TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE (EIN 75-1752253)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-12
IRS object ID
201903169349301900
Schema version
2018v3.1
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)
Return2019-11-12T08:59:12-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

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
Signature2019-11-12SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.50.9.2IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id80738820193165000013FederalOriginalSubmissionId
Federal Original Submission Id2019-11-12FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3E78A6ECC8DA71FB4B6305E1F5D71DDD1A0FACA8AtSubmissionCreationDeviceId
At Submission Filing Device Id1FEC91D2923A969736DE912BE8A46A37C887AF2EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

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$53,132,336GrossReceiptsAmt
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 Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee314TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$460,114PYContributionsGrantsAmt
CY Contributions Grants$125,294CYContributionsGrantsAmt
PY Program Service Revenue$49,978,409PYProgramServiceRevenueAmt
CY Program Service Revenue$52,597,227CYProgramServiceRevenueAmt
PY Investment Income$55,019PYInvestmentIncomeAmt
CY Investment Income-$3,548CYInvestmentIncomeAmt
PY Other Revenue$216,640PYOtherRevenueAmt
CY Other Revenue$397,253CYOtherRevenueAmt
PY Total Revenue$50,710,182PYTotalRevenueAmt
CY Total Revenue$53,116,226CYTotalRevenueAmt
PY Grants And Similar Paid$20,125PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$26,490CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,026,784PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,576,374CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$23,992,217PYOtherExpensesAmt
CY Other Expenses$27,455,614CYOtherExpensesAmt
PY Total Expenses$45,039,126PYTotalExpensesAmt
CY Total Expenses$49,058,478CYTotalExpensesAmt
PY Revenues Less Expenses$5,671,056PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,057,748CYRevenuesLessExpensesAmt
Total Assets BOY$33,736,033TotalAssetsBOYAmt
Total Assets EOY$34,420,585TotalAssetsEOYAmt
Total Liabilities BOY$3,987,605TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,859,233TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,748,428NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,561,352NetAssetsOrFundBalancesEOYAmt
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$39,656,094ExpenseAmt
Grant$26,490GrantAmt
Revenue$52,848,074RevenueAmt
DescTexas Health Harris Methodist Hospital Stephenville (THS) is an acute care, full-service hospital with 50 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 and operates a Level IV Trauma Center. During the year, THS had 4,593 patient days, 1,691 discharges, 28,849 outpatient encounters, 17,897 emergency room visits and 365 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$39,656,094TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 OrganizationsfalseGrantsToOrganizationsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document27IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee314EmployeeCnt
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 Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
