TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE (EIN 75-1748586)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-12
- IRS object ID
- 201423169349302992
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-12T12:26:53-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 751748586 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Harris Methodist Hospital Azle | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DAVID JACKSON | InCareOfNm |
| Business Name Control | TEXA | BusinessNameControlTxt |
| Phone | 8174448600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 108 Denver Trail | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Azle | City |
| State | TX | State |
| ZIP Code | 76020 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICK MCWHORTER | PersonNm |
| Person Title | Asst Secretary | PersonTitleTxt |
| Signature | 2014-11-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Azle | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Bob Ellzey | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 108 Denver Trail | AddressLine1 |
| City | Azle | City |
| State | TX | State |
| ZIP Code | 76020 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $29,929,364 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.texashealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | A faith-based organization whose mission is to improve the health of the people in the communities it serves regardless of one's ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 319 | TotalEmployeeCnt |
| Total Volunteers | 28 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $636,347 | PYContributionsGrantsAmt |
| CY Contributions Grants | $537,117 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,023,734 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,222,107 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$17,580 | PYInvestmentIncomeAmt |
| CY Investment Income | -$34,473 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,354,194 | PYOtherRevenueAmt |
| CY Other Revenue | $167,638 | CYOtherRevenueAmt |
| PY Total Revenue | $31,996,695 | PYTotalRevenueAmt |
| CY Total Revenue | $29,892,389 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,550 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,765,439 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,636,701 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,436,475 | PYOtherExpensesAmt |
| CY Other Expenses | $11,881,040 | CYOtherExpensesAmt |
| PY Total Expenses | $30,204,464 | PYTotalExpensesAmt |
| CY Total Expenses | $29,518,741 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,792,231 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $373,648 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,526,563 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,009,011 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,441,380 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,550,180 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$5,914,817 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$5,541,169 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | A FAITH-BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES REGARDLESS OF ONE'S ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $24,960,771 | ExpenseAmt |
| Grant | $1,000 | GrantAmt |
| Revenue | $29,243,685 | RevenueAmt |
| Desc | Texas Health Harris Methodist Hospital Azle (THAZ) is a 31 bed community based hospital serving Azle, Lake Worth, Springtown and the surrounding areas. Since 1954, THAZ has provided quality health care services to the northwest Tarrant County community. Located in Azle, the hospital offers many services such as cardiovascular, imaging, inpatient/outpatient surgery, Outpatient Sports and Rehabilitation Center and an intensive care unit. During the year, THAZ had 4,864 patient days, 1,458 discharges, 34,537 outpatient encounters, 0 births and 25,165 emergency room visits. THAZ provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The hospital provides care to persons covered by governmental programs including Medicare and Medicaid for reimbursement that does not always cover the cost of providing the care. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. Community benefit is provided through many reduced price services and free programs to the community. These services are essential to provide complete healthcare to the communities served. Some of these programs include: * Various health screenings were offered to the community free of charge or for a nominal charge such as diabetes and breast cancer. * THAZ participated in community education regarding good hand hygiene to promote awareness of proper hand washing in an effort to slow the spread of infection and disease. * The Better Living through Improved Fitness and Education (L.I.F.E.) program senior adults are encouraged to focus on improving their health with a range of physical activities, health education and screenings. * THAZ provided healthy eating for children classes, smoking cessation classes and community health support groups. | Desc |
| Total Program Service Expenses | $24,960,771 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 319 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID JACKSON | PersonNm |
| Phone | 6822367900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 612 E LAMAR BLVD | AddressLine1 |
| City | Arlington | City |
| State | TX | State |
| ZIP Code | 76011 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Other CompensationOtherCompensationAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Anderson Tanya Layne | |||||||||
| Vice Chair | 2.0 | Yes (X) | $0 | $0 | |||||
| Braudis Russell Paul | |||||||||
| Chair | 2.0 | Yes (X) | $0 | $0 | |||||
| Briggs Frank W | |||||||||
| Trustee | 2.0 | Yes (X) | $0 | $0 | |||||
| Galindo Graciela | |||||||||
| Trustee | 2.0 | Yes (X) | $0 | $0 | |||||
| Haas Anthony J | |||||||||
| Trustee | 2.0 | Yes (X) | $0 | $0 | |||||
| Kuenstler Kristi M MD | |||||||||
| Trustee | 2.0 | Yes (X) | $0 | $0 | |||||
| Niles Richard MD | |||||||||
| Trustee | 2.0 | Yes (X) | $0 | $15,478 | $317,487 | ||||
| Robbins Frankie | |||||||||
| Trustee | 2.0 | Yes (X) | $0 | $0 | |||||
| Standefer Thomas Bishop | |||||||||
| Trustee | 2.0 | Yes (X) | $0 | $0 | |||||
| Tatsch Kristie D | |||||||||
| Secretary | 2.0 | Yes (X) | $0 | $0 | |||||
| Berdan Barclay E | |||||||||
| SEVP/COO | 0.5 | $0 | $41,097 | $1,218,462 | 40.0 | Yes (X) | |||
| Boes Charles W | |||||||||
| Assistant Secretary | 0.5 | $0 | $34,086 | $705,227 | 40.0 | Yes (X) | |||
| DeSio Terri A | |||||||||
