TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE (EIN 75-1752253)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-12
IRS object ID
202043179349305349
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-12T14:12:59-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN751752253EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Texas Health Harris Methodist HospitalBusinessNameLine1Txt
Business Name Line2StephenvilleBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% DAVID JACKSONInCareOfNm
Business Name ControlTEXABusinessNameControlTxt
Phone2549651500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 BelknapAddressLine1Txt
CityStephenvilleCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID JACKSONPersonNm
Person TitleAssistant SecretaryPersonTitleTxt
Phone6822367900PhoneNum
Signature2020-11-12SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.50.9.252IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id80738820203175000001FederalOriginalSubmissionId
Federal Original Submission Id2020-11-12FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5B795CE3BF2141BC288D804417774592BFF72F11AtSubmissionCreationDeviceId
At Submission Filing Device IdC6207B00799800B6519E6B6D36727100FAAB12D3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerChristopher LeuPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 BelknapAddressLine1Txt
CityStephenvilleCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$48,938,829GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.texashealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionA faith-based organization whose mission is to improve the health of the people in the communities it serves regardless of their ability to pay.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee294TotalEmployeeCnt
Total Volunteers69TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$125,294PYContributionsGrantsAmt
CY Contributions Grants$15,969CYContributionsGrantsAmt
PY Program Service Revenue$52,597,227PYProgramServiceRevenueAmt
CY Program Service Revenue$48,795,557CYProgramServiceRevenueAmt
PY Investment Income-$3,548PYInvestmentIncomeAmt
CY Investment Income-$50,070CYInvestmentIncomeAmt
PY Other Revenue$397,253PYOtherRevenueAmt
CY Other Revenue$127,272CYOtherRevenueAmt
PY Total Revenue$53,116,226PYTotalRevenueAmt
CY Total Revenue$48,888,728CYTotalRevenueAmt
PY Grants And Similar Paid$26,490PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$54,024CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,576,374PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,356,873CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$27,455,614PYOtherExpensesAmt
CY Other Expenses$25,808,105CYOtherExpensesAmt
PY Total Expenses$49,058,478PYTotalExpensesAmt
CY Total Expenses$46,219,002CYTotalExpensesAmt
PY Revenues Less Expenses$4,057,748PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,669,726CYRevenuesLessExpensesAmt
Total Assets BOY$34,420,585TotalAssetsBOYAmt
Total Assets EOY$33,207,879TotalAssetsEOYAmt
Total Liabilities BOY$6,859,233TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,936,774TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,561,352NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,271,105NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionA FAITH-BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES REGARDLESS OF THEIR ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$37,152,935ExpenseAmt
Grant$54,024GrantAmt
Revenue$48,804,448RevenueAmt
DescTexas Health Harris Methodist Hospital Stephenville (THS) is an acute care, full-service hospital with 50 staffed and available beds providing health care for residents in Erath and surrounding counties since 1982. THS offers health care services such as inpatient and outpatient surgery, women's services, advanced diagnostic imaging, inpatient physical therapy, wound care and cardiac rehabilitation. THS has been recognized as a Nurse-Friendly and Baby-Friendly Hospital, operates a Level IV Trauma Center, and is designated as a Support (Level III) Stroke Facility. During the year, THS had 3,392 patient days, 1,333 discharges, 28,422 outpatient encounters, 17,637 emergency room visits and 194 births. THS 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 reduced price services and free programs to the community. These services are essential to provide complete healthcare to the communities served. THS promotes Diabetes Self-Management, a program where the hospital's Center for Diabetes Education partners with physicians and other members of the community in an effort, through education and encouragement, to promote healthy lifestyles, good nutrition, the importance of exercise and the importance of early diabetes detection. THS provided car seat safety checks to Erath and surrounding counties as well as assisted with installing car seats safely and free of charge to those in need.Desc
Total Program Service Expenses$37,152,935TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee294EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID JACKSONPersonNm
Phone6822367900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E LAMAR BLVDAddressLine1Txt
CityArlingtonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76011ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BerdanBarclay E
TRUSTEE/CEO0.3244.68Yes (X)Yes (X)$0$2,638,211$312,692
CanoseJeffrey L
Former Officer0.040.0$0$1,558,717$41,583Yes (X)
BerenzweigHarold K
Former Officer0.040.0$0$1,384,695$38,213Yes (X)
KingJames Kirk
Former Officer0.040.0$0$958,020$133,758Yes (X)
McWhorterRicky E
Former Officer0.040.0$0$920,489$115,378Yes (X)
KramerKenneth J
President THS0.0540.0Yes (X)$0$875,091$121,588
JacksonDavid W
Assistant Secretary0.540.0Yes (X)$0$407,550$56,852
LeuChristopher T
PRESIDENT THS40.00.0Yes (X)$384,092$0$67,412
CantuStacy G
