2023-11-09T14:24:49-06:00 2022-12-31 FORVIS LLP 14241 DALLAS PARKWAY SUITE 1100 DALLAS TX 75254 990 2022-01-01 751912147 United Regional Health Care System % TREY TWILLIGEAR UNIT 9407648251 1600 Eleventh Street Wichita Falls TX 76301 PHYLLIS COWLING PRESIDENT AND CEO 9727028262 2023-11-15 true PHYLLIS COWLING 999009999 Jeanette Verrelli P00742631 9727028262 2 2022 2023-04-26 12:10:37Z PHYLLIS COWLING 1600 ELEVENTH STREET WICHITA FALLS TX 76301 554491719 false X WWW.UNITEDREGIONAL.ORG X 1983 TX ORGANIZED AND OPERATED FOR THE PURPOSE OF DEVELOPING AND OPERATING AN INTEGRATED HEALTH CARE SYSTEM. 17 12 2370 80 193683 173315 7638973 2562896 426689570 452168802 51233484 84727447 532019 193683 486094046 539652828 5167179 3470120 0 0 151124379 172080971 0 0 0 230250874 263122258 386542432 438673349 99551614 100979479 1016288839 961959378 104717621 101532573 911571218 860426805 X TO OPERATE NONPROFIT HOSPITALS OR HOSPITAL FACILITIES, CLINICS, AND RELATED MEDICAL AND SURGICAL SERVICES BY PROVIDING SUCH SERVICES TO PERSONS THAT DO HAVE THE ABILITY TO PAY, AND TO THEREBY PROVIDE CHARITABLE MEDICAL, SURGICAL, AND HOSPITAL CARE FOR SICK, INJURED, AFFLICTED, INFIRM, DISABLED, OR DESTITUTE PERSONS THAT DO NOT HAVE THE ABILITY TO PAY. false false 406925039 3470120 452168802 UNITED REGIONAL HEALTH CARE SYSTEM, A 293-BED HOSPITAL, PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF HEALTH CARE SERVICES. IN ADDITION TO INPATIENT BEDS, THERE ARE 31 NEWBORN WARMERS, 24 BASSINETTES AND 42 ER BEDS. ADDITIONAL PROGRAMS WHICH BENEFIT THE COMMUNITY INCLUDE: STUDENTS IN NURSING, PHARMACY, LABORATORY TECHNOLOGY, RADIOLOGY, RESPIRATORY THERAPY AND OTHER ASSOCIATED HEALTH SCIENCES PROFESSIONS ALSO STUDY HERE. PREVENTIVE CARE A PRIORITY: UNITED REGIONAL HEALTH CARE SYSTEM HAS TAKEN STEP TO ENHANCE PREVENTIVE CARE FOR PEOPLE OF ALL AGES THROUGH THE DEVELOPMENT OF LOW COST SCREENING PROGRAMS, VACCINATION CLINICS, A WELL AS OTHER OUTREACH EDUCATION SERVICES. OTHER SERVICES ARE PROVIDED THROUGH THE UNITED REGIONAL REFERENCE LAB INCLUDE BOTH LOW COST FEE-FOR-SERVICE SCREENINGS AND FREE SCREENINGS AT COMMUNITY HEALTH FAIRS (CHOLESTEROL, PSA, TRIGLYCERIDES, ETC.) DESIGNATED TRAUMA CENTER: UNITED REGIONAL IS DESIGNATED LEVEL 2 TRAUMA CENTER FOR THE REGION BY THE HEALTH AND HUMAN SERVICES COMMISSION OF THE STATE OF TEXAS. UNITED REGIONAL HEALTH CARE SYSTEM'S EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY/7 DAYS A WEEK MEETING THE NEEDS OF THE COMMUNITY WITH AN AVERAGE OF 183 VISITS PER DAY. COMMUNITY CONNECTIONS: UNITED REGIONAL HEALTH CARE SYSTEM REACHES OUT TO PEOPLE AND COMMUNITIES THROUGHOUT ITS PRIMARY SERVICE AREA OF WICHITA COUNTY AND ITS SECONDARY SERVICE AREA OF 8 SURROUNDING COUNTIES CONSISTING OF ARCHER, BAYLOR, CLAY, HARDEMAN, JACK, MONTAGUE, WILBARGER AND YOUNG COUNTIES. THROUGH COOPERATIVE AGREEMENTS WITH LOCAL GOVERNMENTS AND HOSPITALS, UNITED REGIONAL PROVIDES FUNDING FOR A NUMBER OF HEALTHCARE SERVICES. COMMUNITY EDUCATION: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES THE FOLLOWING TYPES OF COMMUNITY EDUCATION: COMMUNITY EDUCATION SEMINARS WITH FACEBOOK LIVE PRESENTATIONS BY PHYSICIANS ON HEALTH ISSUES AND TREATMENT OPTIONS; HEALTH EDUCATION EMAILS, SENT TO APPROXIMATELY 37,000 REGISTERED PARTICIPANTS, PROVIDING HEALTH PROMOTION AND DISEASE PREVENTION INFORMATION AND INFORMATION ON FREE EDUCATIONAL PROGRAMS; SENIOR FOCUSED PROGRAM, PROVIDING A DRIVE-THROUGH INFLUENZA VACCINATION CLINIC; AND PARTICIPATION IN A HEALTHY LIFESTYLE CLASS FOR KIDS. CHARITY CARE: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES MEDICAL CARE TO MEMBERS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. ESTIMATED COST OF PROVIDING ADDITIONAL COMMUNITY BENEFITS DURING 2022 WAS $27,959,255 WHICH INCLUDED THE FOLLOWING: UNREIMBURSED COST OF EMERGENCY AND TRAUMA CARE $12,191,610 UNREIMBURSED COST OF FREE STANDING CLINICS $15,767,645 DONATIONS MADE BY THE HOSPITAL TO AREA CHARITABLE ORGANIZATIONS $39,341,698 TOTAL COSTS OF ADDITIONAL COMMUNITY BENEFITS $67,300,953 SOURCE: 2022 ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (STATE OF TEXAS MANDATORY REPORT) 406925039 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true false false false false false false true true false false false false false true true true false false true 244 0 true 2370 true true true false false false false false false false false false true