FURP.ORG / PUBLIC DATA EXPLORER

TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN (EIN 75-2890358)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201823179349307317
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-13T16:39:28-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752890358EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Texas Health Presbyterian Hospital AllenBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DAVID JACKSONInCareOfNm
Business Name ControlTEXABusinessNameControlTxt
Phone9727471000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 Central Expressway NorthAddressLine1Txt
CityAllenCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75013ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID JACKSONPersonNm
Person TitleAssistant SecretaryPersonTitleTxt
Phone6822367900PhoneNum
Signature2018-11-13SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.50.9.252IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id80738820183175000000FederalOriginalSubmissionId
Federal Original Submission Id2018-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id19E3F08E41C1C558D70B85A06FC78B78907977B5AtSubmissionCreationDeviceId
At Submission Filing Device Id631EFFC3DBC3CC1ECF1FA4DC9E140E0EB9698683AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJared SheltonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 Central Expressway NorthAddressLine1Txt
CityAllenCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75013ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$93,477,101GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresstexashealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionA faith-based organization whose mission is to improve the health of the people in the communities it serves regardless of their ability to pay.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee514TotalEmployeeCnt
Total Volunteers95TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$59,623PYContributionsGrantsAmt
CY Contributions Grants$43,633CYContributionsGrantsAmt
PY Program Service Revenue$85,374,127PYProgramServiceRevenueAmt
CY Program Service Revenue$92,788,859CYProgramServiceRevenueAmt
PY Investment Income-$80,441PYInvestmentIncomeAmt
CY Investment Income$21,858CYInvestmentIncomeAmt
PY Other Revenue$794,683PYOtherRevenueAmt
CY Other Revenue$618,252CYOtherRevenueAmt
PY Total Revenue$86,147,992PYTotalRevenueAmt
CY Total Revenue$93,472,602CYTotalRevenueAmt
PY Grants And Similar Paid$65,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,537,455CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$36,464,723PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$39,131,889CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$42,641,693PYOtherExpensesAmt
CY Other Expenses$46,594,099CYOtherExpensesAmt
PY Total Expenses$79,171,916PYTotalExpensesAmt
CY Total Expenses$88,263,443CYTotalExpensesAmt
PY Revenues Less Expenses$6,976,076PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,209,159CYRevenuesLessExpensesAmt
Total Assets BOY$58,134,239TotalAssetsBOYAmt
Total Assets EOY$57,642,819TotalAssetsEOYAmt
Total Liabilities BOY$30,833,024TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,181,194TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,301,215NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$49,461,625NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionA FAITH-BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES REGARDLESS OF THEIR ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$72,376,750ExpenseAmt
Grant$2,537,455GrantAmt
Revenue$92,925,862RevenueAmt
DescTexas Health Presbyterian Hospital Allen (THA) is a 68 licensed beds acute-care hospital serving the northern Collin County area since 2000. The hospital's services include emergency department, heart and vascular, back & spine, orthopedics, imaging, nutrition, rehabilitation, digestive health, urology, women and infant care, wound care, hyperbaric medicine and behavioral health. THA was designated as Baby-Friendly Hospital by the World Health Organization and UNICEF, and an Accredited Chest Pain Center by the Society of Chest Pain Centers. THA has more than 500 employees and more than 500 physicians are practicing on its medical staff. THA had 12,302 patient days, 3,884 discharges, 757 births, 42,813 outpatient encounters, and 21,885 emergency room visits during the year. THA provides quality medical healthcare services regardless of the patient's race, creed, sex, national origin, handicap, age or ability to pay. THA 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. THA also provides charity care to patients who are unable to pay for the services they receive.Desc
Total Program Service Expenses$72,376,750TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document69IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee514EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID JACKSONPersonNm
Phone6822367900PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Berg Eric
Trustee2.00.0Yes (X)$0$0$0
Culbertson Darion
Trustee2.00.0Yes (X)$0$0$0
Garrigues David
Trustee2.040.0Yes (X)$0$302,760$22,688
Gibbons Thomas
Trustee2.00.0Yes (X)$0$0$0
Iyengar Radha G
Trustee2.040.0Yes (X)$0$395,463$30,462
Johnson Wade O
Immediate Past Chair2.00.0Yes (X)$0$0$0
Kennedy JD
Trustee2.00.0Yes (X)$0$0$0
Sipiora Lynne
Trustee2.00.0Yes (X)$0$0$0
Stout Debra Sue
Vice Chair2.00.0Yes (X)$0$0$0
Tucker Sherry
Chair2.00.0Yes (X)$0$0$0
Williams Benjamin Joel
Trustee2.00.0Yes (X)$0$0$0
Cantu Stacy G
Corporate Secretary0.540.0$0$246,920$42,204Yes (X)
Kramer Kenneth J
Assistant Secretary0.540.0$0$866,539$162,826Yes (X)
Krejci Jacque D
Assistant Secretary0.540.0$0$182,509$35,222Yes (X)
McClung Brett S
THR Corporate Officer0.540.0$0$915,158$163,428Yes (X)
McWhorter Ricky E
Assistant Secretary0.540.0$0$662,520$192,700Yes (X)
Ransom Elizabeth
THR Corporate Officer0.540.0$0$885,899$156,429Yes (X)
Schwab Robert Adams
Chief Medical Officer THA40.00.0$517,812$0$98,835Yes (X)
Shelton Jared Christopher
President THA40.00.0$304,222$0$68,754Yes (X)
Asturi Elizabeth
