RATHGEBER HOSPITALITY HOUSE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
RATHGEBER HOSPITALITY HOUSE INC (EIN 75-2811394)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201313169349302316
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T08:58:06-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752811394EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RATHGEBER HOSPITALITY HOUSEBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% KIMELA TOMLINSONInCareOfName
Name ControlRATHNameControl
Phone9407642400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11615 12TH STREETAddressLine1
Address Line2SuiteAddressLine2
CityWICHITA FALLSCity
StateTXState
ZIP Code76301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKim TomlinsomName
TitleExecutive DirectorTitle
Phone9407642400Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmanda MayaName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKIMELA TOMLINSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11615 12TH STREETAddressLine1
CityWICHITA FALLSCity
StateTXState
ZIP Code76301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts452680GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RATHGEBERHOSPITALITYHOUSE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A HOME-AWAY-FROM-HOME TO FAMILIES OF PATIENTS OF THE UNITED REGIONAL HEALTH CARE SYSTEM.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees10TotalNbrEmployees
Total Nbr Volunteers21TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year545545ContributionsGrantsPriorYear
Contributions Grants Current Year210440ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2555ProgramServiceRevenuePriorYear
Program Service Revenue CY212624ProgramServiceRevenueCY
Investment Income Prior Year20118InvestmentIncomePriorYear
Investment Income Current Year29616InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year568218TotalRevenuePriorYear
Total Revenue Current Year452680TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year277345SalariesEtcPriorYear
Salaries Etc Current Year313814SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year126847OtherExpensePriorYear
Other Expenses Current Year141573OtherExpensesCurrentYear
Total Expenses Prior Year404192TotalExpensesPriorYear
Total Expenses Current Year455387TotalExpensesCurrentYear
Revenues Less Expenses Prior Year164026RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2707RevenuesLessExpensesCY
Total Assets BOY1796539TotalAssetsBOY
Total Assets EOY1817601TotalAssetsEOY
Total Liabilities BOY38692TotalLiabilitiesBOY
Total Liabilities EOY59019TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1757847NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1758582NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF RATHGEBER HOSPITALITY HOUSE IS TO PROVIDE A HOME-AWAY-FROM-HOME IN A SAFE, SECURE, AFFORDABLE, CARING ENVIRONMENT TO FAMILIES OF PATIENTS OF THE UNITED REGIONAL HEALTH CARE SYSTEM.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense367886Expense
Revenue212624Revenue
DescriptionTHE PRIMARY PURPOSE OF RATHGEBER HOSPITALITY HOUSE IS TO PROVIDE LODGING FOR FAMILIES OF PATIENTS OF UNITED REGIONAL HEALTH CARE SYSTEM (THE SUPPORTED ORGANIZATION FOR THIS ENTITY). THE TOTAL NUMBER OF GUEST DAYS IN 2012 WERE 9,294.Description
Total Program Service Expense367886TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees10NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKIMELA TOMLINSONNamePerson
Telephone Number9407642400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11615 12TH STREETAddressLine1
CityWICHITA FALLSCity
StateTXState
ZIP Code76301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
FRED KRAUTZ
PRESIDENT1.0XX000
ROBBIE JETER
SECRETARY1.0XX000
JOE BAUER
TREASURER1.0XX000
GAYLE RODAY-ROGERS
DIRECTOR1.0X000
KEVIN GOLDSTEIN
DIRECTOR1.0X000
PATRICK GUINN
DIRECTOR1.0X000
PENNY HENDERSON
DIRECTOR1.0X000
RANDY MARTIN
DIRECTOR1.0X000
LARRY PARK
DIRECTOR1.0X000
MARTHA LOU RUGELEY
DIRECTOR1.0X000
JACKIE SPRAGINS
DIRECTOR1.0X000
BENAY AYERS
DIRECTOR1.0X000
MITZI BROTHERTON
DIRECTOR1.0X000
BILL DIXON
DIRECTOR1.0X000
MASON MCCLESKEY
DIRECTOR1.0X000
KIMELA TOMLINSON
EXECUTIVE DIRECTOR40.0X59618022170
FieldValueIRS element (for citing)
Total Reportable Comp From Org59618TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation22170TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations52916RelatedOrganizations
All Other Contributions157524AllOtherContributions
Total Contributions210440TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROOM CHARGES623990210391210391
OTHER SUPPORTING REVENUE90009922332233
FieldValueIRS element (for citing)
Total Program Service Revenue212624TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29616TotalRevenueColumn
Exclusion$29,616ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column452680TotalRevenueColumn
Related Or Exempt Function Income212624RelatedOrExemptFunctionIncome
Exclusion$29,616ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total81788Total
Management And General81788ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total162344Total
Program Services162344ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5115Total
Program Services5115ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total48464Total
Program Services48464ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16103Total
Program Services11542ProgramServices
Management And General4561ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1152Total
Management And General1152ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total30627Total
Program Services30627ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total230Total
Program Services230ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total23888Total
Program Services23888ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total22395Total
Program Services22395ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1495Total
Program Services1495ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total58517Total
Program Services58517ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
REPAIRS AND MAINTENANCE14641464
MISCELLANEOUS EXPENSES18051805

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total455387Total
Program Services367886ProgramServices
