High Plains Baptist Health Foundation: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- High Plains Baptist Health Foundation (EIN 75-0800669)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201443219349305549
- Schema version
- 2013v3.1
- 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 J
- Schedule M
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T12:32:09-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CONGRESS AVE STE 1800 | AddressLine1 |
| City | AUSTIN | City |
| State | TX | State |
| ZIP Code | 78701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 750800669 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | High Plains Baptist Health Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARK HOTMANN | InCareOfNm |
| Business Name Control | HIGH | BusinessNameControlTxt |
| Phone | 8062122000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 Park Place Ave | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | AMARILLO | City |
| State | TX | State |
| ZIP Code | 79101 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Stephen T Dalrymple | PersonNm |
| Person Title | president | PersonTitleTxt |
| Signature | 2014-11-17 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | Steve Dalrymple | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 Park Place Ave | AddressLine1 |
| City | AMARILLO | City |
| State | TX | State |
| ZIP Code | 79101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $62,420,695 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BSAHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE QUALITY HEALTHCARE IN CHRISTIAN love, service, and dignity. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $211,094 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $635,535 | PYContributionsGrantsAmt |
| CY Contributions Grants | $47,687,963 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $335,727,445 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,086,747 | CYProgramServiceRevenueAmt |
| PY Investment Income | $24,630,578 | PYInvestmentIncomeAmt |
| CY Investment Income | $52,546 | CYInvestmentIncomeAmt |
| PY Other Revenue | $778,277 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $361,771,835 | PYTotalRevenueAmt |
| CY Total Revenue | $61,827,256 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $51,033 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $114,589,631 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $164,742,693 | PYOtherExpensesAmt |
| CY Other Expenses | $1,600 | CYOtherExpensesAmt |
| PY Total Expenses | $279,383,357 | PYTotalExpensesAmt |
| CY Total Expenses | $1,600 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $82,388,478 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $61,825,656 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $540,372,189 | TotalAssetsBOYAmt |
| Total Assets EOY | $123,883,592 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $70,446,988 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $469,925,201 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $123,883,592 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The organization is one of the two owners of BSA Health System of Amarillo, LLC, a Texas limited liability company, that operates BSA Hospital in Amarillo, TX. BSA Hospital is contractually required to be operated in accordance with the requirements with Secs. 501(c)(3) and 501(r) of the Code and Rev. Rul. 69-545. The organization has contractual authority to require compliance with these requirements on an on-going basis. | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $1,600 | ExpenseAmt |
| Revenue | $14,086,747 | RevenueAmt |
| Desc | The organization controls hospitals and other medical facilities that service the health needs of the Amarillo, Texas community through its member interest in BSA Health System of Amarillo, LLC. These facilities provide inpatient and outpatient services which cover services including, but not limited to, surgical services, rehab, physical therapy, and hospice. In addition, an emergency room is operated 24 hours a day, 7 days a week. | Desc |
| Total Program Service Expenses | $1,600 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK HOTMANN | PersonNm |
| Phone | 8063375292 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 PARK PLACE AVE | AddressLine1 |
| City | AMARILLO | City |
| State | TX | State |
| ZIP Code | 79101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| STEPHEN DALRYMPLE | |||||||
| PRESIDENT/CEO/GENERAL COUNSEL | 1.0 | 40.0 | Yes (X) | Yes (X) | $0 | $491,487 | $48,866 |
| ANDY HICKS | |||||||
| DIRECTOR | 0.25 | 0.5 | Yes (X) | $0 | $0 | $0 | |
| HENRY HAMILTON | |||||||
| DIRECTOR | 0.25 | 0.5 | Yes (X) | $0 | $0 | $0 | |
| DR CHARLES JONES | |||||||
| DIRECTOR | 0.25 | 0.5 | Yes (X) | $0 | $0 | $0 | |
| CRAIG SANDERS | |||||||
