2015-07-29T12:11:11-07:00 2014-10-31 990 2013-11-01 371623919 East Texas Medical Center Reg Healthcare Group Return EAST 9035963719 1000 South Beckham Avenue Tyler TX 75701 Byron Hale CFO 2015-07-29 2013 2016-02-25 16:41:14Z 812255794 true true 5692 X WWW.ETMC.ORG X To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care. We measure our success by how our efforts improve the quality of life for people and communities in east Texas. 119 79 7594 386 991410 990410 1197547 768748 836136000 795305037 426882 -1350966 5065279 10645237 842825708 805368056 3438705 5054505 0 384176606 368077595 0 270 428317404 462710532 815932715 835842632 26892993 -30474576 999740750 983881465 462491604 481814940 537249146 502066525 X To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care. We measure our success by how our efforts improve the quality of life for people and communities in east Texas. false false 567182440 4943982 556418916 "East Texas Medical Center Regional Helthcare System (the ""System"") is the parent company which wholly-owns and operates 24-subsidiary organizations. The system is headquartered in Tyler, Texas and its operations extends in all directions from Tyler, Texas, in an approximate 100-mile radius.All general acute-care hospitals not included in amounts on lines 4b, 4c and 4d. ETMC - Tyler has 502 licensed beds.ETMC - Athens has 119 licensed beds.ETMC - Carthage has 49 Licensed beds.ETMC - Clarksville has 49 Licensed beds.ETMC - Crockett has 49 Licensed beds. ETMC - Fairfield has 48 Licensed beds.ETMC - Gilmer has 37 Licensed beds.ETMC - Henderson has 49 Licensed beds.ETMC - Jacksonville has 74 Licensed beds.ETMC - Mount Vernon has 49 Licensed beds.ETMC - Trinity has 30 Licensed beds.ETMC - Pittsburg has 25 Licensed beds.ETMC - Quitman has 25 Licensed beds.The hospital's medical facilities offer a full range of medical services on an inpatient and outpatient basis. Including obstetrics, surgery, intensive care, physical therapy, mental health, cancer, kidney transplants, interventional radiology, trauma care and 24-hour emergency services. 82096673 50035950 ETMC - Healthcare Associates provides physician clinical services to and in connection with delivery of health care by System, its affiliate tax-exempt hospitals and other health care organizations. ETMC HCA currently employs 150+ physicians, the majority of the employed physicians specialize in primary care. 45938790 40199761 ETMC Tyler has a fleet of ground emergency ambulances serving East Texas. The System operates an extensive network of 85 ground ambulances, with each stationed at different locations to achieve optimal geographic coverage and response time throughout the System's service area. 66906201 110523 68789648 762124104 true true false true false false false false false true true false false true true false false true false false false false false false true false true true true true true true false false false false false false false false false false false false false false false true true false false false true 984 0 true 7594 true true false false false false false false 0 false false false false false false false false false false X 119 79 true false false false true true true true true false true true true true true true true true true true true true X Bonnie Stone 9035963719 1417 South Beckham Avenue Tyler TX 75701 Elmer G Ellis President & Dir 0.00 40.00 X X 0 1124289 20993 Byron Hale Treasurer & Dir 0.00 40.00 X X 0 534240 26835 Kirk Hopkins Officer & Direc 0.00 40.00 X X 0 211392 23565 Mike Thomas Director 0.00 40.00 X 0 340657 27219 Paula Anthony Director 0.00 40.00 X X 0 403324 25296 Stephen Rydzak MD Director 40.00 0.00 X X 647100 0 582 Art Chance Director 40.00 0.00 X 263496 0 27150 Matthew Wylie Administrator 40.00 0.00 X X 106056 0 18568 Eddie Howard VP/Administrato 40.00 0.00 X X 357457 0 25583 Patrick L Wallace Administrator 40.00 0.00 X X 312696 0 27188 Gary M Hudson Administrator 40.00 0.00 X X 180923 0 23101 Bobby Smithson Director 2.00 0.00 X 0 0 0 Charles Broadway Director 2.00 0.00 X 0 0 0 Terry Cutler Administrator 40.00 0.00 X X 202705 0 22815 Ruth Cook Administrator 40.00 0.00 X X 155089 0 24211 Perry Henderson Administrator 0.00 40.00 X X 0 249880 25713 Mark Leitner Administrator 40.00 0.00 X X 215825 0 25358 Douglas R Flanders MD Director 2.00 0.00 X 0 0 0 Jack Endres Administrator 40.00 0.00 X X 195335 0 25478 Dorian Roge Director 2.00 0.00 X 0 0 0 Warren Robicheaux Administrator 40.00 0.00 X X 180266 0 22862 Jorge Leal Administrator 40.00 0.00 X X 152945 0 19356 Brett Kirkham Administrator 40.00 0.00 X X 141778 0 13799 Curt Smith Dir of HomeHlth 40.00 0.00 X X 115903 0 21887 Billy Langford