TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE (EIN 75-1752253)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201723179349303402
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-13T11:15:16-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN751752253EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Texas Health Harris Methodist HospitalBusinessNameLine1Txt
Business Name Line2StephenvilleBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% DAVID JACKSONInCareOfNm
Business Name ControlTEXABusinessNameControlTxt
Phone2549651500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 BelknapAddressLine1Txt
CityStephenvilleCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICK MCWHORTERPersonNm
Person TitleAsst SecretaryPersonTitleTxt
Phone6822367900PhoneNum
Signature2017-11-13SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.189.200.252IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id75667320173175000008FederalOriginalSubmissionId
Federal Original Submission Id2017-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2BFF1EEB615D38F0D677249738DFA08CF19DC1E3AtSubmissionCreationDeviceId
At Submission Filing Device Id2BFF1EEB615D38F0D677249738DFA08CF19DC1E3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerChristopher LeuPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 BelknapAddressLine1Txt
CityStephenvilleCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$51,757,018GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.texashealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionA faith-based organization whose mission is to improve the health of the people in the communities it serves regardless of their ability to pay.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee319TotalEmployeeCnt
Total Volunteers58TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$23,281PYContributionsGrantsAmt
CY Contributions Grants$59,202CYContributionsGrantsAmt
PY Program Service Revenue$47,979,905PYProgramServiceRevenueAmt
CY Program Service Revenue$51,467,121CYProgramServiceRevenueAmt
PY Investment Income-$20,925PYInvestmentIncomeAmt
CY Investment Income-$3,386CYInvestmentIncomeAmt
PY Other Revenue$191,940PYOtherRevenueAmt
CY Other Revenue$199,355CYOtherRevenueAmt
PY Total Revenue$48,174,201PYTotalRevenueAmt
CY Total Revenue$51,722,292CYTotalRevenueAmt
PY Grants And Similar Paid$13,750PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$8,775CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,835,030PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,904,678CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$20,464,142PYOtherExpensesAmt
CY Other Expenses$22,960,055CYOtherExpensesAmt
PY Total Expenses$40,312,922PYTotalExpensesAmt
CY Total Expenses$43,873,508CYTotalExpensesAmt
PY Revenues Less Expenses$7,861,279PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,848,784CYRevenuesLessExpensesAmt
Total Assets BOY$70,674,370TotalAssetsBOYAmt
Total Assets EOY$77,887,181TotalAssetsEOYAmt
Total Liabilities BOY$4,826,747TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,190,774TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$65,847,623NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$73,696,407NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionA FAITH-BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES REGARDLESS OF THEIR ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$34,832,400ExpenseAmt
Grant$8,775GrantAmt
Revenue$51,543,562RevenueAmt
DescTexas Health Harris Methodist Stephenville (THS) is a 54 bed acute care, full-service hospital providing health care for residents in Erath and surrounding counties since 1982. THS offers health care services such as inpatient and outpatient surgery, women's services, advanced diagnostic imaging, inpatient physical therapy and wound care. THS has been recognized as a Nurse-Friendly and Baby-Friendly Hospital and operates a Level IV Trauma Center. During the year, THS had 6,663 patient days, 2,162 discharges, 29,557 outpatient encounters, 17,951 emergency room visits and 421 births. THS provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The hospital provides care to persons covered by governmental programs including Medicare and Medicaid for reimbursement that does not always cover the cost of providing the care. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. Community benefit is provided through many reduced price services and free programs to the community. These services are essential to provide complete healthcare to the communities served. THS promotes Diabetes Self-Management, a program where the hospital's Center for Diabetes Education partners with physicians and other members of the community in an effort, through education and encouragement, to promote healthy lifestyles, good nutrition, the importance of exercise and the importance of early diabetes detection. THS provided car seat safety checks to Erath and surrounding counties as well as assisted with installing car seats safely and free of charge to those in need.Desc
Total Program Service Expenses$34,832,400TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee319EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID JACKSONPersonNm
Phone6822367900PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Brister Marilyn MD
Trustee2.00.0Yes (X)$0$0$0
Brown Sonja
Trustee2.00.0Yes (X)$0$0$0
Green John
Trustee2.00.0Yes (X)$0$0$0
Hobbs Karen DVM
Vice Chair2.00.0Yes (X)$0$0$0
Hollingsworth Wendell
Trustee2.00.0Yes (X)$0$0$0
Huddleston Joe
Trustee2.00.0Yes (X)$0$0$0
Kerr Kevin MD
Trustee2.00.0Yes (X)$0$0$0
Koch Rev Kory
Trustee2.00.0Yes (X)$0$0$0
Wilson Kimberly
Chair2.00.0Yes (X)$0$0$0
Smith James DO
Trustee2.00.0Yes (X)$0$0$0
Steed Steve PhD
Immediate Past Chair2.00.0Yes (X)$0$0$0
Berenzweig Harold MD
THR Corporate Officer0.540.0$0$743,909$212,496Yes (X)
