TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE (EIN 75-1748586)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-12
- IRS object ID
- 202413179349300321
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-12T06:27:35-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 751748586 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Harris Methodist Hospital Azle | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DAVID JACKSON | InCareOfNm |
| Business Name Control | TEXA | BusinessNameControlTxt |
| Phone | 8174448600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 108 Denver Trail | AddressLine1Txt |
| City | Azle | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76020 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID JACKSON | PersonNm |
| Person Title | Asst Secretary | PersonTitleTxt |
| Phone | 6822367900 | PhoneNum |
| Signature | 2024-11-11 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Tonya Sosebee | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 108 Denver Trail | AddressLine1Txt |
| City | Azle | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $53,508,552 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.texashealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | A faith-based organization whose mission is to improve the health of the people in the communities it serves regardless of one's ability to pay. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 329 | TotalEmployeeCnt |
| Total Volunteers | 47 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $211,578 | PYContributionsGrantsAmt |
| CY Contributions Grants | $171,553 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $48,745,266 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $53,186,334 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$9,667 | PYInvestmentIncomeAmt |
| CY Investment Income | -$5,422 | CYInvestmentIncomeAmt |
| PY Other Revenue | $123,111 | PYOtherRevenueAmt |
| CY Other Revenue | $150,665 | CYOtherRevenueAmt |
| PY Total Revenue | $49,070,288 | PYTotalRevenueAmt |
| CY Total Revenue | $53,503,130 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $41,647 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $48,203 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,310,335 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,952,932 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,383,703 | PYOtherExpensesAmt |
| CY Other Expenses | $20,707,758 | CYOtherExpensesAmt |
| PY Total Expenses | $43,735,685 | PYTotalExpensesAmt |
| CY Total Expenses | $44,708,893 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,334,603 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,794,237 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,833,613 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,987,454 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,048,081 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,776,200 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,785,532 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,211,254 | NetAssetsOrFundBalancesEOYAmt |
| Mission | A FAITH-BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES REGARDLESS OF ONE'S ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $35,307,570 | ExpenseAmt |
| Grant | $48,203 | GrantAmt |
| Revenue | $53,196,122 | RevenueAmt |
| Desc | Texas Health Harris Methodist Hospital Azle (THAZ) is a 31 staffed bed community based hospital serving Azle, Lake Worth, Springtown and the surrounding areas. Since 1954, THAZ has provided quality health care services to the northwest Tarrant County community. Located in Azle, the hospital offers many services such as cardiovascular, imaging, inpatient/outpatient surgery, Outpatient Sports and Rehabilitation Center and an intensive care unit. During the year, THAZ had 4,449 patient days, 1,349 discharges, 31,877 outpatient encounters and 23,408 emergency room visits. | Desc |
| Total Program Service Expenses | $35,307,570 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 329 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID JACKSON | PersonNm |
| Phone | 6822367900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 612 E LAMAR BLVD | AddressLine1Txt |
| City | Arlington | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BerdanBarclay E | |||||||||
| THR CEO/Trustee | 0.32 | 49.68 | Yes (X) | Yes (X) | $0 | $3,605,445 | $1,016,271 | ||
| McWhorterRicky E | |||||||||
| Former Officer | 0.0 | 50.0 | $0 | $1,515,772 | $325,006 | Yes (X) | |||
| KingJames Kirk | |||||||||
| Former Officer | 0.0 | 50.0 | $0 | $1,271,947 | $369,248 | Yes (X) | |||
| KramerKenneth J | |||||||||
| Assistant Secretary | 0.5 | 49.5 | Yes (X) | $0 | $1,206,803 | $235,245 | |||
| FlorenJoshua Andrew | |||||||||
| President | 0.5 | 39.5 | Yes (X) | $0 | $667,687 | $187,688 | |||
| JacksonDavid W | |||||||||
| Assistant Secretary | 0.5 | 40.0 | Yes (X) | $0 | $515,108 | $165,877 | |||
| CantuStacy G | |||||||||
| Corporate Secretary | 0.5 | 40.0 | Yes (X) | $0 | $353,188 | $71,659 | |||
| BrackerRachal R | |||||||||
| Grp Finan Offcr THFW-THAZ-THSH | 5.0 | 35.0 | Yes (X) | $0 | $343,872 | $29,775 | |||
| MilandStephanie | |||||||||
| Grp Fin Off Term 3/2023 | 5.0 | 35.0 | Yes (X) | $0 | $323,856 | $14,811 | |||
| SosebeeTonya A | |||||||||
| COO & CNO THAZ | 40.0 | 0.0 | Yes (X) | $258,043 | $0 | $52,011 | |||
| KrejciJacque D | |||||||||
| Former Officer | 0.0 | 40.0 | $0 | $234,224 | $47,613 | Yes (X) | |||
| Sammons JrJames Harris | |||||||||
| Chief Qual & Med Officer THAZ | 40.0 | 0.0 | Yes (X) | $277,258 | $0 | $4,296 | |||
| SanchezAntonio | |||||||||
| RAD CT | 40.0 | 0.0 | $209,075 | $0 | $42,118 | Yes (X) | |||
| BlessingBrian Bradley | |||||||||
| PROFESSIONAL SVCS OFFICER THAZ | 40.0 | 0.0 | $185,244 | $0 | $54,604 | Yes (X) | |||
| WardVanessa | |||||||||
| PHARMACIST CLIN | 40.0 | 0.0 | $182,988 | $0 | $53,158 | Yes (X) | |||
| HardmanRoberta Smith | |||||||||
| NURSE PRACTITIONER/RN V | 40.0 | 0.0 | $162,215 | $0 | $56,171 | Yes (X) | |||
| ShuffieldElizabeth Suzanne | |||||||||
| DIR PHARMACY | 40.0 | 0.0 | $175,989 | $0 | $9,617 | Yes (X) | |||
| Chhutani MD Sheila | |||||||||
| Trustee | 0.02 | 8.4 | Yes (X) | $0 | $76,638 | $0 | |||
| Vigness MD Richard | |||||||||
| Chair | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Hunt Hunter | |||||||||
| Vice Chair | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Wilder Jr Charles | |||||||||
| Immediate Past Chair | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Bernstein Kenneth | |||||||||
| Trustee | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Braun JD Vianei Lopez | |||||||||
| Trustee | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Guyton Michael | |||||||||
| Trustee | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Haggar III Joseph | |||||||||
| Trustee | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Hum MD Lawrence | |||||||||
| Trustee | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Iruegas Javier | |||||||||
| Trustee | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Montgomery Lynn | |||||||||
| Trustee | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Nunez MD Ignacio | |||||||||
| Trustee | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Reeves Kenneth | |||||||||
| Trustee | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Weeks DNP Susan | |||||||||
| Trustee | 0.02 | 1.41 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,450,812 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,114,540 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,735,168 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 54 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Texas Health Resources | |||||
| 612 E Lamar Blvd | ARLINGTON | TX | 76011 | Management Fees | $7,052,815 |
| Texas Health Physicians Group | |||||
| 9250 Amberton Pkwy | DALLAS | TX | 75243 | Physician Services | $1,206,004 |
| TEXAS PULMONARY CRITICAL CARE CNS | |||||
| 1201 FAIRMOUNT | FORT WORTH | TX | 76104 | Physician Services | $365,000 |
