East Texas Medical Center Regional Healthcare System, Group Return in Tyler, Texas (TX)

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East Texas Medical Center Regional Healthcare System, Group Return
Employer Identification Number (EIN)371623919
Name of OrganizationEast Texas Medical Center Regional Healthcare System
Secondary NameGroup Return
In Care of NameBonnie Stone
Address1000 S Beckham Ave, Tyler, TX 75701-1908
SubsectionCharitable Organization
Ruling Date04/2010
DeductibilityContributions are deductible
FoundationOrganizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period10/2013
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 - Group return
Asset Amount$999,740,750
Amount of Income$847,739,247
Form 990 Revenue Amount$842,825,708
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Community Health Systems


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Amount of income in 2013: $847,739,247 (it was $840,791,926 in 2012)
This organization: 

 $847,739,247
Other organizations performing similar types of work: 

 $6,791,313

Assets in 2013: $999,740,750 (it was $974,867,691 in 2012)
This organization: 

 $999,740,750
Other organizations performing similar types of work: 

 $5,000,000

Expenses in 2013: $815,932,715
This organization: 

 $815,932,715
Other organizations performing similar types of work: 

 $5,603,496

Income to expenses ratio in 2013: 1.0
This organization: 

 1.0
Other organizations performing similar types of work: 

 1.1

Number of employees in 2013: 7,900
East Texas Medical Center Regional Healthcare System, Group Return: 

 7,900
Other organizations performing similar types of work: 

 83

Employees paid over $100,000 in 2013: 6.3%
East Texas Medical Center Regional Healthcare System, Group Return: 

 6.3%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 0.1%
East Texas Medical Center Regional Healthcare System, Group Return: 

 0.1%
Other organizations performing similar types of work: 

 0.5%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?NoNo
Is the organization required to complete Schedule B, Schedule of Contributors?YesYes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoNo
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoNo
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?YesYes
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoNo
Did the organization obtain separate, independent audited financial statements for the tax year?NoNo
Was the organization included in consolidated, independent audited financial statements for the tax year?YesYes
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?YesYes
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?YesYes
Did the organization attach a copy of its audited financial statements?YesYes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?YesYes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?YesYes
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?YesYes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?NoNo
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?NoYes
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?YesYes
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 10961,0551,010
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return7,9657,900
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?YesYesYes
Has it filed a Form 990-T for this year?YesNo
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$20,149,180$19,736,710
Total reportable compensation from related organizations$5,045,250$4,393,517
Total estimated amount of other compensation from the organization and related organizations$1,009,760$1,083,123
Total number of individuals who received more than $100,000 of reportable compensation from the organization358357
Total number of independent contractors who received more than $100,000 of compensation from the organization192139
Statement of Revenue
201120122013
Total revenue$810,469,529$836,884,516$842,825,708
Contributions, Gifts, Grants and Other Similar Amounts$1,245,976$579,221$1,197,547
Program Service Revenue$804,474,763$830,971,122$836,136,000
0$753,795,133$754,307,171
0$34,981,115$35,971,141
0$7,827,016$20,290,326
0$11,584,050$11,223,847
0$11,596,048$4,907,375
All other program service revenue$11,187,760$9,436,140
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$526,881$549,821$834,574
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$2,059$946$0
Net rental income$0$0$0
Net gain/loss from sales of assets other than inventory$10,179$254,763$-407,692
Gross amount from sales of assets other than inventory (Securities / Other)$0 / $4,015,823$0 / $4,145,306$0 / $4,485,682
Less: cost or other basis and sales expenses (Securities / Other)$0 / $4,005,644$0 / $3,890,543$0 / $4,893,374
Gain or (loss) (Securities / Other)$0 / $10,179$0 / $254,763$0 / $-407,692
Net income/loss from fundraising events$-7,881$91$-6,375
Gross income from fundraising events$15,330$16,958$13,790
Less: direct expenses$23,211$16,867$20,165
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$357,306$402,634$512,385
Gross sales of inventory, less returns and allowances$357,306$402,634$512,385
Less: cost of goods sold$0$0$0
Miscellaneous Revenue$3,860,246$4,125,918$4,559,269
0$32,510$598,764
0$625,212$277,336
0$3,441,104$3,603,196
All other revenue$27,092$79,973
Statement of Functional Expenses
201120122013
Total functional expenses$788,606,364$813,677,943$815,932,715
Grants and other assistance to domestic organizations and domestic governments$1,058,874$3,075,973
Grants and other assistance to domestic individuals$1,349,626$362,732
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$8,978,535$8,183,236$8,256,541
Compensation not included above, to disqualified persons$0$0
Other salaries and wages$293,134,485$293,412,286$303,678,574
Pension plan accruals and contributions$12,235,735$11,349,600
Other employee benefits$41,412,834$39,814,481
Payroll taxes$21,450,654$20,982,245$21,077,410
Fees for services (non-employees)
Management$54,877$6
Legal$200,891$183,726
Accounting$165,287$178,786
Lobbying$0$0
Professional fundraising services$0$0$0
Investment management fees$0$0
Other$0$0
Advertising and promotion$978,590$573,335
Office expenses$4,482,643$4,105,449
Information technology$1,364,744$1,158,973
Royalties$0$0
Occupancy$23,702,194$32,124,145
Travel$501,973$450,411
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$854,885$835,839
Interest$14,061,174$14,835,008
Payments to affiliates$0$1,350,050
Depreciation, depletion, and amortization$33,605,774$36,454,240
Insurance$13,411,544$5,304,217
Other expenses$32,729,265$31,544,322
Other expenses$46,443,708$47,162,105
Other expenses$62,102,091$59,042,447
Other expenses$113,419,555$113,877,170
Other expenses$86,963,912$79,137,175
Balance Sheet
201120122013
Total assets$845,087,044$974,867,691$999,740,750
Cash - non-interest-bearing$183,647,357$198,316,088
Savings and temporary cash investments$4,773,841$4,194,167
Pledges and grants receivable, net$10,000$10,000
Accounts receivable, net$97,917,278$90,718,366
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$17,987$0
Inventories for sale or use$14,547,619$13,752,171
Prepaid expenses and deferred charges$6,007,517$7,504,215
Land, buildings, and equipment: cost or other basis$218,806,737$261,633,495
Investments - publicly traded securities$4,818,692$8,080,223
Investments - other securities$0$0
Investments - program-related$0$0
Intangible assets$0$0
Other assets$444,320,663$415,532,025
Total liabilities$385,832,791$502,894,450$462,491,604
Accounts payable and accrued expenses$46,108,749$50,130,088
Grants payable$0$0
Deferred revenue$962,636$868,694
Tax-exempt bond liabilities$46,606,368$80,958,868$79,461,368
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$7,267,481$5,211,466$974,691
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$369,652,731$331,056,763
Total net assets or fund balances$459,254,253$471,973,241$537,249,146
Unrestricted net assets$466,579,091$530,846,909
Temporarily restricted net assets$2,369,823$3,377,910
Permanently restricted net assets$3,024,327$3,024,327
Capital stock or trust principal, or current funds$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported0
Sum of amounts of support$0