false X 17 12 true false false false false true true true true false false true true true true true true true true true true X TREY TWILLIGEAR 9407648251 1600 ELEVENTH STREET WICHITA FALLS TX 76301 X PHYLLIS A COWLING PRESIDENT/CEO 40.0 0.0 X X 1226141 0 121370 NANCY TOWNLEY SR VP OF OPERATIONS 40.0 2.5 X 840345 0 68244 ROBERT PERT CHIEF FINANCIAL OFFICER 40.0 2.5 X 605368 0 65708 STEPHANIE MCDONELL CHIEF INFORMATION OFFICER 40.0 0.0 X 497066 0 50848 KRISTI FAULKNER VP OF HR & ORGANIZATIONAL DEV 40.0 0.0 X 440158 0 50478 JOHNNY ROBERTS VP UR PHYSICIAN GROUP 40.0 0.0 X 388066 0 54794 ANNE DABOVICH VP OF PATIENT CARE/CLINICAL SV 40.0 0.0 X 369726 0 34136 BRETT MAY MD DIRECTOR 1.0 0.0 X 0 262660 31785 ADRIANNA L RIVERA CHARGE NURSE 40.0 0.0 X 239913 0 35039 MICHELLE T NELSON SENIOR DIR. HEALTH IMPROVEMENT 40.0 0.0 X 235628 0 37841 NATHAN A WOOTEN DIR. PHARMACY 40.0 0.0 X 235071 0 34868 SHELLY J MOSER SENIOR DIR. QUALITY & SAFETY 40.0 0.0 X 233398 0 32806 KINDA M BRAVEBOY CHARGE NURSE 40.0 0.0 X 233892 0 27476 ANDRE DESIRE MD DIRECTOR END: 06/22 1.0 0.0 X 130000 0 0 VENDAMPATTU GANESHRAM MD DIRECTOR START: 07/22 1.0 0.0 X 129226 0 0 ALLEN FLACK MD DIRECTOR 1.0 0.0 X 0 0 0 DIANN TAYLOR DIRECTOR START: 07/22 1.0 0.0 X 0 0 0 DON CALDWELL DIRECTOR START: 03/22 1.0 0.0 X 0 0 0 GUY A FIDELIE JR DIRECTOR 1.0 0.0 X 0 0 0 JOHN LUIG Jr DIRECTOR 1.0 0.0 X 0 0 0 KEITH WILLIAMSON MD DIRECTOR 1.0 0.0 X 0 0 0 KINLEY HEGGLUND DIRECTOR 1.0 0.0 X 0 0 0 LACEY MORGAN CHAIRMAN 1.0 0.0 X X 0 0 0 LINDA CASTILLO DIRECTOR 1.0 0.0 X 0 0 0 MARGARET STEWART DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL STANFORD DIRECTOR 1.0 0.0 X 0 0 0 ROBERT FORRESTER VICE CHAIRMAN 1.0 0.0 X X 0 0 0 SHAY JONES DIRECTOR END: 04/22 1.0 0.0 X 0 0 0 STEPHANIE SPAIN SECRETARY / TREASURER 1.0 0.0 X X 0 0 0 TIM CORNELIUS WHB Appointee 1.0 0.0 X 0 0 0 5803998 262660 645393 392 false true false MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 10087 CONTRACT LABOR 22325106 LA MAGNA HEALTH PLLC 1631 11TH STREET WICHITA FALLS TX 76301 CLINICAL SERVICES 6402470 WICHITA FALLS ANESTHESIA PLLC 1600 11TH STREET WICHITA FALLS TX 76301 CLINICAL SERVICES 3449198 ACUTE CARE SURGERY TEXOMA PLLC PO BOX 3386 WICHITA FALLS TX 76301 CLINICAL SERVICES 2715819 NEUROLOGICAL SURGERY 3808 KEMP BLVD SUITE A WICHITA FALLS TX 76308 CLINICAL SERVICES 2761635 67 1574522 988374 2562896 Patient Service Revenue 621110 450896299 450896299 Supporting Revenue 900099 698914 698914 Related Rental Revenue 531120 573589 573589 452168802 15502053 15502053 0 0 0 0 0 84007834 56451 14838891 69168943 56451 69225394 69225394 0 0 0 0 0 0 0 0 0 PASS-THROUGH REVENUE 901101 193683 193683 193683 539652828 452168802 193683 84727447 X 3470120 3470120 0 0 0 5366119 536612 4829507 274121 11435 262686 147271850 139739638 7532212 4141092 4056139 84953 4378730 4174750 203980 10649059 9797134 851925 0 99277 99277 94345 94345 99071 99071 0 578024 578024 77487103 71379281 6107822 227816 209591 18225 8035828 7493259 542569 7300176 6716162 584014 0 3164897 2911705 253192 522390 480599 41791 0 418697 6628 412069 68704 68704 0 22120852 13489296 8631556 1786061 1786061 Bad Debt Expense 29565680 29565680 Medical Supplies 105025077 105025077 Equipment expenses 2908508 2675827 232681 Covid-19 Expenses 2225765 2047704 178061 1393987 1283637 110350 438673349 406925039 31748310 0 166807 143266 87655021 83379714 0 0 41063940 40465445 0 0 0 0 0 0 11049704 9244339 13247259 9453493 469116566 257585823 195199436 211530743 552317316 488153929 0 0 0 0 0 0 115589356 119588449 1016288839 961959378 48806833 87028908 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55910788 14503665 104717621 101532573 X 911571218 860426805 0 0 911571218 860426805 1016288839 961959378 X 100979479 -147716537 -4407355 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 99071 99071 false SCHEDULE C, PART II-B, LINE 1I LOBBYING ACTIVITIES: THE HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES %LOBBYING $LOBBYING TAVH $5,823 100 % $5,823 THA $62,738 17.16% $10,766 AHA $50,317 27.29% $13,732 DON GILBERT & ASSOC $165,000 41.67% $68,750 --------------------------------------------------------------------- TOTAL $283,878 $99,071 493631 493631 493631 493631 493631 493631 839392 345761 493631 839392 839392 0.59480 0.40520 false true true 15646756 15646756 230192023 121735564 108456459 198473552 133760882 64712670 24804235 2089377 