Director 2.00 0.00 X 0 0 0 Ernest Dews Director 2.00 0.00 X 0 0 0 Ernest Snapka Jr Director 2.00 0.00 X 0 0 0 Gordon Uretsky MD Director 40.00 0.00 X 230401 0 12138 Alan Hale Director 2.00 0.00 X 0 0 0 Allen Bell Director 2.00 0.00 X 0 0 0 Harry Tilley Director 2.00 0.00 X 0 0 0 Andrew Roberts MD Director 40.00 0.00 X X 473890 0 12138 Ann Lake Director 2.00 0.00 X 0 0 0 Ilanko Upendran MD Director 40.00 0.00 X 446475 0 0 Barry Hughes Director 2.00 0.00 X 0 0 0 BG Hartley Director 12.00 0.00 X 0 0 0 Bill Clawater Director 2.00 0.00 X 0 0 0 Bill James Director 2.00 0.00 X 0 0 0 Jeff Taylor Director 2.00 0.00 X 0 0 0 Brian Ballard Director 2.00 0.00 X 0 0 0 Brian Holcomb Director 2.00 0.00 X 0 0 0 Bryan Hyland MD Director 40.00 0.00 X 313365 0 12138 Bryan Price Director 2.00 0.00 X 0 0 0 John Cain Director 2.00 0.00 X 0 0 0 Charles Halstead Director 2.00 0.00 X 0 0 0 Charles Lowry Director 2.00 0.00 X 0 0 0 Paul Hines Director 2.00 0.00 X 0 0 0 Paul McGaha DO Director 2.00 0.00 X 0 0 0 David Craig MD Director 2.00 0.00 X 0 0 0 David E Holdredge Director 2.00 0.00 X 0 0 0 David Johnson MD Director 2.00 0.00 X 100684 0 0 David Jones MD Director 2.00 0.00 X 0 0 0 David Latham MD Former Director 2.00 0.00 X 0 0 0 Ronnie Lagrone Director 2.00 0.00 X 0 0 0 Laura Vanecek Director 2.00 0.00 X 0 0 0 Donald E Arego MD Director 40.00 0.00 X 319298 0 12138 Doug Johnston DO Director 40.00 0.00 X 295230 0 12138 Ennis Christenberry Director 2.00 0.00 X 0 0 0 Fred A Heirich Director 2.00 0.00 X 0 0 0 Gary Gross MD Director 2.00 0.00 X 0 0 0 Gary Patterson Director 2.00 0.00 X 0 0 0 George Robinson Director 2.00 0.00 X 0 0 0 George T Hall Director 2.00 0.00 X 0 0 0 Ray Morrison MD Director 2.00 0.00 X 0 0 0 Harold Beaird Director 2.00 0.00 X 0 0 0 Sharlet Slough DO Director 40.00 0.00 X 106250 0 0 Thomas Cole MD Director 2.00 0.00 X 0 0 0 Troy Robinson Director 2.00 0.00 X 0 0 0 J Michael Orms MD Director 40.00 0.00 X 269031 0 12138 Jamie Wylie Administrator 40.00 0.00 X X 42424 0 9654 Jerry Webster Director 2.00 0.00 X 0 0 0 Jessica Parish Director 2.00 0.00 X 0 0 0 Joe Angle ViceChairmn&Dir 2.00 0.00 X X 0 0 0 John Payne Director 2.00 0.00 X 0 0 0 John English MD Director 2.00 0.00 X 0 0 0 John Magouyrk Director 2.00 0.00 X 0 0 0 John T Wilson Director 2.00 0.00 X 0 0 0 Jon Johnston Director 2.00 0.00 X 0 0 0 Karen Wies MD Director 40.00 0.00 X 354391 0 12138 Ken Greer Director 2.00 0.00 X 0 0 0 Kenneth Kemp MD Director 40.00 0.00 X 283406 0 12138 Kenneth McGee Director 2.00 0.00 X 0 0 0 Larry Durrett Director 12.00 0.00 X 0 0 0 Larry King Director 2.00 0.00 X 0 0 0 Mark Hamilton MD Director 2.00 0.00 X 0 0 0 Leesa N Hedge Director 2.00 0.00 X 0 0 0 Linda K Dean Director 2.00 0.00 X 0 0 0 Lisa Graves MD Director 40.00 0.00 X X 393170 0 12138 Angela Tseng MD Director 2.00 0.00 X 4000 0 0 Michael Austin MD Director 40.00 0.00 X 384203 0 12138 Michael Banks DDS Director 2.00 0.00 X 0 0 0 Michelle Brookshire Director 2.00 0.00 X 0 0 0 Thom Lambert Director 2.00 0.00 X 0 0 0 Norman Hicks MD Director 2.00 0.00 X 0 0 0 Nghia Truong MD Director 40.00 0.00 X 620964 0 12138 Virginia Lewis Director 2.00 0.00 X 0 0 0 Patricia Smith Director 2.00 0.00 X 0 0 0 Peggy Lowry Director 2.00 0.00 X 0 0 0 R Scott Confer Director 2.00 0.00 X 0 0 0 Robert Nichols Director 2.00 0.00 X 0 0 0 Robyn Rogers Director 2.00 0.00 X 0 0 0 Rodney Watkins Director 2.00 0.00 X 0 0 0 Ron Donaldson MD Director 12.00 0.00 X 1100 0 0 Ron Franks Director 2.00 0.00 X 0 0 0 Rosemary Burns Director 2.00 0.00 X 0 0 0 Sam Dawson Director 2.00 0.00 X 0 0 0 Sam Raborn MD Director 40.00 0.00 X 278551 0 0 Samual Houston MD Director 2.00 0.00 X 0 0 0 Stayton Bonner Director 2.00 0.00 X 0 0 0 Steve Bishop CPA Director 2.00 0.00 X 0 0 0 Steven C Roosth Director 2.00 0.00 X 0 0 0 Ted Austin Director 2.00 0.00 X 0 0 0 Brock Lutz MD Director 2.00 0.00 X 10800 0 0 William A Elfarr MD Director 2.00 0.00 X 0 0 0 Wade Ridley Director 12.00 0.00 X X 0 0 0 WR Christensen MD Director 2.00 0.00 X 318793 0 11294 Wayne Mask MD Director 2.00 0.00 X 0 0 0 Gary Babbitt MD Director 40.00 0.00 X 264174 0 12138 Gerald Akpassa MD Director 40.00 0.00 X 341532 0 12138 Carroll Roge Officer 0.00 40.00 X 0 204546 16385 Kim Pearson-Wahl Vice President 0.00 40.00 X 0 328951 21112 Robert Evans SR VP/Administr 40.00 0.00 X 430689 0 25407 James Blanton CFO 40.00 0.00 X 160027 0 24628 Becki Mangum Treasurer 0.00 40.00 X 0 140412 27123 David Travis CFO 40.00 0.00 X 184257 0 25160 Gerry Dominguez CFO 40.00 0.00 X 158938 0 22004 Sam Brown CFO 40.00 0.00 X 182867 0 23559 Phil Caron CFO 40.00 0.00 X 181526 0 23132 Freddie Sanchez VP Materiels Management 0.00 40.00 X 0 481672 25313 David Langston VP Human Resources 