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East Texas Medical Center Reg Healthcare Group Return
1000 South Beckham Avenue
Tyler, TX 75701
EIN: 371623919
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: East Texas Medical Center - Gilmer712 North Wood
Gilmer, TX 75644
Gilmer, TX 75644
13 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
(click a facility name to update Individual Facility Details panel)
| Bed count | 37 | Medicare provider number | 450884 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
East Texas Medical Center Reg Healthcare Group ReturnDisplay data for year:
Community Benefit Spending- 2013
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
9.77%
Spending by Community Benefit Category- 2013
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2013
Additional data
Community Benefit Expenditures: 2013
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 835,842,632 Total amount spent on community benefits as % of operating expenses$ 81,656,634 9.77 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 21,055,474 2.52 %Medicaid as % of operating expenses$ 20,876,225 2.50 %Costs of other means-tested government programs as % of operating expenses$ 3,362,330 0.40 %Health professions education as % of operating expenses$ 531,424 0.06 %Subsidized health services as % of operating expenses$ 24,391,577 2.92 %Research as % of operating expenses$ 115,045 0.01 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 302,493 0.04 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 11,022,066 1.32 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2013
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 12,354,088 1.48 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency YES Filed lawsuit Not available Placed liens on residence Not available Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court) Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? YES In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2013
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES Did the tax-exempt hospital execute the implementation strategy? YES Did the tax-exempt hospital participate in the development of a community-wide plan? YES
Supplemental Information: 2013
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 567182440 including grants of $ 4943982) (Revenue $ 556418916) """East Texas Medical Center Regional Helthcare System (the """"System"""") is the parent company which wholly-owns and operates 24-subsidiary organizations. The system is headquartered in Tyler, Texas and its operations extends in all directions from Tyler, Texas, in an approximate 100-mile radius.All general acute-care hospitals not included in amounts on lines 4b, 4c and 4d. ETMC - Tyler has 502 licensed beds.ETMC - Athens has 119 licensed beds.ETMC - Carthage has 49 Licensed beds.ETMC - Clarksville has 49 Licensed beds.ETMC - Crockett has 49 Licensed beds. ETMC - Fairfield has 48 Licensed beds.ETMC - Gilmer has 37 Licensed beds.ETMC - Henderson has 49 Licensed beds.ETMC - Jacksonville has 74 Licensed beds.ETMC - Mount Vernon has 49 Licensed beds.ETMC - Trinity has 30 Licensed beds.ETMC - Pittsburg has 25 Licensed beds.ETMC - Quitman has 25 Licensed beds.The hospital's medical facilities offer a full range of medical services on an inpatient and outpatient basis. Including obstetrics, surgery, intensive care, physical therapy, mental health, cancer, kidney transplants, interventional radiology, trauma care and 24-hour emergency services."
4B (Expenses $ 82096673 including grants of $ 0) (Revenue $ 50035950) ETMC - Healthcare Associates provides physician clinical services to and in connection with delivery of health care by System, its affiliate tax-exempt hospitals and other health care organizations. ETMC HCA currently employs 150+ physicians, the majority of the employed physicians specialize in primary care.
4C (Expenses $ 45938790 including grants of $ 0) (Revenue $ 40199761) ETMC Tyler has a fleet of ground emergency ambulances serving East Texas. The System operates an extensive network of 85 ground ambulances, with each stationed at different locations to achieve optimal geographic coverage and response time throughout the System's service area.
