2018-07-10T11:32:43-05:00 2017-08-31 BKD LLP 2700 Post Oak Blvd Ste 1500 HOUSTON TX 77056 990 2016-09-01 752660403 Hendrick Provider Network % JEREMY WALKER HEND 3256702000 PO Box 3117 Abilene TX 79604 JEREMY WALKER CFO 7134994600 2018-07-15 true Amanda Maya P01067777 7134994600 2016 2022-09-23 18:48:47Z TIM LANCASTER 1242 N 19TH ST ABILENE TX 79604 36442158 false X WWW.EHENDRICK.ORG X 1995 TX TO PROVIDE MEDICAL CARE TO THE COMMUNITY OF ABILENE AND SURROUNDING AREAS. MANY PATIENTS ARE ON MEDICAID. SERVICES ARE PROVIDED REGARDLESS OF ABILITY TO PAY. 5 0 411 0 0 0 0 0 31409824 35527801 -43315 53 718521 914304 32085030 36442158 0 0 0 0 40717644 49773629 0 0 0 11484047 13035713 52201691 62809342 -20116661 -26367184 18243720 18880446 15892172 17531623 2351548 1348823 TO PROVIDE MEDICAL CARE TO THE COMMUNITY OF ABILENE AND SURROUNDING AREAS. MANY PATIENTS ARE ON MEDICAID. SERVICES ARE PROVIDED TO PROMOTE BEST HEALTH PRACTICES REGARDLESS OF ABILITY TO PAY. false false 55948887 35392096 HENDRICK PROVIDER NETWORK OPERATES A PRENATAL CLINIC AND ALSO PROVIDES WOMEN'S HEALTH SERVICES, ONCOLOGY, CARDIOLOGY, CARDIOVASCULAR, FAMILY MEDICINE, RHEUMATOLOGY, PLASTIC SURGERY, GENERAL SURGERY, NEUROLOGY, ENDOCRINOLOGY, UROLOGY, OPHTHALMOLOGY, SLEEP MEDICINE AND INTERNAL MEDICINE SERVICES FOR PATIENTS IN THE ABILENE AND SURROUNDING AREA, MANY OF WHOM ARE UNINSURED OR ARE ON MEDICAID. THESE SERVICES ARE PROVIDED BY PHYSICIANS EMPLOYED BY THE COMPANY. 137364 HENDRICK PROVIDER NETWORK SUBLEASES THE BUILDING FOR THE ABILENE BRANCH OF TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SCHOOL OF NURSING AND SCHOOL OF PHARMACY. 55948887 true false false true false false false false false false true false false true false true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true false false false true 43 0 true 411 true false false false false false false false false false false X 5 0 false false false false true true true true true false false true true true true true true true false false X JEREMY WALKER 3256702000 1900 PINE STREET ABILENE TX 79601 X Min Gao director 40.0 2.0 X 561937 0 40867 Henry Fosah DIRECTOR 40.0 2.0 X 351057 0 27952 Jose Vega director 40.0 2.0 X 437762 0 31115 Ren Zhang director 40.0 0.0 X 671416 0 10923 Rhett Lohman chair 40.0 2.0 X X 489254 0 37212 Gary Binkley Director 40.0 2.0 X 960413 0 10662 Tim Lancaster PRESIDENT 2.0 50.0 X 0 1261605 24329 David Stephenson Vice President 40.0 8.0 X 199898 0 37669 Harvinder Arora PHYSICIAN 40.0 0.0 X 1224205 0 22111 Joji Varghese PHYSICIAN 40.0 0.0 X 1390441 0 37263 Brent Mahoney Physician 40.0 0.0 X 1133669 0 41828 Antao Du Physician 40.0 0.0 X 1060065 0 16665 Alex Armour Physician 40.0 0.0 X 980112 0 31011 9460229 1261605 369607 62 false true false TEXAS TECH UNIVERSITY HEALTH SCIENC 3601 4TH STREET STOP 6225 LUBBOCK TX 79424 UROLOGY SERVICES 800000 ZIRMED INC 1311 SOLUTIONS CENTER CHICAGO IL 606771311 ACH SVC/SOFTWARE SUP 203113 WEATHERBY MEDICAL STAFFING PO BOX 972633 DALLAS TX 753972633 LOCUM SERVICES 288808 CITADEL OUTSOURCE GROUP 162 IMPERIAL BLVD HENDERSONVILLE TN 37075 