TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN (EIN 75-2890358)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-11
IRS object ID
201613169349304441
Schema version
2015v2.1
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)
Return2016-11-11T15:56:01-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752890358EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Texas Health Presbyterian Hospital AllenBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DAVID JACKSONInCareOfNm
Business Name ControlTEXABusinessNameControlTxt
Phone9727471000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 Central Expressway NorthAddressLine1Txt
CityAllenCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75013ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICK MCWHORTERPersonNm
Person TitleAsst SecretaryPersonTitleTxt
Phone6822367900PhoneNum
Signature2016-11-11SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Texas Health AllenBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJared SheltonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 Central Expressway NorthAddressLine1Txt
CityAllenCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75013ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$77,610,181GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresstexashealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
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 Independent10VotingMembersIndependentCnt
Total Employee486TotalEmployeeCnt
Total Volunteers83TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$49,019PYContributionsGrantsAmt
CY Contributions Grants$91,451CYContributionsGrantsAmt
PY Program Service Revenue$72,584,307PYProgramServiceRevenueAmt
CY Program Service Revenue$75,481,185CYProgramServiceRevenueAmt
PY Investment Income$46,251PYInvestmentIncomeAmt
CY Investment Income-$248,302CYInvestmentIncomeAmt
PY Other Revenue$868,077PYOtherRevenueAmt
CY Other Revenue$849,613CYOtherRevenueAmt
PY Total Revenue$73,547,654PYTotalRevenueAmt
CY Total Revenue$76,173,947CYTotalRevenueAmt
PY Grants And Similar Paid$54,375PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$54,035CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,051,057PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$33,257,821CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$37,766,449PYOtherExpensesAmt
CY Other Expenses$39,266,657CYOtherExpensesAmt
PY Total Expenses$69,871,881PYTotalExpensesAmt
CY Total Expenses$72,578,513CYTotalExpensesAmt
PY Revenues Less Expenses$3,675,773PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,595,434CYRevenuesLessExpensesAmt
Total Assets BOY$48,485,270TotalAssetsBOYAmt
Total Assets EOY$51,078,633TotalAssetsEOYAmt
Total Liabilities BOY$31,755,565TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,753,494TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,729,705NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,325,139NetAssetsOrFundBalancesEOYAmt
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$60,000,491ExpenseAmt
Grant$54,035GrantAmt
Revenue$75,481,185RevenueAmt
DescTexas Health Presbyterian Hospital Allen (THA) is a 73-bed acute-care hospital serving the northern Collin County area since 2000. The hospital's services include Digestive Health, emergency department, heart and vascular, imaging, nutrition, orthopedics, rehabilitation, urology, women and infant care, wound care, and hyperbaric medicine. THA was designated a Baby-Friendly Hospital by the World Health Organization and UNICEF, and an Accredited Chest Pain Center by the Society of Chest Pain Centers. THA has more than 400 employees and more than 500 physicians are practicing on its medical staff. THA had 9,991 patient days, 3,204 discharges, 596 births, 41,881 outpatient encounter, and 23,278 emergency room visits during the year. THA provides quality medical healthcare services regardless of the patient's race, creed, sex, national origin, handicap, age or ability to pay. THA provides care to persons covered by governmental programs, including Medicare and Medicaid, for reimbursement that does not always cover the cost of providing the care. THA also provides charity care to patients who are unable to pay for the services they receive.Desc
Total Program Service Expenses$60,000,491TotalProgramServiceExpensesAmt
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 AssetsfalseReportOtherAssetsInd
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 OrganizationsYes (true)GrantsToOrganizationsInd
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 MemfalseBusinessRlnWithFamMemInd
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 Document98IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee486EmployeeCnt
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 Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
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 (34 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
Culbertson Darion
Member2.00.0Yes (X)$0$0$0
