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UNITED REGIONAL HEALTH CARE SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNITED REGIONAL HEALTH CARE SYSTEM INC (EIN 75-1912147)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-05
IRS object ID
201233109349301098
Schema version
2011v1.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-05T16:11:11-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN751912147EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNITED REGIONAL HEALTH CARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% KERRI MCKELROYInCareOfName
Name ControlUNITNameControl
Phone9407648624Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1
CityWICHITA FALLSCity
StateTXState
ZIP Code76301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePHYLLIS COWLINGName
TitleCEOTitle
Date Signed2012-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmanda MayaName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonPHYLLIS COWLINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1
CityWICHITA FALLSCity
StateTXState
ZIP Code76301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts409161708GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.URHCS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionORGANIZED AND OPERATED FOR THE PURPOSE OF DEVELOPING AND OPERATING AN INTEGRATED HEALTH CARE SYSTEM.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1978TotalNbrEmployees
Total Nbr Volunteers312TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2292694ContributionsGrantsPriorYear
Contributions Grants Current Year3102067ContributionsGrantsCurrentYear
Program Service Revenue Prior Year281673415ProgramServiceRevenuePriorYear
Program Service Revenue CY307513809ProgramServiceRevenueCY
Investment Income Prior Year1730536InvestmentIncomePriorYear
Investment Income Current Year9579769InvestmentIncomeCurrentYear
Other Revenue Prior Year187407OtherRevenuePriorYear
Other Revenue Current Year158214OtherRevenueCurrentYear
Total Revenue Prior Year285884052TotalRevenuePriorYear
Total Revenue Current Year320353859TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8805187GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY11900000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year111668169SalariesEtcPriorYear
Salaries Etc Current Year104165255SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year134199162OtherExpensePriorYear
Other Expenses Current Year147389279OtherExpensesCurrentYear
Total Expenses Prior Year254672518TotalExpensesPriorYear
Total Expenses Current Year263454534TotalExpensesCurrentYear
Revenues Less Expenses Prior Year31211534RevenuesLessExpensesPriorYear
Revenues Less Expenses CY56899325RevenuesLessExpensesCY
Total Assets BOY432245520TotalAssetsBOY
Total Assets EOY469825499TotalAssetsEOY
Total Liabilities BOY144503145TotalLiabilitiesBOY
Total Liabilities EOY135401745TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY287742375NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY334423754NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO OPERATE NONPROFIT HOSPITALS OR HOSPITAL FACILITIES, CLINICS, AND RELATED MEDICAL AND SURGICAL SERVICES BY PROVIDING SUCH SERVICES TO PERSONS THAT DO HAVE THE ABILITY TO PAY, AND TO THEREBY PROVIDE CHARITABLE MEDICAL, SURGICAL, AND HOSPITAL CARE FOR SICK, INJURED, AFFLICTED, INFIRM, DISABLED , OR DESTITUTE PERSONS THAT DO NOT HAVE THE ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense225529841Expense
Grants11900000Grants
Revenue307513809Revenue
DescriptionUNITED REGIONAL HEALTH CARE SYSTEM, A 325-BED HOSPITAL, PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF HEALTH CARE SERVICES. IN ADDITION TO INPATIENT BEDS, THERE ARE 14 NEWBORN BASSINETTES AND 31 ER BEDS. IN 2011, INPATIENTS RECEIVED 60,264 PATIENT DAYS OF CARE AND 133,250 OUTPATIENT AND EMERGENCY OCCURRENCES OF SERVICE. ADDITIONAL PROGRAMS WHICH BENEFIT THE COMMUNITY INCLUDE: RESIDENCY/HEALTH PROFESSIONS TRAINING: AT ANY ONE TIME, THERE MAY BE UP TO 24 RESIDENTS IN TRAINING AT UNITED REGIONAL HEALTH CARE SYSTEM. THEY ARE PART OF THE UNITED REGIONAL HEALTH CARE SYSTEM PROGRAM IN PARTNERSHIP WITH THE WICHITA FALLS FAMILY PRACTICE RESIDENCY PROGRAM (THROUGH AN AFFILIATION WITH THE SOUTHWESTERN SCHOOL OF MEDICINE). STUDENTS IN NURSING, PHARMACY, LABORATORY TECHNOLOGY, RADIOLOGY, RESPIRATORY THERAPY AND OTHER ASSOCIATED HEALTH SCIENCES PROFESSIONS ALSO STUDY HERE. PREVENTIVE CARE A PRIORITY: UNITED REGIONAL HEALTH CARE SYSTEM HAS TAKEN STEPS TO ENHANCE PREVENTIVE CARE FOR PEOPLE OF ALL AGES THROUGH THE DEVELOPMENT OF LOW COST SCREENING PROGRAMS, VACCINATION CLINICS AS WELL AS OTHER OUTREACH EDUCATION SERVICES. THESE SERVICES ARE PROVIDED THROUGH THE UNITED REGIONAL REFERENCE LAB BOTH FEE-FOR-SERVICE SCREENINGS AND FREE SCREENINGS AT COMMUNITY HEALTH FAIRS (CHOLESTEROL, PSA, TRIGLYCERIDES, ETC.). DESIGNATED TRAUMA CENTER: UNITED REGIONAL HEALTH CARE SYSTEM IS DESIGNATED LEVEL 3 TRAUMA CENTER FOR THE REGION. IN 2011, 646 PATIENTS WERE SEEN AT UNITED REGIONAL CARE SYSTEM AND RECORDED IN OUR TRAUMA REGISTRY. UNITED REGIONAL HEALTH CARE SYSTEM'S EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY/7 DAYS A WEEK MEETING THE NEEDS OF THE COMMUNITY WITH AN AVERAGE OF 211 VISITS PER DAY. COMMUNITY CONNECTIONS: UNITED REGIONAL HEALTH CARE SYSTEM REACHES OUT TO PEOPLE AND COMMUNITIES THROUGHOUT ITS PRIMARY SERVICE AREA OF WICHITA COUNTY AND ITS SECONDARY SERVICE AREA OF 8 SURROUNDING COUNTIES CONSISTING OF ARCHER, BAYLOR, CLAY, HARDEMAN, JACK, MONTAGUE, WILBARGER AND YOUNG COUNTIES. THROUGH COOPERATIVE AGREEMENTS WITH LOCAL GOVERNMENTS AND HOSPITALS, UNITED REGIONAL PROVIDES FUNDING FOR A NUMBER OF HEALTHCARE SERVICES. COMMUNITY EDUCATION: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES THE FOLLOWING TYPES OF COMMUNITY EDUCATION: COMMUNITY EDUCATION SEMINARS WITH PRESENTATIONS BY PHYSICIANS ON HEALTH ISSUES AND TREATMENT OPTIONS; HEALTHY YOU NEWSLETTER, SENT TO APPROXIMATELY 50,000 HOUSEHOLDS, PROVIDING HEALTH PROMOTION AND DISEASE PREVENTION INFORMATION, AS WELL AS HOSPITAL