Gilman Kathleen A
Assistant Secretary0.540.0$0$209,249$48,641Yes (X)
King James Kirk
THR Corporate Officer0.540.0$0$1,031,444$208,638Yes (X)
Kramer Kenneth J
Assistant Secretary0.540.0$0$645,136$170,671Yes (X)
McWhorter Ricky E
Assistant Secretary0.540.0$0$545,901$212,205Yes (X)
Stout Luanne R
Corporate Secretary0.540.0$0$404,579$49,116Yes (X)
Leu Christopher T
PRESIDENT THS40.00.0$338,235$0$107,105Yes (X)
McCarthy Cynthia Lou
Chief Nursing Officer THS40.00.0$189,125$0$48,864Yes (X)
Ward Charlotte M
Chief Financial Officer2.537.5$14,039$178,458$50,201Yes (X)
Penny Richard Edward
CHIEF MEDICAL OFFICER THS40.00.0$120,000$0$0Yes (X)
Derrick Marcia G
PROF & SUPPORT SVCS OFFICER40.00.0$176,362$0$51,500Yes (X)
Moore Sammy
DIR PHARMACY40.00.0$163,258$0$37,576Yes (X)
Martinez Ilda H
DIR NRSG MED SURG/CRITICAL CAR40.00.0$139,437$0$19,792Yes (X)
Cantu Dee Anna
RN II40.00.0$131,321$0$38,249Yes (X)
Cross Carol M
ENTITY FINAN OFFICER THS40.00.0$121,048$0$42,059Yes (X)
Berdan Barclay E
Former Officer0.040.0$0$1,723,962$440,540Yes (X)
Canose Jeffrey L
Former Officer0.040.0$0$1,491,947$266,931Yes (X)
Mitchell John D
Former Officer0.040.0$0$441,187$122,625Yes (X)
Boes Charles W
Former Officer0.00.0$0$779,621$31,117Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,392,825TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,195,393TotReportableCompRltdOrgAmt
Total Other Compensation$2,158,326TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K23IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Texas Health Resources
612 E Lamar BlvdARLINGTONTX76011Management Fee$7,394,608
Balfour Beatty Construction LLC
3100 McKinnon 7th floorDALLASTX75201Construction$967,928
Entech Sales Services
3404 Garden Brook DrDALLASTX75234Construction$650,576
Texas Health Physicians Group
9229 LBJ FreewayDALLASTX75243Physician Services$594,783
Northstar Anesthesia PA
6225 North State Hwy 161 200IRVINGTX75038Anesthesia Services$574,293
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Related Organizations$59,202RelatedOrganizationsAmt
Total Contributions$59,202TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE622110$51,413,499$51,413,499
MEDICARE/MEDICAID ADJUSTMENT622110$18,362$18,362
DSRP REVENUE622110$31,195$31,195
EDUCATION REVENUE624190$4,065$4,065
FieldValueIRS element (for citing)
Total Program Service Revenue$51,467,121TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,330TotalRevenueColumnAmt
Exclusion$11,330ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$20,010OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$34,726OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$14,716OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,716TotalRevenueColumnAmt
Exclusion-$14,716ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE722514$114,905$114,905
REBATES & INCENTIVES622110$63,021$63,021
VENDING454210$7,524$7,524

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,905TotalRevenueColumnAmt
Related Or Exempt Func Income$13,420RelatedOrExemptFuncIncomeAmt
Exclusion$485ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$199,355OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,722,292TotalRevenueColumnAmt
Related Or Exempt Func Income$51,543,562RelatedOrExemptFuncIncomeAmt
Exclusion$119,528ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$7,775TotalAmt
Program Services$7,775ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,000TotalAmt
Program Services$1,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$810,416TotalAmt
Management And General$810,416ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,904,266TotalAmt
Program Services$15,446,628ProgramServicesAmt
Management And General$457,638ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$641,606TotalAmt
Program Services$641,606ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,406,111TotalAmt
Program Services$2,404,364ProgramServicesAmt
Management And General$1,747ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,142,279TotalAmt
Program Services$1,104,351ProgramServicesAmt
Management And General$37,928ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$7,394,608TotalAmt
Management And General$7,394,608ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$750TotalAmt
Program Services$750ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,376,237TotalAmt
Program Services$2,102,445ProgramServicesAmt
Management And General$273,792ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,512TotalAmt
Program Services$14,512ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$423,570TotalAmt
Program Services$422,224ProgramServicesAmt
Management And General$1,346ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$372,009TotalAmt
Program Services$372,009ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$442,294TotalAmt
Program Services$442,294ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$31,868TotalAmt
Program Services$29,626ProgramServicesAmt
Management And General$2,242ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$44,746TotalAmt
Program Services$40,022ProgramServicesAmt
Management And General$4,724ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$632,492TotalAmt
Program Services$632,492ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,514,727TotalAmt
Program Services$2,502,238ProgramServicesAmt
Management And General$12,489ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$125,825TotalAmt
Program Services$125,825ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$6,893,491$6,854,418$39,073
REPAIRS & MAINTENANCE$662,210$662,210
PATIENT SERVICES$573,626$573,626
FURNITURE & EQUIPMENT$316,903$316,474$429

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$140,187TotalAmt
Program Services$135,511ProgramServicesAmt
Management And General$4,676ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$43,873,508TotalAmt
