2018-11-13T16:39:28-06:00 2017-12-31 990 2017-01-01 752890358 Texas Health Presbyterian Hospital Allen % DAVID JACKSON TEXA 9727471000 1105 Central Expressway North Allen TX 75013 DAVID JACKSON Assistant Secretary 6822367900 2018-11-13 12.50.9.252 80738820183175000000 2018-11-13 P 19E3F08E41C1C558D70B85A06FC78B78907977B5 631EFFC3DBC3CC1ECF1FA4DC9E140E0EB9698683 2017 2019-02-21 02:37:17Z Jared Shelton 1105 Central Expressway North Allen TX 75013 93477101 false X texashealth.org X 2000 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. 11 9 514 95 0 59623 43633 85374127 92788859 -80441 21858 794683 618252 86147992 93472602 65500 2537455 0 0 36464723 39131889 0 0 0 42641693 46594099 79171916 88263443 6976076 5209159 58134239 57642819 30833024 8181194 27301215 49461625 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 72376750 2537455 92925862 Texas 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. 72376750 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 true false false false false false true false false false true 69 0 true 514 true false false false false false false false false false false X 11 9 true false false 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 Berg Eric Trustee 2.0 0.0 X 0 0 0 Culbertson Darion Trustee 2.0 0.0 X 0 0 0 Garrigues David Trustee 2.0 40.0 X 0 302760 22688 Gibbons Thomas Trustee 2.0 0.0 X 0 0 0 Iyengar Radha G Trustee 2.0 40.0 X 0 395463 30462 Johnson Wade O Immediate Past Chair 2.0 0.0 X 0 0 0 Kennedy JD Trustee 2.0 0.0 X 0 0 0 Sipiora Lynne Trustee 2.0 0.0 X 0 0 0 Stout Debra Sue Vice Chair 2.0 0.0 X 0 0 0 Tucker Sherry Chair 2.0 0.0 X 0 0 0 Williams Benjamin Joel Trustee 2.0 0.0 X 0 0 0 Cantu Stacy G Corporate Secretary 0.5 40.0 X 0 246920 42204 Kramer Kenneth J Assistant Secretary 0.5 40.0 X 0 866539 162826 Krejci Jacque D Assistant Secretary 0.5 40.0 X 0 182509 35222 McClung Brett S THR Corporate Officer 0.5 40.0 X 0 915158 163428 McWhorter Ricky E Assistant Secretary 0.5 40.0 X 0 662520 192700 Ransom Elizabeth THR Corporate Officer 0.5 40.0 X 0 885899 156429 Schwab Robert Adams Chief Medical Officer THA 40.0 0.0 X 517812 0 98835 Shelton Jared Christopher President THA 40.0 0.0 X 304222 0 68754 Asturi Elizabeth Chief Nursing Officer THA 40.0 0.0 X 265737 0 41202 Gildon Lisa Grp Finan Officer THP-THA 16.0 24.0 X 0 299310 43966 Amaya Christopher Jules DIR PHARMACY 40.0 0.0 X 161316 0 35914 Bird Martha L ASSOC CNO THA 40.0 0.0 X 160887 0 35176 Hocate Crispin P PROF & SUPPORT SVCS OFFICER 40.0 0.0 X 150983 0 29792 Pecenka Michelle Leann DIR NRSG MED SURG/ICU 40.0 0.0 X 148609 0 26857 Clubb Richard David DIR REHAB/CARDIOPULMONARY 40.0 0.0 X 146610 0 48857 Berdan Barclay E Former Officer 0.0 40.0 X 0 2297506 326466 Escandon Christy Anne Former Officer 0.0 40.0 X 0 330124 64720 Craft Brian Former Officer 0.0 40.0 X 0 401626 56844 Braxton Kenneth W Former Officer 0.0 40.0 X 0 229227 20284 Mitchell John D Former Officer 0.0 40.0 X 0 557585 101281 Kelly Raymond Hugh Former Officer 0.0 40.0 X 0 324020 45241 Reecer Jeffrey P Former Officer 0.0 40.0 X 0 404893 101177 Stout Luanne R Former Officer 0.0 0.0 X 0 104371 8709 1856176 9406430 1960034 58 true true false Texas Health Resources 612 E Lamar Blvd ARLINGTON TX 76011 Mgmt Services 13154503 PERKINS WILL INC 2218 BRYAN ST 200 DALLAS TX 75201 Construction Service 2009818 TEXAS HEALTH PHYSICIANS GROUP 9229 LBJ Freeway DALLAS TX 75243 Physician Services 954906 Vanguard Resources 6500 Highway 281 North SPRING BRANCH TX 78070 Housekeeping Service 798246 WOUND CARE CENTERS INC PO BOX 637114 CICINNATTI OH 45263 MANAGEMENT SVC 638220 48 