2012-11-05T16:11:11-06:00 2011-12-31 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2011-01-01 751912147 UNITED REGIONAL HEALTH CARE SYSTEM % KERRI MCKELROY UNIT 9407648624 1600 ELEVENTH STREET WICHITA FALLS TX 76301 PHYLLIS COWLING 2012-11-15 true Amanda Maya 7134994600 2011 2016-02-24 21:20:13Z X PHYLLIS COWLING 1600 ELEVENTH STREET WICHITA FALLS TX 76301 409161708 false X WWW.URHCS.ORG X 1983 TX ORGANIZED AND OPERATED FOR THE PURPOSE OF DEVELOPING AND OPERATING AN INTEGRATED HEALTH CARE SYSTEM. 14 9 1978 312 0 0 2292694 3102067 281673415 307513809 1730536 9579769 187407 158214 285884052 320353859 8805187 11900000 0 0 111668169 104165255 0 0 0 134199162 147389279 254672518 263454534 31211534 56899325 432245520 469825499 144503145 135401745 287742375 334423754 X TO 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. false false 225529841 11900000 307513809 UNITED 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) 225529841 true true false false false false false false true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false true true false false false false false true true true false false true 183 0 true 1978 true false false false false false false false false false false X 14 9 true false false false false false true true true false false true true true true true true true true false X KERRI MCKELROY 9407648624 1600 ELEVENTH STREET WICHITA FALLS TX 76301 X DOUG KUNKLE 1.0 X X 0 0 0 LEO LANE 1.0 X X 0 0 0 BLAKE ANDREWS 1.0 X 0 0 0 LINDA BELTCHEV 1.0 X 0 0 0 LARRY COOK 1.0 X 0 0 0 MIKE ELYEA 1.0 X 0 0 0 HOWARD FARRELL 1.0 X 0 0 0 PAUL FOLEY 1.0 X 0 0 0 DON HAMLIN 1.0 X 0 0 0 CARLA NICHOLS 1.0 X 0 0 0 DR GARY OZIER 1.0 X 22000 0 0 DR ASHVINKUMAR PATEL 1.0 X 74449 0 0 DR KEVIN THOMAS 1.0 X 186044 0 0 DR YVONNE HEARN 1.0 X 18538 0 0 PHYLLIS COWLING 40.0 X X 636257 0 71798 ROBERT PERT 40.0 X 363922 0 36884 NANCY TOWNLEY 40.0 X 377196 0 34201 DR JOHN SCOTT HOYER 40.0 X 334253 0 37239 PAMELA BRADSHAW 40.0 X 243783 0 35304 STEPHANIE JO BROWN 40.0 X 206351 0 18649 RICHARD CARPENTER 40.0 X 208285 0 36283 JERRY MARSHALL 40.0 X 152772 0 26938 DWAYNE MCKEE 40.0 X 145081 27920 MOHAMMAD RAMZAN 40.0 X 129665 0 24776 SHELLEY MOSER 40.0 X 127546 0 24380 CYNTHIA TAYLOR 40.0 X 126784 0 18853 3352926 0 393225 58 false true false COMPLETE RX LTD 3100 S GESSNER SUITE 640 HOUSTON TX 77063 PHARMACY MANAGEMENT 14989267 ARAMARK SERVICES INC PO BOX 661009 CHARLOTTE NC 28625 DIETARY SERVICES 4063351 CLINICAL PARTNERS - WF PA 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ANESTHESIA SERVICES 3402476 COGENT HEALTHCARE PO BOX 645037 CINCINNATI OH 45264 HOSPITALIST SERVICES 3127699 TITANIUM EMERGENCY GROUP LLP C/O PSR PO BOX 742528 DALLAS TX 75374 ER PHYSICIAN SVCS 1681242 38 3102067 0 0 3102067 PATIENT SERVICE REVENUE 621110 306925985 306925985 SUPPORTING REVENUE 900099 587824 587824 307513809 2380326 2380326 0 0 158214 158214 158214 158214 95949297 57995 88807849 7141448 57995 7199443 7199443 0 0 0 0 320353859 307513809 9737983 11900000 11900000 0 0 0 3188081 1594041 1594040 109183 109183 86689958 65719604 20970354 2690262 2047819 642443 5106019 3866980 1239039 6381752 4786314 1595438 0 401236 401236 0 0 0 698931 698931 29072004 21804003 7268001 934360 700770 233590 4161518 3492193 669325 1237684 928263 309421 0 3937171 2952878 984293 508987 381740 127247 0 268003 268003 4783690 4783690 0 21233338 21233338 0 BAD DEBT EXPENSE 25658778 25658778 MEDICAL SUPPLIES 50538655 50538655 EQUIPMENT RENTAL & MAINT 2256679 1692509 564170 FOOD SERVICE EXPENSE 664024 498018 166006 1034221 841065 193156 263454534 225529841 37924693 0 0 4799 52394796 67733670 0 0 10226096 21592447 0 0 0 0 0 0 6897272 5815933 2481762 2053435 376978229 209310741 170232791 167667488 169965527 178626726 0 0 0 0 0 0 20047276 26331001 432245520 469825499 34890957 17688585 0 0 0 0 94722844 93740740 0 0 0 0 0 0 0 0 14889344 23972420 144503145 135401745 X 287742375 334423754 0 0 0 0 287742375 334423754 432245520 469825499 X 56899325 -10217946 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1363593 216940 1580533 1293792 69801 1363593 1188415 105377 1293792 0.79420 0.20580 false true true 14849509 14849509 175424915 72755649 102669266 182729773 135720980 47008793 3974032 834112 3139920 167667488 DUE FROM AFFILIATE 25316656 DUE FROM PHYSICIANS 88989 INTEREST RECEIVABLE 420740 UNAMORTIZED BOND COST 504616 26331001 0 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 12862370 SELF-INSURANCE LIABILITY 11110050 23972420 320353859 263454534 56899325 -10217751 -10217751 46681574 283551442 -10217751 -10217751 293769193 698931 25885735 26584666 320353859 236869868 236869868 698931 25885735 26584666 263454534 RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO FORM 990 SCHEDULE D, PART XII, LINE 4B REVENUE 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 990 SCHEDULE D, PART XIII, LINE 4B EXPENSES 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 FUNDS SCHEDULE D, PART V, LINE 4 THE 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. true true X true X 175. true X true true true false true true 29325156 9096184 20228972 0.08510 26638752 38647565 836244 620789 215455 0.00090 56800152 48364538 20444427 0.08600 650448 690619 16289723 8201072 8088651 0.03400 12015849 12015849 0.05050 28956020 8891691 20104500 0.08450 85756172 57256229 40548927 0.17050 false 6264107 626411 88611134 90272825 -1661691 X true true 1 1 UNITED REGIONAL HEALTH CARE SYSTEM

