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HENDRICK MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HENDRICK MEDICAL CENTER (EIN 75-0827446)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-07-07
IRS object ID
201121889349300802
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-07-07T09:26:04-04:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN750827446EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HENDRICK MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHENDNameControl
Phone3256702000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3117AddressLine1
CityABILENECity
StateTXState
ZIP Code79604ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN KIMMELName
TitleCFOTitle
Date Signed2011-07-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameM Paige GerichName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEPHEN KIMMELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11900 PINE STAddressLine1
CityABILENECity
StateTXState
ZIP Code79601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts336815576GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.EHENDRICK.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1923YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO DELIVER HIGH QUALITY HEALTHCARE EMPHASIZING EXCELLENCE AND COMPASSION CONSISTENT WITH THE HEALING MINISTRY OF JESUS CHRIST.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees2706TotalNbrEmployees
Total Nbr Volunteers325TotalNbrVolunteers
Total Gross UBI171841TotalGrossUBI
Net Unrelated Business Txbl Income-4237680NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year455394ContributionsGrantsPriorYear
Contributions Grants Current Year948685ContributionsGrantsCurrentYear
Program Service Revenue Prior Year266932490ProgramServiceRevenuePriorYear
Program Service Revenue CY294194868ProgramServiceRevenueCY
Investment Income Prior Year1791208InvestmentIncomePriorYear
Investment Income Current Year4009003InvestmentIncomeCurrentYear
Other Revenue Prior Year8776452OtherRevenuePriorYear
Other Revenue Current Year3621554OtherRevenueCurrentYear
Total Revenue Prior Year277955544TotalRevenuePriorYear
Total Revenue Current Year302774110TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year515834GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY137100GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year103676909SalariesEtcPriorYear
Salaries Etc Current Year111322299SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year148709077OtherExpensePriorYear
Other Expenses Current Year153983715OtherExpensesCurrentYear
Total Expenses Prior Year252901820TotalExpensesPriorYear
Total Expenses Current Year265443114TotalExpensesCurrentYear
Revenues Less Expenses Prior Year25053724RevenuesLessExpensesPriorYear
Revenues Less Expenses CY37330996RevenuesLessExpensesCY
Total Assets BOY306816477TotalAssetsBOY
Total Assets EOY393738465TotalAssetsEOY
Total Liabilities BOY106578607TotalLiabilitiesBOY
Total Liabilities EOY155844254TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY200237870NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY237894211NetAssetsOrFundBalancesEOY
Mission DescriptionTO DELIVER HIGH QUALITY HEALTHCARE EMPHASIZING EXCELLENCE AND COMPASSION CONSISTENT WITH THE HEALING MINISTRY OF JESUS CHRIST.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense235844576Expense
Grants137100Grants
Revenue297816422Revenue
DescriptionCHARITY CARE PROGRAM: HENDRICK MEDICAL CENTER, IN KEEPING WITH ITS MISSION, VISION, AND VALUES AS A BAPTIST ORGANIZATION, HAS ALWAYS MAINTAINED A GENEROUS CHARITY CARE PROGRAM TO ASSURE THAT THOSE WITH THE INABILITY TO PAY HAVE ACCESS TO THE SERVICES PROVIDED BY HENDRICK. THE CHARITY POLICY IN EFFECT DURING THE PERIOD COVERED BY THIS REPORT PROVIDES THAT FAMILIES WITH INCOMES BELOW 250% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR SERVICES, WITH NO PERSONAL FINANCIAL RESPONSIBILITY. FAMILIES WITH INCOMES ABOVE 250% OF THE FEDERAL POVERTY GUIDELINES RECEIVE CARE WITH PARTIAL FINANCIAL RESPONSIBILITY INCREASING AS THE FAMILY INCOME EXCEEDS THE FEDERAL POVERTY GUIDELINES. HENDRICK PROVIDES FINANCIAL COUNSELORS AND SOCIAL WORKERS TO HELP PATIENTS WITH HEALTHCARE NEEDS BY IDENTIFYING COMMUNITY RESOURCES AVAILABLE AND BY ASSISTING THEM IN THEIR EFFORTS TO IDENTIFY AND QUALIFY FOR GOVERNMENT-SPONSORED PROGRAMS. PROVIDING GOVERNMENT PROGRAMS BELOW COST: HENDRICK IS ALSO COMMITTED TO PARTICIPATING IN GOVERNMENT FUNDED PROGRAMS SUCH AS MEDICARE, MEDICAID, TRICARE, COUNTY INDIGENCY, ETC. THE COST OF SERVICES OFTEN EXCEEDS