Civic Intelligence

East Texas Medical Center Reg Healthcare

990 • Fiscal year 2016 • EIN 75-1803327

Nov 01, 2015 to Oct 31, 2016 • Filed on Jun 29, 2017

Organization ProfileWWW.ETMC.ORG

View Organization Page

1000 South Beckham AvenueTyler, TX 75701

(903) 531-8920

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

97th percentile

1.26x

Higher debt load relative to assets than 97% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Liabilities / Revenue

96th percentile

9.71x

Higher debt load relative to revenue than 96% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Net Margin

12th percentile

-9.5%

Higher net margin than 12% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Top Officer Pay

64th percentile

$1,187,108

Higher top officer pay than 64% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Asset Growth

17th percentile

-4.1%

Faster asset growth than 17% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Revenue Growth

60th percentile

4.9%

Faster revenue growth than 60% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets97th percentile

Assets

Down

$585,424,349

Down $24,843,965 (-4.1%) from 2015

Net Assets

Down

-$149,418,265

Down $3,078,456 (-2.1%) from 2015

Liabilities

Down

$734,842,614

Down $21,765,509 (-2.9%) from 2015

Revenue And Expenses
Liabilities / Revenue96th percentileNet Margin12th percentile

Revenue

Up

$75,669,405

Up $3,545,668 (+4.9%) from 2015

Expenses

Up

$82,884,402

Up $2,755,245 (+3.4%) from 2015

Net Income

Up

-$7,214,997

Up $790,423 (+9.9%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth17th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0B$500M$0-$500MAssets 2010: $527,563,113Liabilities 2010: $630,037,730Net Assets 2010: -$102,474,6172010Assets 2011: $559,029,443Liabilities 2011: $642,097,864Net Assets 2011: -$83,068,4212011Assets 2012: $567,484,708Liabilities 2012: $670,569,387Net Assets 2012: -$103,084,6792012Assets 2013: $521,354,070Liabilities 2013: $619,623,764Net Assets 2013: -$98,269,6942013Assets 2014: $479,168,706Liabilities 2014: $624,437,757Net Assets 2014: -$145,269,0512014Assets 2015: $610,268,314Liabilities 2015: $756,608,123Net Assets 2015: -$146,339,8092015Assets 2016: $585,424,349Liabilities 2016: $734,842,614Net Assets 2016: -$149,418,2652016Assets 2017: $463,581,263Liabilities 2017: $733,311,529Net Assets 2017: -$269,730,2662017Assets 2018: $172,809,704Liabilities 2018: $25,396,682Net Assets 2018: $147,413,0222018Assets 2019: $67,095,008Liabilities 2019: $226,074Net Assets 2019: $66,868,9342019Assets 2020: $61,119,878Liabilities 2020: $96,362Net Assets 2020: $61,023,5162020Assets 2021: $62,418,918Liabilities 2021: $47,9842021Assets 2022: $9,036,156Liabilities 2022: $68,979Net Assets 2022: $8,967,1772022Assets 2023: $1,877,564Liabilities 2023: $120,484Net Assets 2023: $1,757,0802023Assets 2024: $1,229,280Liabilities 2024: $0Net Assets 2024: $1,229,2802024Assets 2025: $1,110,315Liabilities 2025: $2,539Net Assets 2025: $1,107,7762025

Highlighted filing

2016

Assets$585,424,349
Liabilities$734,842,614
Net Assets-$149,418,265
Open 2016 Filing

