2015-11-13T08:57:06-06:00 2014-12-31 990 2014-01-01 751438726 Texas Health Harris Methodist Hospital Hurst-Euless-Bedford % DAVID JACKSON TEXA 8178484000 1600 Hospital Parkway Bedford TX 76022 Rick McWhorter Assistant Secretary 2015-11-13 2014 2016-03-07 17:11:31Z Texas Health HEB Deborah Paganelli 1600 Hospital Parkwy Bedford TX 76022 258962492 false X www.texashealth.org X 1973 TX A FAITH-BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES REGARDLESS OF THEIR ABILITY TO PAY. 12 11 1866 305 213575 -36450 610095 107069 245982521 256303486 477416 -66143 2400337 2540472 249470369 258884884 35500 66683 0 0 117006398 117664232 0 0 0 106093796 114073084 223135694 231803999 26334675 27080885 337171972 359517630 44329051 39593824 292842921 319923806 A FAITH-BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES REGARDLESS OF THEIR ABILITY TO PAY. false false 192589560 66683 256303486 Located in Bedford, Texas, for more than 42 years, Texas Health Harris Methodist Hospital Hurst-Euless-Bedford (THHEB) operates 322 beds. The city of Bedford is located between Dallas and Fort Worth. THHEB offers a broad range of inpatient and outpatient medical services to the communities in northeast Tarrant County with specialized capabilities in many areas, including women and infant services, cardiovascular services, orthopedic services, physical therapy, digestive diseases, oncology services, and behavioral health. The behavior health program consists of three inpatient units (Adult Psych, Adult Chemical Dependency, and Adolescent Psych). The program also offers an extensive partial hospitalization program, seven outpatient satellite clinics, and provides crisis evaluation services to six acute care facilities in Tarrant County. In September 2016, THHEB will be opening a new ICU/High Acuity Tower. This project is an expansion of an 18 universal bed unit for ICU/High Acuity level patients and repurposing the current 14 bed ICU unit for lower acuity need. The expansion will create capacity for growth and adequate resources to provide quality care to patients served. THHEB also holds a number of specialty accreditations and certifications. THHEB is accredited by The Joint Commission for the Hospital Program and the Behavioral Health Program. THHEB holds accreditation in ACR CT, MRI, and Nuclear Medicine. The Clinical, Anatomic, and Ancillary Testing Departments of the laboratory are accredited by the American Association of Blood Banks American College of Pathologist (CAP). THHEB was the first Laboratory in Northeast Tarrant County to be recognized by the International Organization for Standardization (ISO 15189) for quality and competence in medical laboratories. The hospital was also the first in Northeast Tarrant County to earn 3-year accreditation with commendation from American College of Surgeons Commission on Cancer. THHEB is a fully Accredited Cycle IV Chest Pain Center. THHEB is the first hospital in Northeast Tarrant County to be certified as a Primary Stroke Center by The Joint Commission. Also, THHEB is the first hospital in Northeast Tarrant County to be designated as a Trauma Level III Center. THHEB is the third hospital in Texas to earn Baby Friendly designation from the World Health Organization. THHEB is a Center of Excellence in Minimally Invasive Gynecology (COEMIG). THHEB won the Silver Award from TMF Health Quality Institute, Five-Star Hospital Award from the Bureau of Vital Statistics at the Texas Department of State Health Services, Texas Health Care Quality Improvement Award of Excellence from TMF Health Quality Institute and named QUEST Top Performer by Premier Healthcare Alliance. THHEB 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. Some of these programs include: Various health screenings were offered to the community free of charge or for a nominal charge such as diabetes, heart disease and breast cancer. THHEB provides a unique, comprehensive healthcare outreach to adult Tongans living in Northeast Tarrant County through consistent utilization of the mobile health unit, clinical volunteers and health educators. A full time health coordinator leads clinical volunteers in providing medical tests, immunizations, screenings and health education to this targeted population. Teen Court is a program where teens convicted of a misdemeanor are required to attend educational offerings related to the offense committed and complete community service hours. THHEB provides classes on the dangers of smoking and drug and alcohol abuse for this program. During the year, THHEB had 65,571 patient days, 14,402 discharges, 83,022 outpatient encounters, 57,449 emergency room visits and 2,086 births. THHEB provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. 192589560 true true false true false false false false false false true false false true true false false true false false false false false false false false true true true false true false false false false false false false true false false false false false true true true false false true 142 0 true 1866 true true true false false false false false false false false false X 12 11 true false false false true true true true true false false true true true true true true false false true true X X DAVID JACKSON 6822367900 612 E LAMAR BLVD Arlington TX 76011 Darlage PhD Larry Trustee 2.0 0.0 X 0 0 0 Dugan DDS Daniel Trustee 2.0 0.0 X 26700 0 0 Eaton MD Patrick Trustee 2.0 0.0 X 9474 0 0 Hamilton Garry Trustee 2.0 0.0 X 0 0 0 Jones MD Gary Trustee 2.0 0.0 X 0 0 0 Light JrJerry T Trustee 2.0 40.0 X 0 472641 33898 Moffatt Lynne Vice Chairman 2.0 0.0 X 0 0 0 Pratt Bayard Immediate Past Chairman 2.0 0.0 X 0 0 0 Saleh Mary Lib Trustee 2.0 0.0 X 0 0 0 Schultz Charles Secretary 2.0 0.0 X 0 0 0 Tichenor MD Gregory Trustee 2.0 0.0 X 36900 0 0 Williams Dorothy Chairman 2.0 0.0 X 0 0 0 BoesCharles Assistant Secretary 0.5 40.0 X 0 829540 65269 KramerKenneth J Assistant Secretary 0.5 40.0 X 0 489232 125927 McClungBrett S EVP ZONE OPERATIONS LEADER 0.5 40.0 X 0 759316 185299 McWhorterRicky E Assistant Secretary 0.5 40.0 X 0 549781 117891 RansomElizabeth EVP ZONE CLINICAL LEADER 0.5 40.0 X 0 757119 68380 SchroederJennifer Ann Assistant Secretary 0.5 40.0 X 0 188921 31612 PaganelliDeborah Ann PRESIDENT THHEB 40.0 0.0 X 538328 0 41530 LandSusann