SERVICES; 55-ADVANTAGE SENIOR PROGRAM, PROVIDING SPEAKERS ON A VARIETY OF HEALTH-RELATED TOPICS; AND PARTICIPATION IN A VARIOUS OF COMMUNITY HEALTH FAIRS AND EVENTS PROMOTING GENERAL HEALTH AND PROVIDING HEALTH SCREENINGS. CHARITY CARE: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES MEDICAL CARE TO MEMBERS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE AT COST IN THE AMOUNT OF $17,078,253 (FORM 990 SCHEDULE H COST) WAS PROVIDED IN THE CURRENT YEAR AND UNREIMBURSED COST OF PROVIDING MEANS TESTED PUBLIC HEALTH CARE PROGRAMS OF $6,520,121. COMMUNITY BENEFITS: CLIENT ESTIMATES THE COST OF THE PROVISION OF ADDITIONAL COMMUNITY BENEFITS TO BE $7,095,388 INCLUDING: UNREIMBURSED COST OF EMERGENCY AND TRAUMA CARE $ 2,997,339 UNREIMBURSED COST OF FREE STANDING CLINICS $ 4,036,412 DONATIONS MADE BY THE HOSPITAL TO AREA CHARITABLE ORGANIZATIONS $ 8,296,637 TOTAL COSTS OF ADDITIONAL COMMUNITY BENEFITS $15,330,388 SOURCE: 2010 ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (STATE OF TEXAS MANDATORY REPORT)Description
Total Program Service Expense225529841TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096183NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1978NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKERRI MCKELROYNamePerson
Telephone Number9407648624TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1
CityWICHITA FALLSCity
StateTXState
ZIP Code76301ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DOUG KUNKLE
CHAIR1.0XX000
LEO LANE
PAST CHAIR1.0XX000
BLAKE ANDREWS
DIRECTOR1.0X000
LINDA BELTCHEV
DIRECTOR1.0X000
LARRY COOK
DIRECTOR1.0X000
MIKE ELYEA
DIRECTOR1.0X000
HOWARD FARRELL
DIRECTOR1.0X000
PAUL FOLEY
DIRECTOR1.0X000
DON HAMLIN
DIRECTOR1.0X000
CARLA NICHOLS
DIRECTOR1.0X000
DR GARY OZIER
DIRECTOR1.0X2200000
DR ASHVINKUMAR PATEL
DIRECTOR1.0X7444900
DR KEVIN THOMAS
DIRECTOR1.0X18604400
DR YVONNE HEARN
EX-OFFICIO DIRECTOR1.0X1853800
PHYLLIS COWLING
PRESIDENT/CEO40.0XX636257071798
ROBERT PERT
CFO40.0X363922036884
NANCY TOWNLEY
COO40.0X377196034201
DR JOHN SCOTT HOYER
CMO40.0X334253037239
PAMELA BRADSHAW
VP NURSING40.0X243783035304
STEPHANIE JO BROWN
VP MARKETING40.0X206351018649
RICHARD CARPENTER
VP FACILITIES40.0X208285036283
JERRY MARSHALL
DIR - INFORMATION SERVICES40.0152772026938X
DWAYNE MCKEE
DIR - BUSINESS INTELLIGENCE40.014508127920X
MOHAMMAD RAMZAN
COORD - ELECTRO DIAGNOSIS40.0129665024776X
SHELLEY MOSER
SR DIR - QUALITY & SAFETY40.0127546024380X
CYNTHIA TAYLOR
COORD - PATIENT CARE40.0126784018853X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3352926TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation393225TotalOtherCompensation
Number Individuals GT100 K58NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COMPLETE RX LTD
3100 S GESSNER SUITE 640HOUSTONTX77063PHARMACY MANAGEMENT14989267
ARAMARK SERVICES INC
PO BOX 661009CHARLOTTENC28625DIETARY SERVICES4063351
CLINICAL PARTNERS - WF PA
7032 COLLECTION CENTER DRIVECHICAGOIL60693ANESTHESIA SERVICES3402476
COGENT HEALTHCARE
PO BOX 645037CINCINNATIOH45264HOSPITALIST SERVICES3127699
TITANIUM EMERGENCY GROUP LLP
C/O PSR PO BOX 742528DALLASTX75374ER PHYSICIAN SVCS1681242
FieldValueIRS element (for citing)
Number Of Contractors GT100 K38NumberOfContractorsGT100K
Related Organizations3102067RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions0AllOtherContributions
Total Contributions3102067TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE621110306925985306925985
SUPPORTING REVENUE900099587824587824
FieldValueIRS element (for citing)
Total Program Service Revenue307513809TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2380326TotalRevenueColumn
Exclusion$2,380,326ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real158214Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real158214Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column158214TotalRevenueColumn
Exclusion$158,214ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities95949297Securities
Other57995Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities88807849Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7141448Securities
Other57995Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7199443TotalRevenueColumn
Exclusion$7,199,443ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column320353859TotalRevenueColumn
Related Or Exempt Function Income307513809RelatedOrExemptFunctionIncome
Exclusion$9,737,983ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total11900000Total
Program Services11900000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3188081Total
Program Services1594041ProgramServices
Management And General1594040ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total109183Total
Program Services109183ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total86689958Total
Program Services65719604ProgramServices
Management And General20970354ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2690262Total
Program Services2047819ProgramServices
Management And General642443ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5106019Total
Program Services3866980ProgramServices
Management And General1239039ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6381752Total
Program Services4786314ProgramServices
Management And General1595438ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total401236Total
Management And General401236ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total698931Total
Management And General698931ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total29072004Total
Program Services21804003ProgramServices
Management And General7268001ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total934360Total
Program Services700770ProgramServices
Management And General233590ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4161518Total
Program Services3492193ProgramServices
Management And General669325ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1237684Total
Program Services928263ProgramServices
Management And General309421ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3937171Total