0.00 40.00 X 0 217752 109122 Ron Schwartz VP EMS 40.00 0.00 X 312504 0 27350 Dennis S Devinney Physician 40.00 0.00 X 1635853 0 12138 Joseph M Conflitti Physician 40.00 0.00 X 1200619 0 12138 Alireza Behboudi Physician 40.00 0.00 X 958001 0 12138 Bandon A Tinkler Physician 40.00 0.00 X 708356 0 9104 Eldor L Brish Physician 40.00 0.00 X 1243610 0 12138 Jerry Massey Former VP & Director 0.00 40.00 X 0 399442 25376 Mike Gray Former VP Human Resources 0.00 40.00 X 0 208835 64314 John Hart Administrator - Termed 10/26/12 40.00 0.00 X 134025 0 14165 David Bailey Former Administrator 40.00 0.00 X 48557 0 5681 Devabrata Ganguly MD Former Director (FY 13) 40.00 0.00 X 67394 0 5058 Armol Deshpande MD Former Director (FY 12) 40.00 0.00 X 384455 0 6069 David Mandel MD Former Director (FY 10) 40.00 0.00 X 208759 0 11294 Larry Cunningham DO Former Director (FY 13) 40.00 0.00 X 160991 0 5058 Jean Latortue MD Former Director (FY 11) 40.00 0.00 X 608263 0 12138 Lawrence Quan MD Former Director (FY 11) 2.00 0.00 X 154180 0 0 Ravi Kumar Sreerama Former Director (FY 11) 2.00 0.00 X 43550 0 0 Roger Sessions MD Former Director (FY 12) 40.00 0.00 X 550289 0 12138 William Roberson D Former Director (FY 11) 2.00 0.00 X 39000 0 0 18836416 4845392 1215543 405 true true false Athens Emergency Medicine Assoc PA PO Box82368 Lafayette LA 705982368 Emergency Physicians 3451478 Clinical Pathology Lab PO Box 141669 Austin TX 78714 Laboratory Tests 3487468 Metro Aviation Inc PO Box 7008 Shreveport LA 711377008 Helicopter Maintenan 4059280 Philips Healthcare PO Box 10355 Atlanta GA 303840355 Equip Service Contra 3326133 Siemens Medical Solutions PO Box 120001 Dept 0733 Dallas TX 753120733 Software System Mai 3116478 128 31450 737298 768748 Contract/Outside Services 5143482 4190710 952772 Intercompany Revenue 6499996 6498246 1750 Medicaid EHR Incentive Pm 18990429 18990429 Mgmt Allocation 38764702 38764702 Net Patient Revenue 715444275 715444275 10462153 10462153 795305037 1118138 1118138 0 0 0 4398996 6868100 -2469104 -2469104 -2469104 19050 31450 19638 -588 -588 0 6134965 6134965 38638 6096327 Cafeteria/Dietary Rev 3476638 3476638 Parking Lot 618892 618892 Unrealized Gain 306538 306538 108792 108792 4510860 805368056 794350515 991410 9257383 4941281 4941281 113224 113224 0 0 7360844 7360844 0 294929985 290381456 4548529 5632998 5409912 223086 39448159 37810406 1637753 20705609 19879024 826585 0 87548 76887 10661 401448 77066 324382 0 0 0 0 498795 432902 65893 3570750 3506608 64142 1911843 1900741 11102 0 32164374 32077383 86991 338259 240522 97737 0 1037945 775013 262932 15442671 15442671 729780 29020 700760 69315290 69311829 3461 6511595 6428423 83172 Supplies 110160650 110027870 132780 Physician/Medical Spec. Fees 60179186 55283395 4895791 System Fee 47046488 47046488 Outside Services 33388523 32116887 1271366 270 79925387 75861584 4063803 835842632 762124104 73718258 270 198316088 222798965 4194167 4179687 10000 10000 90718366 74482317 0 0 0 13752171 12887117 7504215 11293995 629960087 419617764 261633495 210342323 8080223 7218215 0 0 0 415532025 440668846 999740750 983881465 50130088 60240482 868694 891085 79461368 77858868 974691 854376 331056763 341970129 462491604 481814940 X 530846909 494801504 3377910 4240694 3024327 3024327 537249146 502066525 999740750 983881465 X -30474576 -4708045 X false true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false true 79093 79093 false false Part II-B, Line 1i - Other Activities Description The organization pays membership dues to member organiations which may engage in lobbying activities. Therfore, a portion of the dues are attributable to lobbying activities. This amount represents a specified percentage of total dues paid. 6402237 452285 635449 224950 7265021 5394150 1070831 555764 618508 6402237 6070504 394384 272531 1343269 5394150 6308565 874950 70190 1183202 6070503 3109511 236481 2162000 6308566 6308566 0.28000 0.30000 0.42000 false false false 466843 466843 190329596 83003568 107326028 41485276 18523542 22961734 335948185 280291586 55656599 61730187 37799068 23931119 210342323 Accrued Interest Receivable 1786 Bonds Receivables & Unamortized Bond Exp 4121404 Deposits on Equip & Various Items 15000 Due From Affiliates 373213232 Due From Outside Entities 29321349 Estimated 3rd Party Settlement 23430142 Goodwill-Athens Cancer Institute net 1000000 Restricted Funds 9565933 440668846 Capital Lease Obligations 28706424 Deferred Direct & Admin Expenses 20907689 Due to Affiliates 262420712 Estimated 3rd Party Settlement 672471 Investment In Cyberknife -158176 Noncurrent Pension Liability 28687614 Other Noncurrent Liabilities 733397 Rounding -2 341970129 false Bell Golf Tournament 50500 