
Book Value	4033480	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	311909652	OtherCostOrOtherBasis
Depreciation	228869939	Depreciation
Book Value	83039713	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	45338347	OtherCostOrOtherBasis
Depreciation	28528851	Depreciation
Book Value	16809496	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	169062599	TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescription	Book ValueBookValue
Rounding	1
Restricted Funds	3454683
Goodwill-Athens Cancer Institute net	1007222
Estimated 3rd Party Settlement	5782956
Due From Outside Entities	5163074
Due From Affiliates	338978004
Deposits on Equip & Various Items	15000
Deferred Financing Costs
Bonds Receivables & Unamortized Bond Exp	3024197
Accrued Interest Receivable	1245

Field	Value	IRS element (for citing)
Total Book Value Other Assets	357426382	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
Other Noncurrent Liabilities	$1,065,508
Noncurrent Pension Liability	$48,623,309
Investment In Cyberknife	$457,377
Estimated 3rd Party Settlement	$5,018,782
Due to Affiliates	$153,054,697
Deferred Direct & Admin Expenses	$61,007,960
Capital Lease Obligations	$21,646,142

Field	Value	IRS element (for citing)
Total Of Amounts	290873775	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part XI, Line 8	Identifier
Return Reference	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	ReturnReference
Explanation	Rounding $1 Defined Benefit Plan Adjustment $ -10165145	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agreement Ref Fundraising	false	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Bell Golf Tournament	NameOfEvent1
Gross Receipts Event1	41230	GrossReceiptsEvent1
Charitable Contributions Event1	25900	CharitableContributionsEvent1
Gross Revenue Event1	15330	GrossRevenueEvent1
Other Direct Expenses Event1	23211	OtherDirectExpensesEvent1
Gross Receipts Total	41230	GrossReceiptsTotal
Charitable Contributions Total	25900	CharitableContributionsTotal
Gross Revenue Total Events	15330	GrossRevenueTotalEvents
Other Direct Expenses Total Events	23211	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	23211	DirectExpenseSummaryEvents
Net Income Summary	-7881	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	36108441	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13710341	DirectOffsettingRevenue
Net Community Benefit Expense	22398100	NetCommunityBenefitExpense
Percent Of Total Expense	0.02840	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	76237214	TotalCommunityBenefitExpense
Direct Offsetting Revenue	65828860	DirectOffsettingRevenue
Net Community Benefit Expense	10408354	NetCommunityBenefitExpense
Percent Of Total Expense	0.01320	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9306008	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9211220	DirectOffsettingRevenue
Net Community Benefit Expense	94788	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	121651663	TotalCommunityBenefitExpense
Direct Offsetting Revenue	88750421	DirectOffsettingRevenue
Net Community Benefit Expense	32901242	NetCommunityBenefitExpense
Percent Of Total Expense	0.04170	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	442827	TotalCommunityBenefitExpense
Direct Offsetting Revenue	139186	DirectOffsettingRevenue
Net Community Benefit Expense	303641	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1022335	TotalCommunityBenefitExpense
Direct Offsetting Revenue	436970	DirectOffsettingRevenue
Net Community Benefit Expense	585365	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	83436135	TotalCommunityBenefitExpense
Direct Offsetting Revenue	75329805	DirectOffsettingRevenue
Net Community Benefit Expense	8106330	NetCommunityBenefitExpense
Percent Of Total Expense	0.01030	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	240121	TotalCommunityBenefitExpense
Direct Offsetting Revenue	124297	DirectOffsettingRevenue
Net Community Benefit Expense	115824	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	67563	TotalCommunityBenefitExpense
Net Community Benefit Expense	67563	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	85208981	TotalCommunityBenefitExpense
Direct Offsetting Revenue	76030258	DirectOffsettingRevenue
Net Community Benefit Expense	9178723	NetCommunityBenefitExpense
Percent Of Total Expense	0.01160	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	206860644	TotalCommunityBenefitExpense
Direct Offsetting Revenue	164780679	DirectOffsettingRevenue
Net Community Benefit Expense	42079965	NetCommunityBenefitExpense
