2015-11-13T12:57:43-06:00 2014-12-31 ERNST & YOUNG LLP US 800 YARD STREET STE 200 GRANDVIEW HEIGHTS OH 43212 990 2014-01-01 752702388 Texas Health Resources % DAVID JACKSON TEXA 6822367900 612 E Lamar Blvd Arlington TX 76011 Rick McWhorter Assistant Secretary 9036827900 2015-11-13 Diane L Bean P00104972 6142245678 2014 2016-04-25 22:37:26Z Barclay Berdan 612 E Lamar Blvd Arlington TX 76011 1829514539 false X texashealth.org X 1997 TX Through its affiliates, THR operates an integrated healthcare system with services and facilities throughout north central texas to improve healthcare. 17 15 3363 928107 -1459689 329765 1114693 503688986 596809071 210272366 266958695 4037672 3731780 718328789 868614239 519625 407950 0 0 223442988 246941832 0 0 0 208644688 257486019 432607301 504835801 285721488 363778438 3778224317 4373662531 2972008605 3221049836 806215712 1152612695 X THROUGH ITS AFFILIATES, THR OPERATES AN INTEGRATED HEALTHCARE SYSTEM WITH SERVICES AND FACILITIES THROUGHOUT NORTH CENTRAL TEXAS to improve the health of the people in the communities they serve. false false 504835801 407950 598562205 Founded in 1997, Texas Health Resources (THR) provides direction and oversight to its wholly-controlled affiliates. The range of centralized services provided by THR include information services, managed care contracting, human resources, revenue cycle, legal, tax, compliance, supply chain, business development, insurance, treasury, marketing, general accounting, and strategic planning. THR operates professional office buildings leased primarily to physicians who are members of the medical staff of THR affiliated hospitals. THR also operates, manages and coordinates physician services through Texas Health Physicians Group (THPG), a wholly owned affiliate of THR. THPG is a network of primary and specialty care physician practices providing the north Texas area community access to quality health care delivered either through an office setting or through a hospital program. 504835801 true true false true false false false false false false true false false false true false false true false true true false false false false false true true true true true true false false false false false true false false false false false false false false true true true true false false true 449 0 true 3363 true true true false false false false false false false false false X 17 15 true false false false true true true true true false false true true true true true true true true true true X DAVID JACKSON 6822367900 612 E LAMAR BLVD Arlington TX 76011 Bass Anne Chairman 3.0 0.0 X 216 0 0 Beavers DMin Jay Trustee 3.0 0.0 X 0 0 0 Bloemendal MD FACS Lee Trustee 3.0 0.0 X 0 0 0 Curnutt Mary Trustee 3.0 0.0 X 0 0 0 Ferguson III John Vice Chairman 3.0 0.0 X 0 0 0 Greene Richard Trustee 3.0 0.0 X 0 0 0 Haggar III Joseph Trustee 3.0 0.0 X 0 0 0 Hunt Hunter Trustee 3.0 0.0 X 0 0 0 Jarvis Feliz Trustee 3.0 0.0 X 0 0 0 Nunez MD Ignacio Trustee 3.0 0.0 X 71700 0 0 Roberts Leonard Immediate Past Chair 3.0 0.0 X 0 0 0 Stripling MD Dennis Trustee 3.0 0.0 X 0 0 0 Tatum Stephen Trustee 3.0 0.0 X 0 0 0 Turner Wesley Trustee 3.0 0.0 X 0 0 0 Vigness MD Richard Trustee 3.0 0.0 X 16000 0 0 Wilder Jr Charles Trustee 3.0 0.0 X 0 0 0 Wynne James Trustee 3.0 0.0 X 0 0 0 HawthorneDouglas D FOUNDING CEO EMERITUS 40.0 2.0 X 2470273 0 70486 BerdanBarclay E CHIEF EXECUTIVE OFFICER 40.0 2.0 X 1755695 0 120756 LongRonald R EVP RSRC DEVL & DEPLOY & CFO 40.0 2.0 X 1095629 0 291996 AmparanOscar L EVP ZONE OPERATIONS LEADER 40.0 2.0 X 1050594 0 34639 CanoseJeffrey L EVP SR & COO THR 40.0 2.0 X 1004461 0 245457 VargaDaniel W EVP SR & CHIEF CLINICAL OFFICE 40.0 2.0 X 960300 0 100232 BellBonnie L EVP PEOPLE & CULTURE 40.0 0.0 X 917751 0 40218 SchollJonathan Wade EVP CHIEF STRATEGY OFFICER 40.0 0.0 X 870802 0 232388 BoesCharles EVP GENERAL COUNSEL/Secretary 40.0 2.0 X 829540 0 65269 LesterMark C EVP ZONE CLINICAL LEADER 40.0 2.0 X 775331 0 61416 BerenzweigHarold K EVP ZONE CLINICAL LEADER 40.0 2.0 X 771155 0 67236 McClungBrett S EVP ZONE OPERATIONS LEADER 40.0 2.0 X 759316 0 185299 RansomElizabeth EVP ZONE CLINICAL LEADER 40.0 2.0 X 757119 0 68380 NguyenTricia H EVP Popltn Hlth Mgmt/Pres Inst 20.0 20.0 X 604114 0 77797 McWhorterRicky E SVP FINANCE/ Asst Secretary 40.0 2.0 X 549781 0 117891 KramerKenneth J SVP ASSOC GEN COUNSEL/Asst Sec 40.0 2.0 X 489232 0 125927 James Kirk King THAM President/EVP 0.0 40.0 X 0 742634 165124 MimsKrystal SVP CARE CONTINUUM & COLLABORA 40.0 0.0 X 700644 0 73417 MarxEdward SVP CHIEF INFO OFFICER 40.0 0.0 X 682015 0 41529 VelascoFerdinand T SVP & CHIEF HLTH INFO OFFICER 40.0 0.0 X 625516 0 159916 Shinkus ClarkJoan Frances SVP CHIEF NURSING EXECUTIVE 40.0 0.0 X 565318 0 43889 RoperJack R SVP FINANCE 40.0 0.0 X 559762 0 17195 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true Supported Organizations - Part IV, Section A, Line 1 The governing documents of Texas Health Resources (THR) do not list all Working Relationship-Part IV, Section D, Lines 2&3 THR is the controlling "parent" organization of a large health care Officer/Board Appointments-Part IV, Section E, Line 3a THR must approve all board members and officers of each entity in the THR Substantial Direction -Part IV, Section E, Line 3b See Response to Schedule A, Part VI, Section D, Lines 2 & 3 Additional Support - Part IV, Section A, Line 6 Texas Health Resources (THR) provides minimal support to various national Substantial Direction-Part IV, Section E, Line 3b As discussed in detail in the explanation to Schedule A, Part IV, Section RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 3551 false true 140743 true 1278532 false false 1422826 false Additional Information Texas Health Resources (THR) is the parent organization for a healthcare system consisting of hospitals and other related healthcare organizations. The amount of expenses paid, or incurred in connection with lobbying activities reported on this return represent the expenses incurred on behalf of THR and all its affiliates. Total expenses for the system were $3,751,163,350 for the year ended December 31,2014. Of this amount $1,421,455(.0379%) is used in connection with lobbying activities. Officers and/or Board members of THR may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities that THR serves. In pursuing this activity, officers and/or Board members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters. A portion of the dues paid to the American Hospital Association and Texas Hospital Association are used by these organizations to support lobbying activites. The amount of time and money involved in the activities described above is negligible. In no case has either THR, or any person acting on behalf of THR, intervened in any political campaign. 