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 (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bloemendal MD Lee C
Trustee0.031.56Yes (X)$0$0$0
Ferguson III John R
Immediate Past Chair0.011.62Yes (X)$0$0$0
Haggar III Joseph M
Trustee0.010.69Yes (X)$0$0$0
Hum MD Lawrence
Trustee0.010.69Yes (X)$0$0$0
Hunt Hunter L
Trustee0.011.11Yes (X)$0$0$0
Montgomery Lynn A
Trustee0.021.49Yes (X)$0$0$0
Reeves Kenneth W
Trustee0.011.13Yes (X)$0$0$0
Stripling Dennis
Vice Chairman0.021.59Yes (X)$0$0$0
Tatum Stephen L
Trustee0.021.53Yes (X)$0$0$0
Turner Wesley R
Chairman0.011.4Yes (X)$0$0$0
Vigness MD Richard M
Trustee0.042.03Yes (X)$0$0$0
Washington Bernice J
Trustee0.031.56Yes (X)$0$0$0
Weeks DNP RN Susan L
Trustee0.031.56Yes (X)$0$0$0
Wilder Jr Charles John
Trustee0.021.69Yes (X)$0$0$0
Wynne James Y
Trustee0.031.35Yes (X)$0$0$0
Berdan Barclay E
Trustee/THR CEO0.3244.68Yes (X)$0$2,347,905$302,734Yes (X)
King James Kirk
THR Corporate Officer0.540.0$0$874,110$150,838Yes (X)
Berenzweig Harold K
THR Corporate Officer0.540.0$0$853,069$61,838Yes (X)
Cantu Stacy G
Corporate Secretary0.540.0$0$320,135$55,394Yes (X)
McWhorter Ricky E
Assistant Secretary0.540.0$0$1,097,946$95,736Yes (X)
Kramer Kenneth J
Assistant Secretary0.540.0$0$879,443$137,715Yes (X)
Jackson David W
Assistant Secretary0.540.0$0$397,637$76,300Yes (X)
Gilman Kathleen A
Assistant Secretary0.540.0$0$221,200$49,968Yes (X)
Leu Christopher T
President THS40.00.0$361,503$0$87,160Yes (X)
McCarthy Cynthia Lou
Chief Nursing Officer THS40.00.0$247,082$0$52,509Yes (X)
Ward Charlotte M
Grp Finan Officer THSW-THS4.036.0$28,730$258,567$53,493Yes (X)
Penny Richard Edward
CHIEF MEDICAL OFFICER THS PRN40.00.0$155,063$0$30,420Yes (X)
Derrick Marcia G
PROF & SUPPORT SVCS OFFICER40.00.0$190,513$0$54,998Yes (X)
Moore Sammy
DIR PHARMACY40.00.0$173,520$0$43,842Yes (X)
Atwood-Perez Suzanne Marie
DIR RADIOLOGY40.00.0$154,340$0$35,272Yes (X)
Martinez Ilda H
DIR NRSG MED SURG/CRITICAL CAR40.00.0$151,024$0$23,562Yes (X)
Hudson Tammy G
DIR LAB40.00.0$125,646$0$38,721Yes (X)
Canose Jeffrey L
Former Officer0.040.0$0$1,528,574$189,975Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,587,421TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,778,586TotReportableCompRltdOrgAmt
Total Other Compensation$1,540,475TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
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 Fee$7,853,457
Northstar Anesthesia PA
6225 N State Hwy 161200IRVINGTX75038Anesthesia Services$690,705
Texas Health Physicians Group Corp
9229 LBJ FreewayDALLASTX75243Physician Services$598,561
Entech Sales Service Inc
3404 Garden Brook DrDALLASTX75234Maintenance Services$400,315
Diversified Clinical Services Inc
282525 Netword PlaceCHICAGOIL60673Community Education$307,759
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$125,294RelatedOrganizationsAmt
Total Contributions$125,294TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE622110$52,307,638$52,307,638
DSPR REVENUE622110$208,715$208,715
MEDICARE/MEDICAID ADJUSTMENT622110$73,802$73,802
EDUCATION REVENUE624190$7,072$7,072
FieldValueIRS element (for citing)
Total Program Service Revenue$52,597,227TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,789TotalRevenueColumnAmt
Exclusion$2,789ExclusionAmt