F CHIEF MEDICAL OFFICER THHEB 40.0 0.0 X 461915 0 43844 NorrisLucy CHIEF NURSING OFFICER THHEB 40.0 0.0 X 402243 0 26207 LandersAlice J VP PROF & SPRT SVCS THHEB 40.0 0.0 X 261574 0 18500 JamesJaime L ENTITY FINAN OFFICER THHEB 40.0 0.0 X 256689 0 25165 DamaskeDavid Lawrence DIR PHARMACY 40.0 0.0 X 162790 0 18045 KelleyBrenda L DIR NRSG EMERGENCY SVC 40.0 0.0 X 154995 0 16988 WilsonMary Lou DIR NRSG WOMEN/CHILDREN 40.0 0.0 X 154346 0 29881 BasingerThomas Loyd PHARMACIST 40.0 0.0 X 153296 0 7358 RiehmAnna Christine SUPPORT SVCS OFFICER THHEB 40.0 0.0 X 152744 0 15879 BerdanBarclay E Former Officer 0.0 40.0 X 0 1755695 120756 MitchellJohn D Former Officer 0.0 40.0 X 0 451214 52482 2771994 6253459 1044911 169 true true false Texas Health Resources 612 E Lamar Blvd ARLINGTON TX 76011 Management Fee 29347782 Vanguard Resources LTD 6500 Highway 281 North SPRING BRANCH TX 78070 Housekeeping 2506401 Freer Mechanical Contractors INC 1908 Samuels Ave FORT WORTH TX 76102 Elevator Maintenance 1356447 North Texas Healthcare Laundry Coop 1080 Post and Paddock GRAND PRAIRIE TX 75050 Laundry Services 817689 Aramark Healthcare 1101 Market St PHILIDELPHIA PA 19107 DIETARY SERVICE 762811 30 101735 5334 107069 PATIENT SERVICE REVENUE 622110 243405749 243405749 JOINT VENTURE INCOME 622110 8308595 8308595 MEDICARE/MEDICAID ADJUSTMENT 622110 3265384 3265384 DSRP REVENUE 622110 804235 804235 ELECTRONIC RECORDS 622110 510660 510660 8863 8863 256303486 2960 2960 0 0 573377 573377 0 573377 573377 8505 77608 -69103 -69103 -69103 0 0 0 CAFETERIA 722212 869967 869967 FITNESS CENTER 713940 348715 348715 REBATES & INCENTIVES 622110 260520 260520 487893 213575 274318 1967095 258884884 256303486 213575 2260754 66683 66683 0 0 0 2131928 2131928 0 92035283 91012319 1022964 4014185 4014185 12798074 12718727 79347 6684762 6684762 29347782 29347782 0 0 0 0 0 17426718 12366075 5060643 306812 304852 1960 1919085 1859540 59545 935101 875615 59486 0 3574521 3436559 137962 109407 94558 14849 0 158010 145143 12867 2411807 2411807 0 7668713 7567799 100914 93273 93273 SUPPLIES 38465228 38389566 75662 PATIENT SERVICES 6052947 6052947 REPAIRS & MAINTENANCE 3706607 2924606 782001 FURNITURE & EQUIPMENT 992712 821661 171051 904361 748883 155478 231803999 192589560 39214439 0 989663 544403 11271927 11216638 0 0 39975405 37592785 0 0 0 0 44464 128416 5725950 5732281 882930 1016447 199438214 114175266 87982722 85262948 0 0 0 0 0 0 503974 503974 189794937 217519738 337171972 359517630 30582398 26424621 0 0 0 0 0 0 0 0 0 0 1386378 1122306 0 0 12360275 12046897 44329051 39593824 X 292842921 319923806 0 0 0 0 292842921 319923806 337171972 359517630 27080885 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true false false false false false false Lobbying Activities Officers and/or Board Members of the corporation may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities the Corporation serves. In pursuing this activity, Officers and/or Board Members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters. 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. 5194329 5194329 96821812 47685138 49136673 6923671 4134225 2789446 88474014 62355904 26118110 2024390 2024390 85262948 INTERCOMPANY RECEIVABLE 217441276 MISCELLANEOUS 78462 217519738 0 ASSET RETIREMENT OBLIGATIONS 434360 UNAMORTIZED RENT 1763184 MINORITY INTERESTS 9849353 12046897 true true X true X true true true false true true 13431734 136818 13294916 0.05190 18328604 20324078 82029 0.00340 2613 1203 1410 31762951 20462099 13378355 0.05530 476745 476745 0.00190 1105384 1105384 0.00430 3608189 3608189 0.01410 5190318 5190318 0.02030 36953269 20462099 18568673 0.07560 3742 3742 411 411 56385 56385 0.00020 60538 60538 0.00020 false 26446380 50661061 60102321 -9441260 X true true Southlake Specialty Hospital 0.47610 0.45080 2 1 Texas Health H-E-B 1600 Hospital Parkway Bedford TX 76022 www.texashealth.org TDH #182 X X X 2 Texas Health Southlake 1545 E Southlake Blvd Southlake TX 76092 www.texashealthsouthlake.com #008128 X X X Texas Health H-E-B 1 false false true X X X X X X X X X 13 true false false true X www.texashealth.org/chna X X true 14 true www.texashealth.org/chna false false true X 200. 900. X X X true true X X X true X X X X X X X X X true X false X X X X X true X false false Texas Health Southlake 2 false false true X X X X X X X X X 13 true false false true X See Section C X www.texashealth.org/chna X X true 14 true www.texashealth.org/chna false false true X 200. 900. X X X true true X X X true X X X X X X X true X false X X X X X true X false false Facility #1 -Texas Health Hurst-Euless-Bedford Part V Section B, Ln 5-Facility #1 Texas Health Hurst-Euless-Bedford 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, Texas Health Hurst-Euless-Bedford conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: political leaders, faith community representatives, public health officials, lay community members, physicians, school official and city administration. The information gathered from the community feedback sessions helped Texas Health Hurst-Euless-Bedford to understand the health needs from a community perspective and align this with the data analysis. Part V. Section B-7d - Facility #1 Texas Health Hurst-Euless-Bedford produced executive summaries of the completed CHNAs 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, Ln 11-Facility #1 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 Hurst-Euless-Bedford 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 said issues, two areas were chosen and are being addressed through the 2014-2016 implementation plans. 2014 was the first year of implementation and the focus was to create the systems, structure and interventions that could be consistently deployed at the hospital and at other system hospitals for a consistent impact across the region. The two areas of priority are first, Awareness, Literacy and Navigation ("ALN") and second, Chronic Disease. In addition, our efforts were to clearly align and coordinate services and interventions with community partners for a collective impact to meet these two priority areas defined. 