43633 43633 PATIENT REVENUE 622110 92494120 92494120 MEDICARE/MEDICAID ADJ 622110 288979 288979 EDUCATION REVENUE 624190 5760 5760 92788859 26357 26357 0 0 68269 68269 0 68269 68269 4499 -4499 -4499 -4499 0 0 0 0 0 0 0 0 0 GIFT SHOP 453220 204756 204756 CAFETERIA REVENUE 722514 193514 193514 REBATES & INCENTIVES 622110 71666 71666 80047 65337 14710 549983 93472602 92925862 503107 2537455 2537455 0 0 0 1256543 1256543 0 30936117 30490364 445753 1096199 1096199 3660549 3658977 1572 2182481 2151693 30788 13154503 13154503 8522 1300 7222 0 0 0 0 6533489 6448287 85202 76201 75874 327 738141 597324 140817 210546 199900 10646 0 1718596 1264198 454398 23377 16952 6425 0 64002 57330 6672 1401059 1401059 0 5745852 5549604 196248 320951 320951 SUPPLIES 13502348 13490754 11594 REPAIRS & MAINTENANCE 1505384 1505384 FURNITURE & EQUIPMENT 633801 633782 19 PATIENT SERVICES 564035 564035 393292 315328 77964 88263443 72376750 15886693 0 -228627 -235541 0 0 0 0 10423274 10370623 0 0 0 0 711945 654889 1421649 1407911 219292 221340 95769022 50899447 45586706 44869575 0 0 0 0 0 0 0 0 0 354022 58134239 57642819 5851369 8181194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24981655 0 30833024 8181194 X 27301215 49461625 0 0 0 0 27301215 49461625 58134239 57642819 X 5209159 16951251 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. 8903475 8903475 47032875 28406634 18626241 13545908 1913097 11635811 23330533 20579716 2750817 2953231 2953231 44869575 true true X true X true X 500. true true false true true 7392445 473989 6918456 0.07840 5603072 5373283 229789 0.00260 8498 5286 3212 0.00000 13004015 5852558 7151457 0.08100 8328 0 8328 0.00010 2495364 0 2495364 0.02830 2503692 0 2503692 0.02840 15507707 5852558 9655149 0.10940 13384 0 13384 0.00020 6608 0 6608 0.00010 19992 0 19992 0.00030 false 9488320 0 12325730 14953009 -2627279 X true true 1 1 Texas Health Allen 1105 Central Expressway North Allen TX 75013 www.texashealth.org TDH #7242 X X X Texas Health Allen 1 false false true X X X X X X X X X 16 true false 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 Allen 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 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-need Texas Health Allen Part 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 are true Dallas County Indigent Care Corporation PO BOX 655999 C/O TAX DEPT DALLAS TX 752655999 260610562 501(c)(3) 2033959 INDIGENT HEALTH CARE PARKLAND-DALLAS COUNTY HOSPITAL DISTRICT 5200 HARRY HINES BLVD DALLAS TX 75235 756004221 Dallas County 421549 INDIGENT HEALTH CARE DALLAS SAFETY NET SUPPORT CORPORATION 1441 N BECKLEY AVE DALLAS TX 75203 823131059 pending 14972 INDIGENT Health CARE ALLEN COMMUNITY OUTREACH 801 E MAIN STREET ALLEN TX 75002 751986190 501(c)(3) 20000 General Purpose CITY OF ALLEN 305 CENTURY PARKWAY ALLEN TX 75013 756004912 City of Allen 20000 General Purpose CHILDREN & COMMUNITY HEALTH CENTER MCKINNEY 120 SOUTH CENTRAL EXPRESSWAY 102 MCKINNEY TX 75070 200637782 501(c)(3) 10000 GENERAL PURPOSE FOUNDATION FOR ALLEN SCHOOLS 6912 E BETHANY DRIVE ALLEN TX 75002 752750519 501(c)(3) 7500 GENERAL PURPOSE 6 1 Schedule I, Part II - Monitoring Grants Texas 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. X true true false true false false false false false false false Garrigues David Trustee 0 257980 0 44780 0 0 0 0 0 22688 0 325448 0 0 Iyengar Radha G Trustee 0 394813 0 0 650 0 15893 0 14569 0 425925 0 0 Cantu Stacy G Corporate Secretary 0 217919 0 0 29001 0 545 0 41659 0 289124 0 0 Kramer Kenneth J Assistant Secretary 0 481919 0 251279 0 133341 0 109968 0 52858 0 