CREDIT COLLECTIONS 166752 CREDIT SYSTEMS INTERNATIONAL P O BOX 1088 ARLINGTON TX 79004 CREDIT COLLECTIONS 133362 8 0 NET PATIENT FEES 621500 35392096 35392096 RELATED NMTC RENTAL REVENUE 531120 135705 135705 35527801 53 53 0 0 1659 1659 0 1659 1659 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 912645 912645 912645 36442158 35529460 912698 0 0 0 0 3869633 3570407 299226 0 40714200 37769571 2944629 678891 606403 72488 2760389 2213359 547030 1750516 1577618 172898 106977 106977 45408 13938 31470 21756 21756 0 0 0 2183179 128870 2054309 149139 132681 16458 496033 355991 140042 687573 668963 18610 0 2007763 1888966 118797 68790 49851 18939 0 0 0 0 581944 456453 125491 397796 397796 BAD DEBT EXPENSE 3983903 3983903 MEDICAL SUPPLIES 1247942 1247942 MINOR EQUIPMENT 268718 223970 44748 DUES & SUBSCRIPTIONS 247264 214560 32704 541528 340668 200860 62809342 55948887 6860455 0 3075 11391 118543 89722 0 0 2627437 2558358 0 0 0 0 0 0 560033 765790 334315 106173 5008871 3415211 1705609 1593660 0 0 0 0 0 0 0 0 12894708 13755352 18243720 18880446 3012172 4651623 0 0 0 0 0 0 0 0 0 0 12880000 12880000 0 0 0 0 15892172 17531623 X 2351548 1348823 0 0 0 0 2351548 1348823 18243720 18880446 X -26367184 25364459 X false true X true false X 0 0 0 0 0 0 16458805 22172927 26914964 31409824 35527801 132484321 0 0 0 16458805 22172927 26914964 31409824 35527801 132484321 0 0 0 132484321 1191 1404 1875 1712 6182 0 1191 1404 1875 1712 6182 0 363139 522353 1322164 716862 912645 3837163 16821944 22696471 28238532 32128561 36442158 136327666 0.97181 0.97256 0.00005 0.00123 X false false false false false true 15500 false false false 15500 false PART II-B, QUESTION 1F Amount reported in Part II-B, Question 1F represents portion of dues paid to trade associations that is attributable to lobbying activities. 100943 13163 87780 38478 31424 7054 4839504 3370624 1468880 29946 29946 1593660 OTHER ASSET 175066 ASSET CLEARING ACCOUNT 985928 DUE FROM HMC 12261064 NMTC RESERVE 333294 13755352 0 0 X 32329455 -3979703 -3979703 36309158 133000 133000 36442158 58696854 -128585 -128585 58825439 3983903 3983903 62809342 SCHEDULE D, PART X, LINE 2 FIN 48 FINANCIAL STATEMENTS FOOTNOTE IN ACCORDANCE WITH ASC 740-10 FASB INTERPRETATION (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT EVALUATED HENDRICK'S TAX POSITIONS AND CONCLUDED THAT HENDRICK HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH A FEW EXCEPTIONS, HENDRICK IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2013. SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 REVENUE ON BOOKS, NOT ON RETURN: BAD DEBT EXPENSE IN AUDIT REVENUE (3,983,903) UNALLOCATED DIFFERENCE 4,200 ----------- (3,979,703) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 REVENUE ON RETURN, NOT ON BOOKS: RENT INCOME INCLUDED IN AUDIT EXPENSE 133,000 -------- 133,000 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 EXPENSE ON BOOKS, NOT ON RETURN: RENT INCOME INCLUDED IN AUDIT EXPENSE (133,000) UNALLOCATED DIFFERENCE 4,200 OTHER DIFFERENCES 215 --------- (128,585) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 