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. Collation of this information began through the community health councils and community partners during 2014. This "easy to understand and use" guide will provide key details including how to access the resource and/or service in the local community to meet the individual's needs. This guide information collected in 2014 will be made available in an online and/or print format during 2015. 1b. Community Benefit Grants: 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 collaborative. 1c. Support/sponsorship of relevant and targeted community programs to advance awareness and health literacy has begun. 1c1. Through a collaborative effort and sponsorship as a system, the 2nd Annual Health Literacy Symposium was held on April 16, 2014, for the DFW region. Other collaborators included United Way of Tarrant County, Area Agency on Aging and UNT Health Science Center. 1c2. Sponsorship and Partnering in Area Collaborations Working to Address ALN continues. Texas Health Hurst-Euless-Bedford has maintained and supported relationships with key partners to address awareness, literacy, and navigation needs. Some ALN Strategies carried out during 2014 include: 1d . Texas Health Hurst-Euless-Bedford is part of the system-wide Child Automobile Safety Initiative (CASI) whose mission strives to educate and raise community awareness about child passenger safety and the risk of unintentional injury from motor vehicle collisions. This program is provided in collaboration with Texas Health Resources' System Services and the First United Methodist Church of Hurst. 1e. Bluebonnet Retreat is a free, three-day, two-night camp for adult cancer patients with a focus on education, support and wellness. Bluebonnet Retreat is held twice a year for 24 campers and 24 counselors. Counselors are members of the Texas Health HEB team, professionals from other areas of Texas Health and community volunteers. The staff includes physicians, nurses, social workers, dieticians, physical and occupational therapists, radiation therapists, chaplains, cancer survivors and volunteers. In 2014, Texas Health HEB logged 458 volunteer staff hours for these retreats. 1f. As part of a faith-based health care system, Texas Health HEB is committed to partnering with faith communities to provide health promotion and education. The goal of the program is the integration of the practice of faith with the practice of nursing to care for the whole person - mind, body and spirit - and to improve the health of the communities we serve. A Faith Community Nurse is a licensed, registered nurse who has completed the required education for FCN and is willing to serve the faith community by becoming a liaison to health care. In 2014, Texas Health HEB was in covenant with seven area churches representing Methodist, Lutheran, Presbyterian, Church of Christ and Catholic faiths. In addition to providing 200 flu shots, several programs are ongoing within these congregations including diabetes management, blood pressure checks, English as a Second Language and Walk to Bethlehem (encouraging increased physical activity). 1g. Half of older adults experience fear of falling, and many respond to this concern by curtailing activity. Being inactive results in loss of muscle strength and balance, it can also compromise social interaction and increase the risk of isolation, depression and anxiety. Fear of falling can actually contribute to falling. One third of older adults fall each year. To decrease the risk of falls, Texas Health HEB offers A Matter of Balance, a free award-winning program designed to manage falls and increase activity levels. Participants learn how to reduce fall hazards, increase strength and balance and improve their overall health through increased activity. In 2014, Texas Health hosted two sessions serving a total of 20 participants. 1h. Texas Health HEB, in partnership with Senior Citizen Services and Tarrant County Area Agency on Aging, conducted two A Matter of Balance programs (AMOB). In 2014, 20 participants enrolled in the AMOB programs and of those participants 82% completed the program. 2. Chronic Disease - Community Health Improvement strategies include maintaining existing chronic disease programs provided at the hospital with a focus on self-management programs. Active partnerships and sponsorships aligned with the strategic foci to address chronic diseases remains a top priority. Some Chronic Disease Strategies carried out during 2014 include: 2a. Nearly half of all adults live with one or more chronic disease conditions. Appropriate management of a chronic disease can result in fewer preventable admissions and lower overall mortality, thereby improving and extending life. Chronic Disease Self-Management Program (CDSMP) is a program offered by Texas Health Resources and local community partners. The program goal is to enable individuals to build the self-confidence and motivation they need to manage the challenges of living with a chronic health condition. Participants are adults experiencing chronic health conditions such as hypertension, arthritis, heart disease, stroke, lung disease and diabetes. Their family members, friends and caregivers also participate. The program provides information and teaches practical skills on managing chronic health problems. CDSMP is implemented by lay leaders and is executed in participant education programs. In 2014, Texas Health HEB trained two facilitators and is on track to hosting multiple sessions both on campus and at covenant churches in 2015. 2b. Texas Health HEB provides community benefit in several ways, such as providing support groups and educational classes in asthma, COPD, cancer, diabetes and cardiovascular disease, providing hand hygiene classes for 325 students and hand gel for every classroom at our two adopt-a-schools. 