Gibbons Thomas
Member2.00.0Yes (X)$0$0$0
Hill Tony
Vice Chairman2.00.0Yes (X)$0$0$0
Iyengar MD Radha Gepal
Ex Officio2.00.0Yes (X)$0$0$0
Johnson Wade
Immediate Past President2.00.0Yes (X)$0$0$0
Kennedy J D
Member2.00.0Yes (X)$0$0$0
Owen MD Heather
Ex Officio2.00.0Yes (X)$24,000$0$0
Stout Debra Sue
Member2.00.0Yes (X)$0$0$0
Tucker Sherry
Chairman2.00.0Yes (X)$0$0$0
Vasquez Sr Julian M
Member2.00.0Yes (X)$0$0$0
Williams MD Benjamin Joel
Ex Officio2.00.0Yes (X)$0$0$0
Boes Charles W
Assistant Secretary0.540.0$0$764,506$59,480Yes (X)
Kramer Kenneth
Assistant Secretary0.540.0$0$669,825$109,536Yes (X)
Krejci Jacque
Assistant Secretary0.540.0$0$124,885$26,330Yes (X)
McClung Brett S
THR Corporate Officer0.540.0$0$1,037,531$127,115Yes (X)
McWhorter Rick E
Assistant Secretary0.540.0$0$517,956$161,844Yes (X)
Ransom MD Elizabeth
THR Corporate Officer0.540.0$0$746,301$126,114Yes (X)
Stout Luanne R
Corporate Secretary0.50.0$0$260,435$94,686Yes (X)
ReecerJeffrey P
PRESIDENT THA40.00.0$314,261$0$85,471Yes (X)
EscandonChristy Anne
CNO (Partial Year)40.040.0$57,364$172,092$53,562Yes (X)
KellyRaymond Hugh
CNO (Partial Year)40.040.0$73,176$135,668$30,263Yes (X)
AsturiElizabeth
CNO (Partial Year)40.040.0$98,421$97,949$18,627Yes (X)
SchwabRobert Adams
CHIEF MEDICAL OFFICER THA40.00.0$459,977$0$87,520Yes (X)
Gildon Lisa
GRP FINANCE OFFICER16.024.0$0$271,898$21,874Yes (X)
AmayaChristopher Jules
DIR PHARMACY40.00.0$157,497$0$34,112Yes (X)
HocateCrispin P
PROF & SUPPORT SVCS OFFICER40.00.0$148,559$0$20,216Yes (X)
HodgePatricia Ann
RN II40.00.0$145,432$0$41,401Yes (X)
HughesRex Wayne
SPL NUCLEAR MED40.00.0$144,067$0$28,952Yes (X)
HornKin-Lai Y
RN III40.00.0$142,014$0$52,455Yes (X)
CraftBrian
Former Officer0.040.0$0$333,868$52,077Yes (X)
BerdanBarclay E
Former Officer0.040.0$0$1,690,376$220,980Yes (X)
Braxton Kenneth
Former Officer0.040.0$0$208,071$41,863Yes (X)
MitchellJohn D
Former Officer0.040.0$0$417,466$90,554Yes (X)
FugatePaige
Former Officer0.040.0$0$176,334$37,637Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,764,768TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,625,161TotReportableCompRltdOrgAmt
Total Other Compensation$1,622,669TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K48IndivRcvdGreaterThan100KCnt
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 BlvdARLINGTONTX76011Mgmt Services$9,443,198
Austin Commericial Inc
3535 Travis St 300DALLASTX75221Construction Service$2,523,801
Entech Sales Service Inc
3404 Garden Brook DriveDALLASTX75234Construction Service$1,237,376
Texas Health Physicians Group
9229 LBJ FreewayDALLASTX75243Physician Services$815,556
Vanguard Resources
17300 Henderson PassSAN ANTONIOTX78232Housekeeping$666,488
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Related Organizations$91,451RelatedOrganizationsAmt
Total Contributions$91,451TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE622110$74,974,648$74,974,648
MEDICARE/MEDICAID ADJ622110$490,368$490,368
EDUCATION REVENUE611430$16,169$16,169
FieldValueIRS element (for citing)
Total Program Service Revenue$75,481,185TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,331TotalRevenueColumnAmt
Exclusion$24,331ExclusionAmt

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$107,325RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$107,325RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$107,325TotalRevenueColumnAmt
Exclusion$107,325ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,163,601OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,436,234OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$272,633OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$272,633TotalRevenueColumnAmt
Exclusion-$272,633ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
GIFT SHOP453220$308,674$308,674
CAFETERIA REVENUE722212$203,229$203,229
REBATES & INCENTIVES622110$124,562$124,562

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$105,823TotalRevenueColumnAmt
Exclusion$105,823ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$742,288OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,173,947TotalRevenueColumnAmt
Related Or Exempt Func Income$75,481,185RelatedOrExemptFuncIncomeAmt
Exclusion$601,311ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$54,035TotalAmt
Program Services$54,035ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$1,224,359TotalAmt
Management And General$1,224,359ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,889,277TotalAmt
Program Services$25,476,393ProgramServicesAmt
Management And General$412,884ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$987,090TotalAmt
Program Services$987,090ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,319,923TotalAmt
Program Services$3,319,381ProgramServicesAmt
Management And General$542ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,837,172TotalAmt
Program Services$1,811,494ProgramServicesAmt
Management And General$25,678ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$9,443,198TotalAmt
