2021-11-04T06:38:14-05:00 2020-12-31 BKD LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2020-01-01 752925491 United Regional Physician Group % STEPHEN P CALVERT UNIT 9407648299 1600 Eleventh Street Wichita Falls TX 76301 PHYLLIS COWLING PRESIDENT 9407648299 2021-11-15 true PHYLLIS COWLING 999009999 Jeanette Verrelli P00742631 9727028262 2 2020 2022-09-23 18:48:47Z PHYLLIS COWLING 1600 ELEVENTH STREET WICHITA FALLS TX 76301 19770795 false X N/A X 2001 TX TO PROVIDE PHYSICIAN AND HEALTH CARE SERVICES TO THE PUBLIC IN SUPPORT OF UNITED REGIONAL HEALTH CARE SYSTEM, A NON-PROFIT HOSPITAL. 5 0 220 0 0 0 0 1238805 18211312 18531990 49 -3920 0 0 18211361 19766875 506 39 0 0 27688647 30656161 0 0 0 4157462 4164924 31846615 34821124 -13635254 -15054249 6906083 5978932 81558346 89688183 -74652263 -83709251 X TO PROVIDE PHYSICIAN AND HEALTH CARE SERVICES TO THE PUBLIC IN SUPPORT OF UNITED REGIONAL HEALTH CARE SYSTEM, A NON-PROFIT HOSPITAL. false false 25527097 39 18531990 UNITED REGIONAL PHYSICIAN GROUP, A 43 PHYSICIAN AND MID-LEVEL PRACTITIONER GROUP, PROMOTES HEALTH OF THE COMMUNITY BY PROVIDING PHYSICIAN MEDICAL SERVICES TO THE COMMUNITY AND IN SUPPORT OF UNITED REGIONAL HEALTH CARE SYSTEM. ADDITIONAL PROGRAMS WHICH BENEFIT THE COMMUNITY INCLUDE: UNITED REGIONAL PHYSICIAN GROUP SUPPORTS UNITED REGIONAL HEALTH CARE SYSTEM (A STATE DESIGNATED LEVEL 2 TRAUMA CENTER FOR THE REGION) BY PROVIDING COVERAGE FOR SURGICAL SPECIALTIES AS WELL AS CRITICAL CARDIOVASCULAR SURGICAL AVAILABILITY. COMMUNITY CONNECTIONS: UNITED REGIONAL PHYSICIAN GROUP REACHES OUT TO PEOPLE AND COMMUNITIES THROUGHOUT ITS PRIMARY SERVICE AREA OF WICHITA COUNTY AND ITS SECONDARY SERVICE AREA OF 8 SURROUNDING COUNTIES CONSISTING OF ARCHER, BAYLOR, CLAY, HARDEMAN, JACK, MONTAGUE, WILBARGER AND YOUNG COUNTIES. THROUGH COOPERATIVE AGREEMENTS WITH LOCAL GOVERNMENTS AND HOSPITALS, UNITED REGIONAL PROVIDES FUNDING FOR A NUMBER OF HEALTHCARE SERVICES. COMMUNITY EDUCATION: UNITED REGIONAL PHYSICIAN GROUP PROVIDES THE FOLLOWING TYPES OF COMMUNITY EDUCATION: COMMUNITY EDUCATION SEMINARS WITH PRESENTATIONS BY PHYSICIANS ON HEALTH ISSUES AND TREATMENT OPTIONS; PROVIDING HEALTH PROMOTION AND DISEASE PREVENTION INFORMATION, AS WELL AS ONE ON ONE HOSPITAL SERVICES AND EDUCATION; PROVIDING SPEAKERS ON A VARIETY OF HEALTH-RELATED TOPICS; AND PARTICIPATION IN A VARIETY OF COMMUNITY HEALTH FAIRS AND EVENTS PROMOTING GENERAL HEALTH. CHARITY CARE: UNITED REGIONAL PHYSICIAN GROUP PROVIDES MEDICAL CARE TO MEMBERS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. 