TEXAS HEALTH HUGULEY INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- TEXAS HEALTH HUGULEY INC (EIN 45-2694620)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-15
- IRS object ID
- 201903199349305235
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-15T09:58:57-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452694620 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEXAS HEALTH HUGULEY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TEXA | BusinessNameControlTxt |
| Phone | 8175512704 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11801 S FREEWAY | AddressLine1Txt |
| City | BURLESON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76028 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN C ADDISCOTT | PersonNm |
| Person Title | ASSISTANT SECRETARY | PersonTitleTxt |
| Phone | 8175512704 | PhoneNum |
| Signature | 2019-11-08 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 204.139.85.142 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-08 | IPDt |
| IP Tm | 11:22:28 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KENNETH FINCH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11801 S FREEWAY | AddressLine1Txt |
| City | BURLESON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76028 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $210,428,528 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TEXASHEALTHHUGULEY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF A 356 BED HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $1,162,938 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $347,841 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,149 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,192 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $200,077,676 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $210,385,283 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,461,448 | PYInvestmentIncomeAmt |
| CY Investment Income | $592,022 | CYInvestmentIncomeAmt |
| PY Other Revenue | $988,347 | PYOtherRevenueAmt |
| CY Other Revenue | -$796,071 | CYOtherRevenueAmt |
| PY Total Revenue | $202,542,620 | PYTotalRevenueAmt |
| CY Total Revenue | $210,183,426 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $18,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,800 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,525,748 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $181,065,744 | PYOtherExpensesAmt |
| CY Other Expenses | $184,737,136 | CYOtherExpensesAmt |
| PY Total Expenses | $181,083,744 | PYTotalExpensesAmt |
| CY Total Expenses | $186,273,684 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $21,458,876 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $23,909,742 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $220,562,799 | TotalAssetsBOYAmt |
| Total Assets EOY | $216,862,897 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $50,024,324 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,379,315 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $170,538,475 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $190,483,582 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO EXTEND THE HEALING MINISTRY OF CHRIST BY IDENTIFYING AND MEETING THE HEALTH NEEDS OF OUR COMMUNITY, PROVIDING QUALITY, CUSTOMER ORIENTED AND COST EFFECTIVE SERVICES, AND ENSURING ACCESS TO THOSE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $175,360,494 | ExpenseAmt |
| Grant | $10,800 | GrantAmt |
| Revenue | $208,410,856 | RevenueAmt |
| Desc | OPERATION OF ACUTE CARE HOSPITAL TOTALING 356 BEDS WITH 10,694 PATIENT ADMISSIONS, 46,769 PATIENT DAYS, AND 112,930 OUTPATIENT VISITS IN THE CURRENT YEAR. | Desc |
| Total Program Service Expenses | $175,360,494 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JESSE SUTTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8175512704 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11801 S FREEWAY | AddressLine1Txt |
| City | BURLESON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76028 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| HAFFNER PHD RANDALL L | |||||||
| CHAIRMAN | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| BERENZWEIG MD HAROLD K | |||||||
| DIRECTOR | 0.20 | 50.00 | Yes (X) | $0 | $853,069 | $61,838 | |
| CANOSE MD JEFFREY L | |||||||
| DIRECTOR/VICE CHAIRMAN | 0.20 | 50.00 | Yes (X) | $0 | $1,528,574 | $189,975 | |
| FORD MD RONNY | |||||||
| DIRECTOR | 0.20 | 50.00 | Yes (X) | $0 | $331,027 | $33,407 | |
| GAMMON BRENDA | |||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $200 | $0 | $0 | |
| KING JAMES KIRK | |||||||
| DIRECTOR | 0.20 | 50.00 | Yes (X) | $0 | $874,110 | $150,838 | |
| KING LENETRA | |||||||
| DIRECTOR (BEGAN 6/2018) | 0.20 | 50.00 | Yes (X) | $0 | $289,564 | $19,883 | |
| LONG RONALD R | |||||||
| DIRECTOR | 0.20 | 50.00 | Yes (X) | $0 | $1,377,596 | $67,174 | |
| MOORE LARRY | |||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $200 | $0 | $0 | |
| PATEL MD DEEPAK | |||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SECHRIST SHERI | |||||||
| DIRECTOR (BEGAN 1/2018) | 0.20 | 50.00 | Yes (X) | $200 | $0 | $0 | |
| SEIFERT LEWIS A | |||||||
| DIRECTOR (ENDED 1/2018) | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SHAW EDD KENNETH | |||||||
| DIRECTOR | 0.20 | 0.00 | Yes (X) | $200 | $0 | $0 | |
| SOLER EDDIE | |||||||
| DIRECTOR (BEGAN 6/2018) | 0.20 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| FINCH KENNETH A | |||||||
| CEO | 42.50 | 2.50 | $1,009,833 | $59,402 | $135,863 | Yes (X) | |
| SUTTON JESSE L | |||||||
| CFO | 35.50 | 3.50 | $323,640 | $31,909 | $70,266 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,334,273 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,345,251 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $729,244 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SOUND PHYSICIANS OF NEW MEXICO | |||||
| 1498 PACIFIC AVENUE SUITE 400 | TACOMA | WA | 98402 | HOSPITALIST STAFFING | $3,358,004 |
| NORTHSTAR ANESTHESIA PA | |||||
| 6225 N STATE HWY 161 SUITE 200 | IRVING | TX | 75038 | ANESTHESIA SERVICES | $1,370,993 |
| ASSOCIATED REGIONAL AND UNIVERSITY PATHO | |||||
| 500 CHIPETA WAY | SALT LAKE CITY | UT | 84108 | LABORATORY SERVICES | $785,065 |
| HUGULEY PATHOLOGY CONSULTANTS | |||||
| PO BOX 879 | BURLESON | TX | 76028 | LABORATORY MEDICAL DIRECTOR/SUBSIDY SERV | $761,199 |
| GE HEALTHCARE | |||||
| PO BOX 96843 | CHICAGO | IL | 60693 | IMAGING EQUIPMENT SERVICES | $701,969 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| All Other Contributions | $2,192 | AllOtherContributionsAmt |
| Total Contributions | $2,192 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $205,138,123 | $205,138,123 | |
| MEDICAL OFFICE BUILDING | 622110 | $1,470,324 | $1,470,324 | |
| LAB REVENUE | 622110 | $951,145 | $88,439 | $862,706 |
| CAFETERIA REVENUE | 622110 | $759,910 | $512,121 | $247,789 |
| FITNESS CENTER REVENUE | 622110 | $746,215 | $746,215 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,319,566 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,267,123 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $52,443 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $210,385,283 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $652,797 | TotalRevenueColumnAmt |
| Exclusion | $652,797 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,418 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,418 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,418 | TotalRevenueColumnAmt |
| Exclusion | $15,418 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $184,327 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $241,454 | SecuritiesAmt |
| Other | $3,648 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$241,454 | SecuritiesAmt |
| Other | $180,679 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$60,775 | TotalRevenueColumnAmt |
| Exclusion | -$60,775 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EQUITY EARNINGS FROM RELATED ENTI | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | -$811,489 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$811,489 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$811,489 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $210,183,426 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $208,410,856 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,162,938 | UnrelatedBusinessRevenueAmt |
| Exclusion | $607,440 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,800 | TotalAmt |
| Program Services | $10,800 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,525,748 | TotalAmt |
| Management And General | $1,525,748 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,275 | TotalAmt |
| Management And General | $60,275 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,611 | TotalAmt |
| Management And General | $138,611 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,525 | TotalAmt |
| Management And General | $123,525 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,944,648 | TotalAmt |
| Program Services | $106,516,262 | ProgramServicesAmt |
| Management And General | $5,428,386 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $728,863 | TotalAmt |
| Management And General | $728,863 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,690,032 | TotalAmt |
| Program Services | $2,764,913 | ProgramServicesAmt |
