TEXAS HEALTH URGENT CARE: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- TEXAS HEALTH URGENT CARE (EIN 81-4317635)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-08
- IRS object ID
- 202333129349301958
- Schema version
- 2022v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-08T09:26:28-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814317635 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Urgent Care | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DAVID JACKSON | InCareOfNm |
| Business Name Control | TEXA | BusinessNameControlTxt |
| Phone | 6822367900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 612 E Lamar Blvd 600 | AddressLine1Txt |
| City | Arlington | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76011 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David Jackson | PersonNm |
| Person Title | Asst Secretary | PersonTitleTxt |
| Phone | 6822367900 | PhoneNum |
| Signature | 2023-11-01 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | David | PersonFirstNm |
| Person Last | Jackson | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Breeze Urgent Care | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jamie Harraid | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3805 W University Park 100 | AddressLine1Txt |
| City | Mckinney | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75071 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,142,283 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://breezeurgentcare.texashealth.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | 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 community it serves, regardless of their ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 344 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,925,397 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,136,454 | CYProgramServiceRevenueAmt |
| PY Investment Income | $948 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,372 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $3,457 | CYOtherRevenueAmt |
| PY Total Revenue | $7,926,345 | PYTotalRevenueAmt |
| CY Total Revenue | $18,142,283 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,371,717 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,143,183 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,755,365 | PYOtherExpensesAmt |
| CY Other Expenses | $20,202,047 | CYOtherExpensesAmt |
| PY Total Expenses | $28,127,082 | PYTotalExpensesAmt |
| CY Total Expenses | $40,345,230 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$20,200,737 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$22,202,947 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,663,631 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,228,113 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,740,353 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,566,944 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,923,278 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,661,169 | NetAssetsOrFundBalancesEOYAmt |
| Mission | A FAITH BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES, REGARDLESS OF THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $30,490,450 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $18,139,911 | RevenueAmt |
| Desc | Texas Health Urgent Care is a multi-site service line of wholly-owned urgent care clinics that began operations in 2020. These clinics operate 365 day per year with a well defined scope of service limited to low acuity urgent care patients. The clinics will not be licensed as, nor will they operate as, either a hospital nor emergency departments. The clinics have limited lab and x-ray capability, feature a transparent pricing structure and focus on an exceptional patient experience. During 2022 There were 114,619 Urgent Care Visits, 3,339 Other Visits. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. | Desc |
| Total Program Service Expenses | $30,490,450 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| 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 | Yes (true) | 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 | false | OperateHospitalInd |
| Grants To Organizations | false | 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 | false | 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 | 344 | 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 | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 |
| 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 (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MiaoWinjie Tang | |||||||||
| Trustee | 0.5 | 50.0 | Yes (X) | $0 | $1,666,650 | $276,240 | |||
| McWhorterRicky E | |||||||||
| Trustee | 0.5 | 50.0 | Yes (X) | $0 | $1,477,178 | $157,209 | |||
| KramerKenneth J | |||||||||
| Assistant Secretary | 0.5 | 50.0 | $0 | $1,190,704 | $140,137 | Yes (X) | |||
| MitchellJohn D | |||||||||
| Trustee/President | 0.5 | 40.0 | Yes (X) | $0 | $765,732 | $109,676 | Yes (X) | ||
| JacksonDavid W | |||||||||
| Assistant Secretary | 0.5 | 40.0 | $0 | $524,017 | $129,601 | Yes (X) | |||
| SchroederJennifer Ann | |||||||||
| Former Officer | 0.0 | 40.0 | $0 | $458,331 | $50,101 | Yes (X) | |||
| CantuStacy G | |||||||||
| Corporate Secretary | 0.5 | 40.0 | $0 | $389,083 | $68,685 | Yes (X) | |||
| HarraidJames Houston | |||||||||
| VP Ambulatory Services | 40.0 | 0.0 | $271,644 | $0 | $66,236 | Yes (X) | |||
| FollisJennifer R | |||||||||
| DIR CLIN EDUC URGENT CARE | 40.0 | 0.0 | $162,742 | $0 | $38,754 | Yes (X) | |||
| PotterPaige | |||||||||
| APP URGENT CARE | 40.0 | 0.0 | $127,925 | $0 | $36,211 | Yes (X) | |||
| MontoyaAngelica | |||||||||
| APP URGENT CARE | 40.0 | 0.0 | $129,081 | $0 | $31,037 | Yes (X) | |||
| NguyenThea Duyen | |||||||||
| APP URGENT CARE | 40.0 | 0.0 | $131,544 | $0 | $22,190 | Yes (X) | |||
| OwenGlenn | |||||||||
| MEDICAL DIR CONTRACT PRN | 40.0 | 0.0 | $151,200 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $974,136 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,471,695 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,126,077 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 37 | 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 |
