2014-11-12T12:31:33-06:00 2013-12-31 990 2013-01-01 752702388 Texas Health Resources % DAVID JACKSON TEXA 6822367900 612 E Lamar Blvd Suite 600 Arlington TX 76011 Rick McWhorter Asst Secretary 2014-11-12 2013 2015-11-30 17:44:51Z X Barclay Berdan 612 E Lamar Blvd Arlington TX 76011 2638417874 false X texashealth.org X 1997 TX Through its affiliates, THR operates an integrated healthcare system with services and facilities throughout north central texas. 17 15 3079 483328 -1262265 2796542 329765 434611242 503688986 84338535 210272366 3139197 4037672 524885516 718328789 587640 519625 0 0 216755747 223442988 0 0 0 224176711 208644688 441520098 432607301 83365418 285721488 3011378838 3778224317 2880540341 2972008605 130838497 806215712 X THROUGH ITS AFFILIATES, THR OPERATES AN INTEGRATED HEALTHCARE SYSTEM WITH SERVICES AND FACILITIES THROUGHOUT NORTH CENTRAL TEXAS. false false 432607301 519625 505672165 Founded in 1997, Texas Health Resources (THR) provides direction and oversight to its wholly-controlled affiliates. The range of centralized services provided by THR include information services, managed care contracting, human resources ,revenue cycle, legal, tax, compliance, supply chain, qualifying business development, insurance, treasury, marketing, general accounting, and strategic planning. THR also operates professional office buildings leased primarily to physicians who are members of the medical staff of THR affiliated hospitals. THR also operates, manages and coordinates physician services through Texas Health Physicians Group (THPG), a wholly owned affiliate of THR. THPG is a network of primary and specialty care physician practices providing the north Texas area community access to qualify health care delivered either through an office setting or through a hospital program. 432607301 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true true false false false false false true false false false false false false false false true true true true false false true 505 0 true 3079 true true true false false false false false false false false false false false false false false X 17 15 true false false false true true true true true false false true true true true true true true true true true X X DAVID JACKSON 6822367900 612 E LAMAR BLVD Arlington TX 76011 X Bass Anne T Chair 3.0 X 0 0 Beavers Jay L DMin Trustee 3.0 X 0 0 Bloemendal Lee C MD FACS Trustee 3.0 X 0 0 Ferguson III John R Vice Chair 3.0 X 940 0 Greene Richard E Trustee 3.0 X 0 0 Haggar III Joseph M Trustee 3.0 X 0 0 Hardesty Glenn David DO Trustee 3.0 X 73350 0 Hunt Hunter L Trustee 3.0 X 0 0 Jarvis Feliz Trustee 3.0 X 0 0 McDermott Grace Trustee 3.0 X 0 0 Roberts Leonard H Immediate Past Chair 3.0 X 0 0 Stripling W Dennis MD Trustee 3.0 X 0 0 Tatum Stephen L Trustee 3.0 X 0 0 Turner Wesley R Trustee 3.0 X 628 0 Vigness Richard M MD Trustee 3.0 X 32053 0 Wilder Jr Charles John Trustee 3.0 X 0 0 Wynne James Y Trustee 3.0 X 0 0 HawthorneDouglas D CHIEF EXECUTIVE OFFICER 40.0 X 2182751 34688 BerdanBarclay E EVP SR & COO THR 40.0 X 1218462 41097 LongRonald R EVP RSRC DEVL & DEPLOY & CFO 40.0 X 1024492 39676 AmparanOscar L EVP ZONE OPERATIONS LEADER 40.0 X 975172 34564 SchollJonathan Wade EVP CHIEF STRATEGY OFFICER 40.0 X 814228 109423 CanoseJeffrey L EVP ZONE OPERATIONS LEADER 40.0 X 812233 31791 BellBonnie L EVP PEOPLE & CULTURE 40.0 X 727839 40079 BoesCharles Secretary/EVP 40.0 X 705227 34086 BerenzweigHarold K EVP ZONE CLINICAL LEADER 40.0 X 676759 36657 LesterMark C EVP ZONE CLINICAL LEADER 40.0 40.0 X 332679 332679 46914 VargaDaniel W EVP SR & CHIEF CLINICAL OFFICE 40.0 X 656770 59248 RansomElizabeth EVP ZONE CLINICAL LEADER 40.0 X 646002 53311 McClungBrett S EVP ZONE OPERATIONS LEADER 40.0 40.0 X 261037 360480 142690 McWhorterRicky E Asst Secretary/SVP FINANCE 40.0 X 417738 64613 HansonStephen C EVP ZONE OPERATIONS LEADER 40.0 X 470232 21418 NguyenTricia H EVP Popltn Hlth Mgmt/Pres Inst 40.0 X 340956 8625 KramerKenneth J SVP ASSOC GEN COUNSEL 40.0 X 429376 110745 MarxEdward SVP CHIEF INFO OFFICER 40.0 X 640040 41699 MimsKrystal SVP CARE CONTINUUM & COLLABORA 40.0 X 639117 121896 VelascoFerdinand T SVP & CHIEF HLTH INFO OFFICER 40.0 X 595432 137820 GaidaJohn B SVP SUPPLY CHAIN MGMT 40.0 X 537461 37805 Shinkus ClarkJoan Frances SVP CHIEF NURSING EXECUTIVE 40.0 X 537286 25753 RoperJack R SVP FINANCE 40.0 X 481578 34450 PearsonGeorge SVP