Chief Nursing Officer THA40.00.0$265,737$0$41,202Yes (X)
Gildon Lisa
Grp Finan Officer THP-THA16.024.0$0$299,310$43,966Yes (X)
Amaya Christopher Jules
DIR PHARMACY40.00.0$161,316$0$35,914Yes (X)
Bird Martha L
ASSOC CNO THA40.00.0$160,887$0$35,176Yes (X)
Hocate Crispin P
PROF & SUPPORT SVCS OFFICER40.00.0$150,983$0$29,792Yes (X)
Pecenka Michelle Leann
DIR NRSG MED SURG/ICU40.00.0$148,609$0$26,857Yes (X)
Clubb Richard David
DIR REHAB/CARDIOPULMONARY40.00.0$146,610$0$48,857Yes (X)
Berdan Barclay E
Former Officer0.040.0$0$2,297,506$326,466Yes (X)
Escandon Christy Anne
Former Officer0.040.0$0$330,124$64,720Yes (X)
Craft Brian
Former Officer0.040.0$0$401,626$56,844Yes (X)
Braxton Kenneth W
Former Officer0.040.0$0$229,227$20,284Yes (X)
Mitchell John D
Former Officer0.040.0$0$557,585$101,281Yes (X)
Kelly Raymond Hugh
Former Officer0.040.0$0$324,020$45,241Yes (X)
Reecer Jeffrey P
Former Officer0.040.0$0$404,893$101,177Yes (X)
Stout Luanne R
Former Officer0.00.0$0$104,371$8,709Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,856,176TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,406,430TotReportableCompRltdOrgAmt
Total Other Compensation$1,960,034TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K58IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Texas Health Resources
612 E Lamar BlvdARLINGTONTX76011Mgmt Services$13,154,503
PERKINS WILL INC
2218 BRYAN ST 200DALLASTX75201Construction Service$2,009,818
TEXAS HEALTH PHYSICIANS GROUP
9229 LBJ FreewayDALLASTX75243Physician Services$954,906
Vanguard Resources
6500 Highway 281 NorthSPRING BRANCHTX78070Housekeeping Service$798,246
WOUND CARE CENTERS INC
PO BOX 637114CICINNATTIOH45263MANAGEMENT SVC$638,220
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K48CntrctRcvdGreaterThan100KCnt
Related Organizations$43,633RelatedOrganizationsAmt
Total Contributions$43,633TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE622110$92,494,120$92,494,120
MEDICARE/MEDICAID ADJ622110$288,979$288,979
EDUCATION REVENUE624190$5,760$5,760
FieldValueIRS element (for citing)
Total Program Service Revenue$92,788,859TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,357TotalRevenueColumnAmt
Exclusion$26,357ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$68,269RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$68,269RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$68,269TotalRevenueColumnAmt
Exclusion$68,269ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,499OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,499OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,499TotalRevenueColumnAmt
Exclusion-$4,499ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GIFT SHOP453220$204,756$204,756
CAFETERIA REVENUE722514$193,514$193,514
REBATES & INCENTIVES622110$71,666$71,666

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,047TotalRevenueColumnAmt
Related Or Exempt Func Income$65,337RelatedOrExemptFuncIncomeAmt
Exclusion$14,710ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$549,983OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$93,472,602TotalRevenueColumnAmt
Related Or Exempt Func Income$92,925,862RelatedOrExemptFuncIncomeAmt
Exclusion$503,107ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,537,455TotalAmt
Program Services$2,537,455ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,256,543TotalAmt
Management And General$1,256,543ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$30,936,117TotalAmt
Program Services$30,490,364ProgramServicesAmt
Management And General$445,753ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,096,199TotalAmt
Program Services$1,096,199ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,660,549TotalAmt
Program Services$3,658,977ProgramServicesAmt
Management And General$1,572ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,182,481TotalAmt
Program Services$2,151,693ProgramServicesAmt
Management And General$30,788ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$13,154,503TotalAmt
Management And General$13,154,503ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,522TotalAmt
Program Services$1,300ProgramServicesAmt
Management And General$7,222ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,533,489TotalAmt
Program Services$6,448,287ProgramServicesAmt
Management And General$85,202ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$76,201TotalAmt
Program Services$75,874ProgramServicesAmt
Management And General$327ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$738,141TotalAmt
Program Services$597,324ProgramServicesAmt
Management And General$140,817ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$210,546TotalAmt
Program Services$199,900ProgramServicesAmt
Management And General$10,646ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,718,596TotalAmt
Program Services$1,264,198ProgramServicesAmt
Management And General$454,398ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,377TotalAmt
Program Services$16,952ProgramServicesAmt
Management And General$6,425ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$64,002TotalAmt
Program Services$57,330ProgramServicesAmt
Management And General$6,672ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,401,059TotalAmt
Program Services$1,401,059ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,745,852TotalAmt
Program Services$5,549,604ProgramServicesAmt
Management And General$196,248ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$320,951TotalAmt
Program Services$320,951ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$13,502,348$13,490,754$11,594
REPAIRS & MAINTENANCE$1,505,384$1,505,384
FURNITURE & EQUIPMENT$633,801$633,782$19
PATIENT SERVICES$564,035$564,035

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$393,292TotalAmt
Program Services$315,328ProgramServicesAmt
Management And General$77,964ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$88,263,443TotalAmt
Program Services$72,376,750ProgramServicesAmt
Management And General$15,886,693ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$228,627BOYAmt
EOY-$235,541EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,423,274BOYAmt
