2024-11-14T15:48:45+00:00 2023-12-31 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2023-01-01 751912147 United Regional Health Care System UNIT 9407648251 1600 Eleventh Street Wichita Falls TX 76301 PHYLLIS COWLING PRESIDENT AND CEO 9727028262 2024-11-14 true Jeanette Verrelli P00742631 9727028262 2024-11-15 2023 2024-10-15 13:58:12Z Phyllis Cowling 1600 Eleventh Street Wichita Falls TX 76301 506732167 false X WWW.UNITEDREGIONAL.ORG X 1983 TX ORGANIZED AND OPERATED FOR THE PURPOSE OF DEVELOPING AND OPERATING AN INTEGRATED HEALTH CARE SYSTEM. 15 11 2354 72 0 0 2562896 1628355 452168802 491083539 84727447 14020273 193683 0 539652828 506732167 3470120 4650313 0 0 172080971 166194740 0 0 0 263122258 263072808 438673349 433917861 100979479 72814306 961959378 1011904926 101532573 131529845 860426805 880375081 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 401996354 4650313 491083539 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 177 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 SESSIONS BY PHYSICIANS ON HEALTH ISSUES AND TREATMENT OPTIONS; HEALTHY YOU EDUCATION SEGMENTS ON LOCAL TELEVISION; WALK WITH A DOC EDUCATIONAL WALKS; CIRCLE OF FRIENDS EDUCATIONAL LECTURE FOR THE COMMUNITY; HEALTH FAIRS AND PRESENTATIONS; AND PARTICIPATION IN A HEALTHY LIFESTYLE PROGRAM FOR THE COMMUNITY. 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 2023 WAS $27,516,047 WHICH INCLUDED THE FOLLOWING: UNREIMBURSED COST OF EMERGENCY AND TRAUMA CARE $10,206,801 UNREIMBURSED COST OF FREE STANDING CLINICS $17,309,246 DONATIONS MADE BY THE HOSPITAL TO AREA CHARITABLE ORGANIZATIONS $29,979,045 TOTAL COSTS OF ADDITIONAL COMMUNITY BENEFITS $57,495,092 SOURCE: 2023 ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS (STATE OF TEXAS MANDATORY REPORT) 401996354 true true false true false false false false true true true false false 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 256 0 true 2354 true true true false false false false false false false false false true false X 15 11 false 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 PHYLLIS A COWLING PRESIDENT/CEO 40.0 0 X X 1660614 0 127901 ROBERT FORRESTER CHAIRMAN 1.0 0 X X 0 0 0 STEPHANIE SPAIN SECRETARY / TREASURER 1.0 0 X X 0 0 0 TIM CORNELIUS VICE CHAIRMAN 1.0 0 X X 0 0 0 ALLEN FLACK M D DIRECTOR 1.0 0 X 0 0 0 BRETT MAY M D DIRECTOR 1.0 40.0 X 0 284347 25692 BRIAN BLAIRE DIRECTOR START: 07/23 1.0 0 X 0 0 0 DIANN TAYLOR DIRECTOR 1.0 0 X 0 0 0 DON CALDWELL DIRECTOR END: 07/23 1.0 0 X 0 0 0 GONZALO ROBLES DIRECTOR START: 07/23 1.0 0 X 0 0 0 GUY A FIDELIE JR DIRECTOR 1.0 0 X 0 0 0 JOHN LUIG JR DIRECTOR END: 07/23 1.0 0 X 0 0 0 KEITH WILLIAMSON M D DIRECTOR END: 12/23 1.0 0 X 0 0 0 KINLEY HEGGLUND DIRECTOR 1.0 0 X 0 0 0 LACEY MORGAN DIRECTOR 1.0 0 X 0 0 0 LINDA CASTILLO DIRECTOR END: 07/23 1.0 0 X 0 0 0 MARGARET STEWART DIRECTOR END: 07/23 1.0 0 X 0 0 0 MICHAEL STANFORD DIRECTOR 1.0 0 X 0 0 0 RODNEY CASE DIRECTOR START: 07/23 1.0 0 X 0 0 0 VENDAMPATTU GANESHRAM M D DIRECTOR 1.0 0 X 0 0 0 ANNE DABOVICH VP OF PATIENT CARE/CLINICAL SV 40.0 0 X 375833 0 33207 JOHNNY ROBERTS VP UR PHYSICIAN GROUP 40.0 0 X 386799 0 55066 KRISTI PLUMMER-FAULKNER VP OF HR GANIZATIONAL DEV 40.0 0 X 425676 0 51854 NANCY TOWNLEY SR VP OF OPERATIONS 40.0 2.5 X 816435 0 65200 ROBERT PERT CHIEF FINANCIAL OFFICER 40.0 2.5 X 611552 0 67483 STEPHANIE MCDONELL CHIEF INFORMATION OFFICER 40.0 0 X 474201 0 55677 KIMBERLY J STRINGFELLOW Senior Dir. Patient Care Srvs 40.0 0 X 230714 0 37045 MICHELLE T NELSON SENIOR DIR. HEALTH IMPROVEMENT 40.0 0 X 236278 0 32675 NATHAN A WOOTEN DIR. PHARMACY 40.0 0 X 236175 0 31767 SHELLY J MOSER SENIOR DIR. QUALITY & SAFETY 40.0 0 X 237823 0 31869 VICTORIA J PAGE Dir. Business Applications 40.0 0 X 210570 0 29252 5902668 284347 644689 367 false true false MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 