CAREFLITE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CAREFLITE (EIN 75-1657155)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-10
IRS object ID
201112229349301706
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-10T17:09:49-04:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRUCE E BERNSTIEN & ASSOC PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110440 N CENTRAL EXPRESSWAY STE 1040AddressLine1
CityDALLASCity
StateTXState
ZIP Code75231ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN751657155EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CAREFLITEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARENameControl
Phone9723394200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13110 s great sw parkwayAddressLine1
Citygrand prairieCity
StateTXState
ZIP Code75052ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namerussell kylerName
Titlevice presidentTitle
Date Signed2011-08-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2147060840Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJIM SWARTZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13110 S GREAT SW PARKWAYAddressLine1
Citygrand prairieCity
StateTXState
ZIP Code75052ZIPCode
FieldValueIRS element (for citing)
Gross Receipts53782540GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.careflite.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission Descriptionair and ground medical transport SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees508TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year148985ContributionsGrantsPriorYear
Contributions Grants Current Year669949ContributionsGrantsCurrentYear
Program Service Revenue Prior Year48915352ProgramServiceRevenuePriorYear
Program Service Revenue CY51780864ProgramServiceRevenueCY
Investment Income Prior Year32142InvestmentIncomePriorYear
Investment Income Current Year59121InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year1259262OtherRevenueCurrentYear
Total Revenue Prior Year49096479TotalRevenuePriorYear
Total Revenue Current Year53769196TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21213078SalariesEtcPriorYear
Salaries Etc Current Year26404300SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year26299540OtherExpensePriorYear
Other Expenses Current Year30337631OtherExpensesCurrentYear
Total Expenses Prior Year47512618TotalExpensesPriorYear
Total Expenses Current Year56741931TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1583861RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2972735RevenuesLessExpensesCY
Total Assets BOY29871588TotalAssetsBOY
Total Assets EOY33305469TotalAssetsEOY
Total Liabilities BOY16176045TotalLiabilitiesBOY
Total Liabilities EOY21601673TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13695543NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11703796NetAssetsOrFundBalancesEOY
Mission DescriptionAIR AND GROUND MEDICAL TRANSPORT SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense34011338Expense
DescriptionTO RESPOND TO HIGHLY CRITICAL CASES OF INJURY AND ILLNESS. OUR BUSINESS IS TO GET TO THE PATIENT AS SOON AS POSSIBLE AND TO PROVIDE THE VERY BEST FIRST RESPONDER AND MEDICAL TRANSPORT CARE. CAREFLITE SERVES AS THE 911 EMERGENCY MEDICAL SERVICE FOR THE NORTH TEXAS AND SOUTHERN OKLAHOMA AREAS. PATIENTS ARE TRANSPORTED BY EITHER HELICOPTER, GROUND AMBULANCE, OR FIXED WING AIFCRAFT.Description
Total Program Service Expense34011338TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees508NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonANNE BECKNamePerson
Telephone Number9723394219TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13110 S GREAT SW PARKWAYAddressLine1
Citygrand prairieCity
StateTXState
ZIP Code75052ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
James Swartz
CEO40.0XX31161900
John Haupert FACHE
Director1.0X000
Gail Maxwell BS RN MS CHE
VICE CHAIRPERSON1.0XX000
Lynn Gipson CPA
SECRETARY1.0XX000
Jay Whitfield
Director1.0X000
Liz McMullen
Director1.0X000
Gary W Floyd MD
Director1.0X000
Lillie Biggins RN BSN MSN
CHAIR PERSON1.0XX000
Michael J Schaefer BS CPA
TREASURER1.0XX000
Elizabeth Asturi RN MSN
Director1.0X000
Oscar L Amparan BBA MHA
Director1.0X000
William Whitman
Director1.0X000
John Baumgartner
Director1.0X000
Raymond Dauphanais
VP40.0X10967700
Karen Jan Cody
VP40.0X12073300
Russell Kyler
VP40.0X15907500
Lisa Kohankie
Air Nurse45.011327400X
Gary Williams
Grd Supv45.010615000X
Paul Nombrana
Air Nurse45.010203500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1022563TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Blue Cross Blue Shield of Texas
PO BOX 660049DALLASTX75266INSURANCE2219858
Lone Star Emergency Vehicles
P O Box 917MIDLOTHIANTX76065Ambulances1491211
Dallas Dodge Chrysler Jeep
11550 Lyndon B Johnson FwyDALLASTX75238Ambulances894640
Airsure Limited
5700 Granite ParkwayPLANOTX75024INSURANCE627480
Diversified Healthcare Services In
PO Box 460036GARLANDTX75046BILLING SERVICES569700
FieldValueIRS element (for citing)
Number Of Contractors GT100 K41NumberOfContractorsGT100K
All Other Contributions669949AllOtherContributions
Total Contributions669949TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE9000995016812650168126
OTHER REVENUE90009916127381612738
FieldValueIRS element (for citing)
Total Program Service Revenue51780864TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7597TotalRevenueColumn
Exclusion$7,957ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other64868Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other13344Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other51524Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column51524TotalRevenueColumn
Related Or Exempt Function Income51524RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionGAIN ON INSURANCE CLAIMDescription
Business Code900099BusinessCode
Total Revenue Column1259262TotalRevenueColumn
Related Or Exempt Function Income1259262RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1259262TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column53769196TotalRevenueColumn
Related Or Exempt Function Income53091650RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,957ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1022563Total
Management And General1022563ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21415766Total
Program Services19263429ProgramServices
Management And General2152337ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total580757Total
Program Services488103ProgramServices
Management And General92654ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1698627Total
Program Services1442269ProgramServices
Management And General256358ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1686587Total
Program Services1468163ProgramServices