THE REIMBURSEMENT PROVIDED BY THESE PROGRAMS. PROFESSIONAL HEALTH EDUCATION: HENDRICK MEDICAL CENTER HAS AFFILIATION AGREEMENTS AND PROVIDES FINANCIAL SUPPORT TO MANY PROFESSIONAL HEALTH EDUCATIONAL EFFORTS FOR THE PURPOSES OF ENHANCING THE KNOWLEDGE OF EXISTING HEALTH PROFESSIONALS AND EDUCATING NEW HEALTH PROFESSIONALS TO MEET THE INCREASING DEMAND. HENDRICKS EFFORTS ARE FOCUSED IN AREAS OF STUDY WHERE SHORTAGES COULD POTENTIALLY LIMIT THE CAPACITY OF THE HEALTHCARE SYSTEM TO MEET THE NEEDS OF THE TEXAS MIDWEST. HENDRICK HAS PROVIDED FUNDING AND HAS ENTERED INTO EDUCATIONAL RELATED AFFILIATIONS AGREEMENTS. SOME OF WHICH ARE INDENTIFIED: 1. TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER - SCHOOL OF PHARMACY, BSN 2ND DEGREE PROGRAM AND BSN TRADITIONAL PROGRAM. 2. PATTY HANKS SHELTON SCHOOL OF NURSING - RN, BSN, MSN AND MSN/FNP PROGRAMS. 3. CISCO JR. COLLEGE - LVN/ADN, SURGERY TECHNICIAN, PHARMACY TECHNICIAN, MEDICAL ASSISTANT AND RESPIRATORY THERAPY PROGRAMS. 4. TEXAS STATE TECHNICAL COLLEGE - ADN, EMT, TRANSCRIPTION, NURSE CLERK, NURSE AIDE AND PHLEBOTOMY PROGRAMS. 5. ABILENE CHRISTIAN UNIVERSITY - SPEECH/LANGUAGE PATHOLOGY, SOCIAL WORK, PSYCHOLOGY, EXERCISE HEALTH SCIENCE, BIBLE & FAMILY STUDIES, BODY & SOUL. 6. HARDIN-SIMMONS UNIV. - DOCTORATE OF PHYSICAL THERAPY, SOCIAL WORK, THEOLOGY, COMMUNICATION, ATHLETIC TRAINING. 7. TEXAS STATE UNIVERSITY - RESPIRATORY THERAPY PROGRAM 8. HENDRICK SCHOOL OF RADIOGRAPHY. A STUDENT LOAN PROGRAM IS AVAILABLE FOR STUDENTS ENROLLED IN THE SCHOOL. STUDENTS ARE ELIGIBLE FOR A $3,750.00 LOAN AT THE BEGINNING OF THEIR FIRST AND SECOND YEAR. HENDRICK'S STUDENT LOAN PROGRAM IS TRANSITIONING INTO THE TUITION REIMBURSEMENT PROGRAM. THE TRANSITION WILL BE COMPLETE AFTER DECEMBER 2011. 9. ABILENE IND SCHOOL DISTRICT - HOLLAND MEDICAL HIGH SCHOOL. A TUITION REIMBURSEMENT PROGRAM IS PROVIDED FOR STUDENTS IN CRITICAL NEED POSITIONS AT HENDRICK MEDICAL CENTER UPON VERIFICATION OF STUDENT LOAN DEBT.Description
Total Program Service Expense235844576TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096193NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2706NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTEPHEN KIMMELLNamePerson
Telephone Number3256702000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11900 PINE STAddressLine1
CityABILENECity
StateTXState
ZIP Code79601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Scott Hibbs
Trustee2.0X000
David Cason
Trustee2.0X000
Mike Woodard
Trustee2.0X000
David Scott
Trustee2.0X000
J V Martin
1st Vice Chair2.0X000X
Charles Maciel
Trustee2.0X000
Pat Kelly
Trustee2.0X000
David Morris
2nd Vice Chair2.0X000X
Larry Vinson
Trustee2.0X000
Shelly Utely
Trustee2.0X000
Ron Fogle
Chair2.0X000X
Hillary Moore
Trustee2.0X000
Dennis Laster
Trustee2.0X000
Ward Hayes
Secretary2.0X000X
Terry Beal
Trustee2.0X000
Tim Lancaster
President40.0767715020746X
Stephen Kimmel
CFO/Senior VP40.0465100029033X
Joe Pearson
Vice President20.0302502023997X
Mike McBroom
Vice President40.0233907017990X
Jo Rake
Vice President40.0249252020752X
Lisa Harp
Vice President40.0136152020668X
Rosemaria Levinsky
Vice President40.0232186013324X
Tim Riley
Asst Vice President40.0193438017678X
Bob Prewit
Vice President40.0134140018732X
Teresta Kolin
RN40.0161106010802X
Patricia Rollins
RN40.0175730010332X
Robert Harlow
Physicist40.0154837025197X
Noel Sugay
RN40.0137137022408X
TOBY CROOKS
PHARMACY COORDINATOR40.0137593019952X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3480795TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation271611TotalOtherCompensation
Number Individuals GT100 K55NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
ARAMARK
DIETARY SERVICES6229717
QUANTUM PLUS INC
MEDICAL SERVICES1362492
HOAR CONSTRUCTION
CONSTRUCTION SVCS3797964
BATJER ASSOCIATES
MECHANICAL SERVICES752126
TITTLE LUTHER PARTNERSHIP
ARCHITECTURE SVCS595528
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations27682RelatedOrganizations
All Other Contributions921003AllOtherContributions
Total Contributions948685TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE6211102790870562746412224445834
FEES FOR PROVISION OF MEDICAL CARE6211101445624814456248
RELATED RENTAL REVENUE621110651564651564
FieldValueIRS element (for citing)
Total Program Service Revenue294194868TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7020602TotalRevenueColumn
Unrelated Business Revenue-4273993UnrelatedBusinessRevenue
Exclusion$11,294,595ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

