TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE (EIN 75-1752253)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-12
IRS object ID: 201843169349303204
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-12T11:37:41-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	751752253	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Texas Health Harris Methodist Hospital	BusinessNameLine1Txt
Business Name Line2	Stephenville	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% DAVID JACKSON	InCareOfNm
Business Name Control	TEXA	BusinessNameControlTxt
Phone	2549651500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	411 Belknap	AddressLine1Txt
City	Stephenville	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID JACKSON	PersonNm
Person Title	Assistant Secretary	PersonTitleTxt
Phone	6822367900	PhoneNum
Signature	2018-11-12	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	12.50.9.2	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	80738820183165000007	FederalOriginalSubmissionId
Federal Original Submission Id	2018-11-12	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	55E137C1C0FE766D765F7634C8846E5029CDF457	AtSubmissionCreationDeviceId
At Submission Filing Device Id	631EFFC3DBC3CC1ECF1FA4DC9E140E0EB9698683	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Christopher Leu	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	411 Belknap	AddressLine1Txt
City	Stephenville	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$50,755,393	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.texashealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1982	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	309	TotalEmployeeCnt
Total Volunteers	45	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$59,202	PYContributionsGrantsAmt
CY Contributions Grants	$460,114	CYContributionsGrantsAmt
PY Program Service Revenue	$51,467,121	PYProgramServiceRevenueAmt
CY Program Service Revenue	$49,978,409	CYProgramServiceRevenueAmt
PY Investment Income	-$3,386	PYInvestmentIncomeAmt
CY Investment Income	$55,019	CYInvestmentIncomeAmt
PY Other Revenue	$199,355	PYOtherRevenueAmt
CY Other Revenue	$216,640	CYOtherRevenueAmt
PY Total Revenue	$51,722,292	PYTotalRevenueAmt
CY Total Revenue	$50,710,182	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,775	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$20,125	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$20,904,678	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$21,026,784	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$22,960,055	PYOtherExpensesAmt
CY Other Expenses	$23,992,217	CYOtherExpensesAmt
PY Total Expenses	$43,873,508	PYTotalExpensesAmt
CY Total Expenses	$45,039,126	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,848,784	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,671,056	CYRevenuesLessExpensesAmt
Total Assets BOY	$77,887,181	TotalAssetsBOYAmt
Total Assets EOY	$33,736,033	TotalAssetsEOYAmt
Total Liabilities BOY	$4,190,774	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,987,605	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$73,696,407	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$29,748,428	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$35,734,645	ExpenseAmt
Grant	$20,125	GrantAmt
Revenue	$50,068,851	RevenueAmt
Desc	Texas Health Harris Methodist Stephenville (THS) is a 98 licensed bed acute care, full-service hospital providing health care for residents in Erath and surrounding counties since 1982. THS offers health care services such as inpatient and outpatient surgery, women's services, advanced diagnostic imaging, inpatient physical therapy and wound care and cardiac rehabilitation. THS has been recognized as a Nurse-Friendly and Baby-Friendly Hospital and operates a Level IV Trauma Center. During the year, THS had 5,649 patient days, 1,894 discharges, 28,827 outpatient encounters, 17,876 emergency room visits and 400 births. THS provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The hospital provides care to persons covered by governmental programs including Medicare and Medicaid for reimbursement that does not always cover the cost of providing the care. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. Community benefit is provided through many reduced price services and free programs to the community. These services are essential to provide complete healthcare to the communities served. THS promotes Diabetes Self-Management, a program where the hospital's Center for Diabetes Education partners with physicians and other members of the community in an effort, through education and encouragement, to promote healthy lifestyles, good nutrition, the importance of exercise and the importance of early diabetes detection. THS provided car seat safety checks to Erath and surrounding counties as well as assisted with installing car seats safely and free of charge to those in need.	Desc
Total Program Service Expenses	$35,734,645	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	Yes (true)	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	27	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	309	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID JACKSON	PersonNm
Phone	6822367900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	612 E LAMAR BLVD	AddressLine1Txt
City	Arlington	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76011	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Brister Marilyn K
Trustee	2.0	0.0	Yes (X)	$0	$0	$0
Brown Sonja
Trustee	2.0	0.0	Yes (X)	$0	$0	$0
Green John T
Trustee	2.0	0.0	Yes (X)	$0	$0	$0
Hobbs Karen R
Vice Chair	2.0	0.0	Yes (X)	$0	$0	$0
Hollingsworth Wendell
Trustee	2.0	0.0	Yes (X)	$0	$0	$0
Huddleston Joe
Trustee	2.0	0.0	Yes (X)	$0	$0	$0
Kerr Kevin A
Trustee	2.0	0.0	Yes (X)	$0	$0	$0
Koch Kory
Trustee	2.0	0.0	Yes (X)	$0	$0	$0
Nash Miranda
Trustee	2.0	0.0	Yes (X)	$2,400	$0	$0
Steed Steve A
Immediate Past Chair	2.0	0.0	Yes (X)	$0	$0	$0
Wilson Kimberly Pack
Chair	2.0	0.0	Yes (X)	$0	$0	$0
Berenzweig Harold K
THR Corporate Officer	0.5	40.0		$0	$884,585	$150,380	Yes (X)
Cantu Stacy G
Corporate Secretary	0.5	40.0		$0	$246,920	$42,204	Yes (X)
Gilman Kathleen A
Assistant Secretary	0.5	40.0		$0	$225,960	$46,537	Yes (X)
King James Kirk
THR Corporate Officer	0.5	40.0		$0	$905,686	$157,562	Yes (X)
McWhorter Ricky E
Assistant Secretary	0.5	40.0		$0	$662,520	$192,700	Yes (X)
Leu Christopher T
President THS	40.0	0.0		$380,630	$0	$90,853	Yes (X)
McCarthy Cynthia Lou
Chief Nursing Officer THS	40.0	0.0		$222,380	$0	$40,702	Yes (X)
Penny Richard Edward
CHIEF MEDICAL OFFICER THS	40.0	0.0		$125,000	$0	$0	Yes (X)
Ward Charlotte M
Grp Finan Officer THSW-THS	4.0	36.0		$25,641	$230,770	$50,882	Yes (X)
Derrick Marcia G
PROF & SUPPORT SVCS OFFICER	40.0	0.0		$188,253	$0	$52,899		Yes (X)
Moore Sammy
DIR PHARMACY	40.0	0.0		$175,339	$0	$39,648		Yes (X)
Martinez Ilda H
DIR NRSG MED SURG/CRITICAL CAR	40.0	0.0		$149,047	$0	$20,286		Yes (X)
Hudson Tammy G
DIR LAB	40.0	0.0		$128,482	$0	$37,273		Yes (X)
Atwood-Perez Suzanne Marie
DIR RADIOLOGY	40.0	0.0		$121,764	$0	$28,558		Yes (X)
Berdan Barclay E
Former Officer	0.0	40.0		$0	$2,297,506	$326,466			Yes (X)
Canose Jeffrey L
Former Officer	0.0	40.0		$0	$1,483,682	$206,035			Yes (X)
Mitchell John D
Former Officer	0.0	40.0		$0	$557,585	$101,281			Yes (X)
Stout Luanne R
Former Officer	0.0	0.0		$0	$104,371	$8,709			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,518,936	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,599,585	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,592,975	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	20	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Texas Health Resources
612 E Lamar Blvd	ARLINGTON	TX	76011	Management Fee	$7,793,521
Texas Health Physicians Group
9229 LBJ Freeway	DALLAS	TX	75243	Physician Services	$518,837
Northstar Anasthesia PA
6225 North State Hsy 161 200	IRVING	TX	75038	Anasthesia Services	$490,991
Diversified Clinical Services Inc
282525 Network Place	CHICAGO	IL	60673	Community Education	$323,491
Entech Sales Service Inc
3404 Garden Brook Dr	DALLAS	TX	75234	Maintenance Services	$262,752

