Liabilities / Assets
66th percentile
Higher debt load relative to assets than 66% of similar nonprofits.
Frio Hospital Association
EIN 74-1461220 • 501(c)3 • Pearsall, TX
Profile
Frio hospital association (the "association") operates a not-for-profit acute care hospital, frio regional hospital (the "hospital"). The hospital provides inpatient and outpatient services as well as other affiliated services to frio county, texas.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.39x
Liabilities / Revenue
63rd percentile
Higher debt load relative to revenue than 63% of similar nonprofits.
Net Margin
49th percentile
Higher net margin than 49% of similar nonprofits.
Top Officer Pay
87th percentile
Higher top officer pay than 87% of similar nonprofits.
Top officer pay equals 2.1% of source-year revenue.
Asset Growth
18th percentile
Faster asset growth than 18% of similar nonprofits.
Revenue Growth
18th percentile
Faster revenue growth than 18% of similar nonprofits.
Balance Sheet
Assets
Down$36,835,987
Down $1,261,735 (-3.3%) from 2023
Liabilities
Down$14,411,546
Down $2,458,028 (-15%) from 2023
Net Assets
Up$22,424,441
Up $1,196,293 (+5.6%) from 2023
Revenue
Down$31,339,719
Down $3,525,288 (-10%) from 2023
Expenses
Down$30,143,426
Down $814,184 (-2.6%) from 2023
Net Income
Down$1,196,293
Down $2,711,104 (-69%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $36,835,987
- Liabilities
- $14,411,546
- Net assets
- $22,424,441
- Revenue
- $31,339,719
- Expenses
- $30,143,426
- Net income
- $1,196,293
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2024 to Dec 31, 2024
- Signed
- Oct 27, 2025
- Return Version
- 2024v5.1
- Gross Receipts
- $31,883,538
Mission and Program Overview
Mission
Improving the quality of life in our community by providing exceptional healthcare with compassion and respect.
To provide quality and affordable healthcare services to the citizens of pearsall and the surrounding communities.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $16,498,398 | $16,705,568 | ▲ $207,170 |
| Land, Buildings, and Equipment, Net | $4,852,026 | $4,294,751 | ▼ $557,275 |
| Accounts Receivable | $3,351,158 | $3,594,329 | ▲ $243,171 |
| Inventories for Sale or Use | $708,550 | $724,633 | ▲ $16,083 |
| Prepaid Expenses and Deferred Charges | $239,015 | $341,790 | ▲ $102,775 |
| Cash and Non-Interest-Bearing Accounts | $13,910 | $7,473 | ▼ $6,437 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $38,097,722 | $36,835,987 | ▼ $1,261,735 |
| Other Assets Total | $12,434,665 | $11,167,443 | ▼ $1,267,222 |
| Liabilities | |||
| Other Liabilities | $13,178,796 | $11,334,310 | ▼ $1,844,486 |
| Accounts Payable and Accrued Expenses | $3,690,778 | $3,077,236 | ▼ $613,542 |
| Total Liabilities | $16,869,574 | $14,411,546 | ▼ $2,458,028 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $21,228,148 | $22,424,441 | ▲ $1,196,293 |
| Total Net Assets Fund Balance | $21,228,148 | $22,424,441 | ▲ $1,196,293 |
| Total Liabilities and Net Assets / Fund Balance | $38,097,722 | $36,835,987 | ▼ $1,261,735 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $3,385,639 | $7,273,778 | $10,659,417 |
| Buildings | $657,208 | $464,438 | $1,121,646 |
| Other Land Buildings | $199,164 | - | $199,164 |
| Land | $44,922 | - | $44,922 |
| Leasehold Improvements | $7,818 | $18,241 | $26,059 |
| Other Assets Org | $71,088 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Jim Bean | Physician | FT | $632,630 | $23,565 | $656,195 |
| Samer Arab | Physician | FT | $408,089 | $200,168 | $608,257 |
| Earl Marshall | Physician | FT | $295,236 | $120,448 | $415,684 |
| Carlos Godinez | Physician | FT | $276,520 | $63,462 | $339,982 |
| John Barrera | Nurse Practioner | FT | $181,104 | $10,871 | $191,975 |
Board Members and Trustees
| Name | Title |
|---|---|