| Management And General | $925,119 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,754,676 | TotalAmt |
| Program Services | $6,741,856 | ProgramServicesAmt |
| Management And General | $1,012,820 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,528,010 | TotalAmt |
| Program Services | $3,528,010 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,296 | TotalAmt |
| Program Services | $40,405 | ProgramServicesAmt |
| Management And General | $421,891 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,624 | TotalAmt |
| Management And General | $287,624 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $732,896 | TotalAmt |
| Program Services | $732,896 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,548,784 | TotalAmt |
| Program Services | $10,548,784 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $960,653 | TotalAmt |
| Program Services | $828,557 | ProgramServicesAmt |
| Management And General | $132,096 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $32,345,387 | $32,345,387 | |
| STATE TAX INDIGENT ASSE | $6,213,575 | $6,213,575 | |
| REPAIRS & MAINTENANCE | $5,008,214 | $5,008,214 | |
| UBI TAXES | $52,828 | $52,828 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,239 | TotalAmt |
| Program Services | $80,835 | ProgramServicesAmt |
| Management And General | $75,404 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,273,684 | TotalAmt |
| Program Services | $175,360,494 | ProgramServicesAmt |
| Management And General | $10,913,190 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,000 | BOYAmt |
| EOY | $5,900 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,149,867 | BOYAmt |
| EOY | $34,961,894 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,806,881 | BOYAmt |
| EOY | $23,145,853 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,887,347 | BOYAmt |
| EOY | $4,642,734 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,250,110 | BOYAmt |
| EOY | $2,095,061 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $184,195,292 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $49,456,288 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,723,755 | BOYAmt |
| EOY | $134,739,004 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,718,215 | BOYAmt |
| EOY | $10,906,726 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,938 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,981,686 | BOYAmt |
| EOY | $6,365,725 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,562,799 | BOYAmt |
| EOY | $216,862,897 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,272,052 | BOYAmt |
| EOY | $4,636,924 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,494,918 | BOYAmt |
| EOY | $3,346,048 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,718,465 | BOYAmt |
| EOY | $4,339,944 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,538,889 | BOYAmt |
| EOY | $14,056,399 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,024,324 | BOYAmt |
| EOY | $26,379,315 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,860,698 | BOYAmt |
| EOY | $188,821,355 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,750 | BOYAmt |
| EOY | $249,200 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,413,027 | BOYAmt |
| EOY | $1,413,027 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,538,475 | BOYAmt |
| EOY | $190,483,582 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,562,799 | BOYAmt |
| EOY | $216,862,897 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $23,909,742 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$977,678 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,986,957 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $5,919 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,919 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AMERICAN HOSPITAL ASSOCIATION AND TEXAS HOSPITAL ASSOCIATION DUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,413,027 | BeginningYearBalanceAmt |
| End Year Balance | $1,413,027 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,475,927 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $109,260 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $172,160 | OtherExpendituresAmt |
| End Year Balance | $1,413,027 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,458,575 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,352 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,475,927 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,482,569 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$23,994 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,458,575 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,449,336 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $33,233 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,482,569 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,888,354 | OtherCostOrOtherBasisAmt |
| Book Value | $6,888,354 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $107,156,791 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,313,094 | DepreciationAmt |
| Book Value | $86,843,697 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,041,302 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,796,298 | DepreciationAmt |
| Book Value | $31,245,004 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,108,845 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,346,896 | DepreciationAmt |
| Book Value | $9,761,949 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $134,739,004 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN COMMUNITY HOSPICE OF | Desc |
| Book Value | $10,906,726 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $10,906,726 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $12,828 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED | $4,136,722 |
| PAYABLE TO THIRD PARTIES | $935,514 |
| CREDIT BALANCES IN A/R | $192,581 |
| INTERCO ALLOC OF TE BOND PROCEEDS | $63,045 |
| LEASES PAYABLE | $1,424,057 |
| DUE TO AFFILIATED | $5,925,585 |
| OTHER LIABILITIES | $1,366,067 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,056,399 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE FILING ORGANIZATION'S ENDOWMENT CONSISTS OF TWO DONOR-RESTRICTED ENDOWMENT FUNDS ESTABLISHED TO SUPPORT A VARIETY OF PURPOSES INCLUDING THE ACQUISITION AND MAINTENANCE OF THE HOSPITAL'S EQUIPMENT, AND ASSISTANCE TO THE HELPING HAND FUND WHICH PROVIDES ASSISTANCE TO ORGANIZATIONS AND NEEDY INDIVIDUALS WITHIN THE COMMUNITY. AN ENDOWNMENT FUND TOTALING $1,313,027 HAS A DONOR-IMPOSED RESTRICTION ON THE INVESTMENT RETURN TO BE USED EXCLUSIVELY FOR CAPITAL IMPROVEMENTS AND MAINTENANCE OF THE HOSPITAL. THE REMAINING FUND HAS NO DONOR-IMPOSED RESTRICTION ON ITS INVESTMENT RETURN. PART V, LINE 1A, COLUMN (A) PRIOR FOUR YEARS - EXPLANATION FOR CHANGES IN BALANCES: TEXAS HEALTH HUGULEY, INC. (THE FILING ORGANIZATION) IS SUBJECT TO THE STATE OF TEXAS'S ENACTED VERSION OF THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT (UPMIFA). THE BOARD OF DIRECTORS OF THE COMPANY HAS INTERPRETED THE UPMIFA AS REQUIRING THE PRESERVATION OF THE FAIR VALUE OF THE ORIGINAL GIFT AS OF THE GIFT DATE OF THE DONOR-RESTRICTED ENDOWMENT FUNDS ABSENT EXPLICIT DONOR STIPULATIONS TO THE CONTRARY. AS A RESULT OF THIS INTERPRETATION, THE FILING ORGANIZATION CLASSIFIES AS PERMANENTLY RESTRICTED NET ASSETS THE ORIGINAL VALUE OF GIFTS DONATED TO THE PERMANENT ENDOWMENT WHICH FOR YEARS 2014 THRU 2018 TOTALED $1,413,027. DURING YEAR 2015, IT CAME TO THE FILING ORGANIZATION'S ATTENTION THAT THE REMAINING PORTION OF THE DONOR-RESTRICTED ENDOWMENT FUND THAT IS CLASSIFIED AS TERMPORARILY RESTRICTED NET ASSETS WAS MISTAKENLY EXLUCUDED. FOR THIS REASON, THE BALANCE FOR 2014 WAS RESTATED TO INCLUDE $45,548 IN TEMPORARILY RESTRICTED ENDOWMENTS PER AUDITED FINANCIAL STATEMENTS. |
| PART X, LINE 2: | THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR THE TWELVE-MONTH PERIOD ENDED 12/31/2018 INCLUDE THE FILING ORGANIZATION AND TWO OF ITS SUBSIDIARIES: HUGULEY MEDICAL ASSOCIATES (HMA), A NONPROFIT, TAX-EXEMPT PHYSICIAN GROUP, AND JOHNSON COUNTY COMMUNITY CARE CORPORATION (JCCC), A TEXAS NONPROFIT, TAX-EXEMPT CORPORATION. THESE CONSOLIDATED AUDITED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING FIN 48 FOOTNOTE: THE COMPANY IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES. ACCORDINGLY, THE COMPANY AND ITS TAX-EXEMPT AFFILIATE ARE NOT SUBJECT TO FEDERAL, STATE OR LOCAL INCOME TAXES EXCEPT FOR ANY NET UNRELATED BUSINESS TAXABLE INCOME. FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED BY THE COMPANY AND ITS TAX-EXEMPT AFFILIATE DID NOT GENERATE A MATERIAL AMOUNT OF COMBINED FEDERAL, STATE OR LOCAL INCOME TAX. PRIOR TO JANUARY 2017, HMA WAS A FOR-PROFIT SUBSIDIARY OF THE COMPANY, SUBJECT TO FEDERAL AND STATE INCOME TAXES AND FILED A FEDERAL AND STATE INCOME TAX RETURN. EFFECTIVE JANUARY 2017, HMA CONVERTED TO TAX-EXEMPT STATUS AND UPON CONVERSION WAS REQUIRED TO TREAT THE CONVERSION AS IF THE TAXABLE CORPORATION TRANSFERRED ALL ITS ASSETS TO ONE OR MORE TAX-EXEMPT ENTITIES, RECOGNIZING A GAIN OR LOSS IMMEDIATELY UPON THE TRANSFER AS IF SUCH ASSETS WERE SOLD AT FAIR MARKET VALUE. AN ANALYSIS WAS PERFORMED TO DETERMINE IF ANY TAXABLE GAIN (LOSS) RESULTED FROM THE CONVERSION AND IT WAS DETERMINED THAT HMA GENERATED A TAX LOSS OF APPROXIMATELY $2,400,000. AS OF DECEMBER 31, 2016, HMA HAD A TOTAL OF FEDERAL NET OPERATING LOSS (NOL) CARRYFORWARD OF APPROXIMATELY $11,200,000, EXCLUSIVE OF THE $2,400,000 CONVERSION LOSS. THIS NOL IS NOT AVAILABLE TO CARRY FORWARD TO HMA IN TAXABLE YEARS BEGINNING JANUARY 2017. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,831,226 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,831,226 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06890 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,945,512 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,549,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,395,637 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01290 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,776,738 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,549,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,226,863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08180 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $269,167 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $269,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,765 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $51,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $320,932 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $320,932 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,097,670 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,549,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,547,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08350 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,800 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,800 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $21,405,573 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,996,433 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $39,301,786 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $39,045,896 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $255,890 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11801 S FREEWAY | AddressLine1Txt |
| City | BURLESON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76028 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.TEXASHEALTHHUGULEY.ORG | WebsiteAddressTxt |
| State License | 100157 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | PART V, SECTION B, LINE 5: TEXAS HEALTH HUGULEY, INC. (THH OR THE HOSPITAL) OPERATES A 356-BED ACUTE-CARE HOSPITAL FACILITY IN BURLESON, TEXAS IN THE FORT WORTH, TEXAS AREA. THH'S COMMUNITY CONSISTS OF 12 ZIP CODES LOCATED IN JOHNSON AND TARRANT COUNTY, TEXAS AND IS POPULATED BY APPROXIMATELY 282,000 RESIDENTS. APPROXIMATELY 11.8% OF THE COMMUNITY'S RESIDENTS ARE ABOVE THE AGE OF 65 AND APPROXIMATELY 28.5% ARE LESS THAN AGE 18. THE HISPANIC POPULATION PERCENTAGE IS APPROXIMATELY 24.5% OF THE HOSPITAL'S COMMUNITY. APPROXIMATELY 89.5% OF CHILDREN AND 74.5% OF ADULTS IN THE PRIMARY SERVICE AREA HAVE HEALTH INSURANCE. ON AVERAGE, 14.8% OF THE HOSPITAL'S COMMUNITY LIVES BELOW THE FEDERAL POVERTY LEVEL. THE MEMBERSHIP OF THH IS HELD BY TEXAS HEALTH RESOURCES (51%) AND ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (49%), BOTH ORGANIZATIONS ARE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3).THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED BY THE HOSPITAL WAS A COLLABORATIVE PROCESS WITH THE HEALTHY COMMUNITIES INSTITUTE (HCI), A XEROX CORPORATION, CONTRACTED BY TEXAS HEALTH RESOURCES. HCI IS BASED IN BERKELEY, CALIFORNIA AND PROVIDES CUSTOMIZABLE, WEB-BASED INFORMATION SYSTEMS THAT OFFER A FULL RANGE OF TOOLS AND CONTENT TO IMPROVE COMMUNITY HEALTH, AND DEVELOPED THE HEALTHY NORTH TEXAS PLATFORM. VAST AMOUNTS OF QUALITATIVE AND QUANTITATIVE DATA WERE COLLECTED, REFINED, AND ANALYZED. TWO INTERVIEW SESSIONS WERE CONDUCTED AT THE END OF 2015, AND ONE FOCUS GROUP DISCUSSION WITH 11 ATTENDEES TOOK PLACE AT THE BEGINNING OF 2016. THE INTERVIEWS AND FOCUS GROUP CAPTURED VALUABLE COMMUNITY INPUT AND PROVIDED ADDITIONAL INSIGHT INTO THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS. INFORMATION AND DATA WERE GATHERED FROM OPEN-ENDED DISCUSSIONS AIMED AT SOLICITING INPUT FROM INTERVIEW PARTICIPANTS, INCLUDING THOSE REPRESENTING THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE HOSPITAL'S COMMUNITY, AND FROM A SURVEY INSTRUMENT COMPLETED BY APPROXIMATELY 540 COMMUNITY MEMBERS. COMMUNITY REPRESENTATIVES INCLUDED, AMONG OTHERS, THE FOLLOWING ORGANIZATIONS/GOVERNMENT AGENCIES: THE BURLESON POLICE DEPARTMENT; THE BURLESON AREA CHAMBER OF COMMERCE; THE BURLESON INDEPENDENT SCHOOL DISTRICT; MEALS ON WHEELS OF JOHNSON AND ELLIS COUNTIES; AND CRAZY 8 MINISTRIES, AN ORGANIZATION FOCUSED ON BRINGING HEALING TO THE BODY, SOUL, AND SPIRIT. JOHNSON COUNTY DOES NOT HAVE A COUNTY HEALTH DEPARTMENT. TO GET THE INPUT OF PUBLIC HEALTH PROFESSIONALS, THH RELIED ON THE INPUT OF REPRESENTATIVES OF THE TARRANT COUNTY HEALTH DEPARTMENT FROM CHNA MEETINGS OF A RELATED HOSPITAL. |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2018 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016 AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT IN 2017 PRIOR TO MAY 15, 2017. THIS IS THE SECOND-YEAR UPDATE FOR TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH'S 2017-2019 COMMUNITY HEALTH PLAN (IMPLEMENTATION STRATEGY). TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH DEVELOPED THIS PLAN AND POSTED IT BY MAY 15, 2017 AS PART OF ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY, AND UNDERSERVED POPULATIONS IN OUR SERVICE AREA. THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT USED PRIMARY DATA INTERVIEWS AND SURVEYS; SECONDARY DATA FROM LOCAL, REGIONAL, AND NATIONAL HEALTH-RELATED SOURCES; AND HOSPITAL PREVALENCE DATA TO HELP THE HOSPITAL DETERMINE THE HEALTH NEEDS OF THE COMMUNITY WE SERVE. ONCE THE DATA WAS GATHERED, THE PRIMARY ISSUES IDENTIFIED IN THE NEEDS ASSESSMENT WERE PRIORITIZED BY COMMUNITY AND HOSPITAL STAKEHOLDERS, WHO THEN SELECTED KEY ISSUES FOR THE HOSPITAL TO ADDRESS IN ITS 2017-2019 COMMUNITY HEALTH PLAN. THE SECOND-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THE NARRATIVE DESCRIBES THE ISSUES IDENTIFIED IN 2016 AND GIVES AN UPDATE ON THE STRATEGIES ADDRESSING THOSE ISSUES. THERE IS ALSO A DESCRIPTION OF THE IDENTIFIED ISSUES THAT THE HOSPITAL IS NOT ADDRESSING.TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH CHOSE FOUR AREAS OF FOCUS FOR THEIR 2017-2019 COMMUNITY HEALTH PLAN: 1. ACCESS TO HEALTH SERVICES2. MENTAL HEALTH3. EXERCISE, NUTRITION AND WEIGHT GAIN4. OLDER ADULTS AND AGINGPRIORITY 1: ACCESS TO HEALTH SERVICES2016 DESCRIPTION OF THE ISSUE: BASED ON COMMUNITY INPUT, KEY BARRIERS TO ACCESSING HEALTHCARE SERVICES IN THE COMMUNITY INCLUDE A LACK OF AWARENESS OF AVAILABLE RESOURCES AND LOW LEVELS OF LITERACY IN UNDERSTANDING HOW TO MANAGE AND NAVIGATE A COMPLEX HEALTH CARE SYSTEM. 2018 UPDATE: TO ADDRESS THE PRIORITY OF ACCESS TO HEALTH SERVICES, TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH CREATED TWO STRATEGIES: A MOBILE HEALTH INITIATIVE AND THE DEVELOPMENT OF STRATEGIC COMMUNITY PARTNERSHIPS. IN THE PRIOR YEAR, THE HOSPITAL SENT THE MOBILE HEALTH UNIT TO 12 LOCATIONS WITHIN THE COMMUNITY AND SAW APPROXIMATELY 2,500 UNIQUE INDIVIDUALS PER YEAR AS WELL AS MADE COMMUNITY HEALTH CLASSES MORE ACCESSIBLE TO IMPROVE THE WELLBEING OF THE COMMUNITY. IN 2018, THE MOBILE HEALTH UNIT VISITED 30 LOCATIONS, AND OFFERED IMMUNIZATIONS, SCREENINGS, TESTING, AND MORE TO THOSE UNABLE TO ACCESS HEALTHCARE DUE TO LACK OF TRANSPORTATION OR ADEQUATE FINANCIAL RESOURCES. THE MOBILE HEALTH UNIT ALSO ATTENDED SEVERAL COMMUNITY EVENTS AND OFFERED THE SAME SERVICES. THROUGH THESE EFFORTS, 4,614 PATIENTS WERE SEEN ON THE MOBILE HEALTH UNIT IN 2018. BETWEEN COMMUNITY HEALTH CLASSES HOSTED AT THE HOSPITAL AND COMMUNITY COLLABORATION/EVENT PARTNERSHIP, 10,000 INDIVIDUALS WERE REACHED. THE OUTCOME EXCEEDED THE EXPECTATIONS. THE HOSPITAL DID NOT REVISE OR ADJUST THE OUTCOME STATEMENTS OR METRICS AND DOES NOT HAVE PLANS TO ADD ANY METRICS OR STRATEGIES CURRENTLY. THE HOSPITAL IS A PART OF SEVERAL COMMUNITY COLLABORATIONS THAT WORKED ON CONTRIBUTING TO THIS PRIORITY, INCLUDING: CRAZY 8 MINISTRIES, PARTNERSHIPS WITH LOCAL INDEPENDENT SCHOOL DISTRICT (ISD), NEXT STEP WOMEN'S CENTER, ONE SAFE PLACE, AND THE BURLESON AREA CHAMBER OF COMMERCE. THE GREATEST CHALLENGE TO THIS ISSUE IS PROVIDING CONSISTENT EDUCATIONAL OPPORTUNITIES, AS WELL AS STAFFING AND MATERIALS FOR THE MOBILE HEALTH UNIT AND COMMUNITY CLASSES. PRIORITY 2: MENTAL HEALTH 2016 DESCRIPTION OF THE ISSUE: BASED ON COMMUNITY INPUT, MENTAL HEALTH DISORDERS ARE AMONG THE MOST COMMON FORMS OF DISABILITY. OFFERING ACCESSIBLE CARE IN THE APPROPRIATE SETTING IS A KEY IDENTIFIED NEED FOR THESE PATIENTS.2018 UPDATE: TO ADDRESS THE PRIORITY OF MENTAL HEALTH AND MENTAL DISORDERS, TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH CREATED TWO STRATEGIES: FIRST, PROMOTE FREE INTAKE ASSESSMENTS TO INCREASE THE NAVIGATION OF THE COMPLEX HEALTH CARE DELIVERY SYSTEM; AND SECOND, PARTNER WITH THE CITY OF EVERMAN AND EVERMAN ISD (INDEPENDENT SCHOOL DISTRICT) TO OFFER EDUCATION CLASSES AND SCREENING OPPORTUNITIES. THE HOSPITAL HOSTED ONE EVENT TO PROMOTE FREE ASSESSMENTS IN 2018. SIX HUNDRED INDIVIDUALS WERE SEEN THROUGH THE CITY OF EVERMAN AND EVERMAN ISD PARTNERSHIP. THIS PARTNERSHIP EXPERIENCED CHALLENGES WITH CHANGES IN STAFF AND ISSUES WITH STAFFING HOURS FOR EVENTS WHICH LED TO AN OUTCOME BELOW THE GOAL OF 1,000. THE HOSPITAL WILL CONTINUE TO WORK WITH CRAZY 8 MINISTRIES AND BURLESON AREA CHAMBER OF COMMERCE AS COMMUNITY COLLABORATIONS ON THIS PRIORITY. PRIORITY 3: EXERCISE, NUTRITION AND WEIGHT2016 DESCRIPTION OF THE ISSUE: BASED ON INPUT, EXERCISE, NUTRITION AND WEIGHT WAS IDENTIFIED AS AN ISSUE THROUGH DATA AND INTERVIEW GROUPS. THIS WAS EXPANDED AS OBESITY/OVERWEIGHT WERE IDENTIFIED AS A MAJOR ISSUE THROUGH ONLINE SURVEYS. 