CORPORATE SECRETARY0.0540.0Yes (X)$0$306,015$33,643
WardCharlotte M
Grp Finan Officer THSW-THS40.00.0Yes (X)$0$283,692$32,026
McCarthyCynthia Lou
CHIEF NURSING OFFICER THS40.00.0Yes (X)$266,436$0$44,960
DerrickMarcia G
PROF & SUPPORT SVCS OFFICER40.00.0$198,145$0$33,645Yes (X)
GilmanKathleen A042
Assistant Secretary0.540.0Yes (X)$0$216,668$12,540
MooreSammy
DIR PHARMACY40.00.0$178,235$0$39,562Yes (X)
MartinezIlda H
DIR NRSG MED SURG/CRITICAL CAR40.00.0$155,446$0$26,404Yes (X)
Atwood-PerezSuzanne M
DIR RADIOLOGY40.00.0$137,584$0$28,817Yes (X)
PennyRichard Edward
CHIEF MEDICAL OFFICER THS PRN40.00.0Yes (X)$163,402$0$0
NewmanAndrea Lynn
DIR QUALITY/PT SAFETY/RISK40.00.0$126,736$0$36,210Yes (X)
Bloemendal MD Lee C
Trustee0.021.41Yes (X)$0$0$0
Haggar III Joseph
Trustee0.021.41Yes (X)$0$0$0
Hunt Hunter
Trustee0.021.41Yes (X)$0$0$0
Montgomery Lynn
Trustee0.021.41Yes (X)$0$0$0
Reeves Kenneth
Trustee0.021.41Yes (X)$0$0$0
Tatum Stephen
Trustee0.021.41Yes (X)$0$0$0
Vigness MD Richard
Trustee0.021.41Yes (X)$0$0$0
Washington Bernice
Trustee0.021.41Yes (X)$0$0$0
Weeks DNP RN Susan
Trustee0.021.41Yes (X)$0$0$0
Wynne James
Trustee0.021.41Yes (X)$0$0$0
Stripling MD W Dennis
Chairman0.021.41Yes (X)$0$0$0
Turner Wesley
Immediate Past Chair0.021.41Yes (X)$0$0$0
Wilder Jr Charles Joh
Vice Chair0.021.41Yes (X)$0$0$0
Hum MD Lawrence
Trustee0.021.41Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,610,076TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,549,148TotReportableCompRltdOrgAmt
Total Other Compensation$1,175,283TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Texas Health Resources
612 E Lamar BlvdARLINGTONTX76011Management SERVICES$6,649,964
Texas Health Physicians Group
9229 LBJ FreewayDALLASTX75243Physician Services$649,966
SCOTT DENNETT CONSTRUCTION INC
2313 CULLEN STFORT WORTHTX76107CONSTRUCTION SVCS$319,718
NORTHSTAR ANESTHESIA PA
6225 NORTH STATE HWY 161 200IRVINGTX75038ANESTHESIA SERVIVCES$270,191
ENTECH SALES SERVICES INC
3404 GARDEN BROOK DRDALLASTX75234MAINTENANCE SERVICE$203,970
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$15,969RelatedOrganizationsAmt
Total Contributions$15,969TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE622110$48,415,423$48,415,423
MEDICARE/MEDICAID ADJUSTMENT622110$196,730$196,730
DSRIP REVENUE622110$182,752$182,752
MANAGEMENT FEE622110$2,914$2,914
EDUCATION624190-$2,262-$2,262
FieldValueIRS element (for citing)
Total Program Service Revenue$48,795,557TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$31TotalRevenueColumnAmt
Exclusion$31ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$50,101OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$50,101OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$50,101TotalRevenueColumnAmt
Exclusion-$50,101ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE722514$100,071$100,071
LAB621511$17,846$17,846
COMMISSIONS621511$8,679$8,679

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$676TotalRevenueColumnAmt
Related Or Exempt Func Income$212RelatedOrExemptFuncIncomeAmt
Exclusion$464ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$127,272OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,888,728TotalRevenueColumnAmt
Related Or Exempt Func Income$48,804,448RelatedOrExemptFuncIncomeAmt
Exclusion$68,311ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$36,524TotalAmt
Program Services$36,524ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$17,500TotalAmt
Program Services$17,500ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$926,303TotalAmt
Management And General$926,303ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,063,968TotalAmt
Program Services$14,004,624ProgramServicesAmt
Management And General$1,059,344ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$796,074TotalAmt
Program Services$737,390ProgramServicesAmt
Management And General$58,684ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,470,396TotalAmt
Program Services$2,311,724ProgramServicesAmt
Management And General$158,672ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,100,132TotalAmt
Program Services$1,035,374ProgramServicesAmt
Management And General$64,758ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,649,964TotalAmt
Management And General$6,649,964ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,314,373TotalAmt
Program Services$3,268,078ProgramServicesAmt
Management And General$46,295ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,235TotalAmt
Program Services$2,235ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$177,641TotalAmt
Program Services$159,228ProgramServicesAmt
Management And General$18,413ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$277,839TotalAmt
Program Services$266,394ProgramServicesAmt
Management And General$11,445ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$552,784TotalAmt
Program Services$552,719ProgramServicesAmt
Management And General$65ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$67,103TotalAmt
Program Services$64,281ProgramServicesAmt
Management And General$2,822ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,498TotalAmt
Program Services$3,239ProgramServicesAmt
Management And General$2,259ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,005,248TotalAmt
Program Services$1,005,248ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,717,255TotalAmt
Program Services$2,689,559ProgramServicesAmt
Management And General$27,696ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$490,001TotalAmt
Program Services$490,001ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICLA SUPPLIES$6,690,268$6,686,905$3,363
LPPF IGT$2,332,203$2,332,203
REPAIRS & MAINTENANCE$370,020$370,020
NON CAPITAL EQUIPMENT$266,101$266,101

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$889,572TotalAmt
Program Services$853,588ProgramServicesAmt