100875068 CONTRACT LABOR 11675547 LA MAGNA HEALTH PLLC 1631 11TH STREET SUITE B WICHITA FALLS TX 76301 CLINICAL SERVICES 7060103 WICHITA FALLS ANESTHESIA PLLC 1600 11TH STREET SURGERY DEPT WICHITA FALLS TX 76301 CLINICAL SERVICES 4681058 NEUROLOGICAL SURGERY 3808 KEMP BLVD SUITE A WICHITA FALLS TX 76308 CLINICAL SERVICES 4487026 ACUTE CARE SURGERY TEXOMA PLLC PO BOX 3386 WICHITA FALLS TX 76301 CLINICAL SERVICES 2701875 66 954321 674034 1628355 PATIENT SERVICE REVENUE 621110 489390985 489390985 SUPPORTING REVENUE 900099 750524 750524 RELATED RENTAL REVENUE 531120 942030 942030 0 0 0 0 491083539 12872997 12872997 0 0 1120254 27022 1120254 27022 1147276 1147276 0 0 0 0 0 506732167 491083539 0 14020273 X 4650313 4650313 0 0 5517537 551754 4965783 289892 12422 277470 142666001 135636073 7029928 4163949 4087581 76368 2609890 2541917 67973 10947471 10071673 875798 160252 160252 273305 273305 91093 91093 452302 452302 72483387 67019962 5463425 0 489988 450789 39199 8714964 8201804 513160 8510757 7829896 680861 3572822 3286996 285826 1007122 926552 80570 492653 13459 479194 24328932 14835783 9493149 3035123 3035123 MEDICAL SUPPLIES 94792041 94792041 BAD DEBT EXPENSE 36969906 36969906 Other Miscellaneous Costs 4151664 3819531 332133 EQUIPMENT EXPENSES 2769614 2548045 221569 776883 714734 62149 0 433917861 401996354 31921507 0 143266 82559 83379714 84816120 40465445 40778816 0 0 0 0 9244339 8074861 8551631 8937708 494158900 279189784 211530743 214969116 413838534 519409248 74993257 108170694 0 119812449 26665804 961959378 1011904926 87028908 116514173 0 0 14503665 15015672 101532573 131529845 X 860426805 880375081 860426805 880375081 961959378 1011904926 X 72814306 62545586 -115411616 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 91093 91093 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. TAVH DUES $6,353 %LOBBYING 100 % $LOBBYING $6,353 THA DUES $64,702 %LOBBYING 8.74 % $LOBBYING $5,655 AHA DUES $51,827 %LOBBYING 32.00% $LOBBYING $16,585 MATT GILBERT & ASSOC DUES $150,000 %LOBBYING 41.67% $LOBBYING $62,500 Total Dues $272,882 Total Lobbying $91,093 493631 493631 493631 493631 493631 493631 493631 493631 839392 345761 493631 0.0 0.5948 0.4052 false true true 15702166 15702166 254765555 130193417 124572138 216321890 146832187 69489703 7369289 2164180 5205109 214969116 Invest. in Artisan Sustainable Emerging Markets 11629654 F Invest. in PGIM Core Plus Bond Fund 69804180 F Invest. in Magnitude International 26035269 F Invest. in United Regional Health Care Cardiology 251632 F Invest. in United Regional Health Care Surgery 449959 F 108170694 Est due to third party payer 3642593 Self Insurance liabilities 10979000 Due to Affiliate 394079 15015672 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. Schedule D, Part V, Line 4 Intended uses of 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. true true X true X true X true true false true true 23828109 9189624 14638485 0.0369 39651285 40917614 0 0.0 800422 355160 445262 0.0011 0 0 64279816 50462398 15083747 0.0380 0 0.0 391299 391299 0.0010 54257773 30151441 24106332 0.0607 0 0.0 4650313 4650313 0.0117 0 0 59299385 30151441 29147944 0.0734 0 0 123579201 80613839 44231691 0.1114 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 122843 7350 115493 0.0003 0 0.0 0 0.0 0 0 122843 7350 115493 0.0003 false 36969906 3696991 106462471 106766469 -303998 X true true UNITED REGIONAL SURGICAL MANAGEMENT 0.005 0.005 HEALTH CARE SYSTEM SURGERY LLC UNITED REGIONAL CARDIOVASCULAR SERVICES 0.005 0.005 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 WWW.UNITEDREGIONAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X true 22 true WWW.UNITEDREGIONAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false true X 200.0 400.0 X X X X true true X X X true X HTTPS://UNITEDREGIONAL.