Program Services2952878ProgramServices
Management And General984293ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total508987Total
Program Services381740ProgramServices
Management And General127247ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total268003Total
Management And General268003ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4783690Total
Program Services4783690ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21233338Total
Program Services21233338ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE2565877825658778
MEDICAL SUPPLIES5053865550538655
EQUIPMENT RENTAL & MAINT22566791692509564170
FOOD SERVICE EXPENSE664024498018166006

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1034221Total
Program Services841065ProgramServices
Management And General193156ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total263454534Total
Program Services225529841ProgramServices
Management And General37924693ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY4799EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY52394796BOY
EOY67733670EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10226096BOY
EOY21592447EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6897272BOY
EOY5815933EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2481762BOY
EOY2053435EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis376978229LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec209310741LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY170232791BOY
EOY167667488EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY169965527BOY
EOY178626726EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY20047276BOY
EOY26331001EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY432245520BOY
EOY469825499EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY34890957BOY
EOY17688585EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY94722844BOY
EOY93740740EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14889344BOY
EOY23972420EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY144503145BOY
EOY135401745EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY287742375BOY
EOY334423754EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY287742375BOY
EOY334423754EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY432245520BOY
EOY469825499EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses56899325ReconcilationRevenueExpenses
Reconcilation Other Changes-10217946ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1363593BeginningOfYearBalance
Contributions216940Contributions
End Of Year Balance1580533EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1293792BeginningOfYearBalance
Contributions69801Contributions
End Of Year Balance1363593EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1188415BeginningOfYearBalance
Contributions105377Contributions
End Of Year Balance1293792EndOfYearBalance
FieldValueIRS element (for citing)
Current Year Minus3 YearsCurrentYearMinus3Years
Board Designated EOY Balance0.79420BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.20580PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis14849509OtherCostOrOtherBasis
Book Value14849509BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis175424915OtherCostOrOtherBasis
Depreciation72755649Depreciation
Book Value102669266BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis182729773OtherCostOrOtherBasis
Depreciation135720980Depreciation
Book Value47008793BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3974032OtherCostOrOtherBasis
Depreciation834112Depreciation
Book Value3139920BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings167667488TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATE25316656
DUE FROM PHYSICIANS88989
INTEREST RECEIVABLE420740
UNAMORTIZED BOND COST504616
FieldValueIRS element (for citing)
Total Book Value Other Assets26331001TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$12,862,370
SELF-INSURANCE LIABILITY$11,110,050
FieldValueIRS element (for citing)
Total Of Amounts23972420TotalOfAmounts
Total Revenue320353859TotalRevenue
Total Expenses263454534TotalExpenses
Excess Or Deficit For Year56899325ExcessOrDeficitForYear
Net Unrealized GL On Investments-10217751NetUnrealizedGLOnInvestments
Total Adjustments-10217751TotalAdjustments
Excess Or Deficit Per FS46681574ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt283551442TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-10217751NetUnrealizedGainsInvestments
Revenue Not Rptd F990-10217751RevenueNotRptdF990
Revenue Subtotal293769193RevenueSubtotal
Investment Expenses Not Included698931InvestmentExpensesNotIncluded
Other Revenues Not Included25885735OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt26584666RevenueNotRptdOnFinStmt
Total Revenue Per Form990320353859TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt236869868TotExpensesEtcAuditedFinclStmt
Expenses Subtotal236869868ExpensesSubtotal
Investment Expenses Not Included2698931InvestmentExpensesNotIncluded2
Other Expenses Not Included25885735OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt26584666ExpensesNotRptdOnFinStmt
Total Expenses Per Form990263454534TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO FORM 990SCHEDULE D, PART XII, LINE 4BREVENUE ON RETURN, NOT ON BOOKS: BAD DEBTS EXPENSE INCLUDED IN REVENUE ON AUDIT $ 25,658,778 PHYSICIAN INCOME INCLUDED IN EXPENSE ON AUDIT 83,498 CONTRIBUTION EXPENSE INCLUDED IN REVENUE ON AUDIT 142,887 CLASSIFICATION DIFFERENCES 572 ----------- $ 25,885,735
RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO FORM 990SCHEDULE D, PART XIII, LINE 4BEXPENSES ON RETURN, NOT ON BOOKS: BAD DEBTS EXPENSE INCLUDED IN REVENUE ON AUDIT $ 25,658,778 PHYSICIAN INCOME INCLUDED IN EXPENSE ON AUDIT 83,498 CONTRIBUTION EXPENSE INCLUDED IN REVENUE ON AUDIT 142,887 CLASSIFICATION DIFFERENCES 572 ----------- $ 25,885,735
INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS. FUNDS ARE USED TO ADVANCE AND PROMOTE THE HEALTH AND WELL-BEING OF PEOPLE AND ORGANIZATIONS IN THE COMMUNITY AND SURROUNDING AREAS.

