METHODIST CHILDRENS HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- METHODIST CHILDRENS HOSPITAL (EIN 75-2428911)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-14
- IRS object ID
- 201241359349306764
- Schema version
- 2010v3.7
- 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 D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-14T18:51:55-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 MAIN STREET SUITE 1100 | AddressLine1 |
| City | FORT WORTH | City |
| State | TX | State |
| ZIP Code | 76102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752428911 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST CHILDREN'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | METH | NameControl |
| Phone | 8067251011 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3610 21ST STREET | AddressLine1 |
| City | LUBBOCK | City |
| State | TX | State |
| ZIP Code | 794101218 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEANNA ADLER | Name |
| Title | CONTROLLER | Title |
| Date Signed | 2012-05-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8173351900 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT CHILDREN'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN GRIGSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3615 19TH STREET | AddressLine1 |
| City | LUBBOCK | City |
| State | TX | State |
| ZIP Code | 794101203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 75482748 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COVENANTHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 278 | TotalNbrEmployees |
| Total Nbr Volunteers | 18 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 263721 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 73211409 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 75188788 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 37001 | InvestmentIncomePriorYear |
| Investment Income Current Year | 30239 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 73248410 | TotalRevenuePriorYear |
| Total Revenue Current Year | 75482748 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16848078 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 25391727 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 44530757 | OtherExpensePriorYear |
| Other Expenses Current Year | 28842197 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 61378835 | TotalExpensesPriorYear |
| Total Expenses Current Year | 54233924 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 11869575 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 21248824 | RevenuesLessExpensesCY |
| Total Assets BOY | 20865314 | TotalAssetsBOY |
| Total Assets EOY | 42512444 | TotalAssetsEOY |
| Total Liabilities BOY | 1663474 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1965284 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19201840 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 40547160 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 52269943 | Expense |
| Grants | 0 | Grants |
| Revenue | 75188788 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 52269943 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 18 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 278 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SHARON CLARK | NamePerson |
| Telephone Number | 8067255234 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2107 OXFORD | AddressLine1 |
| City | LUBBOCK | City |
| State | TX | State |
| ZIP Code | 79410 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (32 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 |
|---|---|---|---|---|---|---|---|---|---|
| JOHN C ANDERSON | |||||||||
| BOARD MEMBER/COMMITTEE CHAIR | 3.0 | X | 0 | 0 | 0 | ||||
| SUZANNE BLAKE | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| TODD BRODBECK DO | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| JOE DEE BROOKS | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| MONSIGNOR DAVID CRUZ | |||||||||
| BOARD MEMBER/COMMITTEE CHAIR | 3.0 | X | 0 | 0 | 0 | ||||
| MICHAEL DANCHAK MD | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 18219 | 0 | ||||
| SAM HAWTHORNE | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| BRENT HOFFMAN | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| VAN MAY | |||||||||
| BOARD MEMBER/VICE CHAIR | 3.0 | X | 0 | 0 | 0 | X | |||
| JUAN SANCHEZ MUNOZ PHD | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| RICHARD PARKS | |||||||||
| BOARD MEMBER/PRESIDENT/CEO | 20.0 | X | 0 | 576684 | 8649 | X | |||
| DAN POPE | |||||||||
| BOARD MEMBER/CHAIR | 5.0 | X | 0 | 0 | 0 | X | |||
| JANIE RAMIREZ | |||||||||
| BOARD MEMBER/COMMITTEE CHAIR | 3.0 | X | 0 | 0 | 0 | ||||
| MICHAEL ROBERTSON MD | |||||||||
| BOARD MEMBER/COMMITTEE CHAIR | 3.0 | X | 0 | 34500 | 0 | ||||
| SISTER SUZANNE SASSUS CSJ | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| SISTER MARY THERESE SWEENEY CSJ | |||||||||
| BOARD MEMBER/COMMITTEE CHAIR | 3.0 | X | 0 | 0 | 0 | ||||
| TEB THAMES MD | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| JOHN ZWIACHER | |||||||||
| BOARD MEMBER/SECRETARY | 3.0 | X | 0 | 0 | 0 | X | |||
| NAIDU CHEKURU MD | |||||||||
| BOARD MEMBER (UNTIL 12/31/10) | 2.0 | X | 0 | 34000 | 0 | ||||
| MARK JOHNSON MD | |||||||||
| BOARD MEMBER (UNTIL 12/31/10) | 2.0 | X | 0 | 79000 | 0 | ||||
| JOE RANDOLPH | |||||||||
| BOARD MEMBER (UNTIL 6/30/11) | 2.0 | X | 0 | 1290925 | 50729 | ||||
| DAVID SEIM | |||||||||
| BOARD MEMBER (UNTIL 12/31/10) | 2.0 | X | 0 | 0 | 0 | ||||
| JAMES E HARRELL MD | |||||||||
| BOARD MEMBER (UNTIL 12/31/10) | 2.0 | X | 0 | 608208 | 19655 | ||||
| JOHN GRIGSON | |||||||||
| SVP-CFO | 12.0 | 0 | 566076 | 26856 | X | ||||
| TROY THIBODEAUX | |||||||||
| COO | 20.0 | 0 | 0 | 0 | X | ||||
| ROXIE TAYLOR | |||||||||
| VP ADMIN LAKESIDE & JACC | 20.0 | 0 | 452288 | 24596 | X | ||||
| KACI HILL | |||||||||
| CLINICAL PHARMACIST | 50.0 | 126672 | 0 | 13373 | X | ||||
| DONNA NEEL | |||||||||
| MGR NURSING | 50.0 | 122706 | 0 | 33112 | X | ||||
| KAREN BRODBECK | |||||||||
| CLINICAL PHARMACIST | 50.0 | 122298 | 0 | 29730 | X | ||||
| AUBREY BRIDGES | |||||||||
| STAFF RN II | 36.0 | 118124 | 0 | 18095 | X | ||||
| LINDA DURBIN | |||||||||
| STAFF RN IV | 32.0 | 114023 | 0 | 18904 | X | ||||
| MELINDA CLARK | |||||||||
| PRESIDENT/CEO (PAST) | 0.0 | 0 | 367265 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 603823 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4027165 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 243699 | TotalOtherCompensation |
| Number Individuals GT100 K | 10 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TTUHSC | |||||
| 3601 4TH STREET | LUBBOCK | TX | 79430 | PHYSICIAN SERVICES | 436806 |
| NEONATAL INTENSIVE CARE ASSOC PA | |||||
| 26 BRENTWOOD CIRCLE | LUBBOCK | TX | 79407 | PHYSICIAN SERVICES | 341600 |
| NURSEFINDERS | |||||
| PO BOX 910738 | DALLAS | TX | 753910738 | NURSING SERVICES | 162745 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 263721 | RelatedOrganizations |
| Total Contributions | 263721 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT CARE SERVICES | 622110 | 75110507 | 75110507 |
| CAFETERIA | 722210 | 53389 | 53389 |
| ALL OTHER PROGRAM SERVICE REVENUE | 900099 | 24892 | 24892 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 75188788 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30239 | TotalRevenueColumn |
| Exclusion | $30,239 | 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 | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 75482748 | TotalRevenueColumn |
| Related Or Exempt Function Income | 75188788 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $30,239 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152028 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 152028 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17481116 | Total |
