HUNTSVILLE MEMORIAL HOSITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HUNTSVILLE MEMORIAL HOSITAL (EIN 20-3069241)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201441359349303779
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T10:27:29-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 Post Oak Blvd Ste 3200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203069241 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Walker County Hospital Corporation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % SHANNON L BROWN | InCareOfName |
| Name Control | WALK | NameControl |
| Phone | 9362913411 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 4001 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Huntsville | City |
| State | TX | State |
| ZIP Code | 773424001 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHANNON L BROWN | Name |
| Title | CEO | Title |
| Phone | 9364352230 | Phone |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Amanda Maya | Name |
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SHANNON L BROWN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 Memorial Hospital Drive | AddressLine1 |
| City | Huntsville | City |
| State | TX | State |
| ZIP Code | 77340 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 114948252 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.huntsvillememorial.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2005 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE BENEVOLENT AND CHARITABLE SERVICES FOR THE SICK, INFIRM, AND AFFLICTED RESIDENTS OF WALKER COUNTY THROUGH THE ESTABLISHMENT, MAINTENANCE, SUPPORT, AND OPERATION OF A HOSPITAL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 759 | TotalNbrEmployees |
| Total Nbr Volunteers | 75 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5155830 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 63515 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 79167808 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 88086935 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 680283 | InvestmentIncomePriorYear |
| Investment Income Current Year | 647282 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 390222 | OtherRevenuePriorYear |
| Other Revenue Current Year | 414122 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 85394143 | TotalRevenuePriorYear |
| Total Revenue Current Year | 89211854 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 931986 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1073484 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 37386059 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 37317086 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 48710271 | OtherExpensePriorYear |
| Other Expenses Current Year | 54876864 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 87028316 | TotalExpensesPriorYear |
| Total Expenses Current Year | 93267434 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1634173 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4055580 | RevenuesLessExpensesCY |
| Total Assets BOY | 68233293 | TotalAssetsBOY |
| Total Assets EOY | 65047220 | TotalAssetsEOY |
| Total Liabilities BOY | 30812147 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 28824182 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 37421146 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 36223038 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE PURPOSE OF HUNSTVILLE MEMORIAL HOSPITAL IS TO PROVIDE BENEVOLENT AND CHARITABLE SERVICES FOR THE SICK, INFIRM, AND AFFLICTED RESIDENTS OF WALKER COUNTY THROUGH THE ESTABLISHMENT, MAINTENANCE, SUPPORT, AND OPERATION OF A HOSPITAL. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 79594557 | Expense |
| Grants | 1073484 | Grants |
| Revenue | 88086935 | Revenue |
| Description | TO PROVIDE BENEVOLENT AND CHARITABLE SERVICES FOR THE SICK, INFIRM, AND AFFLICTED RESIDENTS OF WALKER COUNTY THROUGH THE ESTABLISHMENT, MAINTENANCE, SUPPORT, AND OPERATION OF A HOSPITAL. | Description |
| Total Program Service Expense | 79594557 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 151 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 759 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SHANNON L BROWN | NamePerson |
| Telephone Number | 9364352230 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 MEMORIAL HOSPITAL DRIVE | AddressLine1 |
| City | Huntsville | City |
| State | TX | State |
| ZIP Code | 77340 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DANA GIBSON PHD CPA | ||||||||
| Member | 1.0 | 0.0 | X | 0 | 0 | 0 | ||
