2024-07-15T15:45:44-05:00 2023-08-31 Forvis Mazars LLP 2700 Post Oak Blvd Ste 1500 HOUSTON TX 77056 990 2022-09-01 752660403 Hendrick Provider Network % JEREMY WALKER HEND 3256702000 PO BOX 3117 ABILENE TX 79604 JEREMY WALKER CFO 7134994600 2024-07-15 true Jeremy Walker XXX-XX-XXXX Amanda Maya P01067777 7134994600 2 2022 2023-04-26 12:10:37Z BRAD HOLLAND 1242 N 19TH ST ABILENE TX 79604 91946276 false X WWW.EHENDRICK.ORG X 1995 TX TO PROVIDE MEDICAL CARE TO THE COMMUNITIES OF ABILENE AND BROWNWOOD. MANY PATIENTS ARE ON MEDICAID. SERVICES ARE PROVIDED REGARDLESS OF ABILITY TO PAY. 10 0 1032 0 0 0 3342951 427009 76312607 89636078 -203761 31000 1314756 1852189 80766553 91946276 191 2805 0 0 117613545 132926780 0 0 0 26239683 27661233 143853419 160590818 -63086866 -68644542 20701780 19140268 19714823 22128808 986957 -2988540 TO PROVIDE MEDICAL CARE TO THE COMMUNITIES OF ABILENE AND BROWNWOOD. MANY PATIENTS ARE ON MEDICAID. SERVICES ARE PROVIDED TO PROMOTE BEST HEALTH PRACTICES REGARDLESS OF ABILITY TO PAY. false false 144269292 2805 89636542 HENDRICK PROVIDER NETWORK PROVIDES A VARIETY OF HEALTH SERVICES ACROSS A WIDE RANGE OF SPECIALTIES FOR PATIENTS IN THE ABILENE AND BROWNWOOD AREAS, MANY OF WHOM ARE UNINSURED OR ARE ON MEDICAID. THESE SERVICES ARE PROVIDED BY PHYSICIANS EMPLOYED BY THE COMPANY. 144269292 true true false true false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true true false false false true 65 0 true 1032 true false false false false false false false false false false false false X 10 0 false false false false true true true true true false false true true true true true true true false false X JEREMY WALKER 3256702000 1900 PINE STREET ABILENE TX 79601 X BRENT MAHONEY DIRECTOR 40.0 0.0 X 1976148 0 50676 KEVIN BRIDGE PHYSICIAN 40.0 2.0 X 1828080 0 38606 MICHAEL S BLANC PHYSICIAN 40.0 0.0 X 1745597 0 41749 BONNIE HAYASHI PHYSICIAN 40.0 0.0 X 1716543 0 42102 BRAD HOLLAND PRESIDENT 2.0 50.0 X 0 1339936 214500 ANTAO DU PHYSICIAN 40.0 0.0 X 1487917 0 42102 HARVINDER ARORA PHYSICIAN 40.0 0.0 X 1500116 0 21274 REN ZHANG DIRECTOR 40.0 0.0 X 1384360 0 17648 GARY BINKLEY DIRECTOR 40.0 0.0 X 1187287 0 10454 SANDIP MATHUR DIRECTOR 40.0 2.0 X 960240 0 31404 JACQUELINE ZIMMERMAN DIRECTOR 40.0 2.0 X 762386 0 37113 PAUL WATTS DIRECTOR 40.0 0.0 X 751997 0 43066 ROBERT WILEY MD VICE PRESIDENT 2.0 42.0 X 0 640246 85738 JEREMY WALKER CFO 2.0 50.0 X 0 610703 82357 JOSEPH STAFFORD DIRECTOR 40.0 0.0 X 594624 0 37352 JOHN MASTERSON DIRECTOR 40.0 0.0 X 582340 0 42070 MICHAEL MURPHY VICE PRESIDENT 2.0 44.0 X 0 545760 73704 HENRY FOSAH DIRECTOR 40.0 0.0 X 537043 0 37001 JOSE VEGA FORMER OFFICER 40.0 2.0 X 426875 0 39764 ROBERT DICKEY DIRECTOR 40.0 0.0 X 421166 0 26958 DAVID STEPHENSON VICE PRESIDENT 30.0 14.0 X 285738 0 52818 DELENA M MARTINEZ DIRECTOR 40.0 0.0 X 213650 0 21687 18362107 3136645 1090143 184 true true false WEATHERBY HEALTHCARE PO BOX 972633 DALLAS TX 753972633 CONTRACT LABOR 1049681 METROPLEX GASTROENTEROLOGY 3760 AVIEMOEW DRIVE FORT WORTH TX 76109 CONTRACT LABOR 609564 GATEWAY BILLING SERVICES 1121 OLIVETTER EXECUTIVE PARKWAY SU SAINT LOUIS MO 63132 BILLING SERVICES 345485 QUANTUM PLUS LLC