| NTO COMMERCIAL LLC | |||||
| 8209 CARDINAL LANE | NORTH RICHLAND | TX | 76182 | Support Purchase | $600,426 |
| CROTHALL HEALTHCARE INC | |||||
| 1500 LIBERTY RIDGE DR STE 210 | WAYNE | PA | 19087 | Management Services | $291,759 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $56,763 | RelatedOrganizationsAmt |
| Government Grants | $114,790 | GovernmentGrantsAmt |
| Noncash Contributions | $1,475 | NoncashContributionsAmt |
| Total Contributions | $171,553 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $47,969,915 | $47,969,915 |
| COST REPORT ADJUSTMENTS | 622110 | $4,891,612 | $4,891,612 |
| DSRIP REVENUE | 622110 | $188,412 | $188,412 |
| NON GVRNMTL PERFORMANCE INCNTV | 622110 | $136,395 | $136,395 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $53,186,334 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,422 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$5,422 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,422 | TotalRevenueColumnAmt |
| Exclusion | -$5,422 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 722514 | $135,379 | $135,379 | |
| HEALTH EDUC LIFESTYLE PROGRAM | 622110 | $9,788 | $9,788 | |
| COMMISSIONS | 622110 | $4,189 | $4,189 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,309 | TotalRevenueColumnAmt |
| Exclusion | $1,309 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $150,665 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,503,130 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,196,122 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $135,455 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,203 | TotalAmt |
| Program Services | $48,203 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,609 | TotalAmt |
| Management And General | $591,609 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,864,967 | TotalAmt |
| Program Services | $18,504,837 | ProgramServicesAmt |
| Management And General | $360,130 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $805,507 | TotalAmt |
| Program Services | $779,256 | ProgramServicesAmt |
| Management And General | $26,251 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,311,194 | TotalAmt |
| Program Services | $2,311,194 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,379,655 | TotalAmt |
| Program Services | $1,325,128 | ProgramServicesAmt |
| Management And General | $54,527 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,052,815 | TotalAmt |
| Management And General | $7,052,815 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,957,161 | TotalAmt |
| Program Services | $2,901,026 | ProgramServicesAmt |
| Management And General | $1,056,135 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,400 | TotalAmt |
| Program Services | $1,400 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,028 | TotalAmt |
| Program Services | $92,399 | ProgramServicesAmt |
| Management And General | $12,629 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,145 | TotalAmt |
| Program Services | $87,710 | ProgramServicesAmt |
| Management And General | $21,435 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,878 | TotalAmt |
| Program Services | $336,139 | ProgramServicesAmt |
| Management And General | $113,739 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,980 | TotalAmt |
| Program Services | $16,920 | ProgramServicesAmt |
| Management And General | $60 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,736 | TotalAmt |
| Program Services | $14,704 | ProgramServicesAmt |
| Management And General | $32 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,409 | TotalAmt |
| Program Services | $268,409 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,415,878 | TotalAmt |
| Program Services | $1,410,336 | ProgramServicesAmt |
| Management And General | $5,542 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $539,019 | TotalAmt |
| Program Services | $539,019 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $3,708,690 | $3,708,666 | $24 |
| LPPF IGT | $884,346 | $884,346 | |
| UHRIP IGT | $782,679 | $782,679 | |
| INTERCOMPANY AFFILIATE SVCS | $526,486 | $515,633 | $10,853 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $875,108 | TotalAmt |
| Program Services | $779,566 | ProgramServicesAmt |
| Management And General | $95,542 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,708,893 | TotalAmt |
| Program Services | $35,307,570 | ProgramServicesAmt |
| Management And General | $9,401,323 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,696 | BOYAmt |
| EOY | $2,199 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,304,272 | BOYAmt |
| EOY | $7,448,209 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $540,631 | BOYAmt |
| EOY | $568,743 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,344 | BOYAmt |
| EOY | $74,469 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $30,153,608 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,259,774 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,955,054 | BOYAmt |
| EOY | $8,893,834 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,833,613 | BOYAmt |
| EOY | $16,987,454 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,914,942 | BOYAmt |
| EOY | $2,885,318 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,115,941 | BOYAmt |
| EOY | $767,808 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,017,198 | BOYAmt |
| EOY | $3,123,074 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,048,081 | BOYAmt |
| EOY | $6,776,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,785,532 | BOYAmt |
| EOY | $10,211,254 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,785,532 | BOYAmt |
| EOY | $10,211,254 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,833,613 | BOYAmt |
| EOY | $16,987,454 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,794,237 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$8,368,515 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | Yes (true) | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | Yes (true) | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B - Additional Information | FormAndLineReferenceDesc |
| Explanation | Officers and/or Board Members of the corporation may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities the Corporation serves. In pursuing this activity, Officers and/or Board Members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters on a personal level, and not as a representative of the organization. The amount of time and money involved in these activities is negligible. In no case has either the Corporation, or any person acting on behalf of the Corporation, intervened in any political campaign. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $145,333 | OtherCostOrOtherBasisAmt |
| Book Value | $145,333 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,734,186 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,798,809 | DepreciationAmt |
| Book Value | $935,377 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,171,448 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,748,635 | DepreciationAmt |
| Book Value | $3,422,813 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,426,263 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,712,330 | DepreciationAmt |
| Book Value | $3,713,933 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $676,378 | OtherCostOrOtherBasisAmt |
| Book Value | $676,378 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,893,834 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT OBLIGATIONS | $251,569 |