Management And General$35,984ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$46,219,002TotalAmt
Program Services$37,152,935ProgramServicesAmt
Management And General$9,066,067ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$30,561BOYAmt
EOY-$20,099EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,637,836BOYAmt
EOY$6,447,453EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,875BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$869,773BOYAmt
EOY$799,017EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$89,695BOYAmt
EOY$66,481EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$49,842,797LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,486,801LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,508,480BOYAmt
EOY$25,355,996EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$275,365BOYAmt
EOY$275,365EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$283,666EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$34,420,585BOYAmt
EOY$33,207,879EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,641,822BOYAmt
EOY$3,652,349EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$63,169EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$217,411BOYAmt
EOY$221,256EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,859,233BOYAmt
EOY$3,936,774EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,561,352BOYAmt
EOY$29,271,105EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,561,352BOYAmt
EOY$29,271,105EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,420,585BOYAmt
EOY$33,207,879EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,669,726ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$959,973OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B - Additional InformationFormAndLineReferenceDesc
ExplanationOfficers and/or Board Members of the corporation may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities the Corporation serves. In pursuing this activity, Officers and/or Board Members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters on a personal level, and not as a representative of the organization. The amount of time and money involved in these activities is negligible. In no case has either the Corporation, or any person acting on behalf of the Corporation, intervened in any political campaign.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,231,335OtherCostOrOtherBasisAmt
Book Value$1,231,335BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,267,196OtherCostOrOtherBasisAmt
Depreciation$9,995,716DepreciationAmt
Book Value$10,271,480BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,293,904OtherCostOrOtherBasisAmt
Depreciation$3,336,263DepreciationAmt
Book Value$4,957,641BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,442,438OtherCostOrOtherBasisAmt
Depreciation$11,154,823DepreciationAmt
Book Value$8,287,615BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$607,925OtherCostOrOtherBasisAmt
Book Value$607,925BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,355,996TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescASSET RETIREMENT OBLIGATIONSDesc
Amt$221,256Amt
FieldValueIRS element (for citing)
Total Liability$221,256TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,718,109TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,505DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,671,604NetCommunityBenefitExpnsAmt
Total Expense0.07940TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,109,271TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,161,547DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,827,380TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,208,052DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,671,604NetCommunityBenefitExpnsAmt
Total Expense0.07940TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$250,856TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$250,856NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$260,709TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$260,709NetCommunityBenefitExpnsAmt
Total Expense0.00560TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,165TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,165NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$526,730TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$526,730NetCommunityBenefitExpnsAmt
Total Expense0.01130TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,354,110TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,208,052DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,198,334NetCommunityBenefitExpnsAmt
Total Expense0.09070TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,323TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,323NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,232TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,232NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,553TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,553NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,987TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,987NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,095TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,095NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,481,207BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$11,981,508ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$13,780,447CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,798,939MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Texas Health StephenvilleBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 BelknapAddressLine1Txt
CityStephenvilleCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76401ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.texashealth.orgWebsiteAddressTxt