63054034 63054034 224163504 152149992 72013512 172401603 40379342 132022261 360054417 239733243 120321174 46153850 46153850 433564831 1323 SECURITY DEPOSIT 25832 TRUSTEE FUNDS-SUPP RETIREMENT 3235233 TRUSTEE FUNDS-CAA 376774 POST RETIREMENT BENEFITS 5606251 UNAMORTIZED RENT 2502023 OTHER LIABILITIES 7022914 ASSET RETIREMENT OBLIGATION 1574072 MALPRACTICE TRUST RESERVE 30503168 INTERCOMPANY PAYABLE 1461814542 FMW SWAP AGREEMENT 3847368 MINORITY INTEREST 44452430 1560961930 Central America and the Caribbean Investments 200000 Central America and the Caribbean 9 Send agents to seminar capitive insurace 6318 Central America and the Caribbean 9 Conduct board meetings captive insurance 7162 Sub-Saharan Africa 4 Program Services Medical School 24802 22 22 238282 238282 true false true false false false true true X true X true X 900. true true false true true 3925755 1692698 2233057 0.01080 13901868 6962493 6957240 0.03370 445383 212730 232653 0.00110 18273006 8867921 9422950 0.04560 1967910 1967910 0.01170 182812 45070 137742 0.00080 651864 651864 0.00390 2802586 45070 2757516 0.01640 21075592 8912991 12180466 0.06200 39371 39371 0.00020 353700 353700 0.00170 393071 393071 0.00190 true 29276126 52277662 53324667 -1047005 X true true Flower Mound Hosp Hospital 0.54580 0.00200 0.29290 Greenville Surg Ctr Ambulatory Surgery Center 0.80300 0.17850 Physician Med Ctr Hospital 0.06060 0.00710 0.37700 Rockwall Regional Hospital 0.59750 0.00410 0.37460 Southlake Specialty Hospital 0.06080 0.45080 Surg Caregivers FW Ambulatory Surgery Center 0.51000 0.49000 TH Flower Mound Orth Orthopedic Surgery Center 0.51000 0.49000 THR-STT Rockwall ASC Ambulatory Surgery Center 0.51000 0.49000 THR-STT Southlake Ambulatory Surgery Center 0.51000 0.49000 USMD Arlington Hospital 0.51000 0.49000 USMD Fort Worth Hospital 0.50970 0.49030 Denton Surgery Ctr Ambulatory Surgery Center 0.60320 0.39680 TH Craig Ranch Ambulatory Surgery Center 0.66000 0.34000 N Dallas Surgical Ambulatory Surgery Center 0.51000 0.49000 TX Health Spine Ctr Ambulatory Surgery Center 0.51000 0.49000 Wilson Creek Surgery Ambulatory Surgery Center 0.51000 0.48030 North Texas ACO Accountable Care Organization 0.50000 0.50000 7 1 Rockwall Regional Hospital 3150 Horizon Rd Rockwall TX 75032 www.texashealthrockwall.com 008599 X X X 2 Physicians Medical Center LLC 6020 Parker Rd Plano TX 75093 www.thcds.com 008153 X X X 3 Southlake Specialty Hospital LLC 1545 E Southlake Blvd Southlake TX 76092 www.texashealthsouthlake.com 008128 X X X 4 Flower Mound Hospital Partners 4400 Long Prairie Rd Flower Mound TX 75028 www.texashealthflowermound.com 100056 X X X 5 USMD Hospital at Arlington 801 W Interstate 20 Arlington TX 76017 www.usmdarlington.com 007990 X X X 6 USMD Hospital at Fort Worth 5900 Dirks Rd Fort Worth TX 76132 www.usmdfortworth.com 008614 X X X 7 Sherman Grayson Health System 500 N Highland Sherman TX 75092 www.wnj.org 100066 X X X Rockwall Regional Hospital 1 false false true X X X X X X X X X 13 true false false true X texashealthrockwall.com/community-health 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 Physicians Medical Center LLC 2 false false true X X X X X X X X X 13 true false false true X www.thdcs.com/about 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 Southlake Specialty Hospital LLC 3 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 Flower Mound Hospital Partners 4 false false true X X X X X X X X X 13 true false false true X www.texashealthflowermound.com/community 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 USMD Hospital at Arlington 5 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 true X false X X X X true X false false USMD Hospital at Fort Worth 6 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 true X false X X X X true X false false Sherman Grayson Health System 7 false false true X X X X X X X X X 13 true false false true X www.texashealth.org/chna X true 14 true www.texashealth.org/chna false false true X 200. 300. X X X X X true true X X X X true X true X false X X true X false false Facility #1 -Rockwall Regional Hospital Part V Section B, Ln 5 -Facility #1 Rockwall Regional Hospital utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, Rockwall Regional Hospital 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 officials and city administration. The information gathered from the community feedback sessions helped Rockwall Regional Hospital to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7d - Facility #1 Rockwall Regional Hospital 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, Rockwall Regional Hospital 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 plan. 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. Support/sponsorship of Community Health and Wellness activities: The hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 1c. Texas Health Rockwall provided a range of health information on promoting healthy living, diabetes, nutrition, breast cancer, colon cancer, preventive services, preventive health, bike safety, CPR and many other topics addressing the health needs of different populations in the communities served. This was provided through various outreach efforts such as Health Fairs in the community and in settings such as local businesses, health clinics and chamber of commerce events. Through these efforts and with active involvement of about 230 hospital employees over 2,853 people were reached in the Rockwall Community. 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. 2a. The hospital provided and facilitated Bariatric Surgery Support group to strengthen individual skills related to managing weight and reducing obesity through sessions that address actions such as journaling, using local park resources as a "gym" and learning to manage eating during the holiday season. 2b. The hospital provided a Diabetes class focused on healthy nutrition and management of the disease. Rockwall Regional Hospital 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) 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) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support. 9) Transportation - lack of expertise. Part V Section B-16A&B - Facility #1 The website where FAP and FAP application was widely available: www.texashealthrockwall.com/patient-visitors/insurance-billing.html Pt V, Sec B-20e - Facility #1 - Billing and Collections A Plain Language Summary (PLS) of the charity policy is provided on the back of all billing statements. Pt V, Sec B-22d - - Facility #1 Charges to Individuals Eligible for Assistance under the FAP 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. 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. Facility #2 - Physicians Medical Center, LLC Part V Section B, Ln 5 -Facility #2 Physicians Medical Center, LLC utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, Physicians Medical Center, LLC conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: faith community representatives, public health officials, lay community members, and school officials. The information gathered from the community feedback sessions helped Physicians Medical Center, LLC to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7d - Facility #2 Physicians Medical Center, LLC 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, Physicians Medical Center, LLC 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 plan. 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. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 1c. PMC Plano provided sponsorship and/or donations for various community efforts such as Heart Walk and Food Drives. The hospital also addressed the health needs of women in the community by providing outreach through efforts such as Ladies Night Out events to provide health information on promoting healthy living, heart health and preventive health. Through these efforts and with active involvement of 12 employees, over 346 people were reached in the community. 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. Physicians Medical Center, LLC 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) Mental Health - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 3) 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. 4) Oral Health - lack of expertise. 