East Texas Medical Center Reg Healthcare: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: East Texas Medical Center Reg Healthcare (EIN 37-1623919)
Tax period: 2009-11-01 to 2010-10-31
Filed: 2011-09-07
IRS object ID: 201102509349300110
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-09-07T09:16:09-07:00	Timestamp
Tax Period End Date	2010-10-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2009-11-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	371623919	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	East Texas Medical Center Reg Healthcare	BusinessNameLine1
Business Name Line2	Group Return	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	EAST	NameControl
Phone	9035963719	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 South Beckham Avenue	AddressLine1
City	Tyler	City
State	TX	State
ZIP Code	75701	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Byron Hale	Name
Title	CFO	Title
Date Signed	2011-09-07	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Elmer G Ellis	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1000 South Beckham Avenue	AddressLine1
City	Tyler	City
State	TX	State
ZIP Code	75701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	993819502	GrossReceipts
Group Return For Affiliates	true	GroupReturnForAffiliates
All Affiliates Included	true	AllAffiliatesIncluded
Group Exemption Number	5692	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	WWW.ETMC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Activity Or Mission Description	To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	115	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	77	NbrIndependentVotingMembers
Total Nbr Employees	8448	TotalNbrEmployees
Total Nbr Volunteers	451	TotalNbrVolunteers
Total Gross UBI	1001560	TotalGrossUBI
Net Unrelated Business Txbl Income	-235256	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	12968949	ContributionsGrantsPriorYear
Contributions Grants Current Year	5540905	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	953752783	ProgramServiceRevenuePriorYear
Program Service Revenue CY	980066773	ProgramServiceRevenueCY
Investment Income Prior Year	-979764	InvestmentIncomePriorYear
Investment Income Current Year	320609	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7203053	OtherRevenuePriorYear
Other Revenue Current Year	4099732	OtherRevenueCurrentYear
Total Revenue Prior Year	972945021	TotalRevenuePriorYear
Total Revenue Current Year	990028019	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2885422	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2703512	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	344367617	SalariesEtcPriorYear
Salaries Etc Current Year	378246784	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	20700	TotalFundrsngExpCurrentYear
Other Expense Prior Year	554051355	OtherExpensePriorYear
Other Expenses Current Year	550554783	OtherExpensesCurrentYear
Total Expenses Prior Year	901304394	TotalExpensesPriorYear
Total Expenses Current Year	931505079	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	71640627	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	58522940	RevenuesLessExpensesCY
Total Assets BOY	763857269	TotalAssetsBOY
Total Assets EOY	846665396	TotalAssetsEOY
Total Liabilities BOY	377220984	TotalLiabilitiesBOY
Total Liabilities EOY	399109164	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	386636285	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	447556232	NetAssetsOrFundBalancesEOY
Mission Description	To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care. We measure our success by how our efforts improve the quality of life for people and communities in east Texas.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	639758777	Expense
Grants	535912	Grants
Revenue	728226955	Revenue
Description	"East Texas Medical Center Regional Helthcare System (the ""System"") is the parent company which wholly-owns and operates 24-subsidiary organizations. The system is headquartered in Tyler, Texas and its operations extends in all directions from Tyler, Texas, in an approximate 100-mile radius.All general acute-care hospitals not included in amounts on lines 4b, 4c and 4d. ETMC - Tyler has 536 licensed beds.ETMC - Athens has 117 licensed beds.ETMC - Carthage has 49 Licensed beds.ETMC - Clarksville has 49 Licensed beds.ETMC - Crockett has 49 Licensed beds. ETMC - Fairfield has 48 Licensed beds.ETMC - Gilmer has 37 Licensed beds.ETMC - Henderson has 49 Licensed beds.ETMC - Jacksonville has 49 Licensed beds.ETMC - Mount Vernon has 49 Licensed beds.ETMC - Trinity has 30 Licensed beds.ETMC - Pittsburg has 25 Licensed beds.ETMC - Quitman has 30 Licensed beds.The hospital's medical facilities offer a full range of medical services on an inpatient and outpatient basis. Including obstetrics, surgery, intensive care, physical therapy, mental health, cancer, kidney transplants, interventional radiology, trauma care and 24-hour emergency services.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	82208365	Expense