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Related Organizations	$460,114	RelatedOrganizationsAmt
Total Contributions	$460,114	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$49,643,832	$49,643,832
DSPR REVENUE	622110	$228,106	$228,106
MEDICARE/MEDICAID ADJUSTMENT	622110	$101,783	$101,783
EDUCATION REVENUE	624190	$4,688	$4,688

Field	Value	IRS element (for citing)
Total Program Service Revenue	$49,978,409	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,047	TotalRevenueColumnAmt
Exclusion	$6,047	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$94,183	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$45,211	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$48,972	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,972	TotalRevenueColumnAmt
Exclusion	$48,972	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE	722514	$119,283	$119,283
REBATES & INCENTIVES	622110	$42,611		$42,611
PHARMACY	446110	$26,732		$26,732

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,014	TotalRevenueColumnAmt
Related Or Exempt Func Income	$21,099	RelatedOrExemptFuncIncomeAmt
Exclusion	$6,915	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$216,640	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50,710,182	TotalRevenueColumnAmt
Related Or Exempt Func Income	$50,068,851	RelatedOrExemptFuncIncomeAmt
Exclusion	$181,217	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$12,625	TotalAmt
Program Services	$12,625	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$7,500	TotalAmt
Program Services	$7,500	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$855,224	TotalAmt
Management And General	$855,224	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$15,887,826	TotalAmt
Program Services	$15,455,927	ProgramServicesAmt
Management And General	$431,899	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$769,464	TotalAmt
Program Services	$769,464	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,383,600	TotalAmt
Program Services	$2,383,600	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,130,670	TotalAmt
Program Services	$1,094,839	ProgramServicesAmt
Management And General	$35,831	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$7,793,521	TotalAmt
Management And General	$7,793,521	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,305	TotalAmt
Management And General	$5,305	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,471,230	TotalAmt
Program Services	$2,363,675	ProgramServicesAmt
Management And General	$107,555	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,876	TotalAmt
Program Services	$5,517	ProgramServicesAmt
Management And General	$359	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$384,462	TotalAmt
Program Services	$382,965	ProgramServicesAmt
Management And General	$1,497	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$312,205	TotalAmt
Program Services	$306,521	ProgramServicesAmt
Management And General	$5,684	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$492,806	TotalAmt
Program Services	$492,806	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$28,235	TotalAmt
Program Services	$27,742	ProgramServicesAmt
Management And General	$493	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$37,170	TotalAmt
Program Services	$29,309	ProgramServicesAmt
Management And General	$7,861	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$938,288	TotalAmt
Program Services	$938,288	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,582,213	TotalAmt
Program Services	$2,574,867	ProgramServicesAmt
Management And General	$7,346	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$173,163	TotalAmt
Program Services	$173,163	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$6,762,779	$6,736,516	$26,263
REPAIRS & MAINTENANCE	$922,730	$918,372	$4,358
PATIENT SERVICES	$692,349	$692,349
FURNITURE & EQUIPMENT	$289,442	$286,867	$2,575

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$100,443	TotalAmt
Program Services	$81,733	ProgramServicesAmt
Management And General	$18,710	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$45,039,126	TotalAmt
Program Services	$35,734,645	ProgramServicesAmt
Management And General	$9,304,481	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$39,124	BOYAmt
EOY	-$71,520	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,098,771	BOYAmt
EOY	$5,319,785	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$273,694	BOYAmt
EOY	$112,963	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$782,150	BOYAmt
EOY	$838,023	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$90,704	BOYAmt
EOY	$81,774	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$49,064,621	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$21,884,978	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$28,344,009	BOYAmt
EOY	$27,179,643	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$275,365	BOYAmt
EOY	$275,365	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$43,061,612	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$77,887,181	BOYAmt
EOY	$33,736,033	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,970,432	BOYAmt
EOY	$3,763,056	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$220,342	BOYAmt
EOY	$224,549	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,190,774	BOYAmt
EOY	$3,987,605	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$73,696,407	BOYAmt
EOY	$29,748,428	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$73,696,407	BOYAmt
EOY	$29,748,428	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$77,887,181	BOYAmt
EOY	$33,736,033	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,671,056	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$49,619,035	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B - Additional Information	FormAndLineReferenceDesc
Explanation	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 an 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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,231,335	OtherCostOrOtherBasisAmt
Book Value	$1,231,335	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,001,260	OtherCostOrOtherBasisAmt
Depreciation	$12,253,421	DepreciationAmt
Book Value	$15,747,839	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$922,912	OtherCostOrOtherBasisAmt
Depreciation	$311,095	DepreciationAmt
Book Value	$611,817	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,647,459	OtherCostOrOtherBasisAmt
Depreciation	$9,320,462	DepreciationAmt
Book Value	$9,326,997	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$261,655	OtherCostOrOtherBasisAmt
Book Value	$261,655	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$27,179,643	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ASSET RETIREMENT OBLIGATIONS	Desc
Amt	$224,549	Amt