EOY$10,370,623EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$711,945BOYAmt
EOY$654,889EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,421,649BOYAmt
EOY$1,407,911EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$219,292BOYAmt
EOY$221,340EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$95,769,022LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$50,899,447LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$45,586,706BOYAmt
EOY$44,869,575EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$354,022EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$58,134,239BOYAmt
EOY$57,642,819EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,851,369BOYAmt
EOY$8,181,194EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,981,655BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,833,024BOYAmt
EOY$8,181,194EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,301,215BOYAmt
EOY$49,461,625EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,301,215BOYAmt
EOY$49,461,625EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$58,134,239BOYAmt
EOY$57,642,819EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,209,159ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$16,951,251OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,903,475OtherCostOrOtherBasisAmt
Book Value$8,903,475BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,032,875OtherCostOrOtherBasisAmt
Depreciation$28,406,634DepreciationAmt
Book Value$18,626,241BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,545,908OtherCostOrOtherBasisAmt
Depreciation$1,913,097DepreciationAmt
Book Value$11,635,811BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,330,533OtherCostOrOtherBasisAmt
Depreciation$20,579,716DepreciationAmt
Book Value$2,750,817BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,953,231OtherCostOrOtherBasisAmt
Book Value$2,953,231BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$44,869,575TotalBookValueLandBuildingsAmt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,392,445TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$473,989DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,918,456NetCommunityBenefitExpnsAmt
Total Expense0.07840TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,603,072TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,373,283DirectOffsettingRevenueAmt
Net Community Benefit Expns$229,789NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,498TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,286DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,212NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,004,015TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,852,558DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,151,457NetCommunityBenefitExpnsAmt
Total Expense0.08100TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,328TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,328NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,495,364TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,495,364NetCommunityBenefitExpnsAmt
Total Expense0.02830TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,503,692TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,503,692NetCommunityBenefitExpnsAmt
Total Expense0.02840TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,507,707TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,852,558DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,655,149NetCommunityBenefitExpnsAmt
Total Expense0.10940TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,384TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,384NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,608TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,608NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,992TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,992NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$9,488,320BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$12,325,730ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$14,953,009CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,627,279MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Texas Health AllenBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 Central Expressway NorthAddressLine1Txt
CityAllenCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75013ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.texashealth.orgWebsiteAddressTxt
State LicenseTDH #7242StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Texas Health AllenBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.texashealth.org/chnaOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.texashealth.org/chnaStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceTexas Health AllenFormAndLineReferenceDesc
ExplanationPart V. Section B, Line 3e The CHNA contains a prioritized description of the significant health needs of the community as identified through the CHNA. Part V. Section B, Line 5 Texas Health Allen's (THA) Community Health Needs Assessment (CHNA) was a one-year collaborative process which utilized qualitative and quantitative data to assess the health needs of persons in the communities served by the hospital. As a means to further understand the needs of the community, THA gathered feedback through key informant interviews conducted between 12/9/2015 and 3/8/2016, 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. Nine persons with interests specific to the health of THA's community participated in a focus group, five served as key informants and 108 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: Allen Community Outreach, a local social service agency; Allen Economic Corporation; Allen Independent School District's Board; the City of Allen; Collin County Health Care Services; Community Health Clinic of McKinney; the Samaritan Inn, a homeless shelter; and the town of Fairview. In order to gain a comprehensive understanding of the significant health needs for THA's service area, the findings from all three data sets (secondary data, interviews and focus groups, and the online