| Program Services | 16751252 | ProgramServices |
| Management And General | 729864 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 618037 | Total |
| Program Services | 618037 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5698893 | Total |
| Program Services | 5659418 | ProgramServices |
| Management And General | 39475 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1441653 | Total |
| Program Services | 1358855 | ProgramServices |
| Management And General | 82798 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57258 | Total |
| Program Services | 57258 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16715 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 16715 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22073 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 22073 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
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 |
| Fundraising | 0 | Fundraising |
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 | 14178874 | Total |
| Program Services | 13593184 | ProgramServices |
| Management And General | 585690 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179541 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 179541 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9038856 | Total |
| Program Services | 8933245 | ProgramServices |
| Management And General | 105611 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223706 | Total |
| Program Services | 221600 | ProgramServices |
| Management And General | 2106 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 583250 | Total |
| Program Services | 578915 | ProgramServices |
| Management And General | 4335 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37925 | Total |
| Program Services | 11390 | ProgramServices |
| Management And General | 26535 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10195 | Total |
| Program Services | 6503 | ProgramServices |
| Management And General | 3692 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 571630 | Total |
| Program Services | 571630 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3630623 | Total |
| Program Services | 3630623 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 267068 | Total |
| Program Services | 267068 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ALL OTHER EXPENSES | Description |
| Total | 24483 | Total |
| Program Services | 10965 | ProgramServices |
| Management And General | 13518 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54233924 | Total |
| Program Services | 52269943 | ProgramServices |
| Management And General | 1963981 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 209606 | BOY |
| EOY | 413716 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5974486 | BOY |
| EOY | 9329735 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10895142 | BOY |
| EOY | 12007191 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115070 | BOY |
| EOY | 107133 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5293506 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3008702 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2442054 | BOY |
| EOY | 2284804 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1228956 | BOY |
| EOY | 18369865 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20865314 | BOY |
| EOY | 42512444 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1626686 | BOY |
| EOY | 1697141 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36788 | BOY |
| EOY | 268143 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1663474 | BOY |
| EOY | 1965284 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19201840 | BOY |
| EOY | 40547160 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19201840 | BOY |
| EOY | 40547160 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20865314 | BOY |
| EOY | 42512444 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 21248824 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 96496 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 271583 | OtherCostOrOtherBasis |
| Depreciation | 90061 | Depreciation |
| Book Value | 181522 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4975855 | OtherCostOrOtherBasis |
| Depreciation | 2918641 | Depreciation |
| Book Value | 2057214 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 46068 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 46068 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2284804 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE FROM AFFILIATES | Description |
| Book Value | 18369865 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 18369865 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO THIRD-PARTIES | Description |
| Amount | $268,143 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 268143 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | CONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740) | Identifier |
| Return Reference | SCHEDULE D, PART X, LINE 2 | ReturnReference |
| Explanation | ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2011 OR 2010. | Explanation |
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 |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 175. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| 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 | 1235883 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1235883 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02280 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31610813 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 30495989 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1114824 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02060 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32846696 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 30495989 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2350707 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04340 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6841 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6841 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6841 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6841 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32853537 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 30495989 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2357548 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04340 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7324 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 7324 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7324 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 7324 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $4,539,782 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 0 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 0 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 0 | 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 | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST CHILDREN'S HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3610 21ST STREET | AddressLine1 |
| City | LUBBOCK | City |
| State | TX | State |
| ZIP Code | 794101218 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Childrens Hospital | X | ChildrensHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST CHILDREN'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| SCHEDULE H, PART I, LINE 6A: | COVENANT HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES COVENANT CHILDREN'S HOSPITAL. | |
| SCHEDULE H, PART I, LINE 7: | THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO, WHICH WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. | |
