East Texas Medical Center Reg Healthcare: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: East Texas Medical Center Reg Healthcare (EIN 37-1623919)
Tax period: 2011-11-01 to 2012-10-31
Filed: 2013-09-03
IRS object ID: 201332469349300038
Schema version: 2011v1.5
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-09-03T06:41:21-07:00	Timestamp
Tax Period End Date	2012-10-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-11-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	371623919	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	East Texas Medical Center Reg Healthcare	BusinessNameLine1
Business Name Line2	Group Return	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	EAST	NameControl
Phone	9035963719	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 South Beckham Avenue	AddressLine1
City	Tyler	City
State	TX	State
ZIP Code	75701	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Byron Hale	Name
Title	CFO	Title
Date Signed	2013-09-03	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	840791926	GrossReceipts
Group Return For Affiliates	true	GroupReturnForAffiliates
All Affiliates Included	true	AllAffiliatesIncluded
Group Exemption Number	5692	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.ETMC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Activity Or Mission Description	To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care. We measure our success by how our efforts improve the quality of life for people and communities in east Texas.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	117	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	77	NbrIndependentVotingMembers
Total Nbr Employees	7965	TotalNbrEmployees
Total Nbr Volunteers	404	TotalNbrVolunteers
Total Gross UBI	1888576	TotalGrossUBI
Net Unrelated Business Txbl Income	1887576	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1245976	ContributionsGrantsPriorYear
Contributions Grants Current Year	579221	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	804474763	ProgramServiceRevenuePriorYear
Program Service Revenue CY	830971122	ProgramServiceRevenueCY
Investment Income Prior Year	537060	InvestmentIncomePriorYear
Investment Income Current Year	804584	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4211730	OtherRevenuePriorYear
Other Revenue Current Year	4529589	OtherRevenueCurrentYear
Total Revenue Prior Year	810469529	TotalRevenuePriorYear
Total Revenue Current Year	836884516	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	4820305	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2408500	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	374743279	SalariesEtcPriorYear
Salaries Etc Current Year	376226336	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	20264	TotalFundrsngExpCurrentYear
Other Expense Prior Year	409042780	OtherExpensePriorYear
Other Expenses Current Year	435043107	OtherExpensesCurrentYear
Total Expenses Prior Year	788606364	TotalExpensesPriorYear
Total Expenses Current Year	813677943	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	21863165	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	23206573	RevenuesLessExpensesCY
Total Assets BOY	845087044	TotalAssetsBOY
Total Assets EOY	974867691	TotalAssetsEOY
Total Liabilities BOY	385832791	TotalLiabilitiesBOY
Total Liabilities EOY	502894450	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	459254253	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	471973241	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	To provide quality healthcare and related services. We continuously strive to bring an unmatched spirit of excellence to the art and science of health care. We measure our success by how our efforts improve the quality of life for people and communities in east Texas.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	534628839	Expense
Grants	1065231	Grants
Revenue	585929153	Revenue
Description	"East Texas Medical Center Regional Helthcare System (the ""System"") is the parent company which wholly-owns and operates 24-subsidiary organizations. The system is headquartered in Tyler, Texas and its operations extends in all directions from Tyler, Texas, in an approximate 100-mile radius.All general acute-care hospitals not included in amounts on lines 4b, 4c and 4d. ETMC - Tyler has 536 licensed beds.ETMC - Athens has 119 licensed beds.ETMC - Carthage has 49 Licensed beds.ETMC - Clarksville has 49 Licensed beds.ETMC - Crockett has 49 Licensed beds. ETMC - Fairfield has 48 Licensed beds.ETMC - Gilmer has 37 Licensed beds.ETMC - Henderson has 49 Licensed beds.ETMC - Jacksonville has 74 Licensed beds.ETMC - Mount Vernon has 49 Licensed beds.ETMC - Trinity has 30 Licensed beds.ETMC - Pittsburg has 25 Licensed beds.ETMC - Quitman has 25 Licensed beds.The hospital's medical facilities offer a full range of medical services on an inpatient and outpatient basis. Including obstetrics, surgery, intensive care, physical therapy, mental health, cancer, kidney transplants, interventional radiology, trauma care and 24-hour emergency services.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	78692032	Expense
Revenue	50414668	Revenue
Description	ETMC - Healthcare Associates provides physician clinical services to and in connection with delivery of health care by System, its affiliate tax-exempt hospitals and other health care organizations. ETMC HCA currently employs 150+ physicians, the majority of the employed physicians specialize in primary care.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	46445142	Expense
Revenue	40677353	Revenue
Description	ETMC Tyler has a fleet of ground emergency ambulances serving East Texas. The System operates an extensive network of 85 ground ambulances, with each stationed at different locations to achieve optimal geographic coverage and response time throughout the System's service area.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	82538187	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	1343269	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	76773959	TotalOfOtherProgramServiceRev
Total Program Service Expense	742304200	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1055	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	7965	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	117	NbrVotingGoverningBodyMembers
Number Independent Voting Members	77	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Bonnie Stone	NamePerson
Telephone Number	9035963719	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1417 South Beckham Avenue	AddressLine1
City	Tyler	City
State	TX	State
ZIP Code	75701	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (146 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Ifteqar Syed MD
Director	40.00	X	121160	0	10609
Gerald Akpassa MD
Director	40.00	X	432899	0	10609
Gary Babbitt MD
Director	40.00	X	290601	0	10609
Wayne Morris
Director	2.00	X	0	0	0
Wayne Mask MD