PO BOX 634850 CINCINATTI OH 452634850 CONTRACT LABOR 192853 NEXTGEN HEALTHCARE PO BOX 511449 LOS ANGELES CA 90051 CONTRACT LABOR 191678 8 427009 427009 Net Patient Fees 621500 89632811 89632811 Related NMTC Rental Revenue 531120 3267 3267 89636078 0 0 0 464 464 0 464 464 31000 31000 31000 31000 0 0 0 0 0 0 0 0 0 Miscellaneous Income 900099 1851725 1851725 1851725 91946276 89636542 0 1882725 2805 2805 0 0 0 10065228 9452292 612936 466640 460367 6273 106793393 100685056 6108337 1768268 1603083 165185 8820073 7259122 1560951 5013178 4527454 485724 137140 137140 540 540 12000 12000 0 0 0 8402699 4078594 4324105 241137 195870 45267 844804 712706 132098 1017075 863505 153570 0 4376107 4409942 -33835 166694 159595 7099 0 0 151530 151530 0 2859521 685476 2174045 975963 975963 Medical Supplies 5344398 5344398 Minor Equipment 469179 414852 54327 Recruiting and Placement 1124568 1117596 6972 Bad Debt 725291 725291 812587 457645 354942 160590818 144269292 16321526 0 782879 680736 408739 486194 0 0 7553861 6804054 0 0 0 0 0 0 302786 478653 115270 1578941 14248301 11066415 4460072 3181886 0 0 0 0 0 0 125220 125220 6952953 5804584 20701780 19140268 12081651 15351402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7633172 6777406 19714823 22128808 X 986957 -2988540 0 0 986957 -2988540 20701780 19140268 X -68644542 64669045 X false true X true false X 0 0 0 3342951 427009 3769960 44303235 46926563 64238762 76312607 89636078 321417245 0 0 0 44303235 46926563 64238762 79655558 90063087 325187205 0 0 0 325187205 1373 1647 1688 1393 464 6565 0 1373 1647 1688 1393 464 6565 0 1406074 2539986 1602425 1313363 1851725 8713573 45710682 49468196 65842875 80970314 91915276 333907343 0.97389 0.97283 0.00002 0.00003 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6310 6310 false PART II-B, QUESTION 1I Amount reported in Part II-B, Question 1I represents portion of dues paid to trade associations that is attributable to lobbying activities. 14667 14667 0 14156057 11029748 3126309 77577 22000 55577 3181886 Right of Use Operating Leases 5804584 5804584 0 Operating Lease Liabilities 5858470 Due from affiliates 918936 6777406 91189985 -725291 -725291 91915276 31000 31000 91946276 159834527 -31000 -31000 159865527 725291 725291 160590818 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 REVENUE ON BOOKS, NOT ON RETURN: BAD DEBT EXPENSE IN AUDIT REVENUE $ (725,291) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 REVENUE ON RETURN, NOT ON BOOKS: REALIZED GAIN ON DISPOSAL OF ASSETS IN AUDIT EXPENSE $ 31,000 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 EXPENSE ON BOOKS, NOT ON RETURN: REALIZED GAIN ON DISPOSAL OF ASSETS IN AUDIT EXPENSE $ (31,000) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 EXPENSE ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE IN AUDIT REVENUE $ 725,291 X X X X X false true false false false false false false false BRAD HOLLAND PRESIDENT 0 810472 0 393629 0 135835 0 173162 0 41338 0 1554436 0 129526 JEREMY WALKER CFO 0 400244 0 175678 0 34781 0 49816 0 32541 0 693060 0 34781 MICHAEL MURPHY VICE PRESIDENT 0 392478 0 153282 0 0 0 29650 0 44054 0 619464 0 0 ROBERT WILEY MD VICE