| DAVID ALLEN PRIER MD | ||||||||
| President | 1.0 | 1.0 | X | X | ||||
| NANCY GAERTNER | ||||||||
| Member | 1.0 | 0.0 | X | |||||
| DON JOHNSON | ||||||||
| Member | 1.0 | 0.0 | X | |||||
| ROSA VALLES | ||||||||
| Member | 1.0 | 0.0 | X | |||||
| WAYNE SCOTT | ||||||||
| Member | 1.0 | 0.0 | X | |||||
| MORRIS JOHNSON | ||||||||
| Vice President | 1.0 | 0.0 | X | X | ||||
| TIMOTHY DEAHL MD | ||||||||
| Member | 1.0 | 0.0 | X | |||||
| JOHN KNIGHT MD | ||||||||
| MEMBER/CHIEF OF STAFF | 1.0 | 0.0 | X | |||||
| URMIL SHULKA MD | ||||||||
| MEMBER | 1.0 | 0.0 | X | |||||
| SAM BURRIS | ||||||||
| MEMBER | 1.0 | 1.0 | X | |||||
| WILLIAM DURHAM | ||||||||
| MEMBER | 1.0 | 0.0 | X | |||||
| HELEN WATKINS MD | ||||||||
| MEMBER | 1.0 | 0.0 | X | |||||
| JACK CHOATE | ||||||||
| MEMBER | 1.0 | 0.0 | X | |||||
| SALLY I NELSON | ||||||||
| CEO | 40.0 | 2.0 | X | |||||
| GUY GROS | ||||||||
| CFO | 40.0 | 1.0 | X | |||||
| DONNA STEWART | ||||||||
| CNO | 40.0 | 0.0 | X | |||||
| SHANNON BROWN | ||||||||
| CFO | 40.0 | 1.0 | X | |||||
| DAVID FICKLEN MD | ||||||||
| CMO | 40.0 | 0.0 | X | |||||
| JOHN A HEEMANN JR | ||||||||
| DEPT DIRECTOR | 40.0 | 0.0 | 118640 | 16191 | X | |||
| LENETH S ROZIER | ||||||||
| RN | 40.0 | 0.0 | 143598 | 19023 | X | |||
| SHEILA HOGUE | ||||||||
| DEPT DIRECTOR | 40.0 | 0.0 | 122322 | 7988 | X | |||
| ELIZABETH ROGERS | ||||||||
| RN | 40.0 | 0.0 | 124420 | 630 | X | |||
| CHEYENNE ASHMORE | ||||||||
| RN | 40.0 | 0.0 | 155916 | 9 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 664896 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 43841 | TotalOtherCompensation |
| Number Individuals GT100 K | 18 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Memorial Hermann Hospital System | |||||
| 9301 Southwest Fwy | HOUSTON | TX | 770741425 | Management | 1213092 |
| Comprehensive Pharmacy Services | |||||
| PO Box 1000 Dept 176 | MEMPHIS | TN | 381480176 | Pharmacy | 1002539 |
| Premier Anesthesia of Huntsville | |||||
| 2655 Northwinds Parkway | ALPHARETTA | GA | 30009 | Anesthesia | 972362 |
| Diversified Clinical Services | |||||
| 4500 Salisbury Road | JACKSONVILLE | FL | 32216 | Wound Care | 528847 |
| HMH Clinical Management LLC | |||||
| PO Box 4001 | HUNTSVILLE | TX | 77342 | Management | 280839 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Related Organizations | 25000 | RelatedOrganizations |
| Government Grants | 36056 | GovernmentGrants |
| All Other Contributions | 2459 | AllOtherContributions |
| Total Contributions | 63515 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ROUTINE & ANCILLARY SERVICES | 621990 | 87893760 | 87893760 |
| EDUCATION NURSING REVENUE | 621990 | 193175 | 193175 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 88086935 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 367716 | TotalRevenueColumn |
| Exclusion | $367,716 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29333 | TotalRevenueColumn |
| Exclusion | $29,333 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30418 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30418 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30418 | TotalRevenueColumn |
| Exclusion | $30,418 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 25356832 | Securities |
| Other | 100000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 25482134 | Securities |
| Other | 254264 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -125302 | Securities |
| Other | -154264 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 279566 | TotalRevenueColumn |
| Exclusion | $279,566 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA | 900099 | 253722 | $253,722 |
| EDUCATION CLASSES | 900099 | 8790 | $8,790 |
| MEDICAL RECORDS REVENUE | 900099 | 37215 | $37,215 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 54644 | TotalRevenueColumn |
| Exclusion | $54,644 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 354371 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 89211854 | TotalRevenueColumn |
| Related Or Exempt Function Income | 88086935 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,061,404 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1069584 | Total |
| Program Services | 1069584 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3900 | Total |
| Program Services | 3900 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30110418 | Total |
| Program Services | 22582814 | ProgramServices |
| Management And General | 7527604 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1396754 | Total |
| Program Services | 1047566 | ProgramServices |