State LicenseTDH #256StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Texas Health StephenvilleBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Section CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceTexas Health StephenvilleFormAndLineReferenceDesc
ExplanationPart 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 Stephenvilles (THS) 2019 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Southern Region, consisting of Erath, Johnson, Ellis & Kaufman Counties. The 2019 CHNA was conducted at the 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 138 community members with interests specific to the health of individuals in the Southern Region Counties in the CHNA development process. One hundred twenty-three of these community members were engaged across six separate focus groups held in zip-codes that were identified as underserved areas. Fifteen served as key informants, and the windshield survey was conducted by two Texas Health graduate fellows and four 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: Cain & Associates; City of Cleburne; Compassion Counseling Center; Cornerstone Assembly of God; Elmo Crime Watch; Elmo Water Department; H-E-B Grocery; Hood County Committee on Aging; Hope Medical Clinic; Kaufman Chamber of Commerce; Lighthouse Center for Learning; Oakdale & Hannibal United Methodist Churches; Ruths Place; Senior Connect; Southwest Adventist University; Specialized Fleet Services; Tarleton State University; Texas Department of State Health Services; Texas Veterans Commission; and Tri County Ford. 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 THRs 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 Southern Region was done in collaboration with Texas Health Cleburne (THC), Texas Health Stephenville (THS), Texas Health Kaufman (THK), and Texas Health Huguley Hospital Fort Worth South. 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 8 While a CHNA was conducted in 2019, the implementation strategy tied to the assessment was not adopted until 2020. In 2019, the hospital completed the three year cycle of the hospitals previous CHNAs implementation strategy (2017-2019). Part V. Section B, Ln 11 The 2017 - 2019 implementation strategy was utilized throughout 2019 to develop the programs and activities outlined below. The hospital is a part of the Texas Health Resources healthcare system, which developed a system-wide community benefit strategy to leverage internal and external resources to increase its ability to impact the community health needs of the target areas with a higher focus on these three health priorities which were carried over from the 2016 CHNA: 1. Behavioral Health 2. Chronic Disease Prevention & Management 3. Access to Health Services and Healthcare Navigation & Literacy (ALN) In 2019, Texas Health Stephenville addressed significant health needs identified with the following approaches: 1. Behavioral Health 1a. In 2019, The Texas Health initiative known as Texas Health Community Impact (THCI) awarded grants to deliver behavioral health services to underserved communities. The initiative pinpoints specific ZIP codes to address social determinants of health as it relates to behavioral health, with the aim of preventing comorbid problems that may surface in the form of chronic diseases or premature death. The Community Impact initiative calls on agencies from different sectors - education, health care, government, grassroots organizations and others - to unite against identified health issues. Through Tarleton State University, Texans Reducing Food Insecurity and Depression program is addressing depression and social isolation and increase access to healthy food for low-income adults 55 and older in Stephenville. 2. Chronic Disease Prevention & Management 2a. In partnership with Texas A&M AgriLife and Tarleton State University, THS participates in Kids, Kows and More, an event held for third grade students within Erath County. Children rotate through barns and different stations to learn about water, horticulture, milk, beef, lambs, goats and swine. Each year, THS provides a booth with physical activities like potato sack relay races, steal the chicken tag and hula hoop relays. The event continues to have a farm safety educational component where students can view various farm and outdoor equipment while learning about its proper use and safety. 2b. Provides many healthy eating opportunities for school-aged children as well as adults in the community. THS partners with Texas A&M AgriLife each year to conduct Dinner Tonight, a healthy cooking school for the community. The program consists of cooking demonstrations on preparing easy, nutritious and economical meals for families. 2c. THS offers a variety of educational programs and support groups that are open to the public. The diabetes support group continued to serve patients in 2019. New parents, siblings and family members also received education on infant characteristics, baby-proofing homes, and infant care; comprehensive prenatal seminars are offered to expectant couples where they learn childbirth basics. 3. Access, Literacy, and Navigation (ALN) 3a. A Matter of Balance (AMOB), an evidence-based fall prevention program for older adults. 3b. Chronic Disease Self-Management Program (CDSMP), a nationally recognized program designed to enable individuals to build the self-confidence and motivation they need to manage the challenges of living with a chronic disease. 3c. Diabetes Self-Management Program (DSMP) and Journey for Control (JFC), workshops offering information and skill building exercises specific to diabetes self-management. 3d. Child Automobile Safety Initiative (CASI), a program focused on protecting children from injury in motor vehicle collisions by providing free car seat safety checks and community based education. 3e. Chronic Pain Self-Management Program (CDSMP), nationally recognized program designed to enable individuals living with chronic pain to manage their pain through non-pharmaceutical techniques. All significant health needs identified are being addressed by the hospital in one of the categories listed above. 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-AssistanceExplanationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceTexas Health StephenvilleFormAndLineReferenceDesc