Program Services$34,832,400ProgramServicesAmt
Management And General$9,041,108ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$5,779BOYAmt
EOY-$39,124EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,358,328BOYAmt
EOY$5,098,771EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$394,165BOYAmt
EOY$273,694EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$705,375BOYAmt
EOY$782,150EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$28,124BOYAmt
EOY$90,704EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,845,119LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,501,110LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,616,871BOYAmt
EOY$28,344,009EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$275,365BOYAmt
EOY$275,365EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$37,301,921BOYAmt
EOY$43,061,612EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$70,674,370BOYAmt
EOY$77,887,181EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,602,242BOYAmt
EOY$3,970,432EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$224,505BOYAmt
EOY$220,342EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,826,747BOYAmt
EOY$4,190,774EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$65,847,623BOYAmt
EOY$73,696,407EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,847,623BOYAmt
EOY$73,696,407EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$70,674,370BOYAmt
EOY$77,887,181EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$7,848,784ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

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

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,986,383OtherCostOrOtherBasisAmt
Depreciation$11,530,158DepreciationAmt
Book Value$16,456,225BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$926,203OtherCostOrOtherBasisAmt
Depreciation$235,319DepreciationAmt
Book Value$690,884BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,353,306OtherCostOrOtherBasisAmt
Depreciation$8,735,633DepreciationAmt
Book Value$9,617,673BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$347,892OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$347,892BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,344,009TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY RECEIVABLEDesc
Book Value$43,061,612BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$43,061,612TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescASSET RETIREMENT OBLIGATIONSDesc
Amt$220,342Amt
FieldValueIRS element (for citing)
Total Liability$220,342TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,092,242TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$421,071DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,671,171NetCommunityBenefitExpnsAmt
Total Expense0.10650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,657,764TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,265,642DirectOffsettingRevenueAmt
Net Community Benefit Expns$392,122NetCommunityBenefitExpnsAmt
Total Expense0.00890TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$216,492TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$213,728DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,764NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,966,498TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,900,441DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,066,057NetCommunityBenefitExpnsAmt
Total Expense0.11550TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,121TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,321NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,793TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$63,793NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,362TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,362NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$97,276TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,476NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,063,774TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,903,241DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,160,533NetCommunityBenefitExpnsAmt
Total Expense0.11770TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,632TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,632NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,467TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,467NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,099TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,099NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,621,918BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$11,962,125ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$15,245,422CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,283,297MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Texas Health StephenvilleBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 BelknapAddressLine1Txt
CityStephenvilleCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76401ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.texashealth.orgWebsiteAddressTxt
State LicenseTDH #256StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Texas Health StephenvilleBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.texashealth.org/chnaOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptfalseImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.texashealth.org/chnaStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceTexas Health StephenvilleFormAndLineReferenceDesc
