West 380 Family Care Facility, North Texas Community Hospital in Bridgeport, Texas (TX)

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West 380 Family Care Facility, North Texas Community Hospital
Employer Identification Number (EIN)270016388
Name of OrganizationWest 380 Family Care Facility
Secondary NameNorth Texas Community Hospital
In Care of NameDan Ibarra Iii
Address1905 Doctors Hospital Dr, Bridgeport, TX 76426-2260
SubsectionCharitable Organization
Ruling Date03/2003
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2012
Assets$10,000,000 to $49,999,999
Income$10,000,000 to $49,999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$33,815,249
Amount of Income$18,654,152
Form 990 Revenue Amount$18,654,152
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospitals and Related Primary Medical Care Facilities


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Amount of income in 2012: $18,654,152
This organization: 

 $18,654,152
Other organizations performing similar types of work: 

 $6,375,943

Assets in 2012: $33,815,249
West 380 Family Care Facility, North Texas Community Hospital: 

 $33,815,249
Other organizations performing similar types of work: 

 $3,096,979

Expenses in 2012: $30,739,187
This organization: 

 $30,739,187
Other organizations performing similar types of work: 

 $6,363,536

Income to expenses ratio in 2012: 0.6
West 380 Family Care Facility, North Texas Community Hospital: 

 0.6
Other organizations performing similar types of work: 

 1.1

Expenses allocated to program services in 2007: 0.0%
This organization: 

 0.0%
Other organizations performing similar types of work: 

 88.1%

Number of employees in 2012: 277
This organization: 

 277
Other organizations performing similar types of work: 

 83

Employees paid over $100,000 in 2012: 3.2%
West 380 Family Care Facility, North Texas Community Hospital: 

 3.2%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2012: 2.5%
This organization: 

 2.5%
Other organizations performing similar types of work: 

 0.0%

Financial snapshot ($)

