2017-11-13T16:47:07-06:00 2016-12-31 ERNST & YOUNG US LLP 425 HOUSTON STREET STE 600 FORT WORTH TX 76102 990 2016-01-01 752702388 Texas Health Resources % DAVID JACKSON TEXA 6822367900 612 E Lamar Blvd Ste 600 Arlington TX 76011 RICK MCWHORTER Asst Secretary 6822367900 2017-11-13 Melva Scott P01207335 8173351900 208.189.200.2 75667320173175000022 2017-11-13 P 0D3B03028D7E1673678AB7251DEC05E73315DFDB E42BF3E48D5B9A4B4A6B4AF7E47AA97B7DD3E371 2016 2017-02-10 21:41:12Z Barclay Berdan 612 E Lamar Blvd Arlington TX 76011 2171803614 false X texashealth.org X 1997 TX Through its affiliates, THR operates an integrated healthcare system with services and facilities throughout north central texas to improve healthcare. 17 16 4041 0 2256830 1346246 2064849 615753514 675783239 133923820 111171862 3829319 7972410 754852899 796992360 826708 995428 0 0 261181405 283014839 0 0 0 281685635 315763696 543693748 599773963 211159151 197218397 4924130358 5556927211 3721088827 3936153865 1203041531 1620773346 X THROUGH ITS AFFILIATES, THR OPERATES AN INTEGRATED HEALTHCARE SYSTEM WITH SERVICES AND FACILITIES THROUGHOUT NORTH CENTRAL TEXAS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES THEY SERVE. false false 599773963 995428 680942488 Founded in 1997, Texas Health Resources (THR) provides direction and oversight to its wholly-controlled affiliates. The range of centralized services provided by THR include information services, managed care contracting, human resources, revenue cycle, legal, tax, compliance, supply chain, business development, insurance, treasury, marketing, general accounting, and strategic planning. THR operates professional office buildings leased primarily to physicians who are members of the medical staff of THR affiliated hospitals. THR also operates, manages and coordinates physician services through Texas Health Physicians Group (THPG), a wholly owned affiliate of THR. THPG is a network of primary and specialty care physician practices providing the north Texas area community access to quality health care delivered either through an office setting or through a hospital program. 599773963 true true false true false false false false false false true false false false true false false true false true true false false false false false true true true false true true false false false false false true false false true false true false false false true true true true false false true 430 0 true 4041 true true true true CJ false false false false false false false false X 17 16 true false false false false false false true true false false true true true true true true true true true true X DAVID JACKSON 6822367900 612 E LAMAR BLVD Arlington TX 76011 X Bass Anne Immediate Past Chair 3.0 0.0 X 0 0 0 Bloemendal Lee MD FACS Trustee 3.0 0.0 X 0 0 0 Curnutt Judge Mary Trustee 3.0 0.0 X 0 0 0 DeVries Jan DMin MDiv Trustee 3.0 0.0 X 0 0 0 Ferguson III John Chair 3.0 0.0 X 1059 0 0 Fleschler Mark MD Trustee 3.0 0.0 X 0 0 0 Greene Richard Trustee 3.0 0.0 X 0 0 0 Haggar III Joseph Trustee 3.0 0.0 X 0 0 0 Hunt Hunter Trustee 3.0 0.0 X 0 0 0 Lowry Bishop J Michael Trustee 3.0 0.0 X 0 0 0 Reeves Kenneth Trustee 3.0 0.0 X 0 0 0 Stripling W Dennis MD Trustee 3.0 0.0 X 928 0 0 Tatum Stephen Trustee 3.0 0.0 X 0 0 0 Turner Wesley Vice Chair 3.0 0.0 X 1017 0 0 Vigness Richard MD Trustee 3.0 0.0 X 11438 0 0 Wilder Jr Charles Trustee 3.0 0.0 X 0 0 0 Wynne James Trustee 3.0 0.0 X 690 0 0 Berdan Barclay E Chief Executive Officer 40.0 0.5 X 1723962 0 440540 Long Ronald R EVP RSRC DEVL & DEPLOY & CFO 40.0 0.0 X 1493954 0 264629 Canose Jeffrey L EVP SR & COO THR 40.0 0.5 X 1491947 0 266931 Varga Daniel W EVP SR & CHIEF CLINICAL OFFICE 40.0 2.0 X 1208860 0 466486 King James Kirk EVP ZONE OPERATIONS LEADER 40.0 2.5 X 1031444 0 208638 Nguyen Tricia H EVP Popltn Hlth Mgmt/Pres Inst 40.0 0.5 X 813416 0 232076 Boes Charles EVP General Counsel 40.0 0.5 X 779622 0 31117 McClung Brett S EVP ZONE OPERATIONS LEADER 40.0 2.0 X 766269 0 214773 Berenzweig Harold K EVP ZONE CLINICAL LEADER 40.0 2.0 X 743909 0 212496 Lester Mark C EVP ZONE CLINICAL LEADER 40.0 1.5 X 743275 0 205343 Ransom Elizabeth EVP ZONE CLINICAL LEADER 40.0 3.0 X 742115 0 213744 Kramer Kenneth J EVP General Counsel 40.0 6.0 X 645136 0 170671 McWhorter Ricky E SVP/CHIEF ACCTG OFFR/Asst Sec. 40.0 6.0 X 545901 0 212205 Stout Luanne R VP Chief Gov Offr & Corp Secr 40.0 6.0 X 404579 0 49116 Parobek Jr James S EVP PHYSICIAN ENTERPRISE THR 17.0 23.0 X 260748 365047 177924 Velasco Ferdinand T SVP & Chief Hlth Info Officer 40.0 0.0 X 892971 0 156736 Mims Krystal SVP CARE CONTINUUM & COLLABORA 40.0 0.0 X 704028 0 193041 Kirby Michelle Riddle SVP CHIEF PEOPLE OFFICER 40.0 0.0 X 568266 0 117743 Gaida John B SVP SUPPLY CHAIN MGMT 40.0 0.0 X 554116 0 140759 Shinkus Clark Joan Frances SVP Chief Nursing Executive 40.0 0.0 X 551299 0 132059 Szablowski Paul A SVP BRAND EXPERIENCE 40.0 0.0 X 520850 0 132033 Jones Robert Douglas SVP Treasurer/Chief Invest Off 40.0 0.0 X 502032 0 131152 Humphrey Richard I SVP FINANCE 40.0 0.0 X 495266 0 129658 Sudomir Jr Joseph M SVP CHIEF INFO OFFICER 40.0 0.0 X 484032 0 87914 Tesmer David J SVP COMMUN ENGAG & ADVOCACY TH 40.0 0.0 X 473743 0 133383 Mitchell John D SVP BUSINESS DEVELOPMENT 40.0 0.0 X 441187 0 122625 Holmes Kevin B SVP REAL ESTATE DEVL & DEPLOY 40.0 0.0 X 425744 0 132679 Bujnowski Aaron Mark SVP Strategy & Planning 40.0 0.0 X 417257 0 162173 Pearson George SVP MED STF AFFRS PHYS RLTNS 40.0 0.0 X 400688 0 110248 Miao Winjie Tang SVP SYSTEM INTEGRATION OFFICER 40.0 0.0 X 389534 0 148157 Saldana Luis Eduardo CMIO 40.0 0.0 X 384764 0 62342 Osburn Ramona SVP THR BEHAVIORAL HLTH SVCS 40.0 0.0 X 315813 0 91919 Schornick Amy C VP PAYOR RLTNS & CONTRACTING 40.0 0.0 X 423500 0 102562 Adams Kenneth Kei VP POST ACUTE CLINICAL LEADER 40.0 0.0 X 401109 0 423 Hay Debra Ann CHIEF NURSING OFFICER THPR 40.0 0.0 X 387516 0 85128 Kini Mrunalini A DIR SR MULTICULTURAL/COMM HLTH 40.0 0.0 X 503723 0 42425 Johnston Patricia B VP INFORMATION SVCS THR 40.0 0.0 X 490860 0 6840 Logsdon James D VP Revenue Cycle Operations 40.0 0.0 X 372692 0 131068 Beck Jesse St John VP STRATEGIC MARKETING 40.0 0.0 X 352292 0 81748 Sullivan Jon M VP REAL ESTATE OPS 40.0 0.0 X 348205 0 59069 Anderson Susan Elaine Former 0.0 0.0 X 126966 0 5630 Hawthorne Douglas D Former 0.0 40.0 X 0 453028 221044 Peterson Lisa Kaye Former Officer 0.0 40.0 X 0 435019 66845 25338722 1253094 6354092 499 true true false HC Beck Ltd 1807 Ross Ave 500 DALLAS TX 75201 Construction 14530912 Austin Industries Inc 3535 Travis St 300 DALLAS TX 75204 Construction 11127781 PriceWaterhousecooper Advisory Serv PO Box 952282 DALLAS TX 75395 Consulting 9217570 Skiles Group 1810 N Greenville Ave RICHARDSON TX 75081 Construction 7416703 Evolent Health LLC 800 North Glebe Rd Ste 500 ARLINGTON VA 22203 Consulting 5886784 123 2064849 58624 2064849 MANAGEMENT FEE 622110 487107578 487032581 74997 JV ACTIVITY 622110 122683313 121604386 1078927 RENTAL FEE 531120 65943155 65943155 EDUCATION REVENUE 624190 49193 49193 675783239 71192185 71192185 0 25434 25434 803049 5102 33010 770039 5102 775141 5103 770038 1411923998 2833923 1371955535 2822709 39968463 11214 39979677 39979677 0 0 0 0 0 0 0 0 0 SUPPLY CHAIN MGMT 900099 2552838 2490668 62170 REBATE 900099 1250178 1250178 TELECOMMUNICATION 517919 1035633 1035633 2333186 1418403 914783 7171835 796992360 679788564 2256830 112882117 995428 995428 0 0 0 28124044 28124044 0 205541810 205541810 6471069 6471069 27783796 27783796 15094120 15094120 25757366 25757366 2430654 2430654 2040797 2040797 392615 392615 0 13706102 13706102 53813839 53813839 12144379 12144379 7684015 7684015 72063454 72063454 0 27541976 27541976 1941353 1941353 0 1811220 1811220 34976899 34976899 0 38885369 38885369 467667 467667 REPAIRS & MAINTENANCE 9019398 9019398 COMMUNITY OUTREACH 3445432 3445432 LICENSE/DUES EXPENSE 3258965 3258965 BAD DEBTS 1590599 1590599 2791597 2791597 599773963 599773963 0 0 25552704 21818854 387974759 443994960 0 0 57372869 79883485 4152867 3955204 0 0 6331120 9019632 4925315 7907365 38098915 57023921 1117495970 561231928 460123742 556264042 3543414841 3897906521 0 0 229427788 251289615 67458943 64470886 99296495 163392726 4924130358 5556927211 210309775 290784911 346022 254016 0 0 1614299603 1793736546 0 0 0 0 159134638 144418546 27353081 31792689 1709645708 1675167157 3721088827 3936153865 X 1203041531 1620773346 0 0 0 0 1203041531 1620773346 4924130358 5556927211 