2021-11-11T17:21:44-06:00 2020-12-31 KPMG LLP 301 MAIN ST STE 2150 BATON ROUGE LA 70801 990 2020-01-01 756001743 Texas Health Harris Methodist Hospital Fort Worth % DAVID JACKSON TEXA 8172502000 1301 Pennsylvania Ave Fort Worth TX 76104 David Jackson Assistant Secretary 6822367900 2021-11-08 David Jackson 999009999 Brittany Elliser P01284594 2253444000 2021-11-05 3 2020 2022-09-23 18:48:47Z Joseph DeLeon 1301 Pennsylvania Ave Fort Worth TX 76104 902522561 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. 16 13 5318 247 2978557 2079957 4176287 34484884 862539386 858370426 -29925 -77888 8930560 9418858 875616308 902196280 2594628 2815895 0 0 367876901 357990525 0 0 0 435093499 457503444 805565028 818309864 70051280 83886416 430912135 511656561 79908697 101899451 351003438 409757110 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 689095027 557677 863238428 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 Texas Department of Health, 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 3,900 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 192,520 patient days, 34,567 discharges, 154,566 outpatient encounters, 127,420 emergency room visits and 2,932 births. 689095027 true true false true false false false false false false true false false false true false false true false false false false false false true false true true true true true false false false false false false true false true false false false false true false false false true X 0 0 5318 true true true false false false false false false false false false false false X 16 13 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 Trustee/CEO 0.64 44.36 X X 0 3464659 69034 Kramer Kenneth J Assistant Secretary 0.5 40.0 X 0 1321719 59354 McWhorter Ricky E Former Officer 0.0 40.0 X 0 1228517 67783 King James Kirk Former Officer 0.0 40.0 X 0 1220753 68243 DeLeon Joseph C President THFW 40.0 0.0 X 580621 0 83009 Thornsberry Michael D Chief Medical Officer THFW 40.0 0.0 X 598615 0 64580 Canose Jeffrey L Former Officer 0.0 40.0 X 0 593242 30127 Jackson David W Assistant Secretary 0.5 40.0 X 0 527169 57564 Nelson Elaine Carolynne Chief Nursing Officer THFW 40.0 0.0 X 465061 0 56383 Ball Randell L Former Officer 0.0 40.0 X 0 413102 61486 Dollahite Harry Anderson ASSOC CMO THFW & CMO THAZ 40.0 0.0 X 398990 0 64499 Miland Stephanie Grp Fin Off THFW-THC-THAZ-THSH 28.0 12.0 X 384835 0 68125 King Lenetra S Former Officer 0.0 40.0 X 0 415949 17986 Cantu Stacy G Corporate Secretary 0.5 40.0 X 0 354328 61297 Donald Nommo Zuri VP Prof & Sprt Svcs Offr THFW 40.0 0.0 X 315340 14733 17704 Pai Ajith Interim VP Prof Svcs Officer 0.0 40.0 X 0 286378 55055 DeSio Terri Alice Assistant Secretary 0.5 40.0 X 0 253438 55490 Bauer Eric W DIR PHARMACY 40.0 0.0 X 235696 0 36478 Chavez Jennifer Lynn VP Professional Svcs Offr THFW 40.0 0.0 X 173847 49158 45930 Zamaites Jennifer June RN II 40.0 0.0 X 184945 0 58809 Hailey Amy M ASSOC CNO THFW 40.0 0.0 X 197573 0 45758 Clark Staci Prescott MGR PHARMACY OPS 40.0 0.0 X 205364 0 24388 Wilson Corey G VP & COO THFW 40.0 0.0 X 135152 0 9848 Biggins Lillie M Former Officer 0.0 40.0 X 0 107256 2908 Vigness MD Richard M Trustee 0.06 2.01 X 0 21121 0 Siripurapu MD Ravi Trustee 0.03 1.52 X 0 12731 0 Stripling MD W Dennis Chairman 0.03 1.58 X 0 0 0 Turner Wesley R Immediate Past Chair 0.02 1.39 X 0 0 0 Wilder Jr Charles John Vice Chair 0.03 1.68 X 0 0 0 Guyton Michael E Trustee 0.03 1.5 X 0 0 0 Haggar III Joseph M Trustee 0.02 0.68 X 0 0 0 Hunt Hunter L Trustee 0.03 1.08 X 0 0 0 Montgomery Lynn A Trustee 0.03 1.48 X 0 0 0 Nunez MD Ignacio Trujillo Trustee 0.03 1.5 X 0 0 0 Reeves Kenneth W Trustee 0.02 1.12 X 0 0 0 Tatum Stephen L Trustee 0.03 1.52 X 0 0 0 Washington Bernice J Trustee 0.04 1.55 X 0 0 0 Weeks DNP RN Susan Mace Trustee 0.04 1.55 X 0 0 0 Wynne James Y Trustee 0.05 1.33 X 0 0 0 3876039 10271522 1181838 535 true true false Texas Health