31450 19050 19638 50500 31450 19050 19638 19638 -588 true true X true X true X true true true false true true 34512206 13456732 21055474 0.02520 82426044 61549819 20876225 0.02500 9172299 5809969 3362330 0.00400 126110549 80816520 45294029 0.05420 406194 103701 302493 0.00040 655612 124188 531424 0.00060 92177943 67786366 24391577 0.02920 223364 108319 115045 0.00010 11022066 11022066 0.01320 104485179 68122574 36362605 0.04350 230595728 148939094 81656634 0.09770 true 12354088 221267765 300679149 -79411384 X true false 14 1 East Texas Medical Cntr - Athe 2000 South Palestine Athens TX 75751 X A 2 East Texas Medical Cntr-Cartha 409 W Cottage Road Carthage TX 75633 X A 3 East Texas Medical Cntr-Clarks 3000 W Main Hwy 82 W Clarksville TX 75426 X A 4 East Texas Medical Cntr-Crocke 1100 Loop 304 East Crockett TX 75835 X A 5 East Texas Medical Cntr-Fairfi 125 Newman Street Fairfield TX 75840 X A 6 East Texas Medical Cntr-Gilmer 712 North Wood Gilmer TX 75644 X A 7 East Texas Medical Cntr-Hender 300 Wilson Street Henderson TX 75652 X A 8 East Texas Medical Cntr-Jackso 501 S Ragsdale Street Jacksonville TX 75768 X A 9 East Texas Medical Cntr-MtVern 500 S State Highway 37 Mount Vernon TX 75457 X A 10 East Texas Medical Cntr-Pittsb 414 Quitman Street Pittsburg TX 75686 X A 11 East Texas Medical Cntr-Quitma 117 N Winnsboro Street Quitman TX 75783 X A 12 East Texas Medical Cntr-Trinit 317 Prospect Drive Trinity TX 75862 X A 13 East Texas Medical Cntr-Tyler 1000 South Beckham Avenue Tyler TX 75701 X A 14 East Texas Medical Cntr-Specia 1000 South Beckham Avenue Tyler TX 75701 X A A true X X X X X X X X X 11 true true true X X X X X X X X X X true false false true true 200.0000 true 200.0000 true X X X X true true X X X X X X false true X X X X true X false false Part V, Line 3 - Account Input from Person Who Represent the Community Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC (East Texas Medical Center). Individuals interview included representatives of: * AgriLife (extension services) - Natural Resources & FCS County Health * Aley United Methodist Church * Allstate * Andrews Center * Area Minister * Austin Bank * Bank Texas * Bethesda Health Clinic * Big Brothers, Big Sisters * Bogata Funeral Home * Boys and Girls Club * Camp County Judge * Car dealership * Carthage Courtesy Club * Carthage ISD * CASA - Court Appointed Special Advocates * Central Baptist Church * Chamber of Commerce * Cherokee County Health Department * City Manager, City of Mineola * City Manager, City of Trinity * City of Annona - Mayor * City of Clarksville - Mayor, City Secretary, City Manager * City of Crockett - Mayor, City Manager * City of Henderson, City Manager * City of Quitman * Clayton Church * Community National Bank * Crisis Center of Anderson and Cherokee Counties * Department of Assistive and Rehabilitative Services * Dept. of Housing and Urban Development (HUD) * Disciples Clinic * Dodd Motor Company * East Texas Crisis Center * East Texas Food Bank * East Texas Medical Center EMS * ETCOG - Agency on Aging * ETMC Quitman board of directors * Fairfield Hospital District Board * Family Peace Project * First Baptist Church, Fairfield * First Baptist Church, Pittsburg * First Baptist Church, Teague * First Federal Community Bank * First National Bank of Gilmer * First National Bank of Mount Vernon * First United Methodist Church * Flight of the Phoenix Museum * Franklin County - Treasurer, County Judge * Franklin County Chamber of Commerce * Freestone County, Justice of the Peace * Freestone ISD * Gilmer Chamber of Commerce * Gilmer ISD * Heart to Heart * Henderson County - Indigent Care; Senior Citizen's Program * Henderson ISD * Henderson Memorial Hospital Foundation * Hispanic Business Alliance * Home for Vets * HOPE * Houston County Courier * Jacksonville Economic Development Corporation * Jacksonville Police Department * Joy Works - Eastern Hills Church of Christ * Literacy Council * Luminant * Mayor, City of Beckville * Mayor, City of Pittsburg * Mayor, City of Quitman * Mayor, City of Trinity * Meals on Wheels * Medical Staff * Mount Vernon ISD - School Nurse * NE Texas Public Health District * Office of the County Judge, Panola County * Our Lady of Sorrows * Panola College, Nursing & Health Sciences * PATH * Pittsburg ISD * Rusk County Child Advocacy Center * Rusk County Health Clinic * Rusk County Judge * Sheriff, Trinity County * Small Business/Chamber of Commerce * St. Edwards Catholic Church * St. Matthew's Episcopal Church * State Farm Insurance * Texas Dept. of State Health Services * Texas Dept. of State Health Services, area Emergency Operations Coordinator * The Chaparral Center, Alto * Trinity County Hospital District board of directors * Tyler Area Chamber of Commerce * Tyler Police Department * Upshur County Judge * Watkins Insurance Agency * West Place Nursing Home * Women's Center of East Texas * Wood County Chief Appraiser * Wood County Electric Coop * Zion Travelers Baptist ChurchThe interview task force included the administrator from each ETMC Hospital, as well as members of the ETMC Regional Healthcare System's CHNA team. Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital Part V, Line 5c - Description of Making Needs Assessment Widely Available Presented at community summary meeting. Part V, Line 20d - Other Billing Determination of Individuals Without Insurance A 60% discount is applied to standard charges. 7 East Texas Medical Center - Rehab 701 Olympic Plaza Circle Tyler TX 75701 Rehabilitation Center, Physical and Occupational, Inpatient and Outpatient East Texas Medical Center - Foundation 1000 S Beckham Ave Tyler TX 75701 Support related hospitals within the system through raising, management and distribution of charitab East Texas Medical Center - Healthcare Associates 1000 S Beckham Ave Tyler TX 75701 Physicians East Texas Medical Center - Home Services 1000 S Beckham Ave Tyler TX 75701 Home Healthcare Services East Texas Medical Center - Self Insurance Trust 1000 S Beckham Ave Tyler TX 75701 Insurance coverage for the East Texas Medical Center Regional Healthcare System. FirstNet Exchange 1000 S Beckham Ave Tyler TX 75701 Provide electronic medical records for the physicians to view. East Texas Medical Center Specialty Services PO Box 6720 Tyler TX 75711 Cardiovascular services Part III, Line 9b - Provisions On Collection Practices For Qualified Patients The Organization does not pursue collection of amounts determined to qualify as charity care and therefore are not considered in the collection policy. Part VI - Needs Assessment The community health needs assessment process adopted by ETMC was divided into three major components:- Internal and External Data Collection and Analysis- Community Assessment of Community Need- ETMC Provider InputThe community health needs assessment process is designed to measure positive and negative progress relative to selected health status indicators; target needs by population group, geographic market segment and health issue; consider community input and feedback; and identify opportunities for program and service development and enhancement. Part VI - Patient Education of Eligibility for Assistance Notifications of financial assistance and the Charity Care program are posted in the patient admission areas and emergency departments, and also printed in local newspapers. The Charity Care policy and application for financial assistance are also available on the internet at www.etmc.org. Additionally, notification of availability of financial assistance is noted on all patient billing statements, along with the phone number of whom to contact for financial assistance. In addition, direct contact is made to those individuals that the organization beleves may qualify for Charity Care, based on lack of insurance or other indications, to explain the availability of financial assistance and to request the individual complete and returned an application. Part VI - Community Information The 20 county service area is composed of about 16 percent of the population over age 65, an increasing Hispanic population, 60 percent of households defined as 'working poor' or poverty level, with 40 percent uninsured or underinsured. Part V - Explanation of Number of Facility Type One Rehabilitation Center and three Home Healthcare services. Part VI - Additional Information Uncompensated care program funds were evenly allocated to uninsured and Medicaid patient costs. true Cherokee County Health Dept 593 North Main Street Rusk TX 75785 756000854 8333 0 Donation Junior League of Tyler 1919 S Donnybrook Ave Tyler TX 75701 10000 0 Donation Mercy Ship 15862 State Highway 110 N Garden Valley TX 75771 0 21335 Cost Medical Supplies Donation Donation Sonet Service Organization 2950 50th Street Lubbock TX 79413 4816489 0 Indigent Care Donation 0 4 Grantmaker's Description of How Grants are Used Senior management will review the needs and give approval to support a variety of agencies, service organziations and projects related to meeting health and human service needs for Tyler and East Texas, as well as those contributing to overall quality of life for the community. Contributions were made in terms of financial and in-kind donations, agencies and organizations supported are non-profit.The ETMC Helping Hands Fund was established to help our fellow employees who may encounter