22714858 211530743 Due from Affiliates 100600882 Interest Receivable 395732 Est from 3rd Party Payors 18591835 119588449 0 Est due to third party payors 3978078 Self Insurance liabilities 10319000 DUE TO AFFILIATE 206587 14503665 SCHEDULE D, PART V, LINE 4 INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS. FUNDS ARE USED TO ADVANCE AND PROMOTE THE HEALTH AND WELL-BEING OF PEOPLE AND ORGANIZATIONS IN THE COMMUNITY AND SURROUNDING AREAS. THE FUNDS DESIGNATED BY THE BOARD ARE NOT CURRENTLY BEING USED. SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true true false true true 56943181 43694331 13248850 0.03240 50921134 74209829 0.00000 662922 497984 164938 0.00040 108527237 118402144 13413788 0.03280 245458 245458 0.00060 52502429 28376357 24126072 0.05890 3470120 3470120 0.00850 56218007 28376357 27841650 0.06800 164745244 146778501 41255438 0.10080 108040 5478 102562 0.00010 2938890 2938890 0.00720 3046930 5478 3041452 0.00730 false 29565680 2956568 105046156 103527318 1518838 X true true UNITED REGIONAL SURGICAL MANAGEMENT 0.5 0.5 HEALTH CARE SYSTEM SURGERY LLC UNITED REGIONAL CARDIOVASCULAR SERVICES 0.5 0.5 health care system CARDIOLOGY LLC 1 1 UNITED REGIONAL HEALTH CARE SYSTEM 1600 ELEVENTH STREET WICHITA FALLS TX 76301 WWW.UNITEDREGIONAL.ORG 000417 X X X X UNITED REGIONAL HEALTH CARE SYSTEM 1 false false true X X X X X X X X X 22 true false false true X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 200. 400. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 PERSONS WHO REPRESENT THE COMMUNITY: UNITED REGIONAL CONDUCTED 19 INTERVIEWS WITH THE TWO GROUPS OUTLINED IN IRS FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. DURING THESE INTERVIEWS, THE HOSPITAL DISCUSSED THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. BACKGROUND INFORMATION ON EACH INTERVIEWEE WAS ALSO GATHERED. THE INTERVIEWEES WERE INDIVIDUALS FROM VARIOUS NOT-FOR-PROFIT GROUPS, HEALTH CARE FACILITIES, GOVERNMENTAL AGENCIES AND OTHER AREAS OF THE COMMUNITY. THESE INDIVIDUALS WERE FROM THE FOLLOWING ORGANIZATIONS: -HELEN FARABEE CENTER -WICHITA FALLS AREA FOOD BANK -HOSPICE OF WICHITA FALLS -WICHITA COUNTY HEALTH DEPARTMENT -UNITED REGIONAL HEALTH CARE SYSTEM -WICHITA COUNTY -THE KITCHEN/RED/GREEN DOOR SENIOR CENTERS -UNITED REGIONAL FOUNDATION -ELECTRA MEMORIAL HOSPITAL -WICHITA FALLS ISD -NORTH CENTRAL TEXAS COMMUNITY HEALTH CENTER -WICHITA FALLS FAITH MISSION/FAITH REFUGEE -NORTH TEXAS AREA UNITED WAY -United Regional Physician Group -Vernon College SCHEDULE H, PART V, SECTION B, LINE 7A & 10A CHNA & IMPLEMENTATION STRATEGY WEBSITE: THE CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT WWW.UNITEDREGIONAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 20E EFFORTS TO NOTIFY INDIVIDUALS OF FINANCIAL ASSISTANCE POLICY: NEITHER THE UNITED REGIONAL HEALTH CARE SYSTEM, NOR THIRD PARTIES AUTHORIZED BY URHCS, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED: UNITED REGIONAL IDENTIFIED AND PRIORITIZED 6 NEEDS USING A STRUCTURED MATRIX IN THE IMPLEMENTATION STRATEGY. THE NEEDS ARE: 1. CONTINUED EMPHASIS ON ADDRESSING SOCIAL DETERMINANTS OF HEALTH TO REDUCE HEALTH DISPARITIES 2. PREVENTION, EDUCATION AND AWARENESS OF SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 3. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS 4. CONTINUED FOCUS ON EMERGENCY PREPAREDNESS & RESPONSE 5. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 6. ACCESS TO DENTAL CARE SERVICES AND PROVIDERS While United Regional acknowledges that this is a significant need in the community, "Access to Dental Care Services and Providers" is not addressed largely due to the fact that it is not a core business function of the hospital and the limited capacity of the hospital to address this need. United Regional will continue to support local organizations and efforts to address this need in the community. SEE THE SCHEDULE H, PART VI, LINE 5 DISCLOSURE FOR ADDITIONAL INFORMATION UPDATING UNITED REGIONAL'S PROGRESS ADDRESSING THESE NEEDS. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B & 16C MEASURES TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUmmary are AVAILABLE AT THE FOLLOWING ADDRESS: https://unitedregional.org/financial-assistance/ SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT ADJUSTMENTS: THE ORGANIZATION'S BAD DEBT ADJUSTMENTS WERE CALCULATED USING THE ADJUSTMENT AMOUNT REPORTED AS REVENUE DEDUCTIONS ON THE INTERNAL FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WAS DETERMINED BY ESTIMATING THAT 10% OF THE BAD DEBT WOULD LIKELY BE CHARITY CARE. THIS IS THE APPROXIMATE PERCENTAGE OF PATIENTS NOT COMPLETING THE PAPER WORK TO APPLY FOR CHARITY CARE. BAD DEBT EXPENSE REPRESENTS GROSS CHARGES ADJUSTED FOR APPROPRIATE DISCOUNTS AND PAYMENTS ON ACCOUNTS. