COMMUNITY HOSPITAL OF BRAZOSPORT: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HOSPITAL OF BRAZOSPORT (EIN 74-1385192)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-03
- IRS object ID
- 201133079349300033
- Schema version
- 2010v3.4
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-03T14:08:09-04:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 Post Oak Blvd Ste 3200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 741385192 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Hospital of Brazosport | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 9792851803 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MEDICAL DRIVE | AddressLine1 |
| City | LAKE JACKSON | City |
| State | TX | State |
| ZIP Code | 77566 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAN BUCHE | Name |
| Title | CEO | Title |
| Date Signed | 2011-11-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | M Paige Gerich | Name |
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRAZOSPORT REGIONAL HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Dan Buche | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Medical Drive | AddressLine1 |
| City | Lake Jackson | City |
| State | TX | State |
| ZIP Code | 77566 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 123207694 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | http://www.brhstx.org/ | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1961 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTHCARE SERVICES TO THE PATIENTS AND COMMUNITIES SERVED IN THE LAKE JACKSON, TEXAS AREA WITH EXCELLENCE AND COMPASSION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 647 | TotalNbrEmployees |
| Total Nbr Volunteers | 127 | TotalNbrVolunteers |
| Total Gross UBI | 3947 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 2636 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 330769 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 135000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 92437516 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 92469809 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1627681 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2841922 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 615679 | OtherRevenuePriorYear |
| Other Revenue Current Year | 739739 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 91756283 | TotalRevenuePriorYear |
| Total Revenue Current Year | 96186470 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 124312 | 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 | 34355096 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 33528101 | 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 | 57687709 | OtherExpensePriorYear |
| Other Expenses Current Year | 59474419 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 92167117 | TotalExpensesPriorYear |
| Total Expenses Current Year | 93002520 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -410834 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3183950 | RevenuesLessExpensesCY |
| Total Assets BOY | 88874816 | TotalAssetsBOY |
| Total Assets EOY | 92882222 | TotalAssetsEOY |
| Total Liabilities BOY | 36446295 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 36233602 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 52428521 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 56648620 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE HEALTHCARE SERVICES TO THE PATIENTS AND COMMUNITIES SERVED IN THE LAKE JACKSON, TEXAS AREA WITH EXCELLENCE AND COMPASSION. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 78624080 | Expense |
| Revenue | 92469809 | Revenue |
| Description | PROVIDE VARIOUS HEALTHCARE SERVICES TO THE CITIZENS OF BRAZOSPORT AND THE SURROUNDING BRAZORIA COUNTY AREAS. 6,103 PATIENTS WERE SERVED BY OUR MEDICAL PROFESSIONALS. SPECIALTIES AVAILABLE WERE ALLERGY, ANESTHESIA, CARDIOLOGY, EMERGENCY CARE, OTOLARYNGOLOGY, FAMILY PRACTICE, INTERNAL MEDICINE, NEPHROLOGY, NEUROLOGY, OBSTETRICS/GYNECOLOGY, ONCOLOGY, OPTHALMOLOGY, ORAL SURGERY, ORTHODPEDICS, PATHOLOGY, PEDIATRICS, REHABILITATION, GENERAL SURGERY, AND UROLOGY. | Description |
| Total Program Service Expense | 78624080 | 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 | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 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 | 171 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 647 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| 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 | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | 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 | CHUCK JEFFRESS | NamePerson |
| Telephone Number | 9794152208 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MEDICAL DRIVE | AddressLine1 |
| City | Lake Jackson | City |
| State | TX | State |