Field	Value	IRS element (for citing)
Total Liability	$224,549	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,410,627	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$543,716	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,866,911	NetCommunityBenefitExpnsAmt
Total Expense	0.10810	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,309,839	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,371,030	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$938,809	NetCommunityBenefitExpnsAmt
Total Expense	0.02080	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,148	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,572	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,576	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,866,614	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,018,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,848,296	NetCommunityBenefitExpnsAmt
Total Expense	0.12980	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,247	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$210	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,037	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$201,086	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$201,086	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,384	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,384	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,717	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$210	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$247,507	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,114,331	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,018,528	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,095,803	NetCommunityBenefitExpnsAmt
Total Expense	0.13530	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,388	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,388	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,683	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,683	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,170	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,170	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,241	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,241	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,296,754	BadDebtExpenseAmt
Reimbursed By Medicare	$10,950,604	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,855,529	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,904,925	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Texas Health Stephenville	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	411 Belknap	AddressLine1Txt
City	Stephenville	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76401	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.texashealth.org	WebsiteAddressTxt
State License	THD #256	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Texas Health Stephenville	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.texashealth.org/chna	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.texashealth.org/chna	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Texas Health Stephenville	FormAndLineReferenceDesc
Explanation	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 Stephenville's (THS) Community Health Needs Assessment (CHNA) was a one-year collaborative process which utilized qualitative and quantitative data to assess the health needs of persons in the communities served by the hospital. As a means to further understand the needs of the community, THS gathered feedback through key informant interviews conducted on 1/21/2016, focus group discussions and an online community survey. Key informants and focus group participants included, but were not limited to: faith community representatives, public health officials, lay community members, school officials and city administration. Four persons with interests specific to the health of THS's community participated in a focus group, one served as a key informant and 41 individuals responded to the online survey. The online survey was conducted only in English. While the online survey may not have reached the medically underserved, low-income or minority populations directly, organizations serving those populations were present at the focus group and served as key informants; these organizations included: Tarleton State University and the United Way of Erath County. In order to gain a comprehensive understanding of the significant health needs for THS'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 Stephenville adopted an implementation strategy in May 2017. THS is part of the Texas Health healthcare system (Texas Health), which developed a system-wide community benefit strategy to leverage internal and external resources and increase its ability to impact community health needs. The significant health needs across the Texas Health system were: 1. Mental Health & Substance Abuse 2. Exercise, Nutrition, & Weight 3. Access to Health Services and Healthcare Navigation & Literacy From 2017-2019, THS has committed to implement strategies and activities aimed at addressing these areas. Mental Health & Substance Abuse is categorized as Behavioral Health; Exercise, Nutrition, & Weight is grouped under Chronic Disease, which has been a strategic area of focus for Community Health Improvement since the 2013 CHNA; and Access to Health Services and Healthcare Navigation & Literacy is jointly titled Awareness, Health Literacy, & Navigation. In 2017, Texas Health Stephenville 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. Managed and strengthened Delivery System Reform Incentive Payment (DSRIP) programs under the Medicaid 1115 Waiver to continue implementation of diabetes education and management program for underserved populations. 2b. Explored opportunities for collaboration with community partner to address food insecurity and nutrition needs in the community. Specifically, expanded partnership with Tarleton State University and other community partners working to help community members reduce risk for chronic disease and lead healthier lives through the consumption of a healthful diet. 3. Awareness, Literacy, & Navigation (ALN) 3a. Continued investment in Community Connect Online Resource Guide, a database of free and reduced-cost social services, and Erath County Resource Guide. 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	ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Texas Health Stephenville	FormAndLineReferenceDesc
Explanation	Part I, Line 3c - Patient Eligibility Patients with 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 $2,657,200. 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 scr	ExplanationTxt