ExplanationPart 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: 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 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 THRs financial assistance policy, the Tax-Exempt Hospitals, THRW, and Texas Health Physicians Group (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 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, 2019 and 2018, contract assets of $33,617,000 and $38,520,000, 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 managements 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 $437,785,000 and $379,437,000 were recorded as reductions to patient accounts receivable at December 31, 2019 and 2018, 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 2019 is $8,383,433. 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 - Prioritization of zip codes with immedExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Tarrant County Safety Net CorporationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1612 E LAMAR BLVDAddressLine1Txt
CityARLINGTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76011ZIPCd
FieldValueIRS element (for citing)
Recipient EIN823171862RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$21,085CashGrantAmt
Valuation Method UsedcashValuationMethodUsedDesc
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient5RecipientCnt
Cash Grant$17,500CashGrantAmt
Valuation Method UsedcashValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part II - Monitoring GrantsFormAndLineReferenceDesc
ExplanationTexas Health Stephenville (THS) 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BerdanBarclay E
TRUSTEE/CEO$0$1,491,037$0$840,553$0$306,621$0$291,002$0$21,690$0$2,950,903$0$207,003
CantuStacy G
CORPORATE SECRETARY$0$230,366$0$46,600$0$29,049$0$11,015$0$22,628$0$339,658$0$131
JacksonDavid W
Assistant Secretary$0$291,525$0$68,192$0$47,833$0$46,678$0$10,174$0$464,402$0$0
GilmanKathleen A042219 term
Assistant Secretary$0$68,257$0$14,048$0$134,363$0$8,015$0$4,525$0$229,208$0$0
KramerKenneth J
President THS$0$520,443$0$226,454$0$128,194$0$94,909$0$26,679$0$996,679$0$50,254
LeuChristopher T
PRESIDENT THS$230,558$0$100,162$0$53,372$0$40,257$0$27,155$0$451,504$0$25,345$0
McCarthyCynthia Lou
CHIEF NURSING OFFICER THS$176,198$0$58,589$0$31,649$0$22,999$0$21,961$0$311,396$0$12,125$0
PennyRichard Edward
CHIEF MEDICAL OFFICER THS PRN$126,820$0$36,582$0$0$0$0$0$0$0$163,402$0$0$0
WardCharlotte M
Grp Finan Officer THSW-THS$0$204,731$0$46,590$0$32,371$0$12,730$0$19,296$0$315,718$0$0
BerenzweigHarold K
Former Officer$0$429,695$0$246,179$0$708,821$0$21,000$0$17,213$0$1,422,908$0$82,585
CanoseJeffrey L
Former Officer$0$929,251$0$421,446$0$208,020$0$21,000$0$20,583$0$1,600,300$0$112,689
KingJames Kirk
Former Officer$0$577,289$0$253,219$0$127,512$0$103,715$0$30,043$0$1,091,778$0$75,344
McWhorterRicky E
Former Officer$0$641,092$0$172,412$0$106,985$0$105,378$0$10,000$0$1,035,867$0$39,522
DerrickMarcia G
PROF & SUPPORT SVCS OFFICER$174,938$0$15,519$0$7,688$0$12,517$0$21,128$0$231,790$0$0$0
MooreSammy
DIR PHARMACY$161,855$0$7,932$0$8,448$0$11,196$0$28,366$0$217,797$0$0$0
MartinezIlda H
DIR NRSG MED SURG/CRITICAL CAR$143,578$0$6,781$0$5,087$0$6,016$0$20,388$0$181,850$0$0$0
Atwood-PerezSuzanne Marie
DIR RADIOLOGY$115,628$0$17,671$0$4,285$0$9,221$0$19,596$0$166,401$0$0$0
NewmanAndrea Lynn
DIR QUALITY/PT SAFETY/RISK$108,163$0$13,514$0$5,059$0$8,079$0$28,131$0$162,946$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a - Discretionary Spending AccountEach executive at the Vice President level and above receives a perk allowance and flexible benefit allowance which are include in the taxable compensation of the employee. The perk allowance covers costs such as business use of a personal vehicle 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 CompensationThe 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 to approve the overall payment philosophy. *An Independent compensation consultant may be hired. *Compensation surveys or studies are utilized. * The Board or Compensation committee approves the executive compensation parameters within the executive compensation philosophy
SCHEDULE J, PART 1, LINE 4aThe settlement payment was paid out as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. Harold Berenzweig $543,396
Schedule J, Part I, Line 4b-Nonqualified Retirement PlanParticipation 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 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 continuous service with the system.) SERP benefits are calculated each Dec 1. Vested balances are taxed to the employee and the net balances accrue 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 is 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(s) 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). Payouts to the following employee(s) 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 $207,003 Harold Berenzweig $312,228 Jeffrey Canose $112,344 James Kirk King $75,344 Kenneth Kramer $50,254 Christopher Leu $15,345 Cynthia McCarthy $12,125 Ricky McWhorter $39,522

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
990, Part VI, Section A, Line 2 - Business RelationshipTexas 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. Several THPG board members are also employees of THPG. As employees of THPG and the THR system, they will have a business relationship with each other and other officers and board members that are employees of the THR system.