Operations Trend

Revenue Growth60th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0-$50M-$100MExpenses 2010: $103,193,4082010Revenue 2011: $86,785,324Expenses 2011: $88,218,553Net Income 2011: -$1,433,2292011Expenses 2012: $81,135,7092012Expenses 2013: $84,245,2412013Revenue 2014: $74,596,223Expenses 2014: $74,765,544Net Income 2014: -$169,3212014Revenue 2015: $72,123,737Expenses 2015: $80,129,157Net Income 2015: -$8,005,4202015Revenue 2016: $75,669,405Expenses 2016: $82,884,402Net Income 2016: -$7,214,9972016Revenue 2017: $74,182,517Expenses 2017: $129,705,704Net Income 2017: -$55,523,1872017Revenue 2018: $14,447,278Expenses 2018: $51,992,207Net Income 2018: -$37,544,9292018Revenue 2019: $1,553,031Expenses 2019: $3,420,708Net Income 2019: -$1,867,6772019Revenue 2020: $208,827Expenses 2020: $5,277,539Net Income 2020: -$5,068,7122020Revenue 2021: $1,311,019Expenses 2021: $2,533,355Net Income 2021: -$1,222,3362021Revenue 2022: -$1,737,662Expenses 2022: $1,318,746Net Income 2022: -$3,056,4082022Revenue 2023: $1,052,798Expenses 2023: $973,868Net Income 2023: $78,9302023Revenue 2024: $78,003Expenses 2024: $548,177Net Income 2024: -$470,1742024Revenue 2025: $142,153Expenses 2025: $156,700Net Income 2025: -$14,5472025

Highlighted filing

2016

Revenue$75,669,405
Expenses$82,884,402
Net Income-$7,214,997
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Nov 1, 2015 to Oct 31, 2016
Signed
Jun 29, 2017
Return Version
2015v3.0
Gross Receipts
$87,540,388
Mission and Program Overview

Mission

East Texas Medical Center Regional Healthcare System provides overall management and support to the entities that comprise East Texas Medical Center Regional Healthcare System. The purpose of the organization is to organize, plan, develop, coordinate and direct a complex, full-service regional healthcare operation, as well as manage, maintain, and lease all land, buildings, and improvements of the healthcare system. This ensures consistent quality throughout the system.

East Texas Medical Center Regional Healthcare System provides overall management and support to the entities that comprise East Texas Medical Center Regional Healthcare System.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$186,765,943$177,455,356▼ $9,310,587
Savings and Temporary Cash Investments$65,371,773$24,323,964▼ $41,047,809
Prepaid Expenses and Deferred Charges$2,797,680$2,848,056▲ $50,376
Accounts Receivable$198$0▼ $198
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Cash and Non-Interest-Bearing Accounts$-62,812,536$-20,038,277▲ $42,774,259
Total Assets$610,268,314$585,424,349▼ $24,843,965
Other Assets Total$418,145,256$400,835,250▼ $17,310,006
Liabilities
Other Liabilities$464,755,296$472,446,280▲ $7,690,984
Tax Exempt Bond Liabilities$250,015,000$244,155,000▼ $5,860,000
Mortgage Notes Payable Secured by Investment Property$21,273,566--
Accounts Payable and Accrued Expenses$20,564,261$18,241,334▼ $2,322,927
Total Liabilities$756,608,123$734,842,614▼ $21,765,509
Net Assets / Fund Balance
Unrestricted Net Assets$-146,339,809$-149,418,265▼ $3,078,456
Total Net Assets Fund Balance$-146,339,809$-149,418,265▼ $3,078,456
Total Liabilities and Net Assets / Fund Balance$610,268,314$585,424,349▼ $24,843,965

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$126,816,016$231,478,904$358,294,920
Equipment$9,543,657$76,720,263$86,263,920
Leasehold Improvements$30,565,950$3,818,268$34,384,218
Other Land Buildings$10,529,733$6,223,054$16,752,787
Other Assets Org$8,951,572--
Compensation and Service Providers
Top Officer Pay64th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Elmer G EllisPres/CEO & DirectorFT$1,121,340$65,768$1,187,108
Byron HaleSr VP/CFOFT$559,453$27,301$586,754
Mike ThomasVP Public AffairsFT$365,633$92,561$458,194
Kim CooleyVP MsoFT$360,584$33,832$394,416
Paula AnthonyVP Information TechnologyFT$353,003$29,070$382,073
Freddie SanchezVP Materials Management-$343,335$30,556$373,891
David LangstonVP Human ResourcesFT$258,412$30,819$289,231
Perry HendersonVice PredidentFT$247,967$21,230$269,197
Carroll RogeVP MarketingFT$217,458$18,350$235,808
Robert LaytonCorp Director Plant SerFT$189,017$25,330$214,347
Stephen Rydzak MDDirector-$170,934$25,710$196,644