| EST. THIRD PARTY PAYOR SETTLEM | $2,871,505 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,123,074 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,160,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,996 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,131,740 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09240 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,183,812 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,949,775 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,137 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,129 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,008 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,352,685 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,982,900 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,135,748 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09250 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $665,090 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $665,090 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01490 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,147 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $102,147 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,152 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,152 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $781,389 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $781,389 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01750 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,134,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,982,900 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,917,137 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,179 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,179 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,405 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,584 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,584 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,781,781 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,976,897 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,591,500 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,385,397 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Azle | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 108 Denver Trail | AddressLine1Txt |
| City | Azle | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.texashealth.org | WebsiteAddressTxt |
| State License | TDH #000469 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Azle | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Section B | FormAndLineReferenceDesc |
| Explanation | Part V. Section B, Line 3e The significant health needs of the community are in line with the significant health needs that have been prioritized and identified in the current CHNA. Part V. Section B, Line 5 Texas Health Azle's (THAZ) 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Tarrant/Parker Counties region. The 2022 CHNA was conducted at the Tarrant/Parker Counties regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged twenty-four community members with interests specific to the health of individuals in the Tarrant/Parker Counties region in the CHNA development process. Sixteen of these community members were engaged across three separate focus groups held in zip-codes that were identified as underserved areas. Eight community members served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and listening sessions, a community asset maps was developed to provide an inventory of resources. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Alzheimer's Association, Arlington Police Department, Cooper Street YMCA, Cornerstone Assistance Network, Eastside Ministries, Mansfield Mission Center, Meadowbrook Poly UMC and SafeHaven of Tarrant County. Findings from all data sources (secondary data, interviews and focus groups, and the windshield survey/observational asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top social determinant of health needs. The outlined needs/barriers will inform the development of the 2023-2025 CHNA implementation strategy, which will leverage integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 6a The 2022 CHNA for the Tarrant/Parker Counties Region covers these THR wholly owned entities: Texas Health Alliance (THAL), Texas Health Arlington Memorial (THAM), Texas Health Fort Worth (THFW), Texas Health Specialty Hospital (THSH), Texas Health Southwest Fort Worth (THSW), Texas Health HEB (THHEB), Texas Health Azle (THAZ), AMH Cath Labs (AMHH), Texas Health Southlake (THSL), USMD at Arlington (USMD-Arl), USMD at Fort Worth (USMD-FW), and Texas Health Huguley. Part V. Section B, Lines 7a and 10a The most recently adopted implementation strategy and the CHNA is widely available on the following website at: https://www.texashealth.org/Community-Health/Community-Health-Needs-Assess ment Part V. Section B, Line 11 The 2023 - 2025 implementation strategy focuses on reforming the delivery of our services in the target communities. The hospital is part of the Texas Health Resources (THR) healthcare system, which developed a system-wide community benefit strategy to increase its hospitals' ability to impact the community health needs of the target areas with a higher focus on three health priorities. Through the prioritization process these three health priorities from the 2022 CHNA were determined to be ongoing issues that THR hospitals needed to address: 1. Behavioral Health 2. Chronic Disease Prevention & Management 3. Access to Health Services and Healthcare Navigation & Literacy In 2023, Texas Health Azle (THAZ) addressed significant health needs identified in the 2022 CHNA using the following approaches: 1. Behavioral Health 1a. Texas Health Community Impact 1a1. Through a request for proposal (RFP) process by Texas Health Resources through its Texas Health Community Impact (THCI) Initiative, three agencies in Tarrant and Parker Counties were awarded grants to address depression, anxiety, and food insecurity among underserved individuals in specific zip-codes in the hospital's region. The agencies awarded were Eastside Ministries, Taste Project and Parker County Center of Hope. 1b. Reduce SILOS 1b1.Reduce SILOS (Social Isolation and Lift Outcomes for Seniors) is a free program for adults age 50+ designed to serve low-income individuals that report feeling lonely or socially isolated. Each participant is paired with a Community Health Worker (CHW) to create their own connectivity plan specific to their interest and community. The CHW remains available to each participant for a period of 12 months and screens the participant at 3, 6, and 12-months. The goal is to connect the individual to available resources and community activities, making an overall impact in the participant's depression, disconnectedness, and loneliness. 2. Chronic Disease Prevention & Management 2a. Healthy Education Lifestyle Program (HELP) 2a1. The Healthy Education Lifestyle Program (HELP) is an innovative way of delivering diabetes and hypertension management to uninsured populations. Every HELP visit is comprised of three key components: an individual visit with a mid-level practitioner, including necessary lab testing; an education session by the nurse to increase health literacy; and a support group facilitated by a nurse, which is crucial for establishing and ensuring accountability for improved health outcomes. The goal of HELP is to increase the percentage of diabetic patients whose A1c levels were improved, and the percentage of patients whose blood pressure were controlled based in the management/treatment guidelines. The implementation of the HELP clinical at THAZ increased their ability to serve eligible patients and report clinical outcomes of improved A1c levels and blood pressure. 2b. Mobile Health 2b1. The Mobile Health program aims to improve access to quality preventive care services to adults 18+ years across Texas Health's service areas. Patients are seen across the several service types offered, including Mammograms, Wellness for Life (WFL), and Healthy Education Lifestyles Program (HELP). The WFL program provides colon cancer screenings, well adult exams, including cervical cancer screenings, and blood work to test for diabetes and cholesterol. The Mammogram service type provides mammograms and breast cancer screening services for women. The HELP program provides chronic disease management services to uninsured patients. Access, Literacy, and Navigation (ALN) 3. Healthy Eating Initiative: Garden on the Go 3a1. The Health Eating Initiative is focused on addressing the affordability and accessibility of nutritious fruits to individuals in the community. 