Director	2.00	X	0	0	0
WR Christensen MD
Director	2.00	X	10750	0	0
Wade Ridley
Director	12.00	X	0	0	0	X
Paul Driver DO
Director	2.00	X	0	0	0
Tom Woldert
Director	2.00	X	0	0	0
Tim Culp
Director	2.00	X	0	0	0
Brock Lutz MD
Director	2.00	X	11250	0	0
Ted Austin
Director	2.00	X	0	0	0
Steven C Roosth
Director	2.00	X	0	0	0
Steve Bishop CPA
Director	2.00	X	0	0	0
Slayton Bonner
Director	2.00	X	0	0	0
Samual Houston MD
Director	2.00	X	0	0	0
Sam Raborn MD
Director	40.00	X	254520	0	0
Sam Dawson
Director	2.00	X	0	0	0
Armol Deshpande MD
Director	40.00	X	321601	0	0
Rosemary Burns
Director	2.00	X	0	0	0
Ron Franks
Director	2.00	X	0	0	0
Ron Donaldson MD
Director	12.00	X	800	0	0
Rodney Watkins
Director	2.00	X	0	0	0
Robyn Rogers
Director	2.00	X	0	0	0
Robert Nichols
Director	2.00	X	0	0	0
Roger Sessions MD
Director	40.00	X	693384	0	10609
R Scott Confer
Director	2.00	X	0	0	0
Norman Jennings MD
Director	2.00	X	0	0	0
Perry O'Brian Jr
Director	2.00	X	0	0	0
Peggy Lowry
Director	2.00	X	0	0	0
Patricia Smith
Director	2.00	X	0	0	0
Virginia Lewis
Director	2.00	X	0	0	0
Nghia Truong MD
Director	40.00	X	603877	0	10609
Norman Hicks MD
Director	2.00	X	0	0	0
Ned Muse
Director	2.00	X	0	0	0
Thom Lambert
Director	2.00	X	0	0	0
Michelle Brookshire
Director	2.00	X	0	0	0
Michael Banks DDS
Director	2.00	X	0	0	0
Michael Austin MD
Director	40.00	X	308188	0	10609
Lucia Williams MD
Director	2.00	X	0	0	0
Lisa Graves MD
Director	40.00	X	364933	0	9934	X
Linda K Dean
Director	2.00	X	0	0	0
Leesa N Hedge
Director	2.00	X	0	0	0
Mark Hamilton MD
Director	2.00	X	0	0	0
Larry King
Director	2.00	X	0	0	0
Larry Durrett
Director	12.00	X	0	0	0
Larry Cunningham DO
Director	40.00	X	436527	0	10609
Kenneth McGee
Director	2.00	X	0	0	0
Kenneth Kemp MD
Director	40.00	X	348803	0	10609
Ken Greer
Director	2.00	X	0	0	0
Karen Wies MD
Director	40.00	X	408864	0	10609
Jon Johnston
Director	2.00	X	0	0	0
John T Wilson
Director	2.00	X	0	0	0
John Magouyrk
Director	2.00	X	0	0	0
John H Keller Jr MD
Director	40.00	X	49257	0	2483
John Payne
Director	2.00	X	0	0	0
Joe Angle
ViceChairmn&Dir	2.00	X	0	0	0	X
Jessica Parish
Director	2.00	X	0	0	0
Jerry Webster
Director	2.00	X	0	0	0
James Wynne
Director	12.00	X	0	0	0
James H Reynolds
Director	2.00	X	0	0	0
Richard R Tutt MD
Director	2.00	X	0	0	0
Heidi McKeller MD
Director	2.00	X	0	0	0
Harold Beaird
Director	2.00	X	0	0	0
Ray Morrison MD
Director	2.00	X	0	0	0
George T Hall
Director	2.00	X	0	0	0
George Robinson
Director	2.00	X	0	0	0
Gary Patterson
Director	2.00	X	0	0	0
Gary Gross MD
Director	2.00	X	0	0	0
Fred A Heirich
Director	2.00	X	0	0	0
Ennis Christenberry
Director	2.00	X	0	0	0
Doug Johnston DO
Director	40.00	X	257014	0	10609
Donald E Arego MD
Director	40.00	X	320340	0	10609
Laura Vanecek
Director	2.00	X	0	0	0
Judge David Anderson
Director	2.00	X	0	0	0
David Jones MD
Director	2.00	X	0	0	0
David Johnson MD
Director	2.00	X	72000	0	0
David E Holdredge
Director	2.00	X	0	0	0
David Craig MD
Director	2.00	X	0	0	0
Charles Lowry
Director	2.00	X	0	0	0
Charles Halstead
Director	2.00	X	0	0	0
John Cain
Director	2.00	X	0	0	0
Bryan Price
Director	2.00	X	0	0	0
Bryan Hyland MD
Director	40.00	X	289198	0	10609
Brian Holcomb
Director	2.00	X	0	0	0
Brian Ballard
Director	2.00	X	0	0	0
Jeff Taylor
Director	2.00	X	0	0	0
Bill James
Director	2.00	X	0	0	0
Bill Clawater
Director	2.00	X	0	0	0
BG Hartley
Director	12.00	X	0	0	0
Barry Hughes
Director	2.00	X	0	0	0
Ilanko Upendran MD
Director	40.00	X	372314	0	0
Ann Lake
Director	2.00	X	0	0	0
Andrew Roberts MD
Director	40.00	X	519270	0	10609
Stephanie Redding MD
Director	2.00	X	0	0	0
Allen Bell
Director	2.00	X	0	0	0
Alan Hale
Director	2.00	X	0	0	0
Billy Langford
Director	2.00	X	0	0	0
Curt Smith
Dir of HomeHlth	40.00	X	111648	0	6100	X
Brett Kirkham
Administrator	40.00	X	92842	0	11747	X
Jorge Leal
Administrator	40.00	X	111429	0	12328	X
Warren Robicheaux
Administrator	40.00	X	164325	0	17891	X
Jack Endres
Administrator	40.00	X	197005	0	23382	X
Mark Leitner
Administrator	40.00	X	209039	0	26185	X
Perry Henderson
Administrator	40.00	X	324773	0	24116	X
Ruth Raz Cook
Administrator	40.00	X	174262	0	22117	X
Terry Cutler
Administrator	40.00	X	238502	0	20719	X
John Hart
Administrator	40.00	X	197356	0	14986	X
Gary M Hudson
Administrator	40.00	X	249542	0	22977	X
Patrick L Wallace
Administrator	40.00	X	464496	0	30196	X
Eddie Howard
VP/Administrato	40.00	X	516813	0	26309	X
Stephen Rydzak MD
Director	40.00	X	663639	0	731	X
Paula Anthony
Director	40.00	X	0	421921	26843
Mike Thomas
Director	40.00	X	0	452998	30144
Jerry Massey
VP & Dir	40.00	X	0	611312	32448	X
Byron Hale
Treasurer & Dir	40.00	X	0	722336	32759	X
Elmer G Ellis
President & Dir	40.00	X	0	1233291	37741	X
Phil Caron
CFO	40.00		178033	0	21939	X
Tommy O'Gorman
CFO	40.00		169036	0	21316	X
Gerry Dominguez
CFO	40.00		130749	0	17259	X
Jim Hines
CFO	40.00		107079	0	16742	X
David Travis
CFO	40.00		180107	0	26513	X
Becki Mangum
Treasurer	40.00		0	140793	22245	X
James Blanton
CFO	40.00		155634	0	23664	X
Todd Sigmon
VP Oncology	40.00		177617	0	22698	X
Robert Evans
SR VP/Administr	40.00		678024	0	28482	X
Kim Pearson-Wahl
Vice President	40.00		0	414308	25797	X
Ron Schwartz
VP EMS	40.00		208666	0	23593		X
Mike Gray
VP Human Resources	40.00		0	396307	25806		X
Freddie Sanchez
VP Materiels Management	40.00		0	651984	25857		X
Dennis S Devinney
Physician	40.00		1676300	0	10609			X
Joseph M Conflitti
Physician	40.00		1389858	0	10609			X
Cody Anderson
Physician	40.00		891491	0	10609			X
Michael J Klouda
Physician	40.00		692410	0	10609			X
Brandon A Tinkler
Physician	40.00		866769	0	10609			X
William Roberson DO
Former Director (FY 11)	2.00		96000	0	0				X
Ravi Kumar Sreerama
Former Director (FY 11)	2.00		17150	0	0				X
Randy Randall MD
Former Director (FY 10)	40.00		416208	0	10598				X
Lawrence Quan MD
Former Director (FY 11)	2.00		141830	0	0				X
Jean Latortue MD
Former Director (FY 11)	40.00		438870	0	10609				X
David Mandel MD
Former Director (FY 10)	40.00		200154	0	9934				X
Ted Trimble MD
Former Director	40.00		183517	0	7450				X
Brody Clark
Former Officer & Director	40.00		135616	0	4967				X
Anthony Davis MD
Former Director	40.00		356980	0	10609				X
Gary Gunder
Former Officer	40.00		160397	0	13945				X
Tony Myers
Former Key - VP - EMS	40.00		297464	0	16639				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	20149180	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5045250	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1009760	TotalOtherCompensation
Number Individuals GT100 K	358	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Siemens Medical Solutions
PO Box 120001 Dept 0733	Dallas	TX	753120733	Software Systems	3226456
Pulmonary Specialists
912 So Fleishel	Tyler	TX	75701	Diagnostic Services	2538290
Metro Aviation Inc
PO Box 7008	Shreveport	LA	711377008	Helicopter Services	3272959
Clinical Pathology Labs Inc
PO Box 141669	Austin	TX	787141669	Laboratory Services	3526201
Athens Emergency Medicine Assoc PA
PO Box82368	Lafayette	LA	705982368	Emergency Physicians	3849465