| Assistant Secretary | 0.5 | $0 | $19,142 | $196,092 | 40.0 | Yes (X) | |||
| Kramer Kenneth | |||||||||
| Assistant Secretary | 0.5 | $0 | $110,745 | $429,376 | 40.0 | Yes (X) | |||
| McWhorter Rick E | |||||||||
| Assistant Secretary | 0.5 | $0 | $64,613 | $417,738 | 40.0 | Yes (X) | |||
| EllzeyBob S | |||||||||
| PRESIDENT THAZ | 40.0 | $269,990 | $26,162 | Yes (X) | |||||
| HumphreyRichard I | |||||||||
| GRP FIN OFF THFW-THC-THAZ-THSH | 3.6 | $0 | $35,717 | $357,278 | 36.4 | Yes (X) | |||
| GilbertValarie G | |||||||||
| CHIEF NURSING OFFICER THAZ | 40.0 | $166,202 | $25,821 | Yes (X) | |||||
| SneadJeffrey C | |||||||||
| PROFESSIONAL SVCS OFFICER THAZ | 40.0 | $154,303 | $29,296 | Yes (X) | |||||
| BierbrauerCynthia F | |||||||||
| ENTITY HR OFFICER THAZ | 40.0 | $93,734 | $21,711 | Yes (X) | |||||
| WardVanessa | |||||||||
| PHARMACIST | 40.0 | $133,384 | $15,185 | Yes (X) | |||||
| FonvilleMary V | |||||||||
| DIR SR QUAL/PT SF/RSK/SPRT SVC | 40.0 | $117,806 | $25,070 | Yes (X) | |||||
| JonesPatricia Ann | |||||||||
| RN II | 40.0 | $116,154 | $19,253 | Yes (X) | |||||
| BlessingBrian Bradley | |||||||||
| MGR HOSPITAL FINANCE | 40.0 | $115,603 | $34,028 | Yes (X) | |||||
| OwensRobyn L | |||||||||
| DIR QUALITY/PT SAFETY/RISK | 40.0 | $115,093 | $23,447 | Yes (X) | |||||
| MiaoWinjie Tang | |||||||||
| Former PRESIDENT THAL | $0 | $23,432 | $296,877 | 40.0 | Yes (X) | ||||
| Mitchell John | |||||||||
| Former Asst. Secretary | $0 | $40,338 | $357,397 | 40.0 | Yes (X) | ||||
| Berenzweig Harold | |||||||||
| Former Clinical Leader | $0 | $36,657 | $676,759 | 40.0 | Yes (X) | ||||
| Canose Jeffrey | |||||||||
| Former Ops Leader | $0 | $31,791 | $812,233 | 40.0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,282,269 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,784,926 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $673,069 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Texas Health Resources | |||||
| 612 E Lamar Blvd Ste 900 | ARLINGTON | TX | 76011 | Management Fee | $3,173,631 |
| Fort Worth Surgical Specialist PA | |||||
| 1325 Pennsylvania Ave 200 | FT WORTH | TX | 76104 | CONTRACTED SURGEONS | $312,300 |
| Atlas Anesthesia Associates PA | |||||
| 5605 N MacArthur Blvd 220 | IRVING | TX | 75033 | ANESTHESIA COVERAGE | $249,375 |
| Texas Health Physicians Group | |||||
| 251 West Park Way 200 | EULESS | TX | 76040 | Medical Services | $120,053 |
| K POST COMPANY INC | |||||
| 1841 WEST NORTHWEST HIGHWAY | DALLAS | TX | 75220 | CONSTRUCTION SERVICE | $118,454 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $140,858 | RelatedOrganizationsAmt |
| Government Grants | $393,596 | GovernmentGrantsAmt |
| All Other Contributions | $2,663 | AllOtherContributionsAmt |
| Noncash Contributions | $950 | NoncashContributionsAmt |
| Total Contributions | $537,117 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT SERVICE REVENUE | $28,088,228 | $28,088,228 |
| DSRP REVENUE | $478,606 | $478,606 |
| ELECTRONIC RECORDS | $372,429 | $372,429 |
| MEDICARE/MEDICAID ADJUSTMENT | $263,748 | $263,748 |
| EDUCATION | $19,096 | $19,096 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,222,107 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,502 | TotalRevenueColumnAmt |
| Exclusion | $2,502 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $47,194 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $47,194 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,194 | TotalRevenueColumnAmt |
| Exclusion | $47,194 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $36,975 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$36,975 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$36,975 | TotalRevenueColumnAmt |
| Exclusion | -$36,975 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA REVENUE | $93,127 | $93,127 | |
| OCCUPATIONAL HEALTH | $18,799 | $18,799 | |
| VENDING | $3,063 | $3,063 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,455 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,779 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,676 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $120,444 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,892,389 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,243,685 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $111,587 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $779,823 | TotalAmt |
| Management And General | $779,823 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,464,770 | TotalAmt |
| Program Services | $13,464,770 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $624,437 | TotalAmt |
| Program Services | $624,437 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,788,716 | TotalAmt |
| Program Services | $1,788,716 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $978,955 | TotalAmt |
| Program Services | $956,678 | ProgramServicesAmt |
| Management And General | $22,277 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,173,631 | TotalAmt |
| Management And General | $3,173,631 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325 | TotalAmt |
| Program Services | $325 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,042 | TotalAmt |
| Management And General | $25,042 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,992,780 | TotalAmt |
| Program Services | $1,857,572 | ProgramServicesAmt |
| Management And General | $135,208 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,785 | TotalAmt |
| Program Services | $139,163 | ProgramServicesAmt |
| Management And General | $622 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,418 | TotalAmt |
| Program Services | $245,407 | ProgramServicesAmt |
| Management And General | $8,011 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,328 | TotalAmt |
| Program Services | $230,328 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432,132 | TotalAmt |
| Program Services | $338,100 | ProgramServicesAmt |
| Management And General | $94,032 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,817 | TotalAmt |
| Program Services | $35,747 | ProgramServicesAmt |
| Management And General | $5,070 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,294 | TotalAmt |
| Program Services | $34,255 | ProgramServicesAmt |
| Management And General | $18,039 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,324 | TotalAmt |
| Program Services | $11,658 | ProgramServicesAmt |
| Management And General | $240,666 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $865,675 | TotalAmt |
| Program Services | $865,675 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,300 | TotalAmt |
| Program Services | $69,215 | ProgramServicesAmt |