community survey) were compared and studied together. The top five to seven health needs identified by each data source were analyzed for areas of overlap with the other two data sources. Health needs were determined to be significant if they were cited as a top need in at least two of the three data sources. Part V. Section B, Line 11 Following a CHNA conducted in 2016, Texas Health Allen (THA) adopted an implementation strategy in May 2017. THA 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 From 2017-2019, THA has committed to implement strategies and activities aimed at addressing these areas. Mental Health & Substance Abuse is categorized as Behavioral Health; Exercise, Nutrition, & Weight is grouped under Chronic Disease, which has been a strategic area of focus for Community Health Improvement since the 2013 CHNA; and Access to Health Services and Healthcare Navigation & Literacy is jointly titled Awareness, Health Literacy, & Navigation. In 2017, Texas Health Allen addressed significant health needs with the following approaches: 1. Behavioral Health 1a. Explored opportunities for new system-wide behavioral health community program. 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. 3. Awareness, Literacy, & Navigation (ALN) 3a. Continued investment in Community Connect Online Resource Guide, a database of free and reduced-cost social services. 3b. 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. 3c. Managed and strengthened operations of Clinic Connect grant program for optimal performance to address awareness, literacy, and navigation through grants awarded to community clinics. All significant health needs identified are being addressed by the hospital in one of the categories listed above. Part V. Section B, Lines 16 a, b & c The FAP, FAP Application and the Plain Language Summary of the FAP were widely available at this website: www.texashealth.org/patient-and-visitor-information/billing-and-payment-in formation/financial-help-for-those-in-needExplanationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceTexas Health AllenFormAndLineReferenceDesc
ExplanationPart I, Line 3c - Patient Eligibility Patients with a family income at or below 200% of applicable 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 in computing the amounts reported in Lines 7a-7c. The cost-to-charge ratio is derived from Worksheet 2 - Ratio of Patient Care Cost-to-Charges, as found in Schedule H Instructions. The amounts reported on Lines 7e-7i were obtained 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 aid 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 as a community benefit 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: Patient accounts receivable are reported net of estimated allowances for doubtful accounts and contractual adjustments in the consolidated balance sheets. The allowance and resulting provision for bad debts is based upon a combination of the aging of receivables and management's 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 assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience and payment trends by payor category. Patient accounts are also monitored and, if necessary, past due accounts are placed with collection agencies in accordance with guidelines established by management. For receivables associated with services provided to patients who have third-party coverage, the System analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The System's allowance for doubtful accounts for self-pay patients (including allowances for charity care) was 97.5% and 97.7% of self-pay accounts receivable at December 31, 2017 and 2016, respectively. In addition, the System's self-pay write-offs for bad debts was approximately $368,000,000 and $306,000,000 for the year ended December 31, 2017 and 2016, respectively. The System does not maintain a material allowance for doubtful accounts from third-party payors, nor did it have significant write-offs from third-party payors. Part III, Line 8 - Medicare Shortfall The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care & community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. The shortfall amount reported to the state of Texas for 2017 is $11,695,005. Sch H requires a different method to calculate the Medicare shortfall shown on Part III, Lines 5-7. Part III, Line 9b - Debt Collection During the year, standard collection procedures were in place and uniformly applicable to all patient accounts. Except to the extent a patient receives a recovery from any third party or other source, no attempts are made to collect unpaid charges from patient accounts approved for adjustment under the Financial Assistance Policy. Part VI, Line 2 - Needs Assessment In 2016, Texas Health Resources (Texas Health) completed a community health needs assessment (CHNA) for 23 facilities through the following steps: - Demographic analysis by zip code tabulation area - Secondary data analysis of health indicators - Community input data collection and analysis via key informant interviews, focus groups, and a community survey - Synthesis of secondary data and community input data to identify most pressing health needs - Prioritization of health needs using standard criteria elected by Texas Health To objectively prioritize the health needs identified by the data analysis and synthesis, each Texas Health facility used the following criteria: alignment with national, state, or local initiatives; magnitude; economic burden on the community; severity; and opportunity to intervene at a prevention level. The top priority health needs across the Texas Health system were Mental Health & Substance Abuse; Exercise, Nutrition, & Weight; and Access to Health Services and Healthcare Navigation & Literacy. Texas Health developed a system-wide community benefit strategy to leverage internal and external resources to increase its ability to impact community health needs. From 2017-2019, Texas Health has committed to implement strategies and activities aimed at addressing these areas. Mental Health & Substance