2016-11-07T10:37:21-06:00 2015-12-31 BKD LLP 14241 DALLAS PKWY STE 1100 DALLAS TX 75254 990 2015-01-01 751912147 United Regional Health Care System % STEPHEN P CALVERT UNIT 9407648299 1600 Eleventh Street Wichita Falls TX 76301 PHYLLIS COWLING PRESIDENT & CEO 9727028262 2016-11-15 true Jeanette Verrelli P00742631 9727028262 2015 2017-02-10 21:41:12Z PHYLLIS COWLING 1600 ELEVENTH STREET WICHITA FALLS TX 76301 350064554 false X WWW.UNITEDREGIONAL.ORG X 1983 TX ORGANIZED AND OPERATED FOR THE PURPOSE OF DEVELOPING AND OPERATING AN INTEGRATED HEALTH CARE SYSTEM. 16 12 2113 277 112549 111549 1143604 4603418 332170298 329863782 14666741 13021424 0 0 347980643 347488624 14443094 14332010 0 0 121767237 119679708 0 0 0 158438698 158298397 294649029 292310115 53331614 55178509 624071034 642429467 125965492 127044082 498105542 515385385 X TO 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. false false 248814057 14332010 329863782 UNITED 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) 248814057 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false true true false false false false false true true true false false true 217 0 true 2113 true false false false false false false false false false false X 16 12 false false false false false true true true true false false false true true true true true true true true true X STEPHEN P CALVERT 9407648299 1600 ELEVENTH STREET WICHITA FALLS TX 76301 X PHYLLIS COWLING PRESIDENT & CEO 40.0 2.5 X X 781407 0 40473 BLAKE ANDREWS CHAIRMAN 1.0 0.0 X X 0 0 0 LARRY COOK PAST CHAIR 1.0 0.0 X X 0 0 0 ANDRE DESIRE MD DIRECTOR 1.0 0.0 X 114467 0 0 PAUL FOLEY DIRECTOR 1.0 0.0 X 0 0 0 KELLY FRISTOE DIRECTOR 1.0 0.0 X 0 0 0 DON HAMLIN DIRECTOR 1.0 0.0 X 0 0 0 BARRY HARDIN DIRECTOR 1.0 0.0 X 0 0 0 YVONNE HEARN MD DIRECTOR 1.0 1.0 X 0 0 0 KEN HINES DIRECTOR 1.0 0.0 X 0 0 0 JOHN LUIG JR DIRECTOR 1.0 0.0 X 0 0 0 ASHWINKUMAR PATEL MD DIRECTOR 1.0 0.0 X 45154 0 0 TERRY PATTON Secretary/TREASURER 1.0 0.0 X X 0 0 0 RITA VOKES DIRECTOR 1.0 0.0 X 0 0 0 LINDA YEAGER DIRECTOR 1.0 0.0 X 0 0 0 FRED LANGNER DIRECTOR 1.0 0.0 X 17438 0 0 NANCY TOWNLEY SR. VP OF OPERATIONS 40.0 2.5 X 459417 0 37039 ROBERT PERT CHIEF FINANCIAL OFFICER 40.0 2.5 X 400980 0 46796 ADONNA LOWE VP PATIENT CARE/CLINICAL SVS 40.0 0.0 X 259847 0 10070 JANE RITTER VP PATIENT CARE/CLINICAL SVS 40.0 0.0 X 117954 0 3567 JOHN SCOTT HOYER MD VP OF MEDICAL AFFAIRS 40.0 2.0 X 218575 0 23506 STEPHANIE JO BROWN VP OF MARKETING 40.0 0.0 X 228007 0 27946 RICHARD CARPENTER VP OF FACILITIES 40.0 0.0 X 216309 0 40439 KRISTI FAULKNER VP OF HUMAN RESOURCES 40.0 0.0 X 230407 0 33290 JOHNNY ROBERTS VP UR PHYSICIAN GROUP 40.0 2.5 X 224209 0 40078 MATTHEW BAKER DIRECTOR OF PHARMACY 40.0 0.0 X 167276 0 29669 JAMES BEASLEY CLINICAL PHARMACIST 40.0 0.0 X 164507 0 25543 RODNEY BRUMBELOW CLINICAL PHARMACIST 40.0 0.0 X 152063 0 28826 NORA VALDEZ NURSE SPECIALIST (PT CARE) 40.0 0.0 X 168373 0 0 LILA PEREZ NURSE SPECIALIST (PT CARE) 40.0 0.0 X 143521 0 6237 4109911 0 393479 75 false true false CLINICAL PARTNERS WICHITA FALLS 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 CLINICAL SERVICES 3559724 ACUTE CARE SURGERY TEXOMA PLLC 1600 BROOK AVENUE WICHITA FALLS TX 76301 CLINICAL SERVICES 2104083 CRITICAL CARE SPECIALIST OF NORTH T 1208 BROOK STREET WICHITA FALLS TX 76301 CLINICAL SERVICES 2050286 TITANIUM EMERGENCY GROUP LLP PO BOX 3407 WICHITA FALLS TX 76307 CLINICAL