2022-11-10T19:28:10-06:00 2021-12-31 990 2021-01-01 756001743 Texas Health Harris Methodist Hospital Fort Worth % DAVID JACKSON TEXA 8172502000 1301 Pennsylvania Ave Fort Worth TX 76104 David Jackson Asst Secretary 6822367900 2022-11-10 David Jackson 999009999 3 2021 2022-09-23 18:48:47Z Joseph DeLeon 1301 Pennsylvania Ave Fort Worth TX 76104 986534176 false X www.texashealth.org X 1930 TX 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. 15 14 5123 226 2543219 1953874 34484884 9473777 858370426 971365203 -77888 -153437 9418858 5428106 902196280 986113649 2815895 837814 0 0 357990525 393706960 0 0 0 457503444 493751587 818309864 888296361 83886416 97817288 511656561 650433477 101899451 122090837 409757110 528342640 X 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. false false 748716953 837814 971929202 Texas Health Harris Methodist Hospital Fort Worth (THFW) is a 650- bed, Magnet-designated regional referral hospital that has served the residents of Tarrant County since 1930. The hospital's services include cardiovascular services, high-risk and routine obstetrics and gynecology, orthopedics and sports medicine, neonatal intensive care, and trauma/emergency medicine. THFW is also home to the 100-bed Texas Health Harris Methodist Heart Center. The hospital was designated a Level II Trauma Center by the American College of Surgeons, named as a Cycle III Chest Pain Center by the Society of Chest Pain Centers for Percutaneous Coronary Intervention and designated an Acute Heart Failure Center. It was also certified as a Comprehensive Stroke Center by The Joint Commission and is the first hospital in the country to earn the prestigious designation as a Joint Commission Primary Heart Attack Center. Additionally, it is only the second hospital in the nation to earn the Gold Seal of Approval for Brain Tumor Certification by the Joint Commission. The hospital has been voted the "Best Place to Have a Baby" 20 times by readers of Fort Worth Child magazine. More than 5,000 employees work at this hospital and over 1,300 physicians are practicing on its medical staff. THFW provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The hospital provides care to persons covered by governmental programs including Medicare and Medicaid for reimbursement that does not always cover the cost of providing the care. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. Community benefit is provided through many programs to the community. These services are essential to provide complete healthcare to the communities served. THFW provides the resources and support to nurses participating in the Faith Community Nursing (FCN) program. With special attention to congregations in underserved areas, the FCN program has covenants with over 50 congregations providing health screenings, health education and support for families of their congregations. THFW is part of a Child Automobile Safety Initiative whose mission strives to educate and raise community awareness about child safety. During the year, THFW had 217,457 patient days, 37,164 discharges, 168,752 outpatient encounters, 138,755 emergency room visits and 3,019 births. 748716953 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true X 0 0 5123 true true true false false false false false false false false false false false X 15 14 true false false false true true true true true false false true true true true true true false false true true X X DAVID JACKSON 6822367900 612 E LAMAR BLVD Arlington TX 76011 X Berdan Barclay E THR CEO/Trustee 0.64 49.36 X X 0 3299415 338211 McWhorter Ricky E Former Officer 0.0 50.0 X 0 1363156 161401 King James Kirk Former Officer 0.0 50.0 X 0 1201569 149837 Kramer Kenneth J Assistant Secretary 0.5 49.5 X 0 1132375 136291 DeLeon Joseph C President THFW 40.0 0.0 X 723885 0 119968 Jackson David W Assistant Secretary 0.5 49.5 X 0 535754 90372 Nelson Elaine Carolynne Chief Nursing Officer THFW - T 40.0 0.0 X 555042 0 52592 King Lenetra S Former Officer 0.0 40.0 X 0 543133 20228 Thornsberry Michael D Chief Medical Officer THFW Ter 40.0 0.0 X 496877 0 33845 Miland Stephanie Grp Fin Off THFW-THC-THAZ-THSH 28.0 12.0 X 438745 0 69391 Dollahite Harry Anderson ASSOC CMO THFW & CMO THAZ 40.0 0.0 X 427246 0 65436 Cantu Stacy G Corporate Secretary 0.5 49.5 X 0 383606 62821 Pai Ajith Former Officer 0.0 40.0 X 0 335948 78473 Duane Therese PGRM DIR GME CONTRACT PRN 40.0 0.0 X 394000 0 0 Wilson Corey G VP & COO THFW 40.0 0.0 X 315771 0 59878 Chavez Jennifer Lynn Chief Nursing Officer THFW 40.0 0.0 X 332624 0 39441 DeSio Terri Alice Former Officer 0.0 40.0 X 0 261533 56127 Hailey Amy M VP Professional Svcs Offr THFW 40.0 0.0 X 262896 0 52126 Bauer Eric W DIR PHARMACY 40.0 0.0 X 258410 0 42174 Zamaites Jennifer June RN II 40.0 0.0 X 218767 0 60280 ClarkStaci Prescott MGR PHARMACY OPS 40.0 0.0 X 221547 0 20171 Biggins Lillie M Former Officer 0.0 0.0 X 0 152708 4169 Berenzweig Harold Karl Former Officer 0.0 25.0 X 156600 0 0 Wilder Jr Charles Chair 0.03 1.03 X 0 0 0 Vigness MD Richard Vice Chair 0.03 1.03 X 0 0 0 Stripling MD W Dennis Immediate past chair 0.03 1.03 X 0 0 0 Bernstein Kenneth Trustee 0.03 1.03 X 0 0 0 Guyton Michael Trustee 0.03 1.03 X 0 0 0 Haggar III Joseph Trustee 0.03 1.03 X 0 0 0 Hunt Hunter Trustee 0.03 1.03 X 0 0 0 Montgomery Lynn Trustee 0.03 1.03 X 0 0 0 Nunez MD Ignacio Trustee 0.03 1.03 X 0 0 0 Reeves Kenneth Trustee 0.03 1.03 X 0 0 0 Washington Bernice Trustee 0.03 1.03 X 0 0 0 Weeks Susan Trustee 0.03 1.03 X 0 0 0 Wynne James Trustee 0.03 1.03 X 0 0 0 Siripurapu MD Ravi Trustee 0.03 1.03 X 0 0 0 4802410 9209197 1713232 834 true true false Texas Health Resources 612 E Lamar Blvd ARLINGTON TX 76011 Management Fee 127783991 Balfour Beatty Construction LLC 500 Main St 1100 FORT WORTH TX 76102 Construction 103394974 Texas Health Physicians Group 9250 Amberton Pkwy DALLAS TX 75243 Physician Services 21419087 Crothall Healthcare Inc 1301 Pennsylvania Ave FORT WORTH TX 76104 Service Contract 13062105 US Anesthesia Partners of Texas PA PO Box 841069 DALLAS TX 75284 Physician Services 9680540 167 466 7231667 2241644 9473777 PATIENT REVENUE 622110 955284046 955284046 DSRIP REVENUE 622110 7677431 7677431 AFILLIATED SERVICE FEES 622110 5090146 5090146 JOINT VENTURE ACTIVITY 622110 2919442 909154 2010288 MEDICARE/MEDICAID ADJUSTMENT 622110 263920 263920 130218 130218 971365203 38065 38065 0 29454 10943 18511 162479 5537 0 162479 5537 168016 5537 162479 229025 420527 -191502 -191502 -191502 0 0 0 0 0 0 0 0 0 CAFETERIA 722514 3381315 3381315 LABORATORY 621511 727387 205399 521988 PARKING FEES 821930 452206 452206 669728 353063 316665 5230636 986113649 969918914 2543219 4177739 X 837814 837814 0 0 0 3553081 3553081 0 312167819 311132140 1035679 0 13672946 13626305 46641 42437628 42436263 1365 21875486 21648753 226733 127783991 127783991 0 0 0 0 0 89650030 88603894 1046136 50077 28566 21511 1306503 1219609 86894 3770547 3753466 17081 0 14948894 12158136 2790758 104860 101540 3320 0 83427 82842 585 4144227 4144227 0 27695026 26550124 1144902 7511360 7511360 MEDICAL SUPPLIES 174641715 174613334 28381 LPPF ASSESSMENT 11485679 11485679 REPAIRS AND MAINTENANCE 7567554 7459558 107996 UBI FED INC TAX 361396 361396 22646301 21323343 1322958 888296361 748716953 139579408 0 -237070 -215108 0 0 0 0 140224154 159513365 0 0 0 0 851471 615547 17433270 16786240 2022268 3050266 898944586 428938332 351261177 470006254 0 0 -521761 0 0 0 621636 573236 1416 103677 511656561 650433477 82506859 96273947 0 0 14063986 18774941 0 0 0 0 0 0 0 0 0 0 5328606 7041949 101899451 122090837 X 409757110 528342640 0 0 409757110 528342640 511656561 650433477 X 97817288 20768242 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true false false false false false false Schedule C, Part II-B - Additional Information 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. 26468712 26468712 193884199 122242833 71641366 153426125 105073226 48352899 272205854 201622272 70583582 252959695 252959695 470006254 0 ASSET RETIREMENT OBLIGATIONS 981440 EST 3RD PARTY PAYOR SETTLEMENT 5948523 LEASE ACCOUNTING ADJUSTMENT 111986 7041949 true true X true X true X 0 true true true false true true 56438826 593800 55845026 0.06290 102867573 100197371 2670202 0.00300 542508 135571 406937 0.00050 159848907 100926742 58922165 0.06640 5853708 0 5853708 0.00660 13415319 0 13415319 0.01510 1037275 0 1037275 0.00120 20306302 0 20306302 0.02290 180155209 100926742 79228467 0.08930 18789 0 18789 69038 0 69038 0.00010 274632 0 274632 0.00030 362459 0 362459 0.00040 false 92256145 0 156358708 159149994 -2791286 X true true 1 1 Texas Health Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 www.texashealth.org TDH #000235 X X X Texas Health Fort Worth 1 false false true X X X X X X X X X 19 true true false true X See Section C X true 20 true See Section C false true X 200. 