Percent Of Total Expense	0.05330	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$6,329,279	BadDebtExpenseAmount
Amount Reimbursed By Medicare	237192081	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	302274418	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-65082337	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare
Number Of Hospital Facilities	14	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (14 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital
East Texas Medical Cntr-Specia
14	1000 South Beckham Avenue	Tyler	TX	75701	X
East Texas Medical Cntr-Tyler
13	1000 South Beckham Avenue	Tyler	TX	75701	X
East Texas Medical Cntr-Trinit
12	317 Prospect Drive	Trinity	TX	75862	X
East Texas Medical Cntr-Quitma
11	117 N Winnsboro Street	Quitman	TX	75783	X
East Texas Medical Cntr-Pittsb
10	414 Quitman Street	Pittsburg	TX	75686	X
East Texas Medical Cntr-MtVern
9	500 S State Highway 37	Mount Vernon	TX	75457	X
East Texas Medical Cntr-Jackso
8	501 S Ragsdale Street	Jacksonville	TX	75768	X
East Texas Medical Cntr-Hender
7	300 Wilson Street	Henderson	TX	75652	X
East Texas Medical Cntr-Gilmer
6	712 North Wood	Gilmer	TX	75644	X
East Texas Medical Cntr-Fairfi
5	125 Newman Street	Fairfield	TX	75840	X
East Texas Medical Cntr-Crocke
4	1100 Loop 304 East	Crockett	TX	75835	X
East Texas Medical Cntr-Clarks
3	3000 W Main Hwy 82 W	Clarksville	TX	75426	X
East Texas Medical Cntr-Cartha
2	409 W Cottage Road	Carthage	TX	75633	X
East Texas Medical Cntr-Athens
1	2000 South Palestine	Athens	TX	75751	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (14 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	On RequestOnRequest	Other MethodOtherMethod	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Medical IndigencyMedicalIndigency	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Report To Credit AgencyReportToCreditAgency	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
East Texas Medical Cntr-Specia
14	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Tyler
13	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Trinit
12	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Quitma
11	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Pittsb
10	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-MtVern
9	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Jackso
8	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Hender
7	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Gilmer
6	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Fairfi
5	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Crocke
4	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Clarks
3	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Cartha
2	true	X	X	X	X	X	X	X	X	X	10	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Athens
1																										true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	7	NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FirstNet Exchange
1000 S Beckham Avenue	Tyler	TX	75701	Provide electronic medical records for the physicians to view.
East Texas Medical Center - Foundation
1000 S Beckham Avenue	Tyler	TX	75701	Support related hospitals within the system through raising, management and distribution of charitab
East Texas Medical Center - Self Insurance Trust
1000 S Beckham Avenue	Tyler	TX	75701	Insurance coverage for the East Texas Medical Center Regional Healthcare System.
East Texas Medical Center - Cancer Institute
1000 S Beckham Avenue	Tyler	TX	75701	Provide radiation therapy, healthcare and related services to cancer patients.
East Texas Medical Center - Home Services
1000 S Beckham Avenue	Tyler	TX	75701	Home Healthcare Services
East Texas Medical Center - Rehab
701 Olympic Plaza Circle	Tyler	TX	75701	Rehabilitation Center, Physical and Occupational, Inpatient and Outpatient
East Texas Medical Center - Healthcare Associates
1000 S Beckham Avenue	Tyler	TX	75701	Physicians

Form990 Schedule H Part VI Form990ScheduleHPartVI (63 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part VI - Additional Information	Uncompensated care program funds were evenly allocated to uninsured and Medicaid patient costs.
Part V - Explanation of Number of Facility Type	One Rehabilitation Center, one Cancer Institute, and three Home Healthcare services.
Part VI - Community Information	The 20 county service area is composed of about 16 percent of the population over age 65, an increasing Hispanic population, 60 percent of households defined as 'working poor' or poverty level, with 40 percent uninsured or underinsured.