Management And General$9,443,198ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,135TotalAmt
Program Services$2,135ProgramServicesAmt

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$6,774,918TotalAmt
Program Services$6,713,130ProgramServicesAmt
Management And General$61,788ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$492,198TotalAmt
Program Services$490,131ProgramServicesAmt
Management And General$2,067ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$733,624TotalAmt
Program Services$601,820ProgramServicesAmt
Management And General$131,804ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$380,899TotalAmt
Program Services$380,899ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,855,875TotalAmt
Program Services$1,177,390ProgramServicesAmt
Management And General$678,485ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,024TotalAmt
Program Services$15,682ProgramServicesAmt
Management And General$5,342ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$64,822TotalAmt
Program Services$47,785ProgramServicesAmt
Management And General$17,037ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,457,306TotalAmt
Program Services$1,457,306ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,659,654TotalAmt
Program Services$4,370,811ProgramServicesAmt
Management And General$288,843ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$140,991TotalAmt
Program Services$140,991ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$10,232,379$10,226,341$6,038
REPAIRS & MAINTENANCE$1,190,107$1,169,812$20,295
FURNITURE & EQUIPMENT$891,458$730,161$161,297
PATIENT SERVICES$612,826$612,826

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$313,243TotalAmt
Program Services$214,878ProgramServicesAmt
Management And General$98,365ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$72,578,513TotalAmt
Program Services$60,000,491ProgramServicesAmt
Management And General$12,578,022ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$91,172BOYAmt
EOY-$15,752EOYAmt

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$7,609,735BOYAmt
EOY$6,847,448EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$324,629BOYAmt
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$457,667BOYAmt
EOY$482,693EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,411,036BOYAmt
EOY$1,491,692EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$143,155BOYAmt
EOY$120,476EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$85,394,334LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$43,242,258LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$38,630,220BOYAmt
EOY$42,152,076EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$48,485,270BOYAmt
EOY$51,078,633EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,966,211BOYAmt
EOY$5,763,404EOYAmt

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$25,789,354BOYAmt
EOY$24,990,090EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,755,565BOYAmt
EOY$30,753,494EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,729,705BOYAmt
EOY$20,325,139EOYAmt

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$16,729,705BOYAmt
EOY$20,325,139EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$48,485,270BOYAmt
EOY$51,078,633EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,595,434ReconcilationRevenueExpnssAmt
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. 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$8,903,474OtherCostOrOtherBasisAmt
Book Value$8,903,474BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,985,196OtherCostOrOtherBasisAmt
Depreciation$26,282,250DepreciationAmt
Book Value$17,702,946BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,262,788OtherCostOrOtherBasisAmt
Depreciation$1,511,757DepreciationAmt
Book Value$751,031BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,354,398OtherCostOrOtherBasisAmt
Depreciation$15,448,251DepreciationAmt
Book Value$11,906,147BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,888,478OtherCostOrOtherBasisAmt
Book Value$2,888,478BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$42,152,076TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY PAYABLEDesc
Amt$24,990,090Amt
FieldValueIRS element (for citing)
Total Liability$24,990,090TotalLiabilityAmt

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 Other900.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$6,410,918TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$157,219DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,253,699NetCommunityBenefitExpnsAmt
Total Expense0.08620TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,157,331TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,421,629DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,735,702NetCommunityBenefitExpnsAmt
Total Expense0.03770TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,568,249TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,578,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,989,401NetCommunityBenefitExpnsAmt