2018 UPDATE: TO ADDRESS THE PRIORITY OF EXERCISE, NUTRITION AND WEIGHT, TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH CREATED THREE STRATEGIES: FIRST, OFFER FREE COMMUNITY NUTRITION COURSES TO EDUCATE THE COMMUNITY ON HEALTHIER EATING OPTIONS; SECOND, OFFER STANFORD DIABETES SELF-MANAGEMENT PROGRAMS AND SUPPORT GROUPS; AND THIRD, OFFER EXERCISE COURSES THROUGH THE FITNESS CENTER TO ENCOURAGE HEALTHY HABITS. THE NUTRITION DEPARTMENT HELD A FREE COMMUNITY NUTRITION CLASS ON A QUARTERLY BASIS. THE METRIC FOR THE SECOND STRATEGY WAS TO OFFER SIX DIABETES MANAGEMENT PROGRAMS PER YEAR, AND THE HOSPITAL OFFERED EIGHT. IN ORDER TO MEET THE METRIC OF OFFERING FOUR EXERCISE COURSES, THE TEXAS HEALTH HUGULEY FITNESS CENTER PARTNERED WITH CRAZY 8 MINISTRIES CITY ON A HILL FESTIVAL, THE BURLESON FIRE DEPARTMENT, BE HEALTHY BURLESON RUN AND THE ALVARADO CHAMBER OF COMMERCE TO OFFER A DEMONSTRATION OR EDUCATION AT EACH EVENT. THE HOSPITAL IS A PART OF SEVERAL COMMUNITY COLLABORATIONS THAT WORKED ON THIS PRIORITY, INCLUDING: CRAZY 8 MINISTRIES, THE CITY OF BURLESON, MEALS ON WHEELS OF JOHNSON COUNTY, BE HEALTHY BURLESON AND THE BURLESON AREA CHAMBER OF COMMERCE. THE GREATEST CHALLENGE TO THIS ISSUE IS STAFFING FOR OFFERED NUTRITION COURSES, DIABETES PROGRAMS, AND EXERCISE COURSES.*** SEE CONTINUATION OF PART V, SECTION B, LINE 11 |
| PART V, SECTION B, LINES 7A AND 10A | LINE 7A. HOSPITAL FACILITY CHNA WEBSITE:HTTP://WWW.TEXASHEALTHHUGULEY.ORG/ABOUT-US/SERVING-OUR-COMMUNITYLINE 10A. COMMUNITY HEALTH PLAN (IMPLEMENATION STRATEGIES):HTTP://WWW.TEXASHEALTHHUGULEY.ORG/ABOUT-US/COMMUNITY-BENEFIT |
| PART V, SECTION B, LINE 16A, 16B, AND 16C | 16A. FAP WEBSITE:HTTPS://WWW.TEXASHEALTHHUGULEY.ORG/PATIENTS-VISITORS/AFTER-MY-STAY/FINANCIAL-ASSISTANCE16B. FAP APPLICATION WEBSITE:HTTPS://WWW.TEXASHEALTHHUGULEY.ORG/PATIENTS-VISITORS/AFTER-MY-STAY/FINANCIAL-ASSISTANCE16C. PLAIN LANGUAGE SUMMARY OF FAP WEBSITE:HTTPS://WWW.TEXASHEALTHHUGULEY.ORG/PATIENTS-VISITORS/AFTER-MY-STAY/FINANCIAL-ASSISTANCE |
| *** CONTINUATION OF PART V, SECTION B, LINE 11 | PRIORITY 4: OLDER ADULTS AND AGING2016 DESCRIPTION OF THE ISSUE: BASED ON INPUT AND DATA, 65+ POPULATION IS GROWING AT A FASTER PACE THAN MOST OTHER AGE GROUPS. THIS INCREASE IN THE AGING POPULATION REQUIRES ADDITIONAL PROGRAMS AND RESOURCES AIMED AT IMPROVING THE HEALTH, FUNCTION, AND QUALITY OF LIFE OF OLDER ADULTS.2018 UPDATE: TO ADDRESS THE PRIORITY OF OLDER ADULTS AND AGING, TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH CREATED TWO STRATEGIES: FIRST, EDUCATING SENIORS ON HEALTHY LIVING ACTIVITY AND ENVIRONMENTS THROUGH STROKE, CHEST PAIN, AND TRAUMA SEMINARS; AND SECOND, UTILIZING THE HOSPITAL'S SENIOR CLASS PROGRAM TO OFFER SOCIAL, EDUCATIONAL, AND DEVELOPMENTAL ACTIVITIES FOR OLDER ADULTS. THE HOSPITAL HOSTED FIVE STROKE AND HEART HEALTH SCREENING EVENTS, AS WELL AS FOUR SAFE ENVIRONMENT COURSES, EXCEEDING THE GOAL OF TWO STROKE AND HEART HEALTH AND TWO SAFE ENVIRONMENT OFFERINGS. THE HOSPITAL ALSO EXCEEDED THE EXPECTED SIX SENIOR CLASS ACTIVITIES BY OFFERING EIGHT. THE HOSPITAL IS A PART OF SEVERAL COMMUNITY COLLABORATIONS THAT WORKED ON THIS PRIORITY, INCLUDING: MEALS ON WHEELS OF JOHNSON COUNTY, LOCAL SENIOR CENTERS AND RETIREMENT HOMES, AND THE BURLESON AREA CHAMBER OF COMMERCE. THE GREATEST CHALLENGE TO THIS ISSUE IS STAFFING FOR THE SENIOR CLASS AND EFFECTIVELY PROMOTING THE ACTIVITIES.COMMUNITY NEEDS NOT CHOSEN BY TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTHTHE PRIMARY AND SECONDARY DATA IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MULTIPLE COMMUNITY ISSUES. HOSPITAL AND COMMUNITY STAKEHOLDERS USED THE FOLLOWING CRITERIA TO NARROW THE LARGER LIST TO THE PRIORITY AREAS NOTED ABOVE:1. HOW ACUTE IS THE NEED? (BASED ON DATA AND COMMUNITY CONCERN)2. WHAT IS THE TREND? IS THE NEED GETTING WORSE?3. DOES THE HOSPITAL PROVIDE SERVICES THAT RELATE TO THE PRIORITY? 4. IS SOMEONE ELSE OR MULTIPLE GROUPS IN THE COMMUNITY ALREADY WORKING ON THIS ISSUE? 5. IF THE HOSPITAL WERE TO ADDRESS THIS ISSUE, ARE THERE OPPORTUNITIES TO WORK WITH COMMUNITY PARTNERS? BASED ON THIS PRIORITIZATION PROCESS, THE HOSPITAL DID NOT CHOOSE THE FOLLOWING COMMUNITY ISSUES: - CANCER: LACK OF EXPERTISE AND RELIANCE ON A STRONG PARTNERSHIP. THE HOSPITAL WILL CONTINUE TO PARTICIPATE BY SUPPORTING REFERRALS FROM SUSAN G. KOMEN FOUNDATION FOR MAMMOGRAPHY AND WORKING WITH MONCRIEF INSTITUTE TO PROVIDE MAMMOGRAPHY, CLINICAL BREAST EXAMINATIONS, AND PAP SMEARS. - HEART DISEASE & STROKE: THOUGH NOT A PRIORITIZED AREA, THE HOSPITAL HAS CERTIFICATIONS IN STROKE AND CHEST PAIN. THE HOSPITAL WILL OFFER ANNUAL EDUCATION COURSES ON EACH TOPIC AND PARTNER WITH COMMUNITY ORGANIZATIONS AS NECESSARY. THIS EDUCATION ELEMENT IS ALSO SEEN AS PART OF THE OLDER ADULTS AND AGING CATEGORY ABOVE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - TEXAS HEALTH HUGULEY IMAGING CENTER | ||||
| 12001 S FREEWAY SUITE 100 | BURLESON | TX | 76028 | OUTPATIENT IMAGING |
| 2 - CENTER FOR WOUND CARE & HYPERBARIC MED | ||||
| 12001 S FREEWAY SUITE 301 | BURLESON | TX | 76028 | OUTPATIENT WOUND CARE |
| 3 - OUTPATIENT REHABILITATION | ||||
| 215 OLD HIGHWAY 1187 | BURLESON | TX | 76028 | OUTPATIENT REHAB THERAPY |
| 4 - OUTPATIENT MRI | ||||
| 215 OLD HIGHWAY 1187 | BURLESON | TX | 76028 | OUTPATIENT MRI |
| 5 - TEXAS HEALTH HUGULEY SURGERY CENTER | ||||
| 12001 S FREEWAY SUITE 101 | BURLESON | TX | 76028 | OUTPATIENT SURGICAL CENTER |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS. |
| PART III, LINE 2: | THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 OF SECTION A OF PART III IS RECORDED IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO REVENUE, NOT BAD DEBT EXPENSE. |
| PART III, LINE 3: | METHODOLOGY FOR DETERMINING THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT MAY REPRESENT PATIENTS WHO COULD HAVE QUALIFIED UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY:SELF-PAY PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM). IF AN INDIVIDUAL DOES NOT SUBMIT A COMPLETE FAA FORM WITHIN 240 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL, AN INDIVIDUAL MAY BE CONSIDERED FOR PRESUMPTIVE ELIGIBILITY BASED UPON A SCORING TOOL THAT IS DESIGNED TO CLASSIFY PATIENTS INTO GROUPS OF VARYING ECONOMIC MEANS. THE SCORING TOOL USES ALGORITHMS THAT INCORPORATE DATA FROM CREDIT BUREAUS, DEMOGRAPHIC DATABASES, AND HOSPITAL SPECIFIC DATA TO INFER AND CLASSIFY PATIENTS INTO RESPECTIVE ECONOMIC MEANS CATEGORIES. INDIVIDUALS WHO EARN A CERTAIN SCORE ON THE SCORING TOOL ARE CONSIDERED TO QUALIFY AS ELIGIBLE FOR THE MOST GENEROUS FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. AS DETERMINED BY THE FILING ORGANIZATION, A NOMINAL AMOUNT OF SUCH A PATIENT'S BILL IS WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING PORTION OF THE PATIENT'S BILL IS CONSIDERED NON-STATE CHARITY. THE AMOUNT WRITTEN OFF AS BAD DEBT EXPENSE FOR THOSE PATIENTS WHO POTENTIALLY QUALIFY AS NON-STATE CHARITY USING THE SCORING TOOL IS THE AMOUNT SHOWN ON LINE 3 OF SECTION A OF PART III. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY. |
| PART III, LINE 4: | FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 7-9. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS. |
| PART III, LINE 8: | COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. |
| PART III, LINE 9B: | THE HOSPITAL FILING ORGANIZATION'S COLLECTION PRACTICES ARE IN CONFORMITY WITH THE REQUIREMENTS SET FORTH IN THE 2014 FINAL REGULATIONS REGARDING THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(R)(4) - (R)(6). NO EXTRAORDINARY COLLECTION ACTIONS (ECA'S) ARE INITIATED BY THE HOSPITAL FILING ORGANIZATION IN THE 120-DAY PERIOD FOLLOWING THE DATE AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL (OR, IF LATER, THE SPECIFIED DEADLINE GIVEN IN A WRITTEN NOTICE OF ACTIONS THAT MAY BE TAKEN, AS DESCRIBED BELOW). INDIVIDUALS ARE PROVIDED WITH AT LEAST ONE WRITTEN NOTICE (NOTICE OF ACTIONS THAT MAY BE TAKEN) AND A COPY OF THE FILING ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY THAT INFORMS THE INDIVIDUAL THAT THE HOSPITAL FILING ORGANIZATION MAY TAKE ACTIONS TO REPORT ADVERSE INFORMATION TO CREDIT REPORTING AGENCIES/BUREAUS IF THE INDIVIDUAL DOES NOT SUBMIT A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM) OR PAY THE AMOUNT DUE BY A SPECIFIED DEADLINE. THE SPECIFIED DEADLINE IS NOT EARLIER THAN 120 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL AND IS AT LEAST 30 DAYS AFTER THE NOTICE IS PROVIDED. A REASONABLE ATTEMPT IS ALSO MADE TO ORALLY NOTIFY AN INDIVIDUAL ABOUT THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FAA FORM DURING THE 240-DAY PERIOD FOLLOWING THE DATE ON WHICH THE FIRST POST-DISCHARGE BILLING STATEMENT WAS SENT TO THE INDIVIDUAL, THE HOSPITAL FILING ORGANIZATION SUSPENDS ANY REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS (OR CEASES ANY OTHER ECA'S) AND PROVIDES A WRITTEN NOTICE TO THE INDIVIDUAL DESCRIBING WHAT ADDITIONAL INFORMATION OR DOCUMENTATION IS NEEDED TO COMPLETE THE FAA FORM. THIS WRITTEN NOTICE CONTAINS CONTACT INFORMATION INCLUDING THE TELEPHONE NUMBER AND PHYSICAL LOCATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY, AS WELL AS CONTACT INFORMATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS OR, ALTERNATIVELY, A NONPROFIT ORGANIZATION OR GOVERNMENTAL AGENCY THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS IF THE HOSPITAL FACILITY IS UNABLE TO DO SO. IF AN INDIVIDUAL SUBMITS A COMPLETE FAA FORM WITHIN A REASONABLE TIME-PERIOD AS SET FORTH IN THE NOTICE DESCRIBED ABOVE, THE HOSPITAL FILING ORGANIZATION WILL SUSPEND ANY ADVERSE REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS UNTIL A FINANCIAL ASSISTANCE POLICY ELIGIBILITY DETERMINATION CAN BE MADE. |