X 197218397 156890266 63623152 X X false true X true false X X 23 TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL 750972805 3 true 0 35372301 TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE 451502252 3 false 0 13289893 TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE 751748586 3 false 0 5955415 TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE 751977850 3 false 0 10697675 TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH 756001743 3 true 0 94157824 TEXAS HEALTH HARRIS METHODIST HOSPITAL HEB 751438726 3 false 0 34915268 TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST 752678857 3 false 0 30921267 TEXA HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE 751752253 3 false 0 7394608 TEXAS HEALTH PHYSICIANS GROUP 752613493 10 false 0 30276019 TEXAS HEALTH RESOURCES FOUNDATION 752022128 3 false 0 767142 TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN 752890358 3 false 0 11136006 TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS 751047527 3 true 0 76977230 TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON 432008974 3 false 0 27271339 TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN 752771437 3 false 0 6607514 TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO 752770738 3 false 0 41786089 TEXAS HEALTH RESEARCH & EDUCATION INSTITUTE 752562191 4 false 0 656751 TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH 751648589 3 false 0 648681 TEXAS HEALTH OUTPATIENT SURGERY CENTER ALLIANCE 800800294 3 false 0 174800 TEXAS HEALTH BACK CARE 474724257 10 false 0 0 TEXAS HEALTH RECOVERY AND WELLNESS CENTER 812813227 3 false 0 0 TEXAS HEALTH SEAY BEHAVIORAL HEALTH HOSPITAL 812792484 3 false 0 0 TEXAS HEALTH SPRINGWOOD BEHAVIORAL HEALTH HOSPITAL 812798838 3 false 0 0 TEXAS HEALTH BEHAVIORAL HEALTH HOSPITAL CORINTH 814317635 3 false 0 0 23 429005822 false false false false true true false false false false false false false false false true false true X true true Supported Organizations - Part IV, Section A, Line 1 The governing documents of Texas Health Resources (THR) do not list all supported organizations by name. The documents specifically list Texas Health Presbyterian Hospital Dallas, Texas Health Harris Methodist Hospital Fort Worth and Texas Health Arlington Memorial Hospital. The documents also allow THR to support other hospitals and health care delivery organizations which are closely related in purpose or function through common control, ownership, and/or management. THR has not specifically listed the names of all supported organizations to ease the administrative burden of updating the governing documents when new hospitals are added to the system or when an entity changes its name. Additional Support - Part IV, Section A, Line 6 Texas Health Resources (THR) provides minimal support to various national charitable organizations such as the March of Dimes, American Heart Association, and others who perform an activity that is in line with THRs charitable mission. They also provide support to local schools, city wide activities, and community development groups. As a large healthcare system in North Central Texas, THR takes an active role in the communities they serve. In doing so, THR makes donations, largely at the direction of the supported organizations, to various groups, or sponsor activities that benefit the community. The support to each group is minimal, and is not the organizations primary source of support. Working Relationship-Part IV, Section D, Lines 2&3 THR is the controlling "parent" organization of a large health care system in North Texas. THR serves as a functionally-integrated supporting organization to all the controlled supported organizations providing centralized management. THR appoints or approves the board members of each controlled entity within the system. THR also establishes the policies and standards that are in effect throughout the system. THR officers serve on the Boards of the controlled entities as well as some non-controlled entities in the system. The system investment policies are established at the THR level. THR also approves the operating budgets, capital budgets, and future goals for the system as a whole. THR has established an authority matrix that is used system wide. In the matrix, THR has ultimate control for the majority of the decisions made throughout the system. Officer/Board Appointments-Part IV, Section E, Line 3a THR must approve all board members and officers of each entity in the THR system. THR has a centralized recruitment, selection and placement process for the hiring/promotions of officers for all system entities. The human resources department is maintained by THR, not the individual entities. All supporting entity officers are interviewed by THR and entity personnel, with THR having the final decision on new hire placements and promotions. Substantial Direction-Part IV, Section E, Line 3b As discussed in detail in the explanation to Schedule A, Part IV, Section D, Lines 2 & 3, THR is the parent organization providing centralized management to the supported organizations in the system. As the parent organization THR is able to exercise a substantial degree of direction over the supported organizations through control of the board, setting policies, hiring officers, and the use of the authority matrix. Officers of THR are present at board meetings of the supported organizations as a liason and provide a conduit for the supported organizations to voice opinions and concerns to THR. Schedule A, Part IV, Section A Line 5a Supported Organizations Supported Organizations - Part IV, Section A Line 5a Texas Health Resources (THR) added the following supported organizations during the year. Texas Health Back Care 47-4724257 Texas Health Recovery and Wellness Center 81-2813227 Texas Health Seay Behavioral Health Hospital 81-2792484 Texas Health Springwood Behavioral Health Hospital 81-2798838 Texas Health Behavioral Health Hospital Corinth 81-4317635 Each hospital listed is controlled by THR, and part of the THR healthcare network. THR is continually evaluating the healthcare needs of the communities they serve, and the best method to meet those needs. It was determined that the entities listed above were the best way for THR to provide the needed healthcare services to the communities served. The addition of these entities as supported organizations is given to THR by Article 5C of its Articles of Incorporation. The articles of Incorporation state that THR shall operate exclusively for the support and benefit of Texas Health Dallas (THD), Texas Health Fort Worth (THFW), Texas Health Arlington (THAM), and other hospitals, health care delivery organizations, and/or other organizations whose purpose and design aligns with and is supportive of and which are closely related to THD, THFW, and THAM in purpose or function through common control, ownership, or management. All entities listed above have a purpose that aligns with and are closely related to THD, THFW, and THAM, thus qualifying for THRs support. All new entities controlled by THR and supported by THR are approved by the board of THR. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 6375 false true 153120 true 1399388 false false 1558883 false Schedule C, Part II-B, Line 1 - Details of Lobbying Activities Texas Health Resources (THR) is the parent organization for a healthcare system consisting of hospitals and other related healthcare organizations. The amount of expenses paid, or incurred in connection with lobbying activities reported on this return represent the expenses incurred on behalf of THR and all its affiliates. Total expenses for the system were $4,182,939,000 for the year ended December 31,2016. Of this amount $1,557,873(.0372%) is used in connection with lobbying activities. Officers and/or Board members of THR 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 that THR serves. In pursuing this activity, officers and/or Board members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters on a personal level, and not as a representative of the organization. A portion of the dues paid to the American Hospital Association and Texas Hospital Association are used by these organizations to support lobbying activites related to the healthcare industry. The amount of time and money involved in the activities described above is negligible. In no case has either THR, or any person acting on behalf of THR, intervened in any political campaign. THR policy prohibits this type of activity for THR System employees. 