500. X X X X true true X X X true X see Section C X see Section C X see Section C X X X X X X true X false X X X X true X false false Part V, Section B Texas Health Fort Worth (THFW) 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 Fort Worth's (THFW) 2019 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 2019 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 April 2018 and August 2018, the communities' health needs were assessed through key informant interviews, secondary data analysis, a windshield survey serving to assist asset-mapping through community observation and focus groups. 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 159 community members with interests specific to the health of individuals in the Tarrant/Parker Counties region in the CHNA development process. One hundred forty-nine of these community members were engaged across eleven separate focus groups held in zip-codes that were identified as underserved areas. Ten served as key informants, and the windshield survey was conducted by two Texas Health graduate fellows and five community health managers. 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: Azle ISD; Broadie's Aircraft; City of Bedford; Emergency Medicine Consultant Ltd.; Ft Worth South, Inc.; Higginbotham Insurance Agency; Higher Praise Family Church; KPMG; Private Wealth Solutions Inc.; Parker County Hospital District; Tarrant County College; Tarrant Transit Alliance; The Abbey Church; Thos.S. Byrne, Inc.; United Way of Tarrant County; Urban Theory; and Z's Cafe & Catering. 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 medical and social determinant of health needs. The outlined needs/barriers will inform the development of the 2020 CHNA implementation plan, 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 2019 CHNA for the Tarrant/Parker Counties Region was conducted in collaboration with 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 2020 - 2022 implementation strategy focused 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 2019 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 1. Behavioral Health 1a. Through an 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 collaborating organizations in this effort include the Railroad, the Center for Hope, and the United Way of Tarrant County. 2. Chronic Disease Prevention & Management 2a. Clinic Connect 2a.1. Historically, Texas Health Resources has funded the work of local community health clinics in its mission to improve the health of the people in the communities served. The goal of Clinic Connect is to create a collaborative relationship with local non-profit community-based clinics by providing financial support, educational opportunities, information sharing, and expanded services to improve healthcare access and quality for underserved and vulnerable populations. The Clinics receiving funds are required to report on specific process and outcome measures, including average wait time for appointments, percentage of diabetic patients whose A1c levels were improved, and percentage of patients whose blood pressure were controlled based on the management/treatment guidelines. In 2021, Texas Health Fort Worth awarded a grant to the North Texas Area Community Health Center (NTACHC) for the implementation of Clinic Connect. This award contributed to their ability to serve patients and report clinical outcomes of improved A1c and blood pressure. 2b Healthy Education Lifestyle Program (HELP) 2b.1. 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 THFW increased their ability to serve eligible patients and report clinical outcomes of improved A1c levels and blood pressure. 