1600 ELEVENTH STREET WICHITA FALLS TX 76301

X X X X UNITED REGIONAL HEALTH CARE SYSTEM 1 true true 175. true 400. true X X X X X true true X X X X X true false X true X false false 2 WICHITA FALLS ENDOSCOPY CENTER

1500 TENTH STREET WICHITA FALLS TX 76301

AMBULATORY SURGERY CENTER TEXOMA CANCER CENTER

5400 KELL WEST BLVD WICHITA FALLS TX 76301

CANCER TREATMENT CENTER 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 CARE PART V, SECTION B, LINE 19 INDIVIDUALS 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, 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 REPORT 990 SCHEDULE H, PART VI TX, true MIDWESTERN STATE UNIVERSITY 3410 TAFT BOULEVARD WICHITA FALLS TX 76308 756001738 GOVERNMENTAL 100000 CONTRIBUTION SERVICE ORGANIZATION OF NORTH TEXAS 2950 50TH STREET LUBBOCK TX 76413 800368789 501(C)(3) 11800000 CONTRIBUTION 2 PROCESS TO MONITOR USE OF GRANT FUNDS IN U.S. SCHEDULE I, PART I, LINE 2 UNITED 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. X true true X X X false true false false false true true false false DR KEVIN THOMAS 186044 0 0 0 0 0 0 0 0 0 186044 0 0 0 PHYLLIS COWLING 456437 0 129160 0 50660 0 61000 0 10798 0 708055 0 0 0 ROBERT PERT 261304 0 71862 0 30756 0 11443 0 25441 0 400806 0 0 0 NANCY TOWNLEY 278373 0 77978 0 20845 0 10372 0 23829 0 411397 0 0 0 DR JOHN SCOTT HOYER 271099 0 45122 0 18032 0 10639 0 26600 0 371492 0 0 0 PAMELA BRADSHAW 188293 0 32826 0 22664 0 10079 0 25225 0 279087 0 0 0 STEPHANIE JO BROWN 160823 0 24339 0 21189 0 6629 0 12020 0 225000 0 0 0 RICHARD CARPENTER 163634 0 26781 0 17870 0 10331 0 25952 0 244568 0 0 0 JERRY MARSHALL 137416 0 6371 0 8985 0 7580 0 19358 0 179710 0 0 0 DWAYNE MCKEE 134846 2996 7239 7748 20172 173001 MOHAMMAD RAMZAN 122298 0 2638 0 4729 0 6958 0 17818 0 154441 0 0 0 SHELLEY MOSER 122380 0 922 0 4244 0 5238 0 19142 0 151926 0 0 0 BENEFITS PROVIDED BY THE ORGANIZATION SCHEDULE J, PART I, LINE 1A DUES 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 PLAN SCHEDULE J, PART I, LINE 4B URHCS 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 EARNINGS SCHEDULE J, PART I, LINES 6A & 6B A 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. NORTH TEXAS HEALTHCARE FACILITIES DEVELOPMENT 900049824 662823BS1 2003-08-13 34519436 EXPAND CARDIOLOGY SERVICES AND OTH false false false NORTH TEXAS HEALTHCARE FACILITIES DEVELOPMENT 900049824 662823CG6 2007-07-12 93891074 CONSTRUCTION OF BRIDWELL TOWER, CO false false false 0 0 34519436 3477883 0 0 476750 0 0 30564803 0 0 2006 false false true true 0 0 93891074 4384937 0 26749095 2757042 0 0 60000000 0 0 2010 false true true true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false false 0 false 0 false false false false false 0 false 0 false false BRANDON TOWNLEY SON OF OFFICER 77039 SALARIES/WAGES false LEO LANE DIRECTOR 339991 PROFESSIONAL FEES false LESLIE THOMAS IN-LAW OF DIRECTOR 17919 SALARIES/WAGES false SHELBY BRADSHAW DAUGHTER OF VP OF NURSING 14225 SALARIES/WAGES false ASHWINKUMAR PATEL MD DIRECTOR 607401 PROFESSIONAL FEES false ADDITIONAL INFORMATION ON TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV DR 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. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAINS & LOSSES $ 10,217,751 OTHER CHANGES IN NET ASSETS 195 ------------ $ 10,217,946 DIFFERENCES IN VOTING RIGHTS FOR THE GOVERNING BODY FORM 990, PART VI, LINE 1A THE 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 EMPLOYEES FORM 990, PART VI, LINE 2 CARLA 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 APPROVAL FORM 990, PART VI, LINE 7B THE JOINT CITY-COUNTY BOARD HAS APPROVAL REGARDING BOND FINANCING AND APPROVAL OF THE BUDGET. PROCESS USED TO REVIEW THE FORM 990 FORM 990, PART VI, LINE 11B THE 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 POLICY FORM 990, PART VI, LINE 12C ALL 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 EMPLOYEES FORM 990, PART VI, LINES 15A & 15B THE 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 PUBLIC FORM 990, PART VI, LINE 19 AN 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 ORGANIZATION FORM 990 PART VII NAME:DR YVONNE HEARN TITLE:EX-OFFICIO DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PHYLLIS COWLING TITLE:PRESIDENT/CEO HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT PERT TITLE:CFO HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NANCY TOWNLEY TITLE:COO HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DR JOHN SCOTT HOYER TITLE:CMO HOURS:2 UNITED REGIONAL HEALTH CARE FOUNDATION 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752761467 SUPPORT TX 501(C)(3) 11A URHCS true RATHGEBER HOSPITALITY HOUSE 1615 TWELFTH STREET WICHITA FALLS TX 76301 752811394 LODGING TX 501(C)(3) 7 URHCS true UNITED REGIONAL PHYSICIAN GROUP 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752925491 HEALTH CARE TX 501(C)(3) 9 URHCS true UNITED REGIONAL HEALTH CARE SYSTEM AUXIL 1600 ELEVENTH STREET WICHITA FALLS TX 76301 756004656 BENEVOL SVCS TX 501(C)(3) 11A URHCS true CITY OF WICHITA FALLS-WC HOSPITAL BOARD 1300 SEVENTH STREET WICHITA FALLS TX 76301 756002771 OVERSIGHT TX GOVERNMENT N/A NA false UNITED REGIONAL PROFESSIONAL SERVICES 1600 EIGHTH STREET WICHITA FALLS TX 76301 752549298 MGMT SERVICES TX NA C-CORPORATION -3023 3416340 1.00000 TEXOMA INSURANCE AGENCY 1600 EIGHTH STREET WICHITA FALLS TX 76301 422683761 INSURANCE TX NA C-CORPORATION -4075 123707 1.00000 true true true false false false false false false false false true true false false true false false UNITED REGIONAL HEALTH CARE FOUNDATION B 608011 BOOK VALUE UNITED REGIONAL HEALTH CARE FOUNDATION C 2644078 BOOK VALUE UNITED REGIONAL PHYSICIAN GROUP P 3819742 BOOK VALUE UNITED REGIONAL PHYSICIAN GROUP A 43176 BOOK VALUE