| ZIP Code | 77566 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MARY RUTH RHODENBAUGH | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| DR MARK BONNEN | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| BLANCA BUSTOS | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| TOM FOWLER | |||||||
| SECRETARY | 1.0 | X | 0 | 0 | 0 | X | |
| DR FRANK GRADY | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| DR HARVEY RESNICK | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| BROOKS BASS | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| KEN SMITH | |||||||
| TREASURER | 1.0 | X | 0 | 0 | 0 | X | |
| JIM MARTIN | |||||||
| PRESIDENT | 1.0 | X | 0 | 0 | 0 | X | |
| ED SPEED | |||||||
| VICE PRESIDENT | 1.0 | X | 0 | 0 | 0 | X | |
| EVELYN MOORE | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| DAN BUCHE | |||||||
| CEO | 40.0 | 0 | 0 | 0 | X | ||
| CANDICE FONKE | |||||||
| CNO | 40.0 | 131572 | 0 | 0 | X | ||
| CHUCK JEFFRESS | |||||||
| CFO | 40.0 | 0 | 0 | 0 | X | ||
| ALFRED GUEVARA | |||||||
| COO | 40.0 | 246724 | 0 | 16849 | X | ||
| AHMET BULUT | |||||||
| MEDICAL PHYSICIST | 40.0 | 180410 | 0 | 19242 | X | ||
| DANNY TRAN | |||||||
| DOSIMETRIST | 40.0 | 126565 | 0 | 17331 | X | ||
| BRIAN STACKS | |||||||
| PHARMACIST | 40.0 | 123637 | 0 | 552 | X | ||
| CONNIE ASHLEY | |||||||
| HOUSE SUPERVISOR | 40.0 | 113278 | 0 | 6533 | X | ||
| SCOTT BRINER | |||||||
| VP-MARKETING | 40.0 | 124655 | 0 | 15100 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1046841 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 75607 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PATIENT ADVOCACY LTD | |||||
| 1685 H STREET 1072 | BLAINE | WA | 98230 | COLLECTIONS | 426767 |
| 3M HEALTH INFORMATION SYSTEM | |||||
| 575 WEST MURRAY BOULEVARD | MURRAY | UT | 841234611 | PROFESSIONAL SERVICE | 415426 |
| ARAMARK HEALTHCARE FACILITIES | |||||
| JPM LOCKBOX 24863 NETWORK PLACE | CHICAGO | IL | 606731248 | CONTRACT LABOR | 2389052 |
| MEDICAL INFORMATION TECHNOLOGY INC | |||||
| MEDITECH CIRCLE | WESTWOOD | MA | 02090 | SOFTWARE MAINTENANCE | 464843 |
| MILESTONE HEALTHCARE INC | |||||
| 13083 COLLECTIONS CTR DR | CHICAGO | IL | 60693 | CONTRACT LABOR | 928206 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 22 | NumberOfContractorsGT100K |
| Related Organizations | 135000 | RelatedOrganizations |
| Total Contributions | 135000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net Patient Revenue | 621500 | 92413292 | 92409345 | 3947 |
| Other Patient Services | 621500 | 56517 | 56517 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 92469809 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 724923 | TotalRevenueColumn |
| Exclusion | $724,923 | 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 |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 61480 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 61480 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 61480 | TotalRevenueColumn |
| Exclusion | $61,480 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 29131923 | Securities |
| Other | 6300 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 27021224 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2110699 | Securities |
| Other | 6300 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2116999 | TotalRevenueColumn |
| Exclusion | $2,116,999 | ExclusionAmount |
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 |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Cafeteria Sales | 722210 | 369745 | 369745 | |
| Community Education | 611710 | 20322 | 20322 | |
| Rebates | 900099 | 107159 | $107,159 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 181033 | TotalRevenueColumn |
| Exclusion | $181,033 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 678259 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 96186470 | TotalRevenueColumn |
| Related Or Exempt Function Income | 92855929 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3947 | UnrelatedBusinessRevenue |
| Exclusion | $3,191,594 | 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 | 236873 | Total |
| Management And General | 236873 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27320758 | Total |
| Program Services | 22046105 | ProgramServices |
| Management And General | 5274653 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25509 | Total |
| Program Services | 20407 | ProgramServices |
| Management And General | 5102 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3975595 | Total |
| Program Services | 3180476 | ProgramServices |
| Management And General | 795119 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1969366 | Total |
| Program Services | 1575493 | ProgramServices |
| Management And General | 393873 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1515480 | Total |