5) Other Clinical/Preventive - the facility will continue to address the need at its current level of support. 6) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. 7) Transportation - lack of expertise. Part V Section B-16A&B - Facility #2 The website where FAP and FAP application was widely available: www.thcds.com/patient-visitors/billing-information/ Pt V, Sec B-20e - Facility #2 - Billing and Collections A Plain Language Summary (PLS) of the charity policy is provided on the back of all billing statements. Pt V, Sec B-22d - - Facility #2 Charges to Individuals Eligible for Assistance under the FAP 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. Facility #3 -Southlake Specialty Hospital LLC Part V Section B, Ln 5 -Facility #3 Southlake Specialty Hospital, LLC utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, Southlake Specialty Hospital, LLC conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: faith community representatives, public health officials, lay community members, and school officials. The information gathered from the community feedback sessions helped Southlake Specialty Hospital, LLC to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7a - Facility #3 The CHNA is available at the hospital's website at www.texashealthsouthlake.com/thrinthecommunity.php. Part V. Section B-7d - Facility #3 Southlake Specialty Hospital, LLC 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 #3 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, Southlake Specialty Hospital, LLC 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 plan. 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. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 1c. Texas Health Southlake provided a range of health information on promoting healthy living, diabetes, nutrition, heart health, cancer, preventive health and other topics addressing the health needs of different populations in the communities served. This was provided through various outreach efforts such as Health Fairs in the community and in settings such as local businesses, city and chamber of commerce events. Through these efforts and with active involvement of about 478 hospital employees over 105,520 people were reached in the community. 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. Southlake Specialty Hospital, LLC 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 - 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) Preventive/Wellness - 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) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. 7) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support. 8) Transportation - lack of expertise. Part V Section B-16A&B - Facility #3 The website where FAP and FAP application was widely available: www.texashealthsouthlake.com/charitycare.php Pt V, Sec B-20e - Facility #3 - Billing and Collections A Plain Language Summary (PLS) of the charity policy is provided on the back of all billing statements. Pt V, Sec B-22d - - Facility #3 Charges to Individuals Eligible for Assistance under the FAP 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. Facility #4 - Flower Mound Hospital Partners Part V Section B, Ln 5 -Facility #4 Flower Mound Hospital Partners utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, Flower Mound Hospital Partners conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: faith community representatives, public health officials, lay community members, physicians and school officials. The information gathered from the community feedback sessions helped Flower Mound Hospital Partners understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7d - Facility #4 Flower Mound Hospital Partners 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 #4 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, Flower Mound Hospital Partners 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 plan. 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. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 1c. Texas Health Flower Mound provided health fairs targeted to different populations in the communities served such as the Woman's Health Fair, the YMCA Health Fair and Seniors in Motion. In addition, several sponsorships were provided to the address the health needs of the community which included communities in schools of north Texas, Denton County Food Bank to supporting a community Baby shower. Through these efforts and with active involvement of about 94 hospital employees over 37,000 people were reached in the Flower Mound Community. 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. Flower Mound Hospital Partners 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) Mental Health - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 3) 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. 4) 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. 5) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. Part V Section B-16A&B - Facility #4 The website where FAP and FAP application was widely available: www.texashealthflowermound.com/patient-visitor-info/charity-care/ Pt V, Sec B-20e - Facility #4 - Billing and Collections A Plain Language Summary (PLS) of the charity policy is provided on the back of all billing statements. Pt V, Sec B-22d - - Facility #4 Charges to Individuals Eligible for Assistance under the FAP 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. Facility #5 - USMD Hospital at Arlington Part V Section B, Ln 5 -Facility #5 USMD at Arlington utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, USMD at Arlington conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: public health officials, lay community members, school officials and city administration. The information gathered from the community feedback sessions helped USMD at Arlington understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7a - Facility #5 The CHNA can be found on the hospital's website at www.usmdarlington.com/patients-visitors/locations-directions. Part V. Section B-7d - Facility #5 USMD at Arlington 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 #5 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, USMD at Arlington 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 plan. 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. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 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. USMD at Arlington 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) Maternal, Infant & Child Health - the facility will continue to address the need at its current level of support. 3) Mental Health - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 4) Oral Health - lack of expertise. 5) Other Clinical/Preventive - the facility will continue to address the need at its current level of support. 6) Preventive/Wellness - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 7) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. 8) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support. 