Abuse is categorized as Behavioral Health; Exercise, Nutrition, & Weight is grouped under Chronic Disease, which has been a strategic area of focus for Community Health Improvement since the 2013 CHNA; and Access to Health Services and Healthcare Navigation & Literacy is jointly titled Awareness, Health Literacy, & Navigation. Part VI, Line 3 - Patient Education A description of the Financial Assistance Policy (FAP), the Plain Language Summary of the FAP (PLS) and the FAP application are available on the THR website at www.TexasHealth.org in English and other languages. The PLS is included in the patient's admission packets. Signs alerting patients of financial assistance and related contact information are posted in various areas of the hospital including admissions & registration and the emergency room. Additionally, financial assistance information is provided verbally and in writing to self-pay patients by financial counselors. As part of the financial counseling meeting, patients areExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Dallas County Indigent Care Corporation
PO BOX 655999 C/O TAX DEPTDALLASTX752655999260610562501(c)(3)$2,033,959INDIGENT HEALTH CARE
PARKLAND-DALLAS COUNTY HOSPITAL DISTRICT
5200 HARRY HINES BLVDDALLASTX75235756004221Dallas County$421,549INDIGENT HEALTH CARE
DALLAS SAFETY NET SUPPORT CORPORATION
1441 N BECKLEY AVEDALLASTX75203823131059pending$14,972INDIGENT Health CARE
ALLEN COMMUNITY OUTREACH
801 E MAIN STREETALLENTX75002751986190501(c)(3)$20,000General Purpose
CITY OF ALLEN
305 CENTURY PARKWAYALLENTX75013756004912City of Allen$20,000General Purpose
CHILDREN & COMMUNITY HEALTH CENTER MCKINNEY
120 SOUTH CENTRAL EXPRESSWAY 102MCKINNEYTX75070200637782501(c)(3)$10,000GENERAL PURPOSE
FOUNDATION FOR ALLEN SCHOOLS
6912 E BETHANY DRIVEALLENTX75002752750519501(c)(3)$7,500GENERAL PURPOSE
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part II - Monitoring GrantsFormAndLineReferenceDesc
ExplanationTexas Health Allen (THA) is a member of the Texas Health Resources (THR) healthcare system. The majority of the grants distributed by the system are to related tax exempt organizations. The hospital does not specifically monitor the use of grants paid to related organizations since THR administration monitors the use of these grants on a system basis for all members of the THR healthcare system. Grants to non-related tax exempt organizations are generally given to entities that are in the hospital's community and/or service area or to certain organizations which will specifically impact the hospital's community. These grants are typically monitored by hospital personnel who are working closely with the non-related nonprofit organization.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Garrigues David
Trustee$0$257,980$0$44,780$0$0$0$0$0$22,688$0$325,448$0$0
Iyengar Radha G
Trustee$0$394,813$0$0$650$0$15,893$0$14,569$0$425,925$0$0
Cantu Stacy G
Corporate Secretary$0$217,919$0$0$29,001$0$545$0$41,659$0$289,124$0$0
Kramer Kenneth J
Assistant Secretary$0$481,919$0$251,279$0$133,341$0$109,968$0$52,858$0$1,029,365$0$50,254
Krejci Jacque D
Assistant Secretary$0$166,353$0$14,711$0$1,445$0$9,897$0$25,325$0$217,731$0$0
McClung Brett S
THR Corporate Officer$0$508,744$0$295,934$0$110,480$0$112,032$0$51,396$0$1,078,586$0$81,911
McWhorter Ricky E
Assistant Secretary$0$383,835$0$194,085$0$84,600$0$159,374$0$33,326$0$855,220$0$39,522
Ransom Elizabeth
THR Corporate Officer$0$479,231$0$292,875$0$113,793$0$108,406$0$48,023$0$1,042,328$0$82,167
Schwab Robert Adams
Chief Medical Officer THA$322,716$0$138,000$0$57,096$0$43,883$0$54,952$0$616,647$0$25,508$0
Shelton Jared Christopher
President THA$192,106$0$71,647$0$40,469$0$34,345$0$34,409$0$372,976$0$7,136$0
Asturi Elizabeth
Chief Nursing Officer THA$196,203$0$44,004$0$25,530$0$31,054$0$10,148$0$306,939$0$7,374$0
Gildon Lisa
Grp Finan Officer THP-THA$0$212,577$0$51,526$0$35,207$0$10,207$0$33,759$0$343,276$0$0
Berdan Barclay E
Former Officer$0$1,115,192$0$905,490$0$276,824$0$285,581$0$40,885$0$2,623,972$0$207,003
Escandon Christy Anne
Former Officer$0$235,467$0$64,086$0$30,571$0$28,918$0$35,802$0$394,844$0$14,123
Craft Brian
Former Officer$0$279,779$0$73,821$0$48,026$0$16,200$0$40,644$0$458,470$0$5,353
Braxton Kenneth W
Former Officer$0$195,497$0$17,737$0$15,993$0$12,759$0$7,525$0$249,511$0$0
Mitchell John D
Former Officer$0$307,987$0$152,794$0$96,804$0$58,920$0$42,361$0$658,866$0$31,519
Kelly Raymond Hugh
Former Officer$0$235,786$0$57,828$0$30,406$0$15,080$0$30,161$0$369,261$0$5,353
Reecer Jeffrey P
Former Officer$0$254,884$0$99,190$0$50,819$0$51,034$0$50,143$0$506,070$0$26,108
Stout Luanne R
Former Officer$0$7,874$0$57,726$0$38,771$0$3,497$0$5,212$0$113,080$0$0
Amaya Christopher Jules
DIR PHARMACY$146,242$0$8,392$0$6,682$0$11,797$0$24,117$0$197,230$0$0$0
Bird Martha L
ASSOC CNO THA$145,847$0$10,260$0$4,780$0$8,111$0$27,065$0$196,063$0$0$0
Hocate Crispin P
PROF & SUPPORT SVCS OFFICER$131,293$0$13,460$0$6,230$0$0$0$29,792$0$180,775$0$0$0
Pecenka Michelle Leann
DIR NRSG MED SURG/ICU$132,783$0$7,694$0$8,132$0$1,755$0$25,102$0$175,466$0$0$0
Clubb Richard David
DIR REHAB/CARDIOPULMONARY$132,561$0$7,500$0$6,549$0$8,368$0$40,489$0$195,467$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a - Discretionary Spending AccountEACH EXECUTIVE AT THE VICE PRESIDENT LEVEL AND ABOVE RECEIVES A PERK ALLOWANCE WHICH IS INCLUDED IN THE TAXABLE COMPENSATION OF THE EMPLOYEE. THIS ALLOWANCE COVERS COSTS SUCH AS BUSINESS USE OF THEIR PERSONAL VEHICLES IN LIEU OF REIMBURSEMENT FOR AUTO MILEAGE.
Schedule J, Part I, Line3 - CEO CompensationThe organization relied on Texas Health Resources (THR), a related 501(c)(3) organization with centralized compensation professionals to use the following methods to establish the compensation of the organizations President. *The Compensation committee (which includes independent persons) performs reviews and makes recommendations to the THR Board. *An Independent compensation consultant may be hired. *Compensation surveys or studies are utilized. *Approval by the Board or Compensation committee is required.
