2019-11-12T08:59:12-06:00 2018-12-31 990 2018-01-01 451502252 Texas Health Harris Methodist Hospital Alliance % DAVID JACKSON TEXA 6822122000 10864 Texas Health Trail Fort Worth TX 76244 DAVID JACKSON Assistant Secretary 6822367900 2019-11-12 12.50.9.2 80738820193165000018 2019-11-12 P C6207B00799800B6519E6B6D36727100FAAB12D3 1FEC91D2923A969736DE912BE8A46A37C887AF2E 2018 2020-01-14 16:20:31Z Clint Abernathy 10864 Texas Health Trail Fort Worth TX 76244 136087602 false X www.texashealth.org X 2011 TX A faith-based organization whose mission is to improve the health of the people in the communities it serves regardless of their ability to pay. X 16 15 779 0 172036 141558 122158680 135134253 872 33596 605074 778195 122936662 136087602 2009042 198228 0 0 49082030 53564275 0 0 0 51572585 54516357 102663657 108278860 20273005 27808742 103265319 105268285 12460885 9662375 90804434 95605910 X A FAITH-BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES REGARDLESS OF THEIR ABILITY TO PAY. false false 84941307 198228 135159775 Texas Health Harris Methodist Hospital Alliance (THAL) was formed in 2011 for the purpose of building and operating an acute care hospital to serve the north Tarrant County population. In September 2012, THAL opened its doors, with 101 staffed beds to impact lives with its cost-efficient, high-quality health care, personalized approach and well-being initiatives. THAL is a full service hospital offering emergency care, women and infants' services with a Level III Neonatal ICU, surgical services, a therapy center, imaging and radiology, business and occupational health, general medicine, and Community wellness and education resources. During the year, THAL had 23,091 patient days, 6,804 discharges, 39,762 outpatient encounters, 30,991 emergency room visits and 1,991 births. THAL provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The hospital provides care to persons covered by governmental programs including Medicare and Medicaid for reimbursement that does not always cover the cost of providing the care. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. Community benefit is provided through many reduced price services and programs to the community. These services are essential to providing complete healthcare to the communities served. THAL partners with local emergency responders in the "Vial of Life" kit distribution. In an emergency, time is crucial. The "Vial of Life" kit enables emergency responders to quickly locate helpful information. 84941307 true true false true false false false false false false true false false false false false false true false false false false false false false false true true true false true false false false false false false false false false false false true false true true false false false true 84 0 true 779 true false false false false false false false false false false false false X 16 15 true false true false true true true true true false false true true true true true true false false false X X DAVID JACKSON 6822367900 612 E LAMAR BLVD Arlington TX 76011 X Bloemendal MD Lee C Trustee 0.03 1.56 X 0 0 0 Ferguson III John R Immediate Past Chair 0.01 1.62 X 0 0 0 Haggar III Joseph M Trustee 0.01 0.69 X 0 0 0 Hum MD Lawrence Trustee 0.01 0.69 X 0 0 0 Hunt Hunter L Trustee 0.01 1.11 X 0 0 0 Montgomery Lynn A Trustee 0.02 1.49 X 0 0 0 Reeves Kenneth W Trustee 0.01 1.13 X 0 0 0 Stripling Dennis Vice Chairman 0.02 1.59 X 0 0 0 Tatum Stephen L Trustee 0.02 1.53 X 0 0 0 Turner Wesley R Trustee 0.01 1.4 X 0 0 0 Vigness MD Richard M Trustee 0.04 2.03 X 0 0 0 Washington Bernice J Trustee 0.03 1.56 X 0 0 0 Weeks DNP RN Susan L Trustee 0.03 1.56 X 0 0 0 Wilder Jr Charles John Trustee 0.02 1.69 X 0 0 0 Wynne James Y Trustee 0.03 1.35 X 0 0 0 Berdan Barclay Trustee/THR CEO 0.32 44.68 X X 0 2347905 302734 Cantu Stacy G Corporate Secretary 0.5 40.0 X 0 320135 55394 McWhorter Ricky E Assistant Secretary 0.5 40.0 X 0 1097946 95736 Kramer Kenneth J Assistant Secretary 0.5 40.0 X 0 879443 137715 Jackson David W Assistant Secretary 0.5 40.0 X 0 397637 76300 Krejci Jacque D Assistant Secretary 0.5 40.0 X 0 190122 37451 McClung Brett S THR Corporate Officer 0.5 40.0 X 0 924596 73349 Mathur Monika Chief Medical Officer THAL 40.0 0.0 X 482487 0 74791 Abernathy Clint President THAL 40.0 0.0 X 345801 0 62186 Slatton Kendra L Chief Nursing Officer THAL 40.0 0.0 X 300022 0 39306 James Jaime L Grp Finan Officer THHEB-THAL 4.0 36.0 X 28199 253796 37806 Maas Joel A PHARMACIST CLIN 40.0 0.0 X 173687 0 54788 Martin Nolan Rashad DIR PHARMACY 40.0 0.0 X 167839 0 37049 Martinez Tracy Payne DIR SR PROFESSIONAL SVCS 40.0 0.0 X 162781 0 38057 Senne Carl Eugene NURSE AUDITOR BILLING 40.0 0.0 X 145312 0 16462 Angus Janette Marie ENTITY HR OFFICER THAL 40.0 0.0 X 144184 0 42599 Miao Winjie Tang Former Officer 0.0 40.0 X 0 867863 262366 1950312 7279443 1444089 69 true true false Texas Health Resources 612 E Lamar Blvd ARLINGTON TX 76011 Management Fee 17969733 DPR Construction 3131 McKinney Ave 210 DALLAS TX 75204 Construction Service 5195953 Texas Health Physicians Group 9229 LBJ Fwy DALLAS TX 75243 Physician Services 1584132 North Texas Healthcare Laundry Coop PO Box 535849 GRAND PRAIRIE TX 75053 Laundry Services 367413 Renal Centers of North Denton LLP 1626 Cole Blvd 100 LAKEWOOD CO 80401 Dialysis Services 356361 7 130836 10722 141558 PATIENT REVENUE 622110 132707672 132707672 DSPR REVENUE 622110 1305027 1305027 MEDICARE/MEDICAID ADJUSTMENTS 622110 1008001 1008001 ELECTRONIC RECORDS 622110 95924 95924 EDUCATION 624190 17629 17629 135134253 0 0 0 72038 0 72038 0 72038 72038 33596 0 33596 33596 33596 0 0 0 0 0 0 2290 0 2290 2290 CAFETERIA REVENUE 722514 397843 397843 REBATES AND INCENTIVES 622110 249362 249362 MISCELLANEOUS REVENUE 622110 25122 25122 31540 400 31140 703867 136087602 135159775 786269 198228 198228 0 0 0 1292863 1292863 0 41319428 40733712 585716 1661492 1661492 6314088 6314088 2976404 2976404 17969733 17969733 0 