| SUPPLEMENTAL SCHEDULE TO SCHEDULE H, PART III, SECTION B | RECONCILIATION OF SCHEDULE H REPORTED MEDICARE SURPLUS/(SHORTFALL) TO UNREIMBURSED MEDICARE COSTS ASSOCIATED WITH THE PROVISION OF SERVICESTO ALL MEDICARE BENEFICIARIES:THE MEDICARE REVENUE AND ALLOWABLE COSTS OF CARE REPORTED IN SECTION B OF PART III OF SCHEDULE H ARE BASED UPON THE AMOUNTS REPORTED IN THE FILING ORGANIZATION'S MEDICARE COST REPORT IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR SCHEDULE H. ON AN ANNUAL BASIS, THE FILING ORGANIZATION ALSO DETERMINES ITS TOTAL UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO ALL MEDICARE PATIENTS. UNREIMBURSED COSTS ARE CONSIDERED A COMMUNITY BENEFIT TO THE ELDERLY AND ARE COMBINED INTO AN ANNUAL COMMUNITY BENEFIT STATEMENT PREPARED BY ADVENTHEALTH. THE PRIMARY RECONCILING ITEMS BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H AND THE FILING ORGANIZATION'S UNREIMBURSED COSTS OF SERVICES PROVIDED TO MEDICARE PATIENTS ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ 255,890- DIFFERENCE IN COSTING METHODOLOGY: (1,877,632)- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (9,677,964) -------------TOTAL UNREIMBURSED COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITYBENEFIT REPORTING: $(11,299,706) AS INDICATED ABOVE, THE PRIMARY DIFFERENCES BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 AND THE FILING ORGANIZATION'S DETERMINATION OF UNREIMBURSED COSTS REPORTED AS A BENEFIT TO THE ELDERLY IS DUE TO A DIFFERENCE IN THE COSTING METHODOLOGY AND DIFFERENCES IN THE POPULATION OF MEDICARE PATIENTS WITHIN THE CALCULATION. THE COST METHODOLOGY UTILIZED IN CALCULATING ANY MEDICARE SURPLUS/(SHORTFALL) FOR PURPOSES OF THE ANNUAL COMMUNITY BENEFIT REPORTING IS BASED UPON THE COST-TO-CHARGE RATIO OUTLINED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE SAME COST-TO-CHARGE RATIO IS USED TO DETERMINE THE COSTS ASSOCIATED WITH SERVICES PROVIDED TO CHARITY CARE PATIENTS AND MEDICAID PATIENTS AS REPORTED IN SCHEDULE H, PART I, LINE 7. IN ADDITION, THE MEDICARE COST REPORT EXCLUDES SERVICES PROVIDED TO MEDICARE PATIENTS FOR PHYSICIAN SERVICES, SERVICES PROVIDED TO PATIENTS ENROLLED IN MEDICARE HMOS, AND CERTAIN SERVICES PROVIDED BY OUTPATIENT DEPARTMENTS OF THE FILING ORGANIZATION THAT ARE REIMBURSED ON A FEE SCHEDULE. THE COMPANY'S OWN COMMUNITY BENEFIT STATEMENT CAPTURES THE UNREIMBURSED COST OF PROVIDING SERVICES TO ALL MEDICARE BENEFICIARIES THROUGHOUT THE ORGANIZATION. |
| PART VI, LINE 2: | THE HOSPITAL CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) DURING 2013 AND 2016. IT'S 2016 CHNA WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2016, THE END OF THE HOSPITAL'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNA. THE HOSPITAL'S 2016 CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. A HOSPITAL OPERATING/COMMUNITY BOARD COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2. POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITY; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITY. |
| PART VI, LINE 3: | THE FINANCIAL ASSISTANCE POLICY (FAP), FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) OF THE FILING ORGANIZATION'S HOSPITAL FACILITY ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR THE HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITE. THE WEBSITE INDICATES THAT A COPY OF THE FAP, FAA FORM, AND PLS IS AVAILABLE AND HOW TO OBTAIN SUCH COPIES IN THE PRIMARY LANGUAGES OF ANY POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITY, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS THE HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP, FAA FORM, AND PLS CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT TO OBTAIN COPIES OF THE FAP, FAA FORM AND PLS OR TO OBTAIN MORE INFORMATION ABOUT THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY AND BY MAIL. PAPER COPIES ARE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGES OF ANY LEP DEFINED POPULATIONS. THE FILING ORGANIZATION'S HOSPITAL FACILITY'S FINANCIAL COUNSELORS SEEK TO PROVIDE PERSONAL FINANCIAL COUNSELING TO ALL INDIVIDUALS ADMITTED TO THE HOSPITAL FACILITY WHO ARE CLASSIFIED AS SELF-PAY DURING THE COURSE OF THEIR HOSPITAL STAY OR AT TIME OF DISCHARGE TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | THE FILING ORGANIZATION CURRENTLY OPERATES TEXAS HEALTH HUGULEY (THH) A 356-BED ACUTE-CARE HOSPITAL IN BURLESON, TEXAS. THE HOSPITAL INCLUDES A MEDICAL INTENSIVE CARE UNIT, A CARDIOVASCULAR CRITICAL CARE UNIT, A PROGRESSIVE CARE UNITY, OPEN HEART SURGERY CENTER AND BEHAVIORAL HEALTH. IN ADDITION, THE HOSPITAL HAS AN ACCREDITED BONE AND JOINT PROGRAM, AN ACCREDITED CHEST PAIN CENTER, AND AN AWARD-WINNING EMERGENCY DEPARTMENT. MORE THAN 350 PRIMARY CARE AND SPECIALTY PHYSICIANS PROVIDE A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES. PART OF THH'S PRIMARY SERVICE AREA INCLUDES A NUMBER OF SMALLER COMMUNITIES WITH LIMITED ACCESS TO HEALTHCARE SERVICES. TO MEET THE NEEDS OF THESE RESIDENTS, THH HAS A SUBSIDIARY THAT OPERATES MULTIPLE PRIMARY CARE CLINICS THROUGHOUT ITS PRIMARY SERVICE AREA. IN ADDITION, THE MOBILE HEALTH SERVICES BUS PROVIDES HEALTH SCREENINGS AND WELLNESS EDUCATION SERVICES THROUGHOUT TARRANT AND JOHNSON COUNTIES. BURLESON, TEXAS IS LOCATED IN JOHNSON COUNTY AND SERVES THE SOUTH FORT WORTH AREA. THE HOSPITAL'S COMMUNITY HAS A POPULATION OF APPROXIMATELY 282,000, WITH AN ESTIMATED 11.8% OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME, BASED ON POPULATION, IN THE COMMUNITY IS APPROXIMATELY $57,405. APPROXIMATELY 19.4% OF THE HOSPITAL'S COMMUNITY MEMBERS AGE 25 OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IT IS ESTIMATED THAT 14.8% OF THE HOSPITAL'S COMMUNITY LIVE BELOW THE POVERTY LEVEL AND THE UNEMPLOYMENT RATE IS ABOUT 8.5%. APPROXIMATELY 50.6% OF THE HOSPITAL'S PATIENTS DURING 2018 WERE MEDICARE PATIENTS, ABOUT 11.3% WERE MEDICAID PATIENTS, ABOUT 11.2% WERE SELF-PAY PATIENTS AND THE REMAINING PERCENTAGE WERE PATIENTS COVERED UNDER COMMERCIAL INSURANCE. IN 2018, ABOUT 70.6% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. |
| PART VI, LINE 5: | THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO TEXAS HEALTH HUGULEY'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE FILING ORGANIZATION IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE FIING ORGANIZATION'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE FILING ORGANIZATION COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE HOSPITAL CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE FILING ORGANIZATION PROVIDED $24,837 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY. THE FILING ORGANIZATION ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE FILING ORGANIZATION EXPENDED $6,350,562 IN NEW CAPITAL IMPROVEMENTS. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE FILING ORGANIZATION IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY. |
| PART VI, LINE 6: | AS EXPLAINED IN OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 6, TEXAS HEALTH HUGULEY, INC. (THH OR THE HOSPITAL) HAS TWO MEMBERS. THE MEMBERS ARE TEXAS HEALTH RESOURCES AND ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI). AHSSI IS A WHOLLY-OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. THH IS ABLE TO DRAW UPON THE EXPERTISE AND LEADERSHIP OF BOTH ITS HEALTH SYSTEM MEMBERS IN ITS EFFORT TO CREATE EXCELLENT PATIENT EXPERIENCES AND OFFER A BROAD SPECTRUM OF HEALTH SERVICES NEEDED IN ITS COMMUNITY.DURING ITS CURRENT TAX YEAR, THH WAS MANAGED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 44 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 11 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. PURSUANT TO A MANAGEMENT SERVICES AGREEMENT, AHSSHC PROVIDES MANAGEMENT AND CERTAIN CONSULTING SERVICES TO TEXAS HEALTH HUGULEY. MANAGEMENT AND CONSULTING SERVICES INCLUDE PERSONNEL ADMINISTRATION, PROCUREMENT, HEALTH INFORMATION MANAGEMENT, MAINTENANCE AND SECURITY, CONTRACTS, FINANCIAL ACCOUNTING SYSTEMS AND BUDGET DEVELOPMENT.THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION IN A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITAL AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. EACH ADVENTHEALTH SUBSIDIARY PAYS A MANAGEMENT FEE TO AHSSHC FOR THE INTERNAL SERVICES PROVIDED BY AHSSHC. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY AN ADVENTHEALTH SUBSIDIARY ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY BY ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF ADVENTHEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEB-SITE OF ADVENTHEALTH AT WWW.ADVENTHEALTH.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF ADVENTHEALTH. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | TX |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHWESTERN ADVENTIST UNIVERSITY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 W HILLCREST ST | AddressLine1Txt |