| Management And General | 1515480 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 408924 | Total |
| Management And General | 408924 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275188 | Total |
| Management And General | 275188 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9454231 | Total |
| Program Services | 7563385 | ProgramServices |
| Management And General | 1890846 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 306609 | Total |
| Program Services | 245287 | ProgramServices |
| Management And General | 61322 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2023522 | Total |
| Program Services | 1581055 | ProgramServices |
| Management And General | 442467 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 708567 | Total |
| Program Services | 2323 | ProgramServices |
| Management And General | 706244 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1546641 | Total |
| Program Services | 1247130 | ProgramServices |
| Management And General | 299511 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164778 | Total |
| Program Services | 79088 | ProgramServices |
| Management And General | 85690 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19400 | Total |
| Management And General | 19400 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1254261 | Total |
| Program Services | 999421 | ProgramServices |
| Management And General | 254840 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4914934 | Total |
| Program Services | 3931947 | ProgramServices |
| Management And General | 982987 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1222371 | Total |
| Program Services | 977897 | ProgramServices |
| Management And General | 244474 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt Expense | 23603546 | 23603546 | |
| Medical Supplies | 9871720 | 9871720 | |
| Equipment Costs | 657088 | 535006 | 122082 |
| Lost Charges | 152687 | 149772 | 2915 |
| Dietary Expenses | 582618 | 477570 | 105048 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 791854 | Total |
| Program Services | 536452 | ProgramServices |
| Management And General | 255402 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93002520 | Total |
| Program Services | 78624080 | ProgramServices |
| Management And General | 14378440 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18314 | BOY |
| EOY | 18636 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4890056 | BOY |
| EOY | 5253501 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13713279 | BOY |
| EOY | 13408095 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9000 | BOY |
| EOY | 9000 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1600221 | BOY |
| EOY | 1628129 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 751344 | BOY |
| EOY | 1657382 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 106645391 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 70015207 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39709330 | BOY |
| EOY | 36630184 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26868491 | BOY |
| EOY | 33052594 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000 | BOY |
| EOY | 1000 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1313781 | BOY |
| EOY | 1223701 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88874816 | BOY |
| EOY | 92882222 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6040663 | BOY |
| EOY | 6199418 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23730814 | BOY |
| EOY | 22579558 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4106406 | BOY |
| EOY | 3769093 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2568412 | BOY |
| EOY | 3685533 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36446295 | BOY |
| EOY | 36233602 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52428521 | BOY |
| EOY | 56648620 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52428521 | BOY |
| EOY | 56648620 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88874816 | BOY |
| EOY | 92882222 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3183950 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1036149 | ReconcilationOtherChanges |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1530296 | OtherCostOrOtherBasis |
| Book Value | 1530296 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39824713 | OtherCostOrOtherBasis |
| Depreciation | 16026127 | Depreciation |
| Book Value | 23798586 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1250918 | OtherCostOrOtherBasis |
| Depreciation | 1091083 | Depreciation |
| Book Value | 159835 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 63189678 | OtherCostOrOtherBasis |
| Depreciation | 52897997 | Depreciation |
| Book Value | 10291681 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 849786 | OtherCostOrOtherBasis |
