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UNITED REGIONAL HEALTH CARE SYSTEM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
UNITED REGIONAL HEALTH CARE SYSTEM INC (EIN 75-1912147)
Tax period
2010-01-01 to 2010-12-31
Filed
2012-06-15
IRS object ID
201241679349300219
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-06-15T11:04:03-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1800 NICOLLET MALL STE 1300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554027033ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN751912147EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNITED REGIONAL HEALTH CARE SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNITNameControl
Phone9407648253Phone

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
Phone9407648253Phone
Date Signed2012-06-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIM HUNWARDSEN CPAName
Phone6122536500Phone
Date Prepared2012-06-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
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 Receipts285884052GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
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 TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES OF GREATER WICHITA FALLS, TEXAS AND NORTHERN TEXAS. OPERATES ONE HOSPITAL ON TWO CAMPUSES IN WICHITA FALLS, TEXAS.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees2001TotalNbrEmployees
Total Nbr Volunteers373TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6536745ContributionsGrantsPriorYear
Contributions Grants Current Year2292694ContributionsGrantsCurrentYear
Program Service Revenue Prior Year265315282ProgramServiceRevenuePriorYear
Program Service Revenue CY281673415ProgramServiceRevenueCY
Investment Income Prior Year1537869InvestmentIncomePriorYear
Investment Income Current Year1730536InvestmentIncomeCurrentYear
Other Revenue Prior Year101068OtherRevenuePriorYear
Other Revenue Current Year187407OtherRevenueCurrentYear
Total Revenue Prior Year273490964TotalRevenuePriorYear
Total Revenue Current Year285884052TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8805187GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year101387308SalariesEtcPriorYear
Salaries Etc Current Year111668169SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year142265808OtherExpensePriorYear
Other Expenses Current Year134199162OtherExpensesCurrentYear
Total Expenses Prior Year243653116TotalExpensesPriorYear
Total Expenses Current Year254672518TotalExpensesCurrentYear
Revenues Less Expenses Prior Year29837848RevenuesLessExpensesPriorYear
Revenues Less Expenses CY31211534RevenuesLessExpensesCY
Total Assets BOY406963512TotalAssetsBOY
Total Assets EOY432245520TotalAssetsEOY
Total Liabilities BOY160297937TotalLiabilitiesBOY
Total Liabilities EOY144503145TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY246665575NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY287742375NetAssetsOrFundBalancesEOY
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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense226942882Expense
Grants8805187Grants
Revenue281673415Revenue
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 20 NEWBORN BASSINETTES AND 31 ER BEDS. IN 2010, INPATIENTS RECEIVED 62,879 PATIENT DAYS OF CARE AND 124,096 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 A DESIGNATED LEVEL 3 TRAUMA CENTER FOR THE REGION. IN 2010, 642 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 192 VISITS PER DAY.COMMUNITY CONNECTIONS: UNITED REGIONAL HEALTH CARE SYSTEM REACHES OUT TO PEOPLE AND COMMUNITIES THROUGHOUT ITS PRIMARY SERVICE AREA IN NORTH CENTRAL TEXAS AND SOUTHERN OKLAHOMA. THROUGH COOPERATIVE AGREEMENTS WITH LOCAL GOVERNMENTS AND HOSPITALS, UNITED REGIONAL PROVIDES FUNDING FOR A NUMBER OF 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 30,000 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 HEALTHCARE 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 $ 2,997,339UNREIMBURSED COST OF FREE STANDING CLINICS $ 4,036,412DONATIONS MADE BY THE HOSPITAL TO AREA CHARITABLEORGANIZATIONS $ 8,296,637TOTAL $15,330,388SOURCE: 2010 ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (STATE OF TEXAS MANDATORY REPORT)Description
Total Program Service Expense226942882TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096140NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2001NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT M PERTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9407648253TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LEO LANE
CHAIR1.00XX000
DOYLE BENTLY
PAST CHAIR1.00XX000
BARBARA HANSON
SECRETARY/TREASURER1.00XX000
DR PAUL BICE
DIRECTOR1.00X000
MIKE ELYEA
DIRECTOR1.00X000
CAROL GUNN
DIRECTOR1.00X000
DOUG KUNKLE
DIRECTOR1.00X000
DR GARY OZIER
DIRECTOR1.00X2600000
DR ALI MOSHTAGHI
DIRECTOR1.00X000
ANN POPEJOY
DIRECTOR1.00X000
DR KEVIN THOMAS
DIRECTOR1.00X11396700
DR HOWARD FARRELL
DIRECTOR1.00X000
DON HAMLIN
DIRECTOR1.00X000
DR JOHN MARTINEZ
DIRECTOR1.00X000
DR ASHVINHUMAR PATEL
DIRECTOR1.00X000
PHYLLIS COWLING
PRESIDENT/CEO40.00XX558482066121
ROBERT PERT
CFO40.00X320770035897
NANCY TOWNLEY
COO40.00X335446035002
DR JOHN SCOTT HOYER
CMO40.00X287614031065
PAMELA BRADSHAW
VP NURSING40.00X228063032312
STEPHANIE JO BROWN
VP MARKETING40.00X201714019797
RICHARD CARPENTER
VP FACILITIES40.00X201971030285
JERRY MARSHALL
DIR INFORMATION SERVICES40.00141762030263X
KIMBERLY STRINGFELLOW
DIR EMERGENCY SERVICES DEP40.00125666027895X
BRANDON OLINGER
REGISTERED NURSE40.0013073608871X
SHELLEY MOSER
SENIOR DIR OF QUALITY & SAFETY40.00125736023831X