0 0 0 0 4313637 1397605 2916032 3514 2759 755 0 957761 776180 181581 354511 337085 17426 0 1786831 1744652 42179 9195 9195 0 26269 21178 5091 2512539 2512539 0 7023995 6958408 65587 617930 617901 29 SUPPLIES 12530421 12473347 57074 PATIENT SERVICES 1457127 1457127 0 REPAIRS & MAINTENANCE 1910900 1898579 12321 LPPF ASSESSMEMT 1250578 1250578 1791416 1600250 191166 108278860 84941307 23337553 0 -228442 211726 0 0 0 0 15078772 17833500 0 0 0 0 212807 119173 1590027 1890649 296596 239096 129441497 44467356 84046601 84974141 0 0 0 0 0 0 0 0 2268958 0 103265319 105268285 12460885 9662375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12460885 9662375 X 90804434 95605910 0 0 0 0 90804434 95605910 103265319 105268285 X 27808742 -23007266 X X false true X true false X true true false true false false false false false false Schedule C, Part II-B - Additional Information Officers and/or Board Members of the corporation may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities the Corporation serves. In pursuing this activity, Officers and/or Board Members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters on a personal level, and not as a representative of the organization. The amount of time and money involved in these activities is negligible. In no case has either the Corporation, or any person acting on behalf of the Corporation, intervened in any political campaign. 6275907 6275907 66535318 14907231 51628087 10799819 4179237 6620582 45126132 25380889 19745243 704322 704322 84974141 true true X true X true X 500. true true false true true 8190821 1912650 6278171 0.05800 6877851 4509779 2368072 0.02190 2482 2172 310 0.00000 15071154 6424601 8646553 0.07990 307863 307863 0.00280 1091429 1091429 0.01010 227995 227995 0.00210 1627287 1627287 0.01500 16698441 6424601 10273840 0.09490 77497 77497 0.00070 25085 25085 0.00020 2948 2948 234279 234279 0.00220 339809 339809 0.00310 false 14672514 14516946 17492221 -2975275 X true true 1 1 Texas Health Alliance 10864 Texas Health Trail Fort Worth TX 76244 www.texashealth.org TDH #100162 X X X Texas Health Alliance 1 false false true X X X X X X X X X 16 true true false true X www.texashealth.org/chna X true 17 true www.texashealth.org/chna false true X 200. 500. X X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X X X true X false false Texas Health Alliance Part V. Section B, Line 3e The CHNA contains a prioritized description of the significant health needs of the community as identified through the CHNA. Part V. Section B, Line 5 Texas Health Alliances (THAL) Community Health Needs Assessment (CHNA) was a collaborative process which utilized qualitative and quantitative data to assess the health needs of persons in the communities served by the hospital. As a means to further understand the needs of the community, THAL gathered feedback through key informant interviews conducted between 12/8/2015 and 1/29/2016, focus group discussions and an online community survey. Key informants and focus group participants included, but were not limited to: faith community representatives, public health officials, lay community members, school officials and city administration. Seventeen persons with interests specific to the health of THALs community participated in a focus group, six served as key informants and 506 individuals responded to the online survey. The online survey was conducted only in English. While the online survey may not have reached the medically underserved, low-income or minority populations directly, organizations serving those populations were present at the focus group and served as key informants; these organizations included: the City of Haslet Fire Department; the City of Watagua Senior Center; Community Storehouse, a local food pantry; Fort Worth City Council; Golden Triangle Rotary; Greater Keller Chamber of Commerce; Healthy Tarrant County Collaboration; JPS Health Network; Keller Senior Activities Center; the March of Dimes; YMCA of Metropolitan Fort Worth-Northpark; Northwest Independent School District School Health Advisory Council; Senior Citizens Services of Greater Tarrant County; Tarrant County Public Health; and the United way of Tarrant County. In order to gain a comprehensive understanding of the significant health needs for THALs service area, the findings from all three data sources (secondary data, interviews and focus groups, and the online community survey) were compared and studied together. The top five to seven health needs identified by each data source were analyzed for areas of overlap with the other two data sources. Health needs were determined to be significant if they were cited as a top need in at least two of the three data sources. Part V. Section B, Line 6a The CHNA for Texas Health Southlake was conducted in collaboration with Texas Health Alliance. Part V. Section B, Line 11 Following a CHNA conducted in 2016, THAL adopted an implementation strategy in May 2017. THAL is part of the Texas Health healthcare system (Texas Health), which developed a system-wide community benefit strategy to leverage internal and external resources and increase its ability to impact community health needs. The significant health needs across the Texas Health system were: 1. Mental Health & Substance Abuse 2. Exercise, Nutrition, & Weight 3. Access to Health Services and Healthcare Navigation & Literacy 4. Older Adults & Aging From 2017-2019, THAL has committed to implement strategies and activities aimed at addressing these areas four areas of need: Mental Health & Substance Abuse is categorized as Behavioral Health; Exercise, Nutrition, & Weight is grouped under Chronic Disease, which has been a strategic area of focus for Community Health Improvement since the 2013 CHNA; Access to Health Services and Healthcare Navigation & Literacy is jointly titled Awareness, Health Literacy, & Navigation; and Older Adults and Aging. In 2018, Texas Health Alliance addressed significant health needs with the following approaches: 1. Behavioral Health 1a. In 2018 the Texas Health Community Impact Leadership Council for the Tarrant/Parker region, which serves the THAL community, released a Request for Proposal to provide support to community organizations to deliver behavioral health services to underserved communities. It also addressed behavioral health needs identified in the 2016 Community Health Needs Assessment. 