METHODIST HOSPITAL PLAINVIEW TEXAS: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- METHODIST HOSPITAL PLAINVIEW TEXAS (EIN 75-2426010)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-06
- IRS object ID
- 201141269349301324
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-06T14:57:50-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO NORTH CENTRAL AVENUE STE 2300 | AddressLine1 |
| City | PHOENIX | City |
| State | AZ | State |
| ZIP Code | 85004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752426010 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST HOSPITAL PLAINVIEW | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | METH | NameControl |
| Phone | 8062913357 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 DIMMITT ROAD | AddressLine1 |
| City | PLAINVIEW | City |
| State | TX | State |
| ZIP Code | 790721833 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALAN KING | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Date Signed | 2011-05-06 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6023223000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT HOSPITAL PLAINVIEW | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ALAN N KING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 DIMMITT ROAD | AddressLine1 |
| City | PLAINVIEW | City |
| State | TX | State |
| ZIP Code | 790721833 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 34259156 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.covenanthealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | See Schedule O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 369 | TotalNbrEmployees |
| Total Nbr Volunteers | 40 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 59227 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 99225 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 35916283 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 34085975 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 110792 | InvestmentIncomePriorYear |
| Investment Income Current Year | 73956 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 36086302 | TotalRevenuePriorYear |
| Total Revenue Current Year | 34259156 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 20025 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 20723 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 14577640 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 14155010 | 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 | 21026959 | OtherExpensePriorYear |
| Other Expenses Current Year | 18446493 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 35624624 | TotalExpensesPriorYear |
| Total Expenses Current Year | 32622226 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 461678 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1636930 | RevenuesLessExpensesCY |
| Total Assets BOY | 15227740 | TotalAssetsBOY |
| Total Assets EOY | 16397147 | TotalAssetsEOY |
| Total Liabilities BOY | 12160750 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 11551703 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3066990 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4845444 | NetAssetsOrFundBalancesEOY |
| Mission Description | SEE Schedule O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 25734308 | Expense |
| Grants | 20723 | Grants |
| Revenue | 34085975 | Revenue |
| Description | See schedule O | Description |
| Total Program Service Expense | 25734308 | 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 |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 92 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 369 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SHARON CLARK | NamePerson |
| Telephone Number | 8067255234 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3615 19TH STREET | AddressLine1 |
| City | LUBBOCK | City |
| State | TX | State |
| ZIP Code | 794101203 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 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 | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| MARILYN BIGGS | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| IRENE FAVILA | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| BARBARA KISER | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| SERGIO LARA MD | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 174678 | 837 | |||
| REED MULLIKEN | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| KATHRYN PRESSLEY | ||||||||
| BOARD MEMBER / Vice-Chair | 2.0 | X | 0 | 0 | 0 | |||
| RAYMOND RAMIREZ | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| CHARLES SMITH DO | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 323611 | 7952 | |||