| Book Value | 849786 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 36630184 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Malpractice Reserve | $2,369,500 |
| ESTIMATED AMOUNTS DUE TO THIRD PARTY PAYERS | $1,316,033 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3685533 | TotalOfAmounts |
| Total Revenue | 96186470 | TotalRevenue |
| Total Expenses | 93002520 | TotalExpenses |
| Excess Or Deficit For Year | 3183950 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1502146 | NetUnrealizedGLOnInvestments |
| Other | $87,825 | OtherAmount |
| Total Adjustments | 1589971 | TotalAdjustments |
| Excess Or Deficit Per FS | 4773921 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 100663616 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1502146 | NetUnrealizedGainsInvestments |
| Other Revenues | 2975000 | OtherRevenues |
| Revenue Not Rptd F990 | 4477146 | RevenueNotRptdF990 |
| Revenue Subtotal | 96186470 | RevenueSubtotal |
| Total Revenue Per Form990 | 96186470 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 95889695 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 2975000 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 2975000 | ExpensesNotRptdF990 |
| Expenses Subtotal | 92914695 | ExpensesSubtotal |
| Other Expenses Not Included | 87825 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 87825 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 93002520 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGE IN NET ASSETS FROM FORM 990 TO FINANCIALS | Sch D, Part XI, LINE 8 | TRANSFERS TO AFFILIATES $87,825 |
| RECONCILIATION OF REVENUE PER AUDITED F/S WITH RETURN | Sch D, Part XII | LINE 2D REVENUE ON BOOKS, NOT ON RETURN: ADJUSTMENT FOR AFFILIATION AGREEMENT CONTRIBUTION $2,975,000 |
| RECONCILIATION OF EXPENSES PER AUDITED F/S WITH RETURN | SCHEDULE D, PART XIII | LINE 2D, EXPENSES ON BOOKS NOT ON RETURN: ADJUSTMENT FOR AFFILIATION AGREEMENT CONTRIBUTION $2,975,000 LINE 4B, EXPENSES ON RETURN NOT ON BOOKS: TRANSFERS TO AFFILIATES $87,825 |
| FIN 48 FOOTNOTE | SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1606152 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1606152 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02310 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4595161 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1189553 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3405608 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04910 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 836221 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 626787 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 836221 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7037534 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1816340 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5847981 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07520 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6822511 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6137601 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 684910 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00990 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37455 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 37455 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6859966 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6137601 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 722365 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01040 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13897500 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7953941 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6570346 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08560 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $6,339,490 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 23450931 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 24317756 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -866825 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| 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 | COMMUNITY HOSPITAL OF BRAZOSPORT | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MEDICAL DRIVE | AddressLine1 |
| City | LAKE JACKSON | City |
| State | TX | State |
| ZIP Code | 77566 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | URGENT CARE CENTER | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPITAL OF BRAZOSPORT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| BAD DEBT EXPENSE | PART III, LINE 4: | THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. BAD DEBT EXPENSE CONSISTS OF THOSE ACCOUNTS WHICH HAVE AGED TO 150 DAYS OLD. AT THIS POINT ACCOUNTS ARE NOT EXPECTED TO BE COLLECTED AND ARE WRITTEN OFF AS BAD DEBT. COST TO CHARGE RATIO FROM COST REPORT APPLIED TO FY 2010 CHARGES WRITTEN OFF TO BAD DEBT. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE HEALTH CARE SERVICES HAVE BEEN PROVIDED TO THE COMMUNITY WITHOUT REIMBURSEMENT TO THE FACILITY. IN EFFECT THESE SERVICES HAVE BEEN PROVIDED FREE OF CHARGE TO THE COMMUNITY. |