ExplanationPart V. Section B, Line 5 Texas Health Stephenvilles (THS) Community Health Needs Assessment (CHNA) was a one-year collaborative process which utilized qualitative and quantitative data to assess the health needs of persons in the communities served by the hospital. As a means to further understand the needs of the community, THS gathered feedback through key informant interviews, 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. Four persons with interests specific to the health of THSs community participated in a focus group, one served as a key informant and 41 individuals responded to the online survey. The online survey was conducted only in English. While the online survey may not have reached the medically underserved, low-income or minority populations directly, organizations serving those populations were present at the focus group and served as key informants; these organizations included: Tarleton State University and the United Way of Erath County. In order to gain a comprehensive understanding of the significant health needs for THSs 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 7d 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 While a CHNA was conducted in 2016, the implementation strategy tied to the assessment was not adopted until 2017. In 2016, THS completed the three year cycle of the hospitals previous CHNAs implementation strategy (2014-2016). Part V. Section B, Line 11 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, THS 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 addressed through the 2014-2016 implementation plans. The two priority areas from the 2013 CHNA were Chronic Disease and Awareness, Literacy and Navigation. In 2016, THS 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 THS. 1. Chronic Disease 1a. Community Health Improvement strategies included 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. 1b. THS, in partnership with Texas A&M AgriLife, provided nutrition education for school-aged children and their parents through healthy cooking classes in the community. 1c. THS also provided diabetes education and support groups for community members through monthly educational group meetings, monthly Diabetes Basics and Gestational Diabetes Basics classics and free community-based educational events. 2. Awareness, Literacy, and 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. Partnering with area collaborations working to address ALN continued; THS maintained and supported relationships with key partners, such as Texas A&M AgriLife Extension Office and Tarleton State University. 2d. The Child Automobile Safety Initiative (CASI) strives to educate and raise community awareness about child passenger safety and the risk of unintentional injury from motor vehicle collisions. CASI's program model based on the ecological perspective includes four main components: child passenger restraint checks, community-based education, school-based education and training. In 2016, THS hosted 18 car fit stations and provided 49 car seat checks to 45 families. 2e. The Faith Community Nursing (FCN) program is offered by THS to link faith communities with health-related resources that focus on holistic care including body, mind, and spirit. Program emphasis is place on prevention and wellness through education, coaching, advocacy and coordination of healthcare. Texas Health Stephenville 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. Cancer - 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. Injury and Violence Lack of expertise and low priority assigned. 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. 4. 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. 5. Mental Health Resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 6. Oral Health Lack of expertise. 7. Other Clinical/Preventive The facility will continue to address the need at its current level of support. 8. 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. 9. Social Determinants Resource constraints, low priority assigned, and lack of effective intervention. 10. Substance Abuse Resource constraints. The facility will continue to address the need at its current level of support. 11. Tobacco Low priority assigned. 12. Transportation Lack of expertise. Part V. Section B, Lines 16 a, b & c The FAP, FAP Application and the Plain Language Summary of the FAP were widely available at this website: www.texashealth.org/financial-assistance.ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceTexas Health StephenvilleFormAndLineReferenceDesc
ExplanationPart I, Line 3c - Patient Eligibility Patients with family income at or below 200% of applicable FPG may be eligible for free care if the patient lacks sufficient funds and assets to pay the out-of-pocket portion of their hospital bill. Patients with family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified patient responsible amount if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's financial assistance application is reviewed. Assets considered when determining eligibility include cash, stocks, bonds and other financial assets that can be readily converted to cash. An additional process to screen for charity patients using publicly available financial information is also in place for patients not submitting a financial assistance application. Part I, Line 7 Cost-to-Charge Ratio A cost-to-charge ratio is used in computing the amounts reported in Lines 7a-7c. The cost-to-charge ratio is derived from Worksheet 2 Ratio of Patient Care Cost-to-Charges, as found in Schedule H Instructions. The amounts reported on Lines 7e-7i were obtained using direct costs, as determined by a cash outlay. Part II - Community Building The organization participates in community building activities that aim to address the socio-economic factors that influence the overall health of individuals in the communities served. As identified in the community health needs assessment, there are areas of need that are not in alignment with the operations of a hospital system. Our volunteerism, collaborations and partnerships with various aid organizations and various area coalitions aid in addressing the socio-economic factors that are the backbone for many