| DIRECTOR | 0.5 | 0.0 | Yes (X) | $0 | $16,650 | $0 | |
| MARK HOTMANN | |||||||
| SR VICE PRESIDENT/TREASURER | 0.5 | 40.0 | Yes (X) | $0 | $197,539 | $25,029 | |
| NITA CAGE | |||||||
| SECRETARY | 0.5 | 40.0 | Yes (X) | $0 | $51,974 | $4,027 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $757,650 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $77,922 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $47,687,963 | RelatedOrganizationsAmt |
| Noncash Contributions | $45,881,385 | NoncashContributionsAmt |
| Total Contributions | $47,687,963 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | K1 INCOME - BSA HEALTH SYSTEM AMARILLO | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $14,086,747 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,875,653 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $211,094 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,086,747 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,865 | TotalRevenueColumnAmt |
| Exclusion | $44,865 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $601,120 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $593,439 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,681 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,681 | TotalRevenueColumnAmt |
| Exclusion | $7,681 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,827,256 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,875,653 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $211,094 | UnrelatedBusinessRevenueAmt |
| Exclusion | $52,546 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,600 | TotalAmt |
| Program Services | $1,600 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,600 | TotalAmt |
| Program Services | $1,600 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,900 | BOYAmt |
| EOY | $147,684 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,022,234 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,571,393 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,940,027 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,712,299 | BOYAmt |
| EOY | $0 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,686,030 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,181,260 | BOYAmt |
| EOY | $5,229,239 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,649 | BOYAmt |
| EOY | $562,784 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,154,960 | BOYAmt |
| EOY | $116,551,576 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,095,437 | BOYAmt |
| EOY | $1,392,309 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $540,372,189 | BOYAmt |
| EOY | $123,883,592 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,465,644 | BOYAmt |
| EOY | $0 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,745,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,144,926 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,091,418 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,446,988 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $469,925,201 | BOYAmt |
| EOY | $123,883,592 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $469,925,201 | BOYAmt |
| EOY | $123,883,592 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $540,372,189 | BOYAmt |
| EOY | $123,883,592 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $61,825,656 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $78,766 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$407,946,031 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST COMMUNITY SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752206268 | EIN |
| Organization Type | 0 | OrganizationTypeDesc |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Supported Org Notified | Yes (true) | SupportedOrgNotifiedInd |
| US Organized | Yes (true) | USOrganizedInd |
| Support | $0 | SupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $8,229 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,229 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part II-B, line 1I | FormAndLineReferenceDesc |
| Explanation | High Plains Baptist Health Foundation incurred $8,229 of lobbying expenses via its member interest in BSA Health Systems of Amarillo LLC. All amounts incurred were a portion of dues paid to various membership organizations. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BSA HEALTH SYS OF AMARILLO LLC | Desc |