9) Transportation - lack of expertise. Pt V, Sec B-22d - - Facility #5 Charges to Individuals Eligible for Assistance under the FAP 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. Facility #6- USMD Hospital at Fort Worth Part V Section B, Ln 5 - Facility #6 USMD Hospital at Fort Worth utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, USMD Hospital at Fort Worth conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: public health officials, lay community members, and school officials. The information gathered from the community feedback sessions helped USMD Hospital at Fort Worth understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7a - Facility #6 The CHNA can be found on the hospital's website at www.usmdfortworth.com/patients-visitors/locations-directions. Part V. Section B-7d - Facility #6 USMD Hospital at Fort Worth 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 #6 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, USMD Hospital at Fort Worth 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 plan. 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. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 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. USMD Hospital at Fort Worth 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) Cancer - 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) 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. 4) Maternal, Infant & Child Health - the facility will continue to address the need at its current level of support. 5) Mental Health - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 6) 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. 7) Oral Health - lack of expertise. 8) Other Clinical/Preventive - 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) Tobacco - low priority assigned. 11) Transportation - lack of expertise. Pt V, Sec B-22d - - Facility #6 Charges to Individuals Eligible for Assistance under the FAP 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. Facility #7 - Sherman Grayson Health System Part V Section B, Ln 5 -Facility #7 Sherman Grayson Health System (Sherman Grayson) utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, Sherman Grayson conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: political leaders, lay community members, physicians, school officials and city administration. The information gathered from the community feedback sessions helped Sherman Grayson to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B, Line 7d - Facility #7 Sherman Grayson 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 #7 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, Sherman Grayson 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 plan. 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. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 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. 2a. The hospital provided a range of health information on heart disease, weight management, and diabetes addressing the health needs of different populations in the communities served. This was provided through various outreach efforts such as health and community events at which both screenings and/or health information was provided. Through these efforts and with active involvement of about 36 hospital employees over 2,500 people were reached in the community. Sherman Grayson will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support. 2) Cancer - The 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) 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. 4) Maternal, Infant & Child 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. 5) Mental Health - resource constraints, lack of effective intervention 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) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. 9) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support. 10) Tobacco - low priority assigned. 11) Transportation - lack of expertise. 12 Health Imaging Partners LLC 8610 Explorer Dr 300 Colorado Springs CO 80920 Outpatient Diagnostic Imaging Surgical Caregivers of Fort Worth LP 3000 Riverchase Galleria 500 Birmingham AL 35244 Ambulatory Surgery Center THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 Ambultory Surgery Center TX Health Flower Mound Orthopedic Surg 5000 Long Prairie Rd Flower Mound TX 75028 Ambulatory Surgery Center THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 Ambulatory Surgery Center Greenville Surgery Center LLC 3000 Riverchase Galleria 500 Birmingham AL 35244 Ambulatory Surgery Center Denton Surgery Center LLC 3000 Riverchase Galleria Birmingham AL 35244 Ambulatory Surgery Center Texas Health Craig Ranch Surgery Ctr LLC 8080 State Hwy 121 Ste 100 McKinney TX 75070 Ambulatory Surgery Center Cleburne Surgical Center LLC 2010 W Katherine P Raines Blvd Ste Cleburne TX 76033 Ambulatory Surgery Center Fort Worth Endoscopy Center LLC 569 Brookwood Village Suite 901 Birmingham AL 35209 Ambulatory Surgery Center North Dallas Surgery Center LLC 5141 Virginia Way Suite 420 Brentwood TN 37027 Ambulatory Surgery Center Wilson Creek Surgery Center LLC 8855 Synergy Dr McKinney TX 75070 Ambulatory Surgery Center Patient Eligibility Part I, Line 3c The Schedule H for Texas Health Resources ("THR")is filed solely because it has an ownership interest in 7 taxable joint ventures operating as hospitals. THR is a functionally integrated supporting organization and does not operate its own hospital. THR supports a system of faith-based, non-profit hospitals, an employed physician organization and an organization for medical research and education. THR has adopted a charity care policy which covers all 14 non-profit hospitals it supports. 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 Part 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. Each of the Joint Venture hospitals estimates bad debt expense utilizing various methods, analytical tools and benchmarks. Typically, bad debt expense is based upon a combination of factors including, but not limited to, aging of receivables, analyzing revenue trends in the healthcare industry and payor class, and assessing historical collection experience considering business and economic conditions. Medicare Shortfall Part 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. THR is the parent company of a healthcare system filing a combined community benefit report in Texas. THR is not a hospital and does not have Medicare data to report to Texas. The data provided for Sch H is THR's share of operations from its taxable joint ventures which operate hospitals in Texas. The taxable joint ventures are not required to file community benefit reports with or report Medicare Shortfalls to the State of Texas. 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 the parent of the Texas Health Resources (THR) healthcare system. In addition to the THR hospitals' 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's community health representative to examine its structure and programs for gaps, needs, strengths, and alignment with the CBF, CHNA and ASACB standards. Community Information Part VI, Line 4 Texas Health Resources does not operate its own hospital, but has ownership in 7 joint ventures operating as hospitals. The joint ventures operate hospitals in various communities throughout North Texas. The communities served by the hospitals vary in age and race. The population of the communities range from 129,000 to 1.3 million and the percentage of the population in these communities who are uninsured varies from 13% to 22.5%. The median income of the communities served by the hospitals ranges from $42,000 to $84,000. Promotion of Community Health Part VI, Line 5 Each of the Joint Venture hospitals further THR's exempt purpose by promoting the health of the community by following THR's charity care policy, by conducting a CHNA along with adopting the implementation strategy set forth and by providing discounted healthcare to FAP-eligible individuals in the community. Affiliated Health Care System Part VI, Line 6 The organization is the parent of the THR healthcare system. THR is one of the largest faith-based, nonprofit healthcare delivery systems in the US and the largest in North TX in terms of patients served. The system of 14 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. 