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage175.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense29325156TotalCommunityBenefitExpense
Direct Offsetting Revenue9096184DirectOffsettingRevenue
Net Community Benefit Expense20228972NetCommunityBenefitExpense
Percent Of Total Expense0.08510PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense26638752TotalCommunityBenefitExpense
Direct Offsetting Revenue38647565DirectOffsettingRevenue

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense836244TotalCommunityBenefitExpense
Direct Offsetting Revenue620789DirectOffsettingRevenue
Net Community Benefit Expense215455NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense56800152TotalCommunityBenefitExpense
Direct Offsetting Revenue48364538DirectOffsettingRevenue
Net Community Benefit Expense20444427NetCommunityBenefitExpense
Percent Of Total Expense0.08600PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense650448TotalCommunityBenefitExpense
Direct Offsetting Revenue690619DirectOffsettingRevenue

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense16289723TotalCommunityBenefitExpense
Direct Offsetting Revenue8201072DirectOffsettingRevenue
Net Community Benefit Expense8088651NetCommunityBenefitExpense
Percent Of Total Expense0.03400PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense12015849TotalCommunityBenefitExpense
Net Community Benefit Expense12015849NetCommunityBenefitExpense
Percent Of Total Expense0.05050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense28956020TotalCommunityBenefitExpense
Direct Offsetting Revenue8891691DirectOffsettingRevenue
Net Community Benefit Expense20104500NetCommunityBenefitExpense
Percent Of Total Expense0.08450PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense85756172TotalCommunityBenefitExpense
Direct Offsetting Revenue57256229DirectOffsettingRevenue
Net Community Benefit Expense40548927NetCommunityBenefitExpense
Percent Of Total Expense0.17050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$6,264,107BadDebtExpenseAmount
Amount Attributable To626411AmountAttributableTo
Amount Reimbursed By Medicare88611134AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare90272825CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1661691MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNITED REGIONAL HEALTH CARE SYSTEMBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1
CityWICHITA FALLSCity
StateTXState
ZIP Code76301ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNITED REGIONAL HEALTH CARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent175.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
WICHITA FALLS ENDOSCOPY CENTER
1500 TENTH STREETWICHITA FALLSTX76301AMBULATORY SURGERY CENTER
TEXOMA CANCER CENTER
5400 KELL WEST BLVDWICHITA FALLSTX76301CANCER TREATMENT CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 6A:THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE OBTAINED BY REQUEST FROM UNITED REGIONAL ADMINISTRATION OFFICES OR COMMUNITY BENEFITS OFFICES. THE COMMUNITY BENEFIT REPORT IS ALSO ON FILE WITH THE HEALTH AND HUMAN SERVICES COMMISSION OF THE STATE OF TEXAS.
PART I, LINE 7:THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 WAS USED TO DETERMINE COST FOR LINES 7A, 7B AND 7C. ACTUAL COST PER GENERAL LEDGER WAS USED TO DETERMINE AMOUNTS ON LINE 7F, 7G AND 7I.
PART I, LINE 7G:COSTS OF $10,895,322 WERE INCLUDED IN SUBSIDIZED HEALTH SERVICES ON LINE 7G FOR COMMUNITY CLINICS.
PART I, LINE 7, COLUMN F:THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $25,658,778 REPORTED ON PART IX, LINE 25, HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
PART II, LINE 8:UNITED REGIONAL HEALTH CARE SYSTEM IS LOCATED IN A FEDERALLY DESIGNATED PHYSICIAN SHORTAGE AREA. THE AMOUNT INCLUDED ON PART II, LINE 8 FOR RECRUITMENT OF PHYSICIANS INCLUDES SIGN-ON BONUS AMOUNTS, STIPENDS, RELOCATION EXPENSES, AGENCY FEES, TRAVEL, INTERVIEW EXPENSES AND STAFF CONDUCTING THE INTERVIEWS.