| Management And General | $85 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $2,537,355 | $2,521,669 | $15,686 |
| PATIENT SERVICES | $1,141,288 | $1,141,288 | |
| REPAIRS & MAINTENANCE | $253,059 | $253,059 | |
| FURNITURE & EQUIPMENT | $244,729 | $214,674 | $30,055 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,758 | TotalAmt |
| Program Services | $167,035 | ProgramServicesAmt |
| Management And General | $9,723 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,518,741 | TotalAmt |
| Program Services | $24,960,771 | ProgramServicesAmt |
| Management And General | $4,557,970 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,383 | BOYAmt |
| EOY | $259,564 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,154,514 | BOYAmt |
| EOY | $4,367,933 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,042 | BOYAmt |
| EOY | $30,117 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $489,855 | BOYAmt |
| EOY | $461,020 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,631 | BOYAmt |
| EOY | $16,358 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,167,280 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,293,261 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,746,138 | BOYAmt |
| EOY | $6,874,019 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,526,563 | BOYAmt |
| EOY | $12,009,011 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,137,977 | BOYAmt |
| EOY | $3,374,612 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,303,403 | BOYAmt |
| EOY | $14,175,568 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,441,380 | BOYAmt |
| EOY | $17,550,180 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,914,817 | BOYAmt |
| EOY | -$5,541,169 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,914,817 | BOYAmt |
| EOY | -$5,541,169 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,526,563 | BOYAmt |
| EOY | $12,009,011 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $373,648 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | Yes (true) | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | Yes (true) | MailingsMembersInd |
| Mailings Members | $100 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $100 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Sch C, Part IV | FormAndLineReferenceDesc |
| Explanation | Officers and/or Board Members of the corporation may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities the Corporation serves. In pursuing this activity, Officers and/or Board Members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters. The amount of time and money involved in these activities is negligible. In no case has either the Corporation, or any person acting on behalf of the Corporation, intervened in any political campaign. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $145,334 | OtherCostOrOtherBasisAmt |
| Book Value | $145,334 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,566,607 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,158,014 | DepreciationAmt |
| Book Value | $4,408,593 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $229,289 | OtherCostOrOtherBasisAmt |
| Depreciation | $88,649 | DepreciationAmt |
| Book Value | $140,640 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,798,505 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,046,598 | DepreciationAmt |
| Book Value | $1,751,907 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $427,546 | OtherCostOrOtherBasisAmt |
| Book Value | $427,546 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,874,020 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLE | $13,939,963 |
| ASSET RETIREMENT OBLIGATIONS | $235,605 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,175,568 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 0 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,806,917 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $127,176 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,679,741 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12470 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,980,970 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,119,295 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$138,325 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,890 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,388 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,831,777 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,264,859 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,566,918 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12090 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $726,477 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,323 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $721,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02440 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,025 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,025 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $466,581 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $466,581 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01580 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,194,083 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,323 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,188,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04020 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,025,860 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,270,182 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,755,678 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16110 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,135 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,135 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,135 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,135 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,039,352 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $6,275,729 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,748,573 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$472,844 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Azle | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 108 Denver Trail | AddressLine1 |
| City | Azle | City |
| State | TX | State |
| ZIP Code | 76020 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.texashealth.org | WebsiteAddressTxt |
| State License | TDH #469 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Azle | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.texashealth.org/CHNA | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V Sec B | FormAndLineReferenceDesc |