| NANCY STUKEY | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| MARK TRUE | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| KARL WARDLOW | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| MARK WARREN | ||||||||
| Board Member / Chair | 5.0 | X | 0 | 0 | 0 | |||
| DON WILLIAMS | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| DAVID WRIGHT DO | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 344141 | 22433 | |||
| ALAN N KING | ||||||||
| CEO (AS OF 11/23/09) | 40.0 | X | 0 | 20679 | 0 | X | ||
| STEVEN BECK | ||||||||
| INTERIM CEO/VP-REGION SERVICES | 14.0 | X | 0 | 166313 | 23129 | X | ||
| DOUGLAS CUMMINS MD | ||||||||
| Board Member (PART YEAR) | 2.0 | X | 0 | 0 | 0 | |||
| WILLIS MCCUTCHEON | ||||||||
| BOARD MEMBER (PART YEAR) | 2.0 | X | 0 | 0 | 0 | |||
| MELINDA CLARK | ||||||||
| PRESIDENT/CEO (THRU 10/1/09) | 2.0 | X | 0 | 1304621 | 15442 | X | ||
| RICHARD PARKS | ||||||||
| PRESIDENT/CEO OF CHS | 2.0 | X | 0 | 0 | 0 | X | ||
| JIM HOUSER | ||||||||
| PRESIDENT/CEO (INTERIM) | 2.0 | X | 0 | 259000 | 0 | X | ||
| CLAYTON DANIEL | ||||||||
| CERT. REG NURSE ANESTHESIA | 40.0 | 206251 | 0 | 12354 | X | |||
| PEGGY ORTIZ | ||||||||
| CERT. REG NURSE ANESTHESIA | 40.0 | 191855 | 0 | 24353 | X | |||
| KATHLEEN DAWSON | ||||||||
| CERT. REG NURSE ANESTHESIA | 40.0 | 199349 | 0 | 13273 | X | |||
| MICHAEL WRIGHT | ||||||||
| CLINICAL PHARMACIST | 40.0 | 124475 | 0 | 18915 | X | |||
| SALLY BIRD | ||||||||
| NURSE PRACTITIONER | 40.0 | 102830 | 0 | 8070 | X | |||
| JOHN WADE | ||||||||
| Former CEO | 0.0 | 0 | 163086 | 23265 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 824760 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2756129 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 170023 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| COMMUNITY THERAPY SYSTEMS INC | |||||
| 103 WESTRIDGE RD | PLAINVIEW | TX | 79072 | PHYSICAL THERAPY svc | 557821 |
| DIAGNOSTIC MANAGEMENT | |||||
| PO BOX 678487 | DALLAS | TX | 752678487 | RADIOLOGY SERVICES | 204782 |
| CONCORD MEDICAL GROUP INC | |||||
| PO BOX 489 | MULESHOE | TX | 793470489 | EMERGENCY ROOM SVCS | 169314 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 19766 | RelatedOrganizations |
| Government Grants | 54866 | GovernmentGrants |
| All Other Contributions | 24593 | AllOtherContributions |
| Total Contributions | 99225 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | 33586902 | 33586902 |
| CAFETERIA REVENUE | 722310 | 251804 | 251804 |
| MEDICAL OFFICE BUILDING RENTAL INCOME | 531120 | 217470 | 217470 |
| WELLNESS PROGRAM | 713940 | 29799 | 29799 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 34085975 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 73956 | TotalRevenueColumn |
| Exclusion | $73,956 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34259156 | TotalRevenueColumn |
| Related Or Exempt Function Income | 34085975 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $73,956 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20723 | Total |
| Program Services | 20723 | ProgramServices |
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 | 118607 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 118607 | 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 | 9904431 | Total |
| Program Services | 7923545 | ProgramServices |
| Management And General | 1980886 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 524285 | Total |
| Program Services | 419428 | ProgramServices |
| Management And General | 104857 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2771950 | Total |
| Program Services | 2217560 | ProgramServices |
| Management And General | 554390 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 835737 | Total |
| Program Services | 668590 | ProgramServices |
| Management And General | 167147 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 208166 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 208166 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12976 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 12976 | 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 | 5827579 | Total |
| Program Services | 4195857 | ProgramServices |
| Management And General | 1631722 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31969 | Total |
| Program Services | 25576 | ProgramServices |
| Management And General | 6393 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4217867 | Total |
| Program Services | 3036864 | ProgramServices |
| Management And General | 1181003 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39917 | Total |
| Program Services | 28740 | ProgramServices |