| City | KEENE | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76059 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 750891465 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $10,500 | CashGrantAmt |
| Purpose Of Grant | GENERAL SUPPORT- GALA SPONSORSHIP | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE GENERALLY MADE ONLY TO AFFILIATED ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) AND TO OTHER LOCAL CHARITABLE ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) AND 501(C)(6). ACCORDINGLY, THE FILING ORGANIZATION HAS NOT ESTABLISHED SPECIFIC PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES AS THE FILING ORGANIZATION DOES NOT HAVE A GRANT MAKING PROGRAM THAT WOULD NECESSITATE SUCH PROCEDURES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BERENZWEIG MD HAROLD K | ||||||||||||||
| DIRECTOR | $0 | $513,374 | $0 | $250,830 | $0 | $88,865 | $0 | $20,625 | $0 | $41,213 | $0 | $914,907 | $0 | $82,585 |
| CANOSE MD JEFFREY L | ||||||||||||||
| DIRECTOR/VICE CHAIRMAN | $0 | $846,285 | $0 | $497,960 | $0 | $184,329 | $0 | $147,838 | $0 | $42,137 | $0 | $1,718,549 | $0 | $112,689 |
| FORD MD RONNY | ||||||||||||||
| DIRECTOR | $0 | $208,618 | $0 | $103,826 | $0 | $18,583 | $0 | $7,005 | $0 | $26,402 | $0 | $364,434 | $0 | $0 |
| KING JAMES KIRK | ||||||||||||||
| DIRECTOR | $0 | $512,688 | $0 | $241,960 | $0 | $119,462 | $0 | $99,714 | $0 | $51,124 | $0 | $1,024,948 | $0 | $75,344 |
| KING LENETRA | ||||||||||||||
| DIRECTOR (BEGAN 6/2018) | $0 | $241,488 | $0 | $17,851 | $0 | $30,225 | $0 | $2,235 | $0 | $17,648 | $0 | $309,447 | $0 | $0 |
| LONG RONALD R | ||||||||||||||
| DIRECTOR | $0 | $704,489 | $0 | $522,441 | $0 | $150,666 | $0 | $20,625 | $0 | $46,549 | $0 | $1,444,770 | $0 | $223,733 |
| FINCH KENNETH A | ||||||||||||||
| CEO | $505,006 | $29,706 | $194,813 | $11,460 | $310,014 | $18,236 | $100,224 | $5,896 | $28,091 | $1,652 | $1,138,148 | $66,950 | $74,076 | $4,357 |
| SUTTON JESSE L | ||||||||||||||
| CFO | $238,221 | $23,487 | $59,313 | $5,848 | $26,106 | $2,574 | $30,283 | $2,986 | $33,677 | $3,320 | $387,600 | $38,215 | $7,488 | $738 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE INDIVIDUAL WHO SERVES AS THE CEO OF THE FILING ORGANIZATION IS COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), AN UNRELATED ENTITY AS DISCLOSED IN OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 3, FOR THAT INDIVIDUAL'S ROLE IN SERVING AS THE CEO PURSUANT TO THE MANAGEMENT SERVICES AGREEMENT BETWEEN THE FILING ORGANIZATION AND AHSSHC. COMPENSATION AND BENEFITS PROVIDED TO THIS INDIVIDUAL ARE DETERMINED PURSUANT TO POLICIES, PROCEDURES, AND PROCESSES OF AHSSHC THAT ARE DESIGNED TO ENSURE COMPLIANCE WITH THE INTERMEDIATE SANCTIONS LAWS AS SET FORTH IN IRC SECTION 4958. AHSSHC HAS TAKEN STEPS TO ENSURE THAT PROCESSES ARE IN PLACE TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS STANDARD AS SET FORTH IN TREASURY REGULATION 53.4958-6 WITH RESPECT TO ITS ACTIVE EXECUTIVE-LEVEL POSITIONS. THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE) SERVES AS THE GOVERNING BODY FOR ALL EXECUTIVE COMPENSATION MATTERS. THE COMMITTEE IS COMPOSED OF CERTAIN MEMBERS OF THE BOARD OF DIRECTORS (THE BOARD) OF AHSSHC. VOTING MEMBERS OF THE COMMITTEE INCLUDE ONLY INDIVIDUALS WHO SERVE ON THE BOARD AS INDEPENDENT REPRESENTATIVES OF THE COMMUNITY, WHO HOLD NO EMPLOYMENT POSITIONS WITH AHSSHC AND WHO DO NOT HAVE RELATIONSHIPS WITH ANY OF THE INDIVIDUALS WHOSE COMPENSATION IS UNDER THEIR REVIEW THAT IMPACTS THEIR BEST INDEPENDENT JUDGMENT AS FIDUCIARIES OF AHSSHC. THE COMMITTEE'S ROLE IS TO REVIEW AND APPROVE ALL COMPONENTS OF THE EXECUTIVE COMPENSATION PLAN OF AHSSHC. AS AN INDEPENDENT GOVERNING BODY WITH RESPECT TO EXECUTIVE COMPENSATION, IT SHOULD BE NOTED THAT THE COMMITTEE WILL OFTEN CONFER IN EXECUTIVE SESSIONS ON MATTERS OF COMPENSATION POLICY AND POLICY CHANGES. IN SUCH EXECUTIVE SESSIONS, NO MEMBERS OF MANAGEMENT OF AHSSHC ARE PRESENT. THE COMMITTEE IS ADVISED BY AN INDEPENDENT THIRD PARTY COMPENSATION ADVISOR. THIS ADVISOR PREPARES ALL THE BENCHMARK STUDIES FOR THE COMMITTEE. COMPENSATION LEVELS ARE BENCHMARKED WITH A NATIONAL PEER GROUP OF OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS OF SIMILAR SIZE AND COMPLEXITY TO ADVENTHEALTH AND EACH OF ITS AFFILIATED ENTITIES. THE FOLLOWING PRINCIPLES GUIDE THE ESTABLISHMENT OF INDIVIDUAL EXECUTIVE COMPENSATION: - THE SALARY OF THE PRESIDENT/CEO OF ADVENTHEALTH WILL NOT EXCEED THE 50TH PERCENTILE OF COMPARABLE SALARIES PAID BY SIMILARLY SITUATED ORGANIZATIONS; AND - OTHER EXECUTIVE SALARIES SHALL BE ESTABLISHED USING MARKET MEDIANS. THE COMPENSATION PHILOSOPHY, POLICIES, AND PRACTICES OF AHSSHC ARE CONSISTENT WITH THE ORGANIZATION'S FAITH-BASED MISSION AND CONFORM TO APPLICABLE LAWS, REGULATIONS, AND BUSINESS PRACTICES. AS A FAITH-BASED ORGANIZATION SPONSORED BY THE SEVENTH-DAY ADVENTIST CHURCH (THE CHURCH), AHSSHC'S PHILOSOPHY AND PRINCIPLES WITH RESPECT TO ITS EXECUTIVE COMPENSATION PRACTICES REFLECT THE CONSERVATIVE APPROACH OF THE CHURCH'S MISSION OF SERVICE AND WERE DEVELOPED IN COUNSEL WITH THE CHURCH'S LEADERSHIP. |
| PART I, LINE 4B | NONQUALIFIED RETIREMENT PLAN CERTAIN OF THE BOARD MEMBERS ARE COMPENSATED BY TEXAS HEALTH RESOURCES (THR), A RELATED ENTITY TO THE FILING ORGANIZATION, AND ARE COVERED BY A NONQUALIFIED RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS MADE AVAILABLE TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES, AS DETERMINED BY THE THR BOARD OF TRUSTEES, WHO ARE PROVIDING SERVICES IN 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 SEPARATIONS FOR WHICH 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). BERENZWEIG, MD, HAROLD K. 82,585 CANOSE, MD, JEFFREY L. 112,689 KING, JAMES K. 75,344 LONG, RONALD R. 223,733 FORM 990, PART VII, SECTION A, LINE 5: KENNETH FINCH, CEO, AND JESSE SUTTON, CFO, WERE COMPENSATED BY AHSSHC IN 2018 FOR SERVICES PROVIDED TO THE FILING ORGANIZATION. PLEASE SEE OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 3 FOR A DISCUSSION CONCERNING THE FILING ORGANITIONS AFFILIATION WITH AHSSHC. COMPENSATION FOR KENNETH FINCH AND JESSE SUTTON IS DISCLOSED IN SCHEDULE J, PART II. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 1A: | EFFECTIVE JANUARY 1, 2012, TEXAS HEALTH HUGULEY, INC. (THE FILING ORGANIZATION) ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). A 501(C)(3) SUBSIDIARY HOSPITAL ORGANIZATION OF AHSSHC, ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI), OWNS A 49% MEMBER INTEREST IN THE FILING ORGANIZATION. AHSSHC HAS ESTABLISHED A SHARED SERVICE CENTER TO CENTRALIZE THE ACCOUNTS PAYABLE (A/P) FUNCTION FOR ALL AHSSHC SUBSIDIARY ORGANIZATIONS. THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A BECAUSE THE FILING ORGANIZATION NO LONGER ISSUES FORM 1099 RETURNS, RATHER, ALL SUCH RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF AHSSHC AS THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. THE FACTS AND CIRCUMSTANCES SUPPORT A POSITION THAT AHSSHC, AS A PAYOR ON BEHALF OF ITS SUBSIDIARY ORGANIZATIONS IN A SHARED SERVICE ENVIRONMENT, WILL HAVE SUFFICIENT MANAGEMENT AND OVERSIGHT IN CONNECTION WITH THE SUBSIDIARY ORGANIZATIONS' PAYMENTS TO MEET THE STANDARD SET FORTH IN TREAS. REG. SECTION 1.6041-1(E). AHSSHC WILL NOT MERELY BE MAKING PAYMENTS AT THE DIRECTION OF ITS SUBSIDIARY ORGANIZATIONS. ACCORDINGLY, AHSSHC IS CONSIDERED THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE MEMBERS OF THE BOARD OF DIRECTORS LISTED ON PART VII OF THIS FORM 990 INCLUDE THE FILING ORGANIZATION'S GOVERNING BOARD AND THE MEMBERS OF THE FILING ORGANIZATION'S HOSPITAL BOARD. THE HOSPITAL BOARD IS PRIMARILY RESPONSIBLE FOR MATTERS OF THE HOSPITAL INVOLVING THE OVERSIGHT OF MEDICAL STAFF (INCLUDING THE REVIEW AND APPROVAL OF MEDICAL STAFF BYLAWS, AND APPROVAL OF APPOINTMENTS TO AND DISMISSALS FROM THE MEDICAL STAFF), CARE OF PATIENTS, IMPROVEMENTS TO LAND, BUILDINGS AND EQUIPMENT, QUALITY ASSESSMENT AND IMPROVEMENT PROGRAMS IMPLEMENTED AT THE HOSPITAL AND RISK MANAGEMENT FUNCTIONS. |