| Explanation | Part V. Sec B-3 Texas Health Azle utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities in which we serve. As a means to further understand the needs from those engaged in the community, Texas Health Azle conducted a series of community feedback sessions. Participants of the community feedback interviews included but were not limited to: public health officials, lay community member, school officials, city administration and others. The information gathered from the community feedback sessions helped Texas Health Azle to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-5d Texas Health Azle 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-7 An extensive analysis of the health needs in the community revealed a vast number of community health issues. In order to aid the organization in determining which health needs should be addressed, Texas Health Azle categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. From there, Texas Health Azle was able to use a strategic prioritization method to determine the top needs within the community aligned with the ability to address said issues. Texas Health Azle 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- - 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) Environmental Quality- lack of expertise 4) Injury and violence- lack of expertise and low priority assigned 5) 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 6) Mental Health- resource constraints, lack of effective invention and the facility will continue to address the need at its current level of support 7) 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 8) Oral Health- lack of expertise 9) Other Clinical/Preventive- the facility will continue to address the need at its current level of support 10) Social Determinants- resource constraints, low priority assigned and lack of effective intervention 11) Substance Abuse- resource constraints and the facility will continue to address the need at its current level of support 12) Tobacco- low priority assigned 13) Transportation- lack of expertise Part V, Sec B-11 - FPG for Discounted Care Patients with family income at or below 200% of applicable FPG may be eligible for free care if the patient lacks sufficient funds and assets to pay the out-of-pocket portion of their hospital bill. Patients with family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified "patient responsible amount" if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's charity care application is reviewed. Assets considered when determining eligibility include cash, stocks, bonds and other financial assets that can be readily converted to cash. An additional process to screen for charity patients using publicly available financial information is also in place for patients not submitting a charity care application. Part V, Sec B-12i Other Factors in Calc Charges See response to Part I, Line 3c and Part V Sec B, Line 11 Part V, Sec B-14g - Other Publicity of FAP A plain language summary titled "Getting Help Paying Your Bill" is included on the back of each Patient Statement. The plain language summary informs the patients of how to qualify for charity and how to apply for help. Pt V, Sec B-18e - Other FAP Outreach Efforts All uninsured patients who have not completed a charity care application are screened using analytics technology. Patients meeting the charity care qualifications using this methodology are granted a presumptive charity reduction and collection efforts will cease. | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c - Patient Eligibility | Patients with family income at or below 200% of applicable FPG may be eligible for free care if the patient lacks sufficient funds and assets to pay the out-of-pocket portion of their hospital bill. Patients with family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified "patient responsible amount" if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's 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. |
| Part I, Line 7 - Cost of Charge Ratio | A cost to charge ratio is used in computing the amounts reported in Lines 7a-7c. The amounts reported on Lines 7e-7i were obtained using direct costs, as determined by a cash outlay or, in the case of reporting employee volunteer hours, by using an average national volunteer wage rate. |
| Part III, Line 4 - Bad Debt Expense | Bad debt expense is not included as a community benefit for purposes of reporting community benefits to Texas. Each patient qualifying for charity care as a charity patient is treated and no charges related to that patient are included in bad debt expense. The hospital is part of a consolidated system of hospitals which operate under the name Texas Health Resources (THR). THR's annual audit is conducted on a system-wide basis with a single consolidated audit report issued for THR and its affiliates. The audited financial statements of THR, which includes the activity of the organization, contain a footnote regarding Accounts Receivable and Allowance for Doubtful Accounts, that reads as follows. Patient accounts receivable are reported net of estimated allowances for doubtful accounts and contractual adjustments in the balance sheets. The allowance and resulting provision for bad debts is based upon a combination of the aging of receivables and management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage and other collection indicators for each of its major payor sources of revenue. Management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience and payment trends by payor category. Patient accounts are also monitored and, if necessary, past due accounts are placed with collection agencies in accordance with guidelines established by management. For receivables associated with services provided to patients who have third-party coverage, the System analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The System's allowance for doubtful accounts for self-pay patients (including allowances for charity care) increased from 94.2% of self-pay accounts receivable at December 31, 2012, to 96.0% of self-pay accounts receivable at December 31, 2013. In addition, the System's self-pay write-offs for bad debts increased from approximately $263,887,000 for fiscal year 2012 to approximately $294,476,000 for fiscal year 2013. The increase in write offs was the result of shifts in payor mix and an overall increase in patient revenue in fiscal year 2013. The System does not maintain a material allowance for doubtful accounts from third-party payors, nor did it have significant write-offs from third-party payors. |