3. Access, Literacy, and Navigation (ALN) 3a. Health Workshops 3a1. Child Automobile Safety Initiative (CASI) is a program focused on protecting children from injury in motor vehicle collisions by providing free car seat safety checks and community-based education. 3a2. The Faith Community Nursing program served patients and the community and provided flu shots to several local parishes and residents. All the priority health needs identified are being addressed by the hospital in the categories 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 using an independent third party for financial assistance eligibility. Part V. Section B, Lines 16 a, b & c The FAP, FAP Application and the Plain Language Summary of the FAP were widely available at this website: https://www.texashealth.org/Costs-and-Billing/Financial-Assistance Texas Health Fort Worth 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. The audited financial statements of THR, which includes the activity of the organization, contain a footnote regarding Accounts Receivable and Net Patient Service Revenue (Dollars in Thousands) that reads as follows: Patient service revenue is reported at the amount that reflects the consideration to which the System expects to be entitled in exchange for providing patient care. Healthcare services promised in the contract with a patient represent a bundle of goods and (or) services that is distinct and accounted for as a single performance obligation. The transaction price for the bundled goods and (or) services provided is estimated by reducing the total standard charges by variable price concessions, including contractual adjustments based on the terms provided by (in the case of Medicare and Medicaid) or negotiated with (in the case of managed care and commercial insurance companies) third-party payors, the System's discount policies, and other implicit price concessions based on historical collections experience for uninsured and under-insured patients who do not qualify for financial assistance. A portfolio approach by major payor categories and types of service is used to estimate the historical collections experience. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Portfolio collection estimates are updated at least quarterly based on actual collections experience. The System believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach was used. Under Texas Health's financial assistance policy, the Tax-Exempt Hospitals, THRW, and THPG provide care to patients without charge or at amounts less than their established rates if the patient meets certain established criteria. The consolidated joint venture hospitals and healthcare entities have similar financial assistance policies, or have adopted the Texas Health financial assistance policy. As the System does not pursue collection of amounts determined to qualify as financial assistance, those amounts are not reported as patient service revenue or patient accounts receivable. Revenue related to providing care to patients is recognized as the performance obligation is satisfied over the period of time the patient is receiving treatment, as the patient is simultaneously receiving and consuming the benefits provided by the System. The performance obligation is generally satisfied over an average period of less than five days for inpatient services and one day for outpatient services. Generally, patients and third-party payors are billed within days after the services are performed and (or) the patient is discharged. The transaction price related to unsatisfied or partially unsatisfied performance obligations at the end of the reporting period primarily relate to inpatient acute care services for patients who remain admitted at that time (in-house patients). As of December 31, 2021 and 2020, contract assets of $50,827 and $49,827, respectively, were recorded in patient accounts receivable on the consolidated balance sheets. Patient accounts receivable is reported at the amount that reflects the consideration to which the System expects to be entitled in exchange for providing patient care. The primary collection risks relate to uninsured patient accounts, including patient accounts for which the primary insurance company has paid the amounts covered by the applicable agreement, but patient responsibility