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$9,773OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$16,110OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$6,337OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,337TotalRevenueColumnAmt
Exclusion-$6,337ExclusionAmt
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 ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
REBATES & INCENTIVES622110$249,797$249,797
CAFETERIA REVENUE722514$114,083$114,083
LABORATORY621511$21,079$21,079

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,294TotalRevenueColumnAmt
Related Or Exempt Func Income$1,050RelatedOrExemptFuncIncomeAmt
Exclusion$11,244ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$397,253OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,116,226TotalRevenueColumnAmt
Related Or Exempt Func Income$52,848,074RelatedOrExemptFuncIncomeAmt
Exclusion$142,858ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$8,990TotalAmt
Program Services$8,990ProgramServicesAmt

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$930,346TotalAmt
Management And General$930,346ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,873,186TotalAmt
Program Services$15,440,015ProgramServicesAmt
Management And General$433,171ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$816,258TotalAmt
Program Services$816,258ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,818,206TotalAmt
Program Services$2,818,206ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,138,378TotalAmt
Program Services$1,138,378ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$7,853,457TotalAmt
Management And General$7,853,457ManagementAndGeneralAmt

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$2,732,072TotalAmt
Program Services$2,707,496ProgramServicesAmt
Management And General$24,576ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,670TotalAmt
Program Services$4,670ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$470,654TotalAmt
Program Services$419,477ProgramServicesAmt
Management And General$51,177ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$149,218TotalAmt
Program Services$136,470ProgramServicesAmt
Management And General$12,748ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$531,606TotalAmt
Program Services$531,606ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,885TotalAmt
Program Services$28,721ProgramServicesAmt
Management And General$164ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,671TotalAmt
Program Services$3,671ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$973,121TotalAmt
Program Services$973,121ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,745,573TotalAmt
Program Services$2,723,547ProgramServicesAmt
Management And General$22,026ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$287,607TotalAmt
Program Services$287,607ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$7,090,533$7,069,413$21,120
LPPF ASSESSMENT$2,550,512$2,550,512
REPAIRS & MAINTENANCE$943,222$943,222
PATIENT SERVICES$536,982$536,982

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$553,831TotalAmt
Program Services$500,232ProgramServicesAmt
Management And General$53,599ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,058,478TotalAmt
Program Services$39,656,094ProgramServicesAmt
Management And General$9,402,384ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$71,520BOYAmt
EOY$30,561EOYAmt

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$5,319,785BOYAmt
EOY$6,637,836EOYAmt

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$112,963BOYAmt
EOY$8,875EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$838,023BOYAmt
EOY$869,773EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$81,774BOYAmt
EOY$89,695EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$49,868,193LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$23,359,713LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,179,643BOYAmt
EOY$26,508,480EOYAmt

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$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$33,736,033BOYAmt
EOY$34,420,585EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,763,056BOYAmt
EOY$6,641,822EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

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$224,549BOYAmt
EOY$217,411EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,987,605BOYAmt
EOY$6,859,233EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,748,428BOYAmt
EOY$27,561,352EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,748,428BOYAmt
EOY$27,561,352EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,736,033BOYAmt
EOY$34,420,585EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,057,748ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$6,244,824OtherChangesInNetAssetsAmt
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$27,451,555OtherCostOrOtherBasisAmt
Depreciation$12,511,599DepreciationAmt
Book Value$14,939,956BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$922,912OtherCostOrOtherBasisAmt
Depreciation$389,697DepreciationAmt
Book Value$533,215BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,608,471OtherCostOrOtherBasisAmt
Depreciation$10,458,417DepreciationAmt
Book Value$9,150,054BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$653,920OtherCostOrOtherBasisAmt
Book Value$653,920BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,508,480TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescASSET RETIREMENT OBLIGATIONSDesc
Amt$217,411Amt
FieldValueIRS element (for citing)
Total Liability$217,411TotalLiabilityAmt

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 BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
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$7,641,254TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,579,994DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,061,260NetCommunityBenefitExpnsAmt
Total Expense0.06240TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,590,854TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,027,666DirectOffsettingRevenueAmt
Net Community Benefit Expns$563,189NetCommunityBenefitExpnsAmt
Total Expense0.01150TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$126,658TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,763DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,895NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,358,766TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,686,423DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,672,344NetCommunityBenefitExpnsAmt
Total Expense0.07490TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$109,607TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$109,607NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$339,374TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$339,374NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,885TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,885NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$468,866TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$468,866NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,827,632TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,686,423DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,141,210NetCommunityBenefitExpnsAmt
Total Expense0.08440TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,392TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,392NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,404TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,404NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,588TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,588NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,019TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,019NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,878TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,878NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,281TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,281NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,417,811BadDebtExpenseAmt
Reimbursed By Medicare$11,281,548ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$14,308,461CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,026,913MedicareSurplusOrShortfallAmt