Resources 612 E Lamar Blvd ARLINGTON TX 76011 Management Fee 118284802 Texas Health Physicians Group 9250 Amberton Pkwy DALLAS TX 75243 Physician Services 16636737 Balfour Beatty Construction LLC 500 Main St 1100 FORT WORTH TX 76102 Construction 58878533 US Anesthesia Partners of Texas PA 6606 LBJ Freeway 200 DALLAS TX 75240 Physician Services 10673206 Crothall Healthcare Inc 1301 Pennsylvania Ave FORT WORTH TX 76104 Service Contract 8559690 77 650 5856200 28628034 78247 34484884 PATIENT REVENUE 622110 839201413 839201413 DSPR REVENUE 622110 11724740 11724740 AFILLIATED SERVICE FEES 622110 3910778 3910778 JOINT VENTURE ACTIVITY 622110 2230389 163885 2066504 MEDICARE/MEDICAID ADJUSTMENT 622110 1057912 1057912 245194 245194 858370426 43513 43513 0 7514 2438 5076 165412 2363 0 2250 165412 113 165525 113 165412 166040 287441 -121401 -121401 -121401 45747 36590 9157 9157 0 0 0 0 0 0 BUSINESS ITERRUPTION/OTHER INSURANCE 622110 3896495 3896495 CAFETERIA 722514 2666546 2666546 LABORATORY 621511 739715 617764 121951 1933906 971394 291851 670661 9236662 902196280 861171924 2978557 3560915 X 2737500 2737500 78395 78395 0 0 2843635 2843635 0 280868828 278976843 1891985 0 13156722 13050995 105727 40831459 40781607 49852 20289881 20064630 225251 118284802 118284802 0 0 0 0 0 88867249 87861258 1005991 79790 71230 8560 1441122 1412153 28969 4147646 4099256 48390 0 8721283 6136440 2584843 92941 81004 11937 0 46669 45255 1414 7106904 7106904 0 27779367 26803453 975914 6200054 6200054 MEDICAL SUPPLIES 154208279 154199955 8324 REPAIRS & MAINTENANCE 7590140 7405970 184170 LPPF ASSESSMENT 10499468 10499468 UHRIP IGT 6364586 6364586 16073144 15118071 955073 818309864 689095027 129214837 0 16037 -237070 0 0 0 0 139701769 140224154 0 0 0 0 446922 851471 15465263 17433270 1191229 2022268 761049864 409788687 273701304 351261177 0 0 -280425 -521761 0 0 670036 621636 0 1416 430912135 511656561 63783968 82506859 0 0 9384601 14063986 0 0 0 0 0 0 0 0 0 0 6740128 5328606 79908697 101899451 X 351003438 409757110 0 0 351003438 409757110 430912135 511656561 X 83886416 -25132744 X X false true X true true false 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. 27897395 27897395 193886989 118093192 75793797 150850358 99212751 51637607 263053220 192482743 70570477 125361901 125361901 351261177 0 ASSET RETIREMENT OBLIGATIONS 954915 EST. 3RD PARTY PAYOR SETTLEMENTS 4373691 5328606 Gold N Invision 30373 30373 24111 Retail Concepts 15374 15374 12479 0 45747 45747 36590 36590 9157 true true X true X true X 500. true true false true true 61740155 3006435 58733720 0.07180 91117687 94315010 0 0.00000 79448 69356 10092 0.00000 152937290 97390801 58743812 0.07180 1360024 0 1360024 0.00170 6059213 0 6059213 0.00740 829800 0 829800 0.00100 2392567 0 2392567 0.00290 10641604 0 10641604 0.01300 163578894 97390801 69385416 0.08480 47010 47010 0.00010 133935 133935 0.00020 73594 73594 0.00010 254539 254539 0.00040 false 71619653 0 152637148 159149994 -6512846 X true true 1 1 Texas Health Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 www.texashealth.org TDH #235 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 true 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 Texas Health Fort Worth 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 impacted the development of the 2020 CHNA implementation plan, which leveraged 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, Ln 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 (ALN) In 2020, Texas Health Fort Worth addressed significant health needs identified with the following approaches: 1. Behavioral Health 1a. Through an RFP process by Texas Health Resources through its Texas Health Community Impact (THCI) initiative, United Way of Tarrant County (UWTC) was selected and awarded a grant to address depression and food insecurity through the CHOICE TPC program in specific zip-codes. Collaborating organizations in this effort included Meals on Wheels of Tarrant County, The Women's Center of Tarrant County, Parker County Committee on Aging, My Health, My Resources of Tarrant County, Mental Health Connection, and Healthy Tarrant County Collaboration. 