2014-08-14T07:56:16-07:00
2013-10-31
990
2012-11-01
371623919
East Texas Medical Center Reg Healthcare
Group Return
EAST
9035963719
1000 South Beckham Avenue
Tyler
TX
75701
Byron Hale
CFO
2014-08-14
2012
2015-11-30 17:44:51Z
847739247
true
true
5692
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WWW.ETMC.ORG
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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.
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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.
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"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 536 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.
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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.
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ETMC Air One has 3 air ambulances.
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Bonnie Stone
9035963719
1417 South Beckham Avenue
Tyler
TX
75701
Gerald Akpassa MD
Director
40.00
0.00
X
291814
0
11350
Gary Babbitt MD
Director
40.00
0.00
X
302101
0
11350
Wayne Mask MD
Director
2.00
0.00
X
0
0
0
WR Christensen MD
Director
2.00
0.00
X
76182
0
0
Wade Ridley
Director
12.00
0.00
X
X
0
0
0
Paul Driver DO
Director
2.00
0.00
X
0
0
0
Tom Woldert
Director
2.00
0.00
X
0
0
0
Tim Culp
Director
2.00
0.00
X
0
0
0
Brock Lutz MD
Director
2.00
0.00
X
10800
0
0
Ted Austin
Director
2.00
0.00
X
0
0
0
Steven C Roosth
Director
2.00
0.00
X
0
0
0
Steve Bishop CPA
Director
2.00
0.00
X
0
0
0
Stayton Bonner
Director
2.00
0.00
X
0
0
0
Samual Houston MD
Director
2.00
0.00
X
0
0
0
Sam Raborn MD
Director
40.00
0.00
X
265880
0
0
Sam Dawson
Director
2.00
0.00
X
0
0
0
Rosemary Burns
Director
2.00
0.00
X
0
0
0
Ron Franks
Director
2.00
0.00
X
0
0
0
Ron Donaldson MD
Director
12.00
0.00
X
900
0
0
Rodney Watkins
Director
2.00
0.00
X
0
0
0
Robyn Rogers
Director
2.00
0.00
X
0
0
0
Robert Nichols
Director
2.00
0.00
X
0
0
0
R Scott Confer
Director
2.00
0.00
X
0
0
0
Peggy Lowry
Director
2.00
0.00
X
0
0
0
Patricia Smith
Director
2.00
0.00
X
0
0
0
Virginia Lewis
Director
2.00
0.00
X
0
0
0
Nghia Truong MD
Director
40.00
0.00
X
604786
0
11350
Norman Hicks MD
Director
2.00
0.00
X
0
0
0
Ned Muse
Director
2.00
0.00
X
0
0
0
Thom Lambert
Director
2.00
0.00
X
0
0
0
Michelle Brookshire
Director
2.00
0.00
X
0
0
0
Michael Banks DDS
Director
2.00
0.00
X
0
0
0
Michael Austin MD
Director
40.00
0.00
X
297571
0
11350
Lisa Graves MD
Director
40.00
0.00
X
X
322017
0
11350
Linda K Dean
Director
2.00
0.00
X
0
0
0
Leesa N Hedge
Director
2.00
0.00
X
0
0
0
Mark Hamilton MD
Director
2.00
0.00
X
0
0
0
Larry King
Director
2.00
0.00
X
0
0
0
Larry Durrett
Director
12.00
0.00
X
0
0
0
Larry Cunningham DO
Director
40.00
0.00
X
510598
0
11350
Kenneth McGee
Director
2.00
0.00
X
0
0
0
Kenneth Kemp MD
Director
40.00
0.00
X
378239
0
11350
Ken Greer
Director
2.00
0.00
X
0
0
0
Karen Wies MD
Director
40.00
0.00
X
494531
0
11350
Jon Johnston
Director
2.00
0.00
X
0
0
0
John T Wilson
Director
2.00
0.00
X
0
0
0
John Magouyrk
Director
2.00
0.00
X
0
0
0
John English MD
Director
2.00
0.00
X
0
0
0
John Payne
Director
2.00
0.00
X
0
0
0
Joe Angle
ViceChairmn&Dir
2.00
0.00
X
X
0
0
0
Jessica Parish
Director
2.00
0.00
X
0
0
0
Jerry Webster
Director
2.00
0.00
X
0
0
0
J Michael Orms MD
Director
40.00
0.00
X
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0
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James H Reynolds
Director
2.00
0.00
X
0
0
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Richard R Tutt MD
Director
2.00
0.00
X
0
0
0
Thomas Cole MD
Director
2.00
0.00
X
0
0
0
Sharlet Slough DO
Director
40.00
0.00
X
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0
0
Harold Beaird
Director
2.00
0.00
X
0
0
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Ray Morrison MD
Director
2.00
0.00
X
0
0
0
George T Hall
Director
2.00
0.00
X
0
0
0
George Robinson
Director
2.00
0.00
X
0
0
0
Gary Patterson
Director
2.00
0.00
X
0
0
0
Gary Gross MD
Director
2.00
0.00
X
0
0
0