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 Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.texashealth.org/chnaOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.texashealth.org/chnaStrategyWebsiteURLTxt
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 CHNA contains a prioritized description of the significant health needs of the community as identified through the CHNA. Part V. Section B, Line 5 Texas Health Stephenvilles (THS) Community Health Needs Assessment (CHNA) was a one-year collaborative process which utilized qualitative and quantitative data to assess the health needs of persons in the communities served by the hospital. As a means to further understand the needs of the community, THS gathered feedback through key informant interviews conducted on 1/21/2016, focus group discussions and an online community survey. 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. Four persons with interests specific to the health of THSs community participated in a focus group, one served as a key informant and 41 individuals responded to the online survey. The online survey was conducted only in English. While the online survey may not have reached the medically underserved, low-income or minority populations directly, organizations serving those populations were present at the focus group and served as key informants; these organizations included: Tarleton State University and the United Way of Erath County. In order to gain a comprehensive understanding of the significant health needs for THSs service area, the findings from all three data sets (secondary data, interviews and focus groups, and the online community survey) were compared and studied together. The top five to seven health needs identified by each data source were analyzed for areas of overlap with the other two data sources. Health needs were determined to be significant if they were cited as a top need in at least two of the three data sources. Part V. Section B, Line 11 Following a CHNA conducted in 2016, Texas Health Stephenville adopted an implementation strategy in May 2017. THS is part of the Texas Health healthcare system (Texas Health), which developed a system-wide community benefit strategy to leverage internal and external resources and increase its ability to impact community health needs. The significant health needs across the Texas Health system were: 1. Mental Health & Substance Abuse 2. Exercise, Nutrition, & Weight 3. Access to Health Services and Healthcare Navigation & Literacy 4. Older Adults & Aging From 2017-2019, THS has committed to implement strategies and activities aimed at addressing these areas. Mental Health & Substance Abuse is categorized as Behavioral Health; Exercise, Nutrition, & Weight is grouped under Chronic Disease, which has been a strategic area of focus for Community Health Improvement since the 2013 CHNA; Access to Health Services and Healthcare Navigation & Literacy is jointly titled Awareness, Health Literacy, & Navigation; and Older Adults & Aging. In 2018, Texas Health Stephenville addressed significant health needs with the following approaches: 1. Behavioral Health 1a. In 2018 the Texas Health Community Impact Leadership Council for the Southern Region Counties, which serves the THS community, released a Request for Proposal to provide support to community organizations to deliver behavioral health services to underserved communities. It also addressed behavioral health needs identified in the 2016 CHNA. Programs will be implemented in 2019 and will address food insecurity and social isolation and depression among the low-income adults who are ages 55+. 1b. Pecan Valley Centers for Behavioral and Developmental Healthcare signed an agreement with DFW Hospital Council to offer Mental Health First Aid to community agencies, partners and community members in the THS service area. 2. Chronic Disease Prevention & Management 2a. Continued to manage and strengthen Delivery System Reform Incentive Payment (DSRIP) programs under the Medicaid 1115 Waiver to provide chronic disease management to low-income/uninsured population through the Health Education and Lifestyle Program (HELP) clinic. The HELP clinic is currently offered to uninsured patients presenting to the emergency department or admitted to THS. The program is designed to address underserved persons with chronic disease(s), such as hypertension, diabetes, high cholesterol. The program operates from a three-pronged approach: group and individual education, clinical management and social determinants of health support. 2b. Hosted a free diabetes support group. 2c. Offered free diabetes self-management classes called Journey for Control. 2d. Engaged in opportunities for collaboration with community partner to address food insecurity and nutrition needs in the community through expanded partnership with Tarleton State University and other community partners to help community members reduce risk for chronic disease and lead healthier lives through the consumption of a healthful diet. 3. Awareness, Literacy, & Navigation (ALN) 3a. Invested in offering a free online community resource guide called Aunt Bertha that provides a database of free and reduced-cost social services. 3b. Printed the Erath County Resource Directory which includes information on health and wellness agencies providing services in Erath County and surrounding areas. 4. Older Adults & Aging 4a. Continued the implementation of A Matter of Balance Fall Prevention Program in partnership with the Community Council of Greater Dallas/Area Agency on Aging of Dallas County, North Central Texas Council of Governments Area Agency on Aging, Sixty and Better, Tarrant County Public Health, and the United Way of Tarrant County/Area Agency on Aging of Tarrant County. 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: www.texashealth.org/patient-and-visitor-information/billing-and-payment-in formation/financial-help-for-those-in-needExplanationTxt