| Book Value | $116,551,576 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $116,551,576 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | fin 48 footnote | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE D, PART X, LINE 2 BCS, the Foundation, BCAHF, Snack Pak, HPBHF, and ATC are nonprofit corporations and have been recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. Enterprises, a for-profit corporation, is subject to federal income taxes; however, income tax expense was not significant for 2013 and 2012. The Company has adopted the provisions of FASB ASC Topic 740, Accounting for Uncertainty in Income Taxes, on January 1, 2009. Management had evaluated the Company's tax positions and concluded that the Company has maintained its tax-exempt status and has taken no uncertain tax positions that required adjustments to the consolidated financial statements. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,736,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,440,184 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,295,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03210 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,080,198 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,993,122 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$912,924 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,816,272 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,433,306 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,382,966 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01890 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,114 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,114 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $150,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $83,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,648 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $31,648 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $214,762 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $83,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $131,080 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,031,034 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,516,988 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,514,046 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,259,716 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $20,969,462 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $31,710,071 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$10,740,609 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| Phy Surg Hosp LLC | ||
| ambulatory surgical hospital | 0.61940 | 0.38060 |
| Amar Sur Endos LLP | ||
| gi surgery & endoscopy center | 0.51000 | 0.49000 |
| Adv Img Ctr Amarillo | ||
| diagnostic imaging center | 0.51000 | 0.49000 |
| panhandle nuclear rx | ||
| wholesale nuclear pharmacy | 0.66670 | 0.33330 |
| panhandle prim care | ||
| fam practice phy clinic | 0.50000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Emergency Room OtherEmergencyRoomOtherInd |
|---|---|---|---|---|---|---|---|---|
| Baptist St Anthony's Hospital | ||||||||
| 1 | 1600 Wallace Boulevard | Amarillo | TX | 79106 | Yes (X) | Yes (X) | Yes (X) | |
| Physician's Surg Hospital-Panhandle | ||||||||
| 2 | 7100 W 9th Avenue | Amarillo | TX | 79106 | Yes (X) | Yes (X) | Yes (X) | |
| Physician's Surg Hospital-Quail Creek | ||||||||
| 3 | 6819 Plum Creek Drive | Amarillo | TX | 79124 | Yes (X) | Yes (X) | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Develop Community Wide PlanDevelopCommunityWidePlanInd | Exec Community Wide PlanExecCommunityWidePlanInd | Include Operational PlanIncludeOperationalPlanInd | Adopt BudgetAdoptBudgetInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | Insurance StatusInsuranceStatusInd | Uninsured DiscountUninsuredDiscountInd | Medicaid MedicareMedicaidMedicareInd | State RegulationStateRegulationInd | ResidencyResidencyInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Available On RequestAvailableOnRequestInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Baptist St Anthony's Hospital | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | www.BSAHS.org | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (true) | 200. | Yes (true) | 400. | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false |
| Physician's Surg Hospital-Panhandle | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (true) | 200. | Yes (true) | 400. | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false | |||
| Physician's Surg Hospital-Quail Creek | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (true) | 200. | Yes (true) | 400. | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false | |||
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | QUESTION 3 | FormAndLineReferenceDesc |