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	192	NumberOfContractorsGT100K
Fundraising Events	21550	FundraisingEvents
All Other Contributions	557671	AllOtherContributions
Total Contributions	579221	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Revenue	753795133	753795133
Mgmt Allocation	34981115	34981115
Intercompany Revenue	7827016	7675021	$151,995
Contract/Outside Services	11584050	9933747		1650303
Affiliate Premiums	11596048	11596048

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	11187760	TotalRevenueColumn
Related Or Exempt Function Income	11007724	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	180036	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	830971122	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	549821	TotalRevenueColumn
Exclusion	$549,821	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	946	TotalRevenueColumn
Exclusion	$946	ExclusionAmount

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	4145306	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	3890543	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	254763	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	254763	TotalRevenueColumn
Exclusion	$254,763	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	16958	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	21550	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	16867	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	91	TotalRevenueColumn
Exclusion	$91	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	402634	GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	402634	TotalRevenueColumn
Unrelated Business Revenue	58237	UnrelatedBusinessRevenue
Exclusion	$344,397	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Unrealized Gain	32510	$32,510
Parking Lot	625212	$625,212
Cafeteria/Dietary Rev	3441104	$3,441,104

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	27092	TotalRevenueColumn
Exclusion	$27,092	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4125918	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	836884516	TotalRevenueColumn
Related Or Exempt Function Income	828988788	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1888576	UnrelatedBusinessRevenue
Exclusion	$5,427,931	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1058874	Total
Program Services	1058874	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	1349626	Total
Program Services	1349626	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	8183236	Total
Management And General	8183236	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	293412286	Total
Program Services	288019824	ProgramServices
Management And General	5392462	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	12235735	Total
Program Services	11834386	ProgramServices
Management And General	401349	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	41412834	Total
Program Services	39457324	ProgramServices
Management And General	1955510	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	20982245	Total
Program Services	20026351	ProgramServices
Management And General	955894	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	54877	Total
Program Services	80	ProgramServices
Management And General	54797	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	200891	Total
Program Services	189561	ProgramServices
Management And General	11330	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	165287	Total
Program Services	29911	ProgramServices
Management And General	135376	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	978590	Total
Program Services	892430	ProgramServices
Management And General	86160	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4482643	Total
Program Services	4414747	ProgramServices
Management And General	67896	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1364744	Total
Program Services	1295126	ProgramServices
Management And General	69618	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	23702194	Total
Program Services	23585133	ProgramServices
Management And General	117061	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	501973	Total
Program Services	347982	ProgramServices
Management And General	153991	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	854885	Total
Program Services	814371	ProgramServices
Management And General	40514	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14061174	Total
Program Services	14061174	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	33605774	Total
Program Services	33605774	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	13411544	Total
Program Services	13315466	ProgramServices
Management And General	96078	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Outside Services	32729265	31551498	1165068	12699
System Fee	46443708		46443708
Physician/Medical Spec. Fees	62102091	58992905	3109186
Supplies	113419555	113288591	127192	3772

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	86963912	Total
Program Services	84173066	ProgramServices
Management And General	2787053	ManagementAndGeneral
Fundraising	3793	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	813677943	Total
Program Services	742304200	ProgramServices
Management And General	71353479	ManagementAndGeneral
Fundraising	20264	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	193412347	BOY
EOY	183647357	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4549195	BOY
EOY	4773841	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1010000	BOY
EOY	10000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	91835667	BOY
EOY	97917278	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	17822	BOY
EOY	17987	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	14062606	BOY
EOY	14547619	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6398068	BOY
EOY	6007517	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	556669791	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	337863054	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	169062599	BOY
EOY	218806737	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	7312358	BOY
EOY	4818692	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	357426382	BOY
EOY	444320663	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	845087044	BOY
EOY	974867691	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	40129812	BOY
EOY	46108749	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	955355	BOY
EOY	962636	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	46606368	BOY
EOY	80958868	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7267481	BOY
EOY	5211466	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	290873775	BOY
EOY	369652731	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	385832791	BOY
EOY	502894450	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	453183749	BOY
EOY	466579091	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3046177	BOY
EOY	2369823	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3024327	BOY
EOY	3024327	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	459254253	BOY
EOY	471973241	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	845087044	BOY
EOY	974867691	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	23206573	ReconcilationRevenueExpenses
Reconcilation Other Changes	-10487585	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	false	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$84,363	OtherActivitiesAmount
Total Lobbying Expenditures IIB	84363	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	The organization pays membership dues to member organiations which may engage in lobbying activities. Therfore, a portion of the dues are attributable to lobbying activities. This amount represents a specified percentage of total dues paid.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6070504	BeginningOfYearBalance
Contributions	394384	Contributions
Investment Earnings Or Losses	272531	InvestmentEarningsOrLosses
Other Expenditures	1343269	OtherExpenditures
End Of Year Balance	5394150	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6308565	BeginningOfYearBalance
Contributions	874950	Contributions
Investment Earnings Or Losses	70190	InvestmentEarningsOrLosses
Other Expenditures	1183202	OtherExpenditures
End Of Year Balance	6070503	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5124574	BeginningOfYearBalance
Contributions	3109511	Contributions
Investment Earnings Or Losses	236481	InvestmentEarningsOrLosses
Other Expenditures	2162000	OtherExpenditures
End Of Year Balance	6308566	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.37000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.29000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	520030	OtherCostOrOtherBasis
Book Value	520030	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	144748365	OtherCostOrOtherBasis
Depreciation	49100810	Depreciation
Book Value	95647555	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	34459322	OtherCostOrOtherBasis
Depreciation	6517502	Depreciation
Book Value	27941820	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	323078719	OtherCostOrOtherBasis
Depreciation	251740929	Depreciation
Book Value	71337790	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	53863355	OtherCostOrOtherBasis
Depreciation	30503813	Depreciation
Book Value	23359542	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	218806737	TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescription	Book ValueBookValue
Rounding	1
Restricted Funds	31215059
Goodwill-Athens Cancer Institute net	1000555
Estimated 3rd Party Settlement	5104279
Due From Outside Entities	6162181
Due From Affiliates	395966829
Deposits on Equip & Various Items	722470
Bonds Receivables & Unamortized Bond Exp	4146780
Accrued Interest Receivable	2509