Part VI - Patient Education of Eligibility for Assistance	Notifications of financial assistance and the Charity Care program are posted in the patient admission areas and emergency departments, and also printed in local newspapers. The Charity Care policy and application for financial assistance are also available on the internet at www.etmc.org. Additionally, notification of availability of financial assistance is noted on all patient billing statements, along with the phone number of whom to contact for financial assistance. In addition, direct contact is made to those individuals that the organization beleves may qualify for Charity Care, based on lack of insurance or other indications, to explain the availability of financial assistance and to request the individual complete and returned an application.
Part VI - Needs Assessment	The community health needs assessment process adopted by ETMC was divided into three major components:- Internal and External Data Collection and Analysis- Community Assessment of Community Need- ETMC Provider InputThe community health needs assessment process is designed to measure positive and negative progress relative to selected health status indicators; target needs by population group, geographic market segment and health issue; consider community input and feedback; and identify opportunities for program and service development and enhancement.
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 9
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 8
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 7
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 6
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 5
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 4
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 3
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 2
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 14
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 13
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 12
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 11
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 10
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 1
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 9
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 8
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 7
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 6
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 5
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 4
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 3
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 2
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 14
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 13
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 12
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 11
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 10
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 1
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 9
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 8
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 7
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 6
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 5
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 4
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 3
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 2
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 14
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 13
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 12
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 11
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 10
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 1
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 9
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 8
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 7
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 6
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 5
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 4
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 3
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 2
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 14
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 13
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 12
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 11
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 10
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC. Individuals interviewed included representatives of:United Way of Tyler/Smith CountyPATH (faith-based human services organization)Hospices of East TexasBethesda Clinic (faith-based medical services of the working poor)NE Texas Public Health DepartmentTexas Public Health Regions 4 & 5Tyler Area Chamber of CommerceSusan G. Komen for the CureETMC Regional Healthcare System and Foundation BoardsEast Texas Food BankInterviews were also conducted with the administrators and chief financial officers of ETMC hospitals and the leadership of ETMC clinical programs.Issues of concern identified by the interviews and related reports were grouped into 13 different categories of interest or concern. This input was considered on a topic by topic basis as the community benefit assessment was completed and plan developed.	Number of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	The Organization does not pursue collection of amounts determined to qualify as charity care and therefore are not considered in the collection policy.
