2011-07-15T06:11:50-04:00 2010-08-31 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2009-09-01 742967081 Hillcrest Physician Services HILL 2512029448 100 HILLCREST MEDICAL BLVD Waco TX 76712 RICHARD PERKINS 2011-07-15 M Paige Gerich 7134994600 2009 2016-02-24 21:20:13Z GLENN ROBINSON 100 HILLCREST MEDICAL BLVD WACO TX 76712 7373177 false X N/A X 2000 TX HILLCREST BAPTIST MEDICAL CENTER, A 501(C)(3) HOSPITAL, HAS A LEVEL 2 TRAUMA CENTER TO SERVE AND PROVIDE LEADERSHIP IN A FIVE COUNTY AREA. CONTINUED ON SCHEDULE O 5 0 22 0 0 0 4788792 7369751 291 498 1748 2928 4790831 7373177 0 0 0 0 5699762 8101382 0 0 0 3500676 2900264 9200438 11001646 -4409607 -3628469 485543 1216073 512290 661289 -26747 554784 HILLCREST BAPTIST MEDICAL CENTER, A 501(C)(3) HOSPITAL, HAS A LEVEL 2 TRAUMA CENTER TO SERVE AND PROVIDE LEADERSHIP IN A FIVE COUNTY AREA. CONTINUED ON SCHEDULE O false false 11001646 7372679 THE HOSPITALIST PHYSICIANS PROVIDED 20,189 VISITS IN FISCAL YEAR 2010. SPECIALISTS EMPLOYED AND CONTRACTED BY HILLCREST PHYSICIAN SERVICES PROVIDED THE MAJORITY OF ORTHOPEDIC AND NEUROSURGICAL CALL COVERAGE FOR THE LEVEL II TRAUMA CENTER AT HILLCREST BAPTIST MEDICAL CENTER. EMPLOYED PHYSICIANS ALSO PROVIDED CARE AT A GERIATRIC CLINIC OPERATED BY HBMC. 11001646 true false false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 10 0 true 22 true false false false false false false false false false false 5 0 false false false false true true true true true false false false true true true true true true true false X RICHARD W PERKINS 2542029448 3000 HERRING ST WACO TX 76708 MARK TULLOS 40.0 X X 487393 0 29321 TWILA LOVETT 40.0 X X 251546 0 39530 KENNETH COBBS 40.0 X X 572511 0 29450 SARAMMA GEORGE 40.0 X X 196408 0 34449 SCOTT DAVIS 40.0 X X 205550 0 26372 RICHARD W PERKINS 3.0 X 0 324650 29090 GLENN ROBINSON 3.0 X 0 552747 37825 BRAD D CRYE 15.0 X 0 200269 25041 JAMES MORRISON 3.0 X 0 119446 8044 ROBERT E GERMANN 40.0 X 656516 0 31046 JOHN J FAILLACE 40.0 X 523239 0 29450 VIKAS PATEL 40.0 X 249114 0 38949 JAMES GILLEY 40.0 X 220469 0 37373 LUIZ CESAR 40.0 X 440965 0 9563 ARTHUR HOHENBERGER 0.0 X 0 266436 1154 JIM R GEBHART 2.0 X 0 647784 24557 3803711 2111332 431214 13 true true true STAFF CARE PO BOX 281823 ATLANTA GA 30384 PHYSICIAN COVERAGE 494195 DELTA LOCUM TENENS PO BOX 678082 DALLAS TX 75267 PHYSICIAN COVERAGE 120572 SOUTH TEXAS ORTHOPEDIC SPECIALTY 1504 REDCLOUD PEAK CANYON LAKE TX 78133 PHYSICIAN COVERAGE 117034 3 0 Net Patient Service Revenue 621110 5923153 5923153 HBMC Reimbursement 621110 1446598 1446598 7369751 498 498 0 0 0 0 0 0 Medical Record Fee 900099 2928 2928 2928 7373177 7372679 498 0 0 0 0 1872530 1872530 0 5459571 5459571 66635 66635 368480 368480 334166 334166 0 700 700 0 0 0 0 1303873 1303873 32478 32478 56601 56601 46181 46181 0 397849 397849 35915 35915 0 0 0 0 25625 25625 351324 351324 Bad Debt Expense 390853 390853 Recruitment 20050 20050 Medical Supplies 196547 196547 Dues & Licenses 30781 30781 Equipment Expense 9481 9481 2006 2006 11001646 11001646 0 0 20033 411971 392623 717678 72887 86424 