61333045 61333045 274009187 176748925 97260262 222481059 52620304 169860755 443984633 331862699 112121934 115688046 115688046 556264042 1895 SECURITY DEPOSIT 197460 TRUSTEE FUNDS-SUPP RETIREMENT 3625927 TRUSTEE FUNDS-CAA 108397 POST RETIREMENT BENEFITS 1678751 UNAMORTIZED RENT 6045841 OTHER LIABILITIES 422992 ASSET RETIREMENT OBLIGATION 1465782 MALPRACTICE TRUST RESERVE 25980452 INTERCOMPANY PAYABLE 1554055302 MINORITY INTEREST 81584358 1675167157 Central America and the Caribbean Investments 48736934 North America 8 Program Service Medical Conference 21373 8 8 48758307 48758307 true false true false false false Part I, Line 3f - Investments The amount in column f reflects investments based on an accrual method of accounting. Part I, Line 3f - Program Services The amount in column f reflects program services based on an accrual method of accounting. true true X true X true X 500. true true true false true true 6498791 2093570 4405220 0.01530 10239623 6166620 4406519 0.01530 72823 21188 51635 0.00020 16811237 8281378 8863374 0.03080 1075950 0 1075950 0.00370 3740 0 3740 0.00000 0 0 0 0.00000 0 0 0 0.00000 1045887 0 1045887 0.00360 2125577 0 2125577 0.00730 18936814 8281378 10988951 0.03810 54810 0 0.00030 3453 0 0.00000 58263 0 0.00030 true 17265674 0 51236698 51064406 172292 X true true Flower Mound Hosp Hospital 0.5362 0.002 0.4618 Greenville Surg Ctr Ambulatory Surgery Center 0.84 0.0 0.16 Physician Med Ctr Hospital 0.4929 0.0 0.5071 Rockwall Regional Hospital 0.6062 0.0042 0.3896 Southlake Specialty Short Stay Hospital 0.4984 0.0 0.5016 Surg Caregivers FW Ambulatory Surgery Center 0.51 0.0 0.49 TH Flower Mound Orth Orthopedic Surgery Center 0.51 0.0 0.49 THR-STT Rockwall ASC Ambulatory Surgery Center 0.51 0.0 0.49 THR-STT Southlake Ambulatory Surgery Center 0.51 0.0 0.49 USMD Arlington Short Stay Hospital 0.51 0.0 0.49 USMD Fort Worth Short Stay Hospital 0.5097 0.0 0.4903 Denton Surgery Ctr Ambulatory Surgery Center 0.6172 0.0 0.3828 TH Craig Ranch Ambulatory Surgery Center 0.585 0.0 0.415 N Dallas Surgical Ambulatory Surgery Center 0.51 0.0 0.49 TX Health Spine Ctr Ambulatory Surgery Center 0.6189 0.0 0.3811 Wilson Creek Surgery Ambulatory Surgery Center 0.51 0.0 0.49 North Texas ACO Accountable Care Organization 0.5 0.0 0.5 TH Surgery Ctr Prest Ambulatory Surgery Center 0.5349 0.0 0.4651 Arlington Surgery Ce Ambulatory Surgery Center 0.51 0.0 0.49 Opthalmology Surgery Ambulatory Surgery Center 0.51 0.0 0.49 7 1 Texas Health Flower Mound 4400 Long Prairie Rd Flower Mound TX 75028 www.texashealthflowermound.com 100056 X X X 2 Texas Health Rockwall 3150 Horizon Rd Rockwall TX 75032 www.texashealthrockwall.com 008599 X X X 3 USMD Hospital at Arlington 801 W Interstate 20 Arlington TX 76017 www.usmdarlington.com 007990 X X X 4 Texas Health Hospital 1401 E Trinity Mills Rd Carrollton TX 75006 www.texashealthhospital.com 100312 X X X 5 Physicians Medical Center 6020 Parker Rd Plano TX 75093 www.thcds.com 008153 X X X 6 Texas Health Southlake 1545 E Southlake Blvd Southlake TX 76092 www.texashealthsouthlake.com 008128 X X X 7 USMD Hospital at Fort Worth 5900 Dirks Rd Fort Worth TX 76132 www.usmdfortworth.com 008614 X X X Texas Health Flower Mound 1 false false true X X X X X X X X X 16 true true false true X See Section C X www.texashealth.org/chna X X false 15 true www.texashealth.org/chna false true X 200. 500. X X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X X X true X false false Texas Health Rockwall 2 false false true X X X X X X X X X 16 true false false true X See Section C X www.texashealth.org/CHNA X X false 15 true www.texashealth.org/chna false true X 200. 500. X X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X X X true X false false USMD Hospital at Arlington 3 false false true X X X X X X X X X 16 true true false true X See Section C X www.texashealth.org/CHNA X X false 15 true www.texashealth.org/chna false true X 200. 500. X X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X X X true X false false Texas Health Hospital 4 false true false true false true X 200. 500. X X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X X X true X false false Physicians Medical Center 5 false false true X X X X X X X X X 16 true true false true X See Section C X www.texashealth.org/CHNA X X false 15 true www.texashealth.org/chna false true X 200. 500. X X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X X X true X false false Texas Health Southlake 6 false false true X X X X X X X X X 16 true true false true X See Section C X www.texashealth.org/CHNA X X false 15 true www.texashealth.org/CHNA false true X 200. 500. X X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X X X true X false false USMD Hospital at Fort Worth 7 false false true X X X X X X X X X 16 true true false true X See Section C X WWW.TexasHealth.org/CHNA X X false 15 true WW.TexasHealth.ORG/CHNA false false X 200. 500. X X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X X X true X false false Texas Health Resources Facility #1 Texas Health Flower Mound Part V. Section B, Line 5 Facility #1 Texas Health Flower Mounds (THFM) 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. The CHNA for THFM was conducted in conjunction with Texas Health Denton. As a means to further understand the needs of the community, THFM gathered feedback through key informant interviews, focus groups 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. Seven persons with interests specific to the health of THFMs community participated in a focus group, two served as key informants and 16 individuals responded to the online survey. The online survey was conducted only in English. While the online survey may not have reached medically underserved, low-income or minority populations directly, organizations serving those populations were present at the focus group and served as key informants; these organizations included: the Childrens Advocacy Center, the Community Christian Association, Court Appointed Special Advocates (CASA), Denton County Public Health, the City of Flower Mound Fire Department, Health Plan Finders, Special Abilities of North Texas, and North Central Texas College. In order to gain a comprehensive understanding of the significant health needs for THFMs 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 6a Facility #1 The CHNA for THFM was conducted in collaboration with Texas Health Denton. Part V. Section B, Line 7a Facility #1 The CHNA is available on the hospitals website at www.texashealthflowermound.com/about-us/community-health-needs-assessment. Part V. Section B, Line 7d Facility #1 The hospital produced executive summaries of the completed CHNA along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the state of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B, Line 8 Facility #1 While a CHNA was conducted in 2016, the implementation strategy tied to the assessment was not adopted until 2017. In 2016, Texas Health Flower Mound (THFM) completed the three year cycle of the hospitals previous CHNAs implementation strategy (2014-2016). Part V. Section B, Line 11 Facility #1 The CHNA conducted in 2013 revealed a vast number of community health issues that required collective action to improve the health of the community. In order to assist the organization in determining which health needs should be addressed, THFM categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. By using a strategic prioritization method to determine the top needs within the community aligned with the ability to address the issues, two areas were chosen and are being addressed through the 2014-2016 implementation plans. The two priority areas chosen from the 2013 CHNA were Chronic Disease and Awareness, Literacy & Navigation. In 2016, THFM continued to align and coordinate services and interventions with community partners for a collective impact to meet the two priority areas defined. Below are some ways in which the priority areas were addressed by THFM. 1. Chronic Disease 1a. Community Health Improvement strategies include implementing new evidence-based and maintaining existing chronic disease programs provided at the hospital with a focus on self-management programs. Active partnerships and sponsorships aligned with the strategic efforts to address chronic diseases remained a top priority. 