Fred A Heirich
Director
2.00
0.00
X
0
0
0
Ennis Christenberry
Director
2.00
0.00
X
0
0
0
Doug Johnston DO
Director
40.00
0.00
X
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0
11350
Donald E Arego MD
Director
40.00
0.00
X
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0
11350
Laura Vanecek
Director
2.00
0.00
X
0
0
0
Ronnie Lagrone
Director
2.00
0.00
X
0
0
0
David Latham MD
Former Director
2.00
0.00
X
0
0
0
David Jones MD
Director
2.00
0.00
X
0
0
0
David Johnson MD
Director
2.00
0.00
X
88250
0
0
David E Holdredge
Director
2.00
0.00
X
0
0
0
David Craig MD
Director
2.00
0.00
X
0
0
0
Paul McGaha DO
Director
2.00
0.00
X
0
0
0
Paul Hines
Director
2.00
0.00
X
0
0
0
Charles Lowry
Director
2.00
0.00
X
0
0
0
Charles Halstead
Director
2.00
0.00
X
0
0
0
John Cain
Director
2.00
0.00
X
0
0
0
Bryan Price
Director
2.00
0.00
X
0
0
0
Bryan Hyland MD
Director
40.00
0.00
X
320469
0
11350
Brian Holcomb
Director
2.00
0.00
X
0
0
0
Brian Ballard
Director
2.00
0.00
X
0
0
0
Jeff Taylor
Director
2.00
0.00
X
0
0
0
Bill James
Director
2.00
0.00
X
0
0
0
Bill Clawater
Director
2.00
0.00
X
0
0
0
BG Hartley
Director
12.00
0.00
X
0
0
0
Barry Hughes
Director
2.00
0.00
X
0
0
0
Ilanko Upendran MD
Director
40.00
0.00
X
455078
0
0
Ann Lake
Director
2.00
0.00
X
0
0
0
Andrew Roberts MD
Director
40.00
0.00
X
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0
11350
Harry Tilley
Director
2.00
0.00
X
0
0
0
Allen Bell
Director
2.00
0.00
X
0
0
0
Alan Hale
Director
2.00
0.00
X
0
0
0
Gordon Uretsky MD
Director
40.00
0.00
X
185533
0
11350
Ernest Snapka Jr
Director
2.00
0.00
X
0
0
0
Ernest Dews
Director
2.00
0.00
X
0
0
0
Billy Langford
Director
2.00
0.00
X
0
0
0
Curt Smith
Dir of HomeHlth
40.00
0.00
X
X
115614
0
19460
Brett Kirkham
Administrator
40.00
0.00
X
X
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0
13128
Jorge Leal
Administrator
40.00
0.00
X
X
140570
0
17007
Warren Robicheaux
Administrator
40.00
0.00
X
X
172360
0
20905
Dorian Roge
Director
2.00
0.00
X
0
0
0
Jack Endres
Administrator
40.00
0.00
X
X
190844
0
25359
Donald Carney MD
Director
2.00
0.00
X
0
0
0
Mark Leitner
Administrator
40.00
0.00
X
X
207620
0
23937
Perry Henderson
Administrator
40.00
0.00
X
X
228854
0
25087
Ruth Cook
Administrator
40.00
0.00
X
X
151221
0
23186
Terry Cutler
Administrator
40.00
0.00
X
X
195138
0
21664
Devabrata Ganguly MD
Director
40.00
0.00
X
200887
0
11350
Charles Broadway
Director
2.00
0.00
X
0
0
0
Bobby Smithson
Director
2.00
0.00
X
0
0
0
Gary M Hudson
Administrator
40.00
0.00
X
X
171581
0
25448
Patrick L Wallace
Administrator
40.00
0.00
X
X
304224
0
29581
Eddie Howard
VP/Administrato
40.00
0.00
X
X
350367
0
24367
Matthew Wylie
Administrator
40.00
0.00
X
X
0
0
0
David Bailey
Administrator
40.00
0.00
X
X
182350
0
20699
Art Chance
Director
40.00
0.00
X
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0
27539
Stephen Rydzak MD
Director
40.00
0.00
X
X
610717
0
610
Paula Anthony
Director
0.00
40.00
X
X
0
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24400
Mike Thomas
Director
0.00
40.00
X
0
331109
28600
Kirk Hopkins
Officer & Direc
0.00
40.00
X
X
0
193357
21735
Jerry Massey
VP & Dir
0.00
40.00
X
X
0
378007
28137
Byron Hale
Treasurer & Dir
0.00
40.00
X
X
0
522301
25756
Elmer G Ellis
President & Dir
0.00
40.00
X
X
0
1095672
23726
Phil Caron
CFO
40.00
0.00
X
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0
23014
Sam Brown
CFO
40.00
0.00
X
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0
5526
Gerry Dominguez
CFO
40.00
0.00
X
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0
18509
David Travis
CFO
40.00
0.00
X
177140
0
27647
Becki Mangum
Treasurer
0.00
40.00
X
0
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26299
James Blanton
CFO
40.00
0.00
X
152216
0
26764
Robert Evans
SR VP/Administr
40.00
0.00
X
421564
0
24440
Kim Pearson-Wahl
Vice President
0.00
40.00
X
0
320228
24780
Carroll Roge
Officer
0.00
40.00
X
0
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5991
Ron Schwartz
VP EMS
40.00
0.00
X
273270
0
27914
Mike Gray
VP Human Resources