| SCHEDULE H, PART II: | COMMUNITY BUILDING ACTIVITIES | |
| SCHEDULE H, PART III, LINE 4: | THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. COLLECTION ACTIONS ARE NOT PURSUED ON THESE ACCOUNTS ONCE THEY ARE RECLASSIFIED AS FINANCIAL ASSISTANCE. THERE IS NO OTHER AMOUNT OF BAD DEBT THAT SHOULD BE REPORTED AS FINANCIAL ASSISTANCE. FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO. SELF PAY DISCOUNTS AND DISCOUNTS FOR PROMPT PAY ARE NOT RECORDED AS BAD DEBT, BUT ARE RECORDED AS A DEDUCTION FROM REVENUE INCLUDED IN CONTRACTUAL ALLOWANCES. | |
| SCHEDULE H, PART III, LINE 9B: | COVENANT CHILDREN'S HOSPITAL PATIENT ACCOUNTS ARE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MAKES A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMS AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIES FOR CHARITY CARE. ACCOUNTS FOR PATIENTS WHO QUALIFY FOR CHARITY CARE ARE WRITTEN OFF AND COLLECTION EFFORTS ARE NOT PURSUED. | |
| SCHEDULE H, PART VI, LINE 2: | A NEEDS ASSESSMENT IS COMPILED EVERY THREE YEARS WHICH DETAILS OVERARCHING HEALTHCARE CONCERNS FOR TEXAS IN GENERAL AS WELL AS MANY DETAILS AFFECTING THE LUBBOCK COMMUNITY BENEFIT SERVICE AREA IN PARTICULAR. SOME OF THE OTHER SOURCES USED FOR COVENANT'S NEEDS ASSESSMENT INCLUDE: ST. JOSEPH HEALTH SYSTEM'S PRC DATA ASSESSMENT, THE UNITED WAY COMMUNITY STATUS REPORT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES DATA. THE PROCESS USED FOR THE PRIORITIZATION OF THE PROGRAMS WAS DETERMINED BY GENERAL CONSENSUS. ALL ASSESSMENTS USED FOR THIS PLAN, PRIMARY AND SECONDARY DATA THAT WAS ANALYZED, INDIVIDUAL MEETINGS WITH GROUPS OF STAKEHOLDERS, AND MEMBERS OF THE COMMUNITY BENEFIT COMMITTEE ALL CONFIRMED THE PROGRAMS WHICH ARE PRIORITIZED FOR THIS PLAN. THE COMMUNITY BENEFIT COMMITTEE, WHICH IS COMPOSED OF FIVE COVENANT BOARD MEMBERS AND FIVE COMMUNITY MEMBERS, BRINGS A HISTORY OF WORK WITHIN THE COMMUNITIES WE SERVE. THE FIVE BOARD MEMBERS HAVE A BROAD OVERVIEW OF THE CORE AND SECONDARY SERVICE AREAS; THE COMMUNITY MEMBERS UNDERSTAND THE DEMOGRAPHICS AND SPECIFIC NEEDS, PARTICULARLY IN THE LUBBOCK AREA. BY HEAVILY RELYING ON THE EXPERTISE OF THESE TEN MEMBERS, PRIORITIZATION OF THE PROGRAM WAS FINALIZED. | NEEDS ASSESSMENT |
| SCHEDULE H, PART VI, LINE 3: | THE ORGANIZATION POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES ARE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES ARE ALSO POSTED AT LOCATIONS WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT CAN OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATE LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS ARE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND ARE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT-SPONSORED PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE. | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE |
| SCHEDULE H, PART VI, LINE 4: | COVENANT IS THE ONLY SJHS MINISTRY PROVIDING SERVICES TO COMMUNITIES IN TWO STATES. COVENANT PROVIDES SERVICES IN NEW MEXICO AND DRAWS PATIENTS FROM NEW MEXICO COMMUNITIES INTO LUBBOCK. THE CIRCUMSTANCES OF THESE COMMUNITY MEMBERS PROFOUNDLY IMPACT THE ORGANIZATION AND THE SERVICES IT PROVIDES. COVENANT HEALTH SYSTEM'S COMMUNITY BENEFIT PRIORITIES ADDRESS DUHN POPULATIONS WITHIN BOTH CORE SERVICE AREAS AND SECONDARY SERVICE AREAS FOR COMMUNITY RESIDENTS WHO ARE FACED WITH MULTIPLE HEALTH PROBLEMS AND HAVE LIMITED ACCESS TO TIMELY, HIGH-QUALITY HEALTH CARE. CORE SERVICE AREAS INCLUDE THE TEXAS COUNTIES OF LUBBOCK, BAILEY, LAMB, HALE, FLOYD, MOTLEY, COCHRAN, HOCKLEY, CROSBY, DICKENS, YOAKUM, TERRY, LYNN, GARZA, KENT, GAINES, DAWSON, BORDEN, SCURRY, AND EDDY COUNTY IN NEW MEXICO. ESPECIALLY WITHIN LUBBOCK, FOUR NEIGHBORHOODS, ARNETT-BENSON, HARWELL, PARKWAY-CHERRY POINT AND DUNBAR-MANHATTAN HEIGHTS, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUA'S). SECONDARY SERVICE AREAS INCLUDE PARMER, CASTRO, AND KING COUNTIES IN TEXAS. LUBBOCK, THE LARGEST CITY WITHIN THE CORE AND SECONDARY SERVICE AREAS, IS LOCATED ON THE SOUTH PLAINS OF TEXAS AND HAS A POPULATION OF 204,737 AND A COUNTY (LUBBOCK COUNTY) POPULATION OF 250,446, ACCORDING TO THE 2003 ESTIMATES OF THE U.S. CENSUS. LUBBOCK SERVES AS A MAJOR MEDICAL CENTER FOR THE ENTIRE SOUTH PLAINS OF TEXAS AND EASTERN NEW MEXICO REGION, CARING FOR PEOPLE WITHIN A 57-COUNTY, 80,000 SQUARE MILE RADIUS OF THE CITY. THE POPULATION OF COVENANT HEALTH SYSTEM'S CORE SERVICE AREA IS EXPECTED TO INCREASE. WHILE ONLY MODEST INCREASES ARE EXPECTED, THEY ARE WELCOMED, AS PREVIOUS ASSESSMENTS INDICATED A SLIGHT LOSS OF POPULATION FOR MOST OF OUR PRIMARY SERVICE AREAS. IT IS IMPORTANT TO FIRST MENTION SOME OF THE HEALTH CHARACTERISTICS OF TEXAS WHICH ALSO AFFECT THE LUBBOCK AREA. TEXAS HAS THE FIFTH HIGHEST POVERTY RATE AMONG THE STATES; ONE IN SIX TEXANS IS CONSIDERED POOR. TEXAS HAS THE EIGHTH HIGHEST RATE OF SENIOR CITIZENS LIVING IN POVERTY. ONE HALF OF CHILDREN IN TEXAS LIVE IN POVERTY OR ARE ECONOMICALLY DISADVANTAGED. TEXAS CONTINUES TO BE A LOW-WAGE, LOW-BENEFIT STATE. WITH THAT SAID, TEXAS HAS A CRISIS IN COVERAGE. THE ECONOMIC, EDUCATIONAL, CULTURAL, AND SOCIAL STRENGTH OF TEXAS DEPENDS UPON THE HEALTH OF ITS CITIZENS; ALARMINGLY, ABOUT 24% OF ITS POPULATION IS WITHOUT INSURANCE - THE HIGHEST IN THE NATION. THE INCREASING NUMBER OF UNINSURED PATIENTS PLACES AN EXTRAORDINARY ECONOMIC AND SERVICE BURDEN UPON HEALTHCARE PROVIDERS, HOSPITALS, AND THE COMMUNITIES THAT FUND THE HEALTHCARE SERVICES. THE OVERALL HEALTH STATUS OF TEXANS IS POOR IN COMPARISON WITH OTHER STATES AND LIKELY TO DECLINE FURTHER WITHOUT INTERVENTION. THE INCREASING NUMBER OF INDIVIDUALS WITHOUT INSURANCE OR ADEQUATE COVERAGE IS A SIGNIFICANT AND CONTINUING CONCERN FOR THE COUNTRY AND A MAJOR POLICY CHALLENGE FOR TEXAS. A MILLION UNINSURED TEXANS DO NOT RECEIVE ADEQUATE CARE FOR CHRONIC DISEASES AND 2,500 DIE PREMATURELY EACH YEAR. STUDIES INDICATE THE UNINSURED ARE LESS LIKELY TO SEEK PREVENTATIVE AND SCREENING SERVICES THAT MINIMIZE MORE COSTLY SERVICES LATER. 5.6 MILLION TEXANS ARE CONTINUOUSLY WITHOUT MEDICAL INSURANCE THROUGHOUT THE YEAR; 8.5 MILLION GO WITHOUT INSURANCE AT SOME POINT IN THE YEAR. MEDICAL EXPENSES ARE THE SINGLE LARGEST REASON FOR PERSONAL BANKRUPTCIES AMONG TEXANS. LUBBOCK, TX, ESPECIALLY WITHIN SERVICE AREAS, ALSO FACES ECONOMIC AND HEALTHCARE CHALLENGES. BECAUSE OF ITS DIVERSE ECONOMY, WHICH IS GROUNDED IN AGRICULTURE, MANUFACTURING, AND TRADE, THERE IS A SIGNIFICANT MIGRATION OF BOTH PERMANENT AND TEMPORARY DWELLERS INTO THE AREA. IT IS A YOUTHFUL POPULATION WITH A MEDIAN AGE OF 31 COMPARED TO THE STATE MEDIAN OF 33.2, WHICH IS PARTIALLY DRIVEN BY THE UNIVERSITIES' PRESENCE IN THE REGION. HOWEVER, THE REMAINING COMMUNITIES COVENANT CARES FOR WITHIN THE CORE AND SECONDARY SERVICE AREAS HAVE A DISPROPORTIONATE NUMBER OF PEOPLE WHO ARE BOTH BELOW THE FEDERAL POVERTY LEVEL AND WHO ARE ABOVE THE AGE OF 65 AND ARE IN NEED OF GREATER ACCESS TO HEALTHCARE. MANY OF THESE COMMUNITIES ARE MEDICALLY UNDERSERVED AREAS (MUA'S) OR PERSISTENT POVERTY AREAS (PPA'S) OR BOTH. SPECIFICALLY FOCUSING ON THE STATISTICS FOR THE ECONOMIC CHARACTERISTICS OF THE LUBBOCK AREA, THE MOST RECENT INDICATORS, FROM THE UNITED WAY'S 2008 COMMUNITY STATUS REPORT, SHOW THAT THE PERCENTAGE OF CHILDREN LIVING IN POVERTY IN LUBBOCK COUNTY IS 22.4% WHICH IS A 7% DECREASE FROM THE PREVIOUS YEAR AND 21% ABOVE THE US AVERAGE. THE PERCENTAGE OF ADULTS LIVING IN POVERTY IS 18% WHICH IS A 1.7% INCREASE FROM THE PREVIOUS YEAR AND 55% ABOVE THE US AVERAGE. THE PERCENTAGE OF INDIVIDUALS WITHOUT HEALTH INSURANCE IS 24.8% COMPARED TO 23.9% FOR TEXAS IN GENERAL AND 15.1% FOR THE U.S. AVERAGE. IT IS CLEAR THAT COVENANT'S SERVICE TO DUHN POPULATIONS IN ADDRESSING HEALTHCARE CHALLENGES IS PRIMARILY FOCUSED ON ACCESS TO TIMELY, HIGH QUALITY HEALTHCARE. BOTH THE CORE AND SECONDARY SERVICE AREAS FACE MULTIPLE HEALTH PROBLEMS WHICH RANGE FROM CANCER TO UNHEALTHY LIVING HABITS. THE CANCER RATE FOR COVENANT (INCLUDING VARIOUS TYPES OF CANCER) IS ABOUT 921/100,000. THE DIABETES PREVALENCE FOR COVENANT'S SERVICE REGIONS IS 11.47% COMPARED TO THE NATIONAL AVERAGE OF 7.5%. WITH REGARD TO HYPERTENSION, COVENANT SERVICE REGIONS REPORT 34.99% COMPARED TO THE NATIONAL AVERAGE OF 25.5%. IN ADDRESSING THE RATES OF UNHEALTHY LIVING, 15.6% OF LUBBOCK COUNTY RESIDENTS ARE SMOKERS AND 12.9% HAVE PARTICIPATED IN BINGE DRINKING IN THE PAST MONTH. 