KIMBERLY CHOATE
REGISTERED NURSE40.00123367027941X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2921294TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation369280TotalOtherCompensation
Number Individuals GT100 K58NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COMPLETE RX LTD
3100 S GESSNER RD STE 640HOUSTONTX77063PHARMACY MANAGEMENT15988991
ARAMARK SERVICES INC
PO BOX 651009CHARLOTTENC28625DIETARY SERVICES4400704
CLINICAL PARTNERS PA
PO BOX 4502LONGVIEWTX75606ANESTHESIOLOGY SERVICES3404266
COGENT HEALTHCARE
PO BOX 645037CINCINNATIOH45264HOSPITALIST/PHYSICIAN SERVICES2622655
FULBRIGHT & JAWORSKI
2200 ROSS AVE STE 2800DALLASTX75201LEGAL SERVICES2087725
FieldValueIRS element (for citing)
Number Of Contractors GT100 K50NumberOfContractorsGT100K
Related Organizations2292694RelatedOrganizations
Total Contributions2292694TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU621110281172900281172900
SUPPORTING REVENUE900099500515500515
FieldValueIRS element (for citing)
Total Program Service Revenue281673415TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1637251TotalRevenueColumn
Exclusion$1,637,251ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real350211Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real350211Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column350211TotalRevenueColumn
Exclusion$350,211ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other93285Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other93285Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column93285TotalRevenueColumn
Exclusion$93,285ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLOSS ON 2003 BONDSDescription
Business Code900099BusinessCode
Total Revenue Column-162804TotalRevenueColumn
Exclusion-$162,804ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-162804TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column285884052TotalRevenueColumn
Related Or Exempt Function Income281673415RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,917,943ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8805187Total
Program Services8805187ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2591320Total
Program Services1200953ProgramServices
Management And General1390367ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total129697Total
Program Services129697ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total90929168Total
Program Services78748500ProgramServices
Management And General12180668ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2593441Total
Program Services2329867ProgramServices
Management And General263574ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9329686Total
Program Services8013358ProgramServices
Management And General1316328ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6094857Total
Program Services5193019ProgramServices
Management And General901838ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1910733Total
Management And General1910733ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total30231992Total
Program Services23152288ProgramServices
Management And General7079704ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total700411Total
Program Services686715ProgramServices
Management And General13696ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total51817208Total
Program Services49614736ProgramServices
Management And General2202472ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total131153Total
Management And General131153ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4578993Total
Program Services4547640ProgramServices
Management And General31353ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total606916Total
Program Services347485ProgramServices
Management And General259431ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total64917Total
Program Services16598ProgramServices
Management And General48319ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5505708Total
Program Services5505708ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21983430Total
Program Services21983430ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2145558Total
Program Services2145558ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionBAD DEBT EXPENSEDescription
Total14519081Total
Program Services14519081ProgramServices

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3062Total
Program Services3062ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total254672518Total
Program Services226942882ProgramServices
Management And General27729636ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY40591505BOY
EOY52394796EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10426466BOY
EOY10226096EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5584184BOY
EOY6897272EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2171200BOY
EOY2481762EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis358454805LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec188222014LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY173220787BOY
EOY170232791EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY159342049BOY
EOY169965527EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY31190BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15596131BOY
EOY20047276EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY406963512BOY
EOY432245520EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY34996344BOY
EOY34890957EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY111339492BOY
EOY94722844EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13962101BOY