| Roxanne Shelton | President |
| Troy Shaw | Vice President |
| Adam Beever | Director |
| Juanita Rendon | Director |
| Melanie Rigby | Director |
| Michele Bryan | Director |
| John Hughson | CEO |
| Michael Ruff | CFO |
| Clayton Neal | Secretary |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Computer Programs & Systems INC | Billing/Coding & Collection of Patient Accounts | PO BOX 11407, Birmingham, AL 35246 | $1,574,462 |
| Beam Healthcare SC | Telehealth Services | 25 W Main Street Fl 5, Madison, WI 53703 | $1,124,803 |
| Methodist Healthcare | Management Services | 7922 EWING HALSELL STE 165, San Antonio, TX 78229 | $1,122,989 |
| Frio Hospital District | Lease - Hospital/Clinics | 200 S IH 35, Pearsall, TX 78061 | $1,109,247 |
| Forefront Healthcare LLC | Custodial & Facilities Services | PO Box 33661, Detroit, MI 48232 | $805,278 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $14,618
- Program Service Revenue
- $30,493,859
- Investment Income
- $180,701
- Other Revenue
- $650,541
- Change in Net Assets
- $1,196,293
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $31,488,125
- Revenue Not Reported on Financial Statements
- $-148,406
- Revenue Not Reported on Form 990
- $0
- Other Revenue Adjustments
- $-148,406
- Total Revenue per Audited Statements
- $31,488,125
- Total Revenue per Form 990
- $31,339,719
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $15,791,346 |
| Salaries, Compensation, and Employee Benefits | $14,337,697 |
| Grants and Similar Amounts Paid | $14,383 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $11,049,184 | $1,259,208 | - | $12,308,392 |
| Fees for Services Other | $6,142,366 | $1,023,812 | $0 | $7,166,178 |
| Occupancy | $946,082 | $1,022,483 | - | $1,968,565 |
| Fees for Services Management | $986,523 | $136,466 | - | $1,122,989 |
| Payroll Taxes | $835,853 | $35,147 | - | $871,000 |
| Depreciation Depletion | $655,822 | $150,068 | - | $805,890 |
| Other Employee Benefits | $708,927 | $80,792 | - | $789,719 |
| Pension Plan Contributions | $330,878 | $37,708 | - | $368,586 |
| Insurance | $41,705 | $194,195 | - | $235,900 |
| Office Expenses | $129,941 | $100,917 | - | $230,858 |
| Fees for Services Legal | - | $168,089 | - | $168,089 |
| Advertising | $9,245 | $126,919 | - | $136,164 |
| Fees for Services Accounting | - | $59,058 | - | $59,058 |
| Travel | $33,626 | $22,359 | - | $55,985 |
| Other Expenses | $15,370 | $1,473 | - | $16,843 |
| Grants to Domestic Orgs | $14,383 | - | - | $14,383 |
| Information Technology | $9,311 | $2,768 | - | $12,079 |
| Total Functional Expenses | $24,298,781 | $5,844,645 | $0 | $30,143,426 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $30,291,832 |
| Total Expenses per Audited Statements | $30,291,832 |
| Total Expenses per Form 990 | $30,143,426 |
| Expenses Not Reported on Form 990 | $0 |
| Expenses Not Reported on Financial Statements | $-148,406 |
| Other Expense Adjustments | $-148,406 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
- Subject to proxy tax
- No
Insider Transactions and Loans
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Estimated Amount Due to Third-party | $11,153,156 |
| Federal Income Taxes | $181,154 |
| Estimated Self-insurance Costs | $0 |
| Lease Liability | - |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- No
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- No
- Management duties delegated
- Yes
Governance Explanations
Form 990, Part VI, Line 3 Delegation of management duties
“Frio Regional Hospital has an agreement with Methodist Healthcare System (Methodist). The agreement provides that Methodist personnel perform duties as the hospital's executive employees. The CEO and CFO listed at Form 990, Part VII receive reportable and other compensation from the management company totaling $960,350.”
