ST MARKS MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ST MARKS MEDICAL CENTER (EIN 74-3019849)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-06
IRS object ID
201141269349301109
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)
Timestamp2011-05-06T16:07:07-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12800 Post Oak Blvd Ste 3200AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN743019849EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST MARK'S MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone9799682780Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE ST MARKS PLACEAddressLine1
CityLA GRANGECity
StateTXState
ZIP Code78945ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNATHAN STAGGSName
TitleCEOTitle
Date Signed2011-05-16DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAmanda MayaName
Phone7134994600Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNATHAN STAGGSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE ST MARKS PLACEAddressLine1
CityLA GRANGECity
StateTXState
ZIP Code78945ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27917411GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.STMARKSMEDICALCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionPROVIDE QUALITY HEALTHCARE SERVICES TO THE CITIZENS OF FAYETTE AND LEE COUNTIES AND THE SURROUNDING COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees292TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year124228ContributionsGrantsPriorYear
Contributions Grants Current Year270453ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25891439ProgramServiceRevenuePriorYear
Program Service Revenue CY27454201ProgramServiceRevenueCY
Investment Income Prior Year153407InvestmentIncomePriorYear
Investment Income Current Year33899InvestmentIncomeCurrentYear
Other Revenue Prior Year199782OtherRevenuePriorYear
Other Revenue Current Year158858OtherRevenueCurrentYear
Total Revenue Prior Year26368856TotalRevenuePriorYear
Total Revenue Current Year27917411TotalRevenueCurrentYear
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 Year9002748SalariesEtcPriorYear
Salaries Etc Current Year9511714SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17934197OtherExpensePriorYear
Other Expenses Current Year18146031OtherExpensesCurrentYear
Total Expenses Prior Year26936945TotalExpensesPriorYear
Total Expenses Current Year27657745TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-568089RevenuesLessExpensesPriorYear
Revenues Less Expenses CY259666RevenuesLessExpensesCY
Total Assets BOY30143950TotalAssetsBOY
Total Assets EOY29930062TotalAssetsEOY
Total Liabilities BOY29728167TotalLiabilitiesBOY
Total Liabilities EOY29254612TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY415783NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY675450NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE QUALITY HEALTHCARE SERVICES TO THE CITIZENS OF FAYETTE AND LEE COUNTIES AND THE SURROUNDING COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense21983806Expense
Revenue27613059Revenue
DescriptionPROVIDED HEALTHCARE SERVICES TO THE CITIZENS OF FAYETTE COUNTY AND THE SURROUNDING COMMUNITIES.Description
Total Program Service Expense21983806TotalProgramServiceExpense
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
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees292NumberOfEmployees
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 Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
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 PersonDENNIS BOYDNamePerson
Telephone Number9792422111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE ST MARKS PLACEAddressLine1
CityLA GRANGECity
StateTXState
ZIP Code789452040ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
J WELDON KOENIG
CHAIRMAN1.0XX000
GENE OEDING
VICE CHAIR1.0XX000
LINDA ADKINS
SECRETARY1.0XX000
ROBYN ROBERTS
TREASURER1.0XX000
JOE BAILEY
DIRECTOR1.0X000
ALBERT CHORENS MD
DIRECTOR1.0X000
BONNIE HOLT
DIRECTOR1.0X000
NATHAN STAGGS
CEO40.0X16063006320
CAROL DROZD
COO40.0X15681408970
TAMMY HARTFIELD
CNO40.0X11811407721
JUDY WOODWARD
CFO40.0X109790022630
MICHELLE DIEHM
INTERIM CFO40.0X142924010946
DENNIS BOYD
CFO40.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org688272TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation56587TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
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
REHAB SERVICES OF HOUSTON
TWO ST MARKS PLACE 120LA GRANGETX78945REHAB SERVICES516729
LORRY BECK
4515 FM154MULDOONTX78945ULTRASOUND SERVICES273066
HUNTER PHARMACY