990, Part VI, Section A, Lines 6&7a - Members-Texas Health Resources (THR) is the sole member of the organization.
990, Part VI, Section A, Line 7b - Governance Decisions Reserved -The following actions require the approval of Texas Health Resources (THR): (a) Amendment, restatement or repeal of the Certificate of Formation or these Bylaws. (b) Sale, exchange, lease or other transfer of all or substantially all of the assets of the Corporation. (c) Merger or consolidation of the Corporation. (d) Dissolution of the Corporation. (e) Election of members of the Board of Trustees (f) Removal of a member of the Board of Trustees (g) Creation of affiliates or subsidiaries and approval of the initial governing documents. (h) Incurrence of debt not included in the budgets. (i) Discontinuing the operations of a licensed health care facility controlled by the corporation. (j) Activities involving winding up, distribution, conversion or exchange under Chapter 11
990, Part VI, Section B, Line 11b - Form 990 Filing-The Texas Health Resources (THR) tax department staff prepares the Forms 990 for THR and all of its wholly controlled affiliates. In order to accurately prepare the returns, the tax staff works closely with various other departments to gather and review the information needed to complete the return. The departments involved in this process include, but are not limited to accounting, finance, treasury, human resources, payroll, legal, governance, and corporate compliance. The returns are then reviewed twice within the tax department before being given to the Financial Reporting department to review and to ensure that the financial information is accurate and up to date. All THR System Forms 990 are provided to members of the Audit and Compliance Committee of the THR Board, giving them an opportunity to review, comment and ask questions regarding the Forms 990. The tax department Vice President provides an overview presentation to the committee highlighting various areas of the Form 990. A resolution to approve all of the returns is voted upon at this meeting. Once the Audit and Compliance Committee has approved the returns, each return is then reviewed and signed by the Chief Accounting Officer/Assistant Secretary. The members of the governing Boards are provided a copy of the Form 990 for their respective entity after the Audit and Compliance Committee approval process and before the Form 990 is filed.
990, Part VI, Section B, Line 12c - Conflict of Interest -Texas Health Resources (THR) has adopted a Conflict of Interest Policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the 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 15 a&b - Compensation Determination -The organization relied on Texas Health Resources (THR) with centralized compensation professionals to review and establish the compensation of the organization's officers. The THR Board approves the compensation philosophy of officers of the organization. The Compensation Committee approves the elements of the officer's compensation, and the entity management or THR management pay the employee/officer within the approved parameters. Any officer whose compensation falls outside the approved compensation philosophy must be reviewed and approved by the THR compensation 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 AssetsAdjustment for Intercompany Transactions of a Controlled Group $(959,973) 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 StatementsTexas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Huguley Medical Assoc Inc
11801 South FreewayBurlesonTX76028752547668Phys ClinicTX501(c)(3)3TH Huguleyfalse
Johnson County Community Care Corp
612 E Lamar BlvdArlingtonTX76011452793120Indigent CareTX501(c)(3)12aTH Cleburnefalse
North Texas Healthy Communities
612 E Lamar BlvdArlingtonTX76011464513182Comm SupportTX501(c)(3)7TH Resourcesfalse
Southwestern Health Resources JOC
5323 Harry Hines BlvdDallasTX75390811575989Mgmt OrgTX501(c)(3)12bTH Resourcesfalse
Texas Health Arlington Memorial Hospital
800 West Randol Mill RdArlingtonTX76012750972805HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Back Care
9229 LBJ FreewayDallasTX75243474724257Phys. ClinicTX501(c)(3)10TH Phys Groufalse
TX Health Behav Health Hospital Bedford
2717 Tibbets DrBedfordTX76022812798838InactiveTX501(c)(3)3TH Resourcesfalse
TX Health Behav Health Hospital Plano
6110 W Parker RoadPlanoTX75093812792484InactiveTX501(c)(3)3TH Resourcesfalse
Texas Health Alliance