Board Members and Trustees

NameTitle
Suzanne EdwardsCorp Director Fin Servi
William Jenninings JrCorp Director Risk Mgmt
BG HartleyDirector
Larry DurrettDirector
Paul Detwiler MDDirector
Rocky GillDirector
Ron Donaldson MDDirector
Steve RoosthDirector
Tom WoldertDirector
Wade RidleyDirector

Highest Paid Contractors

ContractorServicesLocationCompensation
SkarAdvertising111 S 108th Avenue, Omaha, NE 68154$2,721,510
Kea General ContractorsConstructionPO Box 130576, Tyler, TX 75713$1,648,094
RPR ConstructionConstruction301 SSE Loop 323, Tyler, TX 75702$1,283,981
Hospital Housekeeping SystemHousekeepingPO Box 826, San Antonio, TX 78293$1,109,682
Humphrey AssociatesConstructionPO Box 59247, Dallas, TX 75229$793,437
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$71,066,623
Investment Income
$4,534,591
Other Revenue
$68,191
Change in Net Assets
$-7,214,997
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$50,644,946
Salaries, Compensation, and Employee Benefits$31,218,333
Grants and Similar Amounts Paid$1,021,123
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,581,023$3,653,308-$20,234,331
Depreciation Depletion$14,059,471$3,383,024-$17,442,495
All Other Expenses$4,295,086$1,030,047-$5,325,133
Current Officers, Directors, Trustees, and Key Employees-$4,979,963-$4,979,963
Fees for Services Legal$3,831,104$957,776-$4,788,880
Interest$3,350,651$837,663-$4,188,314
Other Employee Benefits$3,053,407$839,155-$3,892,562
Advertising$2,588,870$646,707-$3,235,577
Payroll Taxes$1,277,199$353,317-$1,630,516
Other Expenses$1,263,058$315,764-$1,578,822
Occupancy$1,105,405$226,607-$1,332,012
Grants to Domestic Orgs$1,021,123--$1,021,123
Information Technology$792,326$198,082-$990,408
Fees for Services Accounting$745,973$186,493-$932,466
Fees for Services Management$862,704$2,730-$865,434
Pension Plan Contributions$378,445$102,516-$480,961
Office Expenses$384,077$92,351-$476,428
Payments to Affiliates$402,233--$402,233
Insurance$304,875$79,425-$384,300
Travel$83,501$23,088-$106,589
Conferences and Meetings$45,118$11,317-$56,435
Total Functional Expenses$63,380,062$19,504,340$0$82,884,402
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
SonetLubbuck, TX-Donation$984,268
Tyler Economic Develop CounciTyler, TX-Donation$15,000
THA FoundationAustin, TX-Donation$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Tyler Real Estate InvestmDirectorProperty RentalNo$688,465
Adams Coker PCFamily MemberLegal Services to ETMCRHSNo$385,543
Elizabeth SmithFamily MemberEmployment at ETMCRHSNo$159,477
Express Services IncDirectorContract Labor ServiNo$153,419
Donna HaleFamily MemberEmployment at ETMCRHSNo$146,909

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$456,025,323
Malpractice Costs$9,415,006
Capital Lease Obligations$7,005,951

Bond Issues

BondIssuerIssuedIssue PricePurpose
ATyler Health Facilities Development Corporation2007-11-05$283,017,726Bond issues and finance health facilities

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$284,478,785-$38,862,725$3,053,621

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et

“The following members of ETMC Regional Healthcare System are also board members of entities affiliated with ETMC Regional Healthcare System: Elmer G. Ellis, Byron Hale, B.G. Hartley, Larry Durrett, Stephen Rydzak, M.D., Wade Ridley and Tom Woldert.”

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

“ETMC Regional Healthcare System is the parent and sole member of the ETMC System affiliates and appoints certain members to the board.”

Form 990, Part VI, Line 7A: How Members or Shareholders Elect Governing Body

“ETMC Regional Healthcare System is the parent and sole member of the ETMC System affiliates and appoints certain members to the board.”

Form 990, Part VI, Line 7B: Describe Decisions of Governing Body Approval by Members or Shareholders

“ETMC Regional Healthcare System is the parent and sole member of the ETMC System affiliates and appoints certain members to the board.”