Total Expense0.12390TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$354,273TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$354,273NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$266,208TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$266,208NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,519TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,519NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$630,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$630,000NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,198,249TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,578,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,619,401NetCommunityBenefitExpnsAmt
Total Expense0.13260TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,804TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,804NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$360TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$360NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,164TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,164NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,113,504BadDebtExpenseAmt
Reimbursed By Medicare$11,300,813ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,205,796CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$904,983MedicareSurplusOrShortfallAmt

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 AllenBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 Central Expressway NorthAddressLine1Txt
CityAllenCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75013ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.texashealth.orgWebsiteAddressTxt
State LicenseTDH #7242StateLicenseNum
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 AllenBusinessNameLine1Txt
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
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
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 AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.texashealth.org/chnaStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
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 Care900.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 Nonprofit ContactYes (X)ProvidedNonprofitContactInd
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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceTexas Health AllenFormAndLineReferenceDesc
ExplanationPart V. Section B, Line 5 Texas Health Allens (THA) CHNA was a six-month collaborative process which utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served by the hospital. As a means to further understand the needs from those engaged in the community, THA conducted a series of community feedback sessions through surveys, interviews, and a community stakeholder meeting. Multiple interviews were conducted between December 2012 and January 2013. Participants of the community feedback interviews included, but were not limited to: political leaders, faith community representatives, public health officials, lay community members, school officials, and city administration. Fifteen persons with interests specific to the health of THAs community completed a survey, and eleven individuals participated in an in-person discussion. These methods for gathering community feedback were aimed at soliciting input from participants for community health resources, as well as the health needs of the community. Responses were divided into four sections (acknowledged strengths, gaps in services/care, community concerns, suggestions and opportunities), analyzed against secondary data, and assessed using criteria designed to rank or prioritize the issues. Participants of the stakeholder meeting represented both hospital staff and persons who represent the broad interests of the community, including members of medically underserved, low-income, and minority populations. Organizations represented in the in-person community stakeholder meeting included: Allen Free Clinic; Alliance for a Healthier Allen; CASA of Collin County; The Samaritan Inn, a non-profit working to end homelessness; the Town of Fairview; and City of Allen Parks and Recreation. 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 11 CHNA 2013 revealed a vast number of community health issues that require collective action to improve the health of the community. In order to assist the organization in determining which health needs should be addressed, Texas Health Allen 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. 2015 was the second year of implementation, and the focus was to deploy the systems, structures, and interventions that were chosen in 2014. The two priority areas from the 2013 CHNA were Awareness, Literacy, and Navigation and Chronic Disease. In addition, in 2015 Texas Health Allen worked 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 Texas Health Allen. 