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://UNITEDREGIONAL.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://UNITEDREGIONAL.ORG/FINANCIAL-ASSISTANCE/ 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 Facility , 1 Facility , 1 - UNITED REGIONAL HEALTH CARE SYSTEM. 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 11 Facility , 1 Facility , 1 - UNITED REGIONAL HEALTH CARE SYSTEM. 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 20 Facility , 1 Facility , 1 - UNITED REGIONAL HEALTH CARE SYSTEM. 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. 0 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 7f PERCENT OF TOTAL EXPENSES: BAD DEBT EXPENSE OF $36,969,906 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 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 used to calculate financial assistance 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. 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 temporary coverage for patients with heart failure, diabetes, pneumonia, COPD, sepsis, surgical site infection follow-up, and a wide array of other 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: Offers educational opportunities to the public on wellness, preventive care, and healthy lifestyle choices through various media outlets and by hosting or participating in local health-related events. The System collaborated with local providers to present Facebook Live sessions, Healthy You education segments on local television, hosted Walk With A Doc educational walks, and organized a Circle of Friends educational lecture for the community. -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 covered by insurance, designed to help patients manage their medication and diet for a better quality of life. -Drug Take-Back Event: Provides an opportunity for the public to prevent medication accidents and abuse by disposing 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 Fairs & Presentations: Actively engaged in health fairs and presentations focused on educating participants on various topics such as heart health, fall safety, strode awareness, and women's health. -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. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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, Line 3 Bad Debt Expense Methodology 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, Line 4 Bad debt expense - financial statement footnote PATIENT CARE SERVICE REVENUE ON PAGE 17 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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, Line 9b Collection practices for patients eligible for financial assistance 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 V, Section B, Line 16a FAP website - UNITED REGIONAL HEALTH CARE SYSTEM: Line 16a URL: HTTPS://UNITEDREGIONAL.ORG/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - UNITED REGIONAL HEALTH CARE SYSTEM: Line 16b URL: HTTPS://UNITEDREGIONAL.ORG/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - UNITED REGIONAL HEALTH CARE SYSTEM: Line 16c URL: HTTPS://UNITEDREGIONAL.ORG/FINANCIAL-ASSISTANCE/; 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 (2022 EST.): $56,091 PER CAPITA INCOME (2022 EST.): $31,730 UNDER AGE 18 CHILDREN BELOW POVERTY LEVEL (2022 EST.): 23.3% MEDIAN EARNINGS OF FULL-TIME WORKERS, FEMALE (2022 EST.): $38,343 PERSONS BELOW POVERTY LEVEL (2022 EST.): 17.8% EMPLOYED PERSON WITHOUT HEALTH INSURANCE COVERAGE 19 TO 64 YEARS (2022 EST.): 22.0%. 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. DURING 2023, THE HOSPITAL CONTINUED TO ADDRESS ITEMS FROM THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS AND PROGRAMS ADDRESSED IN 2023 ARE: 1. CONTINUED EMPHASIS ON ADDRESSING SOCIAL DETERMINANTS OF HEALTH TO REDUCE HEALTH DISPARITIES: UNITED REGIONAL WILL CONTINUE TO OPERATE ITS HEART FAILURE CLINIC. IN 2023 THE CLINIC HAD 368 NEW PATIENTS AND COMPLETED 1,855 VISITS. 