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Personal62274Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Personal62274Personal

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities30962083Securities
Other5510Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities32864503Securities
Other1114689Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1902420Securities
Other-1109179Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3011599TotalRevenueColumn
Exclusion-$3,011,599ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA SALES72221021403882140388
MISCELLANEOUS INCOME90009914811661481166
FieldValueIRS element (for citing)
Total Other Revenue3621554TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column302774110TotalRevenueColumn
Related Or Exempt Function Income293370588RelatedOrExemptFunctionIncome
Unrelated Business Revenue171841UnrelatedBusinessRevenue
Exclusion$8,282,996ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total137100Total
Program Services137100ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2896312Total
Program Services2896312ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total90120763Total
Program Services76314153ProgramServices
Management And General13806610ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2400603Total
Program Services2023499ProgramServices
Management And General377104ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9095920Total
Program Services6391729ProgramServices
Management And General2704191ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6808701Total
Program Services5880965ProgramServices
Management And General927736ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total231463Total
Program Services177955ProgramServices
Management And General53508ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total326644Total
Program Services77493ProgramServices
Management And General249151ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total175645Total
Management And General175645ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1725Total
Management And General1725ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total22105095Total
Program Services19306640ProgramServices
Management And General2798455ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total501549Total
Program Services197759ProgramServices
Management And General303790ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3687149Total
Program Services3127856ProgramServices
Management And General559293ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4554423Total
Program Services3026088ProgramServices
Management And General1528335ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3040582Total
Program Services2931323ProgramServices
Management And General109259ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total563938Total
Program Services314728ProgramServices
Management And General249210ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3920386Total
Program Services3919579ProgramServices
Management And General807ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11614592Total
Program Services10266566ProgramServices
Management And General1348026ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3486416Total
Program Services746396ProgramServices
Management And General2740020ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES6112881860684196444622
BAD DEBT2887683928876839
EQUIPMENT COSTS44773824476528854
DIETARY EXPENSES247170424677433961
RECRUITING & PLACEMENT908490239301669189

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1910875Total
Program Services1363828ProgramServices
Management And General547047ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total265443114Total
Program Services235844576ProgramServices
Management And General29598538ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-1109924BOY
EOY-1971547EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY35807938BOY
EOY17575439EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1823283BOY
EOY5817020EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY28157521BOY
EOY27335033EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY6505449BOY
EOY6547855EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5225964BOY
EOY5529347EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3121134BOY
EOY4544285EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis250270854LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec135470434LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY90721263BOY
EOY114800420EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY44859969BOY