Grants	600	Grants
Revenue	59342048	Revenue
Description	ETMC - Healthcare Associates provides physician clinical services to and in connection with delivery of health care by System, its affiliate tax-exempt hospitals and other health care organizations. ETMC HCA currently employs 105+ physicians consisting on 43 Family Practitioners, 11 specializing in Internal Medicine, 5 specializing in pediatrics, and the balance in other specialties.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	51094256	Expense
Revenue	44505652	Revenue
Description	ETMC Tyler has a fleet of ground emergency ambulances serving East Texas. The System operates an extensive network of 85 ground ambulances, with each stationed at different locations to achieve optimal geographic coverage and response time throughout the System's service area.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	80501346	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	2167000	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	81321890	TotalOfOtherProgramServiceRev
Total Program Service Expense	853562744	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1088	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	8448	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Nbr Voting Governing Body Members	115	NbrVotingGoverningBodyMembers
Number Independent Voting Members	77	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Bonnie Stone	NamePerson
Telephone Number	9035963719	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1417 South Beckham Avenue	AddressLine1
City	Tyler	City
State	TX	State
ZIP Code	75701	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (140 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Key EmployeeKeyEmployee	FormerFormer	Highest Compensated EmployeeHighestCompensatedEmployee
Wendy Barton
CFO	40.00	X	79287	0	20014
Wayne Morris
Director	2.00		0	0	0	X
Wayne Mask MD
Director	2.00		0	0	0	X
Warren Robicheaux
Administrator	40.00	X	123897	0	11522	X
Wade Ridley
Director	12.00	X	0	0	0	X
WR Christensen MD
Director	2.00		0	0	0	X
Vatra Solomon
Director	2.00		0	0	0	X
Tony Myers
VP EMS	40.00		336197	0	26730		X
Tommy O'Gorman
CFO	40.00	X	142518	0	21853
Tom Woldert
Director	2.00		0	0	0	X
Todd Sigmon
VP Oncology	40.00	X	153310	0	23197
Tim Culp
Director	2.00		0	0	0	X
Terry Cutler
Administrator	40.00	X	243156	0	18646	X
Ted Trimble MD
Former Director	0.		223725	0	8777			X
Ted Austin
Director	2.00		0	0	0	X
Steven R Potter
Physician	40.00		573403	0	9317				X
Steven C Roosth
Director	2.00		0	0	0	X
Steve Bishop CPA
Director	2.00		0	0	0	X
Stephen Rydzak MD
Director	40.00	X	626882	0	731	X
Slayton Bonner
Director	2.00		0	0	0	X
Samual Houston MD
Director	2.00		0	0	0	X
Sam Raborn MD
Director	40.00		289800	0	0	X
Sam Dawson
Director	2.00		0	0	0	X
Saleem Rasian MD
Director	2.00		0	0	0	X
Ruth Raz Cook
Administrator	40.00	X	175248	0	20081	X
Rosemary Burns
Director	2.00		0	0	0	X
Ron Franks
Director	2.00		0	0	0	X
Ron Donaldson MD
Director	12.00		900	0	0	X
Rodney Watkins
Director	2.00		0	0	0	X
Robyn Rogers
Director	2.00		0	0	0	X
Robert Nichols
Director	2.00		0	0	0	X
Robert Evans
SR VP/Administr	40.00	X	1013636	0	29311
Ravi Kumar Sreerama MD
Director	2.00		30100	0	0	X
Randy Randall MD
Director	40.00		501437	0	8777	X
R Scott Confer
Director	2.00		0	0	0	X
Philip Pool
Director	2.00		0	0	0	X
Phil Caron
CFO	40.00	X	138213	0	14888
Perry O'Brian Jr
Director	2.00		0	0	0	X
Perry Henderson
Administrator	40.00	X	328509	0	22032	X
Peggy Lowry
Director	2.00		0	0	0	X
Paula Anthony
Director	40.00		0	383609	24949	X
Patrick L Wallace
Administrator	40.00	X	434488	0	27871	X
Patricia Smith
Director	2.00		0	0	0	X
Pam Weaver
Director	2.00		0	0	0	X
Nghia Truong MD
Director	40.00		457461	0	9317	X
Neil Adelman MD
Former Director	0.		278818	0	9317			X
Ned Muse
Director	2.00		0	0	0	X
Monte Cole
Director	2.00		0	0	0	X
Mike Thomas
Director	40.00		0	400571	27662	X
Mike Gray
VP Human Resour	40.00		0	622903	26171		X
Michelle Brookshire
Director	2.00		0	0	0	X
Michael J Klouda
Physician	40.00		713662	0	9317				X