PART III, LINE 4:THE ORGANIZATION'S BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE EXPENSE REPORTED ON THE FINANCIAL STATEMENTS AND APPLYING AN OVERALL COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS DETERMINED BY ESTIMATING THAT 10% OF THE BAD DEBT AT COST WOULD LIKELY BE CHARITY CARE. THIS IS THE APPROXIMATE PERCENTAGE OF PATIENTS NOT COMPLETING THE PAPER WORK TO APPLY FOR CHARITY CARE. BAD DEBT EXPENSE REPRESENTS GROSS CHARGES ADJUSTED FOR APPROPRIATE DISCOUNTS AND PAYMENTS ON ACCOUNTS. AUDITED FINANCIAL STATEMENT FOOTNOTE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, URHCS ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, URHCS ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, URHCS RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCES BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. URHCS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 92.00% SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, AND DECEMBER 31, 2010. URHCS' WRITE-OFFS INCREASED APPROXIMATELY $11,680,000 FROM APPROXIMATELY $18,054,000 FOR THE YEAR ENDED DECEMBER 31, 2010, TO APPROXIMATELY $29,734,000 FOR THE YEAR ENDED DECEMBER 31, 2011. THIS INCREASE WAS PRIMARILY DUE TO A GROWTH IN VOLUME FROM SELF-PAY PATIENTS IN FISCAL YEAR 2011. A LARGE PORTION OF THE INCREASE IN SELF-PAY PATIENTS WAS DUE TO A SIGNIFICANT INCREASE IN THE PATIENT RESPONSIBILITY PORTION OF COMMERCIALLY INSURED PATIENTS DUE TO INSURANCE PLAN DESIGN CHANGES OF MANY EMPLOYERS.
PART III, LINE 8:THE CURRENT TEXAS COMMUNITY BENEFIT STANDARD RECOGNIZES THAT MEDICARE DOES NOT PAY THE FULL COST OF SERVICES PROVIDED UNDER THE MEDICARE PROGRAM. COMMUNITY BENEFIT REPORTING FOR THE STATE INCLUDES ALL MEDICARE SHORTFALLS AS COMMUNITY BENEFIT. THE HOSPITAL BELIEVES THE SAME RATIONALE SHOULD APPLY FOR IRS PURPOSES. THE HOSPITAL USES MEDICARE COST REPORT METHODOLOGY TO DETERMINE MEDICARE ALLOWABLE COST, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.
PART III, LINE 9B:HOSPITAL PERSONNEL MAKE GOOD FAITH EFFORTS TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, GOVERNMENTAL PROGRAMS AND ASSISTANCE IN APPLYING. SECTION 6.6 OF THE CHARITY AND BAD DEBT POLICY STATES: "AS SOON AS SUFFICIENT INFORMATION IS AVAILABLE CONCERNING THE PATIENT'S FINANCIAL RESOURCES AND ELIGIBILITY FOR GOVERNMENTAL ASSISTANCE, A DETERMINATION WILL BE MADE CONCERNING THE PATIENT'S ELIGIBILITY FOR CHARITY. IN MOST CASES, THE DETERMINATION DECISION WILL BE MADE WITHIN 10 BUSINESS DAYS. A WRITTEN NOTICE WILL BE MAILED TO THE PATIENT INFORMING THEM OF THE DETERMINATION DECISION. NO COLLECTION EFFORTS WILL BE PURSUED ON A CHARITY ACCOUNT FOR THE ELIGIBLE AMOUNT AFTER SUCH DETERMINATION IS MADE."
FILING OF COMMUNITY BENEFIT REPORT:URHCS FILES AN ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (ASCBS) WITH THE STATE OF TEXAS. THE CALCULATION OF COMMUNITY BENEFIT FOR THE ASCBS DIFFERS FROM THE CALCULATIONS REQUIRED FOR THE IRS SCHEDULE H REPORTING. THEREFORE, THE INFORMATION REPORTED IN THE TWO REPORTS IS INCONSISTENT.
NEEDS ASSESSMENT:UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES EMERGENCY, TRAUMA, OUTPATIENT AND SHORT TERM GENERAL ACUTE CARE INPATIENT CARE IN THE WICHITA FALLS AREA. IN CONJUNCTION WITH OTHER INTERESTED ORGANIZATIONS, IT UNDERTAKES PROJECTS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. FOR EXAMPLE, URHCS COLLABORATES WITH OTHER COMMUNITY HEALTH ORGANIZATIONS TO CREATE A "HEALTHY WICHITA" REPORT WHICH IS UPDATED PERIODICALLY. THIS REPORT ASSESSES THE HEALTHCARE SERVICES PROVIDED IN THE COMMUNITY TO COMPARE THE OUTCOMES TO STATE AND FEDERAL OUTCOMES AND DETERMINE IF THE COMMUNITY HEALTH NEEDS ARE BEING MET.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:THE HOSPITAL INFORMS PATIENTS OF THE CHARITY CARE PROGRAM AND HOW TO APPLY FOR CHARITY CARE. THIS IS DONE BY POSTING NOTICES IN PATIENT REGISTRATION AREAS AND PROVIDING WRITTEN NOTICES TO PATIENTS. ALL PATIENT STATEMENTS HAVE AN ASSISTANCE APPLICATION ON THE REVERSE SIDE AND AN ALERT ON THE FRONT FOR THOSE ELIGIBLE OR INTERESTED IN APPLYING. THIS INCLUDES ALL STATEMENT NOTIFICATIONS AND NOT JUST PATIENT SHARE STATEMENTS. FURTHERMORE, IT IS THE POLICY OF URHCS TO ASSIST PATIENTS WITH INFORMATION AND RESOURCES FOR POTENTIALLY QUALIFYING FOR GOVERNMENTAL OR OTHER FINANCIAL ASSISTANCE PROGRAMS. THE BUSINESS OFFICE WILL REFER THOSE PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM A GOVERNMENTAL PROGRAM TO THE APPROPRIATE PROGRAM, SUCH AS MEDICAID, COUNTY INDIGENT, CRIME VICTIMS, OR OTHER PROGRAM, OR TO THE HOSPITAL'S CONTRACTED ELIGIBILITY VENDOR FOR SCREENING FOR GOVERNMENTAL PROGRAM COVERAGE.