|---|---|---|---|---|---|
| Kelly's Restoration | |||||
| 4480 Shiloh Rd | MIDLOTHIAN | TX | 76065 | Construction | $4,974,582 |
| Texas Health Resources | |||||
| 612 E Lamar Blvd | ARLINGTON | TX | 76011 | Management Svc | $3,135,417 |
| UCP Merchant Medicine | |||||
| 400 Fourth Ave S | MINNEAPOLIS | MN | 55415 | Consulting | $2,117,000 |
| Google LLC | |||||
| PO Box 883654 | LOS ANGELES | CA | 90088 | Advertising | $739,733 |
| Epic Systems Corporation | |||||
| 1979 Milky Way | VERONA | WI | 53593 | Management Fee | $558,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621493 | BusinessCd |
| Total Revenue Column | $18,136,454 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,136,454 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,136,454 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,372 | TotalRevenueColumnAmt |
| Exclusion | $2,372 | ExclusionAmt |
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 |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE REIMBURSEMENT | Desc |
| Business | 621493 | BusinessCd |
| Total Revenue Column | $3,457 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,457 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,457 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,142,283 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,139,911 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,372 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $337,880 | TotalAmt |
| Management And General | $337,880 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
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 | $16,227,930 | TotalAmt |
| Program Services | $15,271,516 | ProgramServicesAmt |
| Management And General | $956,414 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $337,273 | TotalAmt |
| Program Services | $294,921 | ProgramServicesAmt |
| Management And General | $42,352 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,054,559 | TotalAmt |
| Program Services | $1,968,934 | ProgramServicesAmt |
| Management And General | $85,625 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,185,541 | TotalAmt |
| Program Services | $1,088,522 | ProgramServicesAmt |
| Management And General | $97,019 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,135,417 | TotalAmt |
| Management And General | $3,135,417 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,472 | TotalAmt |
| Management And General | $28,472 | ManagementAndGeneralAmt |
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 | $3,338,332 | TotalAmt |
| Program Services | $1,228,635 | ProgramServicesAmt |
| Management And General | $2,109,697 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,412,742 | TotalAmt |
| Program Services | $541 | ProgramServicesAmt |
| Management And General | $1,412,201 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $468,839 | TotalAmt |
| Program Services | $314,861 | ProgramServicesAmt |
| Management And General | $153,978 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,420 | TotalAmt |
| Program Services | $53,739 | ProgramServicesAmt |
| Management And General | $3,681 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,198,971 | TotalAmt |
| Program Services | $3,194,738 | ProgramServicesAmt |
| Management And General | $4,233 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,418 | TotalAmt |
| Program Services | $34,425 | ProgramServicesAmt |
| Management And General | $3,993 | 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 | $27,311 | TotalAmt |
| Program Services | $18,083 | ProgramServicesAmt |
| Management And General | $9,228 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,063 | TotalAmt |
| Program Services | $90,063 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,937,640 | TotalAmt |
| Program Services | $2,719,315 | ProgramServicesAmt |
| Management And General | $218,325 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,946 | TotalAmt |
| Program Services | $178,946 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $3,769,974 | $3,752,643 | $17,331 |
| INTERCO AFFILIATED SERVICES | $838,752 | $78,710 | $760,042 |
| EMPLOYEE RECRUITING | $446,250 | $446,250 | |
| REPAIRS AND MAINTENANCE | $77,582 | $77,582 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,918 | TotalAmt |
| Program Services | $124,276 | ProgramServicesAmt |
| Management And General | $32,642 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,345,230 | TotalAmt |
| Program Services | $30,490,450 | ProgramServicesAmt |
| Management And General | $9,854,780 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,500 | BOYAmt |
| EOY | $6,000 | 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 | $4,098,450 | BOYAmt |
| EOY | $2,404,065 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,697 | BOYAmt |
| EOY | $83,087 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,342,291 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,871,188 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,250,847 | BOYAmt |
| EOY | $21,471,103 | 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 | $13,205,137 | BOYAmt |
| EOY | $17,263,858 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,663,631 | BOYAmt |
| EOY | $41,228,113 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,517,730 | BOYAmt |
| EOY | $4,213,695 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $13,222,623 | BOYAmt |
| EOY | $17,353,249 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,740,353 | BOYAmt |
| EOY | $21,566,944 | 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 | $16,923,278 | BOYAmt |
| EOY | $19,661,169 | 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 | $16,923,278 | BOYAmt |
| EOY | $19,661,169 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,663,631 | BOYAmt |
| EOY | $41,228,113 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$22,202,947 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $24,940,838 | 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 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 | false | PaidStaffOrManagementInd |