PRESIDENT 0 442091 0 177924 0 20231 0 44976 0 40762 0 725984 0 20231 DAVID STEPHENSON VICE PRESIDENT 203002 0 69685 0 13051 0 22814 0 30004 0 338556 0 13051 0 REN ZHANG DIRECTOR 688750 0 695610 0 0 0 9150 0 8498 0 1402008 0 0 0 BRENT MAHONEY DIRECTOR 738998 0 1237150 0 0 0 9150 0 41526 0 2026824 0 0 0 GARY BINKLEY DIRECTOR 694810 0 492477 0 0 0 9150 0 1304 0 1197741 0 0 0 SANDIP MATHUR DIRECTOR 695454 0 264786 0 0 0 9150 0 22254 0 991644 0 0 0 JACQUELINE ZIMMERMAN DIRECTOR 449719 0 312667 0 0 0 9150 0 27963 0 799499 0 0 0 BONNIE HAYASHI PHYSICIAN 291339 0 1425204 0 0 0 9150 0 32952 0 1758645 0 0 0 HARVINDER ARORA PHYSICIAN 515338 0 984778 0 0 0 9150 0 12124 0 1521390 0 0 0 MICHAEL S BLANC PHYSICIAN 1128849 0 616748 0 0 0 9150 0 32599 0 1787346 0 0 0 KEVIN BRIDGE PHYSICIAN 1214446 0 613634 0 0 0 9150 0 29456 0 1866686 0 0 0 ANTAO DU PHYSICIAN 731825 0 756092 0 0 0 9150 0 32952 0 1530019 0 0 0 JOSE VEGA FORMER OFFICER 121610 0 305265 0 0 0 9150 0 30614 0 466639 0 0 0 JOHN MASTERSON DIRECTOR 539084 0 43256 0 0 0 9150 0 32920 0 624410 0 0 0 DELENA M MARTINEZ DIRECTOR 78635 0 135015 0 0 0 2533 0 19154 0 235337 0 0 0 PAUL WATTS DIRECTOR 624764 0 127233 0 0 0 9150 0 33916 0 795063 0 0 0 JOSEPH STAFFORD DIRECTOR 499475 0 95149 0 0 0 9150 0 28202 0 631976 0 0 0 ROBERT DICKEY DIRECTOR 388356 0 32810 0 0 0 9150 0 17808 0 448124 0 0 0 HENRY FOSAH DIRECTOR 289694 0 247349 0 0 0 5668 0 31333 0 574044 0 0 0 PART 1, LINE 4B PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANTS IN 457(F) REPORTED W-2 DEFERRED COMP. PAID BY --------------------- ------------ -------------- ------- JEREMY WALKER $ 34,781 $ 40,666 HMC DAVID STEPHENSON $ 13,051 $ 16,592 HPN BRAD HOLLAND $ 129,526 $ 164,012 HMC ROBERT WILEY $ 20,231 $ 44,976 HMC FORM 990, PART VI, SECTION A, LINE 6 HENDRICK MEDICAL CENTER IS THE SOLE MEMBER OF HENDRICK PROVIDER NETWORK. FORM 990, PART VI, SECTION A, LINE 7A PERSONS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY: THE MEMBER, HENDRICK MEDICAL CENTER, SHALL ELECT THE SUCCESSORS OF THE INITIAL DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY OTHER PERSONS: ARTICLE VII OF THE RESTATED ARTICLES OF INCORPORATION PROVIDES, IN PART, THAT AN AMENDMENT TO ARTICLE II RELATING TO THE PURPOSE OF THE CORPORATION AND ARTICLE VI RELATING TO THE NUMBER AND METHOD OF THE ELECTION OR APPOINTMENT OF THE BOARD OF TRUSTEES SHALL OCCUR ONLY WITH THE CONSENT OF THE BAPTIST GENERAL CONVENTION OF TEXAS OR ITS EXECUTIVE BOARD. FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE REVIEW PROCESS OF FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DESCRIBE THE ORGANIZATION'S PRACTICE FOR MONITORING COMPLIANCE WITH POLICY: THE ORGANIZATION CONDUCTS, AT A MINIMUM, ANNUAL REVIEWS OF THE POSSIBLE CONFLICTS OF INTEREST AND OTHER FINANCIAL RELATIONSHIPS IDENTIFIED UNDER THIS CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15A PROCESS FOR DETERMINING COMPENSATION OF CEO, DIRECTORS, OR TOP OFFICIALS: A COMPREHENSIVE REVIEW OF COMPENSATION IS CONDUCTED BY AN INDEPENDENT PARTY AT LEAST EVERY THREE YEARS. THIS REPORT PRESENTS THE RESULTS OF THE ANALYSIS OF SALARY, INCENTIVE, TOTAL CASH COMPENSATION (SALARY PLUS