| Management And General | 11177 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2562393 | Total |
| Program Services | 2024290 | ProgramServices |
| Management And General | 538103 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60586 | Total |
| Program Services | 40622 | ProgramServices |
| Management And General | 19964 | 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 | 13121 | Total |
| Program Services | 9447 | ProgramServices |
| Management And General | 3674 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 695402 | Total |
| Program Services | 500689 | ProgramServices |
| Management And General | 194713 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 338783 | Total |
| Program Services | 243924 | ProgramServices |
| Management And General | 94859 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 4209730 | 4209730 | |
| OTHER EXPENSES | 228004 | 168723 | 59281 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32622226 | Total |
| Program Services | 25734308 | ProgramServices |
| Management And General | 6887918 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 598411 | BOY |
| EOY | 1793328 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4983373 | BOY |
| EOY | 5873645 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4767287 | BOY |
| EOY | 4908176 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 375067 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 189990 | BOY |
| EOY | 295504 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1064049 | BOY |
| EOY | 987934 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19661 | BOY |
| EOY | 7771 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11563211 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9032422 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3136052 | BOY |
| EOY | 2530789 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93850 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15227740 | BOY |
| EOY | 16397147 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1911382 | BOY |
| EOY | 1615964 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10249368 | BOY |
| EOY | 9935739 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12160750 | BOY |
| EOY | 11551703 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3066990 | BOY |
| EOY | 4845444 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3066990 | BOY |
| EOY | 4845444 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15227740 | BOY |
| EOY | 16397147 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 151942 | OtherCostOrOtherBasis |
| Book Value | 151942 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2385830 | OtherCostOrOtherBasis |
| Depreciation | 72624 | Depreciation |
| Book Value | 2313206 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9025439 | OtherCostOrOtherBasis |
| Depreciation | 8959798 | Depreciation |
| Book Value | 65641 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 2530789 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES-CHS | Description |
| Amount | $9,935,739 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9935739 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 175. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3061586 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3061586 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10780 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5154644 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1903885 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3250757 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11440 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 840181 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 44058 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 796123 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02800 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9056411 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1947943 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7108466 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.25020 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 96866 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 64406 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 32460 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 96866 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 64406 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 32460 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9153277 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2012349 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7140926 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.25130 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,206,126 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 5104963 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 25118498 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -20013535 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| METHODIST HOSPITAL PLAINVIEW | |||||||