| Explanation | BSA FORMED A COMMUNITY NEEDS ASSESSMENT COMMITTEE MADE UP OF A GROUP OF 12 EMPLOYEES WITH VARIED EXPERTISE TO FIRST IDENTIFY COMMUNITY ORGANIZATIONS TO IDENTIFY AND COMPLETE THE COMMUNITY ASSESSMENT WHICH WOULD BE BEST POSITIONED TO IDENTIFY PREVALENT NEEDS FACING THE COMMUNITY. FOURTEEN COMMUNITY ORGANIZATIONS (INCLUDING THE CITY OF AMARILLO) WERE INTERVIEWED BY THE COMMITTEE AND COMPLETED THE ASSESSMENT. THE ORGANIZATIONS CONSULTED INCLUDE: UNITED WAY AMARILLO AREA FOUNDATION WEST TEXAS FAMILY COMMUNITY SERVICES CITY OF AMARILLO DEPARTMENT OF PUBLIC HEALTH CATHOLIC FAMILY SERVICES TYLER STREET RESOURCE CENTER HARRINGTON REGIONAL MEDICAL CENTER FAITH CITY MISSION CITY OFFICIALS HOSPITAL DISTRICT LEADERSHIP AMARILLO INDEPENDENT SCHOOL DISTRICT PANHANDLE REGIONAL PLANNING COMMISSION TEXAS TECH SCHOOL OF MEDICINE GOLDSTON CANCER REGISTRY Part V, Sec B, Line 14G The financial assistance and charity care policy is available upon request; however, patients are notified of the policy as follows: Patients who have a high deductible or are uninsured are informed of the charity care policy at the time of pre-registration, and patients are then directed to a financial counselor if they wish to pursue financial assistance. If prior arrangements for financial assistance were not made prior to admission, patients are directed to a financial counselor for screening. Patients admitted through the emergency department who indicate an inability to pay or are uninsured are screened by financial counselors to determine eligibility for financial assistance. Patients are notified of the availability of financial assistance at the time of billing. Part V, Sec B, Line 20D In keeping with the mission and philosophy of BSA Hospital ("BSA"), BSA will apply a discount of 25% on all services provided to uninsured patients, who do not qualify for a 100% discount. In addition, BSA will provide charity care services, within the resources available, to financially or medically indigent patients. These services will be discounted up to 100% depending on patient's need. For those uninsured or underinsured patients who do not qualify for charity, financial aid may be available. Financially indigent patients whose gross annual income is at or below 200% of the most recently published Federal Poverty Guidelines are eligible for a 100% discount. Patients whose gross annual income is between 200% and 400% of the Federal Poverty Guidelines are eligible for financial assistance with graduated discounts between 20% and 80%. All discounts are applied to gross charges. Medically indigent patients whose total medical bills for all sources exceed 25% of their gross annual income are eligible for financial assistance under the hospital's policy. Once it has been determined that the patient is medically indigent, BSA will adjust our current medical bills down to 25% of the patient's income. If the patient still cannot pay, we will ask the patient to bring in proof of all current outstanding medical bills for review. If the total of those bills is still 25% of their yearly earnings, BSA's bills will be adjusted down so that all of the patient's medical bills total 25% of their income. Once medical indigence has been determined and existing account balances have been adjusted accordingly future accounts will need to be considered independent of the original determination. | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| The Don & Sybil Harrington Cancer Center | ||||
| 1500 Wallace Blvd | Amarillo | TX | 79106 | outpatient cancer center |
| Advanced Imaging Center | ||||
| 7010 W 9th | Amarillo | TX | 79106 | diagnostic imaging center |
| ADC Endoscopy Specialists | ||||
| 1 Care Circle | Amarillo | TX | 79124 | ambulatory surgical center |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3c | FormAndLineReferenceDesc |
| Explanation | Baptist St. Anthony's Hospital uses income-based criteria for determining eligibility for free or discounted care under its financial assistance policy. Financially indigent patients whose gross annual income is 200% of the Federal Poverty Income Guidelines or less are eligible for free care while those with gross annual income between 200% and 400% of the Federal Poverty Income Guidelines are eligible for discounted care under the organization's financial assistance policy. The Hospital also uses an assets test to determine eligibility for charity care. Assets are evaluated to determine if the guarantor has any liquid assets in excess of those critical to living or not being used to support the family's support system. Part I, Line 6a N/A Part I, Line 7 THE ORGANIZATION IS ONE OF THE TWO OWNERS OF BSA HEALTH SYSTEM OF AMARILLO, LLC, A TEXAS LIMITED LIABILITY COMPANY, THAT OPERATES BSA HOSPITAL IN AMARILLO, TX. BSA HOSPITAL IS CONTRACTUALLY REQUIRED TO BE OPERATED IN ACCORDANCE WITH THE REQUIREMENTS WITH SECS. 501(C)(3) AND 501(R) OF THE CODE AND REV. RUL. 69-545. THE ORGANIZATION HAS CONTRACTUAL AUTHORITY TO REQUIRE COMPLIANCE WITH THESE REQUIREMENTS ON AN ON-GOING BASIS. The responses throughout Schedule H are with respect to the operations of BSA Hospital. All dollar figures have been adjusted to reflect HPBHF's 20% member interest in the BSA Hospital. The Hospital used a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, to calculate the