| FORM 990, PART VI, SECTION A, LINE 3 | EFFECTIVE JANUARY 1, 2012, TEXAS HEALTH HUGULEY, INC. (THE FILING ORGANIZATION) ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). DURING THE CURRENT YEAR, AHSSHC SERVED AS A PARENT ORGANIZATION TO 24 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS AND A NUMBER OF OTHER HEALTH CARE FACILITIES THAT OPERATED IN 10 STATES WITHIN THE U.S. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). A 501(C)(3) SUBSIDIARY HOSPITAL ORGANIZATION OF AHSSHC, ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI), OWNS A 49% MEMBER INTEREST IN THE FILING ORGANIZATION. UNDER THE MANAGEMENT SERVICES AGREEMENT (THE AGREEMENT), AHSSHC MUST FOLLOW THE POLICIES OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS. MANAGERIAL SERVICES PROVIDED BY AHSSHC INCLUDED OVERSIGHT AND DAY TO DAY MANAGEMENT OF THE FILING ORGANIZATION'S HOSPITAL, INCLUDING THE FOLLOWING FUNCTIONS: PERSONNEL ADMINISTRATION, INCLUDING RECRUITMENT, HIRING, TRAINING, PROMOTING, DIRECTING AND TERMINATING PERSONNEL; PROCUREMENT, INCLUDING THE ACQUISITION OF FOOD AND BEVERAGE ITEMS, SUPPLIES, DEVICES, FURNITURE, AND MEDICAL EQUIPMENT; HEALTH INFORMATION MANAGEMENT; MAINTENANCE AND SECURITY; CONTRACTING FOR SERVICES AND CONSULTING SERVICES; FINANCIAL ACCOUNTING SYSTEMS; DEVELOPMENT OF OPERATIONAL AND CAPITAL BUDGETS; BILLING AND COLLECTION OF RECEIVABLES AND REMITTANCES OF PAYABLES; PATIENT SAFETY AND QUALITY SYSTEMS; MARKETING; REGULATORY COMPLIANCE; ADMINISTRATION - POLICIES AND PROCEDURES, INCLUDING APPOINTMENT OF THE CFO, COO, AND CNO. THE INDIVIDUALS WHO SERVE AS OFFICERS OF THE FILING ORGANIZATION IN THE ROLES OF CEO AND CFO ARE LISTED IN PART VII, SECTION A. IN 2018, THESE INDIVIDUALS WERE COMPENSATED BY AND ON THE PAYROLL OF AHSSHC FOR SERVICES RENDERED TO THE FILING ORGANIZATION. THEIR COMPENSATION HAS BEEN REPORTED ON PART VII AND SCHEDULE J IN ACCORDANCE WITH THE INSTRUCTIONS FOR PART VII, SECTION A, LINE 5. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ARTICLES OF INCORPORATION OF THE FILING ORGANIZATION PROVIDE THAT 51% OF THE MEMBERSHIP IN THE FILING ORGANIZATION SHALL BE HELD BY TEXAS HEALTH RESOURCES, THE SOLE CLASS A MEMBER, AND 49% OF THE MEMBERSHIP IN THE FILING ORGANIZATION SHALL BE HELD BY ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI), THE SOLE CLASS B MEMBER. BOTH AHSSI AND THR ARE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THERE ARE NO OTHER CLASSES OF MEMBERSHIP IN THH. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE BOARD OF DIRECTORS (GOVERNING BOARD) OF THE FILING ORGANIZATION ARE APPOINTED BY THR (MAJORITY MEMBER) AND AHSSI (MINORITY MEMBER). THE MAJORITY MEMBER IS ENTITLED TO ELECT THREE DIRECTORS TO THE BOARD OF THE FILING ORGANIZATION AND THE MINORITY MEMBER IS ENTITLED TO ELECT TWO DIRECTORS TO THE BOARD. IN ADDITION, THE MEMBERSHIP SHALL APPOINT FOR THE HOSPITAL A COMMUNITY HOSPITAL BOARD TO OVERSEE THE OPERATIONS OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN GOVERNANCE POWERS ARE RESERVED TO THE MEMBERS OF THE FILING ORGANIZATION. THE GOVERNING DOCUMENTS OF THE FILING ORGANIZATION DESCRIBE THOSE MATTERS REQUIRING ONLY AN AFFIRMITIVE VOTE OF THE CLASS A MEMBER (THR), THOSE MATTERS REQUIRING ONLY AN AFFIRMATIVE VOTE OF THE CLASS B MEMBER (AHSSI) AND THOSE MATTERS REQUIRING A SUPERMAJORITY VOTE OF THE MEMBERS. A SUPERMAJORITY VOTE REQUIRES AN AFFIRMATIVE VOTE OF NOT LESS THAN 52% OF THE OUTSTANDING MEMBERSHIP INTERESTS. THE RESERVED POWERS REQUIRING AN AFFIRMATIVE VOTE OF ONLY THE CLASS A MEMBER, THR, INCLUDE THE FOLLOWING: 1) TO APPROVE OR AMEND MANAGED CARE CONTRACTS TO WHICH THE FILING ORGANIZATION IS A PARTICIPATING PROVIDER; 2) TO APPROVE THE STRATEGIC PLANS OF THE FILING ORGANIZATION; 3) TO APPROVE THE ANNUAL OPERATING PLANS AND OPERATING AND CAPITAL BUDGET OF THE FILING ORGANIZATION; AND 4) TO APPROVE THE SELECTION, REMOVAL AND/OR MODIFICATION OF THE AUTHORITY AND RESPONSIBILITIES OF LAWYERS, ACCOUNTANTS AND OTHER ADVISORS AND CONSULTANTS TO THE FILING ORGANIZATION THAT ARE NOT OTHERWISE IDENTIFIED IN THE APPROVED ANNUAL OPERATING BUDGET. THE RESERVED POWERS REQUIRING AN AFFIRMATIVE VOTE OF ONLY THE CLASS B MEMBER, AHSSI, INCLUDE THE FOLLOWING: 1) TO APPROVE CHANGES TO THE MISSION, VISION, OR VALUES OF THE HOSPITAL; 2) TO APPROVE CHANGES TO RELIGIOUS AFFILIATION OF HOSPITAL; AND 3) TO APPROVE CHANGES TO OPERATIONAL POLICIES, PLANS, PROCEDURES THAT ARE SPECIFICALLY RELATED TO THE HOSPITAL'S RELIGIOUS AFFILIATION WITH THE SEVENTH-DAY ADVENTIST CHURCH. BOTH THR, THE MAJORITY MEMBER, AND AHSSI, THE MINORITY MEMBER HAVE THE RESERVED POWER TO TERMINATE THE APPOINTMENT OF THE INDIVIDUAL HOLDING THE OFFICE OF PRESIDENT/CEO. THE FOLLOWING MATTERS REQUIRE A SUPERMAJORITY VOTE OF THE MEMBERSHIP: 1) TO AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) TO CHANGE THE NAME OF THE HOSPITAL; 3) TO ADD NEW CORPORATE MEMBERS OF THE FILING ORGANIZATION; 4) TO APPOINT AND REMOVE THE HOSPITAL BOARD; 5) TO APPROVE DISTRIBUTIONS OF CASH AND OTHER PROPERTY; 6) TO APPROVE THE BORROWING OF MONEY OR OTHERWISE COMMITTING THE CREDIT OF THE FILING ORGANIZATION FOR CORPORATE ACTIVITIES, AND THE VOLUNTARY PREPAYMENT OR EXTENSION OF DEBT IN EXCESS OF $200,000; 7) TO ADOPT AND THEREAFTER AMEND QUALITY AND/OR RISK MANAGEMENT PLANS; 8) TO APPROVE THE TRANSFER OF CORPORATE PROPERTY HAVING A VALUE IN EXCESS OF $500,000; 9) TO APPROVE ANY SALE, LEASE, TRANSFER, MERGER OR CONSOLIDATION OF THE FILING ORGANIZATION WITH A THIRD PARTY; 10) TO DISSOLVE THE FILING ORGANIZATION; 11) TO APPROVE THE FORMATION OF ANY SUBSIDIARY OF THE FILING ORGANIZATION OR APPROVE THE FILING ORGANIZATION ENTERING INTO ANY AFFILIATION OR JOINT VENTURE AGREEMENT; AND 12) TO APPROVE ANY SINGLE CAPITAL BUDGET ITEM OF $1,000,000 (OR MORE). |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE CEO, CFO, AND BOARD CHAIRMAN PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THESE INDIVIDUALS DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTERESTS POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION, ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT GENERALLY MADE AVAILABLE TO THE PUBLIC AS A WHOLE. |
| PART VII, SECTION A, COLUMN (B) | FOR THOSE BOARD OF DIRECTOR MEMBERS WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION WITHIN THR. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES. |
| PART VIII, LINES 7A, B AND C: | THE AMOUNT SHOWN IN PART VIII, LINE 7C(I) OF THE FORM 990 REPRESENTS AN ALLOCATED SHARE OF CAPITAL GAIN/(LOSS) FROM A SYSTEM WIDE, CORPORATE ADMINISTERED, INVESTMENT PROGRAM. |
| FORM 990, PART IX, LINE 11G | PAYMENTS TO HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 8,822,465. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,822,465. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,358,040. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,358,040. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,352,799. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,352,799. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 1,185,663. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,185,663. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 97,628. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,628. RECRUITING: PROGRAM SERVICE EXPENSES 154,664. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 154,664. LEASED PERSONNEL: PROGRAM SERVICE EXPENSES 90,717,202. MANAGEMENT AND GENERAL EXPENSES 1,186,209. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,903,411. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,827,801. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,827,801. AHS MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,498,668. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,498,668. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 950,862. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 950,862. AHS SHARED SERVICE FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,792,647. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,792,647. |
| PART X, LINE 2 | THE AMOUNTS SHOWN ON LINE 2 OF PART X OF THIS RETURN INCLUDE THE FILING ORGANIZATION'S INTEREST IN A CENTRAL INVESTMENT POOL MAINTAINED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, THE FILING ORGANIZATION'S TOP-TIER PARENT. THE INVESTMENTS IN THE CENTRAL INVESTMENT POOL ARE RECORDED AT MARKET VALUE. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO SUBSIDIARY -2,971,408. OTHER ADJUSTMENTS -15,550. ROUNDING 1. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HUGULEY MEDICAL ASSOCIATES | |||||||||||
| 11801 SOUTH FREEWAY | BURLESON | TX | 76028 | 752547668 | PHYS. CLINIC | TX | 501(C)(3) | LINE 3 | TH HUGULEY | 0 | |
| JOHNSON COUNTY COMMUNITY CARE CORPORATION | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 452793120 | SUPPORT ORG. | TX | 501(C)(3) | LINE 12A | TH CLEBURNE | 0 | |
| NORTH TEXAS HEALTHY COMMUNITIES | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 464513182 | COMM SUPPORT | TX | 501(C)(3) | LINE 7 | TH RESOURCES | 0 | |
| SOUTHWESTERN HEALTH RESOURCES JOC | |||||||||||
| 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 811575989 | MANAGEMENT ORG. | TX | 501(C)(3) | LINE 12B | TH RESOURCES | 0 | |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL | |||||||||||
| 800 WEST RANDOL MILL RD | ARLINGTON | TX | 76012 | 750972805 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH BACK CARE | |||||||||||
| 9229 LBJ FREEWAY | DALLAS | TX | 75243 | 474724257 | PHYS. CLINIC | TX | 501(C)(3) | LINE 10 | TH PHYS GROUP | 0 | |
| TEXAS HEALTH BEHAVIORAL HEALTH HOSPITAL CORINTH | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 814317635 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH MEDICAL SUPPORT | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 812833150 | SPEC DRUGS | TX | 501(C)(3) | LINE 10 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE | |||||||||||
| 10864 TEXAS HEALTH TRAIL | FORT WORTH | TX | 76244 | 451502252 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE | |||||||||||
| 108 DENVER TRAIL | AZLE | TX | 76020 | 751748586 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE | |||||||||||
| 201 WALLS DR | CLEBURNE | TX | 76033 | 751977850 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | |||||||||||
| 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 756001743 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD | |||||||||||