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. THR is the parent company of a healthcare system filing the combined community benefit report in Texas. THR reported other community benefits in this report. The data provided for Schedule H is THR's share of operations from its taxable joint ventures which operate hospitals in Texas. The taxable joint ventures are not required to file community benefit reports with the state of Texas. 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 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. The organization also partners with local universities to increase promotion and training of diverse candidates into the healthcare workforce which in turn increases access to healthcare for many in the community. true American Diabetes Association 4000 Alpha Road Dallas TX 75244 131623888 501(c)(3) 44000 General Purpose March of Dimes Foundation 12660 Coit Rd Ste 200 Dallas TX 75251 131846366 501(c)(3) 32500 General Purpose American Cancer Society 8900 John W Carpenter Freeway Dallas TX 75247 131788491 501(c)(3) 30000 General Purpose Texas Medical Association 401 W 15th Street Suite 100 Austin TX 78701 741078510 501(c)(6) 30000 General Purpose Dallas US Conference of Mayors 400 South Record St Dallas TX 75202 463073520 501(c)(6) 25000 General Purpose Trinity University 1 Trinity PL San Antonio TX 78212 741109633 501(c)(3) 25000 General Purpose Salesmanship Club of Dallas 106 East Tenth Street Dallas TX 75203 750717135 501(c)(3) 20000 General Purpose Cancer Support Community North Texas PO Box 601744 Dallas TX 75360 752633654 501(c)(3) 13000 General Purpose Austin College 900 N Grand Ave Ste 6F Sherman TX 75090 750827409 501(c)(3) 10000 General Purpose Boy Scouts of America 8605 Harry Hines Blvd Dallas TX 75235 750800615 501(c)(3) 7500 General Purpose Texas Health Resources Foundation 612 E Lamar Blvd Arlington TX 76011 752022128 501(c)(3) 8800 Greer Garson Gala Susan G Komen Greater Fort Worth 2216 Green Oaks Rd Fort Worth TX 76116 752445070 501(c)(3) 5500 General Purpose Dallas Holocaust Museum 211 N Record Street Dallas TX 75202 752113723 501(c)(3) 5500 General Purpose Crystal Charity Ball 3838 Oaklawn Ave Dallas TX 75219 756035893 501(c)(3) 12500 General Purpose YMCA of Metropolitan Dallas 601 N Akard St Dallas TX 75201 750800696 501(c)(3) 12000 General Purpose YMCA of Metropolitan Fort Worth 512 Lamar St Fort Worth TX 76102 750827471 501(C)(3) 7000 General Purpose Youth Improved Inc 10255 west Higgins Rosemont IL 60018 270988546 501(c)(3) 10000 General Purpose 15 2 Texas A&M University Scholarships 2 6000 Procedures for Monitoring Grants Texas Health Resources (THR) receives various requests from the community for assistance. THR management reviews these requests to verify that they are benefiting the community and they are in agreement with THR's mission. The grants or assistance given by THR are generally to local organizations that have a longstanding record of benefiting the local community. Since the vast majority of the assistance given by THR is to local organizations, management is able to monitor the use of the funds using personal inspection. Many of the events are published in the local paper. Many are community wide events where THR employees attend, or work as volunteers or coordinators. X X X X X X true true X X X X true true false false false false false false false HawthorneDouglas D FOUNDING CEO EMERITUS 1147329 0 672196 0 650748 0 54681 0 15805 0 2540759 0 403402 0 BerdanBarclay E CHIEF EXECUTIVE OFFICER 757467 0 575693 0 422535 0 99214 0 21542 0 1876451 0 201768 0 LongRonald R EVP RSRC DEVL & DEPLOY & CFO 593819 0 268781 0 233029 0 275359 0 16637 0 1387625 0 150230 0 AmparanOscar L EVP ZONE OPERATIONS LEADER 555905 0 262042 0 232647 0 19500 0 15139 0 1085233 0 146127 0 CanoseJeffrey L EVP SR & COO THR 518833 0 223906 0 261722 0 229225 0 16232 0 1249918 0 102300 0 VargaDaniel W EVP SR & CHIEF CLINICAL OFFICE 644021 0 210253 0 106026 0 77444 0 22788 0 1060532 0 13345 0 BellBonnie L EVP PEOPLE & CULTURE 362654 0 243396 0 311701 0 19500 0 20718 0 957969 0 143685 0 SchollJonathan Wade EVP CHIEF STRATEGY OFFICER 537502 0 241108 0 92192 0 211282 0 21106 0 1103190 0 48931 0 BoesCharles EVP GENERAL COUNSEL/Secretary 408551 0 194194 0 226795 0 50591 0 14678 0 894809 0 99608 0 LesterMark C EVP ZONE CLINICAL LEADER 437039 0 200895 0 137397 0 47478 0 13938 0 836747 0 40229 0 BerenzweigHarold K EVP ZONE CLINICAL LEADER 447865 0 213429 0 109861 0 51676 0 15560 0 838391 0 58261 0 McClungBrett S EVP ZONE OPERATIONS LEADER 445392 0 178201 0 135723 0 162820 0 22479 0 944615 0 52015 0 RansomElizabeth EVP ZONE CLINICAL LEADER 433266 0 171565 0 152288 0 47613 0 20767 0 825499 0 15504 0 NguyenTricia H EVP Popltn Hlth Mgmt/Pres Inst 515862 0 0 0 88252 0 51246 0 26551 0 681911 0 0 0 McWhorterRicky E SVP FINANCE/ Asst Secretary 307285 0 114754 0 127742 0 110053 0 7838 0 667672 0 54952 0 KramerKenneth J SVP ASSOC GEN COUNSEL/Asst Sec 250474 0 102500 0 136258 0 101031 0 24896 0 615159 0 55389 0 MimsKrystal SVP CARE CONTINUUM & COLLABORA 381026 0 244035 0 75583 0 46807 0 26610 0 774061 0 77087 0 MarxEdward SVP CHIEF INFO OFFICER 393704 0 153739 0 134572 0 15600 0 25929 0 723544 0 62282 0 VelascoFerdinand T SVP & CHIEF HLTH INFO OFFICER 375731 0 124272 0 125513 0 137109 0 22807 0 785432 0 49518 0 Shinkus ClarkJoan Frances SVP CHIEF NURSING EXECUTIVE 352778 0 127826 0 84714 0 28624 0 15265 0 609207 0 49466 0 RoperJack R SVP FINANCE 138011 0 318970 0 102781 0 12944 0 4251 0 576957 0 298206 0 GaidaJohn B SVP SUPPLY CHAIN MGMT 319295 0 125606 0 113101 0 35618 0 18427 0 612047 0 14421 0 KirbyMichelle Riddle SVP CHIEF PEOPLE OFFICER 288299 0 114305 0 133982 0 43389 0 9278 0 589253 0 42508 0 HarveyGayla Dawn SVP FINAN / CHIEF REV OFFICER 384873 0 60062 0 71660 0 13609 0 16518 0 546722 0 2949 0 LogsdonJames D VP REVENUE CYCLE OPERATIONS 258280 0 167222 0 83047 0 87001 0 21130 0 616680 0 124514 0 AndersonSusan Elaine SVP & CHIEF COMPLIANCE OFFICER 276194 0 103582 0 124329 0 33274 0 1550 0 538929 0 47298 0 TesmerDavid J SVP COMMUN ENGAG & ADVOCACY TH 300977 0 107027 0 94167 0 39764 0 13376 0 555311 0 31344 0 SaldanaLuis Eduardo CMIO 428523 0 0 0 51328 0 15600 0 21305 0 516756 0 0 0 HolmesKevin B SVP REAL ESTATE DEVL & DEPLOY 243832 0 96050 0 125801 0 32275 0 26370 0 524328 0 53756 0 BrowningDouglas GRP FINAN OFFICER THPR 203896 0 81183 0 178237 0 13653 0 7858 0 484827 0 1031 0 JonesRobert Douglas SVP TREASURER/CHIEF INVEST OFF 304789 0 108616 0 45035 0 28144 0 24392 0 510976 0 15419 0 PearsonGeorge SVP MED STF AFFRS PHYS RLTNS 230851 0 87797 0 136739 0 31322 0 16240 0 502949 0 61400 0 MitchellJohn D SVP BUSINESS DEVELOPMENT 235009 0 89024 0 127181 0 31658 0 20824 0 503696 0 39581 0 SzablowskiPaul A SVP COMMUNICATION & IMAGE 341549 0 7000 0 53700 0 21643 0 12734 0 436626 0 0 0 HayDebra Ann CHIEF NURSING OFFICER THPR 245079 0 115629 0 30283 0 21418 0 1467 0 413876 0 36667 0 GerbigLinda Mary SVP PERF IMPROV & QUAL OUTCOME 245043 0 77059 0 66467 0 19781 0 14039 0 422389 0 20556 0 SchornickAmy C VP PAYOR RLTNS & CONTRACTING 240593 0 67010 0 78596 0 15949 0 23847 0 425995 0 29774 0 EdwardsCarol Susan SVP HEART & VASCULAR SVC LINE 236595 0 79700 0 56825 0 22319 