10864 Texas Health TrailFort WorthTX76244451502252HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Azle
108 Denver TrailAzleTX76020751748586HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Cleburne
201 Walls DrCleburneTX76033751977850HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Fort Worth
1301 Pennsylvania AveFort WorthTX76104756001743HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Hurst-Euless-Bedford
1600 Hospital ParkwayBedfordTX76022751438726HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Southwest Fort Worth
6100 Harris ParkwayFort WorthTX76132752678857HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Stephenville
411 BelknapStephenvilleTX76401751752253HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Frisco
612 E Lamar BlvdArlingtonTX76011831954982HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Mansfield
612 E Lamar BlvdArlingtonTX76011831869297HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Huguley Inc
11801 S FreewayBurlesonTX76028452694620HospitalFL501(c)(3)3TH Resourcesfalse
Texas Health Medical Support
612 E Lamar BlvdArlingtonTX76011812833150Spec DrugsTX501(c)(3)10TH Resourcesfalse
TX Health Outpatient Surg Ctr Alliance
10840 Texas Health TrailFort WorthTX76244800800294InactiveTX501(c)(3)3TH Alliancefalse
Texas Health Physicians Group
9229 LBJ FreewayDallasTX75243752613493Phys. ClinicTX501(c)(3)10TH Resourcesfalse
Texas Health Allen
1105 Central Expressway NAllenTX75013752890358HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Dallas
8200 Walnut Hill LnDallasTX75231751047527HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Denton
3000 North Interstate 35DentonTX76201432008974HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Kaufman
850 Ed Hall DriveKaufmanTX75142752771437HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Plano
6200 W Parker RdPlanoTX75093752770738HospitalTX501(c)(3)3TH Resourcesfalse
TH Recovery and Wellness Center
240 Miller RoadMansfieldTX76063812813227Resd Trmt CtrTX501(c)(3)3TH Resourcesfalse
TX Health Research & Education Institute
612 E Lamar BlvdArlingtonTX76011752562191Edu& ResearchTX501(c)(3)4TH Resourcesfalse
Texas Health Resources
612 E Lamar BlvdArlingtonTX76011752702388System MgmtTX501(c)(3)12cNAfalse
Texas Health Resources Foundation
612 E Lamar BlvdArlingtonTX76011752022128FundraisingTX501(c)(3)7TH Resourcesfalse
TH Specialty Hospital Fort Worth
1301 Pennsylvania AveFort WorthTX76104751648589LT HospitalTX501(c)(3)3TH Resourcesfalse
TX Health Urgent Care
612 E Lamar BlvdArlingtonTX76011814317635Urgent Care CTX501(c)(3)3TH Resourcesfalse
WW Ward Endowment Fund Trust
612 E Lamar BlvdArlingtonTX76011756196065Nursing GrantTX501(c)(3)12aTH Foundatiofalse
Texas Health Huguley Surgery Center LLC
12001 S FreewayBurlesonTX76028821289045Amb Surg CtrTX501(c)(3)3TH Huguleyfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (37 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
AMH Cath Labs LLC
811 Wright StArlingtonTX76012203003947HospitalTXNAN/A
Arlington Surgery Center LLC
918 N Davis DrArlingtonTX76012752055800Amb Surg CtrTXNAN/A
Cleburne Surgical Center LLC
2010 W Katherine P Raines Blvd StCleburneTX76033203742012Amb Surg CtrTXNAN/A
Denton Surgery Center LLC
207 North Bonnie BreaDentonTX76201470926556Amb Surg CtrTXNAN/A
Flower Mound Hospital Partners LLC
4400 Long Prairie RdFlower MoundTX75028260684968HospitalTXNAN/A
Fort Worth Endoscopy Centers LLC
900 W Magnolia Ave 101Fort WorthTX76104770368346Endoscopy CenterTXNAN/A
Greenville Surgery Center LLC
7150 Greenville Ave Ste 200DallasTX75231742411643Amb Surg CtrTXNAN/A
Health Imaging Partners LLC
8610 Explorer Drive Ste 300Colorado SpringsCO80920271385885Medical ImagingTXNAN/A
North Dallas Surgical Center LLC
17980 Dallas Pkw Ste 100DallasTX75287272248103Amb Surg CtrTXNAN/A
Opthalmology Surgery Center of Dallas LL
10740 N Central ExpyDallasTX75231261914835Amb Surg CtrTXNAN/A
Park Hill Surgery Center LLC
3455 Locke AveFort WorthTX76107451484375Amb Surg CtrTXNAN/A
Physicians Medical Center LLC
6020 W Parker RdPlanoTX75093481281376HospitalTXNAN/A
Presbyterian Cancer Ctr-Dallas LLC
PO Box 819067DallasTX75381260422749Cancer CtrTXNAN/A
Rockwall Regional Hospital LLC
3150 Horizon RdRockwallTX75032202848116HospitalTXNAN/A
South Arlington Surgical Providers LLC
350 E Interstate 20 Ste 200ArlingtonTX76018752723958Amb Surg CtrTXNAN/A
Southlake Specialty Hospital LLC
1545 E Southlake BlvdSouthlakeTX76092020555370HospitalTXNAN/A
Surgical Caregivers of Fort Worth LLC