amounts reported in the table in Part I, line 7. Part II N/A PART III, LINE 2 COSTING METHODOLOGY FOR BAD DEBTS THE ORGANIZATION HAS USED 2012 AUDITED FINANCIAL STATEMENTS AND THE COST-TO-CHARGE RATIO METHODOLOGY PROVIDED FOR IN OPTIONAL WORKSHEET AESTIMATED BAD DEBT EXPENSE (AT COST). AT THE END OF 2013, THE ORGANIZATION ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. AS A RESULT, A RECLASSIFYING ENTRY WAS MADE FROM BAD DEBT EXPENSE TO RECOGNIZE THIS AMOUNT APPROPRIATELY AS CHARITY. CONSEQUENTLY, A ZERO AMOUNT IS BEING REPORTED IN PART III, SECTION A, LINE 3. Part III, Line 3 See response for Part III Line 2. Part III, Line 4 The footnote to the attached consolidated audited financial statements of Baptist Community Services and Affiliates is not directly applicable to Schedule H, as the Hospital activities maintained via a 20% LLC investment are only included in summary form. Part III, Line 8 The costing methodology is the structure built into the CMS 2552-96, transmittals 23-25. Costs are grouped from the general ledger and classified in the appropriate cost center as allowable or non-reimbursable. Then adjustments are made on w/s A8 for reductions to allowable costs due to income offsetting revenues or costs identified as non-reimbursable per CMS regulations. Additionally, costs are reclassified on W/S A6 for proper matching of costs and revenues or nature of the expense incurred. Next, the overhead costs are allocated to the direct and non-reimbursable expenses based on appropriate CMS allocation techniques and statistical bases. The total cost related to the Medicare revenue is taken from the following areas. The accommodation or routine portion of costs is taken from CMS 2552-96 D-1 line 37 for the appropriate Title XVIII provider or sub-provider. Cost for I/P ancillary service are taken from D-4 line 102, column 3. Costs for O/P ancillary services are taken from DV line 102, column 9. Subsidized care services are claimed as a community benefit for the following reason. These services exclude Medicaid and charity services already reported separately. These services are regarded as a community benefit because they are vital to the community in the case of Neonatal and Obstetrical services furnished at a negative margin by Baptist St Anthony's. Also other health services are provided to older patients with complications and complex health problems. These services are also necessary for public health and could not be fully provided by other resources available in the community if they were not providers by Baptist St Anthony's. Part III, Line 9B The following is an excerpt from the Bad Debt Policy. It refers collectors to the Charity Policy once it is identified that a patient may qualify. The charity policy/procedure is followed from there. When reviewing accounts as potential bad debt, the collection and reviewing personnel should always look for signs that the account might qualify for charity. Such signs may include prior charity, a large dollar amount owed to BSA, employment status, marital status, and any combination of these or other factors that may become evident while working the account. In cases where a patient cannot or will not provide sufficient information to fully document eligibility for Charity Care, a presumption of eligibility may be made based on statistical data and other reliable assumptions so long as those assumptions are properly documented. Presumptive Charity and/or Financial Aid will be applied after all normal collection activities have been exhausted and before accounts are sent to an external collection agency. This may include one or more of the following situations: -Collections and Payment Prediction and Charity Eligibility based on Mede Analytics -Insurance coverage is no longer in effect. -Patient cannot be located through collection attempts, is unemployed and uninsured. -Patient is unresponsive to collection attempts, is unemployed, uninsured, no credit information available. -Patient resided in a shelter or indicates they are homeless with no income or assets to validate. -Patient is not able to provide income information. -Patient is deceased and there is no estate. -Patient residence is in an area of high poverty. Once a determination of eligibility for Charity Care under Financial or Medical Indigence is made, no further collection efforts shall be pursued for the amount applied toward Charity Care. All patients approved will either be classified as financially indigent, medically indigent, or qualified for financial discount. Part VI, Line 2 Needs assessment N/A Part VI, Line 3 Patient education of eligibility for assistance BSA employs the services of Medical Advocacy Services for Healthcare, Inc. (MASH) to screen patients for assistance under federal and state programs, including Medicaid, SSI Medicaid and