SCHEDULE J, PART I, LINE 4B - NONQUALIFIED RETIREMENT PlanPARTICIPATION IN THE PLAN IS MADE AVAILABLE TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES, AS DETERMINED BY THE THR BOARD OF TRUSTEES, WHO ARE PROVIDING SERVICES IN KEY POSITIONS OF MANAGEMENT AND RESPONSIBILITY. FOR THE ACTIVE RESTORATION ACCOUNT (ACCOUNT BALANCES AFTER 12/31/2009), SERP BENEFITS VEST WHILE THE PARTICIPANT IS EMPLOYED IF THE PARTICIPANT: * REACHES AGE 65, * BECOMES DISABLED OR DIES, * REACHES THE FOLLOWING YEARS OF SERVICE: 2 YEARS - 25%; 3 YEARS -50%; 4 YEARS - 75%; AND 5 OR MORE - 100%. PARTICIPANTS MUST BE EMPLOYED ON DEC 1 TO QUALIFY FOR THE CURRENT YEAR'S SERP BENEFIT UNLESS SEPARATION IS DUE TO DEATH, DISABILITY, RETIREMENT (AGE 65) OR EARLY RETIREMENT (SEPARATION FROM SERVICE AT OR AFTER AGE 55 WITH 75 YEARS OF COMBINED AGE AND CONTINUOUS SERVICE WITH THE SYSTEM). SERP BENEFITS ARE CALCULATED EACH DEC 1. VESTED BALANCES ARE TAXED TO THE EMPLOYEE AND THE NET BALANCES BEGIN ACCRUING EARNINGS. VESTED BALANCES ARE PAID IN A CASH LUMP SUM WITHIN A 90 DAY PERIOD COMMENCING ON THE EARLIER OF DEATH, DISABILITY, OR SEPARATION FROM SERVICE. THE DEFERRED PORTION IS INCLUDED IN SCHEDULE J, PART II, COLUMN C. IN FROZEN RESTORATION ACCOUNTS (ACCOUNT BALANCES PRIOR TO 1/1/2010), THE PARTICIPANT OR BENEFICIARY SHALL BE TAXED ON HIS OR HER VESTED SERP BENEFITS UPON THE EARLIEST OF: * CONTINUED EMPLOYMENT IN THR UNTIL AGE 68 * TERMINATION OF EMPLOYMENT FOR DISABILITY OR DEATH * INVOLUNTARY TERMINATION OF EMPLOYMENT WITHOUT REASONABLE CAUSE; OR * SATISFYING A 24 MONTH NON-COMPETE PERIOD FOLLOWING HIS/HER TERMINATION OF EMPLOYMENT. PAYMENT FOLLOWS THE BEFORE MENTIONED EVENTS, EXCEPT IN THE CASE OF INVOLUNTARY SEPARATION WHEN THE PARTICIPANT MUST WAIT 24 MONTHS TO RECEIVE THE PREVIOUSLY TAXED BENEFIT. PAYOUTS TO THE FOLLOWING EMPLOYEES WERE MADE DURING THE YEAR. THE AMOUNTS BELOW ARE INCLUDED IN THE AMOUNT REPORTED ON SCH J, PART II, COLUMN B(III) AND COLUMN (F). Asturi,Elizabeth $ 7,374.09 Berdan,Barclay E. $ 207,002.95 Escandon,Christy Anne $ 14,123.09 Kelly,Raymond Hugh $ 5,352.77 Kramer,Kenneth J. $ 50,254.15 McClung,Brett S. $ 81,911.03 McWhorter,Ricky E. $ 39,521.88 Mitchell,John D. $ 31,518.69 Ransom,Elizabeth $ 82,166.88 Reecer,Jeffrey P $ 26,107.68 Schwab,Robert Adams $ 25,507.62 Shelton,Jared Christopher $ 7,136.20

Schedule L IRS990ScheduleL

FieldValueIRS element (for citing)
Total Balance Due$0TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonAllen Anesthesia AssociatesPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionEntity owned by Board MemberRelationshipDescriptionTxt
Transaction$250,000TransactionAmt
TransactionAnesthesia ServicesTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
990, Part VI, Section A, Line 2 - Business RelationshipTexas Health Resources (THR) and its related organizations included in the THR healthcare system encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees who are serving as officers, board members, or key employees may, from time to time, also serve on the boards of various community organizations such as church boards, United Way, etc. There may be a business relationship as a result of multiple THR employees serving on the same community boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards.
990, Part VI, Section A, Lines 6&7a - MembersTexas Health Resources (THR) is the sole member of the organization
990, Part VI, Section A, Line 7b - Governance Decisions ReservedThe 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 FilingThe 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 Sr. Director 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 and 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 InterestTexas 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 DeterminationThe 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 DisclosureThe organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner.
990, Part XI, Line 9 Other Changes in Net AssetsAdjustment for Intercompany Transactions of a Controlled Group $16,951,251 The intercompany transaction eliminates the intercompany receivable/payable as of 12/31/17 between the parent company, Texas Health Resources (THR), and the wholly owned tax-exempt entities in the THR Healthcare System. The adjustment includes 2017 activity as well as prior years accumulated activity. The THR Healthcare System records all related transactions through intercompany receivable/payable accounts. The types of transactions recorded through the intercompany accounts include, but are not limited to, management fees charged by the parent organization, services purchased between the related organizations, purchases made by a centralized purchasing department, daily cash sweeps and similar transactions.