| Part III, Line 8 - Medicare Shortfall | The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care & community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. The shortfall amount reported to the state of Texas for 2013 is $3,035,351. |
| Part III, Line 9b - Debt Collection | During the year, standard collection procedures were in place and uniformly applicable to all patient accounts. Except to the extent a patient receives a recovery from any third party or other source, no attempts are made to collect unpaid charges from patient accounts approved for adjustment under the Charity Care Program. |
| Part VI, Line 2 - Needs Assessment | The organization is part of the Texas Health Resources (THR) healthcare system. In addition to the organization's Community Health Needs Assessment (CHNA), THR developed and implemented, as a healthcare system, a Community Benefit Framework (CBF), based on the Public Health Institute's best practices ASACB program. The CBF systematically integrates internal practices into the community to improve the efficiency and effectiveness of THR's community health improvement (CHI) strategy, to address disproportionate unmet health needs (DUHN), to address primary prevention and to improve community capacity. CBF provides a quantitative approach to parallel the CHNA in identifying key communities within THR's service area, and the means to align them with a THR entity. The CBF contains five phases: assessment/profile, infrastructure, Community Health Council, programmatic review and strategy development. THR works with each entity community health representative to examine its structure and programs for gaps, needs, strengths, and alignment with the CBF, CHNA and ASACB standards. In 2013, the CBF was enhanced to include the implementation of a comprehensive CHNA across the THR system. The CHNA was conducted by analyzing primary and secondary data at the entity, zone and system. The identified needs were prioritized utilizing a decision matrix based on specific criteria, i.e. magnitude, agreement, severity, alignment with THR priorities, ability of THR to impact the issue and existing programs and services. The CHNA, the identified needs, decision matrix, strategic focus areas and implementation plans were evaluated and input gathered by various groups within the organization to determine key focus areas for the system to address over the next three year cycle. We will galvanize joint community health efforts to improve health, to reduce inequalities and to empower the greater community. |
| Part VI, Line 3 - Patient Education | 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. |
| Part VI, Line 4 - Community Information | The service area of Texas Health Harris Methodist Hospital Azle (THAZ) includes a suburban area of 78,037 people. The average household income for the service area is $64,238. During the year, 23.9% of THAZ's patients are uninsured and 18.0% are Medicaid recipients. THAZ's service area has an uninsured rate of 20.7% of the population. There are no other acute care hospitals in the service area. |
| Part VI, Line 5 - Promotion of Community Health | The board of trustees is comprised of community members including medical and business professionals. A majority of these trustees reside in the hospital's service area and volunteer their time to serve on the board. The hospital has an open medical staff and privileges are offered to qualified physicians in the community. The organization utilizes surplus funds to maintain access to patient services and to expand access to healthcare. The uses of these surplus funds include providing community benefit programs and expended capital improvements to the healthcare facilities of the organization. Of the $466,581 in contributions to community groups reported on Sch H, Part I, line 7i, 465,446 was contributed to or at the direction of Tarrant County Indigent Care Corporation, a charitable organization that provides various local organizations with funds to cover healthcare provided to indigent patients. |
| Part VI, Line 6 - Affiliated Health Care System | The organization is part of the THR healthcare system. THR is one of the largest faith-based, nonprofit healthcare delivery systems in the US and the largest in North TX in terms of patients served. The system of 14 wholly controlled hospitals includes an organization for medical research and education. The system also includes a foundation that fosters philanthropic relationships which support the programs and services of the hospitals it supports. The mission of the hospitals in the THR system is to improve the health of the people in the communities we serve. THR takes its responsibility to its communities seriously and invests charitable resources to promote good health and prevent disease. Not only does THR provide health care to those who do not have the means to pay, its hospitals also conduct a variety of programs designed to improve health and prevent illness in the community. The community health strategies of THR and its affiliated healthcare organizations are driven by community health needs, are community-based and include confronting health problems at the source and emphasize health promotion, disease prevention, and early treatment of illness. |
| Part VI, Line 7 - State Community Benefit Report | The organization files a Texas Annual Statement of Community Benefit Standard Report. Texas has established a minimum level of charity care and community benefit that must be provided by nonprofit hospitals in order to retain their Texas tax-exempt status. The standard set by the state is met when charity care and community benefits are provided in a combined amount equal to at least five percent of the hospital's or hospital system's net patient revenue, provided that charity care and government-sponsored indigent health care are provided are at least four percent of net patient revenue. The hospital is part of the THR system of healthcare organizations. During the year, the THR system, as a whole, reported to Texas the following charity care and community benefits amounts. $174,878,698 in patient charity care,$44,053,911 in support provided through others,$30,428,913 in unreimbursed Medicaid,$28,000,808 in other community benefits and $406,799,283 in unreimbursed Medicare |