485543 1216073 501582 645810 6375 10708 9104 512290 661289 X -26747 554784 -26747 554784 485543 1216073 X false true true X false X X X false false false HILLCREST BAPTIST MEDICAL CENTER 741161944 03 true true true 11001646 1 11001646 0 Due to Affiliates 9104 9104 7373177 11001646 -3628469 -3628469 7373177 7373177 7373177 11001646 11001646 11001646 UNCERTAIN TAX POSITIONS UNDER FIN 48 SCHEDULE D PART XIV THE ORGANIZATION AND MOST OF ITS SUBSIDIARIES HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. CONSOLIDATED SUBSIDIARIES THAT ARE NOT EXEMPT FROM INCOME TAXES HAD NO TAX LIABILITY. THE ORGANIZATION ACCOUNTS FOR INCOME TAXES PURSUANT TO ASC TOPIC 710, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF ASC TOPIC 740 WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AT AUGUST 31, 2010 AND 2009. X true true true false false false false false false false false ARTHUR HOHENBERGER 0 0 0 0 0 266436 0 0 0 1154 0 267590 JIM R GEBHART 0 236873 0 50274 0 360637 0 19160 0 5397 0 672341 RICHARD W PERKINS 0 258729 0 50412 0 15509 0 19160 0 9930 0 353740 GLENN ROBINSON 0 474825 0 77922 0 0 0 17150 0 20675 0 590572 BRAD D CRYE 0 174841 0 24528 0 900 0 15111 0 9930 0 225310 MARK TULLOS 356031 0 131058 0 304 0 19160 0 10161 0 516714 0 TWILA LOVETT 224523 0 26566 0 457 0 29160 0 10370 0 291076 0 KENNETH COBBS 572207 0 0 0 304 0 19160 0 10290 0 601961 0 SARAMMA GEORGE 196109 0 25 0 274 0 24660 0 9789 0 230857 0 SCOTT DAVIS 180800 0 23441 0 1309 0 15502 0 10870 0 231922 0 ROBERT E GERMANN 654507 0 0 0 2009 0 19160 0 11886 0 687562 0 JOHN J FAILLACE 522782 0 0 0 457 0 19160 0 10290 0 552689 0 VIKAS PATEL 222690 0 26150 0 274 0 29160 0 9789 0 288063 0 JAMES GILLEY 195578 0 24191 0 700 0 27077 0 10296 0 257842 0 LUIZ CESAR 436554 0 0 0 4411 0 0 0 9563 0 450528 0 COMPENSATION PAID TO OFFICERS SCHEDULE J PART II OFFICERS AND DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS AND OFFICERS OF THE CORPORATION. HOWEVER, THE DIRECTORS PROVIDE MEDICAL SERVICES FOR THE CORPORATION PURSUANT TO EMPLOYMENT AGREEMENTS, AND COMPENSATION IS PAID TO THEM IN THEIR CAPACITY AS MEDICAL SERVICE PROVIDERS. SEVERANCE PAYMENT SCHEDULE J PART I LINE 4A ARTHUR HOHENBERGER $267,436 JIM R GEBHART $359,998 CERTAIN OFFICERS AND MANAGEMENT EMPLOYEES HAVE A SEVERANCE BENEFIT THAT PROVIDES FOR ONGOING COMPENSATION FOR SPECIFIED PERIODS OF TIME IN THE EVENT OF INVOLUNTARY SEPARATION FROM EMPLOYMENT WITHOUT CAUSE. COMPENSATION PAID BY UNRELATED ORGANIZATION HBMC PAID COMMUNITY HOSPITAL CORPORATION $590,571 FOR THE SERVICES OF THE CHIEF EXECUTIVE OFFICER, GLENN ROBINSON. THE ORGANIZATION REPORTED AMOUNTS ON SCHEDULE J-2 BASED ON INFORMATION OBTAINED. HMBC PAID SCOTT & WHITE MEMORIAL HOSPITAL $127,490 FOR THE SERVICES OF JAMES MORRISON, CHIEF MEDICAL OFFICER. THE ORGANIZATION REPORTED AMOUNTS ON SCHEDULE J-2 BASED ON INFORMATION OBTAINED. HOUSING PAYMENTS SCHEDULE J PART 1 LINE 1A LUIZ CESAR WAS PROVIDED HOUSING IN THE AMOUNT OF $4,411 DURING THE YEAR. THIS AMOUNT WAS REPORTED AS TAXABLE COMPENSATION ON FORM W-2. ORGANIZATION MISSION OR SIGNIFICANT