1 User Review:

Janet S. Francis

Added on Oct 28, 2014 8:25 PM
Visited on Oct 28, 2014 8:17 PM
Program:
n/a
Fundraising:
n/a
Expenses:
n/a
Transparency:
n/a
I was able to locate the information needed for a competitive profile of orthopedic units in Tyler, TX. It would be of more help in the future, for general department information which makes the competitiveness transparent to the public viewing the information. ETMC is an excellent educational training facility, and I would recommend it to every student interested in the healthcare/medical field. Association with the American Hospital Association helps further your education and specialties. Regionally, in the past 10 years ETMC has grown with the times!
Overall, I would recommend ETMC to the community, as I have had two good outpatient surgeries performed by competent physicians. The pre and post op care was exceptional.
Would you recommend East Texas Medical Center Regional Healthcare System, Group Return to others? Yes
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1East Texas Medical Center Regional Healthcare System, Group Return1000 S Beckham Ave, Tyler, TX 75701-1908TX2010-04$847,739,247
2Walker County Hospital CorporationPO BOX 4001, Huntsville, TX 77342-4001TX2006-02$95,080,234
3St Joseph Physician Associates2801 Franciscan Dr, Bryan, TX 77802-2544TX2007-02$39,248,638
4Texas Bay Area Clinical Services Inc3315 S Alameda St, Crp Christi, TX 78411-1820TX2015-03$32,938,214
5Tri-County Practice Association Aka Seton Family Of Physicians, Tri-County Practice Association1345 Philomena St, Austin, TX 78723-3210TX2009-05$22,965,765
6East Texas Medical Center Regional Healthcare System, East Texas Medical Center Henderson300 Wilson St, Henderson, TX 75652-5956TX2010-04$16,199,147
7St Lukes Community Developmentcorporation6624 Fannin St, Houston, TX 77030-2312TX2010-06$13,199,125
8Seton Healthcare, Seton Family Of Pediatric Surgeons1345 Philomena St, Austin, TX 78723-3210TX2009-05$7,683,899
9St Lukes Hospital At The Vintage6624 Fannin, Houston, TX 77030-2312TX2012-03$5,223,188
10Institute Of Reconstructive Plastic Surgery Of Central Texas, Institute Of Reconstructive Plastic1345 Philomena St, Austin, TX 78723-3210TX2009-05$5,058,089
11Tomball Health CoalitionPO BOX 608, Tomball, TX 77377-0608TX2014-07$3,031,571
12Seton Healthcare, Seton Ent1345 Philomena St, Austin, TX 78723-3210TX2009-05$2,911,438
13Seton Healthcare, Seton Hays Foundation1345 Philomena Street, Austin, TX 78723-3210TX2009-05$959,741
14Southwest Texas Network Inc201 South Evans, Uvalde, TX 78801TX2003-03$838,502
15The Arthur Nagel Community Clinic IncPO BOX 519, Bandera, TX 78003-0519TX2008-01$476,106
16South Central Area Health Education Center Inc, South Central Ahec7411 One Technology Center Ste 1050, San Antonio, TX 78229TX1998-02$118,168
17Complex Care Medical Services Corporation1935 Medical District Drive, Dallas, TX 75235TX2015-03$32,162
18Mcamericas Holdings Inc201 E Main Dr Ste 1514, El Paso, TX 79901-1335TX2013-08$10,358
19Baylor Scott & White Health2001 Bryan St Ste 2200, Dallas, TX 75201-3024TX2013-12$0
20Baylor Scott & White Holdings2001 Bryan St Ste 2200, Dallas, TX 75201-3024TX2013-12$0
Number of organizations performing similar types of work
Alabama6
Arkansas5
Arizona2
California34
Colorado11
Connecticut6
District of Columbia3
Delaware2
Florida20
Georgia23
Hawaii9
Iowa2
Idaho5