| Community Building | The organization participates in community building activities that aim to address the socio-economic factors that influence the overall health of individuals in the communities served. As identified in the community health needs assessment, there are areas of need that are not in alignment with the operations of a hospital system. Our volunteerism, collaborations and partnerships with various aid organizations and various area coalitions aid in addressing the socio-economic factors that are the backbone for many underlying health concerns. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Niles Richard MD | ||||||||||||||
| Trustee | $0 | $244,190 | $0 | $73,272 | $0 | $25 | $0 | $7,994 | $0 | $7,484 | $0 | $332,965 | $0 | |
| Berdan Barclay E | ||||||||||||||
| SEVP/COO | $0 | $646,567 | $0 | $410,936 | $0 | $160,959 | $0 | $19,125 | $0 | $21,972 | $0 | $1,259,559 | $0 | $140,510 |
| Boes Charles W | ||||||||||||||
| Assistant Secretary | $0 | $383,161 | $0 | $230,379 | $0 | $91,687 | $0 | $19,125 | $0 | $14,961 | $0 | $739,313 | $0 | $89,186 |
| DeSio Terri A | ||||||||||||||
| Assistant Secretary | $0 | $176,564 | $0 | $12,178 | $0 | $7,350 | $0 | $11,107 | $0 | $8,035 | $0 | $215,234 | $0 | |
| Kramer Kenneth | ||||||||||||||
| Assistant Secretary | $0 | $242,634 | $0 | $123,563 | $0 | $63,179 | $0 | $85,425 | $0 | $25,320 | $0 | $540,121 | $0 | $40,613 |
| McWhorter Rick E | ||||||||||||||
| Assistant Secretary | $0 | $264,662 | $0 | $87,862 | $0 | $65,214 | $0 | $56,627 | $0 | $7,986 | $0 | $482,351 | $0 | $9,354 |
| EllzeyBob S | ||||||||||||||
| PRESIDENT THAZ | $177,894 | $59,971 | $32,125 | $11,736 | $14,426 | $296,152 | ||||||||
| HumphreyRichard I | ||||||||||||||
| GRP FIN OFF THFW-THC-THAZ-THSH | $0 | $237,226 | $0 | $60,201 | $0 | $59,851 | $0 | $12,206 | $0 | $23,511 | $0 | $392,995 | $0 | $719 |
| GilbertValarie G | ||||||||||||||
| CHIEF NURSING OFFICER THAZ | $147,989 | $12,757 | $5,456 | $16,076 | $9,745 | $192,023 | $0 | |||||||
| SneadJeffrey C | ||||||||||||||
| PROFESSIONAL SVCS OFFICER THAZ | $139,553 | $13,786 | $964 | $8,733 | $20,563 | $183,599 | $0 | |||||||
| MiaoWinjie Tang | ||||||||||||||
| Former PRESIDENT THAL | $0 | $191,053 | $0 | $72,271 | $0 | $33,553 | $0 | $15,005 | $0 | $8,427 | $0 | $320,309 | $0 | $20,305 |
| Mitchell John | ||||||||||||||
| Former Asst. Secretary | $0 | $225,175 | $0 | $63,377 | $0 | $68,845 | $0 | $19,125 | $0 | $21,213 | $0 | $397,735 | $0 | |
| Berenzweig Harold | ||||||||||||||
| Former Clinical Leader | $0 | $435,277 | $0 | $164,154 | $0 | $77,328 | $0 | $19,125 | $0 | $17,532 | $0 | $713,416 | $0 | |
| Canose Jeffrey | ||||||||||||||
| Former Ops Leader | $0 | $459,843 | $0 | $248,966 | $0 | $103,424 | $0 | $15,300 | $0 | $16,491 | $0 | $844,024 | $0 | $66,475 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a - Gross-Up Payments | Certain imputed income is grossed-up to include the employment taxes paid on the listed person's behalf. The grossed up amount is included in the taxable compensation of the employee. |
| Schedule J, Part I, Line 1a - Discretionary Spending Account | Each Executive at the vice president level and above receives a perk allowance which is included in the taxable compensation of the employee. |
| Schedule J, Part I, Line 3 - CEO Compensation | The organizations relied on Texas Health Resources (THR), a related 501(c)(3) organization with centralized compensation professionals to use the following methods to establish the compensation of the organization's President. * THR has a compensation committee comprised of external Board Members that review compensation philosophy and design. * THR Board hired independent compensation consultants. * THR & the independent compensation consultants utilize published third-party compensation surveys. An independent third party compensation consultant is hired by the THR Board of Trustees (Board) to review base pay annually as compared to a peer group of employers similar in size and scope to THR. Every three years the independent compensation consultant reviews all aspects of executive compensation (base, incentives, benefits, etc.) which includes: * Review and confirmation of the executive compensation philosophy. * Market review of base and incentive pay for all positions. National, regional, and local data is reviewed when available. * Market review of benefits and perquisites, * Interview of selected officers and members of the Governance Committee (Compensation Committee) of the THR Board of Trustees, and * Review of financial reports, job descriptions, organizational charts, current salaries, incentive opportunities, incentive payments, benefits, perquisites and plan documents. The independent compensation consultant meets directly with the executive compensation & benefits sub-committee which is made up of six independent Board members and the governance committee to report the results of the total compensation study. At the beginning of each year, the executive compensation & benefits sub-committee and the governance committee review a detailed report containing the below information. The Board reviews an executive summary of the detailed report. * Market analysis based on the results of the outside consultant's review * Officer base salary adjustments including merit and market/equity adjustments * Prior year executive annual incentive awards * Current year executive annual incentive plan targets, key performance indicators and potential payout amounts. |
| Schedule J, Part I, Line 4b - Nonqualified Retirement Plan | Participation in the plan is made available to a select group of management and highly compensated employees, as determined by the THR Board of Trustees, who are providing services to an employer in key positions of management and responsibility. Benefits are calculated for eligible employees when base pay and incentives exceed the IRS qualified plan compensation limit. SERP benefits vest while the participant is employed if the participant: reaches age 65, becomes disabled, dies, or reaches the following years of service: 2 years - 25%; 3 years -50%; 4 years - 75%; and 5 or more - 100%. For Frozen Restoration Accounts (account balances prior to 1/1/2010), the participant or beneficiary shall be taxed on his or her vested SERP benefits upon the earliest of: * Remaining employed by THR to age 68 * Termination of employment for disability or death * Involuntary termination of employment without reasonable cause; or * Satisfying a 24 month non-compete period following his or her termination of employment. Payment is made following the before mentioned events, except in the case of involuntary separations for which the participant must wait until after 24 months to receive the previously taxed benefit. For the Active Restoration Account (account balances after 12/31/2009) participants must be employed on Dec 1 to qualify for the current year's SERP amount unless separation is due to death, disability, retirement (age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and continuous service with the System). SERP amounts are calculated each Dec 1; vested balances are taxed; and the net balances can begin accruing earnings. Vested balances are paid in cash lump sums within the 90 day period commencing upon the earlier of death, disability, or separation from service. 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. Payments 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). Richard Humphrey $719 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Sec A, Ln 2 - Business Relationship | 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. |