EOY14889344EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY160297937BOY
EOY144503145EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY246665575BOY
EOY287742375EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY246665575BOY
EOY287742375EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY406963512BOY
EOY432245520EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses31211534ReconcilationRevenueExpenses
Reconcilation Other Changes9865266ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10332769OtherCostOrOtherBasis
Book Value10332769BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis165656054OtherCostOrOtherBasis
Depreciation65753252Depreciation
Book Value99902802BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis173631741OtherCostOrOtherBasis
Depreciation121770987Depreciation
Book Value51860754BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8834241OtherCostOrOtherBasis
Depreciation697775Depreciation
Book Value8136466BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings170232791TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD-PARTY PAYOR SETTLEMENTSDescription
Amount$14,889,344Amount
FieldValueIRS element (for citing)
Total Of Amounts14889344TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationURHCS UNDERGOES AN ANNUAL ANALYSIS OF ITS VARIOUS TAX POSITIONS ASSESSING THE LIKELIHOOD OF THESE POSITIONS BEING UPHELD UPON EXAMINATION WITH RELEVANT TAX AUTHROITIES, AS DEFINED BY THE ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (GAAP). URHCS BELIEVES THAT THEY ARE COMPLIANT WITH ALL IRS TAX REGULATIONS AND AS OF DECEMBER 31, 2010 HAVE NOT RECORDED ANY UNRECOGNIZED TAX BENEFIT OR LIABILITIES FOR INCOME TAXES. URHCS WILL RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX LIABILITIES IN INCOME TAX EXPENSE IF INCURRED. URHCS IS NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage175.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense25869365TotalCommunityBenefitExpense
Direct Offsetting Revenue8791112DirectOffsettingRevenue
Net Community Benefit Expense17078253NetCommunityBenefitExpense
Percent Of Total Expense0.07130PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense26202955TotalCommunityBenefitExpense
Direct Offsetting Revenue19842365DirectOffsettingRevenue
Net Community Benefit Expense6360590NetCommunityBenefitExpense
Percent Of Total Expense0.02650PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense684511TotalCommunityBenefitExpense
Direct Offsetting Revenue524980DirectOffsettingRevenue
Net Community Benefit Expense159531NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense52756831TotalCommunityBenefitExpense
Direct Offsetting Revenue29158457DirectOffsettingRevenue
Net Community Benefit Expense23598374NetCommunityBenefitExpense
Percent Of Total Expense0.09850PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense630047TotalCommunityBenefitExpense
Direct Offsetting Revenue630495DirectOffsettingRevenue
Net Community Benefit Expense-448NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense14673901TotalCommunityBenefitExpense
Direct Offsetting Revenue7640150DirectOffsettingRevenue
Net Community Benefit Expense7033751NetCommunityBenefitExpense
Percent Of Total Expense0.02940PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense8296637TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense8296637NetCommunityBenefitExpense
Percent Of Total Expense0.03460PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense23600585TotalCommunityBenefitExpense
Direct Offsetting Revenue8270645DirectOffsettingRevenue
Net Community Benefit Expense15329940NetCommunityBenefitExpense
Percent Of Total Expense0.06400PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense76357416TotalCommunityBenefitExpense
Direct Offsetting Revenue37429102DirectOffsettingRevenue
Net Community Benefit Expense38928314NetCommunityBenefitExpense
Percent Of Total Expense0.16250PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense925356TotalCommunityBuildingExpense
Net Community Building Expense925356NetCommunityBuildingExpense
Percent Of Total Expense0.00390PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense925356TotalCommunityBuildingExpense
Net Community Building Expense925356NetCommunityBuildingExpense
Percent Of Total Expense0.00390PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$3,252,002BadDebtExpenseAmount
Amount Attributable To325200AmountAttributableTo
Amount Reimbursed By Medicare79332569AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare92410826CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-13078257MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
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

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 (14 entries)

ExplanationExplanationIdentifierIdentifierReturn 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 $10,696,838 WERE INCLUDED IN SUBSIDIZED HEALTH SERVICES ON LINE 7G FOR COMMUNITY CLINICS.
PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES TO DETERMINE THE PERCENTAGE ON LINE 7 WAS $14,519,081.
PART II: 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 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.FINANCIAL STATEMENT FOOTNOTE: ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. URHCS MAINTAINS ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. URHCS USES A BALANCE SHEET APPROACH TO VALUE THE ALLOWANCE ACCOUNT BASED ON HISTORICAL WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED. FURTHERMORE, MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ALLOWANCES ASSOCIATED WITH ITS RECEIVABLE.