EOY60464632EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY64704949BOY
EOY137859562EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY10286067BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1257796BOY
EOY4489671EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15455068BOY
EOY10746748EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY306816477BOY
EOY393738465EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16669690BOY
EOY22208632EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY76128BOY
EOY424900EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY58995547BOY
EOY102703677EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5416238BOY
EOY4742778EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25421004BOY
EOY25764267EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY106578607BOY
EOY155844254EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY185382295BOY
EOY221948190EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11960616BOY
EOY12903900EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2894959BOY
EOY3042121EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY200237870BOY
EOY237894211EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY306816477BOY
EOY393738465EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$27,854GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB27854TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5666415BeginningOfYearBalance
Investment Earnings Or Losses-160878InvestmentEarningsOrLosses
End Of Year Balance5505537EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5869260BeginningOfYearBalance
Investment Earnings Or Losses-202845InvestmentEarningsOrLosses
End Of Year Balance5666415EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.47210BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.16880PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.35910TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12844489OtherCostOrOtherBasis
Book Value12844489BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis73403441OtherCostOrOtherBasis
Depreciation38627676Depreciation
Book Value34775765BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4499865OtherCostOrOtherBasis
Depreciation1909432Depreciation
Book Value2590433BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis126953378OtherCostOrOtherBasis
Depreciation94933326Depreciation
Book Value32020052BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis32569681OtherCostOrOtherBasis
Book Value32569681BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings114800420TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (12 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
AMHS HERITAGE LLC2702C
CASH VALUE OF LIFE INSURANCE69125C
INVESTMENT IN HMCF NET ASSETS24977209C
INVESTMENT IN SHA LLC14209240C
UNREALIZED GAIN/LOSS721088F
SECTION 457B INVESTMENTS573253C
SECTION 457F INVESTMENTS274006C
PREMIER PURCHASING LP4727520C
PREMIER INC - COMMON STOCK95000C
FNB INVESTMENT TRUST12629905C
INVESTMENT IN HMOB9930136C
BOND FUNDS69650378C
FieldValueIRS element (for citing)
Total Of Book Value Securities137859562TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
FUNDS HELD FOR OTHERS$36,242
ANNUITY PAYABLE$98,656
DUE TO AFFILIATES$9,708,004
PENSION LIABILITY$847,259
SELF INSURANCE RESERVES$8,771,015
DUE TO 3RD PARTY PAYORS$6,299,842
OTHER LIABILITIES$3,249
FieldValueIRS element (for citing)
Total Of Amounts25764267TotalOfAmounts
Total Revenue302774110TotalRevenue
Total Expenses265443114TotalExpenses
Excess Or Deficit For Year37330996ExcessOrDeficitForYear
Net Unrealized GL On Investments4308356NetUnrealizedGLOnInvestments
Other$1,211,827OtherAmount
Total Adjustments5520183TotalAdjustments
Excess Or Deficit Per FS42851179ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt308301001TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4308356NetUnrealizedGainsInvestments
Other Revenues1336280OtherRevenues
Revenue Not Rptd F9905644636RevenueNotRptdF990
Revenue Subtotal302656365RevenueSubtotal
Other Revenues Not Included117745OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt117745RevenueNotRptdOnFinStmt
Total Revenue Per Form990302774110TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt265449822TotExpensesEtcAuditedFinclStmt
Other Expenses Included62274OtherExpensesIncluded
Expenses Not Rptd F99062274ExpensesNotRptdF990
Expenses Subtotal265387548ExpensesSubtotal
Other Expenses Not Included55566OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt55566ExpensesNotRptdOnFinStmt