| Pt VI, Sec B, Ln 11b - Form 990 Filing | 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. |
| Pt VI, Sec B, Ln 12c - Conflict of Interest | 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 persons who are covered by this policy. 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. |
| Pt VI, Sec B, Line 15 a&b - Compensation Determination | An independent third party compensation consultant is hired by the THR Board of Trustees (Board) to review base pay annually as compared to a peer group of employers similar in size and scope to THR. In addition, every three years the independent compensation consultant reviews all aspects of executive compensation (base, incentives, benefits, etc.) At the beginning of each year, the executive compensation & benefits sub-committee and the governance committee review a detailed compensation report and the consultant's report for executive compensation. A summary of their findings are presented to the Board. A more in depth discussion of the executive compensation review can be found on Schedule J, Part III. |
| Pt VI, Sec C, Ln 19 - Public Disclosure | 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. |
| Pt XII, Ln 2c - Consolidated Financial Statements | 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. |
| Part XII Line 3b - Single Audit Act & OMB Circular A-133 | The organization is included in the consolidated audit of Texas Health Resources. The required A-133 audit was performed on a consolidated basis and is listed on the Federal Clearing House website under the name of Texas Health Resources. |
| Part VI, Section A, Line 7a - Members | Texas Health Resources (THR) is the sole member of Texas Health Harris Methodist Hospital Azle (THAZ). The board members of THR have the authority to approve the election of THAZ board. |
| Part VI, Section A, Line 7b - Governance Decisions Reserved | The following actions require the approval of Texas Health Resources (THR) the sole member: (a) Amendment, restatement or repeal of the Certificate or Bylaws of the Corporation. (b) Sale, exchange, lease or other transfer of all or substantially all of the assets of the Corporation, including under Subchapter F of Chapter 11 of the Texas Business Organizations Code (BOC). (c) Merger or consolidation of the Corporation, including a plan of merger under Subchapter F of Chapter 11 of the BOC. (d) Dissolution of the Corporation. (e) Election of members to the Board of Trustees of the Corporation. (f) Removal of a member of the Board of Trustees of the Corporation. (g) Creation of affiliates or subsidiaries of the Corporation, and approval of their initial governing documents. (h) Incurrence of debt not otherwise included in the capital or operating budgets of the Corporation. (i) Discontinuing the operations of a licensed health care facility controlled by the Corporation. (j) Voluntary winding up under Chapter 11. (k) Revocation of a voluntary decision to wind up under chapter 11.151 of the BOC. (l) Cancellation of an event requiring winding up under Chapter 11.152 of the BOC. (m) A reinstatement under Chapter 11.202 of the BOC. (n) A distribution plan under Chapter 22.305 of the BOC. (o) A plan of conversion under Chapter 11, Subchapter F of the BOC. (p) A plan of exchange under Chapter 11, Subchapter F of the BOC. (q) Such other approval rights with respect to the Corporation as set forth in the Matrix. The following actions require approval of Harris Methodist Health System (HMHS), a founding member of THR. HMHS, acting in accordance with the Corporation's Bylaws as a founding member of THR, must approve any action which would adversely affect the religious or church practices or affiliation of the Corporation. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Harris Methodist Health System | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 751823547 | Support Org. | TX | 501(c)(3) | 11 Type 1 | NA | false |
| Johnson County Community Care Corp | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 452793120 | Support Org. | TX | 501(c)(3) | 11 Type 1 | TH Cleburne | false |
| North Texas Healthy Communities | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76012 | 464513182 | Comm Support | TX | 501(c)(3) | 7 | TH Resources | false |
| Presbyterian Healthcare Resources | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 510190395 | Support Org. | TX | 501(c)(3) | 11 III FI | NA | false |
| Texas Health Arlington Memorial Hospital | ||||||||||
| 800 West Randol Mill Rd | Arlington | TX | 76012 | 750972805 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Harris Methodist Foundation | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 752401033 | Fundraising | TX | 501(c)(3) | 9 | TH Resources | false |
| Texas Health Alliance | ||||||||||
| 10864 Texas Health Trail | Fort Worth | TX | 76244 | 451502252 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Azle | ||||||||||
| 108 Denver Trail | Azle | TX | 76020 | 751748586 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Cleburne | ||||||||||
| 201 Walls Dr | Cleburne | TX | 76033 | 751977850 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Fort Worth | ||||||||||
| 1301 Pennsylvania Ave | Fort Worth | TX | 76104 | 756001743 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Hurst-Euless-Bedford | ||||||||||
| 1600 Hospital Parkway | Bedford | TX | 76022 | 751438726 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Southwest Fort Worth | ||||||||||
| 6100 Hospital Parkway | Fort Worth | TX | 76132 | 752678857 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Stephenville | ||||||||||
| 411 Belknap | Stephenville | TX | 76401 | 751752253 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Huguley Inc | ||||||||||
| 111 North Orlando Ave | Winter Park | FL | 32789 | 452694620 | Hospital | FL | 501(c)(3) | 3 | TH Resources | false |
| TX Health Outpatient Surg Ctr Alliance | ||||||||||
