FURP.ORG / PUBLIC DATA EXPLORER

UNITED REGIONAL HEALTH CARE SYSTEM INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
UNITED REGIONAL HEALTH CARE SYSTEM INC (EIN 75-1912147)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-07
IRS object ID
201613129349301251
Schema version
2015v2.1
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)
Return2016-11-07T10:37:21-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114241 DALLAS PKWY STE 1100AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75254ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN751912147EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1United Regional Health Care SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% STEPHEN P CALVERTInCareOfNm
Business Name ControlUNITBusinessNameControlTxt
Phone9407648299PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Eleventh StreetAddressLine1Txt
CityWichita FallsCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPHYLLIS COWLINGPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone9727028262PhoneNum
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeanette VerrelliPreparerPersonNm
PTINP00742631PTIN
Phone9727028262PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPHYLLIS COWLINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1Txt
CityWICHITA FALLSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$350,064,554GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNITEDREGIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionORGANIZED AND OPERATED FOR THE PURPOSE OF DEVELOPING AND OPERATING AN INTEGRATED HEALTH CARE SYSTEM.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2113TotalEmployeeCnt
Total Volunteers277TotalVolunteersCnt
Total Gross UBI$112,549TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$111,549NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,143,604PYContributionsGrantsAmt
CY Contributions Grants$4,603,418CYContributionsGrantsAmt
PY Program Service Revenue$332,170,298PYProgramServiceRevenueAmt
CY Program Service Revenue$329,863,782CYProgramServiceRevenueAmt
PY Investment Income$14,666,741PYInvestmentIncomeAmt
CY Investment Income$13,021,424CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$347,980,643PYTotalRevenueAmt
CY Total Revenue$347,488,624CYTotalRevenueAmt
PY Grants And Similar Paid$14,443,094PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$14,332,010CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$121,767,237PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$119,679,708CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$158,438,698PYOtherExpensesAmt
CY Other Expenses$158,298,397CYOtherExpensesAmt
PY Total Expenses$294,649,029PYTotalExpensesAmt
CY Total Expenses$292,310,115CYTotalExpensesAmt
PY Revenues Less Expenses$53,331,614PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$55,178,509CYRevenuesLessExpensesAmt
Total Assets BOY$624,071,034TotalAssetsBOYAmt
Total Assets EOY$642,429,467TotalAssetsEOYAmt
Total Liabilities BOY$125,965,492TotalLiabilitiesBOYAmt
Total Liabilities EOY$127,044,082TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$498,105,542NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$515,385,385NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO OPERATE NONPROFIT HOSPITALS OR HOSPITAL FACILITIES, CLINICS, AND RELATED MEDICAL AND SURGICAL SERVICES BY PROVIDING SUCH SERVICES TO PERSONS THAT DO HAVE THE ABILITY TO PAY, AND TO THEREBY PROVIDE CHARITABLE MEDICAL, SURGICAL, AND HOSPITAL CARE FOR SICK, INJURED, AFFLICTED, INFIRM, DISABLED, OR DESTITUTE PERSONS THAT DO NOT HAVE THE ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$248,814,057ExpenseAmt
Grant$14,332,010GrantAmt
Revenue$329,863,782RevenueAmt
DescUNITED REGIONAL HEALTH CARE SYSTEM, A 325-BED HOSPITAL, PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF HEALTH CARE SERVICES. IN ADDITION TO INPATIENT BEDS, THERE ARE 20 NEWBORN BASSINETTES INCLUDING 6 INTERMEDIATE NURSERY BASSINETTES AND 34 ER BEDS. ADDITIONAL PROGRAMS WHICH BENEFIT THE COMMUNITY INCLUDE: RESIDENCY/HEALTH PROFESSIONS TRAINING: AT ANY ONE TIME, THERE MAY BE UP TO 24 RESIDENTS IN TRAINING AT UNITED REGIONAL HEALTH CARE SYSTEM. THE RESIDENTS ARE PART OF THE UNITED REGIONAL HEALTH CARE SYSTEM PROGRAM IN PARTNERSHIP WITH THE WICHITA FALLS FAMILY PRACTICE RESIDENCY PROGRAM (THROUGH AN AFFILIATION WITH THE SOUTHWESTERN SCHOOL OF MEDICINE). STUDENTS IN NURSING, PHARMACY, LABORATORY TECHNOLOGY, RADIOLOGY, RESPIRATORY THERAPY AND OTHER ASSOCIATED HEALTH SCIENCES PROFESSIONS ALSO STUDY HERE. PREVENTIVE CARE A PRIORITY: UNITED REGIONAL HEALTH CARE SYSTEM HAS TAKEN STEPS TO ENHANCE PREVENTIVE CARE FOR PEOPLE OF ALL AGES THROUGH THE DEVELOPMENT OF LOW COST SCREENING PROGRAMS, VACCINATION CLINICS, AS WELL AS OTHER OUTREACH EDUCATION SERVICES. OTHER SERVICES ARE PROVIDED THROUGH THE UNITED REGIONAL REFERENCE LAB BOTH LOW COST FEE-FOR-SERVICE SCREENINGS AND FREE SCREENINGS AT COMMUNITY HEALTH FAIRS (CHOLESTEROL, PSA, TRIGLYCERIDES, ETC.) DESIGNATED TRAUMA CENTER: UNITED REGIONAL IS DESIGNATED LEVEL 2 TRAUMA CENTER FOR THE REGION BY THE HEALTH AND HUMAN SERVICES COMMISSION OF THE STATE OF TEXAS. UNITED REGIONAL HEALTH CARE SYSTEM'S EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY/7 DAYS A WEEK MEETING THE NEEDS OF THE COMMUNITY WITH AN AVERAGE OF 195 VISITS PER DAY. COMMUNITY CONNECTIONS: UNITED REGIONAL HEALTH CARE SYSTEM 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 HEALTH CARE SYSTEM PROVIDES THE FOLLOWING TYPES OF COMMUNITY EDUCATION: COMMUNITY EDUCATION SEMINARS WITH PRESENTATIONS BY PHYSICIANS ON HEALTH ISSUES AND TREATMENT OPTIONS; HEALTHY YOU NEWSLETTER, SENT TO APPROXIMATELY 50,000 HOUSEHOLDS, PROVIDING HEALTH PROMOTION AND DISEASE PREVENTION INFORMATION, AS WELL AS HOSPITAL SERVICES; 55-ADVANTAGE SENIOR PROGRAM, PROVIDING SPEAKERS ON A VARIETY OF HEALTH-RELATED TOPICS; AND PARTICIPATION IN A VARIETY OF COMMUNITY HEALTH FAIRS AND EVENTS PROMOTING GENERAL HEALTH AND PROVIDING HEALTH SCREENINGS. CHARITY CARE: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES MEDICAL CARE TO MEMBERS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. ESTIMATED COST OF PROVIDING ADDITIONAL COMMUNITY BENEFITS DURING 2015 WAS $16,319,280 WHICH INCLUDED THE FOLLOWING: UNREIMBURSED COST OF EMERGENCY AND TRAUMA CARE $4,284,741 UNREIMBURSED COST OF FREE STANDING CLINICS $12,034,539 DONATIONS MADE BY THE HOSPITAL TO AREA CHARITABLE ORGANIZATIONS $13,744,755 TOTAL COSTS OF ADDITIONAL COMMUNITY BENEFITS $30,064,035 SOURCE: 2015 ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (STATE OF TEXAS MANDATORY REPORT)Desc