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. COSTING METHODOLOGY: THE MEDICARE ALLOWABLE COST WAS DETERMINED USING THE MEDICARE COST REPORT.
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 MAKE 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."
PART VI, LINE 7: URHCS FILES AN ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (ASCBS) WITH THE STATE OF TEXAS. THE CALCULATION OF COMMUNITY BENEFIT FOR THE ASCBS DIFFER FROM THE CALCULATIONS REQUIRED FOR IRS SCHEDULE H REPORTING. THEREFORE, THE INFORMATION REPORTED IN THE TWO REPORTS IS INCONSISTENT.
PART VI, LINE 2: 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.
PART VI, LINE 3: THE HOSPITAL INFORMS EACH PATIENT OF THE CHARITY CARE PROGRAM AND HOW TO APPLY FOR CHARITY CARE. THIS IS DONE BY POSTING NOTICES IN EACH PATIENT REGISTRATION AREA AND PROVIDING A WRITTEN NOTICE TO EACH PATIENT. 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 ETC, OR TO THE HOSPITAL'S CONTRACTED ELIGIBILITY VENDOR FOR SCREENING FOR GOVERNMENTAL PROGRAM COVERAGE.
PART VI, LINE 4: 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): $41,862PER CAPITA INCOME(2009): $22,529UNDER AGE 18 CHILDREN BELOW POVERTY LEVEL: 20.9%MEDIAN EARNINGS OF FULL-TIME WORKERS, FEMALE: $21,885PERSONS 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.
PART VI, LINE 6: 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.
TXREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
WICHITA COUNTY MEDICAL ALLIANCE
PO BOX 1030WICHITA FALLSTX76307352173373501(C)(3)20000HAITI AND PAKISTAN RELIEF
UNITED WAY
1105 HOLIDAYWICHITA FALLSTX76301750950126501(C)(3)8750CAMPAIGN
MIDWESTERN STATE UNIVERSITY
3410 TAFT BLVDWICHITA FALLSTX76308756001738115(1)5000FUNDRAISING EVENT
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 ELEVENTH STREETWICHITA FALLSTX76301752761467501(C)(3)532687DONATION
SERVICE ORGANIZATION OF NORTH TEXAS
2950 50TH STREETLUBBOCKTX79413800368789501(C)(3)APPLIED FOR8235000DONATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 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
PHYLLIS COWLING
441582094547022353057500088430624825000
ROBERT PERT
2464220568270175210147000214090356879000
NANCY TOWNLEY
2605360573590175510147000205240370670000
DR JOHN SCOTT HOYER
2514080181740180320103340209530318901000
PAMELA BRADSHAW
1894970244110141550115810208920260536000
STEPHANIE JO BROWN
161111025765014838097960101390221649000
RICHARD CARPENTER
160700026694014577096020208260232399000
JERRY MARSHALL
1296420115260594082920220820172136000
KIMBERLY STRINGFELLOW
107152018452062071640208260153656000
KIMBERLY CHOATE
111760011560047072100207980151375000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
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
PART I, LINE 4BPHYLLIS COWLING $42,800 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.
PART I, LINE 6A RANGE BETWEEN 20% AND 25% OF ANNUAL BONUS IS BASED ON 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 CORPORATION
900049824662823BS12003-08-1334519436EXPAND CARDIOLOGY SERVICES AND OTHER RENOVATIONS000
NORTH TEXAS HEALTHCARE FACILITIES DEVELOPMENT CORPORATION
900049824662823CG62007-07-1293891074CONSTRUCTION OF BRIDWELL TOWER AND CONSOLIDATE CAMPUS SERVICES, REFUNDING000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrow
3451943634778834767503056480320060011
9389107443849372757042600000002006011126749095

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000010.000000.000000.000001
000010.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BRANDON TOWNLEY
SON OF OFFICER90549EMPLOYEE COMPENSATION0
WICHITA FALLS DIALYSIS CENTER
PARTIALLY OWNED BY BOARD MEMBER692323DIALYSIS SERVICES0
LESLIE THOMAS
DAUGHTER-IN-LAW OF BOARD MEMBER39148EMPLOYEE COMPENSATION0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
AMENDED RETURN CHANGESPART I, ITEM BTHE RETURN HAS BEEN AMENDED FOR THE FOLLOWING ITEMS: PART VI: CHANGED THE COMPOSITION OF THE EXECUTIVE COMMITTEE MEMBERS TO ADD THE PAST CHAIR AND REMOVE REFERENCE TO OTHER MEMBERS. PART VII: CHANGED STATUS TO OFFICER FROM KEY EMPLOYEE FOR DR. JOHN SCOTT HOYER, PAMELA BRADSHAW, STEPHANIE JO BROWN AND RICHARD CARPENTER. SCHEDULE O: CHANGED WORDING OF HOURS WORKED FOR RELATED ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIR, PAST CHAIR, SECRETARY, TREASURER AND PRESIDENT/CHIEF EXECUTIVE OFFICER. 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.