Part III, Line 4 - Bad Debt Expense	Was no footnote to the financial statements regarding bad debt expense. Costing methodology used for line 2; Cost to charge ratio is equal to: (total expense-bad debt expense-50% other revenue) / gross revenue. Rational for including other bad debt in community benefit; Community service is provided regardless of anticipated reimbursement.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	IRC SectionIRCSection
TVCC Foundation
100 Cardinal Drive	Athens	TX	75751	237365212	10000	0	Donation
Service Organization
2950 50th Street	Lubbock	TX	79413		549824	0	Indigent Care Donation
ETMCRH System
1000 South Beckham Avenue	Tyler	TX	75701	751803327	1688478	0	Various Building Funds	501(c)(3)
East Texas Medical Center Tyler
1000 South Beckham Avenue	Tyler	TX	75701	751803325	48418	0	Various Donations	501(c)(3)
Clinical Pathology Lab
409 W Ferguson Street	Tyler	TX	75702		7500	0	For Testing
Cherokee County Health Dept
593 North Main Street	Rusk	TX	75785	756000854	7500	0	Donation

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	4	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grantmaker's Description of How Grants are Used	Identifier
Explanation	Senior management will review the needs and give approval to support a variety of agencies, service organziations and projects related to meeting health and human service needs for Tyler and East Texas, as well as those contributing to overall quality of life for the community. Contributions were made in terms of financial and in-kind donations, agencies and organizations supported are non-profit.The ETMC Helping Hands Fund was established to help our fellow employees who may encounter substantial emergency situations and needs. Through generous gifts on the part of ETMC personnel, we are able to help our own by offering immediate, short-term financial assistance to those in need. The Helping Hands Fund is managed through the East Texas Medical Center Foundation and ETMC Human Resources, and governed by an employee review committee.Due to the special nature of the Chaplains Fund, flexibility is essential in its operating procedures. The following guidelines are designed as general policies to be followed by the Chaplains office and the ETMC Foundation.Administration The ETMC Tyler Chaplains Fund is a restricted account under the East Texas Medical Center Foundation. The ETMC Tyler Chaplain will supervise the Chaplains Fund on a day-to-day basis. In addition to the Chaplain, the President and Chief Financial Officer of the East Texas Medical Center Regional Healthcare System will have signature authorization over the Chaplains Fund account. The Chaplains Fund will be included in the financial statements presented at meetings of the ETMC Foundations Board of Directors. The Foundation staff, Board and Executive Committee may help address issues and govern the fund as needed.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	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
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (57 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs
Warren Robicheaux
131410	15450	14254	161114
Tony Myers
340976	35275	30025	406276
Tommy O'Gorman
154306	936	20091	175333
Todd Sigmon
140170	11295	25438	176903
Terry Cutler
178179	38813	20371	237363
Ted Trimble MD
327657	1953	9934	375761	36217
Stephen Rydzak MD
490049	2678	731	622823	129365
Sam Raborn MD
135000	1434		266635	130201
Ruth Raz Cook
134134	24331	21774	180239
Ron Schwartz
154054	14883	22601	191538
Robert Evans
394476	209597	28106	632179
Randy Randall MD
496976	6425	9934	513335
Phil Caron
140892	4670	20707	166269
Perry Henderson
206645	78320	21983	306948
Paula Anthony
					322028	136218	26421	484667
Patrick L Wallace
277787	280895	29786	588468
Nghia Truong MD
398085	1568	10609	589827	179565
Neil Adelman MD
186088	3021	10609	213120	13402
Mike Thomas
					312857	189606	29797	532260
Mike Gray
					293954	358150	25465	677569
Michael J Klouda
541088	2090	10609	711238	157451
Michael Austin MD
195925	1510	10609	321769	113725
Mark Leitner
189811	12605	25813	228229
Lisa Graves MD
139841	1352	9934	310845	159718
Larry Cunningham DO
433738	3464	10609	447811
Kim Pearson-Wahl
					299838	108349	25415	433602
Kenneth Kemp MD
230717	1615	10609	334337	91396
Karen Wies MD
162481	1962	10609	411226	236174
Joseph M Conflitti
963439	2955	10609	1537717	560714
John Hart
145745	32171	14769	192685
John H Keller Jr MD
170166	6326	9934	262731	76305
Jerry Massey
					358354	146850	29753	534957
Jean Latortue MD
192837	812	10609	400039	195781
James Blanton
144965	7248	23327	175540
Jack Endres
168425	15171	23034	206630
Jack Bowen
					15400	160620	16174	192194
Ilanko Upendran MD
235000	1581		249901	13320
I P Reese
626326	1676	10609	638611
Gary M Hudson
151180	61168	24338	236686
Gary Gunder
139174	5125	19206	163505
Freddie Sanchez