Total Program Service Expenses$248,814,057TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document217IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2113EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEPHEN P CALVERTPersonNm
Phone9407648299PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1Txt
CityWICHITA FALLSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PHYLLIS COWLING
PRESIDENT & CEO40.02.5Yes (X)Yes (X)$781,407$0$40,473
BLAKE ANDREWS
CHAIRMAN1.00.0Yes (X)Yes (X)$0$0$0
LARRY COOK
PAST CHAIR1.00.0Yes (X)Yes (X)$0$0$0
ANDRE DESIRE MD
DIRECTOR1.00.0Yes (X)$114,467$0$0
PAUL FOLEY
DIRECTOR1.00.0Yes (X)$0$0$0
KELLY FRISTOE
DIRECTOR1.00.0Yes (X)$0$0$0
DON HAMLIN
DIRECTOR1.00.0Yes (X)$0$0$0
BARRY HARDIN
DIRECTOR1.00.0Yes (X)$0$0$0
YVONNE HEARN MD
DIRECTOR1.01.0Yes (X)$0$0$0
KEN HINES
DIRECTOR1.00.0Yes (X)$0$0$0
JOHN LUIG JR
DIRECTOR1.00.0Yes (X)$0$0$0
ASHWINKUMAR PATEL MD
DIRECTOR1.00.0Yes (X)$45,154$0$0
TERRY PATTON
Secretary/TREASURER1.00.0Yes (X)Yes (X)$0$0$0
RITA VOKES
DIRECTOR1.00.0Yes (X)$0$0$0
LINDA YEAGER
DIRECTOR1.00.0Yes (X)$0$0$0
FRED LANGNER
DIRECTOR1.00.0Yes (X)$17,438$0$0
NANCY TOWNLEY
SR. VP OF OPERATIONS40.02.5Yes (X)$459,417$0$37,039
ROBERT PERT
CHIEF FINANCIAL OFFICER40.02.5Yes (X)$400,980$0$46,796
ADONNA LOWE
VP PATIENT CARE/CLINICAL SVS40.00.0Yes (X)$259,847$0$10,070
JANE RITTER
VP PATIENT CARE/CLINICAL SVS40.00.0Yes (X)$117,954$0$3,567
JOHN SCOTT HOYER MD
VP OF MEDICAL AFFAIRS40.02.0Yes (X)$218,575$0$23,506
STEPHANIE JO BROWN
VP OF MARKETING40.00.0Yes (X)$228,007$0$27,946
RICHARD CARPENTER
VP OF FACILITIES40.00.0Yes (X)$216,309$0$40,439
KRISTI FAULKNER
VP OF HUMAN RESOURCES40.00.0Yes (X)$230,407$0$33,290
JOHNNY ROBERTS
VP UR PHYSICIAN GROUP40.02.5Yes (X)$224,209$0$40,078
MATTHEW BAKER
DIRECTOR OF PHARMACY40.00.0$167,276$0$29,669Yes (X)
JAMES BEASLEY
CLINICAL PHARMACIST40.00.0$164,507$0$25,543Yes (X)
RODNEY BRUMBELOW
CLINICAL PHARMACIST40.00.0$152,063$0$28,826Yes (X)
NORA VALDEZ
NURSE SPECIALIST (PT CARE)40.00.0$168,373$0$0Yes (X)
LILA PEREZ
NURSE SPECIALIST (PT CARE)40.00.0$143,521$0$6,237Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,109,911TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$393,479TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K75IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CLINICAL PARTNERS WICHITA FALLS
7032 COLLECTION CENTER DRIVECHICAGOIL60693CLINICAL SERVICES$3,559,724
ACUTE CARE SURGERY TEXOMA PLLC
1600 BROOK AVENUEWICHITA FALLSTX76301CLINICAL SERVICES$2,104,083
CRITICAL CARE SPECIALIST OF NORTH T
1208 BROOK STREETWICHITA FALLSTX76301CLINICAL SERVICES$2,050,286
TITANIUM EMERGENCY GROUP LLP
PO BOX 3407WICHITA FALLSTX76307CLINICAL SERVICES$1,453,057
HURON CONSULTING SERVICES LLC
3005 MOMENTUM PLACECHICAGOIL60689PROFESSIONAL SERVICE$934,855
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K42CntrctRcvdGreaterThan100KCnt
Related Organizations$4,603,418RelatedOrganizationsAmt
Total Contributions$4,603,418TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$328,546,079$328,546,079
SUPPORTING REVENUE900099$865,368$865,368
RELATED RENTAL REVENUE900099$452,335$452,335
FieldValueIRS element (for citing)
Total Program Service Revenue$329,863,782TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,698,359TotalRevenueColumnAmt
Unrelated Business Revenue$112,549UnrelatedBusinessRevenueAmt
Exclusion$7,585,810ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,848,489SecuritiesAmt
Other$50,506OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,499,612SecuritiesAmt
Other$76,318OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,348,877SecuritiesAmt
Other-$25,812OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,323,065TotalRevenueColumnAmt
Exclusion$5,323,065ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$347,488,624TotalRevenueColumnAmt
Related Or Exempt Func Income$329,863,782RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$112,549UnrelatedBusinessRevenueAmt
Exclusion$12,908,875ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$14,332,010TotalAmt
Program Services$14,332,010ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,599,937TotalAmt
Program Services$2,699,953ProgramServicesAmt
Management And General$899,984ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$55,225TotalAmt
Program Services$41,419ProgramServicesAmt
Management And General$13,806ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$101,408,433TotalAmt
Program Services$76,056,325ProgramServicesAmt
Management And General$25,352,108ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,164,927TotalAmt
Program Services$2,373,695ProgramServicesAmt
Management And General$791,232ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,129,278TotalAmt
Program Services$3,096,959ProgramServicesAmt
Management And General$1,032,319ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,321,908TotalAmt
Program Services$5,491,431ProgramServicesAmt
Management And General$1,830,477ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$123,279TotalAmt
Management And General$123,279ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$27,847TotalAmt
Management And General$27,847ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,298,967TotalAmt
Management And General$1,298,967ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,320,029TotalAmt
Program Services$24,990,022ProgramServicesAmt
Management And General$8,330,007ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$708,221TotalAmt
Program Services$531,166ProgramServicesAmt
Management And General$177,055ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,253,672TotalAmt
Program Services$4,510,576ProgramServicesAmt
Management And General$743,096ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,400,245TotalAmt
Program Services$2,550,184ProgramServicesAmt
Management And General$850,061ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,973,043TotalAmt
Program Services$2,229,782ProgramServicesAmt
Management And General$743,261ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$540,177TotalAmt