underlying health concerns. Part III, Lines 2, 3 & 4 - Bad Debts Bad debt expense is not included as a community benefit for purposes of reporting community benefits. Each patient qualifying for charity care is treated as a charity patient and no charges related to that patient are included in bad debt expense. The hospital is part of a consolidated system of hospitals which operate under the name Texas Health Resources (THR). THR's annual audit is conducted on a system-wide basis with a single consolidated audit report issued for THR and its affiliates. The audited financial statements of THR, which includes the activity of the organization, contain a footnote regarding Accounts Receivable and Allowance for Doubtful Accounts that reads as follows: Patient accounts receivable are reported net of estimated allowances for doubtful accounts and contractual adjustments in the balance sheets. The allowance and resulting provision for bad debts is based upon a combination of the aging of receivables and managements assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage and other collection indicators for each of its major payor sources of revenue. Management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience and payment trends by payor category. Patient accounts are also monitored and, if necessary, past due accounts are placed with collection agencies in accordance with guidelines established by management. For receivables associated with services provided to patients who have third-party coverage, the System analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Systems allowance for doubtful accounts for self-pay patients (including allowances for charity care) increased from 96.1% of self-pay accounts receivable at December 31, 2015 to 97.7% of self-pay accounts receivable at December 31, 2016. In addition, the Systems self-pay write-offs for bad debts increased from approximately $250,000,000 for fiscal year 2015 to approximately $306,000,000 for fiscal year 2016. The increase in write offs was the result of an increase in overall revenue and uninsured patients in fiscal year 2016. The System does not maintain a material allowance for doubtful accounts from third-party payors, nor did it have significant write-offs from third-party payors. Part III, Line 8 - Medicare Shortfall The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care & community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. The shortfall amount reported to the state of Texas for 2016 is $4,410,754. Sch H requires a different method of calculating the Medicare shortfall shown on Part III, Lines 5-7. Part III, Line 9b - Debt Collection During the year, standard collection procedures were in place and uniformly applicable to all patient accounts. Except to the extent a patient receives a recovery from any third party or other source, no attempts are made to collect unpaid charges from patient accounts approved for adjustment under the Financial Assistance Policy. Part VI, Line 2 - Needs Assessment 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 aExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Berenzweig Harold MD
THR Corporate Officer$0$478,216$0$182,260$0$83,433$0$171,102$0$41,394$0$956,405$0$24,136
Gilman Kathleen A
Assistant Secretary$0$195,301$0$13,923$0$25$0$13,161$0$35,480$0$257,890$0$0
King James Kirk
THR Corporate Officer$0$444,075$0$478,848$0$108,521$0$159,775$0$48,863$0$1,240,082$0$264,798
Kramer Kenneth J
Assistant Secretary$0$419,511$0$113,769$0$111,856$0$118,564$0$52,107$0$815,807$0$11,618
McWhorter Ricky E
Assistant Secretary$0$365,938$0$114,611$0$65,352$0$179,337$0$32,868$0$758,106$0$11,875
Stout Luanne R
Corporate Secretary$0$204,324$0$177,198$0$23,057$0$16,395$0$32,721$0$453,695$0$105,035
Leu Christopher T
PRESIDENT THS$221,527$0$72,299$0$44,409$0$64,936$0$42,169$0$445,340$0$9,112$0
McCarthy Cynthia Lou
Chief Nursing Officer THS$151,187$0$26,390$0$11,548$0$22,202$0$26,662$0$237,989$0$1,479$0
Ward Charlotte M
Chief Financial Officer$12,020$148,034$0$10,733$2,019$19,691$884$11,127$2,755$35,435$17,678$225,020$0$0
Berdan Barclay E
Former Officer$0$993,734$0$478,429$0$251,799$0$399,869$0$40,671$0$2,164,502$0$42,735
Canose Jeffrey L
Former Officer$0$679,439$0$646,236$0$166,272$0$227,522$0$39,409$0$1,758,878$0$419,149
Mitchell John D
Former Officer$0$263,927$0$101,243$0$76,017$0$77,713$0$44,912$0$563,812$0$10,605
Boes Charles W
Former Officer$0$0$150,599$0$629,022$0$6,605$0$24,512$0$810,738$0$26,128
Derrick Marcia G
PROF & SUPPORT SVCS OFFICER$156,814$0$12,396$0$7,152$0$12,667$0$38,833$0$227,862$0$0$0
Moore Sammy
DIR PHARMACY$148,628$0$7,065$0$7,565$0$8,125$0$29,451$0$200,834$0$0$0
Martinez Ilda H
DIR NRSG MED SURG/CRITICAL CAR$127,655$0$5,847$0$5,935$0$3,543$0$16,249$0$159,229$0$0$0
Cantu Dee Anna
RN II$126,251$0$626$0$4,444$0$9,839$0$28,410$0$169,570$0$0$0
Cross Carol M
ENTITY FINAN OFFICER THS$82,535$0$10,482$0$28,031$0$8,577$0$33,482$0$163,107$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a - Discretionary Spending AccountEACH EXECUTIVE AT THE VICE PRESIDENT LEVEL AND ABOVE RECEIVES A PERK ALLOWANCE WHICH IS INCLUDED IN THE TAXABLE COMPENSATION OF THE EMPLOYEE. THIS ALLOWANCE COVERS COSTS SUCH AS BUSINESS USE OF THEIR PERSONAL VEHICLES IN LIEU OF REIMBURSEMENT FOR AUTO MILEAGE.
Schedule J, Part I, Line 3 - CEO CompensationThe organization relied on Texas Health Resources (THR), a related 501(c)(3) organization with centralized compensation professionals to use the following methods to establish the compensation of the organizations President. *The Compensation committee (which includes independent persons) performs reviews and makes recommendations to the THR Board. *An Independent compensation consultant may be hired. *Compensation surveys or studies are utilized. *Approval by the Board or Compensation committee is required.
