2014-08-08T07:18:04-07:00 2013-10-31 990 2012-11-01 751803327 East Texas Medical Center Reg Healthcare EAST 9035318920 1000 South Beckham Avenue Tyler TX 75701 Byron Hale 2014-08-08 2012 2015-11-30 17:44:51Z 83927182 false false X WWW.ETMC.ORG X 1981 TX East Texas Medical Center Regional Healthcare System provides overall management and support to the entities that comprise East Texas Medical Center Regional Healthcare System. 7 4 0 1903652 0 74332238 74526428 845331 1125115 105488 8065304 75283057 83716847 3494208 29094 0 30997819 29249737 0 0 46643682 54966410 81135709 84245241 -5852652 -528394 567484708 521354070 670569387 619623764 -103084679 -98269694 East Texas Medical Center Regional Healthcare System provides overall management and support to the entities that comprise East Texas Medical Center Regional Healthcare System. The purpose of the organization is to organize, plan, develop, coordinate and direct a complex, full-service regional healthcare operation, as well as manage, maintain, and lease all land, buildings, and improvements of the healthcare system. This ensures consistent quality throughout the system. false false 65432775 29094 East Texas Medical Center Regional Healthcare System (The "System") is the parent company which wholly-owns and operates 24-subsidiary organizations that operate primarily in Texas. The "System" is headquartered in Tyler, Texas and its operations extends in all directions from Tyler, in an approximate 100-mile radius.The "System" consists of 15 hospitals, over 150 employed physicians, other healthcare services such as cancer treatment and home health, as well as other operations that include emergency medical services. 65432775 true false false true false false false false false false true false false true true false false true false false false false false false false false false true false true true false false false false false false false true true true false false false false false true true false false false true 146 0 true 0 false true false false false false false false 0 false false false false false false false false false false X 7 4 true false false false true true true true true false true true true true true true true true true true false X Bonnie Stone 9035963719 1417 South Beckham Avenue Tyler TX 75701 Wade Ridley 12.00 0.00 X 0 0 0 Larry Durrett 12.00 0.00 X 0 0 0 James Wynne 12.00 0.00 X 0 0 0 BG Hartley 12.00 0.00 X 0 0 0 Ron Donaldson MD 0.00 12.00 X 0 900 0 Stephen Rydzak MD 0.00 40.00 X 0 610717 610 Elmer G Ellis 40.00 0.00 X X 1095672 0 23726 Byron Hale 40.00 0.00 X 522301 0 25756 Paula Anthony 40.00 0.00 X 393597 0 24400 Mike Thomas 40.00 0.00 X 331109 0 28600 Mike Gray 40.00 0.00 X 316164 0 26353 Freddie Sanchez 0.00 40.00 X 0 474897 24879 Jerry Massey 40.00 0.00 X 378007 0 28137 Kim Pearson-Wahl 40.00 0.00 X 320228 0 24780 Robert Layton 40.00 0.00 X 232211 0 16753 Robert Hampton 40.00 0.00 X 222383 0 23744 Carroll Roge 40.00 0.00 X 194318 0 5991 4005990 1086514 253729 36 false true false Vaughn Construction 10355 Westpark Dr Houston TX 77042 Construction 15448894 SKAR 111 S 108th Ave Omaha NE 68154 Advertising 2567468 RPR Construction 301 SSE Loop 323 Tyler TX 75702 Construction 12673415 Hospital Houskeeping System PO Box 826 San Antonio TX 78293 Housekeeping 1650624 HGA PO Box 86 Minneapolis MN 55486 Construction 2120790 14 0 Rent 21954741 21893003 61738 Management Fee / Service 48156205 47293095 863110 Direct Expense Charged 468313 468313 Bio-Medical Services 3110763 3077243 33520 All Other program Sevices 574106 567873 6233 262300 262300 74526428 1018864 939051 79813 0 0 0 25242 291344 210335 25242 81009 106251 106251 0 0 0 8065304 83716847 73561827 1903652 8251368 29094 29094 0 0 0 4375150 4375150 0 20329602 16597215 3732387 467250 368081 99169 2413373 1875245 538128 1664362 1308031 356331 1273695 1178122 95573 2703830 2163064 540766 859921 687937 171984 0 0 0 0 2180274 1745296 434978 437973 352404 85569 25591 20473 5118 0 1280256 1069935 210321 147681 118065 29616 0 31587 25251 6336 5176794 4141435 1035359 4056399 4056399 19768307 15961737 3806570 361926 287812 74114 Housekeeping 1677975 1342380 335595 Outside Services 2267378 1899220 368158 Utilities 2628928 2105123 523805 Contract/Outside Maintenance 3738401 2992081 746320 6349494 5108375 1241119 84245241 65432775 18812466 0 -181608238 -196654091 185459281 200640908 0 123 806 0 0 0 0 1576323 3582704 485839405 269234369 251754886 216605036 1407 0 0 0 0 310300926 297178707 567484708 521354070 24488686 19277446 265960000 260900000 30411072 29014362 349709629 310431956 