2012-09-05T09:54:39-07:00 2011-10-31 990 2010-11-01 371623919 East Texas Medical Center Reg Healthcare Group Return EAST 9035963719 1000 South Beckham Avenue Tyler TX 75701 Byron Hale 2012-08-30 2010 2016-02-24 21:20:13Z 814498384 true true 5692 X WWW.ETMC.ORG X 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. 117 79 8019 417 1328282 1327282 5540905 1245976 980066773 804474763 320609 537060 4099732 4211730 990028019 810469529 2703512 4820305 0 378246784 374743279 0 934 550554783 409042780 931505079 788606364 58522940 21863165 846665396 845087044 399109164 385832791 447556232 459254253 X 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. false false 516343812 635953 574357297 "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. 73498480 50180247 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. 46262976 40100176 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. 74304892 4184352 73691677 710410160 true true false true false false false false false true true false false true true false false true false false false false false false true false true true true true true true false false false false false false false false true true false false false false false true true false false false true 1013 0 true 8019 true true true false false false false false false false false false 0 false false false false false false false false false false false X 117 79 true false false false true true true true true false true true true true true true true true true true true true X Bonnie Stone 9035963719 1417 South Beckham Avenue Tyler TX 75701 William Roberson DO 2.00 X 59250 0 0 Wendy Hudman 40.00 X 81682 0 21157 Wayne Morris 2.00 X 0 0 0 Wayne Mask MD 2.00 X 0 0 0 Warren Robicheaux 40.00 X X 146860 0 14254 Wade Ridley 12.00 X X 0 0 0 WR Christensen MD 2.00 X 74750 0 0 Virginia Lewis 2.00 X 0 0 0 Vatra Solomon 2.00 X 0 0 0 Tony Myers 40.00 X 376251 0 30025 Tommy O'Gorman 40.00 X 155242 0 20091 Tom Woldert 2.00 X 0 0 0 Todd Sigmon 40.00 X 151465 0 25438 Tina Elkins MD 2.00 X 0 0 0 Tim Culp 2.00 X 0 0 0 Thom Lambert 2.00 X 0 0 0 Terry Cutler 40.00 X X 216992 0 20371 Ted Trimble MD 0.00 X 365827 0 9934 Ted Austin 2.00 X 0 0 0 Steven C Roosth 2.00 X 0 0 0 Steve Bishop CPA 2.00 X 0 0 0 Stephen Rydzak MD 40.00 X X 622092 0 731 Slayton Bonner 2.00 X 0 0 0 Samual Houston MD 2.00 X 0 0 0 Sam Raborn MD 40.00 X 266635 0 0 Sam Dawson 2.00 X 0 0 0 Ruth Raz Cook 40.00 X X 158465 0 21774 Rosemary Burns 2.00 X 0 0 0 Ron Schwartz 40.00 X 168937 0 22601 Ron Franks 2.00 X 0 0 0 Ron Donaldson MD 12.00 X 900 0 0 Rodney Watkins 2.00 X 0 0 0 Robyn Rogers 2.00 X 0 0 0 Robert Nichols 2.00 X 0 0 0 Robert Evans 40.00 X 604073 0 28106 Ravi Kumar Sreerama MD 2.00 X 12950 0 0 Randy Randall MD 40.00 X 503401 0 9934 R Scott Confer 2.00 X 0 0 0 Phil Caron 40.00 X 145562 0 20707 Perry O'Brian Jr 2.00 X 0 0 0 Perry Henderson 40.00 X X 284965 0 21983 Peggy Lowry 2.00 X 0 0 0 Paula Anthony 40.00 X 0 458246 26421 Patrick L Wallace 40.00 X X 558682 0 29786 Patricia Smith 2.00 X 0 0 0 Nghia Truong MD 40.00 X 579218 0 10609 Neil Adelman MD 0.00 X 202511 0 10609 Ned Muse 2.00 X 0 0 0 Mike Thomas 40.00 X 0 502463 29797 Mike Gray 40.00 