Program Services$405,133ProgramServicesAmt
Management And General$135,044ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$411,300TotalAmt
Program Services$3,329ProgramServicesAmt
Management And General$407,971ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,174,178TotalAmt
Program Services$4,174,178ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,608,121TotalAmt
Program Services$18,608,121ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$772,033TotalAmt
Program Services$772,033ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$30,023,118$30,023,118
MEDICAL SUPPLIES$53,538,190$53,538,190
EQUIPMENT RENTAL & MAINT.$1,750,581$1,312,936$437,645
LINEN SUPPLIES$270,992$203,112$67,880

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,104,404TotalAmt
Program Services$870,385ProgramServicesAmt
Management And General$234,019ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$292,310,115TotalAmt
Program Services$248,814,057ProgramServicesAmt
Management And General$43,496,058ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$157,206BOYAmt
EOY$180,097EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$37,430,425BOYAmt
EOY$32,075,120EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$26,309,909BOYAmt
EOY$28,078,568EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,287,616BOYAmt
EOY$6,499,008EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,722,460BOYAmt
EOY$3,567,870EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$409,554,510LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$245,600,862LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$157,981,268BOYAmt
EOY$163,953,648EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$336,977,159BOYAmt
EOY$360,189,415EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$55,204,991BOYAmt
EOY$47,885,741EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$624,071,034BOYAmt
EOY$642,429,467EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,678,269BOYAmt
EOY$26,069,904EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,550,223BOYAmt
EOY$88,255,975EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,737,000BOYAmt
EOY$12,718,203EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$125,965,492BOYAmt
EOY$127,044,082EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$498,105,542BOYAmt
EOY$515,385,385EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$498,105,542BOYAmt
EOY$515,385,385EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$624,071,034BOYAmt
EOY$642,429,467EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$55,178,509ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$22,553,798NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$15,344,868OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$27,847OtherActivitiesAmt
Total Lobbying Expenditures$27,847TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES: THE HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES %LOBBYING $LOBBYING TAVH $ 8,239 100% $ 8,239 THA $ 76,102 12.31% $ 9,368 AHA $ 44,913 22.8% $ 10,240 ------------------------------------------------- TOTAL $ 129,254 $ 27,847ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,416,349BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$1,416,349EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,413,719BeginningYearBalanceAmt
Contributions$2,630ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$1,416,349EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,580,533BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$166,814GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$1,413,719EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,580,533BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$1,580,533EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,363,593BeginningYearBalanceAmt
Contributions$216,940ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$1,580,533EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.79270BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.20730PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,184,025OtherCostOrOtherBasisAmt
Book Value$11,184,025BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$170,978,477OtherCostOrOtherBasisAmt
Depreciation$81,067,492DepreciationAmt
Book Value$89,910,985BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$208,728,237OtherCostOrOtherBasisAmt
Depreciation$163,105,839DepreciationAmt
Book Value$45,622,398BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,663,771OtherCostOrOtherBasisAmt
Depreciation$1,427,531DepreciationAmt
Book Value$17,236,240BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$163,953,648TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATE$43,083,902
INTEREST RECEIVABLE$478,536
UNAMORTIZED BOND COST$290,963
EST DUE FROM 3RD PARTY PAYER$4,032,340
FieldValueIRS element (for citing)
Total Book Value Other Assets$47,885,741TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
EST 3RD-PARTY PAYOR SETTLEMENT$4,143,235
SELF-INSURANCE LIABILITY$8,470,000
INTERCOMPANY PAYABLE$104,968
FieldValueIRS element (for citing)
Total Liability$12,718,203TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$301,358,621TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$22,553,798NetUnrealizedGainsInvstAmt
Other Revenue-$18,103,201OtherRevenueAmt
Revenue Not Reported-$40,656,999RevenueNotReportedAmt
Revenue Subtotal$342,015,620RevenueSubtotalAmt
Investment Expenses Not Incld$1,298,967InvestmentExpensesNotIncldAmt
Other Revenues Not Included$4,174,037OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$5,473,004RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$347,488,624TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$286,864,671TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$25,873,969OtherExpensesIncludedAmt
Expenses Not Reported$25,873,969ExpensesNotReportedAmt
Expenses Subtotal$260,990,702ExpensesSubtotalAmt
Investment Expenses Not Incld2$1,298,967InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$30,020,446OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$31,319,413ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$292,310,115TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS. FUNDS ARE USED TO ADVANCE AND PROMOTE THE HEALTH AND WELL-BEING OF PEOPLE AND ORGANIZATIONS IN THE COMMUNITY AND SURROUNDING AREAS.