2. Chronic Disease Prevention & Management 2a. Historically, Texas Health Resources has funded the work of local community health clinics in our mission to improve the health of the people in the communities we serve. 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 2020, Texas Health Fort Worth awarded a grant to the North Texas Area Community Health Center (NTACHC). With this award, NTACHC was able to increase their ability to serve patients and report clinical outcomes of improved health A1c levels and blood pressures. 2b. 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. In 2020, clinical outcomes reported by THFW HELP showed improved HBA1C levels and improved blood pressure in participants. 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. Through Community Ministry, the faith community nurses at THFW provided flu shots to local parishes and city residents. 3a3. In response to closures of in-person community health events/activities, THFW sponsored virtual heart health wellness group classes. 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/About-Texas-Health/Insurance-and-Costs/Financi al-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 socio-economic factors that influence the overall health of individuals in the communities served. As identified in the community health needs assessment, there are areas of need that are not in alignment with the operations of a hospital system. Our volunteerism, collaborations and partnerships with various help organizations and various area coalitions help in addressing the socio-economic factors that are the backbone for many underlying health concerns. 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 that reads as follows: (Dollars in Thousands) 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 THR's financial assistance policy, the Tax-Exempt Hospitals, Texas Health Rockwall, and Texas Health Physicians Group 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 THR 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, 2020 and 2019, contract assets of $49,827 and $33,617, 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 $366,511 and $437,785 were recorded as reductions to patient accounts receivable at December 31, 2020 and 2019, 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 2020 is $101,452,552. 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 through the following steps: - Demographic analysis by region - Secondary data analysis of health indicators to identify zip codes of highest-needs within each region - Community input data collection and assessment via key informant interviews, focus groups, and a windshield survey - Synthesis of secondary data and community input data to identify most pressing health needs by region - Prioritiza true Texas Health Physicians Group 9250 Amberton Pkwy Dallas TX 75243 752613493 501(c)(3) 2179823 cash Indigent Health Care Tarrant County Safety Net Support Corporation 612 E Lamar Blvd Arlington TX 76011 823171862 501(c)(3) 426200 Cash Indigent Health Care North Texas Area community Health Center 2332 Beverly Hills Dr Fort Worth TX 76114 542117989 501(c)(3) 100000 Cash Healthcare 3 0 Scholarships for Medical Education 20 78395 Cash 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 X true true true true false false false false false false false Berdan Barclay E Trustee/CEO 0 1669945 0 1204331 0 590383 0 21375 0 47659 0 3533693 0 155068 Kramer Kenneth J Assistant Secretary 0 607963 0 303980 0 409776 0 21375 0 37979 0 1381073 0 46912 Jackson David W Assistant Secretary 0 320715 0 133061 0 73393 0 21375 0 36189 0 584733 0 11705 Cantu Stacy G Corporate