2c. Texas Health HEB is committed to improving the health of its community by focu Facility #2 - Texas Health Southlake Part V Section B, Ln 5-Facility #2 Texas Health Southlake 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, Texas Health Southlake conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: political leaders, faith community representatives, public health officials, lay community members, physicians, school official and city administration. The information gathered from the community feedback sessions helped Texas Health Southlake to understand the health needs from a community perspective and align this with the data analysis. Part V. Section B-7a - Facility #2 The CHNA is available at the hospital's website at www.texashealthsouthlake.com/thrinthecommunity.php. Part V. Section B-7d - Facility #2 Texas Health Southlake produced executive summaries of the completed CHNAs 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, Ln 11- Facility #2 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 Southlake 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 said issues, two areas were chosen and are being addressed through the 2014-2016 implementation plans. 2014 was the first year of implementation and the focus was to create the systems, structure and interventions that could be consistently deployed at the hospital and at other system hospitals for a consistent impact across the region. The two areas of priority are first, Awareness, Literacy and Navigation ("ALN") and second, Chronic Disease. In addition, our efforts were to clearly align and coordinate services and interventions with community partners for a collective impact to meet these two priority areas defined. 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. Collation of this information began through the community health councils and community partners during 2014. This "easy to understand and use" guide will provide key details including how to access the resource and/or service in the local community to meet the individual's needs. This guide information collected in 2014 will be made available in an online and/or print format during 2015. 1b. Community Benefit Grants: 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 collaborative. 1c. Support/sponsorship of relevant and targeted community programs to advance awareness and health literacy has begun. 1c1. Through a collaborative effort and sponsorship as a system, the 2nd Annual Health Literacy Symposium was held on April 16, 2014, for the DFW region. Other collaborators included United Way of Tarrant County, Area Agency on Aging and UNT Health Science Center. 1c2. Sponsorship and Partnering in Area Collaborations Working to Address ALN continues. Texas Health Southlake has maintained and supported relationships with key partners to address awareness, literacy, and navigation needs. 2. Chronic Disease - Community Health Improvement strategies include maintaining existing chronic disease programs provided at the hospital with a focus on self-management programs. Active partnerships and sponsorships aligned with the strategic foci to address chronic diseases remains a top priority. Texas Health Southlake 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) Injury and Violence - lack of expertise, low priority assigned, 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. 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) Nutrition, Physical Activity and Obesity - 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. 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) Reproductive and Sexual Health - 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) Transportation - lack of expertise. Part V Section B-16A&B - Facility #2 The website where FAP and FAP application was widely available: www.texashealthsouthlake.com/charitycare.php Pt V, Sec B-20e - Billing and Collections - Facility #2 A Plain Language Summary (PLS) of the charity policy is provided on the back of all billing statements. Pt V, Sec B-22d - Charges to Individuals Eligible for Assistance under the FAP- Facility #2 The hospital used the Look-Back Method to compute its Amounts Generally Billed (AGB) percentage. The 4 largest managed care plans were combined and averaged to calculate the AGB. The AGB percentage is used to determine the discount taken from the patient's gross charges. Initially, an uninsured patient is sent a bill with charges less the AGB percentage. If a patient becomes FAP-eligible, then charity care is given for the patient balance due. At no time will the patient pay more than the AGB percentage of their hospital bill. Patient Eligibility Part I, Line 3c 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 charity care 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 charity care application. Cost to Charge Ratio Pt I, Ln 7 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. Bad Debt Expense Part III, Lines 2, 3 & 4 Bad debt expense is not included as a community benefit for purposes of reporting community benefits to Texas. 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 management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage and other collection indicators for each of its major payor sources of revenue. Management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience and payment trends by payor category. Patient accounts are also monitored and, if necessary, past due accounts are placed with collection agencies in accordance with guidelines established by management. For receivables associated with services provided to patients who have third-party coverage, the System analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third party coverage exists for part of the bill), the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The System's allowance for doubtful accounts for self-pay patients (including allowances for charity care) increased from 96.0% of self-pay accounts receivable at December 31, 2013, to 96.1% of self-pay accounts receivable at December 31, 2014. In addition, the System's self-pay write-offs for bad debts increased from approximately $294,476,000 for fiscal year 2013 to approximately $310,000,000 for fiscal year 2014. The increase in write offs was the result of an overall increase in patient revenue in fiscal year 2014. 