1b. Strengthened community capacity to reduce the stigma of mental illness through Youth Mental Health First Aid, a program designed to improve participants knowledge and modify their attitudes and perceptions about mental health and related issues, including how to respond to individuals who are experiencing one or more acute mental health crises or are in the early stages of one or more chronic mental health problems. 2. Chronic Disease Prevention & Management 2a. Continued implementation of evidence-based chronic disease self-management programs in partnership with the Community Council of Greater Dallas/Area Agency on Aging of Dallas County, North Central Texas Council of Governments Area Agency on Aging, Sixty and Better, Tarrant County Public Health, and the United Way of Tarrant County/Area Agency on Aging of Tarrant County. 2b. Maintained a partnership with Community Storehouses Food Pantry in support of nutritional education to food pantry clients and community members. 2c. Maintained partnership with Healthy Tarrant County Collaboration (HTCC)for the execution of grants in support of HTCCs goal to continue diabetes prevention and management efforts in Tarrant County through promotion of healthy retail policies and procedures to increase availability of healthy foods. 2d. Offered the Healthy Education and Lifestyle Program (HELP) to uninsured patients presenting to the emergency department or admitted to THAL. The program is designed to address underserved persons with chronic disease(s), such as hypertension, diabetes, and high cholesterol. The program operates from a three-pronged approach: group and individual education, clinical management and social determinants of health support. 3. Awareness, Literacy, & Navigation (ALN) 3a. Invested in offering a free online community resource guide called Aunt Bertha that provides a database of free and reduced-cost social services. 3b. Managed and strengthened Delivery System Reform Incentive Payment (DSRIP) programs under the Medicaid 1115 Waiver to provide navigation program to underserved populations. 4. Older Adults & Aging 4a. Continued the implementation of A Matter of Balance Fall Prevention Program in partnership with the Community Council of Greater Dallas/Area Agency on Aging of Dallas County, North Central Texas Council of Governments Area Agency on Aging, Sixty and Better, Tarrant County Public Health, and the United Way of Tarrant County/Area Agency on Aging of Tarrant County. All significant health needs identified are being addressed by the hospital in one of the categories listed above. Part V. Section B, Lines 16 a, b & c The FAP, FAP Application and the Plain Language Summary of the FAP were widely available at this website: www.texashealth.org/patient-and-visitor-information/billing-and-payment-in formation/financial-help-for-those-in-need Texas Health Alliance Part I, Line 3c - Patient Eligibility Patients with a family income at or below 200% of applicable Federal Poverty Guidelines (FPG) may be eligible for free care if the patient lacks sufficient funds and assets to pay the out-of-pocket portion of their hospital bill. Patients with a family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified patient responsible amount if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's financial assistance application is reviewed. Assets considered when determining eligibility include cash, stocks, bonds and other financial assets that can be readily converted to cash. An additional process to screen for charity patients using publicly available financial information is also in place for patients not submitting a financial assistance application. Part I, Line 7 Cost-to-Charge Ratio A cost-to-charge ratio is used to compute the amounts reported on Lines 7a-7c. The cost-to-charge ratio is derived from Worksheet 2 Ratio of Patient Care Cost-to-Charges, as found in the Schedule H Instructions. The amounts reported on Lines 7e-7i were computed using direct costs, as determined by a cash outlay. Part II - Community Building The organization participates in community building activities that aim to address the socio-economic factors that influence the overall health of individuals in the communities served. As identified in the community health needs assessment, there are areas of need that are not in alignment with the operations of a hospital system. Our volunteerism, collaborations and partnerships with various aid organizations and various area coalitions help in addressing the socio-economic factors that are the backbone for many underlying health concerns. Part III, Lines 2, 3 & 4 - Bad Debts Bad debt expense is not included for purposes of reporting community benefits. Each patient qualifying for charity care is treated as a charity patient and no charges related to that patient are included in bad debt expense. The hospital is part of a consolidated system of hospitals which operate under the name Texas Health Resources (THR). THR's annual audit is conducted on a system-wide basis with a single consolidated audit report issued for THR and its affiliates. The audited financial statements of THR, which includes the activity of the organization, contain a footnote regarding Accounts Receivable and Allowance for Doubtful Accounts that reads as follows: Effective January 1, 2018, THR adopted the new revenue recognition standard, Accounting Standards Update (ASU) 2014-09, Revenue from Contracts with Customers (Topic 606), issued by the FASB in 2014, using