3420 EXECUTIVE CTR DRIVE 100AUSTINTX78731PHARMACY MANAGEMENT176374
PREMIER SLEEP
111 NORTHPARK DRIVEVICTORIATX77901SLEEP STUDIES141000
PRINCE FOODS
11001 WILCREST DRIVE 200HOUSTONTX77009FOOD MANAGEMENT342067
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions270453AllOtherContributions
Total Contributions270453TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE6211101338700913387009
MEDICARE/MEDICAID PAYMENTS9000991406719214067192
FieldValueIRS element (for citing)
Total Program Service Revenue27454201TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column33899TotalRevenueColumn
Exclusion$33,899ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER REVENUE9000991044810448
VENDING/CAFETERIA722210148410148410
FieldValueIRS element (for citing)
Total Other Revenue158858TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27917411TotalRevenueColumn
Related Or Exempt Function Income27613059RelatedOrExemptFunctionIncome
Exclusion$33,899ExclusionAmount

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)
Total303554Total
Management And General303554ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7261702Total
Program Services6458302ProgramServices
Management And General803400ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1375752Total
Program Services1213938ProgramServices
Management And General161814ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total570706Total
Program Services490503ProgramServices
Management And General80203ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total129223Total
Management And General129223ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total88586Total
Management And General88586ManagementAndGeneral

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)
Total4885160Total
Program Services3194044ProgramServices
Management And General1691116ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total24292Total
Management And General24292ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total260851Total
Program Services165922ProgramServices
Management And General94929ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total852139Total
Program Services763683ProgramServices
Management And General88456ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total38497Total
Program Services24475ProgramServices
Management And General14022ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1092697Total
Management And General1092697ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1863449Total
Program Services1642773ProgramServices
Management And General220676ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total324274Total
Management And General324274ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES299899829969022096
BAD DEBT EXPENSE268851426885140
LABORATORY REAGENTS6311126311120
LEASES AND RENTALS1207097119355713540
REPAIRS/MAINTENANCE26664520422362422

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total794497Total
Program Services315858ProgramServices
Management And General478639ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total27657745Total
Program Services21983806ProgramServices
Management And General5673939ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY777505BOY
EOY793030EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1006592BOY
EOY15325EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY37255BOY
EOY44996EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2452877BOY
EOY2884009EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY712150EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY624888BOY
EOY662378EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY362227BOY
EOY281541EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis28089833LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9716846LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19994165BOY
EOY18372987EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3767804BOY
EOY4339492EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1120637BOY
EOY1824154EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY30143950BOY
EOY29930062EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4286434BOY
EOY3805166EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY232725BOY
EOY80213EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY23805597BOY
EOY23214428EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY475315BOY
EOY475000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY928096BOY
EOY1679805EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY29728167BOY
EOY29254612EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY415783BOY