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. Medicare Shortfall Pt III, Ln 8 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 2014 is $39,732,086. Sch H requires a different method of calculating the Medicare shortfall shown on Part III, Lines 5-7. Debt Collection Part III, Line 9b 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 Charity Care Program Needs Assessment Part VI, Line 2 The organization is part of the Texas Health Resources (THR) healthcare system. In addition to the organization's Community Health Needs Assessment (CHNA), THR developed and implemented, as a healthcare system, a Community Benefit Framework (CBF), based on the Public Health Institute's best practices ASACB program. The CBF systematically integrates internal practices into the community to improve the efficiency and effectiveness of THR's community health improvement (CHI) strategy, to address disproportionate unmet health needs (DUHN), to address primary prevention and to improve community capacity. CBF provides a quantitative approach to parallel the CHNA in identifying key communities within THR's 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 entity community health representative to examine its structure and programs for gaps, needs, strengths, and alignment with the CBF, CHNA and ASACB standards. Patient Education Part VI, Line 3 A description of both the Charity Care program and application are available on the THR website at www.TexasHealth.org in English and Spanish. Signs alerting patients of charity care assistance and related contact information are posted in various areas of the hospital including admissions & registration, the emergency room and other outpatient departments. 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 Charity Care application and information flyer. The patient is informed that the hospital is a non-profit organization offering financial assistance to patients deemed medically or financially indigent. A Plain Language Summary titled "Getting Help Paying Your Bill" is included on the back of our patient statements. The plain language summary informs the patients of how to qualify for charity, how to apply for help, necessary documentation, and informs of THR's collection activities. The onsite financial counselors may assist the patient in completing the application and obtain available verification information. Once the patient is discharged, the counselors will continue to contact the patient to ensure all forms and verifications needed to file an application for governmental assistance and Charity Care have been provided. In certain cases, self-pay patients who are discharged before seeing a financial counselor receive both a phone call and a letter to alert them to the existence of the financial assistance program. Each bill sent for hospital services also contains contact information alerting patients that Texas Health has a charity care program. Community Information Part VI, Line 4 Texas Health Harris Methodist Hospital Hurst-Euless-Bedford (THHEB) is a suburban hospital in a service area with a population of 559,419. The average household income in THHEB's service area is $88,247. During the year, 15.3% of THHEB's patients were uninsured and 16.0% were Medicaid recipients. THHEB's service area has a rate of uninsured of 11.2% of the population. There are two for-profit acute care hospitals, one other not for profit acute care hospital and one not for profit children's hospital in THHEB's service area. Promotion of Community Health Part VI, Line 5 The board of trustees is comprised of community members including medical and business professionals. A majority of these trustees reside in the hospital's service area and volunteer their time to serve on the board. The hospital has an open medical staff and privileges are offered to qualified physicians in the community. The organization utilizes surplus funds to maintain access to patient services and to expand access to healthcare. The uses of these surplus funds include providing community benefit programs and expended capital improvements to the healthcare facilities of the organization. Of the $3,608,189 in contributions to community groups reported on Sch H, Part I, line 7i, $3,483,643 was contributed to or at the direction of Tarrant County Indigent Care Corporation, a charitable organization that provides various local organizations with funds to cover healthcare provided to indigent patients. Affiliated Health Care System Part VI, Line 6 - Affiliated Health Care System The organization is part of the THR healthcare system. THR is one of the largest faith-based, nonprofit healthcare delivery systems in the U.S. and the largest in North TX in terms of patients served. The system of 14 wholly controlled hospitals includes an organization for medical research and education. The system also includes a foundation that fosters philanthropic relationships which support the programs and services of the hospitals it supports. The mission of the hospitals in the THR system is to improve the health of the people in the communities we serve. THR takes its responsibility to its communities seriously and invests charitable resources to promote good health and prevent disease. Not only does THR provide health care to those who do not have the means to pay, its hospitals also conduct a variety of programs designed to improve health and prevent illness in the community. The community health strategies of THR and its affiliated healthcare organizations are driven by community health needs are community-based, include confronting health problems at the source and emphasize health promotion, disease prevention, and early treatment of illness. State Community Benefit Report Part VI, Line 7 The organization files a Texas Annual Statement of Community Benefit Standard Report. Texas has established a minimum level of charity care and community benefit that must be provided by nonprofit hospitals in order to retain their Texas tax-exempt status. The standard set by the state is met when charity care and community benefits are provided in a combined amount equal to at least five percent of the hospital's or hospital system's net patient revenue, of which charity care and government-sponsored indigent health care are provided in an amount equal to at least four percent of net patient revenue. The hospital is part of the THR system of healthcare organizations. During the year, the THR system, as a whole, reported to Texas total charity care and community benefits of $652,986,757, in the following categories: $165,719,172 in patient charity care,$49,022,054 in support provided through others,$21,946,439 in unreimbursed Medicaid, $22,545,619 in other community benefits and $393,753,472 in unreimbursed Medicare. Community Building Part II 