the modified retrospective method. With the adoption of the new revenue recognition standard, net patient service revenue is reported at the amount that reflects the consideration to which THR expects to be entitled in exchange for providing patient care. Healthcare services promised in the contract with a patient represent a bundle of goods and (or) services that is distinct and accounted for as a single performance obligation. The transaction price for the bundled goods and (or) services provided is estimated by reducing the total standard charges by variable price concessions, including contractual adjustments based on the terms provided by (in the case of Medicare and Medicaid) or negotiated with (in the case of managed care and commercial insurance companies) third-party payors, THR discount policies, and other implicit price concessions based on historical collections experience for uninsured and under-insured patients who do not qualify for financial assistance. A portfolio approach by major payor categories and types of service was used to estimate the historical collections experience. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to net patient service revenue in the period of the change. Portfolio collection estimates are updated at least quarterly based on actual collections experience. THR believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach was used. Subsequent changes that are determined to be the result of an adverse change in the patients ability to pay are recorded as bad debt expense. Under THRs financial assistance policy, the Tax-Exempt Hospitals, Texas Health Rockwall, and Texas Health Physicians Group provide care to patients without charge or at amounts less than their established rates if the patient meets certain established criteria. The consolidated joint venture hospitals and healthcare entities have similar financial assistance policies, or have adopted the THR financial assistance policy. As the System does not pursue collection of amounts determined to qualify as financial assistance, those amounts are not reported as net patient service revenue or patient accounts receivable. Revenue related to providing care to patients is recognized as the performance obligation is satisfied over the period of time the patient is receiving treatment, as the patient is simultaneously receiving and consuming the benefits provided by THR. The performance obligation is generally satisfied over an average period of less than five days for inpatient services and one day for outpatient services. Generally, patients and third-party payors are billed within days after the services are performed and (or) the patient is discharged. The transaction price related to unsatisfied or partially unsatisfied performance obligations at the end of the reporting period primarily relate to inpatient acute care services for patients who remain admitted at that time (in-house patients). These contract assets were $37,668,000 on January 1, 2018 at the adoption of the new revenue recognition standard. As of December 31, 2018, contract assets of $38,520,000 were recorded in patient accounts receivable on the consolidated balance sheet. Patient accounts receivable is reported at the amount that reflects the consideration to which THR expects to be entitled in exchange for providing patient care. The primary collection risks relate to uninsured patient accounts, including patient accounts for which the primary insurance company has paid the amounts covered by the applicable agreement, but patient responsibility amounts remain outstanding. Implicit price concessions relate primarily to amounts due directly from patients based upon managements assessment of historical write-offs and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Patient accounts are monitored and, if necessary, past due accounts are placed with collection agencies in accordance with guidelines established by management. Accounts are written off when all reasonable internal and external collection efforts have been performed. Estimated implicit price concessions of $379,437,000 were recorded as reductions to patient accounts receivable at December 31, 2018 on the consolidated balance sheets. Prior to January 1, 2018 and the adoption of the new revenue recognition standard, net patient service revenue was recognized as services were provided and reported at the estimated net realizable amounts from patients, third-party payors and others for services rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors. Retroactive adjustments were accrued on an estimated basis in the period the related services were rendered and adjusted in future periods as final settlements were determined. Patient accounts receivable was reported net of estimated allowances for doubtful accounts and contractual adjustments on the consolidated balance sheets. The allowance and resulting provision for bad debts were based upon a combination of the aging of receivables and managements assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators for each of its major payor sources of revenue. Management assessed the adequacy of the allowance for doubtful accounts based upon historical write-off experience and payment trends by payor category. For receivabl true NORTHWEST ISD EDUCATION FOUNDATION PO Box 77070 FORT WORTH TX 76177 752678804 501(c)(3) 8000 General Purpose Christian Community Storehouse Inc POBox 13 Keller TX 76248 751929755 501(c)(3) 13300 General Purpose Keller ISD Athletics Association 350 Keller Parkway Keller TX 76248 800665926 501(c)(3) 10000 General Purpose Tarrant County Indigent Care Corp 612 E LAMAR BLVD Arlington TX 76011 260648532 501(c)(3) 13183 Indigent Health Care March of Dimes Foundation 555 Hemphill St 202 Fort Worth TX 76104 131846366 501(c)(3) 10000 General Purpose EAGLE MOUNTAIN SAIGNAW ISD FOUNDATION 1200 OLD DECATUR RD Fort Worth TX 76177 752678804 501(C)(3) 10840 General