Management And General87501ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY54941BOY
EOY147774EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1589514LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec476514LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1161499BOY
EOY1113000EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY574334BOY
EOY551062EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5765BOY
EOY5765EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1796539BOY
EOY1817601EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY33236BOY
EOY51896EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5456BOY
EOY7123EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY38692BOY
EOY59019EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1753456BOY
EOY1758582EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4391BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1757847BOY
EOY1758582EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1796539BOY
EOY1817601EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2707ReconcilationRevenueExpenses
Reconciliation Unrealized Invest7833ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment-4391ReconcilationPriorAdjustment
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years298905CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years335184CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years620007CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year545545CurrentTaxYearMinus1Year
Current Tax Year210440CurrentTaxYear
Total2010081Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years298905CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years335184CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years620007CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year545545CurrentTaxYearMinus1Year
Current Tax Year210440CurrentTaxYear
Total2010081Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total588596AmountsSubstContributorsTotal
Public Support Total1701421485PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31634CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33400CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years36884CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20118CurrentTaxYearMinus1Year
Current Tax Year29616CurrentTaxYear
Total151652Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support2161733TotalSupport
Gross Receipts From Admissions Etc432613GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.65757PublicSupportPertcentage170
Public Support Pertcent Prior Year0.69740PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1339478OtherCostOrOtherBasis
Depreciation348256Depreciation
Book Value991222BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis250036OtherCostOrOtherBasis
Depreciation128258Depreciation
Book Value121778BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings1113000TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED ORGANIZATIONDescription
Amount$7,123Amount
FieldValueIRS element (for citing)
Total Of Amounts7123TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt459361TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments7833NetUnrealizedGainsInvestments
Revenue Not Rptd F9907833RevenueNotRptdF990
Revenue Subtotal451528RevenueSubtotal
Investment Expenses Not Included1152InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt1152RevenueNotRptdOnFinStmt
Total Revenue Per Form990452680TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt454235TotExpensesEtcAuditedFinclStmt
Expenses Subtotal454235ExpensesSubtotal
Investment Expenses Not Included21152InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt1152ExpensesNotRptdOnFinStmt
Total Expenses Per Form990455387TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BUSINESS RELATIONSHIP BETWEEN DIRECTORSFORM 990, PART VI, LINE 2RANDY MARTIN AND KEVIN GOLDSTEIN HAVE A BUSINESS RELATIONSHIP.
MEMBERS, STOCKHOLDERS, OR OTHER PERSONS WHO MAY ELECT GOVERNING BODYFORM 990, PART VI, LINE 7ATHE ORGANIZATION'S BOARD OF DIRECTORS MAKES A RECOMMENDATION TO UNITED REGIONAL HEALTH CARE FOUNDATION, WHICH APPROVES THE PERSONS TO SERVE ON THE BOARD OF DIRECTORS FOR THE SUBSEQUENT TERM.
PROCESS TO REVIEW THE FORM 990FORM 990, PART VI, LINE 11BTHE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS AND A COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. THE RETURN IS REVIEWED BY THE TREASURER AND THEN APPROVED BY THE BOARD OF DIRECTORS.
MONITORING OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICYFORM 990, PART VI, LINE 12CEACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS REQUIRED TO SIGN A CONFLICT OF INTEREST FORM ANNUALLY. THE FORM IS INITIALLY REVIEWED BY THE PRESIDENT FOR POTENTIAL CONFLICTS. ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS.
DETERMINATION OF COMPENSATION FOR ORGANIZATION'S TOP MANAGEMENT OFFICIALFORM 990, PART VI, LINE 15ATHE BOARD OF DIRECTORS APPROVES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR BASED ON COMPARABILITY DATA. THE COMPENSATION PROCESS IS DOCUMENTED AND COMPLETED ANNUALLY.
ORGANIZATIONAL DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
EXECUTIVE COMMITTEE AUTHORITYFORM 990, PART VI, LINE 1THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS. THE EXECUTIVE COMMITTEE HAS THE RIGHT TO EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS WHEN THE BOARD IS NOT IN SESSION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
UNITED REGIONAL HEALTH CARE FOUNDATION
1600 ELEVENTH STREETWICHITA FALLSTX76301752761467SUPPORTTX501(C)(3)11AURHCSfalse
UNITED REGIONAL PHYSICIAN GROUP
1600 ELEVENTH STREETWICHITA FALLSTX76301752925491HEALTH CARETX501(C)(3)9URHCSfalse
UNITED REGIONAL HEALTH CARE SYSTEM
1600 ELEVENTH STREETWICHITA FALLSTX76301751912147HEALTH CARETX501(C)(3)3NAfalse
UNITED REGIONAL HEALTH CARE SYSTEM AUXIL
1600 ELEVENTH STREETWICHITA FALLSTX76301756004656BENEVOL SVCSTX501(C)(3)11AURHCSfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
UNITED REGIONAL PROFESSIONAL SERVICES
1600 ELEVENTH STREETWICHITA FALLSTX76301752549298MGMT SERVICESTXNAC-CORPORATION000.00000false
TEXOMA INSURANCE AGENCY
1600 ELEVENTH STREETWICHITA FALLSTX76301422683761INSURANCETXNAC-CORPORATION000.00000false
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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