Secretary 0 252447 0 70948 0 30933 0 12693 0 48604 0 415625 0 188 DeSio Terri Alice Assistant Secretary 0 219929 0 21321 0 12188 0 16276 0 39214 0 308928 0 0 Thornsberry Michael D Chief Medical Officer THFW 423353 0 107795 0 67467 0 15827 0 48753 0 663195 0 30204 0 DeLeon Joseph C President THFW 402905 0 84396 0 93320 0 25672 0 57337 0 663630 0 20963 0 Nelson Elaine Carolynne Chief Nursing Officer THFW 314208 0 66170 0 84683 0 19737 0 36646 0 521444 0 16595 0 Miland Stephanie Grp Fin Off THFW-THC-THAZ-THSH 254771 0 37763 0 92301 0 21375 0 46750 0 452960 0 0 0 Donald Nommo Zuri VP Prof & Sprt Svcs Offr THFW 53298 14733 23002 0 239040 0 5795 0 11909 0 333044 14733 0 14733 Chavez Jennifer Lynn VP Professional Svcs Offr THFW 152885 41167 7851 20962 140 12270 3181 23244 7235 209361 59574 0 0 Pai Ajith Interim VP Prof Svcs Officer 0 188503 0 56623 0 41252 0 10052 0 45003 0 341433 0 4506 Canose Jeffrey L Former Officer 0 73314 0 385337 0 134591 0 14766 0 15361 0 623369 0 7852 Ball Randell L Former Officer 0 284024 0 88253 0 40825 0 21375 0 40111 0 474588 0 0 King James Kirk Former Officer 0 619514 0 333905 0 267334 0 21375 0 46868 0 1288996 0 48503 Biggins Lillie M Former Officer 0 106824 0 0 0 432 0 398 0 2510 0 110164 0 104459 McWhorter Ricky E Former Officer 0 746375 0 335698 0 146444 0 21375 0 46408 0 1296300 0 39816 King Lenetra S Former Officer 0 327841 0 41830 0 46278 0 2187 0 15799 0 433935 0 7386 Dollahite Harry Anderson ASSOC CMO THFW & CMO THAZ 354973 0 17494 0 26523 0 9577 0 54922 0 463489 0 0 0 Bauer Eric W DIR PHARMACY 213327 0 2502 0 19867 0 17881 0 18597 0 272174 0 0 0 Clark Staci Prescott MGR PHARMACY OPS 197529 0 2239 0 5596 0 14912 0 9476 0 229752 0 0 0 Hailey Amy M ASSOC CNO THFW 190631 0 6942 0 0 14795 0 30963 0 243331 0 0 0 Zamaites Jennifer June RN II 177142 0 168 0 7635 0 9402 0 49407 0 243754 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 which is include in the taxable compensation of the employee. This allowance covers costs such as business use of their personal vehicles in lieu of reimbursement for auto mileage. It also allows access to certain executive benefits including individual Long Term Disability, Long Term Care, and Individual Life insurance. SCHEDULE J, PART I, LINE 1a - Gross Up Payments Certain imputed income is grossed-up to include employment taxes paid on the listed person's behalf. All tax indemnification payments provided to the employees are included in the taxable compensation of the employee. 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 Compensation committee (which includes independent persons) performs reviews and makes recommendations to the THR Board. *An Independent compensation consultant may be hired. *Compensation surveys or studies are utilized. *Approval by the Board or Compensation committee is required. 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. Nommo Zuri Donald $223,889 Schedule J, Part I, LIne 4B - Nonqualified Retirement Plan Participation in the plan is made available to a select group of management and highly compensated employees as determined by the THR Board of Trustees, who are providing services in a key position of management and responsibility. 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. Payouts to the following employee were made during the year. The amounts below are included in the amount reported on Sch J, Part II, Column B(iii) and Column (F). Barclay Berdan $155,068 Lilly Biggins $104,459 Jeffrey Canose $360,724 Joseph DeLeon $ 20,964 Nommo Zuri Donald $ 14,733 David Jackson $ 11,705 James Kirk King $ 48,503 Lenetra King $ 7,129 Kenneth Kramer $ 46,912 Ricky McWhorter $ 39,816 Elaine Nelson $ 16,595 Michael Thornsberry $ 21,630 H Anderson Dollahite Family Member of Stephen Tatum 463489 Compensation false X 1 100 X 9190 X 10 7737 X 2 61220 false false false 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 reviewed by an outside preparer, and by the Chief Accounting Officer/Assistant Secretary. 