amounts remain outstanding. Implicit price concessions relate primarily to amounts due directly from patients based upon management's assessment of historical write-offs and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Patient accounts are monitored and, if necessary, past due accounts are placed with collection agencies in accordance with guidelines established by management. Accounts are written off when all reasonable internal and external collection efforts have been performed. Estimated implicit price concessions of $463,241 and $366,511 were recorded as reductions to patient accounts receivable at December 31, 2021 and 2020, respectively, on the consolidated balance sheets. 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 2021 is $137,960,146. 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 2019, Texas Health Resources (Texas Health) completed a community health needs assessment (CHNA) for 25 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 win true Tarrant County Safety Net Support Corporation 612 E Lamar Blvd Arlington TX 76011 823171862 501(c)(3) 673989 Cash Indigent Health Care Weatherford College 225 College Park Drive Weatherford TX 76086 756002862 TX School 5400 cash Sponsorship North Texas Area community Health Center 2332 Beverly Hills Dr Fort Worth TX 76114 542117989 501(c)(3) 100000 Cash Healthcare Aledo ISD 1008 Bailey Ranch Rd Aledo TX 76008 School Dist 10500 cash General Support 4 0 Monitor Grants Texas Health Fort Worth (THFW) 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 are 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. X true true true true false false false false false false false Berdan Barclay E THR CEO/Trustee 0 1675202 0 1247300 0 376913 0 289437 0 48774 0 3637626 0 268618 Kramer Kenneth J Assistant Secretary 0 629563 0 297194 0 205618 0 98557 0 37734 0 1268666 0 46912 Jackson David W Assistant Secretary 0 325186 0 111884 0 98684 0 53076 0 37296 0 626126 0 11705 Cantu Stacy G Corporate Secretary 0 260900 0 68801 0 53905 0 12656 0 50165 0 446427 0 696 DeLeon Joseph C President THFW 418909 0 164826 0 140150 0 61023 0 58945 0 843853 0 20963 0 Nelson Elaine Carolynne Chief Nursing Officer THFW - T 196212 0 104964 0 253866 0 19687 0 32905 0 607634 0 0 0 Thornsberry Michael D Chief Medical Officer THFW Ter 155308 0 131492 0 210077 0 12904 0 20941 0 530722 0 0 0 Miland Stephanie Grp Fin Off THFW-THC-THAZ-THSH 263947 0 73781 0 101017 0 21750 0 47641 0 508136 0 0 0 Chavez Jennifer Lynn Chief Nursing Officer THFW 233411 0 46692 0 52521 0 20042 0 19399 0 372065 0 0 0 Wilson Corey G VP & COO THFW 281173 0 110 0 34488 0 17285 0 42593 0 375649 0 0 0 Hailey Amy M VP Professional Svcs Offr THFW 202138 0 30858 0 29900 0 17653 0 34473 0 315022 0 0 0 Berenzweig Harold Karl Former Officer 156500 0 100 0 0 0 0 0 0 0 156600 0 0 0 King James Kirk Former Officer 0 656358 0 307624 0 237587 0 101868 0 47969 0 1351406 0 48503 Biggins Lillie M Former Officer 0 7250 0 100 0 145358 0 544 0 3625 0 156877 0 145358 McWhorter Ricky E Former Officer 0 785374 0 332535 0 245247 0 114232 0 47169 0 1524557 0 39816 King Lenetra S Former Officer 0 194814 0 101711 0 246608 0 5163 0 15065 0 563361 0 0 Pai Ajith Former Officer 0 202802 0 63921 0 69225 0 30924 0 47549 0 414421 0 4506 DeSio Terri Alice Former Officer 0 226404 0 25533 0 9596 0 16470 0 39657 0 317660 0 0 Dollahite Harry Anderson ASSOC CMO THFW & CMO THAZ 366538 0 48306 0 12402 0 9705 0 55731 0 492682 0 0 0 Duane Therese PGRM DIR GME CONTRACT PRN 394000 0 0 0 0 0 0 0 0 0 394000 0 0 0 Bauer Eric W DIR PHARMACY 220389 0 25857 0 12164 0 17799 0 24375 0 300584 0 0 0 ClarkStaci Prescott MGR PHARMACY OPS 197767 0 21769 0 2011 0 10024 0 10147 0 241718 0 0 0 Zamaites Jennifer June RN II 207475 0 5884 0 5408 0 13405 0 46875 0 279047 0 0 0 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 President. * 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. Schedule J, Part I, Line 4A - Position Elimination THR'S separation pay plan provides payments to employees whose positions were eliminated by the organization. The separation pay is based on the employee's years of service and the level of the affected position. The employee listed qualified for severance