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. Workforce Development Part II The organization also partners with local universities to increase promotion and training of diverse candidates into the healthcare workforce which in turns increases access to healthcare for many in the community. true City of Bedford 2000 Forest Ridge Bedford TX 76021 751166224 City 30000 Sponsorship Greater Ft Worth Builders Association 100 E 15th Street 600 Fort Worth TX 76102 750697316 501(c)(6) 17500 Sponsorship 1 2 Monitoring Grants Texas Health HEB (THHEB) 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. X X true true true true false false false false false false false Light JrJerry T Trustee 0 471941 0 0 0 700 0 11700 0 22198 0 506539 0 0 BoesCharles Assistant Secretary 0 408551 0 194194 0 226795 0 50591 0 14678 0 894809 0 99608 KramerKenneth J Assistant Secretary 0 250474 0 102500 0 136258 0 101031 0 24896 0 615159 0 55389 McClungBrett S EVP ZONE OPERATIONS LEADER 0 445392 0 178201 0 135723 0 162820 0 22479 0 944615 0 52015 McWhorterRicky E Assistant Secretary 0 307285 0 114754 0 127742 0 110053 0 7838 0 667672 0 54952 RansomElizabeth EVP ZONE CLINICAL LEADER 0 433266 0 171565 0 152288 0 47613 0 20767 0 825499 0 15504 SchroederJennifer Ann Assistant Secretary 0 174195 0 14626 0 100 0 10572 0 21040 0 220533 0 PaganelliDeborah Ann PRESIDENT THHEB 308446 0 97201 0 132681 0 34796 0 6734 0 579858 0 51268 LandSusann F CHIEF MEDICAL OFFICER THHEB 315421 0 71514 0 74980 0 35534 0 8310 0 505759 0 14803 0 NorrisLucy CHIEF NURSING OFFICER THHEB 147584 0 39334 0 215325 0 13267 0 12940 0 428450 0 31193 0 LandersAlice J VP PROF & SPRT SVCS THHEB 180469 0 34341 0 46764 0 11448 0 7052 0 280074 0 11168 0 JamesJaime L ENTITY FINAN OFFICER THHEB 173285 0 33381 0 50023 0 3984 0 21181 0 281854 0 17542 0 BerdanBarclay E Former Officer 0 757467 0 575693 0 422535 0 99214 0 21542 0 1876451 0 0 MitchellJohn D Former Officer 0 235009 0 89024 0 127181 0 31658 0 20824 0 503696 0 201768 DamaskeDavid Lawrence DIR PHARMACY 158097 0 4543 0 150 0 6956 0 11089 0 180835 0 0 39581 KelleyBrenda L DIR NRSG EMERGENCY SVC 134531 0 9995 0 10469 0 7794 0 9194 0 171983 0 0 0 WilsonMary Lou DIR NRSG WOMEN/CHILDREN 137077 0 10907 0 6362 0 8934 0 20947 0 184227 0 0 0 BasingerThomas Loyd PHARMACIST 153014 0 282 0 0 0 0 0 7358 0 160654 0 0 0 RiehmAnna Christine SUPPORT SVCS OFFICER THHEB 133061 0 8343 0 11340 0 10158 0 5721 0 168623 0 0 0 Schedule J, Part I, Line 1a - Gross-Up Payments Certain imputed income is grossed-up to include the employment taxes paid on the listed person's behalf. The grossed up amount is included in the taxable compensation of the employee. Schedule J, Part I, Line 1a - Discretionary Spending Account Each Executive at the vice president level and above receives a perk allowance which is included in the taxable compensation of the employee. Schedule J, Part I, Line 3 - CEO Compensation THE 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 COMPENSATION COMMITTEE COMPRISED OF EXTERNAL BOARD MEMBERS THAT REVIEW COMPENSATION PHILOSOPHY AND DESIGN. * 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 EXECUTIVE COMPENSATION & BENEFITS SUB-COMMITTEE WHICH IS MADE UP OF FIVE INDEPENDENT BOARD MEMBERS AND THE GOVERNANCE COMMITTEE TO REPORT THE RESULTS OF THE TOTAL COMPENSATION STUDY. AT THE BEGINNING OF EACH YEAR, THE EXECUTIVE COMPENSATION & BENEFITS SUB-COMMITTEE AND THE GOVERNANCE COMMITTEE REVIEW 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 Plan PARTICIPATION IN THE PLAN IS MADE AVAILABLE TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES, AS DETERMINED BY THE THR BOARD OF TRUSTEES, WHO ARE PROVIDING SERVICES TO AN EMPLOYER IN KEY POSITIONS OF MANAGEMENT AND RESPONSIBILITY. BENEFITS ARE CALCULATED FOR ELIGIBLE EMPLOYEES WHEN BASE PAY AND INCENTIVES EXCEED THE IRS QUALIFIED PLAN COMPENSATION LIMIT. SERP BENEFITS VEST WHILE THE PARTICIPANT IS EMPLOYED IF THE PARTICIPANT: REACHES AGE 65, BECOMES DISABLED, DIES, OR REACHES THE FOLLOWING YEARS OF SERVICE: 2 YEARS - 25%; 3 YEARS -50%; 4 YEARS - 75%; AND 5 OR MORE - 100%. FOR 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: * REMAINING EMPLOYED BY THR TO 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 OR HER TERMINATION OF EMPLOYMENT. PAYMENT IS MADE FOLLOWING THE BEFORE MENTIONED EVENTS, EXCEPT IN THE CASE OF INVOLUNTARY SEPARATIONS FOR WHICH THE PARTICIPANT MUST WAIT UNTIL AFTER 24 MONTHS TO RECEIVE THE PREVIOUSLY TAXED BENEFIT. FOR THE ACTIVE RESTORATION ACCOUNT (ACCOUNT BALANCES AFTER 12/31/2009)PARTICIPANTS MUST BE EMPLOYED ON DEC 1 TO QUALIFY FOR THE CURRENT YEAR'S SERP AMOUNT 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 AMOUNTS ARE CALCULATED EACH DEC 1; VESTED BALANCES ARE TAXED; AND THE NET BALANCES CAN BEGIN ACCRUING EARNINGS. VESTED BALANCES ARE PAID IN CASH LUMP SUMS WITHIN THE 90 DAY PERIOD COMMENCING UPON THE EARLIER OF DEATH, DISABILITY, OR SEPARATION FROM SERVICE. The deferred portion is included in Schedule J, Part II, column c. THR OWNS ANY INVESTMENTS PURCHASED IN CONNECTION WITH ITS OBLIGATIONS UNDER THE SERP PLAN. IF THR BECOMES INSOLVENT, EXECUTIVES ARE UNSECURED CREDITORS AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. Payouts TO THE FOLLOWING EMPLOYEES WERE MADE DURING THE YEAR. The deferred portion is included in Sch J, Part II, column c. THE AMOUNTS BELOW ARE INCLUDED IN THE AMOUNT REPORTED ON SCH J, PART II, COLUMN B(III) AND COLUMN (F). Berdan,Barclay E. $159,033.82 Boes,Charles $73,748.35 James,Jaime L $17,542.13 Kramer,Kenneth J. $43,770.94 Land,Susann F. $11,702.78 Landers,Alice J. $11,168.48 McClung,Brett S. $34,115.33 McWhorter,Ricky E. $43,077.34 Mitchell,John D. $28,976.36 Norris,Lucy $31,437.42 Paganelli,Deborah Ann $37,226.27 Schedule J, Part I, Line 4a - Severance THE SEVERANCE PAYMENT WAS PAID OUT as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. Lucy Norris $104,994 Business Relationship - Part VI, Section A, Line 2 Texas Health Resources (THR) and its related organizations included in the THR healthcare system encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees who are serving as officers, board members, or key employees may, from time to time, also serve on the boards of various community organizations such as church boards, United Way, etc. There may be a business relationship