71.8% OF LUBBOCK COUNTY'S ADULTS ARE OVERWEIGHT OR OBESE, AND 20.5% OF THE OVERWEIGHT OR OBESE ARE CHILDREN. THE HISPANIC POPULATION IS CLOSE TO 30%, NEARLY TWICE THE NATIONAL AVERAGE. ACCORDING TO THE UNITED WAY'S COMMUNITY PLANNING MODEL 2008: LUBBOCK COMMUNITY STATUS REPORT; BY 2040, IT IS PROJECTED THAT HISPANICS WILL BE AT LEAST ONE HALF OF ALL AGE GROUPS YOUNGER THAN 65, AND ABOUT TWO THIRDS OF ALL AGE GROUPS YOUNGER THAN 40. ALTHOUGH ANGLOS COMPRISED 63% OF LUBBOCK COUNTY'S POPULATION IN 2000 (WHICH ALSO REPRESENTS THE SURROUNDING COUNTIES' DEMOGRAPHICS), IT IS ESTIMATED THAT THEY WILL BE 50% OF THE POPULATION IN 2020 AND ONLY 42.8% OF THE POPULATION IN 2030. | COMMUNITY INFORMATION |
| SCHEDULE H, PART VI, LINE 5: | THE GOVERNING BODY IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS. THE SUB-COMMITTEE OF THE BOARD OF TRUSTEES, KNOWN AS THE COMMUNITY BENEFIT COMMITTEE, OVERSEES THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN EVERY THREE YEARS, AS WELL AS AN ANNUAL COMMUNITY BENEFIT REPORT. THE COMMITTEE ALSO PROVIDES GENERAL DIRECTION TO COVENANT CHILDREN'S HOSPITAL REGARDING: 1) BUDGETING DECISIONS, 2) COMMUNITY BENEFIT PROGRAM CONTENT, 3) COMMUNITY BENEFIT PROGRAM DESIGN, 4) TARGET GEOGRAPHIC/POPULATION, 5) PROGRAM CONTINUATION OR DISCONTINUATION, 6) FUND DEVELOPMENT SUPPORT, AND 7) COMMUNITY-WIDE ENGAGEMENT. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. GIVING BACK TO THE COMMUNITY IS INTEGRATED INTO EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH SYSTEM, WE PROVIDE FREE AND DISCOUNTED CARE VIA OUR FINANCIAL ASSISTANCE PROGRAM AND HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY COVENANT CHILDREN'S HOSPITAL, AS A MINISTRY OF ST. JOSEPH HEALTH SYSTEM, HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. ON AN ANNUAL BASIS, TEN PERCENT OF OUR NET INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR (CARE FOR THE POOR FUNDS). SPECIFICALLY, FUNDS ARE USED FOR OUTREACH PROGRAMS, DEFINED AS THOSE SERVICES THAT ADDRESS A SPECIFIC UNMET HEALTH NEED AND ARE SEPARATE FROM TRADITIONAL ACUTE CARE SERVICES. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET INCOME TO COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR VIA CARE FOR THE POOR FUNDS, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS. DURING THE PAST YEAR, COVENANT CHILDREN'S HOSPITAL DEDICATED $364,498 IN CARE FOR THE POOR FUNDS AND $125,000 TO HEALTHY COMMUNITIES AND COMMUNITY HEALTH INITIATIVES. THIS FUNDING CONTRIBUTED TO THE FOLLOWING COVENANT HEALTH SYSTEM PROGRAMS: HEALTH & NUTRITION EDUCATION, CHILDREN'S DENTAL, AND COVENANT BODY MIND INITIATIVE. | PROMOTION OF COMMUNITY HEALTH |
| SCHEDULE H, PART VI, LINE 6: | COVENANT CHILDREN'S HOSPITAL IS A HEALING MINISTRY OF ST. JOSEPH HEALTH SYSTEM, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH SYSTEM CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FREE CARE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES A PROCESS THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION FUNDS PROGRAMS THAT EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH SYSTEM: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE. | AFFILIATED HEALTH CARE SYSTEM |
| SCHEDULE H, PART VI, LINE 7: | TEXAS MINISTRIES REPORT TO STATE OF TEXAS DEPARTMENT OF STATE HEALTH SERVICES IN ACCORDANCE WITH THE TEXAS HEALTH AND SAFETY CODE - SECTION 311.045. | STATE FILING OF COMMUNITY BENEFIT REPORT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MELINDA CLARK | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 367265 | 0 | 0 | 0 | 0 | 0 | 367265 | 0 | 0 |
| RICHARD PARKS | |||||||||||||
| 0 | 378190 | 0 | 97587 | 0 | 100907 | 0 | 0 | 0 | 8649 | 0 | 585333 | 0 | 0 |
| ROXIE TAYLOR | |||||||||||||
| 0 | 250890 | 0 | 82300 | 0 | 119098 | 0 | 19557 | 0 | 5039 | 0 | 476884 | 0 | 0 |
| DONNA NEEL | |||||||||||||
| 117676 | 0 | 5000 | 0 | 30 | 0 | 14428 | 0 | 18684 | 0 | 155818 | 0 | 0 | 0 |
| KAREN BRODBECK | |||||||||||||
| 115441 | 0 | 6802 | 0 | 55 | 0 | 5445 | 0 | 24285 | 0 | 152028 | 0 | 0 | 0 |
| JOHN GRIGSON | |||||||||||||
| 0 | 346128 | 0 | 115291 | 0 | 104657 | 0 | 9766 | 0 | 17090 | 0 | 592932 | 0 | 0 |
| JOE RANDOLPH | |||||||||||||
| 0 | 710258 | 0 | 241550 | 0 | 339117 | 0 | 22031 | 0 | 28698 | 0 | 1341654 | 0 | 0 |
| JAMES E HARRELL MD | |||||||||||||
| 0 | 597082 | 0 | 2709 | 0 | 8417 | 0 | 8000 | 0 | 11655 | 0 | 627863 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL COMPENSATION INFORMATION | SCHEDULE J, PART I, LINE 1A | ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL FOR CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. COMPANION TRAVEL IS AN ESSENTIAL PART OF THE TRUSTEE CONFERENCE. THE FOLLOWING TRUSTEES RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. MARK JOHNSON - $375 JAMES HARRELL - $292 BRENT HOFFMAN - $375 JANIE RAMIREZ - $375 MICHAEL ROBERTSON - $342 DAVID SEIM - $428 JOHN ZWIACHER - $358 EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. |
| SCHEDULE J, PART I, LINE 3 | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O FORM 990, PART VI, LINE 15A AND 15B FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM. | |
| SCHEDULE J, PART I, LINE 4A | - MELINDA CLARK RECEIVED $367,265 OF SEVERANCE PAID THROUGH ST. JOSEPH HEALTH SYSTEM. | |
| SCHEDULE J, PART I, LINE 7 | A PORTION OF THE EXECUTIVE'S SALARY IS PLACED "AT-RISK" AND IS NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Karen Brodbeck | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Wife of Dir Todd Brodbeck | Relationship |
| Amount Of Transaction | 152028 | AmountOfTransaction |
| Description Of Transaction | Compensation for services | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION STATEMENT | FORM 990, PART I, LINE 1 & PART III, LINE 1 | AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, COVENANT CHILDREN'S HOSPITAL IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | THREE MISSION OUTCOMES COVENANT HEALTH SYSTEM IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1. EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER. THE GOAL OF SACRED ENCOUNTER HAS A DIRECT CONNECTION TO THE OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. COVENANT COMMUNITY HEALTH OUTREACH'S HEALTH AND NUTRITION EDUCATION PROGRAM IS LEAD BY REGISTERED DIETITIAN, JULIE CRANE. AS PART OF THE PROGRAM, JULIE VISITS THE LUBBOCK CHILDREN'S HEALTH CLINIC TO SEE CHILDREN AND YOUTH IN NEED OF HEALTH AND NUTRITION EDUCATION. AT BOTH THE LUBBOCK CHILDREN'S HEALTH CLINIC AND THROUGHOUT THE REST OF THE COMMUNITY, SHE SEES A LARGE NUMBER OF CHILDREN STRUGGLING WITH BODY IMAGE CONCERNS, OBESITY, AND POTENTIAL AND CURRENT DIABETES PROBLEMS. JULIE REFLECTS ON HOW ONE OF HER FEMALE PATIENTS STRUGGLED TO GET CONTROL OF HER DIETARY HABITS IN ORDER TO LOSE WEIGHT AND LIVE A HEALTHIER LIFESTYLE: "I REMEMBER ONE PARTICULAR TEENAGE PATIENT WHO HAD BEEN TRYING SO HARD TO LOSE WEIGHT, BUT THE WEIGHT JUST WAS NOT COMING OFF. BY THE TIME SHE CAME TO ME THROUGH THE HEALTH AND NUTRITION EDUCATION PROGRAM, SHE WAS VERY FRUSTRATED ABOUT HER INABILITY TO DROP TO A HEALTHIER WEIGHT RANGE. DURING OUR TIME TOGETHER, SHE BECAME BETTER EDUCATED ON SOME VERY BASIC DIET AND EXERCISE CONCEPTS. WE WORKED ON BUILDING HER CONFIDENCE ABOUT HOW TO BETTER TRANSFORM HER HABITS, AND SHE WAS ABLE TO SLOWLY MAKE POSITIVE CHANGES IN HER LIFE. AT ONE OF HER FOLLOW-UP APPOINTMENTS THREE MONTHS LATER, SHE HAD LOST ALMOST 10 POUNDS! SHE WAS SO THRILLED AND THANKFUL FOR THE EDUCATION SHE RECEIVED IN ORDER TO LIVE A HEALTHIER, HAPPIER, AND FULLER LIFE. TO BE ABLE TO GUIDE HER THROUGH HER LIFESTYLE TRANSFORMATION AND SEE HER HAPPINESS AND CONFIDENCE BLOSSOM WAS TRULY A WONDERFUL EXPERIENCE THAT I WILL NEVER FORGET." 2. ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENT'S EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. DENTAL ENCOUNTERS WERE CONTINUED THROUGHOUT FY 11 IN BOTH THE LUBBOCK, TEXAS AREA AND THE ARTESIA, NEW MEXICO AREA. AT EACH VISIT, THE DENTAL STAFF DISCUSSES THE PROCEDURES PERFORMED DURING THE VISIT WITH THE PATIENT AND THE PARENTS/GUARDIANS, OFTEN REVIEWING WITH THEM PROGRESS COMPLETED WITHIN THE DENTAL PLAN. EACH VISIT INCLUDES REMINDERS ABOUT THE IMPORTANCE OF GOOD ORAL HYGIENE BETWEEN VISITS. IN FY 11, THERE WERE 78 NEW PATIENTS AND 1,077 PATIENT ENCOUNTERS AT THE TEXAS CLINIC, AND 210 NEW PATIENTS AND 2,004 PATIENT ENCOUNTERS AT THE NEW MEXICO CLINIC. THE TOTAL NUMBER OF NEW PATIENTS AT BOTH CHILDREN'S DENTAL CLINICS WAS 288 AND TOTAL PATIENT ENCOUNTERS WERE 3,081 FOR FY 11. THE PARENTS/GUARDIANS OF EACH NEW PATIENT MEET WITH THE DENTIST AND DISCUSS A COMPREHENSIVE DENTAL PLAN FOR THE CHILD'S DENTAL HEALTH. 3. THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION. WE SEEK TO DEVELOP COMMUNITY HEALTH INITIATIVES THAT IMPACT LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. TEXAS TECH UNIVERSITY (TTU) CENTER FOR PREVENTION AND RESILIENCY (CPR) FOCUSED ON PROGRAM DELIVERY AND COMMUNITY ENHANCEMENT ACTIVITIES AT THE TALKINGTON SCHOOL FOR YOUNG WOMEN LEADERS AND OL SLATON MIDDLE SCHOOL, BOTH IN THE LUBBOCK INDEPENDENT SCHOOL DISTRICT, AND CHRIST THE KING CATHEDRAL SCHOOL. THE COVENANT BMI AGAIN SPONSORED THE FIT4FUN KID'S TRIATHLON, PARTNERING WITH TEXAS TECH UNIVERSITY, AS A COMMUNITY OUTREACH ACTIVITY. THERE WERE 140 PARTICIPANTS AGES 7-14. FOLLOWING THE TRIATHLON, CBMI SPONSORED THE TEXAS TECH LEISURE POOL FOR THE ATHLETES AND THEIR FAMILIES TO ENJOY TIME TOGETHER, THIS INVOLVED APPROXIMATELY 250 PEOPLE. WE ALSO PARTICIPATED IN THE JUNIOR LEAGUE SPONSORED HEALTHY KIDS CAMP IN JUNE. WE PRESENTED LESSONS AND ACTIVITIES FOR 30 GIRLS. OUR ENHANCEMENTS CONTINUE TO BE, 6TH GRADE: THE INNER BEAUTY PAGEANT, FOCUSING ON THE PERSON THE STUDENT IS ON THE INSIDE, AND BE YOUR OWN TOP CHEF, TEACHING ABOUT HEALTHY SNACKS AND ACTUALLY MAKING A HEALTHY SNACK, 7TH GRADE: WEFIT, AT THE TEXAS TECH REC CENTER, AND NEW IN 2011 IS ROOTS TO RISE. THIS ENHANCEMENT RELATES TO OUR IDENTITY AND BELONGING LESSONS, HELPING THE STUDENTS REALIZE THAT THERE ARE PEOPLE WHO THEY CAN IDENTIFY WITH AND GROUPS THEY BELONG TO THAT THEY MIGHT NOT HAVE BEEN AWARE OF, AND 8TH GRADE: LIVESAFE, WHICH TEACHES FIRST AID FOR CHOKING AND SELF DEFENSE, AND EXPRESS YOURSELF, AN ENHANCEMENT THAT ENCOURAGES STUDENTS TO EXPRESS THEMSELVES THROUGH WRITING AND ART. INITIATIVE OR PROGRAM NAME: NURSING AND RADIOLOGY STUDENTS KEY COMMUNITY PARTNERS: TEXAS TECH HEALTH SCIENCES CENTER (TTUHSC), SOUTH PLAINS COLLEGE, LUBBOCK CHRISTIAN UNIVERSITY TARGET POPULATION: PATIENTS IN THE HOSPITAL GOAL: TO ALLOW NURSING, RADIOLOGY, AND SURGICAL TECHNICIAN STUDENTS FROM COVENANT, SOUTH PLAINS COLLEGE, TTUHSC AND LUBBOCK CHRISTIAN UNIVERSITY TO FULFILL THEIR CLINICAL ROTATION HOURS UNDER THE SUPERVISION OF CHS NURSES, RADIOLOGY TECHNICIANS, AND SURGICAL TECHNICIANS. HOW WILL WE MEASURE SUCCESS?: NURSING AND RADIOLOGY STUDENTS WITH HANDS ON EXPERIENCE; AND THE KNOWLEDGE TO CREATE COMPETENT REGISTERED NURSES, RADIOLOGY TECHS AND SURGICAL TECHS. FY 11 ACCOMPLISHMENTS: THIS PROGRAM REPORTED $1,833,059 A DECREASE OF 35.9% FROM FY 2010. INITIATIVE OR PROGRAM NAME: ALLIED HEALTH STUDENTS TARGET POPULATION: PATIENTS IN THE HOSPITAL GOAL: TO ALLOW HEALTH STUDENTS IN THE FIELDS OF FOOD AND NUTRITION, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY TO FULFILL THEIR CLINICAL ROTATION HOURS UNDER THE SUPERVISION OF CHS ALLIED HEALTH PROFESSIONALS. HOW WILL WE MEASURE SUCCESS?: INCREASED NUMBER OF HEALTHCARE PROFESSIONALS IN THE SOUTH PLAINS AREA; ALLIED HEALTH STUDENTS WITH HANDS-ON EXPERIENCE AND KNOWLEDGE TO CREATE COMPETENT HEALTHCARE PROFESSIONALS. FY 11 ACCOMPLISHMENTS: THIS PROGRAM REPORTED $351,573 A DECREASE OF 19.7% FROM FY 2010. INITIATIVE OR PROGRAM NAME: KECC COMMUNITY RESOURCE CENTER TARGET POPULATION: ANY COMMUNITY MEMBERS OR HEALTHCARE PROFESSIONAL WHO RECEIVE HEALTH-RELATED EDUCATION GOAL: TO PROVIDE THE COMMUNITY AND SURROUNDING AREAS ACCESS TO HEALTH-RELATED EDUCATION RESOURCES AND TRAINING TO PROMOTE RECOVERY AND GOOD HEALTH. HOW WILL WE MEASURE SUCCESS?: BY BECOMING THE FIRST PLACE THAT THE COMMUNITY OF LUBBOCK AND SURROUNDING AREA TURNS TO FOR UP-TO-DATE INFORMATION ON HEALTH EDUCATION TO IMPROVE THE LIVES OF PATIENTS, THEIR FAMILIES, AND THE COMMUNITY. FY 11 ACCOMPLISHMENTS: THIS PROGRAM REPORTED $1,208,975 AND REMAINED THE SAME FROM FY 2010. NAME OF INITIATIVE OR PROGRAM: HEALTH AND NUTRITION EDUCATION THE DIABETES MANAGEMENT EDUCATION CLASS IS A GROWING HEALTH EDUCATION PROGRAM. THE FREE CLASS IS COORDINATED AND TAUGHT BY OUR STAFF NUTRITIONIST, AND IS OFFERED FOR THOSE IN THE COMMUNITY WHO HAVE BEEN RECENTLY DIAGNOSED WITH DIABETES. THE COURSE CONTENT INCLUDES OVERALL TOPICS AND VIDEOS ON DIABETES, NUTRITION, DIET, EXERCISE, AND PREVENTION, WITH SPECIALIZED TOPICS ON HYPOGLYCEMIA AND HYPERGLYCEMIA, MEAL PLANNING, ALCOHOL, DEPRESSION, FOOD LABELS, CARBOHYDRATES, DINING OUT, AND SICK-DAY MANAGEMENT. PARTICIPANTS COME TO FOUR SESSIONS OVER A 4-WEEK PERIOD AND RECEIVE A FREE GLUCOMETER AFTER ATTENDING THREE CLASSES IN ORDER TO HELP THEM KEEP TRACK OF THEIR BLOOD SUGAR. |
| IN FY2011, THE HEALTH EDUCATION PROGRAM HAD 294 INDIVIDUAL PATIENT | ENCOUNTERS, 396 ENCOUNTERS IN THE SCHOOL SETTING, AND HAD 96 PATIENTS COMPLETE THE FULL DIABETES EDUCATION PROGRAM. THROUGH THE DIABETES MANAGEMENT EDUCATION CLASS, PATIENTS GET SHOWN THE IMPORTANCE OF DIET AND NUTRITION AS A COMPONENT OF THEIR OWN AND THEIR FAMILY'S DIABETIC HEALTH. THE HEALTH EDUCATION PROGRAM STAFF DISTRIBUTED FLIERS AND POSTERS TO LOCAL AGENCIES TO MARKET THE FREE DIABETES MANAGEMENT EDUCATION PROGRAM. IN ADDITION TO MAINTAINING RELATIONSHIPS WITH EXISTING REFERRAL SOURCES, HEALTH EDUCATION PROGRAM STAFF MADE 12 NEW CONTACTS WITH POTENTIAL REFERRAL SOURCES, MAKING INTRODUCTIONS, PROVIDING INFORMATION ABOUT HEP PROGRAMS AND DISTRIBUTING EDUCATIONAL AND INFORMATIVE MATERIALS TO EACH. THANK YOU NOTES WERE ALSO SENT TO 16 REFERRAL SOURCES. THROUGH HEP'S DIABETES EDUCATION CLASSES, PATIENTS REPORTED A TOTAL 14 REFERRAL SOURCES REFERRED TO OUR PROGRAM. PRESENT EDUCATIONAL INFORMATION ON BASIC NUTRITION, EXERCISE AND DIABETES PREVENTION TO THE STUDENTS OF THE ADULT EDUCATION PROGRAM AT THE LUBBOCK INDEPENDENT SCHOOL DISTRICT'S DOROTHY LOMAX CENTER: THREE EDUCATIONAL PRESENTATIONS ON BASIC NUTRITION, EXERCISE AND DIABETES PREVENTION WERE PROVIDED TO A TOTAL OF 68 STUDENTS OF THE ADULT EDUCATION PROGRAM AT LUBBOCK INDEPENDENT SCHOOL DISTRICT'S DOROTHY LOMAX CENTER. A PRE- AND POST-TEST WERE ADMINISTERED TO THE STUDENTS TO MEASURE THEIR KNOWLEDGE OF BASIC NUTRITION, EXERCISE, AND DIABETES PREVENTION. SCORES RESULTED IN AN AVERAGE PRE-TEST SCORE OF 85% AND AN AVERAGE POST-TEST SCORE OF 94%. NAME OF INITIATIVE OR PROGRAM: COMMUNITY OUTREACH CHILDREN'S DENTAL CLINICS DENTAL ENCOUNTERS WERE CONTINUED THROUGHOUT FY 11 IN BOTH THE LUBBOCK, TEXAS AREA AND THE ARTESIA, NEW MEXICO AREA. AT EACH