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 aid 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 Allowance for Doubtful Accounts that reads as follows: Effective January 1, 2018, THR adopted the new revenue recognition standard, Accounting Standards Update (ASU) 2014-09, Revenue from Contracts with Customers (Topic 606), issued by the FASB in 2014, using the modified retrospective method. With the adoption of the new revenue recognition standard, net patient service revenue is reported at the amount that reflects the consideration to which THR 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, THR 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 was used to estimate the historical collections experience. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to net patient service revenue in the period of the change. Portfolio collection estimates are updated at least quarterly based on actual collections experience. THR believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach was used. Subsequent changes that are determined to be the result of an adverse change in the patients ability to pay are recorded as bad debt expense. Under THRs 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 net 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 THR. 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). These contract assets were $37,668,000 on January 1, 2018 at the adoption of the new revenue recognition standard. As of December 31, 2018, contract assets of $38,520,000 were recorded in patient accounts receivable on the consolidated balance sheet. Patient accounts receivable is reported at the amount that reflects the consideration to which THR 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 $379,437,000 were recorded as reductions to patient accounts receivable at December 31, 2018 on the consolidated balance sheets. Prior to January 1, 2018 and the adoption of the new revenue recognition standard, net patient service revenue was recognized as services were provided and reported at the estimated net realizable amounts from patients, third-party payors and others for services rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors. Retroactive adjustments were accrued on an estimated basis in the period the related services were rendered and adjusted in future periods as final settlements were determined. Patient accounts receivable was reported net of estimated allowances for doubtful accounts and contractual adjustments on the consolidated balance sheets. The allowance and resulting provision for bad debts were based upon a combination of the aging of receivables and managements assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators for each of its major payor sources of revenue. Management assessed the adequacy of the allowance for doubtful accounts based upon historical write-off experience and payment trends by payor category. For receivablesExplanationTxt

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient17RecipientCnt
Cash Grant$17,500CashGrantAmt

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 PaymentfalseSeverancePaymentInd
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
Berdan Barclay E
Trustee/THR CEO$0$1,199,718$0$890,661$0$257,526$0$259,398$0$43,336$0$2,650,639$0$207,003
King James Kirk
THR Corporate Officer$0$512,688$0$241,960$0$119,462$0$99,714$0$51,124$0$1,024,948$0$75,344
Berenzweig Harold K
THR Corporate Officer$0$513,374$0$250,830$0$88,865$0$20,625$0$41,213$0$914,907$0$82,585
Cantu Stacy G
Corporate Secretary$0$224,390$0$66,978$0$28,767$0$11,282$0$44,112$0$375,529$0$0
McWhorter Ricky E
Assistant Secretary$0$411,087$0$611,800$0$75,059$0$61,424$0$34,312$0$1,193,682$0$460,488
Kramer Kenneth J
Assistant Secretary$0$498,252$0$252,677$0$128,514$0$98,360$0$39,355$0$1,017,158$0$50,254
Jackson David W
Assistant Secretary$0$275,133$0$70,616$0$51,888$0$43,044$0$33,256$0$473,937$0$0
Gilman Kathleen A
Assistant Secretary$0$204,377$0$16,623$0$200$0$13,264$0$36,704$0$271,168$0$0
Leu Christopher T
President THS$222,399$0$86,867$0$52,237$0$41,478$0$45,682$0$448,663$0$25,345$0
McCarthy Cynthia Lou
Chief Nursing Officer THS$169,129$0$46,805$0$31,148$0$19,561$0$32,948$0$299,591$0$12,125$0
Ward Charlotte M
Grp Finan Officer THSW-THS$19,957$179,614$6,069$54,618$2,704$24,335$1,236$11,127$4,113$37,017$34,079$306,711$0$0
Penny Richard Edward
CHIEF MEDICAL OFFICER THS PRN$124,643$0$30,420$0$0$0$0$0$30,420$0$185,483$0$0$0
Canose Jeffrey L
Former Officer$0$846,285$0$497,960$0$184,329$0$147,838$0$42,137$0$1,718,549$0$112,689
Derrick Marcia G
PROF & SUPPORT SVCS OFFICER$169,995$0$12,790$0$7,728$0$12,440$0$42,558$0$245,511$0$0$0
Moore Sammy
DIR PHARMACY$157,894$0$7,093$0$8,533$0$10,613$0$33,229$0$217,362$0$0$0
Atwood-Perez Suzanne Marie
DIR RADIOLOGY$113,583$0$35,071$0$5,686$0$7,195$0$28,077$0$189,612$0$0$0
Martinez Ilda H
DIR NRSG MED SURG/CRITICAL CAR$137,534$0$6,005$0$7,485$0$4,425$0$19,137$0$174,586$0$0$0
Hudson Tammy G
DIR LAB$114,129$0$5,053$0$6,464$0$9,341$0$29,380$0$164,367$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 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 WHICH IS INCLUDED 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 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. *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 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 KEY POSITIONS 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 - 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 CONTINUOUS 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 EMPLOYEES 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). Berdan Barclay $207,003 Harold Berenzweig $ 82,585 Jeffrey Canose $112,689 Joseph Deleon $ 31,904 James Kirk King $ 75,344 Kenneth Kramer $ 50,254 Christopher Leu $ 25,345 Cynthia L. McCarthy $ 12,125 Ricky E. McWhorther $460,488