substantial emergency situations and needs. Through generous gifts on the part of ETMC personnel, we are able to help our own by offering immediate, short-term financial assistance to those in need. The Helping Hands Fund is managed through the East Texas Medical Center Foundation and ETMC Human Resources, and governed by an employee review committee.Due to the special nature of the Chaplains Fund, flexibility is essential in its operating procedures. The following guidelines are designed as general policies to be followed by the Chaplains office and the ETMC Foundation.Administration The ETMC Tyler Chaplains Fund is a restricted account under the East Texas Medical Center Foundation. The ETMC Tyler Chaplain supervises the Chaplains Fund on a day-to-day basis. In addition to the Chaplain, the President and Chief Financial Officer of the East Texas Medical Center Regional Healthcare System has signature authorization over the Chaplains Fund account. The Chaplains Fund is included in the financial statements presented at meetings of the ETMC Foundations Board of Directors. The Foundation staff, Board and Executive Committee may help address issues and govern the fund as needed. X true true X X X X true false false true false false false false false false Alireza Behboudi Physician 626539 329303 2159 12138 970139 Andrew Roberts MD Director 460105 10960 2825 12138 486028 Armol Deshpande MD Former Director (FY 12) 379840 2894 1721 6069 390524 Art Chance Director 261907 1589 27150 290646 Bandon A Tinkler Physician 480714 226023 1619 9104 717460 Becki Mangum Treasurer 139770 642 27123 167535 Brett Kirkham Administrator 133920 7858 13799 155577 Bryan Hyland MD Director 196967 115028 1370 12138 325503 Byron Hale Treasurer & Dir 523872 10368 26835 561075 Carroll Roge Officer 203343 1203 16385 220931 David Bailey Former Administrator 43899 4658 5681 54238 David Langston VP Human Resources 216533 1219 109122 326874 David Mandel MD Former Director (FY 10) 164337 42108 2314 11294 220053 David Travis CFO 182587 1670 25160 209417 Dennis S Devinney Physician 659967 973016 2870 12138 1647991 Devabrata Ganguly MD Former Director (FY 13) 66640 90 664 5058 72452 Donald E Arego MD Director 261054 54955 3289 12138 331436 Doug Johnston DO Director 155370 138420 1440 12138 307368 Eddie Howard VP/Administrato 345905 11552 25583 383040 Eldor L Brish Physician 361722 880200 1688 12138 1255748 Elmer G Ellis President & Dir 1080062 44227 20993 1145282 Freddie Sanchez VP Materiels Management 313261 159463 8948 25313 506985 Gary Babbitt MD Director 261122 3052 12138 276312 Gary M Hudson Administrator 171439 9484 23101 204024 Gerald Akpassa MD Director 340000 1532 12138 353670 Gerry Dominguez CFO 157528 1410 22004 180942 Gordon Uretsky MD Director 219612 8677 2112 12138 242539 Ilanko Upendran MD Director 442800 2094 1581 446475 J Michael Orms MD Director 266903 943 1185 12138 281169 Jack Endres Administrator 187006 8329 25478 220813 James Blanton CFO 158642 1385 24628 184655 Jean Latortue MD Former Director (FY 11) 408255 199196 812 12138 620401 Jerry Massey Former VP & Director 382857 16585 25376 424818 John Hart Administrator - Termed 10/26/12 134025 14165 148190 Jorge Leal Administrator 144992 7953 19356 172301 Joseph M Conflitti Physician 669830 528496 2293 12138 1212757 Karen Wies MD Director 119474 232955 1962 12138 366529 Kenneth Kemp MD Director 207968 73669 1769 12138 295544 Kim Pearson-Wahl Vice President 318941 10010 21112 350063 Kirk Hopkins Officer & Direc 210518 874 23565 234957 Larry Cunningham DO Former Director (FY 13) 159644 1347 5058 166049 Lawrence Quan MD Former Director (FY 11) 154180 154180 Lisa Graves MD Director 139841 251977 1352 12138 405308 Mark Leitner Administrator 207410 8415 25358 241183 Michael Austin MD Director 194967 187626 1610 12138 396341 Mike Gray Former VP Human Resources 168597 40238 64314 273149 Mike Thomas Director 337682 2975 27219 367876 Nghia Truong MD Director 401047 218145 1772 12138 633102 Patrick L Wallace Administrator 301570 11126 27188 339884 Paula Anthony Director 342269 61055 25296 428620 Perry Henderson Administrator 241961 7919 25713 275593 Phil Caron CFO 173365 8161 23132 204658 Ravi Kumar Sreerama Former Director (FY 11) 23550 20000 43550 Robert Evans SR VP/Administr 418280 12409 25407 456096 Roger Sessions MD Former Director (FY 12) 545130 5159 12138 562427 Ron Schwartz VP EMS 301722 10782 27350 339854 Ruth Cook Administrator 147045 8044 24211 179300 Sam Brown CFO 172087 10780 23559 206426 Sam Raborn MD Director 117500 159617 1434 278551 Stephen Rydzak MD Director 459418 183684 3998 582 647682 Terry Cutler Administrator 194383 8322 22815 225520 WR Christensen MD Director 317995 798 