RSDI Medicare Disability, and Victims of Violent Crime Assistance. MASH screens all uninsured inpatients and outpatient and ER accounts over $500. Inpatients are contacted by personal visit while they are in the hospital. The MASH advocate works with the patient and/or family members to gather the required information and begin the application process. For outpatients and ER patients, MASH contacts them via telephone and/or locating letters with number of attempts varying based on the total charges on the account. In addition, BSA offers Charity Care and Financial Assistance. Patients are made aware of the assistance availability in multiple ways: -At the point of pre-registration for scheduled services when the patient indicates an inability to pay -At the point of registration for unscheduled services, -By Business Office staff post discharge -BSA employs 2 FTE who serve as Financial Counselors who work with patients in person, telephonically and by written correspondence. -BSA's patient statements indicate that Financial Assistance is available and provide a phone number to call if the patient is in need. -BSA's Financial Assistance Policy is published on the BSA website -All accounts with a patient balance that is not paid by the time the scheduled statements have been sent receive up to two automated phone calls. The automated message notifies patients at that time that financial assistance is available and gives the patient/guarantor the option of indicating that they would like for someone to contact them to discuss this option. Part VI, Line 4 Community Information The community served by Baptist St. Anthony's Hospital includes the City of Amarillo as well as the Texas Panhandle and surrounding states. Amarillo is located near the middle of the Texas Panhandle comprised of the upper 26 counties of the State of Texas. The hospital's service area extends to the bordering states of Oklahoma and New Mexico as well as Kansas and Colorado which are also within close proximity. The population of the City of Amarillo is approximately 200,000, and the scope of the Texas Panhandle increases that population to over 400,000. Approximately 11% of Amarillo's population reports income below the poverty line, with approximately 89% reporting above that line. Occupation classification reports indicate that 24% are Blue Collar, 57.9% are White Collar and 18.1% are employed in Service or Farm industries. Part VI, Line 5 Promotion of community health Other entities related to the heal | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHEN DALRYMPLE | ||||||||||||||
| PRESIDENT/CEO/GENERAL COUNSEL | $0 | $391,890 | $0 | $98,727 | $0 | $870 | $0 | $21,137 | $0 | $27,729 | $0 | $540,353 | $0 | $0 |
| MARK HOTMANN | ||||||||||||||
| SR VICE PRESIDENT/TREASURER | $0 | $158,720 | $0 | $37,814 | $0 | $1,005 | $0 | $11,977 | $0 | $13,052 | $0 | $222,568 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Question 4B | FormAndLineReferenceDesc |
| Explanation | SEE PART II, COLUMN C, DEFERRED COMPENSATION PURSUANT TO INTERNAL REVENUE CODE SECTION 457 PLAN FOR THE BENEFIT OF STEPHEN DALRYMPLE AND MARK HOTMANN. | ExplanationTxt |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp |
Secur Prtnrshp Trust Intrsts SecurPrtnrshpTrustIntrstsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $45,881,385 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 11 | FormAndLineReferenceDesc |
| Explanation | RECEIVED ONE GRANT OF 20% MEMBER INTEREST OF BSA HEALTH SYSTEMS OF AMARILLO, LLC. | ExplanationTxt |
Schedule N IRS990ScheduleN
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liquidation Of Assets Table | LiquidationOfAssetsTableGrp |
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | all net operating assets and liabilities | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2013-01-01 | DistributionDt |
| Fair Market Value Of Asset | $469,925,201 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | cost | MethodOfFMVDeterminationTxt |
| EIN | 751858993 | EIN |
| Person | BaptistSt Anthony's Health System | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 WALLACE BLVD | AddressLine1 |
| City | amarillo | City |
| State | TX | State |
| ZIP Code | 79106 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(c)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Part III, Line 2 and 3 | FormAndLineReferenceDesc |