3b. Faith Community Nursing 3b1. Faith Community Nursing is a system-wide program offered by Texas Health to link faith communities with health-related resources that focus on holistic care for the body, mind, and spirit. Emphasis is placed on equipping faith-based communities with the tools and resources to offer prevention and wellness support to care for the people they serve. The Texas Health Faith Community Nursing program offers classes and trainings in a variety of topics. These courses are taught to community partners/stakeholders, faith leaders, FCNs, HPs, and Texas Health Resources staff. 3b2. Flu vaccine clinics provided by the Texas Health Resource Faith Community Nurses focus on serving people and communities who would otherwise not have access to vaccines. Fulfilling our Mission to meet our consumers' needs where they work, live, play and pray is exemplified in the care provided in communities of faith and faith based organizations across our service areas. Faith Community Nursing organizes clinics with the primary focus of serving people who do not have access to flu vaccines. Services are aligned with food pantries, congregations in CHNA zip codes, senior community members, and outreach ministries to underserved communities. Each site is open to the community. Through these efforts, thousands of individuals receive flu shots who otherwise would not have had access to one. All the priority health needs identified are being addressed by the hospital in the category listed above. Part V. Section B, Line 13 h Although a patient may have been notified of the Financial Assistance Policy, there are times when the patient chooses not to complete the Financial Assistance Application. Texas Health routinely screens uninsured patients usin | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Part I, Line 3c - Patient Eligibility Patients with family income at or below 200% of applicable Federal Poverty Guidelines (FPG) may be eligible for free care if the patient lacks sufficient funds and assets to pay the out-of-pocket portion of their hospital bill. Patients with a family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified patient responsible amount if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's financial assistance application is reviewed. Assets considered when determining eligibility include cash, stocks, bonds and other financial assets that can be readily converted to cash. An additional process to screen for charity patients using publicly available financial information is also in place for patients not submitting a financial assistance application. Part I, Line 7 - Cost-to-Charge Ratio A cost-to-charge ratio is used to compute the amounts reported on Lines 7a-7c. The cost-to-charge ratio is derived from Worksheet 2 - Ratio of Patient Care Cost-to-Charges, as found in the Schedule H Instructions. The amounts reported on Lines 7e-7i were computed using direct costs, as determined by a cash outlay. Part II - Community Building The organization participates in community building activities that aim to address the disparities in the social determinants of health factors that influence the overall health and wellbeing of individuals in the communities Texas Health serves. As identified in the community health needs assessment, there are areas of need that are not aligned with the traditional operations of a hospital system. Our volunteerism, collaborations and partnership opportunities with various community-based organizations and coalitions foster our ability to address the social and environmental needs for the purpose of providing for the whole person beyond the clinical services. Part III, Lines 2, 3 & 4 - Bad Debts Bad debt expense is not included for purposes of reporting community benefits. Each patient qualifying for charity care is treated as a charity patient and no charges related to that patient are included in bad debt expense. The hospital is part of a consolidated system of hospitals which operate under the name Texas Health Resources (THR). THR's annual audit is conducted on a system-wide basis with a single consolidated audit report issued for THR and its affiliates. On pages 13-14 of the attached audited financial statements of THR, which includes the activity of the organization, is a footnote regarding Accounts Receivable and Net Patient Service Revenue. Part III, Line 8 - Medicare Shortfall The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care & community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. The shortfall amount reported to the state of Texas for 2023 is $8,168,690. Sch H requires a different method to calculate the Medicare shortfall shown on Part III, Lines 5-7. Part III, Line 9b - Debt Collection During the year, standard collection procedures were in place and uniformly applicable to all patient accounts. Except to the extent a patient receives a recovery from any third party or other source, no attempts are made to collect unpaid charges from patient accounts approved for adjustment under the Financial Assistance Policy. Part VI, Line 2 - Needs Assessment In 2022, Texas Health Resources (Texas Health) completed a community health needs assessment (CHNA) for 27 facilities across 5 regions using the following steps: - Demographic analysis by region - Secondary data analysis of health indicators to identify zip codes of highest-needs within each region and prioritize zip codes for the community impact initiative - Primary data collection via key informant interviews, focus groups, and a windshield survey - Synthesis of secondary and primary data to identify the most pressing health needs by region - Prioritization of health needs that Texas Health would focus on within the current CHNA cycle, resulting in the identification of these health needs: Behavioral health; Chronic disease prevention and management; and access, navigation, and health literacy. In addition to the CHNA, a community readiness assessment was conducted in 2023 to identify zip codes/communities that were ready to address the health and social needs in their communities within the next 3 years. Though this assessment key informant interviews were conducted across five regions. The interviews were then compiled, scored and analyzed to determine strengths and barriers within communities. To assess hospital utilization and health outcomes, a diagnosis code and hospital utilization dashboard was created. This dashboard compiles data from all major hospitals within the Dallas-Fort Worth region. The dashboard allows us to analyze demographics, insurance status, charge data and diagnoses codes by patient zip codes. Though this analysis, we have been able to assess which populations have a higher hospital utilization as well as determining which populations have a higher prevalence of certain diagnoses. The dashboard was recently used to determine zip codes where stroke education should be prioritized based on overall prevalence of stroke cases along with the percentage of patients that were self-pay. Additionally, the data was used to review hospital utilization among homeless individuals in Tarrant County. This project was requested to be used to strategically plan for implementation of a medical respite unit within Tarrant County. Through the CHNA report, transportation was identified for further assessment given that community members reported transportation as a barrier to healthcare access and other health-related issues. In 2023, an analysis of the availability of household transportation and the access to the public transportation system was completed to better understand transportation needs in our communities. This analysis has been compiled into a report that is being disseminated to various stakeholders to build appropriate action plans. Part