990, Part XII, Line 2c - Consolidated Financial StatementsTexas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Johnson County Community Care Corp
612 E Lamar BlvdArlingtonTX76011452793120Support Org.TX501(c)(3)12aTH Cleburnefalse
Huguley Medical Associates Inc
11801 South FreewayBurlesonTX76028752547668Phys ClinicTX501(c)(3)3TH Huguleyfalse
North Texas Healthy Communities
612 E Lamar BlvdArlingtonTX76011464513182Comm SupportTX501(c)(3)7TH Resourcesfalse
Southwestern Health Resources JOC
5323 Harry Hines BlvdDallasTX75390811575989Support Org.TX501(c)(3)12bTH Resourcesfalse
Texas Health Arlington Memorial Hospital
800 West Randol Mill RdArlingtonTX76012750972805HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Back Care
9229 LBJ FreewayDallasTX75243474724257Phys. ClinicTX501(c)(3)10TH Phys Grpfalse
TH Behavioral Health Hospital Corinth
612 E Lamar BlvdArlingtonTX76011814317635HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Medical Support
612 E Lamar BlvdArlingtonTX76011812833150Spec DrugsTX501(c)(3)10TH Resourcesfalse
Texas Health Alliance
10864 Texas Health TrailFort WorthTX76244451502252HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Azle
108 Denver TrailAzleTX76020751748586HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Cleburne
201 Walls DrCleburneTX76033751977850HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Fort Worth
1301 Pennsylvania AveFort WorthTX76104756001743HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Hurst-Euless-Bedford
1600 Hospital ParkwayBedfordTX76022751438726HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Southwest Fort Worth
6100 Harris ParkwayFort WorthTX76132752678857HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Stephenville
411 BelknapStephenvilleTX76401751752253HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Huguley Inc
11801 S FreewayBurlesonTX76028452694620HospitalFL501(c)(3)3TH Resourcesfalse
TX Health Outpatient Surg Ctr Alliance
10840 Texas Health TrailFort WorthTX76244800800294HospitalTX501(c)(3)3TH Alliancefalse
Texas Health Physicians Group
9229 LBJ FreewayDallasTX75243752613493Phys. ClinicTX501(c)(3)10TH Resourcesfalse
TH Recovery and Wellness Center
240 Miller RoadMansfieldTX76063812813227Resd Trmt CtrTX501(c)(3)3TH Resourcesfalse
Texas Health Resources Foundation
612 E Lamar BlvdArlingtonTX76011752022128FundraisingTX501(c)(3)7TH Resourcesfalse
Texas Health Allen
1105 Central Expressway NAllenTX75013752890358HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Dallas
8200 Walnut Hill LnDallasTX75231751047527HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Denton
3000 North Interstate 35DentonTX76201432008974HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Kaufman
850 Ed Hall DriveKaufmanTX75142752771437HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Plano
6200 W Parker RdPlanoTX75093752770738HospitalTX501(c)(3)3TH Resourcesfalse
TX Health Research & Education Institute
612 E Lamar BlvdArlingtonTX76011752562191Edu& ResearchTX501(c)(3)4TH Resourcesfalse
Texas Health Resources
612 E Lamar BlvdArlingtonTX76011752702388Mgmt Supp OrgTX501(c)(3)12cNAfalse
TH Seay Behavioral Health Hospital
6110 W Parker RdPlanoTX75093812792484HospitalTX501(c)(3)3TH Resourcesfalse
TH Springwood Behavioral Health Hospital
2717 Tibbets DrBedfordTX76022812798838HospitalTX501(c)(3)3TH Resourcesfalse
TH Specialty Hospital Fort Worth
1301 Pennsylvania AveFort WorthTX76104751648589LT HospitalTX501(c)(3)3TH Resourcesfalse
WW Ward Endowment Fund Trust
612 E Lamar BlvdArlingtonTX76011756196065Support Org.TX501(c)(3)12aTH Foundatiofalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (34 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AMH Cath Labs LLC
811 Wright StArlingtonTX76012203003947HospitalTXna
Arlington Surgery Center LLC
918 N Davis DrArlingtonTX76012752055800Amb Surg CtrTXna
Cleburne Imaging LLC
PO Box 820519DallasTX75382460767278Medical ImagingTXna
Cleburne Surgical Center LLC
2010 W Katherine P Raines Blvd StCleburneTX76033203742012Amb Surg CtrTXna
Denton Surgery Center LLC
207 North Bonnie BreaDentonTX76201470926556Amb Surg CtrTXna
Flower Mound Hospital Partners LLC
4400 Long Prairie RdFlower MoundTX75028260684968HospitalTXna
Fort Worth Endoscopy Centers LLC
900 W Magnolia Ave 101Fort WorthTX76104770368346Endoscopy CtrTXna
FTH DFW Partners LLC
1401 E Trinity Mills RdCarrolltonTX75006473426036Hospital/ERTXna
Greenville Surgery Center LLC
7150 Greenville Ave Ste 200DallasTX75231742411643Amb Surg CtrTXna
Health Imaging Partners LLC
8610 Explorer Drive Ste 300Colorado SpringsCO80920271385885Medical ImagingTXna
North Dallas Surgical Center LLC
17980 Dallas Parkway Ste 100DallasTX75287272248103Amb Surg CtrTXna
Opthalmology Surgery Center of Dallas LL