| 2601 DIMMITT ROAD | PLAINVIEW | TX | 790721833 | X | X | X | |
| COVENANT HEALTHCARE CENTER PLAINVIEW | |||||||
| 2222 W 24TH STREET | PLAINVIEW | TX | 79072 | Medical Clinic | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | COVENANT HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES COVENANT HOSPITAL PLAINVIEW. | AnnualCommunityBenefitExpln |
| Costing Method Used | THE MEDICARE COST REPORT WAS USED TO DETERMINE COMMUNITY BENEFIT SERVICES ALONG WITH ADDITIONAL INFORMATION PROVIDED BY THE COMMUNITY BENEFITS DEPARTMENT. WORKSHEET 2 FROM THE IRS INSTRUCTIONS WAS USED TO HELP DETERMINE THE COST-TO-CHARGE RATIO FOR COMMUNITY BENEFIT DETERMINATION. | CostingMethodUsed |
| Percent Of Total Expense Expln | BAD DEBT EXPENSE OF $4,209,730 IS INCLUDED ON FORM 990, LINE 25, COLUMN (A), BUT SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE OF NET COMMUNITY BENEFIT. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION CONTINUALLY MONITORS AND ADJUSTS THE RESERVES ASSOCIATED WITH RECEIVABLES. THE ORGANIZATION ESTIMATES BAD DEBT EXPENSE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL COLLECTION EXPERIENCE. BAD DEBT WAS CALCULATED USING THE MEDICARE COST-TO-CHARGE RATIO. PATIENTS QUALIFY FOR CHARITY CARE BASED UPON THEIR COMPLETION OF THE CHARITY APPLICATION. IF THE APPLICATION PROCESS IS NOT COMPLETED THEY ARE CLASSIFIED AS SELF PAY. THE ACCOUNT IS WRITTEN TO BAD DEBT IF UNPAID FOR A PERIOD OF TIME. COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 IS AS FOLLOWS: TOTAL PROVISION FOR BAD DEBT EXPENSE ($4,209,730) MULTIPLIED BY COST TO CHARGE RATIO AS CALCULATED FOR FY10, BASED ON GROSS PATIENT REVENUE AND TOTAL OEPRATING EXPENSE (28.65%) = $1,206,126. | BadDebtFootnote |
| Shortfall As Community Benefit | AS A CATHOLIC HEALTH CARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. THE MEDICARE COST REPORT WAS USED TO CALCULATE MEDICARE ALLOWABLE COSTS. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS AS FOLLOWS: THE COST TO CHARGE RATIO AS CALCULATED FOR FY10, BASED ON GROSS PATIENT REVENUE AND TOTAL OPERATING EXPENSES. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMS AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIES FOR CHARITY CARE. ALL ACCOUNTS ARE SCREENED FOR CHARITY CARE ELIGIBILITY USING CRITERIA THAT CONSIDERS INSURANCE COVERAGE, CREDIT RATING, PAYMENT ACTIVITY, AND VALID SOCIAL SECURITY NUMBER AND/OR ACCURATE RESIDENCE ADDRESS. | DebtCollectionPolicy |
| Needs Assessment | COVENANT HOSPITAL PLAINVIEW CONTRACTS WITH FORESITE CONSULTING UTILIZING CMS DRG DATA AND POPULATION DATA AND ANALYSIS. WE DO A COMMUNITY NEEDS ASSESSMENT FOR PHYSICIAN PROVIDER NEEDS. | NeedsAssessment |
| Patient Education Assistance | THE ORGANIZATION POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES ARE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES ARE ALSO POSTED AT LOCATIONS WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT CAN OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATE LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS ARE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND IS OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE. | PatientEducationAssistance |
| Community Information | PLAINVIEW IS LOCATED IN HALE COUNTY APPROXIMATELY 45 MILES NORTH OF LUBBOCK IN THE PANHANDLE OF TEXAS. ACCORDING TO THE MOST RECENT QUICK FACTS PRODUCED BY THE U.S. CENSUS BUREAU, HALE COUNTY HAS AN APPROXIMATE POPULATION OF 35,408. COVENANT HOSPITAL PLAINVIEW DRAWS PATIENTS FROM A 7 COUNTY RADIUS. IN 2009, IT WAS ESTIMATED THAT HALE COUNTY WAS COMPOSED OF 54% HISPANIC, 38% CAUCASIAN, 6% BLACK, 1.4% AMERICAN INDIAN OR ALASKA NATIVE AND .6% ASIAN POPULATION. ADDITIONALLY, IT IS ESTIMATED THAT ALMOST 30% OF OUR POPULATION IS UNDER THE AGE OF 18, WHILE ALMOST 13% OF OUR POPULATION IS OVER THE AGE OF 65. | CommunityInformation |