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. IN 2023, CAREPLUS BARNETT ROAD COMPLETED $35,663 VISITS, CARE PLUS BURKBURNETT COMPLETED 2,117 VISITS AND VIRTUAL VISITS WERE 4,205. UNITED REGIONAL WILL ALSO CONTINUE TO PROVIDE MAMMOGRAMS THROUGH CHARITY CARE FOR FEMALES WHO QUALIFY. 24 PATIENTS WERE ASSISTED IN 2023. 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. IN 2023, 2 FACEBOOK LIVE EVENTS, 6 COMMUNITY EDUCATION EVENTS WERE HELD. EACH MONTH IN 2023 A HEALTHY YOU TELEVISION SERIES WAS SPONSORED. UNITED REGIONAL WILL CONTINUE TO PARTNER WITH LOCAL SCHOOLS TO PROVIDE FREE SPORTS PHYSICALS FOR MIDDLE AND HIGH SCHOOL STUDENTS. IN 2023, 956 PHYSICALS WERE PERFORMED AND PROVIDERS ATTENDED 45 SPORTING EVENTS. 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. IN 2023, 5 PRIMARY CARE AND 6 SPECIALTY CARE PROVIDERS WERE RECRUITED TO THE COMMUNITY. 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. 70 STUDENTS WERE ENROLLED IN THE PROGRAM DURING 2023. 10 SCHOLARSHIPS WERE AWARDED AND 7 RESIDENTS WERE ON STIPENDS. 3 FUTURE IN THE FALLS STUDENTS OPENED A PRACTICE IN WICHITA FALLS IN 2023. UNITED REGIONAL WILL CONTINUE TO OFFER PALLIATIVE CARE/SUPPORTIVE CARE SERVICES, DESIGNED TO ASSIST PATIENTS WHO HAVE CHRONIC DISEASES TO ACCESS THE MEDICAL AND EMPTIONAL SUPPORT NEEDED TO BEST MANAGE THEIR DISEASE. IN 2023, 322 VISITS WERE COMPLETED. 4. CONTINUED FOCUS ON EMERGENCY PREPAREDNESS & RESPONSE: UNITED REGIONAL WILL CONTINUE TO PROVIDE EDUCATION ON EMERGENCY PREPAREDNESS AND RESPONSE AS OPPORTUNITIES ARISE. OPPORTUNITES IN 2023 INCLUDED STOP THE BLEED, TRAUMA NURSE CORE COURSE, EMERGENCY NURSE PEDIATRIC COURSE, ADVANCED TRAUMA LIFE SUPPORT ALONG WITH OTHER EDUCATION SESSIONS. APPROXIMATELY 21 COURSES WERE TAUGHT WITH OVER 410 PROFESSIONALS TRAINED. 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. 608 REFERRALS WERE MADE IN 2023. UNITED REGIONAL WILL CONTINUE TO PROVIDE PSYCHIATRIC TELEHEALTH SERVICES FOR APPLICABLE PATIENTS. 80 OUTPATIENT TELEPSYCHIATRIC VISITS WERE CONDUCTED IN 2023. 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 7 State filing of community benefit report TX true United Regional Health Care Foundation 1600 11th Street Wichita Falls TX 76301 752761467 501 (c) (3) 642813 General Support Wichita County Medical Alliance PO Box 1030 Wichita Falls TX 76307 352173373 501 (c) (3) 10000 General Support Coalition to Protect America's Health Care PO Box 30211 Bethesda MD 208240211 522253225 501 (c) (4) 17500 General Support Wichita Falls Area Food Bank 1230 Midwestern Parkway Wichita Falls TX 76306 751812865 501 (c) (3) 200000 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) 3720000 General Support 5 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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 824085 0 742045 0 94484 0 115200 0 12701 0 1788514 0 96500 0 BRETT MAY M D DIRECTOR 0 245698 0 0 0 38649 0 4762 0 20930 0 310039 0 0 ANNE DABOVICH VP OF PATIENT CARE/CLINICAL SV 291341 0 74611 0 9881 0 31208 0 2000 0 409040 0 0 0 STEPHANIE MCDONELL CHIEF INFORMATION OFFICER 371200 0 95281 0 7720 0 31909 0 23768 0 529879 0 0 0 ROBERT PERT CHIEF FINANCIAL OFFICER 457550 0 129311 0 24691 0 33700 0 33783 0 679035 0 0 0 KRISTI PLUMMER-FAULKNER VP OF HR GANIZATIONAL DEV 327818 0 91047 0 6811 0 30654 0 21200 0 477530 0 0 0 JOHNNY ROBERTS VP UR PHYSICIAN GROUP 305865 0 57546 0 23387 0 31975 0 23091 0 441864 0 0 0 NANCY TOWNLEY SR VP OF OPERATIONS 586751 0 194665 0 35019 0 33700 0 31500 0 881635 0 0 0 SHELLY J MOSER SENIOR DIR. QUALITY & SAFETY 206456 0 25525 0 5842 0 9832 0 22037 0 269692 0 0 0 MICHELLE T NELSON SENIOR DIR. HEALTH IMPROVEMENT 211023 0 23671 0 1584 0 9497 0 23178 0 268952 0 0 0 