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 organization's officers. The THR Board approves the compensation philosophy of officers of the organization. The Governance committee approves the elements of the officer's compensation, and the entity management or THR management pay an employee/officer within the approved parameters. Any officer whose compensation falls outside the approved compensation philosophy must be reviewed and approved by the THR Governance committee. See 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 ($25,132,744) 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. 990, Part V, Line 1a - Number reported in Box 3 of Form 1096 The taxpayer is a part of a healthcare system who recently adopted a new accounting system. As part of the change to the new accounting system, all Form 1099 filings were centralized under the parent, Texas Health Resources (THR). 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 XII, LINE 3B - SINGLE AUDIT ACT & OMB CIRCULAR A-133 THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED AUDIT OF TEXAS HEALTH RESOURCES. THE REQUIRED AUDIT will be PERFORMED UNDER THE UNIFORM GUIDANCE ON A CONSOLIDATED BASIS AND IS LISTED ON THE FEDERAL CLEARING HOUSE WEBSITE UNDER THE NAME OF TEXAS HEALTH RESOURCES. The audit deadline was extended until March 2022 and will be completed on or before this extended deadline. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:49033556 FORM 990 PART IX LINE 11G DESCRIPTION:BUILDING PROFESSIONAL FEES TOTAL FEES:19494 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:203575 FORM 990 PART IX LINE 11G DESCRIPTION:CLINICAL PROFESSIONAL FEES TOTAL FEES:8562783 FORM 990 PART IX LINE 11G DESCRIPTION:FINANCIAL PURCHASED SERVICES TOTAL FEES:1512790 FORM 990 PART IX LINE 11G DESCRIPTION:ENVIRONMENTAL PURCHASED SERVIC TOTAL FEES:12076487 FORM 990 PART IX LINE 11G DESCRIPTION:SUPPORT PURCHASED SERVICES TOTAL FEES:8745414 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:138896 FORM 990 PART IX LINE 11G DESCRIPTION:BUILDING SERVICE CONTACTS TOTAL FEES:1752373 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIPMENT MAINTENANCE CONTRACT TOTAL FEES:6821881 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 TX Hlth Behavioral Hlth Hospital Bedford 2717 Tibbets Dr Bedford TX 76022 812798838 Inactive TX 501(c)(3) 3 TH Resources false TX Hlth Behavioral Health Hospital Plano 6110 W Parker Road Plano TX 75093 812792484 Inactive TX 501(c)(3) 3 TH Resources 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 Huguley Surgery Center LLC 12001 S Freeway Burleson TX 76028 821289045 Amb Surg Ctr TX 501(c)(3) 3 TH Huguley false Texas Health Medical Support 612 E Lamar Blvd Arlington TX 76011 812833150 Spec Drugs TX 501(c)(3) 10 TH Resources false TX Health Outpatient Surg Ctr Alliance 10840 Texas Health Trail Fort Worth TX 76244 800800294 Inactive TX 501(c)(3) 3 TH Alliance 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 C 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 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 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 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 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 613 E Lamar Blvd Ste 600 Arlington TX 76012 843814491 Inactive 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 612 E Lamar Blvd Ste 600 Arlington TX 76011 843814490 Amb Surg Ctr TX NA N/A Texas Health Surgery Center Waxahachie 1434 US Hwy 287 Bypass Ste 100 Waxahachie TX 75165 831464243 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 THR Primary Care Ext Physcian Network 612 E Lamar Blvd Arlington TX 76011 465365421 Inactive TX NA C Corp false false true true false false false false false false true true 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.