0 9999 0 405438 0 3750 0 JacksonDavid W VP CORPORATE CONTROLLER 198062 0 53077 0 116964 0 19305 0 6827 0 394235 0 37514 0 SullivanJon M VP REAL ESTATE OPS 223988 0 60638 0 79130 0 19352 0 25515 0 408623 0 20868 0 HaganPaula VP ASST GENERAL COUNSEL 210680 0 59098 0 72285 0 17102 0 7882 0 367047 0 1321 0 James Kirk King THAM President/EVP 371247 0 182853 0 188534 0 143016 0 22108 0 907758 0 89807 Berrett Britt Former Officer 282431 0 180594 0 173336 0 272570 0 14015 0 922946 0 116561 Peterson Lisa Kaye Former Officer 302383 0 82006 0 54541 0 13283 0 23770 0 475983 0 4520 Schedule J, Part I, Line 1a - First Class Travel THE CEO uses first class travel infrequently, upgrading to first class when available and/or possible to specific destinations where flights are overbooked by the airlines and passengers with coach tickets are not guaranteed to be on the specific flight booked. Schedule J, Part I, Line 1a - Travel for Companions The organization and/or related organizations allow spouses or guests to accompany an officer of the organization on business related travel. The value of the spouse/guest travel is included in the taxable compensation of the employee. Schedule J, Part I, Line 1a - Gross-Up Payments Certain imputed income is grossed-up to include 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 1a - Social Club Dues The CEO is reimbursed for social club dues. The portion of the dues allocable to personal use is included in the taxable compensation of the employee. Schedule J, Part I, Line 1a- Personal Services The CEO is provided financial planning and tax preparation services. These services are included in the taxable compensation of the CEO. 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 AMOUNTS BELOW ARE INCLUDED IN THE AMOUNT REPORTED ON SCH J, PART II, COLUMN B(III) AND COLUMN (F). Amparan,Oscar L. $111,292.47 Anderson,Susan Elaine $35,828.03 Bell,Bonnie L. $176,832.88 Berdan,Barclay E. $159,033.82 Berrett, Britt $39,92.59 Berenzweig,Harold K. $34,124.89 Boes,Charles $73,748.35 Browning,Douglas $3,503.07 Canose,Jeffrey L. $72,921.95 Gerbig,Linda Mary $17,735.79 Hagan,Paula $1,321.23 Hawthorne,Douglas D. $306,155.99 Holmes,Kevin B. $42,187.71 Jackson,David W. $37,514.23 King,James Kirk $64,072.88 Kirby,Michelle Riddle $30,221.97 Kramer,Kenneth J. $43,770.94 Lester,Mark C. $14,933.18 Logsdon,James D. $16,644.60 Long,Ronald R. $112,501.87 Marx,Edward $44,454.65 McClung,Brett S. $34,115.33 McWhorter,Ricky E. $43,077.34 Mitchell,John D. $28,976.36 Pearson,George $50,682.52 Roper,Jack R. $270,260.49 Schornick,Amy C. $29,733.93 Shinkus Clark,Joan Frances $35,145.77 Sullivan,Jon M. $20,868.06 Tesmer,David J. $19,192.43 Velasco,Ferdinand T. $33,533.80 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. Douglas Browning $124,948 A Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638TAS2 2007-05-31 620367416 Refund 10/30/97 Issue Bonds false false false B Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638TBE2 2007-05-31 102323221 Construction & Equip for Facility false false false C Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638TCL5 2008-10-30 366120000 Refund 1/31/89 & Refund 5/14/03 Bo false false false D Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638TEE9 2010-11-23 151950525 Redeem 10/30/08 Series D, F & G false false false A 0 0 620432581 0 0 617372104 3060477 0 0 0 0 0 2007 false true true true B 0 0 109908750 0 0 0 529732 0 0 109379018 0 0 2009 false false true true C 190065000 0 366264054 0 0 327900000 1868320 0 0 36495734 0 0 2009 true false true true D 0 0 151950525 0 0 150425000 1525525 0 0 0 0 0 2010 true false true true A false true true true false 0.01660 0.00010 0.01670 false false 0.00000 false true B false false true true false 0.00540 0.00000 0.00540 false false 0.00000 false true C false true true true false 0.00580 0.00060 0.00640 false false 0.00000 false true D false true true true false 0.01020 0.00060 0.01080 false false 0.00000 false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true true false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true Part IV, Line 2c, Column A & B Rebate calculations for the 2007A and 2007B Series were completed 6/25/12. Part IV, Line 2c, Column C Rebate calculations for the the 2008 Series were completed 11/7/13 A Tarrant Cnty Cultural Education Facility Fin Corp 043833551 2010-11-30 135000000 Construction & Equip Health Facili false false false B Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638TEH2 2012-10-04 50000000 Construction & Equipment Health Fa false false false A 0 0 135000000 0 0 0 444565 0 134555435 0 0 0 2013 false false true true B 0 0 50037844 0 0 0 0 0 0 50037844 0 0 false false true true A false false false false 0.00330 0.00000 0.00330 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true false 0 false 0 false true B false false true false 0 false 0 false true A true B true Amparan Oscar Officer Split Dollar Life X 385718 385718 false true true Anderson Elaine Key Employee Split Dollar Life X 132286 132286 false true true Bell Bonnie Officer Split Dollar Life X 87418 87418 false true true Berdan Barclay Officer Split Dollar Life X 427883 427883 false true true Boes Charles Officer Split Dollar Life X 338786 338786 false true true Canose Jeffrey L Officer Split Dollar Life X 251136 251136 false true true Hawthorne Douglas Officer Split Dollar Life X 679621 679621 false true true Holmes Kevin B Key Employee Split Dollar Life X 126902 126902 false true true King James K Officer Split Dollar Life X 125226 125226 false true true Kirby Michelle R Key Employee Split Dollar Life X 62732 62732 false true true Kramer Kenneth Jr Officer Split Dollar Life X 147517 147517 false true true Long Ronald R Officer Split Dollar Life X 617032 617032 false true true Pearson George L Key Employee Split Dollar Life X 329731 329731 false true true Tesmer David J Key Employee Split Dollar Life X 147371 147371 false true true Giada John Key Employee Split Dollar Life X 327637 327635 false true true McClung Brett Officer Split Dollar Life X 180791 180791 false true true 4367785 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 TEXAS HEALTH RESOURCES (THR) USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. * THR has the THR Governance Committee of the Board of Trustees (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. * APPROVAL BY THE BOARD AND COMPENSATION COMMITTEE 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 COMPENSATION COMMITTEE, AND * REVIEW OF FINANCIAL REPORTS, JOB DESCRIPTIONS, ORGANIZATIONAL CHARTS, CURRENT SALARIES, INCENTIVE OPPORTUNITIES, INCENTIVE PAYMENTS, BENEFITS, PERQUISITES AND PLAN DOCUMENTS. THE INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT MEETS DIRECTLY WITH THE EXECUTIVE COMPENSATION & BENEFITS SUB-COMMITTEE WHICH IS MADE UP OF FIVE INDEPENDENT BOARD MEMBERS AND THE Compensation Committee TO REPORT THE RESULTS OF THE TOTAL COMPENSATION STUDY. AT THE BEGINNING OF EACH YEAR, THE COMPENSATION COMMITTEE REVIEWS THE RESULTS OF THE OUTSIDE CONSULTANT'S MARKET ANALYSIS FOR BASE SALARIES, AND MAKES RECOMMENDATIONS TO THE BOARD AND THE BOARD APPROVES THE FOLLOWING FOR THE CEO: * BASE SALARY AND BENEFITS * PRIOR YEAR EXECUTIVE ANNUAL INCENTIVE AWARDS * CURRENT YEAR EXECUTIVE ANNUAL INCENTIVE PLAN TARGETS, KEY PERFORMANCE INDICATORS AND POTENTIAL PAYOUT AMOUNTS * LONG-TERM INCENTIVE AWARD IF CYCLE HAS ENDED * LONG-TERM INCENTIVE PLAN TARGETS, KEY PERFORMANCE INDICATORS AND POTENTIAL PAYOUT AMOUNT IF NEW CYCLE IS STARTING, AND * EMPLOYMENT AGREEMENT IN YEARS OF RENEWAL. 