| 1600 HOSPITAL PARKWAY | BEDFORD | TX | 76022 | 751438726 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | |||||||||||
| 6100 HARRIS PARKWAY | FORT WORTH | TX | 76132 | 752678857 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE | |||||||||||
| 411 BELKNAP | STEPHENVILLE | TX | 76401 | 751752253 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HOSPITAL FRISCO | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 831954982 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HOSPITAL MANSFIELD | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 831869297 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HUGULEY INC | |||||||||||
| 11801 S FREEWAY | BURLESON | TX | 76028 | 452694620 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HUGULEY SURGERY CENTER LLC | |||||||||||
| 12001 S FREEWAY | BURLESON | TX | 76028 | 821289045 | AMB SURG CTR | TX | 501(C)(3) | LINE 3 | TH HUGULEY | Yes (1) | |
| TEXAS HEALTH OUTPATIENT SURGERY CENTER ALLIANCE | |||||||||||
| 10840 TEXAS HEALTH TRAIL | FORT WORTH | TX | 76244 | 800800294 | INACTIVE | TX | 501(C)(3) | LINE 3 | TH ALLIANCE | 0 | |
| TEXAS HEALTH PHYSICIANS GROUP | |||||||||||
| 9229 LBJ FREEWAY | DALLAS | TX | 75243 | 752613493 | PHYS. CLINIC | TX | 501(C)(3) | LINE 10 | TH RESOURCES | 0 | |
| TEXAS HEALTH RECOVERY AND WELLNESS CENTER | |||||||||||
| 240 MILLER ROAD | MANSFIELD | TX | 76063 | 812813227 | RESD TRMT CTR | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH RESOURCES FOUNDATION | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 752022128 | FUNDRAISING | TX | 501(C)(3) | LINE 7 | TH RESOURCES | 0 | |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN | |||||||||||
| 1105 CENTRAL EXPRESSWAY N | ALLEN | TX | 75013 | 752890358 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | |||||||||||
| 8200 WALNUT HILL LN | DALLAS | TX | 75231 | 751047527 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON | |||||||||||
| 3000 NORTH INTERSTATE 35 | DENTON | TX | 76201 | 432008974 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | |||||||||||
| 850 ED HALL DRIVE | KAUFMAN | TX | 75142 | 752771437 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO | |||||||||||
| 6200 W PARKER RD | PLANO | TX | 75093 | 752770738 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH RESEARCH & EDUCATION INSTITUTE | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 752562191 | EDU& RESEARCH | TX | 501(C)(3) | LINE 4 | TH RESOURCES | 0 | |
| TEXAS HEALTH RESOURCES | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 752702388 | SYSTEM MANAGEMENT | TX | 501(C)(3) | LINE 12C | 0 | N/A | |
| TEXAS HEALTH SAEY BEHAVIORAL HEALTH HOSPITAL | |||||||||||
| 6110 W PARKER ROAD | PLANO | TX | 75093 | 812792484 | INACTIVE | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH SPRINGWOOD BEHAVIORAL HEALTH HOSPITAL | |||||||||||
| 2717 TIBBETS DRIVE | BEDFORD | TX | 76022 | 812798838 | INACTIVE | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH | |||||||||||
| 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 751648589 | LT HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| WW WARD ENDOWMENT FUND TRUST | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 756196065 | NURSING GRANTS | TX | 501(C)(3) | LINE 12A | TH FOUNDATION | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (36 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| AMH CATH LABS LLC | |||||||
| 811 WRIGHT ST | ARLINGTON | TX | 76012 | 203003947 | HOSPITAL | TX | N/A |
| ARLINGTON SURGERY CTR LLC | |||||||
| 918 N DAVIS DR | ARLINGTON | TX | 76012 | 752055800 | AMB SURG CTR | TX | N/A |
| CLEBURNE IMAGING LLC | |||||||
| PO BOX 820519 | DALLAS | TX | 75382 | 460767278 | MEDICAL IMAGING | TX | N/A |
| CLEBURNE SURGICAL CTR LLC | |||||||
| 2010 W KATHERINE P RAINES BLVD STE | CLEBURNE | TX | 76033 | 203742012 | AMB SURG CTR | TX | N/A |
| DENTON SURGERY CTR LLC | |||||||
| 207 NORTH BONNIE BREA | DENTON | TX | 76201 | 470926556 | AMB SURG CTR | TX | N/A |
| FLOWER MOUND HOSPITAL PRTS LLC | |||||||
| 4400 LONG PRAIRIE ROAD | FLOWER MOUND | TX | 75028 | 260684968 | HOSPITAL | TX | N/A |
| FORT WORTH ENDOSCOPY CTR LLC | |||||||
| 900 W MAGNOLIA AVE 101 | FORT WORTH | TX | 76104 | 770368346 | ENDOSCOPY CENTER | TX | N/A |
| FTH DFW PARTNERS LLC | |||||||
| 1401 E TRINITY MILLS RD | CARROLLTON | TX | 75006 | 473426036 | HOSPITAL/ER | TX | N/A |
| GREENVILLE SURGERY CTR LLC | |||||||
| 7150 GREENVILLE AVE STE 200 | DALLAS | TX | 75231 | 742411643 | AMB SURG CTR | TX | N/A |
| HEALTH IMAGING PRTS LLC | |||||||
| 8610 EXPLORER DRIVE STE 300 | COLORADO SPRINGS | CO | 80920 | 271385885 | MEDICAL IMAGING | TX | N/A |
| NORTH DALLAS SURGICAL CTR LLC | |||||||
| 17980 DALLAS PKW STE 100 | DALLAS | TX | 75287 | 272248103 | AMB SURG CTR | TX | N/A |
| OPTHALMOLOGY SURGERY CTR OF DALLAS | |||||||
| 10740 N CENTRAL EXPY | DALLAS | TX | 75231 | 261914835 | AMB SURG CTR | TX | N/A |
| PARK HILL SURGERY CENTER LLC | |||||||
| 3455 LOCKE AVE | FORT WORTH | TX | 76107 | 451484375 | AMB SURG CTR | TX | N/A |
| PHYSICIAN MEDICAL CTR LLC | |||||||
| 6020 W PARKER ROAD | PLANO | TX | 75093 | 481281376 | HOSPITAL | TX | N/A |
| PRESBYTERIAN CANCER CTR-DALLAS LLC | |||||||
| PO BOX 819067 | DALLAS | TX | 75381 | 260422749 | CANCER CTR | TX | N/A |
| ROCKWALL REGIONAL HOSPITAL LLC | |||||||
| 3150 HORIZON ROAD | ROCKWALL | TX | 75032 | 202848116 | HOSPITAL | TX | N/A |
| SOUTHLAKE SPECIALTY HOSPITAL LLC | |||||||
| 1545 E SOUTHLAKE BLVD | SOUTHLAKE | TX | 76092 | 020555370 | HOSPITAL | TX | N/A |
| SURGICAL CAREGIVERS OF FORT WORTH LLC | |||||||
| 2001 W ROSEDALE ST | FORT WORTH | TX | 76104 | 751925497 | AMB SURG CTR | TX | N/A |
| TEXAS HEALTH CRAIG RANCH SURGERY CTR LLC | |||||||
| 8080 STATE HWY 121 STE 100 | MCKINNEY | TX | 75070 | 383897811 | AMB SURG CTR | TX | N/A |
| TEXAS HEALTH ORTHOPEDIC SURGERY CENTER ALLIANCE LLC | |||||||
| 9848 N BEACH STREET | FORT WORTH | TX | 76244 | 814977249 | AMB SURG CTR | TX | N/A |
| TEXAS HEALTH SPINE SURGERY CENTER ALLEN LLC | |||||||
| 1120 RAINTREE CIR STE 100 | ALLEN | TX | 75013 | 300957868 | AMB SURG CTR | TX | N/A |
| TEXAS HEALTH SPINE SURGERY CENTER ALLIANCE LLC | |||||||
| 1545 E SOUTHLAKE BLVD STE 100 | SOUTHLAKE | TX | 76092 | 320571301 | INACTIVE | TX | N/A |
| TEXAS HEALTH SURGERY CENTER ALLIANCE LLC | |||||||
| 10840 TEXAS HEALTH TRAIL STE 100 | FORT WORTH | TX | 76244 | 822296081 | AMB SURG CTR | TX | N/A |
| TEXAS HEALTH SURGERY CENTER BEDFORD LLC | |||||||
| 1605 AIRPORT FREEWAY STE 100 | BEDFORD | TX | 76021 | 821307876 | AMB SURG CTR | TX | N/A |
| TEXAS HEALTH SURGERY CENTER IRVING LLC | |||||||
| 2120 N MACARTHUR BLVD STE 200 | IRVING | TX | 75061 | 831085415 | AMB SURG CTR | TX | N/A |
| TEXAS HEALTH SURGERY CENTER SOUTH ARLINGTON LLC | |||||||
| 569 BROOKWOOD VILLAGE STE 901 | BIRMINGHAM | AL | 35210 | INACTIVE | TX | N/A | |
| TEXAS INSTITUTE FOR SURGERY LLP | |||||||
| 7715 GREENVILLE AVE STE 100 | DALLAS | TX | 75231 | 770628004 | HOSPITAL | TX | N/A |
| TH FLOWER MOUND ORTHOPEDIC SURGERY CTR LLC | |||||||
| 5000 LONG PRAIRIE RD | FLOWER MOUND | TX | 75028 | 800866449 | AMB SURG CTR | TX | N/A |
| TH SURGERY CTR PRESTON PLAZA LLC | |||||||
| 17950 PRESTON ROAD STE 75 | DALLAS | TX | 75252 | 203991622 | AMB SURG CTR | TX | N/A |
| TH SURGERY CTR ROCKWALL LLC | |||||||
| 3144 HORIZON ROAD STE 120 | ROCKWALL | TX | 75032 | 474425996 | AMB SURG CTR | TX | N/A |
| THR-STT ROCKWALL ASC LLC | |||||||
| 1545 E SOUTHLAKE BLVD | SOUTHLAKE | TX | 76092 | 262429878 | AMB SURG CTR | TX | N/A |
| THR-STT SOUTHLAKE ASC LLC | |||||||
| 1545 E SOUTHLAKE BLVD | SOUTHLAKE | TX | 76092 | 201728912 | AMB SURG CTR | TX | N/A |
| USMD HOSPITAL AT ARLINGTON LP | |||||||
| 801 I -20 WEST | ARLINGTON | TX | 76017 | 731662763 | HOSPITAL | TX | N/A |
| USMD HOSPITAL AT FORT WORTH LP | |||||||
| 5900 ALTA MESA BLVD | FORT WORTH | TX | 76132 | 203571243 | HOSPITAL | TX | N/A |
| WILSON CREEK SURIGCAL CTR LLC | |||||||
| 8855 SYNERGY DRIVE | MCKINNEY | TX | 75070 | 274816583 | AMB SURG CTR | TX | N/A |
| WOMEN'S SPECIALTY SURGERY CTR OF DALLAS LLC | |||||||
| 8230 WALNUT HILL LN STE 101 | DALLAS | TX | 75231 | 262310072 | AMB SURG CTR | TX | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GRACE INDEMNITY COMPANY LTD | |||||||||||||
| 1159 CARIBBEAN PLAZA | GRAND CAYMAN | CJ | 981209573 | CAPTIVE INSURANCE | CJ | N/A | C | 0 | |||||
| TEXAS HEALTH BIOMEDICAL ADVANCEMENT CENTER INC | |||||||||||||
| 752636884 | RESEARCH | N/A | C | 0 | 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | TX | ||||
| THR PRIMARY CARE EXT PHYSICIAN NETWORK | |||||||||||||
| 465365421 | INACTIVE | N/A | C | 0 | 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | TX | ||||
| CHARITABLE REMAINDER TRUSTS (4) | |||||||||||||
| CR TRUST | N/A | T | 0 | 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | TX | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HUGULEY MEDICAL ASSOCIATES | ||
| A | $557,695 | FMV RENT |
| HUGULEY MEDICAL ASSOCIATES | ||
| B | $2,474,910 | ACTUAL AMOUNT GIVEN |
| HUGULEY MEDICAL ASSOCIATES | ||
| P | $1,593,541 | COST |
| HUGULEY MEDICAL ASSOCIATES | ||
| R | $500,000 | ACTUAL AMOUNT TRANSFERRED |
| TEXAS HEALTH RESOURCES | ||
| P | $313,094 | COST |
| TEXAS HEALTH RESOURCES | ||
| N | $2,132,698 | COST |
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