SERVICES 1453057 HURON CONSULTING SERVICES LLC 3005 MOMENTUM PLACE CHICAGO IL 60689 PROFESSIONAL SERVICE 934855 42 4603418 4603418 PATIENT SERVICE REVENUE 621110 328546079 328546079 SUPPORTING REVENUE 900099 865368 865368 RELATED RENTAL REVENUE 900099 452335 452335 329863782 7698359 112549 7585810 0 0 0 0 0 7848489 50506 2499612 76318 5348877 -25812 5323065 5323065 0 0 0 0 347488624 329863782 112549 12908875 X 14332010 14332010 0 0 0 3599937 2699953 899984 55225 41419 13806 101408433 76056325 25352108 3164927 2373695 791232 4129278 3096959 1032319 7321908 5491431 1830477 0 123279 123279 0 27847 27847 0 1298967 1298967 33320029 24990022 8330007 708221 531166 177055 5253672 4510576 743096 3400245 2550184 850061 0 2973043 2229782 743261 540177 405133 135044 0 411300 3329 407971 4174178 4174178 0 18608121 18608121 772033 772033 BAD DEBT EXPENSE 30023118 30023118 MEDICAL SUPPLIES 53538190 53538190 EQUIPMENT RENTAL & MAINT. 1750581 1312936 437645 LINEN SUPPLIES 270992 203112 67880 1104404 870385 234019 292310115 248814057 43496058 0 157206 180097 37430425 32075120 0 0 26309909 28078568 0 0 0 0 0 0 6287616 6499008 3722460 3567870 409554510 245600862 157981268 163953648 336977159 360189415 0 0 0 0 0 0 55204991 47885741 624071034 642429467 22678269 26069904 0 0 0 0 91550223 88255975 0 0 0 0 0 0 0 0 11737000 12718203 125965492 127044082 X 498105542 515385385 0 0 0 0 498105542 515385385 624071034 642429467 X 55178509 -22553798 -15344868 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 27847 27847 false SCHEDULE C, PART II-B, LINE 1I LOBBYING 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 $ 27,847 1416349 0 0 0 0 0 1416349 1413719 2630 0 0 0 0 1416349 1580533 0 0 166814 0 0 1413719 1580533 0 0 0 0 0 1580533 1363593 216940 0 0 0 0 1580533 0.79270 0.20730 false true true 11184025 11184025 170978477 81067492 89910985 208728237 163105839 45622398 18663771 1427531 17236240 163953648 DUE FROM AFFILIATE 43083902 INTEREST RECEIVABLE 478536 UNAMORTIZED BOND COST 290963 EST DUE FROM 3RD PARTY PAYER 4032340 47885741 0 EST 3RD-PARTY PAYOR SETTLEMENT 4143235 SELF-INSURANCE LIABILITY 8470000 INTERCOMPANY PAYABLE 104968 12718203 X 301358621 -22553798 -18103201 -40656999 342015620 1298967 4174037 5473004 347488624 286864671 25873969 25873969 260990702 1298967 30020446 31319413 292310115 SCHEDULE D, PART V, LINE 4 INTENDED 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 2D RECONCILIATION 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 2D RECONCILIATION 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 4B RECONCILIATION 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 4B RECONCILIATION 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 2 LIABILITY 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. true true X true X 175. true X true true false true true 31990552 26910324 5080228 0.01940 28922754 31882412 1491257 833981 657276 0.00250 62404563 59626717 5737504 0.02190 865434 734327 131107 0.00050 31402434 15083154 16319280 0.06220 13744755 13744755 0.05240 46012623 15817481 30195142 0.11510 108417186 75444198 35932646 0.13700 false 30023118 3002312 101987944 95037031 6950913 X true true UNITED REGIONAL CARDIOVASCULAR SERVICES 0.5 0.5 Health Care System Cardiology LLC United Regional SURGICAL MANAGEMENT 0.5 0.5 Health Care System surgery LLC 1 1 UNITED REGIONAL HEALTH CARE SYSTEM 1600 ELEVENTH STREET WICHITA FALLS TX 76301 www.unitedregional.org 000417 X X X X UNITED REGIONAL HEALTH CARE SYSTEM 1 false false true X X X X X X X X 13 true false false true X See part V, Section C X true 13 true SEE PART V, SECTION C false false true X 175. 400. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 PERSONS 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 20E EFFORTS 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 22D HOW 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 & 10 CHNA & 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 11 Needs 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 & 16C MEASURES 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. 1 Wichita Falls Endoscopy Center 1500 tenth street wichita falls TX 76301 AMBULATORY SURGERY CENTER SCHEDULE H, PART III, SECTION A, LINE 2 BAD 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 3 BAD 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 8 COSTING 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 9B COLLECTION 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 2 NEEDS 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 3 PATIENT 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 4 COMMUNITY 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 5 PROMOTION 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 6 AFFILIATED HEALTH CARE SYSTEM: N/A SCHEDULE H, PART VI, LINE 7 STATE 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 3C FACTORS 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 6B COMMUNITY 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. true SERVICE ORGANIZATION OF NORTH TEXAS 2950 50TH STREET LUBBOCK TX 79413 800368789 501(C)(3) 13600000 CONTRIBUTION UNITED REGIONAL HEALTH CARE FOUNDATION 1600 ELEVENTH STREET WICHITA FALLS TX 76301 751579910 501(C)(3) 732010 General Support AUDITORY IMPLANT INITIATIVE 1 BURNSIDE WICHITA FALLS TX 76310 463098309 501(C)(3) 7000 GENERAL SUPPORT 3 SCHEDULE I, PART I, LINE 2 PROCEDURES 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. X X X true true false false false true true false false PHYLLIS COWLING PRESIDENT & CEO 588949 0 113761 0 78697 0 30880 0 9593 0 821880 0 0 0 NANCY TOWNLEY SR. VP OF OPERATIONS 386407 0 66042 0 6968 0 25380 0 11659 0 496456 0 0 0 ROBERT PERT CHIEF FINANCIAL OFFICER 321945 0 63035 0 16000 0 25380 0 21416 0 447776 0 0 0 ADONNA LOWE VP PATIENT CARE/CLINICAL SVS 58529 0 26422 0 174896 0 6607 0 3463 0 269917 0 0 0 MATTHEW BAKER DIRECTOR OF PHARMACY 161242 0 569 0 5465 0 8775 0 20894 0 196945 0 0 0 JAMES BEASLEY CLINICAL PHARMACIST 158169 0 569 0 5769 0 8838 0 16705 0 190050 0 0 0 RODNEY BRUMBELOW CLINICAL PHARMACIST 143100 0 569 0 8394 0 8046 0 20780 0 180889 0 0 0 NORA VALDEZ NURSE SPECIALIST (PT CARE) 167804 0 569 0 0 0 0 0 0 0 168373 0 0 0 JOHN SCOTT HOYER MD VP OF MEDICAL AFFAIRS 149103 0 63056 0 6416 0 16188 0 7318 0 242081 0 0 0 STEPHANIE JO BROWN VP OF MARKETING 197476 0 20055 0 10476 0 19920 0 8026 0 255953 0 0 0 RICHARD CARPENTER VP OF FACILITIES 194175 0 15328 0 6806 0 19489 0 20950 0 256748 0 0 0 KRISTI FAULKNER VP OF HUMAN RESOURCES 200094 0 20896 0 9417 0 20450 0 12840 0 263697 0 0 0 JOHNNY ROBERTS VP UR PHYSICIAN GROUP 199398 0 14334 0 10477 0 19880 0 20198 0 264287 0 0 0 SCHEDULE J, PART I, LINE 4C 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), 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 6 EXPLANATION 