EOY675450EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY415783BOY
EOY675450EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30143950BOY
EOY29930062EOY
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)
Hospital170b1 AiiiXHospital170b1Aiii

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis364350OtherCostOrOtherBasis
Book Value364350BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21709729OtherCostOrOtherBasis
Depreciation5943013Depreciation
Book Value15766716BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4671167OtherCostOrOtherBasis
Depreciation2613437Depreciation
Book Value2057730BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1344587OtherCostOrOtherBasis
Depreciation1160396Depreciation
Book Value184191BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18372987TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (6 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
04' BONDS DEBT SERVICE593316F
04' BONDS SURPLUS ACCOUNT23508F
04' BONDS RESERVE ACCT1703000F
04' BONDS EQUITY ACCT1262F
MORTGAGE RESERVE FUND1696871F
COLLATERAL FUND321535F
FieldValueIRS element (for citing)
Total Of Book Value Securities4339492TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
NET BOND ISSUE COSTS1069113
MEDICARE RECEIVABLE735417
INTEREST RECEIVABLE19624
FieldValueIRS element (for citing)
Total Book Value Other Assets1824154TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM FM FOUNDATION$1,315,026
PAYABLE - SIEMENS MRI$52,779
OTHER LIABILITIES$312,000
FieldValueIRS element (for citing)
Total Of Amounts1679805TotalOfAmounts
Total Revenue27917411TotalRevenue
Total Expenses27657745TotalExpenses
Excess Or Deficit For Year259666ExcessOrDeficitForYear
Excess Or Deficit Per FS259666ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27917411TotRevenueEtcAuditedFinclStmt
Revenue Subtotal27917411RevenueSubtotal
Total Revenue Per Form99027917411TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt27657745TotExpensesEtcAuditedFinclStmt
Expenses Subtotal27657745ExpensesSubtotal
Total Expenses Per Form99027657745TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFOOTNOTE FROM FINANICAL STATEMENTS THAT REPORTS FIN 48Identifier
Return ReferenceSCHEDULE D, PART XReturnReference
ExplanationMANAGEMENT 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.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage150.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense357820TotalCommunityBenefitExpense
Net Community Benefit Expense357820NetCommunityBenefitExpense
Percent Of Total Expense0.01440PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense683750TotalCommunityBenefitExpense
Net Community Benefit Expense68350NetCommunityBenefitExpense
Percent Of Total Expense0.02750PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense53581TotalCommunityBenefitExpense
Net Community Benefit Expense53581NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1095151TotalCommunityBenefitExpense
Net Community Benefit Expense479751NetCommunityBenefitExpense
Percent Of Total Expense0.04410PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5560TotalCommunityBenefitExpense
Net Community Benefit Expense5560NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3697TotalCommunityBenefitExpense
Net Community Benefit Expense3697NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense3025TotalCommunityBenefitExpense
Net Community Benefit Expense3025NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12282TotalCommunityBenefitExpense
Net Community Benefit Expense12282NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1107433TotalCommunityBenefitExpense
Net Community Benefit Expense492033NetCommunityBenefitExpense
Percent Of Total Expense0.04450PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,175,386BadDebtExpenseAmount
Amount Reimbursed By Medicare8947881AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8478873CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall469008MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST MARK'S MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1ONE ST MARKS PLACEAddressLine1
CityLA GRANGECity
StateTXState
ZIP Code78945ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnoteTHE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER 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 MEDICAL CENTER 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. AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK.BadDebtFootnote
Shortfall As Community BenefitTHE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.ShortfallAsCommunityBenefit