Schedule I IRS990ScheduleI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Berenzweig Harold K
THR Corporate Officer	$0	$491,933	$0	$306,379	$0	$86,273	$0	$108,856	$0	$41,524	$0	$1,034,965	$0	$82,585
Cantu Stacy G
Corporate Secretary	$0	$217,919	$0	$0	$0	$29,001	$0	$545	$0	$41,659	$0	$289,124	$0	$0
Gilman Kathleen A
Assistant Secretary	$0	$201,210	$0	$18,553	$0	$6,197	$0	$12,914	$0	$33,623	$0	$272,497	$0	$0
King James Kirk
THR Corporate Officer	$0	$472,529	$0	$307,068	$0	$126,089	$0	$107,566	$0	$49,996	$0	$1,063,248	$0	$75,344
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
Leu Christopher T
President THS	$224,143	$0	$101,445	$0	$55,042	$0	$45,531	$0	$45,322	$0	$471,483	$0	$25,345	$0
McCarthy Cynthia Lou
Chief Nursing Officer THS	$155,646	$0	$42,210	$0	$24,524	$0	$13,053	$0	$27,649	$0	$263,082	$0	$12,125	$0
Ward Charlotte M
Grp Finan Officer THSW-THS	$18,230	$164,072	$4,445	$40,001	$2,966	$26,697	$1,216	$10,948	$3,872	$34,846	$30,729	$276,564	$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
Canose Jeffrey L
Former Officer	$0	$814,967	$0	$442,558	$0	$226,157	$0	$166,371	$0	$39,664	$0	$1,689,717	$0	$112,689
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
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
Derrick Marcia G
PROF & SUPPORT SVCS OFFICER	$163,247	$0	$15,116	$0	$9,890	$0	$12,315	$0	$40,584	$0	$241,152	$0	$0	$0
Moore Sammy
DIR PHARMACY	$153,581	$0	$7,191	$0	$14,567	$0	$8,767	$0	$30,881	$0	$214,987	$0	$0	$0
Martinez Ilda H
DIR NRSG MED SURG/CRITICAL CAR	$132,323	$0	$6,107	$0	$10,617	$0	$3,478	$0	$16,808	$0	$169,333	$0	$0	$0
Hudson Tammy G
DIR LAB	$114,509	$0	$5,320	$0	$8,653	$0	$9,539	$0	$27,734	$0	$165,755	$0	$0	$0
Atwood-Perez Suzanne Marie
DIR RADIOLOGY	$111,552	$0	$5,194	$0	$5,018	$0	$8,296	$0	$20,262	$0	$150,322	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, Line 3 - CEO Compensation	The organization relied on Texas Health Resources (THR), a related 501(c)(3) organization with centralized compensation professionals to use the following methods to establish the compensation of the organization's President. The Compensation committee (which includes independent persons) performs reviews and makes recommendations to the THR Board. An Independent compensation consultant may be hired. Compensation surveys or studies are utilized. Approval by the Board or Compensation committee is required.
Schedule J, Part I, Line 4b - Nonqualified Retirement Plan	PARTICIPATION IN THE PLAN IS MADE AVAILABLE TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES, AS DETERMINED BY THE THR BOARD OF TRUSTEES, WHO ARE PROVIDING 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). Barclay Berdan $207,003 Harold Berenzweig $82,584 Jeffrey Canose $112,689 James Kirk King $75,344 Christopher Leu $25,345 Cynthia Lou McCarthy $12,125 Rick McWhorter $39,522 John Mitchell $31,519