Purpose Tarrant Safety Net Support Corporation 612 E Lamar Blvd Arlington TX 76011 823171862 501(c)(3) 98405 Indigent Health Care Northwest ISD 2001 Texan Drive Fort Worth TX 76177 756000304 ISD 20000 general purpose 8 0 Part I, Line 2 - Monitoring Grants Texas Health Alliance (THAL) is a member of the Texas Health Resources (THR) Healthcare system. The majority of the grants distributed by the system are to related tax exempt organizations. The hospital does not specifically monitor the use of grants paid to related organizations since THR administration monitors the use of these grants on a system basis for all members of the THR healthcare system. Grants to non-related tax exempt organizations are generally given to entities that are in the hospital's community and/or service area or to certain organizations which will specifically impact the hospital's community. These grants are typically monitored by hospital personnel who are working closely with the non-related nonprofit organization. X true true false true false false false false false false false Berdan Barclay Trustee/THR CEO 0 1199718 0 890661 0 257526 0 259398 0 43336 0 2650639 0 207003 Cantu Stacy G Corporate Secretary 0 224390 0 66978 0 28767 0 11282 0 44112 0 375529 0 0 McWhorter Ricky E Assistant Secretary 0 411087 0 611800 0 75059 0 61424 0 34312 0 1193682 0 460488 Kramer Kenneth J Assistant Secretary 0 498252 0 252677 0 128514 0 98360 0 39355 0 1017158 0 50254 Jackson David W Assistant Secretary 0 275133 0 70616 0 51888 0 43044 0 33256 0 473937 0 0 Krejci Jacque D Assistant Secretary 0 175841 0 14056 0 225 0 10930 0 26521 0 227573 0 0 McClung Brett S THR Corporate Officer 0 516611 0 291950 0 116035 0 20625 0 52724 0 997945 0 81911 Mathur Monika Chief Medical Officer THAL 300801 0 126919 0 54767 0 35430 0 39361 0 557278 0 18526 0 Abernathy Clint President THAL 221985 0 87278 0 36538 0 38665 0 23521 0 407987 0 12939 0 Slatton Kendra L Chief Nursing Officer THAL 203240 0 66081 0 30701 0 20186 0 19120 0 339328 0 12245 0 James Jaime L Grp Finan Officer THHEB-THAL 19903 179126 4696 42267 3600 32403 570 5132 3210 28894 31979 287822 0 0 Miao Winjie Tang Former Officer 0 534388 0 223043 0 110432 0 234830 0 27536 0 1130229 0 27618 Maas Joel A PHARMACIST CLIN 167733 0 786 0 5168 0 12737 0 42051 0 228475 0 0 0 Martin Nolan Rashad DIR PHARMACY 157932 0 9377 0 530 0 12184 0 24865 0 204888 0 0 0 Martinez Tracy Payne DIR SR PROFESSIONAL SVCS 143916 0 15743 0 3122 0 11280 0 26777 0 200838 0 0 0 Senne Carl Eugene NURSE AUDITOR BILLING 139903 0 784 0 4625 0 2927 0 13535 0 161774 0 0 0 Angus Janette Marie ENTITY HR OFFICER THAL 125140 0 13393 0 5651 0 7097 0 35502 0 186783 0 0 0 Schedule J, Part I, Line 1a - Discretionary Spending Account Each executive at the vice president level and above receives a perk allowance which is include in the taxable compensation of the employee. This allowance covers costs such as business use of their personal vehicles in lieu of reimbursement for auto mileage. It also allows access to certain executive benefits including individual Long Term Disability, Long Term Care, and Individual Life insurance. Schedule J, Part I, Line 3 - CEO Compensation The organization relied on Texas Health Resources (THR), a related 501(c)(3) organization with centralized compensation professionals to use the following methods to establish the compensation of the organization's President. *The Compensation committee (which includes independent persons) performs reviews and makes recommendations to the THR Board. *An Independent compensation consultant may be hired. *Compensation surveys or studies are utilized. *Approval by the Board or Compensation committee is required. SCHEDULE J, PART I, LINE 4B - NONQUALIFIED RETIREMENT PLAN Participation in the plan is made available to a select group of management and highly compensated employees as determined by the THR Board of Trustees, who are providing service in key position of management and responsibility. For the active restoration account (Account balances after 12/31/2009) SERP benefits vest while the participant is employed if the participant: . Reaches age 65 . Becomes disabled or dies, . Reaches the following years of service: 2 Years - 25%; 3 Years - 50%; 4 Years - 75% and 5 or more years - 100% Participants must be employed on Dec 1 to qualify for the current year's SERP Benefit unless separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and 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 cash lump sum within a 90-day period commencing on the earlier of death, disability, or separation from service. The deferred portion is included in Schedule J, Part II, column C. In frozen restoration accounts (account balances prior to 1/1/2010), the participant or beneficiary shall be taxed on his or her vested SERP benefits upon the earliest of: . Continued employment in THR until age 68 . Termination of employment for disability or death . Involuntary termination of employment without reasonable cause; or . Satisfying a 24 month non-compete period following his/her termination of employment. Payment follows the before mentioned events, except in the case of involuntary separation when the participant must wait 24 months to receive the previously taxed benefit. Payouts to the following employees were made during the year. The amounts below are included in the amount reported on Sch J, Part II, Column B(iii) and Column (F). Clint Abernathy $ 12,939 Barclay E. Berdan $207,003 Kenneth J. Kramer $ 50,254 Brett S. McClung $ 81,911 Ricky E. McWhorter $460,488 Winjie Tang Miao $ 27,618 Kendra L Slatton $ 12,245 Cash 2018-12-31 23007266 Cash Value 752702388 Texas Health Resources 612 E Lamar Blvd Arlington TX 76011 501(c)(3) true true false false Schedule N, Part II, Line 1 Texas Health Resources (THR) is the parent company of a network of hospitals and affiliated healthcare organizations, making up the THR Healthcare System. THR has centralized