1. Awareness, Literacy, and Navigation (ALN) 1a. Community Health Improvement strategies include collaboration to develop an area resource guide of key services available to the local community, individuals, and non-profit partners that address the social determinants of health. In 2015, Community Connect, a website database of free and reduced-cost social services that is available to both external and internal audiences, was launched as a result of this collaboration. 1b. 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. 1c. Sponsorship and partnering with area collaborations working to address ALN continued. Texas Health Allen has maintained and supported relationships with key partners, such as Alliance for a Healthier Allen, Texas AgriLife, and the Allen Independent School District. 1d. Texas Health Allen continued its outreach to pregnant teens through the Teen Pregnancy Outreach program. Teen Pregnancy Outreachs goal is to provide pregnant teenagers with health information and resources to support positive outcomes for mother and child. Participants attend monthly support group meetings that include the providing important prenatal health information to ensure healthy infants, as well as preparing the young mothers for what they can expect during and after the birth of their babies. Texas Health Allen partnered with the Allen Independent School District to serve a number of teenage mothers. 1e. The Faith Community Nursing (FCN) program is offered by Texas Health Allen 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. 2. Chronic Disease 2a. Community Health Improvement strategies include implementing new evidence-based programs 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 remains a top priority. 2b. The Motivate to Move program educated the community, specifically elementary-aged students and their families, on healthier lifestyles including eating better and being more physically active. Numerous Allen ISD students at 17 schools participated in the program. Texas Health Allen will 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. Environmental Quality Lack of expertise 3. 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. 4. Mental Health Resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 5. Oral Health Lack of expertise 6. Other Clinical/Preventive 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. 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. Part V. Section B, Line 20e A Plain Language Summary (PLS) of the charity policy is provided on the back of all billing statements. Part V. Section B, Line 22d The hospital used the look-back method described in IRC Section 501(r) when determining the Amount Generally Billed (AGB) for all payors (excluding uninsured, traditional Medicaid, and managed Medicaid) based on the actual past claims paid during the previous twelve months. Because the hospital is a part of a system of hospitals, all members elected to offer a more generous AGB than was calculated in order to use a single AGB and to show systemness to the community.ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceTexas Health AllenFormAndLineReferenceDesc
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 amounts reported on Lines 7e-7i were obtained using direct costs, as determined by a cash outlay or, in the case of reporting employee volunteer hours, by using an average national volunteer wage rate. 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. We treat each patient qualifying for charity care 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) remained constant at 96.1% of self-pay accounts receivable at December 31, 2015 and 2014. In addition, the Systems self-pay write-offs for bad debts decreased from approximately $310,000,000 for fiscal year 2014 to approximately $250,000,000 for fiscal year 2015. The decrease in write offs was the result of a decrease in uninsured patients in fiscal year 2015, as well as a financial assistance policy change. 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. 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. The shortfall amount reported to the state of Texas for 2015 is $10,430,710. 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 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 financiExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Project Access-Collin County Inc
6101 Frisco Sq BlvdFriscoTX75034451072695501(c)(3)$12,500Indigent Care
Allen Community Outreach
801 E Main StreetAllenTX75002751986190501(c)(3)$20,000General Purpose
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part II - Monitoring GrantsFormAndLineReferenceDesc
ExplanationTexas Health Allen (THA) is a member of the Texas Health Resources (THR) healthcare system. The majority of the grants distributed by the system are to related tax exempt organizations. The hospital does not specifically monitor the use of grants paid to related organizations since THR administration monitors the use of these grants on a system basis for all members of the THR healthcare system. Grants to non-related tax exempt organizations are generally given to entities that are in the hospital's community and/or service area or to certain organizations which will specifically impact the hospital's community. These grants are typically monitored by hospital personnel who are working closely with the non-related nonprofit organization.ExplanationTxt