Total Expenses Per Form990265443114TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 FINANCIAL STATEMENTS FOOTNOTESCH D, PART XIN JUNE 2006, FASB ISSUED ASC 740-10 FASB INTERPRETATION (FIN) NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ("FIN NO. 48"). ASC 740-10/FIN NO. 48 IS AN INTERPRETATION OF SFAS NO. 109, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR RECOGNIZING, MEASURING, PRESENTING AND DISCLOSING THE FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT HENDRICK HAS TAKEN OR EXPECTS TO TAKE IN HENDRICK'S TAX RETURNS. HENDRICK ADOPTED THIS NEW GUIDANCE FOR THE YEAR ENDED AUGUST 31, 2010. MANAGEMENT EVALUATED HENDRICK'S TAX POSITIONS AND CONCLUDED THAT HENDRICK HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE.
RECONCILIATION OF CHANGE IN NET ASSETS FROM FORM 990 TO FINANCIAL STMTSSCH D, PART XI, LINE 8EQUITY IN EARNINGS OF SUBSIDIARY 452,511 CHANGE IN UNRESTRICTED NET ASSETS OF HMCF 803,781 MISC REV INCLUDED IN AUDIT 17,714 NET ASSETS RELEASED FROM RESTRICTION ( 35,233) CONTRIBUTIONS INCLUDED IN NET ASSETS ( 26,946) ----------- 1,211,827
RECONCILIATION OF REVENUE PER AUDITED F/S WITH REVENUE PER RETURNSCH D, PART XII, LINES 2D AND 4BREVENUE ON BOOKS, NOT ON RETURN: RENTAL EXPENSE INCLUDED IN REVENUE 62,274 EQUITY IN EARNINGS OF SUBSIDIARY 452,511 CHANGE IN UNRESTRICTED NET ASSETS OF HMCF 803,781 MISC REVENUE INCLUDED ON AUDIT 17,714 ----------- 1,336,280 REVENUE ON RETURN, NOT ON BOOKS: MISC EXPENSES INCLUDED IN REVENUE ON RETURN 4,340 DONATIONS INCLUDED IN REVENUE ON RETURN 51,226 NET ASSETS RELEASED FROM RESTRICTION 35,233 CONTRIBUTIONS INCLUDED IN NET ASSETS 26,946 -------- 117,745
RECONCILIATION OF EXPENSES PER AUDITED F/S WITH REVENUE PER RETURNSCH D, PART XIII, LINES 2D AND 4BEXPENSES ON BOOKS, NOT ON RETURN: RENTAL EXPENSE INCLUDED IN REVENUE 62,274 EXPENSES ON RETURN, NOT ON BOOKS: MISC EXPENSES INCLUDED IN REVENUE ON RETURN 4,340 DONATIONS INCLUDED IN REVENUE ON RETURN 51,226 -------- 55,566
SCH D, PART V, LINE 4DESCRIBE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDSCHILDREN'S HOSPITAL, MAINTENANCE, CANCER, NURSING, ETC.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedInvestmentSpecificServicesProvided
Total Expenditures305026TotalExpenditures
FieldValueIRS element (for citing)
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Total Amount Spent305026TotalAmountSpent

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served8476PersonsServed
Total Community Benefit Expense12465532TotalCommunityBenefitExpense
Net Community Benefit Expense12465532NetCommunityBenefitExpense
Percent Of Total Expense0.05270PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served31787PersonsServed
Total Community Benefit Expense15177813TotalCommunityBenefitExpense
Direct Offsetting Revenue15645241DirectOffsettingRevenue
Net Community Benefit Expense532572NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served40263PersonsServed
Total Community Benefit Expense27643345TotalCommunityBenefitExpense
Direct Offsetting Revenue15645241DirectOffsettingRevenue
Net Community Benefit Expense12998104NetCommunityBenefitExpense
Percent Of Total Expense0.05500PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs34NumberOfActivitiesOrPrograms
Persons Served36051PersonsServed
Total Community Benefit Expense83359TotalCommunityBenefitExpense
Direct Offsetting Revenue35645DirectOffsettingRevenue
Net Community Benefit Expense47714NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served293PersonsServed
Total Community Benefit Expense459018TotalCommunityBenefitExpense
Direct Offsetting Revenue89868DirectOffsettingRevenue
Net Community Benefit Expense369150NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense137100TotalCommunityBenefitExpense
Net Community Benefit Expense137100NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs37NumberOfActivitiesOrPrograms
Persons Served36344PersonsServed
Total Community Benefit Expense679477TotalCommunityBenefitExpense
Direct Offsetting Revenue125513DirectOffsettingRevenue
Net Community Benefit Expense553964NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs37NumberOfActivitiesOrPrograms
Persons Served76607PersonsServed
Total Community Benefit Expense28322822TotalCommunityBenefitExpense
Direct Offsetting Revenue15770754DirectOffsettingRevenue
Net Community Benefit Expense13552068NetCommunityBenefitExpense
Percent Of Total Expense0.05740PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense1297TotalCommunityBuildingExpense
Net Community Building Expense1297NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense35004TotalCommunityBuildingExpense