SCHEDULE D, PART XI, LINE 2DRECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO Return: Bad Debt Expense $(30,023,118) Contribution Expense in Audit Revenue 16,546 Classification Differences (13,878) Elimination from Financial Statements (732,010) UNITED REGIONAL PHYSICIAN GROUP REVENUE 13,595,945 UNITED REGIONAL PROFESSIONAL SERVICES REVENUE 2,504,641 RATHGEBER HOSPITALITY HOUSE REVENUE 422,653 UNITED REGIONAL HC FOUNDATION REVENUE (3,873,980) ------------------ Total $(18,103,201)
SCHEDULE D, PART XII, LINE 2DRECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO return: PHYSICIAN INCOME in audit expense $(351,440) UNITED REGIONAL PHYSICIAN GROUP EXPENSE 25,606,659 UNITED REGIONAL PROFESSIONAL SERVICES EXPENSE 171,910 RATHGEBER HOSPITALITY HOUSE EXPENSE 501,555 UNITED REGIONAL HC FOUNDATION EXPENSE 651,483 Elimination from Financial Statements (732,010) LOSS ON DISPOSAL OF PROPERTY 25,812 ------------------ Total $25,873,969
SCHEDULE D, PART XII, LINE 4BRECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO Return: Bad Debt Expense $30,023,118 Contribution Expense in Audit Revenue (16,546) Classification Differences 13,874 ------------------ Total $30,020,446
SCHEDULE D, PART XI, LINE 4BRECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO return: Physician income in audit expense $351,440 LOSS ON DISPOSAL OF PROPERTY (25,812) Contributions for Acquisition of Property 3,848,409 ------------------ TOTAL $4,174,037
SCHEDULE D, PART X, LINE 2LIABILITY FOR UNCERTAIN TAX POSITIONS: URHCS, URPG, URF and RHH have been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code (IRC) and a similar provision of state law. However, these entities are subject to federal income tax on any unrelated business taxable income. URPSC and TIA are taxed as corporations.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other175.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,990,552TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,910,324DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,080,228NetCommunityBenefitExpnsAmt
Total Expense0.01940TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,922,754TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,882,412DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,491,257TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$833,981DirectOffsettingRevenueAmt
Net Community Benefit Expns$657,276NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,404,563TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,626,717DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,737,504NetCommunityBenefitExpnsAmt
Total Expense0.02190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$865,434TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$734,327DirectOffsettingRevenueAmt
Net Community Benefit Expns$131,107NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,402,434TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,083,154DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,319,280NetCommunityBenefitExpnsAmt
Total Expense0.06220TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,744,755TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,744,755NetCommunityBenefitExpnsAmt
Total Expense0.05240TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,012,623TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,817,481DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,195,142NetCommunityBenefitExpnsAmt
Total Expense0.11510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$108,417,186TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$75,444,198DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,932,646NetCommunityBenefitExpnsAmt
Total Expense0.13700TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$30,023,118BadDebtExpenseAmt
Bad Debt Expense Attributable$3,002,312BadDebtExpenseAttributableAmt
Reimbursed By Medicare$101,987,944ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$95,037,031CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$6,950,913MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
UNITED REGIONAL
CARDIOVASCULAR SERVICES0.50.5
Health Care System
Cardiology LLC
United Regional
SURGICAL MANAGEMENT0.50.5
Health Care System
surgery LLC
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNITED REGIONAL HEALTH CARE SYSTEMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 ELEVENTH STREETAddressLine1Txt
CityWICHITA FALLSCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.unitedregional.orgWebsiteAddressTxt
State License000417StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNITED REGIONAL HEALTH CARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care175.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5PERSONS WHO REPRESENT THE COMMUNITY: UNITED REGIONAL CONDUCTED 18 INTERVIEWS WITH THE THREE GROUPS OUTLINED IN IRS NOTICE 2011-52. DURING THESE INTERVIEWS, THE HOSPITAL DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. THE INTERVIEWEES WERE INDIVIDUALS FROM VARIOUS NOT-FOR-PROFIT GROUPS, HEALTH CARE FACILITIES, GOVERNMENTAL AGENCIES AND OTHER AREAS OF THE COMMUNITY. THESE INDIVIDUALS WERE FROM THE FOLLOWING ORGANIZATIONS: -HELEN FARABEE CENTERS (MHMR) -UNITED REGIONAL HEALTH CARE SYSTEM -WALGREENS PHARMACY MANAGER -HOSPICE OF WICHITA FALLS -WICHITA FALLS HEALTH DISTRICT -WICHITA COUNTY COURT -THE KITCHEN/RED DOOR/GREEN DOOR -SENIOR CENTERS COMMUNITY HEALTHCARE CENTER (FQHC) -WICHITA FALLS AREA FOOD BANK -WICHITA FALLS ISD -PRESBYTERIAN MANOR/HOUSE OF HOPE -NORTH TEXAS AREA UNITED WAY -MSU WILSON SCHOOL OF NURSING -WICHITA FALLS CITY COUNCIL HEALTH BOARD -FAITH MISSION/FAITH REFUGE -TEXAS ASSOCIATION OF HEALTH UNDERWRITERS
SCHEDULE H, PART V, SECTION B, LINE 20EEFFORTS TO NOTIFY INDIVIDUALS OF FINANCIAL ASSISTANCE POLICY: NEITHER THE UNITED REGIONAL HEALTH CARE SYSTEM, NOR THIRD PARTIES AUTHORIZED BY URHCS, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART V, SECTION B, LINE 22DHOW HOSPITAL DETERMINES AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: The Hospital will use the Look Back Method to ensure approved financial assistance applicants are not being billed more than the amounts generally billed to individuals having insurance coverage. Using the Look Back Method, the Hospital will establish an annual percentage to be applied to the billable charges for eligible patients under the hospitals Financial Assistance Policy. Payments from Medicare and other payers (including patients share) will be used to determine this percentage. The look back method will be calculated at the end of each selected 12 month period and the AGB percentage will become effective no later than 120 days from the end of the 12 month period. The Hospital is allowed to change the method of determining the amounts generally billed but must ensure the summary financial assistance policy is updated prior to applying any changes.
SCHEDULE H, PART V, SECTION B, LINES 7 & 10CHNA & IMPLEMENTATION STRATEGY WEBSITE: THE CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT HTTP://WWW.UNITEDREGIONAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.