COMMUNITY INFORMATION:URHCS PRIMARY SERVICE AREA IS MADE UP OF THE CBSA OF WICHITA, ARCHER AND CLAY COUNTIES. WICHITA COUNTY CONTAINS THE CITY OF WICHITA FALLS WHERE URHCS IS LOCATED. ACCORDING TO THE HUMAN RESOURCES AND SERVICES ADMINISTRATION, US DEPARTMENT OF HEALTH AND HUMAN SERVICES, WICHITA COUNTY HAS SEVERAL CENSUS TRACTS FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED, INCLUDING CENSUS TRACT 102 WHERE URHCS IS LOCATED. ARCHER AND CLAY COUNTIES HAVE BEEN DECLARED TO BE MEDICALLY UNDERSERVED COUNTIES. 2010 CENSUS DATA FOR WICHITA COUNTY IS AS FOLLOWS: MEDIAN HOUSEHOLD INCOME (2009): $ 41,862 PER CAPITA INCOME (2009): 22,529 UNDER AGE 18 CHILDREN BELOW POVERTY LEVEL: 20.9% MEDIAN EARNINGS OF FULL-TIME WORKERS, FEMALE: 21,885 PERSONS BELOW POVERTY LEVEL (2008): 15.4% URHCS SERVES A DISPORTIONATE SHARE OF LOW-INCOME PATIENTS AND QUALIFIES AS A DISPORTIONATE SHARE HOSPITAL FOR BOTH THE MEDICARE AND MEDICAID PROGRAMS.
PROMOTION OF COMMUNITY HEALTH:THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS THAT REPRESENTS THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. URHCS EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. UNITED REGIONAL OPERATES A LEVEL 3 TRAUMA UNIT FOR THE REGION. THE HOSPITAL CONTRACTS WITH A FAMILY RESIDENCY PROGRAM TO ASSIST IN TRAINING PRIMARY CARE PHYSICIANS AS WELL AS TRAINING COURSES FOR NURSING AND ALLIED HEALTH PROFESSIONALS FOR THE COMMUNITIES IT SERVES. THE HOSPITAL PARTICIPATES IN MEDICAID AND IS THE MANDATED COUNTY HEALTHCARE FACILITY. URHCS REINVESTS SURPLUS FUNDS IN THE FACILITIES TO ENSURE PATIENTS ARE PROVIDED WITH STATE OF THE ART MEDICAL CARE.
DETERMINATION FOR BILLING FOR EMERGENCY CAREINDIVIDUALS WHO DID NOT HAVE INSURANCE AND QUALIFY FOR FINANCIAL ASSISTANCE CAN HAVE UP TO 100% OF THE HOSPITAL SERVICE CHARGES REDUCED TO ZERO. INDIVIDUALS THAT PARTIALLY QUALIFY FOR ASSISTANCE WILL HAVE THEIR BILLS REDUCED LOWER THAN THE AGGREGATE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES.PART V, SECTION B, LINE 19
PART V, LINE 17E:NEITHER THE UNITED REGIONAL HEALTH CARE SYSTEM, NOR THIRD PARTIES AUTHORIZED BY URHCS, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.