| MEDICARE | PART III, LINE 8: | THE HOSPITAL USED MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. |
| COLLECTION PRACTICES | PART III, LINE 9B: | PATIENT ACCOUNTS IN A BAD DEBT POSITION ARE EVALUATED BY THE BUSINESS DEPARTMENT CHARITY SPECIALIST TO DETERMINE IF THE PATIENT QUALIFIES FOR CHARITY CARE TREATMENT. |
| NEEDS ASSESSMENT: | Brazosport Regional Health System conducts a comprehensive environmental analysis, including a physician manpower analysis and meeting with key community stakeholders, as part of the 3 year strategic planning process. The Brazosport Regional Board of Directors analyzes the data from the primary service area to identify specific health care needs for the area residents. | |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: | THE HOSPITAL USES A THIRD PARTY RESOURCE CORPORATION OF AMERICA TO SCREEN ALL SELF PAY ADMISSIONS FOR ASSISTANCE. IF THEY DO NOT QUALIFY, THEY ARE REFERRED TO OUR CHARITY CARE COUNSELOR. ASSISTANCE INFORMATION IS AVAILABLE IN THE HOSPITAL HANDBOOK, ON BRHS WEB SITE, AND ON PATIENT STATEMENTS. | |
| COMMUNITY INFORMATION: | Brazosport Regional Health System serves the southern region of Brazoria County, Texas, with an approximate total population of 130,000 residents. The primary service area includes the towns of Lake Jackson, Clute, Freeport and Brazoria, Texas. The service area is predominantly rural and covers nearly a 30 mile radius from the main campus in Lake Jackson. The percentage of indigent patients is below the statewide average and the average income per household is above the statewide average. The demographic analysis of the population served reveals a predominantly Caucasian-American population (60%), and 25% of the population being Hispanic. The 18-49 age category represents the highest percentage of age distribution for the population served (37.2%) and the 65+ category accounts for approximately 6%. | |
| PROMOTION OF COMMUNITY HEALTH: | Brazosport Regional participates in a number of community building activities that promote the health of the communities the organization serves. Brazosport Regional provides a free monthly community education session, presented by medical providers, that is open to the public and covers a broad range of health related topics, such as Allergies and Asthma, Diabetes, Breast Health and Understanding Epilepsy. Brazosport Regional has also developed and offers numerous support groups that are free for community members, including support groups for Breast Cancer, Diabetes, Stroke, Weight Loss and Mental Illness. Annually, Brazosport Regional provides several community based free screening and immunization clinics, such as a free Flu Shot Clinic that delivers over 1,000 free flu shots over a two day period, a free Prostate Screening Exam for nearly 200 local men, and providing various health screens (blood pressure, blood sugar, and cholesterol) at local community and business events such as the Senior Fest, the Disabilities Expo, the Dow Retiree Reunion and the Clute Festival. The Brazosport Regional Auxiliary also coordinates a community wide blood drive that occurs every two months in the classrooms at Brazosport Regional. Brazosport Regional is a community owned 501c3 that maintains an open medical staff, consisting of approximately 130 physicians and mid level providers. The organization is governed by a 12 member board, comprised of local community members, and actively participates in furthering the health of the community by providing financial support for community activities and civic organizations, providing facilities for free community education, support groups, screenings and immunizations, and reinvesting all surplus funds in the expansion and improvement of medical equipment and facilities for the benefit of the communities served. | |
| PERCENT OF TOTAL EXPENSE | PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE OF $23,603,546 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | 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 | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALFRED GUEVARA | |||||||||||||
| 200958 | 0 | 45766 | 0 | 0 | 0 | 0 | 0 | 16849 | 0 | 263573 | 0 | 0 | 0 |
| AHMET BULUT | |||||||||||||
| 180410 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 19242 | 0 | 199652 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Travel for companions | Identifier |
| Return Reference | Sch J, Part I, Question 1a | ReturnReference |