as a result of multiple THR employees serving on the same community boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards. Form 990 Filing- Part VI, Section B, Line 11b A 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 12c Texas Health Resources (THR) has adopted a Conflict of Interest Policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the first quarter of each fiscal year, a Duality and Conflict 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&B 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. In addition, every three years the independent compensation consultant reviews all aspects of executive compensation (base, incentives, benefits, etc.) At the beginning of each year, the executive compensation & benefits sub-committee and the governance committee review a detailed compensation report and the consultant's report for executive compensation. A summary of their findings are presented to the Board. A more in depth discussion of the executive compensation review can be found on Schedule J, Part III. Public Disclosure - Part VI, Section C, Line 19 The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner. Consolidated Financial Statements - Part XII, Line 2c Texas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process. Members - Part VI, Section A, Lines 6 & 7a Texas Health Resources (THR) is the sole member of Texas Health Harris Methodist Hospital Hurst-Euless-Bedford (THHEB). The board members of THR have the authority to approve the election of THHEB board Governance Decisions Reserved - Part VI, Section A, Line 7b The following actions require the approval of Texas Health Resources (THR) the sole member: (a) Amendment, restatement or repeal of the Certificate or Bylaws of the Corporation. (b) Sale, exchange, lease or other transfer of all or substantially all of the assets of the Corporation, including under Subchapter F of Chapter 11 of the Texas Business Organizations Code (BOC). (c) Merger or consolidation of the Corporation, including a plan of merger under Subchapter F of Chapter 11 of the BOC. (d) Dissolution of the Corporation. (e) Election of members to the Board of Trustees of the Corporation. (f) Removal of a member of the Board of Trustees of the Corporation. (g) Creation of affiliates or subsidiaries of the Corporation, and approval of their initial governing documents. (h) Incurrence of debt not otherwise included in the capital or operating budgets of the Corporation. (i) Discontinuing the operations of a licensed health care facility controlled by the Corporation. (j) Voluntary winding up under Chapter 11. (k) Revocation of a voluntary decision to wind up under chapter 11.151 of the BOC. (l) Cancellation of an event requiring winding up under Chapter 11.152 of the BOC. (m) A reinstatement under Chapter 11.202 of the BOC. (n) A distribution plan under Chapter 22.305 of the BOC. (o) A plan of conversion under Chapter 11, Subchapter F of the BOC. (p) A plan of exchange under Chapter 11, Subchapter F of the BOC. (q) Such other approval rights with respect to the Corporation as set forth in the Matrix. Harris Methodist Health System (HMHS), acting in accordance with the Corporation's Bylaws as a founding member of THR, must approve any action which would adversely affect the religious or church practices or affiliation of the Corporation. Harris Methodist Health System 612 E Lamar Blvd Arlington TX 76011 751823547 Support Org. TX 501(c)(3) 11a NA false Johnson County Community Care Corp 612 E Lamar Blvd Arlington TX 76011 452793120 Support Org. TX 501(c)(3) 11a TH Cleburne false North Texas Healthy Communities 612 E Lamar Blvd Arlington TX 76012 464513182 Comm Support TX 501(c)(3) 7 TH Resources false Presbyterian Healthcare Resources 612 E Lamar Blvd Arlington TX 76011 510190395 Support Org. TX 501(c)(3) 11c NA false Texas Health Arlington Memorial Hospital 800 West Randol Mill Rd Arlington TX 76012 750972805 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Alliance 10864 Texas Health Trail Fort Worth TX 76244 451502252 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Azle 108 Denver Trail Azle TX 76020 751748586 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Cleburne 201 Walls Dr Cleburne TX 76033 751977850 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 756001743 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Hurst-Euless-Bedford 1600 Hospital Parkway Bedford TX 76022 751438726 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Southwest Fort Worth 6100 Harris Parkway Fort Worth TX 76132 752678857 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Stephenville 411 Belknap Stephenville TX 76401 751752253 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Huguley Inc 11801 S Freeway Burleson TX 76028 452694620 Hospital FL 501(c)(3) 3 TH Resources false TX Health Outpatient Surg Ctr Alliance 10840 Texas Health Trail Fort Worth TX 76244 800800294 Hospital TX 501(c)(3) 3 TH Alliance false Texas Health Physicians Group 9229 LBJ Freeway Dallas TX 75243 752613493 Phys. Clinic TX 501(c)(3) 9 TH Resources false Texas Health Presbyterian Foundation 612 E Lamar Blvd Arlington TX 76011 752022128 Fundraising TX 501(c)(3) 7 TH Resources false Texas Health Allen 1105 Central Expressway N Allen TX 75013 752890358 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Dallas 8200 Walnut Hill Ln Dallas TX 75231 751047527 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Denton 3000 North Interstate 35 Denton TX 76201 432008974 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Kaufman 850 Ed Hall Drive Kaufman TX 75142 752771437 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Plano 6200 W Parker Rd Plano TX 75093 752770738 Hospital TX 501(c)(3) 3 TH Resources false TX Health Research & Education Institute 612 E Lamar Blvd Arlington TX 76011 752562191 Edu& Research TX 501(c)(3) 4 TH Resources false Texas Health Resources 612 E Lamar Blvd Arlington TX 76011 752702388 Mgmt Supp Org TX 501(c)(3) 11c NA false TX Health Resources Self-Insurance Trust 612 E Lamar Blvd Arlington TX 76011 756335902 Insur Trust TX 501(c)(3) 11c TH Resources false TH Specialty Hospital Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 751648589 LT Hospital TX 501(c)(3) 3 TH Resources false WW Ward Endowment Fund Trust 612 E