25527097 true true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 20 0 220 true false false false false false false false false false false false false X 5 0 false false false false true true true true true false false false true true true true true false false false X STEPHEN P CALVERT 9407648299 1600 ELEVENTH STREET WICHITA FALLS TX 76301 X PHYLLIS COWLING PRESIDENT 2.5 40.0 X 0 1183272 114229 MICHAEL SHEEN MD PHYSICIAN 40.0 0.0 X 941700 176800 52312 JOSHUA SCHACTER DO DIRECTOR 40.0 0.0 X 961826 95200 46057 LOUIS PROVENZA MD PHYSICIAN 40.0 0.0 X 944364 239 53967 Nancy Townley Vice President 0.0 40.0 X 0 802976 61115 EDWARD WALKER GALLEGO MD PHYSICIAN 40.0 0.0 X 582221 103600 36302 Bob Pert Secretary/Treasurer 0.0 40.0 X 0 577534 63151 JASON HOLINBECK MD DIRECTOR 40.0 0.0 X 515752 0 40564 BRANDON OHMAN MD PHYSICIAN 40.0 0.0 X 501042 0 36982 THIEN TRAN MD DIRECTOR 40.0 0.0 X 473799 9837 37247 ETEM CHU MD PHYSICIAN 40.0 0.0 X 446329 7904 41299 MITCHELL WOLFE MD DIRECTOR 40.0 0.0 X 433128 0 31986 ERIN SHINER MD DIRECTOR END: 10/2020 40.0 0.0 X 376959 0 30904 JOHNNY ROBERTS SECRETARY 2.5 40.0 X 0 346145 53918 JEFFREY SWANSON MD DIRECTOR 40.0 0.0 X 268111 0 19685 B SHANES MD DIRECTOR END: 05/2020 40.0 0.0 X 195450 0 22970 6640681 3303507 742688 64 true true false 0 1238805 1238805 Net Patient Revenue 621110 18354836 18354836 Incentive Revenue 900099 177154 177154 18531990 0 0 0 0 0 0 3920 -3920 -3920 -3920 0 0 0 0 0 0 0 0 0 0 19766875 18531990 -3920 0 39 39 0 0 3454438 2451824 1002614 0 22798088 16135773 6662315 564300 416320 147980 2466196 1819468 646728 1373139 1013051 360088 0 0 0 0 0 0 349449 349449 632 632 448268 420244 28024 1397 1397 0 650660 526055 124605 84194 84138 56 0 15013 15013 0 0 507585 381971 125614 269145 198565 70580 Medical Supplies 1546772 1546772 Equipment expenses 89464 72856 16608 BILLING EXPENSES 81754 81754 Dues & Publications 81330 60040 21290 39261 34122 5139 34821124 25527097 9294027 0 2133975 1333114 0 0 0 0 1588483 1759855 0 0 0 0 0 0 0 0 50844 55626 6659039 3828702 3132781 2830337 0 0 0 0 0 0 0 0 0 0 6906083 5978932 3329474 3231899 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78228872 86456284 81558346 89688183 X -74652263 -83709251 0 0 -74652263 -83709251 6906083 5978932 X -15054249 5997261 X false true X true false X 0 0 0 0 1238805 1238805 14642990 15120477 16691324 18211312 18531990 83198093 0 0 0 14642990 15120477 16691324 18211312 19770795 84436898 0 0 0 84436898 0 0 0 0 0 14642990 15120477 16691324 18211312 19770795 84436898 1.00000 1.00000 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3914020 1916502 1997518 13840 4325 9515 2731179 1907875 823304 2830337 0 Due to Affilates 85931653 Self-Insurance Liability 278400 DEFERRED PAYROLL TAXES 246231 86456284 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false true false false false false false false false PHYLLIS COWLING PRESIDENT 0 747808 0 298865 0 136599 0 101400 0 12829 0 1297501 74644 JOHNNY ROBERTS SECRETARY 0 283764 0 53019 0 9362 0 29710 0 24208 0 400063 JASON HOLINBECK MD DIRECTOR 480482 0 34775 0 495 0 10077 0 30487 0 556316 0 JOSHUA SCHACTER DO DIRECTOR 873725 95200 87540 0 561 0 11400 0 34657 0 1007883 95200 MITCHELL WOLFE MD