X 0 652104 25465 Michelle Brookshire 2.00 X 0 0 0 Michael J Klouda 40.00 X 700629 0 10609 Michael Banks DDS 2.00 X 0 0 0 Michael Austin MD 40.00 X 311160 0 10609 Mark Leitner 40.00 X X 202416 0 25813 Lucia Williams MD 2.00 X 0 0 0 Lisa Graves MD 40.00 X 300911 0 9934 Linda K Dean 2.00 X 0 0 0 Leesa N Hedge 2.00 X 0 0 0 Lee Williams 2.00 X 0 0 0 Lawrence Quan MD 2.00 X 141130 0 0 Laura Vanecek 2.00 X 0 0 0 Larry King 2.00 X 0 0 0 Larry Durrett 12.00 X 0 0 0 Larry Cunningham DO 40.00 X 437202 0 10609 Kim Pearson-Wahl 40.00 X 0 408187 25415 Kenneth McGee 2.00 X 0 0 0 Kenneth Kemp MD 40.00 X 323728 0 10609 Ken Greer 2.00 X 0 0 0 Karen Wies MD 40.00 X 400617 0 10609 Joseph M Conflitti 40.00 X 1527108 0 10609 Jorge Leal 40.00 X X 79907 0 10026 Jon Johnston 2.00 X 0 0 0 John T Wilson 2.00 X 0 0 0 John Payne 2.00 X 0 0 0 John Magouyrk 2.00 X 0 0 0 John Hart 40.00 X X 177916 0 14769 John H Keller Jr MD 40.00 X 252797 0 9934 John F Nielsen MD 2.00 X 0 0 0 John Cain 2.00 X 0 0 0 Joe Angle 2.00 X X 0 0 0 Jim Hines 40.00 X 104051 0 16473 Jessica Parish 2.00 X 0 0 0 Jerry Webster 2.00 X 0 0 0 Jerry Massey 40.00 X X 0 505204 29753 Jeff Taylor 2.00 X 0 0 0 Jean Latortue MD 40.00 X 389430 0 10609 James Wynne 12.00 X 0 0 0 James H Reynolds 2.00 X 0 0 0 James Blanton 40.00 X 152213 0 23327 James Dee Dopson MD 2.00 X 0 0 0 Jack Endres 40.00 X X 183596 0 23034 Jack Bowen 0.00 X 0 176020 16174 Ilanko Upendran MD 40.00 X 249901 0 0 I P Reese 40.00 X 628002 0 10609 Hernan E Miranda MD 40.00 X 47447 0 2652 Heidi McKeller MD 2.00 X 0 0 0 Harry Tilley 2.00 X 0 0 0 Harold Beaird 2.00 X 0 0 0 Gerry Dominguez 40.00 X 129329 0 16314 George T Hall 2.00 X 0 0 0 George Robinson 2.00 X 0 0 0 Gary Patterson 2.00 X 0 0 0 Gary M Hudson 40.00 X X 212348 0 24338 Gary Gunder 40.00 X 144299 0 19206 Gary Gross MD 2.00 X 0 0 0 Freddie Sanchez 40.00 X 0 611420 25517 Fred A Heirich 2.00 X 0 0 0 Ennis Christenberry 2.00 X 0 0 0 Elmer G Ellis 40.00 X X 0 1995131 38281 Eddie Howard 40.00 X X 624650 0 25956 Doug Johnston DO 40.00 X 249333 0 10609 Donald E Arego MD 40.00 X 350015 0 10609 Dennis S Devinney 40.00 X 1868736 0 10609 David Travis 40.00 X 175632 0 25212 David Mandel MD 40.00 X 226149 0 0 David Jones MD 2.00 X 0 0 0 David Johnson MD 2.00 X 72000 0 0 David E Holdredge 2.00 X 0 0 0 David Craig MD 2.00 X 0 0 0 Curt Smith 40.00 X 28588 0 5732 Comm Dale Lagrone 2.00 X 0 0 0 Cody Anderson 40.00 X 838013 0 10609 Christopher Haeckler MD 2.00 X 0 0 0 Charles Lowry 2.00 X 0 0 0 Charles Halstead 2.00 X 0 0 0 Charles Broadway 2.00 X 0 0 0 Byron Hale 40.00 X X 0 648387 33711 Bryan Price 2.00 X 0 0 0 Bryan Hyland MD 40.00 X 300606 0 10609 Brody Clark 40.00 X X 160702 0 5059 Brian Holcomb 2.00 X 0 0 0 Brian Ballard 2.00 X 0 0 0 Brett Kirkham 40.00 X X 63542 0 10630 Billy Langford 2.00 X 0 0 0 Bill James 2.00 X 0 0 0 Bill Clawater 2.00 X 0 0 0 Becki Mangum 40.00 X 0 131996 21254 Barry Hughes 2.00 X 0 0 0 BG Hartley 12.00 X 0 0 0 Arron Duvall MD 2.00 X 0 0 0 Anthony Davis MD 0.00 X 317986 0 10609 Ann Lake 2.00 X 0 0 0 Andrew Roberts MD 40.00 X 593645 0 10609 Andrew Hoover MD 0.00 X 129288 0 9934 Allen Bell 2.00 X 0 0 0 Alan Hale 2.00 X 0 0 0 AR Barrett