2. Awareness, Literacy & Navigation (ALN) 2a. Community Health Improvement strategies included collaboration to develop the online database called Community Connect, which is an area resource guide of key services available to the local community, individuals and non-profit partners that addresses the social determinants of health. In 2016, more than 2,200 searches for information regarding free and reduced-cost social services were conducted using this online database. 2b. The Texas Health Grant and Sponsorship Program provides community benefit grants, sponsorships, and other in-kind resources to improve the health status of the communities served. Grants are limited to the specific areas of health disparities, disease management, wellness, disease prevention and health promotion programs, clinics, charitable care, and community health collaborations. 2c. THFM continued partnering with area collaborations working to address ALN and maintained and supported relationships with key partners. Texas Health Flower Mound did not adopt new strategies for the following identified needs in the community for the reasons listed. 1. Access: Provider Supply Resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 2. Maternal, Infant, & Child Health This need is currently being addressed by multiple outside organizations in the community. The facility will continue to address the need at its current level of support. 3. Mental Health Resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 4. Oral Health Lack of expertise. 5. Other Clinical/Preventive The facility will continue to address the need at its current level of support. 6. Preventive/Wellness This need is currently being addressed by multiple organizations in the community, and the facility will continue to address the need at its current level of support. 7. Social Determinants Resource constraints, low priority assigned, and lack of effective intervention. 8. Substance Abuse Resource constraints. The facility will continue to address the need at its current level of support. 9. Transportation Lack of expertise. Part V. Section B, Lines 16 a, b & c Facility #1 The FAP, FAP Application and the Plain Language Summary of the FAP were widely available at the following websites: www.texashealthflowermound.com/patients-visitors/information-for-patients/ financial-assistance. www.texashealth.org/financial-assistance Facility #2 Texas Health Rockwall Part V. Section B, Line 5 Facility #2 Texas Health Rockwalls (THRW) 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, THRW gathered feedback through key informant interviews, focus groups 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. Five persons with interests specific to the health of THRWs community participated in a focus group, three served as key informants and 14 individuals responded to the online survey. The online survey was conducted only in English. While the online survey may not have reached medically underserved, low-income or minority populations directly, organizations serving those populations were present at the focus group and served as key informants; these organizations included: the Blue Ribbon News, Meals on Wheels Senior Services of Rockwall County, Helping Hands, Rockwall Independent School District, and the YMCA of Metropolitan Dallas. In order to gain a comprehensive understanding of the significant health needs for THRWs 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 7a Facility #2 The CHNA is available on the hospitals website at www.texashealthrockwall.com/patients-visitors/community-health-needs-asses sment-chna. Part V. Section B, Line 7d Facility #2 The hospit 15 Health Imaging Partners LLC 8610 Explorer Dr 300 Colorado Springs CO 80920 Outpatient Diagnostic Imaging Opthalmology Surgery Center of Dallas 10740 N Central Expressway Dallas TX 75231 Ambultory Surgery Center Fort Worth Endoscopy Center LLC 900 W Magnolia Ave 101 Fort Worth TX 76104 Ambulatory Surgery Center TX Health Surgery Center Preston Plaza 17950 Preston Rd Ste 75 Dallas TX 75252 Ambulatory Surgery Center Texas Health Craig Ranch Surger Ctr LLC 8080 State Hwy 121 Ste 100 Mckinney TX 75070 Ambulatory Surgery Center THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 Ambulatory Surgery Center TX Health Flower Mound Orthopedic Surg 5000 Long Prairie Rd Flower Mound TX 75028 Ambulatory Surgery Center Surgical Caregivers of Fort Worth 2001 W Rosedale St Fort Wort TX 76104 Ambulatory Surgery Center Denton Surgery Center 207 North Bonnie Brea Denton TX 76201 Ambulatory Surgery Center Cleburne Surgical Center LLC 2010 W Katherine P Raines Blvd Ste Cleburne TX 76033 Ambulatory Surgery Center Greenville Surgery Center LLC 7150 Greenville Ave Ste 200 Dallas TX 75231 Ambulatory Surgery Center Wilson Creek Surgical Center LLC 8855 Synergy Dr McKinney TX 75070 Ambulatory Surgery Center THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 Ambulatory Surgery Center North Dallas Surgical Center LLC 17980 Dallas Pkw Ste 100 Dallas TX 75287 Ambulatory Surgery Center Arlington Surgery Center LLC 918 N Davis Dr Arlington TX 76012 Ambulatory Surgery Center Texas Health Resources Part I, Line 3c - Patient Eligibility The Schedule H for Texas Health Resources (THR) is filed solely because it has an ownership interest in six taxable joint ventures operating as hospitals. THR is a functionally integrated supporting organization and does not operate its own hospital. THR supports a system of faith-based, non-profit hospitals, an employed physician organization and an organization for medical research and education. THR has adopted a financial assistance policy which covers all 14 non-profit hospitals it supports. 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 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 the 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. Each joint venture hospital estimates bad debt expense utilizing various methods, analytical tools and benchmarks. Typically, bad debt expense is based upon a combination of factors including, but not limited to, aging of receivables, analyzing revenue trends in the healthcare industry and payor class, and assessing historical collection experience considering business and economic conditions. Pt 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. THR is the parent company of a healthcare system filing a combined community benefit report in Texas. THR is not a hospital and does not have Medicare data to report to the state of Texas. The data provided for Sch H is THRs share of operations from its taxable joint ventures which operate hospitals in Texas. The Medicare amounts reported on Sch H are from the taxable joint venture hospitals cost accounting systems. The taxable joint ventures are not required to file community benefit reports with or report Medicare shortfalls to the state of Texas. 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 The organization is part of the Texas Health Resources (THR) Healthcare System. In addition to the organizations Community Health Needs Assessment (CHNA), THR developed and implemented, as a healthcare system, a Community Benefit Framework (CBF) based on the Public Health Institutes Best Practices Advancing the State of the Art in Community Benefit (ASACB) Program. The CBF systematically integrates internal practices into the community to improve the efficiency and effectiveness of THRs Community Health Improvement (CHI) Strategy, to address disproportionate unmet health needs (DUHN), to address primary prevention and to improve community capacity. The CBF provides a quantitative approach to parallel the CHNA in identifying key communities within THRs service area and the means to align them with a THR entity. The CBF contains five phases: assessment/profile, infrastructure, community health council, programmatic review and strategy development. THR works with each entitys Community Health Advocate to examine the entitys structure and programs for gaps, needs, strengths and alignment with the CBF, CHNA and ASACB standards. 