Field	Value	IRS element (for citing)
Total Book Value Other Assets	444320663	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
Other Noncurrent Liabilities	$1,116,894
Noncurrent Pension Liability	$56,582,072
Investment In Cyberknife	$292,629
Estimated 3rd Party Settlement	$1,509,125
Due to Affiliates	$208,853,202
Deferred Direct & Admin Expenses	$71,094,781
Capital Lease Obligations	$30,204,028

Field	Value	IRS element (for citing)
Total Of Amounts	369652731	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part XI, Line 8	Identifier
Return Reference	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	ReturnReference
Explanation	Defined Benefit Plan Adjustment $ -10487585	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agreement Ref Fundraising	false	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Bell Golf Tournament	NameOfEvent1
Gross Receipts Event1	38508	GrossReceiptsEvent1
Charitable Contributions Event1	21550	CharitableContributionsEvent1
Gross Revenue Event1	16958	GrossRevenueEvent1
Other Direct Expenses Event1	16867	OtherDirectExpensesEvent1
Gross Receipts Total	38508	GrossReceiptsTotal
Charitable Contributions Total	21550	CharitableContributionsTotal
Gross Revenue Total Events	16958	GrossRevenueTotalEvents
Other Direct Expenses Total Events	16867	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	16867	DirectExpenseSummaryEvents
Net Income Summary	91	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	27567844	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10625090	DirectOffsettingRevenue
Net Community Benefit Expense	16942754	NetCommunityBenefitExpense
Percent Of Total Expense	0.02080	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	71326931	TotalCommunityBenefitExpense
Direct Offsetting Revenue	63700763	DirectOffsettingRevenue
Net Community Benefit Expense	7626168	NetCommunityBenefitExpense
Percent Of Total Expense	0.00940	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10480190	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7742070	DirectOffsettingRevenue
Net Community Benefit Expense	2738120	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	109374965	TotalCommunityBenefitExpense
Direct Offsetting Revenue	82067923	DirectOffsettingRevenue
Net Community Benefit Expense	27307042	NetCommunityBenefitExpense
Percent Of Total Expense	0.03360	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	519950	TotalCommunityBenefitExpense
Direct Offsetting Revenue	133541	DirectOffsettingRevenue
Net Community Benefit Expense	386409	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	807947	TotalCommunityBenefitExpense
Direct Offsetting Revenue	113580	DirectOffsettingRevenue
Net Community Benefit Expense	694367	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	81310107	TotalCommunityBenefitExpense
Direct Offsetting Revenue	67350134	DirectOffsettingRevenue
Net Community Benefit Expense	13959973	NetCommunityBenefitExpense
Percent Of Total Expense	0.01720	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	251361	TotalCommunityBenefitExpense
Direct Offsetting Revenue	127376	DirectOffsettingRevenue
Net Community Benefit Expense	123985	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1990114	TotalCommunityBenefitExpense
Net Community Benefit Expense	1990114	NetCommunityBenefitExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	84879479	TotalCommunityBenefitExpense
Direct Offsetting Revenue	67724631	DirectOffsettingRevenue
Net Community Benefit Expense	17154848	NetCommunityBenefitExpense
Percent Of Total Expense	0.02120	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	194254444	TotalCommunityBenefitExpense
Direct Offsetting Revenue	149792554	DirectOffsettingRevenue
Net Community Benefit Expense	44461890	NetCommunityBenefitExpense
Percent Of Total Expense	0.05480	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$13,366,836	BadDebtExpenseAmount
Amount Reimbursed By Medicare	224624473	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	308665413	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-84040940	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare
Number Of Hospital Facilities	14	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (14 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital
East Texas Medical Cntr-Specia
14	1000 South Beckham Avenue	Tyler	TX	75701	X
East Texas Medical Cntr-Tyler
13	1000 South Beckham Avenue	Tyler	TX	75701	X
East Texas Medical Cntr-Trinit
12	317 Prospect Drive	Trinity	TX	75862	X
East Texas Medical Cntr-Quitma
11	117 N Winnsboro Street	Quitman	TX	75783	X
East Texas Medical Cntr-Pittsb
10	414 Quitman Street	Pittsburg	TX	75686	X
East Texas Medical Cntr-MtVern
9	500 S State Highway 37	Mount Vernon	TX	75457	X
East Texas Medical Cntr-Jackso
8	501 S Ragsdale Street	Jacksonville	TX	75768	X
East Texas Medical Cntr-Hender
7	300 Wilson Street	Henderson	TX	75652	X
East Texas Medical Cntr-Gilmer
6	712 North Wood	Gilmer	TX	75644	X
East Texas Medical Cntr-Fairfi
5	125 Newman Street	Fairfield	TX	75840	X
East Texas Medical Cntr-Crocke
4	1100 Loop 304 East	Crockett	TX	75835	X
East Texas Medical Cntr-Clarks
3	3000 W Main Hwy 82 W	Clarksville	TX	75426	X
East Texas Medical Cntr-Cartha
2	409 W Cottage Road	Carthage	TX	75633	X
East Texas Medical Cntr-Athens
1	2000 South Palestine	Athens	TX	75751	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (14 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	On RequestOnRequest	Other MethodOtherMethod	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Medical IndigencyMedicalIndigency	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Report To Credit AgencyReportToCreditAgency	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
East Texas Medical Cntr-Specia
14	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Tyler
13	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Trinit
12	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Quitma
11	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Pittsb
10	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-MtVern
9	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Jackso
8	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Hender
7	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Gilmer
6	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Fairfi
5	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Crocke
4	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Clarks
3	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Cartha
2	true	X	X	X	X	X	X	X	X	X	true	true	true	X	X	X	X	X	X	X	X	X	X	true	true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false
East Texas Medical Cntr-Athens
1																									true	true	200.0000	true	200.0000	true	X	X	X	X	true	true	X	X	X	X	X	X	false	true	X	X	X	X	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	7	NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FirstNet Exchange
1000 S Beckham Ave	Tyler	TX	75701	Provide electronic medical records for the physicians to view.
East Texas Medical Center - Self Insurance Trust
1000 S Beckham Ave	Tyler	TX	75701	Insurance coverage for the East Texas Medical Center Regional Healthcare System.
East Texas Medical Center - Home Services
1000 S Beckham Ave	Tyler	TX	75701	Home Healthcare Services
East Texas Medical Center - Healthcare Associates
1000 S Beckham Ave	Tyler	TX	75701	Physicians
East Texas Medical Center - Foundation
1000 S Beckham Ave	Tyler	TX	75701	Support related hospitals within the system through raising, management and distribution of charitab
East Texas Meical Center - Cancer Institute
1000 S Beckham Ave	Tyler	TX	75701	Provide radiation therapy, healthcare and related services to cancer patients.
East Texas Medical Center - Rehab
701 Olympic Plaza Circle	Tyler	TX	75701	Rehabilitation Center, Physical and Occupational, Inpatient and Outpatient