| Other Information | COVENANT HOSPITAL PLAINVIEW OFFERS NUMEROUS OPPORTUNITIES TO THE COMMUNITY IT SERVES, SUCH AS MONTHLY SUPPORT GROUPS, CHILDBIRTH PREPARATION COURSE, COMMUNITY CPR CLASSES, ANNUAL COMMUNITY HEALTH FAIR, CORPORATE WELLNESS SCREENINGS, HK2020 (HEALTHY KIDS CLUB), IN ADDITION TO THE PARTICIPATION AND SUPPORT OF COMMUNITY EVENTS SUCH AS RELAY FOR LIFE, UNITED WAY, COTTON BARRON'S BALL, AMERICAN HEART ASSOCIATION'S "GO RED", ADA'S STEP OUT TO FIGHT DIABETES, AND A DIABETES GOLF TOURNAMENT, JUST TO NAME A FEW. THE HOSPITAL ALSO PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE FOLLOWING MEANS. HAVING A COMMUNITY-BASED BOARD ENSURES THAT COMMUNITY PERSPECTIVES ON HEALTH AND SAFETY ARE INCLUDED AND CONSIDERED. STAFF PRIVILEGES ARE EXTENDED, OR GRANTED, TO THOSE QUALIFIED PHYSICIANS IN THE COMMUNITY WHO HAVE BEEN CREDENTIALED THROUGH THE MEDICAL STAFF'S CREDENTIALING PROCESS AND PRACTICE IN VARIOUS DEPARTMENTS THROUGHOUT COVENANT HOSPITAL PLAINVIEW. THROUGH PARTICIPATION IN HOSPITAL AND HEALTH SYSTEM INITIATIVES AND PROGRAMS, SURPLUS FUNDS ARE USED FOR PATIENT CARE, EDUCATION, OR RESEARCH. | OtherInformation |
| Affiliated Health Care System | GIVING BACK TO THE COMMUNITY PERMEATES EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH SYSTEM, WE HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. ON AN ANNUAL BASIS, 10 PERCENT OF OUR NET OPERATING INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR. THE ST. JOSEPH HEALTH SYSTEM FOUNDATION, A MEMBER OF ST. JOSEPH HEALTH SYSTEM, IS CHARGED WITH THE DISTRIBUTION OF THESE FUNDS. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET OPERATING INCOME TO COMMUNITY BENEFIT SERVICES FOR THE ECONOMICALLY POOR, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS. COVENANT HOSPITAL PLAINVIEW IS A PART OF ST. JOSEPH HEALTH SYSTEM OF ORANGE, CALIFORNIA. AN ANNUAL COMMUNITY BENEFIT REPORT IS SUBMITTED TO ST. JOSEPH HEALTH SYSTEM, BUT THEY ARE NOT REQUIRED TO SUBMIT THE REPORT TO THE STATE OF CALIFORNIA. | AffiliatedHealthCareSystem |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
| No Grant More Than5000 | X | NoGrantMoreThan5000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF COVENANT HOSPITAL, PLAINVIEW. WE RELY ON THE GOVERNANCE PRACTICES OF THOSE ORGANIZATIONS TO ENSURE APPROPRIATE USE OF FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SERGIO LARA MD | |||||||||||||
| 0 | 140488 | 0 | 21187 | 0 | 13003 | 0 | 0 | 0 | 837 | 0 | 175515 | 0 | 0 |
| CHARLES SMITH DO | |||||||||||||
| 0 | 215542 | 0 | 98050 | 0 | 10019 | 0 | 0 | 0 | 7952 | 0 | 331563 | 0 | 0 |
| DAVID WRIGHT DO | |||||||||||||
| 0 | 218120 | 0 | 120415 | 0 | 5606 | 0 | 10000 | 0 | 12433 | 0 | 366574 | 0 | 0 |
| STEVEN BECK | |||||||||||||
| 0 | 124996 | 0 | 8614 | 0 | 32703 | 0 | 9656 | 0 | 13474 | 0 | 189443 | 0 | 0 |
| CLAYTON DANIEL | |||||||||||||
| 206251 | 0 | 0 | 0 | 0 | 0 | 6209 | 0 | 6145 | 0 | 218605 | 0 | 0 | 0 |
| PEGGY ORTIZ | |||||||||||||
| 191855 | 0 | 0 | 0 | 0 | 0 | 5908 | 0 | 18445 | 0 | 216208 | 0 | 0 | 0 |
| KATHLEEN DAWSON | |||||||||||||
| 199055 | 0 | 0 | 0 | 294 | 0 | 1599 | 0 | 11673 | 0 | 212621 | 0 | 0 | 0 |
| JOHN WADE | |||||||||||||
| 0 | 51142 | 0 | 0 | 0 | 111944 | 0 | 3135 | 0 | 20130 | 0 | 186351 | 0 | 0 |
| MELINDA CLARK | |||||||||||||
| 0 | 448599 | 0 | 45384 | 0 | 810638 | 0 | 9752 | 0 | 5690 | 0 | 1320063 | 0 | 0 |
| JIM HOUSER | |||||||||||||
| 0 | 259000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 259000 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Compensation Information | Identifier |
| Return Reference | Schedule J, Part I, Line 3 | ReturnReference |
| Explanation | THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY ITS TAX-EXEMPT PARENT, COVENANT HEALTH SYSTEM. SEE SCHEDULE O FOR FORM 990, PART VI, LINE 15A FOR THE PROCESS USED BY COVENANT HEALTH SYSTEM'S PARENT TO DETERMINE EXECUTIVE COMPENSATION. SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM COVENANT HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION: JOHN WADE - $79,440 MELINDA CLARK - $577,579 Schedule J, Part I, Line 4b EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. SCHEDULE J, PART I, LINE 7 A PORTION OF THE EXECUTIVE'S SALARY IS PLACED "AT-RISK" AND IS NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| To-Do Partnership | |||
| DON WILLIAMS - PARTNER | 377821 | Rental - Rural Health Building | false |
| WRIGHT FAMILY PRACTICE | |||
| DAVID WRIGHT- OWNER | 176929 | Lease & Equipment Rental | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | PART I, LINE 1 & PART III, LINE 1 | AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), COVENANT HOSPITAL PLAINVIEW IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE. Program Service Accomplishments Part III, Line 4 GROUNDED IN OUR COMMITMENT TO COMMUNITY AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), COVENANT HOSPITAL PLAINVIEW IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THAT MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. BUT THE ROOTS OF COVENANT HOSPITAL PLAINVIEW AND THE LESSONS TO SERVE OUR DEAR NEIGHBORS DATE BACK TO THE YEAR 1650 WHEN THE SISTERS' FIRST CONGREGATION WAS FORMED IN LE PUY, FRANCE. SINCE THAT TIME, THE PEOPLE OF OUR ORGANIZATION