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 PaymentfalseSeverancePaymentInd
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 (23 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
Boes Charles W
Assistant Secretary$0$493,855$0$157,708$0$112,943$0$19,875$0$39,605$0$823,986$0$25,860
Kramer Kenneth
Assistant Secretary$0$306,934$0$288,282$0$74,609$0$59,034$0$50,502$0$779,361$0$213,851
Krejci Jacque
Assistant Secretary$0$123,495$0$540$0$850$0$7,484$0$18,846$0$151,215$0$0
McClung Brett S
THR Corporate Officer$0$512,782$0$435,778$0$88,971$0$83,702$0$43,413$0$1,164,646$0$309,250
McWhorter Rick E
Assistant Secretary$0$361,032$0$94,454$0$62,470$0$129,475$0$32,369$0$679,800$0$11,875
Ransom MD Elizabeth
THR Corporate Officer$0$495,933$0$151,032$0$99,336$0$79,926$0$46,188$0$872,415$0$23,260
Stout Luanne R
Corporate Secretary$0$190,958$0$41,692$0$27,785$0$65,856$0$28,830$0$355,121$0$0
ReecerJeffrey P
PRESIDENT THA$223,429$0$55,731$0$35,101$0$38,651$0$46,820$0$399,732$0$4,612$0
EscandonChristy Anne
CNO (Partial Year)$46,107$138,322$5,507$16,520$5,750$17,250$4,310$12,931$9,080$27,241$70,754$212,264$189$567
KellyRaymond Hugh
CNO (Partial Year)$38,912$79,829$19,113$28,669$15,151$27,170$4,202$6,303$7,903$11,855$85,281$153,826$36$54
AsturiElizabeth
CNO (Partial Year)$95,921$84,529$0$13,004$2,500$416$8,240$2,993$3,501$3,893$110,162$104,835$0$0
SchwabRobert Adams
CHIEF MEDICAL OFFICER THA$327,628$0$77,283$0$55,066$0$35,776$0$51,744$0$547,497$0$8,230$0
CraftBrian
Former Officer$0$245,685$0$53,676$0$34,507$0$12,364$0$39,713$0$385,945$0$264
BerdanBarclay E
Former Officer$0$1,073,202$0$417,182$0$199,992$0$181,176$0$39,804$0$1,911,356$0$49,442
Braxton Kenneth
Former Officer$0$193,536$0$13,503$0$1,032$0$9,601$0$32,262$0$249,934$0$0
MitchellJohn D
Former Officer$0$274,141$0$79,766$0$63,559$0$44,435$0$46,119$0$508,020$0$10,605
FugatePaige
Former Officer$0$164,446$0$11,688$0$200$0$12,704$0$24,933$0$213,971$0$0
AmayaChristopher Jules
DIR PHARMACY$151,317$0$5,517$0$663$0$11,636$0$22,476$0$191,609$0$0$0
HocateCrispin P
PROF & SUPPORT SVCS OFFICER$138,006$0$9,137$0$1,416$0$0$0$20,216$0$168,775$0$0$0
HodgePatricia Ann
RN II$143,664$0$821$0$947$0$6,797$0$34,604$0$186,833$0$0$0
HughesRex Wayne
SPL NUCLEAR MED$143,392$0$525$0$150$0$8,653$0$20,299$0$173,019$0$0$0
HornKin-Lai Y
RN III$140,004$0$536$0$1,474$0$11,003$0$41,452$0$194,469$0$0$0
Gildon Lisa
GRP FINANCE OFFICER$0$204,498$0$40,544$0$26,856$0$0$0$21,874$0$293,772$0$0

Supplemental Information Detail SupplementalInformationDetail (3 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, Line3 - CEO CompensationTHE ORGANIZATIONS RELIED ON TEXAS HEALTH RESOURCES (THR), A RELATED 501(C)(3) ORGANIZATION WITH CENTRALIZED COMPENSATION PROFESSIONALS TO USE THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT. * THR HAS A Governance Committee COMPRISED OF EXTERNAL BOARD MEMBERS THAT REVIEW COMPENSATION PHILOSOPHY AND DESIGN. One function of the governance committee is to serve as a compensation committee for the THR system. * THR BOARD HIRED INDEPENDENT COMPENSATION CONSULTANTS. * THR & THE INDEPENDENT COMPENSATION CONSULTANTS UTILIZE PUBLISHED THIRD-PARTY COMPENSATION SURVEYS. AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT IS HIRED BY THE THR BOARD OF TRUSTEES (BOARD) TO REVIEW BASE PAY ANNUALLY AS COMPARED TO A PEER GROUP OF EMPLOYERS SIMILAR IN SIZE AND SCOPE TO THR. EVERY THREE YEARS THE INDEPENDENT COMPENSATION CONSULTANT REVIEWS ALL ASPECTS OF EXECUTIVE COMPENSATION (BASE, INCENTIVES, BENEFITS, ETC.) WHICH INCLUDES: * REVIEW AND CONFIRMATION OF THE EXECUTIVE COMPENSATION PHILOSOPHY. * MARKET REVIEW OF BASE AND INCENTIVE PAY FOR ALL POSITIONS. NATIONAL, REGIONAL, AND LOCAL DATA IS REVIEWED WHEN AVAILABLE. * MARKET REVIEW OF BENEFITS AND PERQUISITES, * INTERVIEW OF SELECTED OFFICERS AND MEMBERS OF THE GOVERNANCE COMMITTEE (COMPENSATION COMMITTEE) OF THE THR BOARD OF TRUSTEES, AND * REVIEW OF FINANCIAL REPORTS, JOB DESCRIPTIONS, ORGANIZATIONAL CHARTS, CURRENT SALARIES, INCENTIVE OPPORTUNITIES, INCENTIVE PAYMENTS, BENEFITS, PERQUISITES AND PLAN DOCUMENTS. THE INDEPENDENT COMPENSATION CONSULTANT MEETS DIRECTLY WITH THE GOVERNANCE COMMITTEE TO REPORT THE RESULTS OF THE TOTAL COMPENSATION STUDY. AT THE BEGINNING OF EACH YEAR, THE GOVERNANCE COMMITTEE REVIEWs A DETAILED REPORT CONTAINING THE BELOW INFORMATION. THE BOARD REVIEWS AN EXECUTIVE SUMMARY OF THE DETAILED REPORT. * MARKET ANALYSIS BASED ON THE RESULTS OF THE OUTSIDE CONSULTANT'S REVIEW * OFFICER BASE SALARY ADJUSTMENTS INCLUDING MERIT AND MARKET/EQUITY ADJUSTMENTS * PRIOR YEAR EXECUTIVE ANNUAL INCENTIVE AWARDS * CURRENT YEAR EXECUTIVE ANNUAL INCENTIVE PLAN TARGETS, KEY PERFORMANCE INDICATORS AND POTENTIAL PAYOUT AMOUNTS.