Form990 Schedule H Part VI Form990ScheduleHPartVI (62 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part VI - Additional Information	Uncompensated care program funds were evenly allocated to uninsured and Medicaid patient costs.
Part V - Explanation of Number of Facility Type	One Rehabilitation Center, one Cancer Institute, and three Home Healthcare services.
Part VI - Community Information	The 20 county service area is composed of about 16 percent of the population over age 65, an increasing Hispanic population, 60 percent of households defined as 'working poor' or poverty level, with 40 percent uninsured or underinsured.
Part VI - Patient Education of Eligibility for Assistance	Notifications of financial assistance and the Charity Care program are posted in the patient admission areas and emergency departments, and also printed in local newspapers. The Charity Care policy and application for financial assistance are also available on the internet at www.etmc.org. Additionally, notification of availability of financial assistance is noted on all patient billing statements, along with the phone number of whom to contact for financial assistance. In addition, direct contact is made to those individuals that the organization beleves may qualify for Charity Care, based on lack of insurance or other indications, to explain the availability of financial assistance and to request the individual complete and returned an application.
Part VI - Needs Assessment	The community health needs assessment process adopted by ETMC was divided into three major components:- Internal and External Data Collection and Analysis- Community Assessment of Community Need- ETMC Provider InputThe community health needs assessment process is designed to measure positive and negative progress relative to selected health status indicators; target needs by population group, geographic market segment and health issue; consider community input and feedback; and identify opportunities for program and service development and enhancement.
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 9
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 8
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 7
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 6
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 5
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 4
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 3
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 2
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 14
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 13
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 12
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 11
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 10
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	A 60% discount is applied to standard charges.	Number of Hospital Faciltiy - 1
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 9
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 8
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 7
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 6
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 5
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 4
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 3
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 2
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 14
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 13
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 12
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 11
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 10
Part V, Line 5c - Description of Making Needs Assessment Widely Available	Presented at community summary meeting.	Number of Hospital Faciltiy - 1
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 9
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 8
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 7
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 6
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 5
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 4
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 3
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 2
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 14
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 13
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 12
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 11
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 10
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	ETMC TylerETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Cancer InstituteETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital	Number of Hospital Faciltiy - 1
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Mount Vernon. Individuals interviewed included representatives of: * First National Bank of Mount Vernon * Mount Vernon ISD - School Nurse * Franklin County Chamber of Commerce * Franklin County - Treasurer, County Judge * First United Methodist ChurchThe interview task force included the administrator from ETMC Mount Vernon, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 9
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Jacksonville. Individuals interviewed included representatives of: * Jacksonville Economic Development Corporation * Crisis Center of Anderson and Cherokee Counties * Jacksonville Police Department * The Chaparral Center, Alto * Austin Bank * Our Lady of Sorrows * Cherokee County Health Department * HOPEThe interview task force included the administrator from ETMC Jacksonville, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 8
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Henderson. Individuals interviewed included representatives of: * Henderson Memorial Hospital Foundation * Rusk County Child Advocacy Center * Henderson ISD * Rusk County Health Clinic * Texas Dept. of State Health Services - Rusk County * Rusk County Judge * City of Henderson, City Manager * St. Matthew's Episcopal ChurchThe interview task force included the administrator from ETMC Henderson, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 7
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Gilmer. Individuals interviewed included representatives of: * Dodd Motor Company * First National Bank * Heart to Heart * Women's Center of East Texas * Gilmer Chamber of Commerce * Flight of the Phoenix Museum * Gilmer ISD * Area Minister * Upshur County JudgeThe interview task force included the administrator from ETMC Gilmer, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 6
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Fairfield. Individuals interviewed included representatives of: * First Baptist Church, Fairfield * Community National Bank * Freestone County, Justice of the Peace * Freestone ISD * Luminant * Medical Staff * Home for Vets * First Baptist Church, Teague * Fairfield Hospital District BoardThe interview task force included the administrator from ETMC Fairfield, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 5
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Crockett. Individuals interviewed included representatives of: * City of Crockett - Mayor, City Manager * Houston County Courier * Central Baptist Church * Chamber of Commerce * Allstate * Car dealership * CASA - Court Appointed Special AdvocatesThe interview task force included the administrator from ETMC Crockett, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 4
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Clarksville. Individuals interviewed included representatives of: * City of Annona - Mayor * First Federal Community Bank * Bogata Funeral Home * City of Clarksville - Mayor, City Secretary, City Manager * Big Brothers, Big Sisters * Zion Travelers Baptist ChurchThe interview task force included the administrator from ETMC Clarksville, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 3
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Carthage. Individuals interviewed included representatives of: * Mayor, City of Beckville * Clayton Church * Carthage Courtesy Club * Carthage ISD * Office of the County Judge, Panola County * Texas Dept. State Health Services * Panola College, Nursing & Health Sciences * AgriLife (extension services) - Natural Resources & FCS County HealthThe interview task force included the administrator from ETMC Carthage, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 2
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Specialty Hospital. Individuals interviewed included representatives of: * Bethesda Health Clinic * East Texas Food Bank * Literacy Council * PATH * Hispanic Business Alliance * AgriLife (extension service) * Texas Dept. of State Health Services * East Texas Crisis Center * East Texas Medical Center EMS * Tyler Area Chamber of Commerce * Tyler Police Department * ETCOG - Agency on Aging * NE Texas Public Health DistrictThe interview task force included the administrator from ETMC Specialty Hospital, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 14
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Tyler. Individuals interviewed included representatives of: * Bethesda Health Clinic * East Texas Food Bank * Literacy Council * PATH * Hispanic Business Alliance * AgriLife (extension service) * Texas Dept. of State Health Services * East Texas Crisis Center * East Texas Medical Center EMS * Tyler Area Chamber of Commerce * Tyler Police Department * ETCOG - Agency on Aging * NE Texas Public Health DistrictThe interview task force included the administrator from ETMC Tyler, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 13
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Trinity. Individuals interviewed included representatives of: * Trinity County Hospital District board of directors * State Farm Insurance * Boys and Girls Club * Small Business/Chamber of Commerce * Sheriff, Trinity County * Mayor, City of Trinity * City Manager, City of Trinity * Texas Dept. of State Health Services, area Emergency Operations CoordinatorThe interview task force included the administrator from ETMC Trinity, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 12
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Quitman. Individuals interviewed included representatives of: * ETMC Quitman board of directors * Watkins Insurance Agency * City of Quitman * Wood County Electric Coop * Bank Texas * Wood County Chief Appraiser * Mayor, City of Quitman * City Manager, City of MineolaThe interview task force included the administrator from ETMC Quitman, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 11
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Pittsburg. Individuals interviewed included representatives of: * Camp County Judge * Pittsburg ISD * Dept. of Housing and Urban Development (HUD) * First Baptist Church, Pittsburg * Mayor, City of PittsburgThe interview task force included the administrator from ETMC Pittsburg, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 10
Part V, Line 3 - Account Input from Person Who Represent the Community	Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC Athens. Individuals interviewed included representatives of: * Aley United Methodist Church * St. Edwards Catholic Church * Disciples Clinic * Meals on Wheels * Joy Works - Eastern Hills Church of Christ * Department of Assistive and Rehabilitative Services * Henderson County - Indigent Care; Senior Citizen's Program * East Texas Crisis Center * Family Peace Project * Andrews Center * West Place Nursing HomeThe interview task force included the administrator from ETMC Athens, as well as members of the ETMC Regional Healthcare System's CHNA team.	Number of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	The Organization does not pursue collection of amounts determined to qualify as charity care and therefore are not considered in the collection policy.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection
Sonet Service Organization
2950 50th Street	Lubbock	TX	79413	922580	0	Indigent Care Donation
Partnership for Healthy Aging
110 Free Street	Portland	ME	04101	21900	0	Fall Provention Program
ETMCRH System
1000 South Beckham Avenue	Tyler	TX	75701	1000000	0	Pittsburg Building Fund	751803327	501(c)(3)
Cherokee County Health Dept
593 North Main Street	Rusk	TX	75785	10000	0	Donation	756000854
American Heart Assoc
10900-BstoneLakeBlvd Ste 320	Austin	TX	78759	6000	0	Donation
American Cancer Society Tyler
1301 So Broadway	Tyler	TX	75701	12500	0	Donations