Schedule J, Part I, Line 4a - Severance SettlementTHE SEVERANCE PAYMENT WAS PAID OUT as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. Charles Boes $471,686.35
Schedule J, Part I, Line 4b - Nonqualified Retirement PlanPARTICIPATION IN THE PLAN IS MADE AVAILABLE TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES, AS DETERMINED BY THE THR BOARD OF TRUSTEES, WHO ARE PROVIDING SERVICES IN KEY POSITIONS OF MANAGEMENT AND RESPONSIBILITY. FOR THE ACTIVE RESTORATION ACCOUNT (ACCOUNT BALANCES AFTER 12/31/2009), SERP BENEFITS VEST WHILE THE PARTICIPANT IS EMPLOYED IF THE PARTICIPANT: * REACHES AGE 65, * BECOMES DISABLED OR DIES, * REACHES THE FOLLOWING YEARS OF SERVICE: 2 YEARS - 25%; 3 YEARS -50%; 4 YEARS - 75%; AND 5 OR MORE - 100%. PARTICIPANTS MUST BE EMPLOYED ON DEC 1 TO QUALIFY FOR THE CURRENT YEAR'S SERP BENEFIT UNLESS SEPARATION IS DUE TO DEATH, DISABILITY, RETIREMENT (AGE 65) OR EARLY RETIREMENT (SEPARATION FROM SERVICE AT OR AFTER AGE 55 WITH 75 YEARS OF COMBINED AGE AND CONTINUOUS SERVICE WITH THE SYSTEM). SERP BENEFITS ARE CALCULATED EACH DEC 1. VESTED BALANCES ARE TAXED TO THE EMPLOYEE AND THE NET BALANCES BEGIN ACCRUING EARNINGS. VESTED BALANCES ARE PAID IN A CASH LUMP SUM WITHIN A 90 DAY PERIOD COMMENCING ON THE EARLIER OF DEATH, DISABILITY, OR SEPARATION FROM SERVICE. THE DEFERRED PORTION IS INCLUDED IN SCHEDULE J, PART II, COLUMN C. IN FROZEN RESTORATION ACCOUNTS (ACCOUNT BALANCES PRIOR TO 1/1/2010), THE PARTICIPANT OR BENEFICIARY SHALL BE TAXED ON HIS OR HER VESTED SERP BENEFITS UPON THE EARLIEST OF: * CONTINUED EMPLOYMENT IN THR UNTIL AGE 68 * TERMINATION OF EMPLOYMENT FOR DISABILITY OR DEATH * INVOLUNTARY TERMINATION OF EMPLOYMENT WITHOUT REASONABLE CAUSE; OR * SATISFYING A 24 MONTH NON-COMPETE PERIOD FOLLOWING HIS/HER TERMINATION OF EMPLOYMENT. PAYMENT FOLLOWS THE BEFORE MENTIONED EVENTS, EXCEPT IN THE CASE OF INVOLUNTARY SEPARATION WHEN THE PARTICIPANT MUST WAIT 24 MONTHS TO RECEIVE THE PREVIOUSLY TAXED BENEFIT. PAYOUTS TO THE FOLLOWING EMPLOYEES WERE MADE DURING THE YEAR. THE AMOUNTS BELOW ARE INCLUDED IN THE AMOUNT REPORTED ON SCH J, PART II, COLUMN B(III) AND COLUMN (F). Berdan Barclay $42,734.67 Harold Berenzweig $24,135.67 Charles Boes $153,713.34 Jeffrey Canose $419,148.87 James King $330,423.83 Kenneth Kramer $11,618.00 Christopher Leu $9,112.33 Cynthia McCarthy $1,478.67 Ricky McWhorter $11,847.67 John Mitchell $10,604.67 Louanne Stout $136,588.40

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLacee BrownPersonNm
FieldValueIRS element (for citing)
Relationship Descriptionfamily of Board MemberRelationshipDescriptionTxt
Transaction$23,034TransactionAmt
TransactionCompensation -EmployeeTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Business Relationship - Part VI, Section A, Line 2Texas 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.
Members - Part VI, Section A, Lines 6&7aTexas Health Resources (THR) is the sole member of the organization.
Governance Decisions Reserved - Part VI, Section A, Line 7bThe following actions require the approval of Texas Health Resources (THR): (a) Amendment, restatement or repeal of the Certificate of Formation or these Bylaws. (b) Any action that would adversely affect the religious or church practices or religious affiliation of the Corporation. (c) Sale, exchange, lease or other transfer of all or substantially all of the assets of the Corporation. (d) Merger or consolidation of the Corporation. (e) Dissolution of the Corporation. (f) Election of members of the Board of Trustees (g) Removal of a member of the Board of Trustees (h) Creation of affiliates or subsidiaries and approval of the initial governing documents. (i) Incurrence of debt not included in the budgets. (j) Discontinuing the operations of a licensed health care facility controlled by the corporation. (k) Activities involving winding up, distribution, conversion or exchange under Chapter 11
Form 990 Filing - Part VI, Section B, Line 11bThe 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, Liner 12cTexas 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 a&bThe organization relied on Texas Health Resources (THR) with centralized compensation professionals to review and establish the compensation of the organizations officers. The THR Board approves the compensation of certain officer of this organization. See Schedule J, Part III.
Public Disclosure - Part VI, Section C, Line 19The 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.