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 patients 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 screened for potential eligibility in other governmental assistance programs. If it is determined that the patient is potentially eligible for governmental assistance, the counselor will assist the patient in completing forms necessary to apply for the assistance. At the same time, patients are provided with a financial assistance application. The patient is informed that the hospital is a non-profit organization offering financial assistance to patients deemed medically or financially indigent. The PLS is included on the back of our patient bills. The patient is informed of how to qualify for financial assistance, how to ask for help, necessary documentation, and THR's collection process. The onsite financial counselors may assist the patient in completing the application and obtain available verification information. The counselors will continue to contact the patient to ensure all forms and verifications needed to file an application for governmental assistance and financial assistance have been provided. In certain cases, self-pay patients who are discharged before seeing a financial counselor receive both a phone call and a letter to alert them to the existence of the FAP. Each bill sent for hospital services also contains contact information alerting patients that Texas Health has a FAP. Part VI, Line 4 - Community Information THR does not operate its own hospitals, but has ownership in six joint ventures operating as hospitals. The joint ventures operate hospitals in various communities throughout North Texas. The communities served by the hospitals include those designated as medically underserved areas (MUA) and vary in age and race. The population of the communities range from 296,000 to 1.3 million and the percentage of the households in these communities who are uninsured varies from 4.1% to 5.4%. The median income of the communities served by the hospitals ranges from $53,000 to $86,000 with a range of 6.9% to 17.7% of the population in these communities living below the federal poverty level. Part VI, Line 5 - Promotion of Community Health The board of trustees is comprised of co true American Diabetes Association 4100 Alpha Road Dallas TX 75244 131623888 501(c)(3) 44000 General Purpose March of Dimes Foundation 12660 Coit Rd Ste 200 Dallas TX 75251 131846366 501(c)(3) 45000 General Purpose American Cancer Society 8900 John W Carpenter Freeway Dallas TX 75247 131788491 501(c)(3) 30000 General Purpose YMCA of Metropolitan Dallas 601 N Akard St Dallas TX 75201 750800696 501(c)(3) 12000 General Purpose YMCA of Metropolitan Fort Worth 512 Lamar St Fort Worth TX 76102 750827471 501(C)(3) 7000 General Purpose Dallas Regional Chamber 500 North Akard Street Suite 2600 Dallas TX 75201 750223440 501(C)(6) 36630 General Purpose DFW Hospital Council 250 Decker Drive Irving TX 75062 751254380 501(C)(6) 9100 General Purpose Fort Worth Chamber of Commerce 777 Taylor St 900 Fort Worth TX 76102 750275060 501(C)(6) 26180 General Purpose Fort Worth Stockshow Syndicate PO Box 17005 Fort Worth TX 76102 751790417 501(C)(3) 17610 General Purpose North Texas Commission 8445 Freeport Pkwy Irving TX 75063 751364760 501(c)(6) 10000 General Purpose Parkland Foundation 2777 Stemmons Freeway Ste 1700 LB 6 Dallas TX 75207 752089180 501(C)(3) 50000 General Purpose Texas Hospital Association 1108 Lavaca Street No 700 Austin TX 78701 741362741 501(C)(6) 10000 General Purpose UNTHSC Foundation 3500 Camp Bowie Blvd Fort Worth TX 76107 471744274 501(c)(3) 503500 General Purpose Young Mens Christian Assoc of Arlington 1148 W Pioneer Pky Arlington TX 76013 751000839 501(c)(3) 7000 General Purpose DFW American College Healthcare Executives 300 Decker Dr 300 Irving TX 75062 352225477 501(c)(6) 7200 General Purpose Dallas Citizens Council 901 Main St 6212 Dallas TX 75202 756035901 501(c)(6) 8750 General Purpose Dallas Women's Foundation 8150 N Central Expy 110 Dallas TX 75206 752048261 501(c)(3) 10000 General Purpose International Sister Cities Assoc of Fort Worth 908 Monroe St 5th Flr Fort Worth TX 76102 752057300 501(c)(3) 10000 General Purpose JDRF International 9400 N Central Expry 1201 Dallas TX 75243 231907729 501(c)(3) 10000 General Purpose North Texas Commission Foundation 8445 Freeport Pkw 640 Irving TX 75063 752948710 501(c)(3) 8000 General Purpose Tarrant Area Food Bank 2600 Cullen Street Fort Worth TX 76107 751822473 501(c)(3) 15000 General Purpose Yellow Rose Gala Foundation PO Box 192131 Dallas TX 75219 471982785 501(c)(3) 12500 General Purpose 15 7 Part I, Line 2 - Procedures for Monitoring Grants Texas Health Resources (THR) receives various requests from the community for assistance. THR management reviews these requests to verify that they are benefiting the community and they are in agreement with THR's mission. The grants or assistance given by THR are generally to local organizations that have a longstanding record of benefiting the local community. Since the vast majority of the assistance given by THR is to local organizations, management is able to monitor the use of the funds using personal inspection. Many of the events are published in the local paper. Many are community wide events where THR employees attend, or work as volunteers or coordinators. X X X X X true true X X X X X true true false false false false false false false Berdan Barclay E Chief Executive Officer 993734 0 478429 0 251799 0 399869 0 40671 0 2164502 0 42735 0 Long Ronald R EVP RSRC DEVL & DEPLOY & CFO 650651 0 710685 0 132618 0 221036 0 43593 0 1758583 0 479318 0 Canose Jeffrey L EVP SR & COO THR 679439 0 646236 0 166272 0 227522 0 39409 0 1758878 0 419149 0 Varga Daniel W EVP SR & CHIEF CLINICAL OFFICE 674413 0 381952 0 152495 0 416714 0 49772 0 1675346 0 27176 0 King James Kirk EVP ZONE OPERATIONS LEADER 444075 0 478848 0 108521 0 159775 0 48863 0 1240082 0 264798 0 Nguyen Tricia H EVP Popltn Hlth Mgmt/Pres Inst 550971 0 172236 0 90209 0 191139 0 40937 0 1045492 0 7888 0 Boes Charles EVP General Counsel 0 150600 0 629022 0 6605 0 24512 0 810739 0 26128 0 McClung Brett S EVP ZONE OPERATIONS LEADER 484927 0 182778 0 98564 0 170080 0 44693 0 981042 0 17900 0 Berenzweig Harold K EVP ZONE CLINICAL LEADER 478216 0 182260 0 83433 0 171102 0 41394 0 956405 0 24136 0 Lester Mark C EVP ZONE CLINICAL LEADER 464109 0 178583 0 100583 0 165728 0 39615 0 948618 0 16195 0 Ransom Elizabeth EVP ZONE CLINICAL LEADER 465406 0 175626 0 101083 0 166362 0 47382 0 955859 0 15504 0 Kramer Kenneth J EVP General Counsel 419511 0 113769 0 111856 0 118564 0 52107 0 815807 0 11618 0 McWhorter Ricky E SVP/CHIEF ACCTG OFFR/Asst Sec. 365938 0 114611 0 65352 0 179337 0 32868 0 758106 0 11875 0 Stout Luanne R VP Chief Gov Offr & Corp Secr 204324 0 177198 0 23057 0 16395 0 32721 0 453695 0 105035 0 Parobek Jr James S EVP PHYSICIAN ENTERPRISE THR 173470 242858 51378 71929 35900 50260 51562 72187 22573 31602 334883 468836 1203 1684 Velasco Ferdinand T SVP & Chief Hlth Info Officer 401147 0 421384 0 70440 0 107853 0 48883 0 1049707 0 302545 0 Mims Krystal SVP CARE CONTINUUM & COLLABORA 393289 0 218884 0 91855 0 148738 0 44303 0 897069 0 77087 0 Kirby Michelle Riddle SVP CHIEF PEOPLE OFFICER 375065 0 121223 0 71978 0 107475 0 10268 0 686009 0 12286 0 Gaida John B SVP SUPPLY CHAIN MGMT 349386 0 120545 0 84185 0 96244 0 44515 0 694875 0 14421 0 Shinkus Clark Joan Frances SVP Chief Nursing Executive 378025 0 121202 0 52072 0 90696 0 41363 0 683358 0 14320 0 Szablowski Paul A SVP BRAND EXPERIENCE 353805 0 98799 0 68246 0 93213 0 38820 0 652883 0 3179 0 Jones Robert Douglas SVP Treasurer/Chief Invest Off 341673 0 105412 0 54947 0 85865 0 45287 0 633184 0 12809 0 Humphrey Richard I SVP FINANCE 319611 0 93737 0 81918 0 81045 0 48613 0 624924 0 0 0 Sudomir Jr Joseph M SVP CHIEF INFO OFFICER 314664 0 99746 0 69622 0 45025 0 42889 0 571946 0 28514 0 Tesmer David J SVP COMMUN ENGAG & ADVOCACY TH 312653 0 102096 0 58994 0 92894 0 40489 0 607126 0 12152 0 Mitchell John D SVP BUSINESS DEVELOPMENT 263927 0 101243 0 76017 0 77713 0 44912 0 563812 0 10605 0 Holmes Kevin B SVP REAL ESTATE DEVL & DEPLOY 261725 0 91140 0 72879 0 79916 0 52763 0 558423 0 11568 0 Bujnowski Aaron Mark SVP Strategy & Planning 281693 0 77596 0 57968 0 114003 0 48170 0 579430 0 3199 0 Pearson George SVP MED STF AFFRS PHYS RLTNS 247195 0 82620 0 70873 0 75437 0 34811 0 510936 0 10718 0 Miao Winjie Tang SVP SYSTEM INTEGRATION OFFICER 255495 0 75014 0 59025 0 121400 0 26757 0 537691 0 8373 0 Saldana Luis Eduardo CMIO 378834 0 0 0 5930 0 19875 0 42467 0 447106 0 0 0 Osburn Ramona SVP THR BEHAVIORAL HLTH SVCS 217421 0 56639 0 41753 0 61893 0 30026 0 407732 0 1844 0 Schornick Amy C