Management And General218424ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total642915Total
Program Services235282ProgramServices
Management And General407633ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total402835Total
Management And General402835ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total102681Total
Management And General102681ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19167240Total
Program Services3504295ProgramServices
Management And General15662945ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total335433Total
Program Services2569ProgramServices
Management And General332864ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total905548Total
Program Services506206ProgramServices
Management And General399342ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total411190Total
Program Services155517ProgramServices
Management And General255673ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total471090Total
Program Services356402ProgramServices
Management And General114688ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total216747Total
Program Services173298ProgramServices
Management And General43449ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total321945Total
Program Services200420ProgramServices
Management And General121525ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total560533Total
Management And General560533ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2433346Total
Program Services2132287ProgramServices
Management And General301059ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1965102Total
Program Services1682072ProgramServices
Management And General283030ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BILLING EXP11152541115254
GENERAL & ADMIN EXP873394873394
BILLING EXP302894302894
PURCHASE SERVICES EXP109484109484

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total56741931Total
Program Services34011338ProgramServices
Management And General22730593ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1543252BOY
EOY182020EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY351783BOY
EOY881411EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5830760BOY
EOY7269126EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY532142BOY
EOY521509EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY736332BOY
EOY550693EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis39836003LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16044379LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY20827886BOY
EOY23791624EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY49433BOY
EOY109086EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY29871588BOY
EOY33305469EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7464381BOY
EOY9548900EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8671169BOY
EOY11748936EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY40495BOY
EOY303837EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16176045BOY
EOY21601673EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13695543BOY
EOY11103796EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY600000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13695543BOY
EOY11703796EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29871588BOY
EOY33305469EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 OtherXSupportingOrg509a3Type3Other
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
75104752703truetruetrue$0
BAYLOR UNIVERSITY MEDICAL CENTER
75183745403truetruetrue$0
METHODIST HOSPITALS OF DALLAS
75080066103truetruetrue$0
DALLAS COUNTY HOSPITAL DISTRICT
75166208406truetruetrue$0
TARRANT COUNTY HOSPITAL DISTRICT
75275008606truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1229265OtherCostOrOtherBasis
Depreciation804381Depreciation
Book Value424884BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7659131OtherCostOrOtherBasis
Depreciation5298145Depreciation
Book Value2360986BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis30947607OtherCostOrOtherBasis
Depreciation9941853Depreciation
Book Value21005754BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23791624TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCAPITAL LEASE OBLIGATIONSDescription
Amount$303,837Amount
FieldValueIRS element (for citing)
Total Of Amounts303837TotalOfAmounts
Total Revenue53769196TotalRevenue
Total Expenses56741931TotalExpenses
Excess Or Deficit For Year-2972735ExcessOrDeficitForYear
Excess Or Deficit Per FS-2972735ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt53769196TotRevenueEtcAuditedFinclStmt
Revenue Subtotal53769196RevenueSubtotal
Total Revenue Per Form99053769196TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt56741931TotExpensesEtcAuditedFinclStmt
Expenses Subtotal56741931ExpensesSubtotal
Total Expenses Per Form99056741931TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James Swartz
25971903385001805000000311619000
Russell Kyler
159075000000000159075000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
the organization has members or stockholdersFORM 990, PART VI, LINE 6:The board of director consists of 13 voting members. The president of the company and medical director are nonvoting members of the board.
THE MEMBERS STOCKHOLDERS OR OTHER PERSONS WHO MAY ELECT ONE 0R MORE MEMBERForm 990, Part VI, Line 7A:The organization have members or stockholders, or other persons who may elect one or more members of governing body.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990Form 990, Part VI, Line 11:The 990 is forwarded to the finance committee of the board prior to being filed. It is also reviewed by the auditor who prepared the audited financial statements.
DESCRIBE THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTForm 990, Part VI, Line 12c:The Conflict of Interest statements are required in the annual staff performance review process. Also, annually, board members are required to file conflict of interest statements to the independent auditor as a requirement of the annual audit. Board members are required to recuse themselves from votes where an actual or perceived conflict of interest exists.
the process for determining compensationPART VI, LINEs 15A & 15B:For CEO, each year, Board evaluates CEO. A summary is given and discussed with CEO by board chair. Salary comparisons were reviewed utilizing the most recent Nonprofit Salary and Benefits Survey available for Dallas County. PERFORMANCE OBJECTIVES ARE ESTABLISHED AND EVALUATED ANNUALLY.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICForm 990, Part VI, Line 19:The governning documents, conflict of interest policy, and financial statements are made available to the public upon request.

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