EXPENSE ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE IN AUDIT REVENUE 3,983,903 --------- 3,983,303 X X X X X false true false false false false false false false Tim Lancaster PRESIDENT 0 763545 0 324356 0 173704 0 7950 0 16379 0 1285934 0 131271 Min Gao director 494852 0 46795 0 20290 0 7950 0 32917 0 602804 0 0 0 Henry Fosah DIRECTOR 237561 0 106904 0 6592 0 6499 0 21453 0 379009 0 0 0 Jose Vega director 363096 0 74142 0 524 0 7950 0 23165 0 468877 0 0 0 Ren Zhang director 510251 0 159940 0 1225 0 7950 0 2973 0 682339 0 0 0 Harvinder Arora PHYSICIAN 493135 0 712591 0 18479 0 7950 0 14161 0 1246316 0 0 0 Joji Varghese PHYSICIAN 479484 0 892478 0 18479 0 7950 0 29313 0 1427704 0 0 0 Rhett Lohman chair 434081 0 54640 0 533 0 7950 0 29262 0 526466 0 0 0 David Stephenson Vice President 139873 0 48223 0 11802 0 15515 0 22154 0 237567 0 10559 0 Gary Binkley Director 520925 0 421125 0 18363 0 6883 0 3779 0 971075 0 0 0 Brent Mahoney Physician 432971 0 681899 0 18799 0 7950 0 33878 0 1175497 0 0 0 Antao Du Physician 618053 0 423228 0 18784 0 7950 0 8715 0 1076730 0 0 0 Alex Armour Physician 664997 0 307304 0 7811 0 7950 0 23061 0 1011123 0 0 0 PART I, LINE 4B PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANTS IN 457(F) REPORTED W-2 DEFERRED COMP. PAID BY -------------------------- ------------ -------------- ------- TIM LANCASTER 131,271 NONE HMC DAVID STEPHENSON 10,559 10,859 HPN FORM 990, PART VI, SECTION A, LINE 6 DESCRIBE THE CLASSES OF MEMBERS OR STOCKHOLDERS: HENDRICK MEDICAL CENTER IS THE SOLE MEMBER OF HENDRICK PROVIDER NETWORK. FORM 990, PART VI, SECTION A, LINE 7A PERSONS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY: THE MEMBER, HENDRICK MEDICAL CENTER, SHALL ELECT THE SUCCESSORS OF THE INITIAL DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY OTHER PERSONS: ARTICLE VII OF THE RESTATED ARTICLES OF INCORPORATION PROVIDES, IN PART, THAT AN AMENDMENT TO ARTICLE II RELATING TO THE PURPOSE OF THE CORPORATION AND ARTICLE VI RELATING TO THE NUMBER AND METHOD OF THE ELECTION OR APPOINTMENT OF THE BOARD OF TRUSTEES SHALL OCCUR ONLY WITH THE CONSENT OF THE BAPTIST GENERAL CONVENTION OF TEXAS OR ITS EXECUTIVE BOARD. FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE REVIEW PROCESS OF FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DESCRIBE THE ORGANIZATION'S PRACTICE FOR MONITORING COMPLIANCE WITH POLICY: THE ORGANIZATION CONDUCTS, AT A MINIMUM, ANNUAL REVIEWS OF THE POSSIBLE CONFLICTS OF INTEREST AND OTHER FINANCIAL RELATIONSHIPS IDENTIFIED UNDER THIS CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15A PROCESS FOR DETERMINING COMPENSATION OF CEO, DIRECTORS, OR TOP OFFICIALS: A COMPREHENSIVE REVIEW OF COMPENSATION IS CONDUCTED BY AN INDEPENDENT PARTY AT LEAST EVERY THREE YEARS. THIS REPORT PRESENTS THE RESULTS OF THE ANALYSIS OF SALARY, INCENTIVE, TOTAL CASH COMPENSATION (SALARY PLUS INCENTIVE), BENEFITS, AND TOTAL COMPENSATION (TOTAL CASH AND BENEFITS). INTEGRATED HEALTHCARE STRATEGIES (IHS) WORKS WITH THE PERSONNEL COMMITTEE TO FORMALLY DEFINE AN EXECUTIVE TOTAL COMPENSATION