the cash management of the wholly owned hospitals in the system. Daily cash sweeps are made to consolidate the cash of the parent and the wholly owned subsidiaries into a single cash concentration account controlled by THR. These sweeps are recorded as an intercompany payable/receivable account. Also reported in the intercompany accounts are management fees charged by the parent organization, services purchased between the related organizations, purchases made by a centralized purchasing department, and similar transactions. The cash disposition reported on this schedule is the amount of cash transferred netted against any cumulative intercompany payables as of 12/31/2018. The net amount transferred will be utilized by THR to support the THR Healthcare System, of which this entity is a part. These funds are also used to pay the debt accumulated by the system. Schedule N, Part II, Lines 2A and 2B Texas Health Resources (THR), the parent company of the entities making up the THR Healthcare System, has employees who serve as officers for its wholly owned hospitals and affiliates for the purposes of coordination and control. In addition, some of the employees of the entity my also be officers, trustees or employees of THR or one of its related entities. 990, Part VI, Section A, Line 2 - Business Relationship Texas Health Resources (THR) and its related organizations included in the THR healthcare system encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees who are serving as officers, board members, or key employees may, from time to time, also serve on the boards of various community organizations such as church boards, United Way, etc. There may be a business relationship as a result of multiple THR employees serving on the same community boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards. 990, Part VI, Section A, Line 4 - Changes to Organizational Documents The bylaws were amended effective 1/1/18 to improve the governance of the Texas Health Resources (THR) Healthcare System. Below is a summary of the significant changes. . The composition of the hospital board membership will be the same as the membership of the THR (parent entity) board. . The composition of the board officers (Chair, Vice, & Immediate Past Chair) is changed to be comprised of the THR Board Chair, Vice Chair, and Immediate Past Chair. . The election and term of the board officers is the same as the election and term of the THR Board. . The THR CEO appoints the entity officers without approval by the THR board. The board will be comprised of up to 16 voting members and 5 non-voting members. Up to 14 of these board members will be community representatives. At least 3 members shall be licensed physicians. 990, Part VI, Section A, Lines 6&7a - Members- Texas Health Resources (THR) is the sole member of the organization. 990, Part VI, Section A, Line 7b - Governance Decisions Reserved - The following actions require the approval of Texas Health Resources (THR): (a) Amendment, restatement or repeal of the Certificate of Formation or these Bylaws. (b) Sale, exchange, lease or other transfer of all or substantially all of the assets of the Corporation. (c) Merger or consolidation of the Corporation. (d) Dissolution of the Corporation. (e) Election of members of the Board of Trustees (f) Removal of a member of the Board of Trustees (g) Creation of affiliates or subsidiaries and approval of the initial governing documents. (h) Incurrence of debt not included in the budgets. (i) Discontinuing the operations of a licensed health care facility controlled by the corporation. (j) Activities involving winding up, distribution, conversion or exchange under Chapter 11 990, Part VI, Section B, Line 11b - Form 990 Filing- The Texas Health Resources (THR) tax department staff prepares the Forms 990 for THR and all of its wholly controlled affiliates. In order to accurately prepare the returns, the tax staff works closely with various other departments to gather and review the information needed to complete the return. The departments involved in this process include, but are not limited to accounting, finance, treasury, human resources, payroll, legal, governance, and corporate compliance. The returns are then reviewed twice within the tax department before being given to the Financial Reporting department to review and to ensure that the financial information is accurate and up to date. All THR System Forms 990 are provided to members of the Audit and Compliance Committee of the THR Board, giving them an opportunity to review, comment and ask questions regarding the Forms 990. The tax department Vice President provides an overview presentation to the committee highlighting various areas of the Form 990. A resolution to approve all of the returns is voted upon at this meeting. Once the Audit and Compliance Committee has approved the returns, each return is then reviewed and signed by the Chief Accounting Officer/Assistant Secretary. The members of the governing Boards are provided a copy of the Form 990 for their respective entity after the Audit and Compliance Committee approval process and before the Form 990 is filed. 990, Part VI, Section B, Line 12c - Conflict of Interest - Texas Health Resources (THR) has adopted a Conflict of Interest Policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the first quarter of each fiscal year, a Duality and Conflict of Interest Statement Form is distributed by the THR Chief Compliance Officer to all board members, officers, contracted medical directors, employees with a title of manager or above, employed physicians, and certain committee members and other employees based upon function. All disclosed conflicts are reviewed by the THR Chief Compliance Officer. A report, listing each reported Duality of Interest or Conflict of Interest is given to both the Chair of the Governing body and the President of the Corporation with which the reporting person is affiliated. The THR Board of Trustees receives a report when the Annual Disclosure process is complete. Progressive corrective action is taken for any identified noncompliance which may include removal from a board or committee or physician/employee counseling if the person fails to provide the disclosure. In addition, THR monitors physician payments through a public database implemented by CMS. Management plans are executed as needed based upon disclosures. THR also educates the Boards and workforce annually through either a web based or live compliance training. 