FORM 990, PART VI, SECTION A, LINE 2PHYLLIS COWLING, NANCY TOWNLEY, AND ROBERT PERT HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 7BTHE JOINT CITY-COUNTY BOARD HAS APPROVAL REGARDING BOND FINANCING AND APPROVAL OF BUDGET.
FORM 990, PART VI, SECTION B, LINE 11THE 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.
FORM 990, PART VI, SECTION B, 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.
FORM 990, PART VI, SECTION B, LINE 15THE 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 WILL BE COMPLETED AGAIN IN 2011.
FORM 990, PART VI, SECTION C, 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.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 10,478,384. INVESTMENT EXPENSES: -616,177. PRIOR PERIOD ADJUSTMENTS: 3,059.
FORM 990, PART VII, SECTION A:THE FOLLOWING INDIVIDUALS DEVOTED TIME PROVIDING SERVICES TO THE FOLLOWING RELATED ORGANIZATIONS. UNITED REGIONAL PROFESSIONAL SERVICES CORPORATION PHYLLIS COWLING ONE HALF HOUR PER WEEK ROBERT PERT ONE HALF HOUR PER WEEK NANCY TOWNLEY ONE HALF HOUR PER WEEK UNITED REGIONAL PHYSICIAN GROUP PHYLLIS COWLING 2 HOURS PER WEEK ROBERT PERT 2 HOURS PER WEEK NANCY TOWNLEY 2 HOURS PER WEEK JOHN SCOTT HOYER 2 HOURS PER WEEK

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 ELEVENTH STREETWICHITA FALLSTX76301752761467TO SUPPORT AND PROMOTE THE EFFICIENT DISTRIBUTION OF HEALTH CARE SERVICESTX501(C)(3)11AN/A1
RATHGEBER HOSPITALITY HOUSE
1615 12TH STREETWICHITA FALLSTX76301752811394PROVIDE LODGING FOR PATIENT FAMILIES OF UNITED REGIONAL HEALTH CARETX501(C)(3)7N/A1
UNITED REGIONAL PHYSICIAN GROUP
1600 ELEVENTH STREETWICHITA FALLSTX76301752925491PROVIDE PHYSICIAN AND HEALTH CARE SERVICES FOR UNITED REGIONAL HEALTH CARETX501(C)(3)9N/A1
CITY OF WICHITA FALLS-WICHITA COUNTY HOSPITAL BOARD
1300 7TH STREETWICHITA FALLSTX76301756002771OVERSIGHT OF HEALTH CARE SYSTEMTXN/AN/AN/A0
UNITED REGIONAL HEALTH CARE SYSTEM AUXILIARY
1600 ELEVENTH STREETWICHITA FALLSTX76301756004656PROVIDE BENEVOLENT SERVICES TO UNITED REGIONAL HEALTH CARE SYSTEMTX501(C)(3)11AN/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
UNITED REGIONAL PROFESSIONAL SERVICES CORPORATION
1600 EIGHTH STREETWICHITA FALLSTX76301752549298MANAGEMENT SERVICESTXN/AC182520743671231.00000
TEXOMA INSURANCE AGENCY
1600 EIGHTH STREETWICHITA FALLSTX76301422683761INSURANCETXN/AC13371277821.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UNITED REGIONAL HEALTH CARE FOUNDATION
C2267553GENERAL LEDGER
UNITED REGIONAL PHYSICIAN GROUP
P325047GENERAL LEDGER
RATHGEBER HOSPITALITY HOUSE
TEXOMA INSURANCE AGENCY
UNITED REGIONAL HEALTH CARE FOUNDATION
B532687GENERAL LEDGER
UNITED REGIONAL PHYSICIAN GROUP
A46774GENERAL LEDGER
UNITED REGIONAL PROFESSIONAL SERVICES CORPORATION
P231789GENERAL LEDGER