| Management And General | 349188 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3652009 | Total |
| Program Services | 2739007 | ProgramServices |
| Management And General | 913002 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2157905 | Total |
| Program Services | 1618429 | ProgramServices |
| Management And General | 539476 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 536673 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 536673 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1300713 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1300713 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 137683 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 137683 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10158611 | Total |
| Program Services | 9686502 | ProgramServices |
| Management And General | 472109 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109915 | Total |
| Program Services | 109915 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 796226 | Total |
| Program Services | 796214 | ProgramServices |
| Management And General | 12 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 402393 | Total |
| Program Services | 384856 | ProgramServices |
| Management And General | 17537 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 877687 | Total |
| Program Services | 658265 | ProgramServices |
| Management And General | 219422 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73824 | Total |
| Program Services | 73011 | ProgramServices |
| Management And General | 813 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73095 | Total |
| Program Services | 92 | ProgramServices |
| Management And General | 73003 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 300868 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 300868 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3100718 | Total |
| Program Services | 3100718 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 433163 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 433163 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT EXPENSE | 21441801 | 21441801 | 0 | 0 |
| DUES & SUBSCRIPTIONS | 358440 | 54645 | 303795 | 0 |
| MEDICAL SUPPLIES & EQUIPMENT | 12035304 | 12035304 | 0 | 0 |
| REPAIRS & MAINTENANCE | 1988829 | 1491622 | 497207 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750921 | Total |
| Program Services | 700312 | ProgramServices |
| Management And General | 50609 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93267434 | Total |
| Program Services | 79594557 | ProgramServices |
| Management And General | 13672877 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2383797 | BOY |
| EOY | 240413 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16543035 | BOY |
| EOY | 10433549 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11504846 | BOY |
| EOY | 9750692 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -211686 | BOY |
| EOY | -288769 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1644141 | BOY |
| EOY | 1689539 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 977782 | BOY |
| EOY | 587387 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 63655152 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 41419268 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20466542 | BOY |
| EOY | 22235884 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2632201 | BOY |
| EOY | 7767108 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10558686 | BOY |
| EOY | 10544648 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1733949 | BOY |
| EOY | 2086769 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68233293 | BOY |
| EOY | 65047220 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11885206 | BOY |
| EOY | 13447783 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81048 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9782915 | BOY |
| EOY | 11549218 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9062978 | BOY |
| EOY | 3827181 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30812147 | BOY |
| EOY | 28824182 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37295509 | BOY |
| EOY | 36095940 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125637 | BOY |
| EOY | 127098 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37421146 | BOY |
| EOY | 36223038 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68233293 | BOY |