STATE FILING OF COMMUNITY BENEFIT REPORTTX,990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MIDWESTERN STATE UNIVERSITY
3410 TAFT BOULEVARDWICHITA FALLSTX76308756001738GOVERNMENTAL100000CONTRIBUTION
SERVICE ORGANIZATION OF NORTH TEXAS
2950 50TH STREETLUBBOCKTX76413800368789501(C)(3)11800000CONTRIBUTION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCESS TO MONITOR USE OF GRANT FUNDS IN U.S.Identifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationUNITED REGIONAL HEALTH CARE SYSTEM PROVIDES GENERAL CONTRIBUTIONS TO THE COMMUNITY AND NATIONAL CHARITIES FOR THE FURTHERANCE OF THEIR MISSION. THE ORGANIZATIONS MAKE THEIR REQUESTS IN WRITING. THESE CONTRIBUTIONS ARE REVIEWED AND APPROVED BY APPROPRIATELY AUTHORIZED BOARD ACTION; OR OFFICERS; OR EMPLOYEES AS APPROPRIATE IN THE CIRCUMSTANCE IN EACH INSTANCE OF SUCH CONTRIBUTION BEING MADE. UNITED REGIONAL FOLLOWS UP WITH EACH ORGANIZATION TO MAKE SURE EACH CONTRIBUTION WAS USED FOR ITS INTENDED PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR KEVIN THOMAS
186044000000000186044000
PHYLLIS COWLING
45643701291600506600610000107980708055000
ROBERT PERT
2613040718620307560114430254410400806000
NANCY TOWNLEY
2783730779780208450103720238290411397000
DR JOHN SCOTT HOYER
2710990451220180320106390266000371492000
PAMELA BRADSHAW
1882930328260226640100790252250279087000
STEPHANIE JO BROWN
160823024339021189066290120200225000000
RICHARD CARPENTER
1636340267810178700103310259520244568000
JERRY MARSHALL
1374160637108985075800193580179710000
DWAYNE MCKEE
13484629967239774820172173001
MOHAMMAD RAMZAN
1222980263804729069580178180154441000
SHELLEY MOSER
122380092204244052380191420151926000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BENEFITS PROVIDED BY THE ORGANIZATIONSCHEDULE J, PART I, LINE 1ADUES FOR THE WICHITA FALLS COUNTRY CLUB ARE PAID FOR THE FOLLOWING STAFF MEMBERS IN ORDER FOR THE HOSPITAL TO HAVE USE OF THE FACILITIES FOR BUSINESS USE SINCE MEMBERSHIPS CANNOT BE HELD IN A COMPANY NAME. THE DUES ARE $426.51 PER MONTH, OR $5,118.12 PER YEAR. ANY PERSONAL CHARGES INCURRED ARE REQUIRED TO BE PAID BY THE EMPLOYEE: PHYLLIS COWLING RICHARD CARPENTER ROBERT PERT
PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BURHCS OFFERS A DEFERRED COMPENSATION PLAN. CERTAIN MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES MAY ELECT TO PARTICIPATE, IF ELIGIBLE, IN A DEFERRED COMPENSATION PLAN WHICH IS IN COMPLIANCE WITH THE IRC SECTION 457(F), ELIGIBLE DEFERRED COMPENSATION PLAN SPONSORED BY A TAX EXEMPT ORGANIZATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE 2011 TAX YEAR: NAME AMOUNT ------------------------------------- PHYLLIS COWLING $ 16,500 ROBERT PERT 11,000 NANCY TOWNLEY 11,000 DR JOHN SCOTT HOYER 11,000 PAMELA BRADSHAW 9,000 STEPHANIE JO BROWN 8,000 RICHARD CARPENTER 8,000 UNITED REGIONAL HEALTH CARE SYSTEM ALSO OFFERS A NON-QUALIFIED RETIREMENT PLAN. THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE PLAN: NAME AMOUNT ------------------------------------ PHYLLIS COWLING $ 46,300
COMPENSATION CONTINGENT ON THE ORGANIZATION'S NET EARNINGSSCHEDULE J, PART I, LINES 6A & 6BA RANGE BETWEEN 20% AND 25% OF ANNUAL BONUS IS BASED ON CONSOLIDATED NET OPERATING INCOME. OTHER BONUS CRITERIA INVOLVE QUALITY SCORES, SERVICE SCORES AND INDIVIDUAL GOALS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NORTH TEXAS HEALTHCARE FACILITIES DEVELOPMENT
900049824662823BS12003-08-1334519436EXPAND CARDIOLOGY SERVICES AND OTHfalsefalsefalse
NORTH TEXAS HEALTHCARE FACILITIES DEVELOPMENT
900049824662823CG62007-07-1293891074CONSTRUCTION OF BRIDWELL TOWER, COfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00345194363477883004767500030564803002006falsefalsetruetrue
0093891074438493702674909527570420060000000002010falsetruetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsefalsefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BRANDON TOWNLEY
SON OF OFFICER77039SALARIES/WAGESfalse
LEO LANE
DIRECTOR339991PROFESSIONAL FEESfalse
LESLIE THOMAS
IN-LAW OF DIRECTOR17919SALARIES/WAGESfalse
SHELBY BRADSHAW
DAUGHTER OF VP OF NURSING14225SALARIES/WAGESfalse
ASHWINKUMAR PATEL MD
DIRECTOR607401PROFESSIONAL FEESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATION ON TRANSACTIONS WITH INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationDR PATEL IS AN OWNER OF WICHITA FALLS DIALYSIS, THE COMPANY USED TO PROVIDE DIALYSIS TREATMENTS TO INPATIENTS OF THE HOSPITAL. LEO LANE IS A VICE PRESIDENT WITH JAMES LANE PLUMBING, A COMPANY WHO PROVIDED SERVICES TO THE HOSPITAL.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5UNREALIZED GAINS & LOSSES $ 10,217,751 OTHER CHANGES IN NET ASSETS 195 ------------ $ 10,217,946
DIFFERENCES IN VOTING RIGHTS FOR THE GOVERNING BODYFORM 990, PART VI, LINE 1ATHE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIR, SECRETARY, TREASURER, PAST CHAIR, AND PRESIDENT/CHIEF EXECUTIVE OFFICER, FIVE MEMBERS WHO ARE DIRECTORS, AND ONE ADDITIONAL DIRECTOR. THE EXECUTIVE COMMITTEE HAS AUTHORITY TO TRANSACT ALL BUSINESS OF THE BOARD IN THE MANAGEMENT OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO LIMITATIONS SET FORTH IN THE BYLAWS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARD. THE EXECUTIVE COMMITTEE COORDINATES RECOMMENDATIONS FROM OTHER COMMITTEES OF THE BOARD, MAKE RECOMMENDATIONS TO THE BOARD ON ALL MATTERS OF POLICY, AND KEEPS THE BOARD ADVISED AT ALL TIMES CONCERNING THE STATE OF AFFAIRS OF THE CORPORATION. THE EXECUTIVE COMMITTEE ACTS IN ALL PERSONNEL MATTERS INVOLVING EXECUTIVE AND MEDICAL STAFF PERSONNEL, INCLUDING SEARCH, SELECTION, EMPLOYMENT, COMPENSATION, MANAGEMENT PERFORMANCE REVIEW, CONTRACTS, AND BENEFITS, AND MAY APPOINT AN AD HOC COMMITTEE TO MAKE RECOMMENDATIONS TO IT IN ANY PARTICULAR SITUATION.