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 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.
990, Part VI, Section A, Line 4 - Changes to Organizational DocumentsThe bylaws were amended effective 1/1/18 to improve the governance of the Texas Health Resources (THR) Healthcare System. Below is a summary of the significant changes. . The composition of the hospital board membership will be the same as the membership of the THR (parent entity) board. . The composition of the board officers (Chair, Vice, & Immediate Past Chair) is changed to be comprised of the THR Board Chair, Vice Chair, and Immediate Past Chair. . The election and term of the board officers is the same as the election and term of the THR Board. . The THR CEO appoints the entity officers without approval by the THR board. The board will be comprised of up to 16 voting members and 5 non-voting members. Up to 14 of these board members will be community representatives. At least 3 members shall be licensed physicians.
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 organizations officers. A more in-depth discussion of executive compensation review can be found on Schedule J, Part III.
990, Part VI, Section C, Line 19 - Public Disclosure -The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner.
990, Part XI, Line 9 - Other Changes in Net AssetsAdjustment for Intercompany Transactions of a Controlled Group ($6,244,824) 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 (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Johnson County Community Care Corp
612 E Lamar BlvdArlingtonTX76011452793120Indigent CareTX501(c)(3)12aTH Cleburnefalse
Huguley Medical Associates Inc
11801 South FreewayBurlesonTX76028752547668Phys ClinicTX501(c)(3)3TH Huguleyfalse
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 Grpfalse
TH Behavioral Health Hospital Corinth
612 E Lamar BlvdArlingtonTX76011814317635HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Medical Support
612 E Lamar BlvdArlingtonTX76011812833150Spec DrugsTX501(c)(3)10TH 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
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
TH Recovery and Wellness Center
240 Miller RoadMansfieldTX76063812813227Resd Trmt CtrTX501(c)(3)3TH Resourcesfalse
Texas Health Resources Foundation
612 E Lamar BlvdArlingtonTX76011752022128FundraisingTX501(c)(3)7TH 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
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
TH Behavioral Health Hospital Plano
6110 W Parker RdPlanoTX75093812792484InactiveTX501(c)(3)3TH Resourcesfalse
TH Behavioral Health Hospital Bedford
2717 Tibbets DrBedfordTX76022812798838InactiveTX501(c)(3)3TH Resourcesfalse
TH Specialty Hospital Fort Worth
1301 Pennsylvania AveFort WorthTX76104751648589LT HospitalTX501(c)(3)3TH Resourcesfalse
WW Ward Endowment Fund Trust
612 E Lamar BlvdArlingtonTX76011756196065Nursing GrantTX501(c)(3)12aTH Foundatiofalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (36 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AMH Cath Labs LLC
811 Wright StArlingtonTX76012203003947HospitalTXna
Arlington Surgery Center LLC
918 N Davis DrArlingtonTX76012752055800Amb Surg CtrTXna
Cleburne Imaging LLC
PO Box 820519DallasTX75382460767278Medical ImagiTXna
Cleburne Surgical Center LLC
2010 W Katherine P Raines Blvd StCleburneTX76033203742012Amb Surg CtrTXna
Denton Surgery Center LLC
207 North Bonnie BreaDentonTX76201470926556Amb Surg CtrTXna
Flower Mound Hospital Partners LLC