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. Other Changes in Fund Balance-Part XI, Line 9 Controlled Joint Venture Treasury Shares ($2,299,904) Members-Part VI, Section A, Lines 6&7a Two Founding Members, Presbyterian Healthcare Resources (PHR) and Harris Methodist Health System (HMHS), and one Sponsoring Member, Texas Health Arlington Memorial Hospital (THAM), are members of Texas Health Resources (THR). The Founding members and Sponsoring member have the authority to approve the election of THR board. Governance Decisions Reserved-Part VI, Section A, Line 7b The following actions require the approval of the Founding Members, Presbyterian Healthcare Resources (PHR) and Harris Methodist Health System (HMHS): (a) Amendment, restatement or repeal of the Certificate or these Bylaws. (b) Establishment of or change in the mission, vision or values of the Corporation. (c) Any action by the Board of Trustees or the management of the Corporation which would adversely affect the religious or church practices or religious or church affiliation of the Corporation or an Affiliated Participant. (d) Sale, exchange, lease or other transfer of all or substantially all of the assets of the Corporation. (e) Merger or consolidation of the Corporation. (f) Dissolution of the Corporation. (g) Addition of a Founding Member of the Corporation. (h) Any action related to the right to nominate a majority of the voting members. (i) Transfer of a membership interest in the Corporation. The following actions, if they would eliminate or adversely affect the rights of the Sponsoring Member shall require the approval of the Sponsoring Member, Texas Health Arlington Memorial Hospital (THAM) when an amendment, restatement or repeal of certain sections in the bylaws refer to: (a) Items requiring the sponsoring member's approval. (b) Events requiring termination of a member's rights. (c) Effects of termination of a members interest. (d) Distribution of remaining assets. (e) Amendments to the bylaws. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONSULTING SERVICES TOTAL FEES:31420896 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:13122799 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:6323868 FORM 990 PART IX LINE 11G DESCRIPTION:BUILDING SERVICES TOTAL FEES:3654733 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITING SERVICES TOTAL FEES:1423063 FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY SERVICES TOTAL FEES:556631 FORM 990 PART IX LINE 11G DESCRIPTION:ADMIN SERVICES TOTAL FEES:474263 FORM 990 PART IX LINE 11G DESCRIPTION:CBO SERVICES TOTAL FEES:230357 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIANS SERVICES TOTAL FEES:165688 FORM 990 PART IX LINE 11G DESCRIPTION:IT SERVICES TOTAL FEES:25769 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL WASTE REMOVAL TOTAL FEES:460 Texas Health Partners LLC 612 E Lamar Blvd Arlington TX 76011 020546958 Mgmt Co TX 18250861 5189998 TH Resources Texas Health SingleSource Staffing LLC 612 E Lamar Blvd Arlington TX 76011 270324828 Staffing TX 0 0 TH Resources THR-SCA Holdings LLC 612 E Lamar Blvd Arlington TX 76011 461096461 Holding Co TX 9655373 60808498 TH Resources Texas Health Resources Trust 612 E Lamar Blvd Arlington TX 76011 366406740 Investments TX 0 294143687 TH Resources 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 true 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 true Texas Health Alliance 10864 Texas Health Trail Fort Worth TX 76244 451502252 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Azle 108 Denver Trail Azle TX 76020 751748586 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Cleburne 201 Walls Dr Cleburne TX 76033 751977850 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 756001743 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Hurst-Euless-Bedford 1600 Hospital Parkway Bedford TX 76022 751438726 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Southwest Fort Worth 6100 Harris Parkway Fort Worth TX 76132 752678857 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Stephenville 411 Belknap Stephenville TX 76401 751752253 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Huguley Inc 11801 S Freeway Burleson TX 76028 452694620 Hospital FL 501(c)(3) 3 TH Resources true TX Health Outpatient Surg Ctr Alliance 10840 Texas Health Trail Fort Worth TX 76244 800800294 Hospital TX 501(c)(3) 3 TH Alliance true Texas Health Physicians Group 9229 LBJ Freeway Dallas TX 75243 752613493 Phys. Clinic TX 501(c)(3) 9 TH Resources true Texas Health Presbyterian Foundation 612 E Lamar Blvd Arlington TX 76011 752022128 Fundraising TX 501(c)(3) 7 TH Resources true Texas Health Allen 1105 Central Expressway N Allen TX 75013 752890358 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Dallas 8200 Walnut Hill Ln Dallas TX 75231 751047527 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Denton 3000 North Interstate 35 Denton TX 76201 432008974 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Kaufman 850 Ed Hall Drive Kaufman TX 75142 752771437 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Plano 6200 W Parker Rd Plano TX 75093 752770738 Hospital TX 501(c)(3) 3 TH Resources true TX Health Research & Education Institute 612 E Lamar Blvd Arlington TX 76011 752562191 Edu& Research TX 501(c)(3) 4 TH Resources true TX Health Resources Self-Insurance Trust 612 E Lamar Blvd Arlington TX 76011 756335902 Insur Trust TX 501(c)(3) 11c TH Resources true TH Specialty Hospital Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 751648589 LT Hospital TX 501(c)(3) 3 TH Resources true WW Ward Endowment Fund Trust 612 E Lamar Blvd Arlington TX 76011 756196065 Support Org. TX 501(c)(3) 11a TH Fndation false Healthy Tarrant County Collaboration PO Box 8040 Fort Worth TX 76124 432087946 Support Org TX 501(c)(3) 11a TH Resources true Tarrant County Indigent Care Corporation 612 E Lamar Blvd Arlington TX 76011 260648532 Support Org TX 501(c)(3) 11a NA false Dallas County Indigent Care Corporation PO Box 655999 Dallas TX 75203 260610562 Support Org TX 501(c)(3) 11a NA 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 TH Resources Related 1927720 2044799 false 0 true 0.51000 Denton Surgery Center LLC 569 Brookwood Village Ste 901 Birmingham AL 35209 470926556 Amb Surg Ctr TX TH Resources Related 4031667 4028602 false 0 true 0.60320 Flower Mound Hospital Partners LLC 612 E Lamar Blvd Ste 600 Arlington TX 76011 260684968 Hospital TX TH Resources Related 13601268 67443895 false 0 false 0.54600 Fort Worth Endoscopy Centers LLC 900 W Magnolia Ave 101 Fort Worth TX 76104 770368346 Endocsopy Center TX TH Resources Related 5231236 3912111 false 0 true 0.51000 Greenville Surgery Center LLC 7150 Greenville Ave Ste 200 Dallas TX 75231 742411643 Amb Surg Ctr TX TH Resources Related 1755705 1814608 false 0 true 0.80300 Health Imaging Partners LLC 8610 Explorer Drive Ste 300 Colorado Springs CO 80920 271385885 Outpatient Diagno TX TH Resources Related 7698499 44907263 false 0 false 0.51000 North Dallas Surgical Center LLC 17980 Dallas Parkway Ste 100 Dallas TX 75287 272248103 Amb Surg Ctr TX TH Resources Related -121131 1047659 false 0 true 0.51000 Physician Medical Center LLC 612 E Lamar Blvd 6th Flr Arlington TX 76011 481281376 Hospital TX TH Plano Related 1584468 1939330 false 0 false 0.06060 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 TH Resources Related 11837334 47249086 false 0 true 0.59750 ShermanGrayson Healthcare System LLC 2400 Dallas Pkwy Plano TX 75093 272025497 Hospital