| EOY | 65047220 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -4055580 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 597679 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 2259793 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $2,612 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 2612 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES | Identifier |
| Return Reference | PART II-B, QUESTION 1F | ReturnReference |
| Explanation | AMOUNT REPORTED IN PART II-B, QUESTION 1F REPRESENTS PORTION OF DUES PAID TO TRADE ASSOCIATIONS THAT IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 699139 | OtherCostOrOtherBasis |
| Book Value | 699139 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16473028 | OtherCostOrOtherBasis |
| Depreciation | 9836050 | Depreciation |
| Book Value | 6636978 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1670628 | OtherCostOrOtherBasis |
| Depreciation | 1274292 | Depreciation |
| Book Value | 396336 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43446279 | OtherCostOrOtherBasis |
| Depreciation | 30308926 | Depreciation |
| Book Value | 13137353 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1366078 | OtherCostOrOtherBasis |
| Book Value | 1366078 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22235884 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION LIABILITY | $5,455,709 |
| ESTIMATED DUE TO THIRD PARTIES | -$1,740,892 |
| ASSET RETIREMENT OBLIGATION | $112,364 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3827181 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 68370621 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 597679 | NetUnrealizedGainsInvestments |
| Other Revenues | -21437451 | OtherRevenues |
| Revenue Not Rptd F990 | -20839772 | RevenueNotRptdF990 |
| Revenue Subtotal | 89210393 | RevenueSubtotal |
| Other Revenues Not Included | 1461 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1461 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 89211854 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 71829983 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 71829983 | ExpensesSubtotal |
| Other Expenses Not Included | 21437451 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 21437451 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 93267434 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 | PART XI, LINE 2D | BAD DEBT EXPENSE IN AUDIT REVENUE $ (21,441,801) INTEREST EXPENSE CREDIT IN AUDIT REVENUE $ 4,350 --------------- $ (21,437,451) |
| RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 | PART XII, LINE 4B | INTEREST EXPENSE CREDIT IN AUDIT REVENUE $ (4,350) BAD DEBT EXPENSE IN AUDIT REVENUE $ 21,441,801 --------------- $ 21,437,451 |
| RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 | PART XI, LINE 2D | INVESTMENT INCOME RECORDED TO NET ASSETS $ 1,461 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2818740 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2818740 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03920 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5680648 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4371065 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1309583 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01820 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 92763 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 82065 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10698 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8592151 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4453130 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4139021 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05750 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42727 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 42727 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 625564 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 201220 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 424344 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1348617 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1348617 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01880 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2016908 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 201220 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1815688 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02530 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10609059 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4654350 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5954709 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08280 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $21,441,801 | BadDebtExpenseAmount |