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
Part V, Line 3 - Account Input from Person Who Represent the Community Interviews with community leaders represented a critical component of the Community Health Needs Assessment conducted by ETMC (East Texas Medical Center). Individuals interview included representatives of: * AgriLife (extension services) - Natural Resources & FCS County Health * Aley United Methodist Church * Allstate * Andrews Center * Area Minister * Austin Bank * Bank Texas * Bethesda Health Clinic * Big Brothers, Big Sisters * Bogata Funeral Home * Boys and Girls Club * Camp County Judge * Car dealership * Carthage Courtesy Club * Carthage ISD * CASA - Court Appointed Special Advocates * Central Baptist Church * Chamber of Commerce * Cherokee County Health Department * City Manager, City of Mineola * City Manager, City of Trinity * City of Annona - Mayor * City of Clarksville - Mayor, City Secretary, City Manager * City of Crockett - Mayor, City Manager * City of Henderson, City Manager * City of Quitman * Clayton Church * Community National Bank * Crisis Center of Anderson and Cherokee Counties * Department of Assistive and Rehabilitative Services * Dept. of Housing and Urban Development (HUD) * Disciples Clinic * Dodd Motor Company * East Texas Crisis Center * East Texas Food Bank * East Texas Medical Center EMS * ETCOG - Agency on Aging * ETMC Quitman board of directors * Fairfield Hospital District Board * Family Peace Project * First Baptist Church, Fairfield * First Baptist Church, Pittsburg * First Baptist Church, Teague * First Federal Community Bank * First National Bank of Gilmer * First National Bank of Mount Vernon * First United Methodist Church * Flight of the Phoenix Museum * Franklin County - Treasurer, County Judge * Franklin County Chamber of Commerce * Freestone County, Justice of the Peace * Freestone ISD * Gilmer Chamber of Commerce * Gilmer ISD * Heart to Heart * Henderson County - Indigent Care; Senior Citizen's Program * Henderson ISD * Henderson Memorial Hospital Foundation * Hispanic Business Alliance * Home for Vets * HOPE * Houston County Courier * Jacksonville Economic Development Corporation * Jacksonville Police Department * Joy Works - Eastern Hills Church of Christ * Literacy Council * Luminant * Mayor, City of Beckville * Mayor, City of Pittsburg * Mayor, City of Quitman * Mayor, City of Trinity * Meals on Wheels * Medical Staff * Mount Vernon ISD - School Nurse * NE Texas Public Health District * Office of the County Judge, Panola County * Our Lady of Sorrows * Panola College, Nursing & Health Sciences * PATH * Pittsburg ISD * Rusk County Child Advocacy Center * Rusk County Health Clinic * Rusk County Judge * Sheriff, Trinity County * Small Business/Chamber of Commerce * St. Edwards Catholic Church * St. Matthew's Episcopal Church * State Farm Insurance * Texas Dept. of State Health Services * Texas Dept. of State Health Services, area Emergency Operations Coordinator * The Chaparral Center, Alto * Trinity County Hospital District board of directors * Tyler Area Chamber of Commerce * Tyler Police Department * Upshur County Judge * Watkins Insurance Agency * West Place Nursing Home * Women's Center of East Texas * Wood County Chief Appraiser * Wood County Electric Coop * Zion Travelers Baptist ChurchThe interview task force included the administrator from each ETMC Hospital, as well as members of the ETMC Regional Healthcare System's CHNA team.
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment ETMC TylerETMC AthensETMC CarthageETMC ClarksvilleETMC CrockettETMC FairfieldETMC GilmerETMC Henderson ETMC JacksonvilleETMC Mt VernonETMC PittsburgETMC QuitmanETMC TrinityETMC Home Health ServicesETMC Rehabilitation HospitalETMC RHF Self Insurance TrustEast Texas Medical Center FoundationFirstNet ExchangeETMC Healthcare AssociatesETMC Specialty Hospital
Part V, Line 5c - Description of Making Needs Assessment Widely Available Presented at community summary meeting.
Part V, Line 20d - Other Billing Determination of Individuals Without Insurance A 60% discount is applied to standard charges.
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Supplemental Information
Schedule H (Form 990) Part VI
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients The Organization does not pursue collection of amounts determined to qualify as charity care and therefore are not considered in the collection policy.
Part VI - Needs Assessment The community health needs assessment process adopted by ETMC was divided into three major components:- Internal and External Data Collection and Analysis- Community Assessment of Community Need- ETMC Provider InputThe community health needs assessment process is designed to measure positive and negative progress relative to selected health status indicators; target needs by population group, geographic market segment and health issue; consider community input and feedback; and identify opportunities for program and service development and enhancement.
Part VI - Patient Education of Eligibility for Assistance Notifications of financial assistance and the Charity Care program are posted in the patient admission areas and emergency departments, and also printed in local newspapers. The Charity Care policy and application for financial assistance are also available on the internet at www.etmc.org. Additionally, notification of availability of financial assistance is noted on all patient billing statements, along with the phone number of whom to contact for financial assistance. In addition, direct contact is made to those individuals that the organization beleves may qualify for Charity Care, based on lack of insurance or other indications, to explain the availability of financial assistance and to request the individual complete and returned an application.
Part VI - Community Information The 20 county service area is composed of about 16 percent of the population over age 65, an increasing Hispanic population, 60 percent of households defined as 'working poor' or poverty level, with 40 percent uninsured or underinsured.
Part V - Explanation of Number of Facility Type One Rehabilitation Center and three Home Healthcare services.
Part VI - Additional Information Uncompensated care program funds were evenly allocated to uninsured and Medicaid patient costs.