0.00
40.00
X
0
316164
26353
Freddie Sanchez
VP Materiels Management
0.00
40.00
X
0
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24879
Dennis S Devinney
Physician
40.00
0.00
X
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0
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Joseph M Conflitti
Physician
40.00
0.00
X
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0
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Cody Anderson
Physician
40.00
0.00
X
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0
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Bandon A Tinkler
Physician
40.00
0.00
X
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0
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Elder L Brish
Physician
40.00
0.00
X
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0
11350
William Roberson D
Former Director (FY 11)
2.00
0.00
X
67500
0
0
Roger Sessions MD
Former Director (FY 12)
40.00
0.00
X
600793
0
11350
Ravi Kumar Sreerama
Former Director (FY 11)
2.00
0.00
X
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0
0
Randy Randall MD
Former Director (FY 10)
40.00
0.00
X
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0
9450
Lawrence Quan MD
Former Director (FY 11)
40.00
0.00
X
146640
0
0
Jean Latortue MD
Former Director (FY 10)
40.00
0.00
X
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0
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Ifteqar Syed MD
Former Director (FY 12)
40.00
0.00
X
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0
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David Mandel MD
Former Director (FY 10)
40.00
0.00
X
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0
10593
Armol Deshpande MD
Former Director (FY 12)
40.00
0.00
X
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0
0
Anthony Davis MD
Former Director
40.00
0.00
X
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0
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Brody Clark
Former Officer & Director
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40.00
X
0
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1110
Jim Hines
Controller - Termed 4/13/13
40.00
0.00
X
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0
17682
John Hart
Administrator - Termed 10/26/12
40.00
0.00
X
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0
15766
Todd Sigmon
VP Oncology - Termed 3/13/13
40.00
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Siemens Medical Solutions
PO Box 120001 Dept 0733
Dallas
TX
753120733
Software System Mai
2701526
Philips Healthcare
PO Box 10355
Atlanta
GA
303840355
Equip Service Contra
2850896
Metro Aviation Inc
PO Box 7008
Shreveport
LA
711377008
Helicopter Maintenan
3314660
In Compass Health Inc
318 Maxwell Road Ste 500
Alpharetta
GA
30009
Hospitalist Physicia
3374303
Athens Emergency Medicine Assoc PA
PO Box82368
Lafayette
LA
705982368
Emergency Physicians
3656874
139
27850
1169697
411962
1197547
Net Patient Revenue
754307171
754307171
Mgmt Allocation
35971141
35971141
Medicaid EHR Incentive Pm
20290326
20290326
Intercompany Revenue
11223847
11156172
67675
Contract/Outside Services
4907375
3344130
1563245
9436140
9402170
33970
836136000
834574
834574
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Miscellaneous Income
277336
277336
Cafeteria/Dietary Rev
3603196
3603196
79973
79973
4559269
842825708
834471110
1637381
5519670
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0
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47554
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14835008
1350050
1350050
36454240
36454240
5304217
5259039
45178
Outside Services
31544322
30141198
1402270
854
System Fee
47162105
47162105
Physician/Medical Spec. Fees
59042447
55140619
3901828
Supplies
113877170
113754462
122708
79137175
76549434
2587741
815932715
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183647357
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Part II-B, Line 1i
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.