Net Community Building Expense35004NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense36301TotalCommunityBuildingExpense
Net Community Building Expense36301NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$7,502,528BadDebtExpenseAmount
Amount Attributable To450152AmountAttributableTo
Amount Reimbursed By Medicare82178933AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare93356717CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-11177784MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hendrick Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11900 pine streetAddressLine1
CityAbileneCity
StateTXState
ZIP Code79601ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherRehabilitation ctrOther

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Percent Of Total Expense ExplnBAD DEBT EXPENSE OF $28,876,839 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN.PercentOfTotalExpenseExpln
Bad Debt FootnoteTHE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, INCLUDING MEDICARE, MEDICAID AND CHAMPUS CONTRACTUALS, BAD DEBTS, CHARITY AND OTHER THIRD-PARTY CONTRACTUAL DEDUCTIONS, IS MADE USING THE RESERVE METHOD AND IS BASED UPON MANAGEMENT'S CONTINUING REVIEW OF ACCOUNTS RECEIVABLE. AMOUNTS REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. AMOUNTS REPORTED IN LINE 3 ARE THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS ESTIMATED AT 6%.BadDebtFootnote
Shortfall As Community BenefitIT IS HENDRICK'S MISSION TO DELIVER HIGH QUALITY HEALTHCARE EMPHASIZING EXCELLENCE AND COMPASSION CONSISTENT WITH THE HEALING MINISTRY OF JESUS CHRIST. THE ORGANIZATION GETS AN OPPORTUNITY TO FULFILL THIS MISSION DAILY BY SERVING A LARGE POPULATION OF MEDICARE PATIENTS. THE PAYMENTS FROM MEDICARE DO NOT FULLY COVER THE COSTS INCURRED FOR TAKING CARE OF THESE PATIENTS, BUT THIS DOES NOT KEEP THE PATIENT FROM RECEIVING HIGH QUALITY HEALTHCARE. THE ORGANIZATION USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS, AND THE ANCILLARY PORTION IS APPORTIONED BASED ON PROGRAM CHARGES TO TOTAL CHARGES.ShortfallAsCommunityBenefit
Debt Collection PolicyIF THE PATIENT QUALIFIES FOR CHARITY CARE PER WRITTEN HOSPITAL CRITERIA, THE QUALIFYING BALANCE IS WRITTEN OFF TO CHARITY CARE AND NO FURTHER COLLECTION EFFORTS ARE MADE.DebtCollectionPolicy
Needs AssessmentA COMMUNITY HEALTH ASSESSMENT SURVEY WAS COMMISSIONED BY HENDRICK IN THE FALL OF 2006 AND WAS CONDUCTED THE FOLLOWING SPRING. THE PRIMARY OBJECTIVE WAS TO ESTABLISH A BENCHMARK FOR THE GENERAL HEALTH OF THE COMMUNITY THAT IS SERVED BY HENDRICK AND USE THE RESULTING DATA IN SUPPORT OF HENDRICK'S OWN SELF ASSESSMENT AS A NON-PROFIT ORGANIZATION. TO EXECUTE THE PROJECT, HENDRICK PARTNERED WITH STAFF AND FACULTY FROM THE DEPARTMENT OF MANAGEMENT SCIENCE IN THE COLLEGE OF BUSINESS AT ABILENE CHRISTIAN UNIVERSITY. A MODIFIED FORM OF THE BEHAVIORAL RISK FACTORS SURVEILLANCE SYSTEM QUESTIONNAIRE DEVELOPED AT THE US CENTERS FOR DISEASE CONTROL AND PREVENTION WAS USED AS THE SURVEY INSTRUMENT. THE QUESTIONNAIRE WAS MAILED TO A SAMPLE OF 8,000 HOUSEHOLDS IN TAYLOR COUNTY. THE SAMPLE WAS SELECTED FROM A PROPRIETARY HOUSEHOLD LIST MAINTAINED BY THE ABILENE REPORTER NEWS AND ITS PARENT ORGANIZATION, E.W. SCRIPPS COMPANY. A TOTAL OF 1,880 QUESTIONNAIRES WERE RETURNED FOR A RESPONSE RATE OF 23.5%.NeedsAssessment
Patient Education AssistanceHENDRICK PROVIDES MANY OPPORTUNITIES FOR PATIENT EDUCATION ON FINANCIAL ASSISTANCE. THE PROGRAMS ARE OUTLINED ON HENDRICK'S WEBSITE, SIGNS AND BROCHURES ARE AT EVERY REGISTRATION POINT, PRE-ADMIT LETTERS ARE SENT TO SURGERY PATIENTS THAT CONTAIN FINANCIAL ASSISTANCE INFORMATION, AND APPLICATIONS ARE GIVEN TO EVERY UNINSURED TRAUMA CENTER PATIENT.PatientEducationAssistance
Community InformationHENDRICK IS ACTIVELY DELIVERING CARE FOR A 19 COUNTY SERVICE AREA WITH A BROAD RANGE OF DEMOGRAPHICS.CommunityInformation
Community Building ActivitiesTHE COMMUNITY BUILDING ACTIVITIES ARE USED TO POSITIVELY IMPACT THE COMMUNITY AND EDUCATE THE COMMUNITY ON HEALTH TOPICS. THESE ARE DESIGNED TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY.CommunityBuildingActivities
Other InformationHENDRICK IS ABLE TO FURTHER ITS EXEMPT PURPOSE BY PROVIDING MORE PHYSICIAN COVERAGE IN NEEDED AREAS, REINVEST BACK INTO THE COMMUNITY WITH EDUCATIONAL OPPORTUNITIES, AND OTHER IN-KIND CONTRIBUTIONS. THE COMMUNITY BOARD BRINGS PERSPECTIVE AND NEEDS OF THE COMMUNITY.OtherInformation