SCHEDULE H, PART V, SECTION B, LINE 11Needs addressed and not addressed: United Regional identified and prioritized 7 needs using a structured matrix in the implementation strategy. The needs are: 1) ADDITIONAL HEALTHCARE PROVIDERS: For 2015 United Regional has recruited or assisted with recruitment of 21 physicians in the following specialties: - Anesthesia (1) - Primary care (4) - Hospitalists (9) - Pathology (1) - OB/Gyn (1) - Podiatry (1) - Pulmonary/CC (2) - General Surgery (1) - Rheumatology (1) 2) ACCESS TO AFFORDABLE PRIMARY CARE AND AFTER-HOURS NON-URGENT CARE: United Regional provided assistance in the expansion of an affiliates urgent care services. In 2015, CarePlus saw 11,333 patients, which is a 42% increase over 2014. 3) FRAGMENTED CONTINUUM OF CARE: In 2015, 240 new Heart Failure Clinic patients were seen. There were 931 total visits (240 new & 691 f/u visits). In 2015 the Call-A-Nurse phone line referral service had 512 physician referral calls, 535 service referral calls, 1,101 classes enrolled and 4,126 nurse triage calls. Care Transition Initiatives/Expansion - In 2015, internal and external Care Transition teams were created. Activities and process for these teams were modeled after IHI and BOOST initiatives that focus on care transitions and readmission process improvement activities. Areas of focus and process improvement activities for these teams included Medication Reconciliation, Hand Off Communication, OOHDNR, SBAR, Teach Back Process discharge education and documents, Readmission Risk assessment and reduction of risk activities. The information specific to the activities of these project teams is maintained and shared to encourage transparency and identify additional focus or opportunities for the team. The Hospital conducted a Needs Assessment through Community Partners sessions in 2015 identifying needs focused heavily on: Chronic Disease Management, Provider Communication, Community Health Services, and Infection Control. 83 organizations & 253 individuals attended Community Partners sessions. 4) PATIENT EDUCATION AND PREVENTIVE CARE: In 2015, United Regional sponsored community education programs, classes, health fairs, seminars and other events. The events included Womens Health Lecture Series, Healthy You Lecture Series, Joint Replacement Seminars and Breathsavers. Total attendance was over 700 community members. In addition there were also prenatal classes held in the community with over 1,000 community members. United Regional also participated in a variety of health fairs and presentations providing free testing, screening and educational presentations. United Regional published three editions of a community magazine called "Healthy You". It is distributed to approximately 50,000 residents in the nine-county primary and secondary service area. Topics include: Arthritis; Stroke and Diabetes in Pregnant Women; Importance of Prenatal Care; Preventing and Managing Hypertension; Importance of Taking Medications as Prescribed; When to go to the Emergency Room versus a Walk-In Clinic; Back-To-School Safety; Importance of Getting Regular Mammograms; How Pulmonary Rehab Helps Persons with COPD; Childhood Obesity How to Prevent; Carpal Tunnel Syndrome Treatments; Learn How to Control Chronic Conditions; Common Sports Injuries in Young Athletes; Importance of PAP Tests and Breast Exams; Comfort Through Palliative Care; Tonsil Trouble How to Treat in Children; Diabetes Affects Men and Women Differently. 5) CHILDHOOD HUNGER AND MALNOURISHMENT ISSUES: United Regional worked with the Health Coalition of Wichita County to track and assess its active participation in collaborative initiatives that address reduction of obese and overweight individuals (which impacts childhood malnourishment issues.) The Health District, one of the Hospitals collaborators, also partnered with the United Way, to offer the 5-2-1-0 program which is a way to encourage adults and children to eat well and exercise. 6) HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS: United Regional Held programs such as 55 Advantage and Senior Focus to provide education for senior citizens on various health topics. In 2015 attendance was over 1400 for these programs. Senior Focus provides health information for seniors. In 2015 there were approximately 2400 in attendance 263 cholesterol tests/94 PSA/400 flu shots. Diabetes education was provided to 2838 inpatients, 3148 outpatients and 788 diabetes outpatient calls were made by the Hospital. United Regional Health Care System Palliative Care/Supportive Care services were provided to 3,480 patients. 7) UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY: United Regional Health Care System continues to operate and support a Heart Failure Clinic. United Regional offered and will continue to offer its United Regional Solutions, a comprehensive weight management program. United Regional Solutions provided a series of videos following the weight loss and health benefits of a husband and wife who had bariatric surgery on the same day. We obtained news coverage and posted on information about weight management and health benefits on YouTube and the Hospitals Facebook page. A communication campaign to encourage preventive care and healthy lifestyle choices was launched in January 2014 and continued through the end of 2015 and included TV spots, direct mail infographics, web site pages and community education events. UNITED REGIONAL DECIDED NOT TO SPECIFICALLY ADDRESS THE NEED FOR MENTAL AND BEHAVIORAL HEALTH CARE SERVICES. THE HOSPITAL DOES NOT CURRENTLY OFFER MENTAL OR BEHAVIORAL HEALTH SERVICES, AND WHEN A PATIENT NEEDING THESE SERVICES COMES THROUGH THE EMERGENCY DEPARTMENT, THE PATIENT IS STABILIZED AND TRANSFERRED TO AN APPROPRIATE FACILITY.
SCHEDULE H, PART V, SECTION B, LINE 16A, 16B & 16CMEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING ADDRESS: HTTP://WWW.UNITEDREGIONAL.ORG/FINANCIAL-ASSISTANCE.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wichita Falls Endoscopy CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 tenth streetAddressLine1Txt
Citywichita fallsCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76301ZIPCd
FieldValueIRS element (for citing)
FacilityAMBULATORY SURGERY CENTERFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2BAD DEBT EXPENSE: THE ORGANIZATION'S BAD DEBT EXPENSE WAS CALCULATED USING THE EXPENSE REPORTED ON THE FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS DETERMINED BY ESTIMATING THAT 10% OF THE BAD DEBT WOULD LIKELY BE CHARITY CARE. THIS IS THE APPROXIMATE PERCENTAGE OF PATIENTS NOT COMPLETING THE PAPER WORK TO APPLY FOR CHARITY CARE. BAD DEBT EXPENSE REPRESENTS GROSS CHARGES ADJUSTED FOR APPROPRIATE DISCOUNTS AND PAYMENTS ON ACCOUNTS. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, URHCS ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. For receivables associated with services provided to patients who have third-party coverage, URHCS analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients, which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill, URHCS records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. URHCS allowance for doubtful accounts for self-pay patients was approximately 98% and 94% of self-pay accounts receivable at December 31, 2015 and 2014, respectively. URHCS write-offs decreased approximately $1,529,000 from approximately $33,332,000 for the year ended December 31, 2014, to approximately $31,803,000 for the year ended December 31, 2015. This decrease was primarily due to slight shifts in payer mix.