Form 990, Part VI, Line 11B: Form 990 Review Process

“The return is prepared by our staff accountant and is reviewed by senior management. It is then presented to the board for their review and comments. The final return is provided to the board prior to filing.”

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

“The organization has a written conflict of interest policy for all employees, officers and trustees. Annually all officers, key employees and trustees are required to complete a conflict of interest form disclosing any actual or potential conflict of interest with the organization. Should any transaction arise that may create a conflict, the transaction is reviewed and appropriate measures are taken.”

Form 990, Part VI, Line 15A: Compensation Review & Approval Process - CEO, Top Management

“Compensation for the CEO, executive directors and top management is reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors.”

Form 990, Part VI, Line 15B: Compensation Review and Approval Process for Officers and Key Employees

“Compensation for other officers and key employees are reviewed and approved by independent directors, after considering the results of a compensation survey of comparable positions at comparable entities. The evaluation and determination process, as well as a description of the comparable information utilized, is documented in meeting minutes promptly following the conclusion of the meeting of the directors.”

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

“The organization's governing documents, conflict of interest policy and financial statements are provided upon request.”

Filing and Contact Details

Filer

Filer Name
East Texas Medical Center Reg Healthcare
EIN
75-1803327
Phone
9035318920
Address
1000 South Beckham Avenue, Tyler, TX 75701

Signing Officer

Name
Byron Hale
Title
CFO
Signed
2017-06-29

Organization Details

Formed
1981
Legal Domicile
TX
Voting Board Members
9
Independent Board Members
4
Employees
0
Supplemental Narrative

Additional Explanations

Other Changes In Net Assets Or Fund Balances - Other Increases

“Contra Acct - Investments = $213606”

Other Changes In Net Assets Or Fund Balances - Other Increases

“Equity in Affiliates = $3721645”

Other Changes In Net Assets Or Fund Balances - Other Increases

“ETMC Specialty Service income on sys books = $201290”

Audited Financial Statements

“The organization was included in consolidated, independent audited financial statements for the tax year.”

Form 990 Part IV, Line 24B - Tax exempt bonds

“Tax exempt bond proceeds designated for capital projects that remained beyond the temporary period exception due to construction delays were spent in FY 2011. These proceeds were invested in short-term liquid money market investments with yields less than the bond yields.”

Fundraising Expenses

“Fundraising is conducted at the related organization, ETMC Foundation for all ETMC Regional Healthcare System organizations, including ETMC Regional Healthcare System. The expenses are not charged back to the organization.”

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IRS990/MissionDesc0East Texas Medical Center Regional Healthcare System provides overall management and support to the entities that comprise East Texas Medical Center Regional Healthcare System. The purpose of the organization is to organize, plan, develop, coordinate and direct a complex, full-service regional healthcare operation, as well as manage, maintain, and lease all land, buildings, and improvements of the healthcare system. This ensures consistent quality throughout the system.
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$585,424,349
Liabilities
$734,842,614
Net assets
-$149,418,265
Revenue
$75,669,405
Expenses
$82,884,402
Net income
-$7,214,997
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$1.11$0.00$1.11$0.14$0.16$0.01
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.23$0.00$1.23$0.08$0.55$0.47
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.88$0.12$1.76$1.05$0.97$0.08
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.04$0.07$8.97$1.74$1.32$3.06
2021Summary only. Only limited summary data is available for this year.$62.4$0.05$1.31$2.53$1.22
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$61.1$0.10$61.0$0.21$5.28$5.07
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$67.1$0.23$66.9$1.55$3.42$1.87
2018Summary only. Only limited summary data is available for this year.$173$25.4$147$14.4$52.0$37.5
2017Summary only. Only limited summary data is available for this year.$464$733$270$74.2$130$55.5
2016Detailed filing. Detailed filing data is available for this year.$585$735$149$75.7$82.9$7.21
2015Detailed filing. Detailed filing data is available for this year.$610$757$146$72.1$80.1$8.01
2014Detailed filing. Detailed filing data is available for this year.$479$624$145$74.6$74.8$0.17
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$521$620$98.3$84.2
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$567$671$103$81.1
2011Summary only. Only limited summary data is available for this year.$559$642$83.1$86.8$88.2$1.43
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$528$630$102$103
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • $250M-$1B nonprofits