Affiliated Health Care SystemHENDRICK MEDICAL CENTER IS PART OF AN ORGANIZATION OF AFFILIATED COMPANIES THAT PROVIDE MEDICAL AND OTHER HEALTH CARE RELATED SERVICES TO TAYLOR COUNTY AND SURROUNDING COUNTY SERVICE AREAS. THE PRIMARY BUSINESS AREAS ARE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES, SUB-ACUTE CARE, INPATIENT AND OUTPATIENT REHABILITATION, LONG-TERM CARE, NURSING HOME CARE, HOME HEALTH CARE, HOSPICE CARE, MEDICAL OFFICE BUILDING LEASING, DURABLE MEDICAL EQUIPMENT SALES AND LEASING, PHYSICIAN PRACTICES AND A REGIONAL HEALTH MAINTENANCE ORGANIZATION. AFFILIATES INCLUDE HENDRICK MEDICAL DEVELOPMENT CORPORATION, HENDRICK MEDICAL CENTER FOUNDATION, HENDRICK RETIREMENT VILLAGE, INC., HENDRICK PROVIDER NETWORK, HENDRICK MEDICAL OFFICE BUILDINGS, LLC, HENDRICK ANESTHESIA NETWORK, HENDRICK HOSPICE CARE, HENDRICK SOUTHWESTERN HEALTH DEVELOPMENT CORPORATION, HENDRICK CENTER FOR EXTENDED CARE, HENDRICK MANAGED CARE NETWORK, LLC, AND HENDRICK HEALTH NETWORK.AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
TEXAS TECH UNIVERSITY
2500 BROADWAYLUBBOCKTX79409752668016GOVERNMENTAL10898NURSE EDUCATION
CONNECTING CARING COMMUNITIES
402 CYPRESS ST SUITE 420ABILENETX79601141959607501(c)(3)35004SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCH I, PART I, QUESTION 2Identifier
Return ReferenceDESCRIBE PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.ReturnReference
ExplanationTHE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (14 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
Tim Lancaster
41822001568630192632073500133960788461000
Stephen Kimmel
2569320953510112817073500216830494133000
Joe Pearson
167643055683079176061390178580326499000
Mike McBroom
153702043594036611056230123670251897000
Jo Rake
138449040751070052052400155120270004000
Lisa Harp
10791101844709794035330171350156820000
Rosemaria Levinsky
16080703480303657605349079750245510000
Teresta Kolin
155091012130480204307064950171908000
Patricia Rollins
1519870137402236904341059910186062000
Robert Harlow
1483740006463048590203380180034000
Noel Sugay
1314860120804443042820181260159545000
Tim Riley
140774040500012164045830130950211116000
Bob Prewit
97304017680019156052800134520152872000
TOBY CROOKS
1375930000056970142550157545000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part I, Question 4bparticipation in or payment from supplemental nonqualified retirement planThe individuals listed below participate in a 457(f) nonqualified retirement plan: Tim Lancaster 140,723 Stephen Kimmel 66,311 Joe Pearson 42,161 Rosemaria Levinsky 17,673 Jo Rake 33,210 H.N. Lowry 34,167 Bob Prewit 10,236
Sch J, Part I, Question 1aBenefits provided by the organizationHousing allowance is provided to Mike McBroom. Any taxable amounts are recorded on Form W-2 as taxable compensation. Social club dues are paid for Tim Lancaster and Stephen Kimmel. Any non-business portion of the dues is included on Form W-2. Any personal expenses charged to the account are reimbursed by the individual.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
TARRANT COUNTY CULTURAL EDU FACILITIES FIN CORP
04383355187638QCA52009-09-0233940000TO REFINANCE BONDS & FINANCE CONSTfalsefalse
TARRANT COUNTY CULTURAL EDU FACILITIES FIN CORP
04383355187638QCS62009-09-0244795000TO REFINANCE BONDS & FINANCE CONSTfalsefalse
TARRANT COUNTY CULTURAL EDU FACILITIES FIN CORP
04383355187638QDM82009-09-0925000000TO REFINANCE BONDS & FINANCE CONSTfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
33819674362181014714537402500170484792012truefalsetruetrue
43952147425169017650446472500200134322012falsefalsetruetrue
248819002146829036500030486102012truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue
falsefalsefalsefalsetrue
falsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, QUESTION 7ADESCRIBE WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODYARTICLE 1, SECTION 4 OF THE BYLAWS PROVIDES, IN PART, THAT THE BAPTIST GENERAL CONVENTION OF TEXAS APPOINTS AT LEAST 75% OF THE MEMBERS OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, QUESTION 7BDECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY OTHERSARTICLE VII OF THE RESTATED ARTICLES OF INCORPORATION PROVIDES, IN PART, THAT AN AMENDMENT OF ARTICLE II RELATING TO THE PURPOSE OF THE CORPORATION AND ARTICLE VI RELATING TO THE NUMBER AND METHOD OF THE ELECTION OR APPOINTMENT OF THE BOARD OF TRUSTEES SHALL OCCUR ONLY WITH THE CONSENT OF THE BAPTIST GENERAL CONVENTION OF TEXAS OR ITS EXECUTIVE BOARD.
FORM 990, PART VI, QUESTION 11ADESCRIBE REVIEW PROCESS OF FORM 990THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND ADMINISTRATIVE MANAGEMENT PRIOR TO FILING.