SCHEDULE H, PART III, SECTION B, LINE 8COSTING METHODOLOGY: THE HOSPITAL USES MEDICARE COST REPORT METHODOLOGY TO DETERMINE MEDICARE ALLOWABLE COST, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.
SCHEDULE H, PART III, SECTION C, LINE 9BCOLLECTION PRACTICES: HOSPITAL PERSONNEL MAKE GOOD FAITH EFFORTS TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, GOVERNMENTAL PROGRAMS AND ASSISTANCE IN APPLYING. SECTION 7.2 OF THE CHARITY AND BAD DEBT POLICY STATES: "Required information and documentation as noted in this policy must be provided before eligibility for financial assistance will be determined. Once the requirements have been met, a written notice will be mailed to the patient informing them of the determination decision. No collection efforts will be pursued on a Financial Assistance Application for the eligible amount after such determination is made."
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT: UNITED REGIONAL HEALTH CARE SYSTEM (URHCS) PROVIDES EMERGENCY, TRAUMA, OUTPATIENT AND SHORT TERM GENERAL ACUTE CARE INPATIENT CARE IN THE WICHITA FALLS AREA. IN CONJUNCTION WITH OTHER INTERESTED ORGANIZATIONS, IT UNDERTAKES PROJECTS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. FOR EXAMPLE, URHCS COLLABORATES WITH OTHER COMMUNITY HEALTH ORGANIZATIONS TO CREATE A HEALTHY WICHITA REPORT WHICH IS UPDATED PERIODICALLY. THIS REPORT ASSESSES THE HEALTHCARE SERVICES PROVIDED IN THE COMMUNITY TO COMPARE THE OUTCOMES TO STATE AND FEDERAL OUTCOMES AND DETERMINE IF THE COMMUNITY HEALTH NEEDS ARE BEING MET OR ADDITIONAL RESOURCES NEED TO BE DIRECTED TO PARTICULAR HEALTH AREAS.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL INFORMS PATIENTS OF THE CHARITY CARE PROGRAM AND HOW TO APPLY FOR CHARITY CARE. THIS IS DONE BY POSTING NOTICES IN PATIENT REGISTRATION AREAS AND PROVIDING WRITTEN NOTICES TO PATIENTS. ALL PATIENT STATEMENTS HAVE AN ASSISTANCE APPLICATION ON THE REVERSE SIDE AND AN ALERT ON THE FRONT FOR THOSE ELIGIBLE OR INTERESTED IN APPLYING. THIS INCLUDES ALL STATEMENT NOTIFICATIONS AND NOT JUST PATIENT SHARE STATEMENTS. FURTHERMORE IT IS THE POLICY OF URHCS TO ASSIST PATIENTS WITH INFORMATION AND RESOURCES FOR POTENTIALLY QUALIFYING FOR GOVERNMENTAL OR OTHER FINANCIAL ASSISTANCE PROGRAMS. THE BUSINESS OFFICE WILL REFER THOSE PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM A GOVERNMENTAL PROGRAM TO THE APPROPRIATE PROGRAM, SUCH AS MEDICAID, COUNTY INDIGENT, CRIME VICTIMS, OR OTHER PROGRAM, OR TO THE HOSPITAL'S CONTRACTED ELIGIBILITY VENDOR FOR SCREENING FOR GOVERNMENTAL PROGRAM COVERAGE.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION: URHCS PRIMARY SERVICE AREA IS MADE UP OF WICHITA COUNTY. WICHITA COUNTY CONTAINS THE CITY OF WICHITA FALLS WHERE URHCS IS LOCATED. ACCORDING TO THE HUMAN RESOURCES AND SERVICES ADMINISTRATION, US DEPARTMENT OF HEALTH AND HUMAN SERVICES, WICHITA FALLS HAS SEVERAL CENSUS TRACTS FEDERALLY DESIGNATED AS MEDICALLY UNDER-SERVED, INCLUDING CENSUS TRACT 102 WHERE URHCS IS LOCATED. CENSUS DATA FOR WICHITA FALLS IS AS FOLLOWS: MEDIAN HOUSEHOLD INCOME (2014 EST.): $ 43,751 PER CAPITA INCOME (2014 EST.): $ 22,768 UNDER AGE 18 CHILDREN BELOW POVERTY LEVEL (2014 EST.): 27.7% MEDIAN EARNINGS OF FULL-TIME WORKERS, FEMALE (2014 EST.): $30,520 PERSONS BELOW POVERTY LEVEL (2014 EST.): 19.2% EMPLOYED PERSON WITHOUT HEALTH INSURANCE COVERAGE 18 TO 64 YEARS (2014 EST.) : 25% URHCS IS RECOGNIZED BY MEDICARE AS QUALIFYING FOR SOLE COMMUNITY HOSPITAL STATUS AND SERVES A DISPROPORTIONATE SHARE OF LOW-INCOME PATIENTS. UNITED REGIONAL QUALIFIES AS A DISPROPORTIONATE SHARE HOSPITAL FOR BOTH THE MEDICARE AND MEDICAID PROGRAMS.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS THAT REPRESENTS THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. United Regional EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. UNITED REGIONAL OPERATES A LEVEL 2 TRAUMA UNIT FOR THE REGION. THE HOSPITAL CONTRACTS WITH A FAMILY RESIDENCY PROGRAM TO ASSIST IN TRAINING PRIMARY CARE PHYSICIANS AS WELL AS TRAINING COURSES FOR NURSING AND ALLIED HEALTH PROFESSIONALS FOR THE COMMUNITIES IT SERVES. THE HOSPITAL PARTICIPATES IN MEDICAID AND IS THE MANDATED WICHITA COUNTY HEALTHCARE FACILITY. The hospital also provides numerous avenues to educate the community on health initiatives such as health fairs, newsletters/emails, social media outreach and lecture series on chronic and acute health issues. United Regional REINVESTS SURPLUS FUNDS IN THE FACILITIES TO ENSURE PATIENTS ARE PROVIDED WITH STATE OF THE ART MEDICAL CARE. See further details in Schedule H, Part V, Section B, Line 11.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: N/A
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: URHCS FILES AN ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (ASCBS) WITH THE STATE OF TEXAS. THE CALCULATION OF COMMUNITY BENEFIT FOR THE ASCBS DIFFERS FROM THE CALCULATIONS REQUIRED FOR THE IRS SCHEDULE H REPORTING. THEREFORE, THE INFORMATION REPORTED IN THE TWO REPORTS IS INCONSISTENT.