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1070831
555764
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6070504
394384
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6308565
874950
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535030
188828517
56043611
132784906
39849724
7872451
31977273
337426465
268821211
68605254
61545585
33814553
27731032
261633495
Rounding
1
Restricted Funds
9134833
Goodwill-Athens Cancer Institute net
1000000
Estimated 3rd Party Settlement
9596692
Due From Outside Entities
20544769
Due From Affiliates
371044647
Deposits on Equip & Various Items
73907
Bonds Receivables & Unamortized Bond Exp
4135467
Accrued Interest Receivable
1709
415532025
Other Noncurrent Liabilities
839390
Noncurrent Pension Liability
22971896
Investment In Cyberknife
-14773
Estimated 3rd Party Settlement
556325
Due to Affiliates
261230976
Deferred Direct & Admin Expenses
10582976
Capital Lease Obligations
34889973
331056763
false
Bell Golf Tournament
41640
27850
13790
20165
41640
27850
13790
20165
20165
-6375
true
true
X
true
X
true
X
true
true
true
false
true
true
29978858
22175207
7803651
0.00960
77481095
71625030
5856065
0.00720
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2103100
0.00260
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0.01940
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0.00040
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0.00070
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12760717
0.01560
289576
81709
207867
0.00030
7366907
7366907
0.00900
92817071
71509190
21307881
0.02600
210835658
173764961
37070697
0.04540
true
4357999
229989865
296999024
-67009159
X
true
false
14
14
East Texas Medical Cntr-Specia
1000 South Beckham Avenue
Tyler
TX
75701
X
A
13
East Texas Medical Cntr-Tyler
1000 South Beckham Avenue
Tyler
TX
75701
X
A
12
East Texas Medical Cntr-Trinit
317 Prospect Drive
Trinity
TX
75862
X
A
11
East Texas Medical Cntr-Quitma
117 N Winnsboro Street
Quitman
TX
75783
X
A
10
East Texas Medical Cntr-Pittsb
414 Quitman Street
Pittsburg
TX
75686
X
A
9
East Texas Medical Cntr-MtVern
500 S State Highway 37
Mount Vernon
TX
75457
X
A
8
East Texas Medical Cntr-Jackso
501 S Ragsdale Street
Jacksonville
TX
75768
X
A
7
East Texas Medical Cntr-Hender
300 Wilson Street
Henderson
TX
75652
X
A
6
East Texas Medical Cntr-Gilmer
712 North Wood
Gilmer
TX
75644
X
A
5
East Texas Medical Cntr-Fairfi
125 Newman Street
Fairfield
TX
75840
X
A
4
East Texas Medical Cntr-Crocke
1100 Loop 304 East
Crockett
TX
75835
X
A
3
East Texas Medical Cntr-Clarks
3000 W Main Hwy 82 W
Clarksville
TX
75426
X
A
2
East Texas Medical Cntr-Cartha
409 W Cottage Road
Carthage
TX
75633
X
A
1
East Texas Medical Center - A
2000 South Palestine
Athens
TX
75751
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
8
East Texas Medical Center Specialty Services
PO Box 6720
Tyler
TX
75711
Cardiovascular services
FirstNet Exchange
1000 S Beckham Ave
Tyler
TX
75701
Provide electronic medical records for the physicians to view.