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	5	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grantmaker's Description of How Grants are Used	Identifier
Explanation	Senior management will review the needs and give approval to support a variety of agencies, service organziations and projects related to meeting health and human service needs for Tyler and East Texas, as well as those contributing to overall quality of life for the community. Contributions were made in terms of financial and in-kind donations, agencies and organizations supported are non-profit.The ETMC Helping Hands Fund was established to help our fellow employees who may encounter substantial emergency situations and needs. Through generous gifts on the part of ETMC personnel, we are able to help our own by offering immediate, short-term financial assistance to those in need. The Helping Hands Fund is managed through the East Texas Medical Center Foundation and ETMC Human Resources, and governed by an employee review committee.Due to the special nature of the Chaplains Fund, flexibility is essential in its operating procedures. The following guidelines are designed as general policies to be followed by the Chaplains office and the ETMC Foundation.Administration The ETMC Tyler Chaplains Fund is a restricted account under the East Texas Medical Center Foundation. The ETMC Tyler Chaplain supervises the Chaplains Fund on a day-to-day basis. In addition to the Chaplain, the President and Chief Financial Officer of the East Texas Medical Center Regional Healthcare System has signature authorization over the Chaplains Fund account. The Chaplains Fund is included in the financial statements presented at meetings of the ETMC Foundations Board of Directors. The Foundation staff, Board and Executive Committee may help address issues and govern the fund as needed.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (59 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Bonus Filing OrgBonusFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs
William Roberson DO
96000	96000
Warren Robicheaux
144017	182216	20308	17891
Tony Myers
196548	314103	100916	16639
Tommy O'Gorman
167974	190352	1062	21316
Todd Sigmon
158950	200315	18667	22698
Terry Cutler
184312	259221	54190	20719
Ted Trimble MD
181534	190967	1983	7450
Stephen Rydzak MD
483352	664370	2678	731	177609
Sam Raborn MD
121000	254520	1434		132086
Ruth Raz Cook
138489	196379	35773	22117
Ron Schwartz
194343	232259	14323	23593
Roger Sessions MD
545788	703993	5159	10609	142437
Robert Evans
396088	706506	281936	28482
Ravi Kumar Sreerama
17150	17150
Randy Randall MD
364298	426806	6425	10598	45485
Phil Caron
172707	199972	5326	21939
Perry Henderson
211599	348889	113174	24116
Paula Anthony
					342792	79129	26843	448764
Patrick L Wallace
288477	494692	176019	30196
Nghia Truong MD
429125	614486	1568	10609	173184
Mike Thomas
					317355	135643	30144	483142
Mike Gray
					300478	95829	25806	422113
Michael J Klouda
526788	703019	2555	10609	163067
Michael Austin MD
195625	318797	1472	10609	111091
Mark Leitner
192265	235224	16774	26185
Lisa Graves MD
139841	374867	1352	9934	223740
Lawrence Quan MD
141830	141830
Larry Cunningham DO
432063	447136	3464	10609	1000
Kim Pearson-Wahl
					300968	113340	25797	440105
Kenneth Kemp MD
227125	359412	1566	10609	120112
Karen Wies MD
121288	419473	1962	10609	285614
Joseph M Conflitti
867788	1400467	2435	10609	519635
John Hart
150696	212342	46660	14986
Jerry Massey
					358147	253165	32448	643760
Jean Latortue MD
194438	449479	812	10609	243620
James Blanton
148250	179298	7384	23664
Jack Endres
180896	220387	16109	23382
Ilanko Upendran MD
370750	372314	1564
Gerald Akpassa MD
431367	443508	1532	10609
Gary M Hudson
156877	272519	92665	22977
Gary Gunder
141454	174342	18943	13945
Gary Babbitt MD
288337	301210	2264	10609
Freddie Sanchez
					296089	200881	25857	677841	155014
Elmer G Ellis
					1045328	187963	37741	1271032
Eddie Howard
327774	543122	189039	26309
Doug Johnston DO
154538	267623	1308	10609	101168
Donald E Arego MD
260826	330949	4858	10609	54656
Dennis S Devinney
774969	1686909	2300	10609	899031
David Travis
171476	206620	8631	26513
David Mandel MD
158587	210088	1750	9934	39817
Cody Anderson
629288	902100	2159	10609	260044
Byron Hale
					496146	226190	32759	755095
Bryan Hyland MD
201125	299807	1370	10609	86703
Brody Clark
129231	140583	6385	4967
Brandon A Tinkler
612788	877378	2159	10609	251822
Becki Mangum
					134257	6536	22245	163038
Armol Deshpande MD
316173	321601	1500		3928
Anthony Davis MD
218825	367589	1333	10609	136822
Andrew Roberts MD
503750	529879	2270	10609	13250

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part I, Line 1a	Identifier
Return Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	ReturnReference
Explanation	Schedule J, Part I, Line 1aCountry club dues are paid for business purpose. Any personal use is reimbursed by the employee.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Wood County Central Hospi
751249184	978324AA9	2011-11-30	35018198	New Hospital Facility	false	false	false
Rusk County Health Facilities Corporation
752499136		2009-09-09	5831638	Assumption memorial hospital bonds	false	false	false
City of Parker Texas Cultural Education Facilities
270365113		2009-06-24	5700000	Electronic communication towers	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Refunding EscrowRefundingEscrow	Year Of Subst CompletionYearOfSubstCompletion
35064668	5647186	899708	286000	899708	6356196	21875578	false	false	false	true
5831638							true	false	true	true	712770	5831638
5700000					5700000		false	false	true	true	920000		2010