| Explanation | The organization has a hospital policy regarding travel for an employee's spouse. The purpose of the policy is to identify allowable business expenses and processes associated with spousal travel on business trips on behalf of Brazosport Regional Health System. A form must be completed by the employee when claiming reimbursement for travel costs incurred by the employee's spouse to accompany him/her on a business trip. Reimbursement for spousal travel is allowed only if a bona fide business purpose exists for the employee's spouse to make the trip. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRAZORIA COUNTY HEALTH FACILITIES DEVELOPMENT CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521306936 | IssuerEIN |
| CUSIP Number | 106045CR6 | CUSIPNumber |
| Date Issued | 2004-08-31 | DateIssued |
| Issue Price | 28625115 | IssuePrice |
| Description Of Purpose | Series 2004 hospital revenue bond | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 28625115 | TotalProceeds |
| Amount In Reserve Fund | 2223423 | AmountInReserveFund |
| Refunding Escrow | 10233389 | RefundingEscrow |
| Issuance Costs From Proceeds | 498450 | IssuanceCostsFromProceeds |
| Credit Enhancement | 1145313 | CreditEnhancement |
| Capital Expenditures | 14524541 | CapitalExpenditures |
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | true | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Becky Guevara | |||
| spouse of BRHS officer | 44507 | Salaries/Wages | false |
| Janice Buche | |||
| spouse of BRHS officer | 73046 | Salaries/Wages | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Describe delegation of control over management duties | Form 990, Part VI, Question 3 | THE HOSPITAL IS MANAGED BY QUORUM HEALTH RESOURCES PURSUANT TO A MANAGEMENT AGREEMENT THAT WILL EXPIRE JANUARY 1, 2012. AMOUNTS PAID TO QUORUM HEALTH RESOURCES WERE APPROXIMATELY $434,000 IN 2010 $417,000 IN 2009. DAN BUCHE AND CHUCK JEFFRESS ARE EMPLOYEES OF QHR, UNRELATED ORGANIZATION, AND, UNDER THEIR EMPLOYMENT FOR QHR, THEY SERVE AS THE CEO AND CFO, RESPECTIVELY. QHR PAID COMPENSATION TO DAN BUCHE AND CHUCK JEFFRESS IN THE AMOUNTS OF $318,333 AND $190,000, RESPECTIVELY, FOR 2010. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII, FOR THEM. |
| Describe how conflict of interest policy is monitored & enforced | Form 990, Part VI, Question 12c | Annual disclosures are filled out by the board members which are then kept on file by the board secretary. |
| Describe process for determining compensation | Form 990, Part VI, Question 15a | Review of the compensation was conducted by the Board of Directors, most recently in April of 2009. Compensation is determined based on the hospital's performance as well as industry standards. Other determining factors are the hospital's press ganey scores, employee retention program, and meeting strategies and goals. |
| Describe how documents are made available to the public | Form 990, Part VI, Question 19 | The organization's governing documents are made available to the public upon request. |
| Describe review process of Form 990 by organization's governing body | Form 990, Part VI, Question 11 | A copy of the organization's Form 990 will be provided to the organization's Finance Committee members for review. The 990 will also be presented to the finance committee members by the organization's accounting firm to allow further review before it is filed. |
| OTHER CHANGES IN NET ASSETS OR FUND BALANCES | FORM 990, PAGE 12, PART XI, LINE 5 | UNREALIZED GAINS $ 1,502,146 TRANSFERS TO AFFILIATES $ 87,825 PRIOR PERIOD ADJUSTMENTS $ (553,822) _____________ $ 1,036,149 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAN BUCHE TITLE:CEO HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHUCK JEFFRESS TITLE:CFO HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SCOTT BRINER TITLE:VP-MARKETING HOURS:1 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 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 |
|---|---|---|---|---|---|---|---|---|---|
| Brazosport Health Foundation | |||||||||
| PO Box 90 | Lake Jackson | TX | 77566 | 760080110 | Fundraising | TX | 501(c)(3) | 11A | NA |
| BRAZOSPORT REGIONAL PHYSICIAN SERVICES | |||||||||
| 100 MEDICAL DR | LAKE JACKSON | TX | 77566 | 800240261 | HEALTHCARE | TX | 501(C)(3) | 3 | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Diversified Health Resources | |||||||||||
| 100 Medical Drive | Lake Jackson | TX | 77566 | 760222679 | HEALTH CARE | TX | NA | C CORPORATION | 6165 | 58500 | 1.00000 |
| Brazosport Health Alliance | |||||||||||
| 129 circle way st suite a | lake jackson | TX | 77566 | 760518376 | health care | TX | NA | C Corporation | -24808 | 125174 | 1.00000 |
| 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 | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brazosport Health Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | c | TransactionType |
| Amount Involved | 135000 | AmountInvolved |