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.
East Texas Medical Center - Home Services
1000 S Beckham Ave
Tyler
TX
75701
Home Healthcare Services
East Texas Medical Center - Healthcare Associates
1000 S Beckham Ave
Tyler
TX
75701
Physicians
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 Meical Center - Cancer Institute
1000 S Beckham Ave
Tyler
TX
75701
Provide radiation therapy, healthcare and related services to cancer patients.
East Texas Medical Center - Rehab
701 Olympic Plaza Circle
Tyler
TX
75701
Rehabilitation Center, Physical and Occupational, Inpatient and Outpatient
Part VI - Additional Information
Uncompensated care program funds were evenly allocated to uninsured and Medicaid patient costs.
Part V - Explanation of Number of Facility Type
One Rehabilitation Center, one Cancer Institute, and three Home Healthcare services.
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 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 - 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.
Number of Hospital Faciltiy - 1
Part V, Line 20d - Other Billing Determination of Individuals Without Insurance
A 60% discount is applied to standard charges.
Number of Hospital Faciltiy - 1
Part V, Line 5c - Description of Making Needs Assessment Widely Available
Presented at community summary meeting.
Number of Hospital Faciltiy - 1
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 Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital
Number of Hospital Faciltiy - 1
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 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.
true
Sonet Service Organization
2950 50th Street
Lubbock
TX
79413
2694212
0
Indigent Care Donation
Jacksonville Rodeo Assoc
PO box 527
Jacksonville
TX
75766
7000
0
Donation
ETMCRH System
1000 South Beckham Avenue
Tyler
TX
75701
751803327
262300
0
Quitman Building Fund
Cherokee County Health Dept
593 North Main Street
Rusk
TX
75785
756000854
10200
0
Donation
American Heart Assoc
10900-BstoneLakeBlvd Ste 320
Austin
TX
78759
10000
0
Donation
1
4
Paramedics Plus Oklahoma Helping Ha
3
20082
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
William Roberson D
Former Director (FY 11)
67500
67500
Warren Robicheaux
Administrator
164061
8299
20905
193265
Todd Sigmon
VP Oncology - Termed 3/13/13
163725
1399
23675
188799
Terry Cutler
Administrator
186133
9005
21664
216802
Stephen Rydzak MD
Director
459391
148648
2678
610
611327
Sam Raborn MD
Director
118000
146446
1434
265880
Ruth Cook
Administrator
142654
8567
23186
174407
Ron Schwartz
VP EMS
263760
9510
27914
301184
Roger Sessions MD
Former Director (FY 12)
545590
50044
5159
11350
612143
Robert Evans
SR VP/Administr
407988
13576
24440
446004
Ravi Kumar Sreerama
Former Director (FY 11)
37180
37180
Randy Randall MD
Former Director (FY 10)
139545
243639
5621
9450
398255
Phil Caron
CFO
169198
1590
23014
193802
Perry Henderson
Administrator
218070
10784
25087
253941
Paula Anthony
Director
333697
59900
24400
417997
Patrick L Wallace
Administrator
291995
12229
29581
333805
Nghia Truong MD
Director
396301
206713
1772
11350
616136
Mike Thomas
Director
326901
4208
28600
359709
Mike Gray
VP Human Resources
302496
13668
26353
342517
Michael Austin MD
Director
195421
100690
1460
11350
308921
Mark Leitner
Administrator
198470
9150
23937
231557
Lisa Graves MD
Director
139841
180824
1352
11350
333367
Lawrence Quan MD
Former Director (FY 11)
146640
146640
Larry Cunningham DO
Director
466634
40500
3464
11350
521948
Kirk Hopkins
Officer & Direc
193211
146
21735
215092
Kim Pearson-Wahl
Vice President
309992
10236
24780
345008
Kenneth Kemp MD
Director
212821
163673
1745
11350
389589
Karen Wies MD
Director
120150
372419
1962
11350
505881
Joseph M Conflitti
Physician
668526
565223
2293
11350
1247392
Jorge Leal
Administrator
132769
7801
17007
157577
John Hart
Administrator - Termed 10/26/12
131633
40482
15766
187881
Jim Hines
Controller - Termed 4/13/13
103784
1727
17682
123193
Jerry Massey
VP & Dir
369699
8308