PHILOSOPHY. HENDRICK HEALTH SYSTEM'S CURRENT PHILOSOPHY IS TO USE RANGES BUILT AROUND THE MEDIAN OF THE MARKET WITH A 50% SPREAD FROM MINIMUM TO MAXIMUM. INCENTIVE OPPORTUNITY LEVELS ARE COMPETITIVE WITH PRACTICES OF PEER GROUPS AND BENEFITS WILL BE DELIVERED AT MARKET COMPETITIVE LEVELS. SEVERANCE AND PERQUISITES REFLECT A CONSERVATIVE PHILOSOPHY. THE COMMITTEE DETERMINED THAT THE PEER GROUP WOULD BE PRIMARILY REGIONAL NOT-FOR-PROFIT HOSPITALS OF SIMILAR SIZE AND COMPLEXITY. NATIONAL PEER GROUP WILL BE USED FOR REFERENCE PURPOSES WHERE APPROPRIATE. THE HENDRICK HEALTH SYSTEM PERSONNEL COMMITTEE IS DELEGATED THE RESPONSIBILITY FOR THE EXECUTIVE COMPENSATION PROGRAM BY THE BOARD OF TRUSTEES. THE COMMITTEE: SETS THE OVERALL EXECUTIVE COMPENSATION PHILOSOPHY TO BE IMPLEMENTED BY HENDRICK HEALTH SYSTEM; SETS COMPENSATION COMPONENTS FOR THE PRESIDENT & CEO; REVIEWS, DISCUSSES AND MAKES DECISIONS BASED ON THE PRESIDENT & CEO'S RECOMMENDATIONS FOR HIS DIRECT REPORTS; REPORTS A SUMMARY OF THE PROCESS BACK TO THE BOARD OF TRUSTEES ALONG WITH THE ACTUAL COMPENSATION APPROVED FOR THE PRESIDENT AND CEO; AND APPROVES ALL INCENTIVE GOALS AND AWARDS. FORM 990, PART VI, SECTION C, LINE 19 DESCRIBE WHETHER THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE TO PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: EQUITY CONTRIBUTIONS $25,364,459 HPN RO BILLING SERVICES LLC 1900 PINE ST ABILENE TX 79601 813892121 RADIOLOGY SVC TX -529239 0 HPN HPN PHYSICIAN BILLING LLC 1900 PINE ST ABILENE TX 79601 815158335 BILLING SRVCS TX 0 0 HPN HENDRICK MEDICAL CENTER PO BOX 3117 ABILENE TX 79604 750827446 HOSPITAL TX 501(C)(3) 3 NA false HENDRICK ANESTHESIA NETWORK PO BOX 3117 ABILENE TX 79604 752728889 ANESTHESIA TX 501(C)(3) 10 HMC true HENDRICK MEDICAL CENTER FOUNDATION PO BOX 3117 ABILENE TX 79604 237413284 FUNDRAISING TX 501(C)(3) 12A HMC true HENDRICK HOSPICE CARE PO BOX 3117 ABILENE TX 79604 751835287 HOSPICE CARE TX 501(C)(3) 10 HMC true HMC HOSPICE PROPERTIES PO BOX 3117 ABILENE TX 79604 814244839 PROPERTY MGMT TX 501(C)(3) 12A HMC true HENDRICK SURGERY CENTER LLC PO BOX 3117 ABILENE TX 79604 811804826 SURGERY CENTER TX HMC RELATED 0 0 false false HENDRICK HEALTH NETWORK PO BOX 3117 ABILENE TX 79604 721619011 HEALTH INSURA TX HMC C-CORPORATION 0 0 true HENDRICK SOUTHWESTERN HEALTH DEV CORP PO BOX 3117 ABILENE TX 79604 751598794 RETAIL SALES TX HMC C-CORPORATION 0 0 true false false true false false false false false false false true false false false false false false false false SCHEDULE R, PARTS II, III AND IV HENDRICK PROVIDER NETWORK (HPN) HAS ADDED THE FOLLOWING RELATED ENTITIES TO SCHEDULE R. THERE WERE NO CHANGES TO HPN'S OPERATIONS DURING THE YEAR. AN UNRELATED ORGANIZATION DISSOLVED AND ITS CONTROLLED ENTITIES ARE NOW CONTROLLED BY HENDRICK MEDICAL CENTER, HPN'S SOLE MEMBER. - HENDRICK SOUTHWESTERN HEALTH DEVELOPMENT CORPORATION - HENDRICK HOSPICE CARE THE FOLLOWING ENTITIES WERE NEWLY FORMED DURING THE YEAR AND ARE CONTROLLED BY HENDRICK MEDICAL CENTER, HPN'S SOLE MEMBER. - HMC HOSPICE PROPERTIES - HENDRICK SURGERY CENTER, LLC