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: PATIENT CARE SERVICE REVENUE ON PAGE 13 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE HOSPITAL USES MEDICARE COST REPORT METHODOLOGY TO DETERMINE MEDICARE ALLOWABLE COST, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION PRACTICES: HOSPITAL PERSONNEL MAKE GOOD FAITH EFFORTS TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, GOVERNMENTAL PROGRAMS AND ASSISTANCE IN APPLYING. SECTION 7.2 OF THE CHARITY AND BAD DEBT POLICY STATES: REQUIRED INFORMATION AND DOCUMENTATION AS NOTED IN THIS POLICY MUST BE PROVIDED BEFORE ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE DETERMINED. ONCE THE REQUIREMENTS HAVE BEEN MET, A WRITTEN NOTICE WILL BE MAILED TO THE PATIENT INFORMING THEM OF THE DETERMINATION DECISION. NO COLLECTION EFFORTS WILL BE PURSUED ON A FINANCIAL ASSISTANCE APPLICATION FOR THE ELIGIBLE AMOUNT AFTER SUCH DETERMINATION IS MADE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: UNITED REGIONAL HEALTH CARE SYSTEM (URHCS) PROVIDES EMERGENCY, TRAUMA, OUTPATIENT AND SHORT TERM GENERAL ACUTE CARE INPATIENT CARE IN THE WICHITA FALLS AREA. IN CONJUNCTION WITH OTHER INTERESTED ORGANIZATIONS, IT UNDERTAKES PROJECTS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. FOR EXAMPLE, URHCS COLLABORATES WITH OTHER COMMUNITY HEALTH ORGANIZATIONS TO CREATE A HEALTHY WICHITA REPORT WHICH IS UPDATED PERIODICALLY. THIS REPORT ASSESSES THE HEALTHCARE SERVICES PROVIDED IN THE COMMUNITY TO COMPARE THE OUTCOMES TO STATE AND FEDERAL OUTCOMES AND DETERMINE IF THE COMMUNITY HEALTH NEEDS ARE BEING MET OR ADDITIONAL RESOURCES NEED TO BE DIRECTED TO PARTICULAR HEALTH AREAS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL INFORMS PATIENTS OF THE CHARITY CARE PROGRAM AND HOW TO APPLY FOR CHARITY CARE. THIS IS DONE BY POSTING NOTICES IN PATIENT REGISTRATION AREAS AND PROVIDING WRITTEN NOTICES TO PATIENTS. ALL PATIENT STATEMENTS HAVE AN ASSISTANCE APPLICATION ON THE REVERSE SIDE AND AN ALERT ON THE FRONT FOR THOSE ELIGIBLE OR INTERESTED IN APPLYING. THIS INCLUDES ALL STATEMENT NOTIFICATIONS AND NOT JUST PATIENT SHARE STATEMENTS. FURTHERMORE IT IS THE POLICY OF URHCS TO ASSIST PATIENTS WITH INFORMATION AND RESOURCES FOR POTENTIALLY QUALIFYING FOR GOVERNMENTAL OR OTHER FINANCIAL ASSISTANCE PROGRAMS. THE BUSINESS OFFICE WILL REFER THOSE PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM A GOVERNMENTAL PROGRAM TO THE APPROPRIATE PROGRAM, SUCH AS MEDICAID, COUNTY INDIGENT, CRIME VICTIMS, OR OTHER PROGRAM, OR TO THE HOSPITAL'S CONTRACTED ELIGIBILITY VENDOR FOR SCREENING FOR GOVERNMENTAL PROGRAM COVERAGE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: URHCS PRIMARY SERVICE AREA IS MADE UP OF WICHITA COUNTY. WICHITA COUNTY CONTAINS THE CITY OF WICHITA FALLS WHERE URHCS IS LOCATED. ACCORDING TO THE HUMAN RESOURCES AND SERVICES ADMINISTRATION, US DEPARTMENT OF HEALTH AND HUMAN SERVICES, WICHITA FALLS HAS SEVERAL CENSUS TRACTS FEDERALLY DESIGNATED AS MEDICALLY UNDER-SERVED, INCLUDING CENSUS TRACT 102 WHERE URHCS IS LOCATED. CENSUS DATA FOR WICHITA FALLS IS AS FOLLOWS: MEDIAN HOUSEHOLD INCOME (2021 EST.): $ 50,856 PER CAPITA INCOME (2021 EST.): $ 26,434 UNDER AGE 18 CHILDREN BELOW POVERTY LEVEL (2021 EST.): 23.8% MEDIAN EARNINGS OF FULL-TIME WORKERS, FEMALE (2021 EST.): $36,092 PERSONS BELOW POVERTY LEVEL (2021 EST.): 18.5% EMPLOYED PERSON WITHOUT HEALTH INSURANCE COVERAGE 19 TO 64 YEARS (2021 EST.): 22.2%. URHCS IS RECOGNIZED BY MEDICARE AS QUALIFYING FOR SOLE COMMUNITY HOSPITAL STATUS AND SERVES A DISPROPORTIONATE SHARE OF LOW-INCOME PATIENTS. UNITED REGIONAL QUALIFIES AS A DISPROPORTIONATE SHARE HOSPITAL FOR BOTH THE MEDICARE AND MEDICAID PROGRAMS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS THAT REPRESENTS THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. UNITED REGIONAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. UNITED REGIONAL OPERATES A LEVEL 2 TRAUMA UNIT FOR THE REGION. THE HOSPITAL PROVIDES TRAINING COURSES FOR NURSING AND ALLIED HEALTH