ACTIVITIES CONTINUED FORM 990 PART I & FORM 990 PART III HILLCREST PHYSICIAN SERVICES EMPLOYS PHYSICIANS TO RENDER PROFESSIONAL MEDICAL SERVICES AT THIS TRAUMA CENTER. THE CORPORATION ALSO PROVIDES HOSPITALISTS AND OTHER SPECIALISTS TO OVERSEE CARE OF HILLCREST BAPITST MEDICAL CENTER'S PATIENTS AND ASSIST IN PROVIDING CALL COVERAGE FOR THE TRAUMA CENTER. THE CORPORATION ALSO EMPLOYS PHYSICIANS TO PROVIDE CARE AT A GERIATRIC CLINIC OPERATED BY HILLCREST BAPTIST MEDICAL CENTER. REVIEW PROCESS FOR FORM 990 FORM 990 PART VI, QUESTION 11B THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY MANAGEMENT AND INTERNAL ACCOUNTANTS. MONITORING & ENFORCEMENT OF WRITTEN CONFLICT OF INTEREST POLICY FORM 990 PART VI QUESTION 12C THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTION AS THEY ARISE THROUGHOUT THE YEAR IN ACCORDANCE WITH POLICY STANDARDS. REVIEW & APPROVAL OF COMPENSATION FORM 990 PART VI QUESTION 15A & 15B THE FOLLOWING PROCESS IS USED TO DETERMINE COMPENSATION FOR THE FOLLOWING OFFICERS: PRESIDENT & CEO, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER, AND VP OF CLINIC OPERATIONS. AN INDEPENDENT HEALTHCARE CONSULTING COMPANY IS ENGAGED BY THE BOARD TO REVIEW SALARY SURVEY DATA FOR SIMILAR ENTITIES AND MAKE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE OF THE BOARD REGARDING SALARY RANGE AND BENEFIT PACKAGES FOR THE RESPECTIVE OFFICES. THE COMPENSATION COMMITTEE THEN MAKES THE FINAL DETERMINATION OF COMPENSATION AND BENEFITS FOR THE RESPECTIVE OFFICERS. DOCUMENT AVAILABILITY TO THE PUBLIC FORM 990 PART VI QUESTION 19 THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. SOLE MEMBER FORM 990 PART VI QUESTION 6 HILLCREST BAPTIST MEDICAL CENTER, A TEXAS NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. MEMBER ELECTION ABILITIES FORM 990 PART VI, QUESTION 7A AS THE SOLE MEMBER OF THE ORGANIZATION HILLCREST BAPTIST MEDICAL CENTER HAS THE POWER TO APPOINT THE MEMBERS OF THE GOVERNING BODY. DEPRECIATION EXPLANATION FORM 990 PART IX LINE 22 AND PART X LINE 10C ALL ASSETS ARE OWNED BY HILLCREST BAPTIST MEDICAL CENTER. DEPRECIATION EXPENSE IS CHARGED TO HILLCREST PHYSICIAN SERVICES FOR THE ASSETS OWNED BY HILLCREST BAPTIST MEDICAL CENTER AND USED BY HILLCREST PHYSICIAN SERVICES. DECISIONS OF GOVERNING BODY SUBJECT TO MEMBER APPROVAL FORM 990 PART VI QUESTION 7B A NUMBER OF DECISIONS OF THE ORGANIZATION ARE SUBJECT TO APPROVAL OF THE MEMBER OF THE ORGANIZATION. THESE RESERVED POWERS ARE STATED BELOW: A) APPROVAL AND ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION; B) ANY FINANCIAL EXPENDITURE WHICH DEVIATES FROM A PARTICULAR LINE OR CATEGORY ITEM OF THE ORGANIZATION'S ANNUAL OPERATING AND CAPITAL BUDGETS IF THE SUM OF SUCH FINANCIAL EXPENDITURES AND THE SUM OF ALL PRIOR FINANCIAL EXPENDITURES WHICH THEMSELVES DEVIATE FROM IN SUCH MANNER FROM THE ORGANIZATION'S ANNUAL AND CAPITAL BUDGETS, PER FISCAL YEAR, EXCEED $5,000; C) THE SALE LEASE, MORTGAGE, OR OTHER TRANSFER OR ENCUMBRANCE OF THE REAL PROPERTY OF THE ORGANIZATION; D) ANY SALE, LEASE, MORTGAGE OR OTHER TRANSFER OR ENCUMBRANCE