Michael Banks DDS
Director	2.00		0	0	0	X
Michael Austin MD
Director	40.00		294701	0	9317	X
Mark Leitner
Administrator	40.00	X	118601	0	11696	X
Marcus Abadie MD
Director	2.00		0	0	0	X
Lisa Graves MD
Director	40.00		326099	0	8777	X
Linda K Dean
Director	2.00		0	0	0	X
Leesa N Hedge
Director	2.00		0	0	0	X
Lee Williams
Director	2.00		0	0	0	X
Larry King
Director	2.00		0	0	0	X
Larry Durrett
Director	12.00		0	0	0	X
Larry Cunningham DO
Director	40.00		408904	0	9317	X
Kim Pearson-Wahl
Vice President	40.00	X	0	424218	24183
Kenneth McGee
Director	2.00		0	0	0	X
Kenneth Kemp MD
Director	40.00		308825	0	9317	X
Ken Greer
Director	2.00		0	0	0	X
Karen Wies MD
Director	40.00		461888	0	9317	X
Joseph M Conflitti
Physician	40.00		1204539	0	9317				X
Jon Johnston
Director	2.00		0	0	0	X
John T Wilson
Director	2.00		0	0	0	X
John Payne
Director	2.00		0	0	0	X
John Magouyrk
Director	2.00		0	0	0	X
John Hart
Administrator	40.00	X	209954	0	13289	X
John H Keller Jr MD
Director	40.00		300575	0	8777	X
Joe Angle
ViceChairmn&Dir	2.00	X	0	0	0	X
Jim Hines
CFO	40.00	X	99052	0	15052
Jessica Parish
Director	2.00		0	0	0	X
Jerry Webster
Director	2.00		0	0	0	X
Jerry Massey
VP & Dir	40.00	X	0	1236593	28622	X
Jean Latortue MD
Director	40.00		241254	0	9317	X
James Wynne
Director	12.00		0	0	0	X
James H Reynolds
Director	2.00		0	0	0	X
James Blanton
CFO	40.00	X	144675	0	21634
James Dee Dopson MD
Director	2.00		0	0	0	X
Jack Endres
Administrator	40.00	X	173542	0	20929	X
Jack Bowen
Corp Dir Affiliate Projects	0.		0	251827	18114			X
Hernan E Miranda MD
Director	40.00		227480	0	9317	X
Heidi McKeller MD
Director	2.00		0	0	0	X
Harold Beaird
Director	2.00		0	0	0	X
Glenn Routhouska DO
Director	2.00		0	0	0	X
Gerry Dominguez
CFO	40.00	X	120365	0	11864
George T Hall
Director	2.00		0	0	0	X
George Robinson
Director	2.00		0	0	0	X
Gary Patterson
Director	2.00		0	0	0	X
Gary M Hudson
Administrator	40.00	X	249616	0	23379	X
Gary Gunder
CFO	40.00	X	79325	0	9957
Gary Gross MD
Director	2.00		0	0	0	X
Freddie Sanchez
VP Material Mgm	40.00		0	1508736	23050		X
Fred A Heirich
Director	2.00		0	0	0	X
Ennis Christenberry
Director	2.00		0	0	0	X
Elmer G Ellis
President & Dir	40.00	X	0	1913433	37346	X
Eddie Howard
VP/Administr	40.00	X	439789	0	24661	X
Doug Johnston DO
Director	40.00		271291	0	9317	X
Donald E Arego MD
Director	40.00		322643	0	9317	X
Derek Daniels
Director	2.00		0	0	0	X
Dennis S Devinney
Physician	40.00		1543918	0	9317				X
Deborah Blackwell
Director	2.00		0	0	0	X
David Travis
CFO	40.00	X	164893	0	21778
David Mandel MD
Director	40.00		144289	0	0	X
David Jones MD
Director	2.00		0	0	0	X
David Johnson MD
Director	2.00		72000	0	0	X
David E Holdredge
Director	2.00		0	0	0	X
David Craig MD
Director	2.00		0	0	0	X
David Bowles
Physician	0.		555159	0	0				X
Comm Hermon E Reed Jr
Director	2.00		0	0	0	X
Christopher Haeckler MD
Director	2.00		0	0	0	X
Charles Lowry
Director	2.00		0	0	0	X
Charles Halstead
Director	2.00		0	0	0	X
C Alan Bass
Director	2.00		0	0	0	X
Byron Hale
Treasurer & Dir	40.00	X	0	971494	32239	X
Bryan Price
Director	2.00		0	0	0	X
Bryan Hyland MD
Director	40.00		307113	0	9317	X
Brody Clark
Administrator	40.00	X	143044	0	4269	X
Brian Holcomb
Director	2.00		0	0	0	X
Brian Ballard
Director	2.00		0	0	0	X
Brett Young MD
Director	2.00		0	0	0	X
Bill James
Director	2.00		0	0	0	X
Bill Clawater
Director	2.00		0	0	0	X
Becki Mangum
Treasurer	40.00	X	0	117810	16687
Barry Hughes
Director	2.00		0	0	0	X
BG Hartley
Director	12.00		0	0	0	X
Arron Duvall MD
Director	2.00		0	0	0	X
Anthony Davis MD
Former Director	0.		312234	0	9317			X
Ann Lake
Director	2.00		0	0	0	X
Andrew Roberts MD
Director	40.00		652270	0	9317	X
Andrew Hoover MD
Former Director	0.		175969	0	8777			X
Allen Bell
Director	2.00		0	0	0	X
Alan Hale
Director	2.00		0	0	0	X
AR Barrett DO
Director	40.00		165009	0	9317	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	17103663	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	7831194	TotalReportableCompFrmRltdOrgs
Total Other Compensation	885998	TotalOtherCompensation
Number Individuals GT100 K	309	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Renal Care Group Texas Inc
3910 Brookside Drive 100	Tyler	TX	757019454	Hemodialysis	2224310
Pulmonary Specialists
912 So Fleishel	Tyler	TX	75701	Hospitalist Services	2341154
Metro Aviation Inc
PO Box 7008	Shreveport	LA	711377008	Helicopter Maint.	3367670
ET Anesthesiology Assoc PA
3200 Troup Hwy Suite 200	Tyler	TX	75701	Anesthesiology	1819329
Athens Emergency Medicine Assoc PA
PO Box82368	Lafayette	LA	705982368	Emergency Physicians	4076984