PROFESSIONALS FOR THE COMMUNITIES IT SERVES. THE HOSPITAL PARTICIPATES IN MEDICAID AND IS THE MANDATED WICHITA COUNTY HEALTHCARE FACILITY. THE HOSPITAL ALSO PROVIDES NUMEROUS AVENUES TO EDUCATE THE COMMUNITY ON HEALTH INITIATIVES SUCH AS HEALTH FAIRS, NEWSLETTERS/EMAILS, SOCIAL MEDIA OUTREACH AND LECTURE SERIES ON CHRONIC AND ACUTE HEALTH ISSUES. UNITED REGIONAL REINVESTS SURPLUS FUNDS IN THE FACILITIES TO ENSURE PATIENTS ARE PROVIDED WITH STATE-OF-THE-ART MEDICAL CARE. IN 2022 THE HOSPITAL CONDUCTED A COMPREHENSIVE SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT. SIX SIGNIFICANT COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND AN IMPLEMENTATION PLAN WAS DEVELOPED TO DIRECTLY ADDRESS THE SIX IDENTIFIED PRIORITIES. THE NEEDS AND PROGRAMS ADDRESSED IN 2022 ARE: 1. Continued Emphasis on Addressing Social Determinants of Health to Reduce Health Disparities: United Regional will continue to operate its Heart Failure Clinic. United Regional will continue to provide United Regional Physician Group's CarePlus primary care walk-in clinic, which provides a lower cost option than an emergency room for minor injury and illness, and also offers eCare as a virtual option for residents. United Regional will also continue to provide mammograms through charity care for females who qualify. 2. Prevention, Education and Awareness of Services to Address High Mortality Rates, Chronic Diseases, Preventable Conditions and Unhealthy Lifestyles: United Regional will continue to increase educational opportunities for the public concerning wellness topics and health risk concerns, preventive care and healthy lifestyle choices through media outlets and hosting and/or participating in local health-related events. United Regional will continue to partner with local schools to provide free sports physicals for middle and high school students. 3. Access to Primary and Specialty Care Services and Providers: United Regional will continue to expand primary and specialty care capacity by recruiting and employing additional specialty physicians to the community as outlined in its Physician Needs Assessment. United Regional will continue to offer the Future in the Falls program that stays in contact with medical students, interns, and residents from the Wichita Falls area to encourage them to return to practice in Wichita Falls once they graduate from residency. United Regional will continue to provide a list of referral services for patients who come through the hospital or Emergency Department requiring specialty care services. 4. Continued Focus on Emergency Preparedness & Response: United Regional will continue to provide education on emergency preparedness and response as opportunities arise. United Regional continues to report COVID-19 patient admissions data to the state and other organizations in an ongoing effort to share timely information regarding the pandemic as appropriate. 5. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS: UNITED REGIONAL WILL CONTINUE TO PROVIDE CASE MANAGEMENT SERVICES AND APPROPRIATE REFERRALS FOR PATIENTS WHO PRESENT TO THE HOSPITAL OR EMERGENCY DEPARTMENT WITH MENTAL OR BEHAVIORAL HEALTH CONDITIONS ON AN AS NEEDED BASIS. UNITED REGIONAL WILL CONTINUE TO PROVIDE PSYCHIATRIC TELEHEALTH SERVICES FOR APPLICABLE PATIENTS. 6. Access to Dental Care Services and Providers: While United Regional acknowledges that this is a significant need in the community, it is not addressed largely due to the fact that it is not a core business function of the hospital and the limited capacity of the hospital to address this need. United Regional will continue to support local organizations and efforts to address this need in the community. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: N/A SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: URHCS FILES AN ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (ASCBS) WITH THE STATE OF TEXAS. THE CALCULATION OF COMMUNITY BENEFIT FOR THE ASCBS DIFFERS FROM THE CALCULATIONS REQUIRED FOR THE IRS SCHEDULE H REPORTING. THEREFORE, THE INFORMATION REPORTED IN THE TWO REPORTS IS INCONSISTENT. SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSES: BAD DEBT EXPENSE OF $29,565,680 WAS INCLUDED IN TOTAL EXPENSE ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN COLUMN(F). SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL CONDUCTED ACTIVITIES