| Media Advertisements | Yes (true) | 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 | 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 | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,134,704 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,759,327 | DepreciationAmt |
| Book Value | $11,375,377 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,747,581 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,111,861 | DepreciationAmt |
| Book Value | $5,635,720 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,460,006 | OtherCostOrOtherBasisAmt |
| Book Value | $4,460,006 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,471,103 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE ASSETS | Desc |
| Book Value | $17,263,858 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,263,858 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITIES | Desc |
| Amt | $17,353,249 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,353,249 | TotalLiabilityAmt |
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 | false | 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 (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MitchellJohn D | ||||||||||||||
| Trustee/President | $0 | $460,571 | $0 | $221,671 | $0 | $83,490 | $0 | $59,771 | $0 | $49,905 | $0 | $875,408 | $0 | $22,066 |
| MiaoWinjie Tang | ||||||||||||||
| Trustee | $0 | $976,171 | $0 | $515,609 | $0 | $174,870 | $0 | $244,087 | $0 | $32,153 | $0 | $1,942,890 | $0 | $52,361 |
| McWhorterRicky E | ||||||||||||||
| Trustee | $0 | $897,686 | $0 | $438,893 | $0 | $140,599 | $0 | $120,036 | $0 | $37,173 | $0 | $1,634,387 | $0 | $39,816 |
| KramerKenneth J | ||||||||||||||
| Assistant Secretary | $0 | $683,629 | $0 | $372,552 | $0 | $134,523 | $0 | $101,290 | $0 | $38,847 | $0 | $1,330,841 | $0 | $46,912 |
| JacksonDavid W | ||||||||||||||
| Assistant Secretary | $0 | $333,809 | $0 | $143,198 | $0 | $47,010 | $0 | $91,723 | $0 | $37,878 | $0 | $653,618 | $0 | $11,705 |
| CantuStacy G | ||||||||||||||
| Corporate Secretary | $0 | $269,180 | $0 | $87,682 | $0 | $32,221 | $0 | $17,369 | $0 | $51,316 | $0 | $457,768 | $0 | $0 |
| HarraidJames Houston | ||||||||||||||
| VP Ambulatory Services | $173,609 | $0 | $60,252 | $0 | $37,783 | $0 | $15,676 | $0 | $50,560 | $0 | $337,880 | $0 | $0 | $0 |
| SchroederJennifer Ann | ||||||||||||||
| Former Officer | $0 | $295,296 | $0 | $105,999 | $0 | $57,036 | $0 | $20,451 | $0 | $29,650 | $0 | $508,432 | $0 | $0 |
| FollisJennifer R | ||||||||||||||
| DIR CLIN EDUC URGENT CARE | $146,077 | $0 | $16,665 | $0 | $0 | $0 | $11,372 | $0 | $27,382 | $0 | $201,496 | $0 | $0 | $0 |
| OwenGlenn | ||||||||||||||
| MEDICAL DIR CONTRACT PRN | $151,200 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $151,200 | $0 | $0 | $0 |
| NguyenThea Duyen | ||||||||||||||
| APP URGENT CARE | $121,038 | $0 | $5,243 | $0 | $5,263 | $0 | $5,127 | $0 | $17,063 | $0 | $153,734 | $0 | $0 | $0 |
| MontoyaAngelica | ||||||||||||||
| APP URGENT CARE | $120,499 | $0 | $356 | $0 | $8,226 | $0 | $7,835 | $0 | $23,202 | $0 | $160,118 | $0 | $0 | $0 |
| PotterPaige | ||||||||||||||
| APP URGENT CARE | $120,913 | $0 | $2,399 | $0 | $4,613 | $0 | $5,688 | $0 | $30,523 | $0 | $164,136 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 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 - Officer 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 VP of Ambulatory Services and whose compensation is paid and determined by THR. |
| 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 who are providing services in key positions of management and/or responsibility and who are determined by the THR Board of Trustees. 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). David Jackson $11,705 Kenneth Kramer $46,912 Ricky E McWhorter $39,816 Winjie Tang Miao $52,361 John Mitchell $22,066 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 990, Part IV, Line 20a - Did the organization operate one or more hospital | Texas Health Urgent Care does not own or operate a hospital facility nor does it hold a hospital license. As a result, the Schedule H is not required to be included in the Form 990 filing. |
| 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. |
| Form 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. The VP of Ambulatory Services is the top executive officer in charge of operations. For this entity, the President is a corporate officer who provides oversight of the VP of Ambulatory Services and who is not directly involved in the daily decisions at the entity level. A more in-depth discussion of executive compensation review can be found on Sch 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 $24,940,838 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 (30 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 Grou | 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 Foundatio | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (45 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 | 76102 | 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 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 | Amb Surg Ctr | TX | NA |
| Texas Health Surgery Center Willow Park | |||||||
| 612 E Lamar Blvd Ste 600 | Arlington | TX | 76011 | 841953918 | Inactive | 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 Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Texas Health Biomedical Advancement Cent | ||||||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 752636884 | Research | TX | NA | C Corp | false | |||||
| Grace Indemnity Company SPC Ltd | ||||||||||||||
| 981209573 | Captive Insur | NA | C Corp | false | 1159 Caribbean Plaza | Grand Cayman | CJ | KY 1-1102 | CJ | |||||
| 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 | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | 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 | false | 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 |
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