4400 Long Prairie RdFlower MoundTX75028260684968HospitalTXna
Fort Worth Endoscopy Centers LLC
900 W Magnolia Ave 101Fort WorthTX76104770368346Endoscopy CtrTXna
FTH DFW Partners LLC
1401 E Trinity Mills RdCarrolltonTX75006473381640Hospital/ERTXna
Greenville Surgery Center LLC
7150 Greenville Ave Ste 200DallasTX75231742411643Amb Surg CtrTXna
Health Imaging Partners LLC
8610 Explorer Drive Ste 300Colorado SpringsCO80920271385885Medical ImagiTXna
North Dallas Surgical Center LLC
17980 Dallas Parkway Ste 100DallasTX75287272248103Amb Surg CtrTXna
Opthalmology Surgery Center of Dallas LL
10740 N Central ExpyDallasTX75231261914835Amb Surg CtrTXna
Park Hill Surgery Center LLC
3455 Locke AveFort WorthTX76107451484375Amb Surg CtrTXna
Physicians Medical Center LLC
6020 W Parker RdPlanoTX75093481281376HospitalTXna
Presbyterian Cancer Ctr-Dallas LLC
PO Box 819067DallasTX75381260422749Cancer CtrTXna
Rockwall Regional Hospital LLC
3150 Horizon RdRockwallTX75032202848116HospitalTXna
Southlake Specialty Hospital LLC
1545 E Southlake BlvdSouthlakeTX76092020555370HospitalTXna
Surgical Caregivers of Fort Worth LLC
2001 W Rosedale StreetFort WorthTX76104751925497Amb Surg CtrTXna
Texas Health Craig Ranch Surgery Center
8080 State Hwy 121 Ste 100McKinneyTX75070383897811Amb Surg CtrTXna
Texas Health Spine Surgery Center Allen
1120 Raintree Cir Ste 100AllenTX75013300957868Amb Surg CtrTXna
Texas Health Spine Surgery Center Allian
1545 E Southlake Blvd Ste 100SouthlakeTX76092320571301InactiveTXna
Texas Health Orthopedic Surgery Center A
9848 North Beach StFort WorthTX76244814977249Amb Surg CtrTXna
Texas Health Surgery Center Alliance LLC
10840 Texas Health Trail Ste 100Fort WorthTX76244822296081Amb Surg CtrTXna
Texas Health Surgery Center Bedford LLC
1605 Airport Freeway Suite 100BedfordTX76021821307876Amb Surg CtrTXna
Texas Health Surgery Center Irving LLC
2120 N MacArthur Blvdd Ste 200IrvingTX75061831085415Amb Surg CtrTXna
Texas Health Flower Mound Orthopedic Sur
5000 Long Prairie RoadFlower MoundTX75028800866449Amb Surg CtrTXna
Texas Health Surgery Center Preston Plaz
17950 Preston Road Ste 75DallasTX75252203991622Amb Surg CtrTXna
Texas Health Surgery Center Rockwall LLC
3144 Horizon Rd Ste 120RockwallTX75032474425996Amb Surg CtrTXna
Texas Health Surgery Center South Arling
569 Brookwood Village ste 901BirminghamAL35209999999999InactiveTXna
Texas Institute for Surgery LLP
7715 Greenville Ave Ste 100DallasTX75231770628004HospitalTXna
THR-STT Rockwall ASC LLC
1545 E Southlake BlvdSouthlakeTX76092262429878Amb Surg CtrTXna
THR-STT Southlake ASC LLC
1545 E Southlake BlvdSouthlakeTX76092201728912Amb Surg CtrTXna
USMD Hospital at Arlington LP
801 I -20 WestArlingtonTX76017731662763HospitalTXna
USMD Hospital at Fort Worth LP
5900 Altamesa BlvdFort WorthTX76132203571243HospitalTXna
Wilson Creek Surigcal Center LLC
8855 synergy DrMcKinneyTX75070274816583Amb Surg CtrTXna
Women's Specialty Surgery Center of Dall
8230 Walnut Hill Ln Ste 101DallasTX75231262310072Amb Surg CtrTXna

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
Grace Indemnity Company Ltd
1159 Caribbean PlazaGrand CaymanCJKY 1-1102981209573Captive InsurCJNAC Corpfalse
Texas Health Biomedical Advancement Cent
752636884ResearchNAC Corpfalse612 E Lamar BlvdArlingtonTX76011TX
THR Primary Care Ext Physcian Network
465365421InactiveNAC Corpfalse612 E Lamar BlvdArlingtonTX76011TX
Charitable Remainder Trusts (4)
465365421CR TrustNATrustfalse612 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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