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	175	NumberOfContractorsGT100K
Fundraising Events	22650	FundraisingEvents
All Other Contributions	5518255	AllOtherContributions
Total Contributions	5540905	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Olympic Center	2582689	2582689
Net Patient Revenue	913396545	913396545
Mgmt Allocation	31503731	31503731
Intercompany Revenue	15210669	15210669
Contract/Outside Services	13594514	12782207	812307

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3778625	TotalRevenueColumn
Related Or Exempt Function Income	3589372	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	189253	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	980066773	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	612887	TotalRevenueColumn
Exclusion	$612,887	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-456	TotalRevenueColumn
Exclusion	-$456	ExclusionAmount

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	3259349	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	3551627	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-292278	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-292278	TotalRevenueColumn
Exclusion	-$292,278	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	21180	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	22650	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	17587	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	3593	TotalRevenueColumn
Exclusion	$3,593	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	378314	GrossSalesOfInventory
Cost Of Goods Sold	222269	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	156045	TotalRevenueColumn
Exclusion	$156,045	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Unrealized Gain	153889	$153,889
Parking Lot	265350	$265,350
Cafeteria/Dietary Rev	3411647	$3,411,647

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	109664	TotalRevenueColumn
Exclusion	$109,664	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3940550	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	990028019	TotalRevenueColumn
Related Or Exempt Function Income	979065213	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1001560	UnrelatedBusinessRevenue
Exclusion	$4,420,341	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	534128	Total
Program Services	534128	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	2169384	Total
Program Services	2169384	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7671379	Total
Management And General	7671379	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	298414093	Total
Program Services	291818826	ProgramServices
Management And General	6595267	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9284966	Total
Program Services	8880274	ProgramServices
Management And General	404692	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	41374609	Total
Program Services	39429631	ProgramServices
Management And General	1944978	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	21501737	Total
Program Services	20504198	ProgramServices
Management And General	997539	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	88978	Total
Program Services	100	ProgramServices
Management And General	88878	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	74617	Total
Program Services	61335	ProgramServices
Management And General	13282	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	498282	Total
Program Services	39326	ProgramServices
Management And General	458956	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	54713	Total
Program Services	9000	ProgramServices
Management And General	45713	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1632319	Total
Program Services	1448073	ProgramServices
Management And General	183535	ManagementAndGeneral
Fundraising	711	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	864028	Total
Program Services	820049	ProgramServices
Management And General	43979	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	22213865	Total
Program Services	21752757	ProgramServices
Management And General	461108	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	585767	Total
Program Services	421727	ProgramServices
Management And General	164040	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	989042	Total
Program Services	882570	ProgramServices
Management And General	106472	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	12497585	Total
Program Services	12487785	ProgramServices
Management And General	9800	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	33372761	Total
Program Services	33340103	ProgramServices
Management And General	32658	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3255804	Total
Program Services	2932578	ProgramServices
Management And General	323226	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices	FundraisingFundraising
System Fee	53808886	53808886
Supplies	118832803	230210	118593682	8911
Physician/Medical Spec. Fees	50009238	127832	49881406
Outside Services	32076291	1430254	30643712	2325
Bad Debt Expense	141060454		141060454

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	78639350	Total
Program Services	75851646	ProgramServices
Management And General	2778951	ManagementAndGeneral
Fundraising	8753	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	931505079	Total
Program Services	853562744	ProgramServices
Management And General	77921635	ManagementAndGeneral
Fundraising	20700	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	186643536	BOY
EOY	192918525	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	7250048	BOY
EOY	6634700	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	101234221	BOY
EOY	98176219	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	877	BOY
EOY	15754	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	15676828	BOY
EOY	16173534	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6620087	BOY
EOY	5634220	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	458634331	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	276574419	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	132058811	BOY
EOY	182059912	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	8249834	BOY
EOY	8995189	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	306123027	BOY
EOY	336057343	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	763857269	BOY
EOY	846665396	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	47361023	BOY
EOY	48654456	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	985286	BOY
EOY	953921	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	48283448	BOY
EOY	47943448	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	6802706	BOY
EOY	7923073	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	273788521	BOY
EOY	293634266	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	377220984	BOY
EOY	399109164	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	381511711	BOY
EOY	441247667	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2100247	BOY
EOY	3284238	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3024327	BOY
EOY	3024327	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	386636285	BOY
EOY	447556232	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	763857269	BOY
EOY	846665396	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	false	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$77,749	OtherActivitiesAmount
Total Lobbying Expenditures IIB	77749	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	The organization pays membership dues to member organiations which may engage in lobbying activities. Therfore, a portion of the dues are attributable to lobbying activities. This amount represents a specified percentage of total dues paid.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5124574	BeginningOfYearBalance
Contributions	3109511	Contributions
Investment Earnings Or Losses	236481	InvestmentEarningsOrLosses
Other Expenditures	2162000	OtherExpenditures
End Of Year Balance	6308566	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9133311	BeginningOfYearBalance
Contributions	-1709058	Contributions
Investment Earnings Or Losses	245536	InvestmentEarningsOrLosses
Other Expenditures	2545214	OtherExpenditures
End Of Year Balance	5124575	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.25000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.28000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	537180	OtherCostOrOtherBasis
Book Value	537180	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	106309881	OtherCostOrOtherBasis
Depreciation	40283097	Depreciation
Book Value	66026784	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12243966	OtherCostOrOtherBasis
Depreciation	6482286	Depreciation
Book Value	5761680	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	300140568	OtherCostOrOtherBasis
Depreciation	206459625	Depreciation
Book Value	93680943	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	39402736	OtherCostOrOtherBasis
Depreciation	23349411	Depreciation
Book Value	16053325	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	182059912	TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescription	Book ValueBookValue
Restricted Funds	6295315
Goodwill-Athens Cancer Institute net	1013889
Estimated 3rd Party Settlement	6505333
Due From Outside Entities	9759166
Due From Affiliates	308835085
Deposits on Equip & Various Items	145430
Deferred Financing Costs	25020
Bonds Receivables & Unamortized Bond Exp	3471371
Accrued Interest Receivable	6734