TX TH Resources Related 8772573 0 false 0 false 0.50100 Southlake Specialty Hospital LLC 612 E Lamar Blvd 6th Flr Arlington TX 76011 020555370 Hospital TX TH HEB Related 1004185 1621055 false 0 true 0.06080 Surgical Caregivers of Fort Worth LLC 569 Brookwood Village Ste 901 Birmingham AL 35209 751925497 Amb Surg Ctr TX TH Resources Related 4414855 3202873 false 0 true 0.51000 Texas Health Craig Ranch Surgery Center 8080 State Hwy 121 Ste 100 McKinney TX 75070 383897811 Amb Surg Ctr TX TH Resources Related 2467122 3959062 false 0 true 0.66000 Texas Health Flower Mound Orthopedic Sur 5000 Long Prairie Road Flower Mound TX 75028 800866449 Amb Surg Ctr TX TH Resources Related 2977162 5086952 false 0 true 0.51000 Texas Health MedSynergies LLC 909 Hidden Ridge Ste 300 Irving TX 75038 800272951 Mgmt Services TX TH Resources Related 281663 18639897 false 0 false 0.89610 Texas Health Spine Center Arlington 1545 E Southlake Blvd Ste 100 Southlake TX 76092 464143686 Inactive TX TH Resources Related 0 0 false 0 true 0.51000 Texas Institute for Surgery LLP 7715 Greenville Ave Ste 100 Dallas TX 75231 770628004 Hospital TX NA N/A THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 262429878 Amb Surg Ctr TX TH Resources Related 1105799 1458478 false 0 true 0.51000 THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 201728912 Amb Surg Ctr TX TH Resources Related 2819633 5937871 false 0 true 0.51000 USMD Hospital at Arlington LP 801 I -20 West Arlington TX 76017 731662763 Hospital TX TH Resources Related 9128730 39020082 false 0 false 0.51000 USMD Hospital at Fort Worth LP 6333 North State Hwy 161 Ste 200 Irving TX 75038 203571243 Hospital TX TH Resources Related 4267624 4952277 false 0 false 0.50970 Wilson Creek Surigcal Center LLC 8855 Synergy Drive McKinney TX 75070 274816583 Amb Surg Ctr TX TH Resources Related 502441 940300 false 0 true 0.51000 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 KY1-1101 981209573 Captive Insurance CJ TH Resources C Corp 0 200000 1.00000 true Huguley Medical Associates Inc 11801 South Freeway Burleson TX 76028 752547668 Phys Clinics TX NA C Corp false Texas Health Biomedical Advancement Cent 612 E Lamar Blvd Arlington TX 76011 752636884 Research TX NA C Corp false Texas Health Resources Casualty Company 612 E Lamar Blvd Arlington TX 76011 030310676 Insurance VT TH Resources C Corp 20947 309041 1.00000 true Texas Health Resources Cardiovascular Se 612 E Lamar Blvd Arlington TX 76011 465588632 Inactive TX TH Resources C Corp 0 0 1.00000 true Texas Health Resources Joint Services 612 E Lamar Blvd Arlington TX 76011 465365421 Inactive TX TH Resources C Corp 0 0 1.00000 true Texas Health Resources Spine Services 612 E Lamar Blvd Arlington TX 76011 465347751 Inactive TX TH Resources C Corp 0 0 1.00000 true Texas Health Resources Women's Services 612 E Lamar Blvd Arlington TX 76011 465330487 Inactive TX TH Resources C Corp 0 0 1.00000 true Charitable Remainder Trusts (4) 612 E Lamar Blvd Arlington TX 76011 CR Trust TX TH Resources Trust true true true true false false false false false true false true true false false true true true true Health Imaging Partners LLC a 243987 Contract North Dallas Surgery Center LLC a 16170 Contract Rockwall Regional Hospital LLC a 209771 Contract Texas Health Huguley Inc a 107320 Contract Texas Health Stephenville a 72783 Contract Texas Health Fort Worth a 3005161 Contract Texas Health Hurst-Euless-Bedford a 921851 Contract Texas Health Dallas a 359750 Contract Texas Health Plano a 2339887 Contract Texas Health Research Foundation a 396359 Contract Texas Health Specialty Hospital a 135501 Contract Texas Health Allen a 366092 Contract Texas Health Kaufman a 99458 Contract Texas Health Physician Group a 7499927 Contract Texas Health Research & Education Inst a 366013 Contract Texas Health Azle a 232348 Contract Texas Health Denton a 1716622 Contract Texas Health Alliance a 831015 Contract Texas Health Outpatient Surgery Ctr Alliance a 710793 Contract Texas Health Southwest a 745155 Contract Flower Mound Hospital Partners LLC a 39200 Contract Fort Worth Endoscopy Center LLC b 849421 JV Agreement Texas Health Spine Center Arlington LLC b 306000 JV Agreement Wilson Creek Surgical Center LLC b 502315 JV Agreement Cleburne Surgical Center LLC s 524610 JV Agreement Denton Surgery Center LLC s 2889124 JV Agreement Flower Mound Hospital Partners LLC s 10343826 JV Agreement Fort Worth Endoscopy Centers LLC s 2412900 JV Agreement Greenville Surgery Center LLC s 1631860 JV Agreement Health Imaging Partners LLC S 6018000 JV Agreement Physicians Medical Center LLC s 1533821 JV Agreement Rockwall Regional Hospital LLC s 6800863 JV Agreement Southlake Specialty Hospital LLC s 1002934 JV Agreement Surgical Caregivers of Fort Worth LLC s 4134437 JV Agreement Texas Health Craig Ranch Surgery Center LLC s 1174943 JV Agreement Tx Health Flower Mound Orthopedic Surgical s 1360175 JV Agreement THRSTT Rockwall ASC LLC s 1194646 JV Agreement THRSTT Southlake ASC LLC s 2980303 JV Agreement USMD Hospital at Arlington LP s 10391054 JV Agreement USMD Hospital at Fort Worth LP s 6129792 JV Agreement Health Imaging Partners LLC l 1187754 Contract Flower Mound Hospital Parnters LLC l 100000 Contract Physician Medical Center LLC l 100000 Contract Rockwall Regional Hospital LLC l 100000 Contract Southlake Specialty Hospital LLC l 100000 Contract THRSTT Southlake ASC LLC l 100000 Contract USMD Hospital at Arlington LP l 100000 Contract USMD Hospital at Fort Worth LP l 100000 Contract ShermanGrayson Healthcare System l 83333 Contract Southlake Specialty Hospital LLC l 4676428 Contract Physicians Medical Center LLC l 5901850 Contract Flower Mound Specialty Hosptial LLC l 11478528 Contract Rockwall Regional Hospital LLC l 10540468 Contract Flower Mound Hospital Partners LLC a 63055 Contract Related Transaction-Part V, Line 2 Texas Health Resources (THR) is the parent organization in a large healthcare system made up of both wholly owned entities as well as related controlled joint ventures as listed on Schedule R. THR's role is to plan, manage and coordinate the activities of the affiliated healthcare system in order to maximize opportunities to deliver cost effective quality medical care to residents of north central Texas. THR provides direction and oversight to its wholly owned affiliates through centralized services. They also provide oversight for the controlled joint ventures. As an integral part of providing centralized services to the affiliates, THR maintains intercompany receivable/payable accounts, most of which do not fall within the scope of IRC Section 512(b)(13). The range of centralized services provided by THR include information services, managed care contracting, Human resources, revenue cycle, billing and collections, patient access/admissions, legal, tax, compliance, supply chain, quality, business development, insurance, treasury, marketing, general accounting, real estate services, coding, transcription and strategic planning. In addition, THR does daily cash sweeps of all controlled tax exempt entity cash accounts. As a result, THR has numerous daily transactions with controlled tax exempt entities, none of which fall within the scope of IRC Section 512(b)(13). A management fee is charged for the centralized services and reported on Form 990, Part VII, Section B as a professional services fee. Transactions with related tax exempt organizations falling within the meaning of centralized services as described above, are not listed on Schedule R, Part V, Line 2.