VP PAYOR RLTNS & CONTRACTING 290839 0 73286 0 59375 0 60467 0 42095 0 526062 0 0 0 Adams Kenneth Kei VP POST ACUTE CLINICAL LEADER 303083 0 62779 0 35247 0 0 0 423 0 401532 0 0 0 Hay Debra Ann CHIEF NURSING OFFICER THPR 257001 0 98700 0 31815 0 51807 0 33321 0 472644 0 38708 0 Anderson Susan Elaine Former 25206 0 88283 0 13477 0 2716 0 2914 0 132596 0 11470 0 Hawthorne Douglas D Former 0 275931 0 107165 0 69932 0 185226 0 35818 0 674072 0 97246 Peterson Lisa Kaye Former Officer 0 297177 0 76537 0 61305 0 15900 0 50945 0 501864 0 0 Kini Mrunalini A DIR SR MULTICULTURAL/COMM HLTH 112656 0 11981 0 379086 0 7942 0 34483 0 546148 0 0 0 Johnston Patricia B VP INFORMATION SVCS THR 3259 0 0 0 487601 0 2531 0 4309 0 497700 0 0 0 Logsdon James D VP Revenue Cycle Operations 270920 0 63243 0 38529 0 89404 0 41664 0 503760 0 0 0 Beck Jesse St John VP STRATEGIC MARKETING 252090 0 58349 0 41853 0 45045 0 36703 0 434040 0 2734 0 Sullivan Jon M VP REAL ESTATE OPS 231148 0 57320 0 59737 0 19875 0 39194 0 407274 0 0 0 SCHEDULE J, PART I, LINE 1A - FIRST CLASS TRAVEL THE THR BOARD APPROVED FIRST CLASS TRAVEL FOR THE CEO ASSOCIATED WITH BUSINESS TRAVEL ON BEHALF OF THE SYSTEM. NO COSTS ASSOCIATED WITH THIS ARE ADDED TO THE TAXABLE WAGES OF THE CEO. ALL OTHER THR PERSONNEL FOLLOW A SYSTEM TRAVEL POLICY WHICH REIMBURSES BUSINESS AIR TRAVEL AT THE MOST ECONOMICAL FARE REASONABLY AVAILABLE. SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS IN ACCORDANCE WITH THE THR TRAVEL POLICY, THE ORGANIZATION ALLOWS SPOUSES/GUESTS TO ACCOMPANY ELIGIBLE EMPLOYEES, OFFICERS OR BOARD MEMBERS OF THE ORGANIZATION ON BUSINESS RELATED TRAVEL. THE VALUE OF THE SPOUSE/GUEST TRAVEL IS INCLUDED IN THE TAXABLE COMPENSATION OF THE EMPLOYEE. SCHEDULE J, PART I, LINE 1A - GROSS-UP PAYMENTS CERTAIN IMPUTED INCOME IS GROSSED-UP TO INCLUDE EMPLOYMENT TAXES PAID ON THE LISTED PERSON'S BEHALF. ALL TAX INDEMNIFICATION PAYMENTS PROVIDED TO EMPLOYEES ARE INCLUDED IN THE TAXABLE COMPENSATION OF THE EMPLOYEE. 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 1A- PERSONAL SERVICES THE FOUNDING CEO EMERITUS (FCE) IS PROVIDED FINANCIAL PLANNING AND TAX PREPARATION SERVICES. THESE SERVICES ARE INCLUDED IN THE TAXABLE COMPENSATION OF THE FCE. SCHEDULE J, PART I, LINE 4A - SEVERANCE SETTLEMENT THE SEVERANCE PAYMENT WAS PAID OUT as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. Boes, Charles 471,686 SCHEDULE J, PART I, LINE 4A - POSITION ELIMINATION THR'S SEPARATION PAY PLAN PROVIDES PAYMENTS TO EMPLOYEES WHO'S POSITIONS WERE ELIMINATED BY THE ORGANIZATION BASED ON THE EMPLOYEE'S YEARS OF SERVICE AND THE LEVEL OF THE AFFECTED POSITION. THE LISTED EMPLOYEES QUALIFIED FOR SEVERANCE BASED ON AN INVOLUNTARY SEPARATION FROM SERVICE WITHOUT A COMPARABLE POSITION BEING OPEN AND AVAILABLE AT THE TIME OF SEPARATION. Johnston,Patricia B. 457,367 Kini,Mrunalini A. 345,297 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). Anderson,Susan Elaine 47,587 Beck,Jesse St. John 1,788 Berdan,Barclay E. 42,735 Berenzweig,Harold K 24,136 Boes,Charles 153,713 Bujnowski,Aaron Mark 3,199 Canose,Jeffrey L 419,149 Gaida,John B 14,421 Hawthorne,Douglas D 97,246 Hay,Debra Ann 35,950 Holmes,Kevin B. 11,568 Johnston,Patricia B. 2,679 Jones,Robert Douglas 12,809 King,James Kirk 330,424 Kirby,Michelle Riddle 12,286 Kramer,Kenneth J. 11,618 Long,Ronald R 479,318 McClung,Brett S. 17,900 McWhorter,Ricky E. 11,875 Miao,Winjie Tang 8,373 Mims,Krystal 77,087 Mitchell,John D. 10,605 Osburn,Ramona 1,844 Pearson,George 10,718 Ransom,Elizabeth 15,504 Shinkus Clark,Joan Frances 14,320 Stout,Luanne R 136,588 Sudomir Jr,Joseph M 28,514 Tesmer,David J. 12,152 Varga,Daniel W 13,345 Velasco,Ferdinand T. 302,545 A Tarrant Cnty Cultural Education Facility FIN Corp 043833551 87638TAS2 2007-05-31 620367416 Refund 10/30/97 Issue Bonds false false false B Tarrant Cnty Cultural Education Facility FIN Corp 043833551 87638TBE2 2007-05-31 102323221 Construction & Equip for Facility false false false C Tarrant Cnty Cultural Education Facility FIN Corp 043833551 87638RCL5 2008-10-30 366120000 Refund 1/31/89 & 5/14/03 Bonds false false false D Tarrant Cnty Cultural Education Facility FIN Corp 043833551 87638TEE9 2010-11-23 151950525 Redeem 10/30/08 Series D F & G false false false A 575605000 0 620432581 0 0 0 3060477 0 0 0 617372104 0 2007 false true true true B 0 0 109908750 0 0 0 529732 0 0 109379018 0 0 2009 false false true true C 190065000 0 366264054 0 0 0 1868320 0 0 178040202 186355532 0 2009 true false true true D 0 0 151950525 0 0 0 1525525 0 0 134555431 15869569 0 2010 true false true true A false true true true false 0.01300 0.01300 false false false true B false false true true false 0.00060 0.00060 false false false true C false true true true false 0.00800 0.00060 0.00860 false false false true D false true true true false 0.00780 0.00060 0.00840 false false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true true false 0 false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true Part I, Column e and Part II, Line 3 If the amount of total proceeds of issue reported in Part II, Line 3 differs from the amount of the issue price reported in Part I, Column e, the difference relates to investment earnings. A Tarrant Cnty Cultural Education Facility FIN Corp 043833551 2010-11-30 135000000 Construction & Equip Health Facili false false false B Tarrant Cnty Cultural Education Facility FIN Corp 043833551 87638TEH2 2012-10-04 50000000 Construction & Equip Health Facili false false false C Tarrant Cnty Cultural Education Facility FIN Corp 043833551 87638TEZ2 2015-05-21 60535400 Construction & Equip Health Facili false false false D Tarrant Cnty Cultural Education Facility FIN Corp 043833551 87638TFM0 2016-11-18 708403645 Refund 2007A bonds & Capital Impro false false false A 475000 0 135000000 0 0 0 444565 0 0 134555435 0 0 2013 false false true true B 0 0 50037844 0 0 0 0 0 0 50037844 0 0 2014 false false true true C 0 0 61433172 0 0 0 247878 0 0 61185294 0 0 2016 false false false true D 0 0 723854924 0 0 496001038 5049349 0 0 121915497 0 100889040 true false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false true true true false 0.00520 0.00520 false false false true A false false false true true false 0 false 0 false true B false true false false true false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true Anderson Elaine Former Split Dollar Life X 26482 26482 false true true Berdan Barclay Officer Split Dollar Life X 468378 468378 false true true Boes Charles Officer Split Dollar Life X 65034 65034 false true true Canose Jeffrey L Officer Split Dollar Life X 279040 279040 false true true Hawthorne Douglas Former Officer Split Dollar Life X 941540 941540 false true true Holmes Kevin B Key Employee Split Dollar Life X 129502 129502 false true true Kirby Michelle R Key Employee Split Dollar Life X 62732 62732 false true true Kramer Kenneth Jr Officer Split Dollar Life X 149629 149629 false true true Long Ronald R Officer Split Dollar Life X 771290 771290 false true true Pearson George L Key Employee Split Dollar Life X 332402 332402 false true true Tesmer David J Key Employee Split Dollar Life X 78280 78280 false true true Giada John Key Employee Split Dollar Life X 330195 330195 false true true McClung Brett Officer Split Dollar Life X 192822 192822 false true true King James Kirk Officer Split Dollar Life X 127878 127878 false true true 3955204 Jennifer Velasco Family Member of Key Employee Ferdinand Velasco 93490 Compensation - Employee false X Hospital Beds 1 58624 FMV 0 false true false Business Relationship-Part VI, Section A, Line 2 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. Form 990 Filing-Part VI, Section B, Line 11b 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 Sr. Vice President of Finance. 