DIRECTOR 421039 0 9919 0 2170 0 11400 0 20586 0 465114 0 THIEN TRAN MD DIRECTOR 453746 9837 19241 0 812 0 3513 0 33734 0 511046 9837 JEFFREY SWANSON MD DIRECTOR 260512 0 6819 0 780 0 8956 0 10729 0 287796 0 B SHANES MD DIRECTOR END: 05/2020 185428 0 9665 0 357 0 7734 0 15236 0 218420 0 ERIN SHINER MD DIRECTOR END: 10/2020 351360 0 24858 0 741 0 11400 0 19504 0 407863 0 MICHAEL SHEEN MD PHYSICIAN 882891 176800 51750 0 7059 0 11400 0 40912 0 994012 176800 BRANDON OHMAN MD PHYSICIAN 448176 0 52073 0 793 0 5091 0 31891 0 538024 0 LOUIS PROVENZA MD PHYSICIAN 922242 239 15000 0 7122 0 11022 0 42945 0 998331 239 EDWARD WALKER GALLEGO MD PHYSICIAN 533357 103600 48322 0 542 0 5673 0 30629 0 618523 103600 ETEM CHU MD PHYSICIAN 411445 7904 34413 0 471 0 11400 0 29899 0 487628 7904 Nancy Townley Vice President 587192 205914 9870 30900 30215 864091 0 0 Bob Pert Secretary/Treasurer 420783 148033 8718 30900 32251 640685 0 0 SCHEDULE J, PART I, LINE 4B DEFERRED COMPENSATION PLAN: UNITED REGIONAL HEALTH CARE SYSTEM OFFERS A DEFERRED COMPENSATION PLAN. CERTAIN MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES MAY ELECT TO PARTICIPATE, IF ELIGIBLE, IN A DEFERRED COMPENSATION PLAN WHICH IS IN COMPLIANCE WITH THE IRC SECTION 457(F), INELIGIBLE DEFERRED COMPENSATION PLAN SPONSORED BY A TAX EXEMPT ORGANIZATION. THE FOLLOWING PARTICIPATED IN THE PLAN DURING TAX YEAR 2020: NAME AMOUNT IN W-2 DEFERRED ------------------------------------------------------- PHYLLIS COWLING $74,644 $70,500 SCHEDULE J, PART I, LINE 3 COMPENSATION OF PRESIDENT: THE ORGANIZATION RELIED ON UNITED REGIONAL HEALTH CARE SYSTEM, A RELATED ORGANIZATION, WHICH USED THE FOLLOWING METHODS ON PART I, LINE 3 TO ESTABLISH PHYLLIS COWLING'S COMPENSATION: - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PHYLLIS COWLING, PRESIDENT/CEO, IS COMPENSATED BY UNITED REGIONAL HEALTH CARE SYSTEM, A RELATED ORGANIZATION, FOR SERVICES PROVIDED TO THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 1A DELEGATION OF AUTHORITY: THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE, CONSISTING OF THE PRESIDENT AND SECRETARY, WHICH HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN SCHEDULED MEETINGS. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: UNITED REGIONAL PHYSICIAN GROUP HAS ONE MEMBER, UNITED REGIONAL HEALTH CARE SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY: UNITED REGIONAL HEALTH CARE SYSTEM MAY ELECT OR REMOVE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL: THE SOLE MEMBER, UNITED REGIONAL HEALTH CARE SYSTEM, HAS FULL AUTHORITY TO ACT ON THE FOLLOWING MATTERS: 1. DEVELOPMENT, APPROVAL, ADOPTION AND MODIFICATION OF ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; 2. APPROVAL OF ANY FINANCIAL COMMITMENT, OBLIGATION OR EXPENDITURE BY THE CORPORATION OF ANY NON-BUDGETED AMOUNT, OR OF ANY AMOUNT THAT IS IN EXCESS OF AN AMOUNT APPROVED IN AN