1029365 0 50254 Krejci Jacque D Assistant Secretary 0 166353 0 14711 0 1445 0 9897 0 25325 0 217731 0 0 McClung Brett S THR Corporate Officer 0 508744 0 295934 0 110480 0 112032 0 51396 0 1078586 0 81911 McWhorter Ricky E Assistant Secretary 0 383835 0 194085 0 84600 0 159374 0 33326 0 855220 0 39522 Ransom Elizabeth THR Corporate Officer 0 479231 0 292875 0 113793 0 108406 0 48023 0 1042328 0 82167 Schwab Robert Adams Chief Medical Officer THA 322716 0 138000 0 57096 0 43883 0 54952 0 616647 0 25508 0 Shelton Jared Christopher President THA 192106 0 71647 0 40469 0 34345 0 34409 0 372976 0 7136 0 Asturi Elizabeth Chief Nursing Officer THA 196203 0 44004 0 25530 0 31054 0 10148 0 306939 0 7374 0 Gildon Lisa Grp Finan Officer THP-THA 0 212577 0 51526 0 35207 0 10207 0 33759 0 343276 0 0 Berdan Barclay E Former Officer 0 1115192 0 905490 0 276824 0 285581 0 40885 0 2623972 0 207003 Escandon Christy Anne Former Officer 0 235467 0 64086 0 30571 0 28918 0 35802 0 394844 0 14123 Craft Brian Former Officer 0 279779 0 73821 0 48026 0 16200 0 40644 0 458470 0 5353 Braxton Kenneth W Former Officer 0 195497 0 17737 0 15993 0 12759 0 7525 0 249511 0 0 Mitchell John D Former Officer 0 307987 0 152794 0 96804 0 58920 0 42361 0 658866 0 31519 Kelly Raymond Hugh Former Officer 0 235786 0 57828 0 30406 0 15080 0 30161 0 369261 0 5353 Reecer Jeffrey P Former Officer 0 254884 0 99190 0 50819 0 51034 0 50143 0 506070 0 26108 Stout Luanne R Former Officer 0 7874 0 57726 0 38771 0 3497 0 5212 0 113080 0 0 Amaya Christopher Jules DIR PHARMACY 146242 0 8392 0 6682 0 11797 0 24117 0 197230 0 0 0 Bird Martha L ASSOC CNO THA 145847 0 10260 0 4780 0 8111 0 27065 0 196063 0 0 0 Hocate Crispin P PROF & SUPPORT SVCS OFFICER 131293 0 13460 0 6230 0 0 0 29792 0 180775 0 0 0 Pecenka Michelle Leann DIR NRSG MED SURG/ICU 132783 0 7694 0 8132 0 1755 0 25102 0 175466 0 0 0 Clubb Richard David DIR REHAB/CARDIOPULMONARY 132561 0 7500 0 6549 0 8368 0 40489 0 195467 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 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 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 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 Plan PARTICIPATION IN THE PLAN IS MADE AVAILABLE TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES, AS DETERMINED BY THE THR BOARD OF TRUSTEES, WHO ARE PROVIDING SERVICES IN KEY POSITIONS OF MANAGEMENT AND RESPONSIBILITY. FOR THE ACTIVE RESTORATION ACCOUNT (ACCOUNT BALANCES AFTER 12/31/2009), SERP BENEFITS VEST WHILE THE PARTICIPANT IS EMPLOYED IF THE PARTICIPANT: * REACHES AGE 65, * BECOMES DISABLED OR DIES, * REACHES THE FOLLOWING YEARS OF SERVICE: 2 YEARS - 25%; 3 YEARS -50%; 4 YEARS - 75%; AND 5 OR MORE - 100%. PARTICIPANTS MUST BE EMPLOYED ON DEC 1 TO QUALIFY FOR THE CURRENT YEAR'S SERP BENEFIT UNLESS SEPARATION IS DUE TO DEATH, DISABILITY, RETIREMENT (AGE 65) OR EARLY RETIREMENT (SEPARATION FROM SERVICE AT OR AFTER AGE 55 WITH 75 YEARS OF COMBINED AGE AND CONTINUOUS SERVICE WITH THE SYSTEM). SERP BENEFITS ARE CALCULATED EACH DEC 1. VESTED BALANCES ARE TAXED TO THE EMPLOYEE AND THE NET BALANCES BEGIN ACCRUING EARNINGS. VESTED BALANCES ARE PAID IN A CASH LUMP SUM WITHIN A 90 DAY PERIOD COMMENCING ON THE EARLIER OF DEATH, DISABILITY, OR SEPARATION FROM SERVICE. THE DEFERRED PORTION IS INCLUDED IN SCHEDULE J, PART II, COLUMN C. IN FROZEN RESTORATION ACCOUNTS (ACCOUNT BALANCES PRIOR TO 1/1/2010), THE PARTICIPANT OR BENEFICIARY SHALL BE TAXED ON HIS OR HER VESTED SERP BENEFITS UPON THE EARLIEST OF: * CONTINUED EMPLOYMENT IN THR UNTIL AGE 68 * TERMINATION OF EMPLOYMENT FOR DISABILITY OR