Field	Value	IRS element (for citing)
Total Book Value Other Assets	336057343	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
Trust - Premiums	$2,000,000
Rounding	$3
Other Noncurrent Liabilities	$1,042,222
Noncurrent Pension Liability	$46,569,136
Investment In Cyberknife	$605,229
Estimated 3rd Party Settlement	$7,218,153
Due to Affiliates	$160,330,720
Deferred Direct & Admin Expenses	$50,946,559
Capital Lease Obligations	$24,922,244

Field	Value	IRS element (for citing)
Total Of Amounts	293634266	TotalOfAmounts

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agreement Ref Fundraising	false	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Bell Golf Tournament	NameOfEvent1
Gross Receipts Event1	43830	GrossReceiptsEvent1
Charitable Contributions Event1	22650	CharitableContributionsEvent1
Gross Revenue Event1	21180	GrossRevenueEvent1
Other Direct Expenses Event1	17587	OtherDirectExpensesEvent1
Gross Receipts Total	43830	GrossReceiptsTotal
Charitable Contributions Total	22650	CharitableContributionsTotal
Gross Revenue Total Events	21180	GrossRevenueTotalEvents
Other Direct Expenses Total Events	17587	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	17587	DirectExpenseSummaryEvents
Net Income Summary	3593	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	53724743	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22413789	DirectOffsettingRevenue
Net Community Benefit Expense	31310954	NetCommunityBenefitExpense
Percent Of Total Expense	0.03360	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	82303798	TotalCommunityBenefitExpense
Direct Offsetting Revenue	77525158	DirectOffsettingRevenue
Net Community Benefit Expense	4778640	NetCommunityBenefitExpense
Percent Of Total Expense	0.00510	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8467862	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7676804	DirectOffsettingRevenue
Net Community Benefit Expense	791058	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	144496403	TotalCommunityBenefitExpense
Direct Offsetting Revenue	107615751	DirectOffsettingRevenue
Net Community Benefit Expense	36880652	NetCommunityBenefitExpense
Percent Of Total Expense	0.03960	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	401779	TotalCommunityBenefitExpense
Direct Offsetting Revenue	121579	DirectOffsettingRevenue
Net Community Benefit Expense	280200	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	673949	TotalCommunityBenefitExpense
Direct Offsetting Revenue	202047	DirectOffsettingRevenue
Net Community Benefit Expense	471902	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	130238021	TotalCommunityBenefitExpense
Direct Offsetting Revenue	98528986	DirectOffsettingRevenue
Net Community Benefit Expense	31709035	NetCommunityBenefitExpense
Percent Of Total Expense	0.03400	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	194890	TotalCommunityBenefitExpense
Direct Offsetting Revenue	48641	DirectOffsettingRevenue
Net Community Benefit Expense	146249	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	93932	TotalCommunityBenefitExpense
Net Community Benefit Expense	93932	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	131602571	TotalCommunityBenefitExpense
Direct Offsetting Revenue	98901253	DirectOffsettingRevenue
Net Community Benefit Expense	32701318	NetCommunityBenefitExpense
Percent Of Total Expense	0.03510	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	276098974	TotalCommunityBenefitExpense
Direct Offsetting Revenue	206517004	DirectOffsettingRevenue
Net Community Benefit Expense	69581970	NetCommunityBenefitExpense
Percent Of Total Expense	0.07470	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,686,253	BadDebtExpenseAmount
Amount Reimbursed By Medicare	243030842	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	300746441	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-57715599	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (20 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	OtherOther	Licensed HospitalLicensedHospital
East Texas Medical Cntr-Self I
1000 South Beckham Avenue	Tyler	TX	75701	Insurance coverage for the ETMCRHS
East Texas Medical Cntr-Home S
1000 South Beckham Avenue	Tyler	TX	75701	Home Healthcare Services
East Texas Medical Cntr-HCA
1000 South Beckham Avenue	Tyler	TX	75701	Physicians
East Texas Medical Cntr-Founda
1000 South Beckham Avenue	Tyler	TX	75701	Support related hospitals within the sys
East Texas Medical Cntr-Cancer
1000 South Beckham Avenue	Tyler	TX	75701	Provide radiation therapy, healthcare &
East Texas Medical Cntr-Specia
1000 South Beckham Avenue	Tyler	TX	75701		X
East Texas Medical Cntr-Rehab
701 Olympic Plaza Circle	Tyler	TX	75701	Rehabilitation Center, Physical & Occupa
East Texas Medical Cntr-Tyler
1000 South Beckham Avenue	Tyler	TX	75701		X
East Texas Medical Cntr-Trinit
317 Prospect Drive	Trinity	TX	75862		X
East Texas Medical Cntr-Quitma
117 N Winnsboro Street	Quitman	TX	75783		X
East Texas Medical Cntr-Pittsb
414 Quitman Street	Pittsburg	TX	75686		X
East Texas Medical Cntr-MtVern
500 S State Highway 37	Mount Vernon	TX	75457		X
East Texas Medical Cntr-Jackso
501 S Ragsdale Street	Jacksonville	TX	75768		X
East Texas Medical Cntr-Hender
300 Wilson Street	Henderson	TX	75652		X
East Texas Medical Cntr-Gilmer
712 North Wood	Gilmer	TX	75644		X
East Texas Medical Cntr-Fairfi
125 Newman Street	Fairfield	TX	75840		X
East Texas Medical Cntr-Crocke
1100 Loop 304 East	Crockett	TX	75835		X
East Texas Medical Cntr-Clarks
3000 W Main Hwy 82 W	Clarksville	TX	75426		X
East Texas Medical Cntr-Cartha
409 W Cottage Road	Carthage	TX	75633		X
East Texas Medical Cntr-Athens
2000 South Palestine	Athens	TX	75751		X