VI, Line 3 - Patient Education A description of the Financial Assistance Policy (FAP), the Plain Language Summary of the FAP (PLS) and the FAP application are available on the THR website at www.TexasHealth.org in English and other languages. Financial assistance information is included in the patient's admission packets. Signs alerting patients of financial assistance and related contact information are posted in various areas of the hospital including admissions & registration and the emergency room. Additionally, financial assistance information is provided verbally and in writing to self-pay patients by financial counselors. As part of the financial counseling meeting, patients are screened for potential eligibility in other governmental assistance programs. If it is determined that the patient is potentially eligible for governmental assistance, the counselor will assist the patient in completing forms necessary to apply for the assistance. At the same time, patients are provided with a financial assistance application. The patient is informed that the hospital is offering financial assistance to patients deemed medically or financially indigent. The PLS is included on the back of our patient bills. The patient is informed of how to qualify for financial assistance, how to ask for help, necessary documentation, and THR's collection process. The onsite financial counselors may assist the patient in completing the application and obtain available verification information. The counselors will continue to contact the patient to ensure all forms and verifications needed to file an application for governmental assistance and financial assistance have been provided. In certain cases, self-pay patients who are discharged before seeing a financial counselor receive both a phone call and a letter to alert them to the existence of the FAP. Each bill sent for hospital services also contains contact information alertin | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tarrant Safety Net Support Corporation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 612 E LAMAR BLVD | AddressLine1Txt |
| City | ARLINGTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 823711862 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $37,129 | CashGrantAmt |
| Valuation Method Used | cash | ValuationMethodUsedDesc |
| Purpose Of Grant | Indigent Health Care | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Monitor Grants | FormAndLineReferenceDesc |
| Explanation | Texas Health Azle (THAZ) is a member of the Texas Health Resources (THR) healthcare system. The majority of the grants distributed by the System are to related tax exempt organizations. The hospital does not specifically monitor the use of grants paid to related organizations since THR administration monitors the use of these grants on a system basis for all members of the THR healthcare system. Grants to non-related tax exempt organizations are generally given to entities that in the hospital's community and/or service area or to certain organizations which will specifically impact the hospital's community. These grants are typically monitored by hospital personnel who are working closely with the non-related nonprofit organization. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BerdanBarclay E | ||||||||||||||
| THR CEO/Trustee | $0 | $1,860,563 | $0 | $1,414,089 | $0 | $330,793 | $0 | $963,751 | $0 | $52,520 | $0 | $4,621,716 | $0 | $731,476 |
| KramerKenneth J | ||||||||||||||
| Assistant Secretary | $0 | $705,551 | $0 | $359,141 | $0 | $142,111 | $0 | $193,789 | $0 | $41,456 | $0 | $1,442,048 | $0 | $174,260 |
| JacksonDavid W | ||||||||||||||
| Assistant Secretary | $0 | $348,305 | $0 | $117,613 | $0 | $49,190 | $0 | $125,200 | $0 | $40,677 | $0 | $680,985 | $0 | $53,142 |
| CantuStacy G | ||||||||||||||
| Corporate Secretary | $0 | $278,238 | $0 | $41,945 | $0 | $33,005 | $0 | $17,934 | $0 | $53,725 | $0 | $424,847 | $0 | $0 |
| FlorenJoshua Andrew | ||||||||||||||
| President | $0 | $438,390 | $0 | $169,778 | $0 | $59,519 | $0 | $135,165 | $0 | $52,523 | $0 | $855,375 | $0 | $67,564 |
| Sammons JrJames Harris | ||||||||||||||
| Chief Qual & Med Officer THAZ | $277,008 | $0 | $250 | $0 | $0 | $1,950 | $0 | $2,346 | $0 | $281,554 | $0 | $0 | $0 | |
| SosebeeTonya A | ||||||||||||||
| COO & CNO THAZ | $194,738 | $0 | $29,546 | $0 | $33,759 | $0 | $13,855 | $0 | $38,156 | $0 | $310,054 | $0 | $0 | $0 |
| MilandStephanie | ||||||||||||||
| Grp Fin Off Term 3/2023 | $0 | $55,954 | $0 | $44,697 | $0 | $223,205 | $0 | $4,898 | $0 | $9,913 | $0 | $338,667 | $0 | $0 |
| BrackerRachal R | ||||||||||||||
| Grp Finan Offcr THFW-THAZ-THSH | $0 | $249,991 | $0 | $0 | $93,881 | $0 | $17,030 | $0 | $12,745 | $0 | $373,647 | $0 | $0 | |
| KrejciJacque D | ||||||||||||||
| Former Officer | $0 | $215,313 | $0 | $10,563 | $0 | $8,348 | $0 | $15,592 | $0 | $32,021 | $0 | $281,837 | $0 | $0 |
| KingJames Kirk | ||||||||||||||
| Former Officer | $0 | $744,380 | $0 | $379,709 | $0 | $147,858 | $0 | $316,307 | $0 | $52,941 | $0 | $1,641,195 | $0 | $182,417 |
| McWhorterRicky E | ||||||||||||||
| Former Officer | $0 | $932,223 | $0 | $437,883 | $0 | $145,666 | $0 | $285,038 | $0 | $39,968 | $0 | $1,840,778 | $0 | $197,608 |
| SanchezAntonio | ||||||||||||||
| RAD CT | $201,749 | $0 | $4,093 | $0 | $3,233 | $0 | $10,472 | $0 | $31,646 | $0 | $251,193 | $0 | $0 | $0 |
| BlessingBrian Bradley | ||||||||||||||
| PROFESSIONAL SVCS OFFICER THAZ | $176,493 | $0 | $8,751 | $0 | $0 | $13,486 | $0 | $41,118 | $0 | $239,848 | $0 | $0 | $0 | |
| WardVanessa | ||||||||||||||
| PHARMACIST CLIN | $165,542 | $0 | $1,000 | $0 | $16,446 | $0 | $8,673 | $0 | $44,485 | $0 | $236,146 | $0 | $0 | $0 |
| ShuffieldElizabeth Suzanne | ||||||||||||||
| DIR PHARMACY | $168,119 | $0 | $7,310 | $0 | $560 | $0 | $0 | $9,617 | $0 | $185,606 | $0 | $0 | $0 | |
| HardmanRoberta Smith | ||||||||||||||
| NURSE PRACTITIONER/RN V | $155,545 | $0 | $6,000 | $0 | $670 | $0 | $12,768 | $0 | $43,403 | $0 | $218,386 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A - DISCRETIONARY SPENDING ACCOUNT | Each executive at the vice president level and above receives a perk allowance and flexible benefit allowance which is included in the taxable compensation of the employee. The perk allowance covers costs such as business use of their personal vehicles in lieu of reimbursement for auto mileage. The flexible benefit allowance can be used to purchase executive benefits on an after-tax basis. |
| SCHEDULE J, PART I, LINE 3 - CEO COMPENSATION | The organization relied on Texas Health Resources (THR), a related 501(c)(3) organization with centralized compensation professionals to use the following methods to establish the compensation of the organization's top executive officer who is responsible for the daily operations of the hospital. * The Governance committee (which includes independent persons) performs reviews and makes recommendations to the THR Board to approve the overall payment philosophy. * An Independent compensation consultant may be hired. * Compensation surveys or studies are utilized. * Board or Governance committee approves the executive compensation parameters within the executive compensation philosophy. The President is a corporate officer providing oversight of the COO/CNO and whose compensation is paid and determined by THR. |
| SCHEDULE J, PART I, LINE 4A - Severance Payout | SEVERANCE SETTLEMENT The settlement payment was paid out as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. Miland,Stephanie 137,630 |