VISIT, THE DENTAL STAFF DISCUSSES THE PROCEDURES PERFORMED DURING THE VISIT WITH THE PATIENT AND THE PARENTS/GUARDIANS, OFTEN REVIEWING WITH THEM PROGRESS COMPLETED WITHIN THE DENTAL PLAN. EACH VISIT INCLUDES REMINDERS ABOUT THE IMPORTANCE OF GOOD ORAL HYGIENE BETWEEN VISITS. IN FY 11, THERE WERE 78 NEW PATIENTS AND 1,077 PATIENT ENCOUNTERS AT THE TEXAS CLINIC, AND 210 NEW PATIENTS AND 2,004 PATIENT ENCOUNTERS AT THE NEW MEXICO CLINIC. THE TOTAL NUMBER OF NEW PATIENTS AT BOTH CHILDREN'S DENTAL CLINICS WAS 288 AND TOTAL PATIENT ENCOUNTERS WERE 3,081 FOR FY 11. THE PARENTS/GUARDIANS OF EACH NEW PATIENT MEET WITH THE DENTIST AND DISCUSS A COMPREHENSIVE DENTAL PLAN FOR THE CHILD'S DENTAL HEALTH. WE PLAN TO CONTINUE EFFORTS TO PROVIDE AND EXPLAIN COMPREHENSIVE DENTAL PLANS TO EACH NEW PATIENT AND PATIENT FAMILY/GUARDIAN. THE TEXAS CLINIC CONTINUES TO CULTIVATE A RELATIONSHIP WITH THE COMBEST CENTER, BUCKNER'S CHILDREN'S HOME, AND LUBBOCK CHILDREN'S HOME. WE HAVE WORKED TO ESTABLISH COLLABORATIONS WITH SEVERAL COMMUNITY HEALTH PROVIDERS THIS YEAR AND HAVE ALSO STRENGTHENED OUR RELATIONSHIP WITH COVENANT MEDICAL GROUP AND THE COVENANT ADULT EMERGENCY DEPARTMENT. IN ADDITION TO COMMUNITY PROVIDERS AND COVENANT PROVIDERS, THE MEDICAID PROVIDER WEBSITE ALSO SERVES AS A REFERRAL SOURCE FOR OUR CLINIC. IN ORDER TO REACH PATIENTS AND TO PROVIDE CONTINUITY OF CARE FOR OUR CURRENT PATIENTS WE STARTED THE APPLICATION PROCESS TO BECOME A CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) PROVIDER. WE BEGAN THE FRAMEWORK TO MOVE TOWARD A FAMILY DENTISTRY MODEL BY CREATING AN EMERGENCY DENTAL CLINIC FOR BOTH CHILDREN AND ADULTS. NAME OF INITIATIVE OR PROGRAM: COVENANT BODY MIND INITIATIVE TEXAS TECH UNIVERSITY (TTU) CENTER FOR PREVENTION AND RESILIENCY (CPR) FOCUSED ON PROGRAM DELIVERY AND COMMUNITY ENHANCEMENT ACTIVITIES AT THE TALKINGTON SCHOOL FOR YOUNG WOMEN LEADERS AND OL SLATON MIDDLE SCHOOL, BOTH IN THE LUBBOCK INDEPENDENT SCHOOL DISTRICT, AND CHRIST THE KING CATHEDRAL SCHOOL. IN ACCORDANCE WITH OUR STATEWIDE INITIATIVE, THE FORT WORTH YOUNG WOMEN'S LEADERSHIP ACADEMY IS ALSO RECEIVING THE COVENANT BODYMIND INITIATIVE (BMI) CURRICULUM. THE IRMA RANGEL MIDDLE SCHOOL IN THE DALLAS INDEPENDENT SCHOOL DISTRICT CONTINUED TO BE THE CONTROL SCHOOL FOR THE 2010-2011 SCHOOL YEAR. THEY WILL BEGIN RECEIVING THE CURRICULUM IN THE FALL OF 2011, AS WILL THE HOUSTON YOUNG WOMEN'S COLLEGE PREPARATORY ACADEMY. THE COVENANT BMI AGAIN SPONSORED THE FIT4FUN KID'S TRIATHLON, PARTNERING WITH TEXAS TECH UNIVERSITY, AS A COMMUNITY OUTREACH ACTIVITY. THERE WERE 140 PARTICIPANTS AGES 7-14. FOLLOWING THE TRIATHLON, CBMI SPONSORED THE TEXAS TECH LEISURE POOL FOR THE ATHLETES AND THEIR FAMILIES TO ENJOY TIME TOGETHER, THIS INVOLVED APPROXIMATELY 250 PEOPLE. WE ALSO PARTICIPATED IN THE JUNIOR LEAGUE SPONSORED HEALTHY KIDS CAMP IN JUNE. WE PRESENTED LESSONS AND ACTIVITIES FOR 30 GIRLS. OUR ENHANCEMENTS CONTINUE TO BE, 6TH GRADE: THE INNER BEAUTY PAGEANT, FOCUSING ON THE PERSON THE STUDENT IS ON THE INSIDE, AND BE YOUR OWN TOP CHEF, TEACHING ABOUT HEALTHY SNACKS AND ACTUALLY MAKING A HEALTHY SNACK, 7TH GRADE: WEFIT, AT THE TEXAS TECH REC CENTER, AND NEW IN 2011 IS ROOTS TO RISE. THIS ENHANCEMENT RELATES TO OUR IDENTITY AND BELONGING LESSONS, HELPING THE STUDENTS REALIZE THAT THERE ARE PEOPLE WHO THEY CAN IDENTIFY WITH AND GROUPS THEY BELONG TO THAT THEY MIGHT NOT HAVE BEEN AWARE OF, AND 8TH GRADE: LIVESAFE, WHICH TEACHES FIRST AID FOR CHOKING AND SELF DEFENSE, AND EXPRESS YOURSELF, AN ENHANCEMENT THAT ENCOURAGES STUDENTS TO EXPRESS THEMSELVES THROUGH WRITING AND ART. WE CONTINUE TO TRY AND INVOLVE THE PARENTS IN OUR PROGRAM. WE SEND OUT A QUARTERLY NEWSLETTER. DONNA CLARK LOVE, A WELL KNOWN AUTHOR AND PRESENTER ON THE TOPIC OF BULLYING, CAME TO LUBBOCK IN JANUARY 2011 AS A JOINT SPONSORSHIP BETWEEN THE COVENANT BMI AND THE FOUNDATION FOR THE EXCELLENCE OF YOUNG WOMEN. THERE WERE 175 COMMUNITY MEMBERS IN ATTENDANCE. OF THOSE 175, ONE THIRD OF THEM WERE PARENTS OF STUDENTS RECEIVING OUR CURRICULUM. THE FIT4FUN FAMILY TIME AT THE LEISURE POOL BROUGHT OUT APPROXIMATELY 250 PEOPLE. ALL OF THE TRIATHLON PARTICIPANTS WERE REQUIRED TO HAVE A PARENT OR GUARDIAN WITH THEM AT THE POOL. OVERALL IMPROVEMENT IN HEALTH AND WELLNESS OF PROJECT PARTICIPANTS WITHIN FIVE YEARS: MEASUREMENT OF PARTICIPANT LEVELS OF DEPRESSION AND SELF-ESTEEM IS BEING TRACKED ANNUALLY BY UTILIZING BECK YOUTH DEPRESSION INVENTORY AND ROSENBERG SELF-ESTEEM INVENTORY. SELF-REPORTS OF PARTICIPANT'S OVERALL ACTIVITY, FITNESS LEVEL, AND NUTRITION IS BEING TRACKED ANNUALLY AND MEASURED BY INSTRUMENTS SUCH AS NUTRITIONIST PRO AND FITNESSGRAM/ACTIVITYGRAM. AND, QUALITATIVE DATA INCLUDING STORIES FROM TEACHERS AND STUDENTS USING AND RECEIVING THE CURRICULUM IS ALSO BEING GATHERED. REDUCTION IN THE PREVALENCE OF CHILDHOOD OBESITY AND WEIGHT-RELATED PROBLEMS IN THE LUBBOCK AREA WITHIN FIVE YEARS: REDUCTION RATES WERE TRACKED ANNUALLY USING BMI ON ALL STUDENTS RECEIVING OUR CURRICULUM. DATA FROM SCHOOL YEAR 2010-2011 HAS BEEN COLLECTED AND ENTERED, BUT RUNNING OF DATA AND ANALYSIS IS STILL IN PROGRESS. RESULTS SHOW US THAT ALMOST HALF OF OUR KIDS REMAINED HEALTHY AND DID NOT GAIN AN UNHEALTHY AMOUNT IF THEY GAINED WEIGHT. ALSO, ALMOST 20% OF THE KIDS IMPROVED THEIR HEALTH AFTER STARTING OUT OVERWEIGHT OR OBESE. THEREFORE, ALMOST 70% OF OUR KIDS IMPROVED OR REMAINED HEALTHY. OF THE 382 STUDENTS WHO PARTICIPATED IN THE BMI PROGRAM OVER THE 2010-2011 ACADEMIC YEAR, 186 STUDENTS (48.69%) REMAINED IN THE HEALTHY RANGE OF LESS THAN THE 85TH PERCENTILE. OF THE 382 STUDENTS WHO PARTICIPATED IN THE BMI PROGRAM OVER THE 2010-2011 ACADEMIC YEAR, 75 STUDENTS (19.63%) WHOSE BMI PERCENTILES WERE EQUAL TO OR GREATER THAN THE 85TH PERCENTILE DECREASED THEIR BMI PERCENTILE TO A DIFFERENT PERCENTILE. THE CBMI EXPANDED OUR CURRICULUM THIS YEAR AND DEVELOPED A COURSE TITLED COMPREHENSIVE WELLNESS. WE APPLIED TO THE TEXAS EDUCATION AGENCY FOR APPROVAL AS AN INNOVATIVE COURSE. WE RECEIVED APPROVAL AT THE END OF FEBRUARY 2011. THIS MEANS THAT OUR COURSE MAY BE OFFERED AS A 9TH GRADE SEMESTER ELECTIVE AND THE STUDENTS WILL RECEIVE CREDIT FOR TAKING COMPREHENSIVE WELLNESS. IT IS THE FIRST COMPREHENSIVE WELLNESS CURRICULUM IN THE STATE OF TEXAS. WE ALSO HAD THE OPPORTUNITY TO PRESENT AT THE NATIONAL WELLNESS CONFERENCE IN JULY 2011. AS A RESULT, INQUIRIES HAVE BEEN MADE FROM PROGRAMS IN THE US AND EVEN OUTSIDE THE US ABOUT OUR CURRICULUM AND WELLNESS PHILOSOPHY. FOR MORE INFORMATION ABOUT COVENANT HEALTH SYSTEM PLEASE VISIT WWW.COVENANTHEALTH.ORG FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJOE.ORG. | |
| BUSINESS AND FAMILY RELATIONSHIPS | FORM 990, PART VI, LINE 2 | NAIDU CHEKURU AND MARK JOHNSON HAVE A BUSINESS RELATIONSHIP. |
| DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, LINE 6 | COVENANT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT CHILDREN'S HOSPITAL. |
| DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS | FORM 990, PART VI, LINE 7A | COVENANT CHILDREN'S HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE COVENANT CHILDREN'S HOSPITAL BOARD. ALL DIRECTORS APPOINTMENTS THAT COME FROM THE COVENANT CHILDREN'S HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY COVENANT HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH SYSTEM, AS THE TAX EXEMPT PARENT OF COVENANT HEALTH SYSTEM, AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. |
| DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS | FORM 990, PART VI, LINE 7B | THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE COVENANT HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. |
| DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 | FORM 990, PART VI, LINE 11B | THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2012 MEETING. DURING THE BOARD FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE BOARD FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | FORM 990, PART VI, LINE 12C | OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION, OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE CONFLICTS & COMPENSATION COMMITTEE OF COVENANT HEALTH SYSTEM. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. |
| PROCESS USED TO DETERMINE COMPENSATION | FORM 990, PART VI, LINES 15A & 15B | THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT AND FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVE IN THE FORM OF BASE SALARY AN ANNUAL INCENTIVE PROGRAM AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET FOUR TIMES A YEAR AND ALL CRITICAL DECISIONS ARE MADE DURING THE WORKLIFE COMMITTEE MEETINGS OR IN EXECUTIVE SESSION. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PREFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN SEPTEMBER 2011. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | FORM 990, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. |
| HOURS DEVOTED TO RELATED ORGANIZATIONS | FORM 990, PART VII | BRENT HOFFMAN SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. DAN POPE SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 5 HOURS PER WEEK TO CHS AND 5 HOURS PER WEEK TO CCH. DAVID SEIM SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. JAMES E. HARRELL, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE IS ALSO AN EMPLOYEE OF COVENANT MEDICAL GROUP (CMG), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH AND 46 HOURS PER WEEK TO CMG. JANIE RAMIREZ SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). SHE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH. JOE DEE BROOKS SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS), COVENANT CHILDREN'S HOSPITAL (CCH) AND COVENANT HOSPITAL LEVELLAND (CHL). HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH, AND 5 HOURS PER WEEK TO CHL. JOE RANDOLPH SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE IS ALSO AN EMPLOYEE OF ST. JOSEPH HEALTH SYSTEM (SJHS), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH AND 46 HOURS PER WEEK TO SJHS. JOHN C. ANDERSON SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH. JOHN GRIGSON IS THE SVP/CFO FOR COVENANT HEALTH SYSTEM (CHS), COVENANT CHILDREN'S HOSPITAL (CCH) AND IS THE CEO OF COVENANT HEALTH PARTNERS (CHP). HE DEVOTES 26 HOURS PER WEEK TO CHS, 12 HOURS PER WEEK TO CCH, AND 12 HOURS PER WEEK TO CHP. JOHN ZWIACHER SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH. JUAN SANCHEZ MUNOZ, PHD SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. MARK JOHNSON, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE IS ALSO AN EMPLOYEE OF COVENANT MEDICAL GROUP (CMG), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH AND 46 HOURS PER WEEK TO CMG. MICHAEL DANCHAK, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. MICHAEL ROBERTSON, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS), COVENANT CHILDREN'S HOSPITAL (CCH) AND COVENANT HEALTH PARTNERS (CHP). HE DEVOTES 3 HOURS PER WEEK TO CHS, 3 HOURS PER WEEK TO CCH, AND 2 HOURS PER WEEK TO CHP. MONSIGNOR DAVID CRUZ SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH. NAIDU CHEKURU, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE IS ALSO AN EMPLOYEE OF COVENANT MEDICAL GROUP (CMG), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH AND 46 HOURS PER WEEK TO CMG. RICHARD PARKS, PRESIDENT AND CEO OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH) ALSO SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM FOUNDATION (CHSF). HE DEVOTES 35 HOURS PER WEEK TO CHS, 20 HOURS PER WEEK TO CCH AND 2 HOURS PER WEEK TO CHSF. ROXIE TAYLOR IS THE VP OF ADMIN LAKESIDE & JACC OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH) AND ALSO SERVES ON THE BOARD OF DIRECTORS OF HOSPICE OF LUBBOCK (HOL). SHE DEVOTES 28 HOURS PER WEEK TO CHS, 20 HOURS PER WEEK TO CCH AND 2 HOURS PER WEEK TO HOL. SAM HAWTHORNE SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS), COVENANT CHILDREN'S HOSPITAL (CCH) AND COVENANT HEALTH SYSTEM FOUNDATION (CHSF ). HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH, AND 2 HOURS PER WEEK TO CHSF. SISTER MARY THERESE SWEENEY, CSJ SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). SHE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH. SISTER SUZANNE SASSUS, CSJ SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). SHE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. SUZANNE BLAKE SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). SHE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. TEB THAMES, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. TODD BRODBECK, D.O. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. TROY THIBODEAUX IS THE COO OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 30 HOURS PER WEEK TO CHS AND 20 HOURS PER WEEK TO CCH. VAN MAY SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | INTEREST INCOME REPORTED AS NON-OPERATING GAINS (LOSSES) $ 30,239 NON-OPERATING GAINS(LOSSES) $ 90,917 PRIOR YEAR ADJUSTMENT $(24,660) -------- TOTAL $ 96,496 ======== |
| OVERSIGHT OR SELECTION PROCESS | FORM 990, PART XII, LINE 2C | THE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (31 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 |
|---|---|---|---|---|---|---|---|---|---|
| CAMINO HEALTH CENTER | |||||||||
| 30300 CAMINO CAPISTRANO | SAN JUAN CAPISTRANO | CA | 92675 | 330574214 | HEALTHCARE | CA | 501(C)(3) | 7 | MHRMC |
| COVENANT HEALTH PARTNERS | |||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 611573313 | HEALTHCARE | TX | 501(C)(3) | 11, I | CHS |
| COVENANT HEALTH SYSTEM | |||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752765566 | HEALTHCARE | TX | 501(C)(3) | 3 | SJHS |
| COVENANT HEALTH SYSTEM FOUNDATION | |||||||||
| 4000 24TH STREET | LUBBOCK | TX | 79410 | 752897026 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS |
| COVENANT MEDICAL GROUP | |||||||||
| 3420 22ND PLACE | LUBBOCK | TX | 79410 | 752743883 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS |
| HOME CARE PARTNERS | |||||||||
| 1165 MONTGOMERY DR | SANTA ROSA | CA | 95405 | 680318656 | INACTIVE | CA | 501(C)(3) | 3 | SRMH |
| HOSPICE OF LUBBOCK | |||||||||
| 1102 SLIDE ROAD | LUBBOCK | TX | 79414 | 752133781 | HEALTHCARE | TX | 501(C)(3) | 9 | CHS |
| LUBBOCK METHODIST HOSPITAL FOUNDATION | |||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752220963 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS |
| METHODIST HOSPITAL LEVELLAND | |||||||||
| 1900 COLLEGE AVENUE | LEVELLAND | TX | 79336 | 752246348 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS |
| METHODIST HOSPITAL PLAINVIEW | |||||||||
| 2601 DIMMITT ROAD | PLAINVIEW | TX | 79072 | 752426010 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS |
| MISSION HOSPITAL REG MED CTR FDN | |||||||||
| 27700 MEDICAL CENTER ROAD | MISSION VIEJO | CA | 92691 | 330406118 | HEALTHCARE | CA | 501(C)(3) | 7 | MHRMC |
| MISSION HOSPITAL REGIONAL MEDICAL CENTER | |||||||||
| 27700 MEDICAL CENTER ROAD | MISSION VIEJO | CA | 92691 | 951643360 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS |
| QUEEN OF THE VALLEY MEDICAL CENTER | |||||||||
| 1000 TRANCAS STREET | NAPA | CA | 94558 | 941243669 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS |
| REDWOOD MEMORIAL FOUNDATION | |||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 942779313 | FOUNDATION | CA | 501(C)(3) | 7 | RMH |
| REDWOOD MEMORIAL HOSPITAL | |||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 941384665 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS |
| SANTA ROSA MEMORIAL HOSPITAL | |||||||||