					294999	165921	25517	636937	150500
Elmer G Ellis
					1054558	940573	38281	2033412
Eddie Howard
326476	298174	25956	650606
Doug Johnston DO
170088	1308	10609	259942	77937
Donald E Arego MD
292100	3071	10609	360624	54844
Dennis S Devinney
895912	2300	10609	1879345	970524
David Travis
167344	8288	25212	200844
David Mandel MD
189935	1750		226149	34464
Cody Anderson
650000	2159	10609	848622	185854
Byron Hale
					492708	155679	33711	682098
Bryan Hyland MD
193925	1370	10609	311215	105311
Brody Clark
152467	8235	5059	165761
Becki Mangum
					128378	3618	21254	153250
Anthony Davis MD
135625	1333	10609	328595	181028
Andrew Roberts MD
590000	2270	10609	604254	1375
Andrew Hoover MD
114576	1726	9934	139222	12986
AR Barrett DO
95925	1372	10609	174579	66673

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part I, Line 1a	Identifier
Return Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	ReturnReference
Explanation	Schedule J, Part I, Line 1aCountry club dues are paid for business purpose. Any personal use is reimbursed by the employee.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Rusk County Health Facilities Corporation
752499136	2009-09-09	5831638	Assumption memorial hospital bonds	false	false	false
City of Parker Texas Cultural Education Facilities
270365113	2009-06-24	5700000	Electronic communication towers	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion
485270	5831638	5831638	true	false	true	true
450000	5700000		false	false	true	true	5700000	2010

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true
false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
Regions Bank
false	true	true	11.7000	false	false	false	false	false
(no name)
false	false	false				false	false	false

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Camp County Texas
756000845	2009-09-09	7000000	New hospital facility	false	false	false
Camp County Texas
756000845	2009-02-24	10000000	New hospital facility	false	false	false
Camp County Texas
756000845	2008-03-19	10000000	New hospital facility	false	false	false
Camp County Texas
756000845	2007-11-29	10000000	New hospital facility	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
120000	7000001	863244	7000	863244	6129757	2009	false	false	true	true
170000	10000067	252733		252733	9747334	2009	false	false	true	true
350000	10068035	725080		725080	9342955	2009	false	false	true	true
350000	10081131	898543	74500	898543	9108087	2009	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true
false	false	false	false	true
false	false	false	false	true
false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Loretta Henderson
Family Member	16322	Employment ETMC Pittsburg	false
Renee Barrett
Family Member	75559	Employment ETMC Carthage	false
Donna Hale
Family Member	143065	Employment ETMC Specialty	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Fundraising Expenses	Fundraising is conducted at the related organization, ETMC Foundation for all ETMC Regional Healthcare System organizations. The expenses are not charged back to the organization.
Audited Financial Statements	The organization was included in consolidated, independent audited financial statements for the tax year.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The organization's governing documents, conflict of interest policy and financial statements are provided upon request.	Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Compensation for other officers and key employees are reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors.	Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The organization has a written conflict of interest policy for all employees, officers and trustees. Annually all officers, key employees and trustees are required to complete a conflict of interest form disclosing any actual or potential conflict of interest with the organization. Should any transaction arise that may create a conflict, the transaction is reviewed and appropriate measures are taken.	Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review Process	The return is prepared by our staff accountant and is reviewd by senior management. It is then presented to the board for their review and comment. The final return is provided to the board prior to filing.	Form 990, Part VI, Line 11
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	ETMC Regional Healthcare System is the parent and sole member of the ETMC System affiliates and appoints certain members to the board.	Form 990, Part VI, Line 6
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	The following members of ETMC Regional Healthcare System are also board members / key employees of entities affiliated with ETMC Regional Healthcare System: Elmer G. Ellis, Byron Hale, B.G. Hartley, Larry Durrett, Ron Donaldson, M.D., Stephen Rydzak, M.D., Wade Ridley, James Wynne, Freddie Sanchez, Mike Gray, Mike Thomas and Paula Anthony.	Form 990, Part VI, Line 2