| Amount Attributable To | 5360450 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 18149497 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 19945762 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1796265 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALKER COUNTY HOSPITAL CORPORATION | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 MEMORIAL HOSPITAL DRIVE | AddressLine1 |
| City | HUNTSVILLE | City |
| State | TX | State |
| ZIP Code | 77340 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALKER COUNTY HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 500. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ANNUAL COMMUNITY BENEFIT REPORT | PART I, QUESTION 6A | HUNTSVILLE MEMORIAL HOSPITAL AND THE MATTHEWS GROUP WORK TOGETHER TO PREPARE THE ANNUAL COMMUNITY BENEFIT REPORT. HUNTSVILLE MEMORIAL HOSPITAL'S COMMITMENT TO CHARITABLE CARE GOES BACK TO OUR 1927 HOSPITAL CHARTER PROMISING "BENEVOLENT AND CHARITABLE" SERVICES FOR THE "SICK, INFIRM AND AFFLICTED." WE KEPT THIS PROMISE EVERY YEAR BY HELPING OUR COMMUNITY THROUGH EDUCATIONAL PROGRAMS AND SUPPORT GROUPS. IN ADDITION, HMH PROVIDES OVER $10 MILLION IN CHARITY CARE AND OVER $6 MILLION IN UNREIMBURSED MEDICARE AND STATE MEDICAID CARE. ALL INFORMATION REGARDING HUNTSVILLE MEMORIAL HOSPITAL'S COMMUNITY BENEFIT REPORT CAN BE LOCATED ON THE EXTERNAL WEBSITE. |
| PERCENTAGE OF TOTAL EXPENSE | PART I, QUESTION 7, COLUMN F | BAD DEBT EXPENSE OF $21,441,801 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN. IN ADDITION TO CHARITY CARE PROVIDED BY THE HOSPITAL TO RESIDENTS OF WALKER COUNTY, THE WALKER COUNTY HOSPITAL DISTRICT HAS A SPECIFIC INDIGENT CARE PROGRAM FOR WALKER COUNTY RESIDENTS THAT PROVIDES ADDITIONAL CHARITY CARE RESOURCES TO THE COMMUNITY OUTSIDE HOSPITAL CARE. THE HOSPITAL PROVIDES CARE TO PATIENTS QUALIFYING UNDER THE COUNTY'S INDIGENT CARE PROGRAM. IF PATIENTS DO NOT QUALIFY FOR THE COUNTY'S PROGRAM, THEY ARE THEN ABLE TO APPLY TO THE HOSPITAL'S CHARITY CARE PROGRAM. THE COUNTY'S INDIGENT CARE PROGRAM PROVIDES ADDITIONAL CHARITY CARE RESOURCES TO THE COMMUNITY FOR NON-HOSPITAL RELATED HEALTHCARE SERVICES REDUCING THE OVERALL COMMUNITY BENEFIT PERCENTAGE OF THE HOSPITAL FOR SERVICES IT WOULD HAVE PROVIDED WERE THE PROGRAM NOT IN PLACE. THE ORGANIZATION BELIEVES THE COMMUNITY BENEFIT AS A PERCENTAGE OF EXPENSES REPORTED IN SCHEDULE H, PART I, LINE 7 IS REASONABLE GIVEN THE ADDITIONAL CHARITY CARE RESOURCES TO THE COMMUNITY PROVIDED BY THE WALKER COUNTY HOSPITAL DISTRICT. |
| METHODOLOGY TO ESTIMATE BAD DEBT EXPENSE | PART III, LINE 2 | THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. METHODOLOGY TO ESTIMATE THE AMOUNT REPORTED ON LINE 3 PART III, LINE 3 AMOUNTS REPORTED ON LINE 3 ARE THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS, ESTIMATED AT 25%. FINANCIAL STATEMENTS FOOTNOTE ON BAD DEBT EXPENSE PART III, LINE 4 Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. |
| CALCULATION OF MEDICARE SHORTFALL | PART III, QUESTION 8 | THE MEDICARE SHORTFALL WAS COMPUTED USING THE ANNUAL MEDICARE COST REPORT FOR THE PERIOD 11/01/11 THRU 10/31/12. THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE SHORTFALL BENEFITS THE COMMUNITY BY LESSENING THE BURDEN OF GOVERNMENT. IN ADDITION, THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT. |
| COLLECTION POLICY | PART III, QUESTION 9B | THE HOSPITAL SHALL CONTRIBUTE APPROPRIATE RESOURCES, ADVOCACY AND COMMUNITY SUPPORT TO PROMOTE THE HEALTH STATUS OF THE COMMUNITY, WHICH IT SERVES, WITHIN ITS ECONOMIC ABILITY TO DO SO. CHARITY CARE WILL BE PROVIDED TO PATIENTS WITH A DEMONSTRATED INABILITY TO PAY. THE PURPOSE OF THIS POLICY IS TO ESTABLISH CRITERIA FOR DETERMINING IF A PATIENT'S ACCOUNT QUALIFIES FOR A CHARITY CARE DISCOUNT. THE AMOUNT OF CHARITY CARE TO BE MADE AVAILABLE, AS WELL AS ANY OTHER CHANGES TO THIS POLICY SHALL BE ASSESSED AND DETERMINED BY THE HOSPITAL'S CHIEF EXECUTIVE OFFICER ON AN ANNUAL BASIS, AND WILL ADHERE TO STATE GUIDELINES FOR NON-PROFIT FACILITIES, IF APPLICABLE. THE AMOUNT OF CHARITY CARE AS WELL AS THE OTHER TERMS OF THIS POLICY MAY BE CHANGED BY THE HOSPITAL'S CHIEF EXECUTIVE OFFICER. |
| FACILITIES | PART V | WALKER COUNTY HOSPITAL CORPORATION HAS ONE FACILITY THAT INCLUDES THE ACUTE CARE HOSPITAL, I/P REHAB, AMBULATORY SURGERY CENTER, O/P IMAGING CENTER, AND RURAL HEALTH CARE CLINIC. |