| 10840 Texas Health Trail | Fort Worth | TX | 76244 | 800800294 | Hospital | TX | 501(c)(3) | 3 | TH Alliance | false |
| Texas Health Physicians Group | ||||||||||
| 9229 LBJ Freeway | Dallas | TX | 75243 | 752613493 | Phys. Clinic | TX | 501(c)(3) | 9 | TH Resources | false |
| Texas Health Resources Foundation | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 752022128 | Fundraising | TX | 501(c)(3) | 9 | TH Resources | false |
| Texas Health Allen | ||||||||||
| 1105 Central Expressway N | Allen | TX | 75013 | 752890358 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Dallas | ||||||||||
| 8200 Walnut Hill Ln | Dallas | TX | 75231 | 751047527 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Denton | ||||||||||
| 3000 North Interstate 35 | Denton | TX | 76201 | 432008974 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Kaufman | ||||||||||
| 850 Ed Hall Drive | Kaufman | TX | 75142 | 752771437 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| Texas Health Plano | ||||||||||
| 6200 W Parker Rd | Plano | TX | 75093 | 752770738 | Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| TX Health Research & Education Institute | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 752562191 | Edu& Research | TX | 501(c)(3) | 4 | TH Resources | false |
| Texas Health Resources | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 752702388 | Mgmt Supp Org | TX | 501(c)(3) | 11 III FI | NA | false |
| TX Health Resources Self-Insurance Trust | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 756335901 | Insur Trust | TX | 501(c)(3) | 11 III FI | TH Resources | false |
| TH Specialty Hospital Fort Worth | ||||||||||
| 1301 Pennsylvania Ave | Fort Worth | TX | 76104 | 751648589 | LT Hospital | TX | 501(c)(3) | 3 | TH Resources | false |
| WW Ward Endowment Fund Trust | ||||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 756196065 | Support Org. | TX | 501(c)(3) | 11 Type 1 | TH Ft Worth | false |
| Healthy Tarrant County Collaboration | ||||||||||
| PO Box 8040 | Fort Worth | TX | 76124 | 432087946 | Support Org | TX | 501(c)(3) | 11 Type 1 | TH Resources | false |
| TH Harrris Methodist Azle Auxiliary | ||||||||||
| 108 Denver Trail | Azle | TX | 76020 | 752176824 | Support Org | TX | 501(c)(3) | 11 III FI | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| AMH Cath Labs LLC | |||||||
| 811 Wright St | Arlington | TX | 76012 | 203003947 | Hospital | TX | NA |
| Cleburne Imaging LLC | |||||||
| 6301 Abrams Road Ste 131 | Dallas | TX | 75231 | 460767278 | Outpatient Diagno | TX | NA |
| Cleburne Surgical Center LLC | |||||||
| 2010 W Katherine P Raines Blvd St | Cleburne | TX | 76033 | 203742012 | Amb Surg Ctr | TX | NA |
| Denton Surgery Center LLC | |||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 470926556 | Amb Surg Ctr | TX | NA |
| Flower Mound Hospital Partners LLC | |||||||
| 612 E Lamar Blvd Ste 600 | Arlington | TX | 76011 | 260684968 | Hospital | TX | NA |
| Greenville Surgery Center LLC | |||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 742411643 | Amb Surg Ctr | TX | NA |
| Health Imaging Partners LLC | |||||||
| 8610 Explorer Drive Ste 300 | Colorado Springs | CO | 80920 | 271385885 | Outpatient Diagno | TX | NA |
| Physician Medical Center LLC | |||||||
| 612 E Lamar Blvd 6th Flr | Arlington | TX | 76011 | 481281376 | Hospital | TX | NA |
| Presbyterian Cancer Center-Dallas LLC | |||||||
| 1220 Senlac Drive 2nd Flr | Carrollton | TX | 75006 | 260422749 | Medical Mgmt | TX | NA |
| Rockwall Regional Hospital LLC | |||||||
| 612 E Lamar Blvd 6th Flr | Arlington | TX | 76011 | 202848116 | Hospital | TX | NA |
| ShermanGrayson Healthcare System LLC | |||||||
| 2400 Dallas Pkwy | Plano | TX | 75093 | 272025497 | Hospital | TX | NA |
| Southlake Specialty Hospital LLC | |||||||
| 612 E Lamar Blvd 6th Flr | Arlington | TX | 76011 | 020555370 | Hospital | TX | NA |
| Surgical Caregivers of Fort Worth LLC | |||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 751925497 | Amb Surg Ctr | TX | NA |
| Texas Health Craig Ranch Surgery Center | |||||||
| 8080 State Hwy 121 Ste 100 | McKinney | TX | 75070 | 383897811 | Amb Surg Ctr | TX | NA |
| Texas Health Flower Mound Orthopedic Sur | |||||||
| 5000 Long Prairie Road | Flower Mound | TX | 75028 | 800866449 | Amb Surg Ctr | TX | NA |
| Texas Health MedSynergies LLC | |||||||
| 909 Hidden Ridge Ste 300 | Irving | TX | 75038 | 800272951 | Mgmt Services | TX | NA |
| Texas Institute for Surgery LLP | |||||||
| 7715 Greenville Ave Ste 100 | Dallas | TX | 75231 | 770628004 | Hospital | TX | NA |
| THR-STT Rockwall ASC LLC | |||||||
| 1545 E Southlake Blvd | Southlake | TX | 76092 | 262429878 | Amb Surg Ctr | TX | NA |
| THR-STT Southlake ASC LLC | |||||||
| 1545 E Southlake Blvd | Southlake | TX | 76092 | 201728912 | Amb Surg Ctr | TX | NA |
| USMD Hospital at Arlington LP | |||||||
| 801 I -20 West | Arlington | TX | 76017 | 731662763 | Hospital | TX | NA |
| USMD Hospital at Fort Worth LP | |||||||
| 6333 North State Hwy 161 Ste 200 | Irving | TX | 75038 | 203571243 | Hospital | TX | NA |
| Women's Specialty Surgery Center | |||||||
| 8230 Walnut Hill Ln Ste 101 | Dallas | TX | 75231 | 262310072 | Amb Surg Ctr | TX | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| AMH Health Ventures Inc | ||||||||
| 800 W Randol Mill Road | Arlington | TX | 76012 | 752141114 | Comp/Billing Svc | TX | C Corp | false |
| Fort Worth Surgical Care Givers Inc | ||||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 621204446 | Holding Co | TX | C Corp | false |
| Greenville Surgery Center Inc | ||||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 752123689 | Holding Co | TX | C Corp | false |
| Texas Health Biomedical Advancement Ctr | ||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 752636884 | Research | TX | C Corp | false |
| Texas Health Resources Casualty Company | ||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | 030310676 | Insurance | VT | C Corp | false |
| Charitable Remainder Trusts (4) | ||||||||
| 612 E Lamar Blvd | Arlington | TX | 76011 | CR Trust | TX | Trust | false | |
| Huguley Medical Associates Inc | ||||||||
| 11801 South Freeway | Burleson | TX | 76028 | 752547668 | Physician Clinics | TX | c corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V - Related Transaction | FormAndLineReferenceDesc |
| Explanation | 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). Transactions with related tax exempt organizations not falling within this scope are not listed on Schedule R, Part V, Line 2. Transactions with related joint ventures and for profit corporations are disclosed on Schedule R, Part V, Line 2. | ExplanationTxt |
Comments