DEATH * INVOLUNTARY TERMINATION OF EMPLOYMENT WITHOUT REASONABLE CAUSE; OR * SATISFYING A 24 MONTH NON-COMPETE PERIOD FOLLOWING HIS/HER TERMINATION OF EMPLOYMENT. PAYMENT FOLLOWS THE BEFORE MENTIONED EVENTS, EXCEPT IN THE CASE OF INVOLUNTARY 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 0 Allen Anesthesia Associates Entity owned by Board Member 250000 Anesthesia Services false 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, 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 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 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 $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 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 Support Org. 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 Support 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 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 Hospital TX 501(c)(3) 3 TH Alliance false 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 Mgmt Supp Org TX 501(c)(3) 12c NA false TH Seay Behavioral Health Hospital 6110 W Parker Rd Plano TX 75093 812792484 Hospital TX 501(c)(3) 3 TH Resources false TH Springwood Behavioral Health Hospital 2717 Tibbets Dr Bedford TX 76022 812798838 Hospital 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 Support Org. TX 501(c)(3) 12a TH Foundatio 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 Imaging 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 473426036 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 Imaging 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 Physician Medical Center LLC 6020 W Parker Rd Plano TX 75093 481281376 Hospital TX na Presbyterian Cancer Center-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 1545 E Southlake Blvd Ste 100 Southlake TX 76092 300957868 Amb Surg Ctr TX na Texas Health Orthopedic Surgery Center A 9848 North Beach St Fort Worth TX 76244 814977249 Inactive TX na Texas Health Surgery Center Alliance LL 800 5th Ave Ste 200 Fort Worth TX 76104 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 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 LL 569 Brookwood Village Ste 901 Birmingham AL 35209 474425996 Inactive TX na Texas Health Surgery Center South Arling 569 Brookwood Village ste 901 Birmingham AL 35209 731662763 Inactive TX na Texas Institute for Surgery LLP 7715 Greenville Ave Ste 100 Dallas TX 75231 203571243 Hospital TX na THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 770628004 Amb Surg Ctr TX na THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 262429878 Amb Surg Ctr TX na USMD Hospital at Arlington LP 801 I -20 West Arlington TX 76017 201728912 Hospital TX na USMD Hospital at Fort Worth LP 6333 North State Hwy 161 Ste 200 Irving TX 75038 731662763 Hospital TX na Wilson Creek Surgical Center LLC 8855 synergy Dr McKinney TX 75070 203571243 Amb Surg Ctr TX na Women's Specialty Surgery Center 8230 Walnut Hill Ln Ste 101 Dallas TX 75231 274816583 Amb Surg Ctr TX na Texas Health Biomedical Advancement Cent 612 E Lamar Blvd Arlington TX 76011 752636884 Research TX NA C Corp false SWHR Specialty Programs Group 612 E Lamar Blvd Arlington TX 76011 465588632 Inactive 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 465588632 CR Trust TX NA Trust false Grace Indemnity Company Ltd 1159 Carribean Plaza Grand Cayman CJ KY 1-1102 981209573 CJ NA C Corp false false false true false false false false false true true false true false false true true true true 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). 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.