Form 990, Part VI, Line 8B Documentation of meetings held by committees of governing body
“The organization does not have separate committees to act on behalf of the governing body.”
Form 990, Part VI, Line 11B Review of form 990 by governing body
“The organization's tax return is reviewed and approved by management. After management's review, the board of directors will review the return at their next meeting.”
Form 990, Part VI, Line 12C Conflict of interest policy
“The hospital recently adopted a written conflict of interest policy. Board members and officers are required to complete annual questionnaires to report potential conflicts of interest. If a conflict is found to exist, the conflicted individual is required to abstain from discussion and voting on that matter.”
Form 990, Part VI, Line 19 Required documents available to the public
“Except as included in the form 1023 and form 990s, the organization does not make its governing documents, conflict of interest policy and financial statements available to the public.”
Form 990, Part VIII, Line 2F Other Program Service Revenue
“Medical Records - Total Revenue: 588, Related or Exempt Function Revenue: 588, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
Form 990, Part VIII, Line 11D Other Miscellaneous Revenue
“All other revenue - Total Revenue: 18702, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 18702;”
Form 990, Part VI, Section B, Line 15A & 15B Determining Compensation of Officers
“OUR CFO & CEO ARE HOSPITAL CORPORATION OF AMERICA (HCA) EMPLOYEES AS PART OF THE METHODIST MANAGEMENT AGREEMENT. HCA SEPERATES ITS HOSPITALS INTO SEVERAL CATEGORIES BASED ON ANNUAL NET REVENUE AVERAGED OVER THE LAST 3 YEARS. THE HOSPITAL IS A LEVEL A AND BOTH CEO AND CFO ARE PAID WITHIN THE RANGES OF COMPARABLE FACILITIES. Additionally, the management company conducts regular fair market value studies to determine the fee paid pursuant to the management agreement.”
Filing and Contact Details
Filer
- Filer Name
- Frio Hospital Association
- EIN
- 74-1461220
- Phone
- 8303343617
- Address
- 200 S IH 35, Pearsall, TX 78061-6601
- Doing Business As
- Frio Regional Hospital
Signing Officer
- Name
- John Hughson
- Title
- CFO
- Phone
- 8303343617
- Signed
- 2025-10-27
- Discuss with paid preparer
- Yes
Organization Details
- Formed
- 2002
- Legal Domicile
- TX
- Voting Board Members
- 7
- Independent Board Members
- 7
- Employees
- 262
- Volunteers
- 8
Preparer
- Firm
- Forvis Mazars LLP
- Address
- 14221 Dallas Parkway Suite 400, Dallas, TX 75254
- Preparer
- Andrew Gray
- Phone
- 9727028262
Supplemental Narrative
Additional Explanations
Form 990, Part IX, Line 11G Other Fees
“CONTRACT LABOR - Total Expense: 6313090, Program Service Expense: 5389959, Management and General Expenses: 923131, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 34104, Program Service Expense: 19104, Management and General Expenses: 15000, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 298775, Program Service Expense: 213094, Management and General Expenses: 85681, Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 520209, Program Service Expense: 520209, Management and General Expenses: 0, Fundraising Expenses: ;”
Financial Statement Notes
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 XI, Line 4(B) Other revenues in form 990 not in audited financial statements
“Bad Debt Recoveries - -148406”
Schedule D, Part XII, Line 4(B) Other expenses in form 990 not in audited financial statements
“Bad Debt Recoveries - -148406”
Raw XML AppendixShowing 400 of 897 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 3690778 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3077236 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3351158 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3594329 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE QUALITY AND AFFORDABLE HEALTHCARE SERVICES TO THE CITIZENS OF PEARSALL AND THE SURROUNDING COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 126919 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 9245 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 136164 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 0 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
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| IRS990/AuditedFinancialStmtAttInd | 0 | true |
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| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | MICHAEL RUFF |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8303343617 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 200 S IH 35 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PEARSALL |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 780616601 |
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| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 7473 |
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| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 44 |
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| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 805890 |
| IRS990/Desc | 0 | FRIO HOSPITAL ASSOCIATION (THE ASSOCIATION) OPERATES A NOT-FOR-PROFIT ACUTE CARE HOSPITAL, FRIO REGIONAL HOSPITAL (THE HOSPITAL). THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SERVICES AS WELL AS OTHER AFFILIATED SERVICES TO FRIO COUNTY, TEXAS. INPATIENT ADMISSIONS OF 522 (2,616 PATIENT DAYS); 12,987 EMERGENCY ROOM VISITS; 101 DELIVERIES; 233 SURGERIES; AND 10,727 OUTPATIENT VISITS (INCLUDING RADIOLOGY). |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
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| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 262 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
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| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 7166178 |
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| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.3 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.3 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.3 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.3 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.3 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 13462 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 31248 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 23565 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 9571 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 28325 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CLAYTON NEAL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ROXANNE SHELTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | TROY SHAW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ADAM BEEVER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JUANITA RENDON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MELANIE RIGBY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MICHELE BRYAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JOHN HUGHSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MICHAEL RUFF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Carlos Godinez |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Earl Marshall |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Jim Bean |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | John Barrera |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | SAMER ARAB |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 326520 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 384436 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 632630 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 182404 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 579932 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Nurse Practioner |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2002 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -230384 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 14618 |