Form 990, Part III, Line 4d : Other Program Services Description	OTHER PROGRAM SERVICES 4: ETMC Air One has 3 air ambulances. OTHER PROGRAM SERVICES 5: ETMC Tyler has a Behavioral Health Center that provides inpatient and outpatient mental health services. OTHER PROGRAM SERVICES 6: The ETMC Rehabilitation Hospital has 49 licensed beds. It provides inpatien and outpatient services including physical, occupational and speech therapies, cardiac and pulmonary rehabilitation. ETMC Rehabilitation also offers preventive and health enhancement services. OTHER PROGRAM SERVICES 7: The ETMC Specialty Hospital is a long-term, acute hospital licensed for 36 beds. The hospital is dedicated to acute care for the medically complex patient. Specialized programs include ventilator care, complex multi-system medical, CVA/stroke, trauma, oncology and wound care. OTHER PROGRAM SERVICES 8: ETMC Home Services provides non-hospital health care services. OTHER PROGRAM SERVICES 9: ETMC Cancer Institute operates a free standing radiation cancer center and provides comprehensive cancer care with programs encompassing diagnostics services, medical and radiation, oncology, surgery and support programs. ETMC Cancer Institute is accredited by the American College of Surgeons as a comprehensive community cancer program. OTHER PROGRAM SERVICES 10: East Texas Medical Center Regional Healthcare System Self Insurance Trust provides self insurance coverage for the East Texas Medical Center Regional Healthcare System entities. OTHER PROGRAM SERVICES 11: ETMC Foundation supports the System and affiliate hospitals as well as the charitable companies affiliated with the System. This includes providing financial assistance to the System, raising, managing and distributing of charitable funds and gifts, providing educational programs on medical and health matters and providing for the regional development of healthcare and medical treatment of illnesses, physical and mental disabilities. OTHER PROGRAM SERVICES 12: FirstNet Exchange provides physicians electronic access to medical records.	Form 990, Part III, Line 4d

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
FirstNet Exchange
1000 S Beckham Avenue	Tyler	TX	75701	451436671	Health Services	TX	501 (c)(3)	Exempt	ETMCRHS	false
ETMC - Quitman
PO Box 1000	Quitman	TX	75783	752766160	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Pittsburg
414 Quitman Street	Pittsburg	TX	75686	751919624	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Trinity
PO Box 471	Trinity	TX	75862	752715898	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Mount Vernon
PO Box 477	Mount Vernon	TX	75457	752250730	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Jacksonville
501 South Ragsdale	Jacksonville	TX	75766	752715084	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Henderson
300 Wilson Street	Henderson	TX	75652	264123728	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Gilmer
712 North Wood	Gilmer	TX	75644	200079162	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Fairfield
125 Newman Street	Fairfield	TX	75840	752753454	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Crockett
1100 Loop 304 East	Crockett	TX	75835	752602621	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Clarksville
PO Drawer 1270	Clarksville	TX	75426	752638020	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Carthage
409 Cottage Road	Carthage	TX	75633	752735077	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Athens
2000 S Palestine	Athens	TX	75751	751854562	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Healthcare Associates
1000 S Beckham Avenue	Tyler	TX	75701	752605821	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Foundation
1000 S Beckham Avenue	Tyler	TX	75701	752695524	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Specialty Hospital
1000 S Beckham Avenue	Tyler	TX	75701	752547158	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC Reg Healthcare Sys Self Ins Trust
1000 S Beckham Avenue	Tyler	TX	75701	756345356	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Home Services
1000 S Beckham Avenue	Tyler	TX	75701	752503960	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Rehabilitation Hospital
701 Olympic Plaza Circle	Tyler	TX	75701	752599215	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Cancer Institute
1000 S Beckham Avenue	Tyler	TX	75701	751803329	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	true
ETMC - Tyler
1000 S Beckham Avenue	Tyler	TX	75701	751803325	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	true
First Choice Cooperative
1000 S Beckham Avenue	Tyler	TX	75701	752627236	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC Regional Healthcare SystemETMCRHS
1000 S Beckham	Tyler	TX	75701	751803327	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ETMC Regional Health Services Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 6720	AddressLine1
City	Tyler	City
State	TX	State
ZIP Code	75701	ZIPCode

Field	Value	IRS element (for citing)
EIN	751925036	EIN
Primary Activity	Health Services	PrimaryActivity
Legal Domicile State	TX	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ETMCRHS	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C Corp	TypeOfEntity
Share Of Total Income	117944496	ShareOfTotalIncome
Share Of EOY Assets	64009367	ShareOfEOYAssets

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ETMC Regional Healthcare SystemETMCRHS
p	6509138	FMV
ETMC Regional Healthcare SystemETMCRHS
o	53541957	FMV
ETMC Regional Healthcare SystemETMCRHS
j	15751855	FMV