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	false	true
false	false	false	false	false	true
false	false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
false	false	false	false	false	false
Regions Bank
false	true	true	false	false	false	11.7000	false	false
(no name)
false	false	false	false	false	false

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Camp County Texas
756000845	2009-09-09	7000000	New hospital facility	false	false	false
Camp County Texas
756000845	2009-02-24	10000000	New hospital facility	false	false	false
Camp County Texas
756000845	2008-03-19	10000000	New hospital facility	false	false	false
Camp County Texas
756000845	2007-11-29	10000000	New hospital facility	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
250000	7000001	863244	7000	863244	6129757	2009	false	false	true	true
350000	10000067	252733		252733	9747334	2009	false	false	true	true
545000	10068035	725080		725080	9342955	2009	false	false	true	true
545000	10081131	898543	74500	898543	9108087	2009	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	false	true
false	false	false	false	false	true
false	false	false	false	false	true
false	false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (62 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Fundraising Expenses	Fundraising is conducted at the related organization, ETMC Foundation for all ETMC Regional Healthcare System organizations. The expenses are not charged back to the organization.
Audited Financial Statements	The organization was included in consolidated, independent audited financial statements for the tax year.
Form 990, Part IX, Line 24e: Other Expenses	Utilities: Column (A) - Total = $9271337; Column (B) - Program Services = $9136138; Column (C) - Management & General = $135199; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Uniforms: Column (A) - Total = $230468; Column (B) - Program Services = $230368; Column (C) - Management & General = $100; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Telephone/Cell phones/pagers: Column (A) - Total = $2925723; Column (B) - Program Services = $2687351; Column (C) - Management & General = $238372; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Taxes: Column (A) - Total = $114657; Column (B) - Program Services = $108212; Column (C) - Management & General = $6445; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Rounding: Column (A) - Total = $-4; Column (B) - Program Services = $-4; Column (C) - Management & General = $-1; Column (D) - Fundraising = $1	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Repairs - Equipment: Column (A) - Total = $2262020; Column (B) - Program Services = $2256973; Column (C) - Management & General = $5047; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Repairs - Building: Column (A) - Total = $718983; Column (B) - Program Services = $715864; Column (C) - Management & General = $3119; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Recruiting/ Interview: Column (A) - Total = $232844; Column (B) - Program Services = $153354; Column (C) - Management & General = $79490; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Recruiting Agency Fees: Column (A) - Total = $334288; Column (B) - Program Services = $193606; Column (C) - Management & General = $140682; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Public Relations: Column (A) - Total = $147467; Column (B) - Program Services = $103451; Column (C) - Management & General = $44016; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Professional Fees: Column (A) - Total = $1034051; Column (B) - Program Services = $969147; Column (C) - Management & General = $64904; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Printing and Publications: Column (A) - Total = $329297; Column (B) - Program Services = $320549; Column (C) - Management & General = $4956; Column (D) - Fundraising = $3792	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Postage and Shipping: Column (A) - Total = $939205; Column (B) - Program Services = $891495; Column (C) - Management & General = $47710; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Personal Vehicle Mileage: Column (A) - Total = $778587; Column (B) - Program Services = $712036; Column (C) - Management & General = $66551; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Patient Surveys: Column (A) - Total = $237162; Column (B) - Program Services = $185834; Column (C) - Management & General = $51328; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Patient Outside Activity: Column (A) - Total = $2541; Column (B) - Program Services = $2541; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Nourishments: Column (A) - Total = $841722; Column (B) - Program Services = $742897; Column (C) - Management & General = $98825; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Miscellaneous: Column (A) - Total = $37457; Column (B) - Program Services = $-41053; Column (C) - Management & General = $78510; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Minor Equipment: Column (A) - Total = $2280567; Column (B) - Program Services = $2229556; Column (C) - Management & General = $51011; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Micro Filming: Column (A) - Total = $703573; Column (B) - Program Services = $703573; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Medical Transcription: Column (A) - Total = $82812; Column (B) - Program Services = $82812; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Management Fees: Column (A) - Total = $1523482; Column (B) - Program Services = $1456616; Column (C) - Management & General = $66866; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Maintenance General Hospital: Column (A) - Total = $899823; Column (B) - Program Services = $888877; Column (C) - Management & General = $10946; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Lost Patient Items Replacement: Column (A) - Total = $12151; Column (B) - Program Services = $11881; Column (C) - Management & General = $270; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Licenses: Column (A) - Total = $521148; Column (B) - Program Services = $469114; Column (C) - Management & General = $52034; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Library Expense: Column (A) - Total = $58323; Column (B) - Program Services = $58323; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Laundry/Linen Service: Column (A) - Total = $1337371; Column (B) - Program Services = $1337371; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Laundry: Column (A) - Total = $48780; Column (B) - Program Services = $48737; Column (C) - Management & General = $43; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Late Run Penalties: Column (A) - Total = $90157; Column (B) - Program Services = $89464; Column (C) - Management & General = $693; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Landscaping: Column (A) - Total = $474098; Column (B) - Program Services = $467299; Column (C) - Management & General = $6799; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Infectious/Hazardous Waste: Column (A) - Total = $197986; Column (B) - Program Services = $197986; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Housekeeping: Column (A) - Total = $1818005; Column (B) - Program Services = $1812491; Column (C) - Management & General = $5514; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Helicopter Lease: Column (A) - Total = $3260364; Column (B) - Program Services = $3260364; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Hazmat Disposal: Column (A) - Total = $3209; Column (B) - Program Services = $3209; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Faciliity Rental: Column (A) - Total = $0; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Equipment Rental: Column (A) - Total = $6141617; Column (B) - Program Services = $6037333; Column (C) - Management & General = $104284; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	EMS Ambulance Expense: Column (A) - Total = $3189224; Column (B) - Program Services = $3189224; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Employee Physicals/Injuries: Column (A) - Total = $6806; Column (B) - Program Services = $6806; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	EE Activities: Column (A) - Total = $24774; Column (B) - Program Services = $24774; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Educational Instructors: Column (A) - Total = $30087; Column (B) - Program Services = $30087; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Dues and Subscription: Column (A) - Total = $980754; Column (B) - Program Services = $450480; Column (C) - Management & General = $530274; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Drug Testing Awareness: Column (A) - Total = $23757; Column (B) - Program Services = $23757; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Contract/Outside Maintenance: Column (A) - Total = $10344757; Column (B) - Program Services = $10235885; Column (C) - Management & General = $108872; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Contract Labor: Column (A) - Total = $9638265; Column (B) - Program Services = $9636849; Column (C) - Management & General = $1416; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Consulting Fees: Column (A) - Total = $2580805; Column (B) - Program Services = $1846559; Column (C) - Management & General = $734246; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Collection Fees: Column (A) - Total = $3465580; Column (B) - Program Services = $3465580; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Classified Advertising: Column (A) - Total = $89959; Column (B) - Program Services = $80701; Column (C) - Management & General = $9258; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Claims Expense: Column (A) - Total = $12512194; Column (B) - Program Services = $12512194; Column (C) - Management & General = $0; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Biomed Service: Column (A) - Total = $2506464; Column (B) - Program Services = $2505945; Column (C) - Management & General = $519; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Bank Charges: Column (A) - Total = $490109; Column (B) - Program Services = $489926; Column (C) - Management & General = $183; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Auto Lease: Column (A) - Total = $447704; Column (B) - Program Services = $439814; Column (C) - Management & General = $7890; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Auto Expense/Fuel/Oil/Diesel: Column (A) - Total = $717125; Column (B) - Program Services = $710720; Column (C) - Management & General = $6405; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part IX, Line 24e: Other Expenses	Administrative Expenses: Column (A) - Total = $24277; Column (B) - Program Services = $0; Column (C) - Management & General = $24277; Column (D) - Fundraising = $0	Form 990, Part IX, Line 24e
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The organization's governing documents, conflict of interest policy and financial statements are provided upon request.	Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Compensation for other officers and key employees are reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors.	Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The organization has a written conflict of interest policy for all employees, officers and trustees. Annually all officers, key employees and trustees are required to complete a conflict of interest form disclosing any actual or potential conflict of interest with the organization. Should any transaction arise that may create a conflict, the transaction is reviewed and appropriate measures are taken.	Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review Process	The return is prepared by our staff accountant and is reviewed by senior management. It is then presented to the board for their review and comments. The final return is provided to the board prior to filing.	Form 990, Part VI, Line 11
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	ETMC Regional Healthcare System is the parent and sole member of the ETMC System affiliates and appoints certain members to the board.	Form 990, Part VI, Line 6
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	The following members of ETMC Regional Healthcare System are also board members / key employees of entities affiliated with ETMC Regional Healthcare System: Elmer G. Ellis, Byron Hale, B.G. Hartley, Larry Durrett, Ron Donaldson, M.D., Stephen Rydzak, M.D., Wade Ridley, James Wynne, Freddie Sanchez, Mike Gray, Mike Thomas and Paula Anthony.	Form 990, Part VI, Line 2
Form 990, Part III, Line 4d : Other Program Services Description	OTHER PROGRAM SERVICES 4: ETMC Air One has 3 air ambulances. OTHER PROGRAM SERVICES 5: ETMC Tyler has a Behavioral Health Center that provides inpatient and outpatient mental health services. OTHER PROGRAM SERVICES 6: The ETMC Rehabilitation Hospital has 49 licensed beds. It provides inpatient and outpatient services including physical, occupational and speech therapies, cardiac and pulmonary rehabilitation. ETMC Rehabilitation also offers preventive and health enhancement services. OTHER PROGRAM SERVICES 7: The ETMC Specialty Hospital is a long-term, acute hospital licensed for 36 beds. The hospital is dedicated to acute care for the medically complex patient. Specialized programs include ventilator care, complex multi-system medical, CVA/stroke, trauma, oncology and wound care. OTHER PROGRAM SERVICES 8: ETMC Home Services provides non-hospital health care services. OTHER PROGRAM SERVICES 9: ETMC Cancer Institute operates a free standing radiation cancer center and provides comprehensive cancer care with programs encompassing diagnostics services, medical and radiation, oncology, surgery and support programs. ETMC Cancer Institute is accredited by the American College of Surgeons as a comprehensive community cancer program. OTHER PROGRAM SERVICES 10: East Texas Medical Center Regional Healthcare System Self Insurance Trust provides self insurance coverage for the East Texas Medical Center Regional Healthcare System entities. OTHER PROGRAM SERVICES 11: ETMC Foundation supports the System and affiliate hospitals as well as the charitable companies affiliated with the System. This includes providing financial assistance to the System, raising, managing and distributing of charitable funds and gifts, providing educational programs on medical and health matters and providing for the regional development of healthcare and medical treatment of illnesses, physical and mental disabilities. OTHER PROGRAM SERVICES 12: FirstNet Exchange provides physicians electronic access to medical records.	Form 990, Part III, Line 4d