Needs AssessmentASSESSMENT PERFORMED ANNUALLY. INTERVIEWS WITH HOSPITAL ADMINISTRATION, COMMUNITY REPRESENTATIVES AND LEADERS. STATISTICS ARE GATHERED AND REPORTED ON MORTALITY, PREVALENT DISEASES AND OTHER AREA HEALTH INFORMATION. MEASURABLE OBJECTIVES AND TACTICS ARE ALSO CREATED AND TRACKED.NeedsAssessment
Patient Education AssistanceFINANCIAL ASSISTANCE POLICIES AND NOTICES ARE POSTED IN EACH LOBBY OF THE HOSPITAL AND IN THE BEDSIDE MANUAL OF EACH INPATIENT ROOM. ALL PATIENTS THAT HAVE NO INSURANCE OR LIMITED COVERAGE ARE ASSISTED BY OUR FINANCIAL COUNSELOR AND INFORMED OF OUR FINANCIAL ASSISTANCE PROGRAM. OUR OUTSOURCED COLLECTION GROUPS ARE MADE AWARE OF OUR ASSISTANCE PROGRAM. ONCE A YEAR WE RUN AN ADVERTISEMENT IN THE NEWSPAPER ALSO.PatientEducationAssistance
Community InformationAS A NON PROFIT HOSPITAL, PART OF THE MISSION IS TO ENGAGE IN COMMUNITY BENEFIT ACTIVITIES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. THE PRIMARY SERVICE AREA ZIP CODES FOR SMMC FALL WITHIN 4 COUNTIES: LEE, FAYETTE, BASTROP AND COLORADO. THE TEXAS DEPARTMENT OF STATE HEALTH GROUPS THESE COUNTIES INTO 11 DIFFERENT HEALTH SERVICE REGIONS. MAJOR TOWNS INCLUDE, LA GRANGE, GIDDINGS, SCHULENBURG, WEIMAR, SMITHVILLE, AND BASTROP. ST. MARK'S ALSO ACTS AS PRIMARY TREATMENT CENTER FOR THE BASTROP STATE PRISON.CommunityInformation
Community Building ActivitiesCEO OF ST. MARK'S MEDICAL CENTER IS A BOARD MEMBER OF THE CHAMBER OF COMMERCE ON ECONOMIC DEVELOPMENT. SOCIAL SERVICES DIRECTOR IS A BOARD MEMBER ON LOCAL FQHC PROVIDING HEALTH ADVOCACY TO IMPROVE COMMUNITY HEALTH.CommunityBuildingActivities
Other InformationST. MARK'S HAS AN OPEN MEDICAL STAFF. WE ARE CONSTANTLY RECRUITING FOR FAMILY PRACTICE AND SPECIALITY PHYSICIANS TO SERVE OUR COMMUNITIES. A CLINIC IN SCHULENBURG WAS OPENED THIS YEAR TO HOUSE A FAMILY PRACTITIONER AND PEDIATRICIAN TO RETAIN THEM IN A MEDICALLY UNDERSERVED AREA.OtherInformation
Affiliated Health Care SystemNOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.AffiliatedHealthCareSystem
Reports Filed With StatesTXReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
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 (3 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 OrgsTotalCompensationRelatedOrgs
NATHAN STAGGS
13079600029834025330378701669500
CAROL DROZD
10091405007405826048260414401657840
MICHELLE DIEHM
1415280001396074150353101538700

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1FAYETTE COUNTY HEALTH FACILITIES DEVELOPMENT CORPBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN742914989IssuerEIN
CUSIP Number312525AY4CUSIPNumber
Date Issued2004-03-25DateIssued
Issue Price26044533IssuePrice
Description Of PurposeNEW FACILITY CONSTRUCTIONDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds26044533TotalProceeds
Amount In Reserve Fund1703000AmountInReserveFund
Issuance Costs From Proceeds1479118IssuanceCostsFromProceeds
Working Capital Expenditures185000WorkingCapitalExpenditures
Capital Expenditures22681477CapitalExpenditures
Year Of Subst Completion2005YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REGULARLY AND CONSISTENTLY MONITOR WRITTEN CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE CHAIRPERSON OF THE ORGANIZATION'S GOVERNING BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE.
PROCESS FOR DETERMING COMPENSATIONFORM 990, PART VI, SECTION B, QUESTIONS 15A & 15BTHE ORGANIZATION CONDUCTS PERIODIC WAGE SURVEYS TO EVALUATE WAGE RATES, PRACTICES AND AVAILABILITY OF REQUIRED SKILLS IN THE LABOR MARKET TO ENSURE THAT THE WAGE STRUCTURE PROVIDES A LEVEL OF WAGES WHICH IS COMPETITIVE IN THE MARKET.
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AVAILABLE TO PUBLICFORM 990, PART VI, SECTION C, QUESTION 19ST. MARK'S MEDICAL CENTER MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON THEIR WEBSITE.
PROCESS USED TO REVIEW FORM 990FORM 990, PART VI, SECTION A, LINE 11THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING.
ISSUANCE COSTS FROM PROCEEDSSCHEDULE K, PART II, LINE 5PROCEEDS USED FOR BOND ISSUANCE COSTS $ 520,308 PROCEEDS USED FOR CREDIT ENHANCEMENT $ 958,810 ----------- $ 1,479,118

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ST MARK'S MEDICAL CENTER FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE ST MARKS PLACEAddressLine1
CityLA GRANGECity
StateTXState
ZIP Code78945ZIPCode
FieldValueIRS element (for citing)
EIN742795943EIN
Primary ActivitiesSUPPORTPrimaryActivities
Legal Domicile StateTXLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11DPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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