FORM 990, PART VI, QUESTION 12CDESCRIBE THE ORGANIZATION'S PRACTICE FOR MONITORING COMPLIANCE WITH POLICYTHE ORGANIZATION SENDS OUT A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY TO ALL TRUSTEES OF THE BOARD AND TO THE EXECUTIVE EMPLOYEES. THE QUESTIONNAIRES ARE REVIEWED BY OUR OUTSIDE AUDITORS PRIOR TO THE ANNUAL AUDIT AND BY THE ORGANIZATION'S DIRECTOR OF COMPLIANCE TO IDENTIFY POSSIBLE CONFLICTS OF INTEREST AND OTHER FINANCIAL RELATIONSHIPS UNDER THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, QUESTIONS 15A & 15BPROCESS FOR DETERMINING COMPENSATION OF CEO AND KEY EMPLOYEESA COMPREHENSIVE REVIEW OF COMPENSATION IS CONDUCTED BY AN INDEPENDENT PARTY AT LEAST EVERY THREE YEARS. THIS REPORT PRESENTS THE RESULTS OF THE ANALYSIS OF SALARY, INCENTIVE, TOTAL CASH COMPENSATION (SALARY PLUS INCENTIVE), BENEFITS, AND TOTAL COMPENSATION (TOTAL CASH AND BENEFITS). INTEGRATED HEALTHCARE STRATEGIES (IHS) WORKS WITH THE PERSONNEL COMMITTEE TO FORMALLY DEFINE AN EXECUTIVE TOTAL COMPENSATION PHILOSOPHY. HENDRICK HEALTH SYSTEM'S CURRENT PHILOSOPHY IS TO USE RANGES BUILT AROUND THE MEDIAN OF THE MARKET WITH A 50% SPREAD FROM MINIMUM TO MAXIMUM. INCENTIVE OPPORTUNITY LEVELS ARE COMPETITIVE WITH PRACTICES OF PEER GROUPS AND BENEFITS WILL BE DELIVERED AT MARKET COMPETITIVE LEVELS. SEVERANCE AND PERQUISITES REFLECT A CONSERVATIVE PHILOSOPHY. THE COMMITTEE DETERMINED THAT THE PEER GROUP WOULD BE PRIMARILY REGIONAL NOT-FOR-PROFIT HOSPITALS OF SIMILAR SIZE AND COMPLEXITY. NATIONAL PEER GROUP WILL BE USED FOR REFERENCE PURPOSES WHERE APPROPRIATE. THE HENDRICK HEALTH SYSTEM PERSONNEL COMMITTEE IS DELEGATED THE RESPONSIBILITY FOR THE EXECUTIVE COMPENSATION PROGRAM BY THE BOARD OF TRUSTEES. THE COMMITTEE: SETS THE OVERALL EXECUTIVE COMPENSATION PHILOSOPHY TO BE IMPLEMENTED BY HENDRICK HEALTH SYSTEM; SETS COMPENSATION COMPONENTS FOR THE PRESIDENT & CEO; REVIEWS, DISCUSSES AND MAKES DECISIONS BASED ON THE PRESIDENT & CEO'S RECOMMENDATIONS FOR HIS DIRECT REPORTS; REPORTS A SUMMARY OF THE PROCESS BACK TO THE BOARD OF TRUSTEES ALONG WITH THE ACTUAL COMPENSATION APPROVED FOR THE PRESIDENT AND CEO; AND APPROVES ALL INCENTIVE GOALS AND AWARDS.
FORM 990, PART VI, QUESTION 19DESCRIBE WHETHER THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE TO PUBLICTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIIAVERAGE HOURS WORKED FOR RELATED ORGANIZATIONSHOURS WORKED FOR RELATED ORGANIZATIONS TIM LANCASTER 12 STEPHEN KIMMEL 12 JOE PEARSON 34 ALL OTHER OFFICERS AND DIRECTORS LISTED IN PART VII DEVOTE AN AVERAGE OF 2 TO 6 HOURS PER WEEK TO RELATED ORGANIZATIONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HENDRICK MEDICAL OFFICE BUILDINGBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 3117AddressLine1
CityABILENECity
StateTXState
ZIP Code79604ZIPCode
FieldValueIRS element (for citing)
EIN752856740EIN
Primary ActivitiesBUILD. RENTALPrimaryActivities
Legal Domicile StateTXLegalDomicileState
Total Income452512TotalIncome
EOY Assets15244477EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HENDRICK MEDICAL CENTER FOUNDATION
PO BOX 3117ABILENETX79604237413284FUNDRAISINGTX501(C)(3)11na
MESA SPRINGS RETIREMENT VILLAGE INC
PO BOX 3117ABILENETX79604751988319HEALTHCARETX501(C)(3)9NA
HENDRICK ANESTHESIA NETWORK
PO BOX 3117ABILENETX79604752728889ANESTHESIATX501(C)(3)9NA
HENDRICK PROVIDER NETWORK
PO BOX 3117ABILENETX79604752660403PHYS. GROUPTX501(C)(3)9NA
HENDRICK CENTER FOR EXTENDED CARE
PO BOX 3117ABILENETX79604752434172HOSPITALTX501(C)(3)3NA
HENDRICK MEDICAL DEVELOPMENT CORPORATION
PO BOX 3117ABILENETX79604751586080SUPPORT SVCSTX501(C)(3)11NA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SHA LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112940 NORTH HWY 183AddressLine1
CityAUSTINCity
StateTXState
ZIP Code78750ZIPCode
FieldValueIRS element (for citing)
EIN752569094EIN
Primary ActivityHEALTH SERVICESPrimaryActivity
Legal Domicile StateTXLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeUNRELATEDPredominantIncomeType
Share Of Total Income-4300278ShareOfTotalIncome
Share Of EOY Assets23087373ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
HENDRICK HEALTH NETWORK
PO BOX 3117ABILENETX79604721619011HEALTH INSURANCETXMEDICAL CENTERC-CORPORATION-71501.00000
HENDRICK MANAGED CARE NETWORK LLC
PO BOX 3117ABILENETX79604522001034INACTIVETXNAC-CORPORATION000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HENDRICK PROVIDER NETWORK
A251276
HENDRICK CENTER FOR EXTENDED CARE
A75788
HENDRICK MEDICAL CENTER FOUNDATION
A1227
HENDRICK MEDICAL CENTER FOUNDATION
C65745
HENDRICK MEDICAL DEVELOPMENT CORPORATION
I4353316