| NEEDS ASSESSMENT | In the past, Huntsville Memorial Hospital has contracted with a 3rd party vendor to conduct a Community Needs Assessment and Market Analysis. The Community Assessment is evaluated and reported every three (3) years and the Market Analysis every 1-2 years as needed. After data is gathered and a full assessment completed, this information is reported to the Hospital Leadership Team and Board of Directors. Hospital leaders utilize the information gathered in both these report to format our strategic plan for the next fiscal year, as well as a five year plan. Huntsville Memorial Hospital has completed our contractual relationship with the 3rd party vendor previously used for these reports and is actively working to identify a new contract. That decision will be postponed until the Hospital can complete our Request for Proposal (RFP) process for management of the organization, as that decision plays a key role in all vendor selections moving forward. | |
| PATIENT EDUCATION OF ELIGIBILITY OF ASSISTANCE | THE PATIENT IS ENCOURAGED TO APPLY FOR CHARITY AS EARLY AS POSSIBLE IN THE ACCOUNT MANAGEMENT PROCESS. CHARITY APPLICATION AND QUALIFICATIONS GUIDELINES ARE GIVEN UP FRONT IN REGISTRATION. THE SELF PAY BALANCES ARE SENT TO A MEDICAID ELIGIBILITY COMPANY, WHO SCREENS PATIENTS FROM DAY 1 TO DAY 60. THE SELF PAY BALANCES ARE RETURNED IF THE COMPANY IS UNABLE TO REACH THE PATIENT OR THE PATIENT DOES NOT QUALIFY. SELF PAY BALANCES THAT ARE RETURNED ARE SENT TO AN EARLY OUT COMPANY, WHO HAS OUR CHARITY GUIDELINES, IF THE PATIENT EXPRESSES AN INABILITY TO PAY, THEY ARE REFERRED TO THE HOSPITAL FOR SCREENING. ONCE A COMPLETED APPLICATION IS RECEIVED AND APPROVED, ANY ACCOUNT BALANCES ARE ADJUSTED ACCORDING TO THE LEVEL OF CHARITY THE PATIENT HAS QUALIFIED FOR. IF THE ACCOUNT IS WITH A COLLECTION AGENCY, IT IS RETURNED TO THE HOSPITAL. | |
| COMMUNITY INFORMATION | HUNTSVILLE MEMORIAL HOSPITAL IS A JOINT COMMISSION-ACCREDITED, NOT-FOR-PROFIT ACUTE CARE COMMUNITY HOSPITAL. SINCE 1927, WE HAVE PROVIDED CHARITABLE HEALTH CARE SERVICES, DELIVERING QUALITY HEALTHCARE TO THE RESIDENTS OF WALKER COUNTY AND THE SURROUNDING COMMUNITIES. FOUNDED IN 1835, HUNTSVILLE IS ONE OF TEXAS' OLDEST CITIES AND THE HOME OF SAM HOUSTON, THE FIRST AND THIRD PRESIDENT OF THE REPUBLIC OF TEXAS. WE ARE HOME TO SAM HOUSTON STATE UNIVERSITY AND THE TEXAS DEPARTMENT OF CRIMINAL JUSTICE (THE ONLY STATE AGENCY WITH HEADQUARTERS OUTSIDE OF AUSTIN,). THE CITY OF HUNTSVILLE IS PART OF WALKER COUNTY IN EAST TEXAS, APPROXIMATELY 70 MILES NORTH OF HOUSTON AND 170 MILES SOUTH OF DALLAS VIA INTERSTATE 45. IT IS ON TEXAS HIGHWAY 30 (WEST TO BRYAN-COLLEGE STATION) AND HIGHWAY 190 (EAST TO LIVINGSTON). OTHER CITIES IN WALKER COUNTY INCLUDE NEW WAVERLY AND RIVERSIDE. HUNTSVILLE COVERS 31 SQUARE MILES, WHILE WALKER COUNTY INCLUDES 790 SQUARE MILES. THE POPULATION OF HUNTSVILLE IS 35,078, NEW WAVERLY IS 950, AND RIVERSIDE IS 425. THE POPULATION IN WALKER COUNTY IS 61,758. WALKER COUNTY IS LOCATED NEAR LAKE LIVINGSTON AND LAKE CONROE AND IS SURROUNDED BY THE SAM HOUSTON NATIONAL FOREST. WALKER COUNTY IS PROUD TO HOST A CULTURALLY DIVERSE COMMUNITY. THE POPULATION DENSITY IS 78 PEOPLE PER SQUARE MILE (30/KM). THERE ARE 21,099 HOUSING UNITS AT AN AVERAGE DENSITY OF 27 PER SQUARE MILE (10/KM). THE RACIAL MAKEUP OF THE COUNTY IS 67.9% WHITE, 23.88% BLACK OR AFRICAN AMERICAN, 0.35% NATIVE AMERICAN, 0.77% ASIAN, 0.05% PACIFIC ISLANDER, 4.42% FROM OTHER RACES, AND 1.41% FROM TWO OR MORE RACES. 14.11% OF THE POPULATION ARE HISPANIC OR LATINO OF ANY RACE. | |
| PROMOTION OF COMMUNITY HEALTH | HUNTSVILLE MEMORIAL HOSPITAL'S COMMITMENT TO CHARITABLE CARE GOES BACK TO THE 1927 HOSPITAL CHARTER PROMISING "BENEVOLENT AND CHARITABLE" SERVICES FOR THE "SICK AND INFIRM." OUR GOAL IS TO EDUCATE AND BUILD AWARENESS, PROMOTING HEALTHY LIFESTYLES IN WALKER COUNTY. WE BELIEVE IN GIVING BACK TO THE COMMUNITY THROUGH A NUMBER OF VALUABLE HEALTH RESOURCES SUCH AS EDUCATIONAL MATERIALS, HANDS-ON CLASSES AND INFORMATIVE EVENTS. ON A MONTHLY BASIS, THE HOSPITAL HOLDS FREE COMMUNITY EDUCATION SESSIONS THAT ARE OPEN TO THE PUBLIC. THESE FORUMS PROVIDE CITIZENS A CHANCE TO DETECT A HEALTH THREAT AT ITS EARLIEST, MOST TREATABLE STAGE OR A WAY TO LEARN MORE ABOUT A LOVED ONE'S ILLNESS. EACH SESSION FEATURES A LOCAL PHYSICIAN AS THE KEY SPEAKER AND IS ALSO ASSOCIATED WITH A MEDICAL SCREENING. NOT ONLY DO WE PROVIDE ADVANCED CARE WITH A FRIENDLY TOUCH, WE ALSO FOCUS ON GIVING BACK TO THE GREAT COMMUNITY OF WALKER COUNTY EACH AND EVERY YEAR. WE PROVIDE REDUCED- OR NO-COST CARE FOR THOSE WITH FINANCIAL CHALLENGES. WE EDUCATE AND PRODUCE TOP-NOTCH NURSES THROUGH OUR ACCREDITED JOE G. DAVIS SCHOOL OF VOCATIONAL NURSING. WE RECRUIT EXPERT PHYSICIANS INTO OUR OPEN MEDICAL STAFF. UNDER THE LEADERSHIP OF OUR BOARD OF DIRECTORS, AND THROUGH THE DEDICATION OF OUR PROFESSIONAL HEALTH CARE STAFF, HUNTSVILLE MEMORIAL HOSPITAL IS SETTING THE STANDARD IN QUALITY HEALTH CARE TODAY. HUNTSVILLE MEMORIAL HOSPITAL IS ALSO ABLE TO GAIN VALUABLE INSIGHT FROM LOCAL COMMUNITY LEADERS WHO SERVE ON OUR FOUNDATION BOARD AND COMMUNITY ADVISORY BOARD. THE HUNTSVILLE MEMORIAL HOSPITAL MEDICAL CLINIC WAS ESTABLISHED IN 1992 TO MEET THE PRIMARY HEALTH CARE NEEDS OF THE RESIDENTS OF WALKER COUNTY. IT IS AN AMBULATORY ACUTE CARE CLINIC THAT PROVIDES CARE FOR PATIENTS OF ALL AGES. SERVICES INCLUDE PEDIATRIC CARE, ADOLESCENT MEDICINE AND ADULT MEDICINE. | |