DO 40.00 X 163970 0 10609 18995702 6089158 1037985 372 true true false 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 102 25900 1220076 1245976 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 9824256 9633729 190527 804474763 526881 526881 0 2059 2059 0 4015823 4005644 10179 10179 10179 15330 25900 23211 -7881 -7881 0 357306 357306 357306 Parking Lot 568129 568129 Miscellaneous Income 71069 71069 Cafeteria/Dietary Rev 3258859 3258859 -37811 -37811 3860246 810469529 803146481 1328282 4748790 630352 630352 4189953 4189953 0 0 8978535 8978535 0 293134485 287172747 5961738 11331805 10936211 395594 39847800 37916118 1931682 21450654 20396629 1054025 65865 65865 107785 97936 9849 254725 61697 193028 0 0 0 0 888427 755264 133163 4557197 4497037 60160 1054310 1045360 8950 0 21246006 21132473 113533 372813 260554 112259 0 805206 759450 45756 13265498 13265498 0 33386443 33386443 5087140 5049245 37895 System Fee 55500020 55500020 Supplies 114518335 114413792 104325 218 Physician/Medical Spec. Fees 53177503 52949234 228269 Outside Services 30955645 30075348 879581 716 Contract/Outside Maintenance 9922769 9798902 123867 63877093 61619917 2257176 788606364 710410160 78195270 934 192918525 193412347 6634700 4549195 1010000 98176219 91835667 0 0 15754 17822 16173534 14062606 5634220 6398068 476622254 307559655 182059912 169062599 8995189 7312358 0 0 0 336057343 357426382 846665396 845087044 48654456 40129812 953921 955355 47943448 46606368 7923073 7267481 293634266 290873775 399109164 385832791 X 441247667 453183749 3284238 3046177 3024327 3024327 447556232 459254253 846665396 845087044 X 21863165 -10165144 X false true false X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false true 92005 92005 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description 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. 6308565 874950 70190 1183202 6070503 5124574 3109511 236481 2162000 6308566 9133311 -1709058 245536 2545214 5124575 0.35000 0.35000 false false false 520030 520030 106917639 42257759 64659880 11936586 7903106 4033480 311909652 228869939 83039713 45338347 28528851 16809496 169062599 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 357426382 Other Noncurrent Liabilities 1065508 Noncurrent Pension Liability 48623309 Investment In Cyberknife 457377 Estimated 3rd Party Settlement 5018782 Due to Affiliates 153054697 Deferred Direct & Admin Expenses 61007960 Capital Lease Obligations 21646142 290873775 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Rounding $1 Defined Benefit Plan Adjustment $ -10165145 false Bell Golf Tournament 41230 25900 15330 23211 41230 25900 15330 23211 23211 -7881 true true X true X true X true true true false true true 36108441 13710341 22398100 0.02840 76237214 65828860 10408354 0.01320 9306008 9211220 94788 0.00010 121651663 88750421 32901242 0.04170 442827 139186 303641 0.00040 1022335 436970 585365 0.00070 83436135 75329805 8106330 0.01030 240121 124297 115824 0.00010 67563 67563 0.00010 85208981 76030258 9178723 0.01160 206860644 164780679 42079965 0.05330 true 6329279 237192081 302274418 -65082337 X true false 14 14 East Texas Medical Cntr-Specia