TO PROMOTE AND SUPPORT THE HEALTH OF THE COMMUNITY THROUGH EDUCATION AND SUPPORT GROUPS. THESE ACTIVITIES INCLUDED THE FOLLOWING: -Care Coordination: Offers a clinic to provide care coordination activities to various at-risk patient populations discharged from the acute care setting. The Transition Clinic provides follow-up coverage for a wide array of patients until they can be aligned with a primary medical home for ongoing care or appropriate community resources. The Heart Failure Clinic assesses patients' post-discharge health and addresses lifestyle changes to stay healthy and avoid readmission. -Community Education: Provides health seminars to the community on a variety of health topics including weight loss surgery, Heart Valve Clinic and TAVR procedures, Covid-19 and Safety during Reproductive years, Orthopedic Conditions and Joint Replacements, and Transitional Care Clinic Services. -Continuing Nursing Education: Provides nursing education to employees, community nurses and emergency response personnel from the local and surrounding communities. -Diabetes Education Self-Management Program: Provides a Diabetes Education program to help instruct patients on how to manage their medication and diet to maintain a better quality of life. -Drug Take-Back Event: Provides an opportunity for the public to prevent medication accidents and abuse by ridding their homes of potentially dangerous prescription drugs that are no longer needed. -Family Health Education Class Offerings: To help new parents make an easier transition to parenthood, the hospital offers a variety of prenatal classes. In addition, the hospital assists Sheppard Air Force Base with their monthly prenatal orientation. -Health Education - Emails: Emails are sent to those who registered to receive monthly health education providing information on upcoming educational programs offered free of charge as well as education on a variety of health topics. -Healthy Lifestyle Program: A free program designed to teach healthy habits that can last a lifetime all while lowering the risk of Type 2 Diabetes. -Solutions Support Group: Provides education on weight loss before and after surgery and ongoing support from clinical staff as well as peer-to-peer support. -Joint Camp: Prepares patients for upcoming hip, knee or shoulder replacement surgery. -Sports Medicine Services: Provided sports physicals for local high school and college athletes and provides medical coverage at high school football games. The hospital also supported community health by having one of their clinics renovated. - 3rd Street Clinic Renovation: The renovation increased exam/treatment room capacity and created additional classroom space for community health education. The following Community Health Services were relocated to the 3rd Street Clinic: - Diabetes Management - Heart Failure Clinic - High-Risk Navigation - Transition Clinic The relocation provides improved community health coordination, operations and service. It also provides improved patient access with parking, ADA, public transit and is conveniently located near the health department. SCHEDULE H, PART I, LINE 6B COMMUNITY BENEFIT REPORT: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE OBTAINED BY REQUEST FROM UNITED REGIONAL ADMINISTRATION OFFICES OR COMMUNITY BENEFITS OFFICES. THE COMMUNITY BENEFIT REPORT IS ALSO ON FILE WITH THE HEALTH AND HUMAN SERVICES COMMISSION OF THE STATE OF TEXAS. Schedule H, Part I, Line 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - ASSET LEVEL - MEDICAL INDIGENCY - UNDERINSURANCE STATUS - RESIDENCY SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. COST COMPUTED ON IRS WORKSHEETS 5 and 6 WERE COMPUTED FROM THE MEDICARE COST REPORT, INCLUDING DIRECT COSTS PLUS OVERHEAD ALLOCATIONS COMPUTED IN THE COST REPORT. The cost computed on worksheet 8 were from the hospital's income statement and grant schedule. true UNITED REGIONAL HEALTH CARE FOUNDATION 1600 11TH ST WICHITA FALLS TX 76301 752761467 501(C)(3) 560120 General support WICHITA FALLS AREA FOOD BANK 1230 MIDWESTERN PARKWAY WICHITA FALLS TX 76307 751812865 501(C)(3) 150000 MOBILE PANTRY PROGRAM RATHGEBER HOSPITALITY HOUSE 1615 12TH STREET WICHITA FALLS TX 76301 752811394 501(c)(3) 60000 General support SERVICE ORGANIZATION OF NORTH TEXAS 2950 50TH STREET LUBBOCK TX 79413 800368789 501(c)(3) 2700000 GENERAL SUPPORT 