28137
406144
Jean Latortue MD
Former Director (FY 10)
210636
230402
812
11350
453200
James Blanton
CFO
150749
1467
26764
178980
Jack Endres
Administrator
182470
8374
25359
216203
J Michael Orms MD
Director
269537
2422
1185
11350
284494
Ilanko Upendran MD
Director
452250
1343
1485
455078
Ifteqar Syed MD
Former Director (FY 12)
119984
972
11350
132306
Gordon Uretsky MD
Director
183421
2112
11350
196883
Gerry Dominguez
CFO
141808
1657
18509
161974
Gerald Akpassa MD
Director
290282
1532
11350
303164
Gary M Hudson
Administrator
160582
10999
25448
197029
Gary Babbitt MD
Director
277337
22500
2264
11350
313451
Freddie Sanchez
VP Materiels Management
309666
155012
10219
24879
499776
Elmer G Ellis
President & Dir
1050137
45535
23726
1119398
Elder L Brish
Physician
379172
355354
1688
11350
747564
Eddie Howard
VP/Administrato
337624
12743
24367
374734
Doug Johnston DO
Director
156084
106687
1308
11350
275429
Donald E Arego MD
Director
261054
90767
3747
11350
366918
Devabrata Ganguly MD
Director
176846
22500
1541
11350
212237
Dennis S Devinney
Physician
668363
918282
2870
11350
1600865
David Travis
CFO
175432
1708
27647
204787
David Mandel MD
Former Director (FY 10)
161175
82755
2314
10593
256837
David Bailey
Administrator
173491
8859
20699
203049
Cody Anderson
Physician
651750
232122
2159
11350
897381
Carroll Roge
Officer
192618
1700
5991
200309
Byron Hale
Treasurer & Dir
511011
11290
25756
548057
Bryan Hyland MD
Director
196421
122678
1370
11350
331819
Brody Clark
Former Officer & Director
37232
1110
38342
Becki Mangum
Treasurer
135468
1167
26299
162934
Bandon A Tinkler
Physician
630171
328420
2159
11350
972100
Art Chance
Director
253976
2527
27539
284042
Armol Deshpande MD
Former Director (FY 12)
374275
20456
1500
396231
Anthony Davis MD
Former Director
218121
166755
1352
11350
397578
Andrew Roberts MD
Director
475000
16375
2825
11350
505550
Sch J, Part I, Line 1a
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.
C
Wood County Central Hospi
751249184
978324AA9
2011-11-30
35018198
New Hospital Facility
false
false
false
B
Rusk County Health Facilities Corporation
752499136
2009-09-09
5831638
Assumption memorial hospital bonds
false
false
false
A
City of Parker Texas Cultural Education Facilities
270365113
2009-06-24
5700000
Electronic communication towers
false
false
false
C
35173533
4581126
3044708
286000
3044708
27261699
2013
false
false
true
true
B
955270
5831638
5831638
true
false
true
true
A
1420000
5700000
5700000
2010
false
false
true
true
C
false
false
false
false
false
true
false
true
B
false
false
false
false
false
true
false
true
A
false
false
false
false
false
true
false
true
C
false
true
false
false
false
false
false
false
B
false
false
false
false
true
Regions Bank
11.7000
false
false
false
false
false
A
false
true
false
false
false
false
false
false
C
true
B
true
A
true
D
Camp County Texas
756000845
2009-09-09
7000000
New hospital facility
false
false
false
C
Camp County Texas
756000845
2009-02-24
10000000
New hospital facility
false
false
false
B
Camp County Texas
756000845
2008-03-19
10000000
New hospital facility
false
false
false
A
Camp County Texas
756000845
2007-11-29
10000000
New hospital facility
false
false
false
D
390000
7000001
863244
7000
863244
6129757
2009
false
false
true
true
C
545000
10000067
252733
252733
9747334
2009
false
false
true
true
B
755000
10068035
725080
725080
9342955
2009
false
false
true
true
A
755000
10081130
898543
74500
898543
9108087
2009
false
false
true
true
D
false
false
false
false
false
true
false
true
C
false
false
false
false
false
true
false
true
B
false
false
false
false
false
true
false
true
A
false
false
false
false
false
true
false
true
D
false
true
false
false
false
false
false
false
C
false
true
false
false
false
false
false
false
B
false
false
false
true
false
false
false
true
A
false
false
false
true
false
false
false
true
D
true
C
true
B
true
A
true
Supplemental Information
Part VI
Part II, Line 3Total Proceeds exceed the issue price due to investment earnings.