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Lacee Brown	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Family member of a Board Member	RelationshipDescriptionTxt
Transaction	$20,923	TransactionAmt
Transaction	Compensation -Employee	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule N IRS990ScheduleN

Field	Value	IRS element (for citing)
Liquidation Of Assets Table		LiquidationOfAssetsTableGrp

Disposition Of Assets Detail DispositionOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	Cash	AssetsDistriOrExpnssPaidDesc
Distribution	2017-12-31	DistributionDt
Fair Market Value Of Asset	$49,619,035	FairMarketValueOfAssetAmt
Method Of FMV Determination	Cash Value	MethodOfFMVDeterminationTxt
EIN	752702388	EIN
Person	Texas Health Resources	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	612 E Lamar Blvd	AddressLine1Txt
City	Arlington	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76011	ZIPCd

Field	Value	IRS element (for citing)
IRC Section	501(c)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor2	Yes (true)	DirectorOfSuccessor2Ind
Employee Of Successor2	Yes (true)	EmployeeOfSuccessor2Ind
Owner Of Successor2	false	OwnerOfSuccessor2Ind
Receive Compensation2	false	ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule N, Part II, Line 1

Texas Health Resources (THR) is the parent company of a network of hospitals and affiliated healthcare organizations, making up the THR Healthcare System. THR has centralized the cash management of the wholly owned hospitals in the System. Daily cash sweeps are made to consolidate the cash of the parent and the wholly owned subsidiaries into a single cash concentration account controlled by THR. These sweeps are recorded as an intercompany payable/receivable account. Also reported in the intercompany accounts are management fees charged by the parent organization, services purchased between the related organizations, purchases made by a centralized purchasing department, and similar transactions. The cash disposition reported on this schedule is the cumulative amount of cash transferred netted against any cumulative intercompany payables as of 12/31/17. The net amount transferred will be utilized by THR to support the THR Healthcare System, of which this entity is a part. These funds are also used to pay the debt accumulated by the System.

Schedule N, Part II, Lines 2a and 2b

Texas Health Resources (THR), the parent company of the entities making up the THR Healthcare System, has employees who serve as officers for its wholly owned hospitals and affiliates for the purposes of coordination and control. In addition, some of the employees of the entity may also be officers, trustees or employees of THR or one of its related entities.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. The THR Board approves the compensation of certain officer of this organization. See 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 ($49,619,035) The intercompany adjustment eliminated the receivable/payable balance as of 12/31/2017 between Texas Health Resources (THR) and all wholly controlled tax exempt entities included in the THR Healthcare System. The adjustment includes 2017 activity as well as prior year accumulated activity. The THR Healthcare System records all related transactions through the intercompany Receivable/Payable accounts for each entity. The types of transactions recorded in the Intercompany accounts include management fees charged by the parent organization, services purchased between related organizations, supplies purchased by a centralized purchasing department, daily cash sweeps and similar transactions.
990, Part XII, Line 2c - Consolidated Financial Statements	Texas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
Grace Indemnity Company Ltd
1159 Caribbean Plaza	Grand Cayman	CJ	KY 1-1102	981209573	Captive Insurance	CJ	NA	C Corp	false
Texas Health Biomedical Advancement Cent
				752636884	Research		NA	C Corp	false	612 E Lamar Blvd	Arlington	TX	76011	TX
SWHR Specialty Programs Group
				465588632	Inactive		NA	C Corp	false	612 E Lamar Blvd	Arlington	TX	76011	TX
THR Primary Care Ext Physcian Network
				465365421	Inactive		NA	C Corp	false	612 E Lamar Blvd	Arlington	TX	76011	TX
Charitable Remainder Trusts (4)
					CR Trust		NA	Trust	false	612 E Lamar Blvd	Arlington	TX	76011	TX

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part V, Line 2 - Related Transactions	FormAndLineReferenceDesc
Explanation	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 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