Consolidated Financial Statements - Part XII, Line 2cTexas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Johnson County Community Care Corp
612 E Lamar BlvdArlingtonTX76011452793120Support Org.TX501(c)(3)12aTH Cleburnefalse
North Texas Healthy Communities
612 E Lamar BlvdArlingtonTX76011464513182Comm SupportTX501(c)(3)7TH Resourcesfalse
Southwestern Health Resources JOC
5323 Harry Hines BlvdDallasTX75390811575989Support Org.TX501(c)(3)12bTH Resourcesfalse
Texas Health Arlington Memorial Hospital
800 West Randol Mill RdArlingtonTX76011750972805HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Back Care
9229 LBJ FreewayDallasTX75243474724257Phys. ClinicTX501(c)(3)10TH Phys Groufalse
TH Behavioral Health Hospital Corinth
612 E Lamar BlvdArlingtonTX76011814317635HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Alliance
10864 Texas Health TrailFort WorthTX76244451502252HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Azle
108 Denver TrailAzleTX76020751748586HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Cleburne
201 Walls DrCleburneTX76033751977850HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Fort Worth
1301 Pennsylvania AveFort WorthTX76104756001743HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Hurst-Euless-Bedford
1600 Hospital ParkwayBedfordTX76022751438726HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Southwest Fort Worth
6100 Harris ParkwayFort WorthTX76132752678857HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Stephenville
411 BelknapStephenvilleTX76401751752253HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Huguley Inc
11801 S FreewayBurlesonTX76028452694620HospitalFL501(c)(3)3TH Resourcesfalse
Texas Health Medical Support
612 E Lamar BlvdArlingtonTX76011812833150Spec DrugsTX501(c)(3)10TH Resourcesfalse
TX Health Outpatient Surg Ctr Alliance
10840 Texas Health TrailFort WorthTX76244800800294HospitalTX501(c)(3)3TH Alliancefalse
Texas Health Physicians Group
9229 LBJ FreewayDallasTX75243752613493Phys. ClinicTX501(c)(3)10TH Resourcesfalse
TH Recovery and Wellness Center
612 E Lamar BlvdArlingtonTX76011812813227Resd Trmt CtrTX501(c)(3)3TH Resourcesfalse
Texas Health Resources Foundation
612 E Lamar BlvdArlingtonTX76011752022128FundraisingTX501(c)(3)7TH Resourcesfalse
Texas Health Allen
1105 Central Expressway NAllenTX75013752890358HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Dallas
8200 Walnut Hill LnDallasTX75231751047527HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Denton
3000 North Interstate 35DentonTX76201432008974HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Kaufman
850 Ed Hall DriveKaufmanTX75142752771437HospitalTX501(c)(3)3TH Resourcesfalse
Texas Health Plano
6200 W Parker RdPlanoTX75093752770738HospitalTX501(c)(3)3TH Resourcesfalse
TX Health Research & Education Institute
612 E Lamar BlvdArlingtonTX76011752562191Edu& ResearchTX501(c)(3)4TH Resourcesfalse
Texas Health Resources
612 E Lamar BlvdArlingtonTX76011752702388Mgmt Supp OrgTX501(c)(3)12cNAfalse
TH Seay Behavioral Health Hospital
6110 W Parker RdPlanoTX75093812792484HospitalTX501(c)(3)3TH Resourcesfalse
TH Springwood Behavioral Health Hospital
2717 Tibbets DrBedfordTX76022812798838HospitalTX501(c)(3)3TH Resourcesfalse
TH Specialty Hospital Fort Worth
1301 Pennsylvania AveFort WorthTX76104751648589LT HospitalTX501(c)(3)3TH Resourcesfalse
WW Ward Endowment Fund Trust
612 E Lamar BlvdArlingtonTX76011756196065Support Org.TX501(c)(3)12aTH Foundatiofalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
AMH Cath Labs LLC
811 Wright StArlingtonTX76012203003947HospitalTXNAN/A
Arlington Surgery Ctr LLC
918 N Davis DrArlingtonTX76012752055800Amb Surg CtrTXNAN/A
Cleburne Imaging LLC
PO Box 820519DallasTX75382460767278Medical ImagingTXNAN/A
Cleburne Surgical Ctr LLC
2010 W Katherine P Raines Blvd StCleburneTX76033203742012Amb Surg CtrTXNAN/A