based on an involuntary separation from service without a comparable position being open and available at the time of separation. Lenetra S King $210,788 Schedule J, Part I, LIne 4A - 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. Elaine C Nelson $160,439 Michael D Thornsberry $149,727 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, or 4 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 must be obtained and a non-compete must be satisfied prior to the end of 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 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). Barclay Berdan $268,618 Joseph DeLeon $ 20,963 David Jackson $ 11,705 James Kirk King $ 48,503 Lenetra King $ 2,766 Kenneth Kramer $ 46,912 Ricky McWhorter $ 39,816 Elaine Nelson $ 42,831 Ajith Pai $ 4,506 Michael Thornsberry $ 41,133 990, Part V, Line 1a - Number reported in Box 3 of Form 1096 The taxpayer is a part of a network of hospitals and other health organizations making up a Healthcare system whose parent entity is Texas Health Resources (THR). THR Provides management services to all of its wholly owned entities. The accounting system used includes a centralized accounts payable function. All Forms 1099 are filed under the name of the parent, Texas Health Resources. This is part of the system's efforts toward overall centralization of vendor relations and other shared services. THR bills its subsidiaries for management services. 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, Line 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 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, Lines 12c - Conflicts 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 first quarter of each fiscal 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 15a&b - Compensation Determination The organization relied on Texas Health Resources (THR) with centralized compensation professionals to review and establish the compensation of the organizations 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 $20,768,242 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. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:48004677 FORM 990 PART IX LINE 11G DESCRIPTION:BLDG PROFESSIONAL FEES TOTAL FEES:44646 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONSULTING FEES TOTAL FEES:338301 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:2004 FORM 990 PART IX LINE 11G DESCRIPTION:CLINICAL PROF FEES TOTAL FEES:10903427 FORM 990 PART IX LINE 11G DESCRIPTION:FINANCIAL PURCHASED SVCES TOTAL FEES:1693282 FORM 990 PART IX LINE 11G DESCRIPTION:ENVIRO PURCHASED SVCS TOTAL FEES:13462565 FORM 990 PART IX LINE 11G DESCRIPTION:SUPPORT PURDHASED SERVICES TOTAL FEES:5711235 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:195912 FORM 990 PART IX LINE 11G DESCRIPTION:BUILDING SERVICE CONTRACTS TOTAL FEES:1683822 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIP MAINT CONTRACT TOTAL FEES:7610159 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 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 Tarrant Safety Net Support Corporation 612 E Lamar Blvd Arlington TX 76011 823171862 Indigent Care TX 501(c)(3) 12a na false Healthy Tarrant County Collaboration PO Box 8040 Fort Worth TX 76124 432087946 Support Org TX 501(c)(3) 12a na false Texas Health Huguley Surgery Center LLC 12001 S Freeway Burleson TX 76028 821289045 Amb Surg Ctr TX 501(c)(3) 3 TH Huguley false AMH Cath Labs LLC 811 Wright St Arlington TX 76012 203003947 Hospital TX NA N/A Arlington Surgery Center LLC 918 N Davis Dr Arlington TX 76012 752055800 Amb Surg Ctr TX NA N/A Cleburne Surgical Center LLC 2010 W Katherine P Raines Blvd St Cleburne TX 76033 203742012 Amb Surg Ctr TX NA N/A Cross Timbers Surgery Center LLC 1001 N Waldrop Dr Ste 705 Arlington TX 76102 752862780 Amb Surg Ctr TX NA N/A Denton Surgery Center LLC 207 North Bonnie Brea Denton TX 76201 470926556 Amb Surg Ctr TX NA N/A Flower Mound Hospital Partners LLC 4400 Long Prairie Rd Flower Mound TX 75028 260684968 Hospital TX NA N/A Fort Worth Endoscopy Centers LLC 900 W Magnolia Ave 101 Fort Worth TX 76104 770368346 Endoscopy Center TX NA N/A Greenville Surgery Center LLC 7150 Greenville Ave Ste 200 Dallas TX 75231 742411643 