990, Part VI, Section B, Lines 15 a&b - Compensation Determination - The organization relied on Texas Health Resources (THR) with centralized compensation professionals to review and establish the compensation of the organizations officers. A more in-depth discussion of executive compensation review can be found on Schedule J, Part III. 990, Part VI, Section C, Line 19 - Public Disclosure - The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner. 990, Part XI, Line 9 - Other Changes in Net Assets Adjustment for Intercompany Transactions of a Controlled Group ($23,007,266) The intercompany adjustment eliminated the receivable/payable balance as of the end of the year between Texas Health Resources (THR) and all wholly controlled tax-exempt entities included in the THR Healthcare System. The adjustment represents current year activity. The THR Healthcare System records all related transactions through the intercompany Receivable/Payable accounts for each entity. The types of transactions recorded in the Intercompany accounts include management fees charged by the parent organization, services purchased between related organizations, supplies purchased by a centralized purchasing department, daily cash sweeps and similar transactions. 990, Part XII, Line 2c - Consolidated Financial Statements Texas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process. Johnson County Community Care Corp 612 E Lamar Blvd Arlington TX 76011 452793120 Indigent Care TX 501(c)(3) 12a TH Cleburne false Huguley Medical Associates Inc 11801 South Freeway Burleson TX 76028 752547668 Phys Clinic TX 501(c)(3) 3 TH Huguley false North Texas Healthy Communities 612 E Lamar Blvd Arlington TX 76011 464513182 Comm Support TX 501(c)(3) 7 TH Resources false Southwestern Health Resources JOC 5323 Harry Hines Blvd Dallas TX 75390 811575989 Mgmt Org TX 501(c)(3) 12b TH Resources false Texas Health Arlington Memorial Hospital 800 West Randol Mill Rd Arlington TX 76012 750972805 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Back Care 9229 LBJ Freeway Dallas TX 75243 474724257 Phys. Clinic TX 501(c)(3) 10 TH Phys Grp false TH Behavioral Health Hospital Corinth 612 E Lamar Blvd Arlington TX 76011 814317635 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Medical Support 612 E Lamar Blvd Arlington TX 76011 812833150 Spec Drugs TX 501(c)(3) 10 TH Resources false Texas Health Alliance 10864 Texas Health Trail Fort Worth TX 76244 451502252 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Azle 108 Denver Trail Azle TX 76020 751748586 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Cleburne 201 Walls Dr Cleburne TX 76033 751977850 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 756001743 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Hurst-Euless-Bedford 1600 Hospital Parkway Bedford TX 76022 751438726 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Southwest Fort Worth 6100 Harris Parkway Fort Worth TX 76132 752678857 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Stephenville 411 Belknap Stephenville TX 76401 751752253 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Frisco 612 E Lamar Blvd Arlington TX 76011 831954982 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Mansfield 612 E Lamar Blvd Arlington TX 76011 831869297 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Huguley Inc 11801 S Freeway Burleson TX 76028 452694620 Hospital FL 501(c)(3) 3 TH Resources false TX Health Outpatient Surg Ctr Alliance 10840 Texas Health Trail Fort Worth TX 76244 800800294 Inactive TX 501(c)(3) 3 TH Alliance true Texas Health Physicians Group 9229 LBJ Freeway Dallas TX 75243 752613493 Phys. Clinic TX 501(c)(3) 10 TH Resources false TH Recovery and Wellness Center 240 Miller Road Mansfield TX 76063 812813227 Resd Trmt Ctr TX 501(c)(3) 3 TH Resources false Texas Health Resources Foundation 612 E Lamar Blvd Arlington TX 76011 752022128 Fundraising TX 501(c)(3) 7 TH Resources false Texas Health Allen 1105 Central Expressway N Allen TX 75013 752890358 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Dallas 8200 Walnut Hill Ln Dallas TX 75231 751047527 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Denton 3000 North Interstate 35 Denton TX 76201 432008974 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Kaufman 850 Ed Hall Drive Kaufman TX 75142 752771437 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Plano 6200 W Parker Rd Plano TX 75093 752770738 Hospital TX 501(c)(3) 3 TH Resources false TX Health Research & Education Institute 612 E Lamar Blvd Arlington TX 76011 752562191 Edu& Research TX 501(c)(3) 4 TH Resources false Texas Health Resources 612 E Lamar Blvd Arlington TX 76011 752702388 System Mgmt TX 501(c)(3) 12c NA false TH Behavioral Health Hospital Plano 6110 W Parker Rd Plano TX 75093 812792484 Inactive TX 501(c)(3) 3 TH Resources false TH Behavioral Health Hospital Bedford 2717 Tibbets Dr Bedford TX 76022 812798838 Inactive TX 501(c)(3) 3 TH Resources false TH Specialty Hospital Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 751648589 LT Hospital TX 501(c)(3) 3 TH Resources false WW Ward Endowment Fund Trust 612 E Lamar Blvd Arlington TX 76011 756196065 Nursing Grant TX 501(c)(3) 12a TH Foundatio false Healthy Tarrant County Collaboration POBox 8040 Fort Worth TX 76124 432087946 Support Org TX 501(c)(3) 12a na false AMH Cath Labs LLC 811 Wright St