Monica Graves
Family Membe
70568
Employment at ETMC
false
Christine Sigmon
Family Membe
47446
Employment at ETMC
false
X
1
411962
FMV
false
false
false
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.
Audited Financial Statements
The organization was included in consolidated, independent audited financial statements for the tax year.
Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other Decreases
ETMC Specialty Services Income on Sys books = -$113234
Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other Increases
Defined Benefit Plan Adjustment = $38496146
Form 990, Part VI, Line 19
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.
Form 990, Part VI, Line 15b
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 15a
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 12c
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 11b
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 6
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 2
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 III, Line 4d
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: ETMC Cancer Institute operates a free standing radiation cancer center and provides comprehensive cancer care with programs encompassing diagnostics services, medical and radiation, oncology, surgery and support programs. ETMC Cancer Institute is accredited by the American College of Surgeons as a comprehensive community cancer program. 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. OTHER PROGRAM SERVICES 12: FirstNet Exchange provides physicians electronic access to medical records.
Client Note 1 - See schedule H for list of subordinate organizations.
ETMC Specialty Services
1000 S Beckham Avenue
Tyler
TX
75701
460847937
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 - Quitman
PO Box 1000
Quitman
TX
75783
752766160
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 - Trinity
PO Box 471
Trinity
TX
75862
752715898
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 - Jacksonville
501 South Ragsdale
Jacksonville
TX
75766
752715084
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 - Gilmer
712 North Wood
Gilmer
TX
75644
200079162
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 - Crockett
1100 Loop 304 East
Crockett
TX
75835
752602621
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 - Carthage
409 Cottage Road
Carthage
TX
75633
752735077
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 - Healthcare Associates
1000 S Beckham Avenue
Tyler
TX
75701
752605821
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 - Specialty Hospital
1000 S Beckham Avenue
Tyler
TX
75701
752547158
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 - Home Services
1000 S Beckham Avenue
Tyler
TX
75701
752503960
Health Service
TX
501 (C)(3)
Exempt
ETMCRHS
false
ETMC - Rehabilitation Hospital
701 Olympic Plaza Circle
Tyler
TX
75701
752599215
Health Service
TX
501 (C)(3)
Exempt
ETMCRHS
false
ETMC - Cancer Institute
1000 S Beckham Avenue
Tyler
TX
75701
751803329
Health Service
TX
501 (C)(3)
Exempt
ETMCRHS
true
ETMC - Tyler
1000 S Beckham Avenue
Tyler
TX
75701
751803325
Health Service
TX
501 (C)(3)
Exempt
ETMCRHS
true
First Choice Cooperative
1000 S Beckham Avenue
Tyler
TX
75701
752627236
Health Service
TX
501 (C)(3)
Exempt
ETMCRHS
false
ETMC Regional Healthcare SystemETMCRHS
1000 S Beckham
Tyler
TX
75701
751803327
Health Service
TX
501 (C)(3)
Exempt
ETMCRHS
false
ETMC Regional Health Services Inc
1000 South Beckham Ave
Tyler
TX
75701
751925036
Health Services
TX
ETMCRHS
C Corp
171282710
71454455
false
false
false
false
false
false
false
false
false
false
false
true
false
false
false
false
true
true
false
false
ETMC Regional Healthcare SystemETMCRHS
q
4015206
FMV
ETMC Regional Healthcare SystemETMCRHS
p
51547791
FMV
ETMC Regional Healthcare SystemETMCRHS
k
17299217
FMV