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 4a Severance or change-of-control payments: Adonna Lowe $173,348 A NORTH TEXAS HEALTHCARE FACILITIES DEVELOPMENT 900049824 662823CG6 2007-07-12 93891074 CONSTRUCTION OF BRIDWELL TOWER false false false A 5721074 0 0 93891074 4384937 0 26749095 2757042 0 0 60000000 0 2010 false true true true A false false false false 0.00000 0.00000 0.00000 false false false true A false false false true false false 0 false 0 false true A true Schedule K, Part IV, line 2c Arbitrage: series 2007 bonds - rebate computation performed 08/24/2015 WICHITA FALLS DIALYSIS SEE PART V 741072 PROFESSIONAL FEES false JANA FRISTOE SPOUSE OF DIRECTOR 55225 SALARY false SCHEDULE L, PART IV, COLUMN(B) ADDITIONAL 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. FORM 990, PART VI, Section A, LINE 1A Delegation 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 7A POWER 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 7B DECISIONS 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 11B PROCESS 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 12C MONITORING 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 & 15B PROCESS 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 19 DOCUMENTS 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 A Compensation 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 9 OTHER CHANGES TO NET ASSETS: INTERCOMPANY TRANSFERS $(15,344,868) FORM 990 PART IX LINE 11G DESCRIPTION:CATERING EXPENSE TOTAL FEES:31164 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:6460095 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:18333531 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1192497 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE CONTRACTS TOTAL FEES:6518031 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY LABOR TOTAL FEES:623051 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSPORT TRANSFER SERVICE TOTAL FEES:161660 UNITED REGIONAL HEALTH CARE FOUNDATION 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752761467 SUPPORT TX 501(C)(3) 11A URHCS true RATHGEBER HOSPITALITY HOUSE 1615 TWELFTH STREET WICHITA FALLS TX 76301 752811394 LODGING TX 501(C)(3) 7 URHC Fdn true UNITED REGIONAL PHYSICIAN GROUP 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752925491 HEALTH CARE TX 501(C)(3) 9 URHCS true UNITED REGIONAL HEALTH CARE SYSTEM AUXIL 1600 ELEVENTH STREET WICHITA FALLS TX 76301 756004656 BENEVOL SVCS TX 501(C)(3) 11A URHCS true CITY OF WICHITA FALLS-WC HOSPITAL BOARD 1300 SEVENTH STREET WICHITA FALLS TX 76301 756002771 OVERSIGHT TX 115 N/A NA false TEXOMA HIE 1600 ELEVENTH STREET WICHITA FALLS TX 76301 463617299 INACTIVE TX 501(C)(3) 9 URHCS true UNITED REGIONAL PROFESSIONAL SERVICES 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752549298 MGMT SERVICES TX URHCS C-CORPORATION 2707610 8511307 1.00000 true TEXOMA INSURANCE AGENCY 1600 ELEVENTH STREET WICHITA FALLS TX 76301 422683761 INSURANCE TX na C-CORPORATION 0 0 1.00000 true true true true true false false false false false false false false true true false false true true true UNITED REGIONAL PHYSICIAN GROUP A 87864 FMV UNITED REGIONAL HEALTH CARE FOUNDATION C 4595418 CASH VALUE UNITED REGIONAL PHYSICIAN GROUP Q 8483000 CASH VALUE UNITED REGIONAL HEALTH CARE FOUNDATION B 732010 CASH VALUE SCHEDULE R, PART V, LINE 2, COLUMN (D) METHOD 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.