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 follow THE BEFORE MENTIONED EVENTS, EXCEPT IN THE CASE OF INVOLUNTARY SEPARATIONS FOR WHICH 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 E. 9,818.51 Craft,Brian 263.60 Kelly,Raymond Hugh 635.27 Ransom,Elizabeth 7,756.67 Schwab,Robert Adams 5,086.14

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Business Relationships - 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.
Governing Documents-Part VI, Section A, Line 4The governing documents were amended with an effective date of 1/1/15 with the following significant changes: *The reserved powers were transferred from the Founding Members to Texas Health Resources (THR). All authority pertaining to governance of the organization now resides entirely with the THR Board. *The definition of Community Representative changed in order to allow one primary care or specialty physician employed by Texas Health Physicians Group (THPG) to fill one Community Representative position on the board, provided the percentage of physicians on the board does not exceed 40%. *The requirement to state the purpose of a specially called meeting in the notice has been removed. *The medical staff leader positions on the board were changed. The Chief/President of the medical staff will continue to serve ex officio with vote; however, the other two positions may continue to be the Vice Chief/President-Elect and/or Immediate Past Chief/President. These positions may also be other medical staff leaders selected by the board. The terms for the latter two positions will be one year, eligible for re-election for up to a total of nine years. *The board officer position of Secretary was changed to a corporate officer position.
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 11bA full copy of the Form 990 is provided to members of the governing board before filing. In addition, the Audit & Compliance Committee of the Texas Health Resources (THR) Board of trustees is given the opportunity to review, comment, and ask questions regarding the Form 990s filed for THR and each of its wholly controlled affiliates.
Conflict of Interest- Part VI, Section B, Line 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 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 through a public database recently 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. A more in depth discussion of executive compensation review can be found on 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 (25 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)11aTH Cleburnefalse
North Texas Healthy Communities
612 E Lamar BlvdArlingtonTX76011464513182Comm SupportTX501(c)(3)7TH 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)9TH Phys Groufalse
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
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)9TH 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)11cNAfalse
TX Health Resources Self-Insurance Trust
612 E Lamar BlvdArlingtonTX76011756335902Insur TrustTX501(c)(3)11cTH 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)11aTH Foundatiofalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
AMH Cath Labs LLC
811 Wright StArlingtonTX76012203003947HospitalTXNAN/A
Cleburne Imaging LLC
PO Box 820519DallasTX75382460767278Outpatient DiagnoTXNAN/A
Cleburne Surgical Center LLC
2010 W Katherine P Raines Blvd StCleburneTX76033203742012Amb Surg CtrTXNAN/A
Denton Surgery Center LLC
207 North Bonnie BreaDentonTX76201470926556Amb Surg CtrTXNAN/A