Amb Surg Ctr TX NA N/A Health Imaging Partners LLC 8610 Explorer Drive Ste 300 Colorado Springs CO 80920 271385885 Medical Imaging TX NA N/A Mansfield Endoscopy Center LLC 647 N Miller Rd Mansfield TX 76063 861354607 Endoscopy TX NA N/A North Dallas Surgical Center LLC 17980 Dallas Pkw Ste 100 Dallas TX 75287 272248103 Amb Surg Ctr TX NA N/A Opthalmology Surgery Center of Dallas LL 10740 N Central Expy Dallas TX 75231 261914835 Amb Surg Ctr TX NA N/A Park Hill Surgery Center LLC 3455 Locke Ave Fort Worth TX 76107 451484375 Amb Surg Ctr TX NA N/A Physicians Medical Center LLC 6020 W Parker Rd Plano TX 75093 481281376 Hospital TX NA N/A Presbyterian Cancer Ctr-Dallas LLC PO Box 819067 Dallas TX 75381 260422749 Cancer Ctr TX NA N/A Rockwall Regional Hospital LLC 3150 Horizon Rd Rockwall TX 75032 202848116 Hospital TX NA N/A South Arlington Surgical Providers LLC 350 E Interstate 20 Ste 200 Arlington TX 76018 752723958 Amb Surg Ctr TX NA N/A Southlake Specialty Hospital LLC 1545 E Southlake Blvd Southlake TX 76092 020555370 Hospital TX NA N/A Surgical Caregivers of Fort Worth LLC 2001 W Rosedale St Fort Worth TX 76104 751925497 Amb Surg Ctr TX NA N/A Texas Health Craig Ranch Surgery Center 8080 State Hwy 121 Ste 100 McKinney TX 75070 383897811 Amb Surg Ctr TX NA N/A Texas Health Flower Mound Orthopedic Sur 5000 Long Prairie Rd Flower Mound TX 75028 800866449 Amb Surg Ctr TX NA N/A Texas Health Huguley Surgery Center LLC 12001 S Freeway Burleson TX 76028 821289045 Amb Surg Ctr TX NA N/A Texas Health Orthopedic Surgery Center A 9848 N Beach St Fort Worth TX 76244 814977249 Amb Surg Ctr TX NA N/A Texas Health Spine Surgery Center Allen 1120 Raintree Cir Ste 100 Allen TX 75013 300957868 Amb Surg Ctr TX NA N/A Texas Health Spine Surgery Center Allian 1545 E Southlake Blvd Ste 100 Southlake TX 76092 320571301 Amb Surg Ctr TX NA N/A Texas Health Supply Chain Services LLC 612 E Lamar Blvd Ste 600 Arlington TX 76011 841833532 Purchasing Co TX NA N/A Texas Health Surgery Center Alliance LLC 10840 Texas Health Trail Ste 100 Fort Worth TX 76244 822296081 Amb Surg Ctr TX NA N/A Texas Health Surgery Center Bedford LLC 1605 Airport Freeway Ste 100 Bedford TX 76021 821307876 Amb Surg Ctr TX NA N/A Texas Health Surgery Center Chisholm Tra 5900 Altamesa Blvd Fort Worth TX 76132 851225852 Amb Surg Ctr TX NA N/A Texas Health Surgery Center Irving LLC 2120 N MacArthur Blvd Ste 200 Irving TX 75061 831085415 Amb Surg Ctr TX NA N/A Texas Health Surgery Center Preston Plaz 17950 Preston Road Ste 75 Dallas TX 75252 203991622 Amb Surg Ctr TX NA N/A Texas Health Surgery Center Rockwall LLC 3144 Horizon Rd Ste 120 Rockwall TX 75032 474425996 Amb Surg Ctr TX NA N/A Texas Health Surgery Center Southwest Fo 6317 Harris Parkway Ste 200 Fort Worth TX 76132 843814490 Amb Surg Ctr TX NA N/A Texas Health Surgery Center Waxahachie 1434 US Hwy 287 Bypass Ste 100 Waxahachie TX 75165 831464243 Amb Surg Ctr TX NA N/A Texas Health Surgery Center Willow Park 612 E Lamar Blvd Ste 600 Arlington TX 76011 841953918 Inactive TX NA N/A Texas Institute for Surgery LLP 7115 Greenville Ave Ste 100 Dallas TX 75231 770628004 Hospital TX NA N/A THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 262429878 Amb Surg Ctr TX NA N/A THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 201728912 Amb Surg Ctr TX NA N/A USMD Hospital at Arlington LP 801 I -20 West Arlington TX 76017 731662763 Hospital TX NA N/A USMD Hospital at Fort Worth LP 5900 Altamesa Blvd Fort Worth TX 76132 203571243 Hospital Closed TX NA N/A Walnut Hill Surgery Center LLC 5494 Glen Lakes Dr Dallas TX 75231 364499777 Amb Surg Ctr TX NA N/A Wilson Creek Surigcal Center LLC 8855 Synergy Drive McKinney TX 75070 274816583 Amb Surg Ctr TX NA N/A Women's Specialty Surgery Center of Dall 8230 Walnut Hill Ln Ste 101 Dallas TX 75231 262310072 Amb Surg Ctr TX NA N/A 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 612 E Lamar Blvd Arlington TX 76011 752636884 Research TX NA C Corp false false false true false false false false false false false false true true false false true true true true See Part VII for Explanation Schedule R, Part V, Line 2 - Related Transactions 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.