RELATIONSHIPS AMONG OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEESFORM 990, PART VI, LINE 2CARLA NICHOLS (DIRECTOR) HAS A BUSINESS RELATIONSHIP WITH MIKE ELYEA (DIRECTOR). LARRY COOK (DIRECTOR) HAS BUSINESS RELATIONSHIPS WITH MIKE ELYEA, LEO LANE, CAROL GUNN, AND BARBARA HANSON (DIRECTORS). MIKE ELYEA HAS BUSINESS RELATIONSHIPS WITH LEO LANE AND BLAKE ANDREWS (ALL DIRECTORS).
DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVALFORM 990, PART VI, LINE 7BTHE JOINT CITY-COUNTY BOARD HAS APPROVAL REGARDING BOND FINANCING AND APPROVAL OF THE BUDGET.
PROCESS USED TO REVIEW THE FORM 990FORM 990, PART VI, LINE 11BTHE EXECUTIVE COMMITTEE CHARTER, AS APPROVED BY THE UNITED REGIONAL HEALTH CARE SYSTEM BOARD, DELEGATES THE REVIEW OF 990S TO THE EXECUTIVE COMMITTEE. ALL MEMBERS OF THE COMMITTEE ARE PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. THE 990 IS REVIEWED BY MANAGEMENT OFFICIALS OF THE HOSPITAL AND THE EXECUTIVE COMMITTEE OF THE BOARD.
MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICYFORM 990, PART VI, LINE 12CALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE FORMS ARE REVIEWED INITIALLY BY THE CHIEF COMPLIANCE OFFICER AND THE CEO FOR POTENTIAL CONFLICTS. ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS.
PROCESS USED TO DETERMINE COMPENSATION OF MANAGEMENT AND KEY EMPLOYEESFORM 990, PART VI, LINES 15A & 15BTHE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL REVIEW FOR THE CEO AND MAKES FINAL RECOMMENDATIONS REGARDING COMPENSATION. AN ANNUAL REVIEW IS PERFORMED BY THE CEO FOR ALL OTHER OFFICERS OF THE ORGANIZATION. THE EXECUTIVE COMMITTEE REVIEWS THE ANNUAL COMPENSATION OF ALL OFFICERS. A COMPENSATION CONSULTANT PROVIDES MARKET COMPARISONS ON AN EVERY OTHER YEAR BASIS. THIS WAS COMPLETED IN 2009 AND 2011.
GOVERNING DOCUMENTS OF THE ORGANIZATION AVAILABLE TO THE PUBLICFORM 990, PART VI, LINE 19AN AD IS RUN IN THE LOCAL PAPER ON AN ANNUAL BASIS INFORMING THE COMMUNITY THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE OTHER DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DR YVONNE HEARN TITLE:EX-OFFICIO DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PHYLLIS COWLING TITLE:PRESIDENT/CEO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT PERT TITLE:CFO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NANCY TOWNLEY TITLE:COO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DR JOHN SCOTT HOYER TITLE:CMO HOURS:2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 ELEVENTH STREETWICHITA FALLSTX76301752761467SUPPORTTX501(C)(3)11AURHCStrue
RATHGEBER HOSPITALITY HOUSE
1615 TWELFTH STREETWICHITA FALLSTX76301752811394LODGINGTX501(C)(3)7URHCStrue
UNITED REGIONAL PHYSICIAN GROUP
1600 ELEVENTH STREETWICHITA FALLSTX76301752925491HEALTH CARETX501(C)(3)9URHCStrue
UNITED REGIONAL HEALTH CARE SYSTEM AUXIL
1600 ELEVENTH STREETWICHITA FALLSTX76301756004656BENEVOL SVCSTX501(C)(3)11AURHCStrue
CITY OF WICHITA FALLS-WC HOSPITAL BOARD
1300 SEVENTH STREETWICHITA FALLSTX76301756002771OVERSIGHTTXGOVERNMENTN/ANAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
UNITED REGIONAL PROFESSIONAL SERVICES
1600 EIGHTH STREETWICHITA FALLSTX76301752549298MGMT SERVICESTXNAC-CORPORATION-302334163401.00000
TEXOMA INSURANCE AGENCY
1600 EIGHTH STREETWICHITA FALLSTX76301422683761INSURANCETXNAC-CORPORATION-40751237071.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UNITED REGIONAL HEALTH CARE FOUNDATION
B608011BOOK VALUE
UNITED REGIONAL HEALTH CARE FOUNDATION
C2644078BOOK VALUE
UNITED REGIONAL PHYSICIAN GROUP
P3819742BOOK VALUE
UNITED REGIONAL PHYSICIAN GROUP
A43176BOOK VALUE