Flower Mound Hospital Partners LLC
612 E Lamar Blvd Ste 600ArlingtonTX76011260684968HospitalTXNAN/A
Fort Worth Endoscopy Centers LLC
900 W Magnolia Ave 101Fort WorthTX76104770368346Endoscopy CenterTXNAN/A
Greenville Surgery Center LLC
7150 Greenville Ave Ste 200DallasTX75231742411643Amb Surg CtrTXNAN/A
Health Imaging Partners LLC
8610 Explorer Drive Ste 300Colorado SpringsCO80920271385885Outpatient DiagnoTXNAN/A
North Dallas Surgical Center LLC
17980 Dallas Parkway Ste 100DallasTX75287272248103Amb Surg CtrTXNAN/A
Physician Medical Center LLC
612 E Lamar Blvd 6th FlrArlingtonTX76011481281376HospitalTXNAN/A
Presbyterian Cancer Center-Dallas LLC
1220 Senlac Drive 2nd FlrCarrolltonTX75006260422749Cancer TreatmentTXNAN/A
Rockwall Regional Hospital LLC
612 E Lamar Blvd 6th FlrArlingtonTX76011202848116HospitalTXNAN/A
Southlake Specialty Hospital LLC
612 E Lamar Blvd 6th FlrArlingtonTX76011020555370HospitalTXNAN/A
Surgical Caregivers of Fort Worth LLC
2001 W Rosedale StreetFort WorthTX76104751925497Amb Surg CtrTXNAN/A
Texas Health Craig Ranch Surgery Center
8080 State Hwy 121 Ste 100McKinneyTX75070383897811Amb Surg CtrTXNAN/A
Texas Health Flower Mound Orthopedic Sur
5000 Long Prairie RoadFlower MoundTX75028800866449Amb Surg CtrTXNAN/A
Texas Health MedSynergies LLC
909 Hidden Ridge Ste 300IrvingTX75038800272951Mgmt ServicesTXNAN/A
Texas Health Spine Center Arlington
1545 E Southlake Blvd Ste 100SouthlakeTX76092464143686InactiveTXNAN/A
Texas Health Surgery Center Preston Plaz
17950 Preston Road Ste 75DallasTX75252203991622Amb Surg CtrTXNAN/A
Texas Health Surgery Center Rockwall LL
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
6333 North State Hwy 161 Ste 200IrvingTX75038203571243HospitalTXNAN/A
Wilson Creek Surigcal Center LLC
569 Brookwood Village Ste 901BirminghamAL35209274816583Amb Surg CtrTXNAN/A
Women's Specialty Surgery Center
8230 Walnut Hill Ln Ste 101DallasTX75231262310072Amb Surg CtrTXNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
Grace Indemnity Company Ltd
1159 Caribbean PlazaGrand CaymanCJKY 1-1102Captive InsuranceCJNAC Corpfalse
Huguley Medical Associates Inc
Phys ClinicsNAC Corpfalse11801 South FreewayBurlesonTX76028752547668TX
Magnum Health Holdings Inc
InactiveNAC Corpfalse612 E Lamar Blvd Ste 600ArlingtonTX76011475486814TX
Magnum Health Plan Inc
InactiveNAC Corpfalse612 E Lamar Blvd Ste 600ArlingtonTX76011475548221TX
Texas Health Biomedical Advancement Cent
ResearchNAC Corpfalse612 E Lamar BlvdArlingtonTX76011752636884TX
Texas Health Resources Casualty Company
InsuranceNAC Corpfalse612 E Lamar BlvdArlingtonTX76011030310676VT
Texas Health Resources Bundled Products
InactiveNAC Corpfalse612 E Lamar BlvdArlingtonTX76011465588632TX
TH Resources Primary Care Ext Physcian N
InactiveNAC Corpfalse612 E Lamar BlvdArlingtonTX76011465365421TX
Texas Health Resources Spine Services
InactiveNAC Corpfalse612 E Lamar BlvdArlingtonTX76011465347751TX
Texas Health Resources Women's Services
InactiveNAC Corpfalse612 E Lamar BlvdArlingtonTX76011465330487TX
Charitable Remainder Trusts (4)
CR TrustNATrustfalse612 E Lamar BlvdArlingtonTX76011TX
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
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

FieldValueIRS element (for citing)
Form And Line ReferenceRelated Transactions- Part V, Line 2FormAndLineReferenceDesc
ExplanationTexas 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.ExplanationTxt

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