SCHEDULE H, PART I, LINE 3CFACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - ASSET LEVEL - MEDICAL INDIGENCY - UNDERINSURANCE STATUS - RESIDENCY
SCHEDULE H, PART I, LINE 6BCOMMUNITY BENEFIT REPORT: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE OBTAINED BY REQUEST FROM UNITED REGIONAL ADMINISTRATION OFFICES OR COMMUNITY BENEFITS OFFICES. THE COMMUNITY BENEFIT REPORT IS ALSO ON FILE WITH THE HEALTH AND HUMAN SERVICES COMMISSION OF THE STATE OF TEXAS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
SERVICE ORGANIZATION OF NORTH TEXAS
2950 50TH STREETLUBBOCKTX79413800368789501(C)(3)$13,600,000CONTRIBUTION
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 ELEVENTH STREETWICHITA FALLSTX76301751579910501(C)(3)$732,010General Support
AUDITORY IMPLANT INITIATIVE
1 BURNSIDEWICHITA FALLSTX76310463098309501(C)(3)$7,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES GENERAL CONTRIBUTIONS TO THE COMMUNITY AND NATIONAL CHARITIES FOR THE FURTHERANCE OF THEIR MISSION. THE ORGANIZATIONS MAKE THEIR REQUESTS IN WRITING. THESE CONTRIBUTIONS ARE REVIEWED AND APPROVED BY APPROPRIATELY AUTHORIZED BOARD ACTION; OR OFFICERS; OR EMPLOYEES AS APPROPRIATE IN THE CIRCUMSTANCE IN EACH INSTANCE OF SUCH CONTRIBUTION BEING MADE. UNITED REGIONAL FOLLOWS UP WITH EACH ORGANIZATION TO MAKE SURE EACH CONTRIBUTION WAS USED FOR ITS INTENDED PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PHYLLIS COWLING
PRESIDENT & CEO$588,949$0$113,761$0$78,697$0$30,880$0$9,593$0$821,880$0$0$0
NANCY TOWNLEY
SR. VP OF OPERATIONS$386,407$0$66,042$0$6,968$0$25,380$0$11,659$0$496,456$0$0$0
ROBERT PERT
CHIEF FINANCIAL OFFICER$321,945$0$63,035$0$16,000$0$25,380$0$21,416$0$447,776$0$0$0
ADONNA LOWE
VP PATIENT CARE/CLINICAL SVS$58,529$0$26,422$0$174,896$0$6,607$0$3,463$0$269,917$0$0$0
MATTHEW BAKER
DIRECTOR OF PHARMACY$161,242$0$569$0$5,465$0$8,775$0$20,894$0$196,945$0$0$0
JAMES BEASLEY
CLINICAL PHARMACIST$158,169$0$569$0$5,769$0$8,838$0$16,705$0$190,050$0$0$0
RODNEY BRUMBELOW
CLINICAL PHARMACIST$143,100$0$569$0$8,394$0$8,046$0$20,780$0$180,889$0$0$0
NORA VALDEZ
NURSE SPECIALIST (PT CARE)$167,804$0$569$0$0$0$0$0$0$0$168,373$0$0$0
JOHN SCOTT HOYER MD
VP OF MEDICAL AFFAIRS$149,103$0$63,056$0$6,416$0$16,188$0$7,318$0$242,081$0$0$0
STEPHANIE JO BROWN
VP OF MARKETING$197,476$0$20,055$0$10,476$0$19,920$0$8,026$0$255,953$0$0$0
RICHARD CARPENTER
VP OF FACILITIES$194,175$0$15,328$0$6,806$0$19,489$0$20,950$0$256,748$0$0$0
KRISTI FAULKNER
VP OF HUMAN RESOURCES$200,094$0$20,896$0$9,417$0$20,450$0$12,840$0$263,697$0$0$0
JOHNNY ROBERTS
VP UR PHYSICIAN GROUP$199,398$0$14,334$0$10,477$0$19,880$0$20,198$0$264,287$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4CDeferred 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), ELIGIBLE DEFERRED COMPENSATION PLAN SPONSORED BY A TAX EXEMPT ORGANIZATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE 2015 TAX YEAR: Name Amount -------------------------------------- Phyllis Cowling $55,940
SCHEDULE J, PART I, LINE 6EXPLANATION OF COMPENSATION CONTINGENT ON NET EARNINGS: A RANGE BETWEEN 20% AND 25% OF ANNUAL BONUS IS BASED ON CONSOLIDATED NET OPERATING INCOME. OTHER BONUS CRITERIA INVOLVE QUALITY SCORES, SERVICE SCORES AND INDIVIDUAL GOALS.
Schedule J, Part I, Line 4aSeverance or change-of-control payments: Adonna Lowe $173,348

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NORTH TEXAS HEALTHCARE FACILITIES DEVELOPMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN900049824BondIssuerEIN
CUSIP662823CG6CUSIPNum
Bond Issued2007-07-12BondIssuedDt
Issue Price$93,891,074IssuePriceAmt
PurposeCONSTRUCTION OF BRIDWELL TOWERPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$5,721,074RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$0TotalProceedsAmt
In Reserve Fund$93,891,074InReserveFundAmt
Capitalized Interest$4,384,937CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$26,749,095IssuanceCostsFromProceedsAmt
Credit Enhancement$2,757,042CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$60,000,000OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2010SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingYes (true)AdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part IV, line 2cFormAndLineReferenceDesc
ExplanationArbitrage: series 2007 bonds - rebate computation performed 08/24/2015ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
WICHITA FALLS DIALYSIS
SEE PART V$741,072PROFESSIONAL FEESfalse
JANA FRISTOE
SPOUSE OF DIRECTOR$55,225SALARYfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, COLUMN(B)FormAndLineReferenceDesc
ExplanationADDITIONAL INFORMATION ON TRANSACTIONS WITH INTERESTED PERSONS: ASHWINKUMAR PATEL, DIRECTOR, IS A MORE THAN 35% OWNER OF WICHITA FALLS DIALYSIS, AN ORGANIZATION DOING BUSINESS WITH THE HOSPITAL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, Section A, LINE 1ADelegation of Authority: THE EXECUTIVE COMMITTEE HAS AUTHORITY TO TRANSACT ALL BUSINESS OF THE BOARD IN THE GOVERNANCE OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO THE LIMITATIONS SET FORTH IN THE BYLAWS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7APOWER TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY: THE WICHITA COUNTY-CITY OF WICHITA FALLS, TEXAS HOSPITAL BOARD (WHB) APPOINTS ONE INDIVIDUAL TO SERVE EX OFFICIO AS A VOTING DIRECTOR. THE INDIVIDUAL APPOINTED BY THE WHB DOES NOT HAVE TO BE A MEMBER OF THE WHB BUT MUST MEET THE QUALIFICATIONS FOR DIRECTORS SET FORTH BY THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL: THE JOINT CITY-COUNTY BOARD HAS APPROVAL REGARDING BOND FINANCING AND APPROVAL OF THE BUDGET.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW THE FORM 990: THE EXECUTIVE COMMITTEE CHARTER, AS APPROVED BY THE UNITED REGIONAL HEALTH CARE SYSTEM BOARD, DELEGATES THE REVIEW OF 990S TO THE EXECUTIVE COMMITTEE. ALL MEMBERS OF THE COMMITTEE ARE PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. THE 990 IS REVIEWED BY MANAGEMENT OFFICIALS OF THE HOSPITAL AND THE EXECUTIVE COMMITTEE OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE FORMS ARE REVIEWED INITIALLY BY THE CHIEF COMPLIANCE OFFICER AND THE CEO FOR POTENTIAL CONFLICTS. ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS.