| AFFILIATED HEALTH CARE SYSTEM ROLES | AS A TESTAMENT TO THE QUALITY HEALTH CARE SERVICES THAT HUNTSVILLE MEMORIAL HOSPITAL PROVIDES, WE ARE RECOGNIZED AS AN AFFILIATE OF MEMORIAL HERMANN, A HEALTH CARE NETWORK SERVING THE GREATER HOUSTON AREA. HUNTSVILLE MEMORIAL OPERATES UNDER A CLOSE TEAM OF LEADERS KNOWN AS THE EXECUTIVE TEAM, WHICH ARE ALL EMPLOYEES OF MEMORIAL HERMANN. LED BY CHIEF EXECUTIVE OFFICER SALLY NELSON, THE TEAM PHILOSOPHY IS "TO PROVIDE FRIENDLY HEALTH CARE SERVICES, WHILE CONTINUING TO EXCEED THE EXPECTATIONS OF THE COMMUNITY." | |
| ELIGIBILITY FOR FREE OR DISCOUNTED CARE | PART I, QUESTION 3C | GRADUATED SCALE UP TO 500% OF FPG TO DETERMINE DISCOUNT. |
| BILLINGS AND COLLECTIONS | SCHEDULE H, PART V, LINE 16, 17, & 18 | NEITHER HUNTSVILLE MEMORIAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY HMH, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| INDIVIDUAL ELIGIBLE FOR FINANCIAL ASSISTANCE | PART V, SECTION B, LINE 20D | THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE CALCULATED USING A SLIDING SCALE BASED UPON FEDERAL POVERTY GUIDELINES. IN ALL CASES, AMOUNTS CHARGED TO PATIENTS WILL BE BELOW THE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE, THE AVERAGE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE, AND MEDICARE RATES. |
| INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY | PART V, SECTION B, LINE 3 | THE ORGANIZATION GATHERED INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY TELEPHONE INTERVIEWS WITH KEY ORGANIZATIONS AND INSTITUTIONS WITHIN THE COMMUNITY. GATHERED DATA WAS REVIEWED TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY. |
| COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY | PART V, SECTION B, LINE 6A | THE IMPLEMENTATION STRATEGY IS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IS POSTED ONLINE AT THE FOLLOWING WEBSITE ADDRESS: http://www.huntsvillememorial.com/res/files/12/HMH%20FY2014%20Community%20 Benefit%20Plan.pdf |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HMH Physicians Organization | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 Memorial Hospital Drive | AddressLine1 |
| City | Hunstville | City |
| State | TX | State |
| ZIP Code | 77340 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 760500960 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 1049384 | AmountOfCashGrant |
| Purpose Of Grant | Contribution | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES TO MONITOR THE USE OF GRANT FUNDS IN THE U.S. | Identifier |
| Return Reference | PART I, QUESTION 2 | ReturnReference |
| Explanation | THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|
| LENETH S ROZIER | ||||||
| RN | 143598 | 0 | 0 | 2872 | 16151 | 162621 |
| CHEYENNE ASHMORE | ||||||
| RN | 155916 | 0 | 0 | 0 | 9 | 155925 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PAYMENT OF SALARIES | SCHEDULE J, PART I | Memorial Hermann Hospital System (MHHS), also a Texas nonprofit corporation, managed the operations of the Hospital through an operating agreement. Under the operating agreement, MHHS provided day-to-day operations management of the Hospital. The management agreement between MHHS and the Hospital expired on April 30, 2013. Management fees, expense reimbursements, and other amounts paid pursuant to this agreement for the years ended June 30, 2013 and 2012, was approximately $1,401,000 and $1,562,000, respectively. THE FOLLOWING INDIVIDUALS WERE REPORTED IN FORM 990, PART VII BUT SHOWN WITH NO COMPENSATION PER IRS GUIDANCE. THEIR COMPENSATION UNDER THEIR EMPLOYMENT WITH MHHS, AN UNRELATED ENTITY, FOR SERVICES TO THE HOSPITAL ARE AS FOLLOWS: SALLY I NELSON, CEO $ 442,311 ROBERT E GRAY JR, CFO $ 145,715 DONNA STEWART, CNO $ 215,465 SHANNON BROWN, CFO $ 161,114 DAVID FICKLEN, MD, CMO $ 251,374 |