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Bad Debt Footnote	Was no footnote to the financial statements regarding bad debt expense. Costing methodology used for line 2; Cost to charge ratio is equal to: (total expenses-bad debt expense-50% other revenue)/gross revenue. Rational for including other bad debt in community benefit; Community service is provided regardless of anticipated reimbursement.	BadDebtFootnote
Shortfall As Community Benefit	Medicare deductibles that are duel eligible and unreimbursed are written off as a medicaid 2nd contractual. $3,049,811. Line 5 - Includes all Medicare co-pay and deductables. Line 6 - Includes Medicare allowable cost. This would net any Medicare charity claimed.	ShortfallAsCommunityBenefit
Debt Collection Policy	The Organization does not pursue collection of amounts determined to qualify as charity care and therefore are not considered in the collection policy.	DebtCollectionPolicy
Number Of Facility Type Expln	One Rehabilitation Center, one Cancer Institute, and three Home Healthcare services.	NumberOfFacilityTypeExpln
General Explanation	Uncompensated care program funds were evenly allocated to uninsured and Medicaid patient costs.	GeneralExplanation
Needs Assessment	The community health needs assessment process adopted by ETMC was divided into three major components:- Internal and External Data Collection and Analysis- Community Assessment of Community Need- ETMC Provider InputThe community health needs assessment process is designed to measure positive and negative progress relative to selected health status indicators; target needs by population group, geographic market segment and health issue; consider community input and feedback; and identify opportunities for program and service development and enhancement.	NeedsAssessment
Patient Education Assistance	Notifications of financial assistance and the Charity Care program are posted in the patient admission areas and emergency departments, and also printed in local newspapers. The Charity Care policy and application for financial assistance are also available on the internet at www.etmc.org. Additionally, notification of availability of financial assistance is noted on all patient billing statements, along with the phone number of whom to contact for financial assistance. In addition, direct contact is made to those individuals that the organization beleves may qualify for Charity Care, based on lack of insurance or other indications, to explain the availability of financial assistance and to request the individual complete and returned an application.	PatientEducationAssistance
Community Information	The 20 county service area is composed of about 16 percent of the population over age 65, an increasing Hispanic population, 60 percent of households defined as 'working poor' or poverty level, with 40 percent uninsured or underinsured.	CommunityInformation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	IRC SectionIRCSection
TVCC Foundation
100 Cardinal Drive	Athens	TX	75751	237365212	10750	0	Donation
Titus County Cares
PO Box1476	Mount Pleasant	TX	75456	352309053	8000	0	Community outreach
Pineywoods Fine Arts Association
603 E Goliad Avenue Suite 203	Crockett	TX	75835	752395504	10000	0	Donation
HOPEHelping Others Persue Enric
595 South Ragsdale Street	Jacksonville	TX	75766	752378914	5500	0	Donation
ETMCRH System
1000 South Beckham Avenue	Tyler	TX	75701	751803327	1912838	0	Various Building Funds	501 (c)(3)
ETMC Foundation
1000 South Beckham Avenue	Tyler	TX	75701	752695524	405000	0	Donation & Trauma Construction	501 (c)(3)
East Texas Medical Center Tyler
1000 South Beckham Avenue	Tyler	TX	75701	751803325	43900	0	Trauma, Diabetes, and Pediatrics Fund	501 (c)(3)
Cherokee County Health Dept
593 North Main Street	Rusk	TX	75785	756000854	15000	0	Donation