| 1165 MONTGOMERY DRIVE | SANTA ROSA | CA | 95405 | 941231005 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS |
| SISTERS OF ST JOSEPH OF ORANGE | |||||||||
| 480 S BATAVIA | ORANGE | CA | 92868 | 951643383 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | NA |
| SRM ALLIANCE HOSPITAL SERVICES | |||||||||
| 400 NORTH MCDOWELL BLVD | PETALUMA | CA | 94954 | 680395200 | HEALTHCARE | CA | 501(C)(3) | 3 | SRMH |
| ST JOSEPH HEALTH FDN OF N CALIFORNIA | |||||||||
| PO BOX 552 | SANTA ROSA | CA | 95405 | 680338070 | INACTIVE | CA | 501(C)(3) | 11, I | SRMH |
| ST JOSEPH HEALTH MINISTRY | |||||||||
| 500 S MAIN STREET SUITE 400 | ORANGE | CA | 92868 | 271666576 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | SSJO |
| ST JOSEPH HEALTH SYSTEM | |||||||||
| 500 S MAIN STREET SUITE 700 | ORANGE | CA | 92868 | 953589356 | HEALTHCARE | CA | 501(C)(3) | 11, I | SJHM |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |||||||||
| 500 S MAIN STREET SUITE 1000 | ORANGE | CA | 92868 | 330143024 | HEALTHCARE | CA | 501(C)(3) | 7 | SJHS |
| ST JOSEPH HOME CARE NETWORK | |||||||||
| 170 PROFESSIONAL CENTER DR B | ROHNERT PARK | CA | 94928 | 680331084 | HEALTHCARE | CA | 501(C)(3) | 9 | SJHS |
| ST JOSEPH HOSPITAL OF EUREKA | |||||||||
| 2700 DOLBEER STREET | EUREKA | CA | 95501 | 941156596 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS |
| ST JOSEPH HOSPITAL OF ORANGE | |||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 951643359 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS |
| ST JUDE HOSPITAL YORBA LINDA | |||||||||
| 279 E IMPERIAL HWY 750 | FULLERTON | CA | 92835 | 330185031 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS |
| ST JUDE HOSPITAL INC | |||||||||
| 101 EAST VALENCIA MESA DRIVE | FULLERTON | CA | 92835 | 951643325 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS |
| ST JUDE MEMORIAL FOUNDATION | |||||||||
| 1440 N HARBOR BLVD 200 | FULLERTON | CA | 92835 | 953607229 | HEALTHCARE | CA | 501(C)(3) | 11, I | SJMC |
| ST MARY MEDICAL CENTER | |||||||||
| 18300 HIGHWAY 18 | APPLE VALLEY | CA | 92307 | 951914489 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS |
| ST MARY OF THE PLAINS HOSPITAL FDN | |||||||||
| 4000 24TH STREET | LUBBOCK | TX | 79410 | 751653181 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS |
| TALLER SAN JOSE | |||||||||
| 801 NORTH BROADWAY | SANTA ANA | CA | 92701 | 593816355 | WORKFORCE DEV | CA | 501(C)(3) | 2 | SSJO |
Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH HLTH SYS HOME HLTH | ||||||||||||||
| SEE PART VII | LUBBOCK | TX | 79410 | 752177401 | HOME HEALTH | CA | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| ST JOSEPH HLTH SYS HOME CARE | ||||||||||||||
| HOME HEALTH | CA | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 | |||||
| METHODIST DIAGNOSTIC IMAGING | ||||||||||||||
| HEALTHCARE SVCS | TX | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 | |||||
| SHA LLC | ||||||||||||||
| HEALTHCARE SVCS | TX | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 | |||||
| LUBBOCK SURGERY CENTER LTD | ||||||||||||||
| HEALTHCARE SVCS | TX | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 | |||||
| COVENANT LONG-TERM CARE LP | ||||||||||||||
| HEALTHCARE SVCS | TX | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 | |||||
| HERITAGE INVESTMENT GROUP | ||||||||||||||
| INVESTMENT | CA | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 | |||||
| MISSION AMBULATORY SURGICENTER | ||||||||||||||
| HEALTHCARE SVCS | CA | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 | |||||
| COMPREHENSIVE IMAGING PARTNERS | ||||||||||||||
| HEALTHCARE SVCS | CA | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 | |||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH PROF SVCS ENTERPRISES INC | ||||||||||||||||
| 500 S MAIN STREET SUITE 700 | ORANGE | CA | 92868 | 330155323 | HEALTHCARE SVCS | CA | NA | C-CORP | 0 | 0 | 0.00000 | |||||
| AMERICAN UNITY GROUP LTD | ||||||||||||||||
| CAPTIVE INSURANCE | NA | C-CORP | 0 | 0 | 0.00000 | 58 PAR-LA-VILLE ROAD | HAMILTON | HX | BD | BD | ||||||
| ALLIANCE PHYSICIAN SERVICES | ||||||||||||||||
| INACTIVE | CA | NA | C-CORP | 0 | 0 | 0.00000 | ||||||||||
| MISSION VIEJO MEDICAL VENTURES | ||||||||||||||||
| 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | 330212905 | HEALTHCARE SVCS | CA | NA | C-CORP | 0 | 0 | 0.00000 | |||||
| MISSION MEDICAL CENTER ASSOCIATION | ||||||||||||||||
| 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | 330201044 | HEALTHCARE SVCS | CA | NA | C-CORP | 0 | 0 | 0.00000 | |||||
| ST JOSEPH YORBA PARK | ||||||||||||||||
| INACTIVE | CA | NA | C-CORP | 0 | 0 | 0.00000 | ||||||||||
| LUBBOCK METHODIST HOSPITAL SERVICES | ||||||||||||||||
| PO BOX 1201 | LUBBOCK | TX | 79410 | 752118585 | HEALTHCARE SVCS | TX | NA | C-CORP | 0 | 0 | 0.00000 | |||||
| LUBBOCK METHODIST HOSPITAL PRACTICE MGMT | ||||||||||||||||
| 2107 OXFORD STREET SUITE 300 | LUBBOCK | TX | 79410 | 752578995 | INACTIVE | TX | NA | C-CORP | 0 | 0 | 0.00000 | |||||
| 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 | true | 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 | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (43 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| COVENANT HEALTH SYSTEM FOUNDATION | |
| C | 263721 |
| CAMINO HEALTH CENTER | |
| 0 | |
| COVENANT HEALTH PARTNERS | |
| 0 | |
| COVENANT MEDICAL GROUP | |
| 0 | |
| HOME CARE PARTNERS | |
| 0 | |
| HOSPICE OF LUBBOCK | |
| 0 | |
| LUBBOCK METHODIST HOSPITAL FOUNDATION | |
| 0 | |
| METHODIST HOSPITAL LEVELLAND | |
| 0 | |
| METHODIST HOSPITAL PLAINVIEW | |
| 0 | |
| MISSION HOSPITAL REG MED CTR FDN | |
| 0 | |
| MISSION HOSPITAL REGIONAL MEDICAL CENTER | |
| 0 | |
| QUEEN OF THE VALLEY MEDICAL CENTER | |
| 0 | |
| REDWOOD MEMORIAL FOUNDATION | |
| 0 | |
| REDWOOD MEMORIAL HOSPITAL | |
| 0 | |
| SANTA ROSA MEMORIAL HOSPITAL | |
| 0 | |
| SRM ALLIANCE HOSPITAL SERVICES | |
| 0 | |
| ST JOSEPH HEALTH FDN OF N CALIFORNIA | |
| 0 | |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |
| 0 | |
| ST JOSEPH HOME CARE NETWORK | |
| 0 | |
| ST JOSEPH HOSPITAL OF EUREKA | |
| 0 | |
| ST JOSEPH HOSPITAL OF ORANGE | |
| 0 | |
| ST JUDE HOSPITAL YORBA LINDA | |
| 0 | |
| ST JUDE HOSPITAL INC | |
| 0 | |
| ST JUDE MEMORIAL FOUNDATION | |
| 0 | |
| ST MARY MEDICAL CENTER | |
| 0 | |
| ST MARY OF THE PLAINS HOSPITAL FOUNDATION | |
| 0 | |
| TALLER SAN JOSE | |
| 0 | |
| ST JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY | |
| 0 | |
| ST JOSEPH HEALTH SYSTEM HOME CARE SERVICES | |
| 0 | |
| METHODIST DIAGNOSTIC IMAGING | |
| 0 | |
| SHA LLC | |
| 0 | |
| LUBBOCK SURGERY CENTER LTD | |
| 0 | |
| COVENANT LONG-TERM CARE LP | |
| 0 | |
| HERITAGE INVESTMENT GROUP I LLC | |
| 0 | |
| MISSION AMBULATORY SURGICENTER LTD | |
| 0 | |
| COMPREHENSIVE IMAGING PARTNERS OF OC LLC | |
| 0 | |
| ST JOSEPH PROF SVCS ENTERPRISES INC | |
| 0 | |
| ALLIANCE PHYSICIAN SERVICES | |
| 0 | |
| MISSION VIEJO MEDICAL VENTURES | |
| 0 | |
| MISSION MEDICAL CENTER ASSOCIATION | |
| 0 | |
| ST JOSEPH YORBA PARK | |
| 0 | |
| LUBBOCK METHODIST HOSPITAL SERVICES | |
| 0 | |
| LUBBOCK METHODIST HOSPITAL PRACTICE MGMT | |
| 0 | |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP | Identifier |
| Return Reference | SCHEDULE R, PART III | ReturnReference |
| Explanation | ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100 ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183 AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET STE. 1000 ORANGE, CA 92868 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE. 362 MISSION VIEJO, CA 92691 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC EIN: 26-4591502 ADDRESS: ONE CITY BOULEVARD WEST, SUITE 1100 ORANGE, CA 92868 | Explanation |
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