ANNUAL CAPITAL OR OPERATING BUDGET, OR THAT EXCEEDS A FINANCIAL LIMIT; 3. BORROWING OR LENDING OF MONEY OR THE INCURRENCE OR GUARANTEE OF ANY DEBT OR OTHER FINANCIAL OBLIGATION, DIRECTLY OR INDIRECTLY; 4. CREATION, OWNERSHIP, OR ACQUISITION AND DISSOLUTION OF ANY SUBSIDIARIES OF THE CORPORATION; 5. CREATION, OWNERSHIP, ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION AND THE DISSOLUTION OF OR TERMINATION OF AFFILIATION WITH SUCH ORGANIZATION; 6. ANY ACQUISITION, PURCHASE, SALE, LEASE, MORTGAGE, OR OTHER TRANSFER OR ENCUMBRANCE OF ANY REAL PROPERTY; 7. ANY TRANSFER OF ANY PERSONAL PROPERTY OF THE CORPORATION; 8. ANY DISSOLUTION, MERGER, CONSOLIDATION, SALE, OR OTHER CORPORATE RESTRUCTURING OF THE CORPORATION; 9. ANY AFFILIATION, JOINT VENTURE, CONTRACT, RISK SHARING ARRANGEMENT, EMPLOYMENT RETENTION, INDEMNIFICATION, OR OTHER ARRANGEMENTS BETWEEN THE CORPORATION AND ANY INSURER, HEALTH MAINTENANCE ORGANIZATION, OR OTHER PROVIDER OF HEALTH OR RELATED SERVICES, INCLUDING, WITHOUT LIMITATION, ALL SERVICE TERMS AND COMPENSATION ARRANGEMENTS; 10. ESTABLISHMENT, MODIFICATION, CARRYING ON AND TERMINATION BY THE CORPORATION OF ANY CORPORATE COMPLIANCE PROGRAM; 11. THE GIVING, SEEKING OR RECEIVING AND OVERSIGHT OF ADMINISTRATION OR USE OF GRANTS AND OTHER CONTRIBUTIONS AND GIFTS; 12. DEVELOP, ADOPT, APPROVE AND AMEND SALARIES AND OTHER COMPENSATION (INCLUDING THE AWARDING OF ANY INCENTIVE COMPENSATION) AND BENEFITS AND THE OTHER TERMS OF EMPLOYMENT OR ENGAGEMENT OF THE OFFICERS AND EMPLOYEES, INCLUDING PHYSICIAN EMPLOYEES OF THE CORPORATION, AND PHYSICIANS WHO ARE INDEPENDENT CONTRACTORS TO THE CORPORATION; 13. THE COMMENCEMENT OR SETTLEMENT OF LITIGATION OR OTHER CLAIMS, OR ALTERNATIVE DISPUTE RESOLUTION, INCLUDING BUT NOT LIMITED TO MEDIATION OR ARBITRATION; 14. ESTABLISHMENT, ADOPTION OR APPROVAL OR AMENDMENT OF FEE SCHEDULES RELATING TO PATIENT SERVICES AND OTHER SERVICES PROVIDED BY THE CORPORATION, ITS EMPLOYEES AND CONTRACTORS; 15. APPROVAL OF ANY MATERIAL CHANGES IN THE SCOPE OF SERVICES OFFERED BY THE CORPORATION, INCLUDING THE RANGE OF PHYSICIAN SPECIALTIES EMPLOYED BY OR CONTRACTED BY THE CORPORATION; 16. APPROVAL OF ANY STRATEGIC PLAN, BUSINESS PLAN, OR MISSION PLAN OF THE CORPORATION; 17. APPOINTMENT AND REMOVAL OF THE CORPORATION'S DIRECTORS; 18. DETERMINE, AUTHORIZE AND APPROVE CONTRIBUTIONS TO THE MEMBER OR ANY OTHER ORGANIZATION THAT IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE CODE AND DELIVERS OR SUPPORTS THE DELIVERY OF HEALTH CARE SERVICES TO THE PUBLIC; 19. THE FILING OF ANY VOLUNTARY PETITION IN BANKRUPTCY OR ANY OTHER PETITION OR PLEADING SEEKING REORGANIZATION, RECEIVERSHIP OR SIMILAR RELIEF UNDER FEDERAL OR STATE LAW; 20. APPROVAL OF THE CREATION AND STRUCTURE OF OPERATING UNITS AND APPOINTMENT OF ANY OPERATING UNIT DIRECTOR(S). FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE SECRETARY AND THEN BY THE EXECUTIVE COMMITTEE OF UNITED REGIONAL HEALTH CARE SYSTEM, WHICH HAS BEEN DESIGNATED RESPONSIBILITY BY THE BOARD OF DIRECTORS, PRIOR TO FILING OF RETURN. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM ANNUALLY. THE FORMS ARE REVIEWED INITIALLY BY THE CHIEF COMPLIANCE OFFICER AND THE CEO FOR POTENTIAL CONFLICTS. ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS. FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS USED TO DETERMINE COMPENSATION OF MANAGEMENT AND THE OFFICERS: UNITED REGIONAL PHYSICIAN GROUP DOES NOT DETERMINE COMPENSATION FOR THE PRESIDENT/CEO AND OTHER OFFICERS. THEIR COMPENSATION IS DETERMINED AND PAID BY UNITED REGIONAL HEALTH CARE SYSTEM, A RELATED ORGANIZATION. THEREFORE THE ORGANIZATION HAS MARKED LINES 15A AND 15B AS "NO". UNITED REGIONAL HEALTH CARE SYSTEM USES PHYSICIAN COMPENSATION CONSULTANTS AND THE LATEST COMPENSATION SURVEYS TO DETERMINE COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES. COMPENSATION IS ALSO REVIEWED BY THE EXECUTIVE COMMITTEE OF UNITED REGIONAL HEALTH CARE SYSTEM. THE COMPENSATION REVIEW IS CONDUCTED ANNUALLY IN JANUARY BY SULLIVAN COTTER AND IS DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VII, SECION C, LINE 19 DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION RUNS AN AD IN THE LOCAL NEWSPAPER ANNUALLY THAT STATES THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1A COMPENSATION OF OFFICERS AND DIRECTORS: DIRECTORS REPORTED IN PART VII, SECTION A ARE COMPENSATED FOR THEIR SERVICES AS PHYSICIANS, NOT AS DIRECTORS. Physicians receiving 1099 income from related organization compensation is for administrative and general services rendered for the organization, other professional services and for trauma or other off-hour availability. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: INTERCOMPANY TRANSFERS $5,997,261 UNITED REGIONAL HEALTH CARE SYSTEM 1600 ELEVENTH STREET WICHITA FALLS TX 76301 751912147 HEALTH CARE TX 501(C)(3) 3 WCH BOARD false RATHGEBER HOSPITALITY HOUSE 1615 TWELFTH STREET WICHITA FALLS TX 76301 752811394 FAM LODGING TX 501(C)(3) 7 URHC FDN true UNITED REGIONAL HEALTH CARE SYSTEM AUXIL 1600 ELEVENTH STREET WICHITA FALLS TX 76301 756004656 BENEVOL SVCS TX 501(C)(3) 12, TYPE I URHCS true TEXOMA HIE 1600 ELEVENTH STREET WICHITA FALLS TX 76301 463617299 HTH INFO EXCH TX 501(C)(3) 10 URHCS true CITY OF WICHITA FALLS-WC HOSPITAL BOARD 1300 SEVENTH STREET WICHITA FALLS TX 76301 756002771 OVERSIGHT TX GOVT N/A NA false UNITED REGIONAL HEALTH CARE FOUNDATION 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752761467 SUPPORT TX 501(C)(3) 12, TYPE I URHCS true UNITED REGIONAL PROFESSIONAL SERVICES 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752549298 MGMT SERVICES TX NA C-CORPORATION true false false false false false false false false false false true false false false true false true false true