Arlington TX 76012 203003947 Hospital TX na Arlington Surgery Center LLC 918 N Davis Dr Arlington TX 76012 752055800 Amb Surg Ctr TX na Cleburne Imaging LLC PO Box 820519 Dallas TX 75382 460767278 Medical Imagi TX na Cleburne Surgical Center LLC 2010 W Katherine P Raines Blvd St Cleburne TX 76033 203742012 Amb Surg Ctr TX na Denton Surgery Center LLC 207 North Bonnie Brea Denton TX 76201 470926556 Amb Surg Ctr TX na Flower Mound Hospital Partners LLC 4400 Long Prairie Rd Flower Mound TX 75028 260684968 Hospital TX na Fort Worth Endoscopy Centers LLC 900 W Magnolia Ave 101 Fort Worth TX 76104 770368346 Endoscopy Ctr TX na FTH DFW Partners LLC 1401 E Trinity Mills Rd Carrollton TX 75006 473381640 Hospital/ER TX na Greenville Surgery Center LLC 7150 Greenville Ave Ste 200 Dallas TX 75231 742411643 Amb Surg Ctr TX na Health Imaging Partners LLC 8610 Explorer Drive Ste 300 Colorado Springs CO 80920 271385885 Medical Imagi TX na North Dallas Surgical Center LLC 17980 Dallas Parkway Ste 100 Dallas TX 75287 272248103 Amb Surg Ctr TX na Opthalmology Surgery Center of Dallas LL 10740 N Central Expy Dallas TX 75231 261914835 Amb Surg Ctr TX na Park Hill Surgery Center LLC 3455 Locke Ave Fort Worth TX 76107 451484375 Amb Surg Ctr TX na Physicians Medical Center LLC 6020 W Parker Rd Plano TX 75093 481281376 Hospital TX na Presbyterian Cancer Ctr-Dallas LLC PO Box 819067 Dallas TX 75381 260422749 Cancer Ctr TX na Rockwall Regional Hospital LLC 3150 Horizon Rd Rockwall TX 75032 202848116 Hospital TX na Southlake Specialty Hospital LLC 1545 E Southlake Blvd Southlake TX 76092 020555370 Hospital TX na Surgical Caregivers of Fort Worth LLC 2001 W Rosedale Street Fort Worth TX 76104 751925497 Amb Surg Ctr TX na Texas Health Craig Ranch Surgery Center 8080 State Hwy 121 Ste 100 McKinney TX 75070 383897811 Amb Surg Ctr TX na Texas Health Spine Surgery Center Allen 1120 Raintree Cir Ste 100 Allen TX 75013 300957868 Amb Surg Ctr TX na Texas Health Spine Surgery Center Allian 1545 E Southlake Blvd Ste 100 Southlake TX 76092 320571301 Inactive TX na Texas Health Orthopedic Surgery Center A 9848 North Beach St Fort Worth TX 76244 814977249 Amb Surg Ctr TX na Texas Health Surgery Center Alliance LLC 10840 Texas Health Trail Ste 100 Fort Worth TX 76244 822296081 Amb Surg Ctr TX na Texas Health Surgery Center Bedford LLC 1605 Airport Freeway Suite 100 Bedford TX 76021 821307876 Amb Surg Ctr TX na Texas Health Surgery Center Irving LLC 2120 N MacArthur Blvdd Ste 200 Irving TX 75061 831085415 Amb Surg Ctr TX na Texas Health Flower Mound Orthopedic Sur 5000 Long Prairie Road Flower Mound TX 75028 800866449 Amb Surg Ctr TX na Texas Health Surgery Center Preston Plaz 17950 Preston Road Ste 75 Dallas TX 75252 203991622 Amb Surg Ctr TX na Texas Health Surgery Center Rockwall LLC 3144 Horizon Rd Ste 120 Rockwall TX 75032 474425996 Amb Surg Ctr TX na Texas Health Surgery Center South Arling 569 Brookwood Village ste 901 Birmingham AL 35209 999999999 Inactive TX na Texas Institute for Surgery LLP 7715 Greenville Ave Ste 100 Dallas TX 75231 770628004 Hospital TX na THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 262429878 Amb Surg Ctr TX na THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 201728912 Amb Surg Ctr TX na USMD Hospital at Arlington LP 801 I -20 West Arlington TX 76017 731662763 Hospital TX na USMD Hospital at Fort Worth LP 5900 Altamesa Blvd Fort Worth TX 76132 203571243 Hospital TX na Wilson Creek Surigcal Center LLC 8855 synergy Dr McKinney TX 75070 274816583 Amb Surg Ctr TX na Women's Specialty Surgery Center of Dall 8230 Walnut Hill Ln Ste 101 Dallas TX 75231 262310072 Amb Surg Ctr TX na Grace Indemnity Company Ltd 1159 Caribbean Plaza Grand Cayman CJ KY 1-1102 981209573 Captive Insur CJ NA C Corp false Texas Health Biomedical Advancement Cent 612 E Lamar Blvd Arlington TX 76011 752636884 Research TX NA C Corp false THR Primary Care Ext Physcian Network 612 E Lamar Blvd Arlington TX 76011 465365421 Inactive TX NA C Corp false Charitable Remainder Trusts (4) 612 E Lamar Blvd Arlington TX 76011 465365421 CR Trust TX NA Trust false false false true false false false false false true true true true false false true true true true See Part VII for Explanation Schedule R, Part V, Line 2 - Related Transactions Texas Health Resources (THR) is the parent organization in a large healthcare system made up of both wholly owned entities as well as related controlled joint ventures as listed on Schedule R. THR's role is to plan, manage and coordinate the activities of the affiliated healthcare system in order to maximize opportunities to deliver cost effective quality medical care to residents of north central Texas. THR provides direction and oversight to its wholly owned affiliates through centralized services. They also provide oversight for the controlled joint ventures. As an integral part of providing centralized services to the affiliates, THR maintains intercompany receivable/payable accounts, most of which do not fall within the scope of IRC Section 512(b)(13). The range of centralized services provided by THR include information services, managed care contracting, Human resources, revenue cycle, billing and collections, patient access/admissions, legal, tax, compliance, supply chain, quality, business development, insurance, treasury, marketing, general accounting, real estate services, coding, transcription and strategic planning. In addition, THR does daily cash sweeps of all controlled tax exempt entity cash accounts. As a result, THR has numerous daily transactions with controlled tax exempt entities, none of which fall within the scope of IRC Section 512(b)(13). A management fee is charged for the centralized services and reported on Form 990, Part VII, Section B as a professional services fee. Transactions with related tax exempt organizations falling within the meaning of centralized services as described above, are not listed on Schedule R, Part V, Line 2.