| Schedule J, Part I, Line 4b - Nonqualified Retirement Plan | Participation in the THR plans is made available to a select group of management and highly compensated employees as determined by the THR Board of Trustees, who are providing services in a key position of management and responsibility. SERP: For the active restoration account (Account balances after 12/31/2009) SERP benefits vest while the participant is employed if the participant: * Reaches age 65 * Becomes disabled or dies, * Reaches the following years of service: 2 Years - 25%; 3 Years - 50%; 4 Years - 75% and 5 or more years - 100% Participants must be employed on Dec 1 to qualify for the current year's SERP Benefit unless separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) SERP benefits are calculated each Dec 1. Vested balances are taxed to the employee and the net balances begin accruing earnings. Vested balances are paid in a cash lump sum within a 90-day period commencing on the earlier of death, disability, or separation from service. The deferred portion is included in Schedule J, Part II, column C. In frozen restoration accounts (account balances prior to 1/1/2010), the participant or beneficiary shall be taxed on his or her vested SERP benefits upon the earliest of: * Continued employment in THR until age 68 * Termination of employment for disability or death * Involuntary termination of employment without reasonable cause; or * Satisfying a 24 month non-compete period following his/her termination of employment. Payment follows the before mentioned events, except in the case of involuntary separation when the participant must wait 24 months to receive the previously taxed benefit. LTIP: The Long Term Incentive Plan covers 2,3,or 4 years. Payouts are made over 2,3, or4 years after key performance goals are met. Benefits vest if they are employed at the end of the year the payout is made. Payments can also be made if separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) In the case of retirement and early retirement, CEO approval much be obtained and a non-compete must be satisfied prior to the end of the year payout. Retention: A retention agreement may be offered to an executive in a key position or based on succession planning needs of the system. The length of the retention period will be dependent upon the needs of the organization to retain the key executive. Payments are made within 2 1/2 months following the end of the retention period. Payouts to the following employees were made during the year for all the plans listed above. The amounts below are included in the amount reported on Sch J, Part II, Column B(iii) and Column (F). Berdan,Barclay E. 731,475.57 Floren,Joshua Andrew 67,564.17 Jackson,David W. 53,142.46 King,James Kirk 182,416.79 Kramer,Kenneth J. 174,260.24 McWhorter,Ricky E. 197,607.60 Miland,Stephanie 13,915.98 |
Schedule N IRS990ScheduleN
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liquidation Of Assets Table | LiquidationOfAssetsTableGrp |
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | Cash | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2023-12-31 | DistributionDt |
| Fair Market Value Of Asset | $8,368,515 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | cash value | MethodOfFMVDeterminationTxt |
| EIN | 752702388 | EIN |
| Person | Texas Health Resources | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 612 E Lamar Blvd | AddressLine1Txt |
| City | Arlington | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(c)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (true) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | Yes (true) | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule N, Part II, Line 1 | FormAndLineReferenceDesc |
| Explanation | Texas Health Resources (THR) is the parent company of a network of hospitals and affiliated healthcare organizations, making up the THR healthcare system. THR has centralized the cash management of the wholly owned hospitals in the system. Daily cash sweeps are made to consolidate the cash of the parent and the wholly owned subsidiaries into a single cash concentration account controlled by THR. These sweeps are recorded as an intercompany payable/receivable account. Also reported in the intercompany accounts are management fees charged by the parent organization, services purchased between the related organizations, purchases made by a centralized purchasing department, and similar transactions. The cash disposition reported on this schedule is the amount of cash transferred netted against any cumulative intercompany payables as of 12/31/2023. The net amount transferred will be utilized by THR to support the THR Healthcare System, of which this entity is a part. These funds are also used to pay the debt accumulated by the system. Schedule N, Part II, Lines 2A and 2B Texas Health Resources (THR), the parent company of the entities making up the THR healthcare system, has employees who serve as officers for its wholly owned hospitals and affiliates for the purposes of coordination and control. In addition, some of the employees of the entity may also be officers, trustees or employees of THR or one of its related entities. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 990, Part V, Line 1a - Number reported in Box 3 of Form 1096 | The taxpayer is a part of a healthcare system that centralizes all payments and Form 1099 filings under the parent, Texas Health Resources (THR). This is part of the System's effort toward overall centralization of vendor relations and other shared services as well as seeking to consolidate where and how its vendors are paid. This service is included in the management service agreement that THR has with its subsidiaries. |
| 990, Part VI, Section A, Line 2 - Business Relationship | Texas Health Resources (THR) and its related organizations included in the THR healthcare system encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees who are serving as officers, board members, or key employees may, from time to time, also serve on the boards of various community organizations such as church boards, United Way, etc. There may be a business relationship as a result of multiple THR employees serving on the same community boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards. |
| 990, Part VI, Section A, Lines 6&7a - Members | Texas Health Resources (THR) is the sole member of the organization. |
| 990, Part VI, Section A, Line 7b - Governance Decisions Reserved | The following actions require the approval of Texas Health Resources (THR): (a) Amendment, restatement or repeal of the Certificate of Formation or these Bylaws. (b) Sale, exchange, lease or other transfer of all or substantially all of the assets of the Corporation. (c) Merger or consolidation of the Corporation. (d) Dissolution of the Corporation. (e) Election of members of the Board of Trustees (f) Removal of a member of the Board of Trustees (g) Creation of affiliates or subsidiaries and approval of the initial governing documents. (h) Incurrence of debt not included in the budgets. (i) Discontinuing the operations of a licensed health care facility controlled by the corporation. (j) Activities involving winding up, distribution, conversion or exchange under Chapter 11 |
| 990, Part VI, Section B, Line 11b - Form 990 Filing | The Texas Health Resources (THR) tax department staff prepares the Forms 990 for THR and all of its wholly controlled affiliates. In order to accurately prepare the returns, the tax staff works closely with various other departments to gather and review the information needed to complete the return. The departments involved in this process include, but are not limited to accounting, finance, treasury, human resources, payroll, legal, governance, and corporate compliance. The returns are then reviewed twice within the tax department before being given to the Financial Reporting department to review and to ensure that the financial information is accurate and up to date. All THR System Forms 990 are provided to members of the Audit and Compliance Committee of the THR Board, giving them an opportunity to review, comment and ask questions regarding the Forms 990. The tax department Vice President provides an overview presentation to the committee highlighting various areas of the Form 990. A resolution to approve all of the returns is voted upon at this meeting. Once the Audit and Compliance Committee has approved the returns, each return is then reviewed and signed by the Chief Accounting Officer/Assistant Secretary. The members of the governing Boards are provided a copy of the Form 990 for their respective entity before the Form 990 is filed. |