CONTINUE TO ASSESS THE NEEDS OF THE COMMUNITIES WE SERVE, BUILD COLLABORATIVE PARTNERSHIPS WITH LOCAL RESIDENTS, BUSINESS AND COMMUNITY NOT-FOR-PROFITS, AND TOGETHER THROUGH THOSE PARTNERSHIPS, MEET COMMUNITY NEEDS. THE HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS--NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO - AND CONSISTS OF 14 ACUTE CARE HOSPITALS, AS WELL AS HOME HEALTH AGENCIES, HOSPICE CARE, OUT-PATIENT SERVICES, SKILLED NURSING FACILITIES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. WHO WE ARE AND WHAT WE DO COVENANT HOSPITAL PLAINVIEW IS A GENERAL ACUTE CARE 68 BED HOSPITAL, SERVING THE SOUTH PLAINS REGION. THREE MISSION OUTCOMES AS A MINISTRY OF THE ST. JOSEPH HEALTH SYSTEM WE ARE COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: - MAKING EVERY ENCOUNTER WITH OUR COMMUNITY A SACRED ENCOUNTER, ON OCTOBER 29TH 2010 LATE IN THE AFTERNOON, I RECEIVED A CALL FROM THE ER. THERE WAS A FAMILY WHO HAD BROUGHT IN AN 18 MONTH OLD BABY THAT WAS NOT BREATHING. THE FAMILY WANTED SOMEONE TO COME PRAY WITH THEM, SO I ASKED CAROL TERRELL IF SHE WOULD AND WITHOUT A HESITATION OR SECOND THOUGHT SHE WAS ON HER WAY TO THE ER. SHE SAT AND PRAYED WITH THE FAMILY AND JUST A FEW MINUTES LATER A NURSE CAN OUT AND STATED THAT THE BABY WAS DOING BETTER. THEY ALL TRULY FELT THERE HAD BEEN A MIRACLE PERFORMED BY GOD AND THE FAMILY FELT IT WAS ALL DUE TO THE PRAYING WHICH HAD TAKEN PLACE. THE BABY WAS SENT TO LUBBOCK BY HELICOPTER AND WHILE THE FAMILY WAS WAITING, CAROL GATHER SOME FOOD WHICH WAS LEFT OVER FROM THE BUSINESS OFFICE EMPLOYEE APPRECIATION AND GAVE TO THE FAMILY SO THEY WOULD HAVE SOMETHING TO EAT WHILE THEY WERE IN LUBBOCK. WE ALL KNOW HOW EXPENSIVE IT CAN BE TO FEED SEVERAL PEOPLE AND CAROL DID NOT WANT THE FAMILY TO HAVE ADDED WORRIES. NOT ONLY DID CAROL WORRY ABOUT THE FAMILY HAVING FOOD TO EAT, BUT SHE ALSO HAD A CONCERN ABOUT THE COST OF DRIVING BACK AND FORTH TO LUBBOCK, SO CAROL GAVE THE FAMILY MONEY FOR GAS. CAROL DEMONSTRATED THE TRUE MEANING OF SERVICE EXCELLENCE WITHOUT ANY HESITATION, ALL SHE THOUGHT ABOUT WAS HOW SHE COULD HELP THE FAMILY. THE FAMILY CALLED BACK TO THE HOSPITAL A FEW DAYS LATER AND WANTED TO GIVE THANKS FOR ALL WE HAD DONE FOR THEIR CHILD AND AGAIN EXPLAINED HE WAS DOING BETTER AND THEY TRULY THOUGHT IT WAS A DIRECT RELATION TO THE PRAYING CAROL HAD PERFORMED WITH THE FAMILY. - PROVIDING TO OUR PATIENTS IN THE COMMUNITY WITH PERFECT CARE DAVID HAS WORKED AT THE HOSPITAL FOR 16 YEARS AND IS ABLE TO WORK PRETTY MUCH ANYWHERE. HE WORKS WELL WITH OTHER DEPARTMENTS AND IS ALWAYS RESPECTFUL NOT ONLY TO HIS COLLEAGUES BUT ALSO TO PHYSICIANS AND TO PATIENTS. IT IS NOT UNUSUAL FOR DAVID TO ROUND ON THE OTHER FLOORS JUST TO HELP IMPROVE DEPARTMENTAL RELATIONS. RECENTLY DAVID HAD A COMPLICATED SITUATION IN THE ER, WHERE A VERY CRITICAL PATIENT THAT NEEDED TO BE ADMITTED INTO THE HOSPITAL REFUSED TO BE ADMITTED AND WANTED TO LEAVE AMA. DAVID TALKED TO THE PATIENT AT LENGTH TRYING TO ENCOURAGE HIM TO STAY. HAD THE PHYSICIAN TALK TO HIM FOR A LENGTHY TIME AND EVEN CALLED ME TO VISIT WITH THE PATIENT. DESPITE ALL OUR EFFORTS, WE WERE UNABLE TO GET THE PATIENT TO STAY AND HE LEFT AMA. HOWEVER, DAVID REMAINED KIND AND ENCOURAGING TO THE PATIENT THE ENTIRE TIME, EVEN ESCORTING HIM OUT OF THE ER IN A WHEELCHAIR BECAUSE HE WAS SO WEAK AND CONTINUED TO ENCOURAGE HIM TO RETURN IF HE GOT SCARED OR BECAME WORSE. DAVID KNEW THIS YOUNG MAN WOULD DIE WITHOUT MEDICAL TREATMENT. THE NEXT MORNING WHILE I WAS ROUNDING IN THE ER, THIS YOUNG MAN CALLED AND ASKED FOR DAVID. HE TOLD DAVID HE WAS WORSE AND FELT LIKE HE NEEDED TO COME BACK IN. HOWEVER, HE TOLD DAVID THAT HE NEEDED A FAVOR TO STAY IN THE HOSPITAL BECAUSE HE COULDN'T MISS AN IMPORTANT PHONE CALL. DAVID TOLD HIM WE WOULD MAKE ANY ACCOMMODATIONS HE NEEDED AND ENCOURAGED HIM TO COME BACK IN. HE DID ARRIVE, WAS RE-EVALUATED AND TRANSFERRED TO CMC WHERE HE LATER DIED THAT EVENING. THIS YOUNG MAN HAD A VERY ALTERNATIVE LIFESTYLE THAT COULD HAVE CAUSED DAVID TO BE VERY JUDGMENTAL DUE TO THE FACT THAT THE BIGGEST CAUSE OF HIS MEDICAL CONDITION WAS SELF-INFLICTED. HOWEVER, DAVID TREATED HIM WITH CARE AND KINDNESS AND SHOWED DEEP CONCERN FOR ANOTHER HUMAN BEING. DAVID IS CONSTANTLY GOING ABOVE AND BEYOND FOR OUR PATIENTS. HE WILL SPEND EXTRA TIME TO TEACH A DIABETIC HOW TO TAKE CARE OF THEMSELVES AND THE IMPORTANCE OF THAT OR TEACHING A PATIENT WITH CHRONIC HYPERTENSION THE IMPORTANCE OF KEEPING IT UNDER CONTROL. HE EVEN WALKED A PATIENT TO HIS APARTMENT COMPLEX NEARBY BECAUSE THE PATIENT HAD RECEIVED A DEMEROL INJECTION AND HE WANTED TO MAKE SURE HE GOT HOME SAFE SINCE HE WAS UNDER THE INFLUENCE. COVENANT HOSPITAL PLAINVIEW