2011-11-03T14:08:09-04:00 2010-12-31 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2010-01-01 741385192 Community Hospital of Brazosport COMM 9792851803 100 MEDICAL DRIVE LAKE JACKSON TX 77566 DAN BUCHE 2011-11-15 M Paige Gerich 7134994600 2010 2016-03-07 17:11:31Z BRAZOSPORT REGIONAL HEALTH SYSTEM Dan Buche 100 Medical Drive Lake Jackson TX 77566 123207694 false X http://www.brhstx.org/ X 1961 TX TO PROVIDE HEALTHCARE SERVICES TO THE PATIENTS AND COMMUNITIES SERVED IN THE LAKE JACKSON, TEXAS AREA WITH EXCELLENCE AND COMPASSION. 12 12 647 127 3947 2636 330769 135000 92437516 92469809 -1627681 2841922 615679 739739 91756283 96186470 124312 0 0 0 34355096 33528101 0 0 0 57687709 59474419 92167117 93002520 -410834 3183950 88874816 92882222 36446295 36233602 52428521 56648620 TO PROVIDE HEALTHCARE SERVICES TO THE PATIENTS AND COMMUNITIES SERVED IN THE LAKE JACKSON, TEXAS AREA WITH EXCELLENCE AND COMPASSION. false false 78624080 92469809 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. 78624080 true true false false false false false false false true false false false true false false true false false false false false false false false true false false false true true false false false false false false false false true false false false false false false true true true false false true 171 0 true 647 true true true false false false false false false false false false X 12 12 false true false false false false false true true false true true true true true true true true true false false X CHUCK JEFFRESS 9794152208 100 MEDICAL DRIVE Lake Jackson TX 77566 X MARY RUTH RHODENBAUGH 1.0 X 0 0 0 DR MARK BONNEN 1.0 X 0 0 0 BLANCA BUSTOS 1.0 X 0 0 0 TOM FOWLER 1.0 X X 0 0 0 DR FRANK GRADY 1.0 X 0 0 0 DR HARVEY RESNICK 1.0 X 0 0 0 BROOKS BASS 1.0 X 0 0 0 KEN SMITH 1.0 X X 0 0 0 JIM MARTIN 1.0 X X 0 0 0 ED SPEED 1.0 X X 0 0 0 EVELYN MOORE 1.0 X 0 0 0 DAN BUCHE 40.0 X 0 0 0 CANDICE FONKE 40.0 X 131572 0 0 CHUCK JEFFRESS 40.0 X 0 0 0 ALFRED GUEVARA 40.0 X 246724 0 16849 AHMET BULUT 40.0 X 180410 0 19242 DANNY TRAN 40.0 X 126565 0 17331 BRIAN STACKS 40.0 X 123637 0 552 CONNIE ASHLEY 40.0 X 113278 0 6533 SCOTT BRINER 40.0 X 124655 0 15100 1046841 0 75607 9 false true false 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 22 135000 135000 Net Patient Revenue 621500 92413292 92409345 3947 Other Patient Services 621500 56517 56517 92469809 724923 724923 0 0 61480 61480 61480 61480 29131923 6300 27021224 2110699 6300 2116999 2116999 0 0 0 Cafeteria Sales 722210 369745 369745 Community Education 611710 20322 20322 Rebates 900099 107159 107159 181033 181033 678259 96186470 92855929 3947 3191594 0 0 0 0 236873 236873 0 27320758 22046105 5274653 25509 20407 5102 3975595 3180476 795119 1969366 1575493 393873 1515480 1515480 408924 408924 275188 275188 0 0 0 9454231 7563385 1890846 306609 245287 61322 2023522 1581055 442467 708567 2323 706244 0 1546641 1247130 299511 164778 79088 85690 0 19400 19400 1254261 999421 254840 0 4914934 3931947 982987 1222371 977897 244474 Bad Debt Expense 23603546 23603546 Medical Supplies 9871720 9871720 Equipment Costs 657088 535006 122082 Lost Charges 152687 149772 2915 Dietary Expenses 582618 477570 105048 791854 536452 255402 0 93002520 78624080 14378440 0 18314 18636 4890056 5253501 13713279 13408095 9000 9000 1600221 1628129 751344 1657382 106645391 70015207 39709330 36630184 26868491 33052594 1000 1000 1313781 1223701 88874816 92882222 6040663 6199418 23730814 22579558 4106406 3769093 2568412 3685533 36446295 36233602 X 52428521 56648620 52428521 56648620 88874816 92882222 X 3183950 1036149 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1530296 1530296 39824713 16026127 23798586 1250918 1091083 159835 63189678 52897997 10291681 849786 849786 36630184 0 Malpractice Reserve 2369500 ESTIMATED AMOUNTS DUE TO THIRD PARTY PAYERS 1316033 3685533 96186470 93002520 3183950 1502146 87825 1589971 4773921 100663616 1502146 2975000 4477146 96186470 96186470 95889695 2975000 2975000 92914695 87825 87825 93002520 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. true true true X true X true true false false 1606152 1606152 0.02310 4595161 1189553 3405608 0.04910 836221 626787 836221 0.00300 7037534 1816340 5847981 0.07520 6822511 6137601 684910 0.00990 37455 37455 0.00050 6859966 6137601 722365 0.01040 13897500 7953941 6570346 0.08560 false 6339490 23450931 24317756 -866825 X true true 1 1 COMMUNITY HOSPITAL OF BRAZOSPORT

100 MEDICAL DRIVE LAKE JACKSON TX 77566

X X X URGENT CARE CENTER COMMUNITY HOSPITAL OF BRAZOSPORT 1 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. X true true X false false false false false false false false false 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 Travel for companions Sch J, Part I, Question 1a 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. BRAZORIA COUNTY HEALTH FACILITIES DEVELOPMENT CORP 521306936 106045CR6 2004-08-31 28625115 Series 2004 hospital revenue bond false false false 28625115 2223423 10233389 498450 1145313 14524541 2006 true false true true false false false false false 0.00000 0.00000 0.00000 true true false false false false false Becky Guevara spouse of BRHS officer 44507 Salaries/Wages false Janice Buche spouse of BRHS officer 73046 Salaries/Wages false 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 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 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 false false true false false false false false false false false false false false false true false false Brazosport Health Foundation c 135000