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	5	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grantmaker's Description of How Grants are Used	Identifier
Explanation	Senior management will review the needs and give approval to support a variety of agencies, service organziations and projects related to meeting health and human service needs for Tyler and East Texas, as well as those contributing to overall quality of life for the community. Contributions were made in terms of financial and in-kind donations, agencies and organizations supported are non-profit.The ETMC Helping Hands Fund was established to help our fellow employees who may encounter substantial emergency situations and needs. Through generous gifts on the part of ETMC personnel, we are able to help our own by offering immediate, short-term financial assistance to those in need. The Helping Hands Fund is managed through the East Texas Medical Center Foundation and ETMC Human Resources, and governed by an employee review committee.Due to the special nature of the Chaplains Fund, flexibility is essential in its operating procedures. The following guidelines are designed as general policies to be followed by the Chaplains office and the ETMC Foundation.Administration The ETMC Tyler Chaplains Fund is a restricted account under the East Texas Medical Center Foundation. The ETMC Tyler Chaplain will supervise the Chaplains Fund on a day-to-day basis. In addition to the Chaplain, the President and Chief Financial Officer of the East Texas Medical Center Regional Healthcare System will have signature authorization over the Chaplains Fund account. The Chaplains Fund will be included in the financial statements presented at meetings of the ETMC Foundations Board of Directors. The Foundation staff, Board and Executive Committee may help address issues and govern the fund as needed.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (50 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs
Tony Myers
300397	35800	26730	362927
Tommy O'Gorman
141606	912	21853	164371
Todd Sigmon
138079	15231	23197	176507
Terry Cutler
170219	72937	18646	261802
Ted Trimble MD
221951	1774	8777	232502
Steven R Potter
571268	2135	9317	582720
Stephen Rydzak MD
495352	2497	731	627613	129033
Sam Raborn MD
135000	1343		289800	153457
Ruth Raz Cook
127567	47681	20081	195329
Robert Evans
375047	638589	29311	1042947
Randy Randall MD
496512	4925	8777	510214
Phil Caron
136538	1675	14888	153101
Perry Henderson
185831	142678	22032	350541
Paula Anthony
					304051	79558	24949	408558
Patrick L Wallace
264271	170217	27871	462359
Nghia Truong MD
256105	1514	9317	466778	199842
Neil Adelman MD
186268	2373	9317	288135	90177
Mike Thomas
					282364	118207	27662	428233
Mike Gray
					270939	351964	26171	649074
Michael J Klouda
542268	2049	9317	722979	169345
Michael Austin MD
196105	1592	9317	304018	97004
Lisa Graves MD
139909	1333	8777	334876	184857
Larry Cunningham DO
406568	2336	9317	418221
Kim Pearson-Wahl
					286267	137951	24183	448401
Kenneth Kemp MD
246188	1615	9317	318142	61022
Karen Wies MD
160268	1519	9317	471205	300101
Joseph M Conflitti
782619	2873	9317	1213856	419047
John Hart
140748	69206	13289	223243
John H Keller Jr MD
176334	6326	8777	309352	117915
Jerry Massey
					344176	892417	28622	1265215
Jean Latortue MD
160253	812	9317	250571	80189
James Blanton
137807	6868	21634	166309
Jack Endres
158611	14931	20929	194471
Jack Bowen
					173478	78349	18114	269941
Hernan E Miranda MD
224837	2643	9317	236797
Gary M Hudson
136064	113552	23379	272995
Freddie Sanchez
					291221	1074269	23050	1531786	143246
Elmer G Ellis
					997183	916250	37346	1950779
Eddie Howard
288108	151681	24661	464450
Doug Johnston DO
171268	1310	9317	280608	98713
Donald E Arego MD
292100	2814	9317	331960	27729
Dennis S Devinney
757546	2270	9317	1553235	784102
David Travis
157045	7848	21778	186671
David Bowles
550000	5159		555159
Byron Hale
					454598	516896	32239	1003733
Bryan Hyland MD
146105	1670	9317	316430	159338
Anthony Davis MD
135805	1333	9317	321551	175096
Andrew Roberts MD
650000	2270	9317	661587
Andrew Hoover MD
114714	1931	8777	184746	59324
AR Barrett DO
96105	1124	9317	174326	67780

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part I, Line 1a	Identifier
Return Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	ReturnReference
Explanation	Schedule J, Part 1, Line 1aCountry club dues are paid for business purpose. Any personal use is reimbursed by the employee.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Rusk County Health Facilities Corporation	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	752499136	IssuerEIN
Date Issued	2009-09-09	DateIssued
Issue Price	5831638	IssuePrice
Description Of Purpose	Assumption memorial hospital bonds	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	5583448	TotalProceeds
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	true	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	Regions Bank	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	11.7000	TermOfHedge
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
City of Parker Texas Cultural Education Facilities
270365113	2009-06-24	5700000	Electronic communication towers	false	false
Camp County Texas
756000845	2009-09-09	7000000	New hospital facility	false	false
Camp County Texas
756000845	2009-02-24	10000000	New hospital facility	false	false
Camp County Texas
756000845	2008-03-19	10000000	New hospital facility	false	false
Camp County Texas
756000845	2007-11-29	10000000	New hospital facility	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)

Total ProceedsTotalProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures
5700000	5700000	2010	false	false	true	true
7000000	6129758	2009	false	false	true	true	7000	863244
10000000	9747334	2009	false	false	true	true		252730
9830000	9342954	2009	false	false	true	true		725080
9830000	9108087	2009	false	false	true	true	74500	898330

Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true
false	false	false	false	true
false	false	false	false	true
false	false	false	false	true
false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Loretta Henderson
Family Member	17336	Employment ETMC Pittsburg	false
Chelsey Walters
Family Member	98826	Employment at ETMC Tyler	false
Renee Barrett
Family Member	61950	Employment ETMC Carthage	false
Kim Sanchez
Family Member	26190	Employment at ETMC Rehab	false
Donna Hale
Family Member	131505	Employment ETMC Specialty	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The organization's governing documents, conflict of interest policy and financial statements are provided upon request.
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Compensation for other officers and key employees are reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The organization has a written conflict of interest policy for all employees, officers and trustees. Annually all officers, key employees and trustees are required to complete a conflict of interest form disclosing any actual or potential conflict of interest with the organization. Should any transaction arise that may create a conflict, the transaction is reviewed and appropriate measures are taken.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	The return is reviewed by our staff accountants and is reviewd by senior management. It is then presented to the board for their review and comment. The final return is provided to the board prior to filing.
Form 990, Part VI, Line 6	Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	ETMC Regional Healthcare System is the parent and sole member of the ETMC System affiliates and appoints certain members to the board.
Form 990, Part VI, Line 2	Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	The following members of ETMC Regional Healthcare System are also board members of entities affiliated with ETMC Regional Healthcare System: Elmer G. Ellis, Byron Hale, B.G. Hartley, Larry Durrett, Ron Donaldson, M.D., Stephen Rydzak, M.D., Wade Ridley, James Wynne, Freddie Sanchez, Mike Gray, Mike Thomas and Paula Anthony.
Form 990, Part III, Line 4d	Form 990, Part III, Line 4d : Other Program Services Description	OTHER PROGRAM SERVICES 4: ETMC Air One has 3 air ambulances. OTHER PROGRAM SERVICES 5: ETMC Tyler has a Behavioral Health Center that provides inpatient and outpatient mental health services. OTHER PROGRAM SERVICES 6: The ETMC Rehabilitation Hospital has 49 licensed beds. It provides inpatien and outpatient services including physical, occupational and speech therapies, cardiac and pulmonary rehabilitation. ETMC Rehabilitation also offers preventive and health enhancement services. OTHER PROGRAM SERVICES 7: The ETMC Specialty Hospital is a long-term, acute hospital licensed for 36 beds. The hospital is dedicated to acute care for the medically complex patient. Specialized programs include ventilator care, complex multi-system medical, CVA/stroke, trauma, oncology and wound care. OTHER PROGRAM SERVICES 8: ETMC Home Services provides non-hospital health care services. OTHER PROGRAM SERVICES 9: ETMC Cancer Institute operates a free standing radiation cancer center and provides comprehensive cancer care with programs encompassing diagnostics services, medical and radiation, oncology, surgery and support programs. ETMC Cancer Institute is accredited by the American College of Surgeons as a comprehensive community cancer program. OTHER PROGRAM SERVICES 10: East Texas Medical Center Regional Healthcare System Self Insurance Trust provides self insurance coverage for the East Texas Medical Center Regional Healthcare System entities. OTHER PROGRAM SERVICES 11: ETMC Foundation supports the System and affiliate hospitals as well as the charitable companies affiliated with the System. This includes providing financial assistance to the System, raising, managing and distributing of charitable funds and gifts, providing educational programs on medical and health matters and providing for the regional development of healthcare and medical treatment of illnesses, physical and mental disabilities.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Direct Controlling Entity NADirectControllingEntityNA
ETMC - Quitman
PO Box 1000	Quitman	TX	75783	752766160	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Pittsburg
414 Quitman Street	Pittsburg	TX	75686	751919624	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Trinity
PO Box 471	Trinity	TX	75862	752715898	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Mount Vernon
PO Box 477	Mount Vernon	TX	75457	752250730	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Jacksonville
501 South Ragsdale	Jacksonville	TX	75766	752715084	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Henderson
300 Wilson Street	Henderson	TX	75652	264123728	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Gilmer
712 North Wood	Gilmer	TX	75644	200079162	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Fairfield
125 Newman Street	Fairfield	TX	75840	752753454	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Crockett
1100 Loop 304 East	Crockett	TX	75835	752602621	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Clarksville
PO Drawer 1270	Clarksville	TX	75426	752638020	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Carthage
409 Cottage Road	Carthage	TX	75633	752735077	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Athens
2000 S Palestine	Athens	TX	75751	751854562	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Healthcare Associates
1000 S Beckham Avenue	Tyler	TX	75701	752605821	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Foundation
1000 S Beckham Avenue	Tyler	TX	75701	752695524	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Specialty Hospital
1000 S Beckham Avenue	Tyler	TX	75701	752547158	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC Reg Healthcare Sys Self Ins Trust
1000 S Beckham Avenue	Tyler	TX	75701	756345356	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Home Services
1000 S Beckham Avenue	Tyler	TX	75701	752503960	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Rehabilitation Hospital
701 Olympic Plaza Circle	Tyler	TX	75701	752599215	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC - Cancer Institute
1000 S Beckham Avenue	Tyler	TX	75701	751803329	Health Service	TX	501 (C)(3)	Exempt		N/A
ETMC - Tyler
1000 S Beckham Avenue	Tyler	TX	75701	751803325	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
East Texas Regional Cooperative
1000 S Beckham Avenue	Tyler	TX	75701	752627236	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS
ETMC Regional Healthcare SystemETMCRHS
1000 S Beckham	Tyler	TX	75701	751803327	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ETMC Regional Health Services Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1000 S Beckham Avenue	AddressLine1
City	Tyler	City
State	TX	State
ZIP Code	75701	ZIPCode

Field	Value	IRS element (for citing)
EIN	751925036	EIN
Primary Activity	Health Services	PrimaryActivity
Legal Domicile State	TX	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ETMCRHS	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C Corp	TypeOfEntity
Share Of Total Income	113655694	ShareOfTotalIncome
Share Of EOY Assets	53314058	ShareOfEOYAssets

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
ETMC Regional Healthcare SystemETMCRHS
q	47260932
ETMC Regional Healthcare SystemETMCRHS
p	13960275
ETMC Regional Healthcare SystemETMCRHS
o	3837464
ETMC Regional Healthcare SystemETMCRHS
j	13877599