670569387 619623764 X -103084679 -98269694 -103084679 -98269694 567484708 521354070 X -528394 5343379 X false true X false false X X false false false Total Support for all of the above 751803327 Total true false false 65432775 FirstNet Exchange 451436671 3 true false false 0 ETMC Foundation 752695524 9 true false false 0 ETMC RHS Self Insurance Trust 756345356 9 true false false 0 ETMC - Quitman 752766160 3 true false false 0 ETMC - Pittsburg 751919624 3 true false false 0 ETMC - Trinity 752715898 3 true false false 0 ETMC - Mount Vernon 752250730 3 true false false 0 ETMC - Jacksonville 752415084 3 true false false 0 ETMC - Henderson 264123728 3 true false false 0 ETMC - Gilmer 200079162 3 true false false 0 ETMC - Fairfield 752753454 3 true false false 0 ETNC - Crockett 752602621 3 true false false 0 ETMC - Clarksville 752638020 3 true false false 0 ETMC - Carthage 752735077 3 true false false 0 ETMC - Athens 751854562 3 true false false 0 ETMC Healthcare Associates 752605821 9 true false false 0 ETMC Specialty Hospital 752547158 3 true false false 0 ETMC Home Services 752503960 9 true false false 0 ETMC Rehabilitation Hospital 752599215 3 true false false 0 ETMC Cancer Institute 751803329 3 true false false 0 ETMC - Tyler 751803325 3 true false false 0 22 65432775 false false false false false false false false true false true 360000 360000 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Amount represents payments to registered lobbyists, for lobbing services related to healthcare matters which impact the System's operations. 354412363 199196860 155215503 33759253 3155763 30603490 79458115 64859208 14598907 18209674 2022538 16187136 216605036 SIR Insurance Plan 7830188 Partnership Investment 864234 P.A. Direct & Admin Exp Receviable 10582976 Notes Receviable ETMCRH Services 29552526 Lake Street RRG Asset 2452891 Employee Health Account 3236160 Due From Outside Entities 95123 Due From Leased Hospitals 206476227 Deferred Bond Financing Costs 3068169 CD Collaterlized From Paramedics Plus 1756185 2007 Debt Service 31264028 297178707 Rounding 2 Malpractice Costs 8665871 Due to Affiliates 295582525 Capital Lease Obligations 6183558 310431956 true Tyler Economic Develop Counci 315 N Broadway 3rd Floor Tyler TX 75702 15000 0 Donation 0 1 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. X true true X X X X false false false false false false true false false false Stephen Rydzak MD 459391 148648 2678 610 611327 Robert Layton 226622 5589 16753 248964 Robert Hampton 210884 11499 23744 246127 Paula Anthony 333697 59900 24400 417997 Mike Thomas 326901 4208 28600 359709 Mike Gray 302496 13668 26353 342517 Kim Pearson-Wahl 309992 10236 24780 345008 Jerry Massey 369699 8308 28137 406144 Freddie Sanchez 309666 155012 10219 24879 499776 Elmer G Ellis 1050137 45535 23726 1119398 Carroll Roge 192618 1700 5991 200309 Byron Hale 511011 11290 25756 548057 Sch J, Part I, Line 6b Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or Schedule J, Part I, Line 6bFreddie Sanchez received incentive compensation based on net earnings of First Choice Management Services. 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. A Tyler Health Facilities Development Corporation 521315814 902261HJ8 2007-11-05 283017726 Bond issues and finance health facilities false false false A 22965000 284478785 19075269 173177531 3053621 105221059 2011 true true true true A false false false false false true false true A false false false true false false false true A true Supplemental Information Part VI Part II, Line 3Total Proceeds exceed the issue price due to investment earnings. Donna Hale Family Member 142548 Employment at ETMCRHS false Southside Bank Dir. as Bank Offic 428362 Interest on Loans - ETMCRS false Adams Coker PC Family Member 299142 Legal Services to ETMCRHS false Robert Gray II Family Member 70373 Employment at ETMCRHS false Elizabeth Smith Family Member 150656 Employment at ETMCRHS false Fundraising Expenses Fundraising is conducted at the related organization, ETMC Foundation for all ETMC Regional Healthcare System organizations, including ETMC Regional Healthcare System. The expenses are not charged back to the organization. Form 990 Part IV, Line 24b - Tax exempt bonds Tax exempt bond proceeds designated for capital projects that remain beyond the temporary period exception due to construction delays were spent in FY 2011. These proceeds were invested in short-term liquid money market investments with yields less than the bond yields. 