| Explanation | Effective January 1, 2013, high Plains Baptist Health Foundation ("HPBHF"), formerly known as Baptist/St. Anthony's Hospital Corporation, transferred all of its operating assets, including its hospital and other medical facilities, to a related tax exempt organization. These operating assets were transferred by the related organization to a newly formed entity named BSA Health Systems of Amarillo, LLC, ("LLC") of which HPBHF later was assigned a 20% member ownership interest. HPBHF has contractual provisions to maintain board control of the LLC and to ensure the Hospital activities continue to be operated in the same charitable manner as it had while under direct ownership of HPBHF. Overall, the same program services are being conducted through the LLC, but HPBHF now maintains a 20% ownership interest in the services. Form 990, Part VI, Question 4B The governing documents and Articles were amended effective as of January 1, 2013 due to the sale of the organization's assets and to reflect it's new corporate member. FORM 990, PART VI, QUESTIONS 6, 7A, & 7B BAPTIST COMMUNITY SERVICES IS THE SOLE CORPORATE MEMBER OF HIGH PLAINS BAPTIST HEALTH FOUNDATION ("HPBHF"). THE MEMBER APPOINTS THE DIRECTORS OF HPBHF AND THE MEMBER HAS CERTAIN AUTHORIZATION POWERS, WHICH INCLUDE THE FOLLOWING: (a) Amendment of the articles of incorporation or bylaws of the Corporation; (b) Any deviation from or amendment to the broad objectives of the Corporation; (c) Incurrence or assumption of any indebtedness; (d) Authorizing any public fund raising campaign; (e) Appointment of board members of BSA Health System of Amarillo, LLC ("BSAHS"), BSA Physician Holdings, Inc. ("BSAPH") or any of their Affiliates (collectively, the "Affiliates"); (f) Disposition of any part of the Corporation's assets having a fair market value in excess of $50,000; (g) Authorizing contributions, distributions, or other transfer of funds; (h) Dissolution of the Corporation; (i) Cessation of operations of any licensed hospital; (J) Sale, lease, mortgage or transfer of all or substantially all of the assets of the Corporation; (k) Approval of the annual strategic/operating plan, if any, the annual budget and the annual community benefit plan, if any, ofthe Corporation. (L) Approval of any changes to the governing documents of BSAHS, BSAPH or any Affiliate or entering into any contract arrangement or relationship with BSAHS, BSAPH or any Affiliate; FORM 990, PART VI, QUESTION 11B The form 990 is presented to each of the organization'S BOARD members prior to filing. FORM 990, PART VI, QUESTION 12C In connection with any actual or potential Conflict of Interest, an Interested Person must disclose the existence of his or her Financial Interest and all material facts to the Board of Trustees of High Plains Baptist Health Foundation ("the Corporation") or the Committee considering the proposed transaction or arrangement. "Interested Person" shall mean any Trustee, officer, or member of a Committee who has a Financial Interest. "Financial Interest" shall mean any of the following, whether on a direct or indirect basis: (a) an ownership or investment interest in any entity with which the Corporation has a transaction or arrangement; (b) a Compensation arrangement with the Corporation or with any entity or person with which the Corporation has a transaction or arrangement; or (c) a potential ownership or investment interest in, or Compensation arrangement with, any entity or person with which the Corporation is negotiating a transaction or arrangement; After disclosure of a Financial Interest and all material facts by the Interested Person, and after discussion of same, the Interested Person shall leave the Board or Committee meeting while the determination of a Conflict of Interest is discussed and voted upon. The remaining Board or Committee members shall decide if a Conflict of Interest exists. Each Trustee, officer, and member of a Committee shall annually sign a statement which affirms that such person (i) has received a copy of this Policy, (ii) has read and understands this Policy, (iii) has agreed to comply with this Policy, and (iv) understands that the Corporation, as a charitable organization and in order to maintain its federal tax exempt status, must engage primarily in activities which accomplish one or more of its tax exempt purposes. A voting member of any Committee whose jurisdiction includes Compensation matters and who receives Compensation, directly or indirectly, from the Corporation shall be precluded from voting on matters pertaining to that member's Compensation. Any officer, employee, or independent contractor of the Corporation who receives Compensation from the Corporation, directly or indirectly, shall be precluded from membership on any Committee whose jurisdiction includes Compensation matters. If the Board or a Committee has reasonable cause to believe that a member has failed to disclose an actual or potential Conflict of Interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the response of such member and making such further investigation as it may deem to be warranted under the circumstance$, the Board or Committee determines that the member has failed to disclose an actual or potential Conflict of Interest, it shall