11294 330087 Warren Robicheaux Administrator 172366 7900 22862 203128 William Roberson D Former Director (FY 11) 39000 39000 Part I, Line 1a: Relevant information in regards to selections on 1a. Schedule J, Part I, Line 1aCountry club dues are paid for business purpose. Any personal use is reimbursed by the employee. A Camp County Texas 756000845 2007-11-29 10000000 New hospital facility false false false B Camp County Texas 756000845 2008-03-19 10000000 New hospital facility false false false C Camp County Texas 756000845 2009-02-24 10000000 New hospital facility false false false D Camp County Texas 756000845 2009-09-09 7000000 New hospital facility false false false A 985000 10081130 898543 74500 898543 9108087 2009 false false true true B 985000 10068035 725080 725080 9342955 2009 false false true true C 755000 10000067 252733 252733 9747334 2009 false false true true D 540000 7000001 863244 7000 863244 6129757 2009 false false true true A false false false false false true false true B false false false false false true false true C false false false false false true false true D false false false false false true false true A false false false true false false false true B false false false true false false false true C false false false true false false false true D false false false true false false false true A true B true C true D true Part VI Part II, Line 3Total Proceeds exceed the issue price due to investment earnings. A City of Parker Texas Cultural Education Facilities 270365113 2009-06-24 5700000 Electronic communication towers false false false B Rusk County Health Facilities Corporation 752499136 2009-09-09 5831638 Assumption memorial hospital bonds false false false C Wood County Central Hospi 751249184 978324AA9 2011-11-30 35018198 New Hospital Facility false false false A 1945000 5700000 5700000 2010 false false true true B 1212770 5831638 5831638 true false true true C 35173533 3501820 3044708 286000 4124014 27261699 2013 false false true true A false false false false false true false true B false false false false false true false true C false false false false false true false true A false false false true false false false true B false false false false true Regions Bank 11.7000 false false false false false C false true false false false false false false A true B true C true Monica Graves Family Membe 41451 Employment at ETMC false Client Note 1 Client Note 1 - See schedule H for list of subordinate organizations. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: ETMC Air One has 3 air ambulances. OTHER PROGRAM SERVICES 5: ETMC Tyler has a Behavioral Health Center that provides inpatient and outpatient mental health services. OTHER PROGRAM SERVICES 6: The ETMC Rehabilitation Hospital has 49 licensed beds. It provides inpatient and outpatient services including physical, occupational and speech therapies, cardiac and pulmonary rehabilitation. ETMC Rehabilitation also offers preventive and health enhancement services. OTHER PROGRAM SERVICES 7: The ETMC Specialty Hospital is a long-term, acute hospital licensed for 36 beds. The hospital is dedicated to acute care for the medically complex patient. Specialized programs include ventilator care, complex multi-system medical, CVA/stroke, trauma, oncology and wound care. OTHER PROGRAM SERVICES 8: ETMC Home Services provides non-hospital health care services. OTHER PROGRAM SERVICES 9: OTHER PROGRAM SERVICES 10: East Texas Medical Center Regional Healthcare System Self Insurance Trust provides self insurance coverage for the East Texas Medical Center Regional Healthcare System entities. OTHER PROGRAM SERVICES 11: ETMC Foundation supports the System and affiliate hospitals as well as the charitable companies affiliated with the System. This includes providing financial assistance to the System, raising, managing and distributing of charitable funds and gifts, providing educational programs on medical and health matters and providing for the regional development of healthcare and medical treatment of illnesses, physical and mental disabilities. Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et The following members of ETMC Regional Healthcare System are also board members / key employees of entities affiliated with ETMC Regional Healthcare System: Elmer G. Ellis, Byron Hale, B.G. Hartley, Larry Durrett, Ron Donaldson, M.D., Stephen Rydzak, M.D., Wade Ridley, James Wynne, Freddie Sanchez, Mike Gray, Mike Thomas and Paula Anthony. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder ETMC Regional Healthcare System is the parent and sole member of the ETMC System affiliates and appoints certain members to the board. Form 990, Part VI, Line 11b: Form 990 Review Process The return is prepared by our staff accountant and is reviewed by senior management. It is then presented to the board for their review and comments. The final return is provided to the board prior to filing. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization has a written conflict of interest policy for all employees, officers and trustees. Annually all officers, key employees and trustees are required to complete a conflict of interest form disclosing any actual or potential conflict of interest with the organization. Should any transaction arise that may create a conflict, the transaction is reviewed and appropriate measures are taken. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management Compensation for the CEO, executive directors and top management is reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation for other officers and key employees are reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The organization's governing documents, conflict of interest policy and financial statements are provided upon request. Other Changes In Net Assets Or Fund Balances - Other Decreases Defined Benefit Plan Adjustment = -$4565787 Other Changes In Net Assets Or Fund Balances - Other Decreases ETMC Specialty Services Income on Sys books = -$142258 Audited Financial Statements The organization was included in consolidated, independent audited financial statements for the tax year. Fundraising Expenses Fundraising is conducted at the related organization, ETMC Foundation for all ETMC Regional Healthcare System organizations. The expenses are not charged back to the organization. ETMC Regional Healthcare SystemETMCRHS 1000 S Beckham Tyler TX 75701 751803327 Health Service TX 501 (C)(3) Exempt ETMCRHS false First Choice Cooperative 1000 S Beckham Avenue Tyler TX 75701 752627236 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Tyler 1000 S Beckham Avenue Tyler TX 75701 751803325 Health Service TX 501 (C)(3) Exempt ETMCRHS true ETMC - Rehabilitation Hospital 701 Olympic Plaza Circle Tyler TX 75701 752599215 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Home Services 1000 S Beckham Avenue Tyler TX 75701 752503960 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC Reg Healthcare Sys Self Ins Trust 1000 S Beckham Avenue Tyler TX 75701 756345356 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Specialty Hospital 1000 S Beckham Avenue Tyler TX 75701 752547158 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Foundation 1000 S Beckham Avenue Tyler TX 75701 752695524 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Healthcare Associates 1000 S Beckham Avenue Tyler TX 75701 752605821 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Athens 2000 S Palestine Athens TX 75751 751854562 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Carthage 409 Cottage Road Carthage TX 75633 752735077 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Clarksville PO Drawer 1270 Clarksville TX 75426 752638020 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Crockett 1100 Loop 304 East Crockett TX 75835 752602621 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Fairfield 125 Newman Street Fairfield TX 75840 752753454 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Gilmer 712 North Wood Gilmer TX 75644 200079162 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Henderson 300 Wilson Street Henderson TX 75652 264123728 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Jacksonville 501 South Ragsdale Jacksonville TX 75766 752715084 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Mount Vernon PO Box 477 Mount Vernon TX 75457 752250730 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Trinity PO Box 471 Trinity TX 75862 752715898 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Pittsburg 414 Quitman Street Pittsburg TX 75686 751919624 Health Service TX 501 (C)(3) Exempt ETMCRHS false ETMC - Quitman PO Box 1000 Quitman TX 75783 752766160 Health Service TX 501 (C)(3) Exempt ETMCRHS false FirstNet Exchange 1000 S Beckham Avenue Tyler TX 75701 451436671 Health Services TX 501 (c)(3) Exempt ETMCRHS false ETMC Specialty Services 1000 S Beckham Avenue Tyler TX 75701 460847937 Health Service TX 501 (C) (3) Exempt ETMCRHS false ETMC Regional Health Services Inc 1000 S Beckham Ave Tyler TX 75701 751925036 Health Services TX ETMCRHS C Corp 119630791 55626010 false false false false false false false false false false false true false false false false true true false false ETMC Regional Healthcare SystemETMCRHS k 18047252 FMV ETMC Regional Healthcare SystemETMCRHS p 50938518 FMV ETMC Regional Healthcare SystemETMCRHS q 407879 FMV