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
FirstNet Exchange
1000 S Beckham Avenue	Tyler	TX	75701	451436671	Health Services	TX	501 (c)(3)	Exempt	ETMCRHS	false
ETMC - Quitman
PO Box 1000	Quitman	TX	75783	752766160	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Pittsburg
414 Quitman Street	Pittsburg	TX	75686	751919624	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Trinity
PO Box 471	Trinity	TX	75862	752715898	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Mount Vernon
PO Box 477	Mount Vernon	TX	75457	752250730	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Jacksonville
501 South Ragsdale	Jacksonville	TX	75766	752715084	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Henderson
300 Wilson Street	Henderson	TX	75652	264123728	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Gilmer
712 North Wood	Gilmer	TX	75644	200079162	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Fairfield
125 Newman Street	Fairfield	TX	75840	752753454	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Crockett
1100 Loop 304 East	Crockett	TX	75835	752602621	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Clarksville
PO Drawer 1270	Clarksville	TX	75426	752638020	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Carthage
409 Cottage Road	Carthage	TX	75633	752735077	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Athens
2000 S Palestine	Athens	TX	75751	751854562	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Healthcare Associates
1000 S Beckham Avenue	Tyler	TX	75701	752605821	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Foundation
1000 S Beckham Avenue	Tyler	TX	75701	752695524	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Specialty Hospital
1000 S Beckham Avenue	Tyler	TX	75701	752547158	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC Reg Healthcare Sys Self Ins Trust
1000 S Beckham Avenue	Tyler	TX	75701	756345356	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Home Services
1000 S Beckham Avenue	Tyler	TX	75701	752503960	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Rehabilitation Hospital
701 Olympic Plaza Circle	Tyler	TX	75701	752599215	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC - Cancer Institute
1000 S Beckham Avenue	Tyler	TX	75701	751803329	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	true
ETMC - Tyler
1000 S Beckham Avenue	Tyler	TX	75701	751803325	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	true
First Choice Cooperative
1000 S Beckham Avenue	Tyler	TX	75701	752627236	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false
ETMC Regional Healthcare SystemETMCRHS
1000 S Beckham	Tyler	TX	75701	751803327	Health Service	TX	501 (C)(3)	Exempt	ETMCRHS	false

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ETMC Regional Health Services Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1000 South Beckham Avenue	AddressLine1
City	Tyler	City
State	TX	State
ZIP Code	75701	ZIPCode

Field	Value	IRS element (for citing)
EIN	751925036	EIN
Primary Activity	Health Services	PrimaryActivity
Legal Domicile State	TX	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ETMCRHS	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C Corp	TypeOfEntity
Share Of Total Income	162356987	ShareOfTotalIncome
Share Of EOY Assets	64726439	ShareOfEOYAssets

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ETMC Regional Healthcare SystemETMCRHS
p	3923017	FMV
ETMC Regional Healthcare SystemETMCRHS
o	45234590	FMV
ETMC Regional Healthcare SystemETMCRHS
j	16804306	FMV