| IRS990/GrantAmt | 0 | 14383 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 14383 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 14383 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 313435 |
| IRS990/GrossReceiptsAmt | 0 | 31883538 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 25800 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 17 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 2768 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 9311 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 12079 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 194195 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 41705 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 235900 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 708550 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 724633 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 411085 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 411085 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 43 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 7756457 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 4852026 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 4294751 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 12051208 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 543819 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | false |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 18702 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 18702 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | IMPROVING THE QUALITY OF LIFE IN OUR COMMUNITY BY PROVIDING EXCEPTIONAL HEALTHCARE WITH COMPASSION AND RESPECT. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 21228148 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 22424441 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -230384 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -230384 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 25800 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 25800 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 21228148 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 22424441 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1022483 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 946082 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1968565 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 100917 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 129941 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 230858 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 12434665 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 11167443 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 80792 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 708927 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 789719 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | DUES & FEES |
| IRS990/OtherExpensesGrp/Desc | 2 | Repairs & Maintenance |
| IRS990/OtherExpensesGrp/Desc | 3 | FOOD EXPENSE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1400726 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 22457 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 1473 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2182111 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 100986 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 106468 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 15370 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2182111 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1501712 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 128925 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 16843 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 13178796 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 11334310 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 722210 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Bad Debt Recovery |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | CAFETERIA |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 67536 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 538503 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 538503 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 67536 |
| IRS990/OtherRevenueTotalAmt | 0 | 624741 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1259208 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 11049184 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 12308392 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 35147 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 835853 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 871000 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 37708 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 330878 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 368586 |
| IRS990/PoliciesReferenceChaptersInd | 0 | false |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 239015 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 341790 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | JOHN HUGHSON |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 531120 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | MEDICAID REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | OTHER OPERATING REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | CLINIC RENT |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 26209970 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 3923633 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 308847 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 50821 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 26209970 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 3923633 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 308847 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 50821 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 391260 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 7866 |
| IRS990/PYInvestmentIncomeAmt | 0 | 289477 |
| IRS990/PYOtherExpensesAmt | 0 | 18211586 |
| IRS990/PYOtherRevenueAmt | 0 | 115120 |
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