VICTORIA J PAGE Dir. Business Applications 180822 0 22788 0 6961 0 8677 0 20574 0 239822 0 0 0 KIMBERLY J STRINGFELLOW Senior Dir. Patient Care Srvs 195180 0 24563 0 10971 0 6408 0 30637 0 267759 0 0 0 NATHAN A WOOTEN DIR. PHARMACY 212919 0 22895 0 360 0 0 0 31767 0 267942 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement 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 2023 TAX YEAR: NAME- PHYLLIS COWLING AMOUNT IN W-2- $84,980 AMOUNT DEFERRED- $81,500 Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization 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. NATALIE STARY DAUGHTER OF OFFICER 124222 SALARY false LA MAGNA HEALTH PLLC SEE PART V 7060103 HOSPITALIST FEES false PATHOLOGY ASSOCIATES OF NORTH SEE PART V 460096 CLINICAL SERVICES false ANNE-MARIE WILLIAMSON SPOUSE OF DIRECTOR 165670 SALARY false Schedule L, Part IV, Column (b) ADDITIONAL INFORMATION ON TRANSACTIONS WITH INTERESTED PERSONS: VENDAMPATTU GANESHRAM, MD IS A 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, Line 1a Delegate broad authority to a committee 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 VI, Line 7a Members or stockholders electing members of 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, Line 7b Decisions requiring approval by members or stockholders THE JOINT CITY-COUNTY BOARD HAS APPROVAL REGARDING BOND FINANCING AND APPROVAL OF THE BUDGET. Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Line 12c 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, Line 15a Process to establish compensation of top management official 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 2023. ALL COMPENSATION REVIEWS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE'S MEETING MINUTES. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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, Line 19 Required 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 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 IX, Line 11g Other Fees CATERING EXPENSE - Total Expense: 86210, Program Service Expense: 79313, Management and General Expenses: 6897, Fundraising Expenses: ; PHYSICIAN SERVICES - Total Expense: 15212593, Program Service Expense: 13995586, Management and General Expenses: 1217007, Fundraising Expenses: ; PROFESSIONAL SERVICES - Total Expense: 31583189, Program Service Expense: 29391780, Management and General Expenses: 2191409, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 2088663, Program Service Expense: 1921570, Management and General Expenses: 167093, Fundraising Expenses: ; SERVICE CONTRACTS - Total Expense: 11564583, Program Service Expense: 10639416, Management and General Expenses: 925167, Fundraising Expenses: ; TEMPORARY LABOR - Total Expense: 11948149, Program Service Expense: 10992297, Management and General Expenses: 955852, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Intercompany Transfers - -XXX-XX-XXXX; UNITED REGIONAL HEALTH CARE FOUNDATION 1600 ELEVENTH STREET WICHITA FALLS TX 76301 752761467 SUPPORT TX 501(c)(3) Type I URHCS true CITY OF WICHITA FALLS-WC HOSPITAL BOARD 1300 SEVENTH STREET WICHITA FALLS TX 76301 756002771 OVERSIGHT TX 501(c)(1) Na false UNITED REGIONAL HEALTH CARE SYSTEM AUXILIARY 1600 ELEVENTH STREE WICHITA FALLS TX 76301 756004656 BENEVOL SVCS TX 501(c)(3) 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 4909262 29954121 1.0000 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 447019 FMV UNITED REGIONAL HEALTH CARE FOUNDATION B 642813 CASH VALUE UNITED REGIONAL HEALTH CARE FOUNDATION C 934883 CASH VALUE UNITED REGIONAL PHYSICIAN GROUP Q 100604477 CASH VALUE UNITED REGIONAL HEALTH CARE FOUNDATION R 78607 CASH VALUE UNITED REGIONAL PROFESSIONAL SERVICES CORP R 393639 CASH VALUE Schedule R, Part V, Line 2(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.