Illinois23
Indiana10
Kansas8
Kentucky8
Louisiana5
Massachusetts67
Maryland7
Maine6
Michigan36
Minnesota39
Missouri15
Mississippi4
Montana3
North Carolina27
North Dakota14
Nebraska4
New Hampshire3
New Jersey33
New Mexico3
Nevada2
New York45
Ohio26
Oklahoma7
Oregon6
Pennsylvania46
Rhode Island5
South Carolina2
South Dakota10
Tennessee7
Texas62
Utah3
Virginia29
Vermont2
Washington8
Wisconsin25
West Virginia8
Wyoming1
International1
Total738
20 biggest affiliated organizations
AffiliationNameAddressStateEstablishedTotal Income
CentralEast Texas Medical Center Regional Healthcare System1000 S Beckham Ave, Tyler, TX 75701-1908TX2010-04$83,927,182
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Medical Center Tyler1000 S Beckham Ave, Tyler, TX 75701-1908TX2010-04$404,666,609
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Medical Center Athens2000 S Palestine St, Athens, TX 75751-5610TX2010-04$91,025,423
SubordinateEast Texas Medical Center Regional Healthcare System, E Tx Medical Ctr Healthcare AssocPO BOX 6720, Tyler, TX 75711-6720TX2010-04$89,806,457
SubordinateEast Texas Medical Center Regional Healthcare System, Etmc Jacksonville501 S Ragsdale St, Jacksonville, TX 75766-2434TX2010-04$34,442,148
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Medical Ctr Home ServicePO BOX 6400, Tyler, TX 75711-6400TX2010-04$12,008,973
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Medical Cntr Foundation1000 S Beckham Ave, Tyler, TX 75701-1908TX2010-04$660,190
SubordinateEast Texas Medical Center Regional Healthcare System, Group Return1000 S Beckham Ave, Tyler, TX 75701-1908TX2010-04$847,739,247
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Medical Center Henderson300 Wilson St, Henderson, TX 75652-5956TX2010-04$16,199,147
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Self Insuranc Trust1000 S Beckham Ave, Tyler, TX 75701-1908TX2010-04$7,996,089
SubordinateEast Texas Medical Center Regional Healthcare System, E Tx Medical Cntr Cancer Institute1000 S Beckham Ave, Tyler, TX 75701-1908TX2010-04$0
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Medical Center Carthage409 Cottage Rd, Carthage, TX 75633-1466TX2010-04$0
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Medical Cntr ClarksvillePO BOX 1270, Clarksville, TX 75426-1270TX2010-04$0
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Medical Center CrockettPO BOX 1129, Crockett, TX 75835-1129TX2010-04$0
SubordinateEast Texas Medical Center Regional Healthcare System, Est Texas Medical Center FairfieldPO BOX 1090, Fairfield, TX 75840-0021TX2010-04$0
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Medical Center Gilmer615 Us Highway 271 N, Gilmer, TX 75644-5569TX2010-04$0
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Medical Center Mt VernonPO BOX 477, Mt Vernon, TX 75457-0477TX2010-04$0
SubordinateEast Texas Medical Center Regional Healthcare System, Easttexas Medical Center Pittsburg2701 Us Highway 271 N, Pittsburg, TX 75686-4289TX2010-04$0
SubordinateEast Texas Medical Center Regional Healthcare System, East Texas Medical Center QuitmanPO BOX 1000, Quitman, TX 75783-1000TX2010-04$0
SubordinateEast Texas Medical Center Regional Healthcare System, E Tx Medical Center Rehabilitation701 Olympic Plaza Cir, Tyler, TX 75701-1950TX2010-04$0
Number of affiliated organizations
Texas24
Total24

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