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. Conflict of Interest- Part VI, Section B, Line 12c 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. Compensation Determination-Part VI, Section B, Line 15 Texas Health Resources (THR) used the following methods to establish the compensation of the organizations CEO, officer and key employees. #The Compensation committee (which includes independent persons) performs reviews and makes recommendations to the THR Board. #Independent consultants may be hired. #Compensation surveys or studies are utilized. #Approval by the Board or Compensation committee is required. The board of THR hires an independent third party compensation consultant to review base pay of the CEO annually. Every 3 years, the independent third party compensation consultant is hired to review all aspects of executive compensation, which includes a review and confirmation of the executive compensation philosophy. Each year the compensation committee of the THR board of trustees reviews a detailed report analyzing CEO, Executive, and Senior officer compensation packages. Public Disclosure-Part VI, Section C, Line 19 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. Other Changes in Fund Balance-Part XI, Line 9 Controlled Joint Venture Treasury Shares ($298,126) Transfers from controlled entity $63,921,278 Texas Health Partners LLC 612 E Lamar Blvd Arlington TX 76011 020546958 Mgmt Co TX 15376751 5406215 TH Resources THR-SCA Holdings LLC 612 E Lamar Blvd Arlington TX 76011 461096461 Holding Co TX 20111650 85781992 TH Resources Texas Health Resources Trust 612 E Lamar Blvd Arlington TX 76011 366406740 Investments TX -87595 259329038 TH Resources Dallas County Indigent Care Corporation PO Box 655999 Dallas TX 75203 260610562 Support Org. TX 501(c)(3) 12a NA false Healthy Tarrant County Collaboration PO Box 8040 Fort Worth TX 76124 432087946 Support Org. TX 501(c)(3) 12A NA false Johnson County Community Care Corp 612 E Lamar Blvd Arlington TX 76011 452793120 Support Org. TX 501(c)(3) 12a TH Cleburne false North Texas Healthy Communities 612 E Lamar Blvd Arlington TX 76011 464513182 Comm Support TX 501(c)(3) 7 TH Resources true Southwestern Health Resources JOC 5323 Harry Hines Blvd Dallas TX 75390 811575989 Support Org. TX 501(c)(3) 12b TH Resources true Tarrant County Indigent Care Corporation 612 E Lamar Blvd Arlington TX 76011 260648532 Support Org. TX 501(c)(3) 12a NA false Texas Health Arlington Memorial Hospital 800 West Randol Mill Rd Arlington TX 76011 750972805 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Back Care 9229 LBJ Freeway Dallas TX 75243 474724257 Phys. Clinic TX 501(c)(3) 10 TH Phys Grou false TH Behavioral Health Hospital Corinth 612 E Lamar Blvd Arlington TX 76011 814317635 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Alliance 10864 Texas Health Trail Fort Worth TX 76244 451502252 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Azle 108 Denver Trail Azle TX 76020 751748586 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Cleburne 201 Walls Dr Cleburne TX 76033 751977850 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 756001743 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Hurst-Euless-Bedford 1600 Hospital Parkway Bedford TX 76022 751438726 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Southwest Fort Worth 6100 Harris Parkway Fort Worth TX 76132 752678857 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Stephenville 411 Belknap Stephenville TX 76401 751752253 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Huguley Inc 11801 S Freeway Burleson TX 76028 452694620 Hospital FL 501(c)(3) 3 TH Resources true Texas Health Medical Support 612 E Lamar Blvd Arlington TX 76011 812833150 Spec Drugs TX 501(c)(3) 10 TH Resources true 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 true TH Recovery and Wellness Center 612 E Lamar Blvd Arlington TX 76011 812813227 Resd Trmt Ctr TX 501(c)(3) 3 TH Resources true Texas Health Resources Foundation 612 E Lamar Blvd Arlington TX 76011 752022128 Fundraising TX 501(c)(3) 7 TH Resources true Texas Health Allen 1105 Central Expressway N Allen TX 75013 752890358 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Dallas 8200 Walnut Hill Ln Dallas TX 75231 751047527 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Denton 3000 North Interstate 35 Denton TX 76201 432008974 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Kaufman 850 Ed Hall Drive Kaufman TX 75142 752771437 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Plano 6200 W Parker Rd Plano TX 75093 752770738 Hospital TX 501(c)(3) 3 TH Resources true TX Health Research & Education Institute 612 E Lamar Blvd Arlington TX 76011 752562191 Edu& Research TX 501(c)(3) 4 TH Resources true 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 true TH Springwood Behavioral Health Hospital 2717 Tibbets Dr Bedford TX 76022 812798838 Hospital TX 501(c)(3) 3 TH Resources true TH Specialty Hospital Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 751648589 LT Hospital TX 501(c)(3) 3 TH Resources true WW Ward Endowment Fund Trust 612 E Lamar Blvd Arlington TX 76011 756196065 Support Org. TX 501(c)(3) 12a TH Foundatio false AMH Cath Labs LLC 811 Wright St Arlington TX 76012 203003947 Hospital TX NA N/A Arlington Surgery Ctr LLC 918 N Davis Dr Arlington TX 76012 752055800 Amb Surg Ctr TX THR-SCA Holding Related 601377 912726 false true 0.51000 Cleburne Imaging LLC PO Box 820519 Dallas TX 75382 460767278 Medical Imaging TX NA N/A Cleburne Surgical Ctr LLC 2010 W Katherine P Raines Blvd St Cleburne TX 76033 203742012 Amb Surg Ctr TX THR-SCA Holding Related 2245996 3073456 false true 0.51000 Denton Surgery Ctr LLC 207 North Bonnie Brea Denton TX 76201 470926556 Amb Surg Ctr TX THR-SCA Holding Related 3830765 3769533 false true 0.61717 Flower Mound Hospital Ptrs LLC 4400 Long Prairie Rd Flower Mound TX 75028 260684968 Hospital TX TH Resources Related 23342996 73736145 false true 0.53625 Fort Worth Endoscopy Ctr LLC 900 W Magnolia Ave 101 Fort Worth TX 76104 770368346 Endoscopy Ctr TX THR-SCA Holding Related 9245574 5985776 false true 0.51000 FTH DFW Partners LLC 1401 E trinity Mills Rd Carrollton TX 75006 473426036 Hospital/ER TX TH Resources Related false false 0.51000 Greenville Surgery Ctr LLC 7150 Greenville Ave Ste 200 Dallas TX 75231 742411643 Amb Surg Ctr TX THR-SCA Holding Related 1753858 3018001 false true 0.84000 Health Imaging Ptrs LLC 8610 Explorer Drive Ste 300 Colorado Springs CO 80920 271385885 Medical Imaging TX TH Resources Related 20959515 37333861 false false 0.51000 North Dallas Surgical Ctr LLC 17980 Dallas Parkway Ste 100 Dallas TX 75287 272248103 Amb Surg Ctr TX THR-SCA Holding Related 1102093 1852802 false true 0.51000 Ophthalmology Surgery Ctr of Dallas LLC 10740 N Central Expressway Ste 400 Dallas TX 75231 261914835 Amb Surg Ctr TX THR-SCA Holding Related 6659192 7006438 false true 0.51000 Physician Medical Ctr LLC 6020 W Parker Rd Plano TX 75093 481281377 Hospital TX TH Resources Related 15134417 16923460 false true 0.53128 Presbyterian Cancer Ctr-Dallas LLC PO Box 819607 Dallas TX 75381 260422749 Cancer Ctr TX NA N/A Rockwall Regional Hospital LLC 3150 Horizon Rd Rockwall TX 75032 202848116 Hospital TX TH Resources Related 13107789 46089349 false true 0.60952 Southlake Specialty Hospital LLC 1545 E Southlake Blvd Southlake TX 76092 020555371 Hospital TX TH Resources Related 7198853 16244111 false true 0.53917 Surgical Caregivers of Fort Worth LLC 2001 W Rosedale Street Fort Worth TX 76104 751925497 Amb Surg Ctr TX THR-SCA Holding Related 3978072 3962578 false true 0.51000 Texas Health Craig Ranch Surgery Ctr LLC 8080 State Hwy 121 Ste 100 McKinney TX 75070 383897811 Amb Surg Ctr TX THR-SCA Holding Related 4046099 5008989 false true 0.58500 Texas Health Flower Mound Orthopedic Sur 5000 Long Prairie Road Flower Mound TX 75028 800866449 Amb Surg Ctr TX THR-SCA Holding Related 3362181 4595665 false true 0.51000 TH Medsynergies LLC 909 Hidden Ridge Ste 300 Irving TX 75038 800272951 Mgmt Services TX TH Resources Related 1670980 false false 0.93150 TH Spine Center Arlington 1545 E Southlake Blvd Ste 100 Southlake TX 76092 464143686 Amb Surg Ctr TX TH Resources Related -38917 false true 0.61890 TH Surgery Ctr Preston Plaza LLC 17950 Preston Road Ste 75 Dallas TX 75252 203991622 Amb Surg Ctr TX THR-SCA Holding Related 6049971 5969367 false true 0.53494 TH Surgery Ctr Rockwall LLC 569 Brookwood Village Ste 901 Birmingham AL 35209 474425996 Inactive TX THR-SCA Holding Related false true 0.51000 Texas Institute for Surgery LLP 7715 Greenville Ave Ste 100 Dallas TX 75231 770628004 Hospital TX NA N/A THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 262429878 Amb Surg Ctr TX TH Resources Related 1336205 2209669 false true 0.87877 THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 201728912 Amb Surg Ctr TX TH Resources Related 3091711 4894296 false true 0.91014 USMD Hospital at Arlington LP 801 I -20 West Arlington TX 76017 731662763 Hospital TX TH Resources Related 11098932 40358656 false false 0.51000 