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 Increases Rounding = $1 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases ETMC Specialty Service income on sys books = $113234 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Equity in Affiliates = $5230144 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 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders 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 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body 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 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 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 and James Wynne. FirstNet Exchange 1000 S Beckham Ave Tyler TX 75701 451436671 Health Services TX 501(C)(3) Exempt ETMCRHS false ETMC - Quitman PO Box 1000 Quitman TX 75783 752766160 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Pittsburg 414 Quitman Street Pittsburg TX 75686 751919624 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Trinity PO Box 471 Trinity TX 75862 752715898 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Mount Vernon PO Box 477 Mount Vernon TX 75457 752250730 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Jacksonville 501 South Ragsdale Jacksonville TX 75766 752715084 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Henderson 300 Wilson Street Henderson TX 75652 264123728 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Gilmer 712 North Wood Gilmer TX 75644 200079162 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Fairfield 125 Newman Street Fairfield TX 75840 752753454 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Crockett 1100 Loop 304 East Crockett TX 75835 752602621 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Clarksville PO Drawer 1270 Clarksville TX 75426 752638020 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Carthage 409 Cottage Road Carthage TX 75633 752735077 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Athens 2000 S Palestine Athens TX 75751 751854562 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Healthcare Associates 1000 S Beckham Avenue Tyler TX 75701 752605821 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Foundation 1000 S Beckham Avenue Tyler TX 75701 752695524 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Specialty Hospital 1000 S Beckham Avenue Tyler TX 75701 752547158 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC Reg Healthcare Sys Self Ins Trust 1000 S Beckham Avenue Tyler TX 75701 756345356 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Home Services 1000 S Beckham Avenue Tyler TX 75701 752503960 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Rehabilitation Hospital 701 Olympic Plaza Circle Tyler TX 75701 752599215 Health Services TX 501 (C)(3) Exempt ETMCRHS false ETMC - Cancer Institute 1000 S Beckham Avenue Tyler TX 75701 751803329 Health Services TX 501 (C)(3) Exempt ETMCRHS true ETMC - Tyler 1000 S Beckham Avenue Tyler TX 75701 751803325 Health Services TX 501 (C)(3) Exempt ETMCRHS true First Choice Cooperative 1000 S Beckham Avenue Tyler TX 75701 752627236 Health Services 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 true false false false false false false false false true false false false false false true true false false ETMC Regional Health Services Inc q 948456 FMV ETMC Regional Health Services Inc p 4005924 FMV ETMC Regional Health Services Inc j 52081 FMV ETMC Regional Health Services Inc a 2136927 FMV FirstNet Exchange q 236400 FMV FirstNet Exchange j 11256 FMV ETMC - Quitman q 735843 FMV ETMC - Quitman j 61965 FMV ETMC - Pittsburg q 1284353 FMV ETMC - Pittsburg j 93404 FMV ETMC - Trinity q 440687 FMV ETMC - Trinity j 65796 FMV ETMC - Mount Vernon q 376760 FMV ETMC - Mount Vernon j 200389 FMV ETMC - Jacksonville q 1581856 FMV ETMC - Jacksonville j 434069 FMV ETMC - Henderson q 1063883 FMV ETMC - Gilmer q 549759 FMV ETMC - Gilmer j 122745 FMV ETMC - Fairfield q 546200 FMV ETMC - Fairfield j 88509 FMV ETMC - Crockett q 1115952 FMV ETMC - Crockett j 503377 FMV ETMC - Clarksville q 543487 FMV ETMC - Clarksville j 77259 FMV ETMC - Carthage q 940983 FMV ETMC - Carthage j 146423 FMV ETMC - Athens q 3359786 FMV ETMC - Athens j 405251 FMV ETMC - Healthcare Associates q 6708911 FMV ETMC - Healthcare Associates j 1949599 ETMC - Specialty Hospital q 461592 FMV ETMC - Home Services q 388475 FMV ETMC - Home Services j 82410 FMV ETMC - Rehabilitation Hospital q 1541508 FMV ETMC - Rehabilitation Hospital j 2820710 FMV ETMC - Cancer Institute q 53876 FMV ETMC - Cancer Institute j 71071 FMV ETMC - Tyler q 28669023 FMV ETMC - Tyler p 9282 FMV ETMC - Tyler j 10112904 FMV