1000 South Beckham Avenue Tyler TX 75701

X 13 East Texas Medical Cntr-Tyler

1000 South Beckham Avenue Tyler TX 75701

X 12 East Texas Medical Cntr-Trinit

317 Prospect Drive Trinity TX 75862

X 11 East Texas Medical Cntr-Quitma

117 N Winnsboro Street Quitman TX 75783

X 10 East Texas Medical Cntr-Pittsb

414 Quitman Street Pittsburg TX 75686

X 9 East Texas Medical Cntr-MtVern

500 S State Highway 37 Mount Vernon TX 75457

X 8 East Texas Medical Cntr-Jackso

501 S Ragsdale Street Jacksonville TX 75768

X 7 East Texas Medical Cntr-Hender

300 Wilson Street Henderson TX 75652

X 6 East Texas Medical Cntr-Gilmer

712 North Wood Gilmer TX 75644

X 5 East Texas Medical Cntr-Fairfi

125 Newman Street Fairfield TX 75840

X 4 East Texas Medical Cntr-Crocke

1100 Loop 304 East Crockett TX 75835

X 3 East Texas Medical Cntr-Clarks

3000 W Main Hwy 82 W Clarksville TX 75426

X 2 East Texas Medical Cntr-Cartha

409 W Cottage Road Carthage TX 75633

X 1 East Texas Medical Cntr-Athens

2000 South Palestine Athens TX 75751

X 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 7 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 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. 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 19d - Other Billing Determination of Individuals Without Insurance A 60% discount is applied to standard charges. 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 5c - Description of Making Needs Assessment Widely Available Presented at community summary meeting. 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 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 - 8 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 - 7 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 - 6 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 - 5 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 - 4 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 - 3 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 - 2 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 - 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 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 - 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 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 - 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 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 - 10 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 - 1 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 - 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 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. 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. true 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 501(c)(3) 1688478 0 Various Building Funds East Texas Medical Center Tyler 1000 South Beckham Avenue Tyler TX 75701 751803325 501(c)(3) 48418 0 Various Donations 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 2 4 Grantmaker's Description of How Grants are Used 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. X true true X X X X true true false true false false false false false false 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 36217 1953 9934 375761 Stephen Rydzak MD 490049 129365 2678 731 622823 Sam Raborn MD 135000 130201 1434 266635 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 179565 1568 10609 589827 Neil Adelman MD 186088 13402 3021 10609 213120 Mike Thomas 312857 189606 29797 532260 Mike Gray 293954 358150 25465 677569 Michael J Klouda 541088 157451 2090 10609 711238 Michael Austin MD 195925 113725 1510 10609 321769 Mark Leitner 189811 12605 25813 228229 Lisa Graves MD 139841 159718 1352 9934 310845 Larry Cunningham DO 433738 3464 10609 447811 Kim Pearson-Wahl 299838 108349 25415 433602 Kenneth Kemp MD 230717 91396 1615 10609 334337 Karen Wies MD 162481 236174 1962 10609 411226 Joseph M Conflitti 963439 560714 2955 10609 1537717 John Hart 145745 32171 14769 192685 John H Keller Jr MD 170166 76305 6326 9934 262731 Jerry Massey 358354 146850 29753 534957 Jean Latortue MD 192837 195781 812 10609 400039 James Blanton 144965 7248 23327 175540 Jack Endres 168425 15171 23034 206630 Jack Bowen 15400 160620 16174 192194 Ilanko Upendran MD 235000 13320 1581 249901 I P Reese 626326 1676 10609 638611 Gary M Hudson 151180 61168 24338 236686 Gary Gunder 139174 5125 19206 163505 Freddie Sanchez 294999 150500 165921 25517 636937 Elmer G Ellis 1054558 940573 38281 2033412 Eddie Howard 326476 298174 25956 650606 Doug Johnston DO 170088 77937 1308 10609 259942 Donald E Arego MD 292100 54844 3071 10609 360624 Dennis S Devinney 895912 970524 2300 10609 1879345 David Travis 167344 8288 25212 200844 David Mandel MD 189935 34464 1750 226149 Cody Anderson 650000 185854 2159 10609 848622 Byron Hale 492708 155679 33711 682098 Bryan Hyland MD 193925 105311 1370 10609 311215 Brody Clark 152467 8235 5059 165761 Becki Mangum 128378 3618 21254 153250 Anthony Davis MD 135625 181028 1333 10609 328595 Andrew Roberts MD 590000 1375 2270 10609 604254 Andrew Hoover MD 114576 12986 1726 9934 139222 AR Barrett DO 95925 66673 1372 10609 174579 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Schedule J, Part I, Line 1aCountry club dues are paid for business purpose. Any personal use is reimbursed by the employee. 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 485270 5831638 5831638 true false true true 450000 5700000 5700000 2010 false false true true false false false false true false false false false true false true true Regions Bank 11.7000 false false false false false false false false false false false 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 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 false false false false true false false false false true false false false false true false false false false true false false false false false false false false false false false false false false false false false false false false false false false false 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 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 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 15b 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 12c 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 11 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 6 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 2 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 III, Line 4d 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. 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 ETMC Regional Health Services Inc PO Box 6720 Tyler TX 75701 751925036 Health Services TX ETMCRHS C Corp 117944496 64009367 false false false false false false false false false true false false false false true true false false ETMC Regional Healthcare SystemETMCRHS p 6509138 FMV ETMC Regional Healthcare SystemETMCRHS o 53541957 FMV ETMC Regional Healthcare SystemETMCRHS j 15751855 FMV