USMD Hospital at Fort Worth LP 5900 Altamesa Blvd Fort Worth TX 76132 203571243 Hospital TX TH Resources Related 2775453 6798631 false false 0.50965 Wilson Creek Surigcal Ctr LLC 8855 Synergy Dr McKinney TX 75070 274816583 Amb Surg Ctr TX THR-SCA Holding Related 3215226 2364572 false true 0.51000 Women's Specialty Surgery Ctr 8230 Walnut Hill Ln Ste 101 Dallas TX 75231 262310072 Amb Surg Ctr TX NA N/A Huguley Medical Associates Inc 11801 South Freeway Burleson TX 76028 752547668 Phys Clinics TX NA C Corp false Magnum Health Holdings Inc 612 E Lamar Blvd Arlington TX 76011 475486814 Holding Co TX TH Resources C Corp 0 0 1.00000 true Texas Health Aetna Health Plan 612 E Lamar Blvd Arlington TX 76011 475548221 Med Insurance TX NA C Corp false TH Biomedical Advancement Center Inc 612 E Lamar Blvd Arlington TX 76011 752636884 Research TX NA C Corp false SWHR Specialty Programs Groups 612 E Lamar Blvd Arlington TX 76011 465588632 Inactive TX TH Resources C Corp 0 0 1.00000 true THR Primary Care Ext Physcian Network 612 E Lamar Blvd Arlington TX 76011 465365421 Inactive TX TH Resources C Corp 0 0 1.00000 true Texas Health Resources Spine Services 612 E Lamar Blvd Arlington TX 76011 465347751 Inactive TX TH Resources C Corp 0 0 1.00000 true Texas Health Resources Women's Services 612 E Lamar Blvd Arlington TX 76011 465330487 Inactive TX TH Resources C Corp 0 0 1.00000 true Charitable Remainder Trusts (4) 612 E Lamar Blvd Arlington TX 76011 465330487 CR Trust TX NA Trust 0 0 0.00000 false Grace Indemnity Company Ltd 1159 Caribbean Plaza Grand Cayman CJ KY 1-1102 981209573 Captive Insurance CJ TH Resources C Corp 0 48736934 1.00000 true true true true false false false false false false true false true false false false true true true true Health Imaging Partners LLC j 390991 Lease Fort Worth Endoscopy Center LLC a 446493 Lease Texas Health Allen a 391169 Lease Texas Health Alliance a 924037 Lease Texas Health Arlington Memorial a 50692 Lease Texas Health Azle a 344029 Lease Texas Health Cleburne a 107771 Lease Texas Health Dallas a 870300 Lease Texas Health Denton a 1747917 Lease Texas Health Fort Worth a 4781368 Lease Texas Health HEB a 1069307 Lease Texas Health Kaufman a 61093 Lease Texas Health Outpatient Surgery Cntr Alliance j 768798 Lease Texas Health Plano a 2672774 Lease Texas Health Physician Group a 10348957 Lease Texas Health Resources Foundation a 401206 Lease Texas Health Stephenville a 78171 Lease Texas Health Specialty Hospital a 95648 Lease Texas Health Southwest a 1517810 Lease Texas Health Research & Education Inst a 286573 Lease Opthalmology Surgery Center Dallas LLC b 266616 JV Agreement Southlake Specialty Hospital LLC b 419005 JV Agreement Magnum Holdings Inc b 10806538 Corp Articles Cleburne Surgical Center LLC c 2211803 JV Agreement Denton Surgery Center LLC c 3690868 JV Agreement Flower Mound Hosptial Partners LLC c 15709060 JV Agreement Fort Worth Endoscopy Center LLC c 9884605 JV Agreement Greenville Surgery Center LLC c 1366840 JV Agreement Health Imaging Partner LLC c 18049476 JV Agreement Physician Medical Center LLC c 13372212 JV Agreement Rockwall Regional Hospital LLC c 10272915 JV Agreement Southlake Specialty Hospitals LLC c 5261954 JV Agreement Surgical CareGivers of Fort Worth LLC c 4572840 JV Agreement Texas Health Craig Ranch Surgery Center LLC c 3252127 JV Agreement TH Flower Mound Orthopedic Surgery Center c 3269019 JV Agreement Texas Health Surgery Center Preston Plaza LLC c 4978909 JV Agreement THRSTT Rockwall ASC LLC c 1398508 JV Agreement THRSTT Southlake ASC LLC c 3365978 JV Agreement USMD Hospital at Arlington LP c 11509635 JV Agreement USMD Hospital at Fort Worth LP c 451550 JV Agreement Wilson Creek Surgical Center LLC c 3139439 JV Agreement North Dallas Surgical Center LLC c 343908 JV Agreement Opthalmology Surgery Center of Dallas c 1397410 JV Agreement Texas Health MedSynergies LLC c 23771470 JV Agreement TH Spine Center Arlington LLC c 258504 JV Agreement Cleburne Surgical Center LLC l 141118 Monthly Billing Denton Surgery Center LLC l 151414 Monthly Billing Fort Worth Endoscopy LLC l 341871 Monthly Billing Flower Mound Hospital Partners LLC l 10744138 Monthly Billing FTH DFW Partners LLC l 642473 Monthly Billing Greenville Surgery Center LLC l 86743 Monthly Billing Health Imaging Partners LLC l 1623026 Monthly Billing North Dallas Surgical Center LLC l 84380 Monthly Billing Opthalmology Surgery Center of Dallas LLC l 288022 Monthly Billing Physicians Medical Center LLC l 4222841 Monthly Billing Rockwall Regional Hospital LLC l 8933957 Monthly Billing Surgical Caregivers of Fort Worth l 189251 Monthly Billing Southlake Specialty Hospital LLC l 4312279 Monthly Billing STT-THR Rockwall ASC LLC l 73973 Monthly Billing STT-THR Southlake ASC LLC l 75000 Monthly Billing Texas Health Huguley Hospital l 114400 Monthly Billing Texas Health Craig Ranch Surgery Center LLC l 91520 Monthly Billing TH Flower Mound Orthopedic Surgery Ctr LLC l 140528 Monthly Billing TH Surgery Center Preston Plaza LLC l 195228 Monthly Billing USMD Hospital at Arlington LP l 75000 Monthly Billing USMD Hospital at Fort Worth LP l 75000 Monthly Billing Wilson Creek Surgical Center LLC l 133683 Monthly Billing Cleburne Surgical Center LLC q 50967 Interco Billing Denton Surgery Center LLC q 64862 Interco Billing Flower Mound Hospital Partners LLC q 615912 Interco Billing Fort Worth Endoscopy Centers LLC q 135575 Interco Billing Health Imaging Partners q 484762 Interco Billing Physicians Medical Center LLC q 382195 Interco Billing Rockwall Regional Hospital LLC q 512083 Interco Billing Southlake Specialty Hospital LLC q 284482 Interco Billing Surgical Caregivers of Fort Worth LLC q 88772 Interco Billing Texas Health MedSynergies LLC q 133434 Interco Billing Texas Health Craig Ranch Surgery Ctr LLC q 54872 Interco Billing TH Flower Mound Orthopedic Surgery Ctr LLC q 84832 Interco Billing TH Surgery Center Preston Plaza LLC q 54634 Interco Billing THR-STT Southlake ASC LLC q 53326 Interco Billing Wilson Creek Surgical Center LLC q 58051 Interco billing Flower Mound Hospital Partners LLC p 198077 Interco Billing Health Imaging Partners p 180733 Interco Billing Physicians Medical Center LLC p 114674 Interco Billing Rockwall Regional Hospital LLC p 183072 Interco Billing Southlake Specialty Hospital LLC p 81479 Interco Billing Surgical Caregivers of Fort Worth LLC p 63942 Interco Billing USMD Hospital at Arlington LP p 153332 Interco Billing USMD Hospital at Fort Worth LP p 51623 INterco Billing SWHR Specialty Programs Groups l 5837296 Interco Billing Related Transaction-Part V, Line 2 Texas Health Resources (THR) is the parent organization in a large healthcare system made up of both wholly owned entities as well as related controlled joint ventures as listed on Schedule R. THR's role is to plan, manage and coordinate the activities of the affiliated healthcare system in order to maximize opportunities to deliver cost effective quality medical care to residents of north central Texas. THR provides direction and oversight to its wholly owned affiliates through centralized services. They also provide oversight for the controlled joint ventures. As an integral part of providing centralized services to the affiliates, THR maintains intercompany receivable/payable accounts, most of which do not fall within the scope of IRC Section 512(b)(13). The range of centralized services provided by THR include information services, managed care contracting, Human resources, revenue cycle, billing and collections, patient access/admissions, legal, tax, compliance, supply chain, quality, business development, insurance, treasury, marketing, general accounting, real estate services, coding, transcription and strategic planning. In addition, THR does daily cash sweeps of all controlled tax exempt entity cash accounts. As a result, THR has numerous daily transactions with controlled tax exempt entities, none of which fall within the scope of IRC Section 512(b)(13). A management fee is charged for the centralized services and reported on Form 990, Part VII, Section B as a professional services fee. Transactions with related tax exempt organizations falling within the meaning of centralized services as described above, are not listed on Schedule R, Part V, Line 2. Part II Texas Health Behavioral Health Hospital Corinth has applied for tax exempt status. The application is currently pending.