take such disciplinary and corrective action(s) as it deems appropriate. An Interested Person with a Conflict of Interest may make a presentation at the Board or Committee meeting, but after such presentation, the Interested Person shall leave the meeting during the discussion of, and the vote on, the proposed transaction or arrangement. The presiding officer of the Board or the Committee meeting, if determined to be appropriate by the Board or the Committee (though this is discretionary and not mandatory), may appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising such due diligence as the Board or the Committee deems required, the Board or the Committee shall determine whether the Corporation can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a Conflict of Interest. If a more advantageous transaction or arrangement is determined by the Board or the Committee to not be reasonably attainable under circumstances that would not give rise to a Conflict of Interest, then the Board or the Committee shall determine by majority vote of the disinterested participants whether (i) the transaction or arrangement is in the Corporation's best interest and benefit, (ii) the transaction or arrangement is fair and reasonable to the Corporation, and (iii) the transaction or arrangement should be entered into by the Corporation. FORM 990, PART VI, QUESTIONS 15B HIGH PLAINS BAPTIST HEALTH FOUNDATION OFFICERS AND KEY EMPLOYEE COMPENSATION IS DIRECTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF BCS, THE CORPORATION CONTRACTS WITH SULLIVAN, COTTER, AND ASSOCIATES OF MINNEAPOLIS, MINNESOTA TO REVIEW THE DUTIES AND COMPENSATION. SULLIVAN COTTER CONFIRMS THAT COMPENSATION IS REASONABLE. SULLIVAN COTTER COMMUNICATES DIRECTLY WITH THE COMPENSATION COMMITTEE ON MATTERS OF EXECUTIVE COMPENSATION. THE MOST RECENT REVIEW WAS COMPLETED IN 2013. FORM 990, PART VI, QUESTION 19 OUR 990'S ARE AVAILABLE ON GUIDESTAR AND UPON REQUEST. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, QUESTION 9 (469,925,201) TRANSFER NET ASSETS TO BSA HEALTH SYSTEM (4,926,451) BSA Health System of Amarillo, LLC INCOME PER K-1 IN EXCESS OF BOOKS 66,905,621 STEP UP IN BASIS OF BSA Health System of Amarillo, LLC INVESTMENT ------------- (407,946,031) TOTAL | ExplanationTxt |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Baptist St Anthony's Foundation | ||||||||||
| 3310 Danvers | Amarillo | TX | 79106 | 752122630 | Fundraising | TX | 501(c)(3) | 7 | BSAHS | Yes (true) |
| Baptist St Anthony's Medical Group | ||||||||||
| 3310 Danvers | Amarillo | TX | 79106 | 752565440 | Staffing | TX | 501(c)(3) | 9 | BSAHS | Yes (true) |
| Second Chance Foundation | ||||||||||
| 3310 Danvers | Amarillo | TX | 79106 | 752160474 | Fundraising | TX | 501(c)(3) | 11 TYPE I | BSAHC | Yes (true) |
| Baptist St Anthony's Health System | ||||||||||
| 3310 Danvers | Amarillo | TX | 79106 | 751858993 | Parent Corp | TX | 501(c)(3) | 11,III,FI | NA | false |
| The Don & Sybil Harrington Cancer Center | ||||||||||
| 1500 WALLACE BLVD | Amarillo | TX | 79106 | 751578415 | Cancer Center | TX | 501(c)(3) | 9 | BSAHS | Yes (true) |
| Harrington Physicians Inc | ||||||||||
| 1500 Wallace Blvd | Amarillo | TX | 78106 | 752312574 | MEDICAL CARE | TX | 501(c)(3) | 9 | HCC | Yes (true) |
| BAPTIST COMMUNITY SERVICES | ||||||||||
| 701 PARK PLACE | AMARILLO | TX | 79101 | 752206268 | elder care | TX | 501(c)(3) | 9 | NA | false |
| HIGH PLAINS CHRISTIAN MINISTERIES FDN | ||||||||||
| 701 Park Place | Amarillo | TX | 79101 | 752639228 | FIN. SUPPORT | TX | 501(C)(3) | 11 TYPE 1 | BCS | Yes (true) |
| BAPTIST COMMUNITY AFFORDABLE HOUSING FDN | ||||||||||
| 701 PARK PLACE | AMARILLO | TX | 79101 | 752772639 | ELDER CARE | TX | 501(C)(3) | 11 TYPE 1 | BCS | Yes (true) |
| ATC HEALTH PROMOTION FOUNDATION | ||||||||||
| 701 PARK PLACE | AMARILLO | TX | 79101 | 752601934 | HEALTH PROMO. | TX | 501(C)(3) | 11 TYPE 1 | BCS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt |
|---|---|---|---|---|---|---|---|---|---|
| Physicians Surgical Hospitals LLC | |||||||||
| 1600 Wallace Blvd | Amarillo | TX | 79106 | 731620274 | Stand-alone H | TX | NA | false | $0 |
| Physicians Surgical Real Estate LLC | |||||||||
| 1600 Wallace Blvd | Amarillo | TX | 79106 | 202894224 | Holding Compa | TX | NA | false | $0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BSA Holdings Inc | ||||||||||||
| 3310 Danvers | Amarillo | TX | 79106 | 752058579 | Holding Company | TX | BSAHS | C Corp | $0 | $0 | 1.00000 | Yes (true) |
| HIGH PLAINS ENTERPRISES CORPORATION | ||||||||||||
| 701 PARK PLACE | AMARILLO | TX | 79101 | 752809651 | PROPERTY MANAGEM. | TX | BCS | C-CORP | $0 | $0 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BSA HEALTH SYSTEM | ||
| B | $469,925,201 | COST |
| BAPTIST COMMUNITY SERVICES | ||
| C | $47,687,963 | COST |
Comments