FORM 990, PART VI, SECTION B, LINE 15A & 15BPROCESS USED TO DETERMINE COMPENSATION OF MANAGEMENT AND KEY EMPLOYEES: THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL REVIEW OF COMPENSATION OF THE CEO AND REVIEWS ALL CORPORATE OFFICERS COMPENSATION EVERY OTHER YEAR. THE EXECUTIVE COMMITTEE MAKES FINAL RECOMMENDATIONS REGARDING COMPENSATION OF THE CEO ANNUALLY AND ALL OFFICERS EVERY OTHER YEAR. A COMPENSATION CONSULTANT PROVIDES MARKET COMPARISONS ON AN EVERY OTHER YEAR BASIS. THIS WAS COMPLETED IN 2009, 2011, 2013 AND 2015. AN ANNUAL COMPENSATION REVIEW IS PERFORMED BY THE CEO FOR ALL OTHER OFFICERS OF THE ORGANIZATION WITHIN THE PARAMETERS SET BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REVIEWS ALL OTHER CORPORATE OFFICERS OTHER THAN THE CEO EVERY OTHER YEAR. ALL COMPENSATION REVIEWS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE'S MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS AVAILABLE TO THE PUBLIC: AN AD IS RUN IN THE LOCAL PAPER ON AN ANNUAL BASIS INFORMING THE COMMUNITY THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE OTHER DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, SECTION ACompensation of Officers and Directors: Directors reported on part vii, section a are compensated for professional services as physicians and not as directors. Directors receiving 1099 income from united regional is compensation related to administrative and general services rendered to clinical areas of the organization, other professional services and for trauma or other off-hour availability.
FORM 990, PART XI, LINE 9OTHER CHANGES TO NET ASSETS: INTERCOMPANY TRANSFERS $(15,344,868)
FORM 990 PART IX LINE 11GDESCRIPTION:CATERING EXPENSE TOTAL FEES:31164
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:6460095
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:18333531
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:1192497
FORM 990 PART IX LINE 11GDESCRIPTION:SERVICE CONTRACTS TOTAL FEES:6518031
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY LABOR TOTAL FEES:623051
FORM 990 PART IX LINE 11GDESCRIPTION:TRANSPORT TRANSFER SERVICE TOTAL FEES:161660

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 ELEVENTH STREETWICHITA FALLSTX76301752761467SUPPORTTX501(C)(3)11AURHCSYes (true)
RATHGEBER HOSPITALITY HOUSE
1615 TWELFTH STREETWICHITA FALLSTX76301752811394LODGINGTX501(C)(3)7URHC FdnYes (true)
UNITED REGIONAL PHYSICIAN GROUP
1600 ELEVENTH STREETWICHITA FALLSTX76301752925491HEALTH CARETX501(C)(3)9URHCSYes (true)
UNITED REGIONAL HEALTH CARE SYSTEM AUXIL
1600 ELEVENTH STREETWICHITA FALLSTX76301756004656BENEVOL SVCSTX501(C)(3)11AURHCSYes (true)
CITY OF WICHITA FALLS-WC HOSPITAL BOARD
1300 SEVENTH STREETWICHITA FALLSTX76301756002771OVERSIGHTTX115N/ANAfalse
TEXOMA HIE
1600 ELEVENTH STREETWICHITA FALLSTX76301463617299INACTIVETX501(C)(3)9URHCSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
UNITED REGIONAL PROFESSIONAL SERVICES
1600 ELEVENTH STREETWICHITA FALLSTX76301752549298MGMT SERVICESTXURHCSC-CORPORATION$2,707,610$8,511,3071.00000Yes (true)
TEXOMA INSURANCE AGENCY
1600 ELEVENTH STREETWICHITA FALLSTX76301422683761INSURANCETXnaC-CORPORATION$0$01.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
UNITED REGIONAL PHYSICIAN GROUP
A$87,864FMV
UNITED REGIONAL HEALTH CARE FOUNDATION
C$4,595,418CASH VALUE
UNITED REGIONAL PHYSICIAN GROUP
Q$8,483,000CASH VALUE
UNITED REGIONAL HEALTH CARE FOUNDATION
B$732,010CASH VALUE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 2, COLUMN (D)FormAndLineReferenceDesc
ExplanationMETHOD OF DETERMINING AMOUNTS FOR TRANSACTIONS DESCRIBED IN LINES 1B, 1C AND 1Q: AMOUNTS REPORTED IN LINE 2, COLUMN (C) FOR THESE TRANSACTION TYPES ARE STATED AT CASH VALUE. METHOD OF DETERMINING AMOUNTS FOR TRANSACTIONS DESCRIBED IN LINE 1A: AMOUNTS REPORTED ON LINE 2, COLUMN (C) FOR THESE TRANSACTION TYPES ARE AT FAIR MARKET VALUE AND ARE COMPARABLE TO TRANSACTIONS BETWEEN TWO OR MORE UNRELATED PARTIES DEALING AT ARM'S LENGTH.ExplanationTxt