Revenue for 2012

Functional expenses for 2012

Statements Regarding Other IRS Filings and Tax Compliance (for 2012)
Did the organization have unrelated business gross income of $1,000 or more during the year?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities $0
Gross income from members or shareholders$0
Gross income from other sources$0
Statement of Revenue (for 2012)
Total revenue$18,654,152
Contributions, Gifts, Grants and Other Similar Amounts$474,819
Program Service Revenue$18,088,173
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$2,517
Income from investment of tax-exempt bond proceeds$0
Royalties$0
Net rental income$0
Net gain from sales of assets other than inventory$0
Net income from fundraising events$0
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous Revenue$88,643
Statement of Functional Expenses (for 2012)
Total functional expenses$30,739,187
Compensation of current officers, directors, trustees, and key employees$405,307
Other salaries and wages$7,485,215
Payroll taxes$644,459
Professional fundraising services$0
Other$22,204,206
Balance Sheet (for 2012)
Total assets$33,815,249
Total liabilities$86,377,643
Tax-exempt bond liabilities$58,499,348
Secured mortgages and notes payable to unrelated third parties$6,110,707
Unsecured notes and loans payable to unrelated third parties$0
Other$21,767,588
Total net assets or fund balances$-52,562,394
Retained earnings, endowment, accumulated income, or other funds$-52,562,394
Reason for Public Charity Status (for 2012)
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)
Revenue, Expenses, and Changes in Net Assets or Fund Balances
2007
Total revenue$525,000
Contributions, gifts, grants, and similar amounts received$525,000
Contributions to donor advised funds$0
Direct public support$525,000
Indirect public support$0
Government contributions (grants)$0
Program service revenue including government fees and contracts$0
Membership dues and assessments$0
Interest on savings and temporary cash investments$0
Dividends and interest from securities$0
Net rental income or (loss)$0
Gross rents$0
Less: rental expenses$0
Other investment income$0
Gain or (loss) from sales of assets other than inventory$0
Gross amount from sales of assets other than inventory$0
Less: cost or other basis and sales expenses$0
Net income or (loss) from special events and activities$0
Gross revenue$0
Less: direct expenses other than fundraising expenses$0
Gross profit or (loss) from sales of inventory$0
Gross sales of inventory, less returns and allowances$0
Less: cost of goods sold$0
Other revenue$0
Total expenses$1,103,477
Program services$0
Management and general$1,103,477
Fundraising$0
Payments to affiliates$0
Net assets or fund balances at end of year$-330,978
Excess or (deficit) for the year$-578,477
Net assets or fund balances at beginning of year$7,139,387
Other changes in net assets or fund balances$-6,891,888
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$1,103,477$0$1,103,477$0
Grants paid from donor advised funds$0
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$209,141$0$209,141$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$118,393$0$118,393$0
Pension plan contributions not included above$0$0$0$0
Employee benefits not included above$0$0$0$0
Payroll taxes$53,356$0$53,356$0
Professional fundraising fees$0$0$0$0
Accounting fees$1,260$0$1,260$0
Legal fees$48,106$0$48,106$0
Supplies$132$0$132$0
Telephone$5,329$0$5,329$0
Postage and shipping$0$0$0$0
Occupancy$18,523$0$18,523$0
Equipment rental and maintenance$925$0$925$0
Printing and publications$4,310$0$4,310$0
Travel$28,902$0$28,902$0
Conferences, conventions, and meetings$0$0$0$0
Interest$34,210$0$34,210$0
Depreciation, depletion, etc.$71,292$0$71,292$0
Other expenses not covered above$509,598$0$509,598$0
Balance Sheets
2007
Total assets$61,879,953
Cash - non-interest-bearing$37,978
Savings and temporary cash investments$0
Accounts receivable less allowance for doubtful accounts$0
Pledges receivable less allowance for doubtful accounts$270,000
Grants receivable$0
Receivables from current and former officers, directors, trustees, and key employees$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0
Other notes and loans receivable less allowance for doubtful accounts$0
Inventories for sale or use$0
Prepaid expenses and deferred charges$2,165,303
Investments - publicly-traded securities$0
Investments - other securities$0
Investments - land, buildings, and equipment less accumulated depreciation$0
Investments - other$43,167,198
Land, buildings, and equipment less accumulated depreciation$14,551,326
Other assets, including program-related investments$1,688,148
Total liabilities$62,210,931
Accounts payable and accrued expenses$3,173,974
Grants payable$0
Deferred revenue$0
Loans from officers, directors, trustees, and key employees$750,000
Tax-exempt bond liabilities$58,286,957
Mortgages and other notes payable$0
Other liabilities$0
Total liabilities and net assets/fund balances$61,879,953
Total net assets or fund balances$-330,978
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
2007
Total revenue$525,000
Total revenue, gains, and other support per audited financial statements$627,637
Other expenses$102,637
Net unrealized gains on investments$102,637
Donated services and use of facilities$0
Recoveries of prior year grants$0
Other$0
Other revenue$0
Investment expenses$0
Other$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
2007
Total expenses$1,103,477
Total expenses and losses per audited financial statements$1,103,477
Other revenue$0
Donated services and use of facilities$0
Prior year adjustments$0
Losses$0
Other$0
Other expenses$0
Investment expenses$0
Other$0
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
40$174,141$0$0
40$30,000$5,000$0
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings7
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?No
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?No
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?No
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20061
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$0$0
Program service revenue
Program service revenue 1000000$000$0$0
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$000$0$0
Dividends and interest from securities000000$000$0$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$000$0$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$0$0$0
$0$0$0
$0$0$0
$0$0$0
$0$0$0
Total number of other employees paid over $50,0000
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isHospital, or a cooperative hospital service organization
Support Schedule
2006
Total$0
Gifts, grants, and contributions received$0
Membership fees received$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0
Net income from unrelated business activities not included above$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0
Other income$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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Number of organizations performing similar types of work
Alaska2
Alabama8
Arkansas12
Arizona14
California41
Colorado10
Connecticut7
District of Columbia3
Delaware1
Florida34
Georgia35
Hawaii1
Iowa16
Idaho8
Illinois24
Indiana28
Kansas28
Kentucky18
Louisiana15
Massachusetts14
Maryland8
Maine8
Michigan30
Minnesota17
Missouri22
Mississippi13
Montana11
North Carolina20
North Dakota2
Nebraska5
New Hampshire4
New Jersey20
New Mexico5
Nevada4
New York68
Ohio26
Oklahoma12
Oregon5
Pennsylvania38
Rhode Island2
South Carolina12
South Dakota6
Tennessee16
Texas82
Utah4
Virginia10
Vermont1
Washington16
Wisconsin17
West Virginia3
Wyoming7
International10
Total823

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