IS A GENERAL ACUTE CARE 100 BED HOSPITAL, SERVING THE SOUTH PLAINS REGION. DURING FISCAL YEAR 2010, WE INVESTED A TOTAL OF $2,700,000 (8.28% OF OUR TOTAL OPERATING EXPENSES) IN COMMUNITY BENEFIT (INCLUDING TRADITIONAL CHARITY CARE, UNPAID COST TO STATE AND LOCAL PROGRAMS AND COMMUNITY BENEFIT SERVICES TO THE LOW-INCOME AND BROADER COMMUNITY), IN ALIGNMENT WITH CATHOLIC HEALTH ASSOCIATION GUIDELINES. IN ADDITION, OUR UNPAID COST OF MEDICARE PROGRAMS TOTALED $4,434,494. FINANCIAL ASSISTANCE POLICY (TRADITIONAL CHARITY CARE) OUR MISSION IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. JOSEPH HEALTH SYSTEM HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. ORGANIZATIONAL COMMITMENT AS A VALUES BASED ORGANIZATION, COVENANT HOSPITAL PLAINVIEW HAS A LONG-STANDING COMMITMENT TO THE COMMUNITY. FY 10 COMMUNITY BENEFIT INITIATIVES AND/OR PROGRAMS NAME OF INITIATIVE OR PROGRAM: A COMMUNITY HEALTH AWARENESS AND PREVENTION PROGRAM FOR HEALTHY KIDS. "HK" STANDS FOR "HEALTHY KIDS", "2020" IS THE YEAR THIS YEAR'S FIRST GRADERS WILL GRADUATE FROM HIGH SCHOOL. GOAL: TO ESTABLISH A LONG-TERM, MEASURABLE PROGRAM TO POSITIVELY AFFECT THE PREVALENCE OF CHILDHOOD OBESITY IN HALE COUNTY OVER THE NEXT 12 YEARS. FY10 ACCOMPLISHMENTS: WE HAVE ORGANIZED A TEAM OF PROFESSIONALS IN HALE COUNTY TO PLAN AND IMPLEMENT A VARIETY OF HEALTHY ACTIVITIES THAT WILL TARGET THE NEXT GENERATION OF CHILDREN AND THEIR FAMILIES. THIS PROGRAM INCLUDES A VARIETY OF FREE ACTIVITIES AND EVENTS INCORPORATED INTO ALL ASPECT'S OF A CHILD'S LIFE - HOME, SCHOOL, CHURCH, AND COMMUNITY - AND EVERY ASPECT OF A CHILD'S PERSON - BODY, MIND, AND SPIRIT. THIS WILL BE A "NO-EXCUSES" PROGRAM - TO OFFER EVERY OPPORTUNITY TO MAKE HEALTHY CHOICES FOR EVERY CHILD. THE PROGRAM WILL BE FAMILY-CENTERED, ALL-INCLUSIVE, REWARDING, SPIRITUAL, COMMUNITY-WIDE, LONG-TERM, AND MEASURABLE. * INCLUDE CHILDREN AND THEIR FAMILIES. * OFFER COUPONS AND VOUCHERS SO THAT EVEN THOSE FAMILIES WITH FINANCIAL CONSTRAINTS MAY PARTICIPATE. ALL EVENTS WILL BE FREE OF CHARGE. * REWARD POINTS TO CHILDREN FOR MAKING HEALTHY CHOICES. PRIZES TO BE PROVIDED. * INCLUDE ORGANIZATIONS FROM ALL ASPECTS OF OUR COMMUNITY TO INCREASE AWARENESS AND PARTICIPATION. * SET SHORT-TERM AND LONG-TERM MEASURABLE GOALS TO MAKE INSURE THAT THE PROGRAM IS MAKING A DIFFERENCE. QUANTIFIABLE COMMUNITY BENEFIT IN FY 10 COVENANT HOSPITAL PLAINVIEW CONTRIBUTED OVER $7,108,466 IN UNSPONSORED QUANTIFIABLE COMMUNITY BENEFIT: TRADITIONAL CHARITY CARE $3,061,586 UNREIMBURSED MEDICAID $3,250,757 UNREIMBURSED COSTS - OTHER MEANS TESTED GOVERNMENT PROGRAMS $796,123 COMMUNITY SERVICES FOR THE LOW-INCOME COMMUNITY SERVICES FOR THE BROADER COMMUNITY $68,000 *IN ALIGNMENT WITH CATHOLIC HEALTH ASSOCIATION COMMUNITY BENEFIT REPORTING GUIDELINES UNPAID COST FOR MEDICARE PATIENTS $2,925,000 FOR MORE INFORMATION ON COVENANT HOSPTIAL PLAINVIEW: WWW.COVENANTHEALTH.ORG FOR MORE INFORMATION ON THE ST. JOSEPH HEALTH SYSTEM GO TO: WWW.STJOE.ORG |
| DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, LINE 6 | COVENANT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER. |
| DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS | FORM 990, PART VI, LINE 7A | COVENANT HOSPITAL PLAINVIEW HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE COVENANT HOSPITAL PLAINVIEW BOARD. ALL DIRECTORS APPOINTMENTS THAT COME FROM THE COVENANT HOSPITAL PLAINVIEW BOARD AS NOMINATIONS MUST BE APPROVED BY COVENANT HEALTH SYSTEM, AS THE CORPORATE MEMBER, ST. JOSEPH HEALTH SYSTEM, AS THE TAX-EXEMPT PARENT OF COVENANT HEALTH SYSTEM, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. |
| DECISIONS REQUIRING APPROVAL | FORM 990, PART VI, LINE 7B | THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. |
| PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 | FORM 990, PART VI, LINE 11A | THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY AN OFFICER(S) OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS THEN DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2011 MEETING. DURING THE BOARD FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE BOARD FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | FORM 990, PART VI, LINE 12C | OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, DISCLOSURES SHALL BE MADE PROMPTLY ANYTIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE CONFLICTS & COMPENSATION COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS WILL REVIEW THE MATTER AND WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER IN CONSULTATION WITH SJHS GENERAL COUNSEL WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES AND WILL PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. |