Denton Surgery Ctr LLC
207 North Bonnie BreaDentonTX76201470926556Amb Surg CtrTXNAN/A
Flower Mound Hospital Ptrs LLC
4400 Long Prairie RdFlower MoundTX75028260684968HospitalTXNAN/A
Fort Worth Endoscopy Ctr LLC
900 W Magnolia Ave 101Fort WorthTX76104770368346Endoscopy CtrTXNAN/A
FTH DFW Partners LLC
1401 E trinity Mills RdCarrolltonTX75006473426036Hospital/ERTXNAN/A
Greenville Surgery Ctr LLC
7150 Greenville Ave Ste 200DallasTX75231742411643Amb Surg CtrTXNAN/A
Health Imaging Ptrs LLC
8610 Explorer Drive Ste 300Colorado SpringsCO80920271385885Medical ImagingTXNAN/A
North Dallas Surgical Ctr LLC
17980 Dallas Parkway Ste 100DallasTX75287272248103Amb Surg CtrTXNAN/A
Ophthalmology Surgery Ctr of Dallas LLC
10740 N Central Expressway Ste 400DallasTX75231261914835Amb Surg CtrTXNAN/A
Physician Medical Ctr LLC
6020 W Parker RdPlanoTX75093481281376HospitalTXNAN/A
Presbyterian Cancer Ctr-Dallas LLC
PO Box 819607DallasTX75381260422749Cancer CtrTXNAN/A
Rockwall Regional Hospital LLC
3150 Horizon RdRockwallTX75032202848116HospitalTXNAN/A
Southlake Specialty Hospital LLC
1545 E Southlake BlvdSouthlakeTX76092020555370HospitalTXNAN/A
Surgical Caregivers of Fort Worth LLC
2001 W Rosedale StreetFort WorthTX76104751925497Amb Surg CtrTXNAN/A
Texas Health Craig Ranch Surgery Ctr LLC
8080 State Hwy 121 Ste 100McKinneyTX75070383897811Amb Surg CtrTXNAN/A
Texas Health Flower Mound Orthopedic Sur
5000 Long Prairie RoadFlower MoundTX75028800866449Amb Surg CtrTXNAN/A
TH Medsynergies LLC
909 Hidden Ridge Ste 300IrvingTX75038800272951Mgmt ServicesTXNAN/A
TH Spine Center Arlington
1545 E Southlake Blvd Ste 100SouthlakeTX76092464143686Amb Surg CtrTXNAN/A
TH Surgery Ctr Preston Plaza LLC
17950 Preston Road Ste 75DallasTX75252203991622Amb Surg CtrTXNAN/A
TH Surgery Ctr Rockwall LLC
569 Brookwood Village Ste 901BirminghamAL35209474425996InactiveTXNAN/A
Texas Institute for Surgery LLP
7715 Greenville Ave Ste 100DallasTX75231770628004HospitalTXNAN/A
THR-STT Rockwall ASC LLC
1545 E Southlake BlvdSouthlakeTX76092262429878Amb Surg CtrTXNAN/A
THR-STT Southlake ASC LLC
1545 E Southlake BlvdSouthlakeTX76092201728912Amb Surg CtrTXNAN/A
USMD Hospital at Arlington LP
801 I -20 WestArlingtonTX76017731662763HospitalTXNAN/A
USMD Hospital at Fort Worth LP
5900 Altamesa BlvdFort WorthTX76132203571243HospitalTXNAN/A
Wilson Creek Surigcal Ctr LLC
8855 Synergy DrMcKinneyTX75070274816583Amb Surg CtrTXNAN/A
Women's Specialty Surgery Ctr
8230 Walnut Hill Ln Ste 101DallasTX75231262310072Amb Surg CtrTXNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Huguley Medical Associates Inc
11801 South FreewayBurlesonTX76028752547668Phys ClinicsTXNAC Corpfalse
Magnum Health Holdings Inc
612 E Lamar BlvdArlingtonTX76011475486814InactiveTXNAC Corpfalse
Texas Health Aetna Health Plan
612 E Lamar BlvdArlingtonTX76011475548221InactiveTXNAC Corpfalse
TH Biomedical Advancement Center Inc
612 E Lamar BlvdArlingtonTX76011752636884ResearchTXNAC Corpfalse
SWHR Specialty Programs Groups
612 E Lamar BlvdArlingtonTX76011465588632InactiveTXNAC Corpfalse
THR Primary Care Ext Physcian Network
612 E Lamar BlvdArlingtonTX76011465365421InactiveTXNAC Corpfalse
Texas Health Resources Spine Services
612 E Lamar BlvdArlingtonTX76011465347751InactiveTXNAC Corpfalse
Texas Health Resources Women's Services
612 E Lamar BlvdArlingtonTX76011465330487InactiveTXNAC Corpfalse
Charitable Remainder Trusts (4)
612 E Lamar BlvdArlingtonTX76011465330487CR TrustTXNATrustfalse
Grace Indemnity Company Ltd
981209573Captive InsuranceNAC Corpfalse1159 Caribbean PlazaGrand CaymanCJKY 1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Related Transactions- Part V, Line 2Texas 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 IITexas Health Behavioral Health Hospital Corinth has applied for tax exempt status. The application is currently pending.

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