10740 N Central ExpyDallasTX75231261914835Amb Surg CtrTXna
Park Hill Surgery Center LLC
3455 Locke AveFort WorthTX76107451484375Amb Surg CtrTXna
Physician Medical Center LLC
6020 W Parker RdPlanoTX75093481281376HospitalTXna
Presbyterian Cancer Center-Dallas LLC
PO Box 819067DallasTX75381260422749Cancer CtrTXna
Rockwall Regional Hospital LLC
3150 Horizon RdRockwallTX75032202848116HospitalTXna
Southlake Specialty Hospital LLC
1545 E Southlake BlvdSouthlakeTX76092020555370HospitalTXna
Surgical Caregivers of Fort Worth LLC
2001 W Rosedale StreetFort WorthTX76104751925497Amb Surg CtrTXna
Texas Health Craig Ranch Surgery Center
8080 State Hwy 121 Ste 100McKinneyTX75070383897811Amb Surg CtrTXna
Texas Health Spine Surgery Center Allen
1545 E Southlake Blvd Ste 100SouthlakeTX76092300957868Amb Surg CtrTXna
Texas Health Orthopedic Surgery Center A
9848 North Beach StFort WorthTX76244814977249InactiveTXna
Texas Health Surgery Center Alliance LL
800 5th Ave Ste 200Fort WorthTX76104822296081Amb Surg CtrTXna
Texas Health Surgery Center Bedford LLC
1605 Airport Freeway Suite 100BedfordTX76021821307876Amb Surg CtrTXna
Texas Health Flower Mound Orthopedic Sur
5000 Long Prairie RoadFlower MoundTX75028800866449Amb Surg CtrTXna
Texas Health Surgery Center Preston Plaz
17950 Preston Road Ste 75DallasTX75252203991622Amb Surg CtrTXna
Texas Health Surgery Center Rockwall LL
569 Brookwood Village Ste 901BirminghamAL35209474425996InactiveTXna
Texas Health Surgery Center South Arling
569 Brookwood Village ste 901BirminghamAL35209731662763InactiveTXna
Texas Institute for Surgery LLP
7715 Greenville Ave Ste 100DallasTX75231203571243HospitalTXna
THR-STT Rockwall ASC LLC
1545 E Southlake BlvdSouthlakeTX76092770628004Amb Surg CtrTXna
THR-STT Southlake ASC LLC
1545 E Southlake BlvdSouthlakeTX76092262429878Amb Surg CtrTXna
USMD Hospital at Arlington LP
801 I -20 WestArlingtonTX76017201728912HospitalTXna
USMD Hospital at Fort Worth LP
6333 North State Hwy 161 Ste 200IrvingTX75038731662763HospitalTXna
Wilson Creek Surgical Center LLC
8855 synergy DrMcKinneyTX75070203571243Amb Surg CtrTXna
Women's Specialty Surgery Center
8230 Walnut Hill Ln Ste 101DallasTX75231274816583Amb Surg CtrTXna

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Texas Health Biomedical Advancement Cent
612 E Lamar BlvdArlingtonTX76011752636884ResearchTXNAC Corpfalse
SWHR Specialty Programs Group
612 E Lamar BlvdArlingtonTX76011465588632InactiveTXNAC Corpfalse
THR Primary Care Ext Physcian Network
612 E Lamar BlvdArlingtonTX76011465365421InactiveTXNAC Corpfalse
Charitable Remainder Trusts (4)
612 E Lamar BlvdArlingtonTX76011465588632CR TrustTXNATrustfalse
Grace Indemnity Company Ltd
981209573NAC Corpfalse1159 Carribean PlazaGrand CaymanCJKY 1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part V, Line 2 - Related TransactionsFormAndLineReferenceDesc
ExplanationTexas Health Resources (THR) is the parent organization in a large healthcare system made up of both wholly owned entities as well as related controlled joint ventures as listed on Schedule R. THR's role is to plan, manage and coordinate the activities of the affiliated healthcare system in order to maximize opportunities to deliver cost effective quality medical care to residents of north central Texas. THR provides direction and oversight to its wholly owned affiliates through centralized services. They also provide oversight for the controlled joint ventures. As an integral part of providing centralized services to the affiliates, THR maintains intercompany receivable/payable accounts, most of which do not fall within the scope of IRC Section 512(b)(13). During 2017, the intercompany receivable/payable account balances between THR and its wholly owned tax exempt controlled entities were written off. The range of centralized services provided by THR include information services, managed care contracting, Human resources, revenue cycle, billing and collections, patient access/admissions, legal, tax, compliance, supply chain, quality, business development, insurance, treasury, marketing, general accounting, real estate services, coding, transcription and strategic planning. In addition, THR does daily cash sweeps of all controlled tax exempt entity cash accounts. As a result, THR has numerous daily transactions with controlled tax exempt entities, none of which fall within the scope of IRC Section 512(b)(13). A management fee is charged for the centralized services and reported on Form 990, Part VII, Section B as a professional services fee. Transactions with related tax exempt organizations falling within the meaning of centralized services as described above, are not listed on Schedule R, Part V, Line 2.ExplanationTxt