| 990, Part VI, Section B, Line 12c - Conflict of Interest | Texas Health Resources (THR) has adopted a Conflict of Interest Policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the year, a Duality and Conflict of Interest Statement Form is distributed by the THR Chief Compliance Officer to all board members, officers, contracted medical directors, employees with a title of manager or above, employed physicians, and certain committee members and other employees based upon function. All disclosed conflicts are reviewed by the THR Chief Compliance Officer. A report, listing each reported Duality of Interest or Conflict of Interest is given to both the Chair of the Governing body and the President of the Corporation with which the reporting person is affiliated. The THR Board of Trustees receives a report when the Annual Disclosure process is complete. Progressive corrective action is taken for any identified noncompliance which may include removal from a board or committee or physician/employee counseling if the person fails to provide the disclosure. In addition, THR monitors physician payments through a public database implemented by CMS. Management plans are executed as needed based upon disclosures. THR also educates the Boards and workforce annually through either a web based or live compliance training. |
| 990, Part VI, Section B, Lines 15 a&b - Compensation Determination | The organization relied on Texas Health Resources (THR) with centralized compensation professionals to review and establish the compensation of the organization's officers. A more in-depth discussion of executive compensation review can be found on Schedule J, Part III. |
| 990, Part VI, Section C, Line 19 - Public Disclosure | The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner. |
| 990, Part XI, Line 9 - Other Changes in Net Assets | Adjustment for Intercompany Transactions of a Controlled Group $(8,368,515) The intercompany adjustment eliminated the receivable/payable balance as of the end of the year between Texas Health Resources (THR) and all wholly controlled tax-exempt entities included in the THR Healthcare System. The adjustment represents current year activity.The THR Healthcare System records all related transactions through the intercompany Receivable/Payable accounts for each entity. The types of transactions recorded in the Intercompany accounts include management fees charged by the parent organization, services purchased between related organizations, supplies purchased by a centralized purchasing department, daily cash sweeps and similar transactions. |
| 990, Part XII, Line 2c - Consolidated Financial Statements | Texas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Huguley Medical Assoc Inc | ||||||||||
| 11801 South Freeway | Burleson | TX | 76028 | 752547668 | Phys Clinic | TX | 501(c)(3) | 3 | TH Huguley | false |
| North Texas Healthy Communities | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 464513182 | Comm Support | TX | 501(c)(3) | 7 | TH Resources | false |
| Southwestern Health Resources JOC | ||||||||||
| 5323 Harry Hines Blvd | Dallas | TX | 75390 | 811575989 | Mgmt Org | TX | 501(c)(3) | 12b | TH Resources | false |
| Texas Health Arlington Memorial Hospital | ||||||||||
| 800 West Randol Mill Rd | Arlington | TX | 76012 | 750972805 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Back Care | ||||||||||
| 9250 Amberton Pkwy | Dallas | TX | 75243 | 474724257 | Phys. Clinic | TX | 501(c)(3) | 10 | TH Phys Grp | false |
| Texas Health Alliance | ||||||||||
| 10864 Texas Health Trail | Fort Worth | TX | 76244 | 451502252 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Azle | ||||||||||
| 108 Denver Trail | Azle | TX | 76020 | 751748586 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Cleburne | ||||||||||
| 201 Walls Dr | Cleburne | TX | 76033 | 751977850 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Fort Worth | ||||||||||
| 1301 Pennsylvania Ave | Fort Worth | TX | 76104 | 756001743 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Hurst-Euless-Bedford | ||||||||||
| 1600 Hospital Parkway | Bedford | TX | 76022 | 751438726 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Southwest Fort Worth | ||||||||||
| 6100 Harris Parkway | Fort Worth | TX | 76132 | 752678857 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Stephenville | ||||||||||
| 411 Belknap | Stephenville | TX | 76401 | 751752253 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Frisco | ||||||||||
| 12400 Dallas Parkway | Frisco | TX | 75033 | 831954982 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Mansfield | ||||||||||
| 2300 Lone Star Rd | Mansfield | TX | 76063 | 831869297 | Hospital | TX | 501(c)(3) | 3 | TH Huguley | false |
| Texas Health Huguley Inc | ||||||||||
| 11801 S Freeway | Burleson | TX | 76028 | 452694620 | Hospital | FL | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Medical Support | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 812833150 | Spec Drugs | TX | 501(c)(3) | 10 | TH Resources | false |
| Texas Health Physicians Group | ||||||||||
| 9250 Amberton Pkwy | Dallas | TX | 75243 | 752613493 | Phys. Clinic | TX | 501(c)(3) | 10 | TH Resources | false |
| Texas Health Allen | ||||||||||
| 1105 Central Expressway N | Allen | TX | 75013 | 752890358 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Dallas | ||||||||||
| 8200 Walnut Hill Ln | Dallas | TX | 75231 | 751047527 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Denton | ||||||||||
| 3000 North Interstate 35 | Denton | TX | 76201 | 432008974 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Kaufman | ||||||||||
| 850 Ed Hall Drive | Kaufman | TX | 75142 | 752771437 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Plano | ||||||||||
| 6200 W Parker Rd | Plano | TX | 75093 | 752770738 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| TH Recovery and Wellness Center | ||||||||||
| 240 Miller Road | Mansfield | TX | 76063 | 812813227 | Resd Trmt Ctr | TX | 501(c)(3) | 3 | TH Resources | false |
| TX Health Research & Education Institute | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 752562191 | Edu& Research | TX | 501(c)(3) | 4 | TH Resources | false |
| Texas Health Resources | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 752702388 | System Mgmt | TX | 501(c)(3) | 12c | NA | false |
| Texas Health Resources Foundation | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 752022128 | Fundraising | TX | 501(c)(3) | 7 | TH Resources | false |
| TH Specialty Hospital Fort Worth | ||||||||||
| 1301 Pennsylvania Ave | Fort Worth | TX | 76104 | 751648589 | LT Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| TX Health Urgent Care | ||||||||||
| 3805 W University Park 100 | McKinney | TX | 75071 | 814317635 | Urgent Care | TX | 501(c)(3) | 3 | TH Resources | false |
| TX Health Virtual Care | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 873611585 | Virtual Care | TX | 501(c)(3) | 3 | TH Resources | false |
| WW Ward Endowment Fund Trust | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 756196065 | Nursing Grant | TX | 501(c)(3) | 12a | TH Fndn | false |
| Healthy Tarrant County Collaboration | ||||||||||
| PO Box 8040 | Fort Worth | TX | 76124 | 432087946 | Support Org. | TX | 501(c)(3) | 12a | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (46 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| AMH Cath Labs LLC | |||||||
| 811 Wright St | Arlington | TX | 76012 | 203003947 | Hospital | TX | NA |
| Arlington Surgery Center LLC | |||||||
| 918 N Davis Dr | Arlington | TX | 76012 | 752055800 | Amb Surg Ctr | TX | NA |
| Castle Hills Surgicare LLC | |||||||
| 4221 Medical Parkway ste 100 | Carrollton | TX | 75010 | 813020487 | Amb Surg Ctr | TX | NA |
| Cleburne Surgical Center LLC | |||||||