INCENTIVE), BENEFITS, AND TOTAL COMPENSATION (TOTAL CASH AND BENEFITS). INTEGRATED HEALTHCARE STRATEGIES (IHS) WORKS WITH THE PERSONNEL COMMITTEE TO FORMALLY DEFINE AN EXECUTIVE TOTAL COMPENSATION PHILOSOPHY. HENDRICK HEALTH SYSTEM'S CURRENT PHILOSOPHY IS TO USE RANGES BUILT AROUND THE MEDIAN OF THE MARKET WITH A 50% SPREAD FROM MINIMUM TO MAXIMUM. INCENTIVE OPPORTUNITY LEVELS ARE COMPETITIVE WITH PRACTICES OF PEER GROUPS AND BENEFITS WILL BE DELIVERED AT MARKET COMPETITIVE LEVELS. SEVERANCE AND PERQUISITES REFLECT A CONSERVATIVE PHILOSOPHY. THE COMMITTEE DETERMINED THAT THE PEER GROUP WOULD BE PRIMARILY REGIONAL NOT-FOR-PROFIT HOSPITALS OF SIMILAR SIZE AND COMPLEXITY. NATIONAL PEER GROUP WILL BE USED FOR REFERENCE PURPOSES WHERE APPROPRIATE. THE HENDRICK HEALTH SYSTEM PERSONNEL COMMITTEE IS DELEGATED THE RESPONSIBILITY FOR THE EXECUTIVE COMPENSATION PROGRAM BY THE BOARD OF TRUSTEES. THE COMMITTEE: SETS THE OVERALL EXECUTIVE COMPENSATION PHILOSOPHY TO BE IMPLEMENTED BY HENDRICK HEALTH SYSTEM; SETS COMPENSATION COMPONENTS FOR THE PRESIDENT AND CEO; REVIEWS, DISCUSSES AND MAKES DECISIONS BASED ON THE PRESIDENT AND CEO'S RECOMMENDATIONS FOR HIS DIRECT REPORTS; REPORTS A SUMMARY OF THE PROCESS BACK TO THE BOARD OF TRUSTEES ALONG WITH THE ACTUAL COMPENSATION APPROVED FOR THE PRESIDENT AND CEO; AND APPROVES ALL INCENTIVE GOALS AND AWARDS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART V, LINE 15 THE ORGANIZATION HAS SEVERAL INDIVIDUALS WITH REPORTABLE COMPENSATION EXCEEDING $1,000,000. THESE REPORTED INDIVIDUALS ARE LICENSED MEDICAL PROFESSIONALS THAT ARE PAID FOR MEDICAL SERVICES WHICH ARE EXCLUDED FROM THE SECTION 4960 EXCISE TAX ON EXCESS EXECUTIVE COMPENSATION. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: TRANSFERS FROM AFFILIATES $ 64,669,045 HPN RO BILLING SERVICES LLC 1900 PINE ST ABILENE TX 79601 813892121 RADIOLOGY SVC TX 745575 0 HPN HPN PHYSICIAN BILLING LLC 1900 PINE ST ABILENE TX 79601 815158335 BILLING SRVCS TX 12977353 0 HPN HENDRICK CLINIC BILLING PLLC 1900 PINE ST ABILENE TX 79601 862815377 BILLING SRVCS TX 4724060 0 HPN HENDRICK MEDICAL CENTER PO BOX 3117 ABILENE TX 79604 750827446 HOSPITAL TX 501(C) (3) 3 NA false HENDRICK ANESTHESIA NETWORK PO BOX 3117 ABILENE TX 79604 752728889 ANESTHESIA TX 501(C) (3) 10 HMC true HENDRICK HOSPICE CARE PO BOX 3117 ABILENE TX 79604 751835287 HOSPICE CARE TX 501(C) (3) 10 HMC true HMC HOSPICE PROPERTIES PO BOX 3117 ABILENE TX 79604 814244839 PROPERTY MGMT TX 501(C) (3) 12A, TYPE 1 HMC true HENDRICK MEDICAL CENTER FOUNDATION PO BOX 3117 ABILENE TX 79604 237413284 FUNDRAISING TX 501(C) (3) 7 HMC true HENDRICK MEDICAL CENTER BROWNWOOD 1900 PINE ST ABILENE TX 79601 851941193 HEALTHCARE TX 501(C) (3) 3 HMC true TEXAS MIDWEST SURGERY CENTER 751 N 18TH STREET ABILENE TX 79601 752800127 SURGERY CENTER TX HMC RELATED false false HENDRICK HEALTH NETWORK PO BOX 3117 ABILENE TX 79604 721619011 HEALTH INSURANCE TX HMC C-CORPORATION true HENDRICK SOUTHWESTERN HEALTH DEV CORP PO BOX 3117 ABILENE TX 79604 751598794 RETAIL SALES TX HMC C-CORPORATION true false false true false false false false false false false true false false false false false false false false