| MANAGEMENT INCENTIVE PROGRAM | SCHEDULE J, PART I, QUESTION 6A | ELIGIBLE MANAGEMENT IS PAID A "DIPG" PAYMENT IN 2011, OR A MANAGEMENT INCENTIVE PROGRAM. THE DIPG PROGRAM CONSISTED OF HMH GOALS BASED ON HOSPITAL WIDE INITIATIVES IN OPERATIONAL EXCELLENCE, QUALITY, PATIENT SATISFACTION, EMPLOYEE SATISFACTION AND GROWTH. UNDER THE DIPG PROGRAM, EACH DEPARTMENT DIRECTOR WAS ASSIGNED THREE INDIVIDUAL GOALS AGREED UPON WITH THEIR SENIOR MANAGER. THE HOSPITAL ALSO HAD TO MEET EARNINGS BEFORE INTEREST, DEPRECIATION & AMORTIZATION EARNINGS LEVEL FOR THE DEPARTMENT DIRECTORS TO BE ELIGIBLE FOR PAYOUT AND THE TOTAL PAYOUT TO THEM WAS BASED ON THEIR FINAL ACHIEVEMENT LEVEL. |
| MANAGEMENT INCENTIVE PROGRAM | SCHEDULE J, PART I, QUESTION 6B | A PORTION OF THE DISCRETIONARY INCENTIVE COMPENSATION PROGRAM WAS BASED ON THE CONSOLIDATED EBITDA OF CHC. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JUDY BURRIS | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | WIFE OF MEMBER | Relationship |
| Amount Of Transaction | 61786 | AmountOfTransaction |
| Description Of Transaction | EMPLOYMENT | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF MANAGEMENT ARRANGEMENT | FORM 990, PART VI, QUESTION 3 | Memorial Hermann Hospital System (MHHS), also a Texas nonprofit corporation, managed the operations of the Hospital through an operating agreement. Under the operating agreement, MHHS provided day-to-day operations management of the Hospital. The management agreement between MHHS and the Hospital expired on April 30, 2013. Management fees, expense reimbursements, and other amounts paid pursuant to this agreement for the years ended June 30, 2013 and 2012, was approximately $1,401,000 and $1,562,000, respectively. THE FOLLOWING INDIVIDUALS WERE REPORTED IN FORM 990, PART VII BUT SHOWN WITH NO COMPENSATION PER IRS GUIDANCE. THEIR COMPENSATION UNDER THEIR EMPLOYMENT WITH MHHS, AN UNRELATED ENTITY, FOR SERVICES TO THE HOSPITAL ARE AS FOLLOWS: SALLY I NELSON, CEO $ 442,311 ROBERT E GRAY JR, CFO $ 145,715 DONNA STEWART, CNO $ 215,465 SHANNON BROWN, CFO $ 161,114 DAVID FICKLEN, MD, CMO $ 251,374 |
| PROCESS TO REVIEW THE 990 | FORM 990, PART VI, QUESTION 11B | THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE CFO FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. |
| PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | FORM 990, PART VI, QUESTION 12C | THE ORGANIZATION FOLLOWS A CONFLICT OF INTEREST DISCLOSURE PROCESS WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS ("COVERED PERSONS") TO DISCLOSE POTENTIAL CONFLICTS. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICE, GENERAL COUNSEL, OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON(S) OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLY UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, PART VI, QUESTIONS 15A AND 15B | THE ORGANIZATION USED AON HEWITT TO DEVELOP THE COMPENSATION PLAN AND AON HEWITT UTILIZED NUMEROUS MARKET SURVEYS TO ESTABLISH THE PLAN. THE PLAN WAS DEVELOPED BY AN INDEPENDENT PERSON AND APPROVED BY THE FINANCE COMMITTEE AND BOARD. HMH ALSO UTILIZES SALARY REVIEWS AND SURVEYS FOR COMPARISON WHEN DETERMINING COMPENSATION OF HIGHLY COMPENSATED EMPLOYEES. |
| GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC | FORM 990, PART VI, QUESTION 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTERET POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. |
| PAYMENT OF SALARIES | SCHEDULE J PART I | PURSUANT TO THE MANAGEMENT AGREEMENT BETWEEN WALKER COUNTY HOSPITAL CORPORATION D/B/A HUNTSVILLE MEMORIAL HOSPITAL ("HMH") AND MEMORIAL HERMANN HOSPITAL SERVICES ("MHHS"), THE SALARIES OF SALLY I NELSON, ROBERT E GRAY, JR, AND SUSAN WHITE ARE PAID BY MHHS. HMH PAYS MHHS A MANAGEMENT FEE TO COVER THE SALARIES OF THESE INDIVIDUALS FOR SERVING AS OFFICERS OF HMH. |
| RECONCILIATION OF OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, QUESTION 5 | THA PENSION ADJUSTMENT $ 2,259,793 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| HMH PHYSICIAN ORGANIZATION | ||||||||||
| 110 MEMORIAL HOSPITAL DRIVE | HUNTSVILLE | TX | 77340 | 760500960 | HOSPITAL | TX | 501(c)(3) | 3 | HMH | true |
| HUNSTVILLE MEMORIAL HOSPITAL AUXILIARY | ||||||||||
| 110 MEMORIAL HOSPITAL DRIVE | HUNSTVILLE | TX | 77340 | 741508450 | SUPPORT ORG | TX | 501(C)(3) | 9 | NA | false |
| HUNTSVILLE MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 110 MEMORIAL HOSPITAL DRIVE | HUNTSVILLE | TX | 77340 | 273311765 | SUPPORT ORG | TX | 501(C)(3) | 11a | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HMH PHYSICIAN ORGANIZATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionType |
| Amount Involved | 1049384 | AmountInvolved |
| Method Of Amt Determination | BOOK BASIS | MethodOfAmtDetermination |
Comments