2001 W Rosedale StFort WorthTX76104751925497Amb Surg CtrTXNAN/A
Texas Health Craig Ranch Surgery Center
8080 State Hwy 121 Ste 100McKinneyTX75070383897811Amb Surg CtrTXNAN/A
Texas Health Flower Mound Orthopedic Sur
5000 Long Prairie RdFlower MoundTX75028800866449Amb Surg CtrTXNAN/A
Texas Health Orthopedic Surgery Center A
9848 N Beach StFort WorthTX76244814977249Amb Surg CtrTXNAN/A
Texas Health Spine Surgery Center Allen
1120 Raintree Cir Ste 100AllenTX75013300957868Amb Surg CtrTXNAN/A
Texas Health Spine Surgery Center Allian
1545 E Southlake Blvd Ste 100SouthlakeTX76092320571301amb surg ctrTXNAN/A
Texas Health Supply Chain Services LLC
612 E Lamar Blvd Ste 600ArlingtonTX76011841833532Purchasing CoTXNAN/A
Texas Health Surgery Center Alliance LLC
10840 Texas Health Trail Ste 100Fort WorthTX76244822296081Amb Surg CtrTXNAN/A
Texas Health Surgery Center Bedford LLC
1605 Airport Freeway Ste 100BedfordTX76021821307876Amb Surg CtrTXNAN/A
Texas Health Surgery Center Irving LLC
2120 N MacArthur Blvd Ste 200IrvingTX75061831085415Amb Surg CtrTXNAN/A
Texas Health Surgery Center Preston Plaz
17950 Preston Road Ste 75DallasTX75252203991622Amb Surg CtrTXNAN/A
Texas Health Surgery Center Rockwall LLC
3144 Horizon Rd Ste 120RockwallTX75032474425996Amb Surg CtrTXNAN/A
Texas Health Surgery Center Waxahachie
1434 US Hwy 287 Bypass Ste 100WaxahachieTX75165831464243InactiveTXNAN/A
Texas Institute for Surgery LLP
7115 Greenville Ave Ste 100DallasTX75231770628004HospitalTXNAN/A
THR-STT Rockwall ASC LLC
1545 E Southlake BlvdSouthlakeTX76092262429878Amb Surg CtrTXNAN/A
THR-STT Southlake ASC LLC
1545 E Southlake BlvdSouthlakeTX76092201728912Amb Surg CtrTXNAN/A
USMD Hospital at Arlington LP
801 I -20 WestArlingtonTX76017731662763HospitalTXNAN/A
USMD Hospital at Fort Worth LP
5900 Altamesa BlvdFort WorthTX76132203571243HospitalTXNAN/A
Walnut Hill Surgery Center LLC
5494 Glen Lakes DrDallasTX75231364499777Amb Surg CtrTXNAN/A
Wilson Creek Surigcal Center LLC
8855 Synergy DriveMcKinneyTX75070274816583Amb Surg CtrTXNAN/A
Women's Specialty Surgery Center of Dall
8230 Walnut Hill Ln Ste 101DallasTX75231262310072Amb Surg CtrTXNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
Grace Indemnity Company SPC Ltd
1159 Caribbean PlazaGrand CaymanCJKY 1-1102981209573Captive InsurCJNAC Corp
Texas Health Biomedical Advancement Cent
752636884ResearchNAC Corp612 E Lamar BlvdArlingtonTX76011TX
THR Primary Care Ext Physcian Network
465365421InactiveNAC Corp612 E Lamar BlvdArlingtonTX76011TX
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1See Part VII for ExplanationBusinessNameLine1Txt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part V, Line 2 - Related TransactionsFormAndLineReferenceDesc
ExplanationTexas Health Resources (THR) is the parent organization in a large healthcare system made up of both wholly owned entities as well as related controlled joint ventures as listed on Schedule R. THR's role is to plan, manage and coordinate the activities of the affiliated healthcare system in order to maximize opportunities to deliver cost effective quality medical care to residents of north central Texas. THR provides direction and oversight to its wholly owned affiliates through centralized services. They also provide oversight for the controlled joint ventures. As an integral part of providing centralized services to the affiliates, THR maintains intercompany receivable/payable accounts, most of which do not fall within the scope of IRC Section 512(b)(13). The range of centralized services provided by THR include information services, managed care contracting, Human resources, revenue cycle, billing and collections, patient access/admissions, legal, tax, compliance, supply chain, quality, business development, insurance, treasury, marketing, general accounting, real estate services, coding, transcription and strategic planning. In addition, THR does daily cash sweeps of all controlled tax exempt entity cash accounts. As a result, THR has numerous daily transactions with controlled tax exempt entities, none of which fall within the scope of IRC Section 512(b)(13). A management fee is charged for the centralized services and reported on Form 990, Part VII, Section B as a professional services fee. Transactions with related tax exempt organizations falling within the meaning of centralized services as described above, are not listed on Schedule R, Part V, Line 2.ExplanationTxt

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