| PROCESS USED TO DETERMINE COMPENSATION | FORM 990, PART VI, LINES 15A AND 15B | THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET AT LEAST 3 TIMES A YEAR AND MAKE ALL CRITICAL DECISIONS IN EXECUTIVE SESSIONS. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2010. |
| AVAILABILITY OF CERTAIN DOCUMENTS TO THE GENERAL PUBLIC | FORM 990, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. |
| HOURS DEVOTED TO RELATED ORGANIZATIONS | FORM 990, PART VII | THE FOLLOWING COVENANT HOSPITAL PLAINVIEW (CHPL) BOARD MEMBERS WERE EMPLOYEES OF COVENANT MEDICAL GROUP (CMG), A RELATED TAX-EXEMPT ORGANIZATION. THEY DEVOTED 40 HOURS PER WEEK TO CMG AND 2 HOURS PER WEEK TO CHPL: SERGIO LARA, M.D. CHARLES SMITH, D.O. DAVID WRIGHT, D.O. STEVEN BECK SERVED AS INTERIM CEO AND THEN AS VICE PRESIDENT - REGION SERVICES AND WAS COMPENSATED BY COVENANT HEALTH SYSTEM (CHS), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTED 14 HOURS PER WEEK TO CHPL, 14 HOURS PER WEEK TO COVENANT HOSPITAL LEVELLAND, AND 12 HOURS PER WEEK TO CHS. ALAN KING SERVED AS CEO STARTING 11/23/09 AND WAS COMPENSATED BY COVENANT HEALTH SYSTEM (CHS), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTED 40 HOURS PER WEEK TO CHPL AND NO HOURS TO CHS. |
| OVERSIGHT OR SELECTION PROCESS | FORM 990, PART XI, LINE 2C | THE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. |
| TRANSACTIONS WITH RELATED ORGANIZATIONS | SCHEDULE R, PART V, LINE 2 | THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (12 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 |
|---|---|---|---|---|---|---|---|---|---|
| St Joseph Health System | |||||||||
| 500 S MAIN STREET SUITE 700 | Orange | CA | 928684507 | 953589356 | HealthCare | CA | 501(c)(3) | 11, I | na |
| Covenant Health System | |||||||||
| 3615 19th Street | Lubbock | TX | 79410 | 752765566 | HealthCare | TX | 501(c)(3) | 3 | NA |
| Covenant Medical Group | |||||||||
| 3420 22nd Place | Lubbock | TX | 79410 | 752743883 | HealthCare | TX | 501(c)(3) | 3 | CHS |
| Methodist Hospital Levelland | |||||||||
| 1900 College Avenue | Levelland | TX | 79336 | 752246348 | HealthCare | TX | 501(c)(3) | 3 | CHS |
| Methodist Children's Hospital | |||||||||
| 3610 21st Street | Lubbock | TX | 79410 | 752428911 | healthcare | TX | 501(c)(3) | 3 | CHS |
| Hospice of Lubbock | |||||||||
| 1102 Slide Road | Lubbock | TX | 79414 | 752133781 | healthcare | TX | 501(c)(3) | 9 | CHS |
| Covenant Health System Foundation | |||||||||
| 4000 2th Street | Lubbock | TX | 79410 | 751653181 | FOUNDATION | TX | 501(c)(3) | 11, I | CHS |
| St Mary of the Plains Hospital FDN | |||||||||
| 4000 24th Street | Lubbock | TX | 79410 | 751653181 | FOUNDATION | TX | 501(c)(3) | 11, I | CHS |
| Lubbock Methodist Hospital Foundation | |||||||||
| 3615 19th Street | Lubbock | TX | 79410 | 752220963 | FOUNDATION | TX | 501(c)(3) | 7 | CHS |
| Covenant Health Partners INC | |||||||||
| 3515 19th Street | Lubbock | TX | 79410 | 611573313 | HealthCare | TX | 501(c)(3) | 11, I | CHS |
| St Joseph Health Ministry | |||||||||
| 500 S Main Street Suite 400 | Orange | CA | 92868 | 271666576 | Religious Org | CA | 501(c)(3) | 1 | na |
| Sisters of St Joseph of Orange | |||||||||
| 480 S Batavia | Orange | CA | 92868 | 951643383 | Religious Org | CA | 501(c)(3) | 1 | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lubbock Surgery Center Ltd | |||||||||||||
| 4000 24th Street | Lubbock | TX | 79410 | 752177401 | HealthCare SVCS | TX | CHS | Related | 0 | 0 | false | $0 | false |
| CHS Holding LP | |||||||||||||
| 4000 24th Street | Lubbock | TX | 79410 | 205477251 | HealthCare SVCS | TX | CHS | Related | 0 | 0 | false | $0 | false |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LUBBOCK METHODIST HOSPITAL SERVICES INC | |||||||||||
| PO BOX 1201 | LUBBOCK | TX | 79410 | 752118585 | HEALTHCARE SVCS | TX | CHS | C CORP | 0 | 0 | 0.00000 |
| LUBBOCK METHODIST HOSPITAL PRACTICE MGMT | |||||||||||
| 2107 OXFORD STREET SUITE 300 | LUBBOCK | TX | 79410 | 752578995 | INACTIVE | TX | CHS | C CORP | 0 | 0 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)
| Amount InvolvedAmountInvolved |
|---|
| COVENANT HEALTH PARTNERS INC |
| 0 |
| LUBBOCK METHODIST HOSPITAL SYSTEM |
| 0 |
| COVENANT MEDICAL GROUP |
| 0 |
| HOSPICE OF LUBBOCK |
| 0 |
| METHODIST HOSPITAL LEVELLAND |
| 0 |
| METHODIST CHILDREN'S HOSPITAL |
| 0 |
| COVENANT HEALTH SYSTEM FOUNDATION |
| 0 |
| ST MARY OF THE PLAINS HOSPITAL FOUNDATION |
| 0 |
| LUBBOCK METHODIST HOSPITAL FOUNDATION |
| 0 |
| LUBBOCK SURGERY CENTER LTD |
| 0 |
| CHS HOLDING LP |
| 0 |
| LUBBOCK METHODIST HOSPITAL PRACTICE MGMT |
| 0 |
| LUBBOCK METHODIST HOSPITAL SERVICES INC |
| 0 |
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