OF THE PERSONAL PROPERTY AND ASSETS OF THE ORGANIZATION IF THE SUM OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS, PER FISCAL YEAR, EXCEED $5,000; E) ANY MERGER, ACQUISITION, CONSOLIDATION OR DISSOLUTION OF THE ORGANIZATION; F) BORROWING OR LENDING OF MONEY OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTY OF ANOTHER'S DEBT OR SIMILAR ACTION; G) GIVING OR SEEKING OF GRANTS; H) SETTLEMENT OF CLAIMS OR LITIGATION; I) APPOINTMENT AND REMOVAL OF DIRECTORS IN ACCORDANCE WITH ARTICLE 3 OF THE BYLAWS; J) APPOINTMENT AND REMOVAL OF OFFICERS IN ACCORDANCE WITH ARTICLE 4 OF THE BYLAWS; K) CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION; L) APPROVAL OF ANY STRATEGIC PLAN, BUSINESS PLAN, OR MISSION OF THE ORGANIZATION; M) CONTRACTS IN WHICH THE ORGANIZATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, AND PHYSICIAN PRACTICE ACQUISITION CONTRACTS; AND N) APPROVAL AND ADOPTION OF THE SALARIES, COMPENSATION AND OTHER BENEFITS TO BE PAID TO PHYSICIANS EMPLOYED BY OR CONTRACTED TO THE CORPORATION. COMPENSATION PAID TO OFFICERS FORM 990 PART VII OFFICERS AND DIRECTORS ARE NOT COMPENSATED IN THEIR CAPACITY AS DIRECTORS AND OFFICERS OF THE CORPORATION. HOWEVER, THE DIRECTORS PROVIDE MEDICAL SERVICES FOR THE CORPORATION PURSUANT TO EMPLOYMENT AGREEMENTS, AND COMPENSATION IS PAID TO THEM IN THEIR CAPACITY AS MEDICAL SERVICE PROVIDERS. RELATED COMPENSATION HOURS WORKED FORM 990 PART VII AVG HOUR WORKED FOR RELATED ORG JIM R. GEBHART 48 JASON JENNINGS 48 RICHARD W. PERKINS 47 GLENN ROBINSON 47 BRAD D. CRYE 42 ARTHUR HOHENBERGER 0 COMPENSATION PAID BY UNRELATED ORGANIZATION FORM 990 PART VII HBMC PAID COMMUNITY HOSPITAL CORPORATION $590,571 FOR THE SERVICES OF THE CHIEF EXECUTIVE OFFICER, GLENN ROBINSON. THE ORGANIZATION REPORTED AMOUNTS ON SCHEDULE J-2 BASED ON INFORMATION OBTAINED. HBMC PAID SCOTT & WHITE MEMORIAL HOSPITAL $127,490 FOR THE SERVICES OF JAMES MORRISON, CHIEF MEDICAL OFFICER. THE ORGANIZATION REPORTED AMOUNTS ON SCHEDULE J-2 BASED ON INFORMATION OBTAINED. NUMBER OF INDEPENDENT VOTING MEMBERS FORM 990 PART 1 LINE 4 AND PART VI LINE 1B UNDER TEXAS STATE LAW, A CORPORATION WHICH EMPLOYS PHYSICIANS TO PROVIDE PHYSICIAN SERVICES MUST HAVE A BOARD COMPRISED OF ONLY PHYSICIANS. THE BOARD OF THIS CORPORATION OVERSEES ALL CLINICAL AND PROFESSIONAL ISSUES. ACCORDING TO THE BYLAWS OF HPS ALL FINANCIAL AND COMPENSATION MATTERS ARE RESERVED POWERS OF THE CORPORATE MEMBER (HILLCREST BAPTIST MEDICAL CENTER). DELEGATE DUTIES TO MANAGEMENT COMPANY FORM 990 PART VI QUESTION 3 THE ORGANIZATION'S MEMBER UTILIZES A MANAGEMENT COMPANY TO PAY THE CHIEF EXECUTIVE OFFICER'S SALARY. HILLCREST BAPTIST MEDICAL CENTER 100 HILLCREST MEDICAL BLVD WACO TX 76712 741161944 HOSPITAL TX 501(C)(3) 3 NA HILLCREST FAMILY HEALTH CENTER 100 HILLCREST MEDICAL BLVD WACO TX 76712 742730350 HEALTHCARE TX 501(C)(3) 11c NA HILLCREST HEALTH HOLDING INC 3000 HERRING ST WACO TX 76708 742793367 HEALTHCARE SVCS TX NA C-CORP 0 0 0.00000 false false true false false false false false false true false false false true false false false false