4 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: UNITED REGIONAL HEALTH CARE SYSTEM PROVIDES GENERAL CONTRIBUTIONS TO THE COMMUNITY, NATIONAL CHARITIES AND OTHER COMPANIES FOR THE FURTHERANCE OF THEIR MISSION OR PURPOSE. THE ORGANIZATIONS MAKE THEIR REQUESTS IN WRITING. THESE CONTRIBUTIONS ARE REVIEWED AND APPROVED BY APPROPRIATELY AUTHORIZED BOARD ACTION; OR OFFICERS; OR EMPLOYEES AS APPROPRIATE IN THE CIRCUMSTANCE IN EACH INSTANCE OF SUCH CONTRIBUTION BEING MADE. UNITED REGIONAL FOLLOWS UP WITH EACH ORGANIZATION TO MAKE SURE EACH CONTRIBUTION WAS USED FOR ITS INTENDED PURPOSE. X X X false true false false false true true false false PHYLLIS A COWLING PRESIDENT/CEO 791486 317501 117154 108700 12670 1347511 80245 BRETT MAY MD DIRECTOR 251571 0 11089 4800 26985 294445 0 ANNE DABOVICH VP OF PATIENT CARE/CLINICAL SV 273829 94703 1194 28476 5660 403862 0 JOHNNY ROBERTS VP UR PHYSICIAN GROUP 294931 79059 14076 31480 23314 442860 0 KRISTI FAULKNER VP OF HR & ORGANIZATIONAL DEV 315909 113407 10842 29619 20859 490636 0 NANCY TOWNLEY SR VP OF OPERATIONS 582330 239728 18287 32700 35544 908589 0 ROBERT PERT CHIEF FINANCIAL OFFICER 418307 160674 26387 32700 33008 671076 0 STEPHANIE MCDONELL CHIEF INFORMATION OFFICER 361161 131075 4830 31933 18915 547914 0 ADRIANNA L RIVERA CHARGE NURSE 202509 32161 5243 8139 26900 274952 0 KINDA M BRAVEBOY CHARGE NURSE 199937 31786 2169 9235 18241 261368 0 MICHELLE T NELSON SENIOR DIR. HEALTH IMPROVEMENT 203488 30577 1563 7874 29967 273469 0 NATHAN A WOOTEN DIR. PHARMACY 206808 28023 240 0 34868 269939 0 SHELLY J MOSER SENIOR DIR. QUALITY & SAFETY 199246 30594 3558 9584 23222 266204 0 SCHEDULE J, PART I, LINE 6 EXPLANATION OF COMPENSATION CONTINGENT ON NET EARNINGS: A RANGE BETWEEN 20% AND 25% OF ANNUAL BONUS IS BASED ON CONSOLIDATED NET OPERATING INCOME. OTHER BONUS CRITERIA INVOLVE QUALITY SCORES, SERVICE SCORES AND INDIVIDUAL GOALS. Schedule J, Part I, Line 4B DEFERRED COMPENSATION PLAN: UNITED REGIONAL HEALTH CARE SYSTEM OFFERS A DEFERRED COMPENSATION PLAN. CERTAIN MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES MAY ELECT TO PARTICIPATE, IF ELIGIBLE, IN A DEFERRED COMPENSATION PLAN WHICH IS IN COMPLIANCE WITH THE IRC SECTION 457(F), ELIGIBLE DEFERRED COMPENSATION PLAN SPONSORED BY A TAX EXEMPT ORGANIZATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE 2022 TAX YEAR: NAME AMOUNT IN W-2 AMOUNT DEFERRED --------------------------------------------------------------------- PHYLLIS COWLING $80,245 $76,000 NATALIE STARY DAUGHTER OF OFFICER 114352 SALARY false LA MAGNA HEALTH PLLC SEE PART V 6402470 HOSPITALIST FEES true PATHOLOGY ASSOCIATES OF NORTH TEXAS SEE PART V 459992 clinical services true ANNE-MARIE WILLIAMSON SPOUSE OF DIRECTOR 159769 SALARY false SCHEDULE L, PART IV, COLUMN(B) ADDITIONAL INFORMATION ON TRANSACTIONS WITH INTERESTED PERSONS: Andre Desire, MD, Director, and VENDAMPATTU GANESHRAM, MD have more than 35% combined ownership of La Magna Health PLLC, an organization doing business with the hospital. ALLEN FLACK, MD, DIRECTOR, IS A MORE THAN 35% OWNER OF PATHOLOGY ASSOCIATES OF NORTH TEXAS, PA, AN ORGANIZATION DOING BUSINESS WITH THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY: THE WICHITA COUNTY-CITY OF WICHITA FALLS, TEXAS HOSPITAL BOARD (WHB) APPOINTS ONE INDIVIDUAL TO SERVE EX OFFICIO AS A VOTING DIRECTOR. THE INDIVIDUAL APPOINTED BY THE WHB DOES NOT HAVE TO BE A MEMBER OF THE WHB BUT MUST MEET THE QUALIFICATIONS FOR DIRECTORS SET FORTH BY THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL: THE JOINT CITY-COUNTY BOARD HAS APPROVAL REGARDING BOND FINANCING AND APPROVAL OF THE BUDGET. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE EXECUTIVE COMMITTEE CHARTER, AS APPROVED BY THE UNITED REGIONAL HEALTH CARE SYSTEM BOARD, DELEGATES THE REVIEW OF 990S TO THE EXECUTIVE COMMITTEE AND THE FINANCE/AUDIT COMMITTEE. ALL MEMBERS OF THE COMMITTEE ARE PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. THE 990 IS REVIEWED BY MANAGEMENT OFFICIALS OF THE HOSPITAL AND THE EXECUTIVE COMMITTEE OF THE BOARD. FOLLOWING OPPORTUNITY TO REVIEW AND UPON RECOMMENDATION OF THE EXECUTIVE AND FINANCE/AUDIT COMMITTEES, THE SYSTEM'S BOARD APPROVES THE FORM 990S. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL OFFICERS, DIRECTORS, AND CERTAIN EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE FORMS ARE REVIEWED INITIALLY BY THE CHIEF COMPLIANCE OFFICER AND THE CEO FOR POTENTIAL CONFLICTS. ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS. FORM 990, PART VI, SECTION B, LINE 15A & 15B PROCESS USED TO DETERMINE COMPENSATION OF MANAGEMENT AND OTHER OFFICERS: THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL REVIEW OF COMPENSATION OF THE CEO. ADDITIONALLY, A COMPENSATION CONSULTANT PROVIDES MARKET COMPARISONS ON AN EVERY OTHER YEAR BASIS. THIS WAS LAST COMPLETED IN 2022. ALL COMPENSATION REVIEWS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE'S MEETING MINUTES. AN ANNUAL COMPENSATION REVIEW IS PERFORMED BY THE CEO FOR ALL OTHER OFFICERS OF THE ORGANIZATION WITHIN THE PARAMETERS SET BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REVIEWS ALL OTHER CORPORATE OFFICERS EVERY OTHER YEAR UTILIZING THE MARKET COMPARISONS PROVIDED BY THE COMPENSATION CONSULTANT. ALL COMPENSATION REVIEWS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE'S MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE TO THE PUBLIC: AN AD IS RUN IN THE LOCAL PAPER ON AN ANNUAL BASIS INFORMING THE COMMUNITY THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE OTHER DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION A, LINE 1A DELEGATION OF AUTHORITY: THE EXECUTIVE COMMITTEE HAS AUTHORITY TO TRANSACT ALL BUSINESS OF THE BOARD IN THE GOVERNANCE OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO THE LIMITATIONS SET FORTH IN THE BYLAWS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARD. FORM 990, PART VII, Section A Compensation of Officers and Directors: Directors reported on part vii, section a are compensated for professional services as physicians and not as directors. Directors receiving 1099 income from united regional is compensation related to administrative and general services rendered to clinical areas of the organization, other professional services and for trauma or other off-hour availability. Form 990, Part XI, Line 9 OTHER CHANGES IN NET ASSETS: INTERCOMPANY TRANSFERS $(4,407,355) FORM 990, .PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: ANDRE DESIRE, MD AND VENDAMPATTU GANESHRAM, MD HAVE A BUSINESS RELATIONSHIP. FORM 990 PART IX LINE 11G DESCRIPTION:CATERING EXPENSE TOTAL FEES:80077 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:12399793 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:31140729 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1794831 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE CONTRACTS TOTAL FEES:10794700 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY LABOR TOTAL FEES:21065841 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSPORT TOTAL FEES:211132 UNITED REGIONAL HEALTH CARE FOUNDATION 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752761467 SUPPORT TX 501(C)(3) 12, TYPE I URHCS true CITY OF WICHITA FALLS-WC HOSPITAL BOARD 1300 SEVENTH STREET WICHITA FALLS TX 76301 756002771 OVERSIGHT TX GOVT N/A NA false UNITED REGIONAL HEALTH CARE SYSTEM AUXIL 1600 ELEVENTH STREET WICHITA FALLS TX 76301 756004656 BENEVOL SVCS TX 501(C)(3) 12, TYPE I URHCS true UNITED REGIONAL PHYSICIAN GROUP 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752925491 HEALTH CARE TX 501(C)(3) 10 URHCS true TEXOMA HIE 1600 ELEVENTH STREET WICHITA FALLS TX 76301 463617299 HTH INFO EXCH TX 501(C)(3) 10 URHCS true UNITED REGIONAL PROFESSIONAL SERVICES 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752549298 MGMT SERVICES TX URHCS C-CORPORATION 4491937 26467589 1.00000 true true true true true true false false false false false false false true false true false true true true UNITED REGIONAL PHYSICIAN GROUP A 412264 FMV UNITED REGIONAL HEALTH CARE FOUNDATION B 560120 Cash Value UNITED REGIONAL HEALTH CARE FOUNDATION C 1558364 Cash Value UNITED REGIONAL PHYSICIAN GROUP Q 9542572 CASH VALUE UNITED REGIONAL HEALTH CARE FOUNDATION R 80547 CASH VALUE UNITED REGIONAL PROF SERVICES CORP R 2932016 CASH VALUE SCHEDULE R, PART V, LINE 2, COLUMN (D) METHOD OF DETERMINING AMOUNTS FOR TRANSACTIONS DESCRIBED IN LINES 1B, 1C, 1Q, 1R: AMOUNTS REPORTED IN LINE 2, COLUMN (C) FOR THESE TRANSACTION TYPES ARE STATED AT CASH VALUE. METHOD OF DETERMINING AMOUNTS FOR TRANSACTIONS DESCRIBED IN LINE 1A: AMOUNTS REPORTED ON LINE 2, COLUMN (C) FOR THESE TRANSACTION TYPES ARE AT FAIR MARKET VALUE AND ARE COMPARABLE TO TRANSACTIONS BETWEEN TWO OR MORE UNRELATED PARTIES DEALING AT ARM'S LENGTH.