Lamar Blvd Arlington TX 76011 756196065 Support Org. TX 501(c)(3) 11a TH Fndation false TH HEB Auxiliary 1600 Hospital Parkway Bedford TX 76022 237302201 Support Org TX 501(c)(3) 11c NA false Healthy Tarrant County Collaboration PO Box 8040 Fort Worth TX 76124 432087946 Support Org TX 501(c)(3) 11a TH Resources false AMH Cath Labs LLC 811 Wright St Arlington TX 76012 203003947 Hospital TX NA N/A Cleburne Imaging LLC PO Box 820519 Dallas TX 75382 460767278 Outpatient Diagno TX NA N/A Cleburne Surgical Center LLC 2010 W Katherine P Raines Blvd St Cleburne TX 76033 203742012 Amb Surg Ctr TX NA N/A Denton Surgery Center LLC 569 Brookwood Village Ste 901 Birmingham AL 35209 470926556 Amb Surg Ctr TX NA N/A Flower Mound Hospital Partners LLC 612 E Lamar Blvd Ste 600 Arlington TX 76011 260684968 Hospital TX NA N/A Fort Worth Endoscopy Centers LLC 900 W Magnolia Ave 101 Fort Worth TX 76104 770368346 Endocsopy Center TX NA N/A Greenville Surgery Center LLC 7150 Greenville Ave Ste 200 Dallas TX 75231 742411643 Amb Surg Ctr TX NA N/A Health Imaging Partners LLC 8610 Explorer Drive Ste 300 Colorado Springs CO 80920 271385885 Outpatient Diagno TX NA N/A North Dallas Surgical Center LLC 17980 Dallas Parkway Ste 100 Dallas TX 75287 272248103 Amb Surg Ctr TX NA N/A Physician Medical Center LLC 612 E Lamar Blvd 6th Flr Arlington TX 76011 481281376 Hospital TX NA N/A Presbyterian Cancer Center-Dallas LLC 1220 Senlac Drive 2nd Flr Carrollton TX 75006 260422749 Cancer Treatment TX NA N/A Rockwall Regional Hospital LLC 612 E Lamar Blvd 6th Flr Arlington TX 76011 202848116 Hospital TX NA N/A ShermanGrayson Healthcare System LLC 2400 Dallas Pkwy Plano TX 75093 272025497 Hospital TX NA N/A Southlake Specialty Hospital LLC 612 E Lamar Blvd 6th Flr Arlington TX 76011 020555370 Hospital TX TH HEB Related 7866049 12756564 false 0 false 0.47613 Surgical Caregivers of Fort Worth LLC 569 Brookwood Village Ste 901 Birmingham AL 35209 751925497 Amb Surg Ctr TX NA N/A Texas Health Craig Ranch Surgery Center 8080 State Hwy 121 Ste 100 McKinney TX 75070 383897811 Amb Surg Ctr TX NA N/A Texas Health Flower Mound Orthopedic Sur 5000 Long Prairie Road Flower Mound TX 75028 800866449 Amb Surg Ctr TX NA N/A Texas Health MedSynergies LLC 909 Hidden Ridge Ste 300 Irving TX 75038 800272951 Mgmt Services TX NA N/A Texas Health Spine Center Arlington 1545 E Southlake Blvd Ste 100 Southlake TX 76092 464143686 Inactive TX NA N/A Texas Institute for Surgery LLP 7715 Greenville Ave Ste 100 Dallas TX 75231 770628004 Hospital TX NA N/A THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 262429878 Amb Surg Ctr TX NA N/A THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 201728912 Amb Surg Ctr TX NA N/A USMD Hospital at Arlington LP 801 I -20 West Arlington TX 76017 731662763 Hospital TX NA N/A USMD Hospital at Fort Worth LP 6333 North State Hwy 161 Ste 200 Irving TX 75038 203571243 Hospital TX NA N/A Wilson Creek Surigcal Center LLC 8855 Synergy Drive McKinney TX 75070 274816583 Amb Surg Ctr TX NA N/A Women's Specialty Surgery Center 8230 Walnut Hill Ln Ste 101 Dallas TX 75231 262310072 Amb Surg Ctr TX NA N/A Grace Indemntiy Company Ltd 1159 Caribbean Plaza Grand Cayman CJ KY 1-1102 981209573 Captive Insurance CJ C Corp false Huguley Medical Associates Inc 11801 South Freeway Burleson TX 76028 752547668 Phys Clinics TX C Corp false Texas Health Biomedical Advancement Cent 612 E Lamar Blvd Arlington TX 76011 752636884 Research TX C Corp false Texas Health Resources Casualty Company 612 E Lamar Blvd Arlington TX 76011 030310676 Insurance VT C Corp false Texas Health Resources Cardiovascular Se 612 E Lamar Blvd Arlington TX 76011 465588632 Inactive TX C Corp false Texas Health Resources Joint Services 612 E Lamar Blvd Arlington TX 76011 465365421 Inactive TX C Corp false Texas Health Resources Spine Services 612 E Lamar Blvd Arlington TX 76011 465347751 Inactive TX C Corp false Texas Health Resources Women's Services 612 E Lamar Blvd Arlington TX 76011 465330487 Inactive TX C Corp false Charitable Remainder Trusts (4) 612 E Lamar Blvd Arlington TX 76011 CR Trust TX Trust false false false true false false false false false false true true true true false false true true true true Southlake Specialty Hospital LLC S 7856215 JV Agreement Southlake Specialty Hospital LLC L 248517 Contract Related Transactions- Part V, Line 2 Texas Health Resources (THR) is the parent organization in a large healthcare system made up of both wholly owned entities as well as related controlled joint ventures as listed on Schedule R. THR's role is to plan, manage and coordinate the activities of the affiliated healthcare system in order to maximize opportunities to deliver cost effective quality medical care to residents of north central Texas. THR provides direction and oversight to its wholly owned affiliates through centralized services. They also provide oversight for the controlled joint ventures. As an integral part of providing centralized services to the affiliates, THR maintains intercompany receivable/payable accounts, most of which do not fall within the scope of IRC Section 512(b)(13). The range of centralized services provided by THR include information services, managed care contracting, Human resources, revenue cycle, billing and collections, patient access/admissions, legal, tax, compliance, supply chain, quality, business development, insurance, treasury, marketing, general accounting, real estate services, coding, transcription and strategic planning. In addition, THR does daily cash sweeps of all controlled tax exempt entity cash accounts. As a result, THR has numerous daily transactions with controlled tax exempt entities, none of which fall within the scope of IRC Section 512(b)(13). A management fee is charged for the centralized services and reported on Form 990, Part VII, Section B as a professional services fee. Transactions with related tax exempt organizations falling within the meaning of centralized services as described above, are not listed on Schedule R, Part V, Line 2. Additional Information-Part III Texas Health Harris Methodist Hospital Hurst-Euless-Bedford(THHEB) owns a 47.6% interest in and has governance control of Southlake Specialty Hospital, LLC. This entity has been reported on the Schedule R as a related entity.