| 2010 W Katherine P Raines Blvd St | Cleburne | TX | 76033 | 203742012 | Amb Surg Ctr | TX | NA |
| Cross Timbers Surgery Center LLC | |||||||
| 1001 N Waldrop Dr Ste 705 | Arlington | TX | 76012 | 752862780 | Amb Surg Ctr | TX | NA |
| Denton Surgery Center LLC | |||||||
| 207 North Bonnie Brea | Denton | TX | 76201 | 470926556 | Amb Surg Ctr | TX | NA |
| Flower Mound Hospital Partners LLC | |||||||
| 4400 Long Prairie Rd | Flower Mound | TX | 75028 | 260684968 | Hospital | TX | NA |
| Fort Worth Endoscopy Centers LLC | |||||||
| 900 W Magnolia Ave 101 | Fort Worth | TX | 76104 | 770368346 | Endoscopy Center | TX | NA |
| Greenville Surgery Center LLC | |||||||
| 7150 Greenville Ave Ste 200 | Dallas | TX | 75231 | 742411643 | Amb Surg Ctr | TX | NA |
| Health Imaging Partners LLC | |||||||
| 8610 Explorer Drive Ste 300 | Colorado Springs | CO | 80920 | 271385885 | Medical Imaging | TX | NA |
| Mansfield Endoscopy Center LLC | |||||||
| 647 N Miller Rd | Mansfield | TX | 76063 | 861354607 | Endoscopy | TX | NA |
| North Dallas Surgical Center LLC | |||||||
| 17980 Dallas Pkw Ste 100 | Dallas | TX | 75287 | 272248103 | Amb Surg Ctr | TX | NA |
| Opthalmology Surgery Center of Dallas LL | |||||||
| 10740 N Central Expy | Dallas | TX | 75231 | 261914835 | Amb Surg Ctr | TX | NA |
| Park Hill Surgery Center LLC | |||||||
| 3455 Locke Ave | Fort Worth | TX | 76107 | 451484375 | Amb Surg Ctr | TX | NA |
| Physicians Medical Center LLC | |||||||
| 6020 W Parker Rd | Plano | TX | 75093 | 481281376 | Hospital | TX | NA |
| Presbyterian Cancer Ctr-Dallas LLC | |||||||
| PO Box 819067 | Dallas | TX | 75381 | 260422749 | Cancer Ctr | TX | NA |
| Rockwall Regional Hospital LLC | |||||||
| 3150 Horizon Rd | Rockwall | TX | 75032 | 202848116 | Hospital | TX | NA |
| South Arlington Surgical Providers LLC | |||||||
| 350 E Interstate 20 Ste 200 | Arlington | TX | 76018 | 752723958 | Amb Surg Ctr | TX | NA |
| Southlake Specialty Hospital LLC | |||||||
| 1545 E Southlake Blvd | Southlake | TX | 76092 | 020555370 | Hospital | TX | NA |
| Surgical Caregivers of Fort Worth LLC | |||||||
| 2001 W Rosedale St | Fort Worth | TX | 76104 | 751925497 | Amb Surg Ctr | TX | NA |
| Texas Health Craig Ranch Surgery Center | |||||||
| 8080 State Hwy 121 Ste 100 | McKinney | TX | 75070 | 383897811 | Amb Surg Ctr | TX | NA |
| Texas Health Flower Mound Orthopedic Sur | |||||||
| 5000 Long Prairie Rd | Flower Mound | TX | 75028 | 800866449 | Amb Surg Ctr | TX | NA |
| Texas Health Huguley Surgery Center LLC | |||||||
| 12001 S Freeway | Burleson | TX | 76028 | 821289045 | Amb Surg Ctr | TX | NA |
| Texas Health Orthopedic Surgery Center A | |||||||
| 9848 N Beach St | Fort Worth | TX | 76244 | 814977249 | Amb Surg Ctr | TX | NA |
| Texas Health Spine Surgery Center Allen | |||||||
| 1120 Raintree Cir Ste 100 | Allen | TX | 75013 | 300957868 | Amb Surg Ctr | TX | NA |
| Texas Health Spine Surgery Center Allian | |||||||
| 1545 E Southlake Blvd Ste 100 | Southlake | TX | 76092 | 320571301 | Amb Surg Ctr | TX | NA |
| Texas Health Supply Chain Services LLC | |||||||
| 612 E Lamar Blvd Ste 600 | Arlington | TX | 76011 | 841833532 | Purchasing Co | TX | NA |
| Texas Health Surgery Center Alliance LLC | |||||||
| 10840 Texas Health Trail Ste 100 | Fort Worth | TX | 76244 | 822296081 | Amb Surg Ctr | TX | NA |
| Texas Health Surgery Center Bedford LLC | |||||||
| 1605 Airport Freeway Ste 100 | Bedford | TX | 76021 | 821307876 | Amb Surg Ctr | TX | NA |
| Texas Health Surgery Center Chisholm Tra | |||||||
| 5900 Altamesa Blvd | Fort Worth | TX | 76132 | 851225852 | Amb Surg Ctr | TX | NA |
| Texas Health Surgery Center Forney LLC | |||||||
| 612 E Lamar Blvd Ste 600 | Arlington | TX | 76011 | 923847064 | Inactive | TX | NA |
| Texas Health Surgery Center Irving LLC | |||||||
| 2120 N MacArthur Blvd Ste 200 | Irving | TX | 75061 | 831085415 | Amb Surg Ctr | TX | NA |
| Texas Health Surgery Center Preston Plaz | |||||||
| 17950 Preston Road Ste 75 | Dallas | TX | 75252 | 203991622 | Amb Surg Ctr | TX | NA |
| Texas Health Surgery Center Rockwall LLC | |||||||
| 3144 Horizon Rd Ste 120 | Rockwall | TX | 75032 | 474425996 | Amb Surg Ctr | TX | NA |
| Texas Health Surgery Center Southwest Fo | |||||||
| 6317 Harris Parkway Ste 200 | Fort Worth | TX | 76132 | 843814490 | Amb Surg Ctr | TX | NA |
| Texas Health Surgery Center Waxahachie | |||||||
| 1434 US Hwy 287 Bypass Ste 100 | Waxahachie | TX | 75165 | 831464243 | Inactive | TX | NA |
| Texas Health Surgery Center Willow Park | |||||||
| 612 E Lamar Blvd Ste 600 | Arlington | TX | 76011 | 841953918 | Amb Surg Ctr | TX | NA |
| Texas Institute for Surgery LLP | |||||||
| 7115 Greenville Ave Ste 100 | Dallas | TX | 75231 | 770628004 | Hospital | TX | NA |
| THR-STT Rockwall ASC LLC | |||||||
| 1545 E Southlake Blvd | Southlake | TX | 76092 | 262429878 | Amb Surg Ctr | TX | NA |
| THR-STT Southlake ASC LLC | |||||||
| 1545 E Southlake Blvd | Southlake | TX | 76092 | 201728912 | Amb Surg Ctr | TX | NA |
| USMD Hospital at Arlington LP | |||||||
| 801 I -20 West | Arlington | TX | 76017 | 731662763 | Hospital | TX | NA |
| USMD Hospital at Fort Worth LP | |||||||
| 5900 Altamesa Blvd | Fort Worth | TX | 76132 | 203571243 | Hospital Closed | TX | NA |
| Walnut Hill Surgery Center LLC | |||||||
| 5494 Glen Lakes Dr | Dallas | TX | 75231 | 364499777 | Amb Surg Ctr | TX | NA |
| Willow Park Endoscopy Center LLC | |||||||
| 130 Jimma Drive | Willow Park | TX | 76087 | 881643733 | Amb Surg Ctr | TX | NA |
| Wilson Creek Surigcal Center LLC | |||||||
| 8855 Synergy Drive | McKinney | TX | 75070 | 274816583 | Amb Surg Ctr | TX | NA |
| Women's Specialty Surgery Center of Dall | |||||||
| 8230 Walnut Hill Ln Ste 101 | Dallas | TX | 75231 | 262310072 | Amb Surg Ctr | TX | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Grace Indemnity Company SPC Ltd | ||||||||||||||
| 1159 Caribbean Plaza | Grand Cayman | CJ | KY 1-1102 | 981209573 | Captive Insur | CJ | NA | C Corp | false | |||||
| Texas Health Biomedical Advancement Cent | ||||||||||||||
| 752636884 | Research | NA | C Corp | false | 612 E Lamar Blvd | Arlington | TX | 76011 | TX | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | See Part VII for Explanation | BusinessNameLine1Txt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V, Line 2 - Related Transactions | FormAndLineReferenceDesc |
| Explanation | Texas Health Resources (THR) is the parent organization in a large healthcare system made up of both wholly owned entities as well as related controlled joint ventures as listed on Schedule R. THR's role is to plan, manage and coordinate the activities of the affiliated healthcare system in order to maximize opportunities to deliver cost effective quality medical care to residents of north central Texas. THR provides direction and oversight to its wholly owned affiliates through centralized services. They also provide oversight for the controlled joint ventures. As an integral part of providing centralized services to the affiliates, THR maintains intercompany receivable/payable accounts, most of which do not fall within the scope of IRC Section 512(b)(13). The range of centralized services provided by THR include information services, managed care contracting, Human resources, revenue cycle, billing and collections, patient access/admissions, legal, tax, compliance, supply chain, quality, business development, insurance, treasury, marketing, general accounting, real estate services, coding, transcription, and strategic planning. In addition, THR does daily cash sweeps of all controlled tax-exempt entity cash accounts. As a result, THR has numerous daily transactions with controlled tax-exempt entities, none of which fall within the scope of IRC Section 512(b)(13). A management fee is charged for the centralized services and reported on Form 990, Part VII, Section B as a professional services fee. Transactions with related tax-exempt organizations falling within the meaning of centralized services as described above, are not listed on Schedule R, Part V, Line 2. | ExplanationTxt |