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Etx Successor System
Pittsburg, TX 75686
(click a facility name to update Individual Facility Details panel)
| Bed count | 25 | Medicare provider number | 451367 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
Etx Successor SystemDisplay data for year:
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2017
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 $ 281,607,578 Total amount spent on community benefits as % of operating expenses$ 17,252,408 6.13 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 1,896,335 0.67 %Medicaid as % of operating expenses$ 1,077,323 0.38 %Costs of other means-tested government programs as % of operating expenses$ 299,564 0.11 %Health professions education as % of operating expenses$ 169,060 0.06 %Subsidized health services as % of operating expenses$ 8,941,322 3.18 %Research as % of operating expenses$ 44,999 0.02 %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.$ 52,325 0.02 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 4,771,480 1.69 %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: 2017
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$ 759,986 0.27 %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 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: 2017
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
Supplemental Information: 2017
- 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 $ 179188244 including grants of $ 4181279) (Revenue $ 218341693) """ETX SUCCESSOR SYSTEM (THE ""SYSTEM"") IS THE PARENT COMPANY WHICH WHOLLY-OWNS AND OPERATES 16 SUBSIDIARY ORGANIZATIONS. THE SYSTEM IS HEADQUARTERED IN TYLER, TEXAS AND ITS OPERATIONS EXTEND 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. ETX SUCCESSOR - TYLER HAS 502 LICENSED BEDS. ETX SUCCESSOR - ATHENS HAS 119 LICENSED BEDS."
4B (Expenses $ 37281974 including grants of $ 185) (Revenue $ 22101757) ETX SUCCESSOR - 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. ETX SUCCESSOR HCA CURRENTLY EMPLOYS 150+ PHYSICIANS, THE MAJORITY OF THE EMPLOYED PHYSICIANS SPECIALIZE IN PRIMARY CARE.
4C (Expenses $ 11596396 including grants of $ 1625) (Revenue $ 10329986) ETMC EMS HAS A FLEET OF GROUND EMERGENCY AMBULANCES SERVING EAST TEXAS. THE SYSTEM OPERATES AN EXTENSIVE NETWORK OF 60 GROUND AMBULANCES, WITH EACH STATIONED AT DIFFERENT LOCATIONS TO ACHIEVE OPTIMAL GEOGRAPHIC COVERAGE AND RESPONSE TIME THROUGHOUT THE SYSTEM'S SERVICE AREA. ETMC EMS WAS SOLD TO ARDENT DURING 2018.
4D (Expenses $ 29166772 including grants of $ 792027) (Revenue $ 26253962)
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Facility Information
PART V, LINE 5 - ACCOUNT INPUT FROM PERSON WHO REPRESENT THE COMMUNITY FACILITY: A INTERVIEWS WITH COMMUNITY LEADERS REPRESENTED A CRITICAL COMPONENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY ETMC (EAST TEXAS MEDICAL CENTER). INDIVIDUALS INTERVIEWED INCLUDED REPRESENTATIVES OF: A MATTER OF BALANCE - COMMUNITY FALL PREVENTION PROGRAM ALLSTATE INSURANCE ANDREW CENTER ATHENS INDEPENDENT SCHOOL DISTRICT BECKVILLE INDEPENDENT SCHOOL DISTRICT BETHESDA HEALTH CLINIC CAMP COUNTY EMS CAMP COUNTY JUDGE CAMP COUNTY SHERIFF CARTHAGE INDEPENDENT SCHOOL DISTRICT CARTHAGE PRIMARY SCHOOL CASA FOR KIDS OF EAST TEXAS CENTURY 21 REALTY CITY OF CARTHAGE MAYOR ? CITY OF PITTSBURG MAYOR CITY OF PITTSBURG POLICE CHIEF CRISIS CENTER OF ANDERSON & CHEROKEE COUNTIES DEPUTY CHIEF APPRAISER EAST TEXAS CRISIS CENTER EAST TEXAS FOOD BANK EMERGENCY MEDICAL RESOURCES ET COUNCIL ON ALCOHOLISM & DRUG ABUSE ETMC ATHENS OB CLINIC ETMC CARE COORDINATOR ETMC EMS ETMC FIRST PHYSICIANS CLINIC ETMC INSTITUTIONAL REVIEW BOARD (IRB) ETMC QUITMAN AUXILIARY ETMC TRINITY ADMISSIONS DEPARTMENT EXPRESS EMPLOYMENT PROFESSIONALS FAIRFIELD EMERGENCY MEDICAL SERVICES DIRECTOR & BOARD MEMBER FAIRFIELD HOSPITAL DISTRICT FAMILY RESOURCE CENTER FIRST ' BAPTIST CHURCH - PITTSBURG, TX FIRST ' UNITED METHODIST CHURCH - JACKSONVILLE, TX FOOD PANTRY FORMER PRISON OFFICIAL GARY INDEPENDENT SCHOOL DISTRICT
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Supplemental Information
PART III LINE 9B a 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.
THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ADOPTED BY ETX SUCCESSOR SYSTEM WAS DIVIDED INTO THREE MAJOR COMPONENTS: - INTERNAL AND EXTERNAL DATA COLLECTION AND ANALYSIS - COMMUNITY ASSESSMENT OF COMMUNITY NEED - ETX SUCCESSOR SYSTEM PROVIDER INPUT THE 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.
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. 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 RETURN AN APPLICATION. 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 RETURN AN APPLICATION.
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.