MED STF AFFRS PHYS RLTNS 40.0 X 472316 35658 JohnstonPatricia B VP INFORMATION SVCS THR 40.0 X 456742 32857 TesmerDavid J SVP COMMUN ENGAG & ADVOCACY 40.0 X 453695 38580 KirbyMichelle Riddle SVP CHIEF HR OFFICER 40.0 X 448202 33757 AndersonSusan Elaine SVP & CHIEF COMPLIANCE OFFICER 40.0 X 448027 19590 SaldanaLuis Eduardo CMIO 40.0 X 433793 36995 HolmesKevin B SVP REAL ESTATE DEVL & DEPLOY 40.0 X 414316 45483 JonesRobert Douglas SVP TREASURER/CHIEF INVEST OFF 40.0 X 410209 38950 SchornickAmy C VP PAYOR RLTNS & CONTRACTING 40.0 X 370150 64778 MitchellJohn D SVP BUSINESS DEVELOPMENT 40.0 X 357397 40338 GerbigLinda Mary SVP PERF IMPROV & QUAL OUTCOME 40.0 X 355036 42108 HarveyGayla Dawn SVP FINAN / CHIEF REV OFFICER 40.0 X 329956 13263 BeckJesse St John VP STRATEGIC MARKETING 40.0 X 313719 20128 SullivanJon M VP REAL ESTATE OPS 40.0 X 308900 44905 Menke-FleischerSusan Richelle CNSLT FINAN/REVENUE CYCLE PRN 40.0 X 307493 SpearsPaula Jean VP PROF PRAC RSRCH & MAGNET 40.0 X 292111 21105 LogsdonJames D VP REVENUE CYCLE OPERATIONS 40.0 X 289677 93901 JacksonDavid W VP CORPORATE CONTROLLER 40.0 X 289264 24336 AuzenneDana S VP REVENUE PLANNING & ANALYSIS 40.0 X 287581 59341 BerrettBritt R Former EVP 40.0 X 0 827484 304488 StoltzMichael L Former PRESIDENT THOP 40.0 X 0 578568 25006 PetersonLisa Kaye Former VP FINANCE THOP 40.0 X 0 445640 38859 ZiesmannThomas Former SVP OPERATIONS THOP 40.0 X 0 344835 21055 23268422 2889686 2404529 321 true true false One Southwest Media Group Inc 2100 Ross Ave DALLAS TX 75201 Advertising 9174750 EPIC Systems Corporation 1979 Milky Way VERONA WI 53593 Training & Consult 4950219 Commerce House 110 Leslie Street 200 DALLAS TX 75207 Advertising 4862149 Healthways Inc 701 Cool Spring Blvd FRANKLIN TX 37067 Consulting 4510494 Stewart Organization 2300 Gateway Drive IRVING TX 75063 Copying Services 3929385 202 329765 329765 MANAGEMENT FEE 541610 379269106 379058374 210732 JV ACTIVITY 541900 66611651 67621263 -1009612 RENTAL FEE 57645874 57645874 EDUCATION REVENUE 162355 162355 503688986 48812915 48812915 0 74574 74573 1382564 80726 1301838 0 1301838 1301838 2081461651 6159 1919857008 151351 161604643 -145192 161459451 161459451 0 0 0 TELECOMMUNICATIONS 519100 1438425 156217 1282208 REBATE 649824 649824 VIDEO 300537 300537 272474 77721 194753 2661260 718328789 505672165 483328 211843530 519625 519625 0 0 0 23421730 23421730 0 162319463 162319463 7704055 7704055 17659823 17659823 12337917 12337917 5501541 5501541 1554010 1554010 2097166 2097166 0 0 8307947 8307947 36294800 36294800 13116169 13116169 11383928 11383928 46972000 46972000 0 27215266 27215266 1662488 1662488 0 2115077 2115077 4842557 4842557 0 38425959 38425959 322960 322960 RELEASED TAX ACCRUAL -7305359 -7305359 REPAIRS & MAINTENANCE 5260330 5260330 MISC EXPENSES 2626810 2626810 LICENSE/DUES 2586580 2586580 5664459 5664459 432607301 432607301 0 0 X -1847284 19169864 349515002 254832140 0 0 18031017 42078408 5785383 7801425 0 0 13006350 6912711 58285 4466627 28015016 37401837 819611606 396334905 328827006 423276701 1996776826 2695860111 0 0 142354058 139660365 19066146 67760549 111791033 79003579 3011378838 3778224317 175000966 191199275 0 0 0 0 1163090396 1297496174 0 0 0 0 107491851 185893558 0 0 1434957128 1297419598 2880540341 2972008605 X 130838497 806215712 0 0 0 0 130838497 806215712 3011378838 3778224317 X 285721488 201228124 188427603 X X false true X true false X X X false false false TEXAS HEALTH ARLINGTON 750972805 03 true true true 23541142 TEXAS HEALTH HARRIS METHODIST FOUNDATION 752401033 04 true true true 398129 TEXAS HEALTH ALLIANCE 451502252 03 true true true 5983841 TEXAS HEALTH AZLE 751748586 03 true true true 3173631 TEXAS HEALTH CLEBURNE 751977850 03 true true true 6933875 TEXAS HEALTH FORT WORTH 756001743 03 true true true 76789138 TEXAS HEALTH HEB 751438726 03 true true true 26360695 TEXAS HEALTH SOUTHWEST 752678857 03 true true true 21665866 TEXA HEALTH STEPHENVILLE 751752253 03 true true true 4518913 TEXAS HEALTH PHYSICIANS GROUPS 752613493 04 true true true 55181785 TEXAS HEALTH RESOURCES FOUNDATION 752022128 04 true true true 3785560 TEXAS HEALTH ALLEN 752890358 03 true true true 8356027 TEXAS HEALTH DALLAS 751047527 03 true true true 67674015 TEXAS HEALTH DENTON 432008974 03 true true true 17713171 TEXAS HEALTH KAUFMAN 752771437 03 true true true 4037181 TEXAS HEALTH PLANO 752770738 03 true true true 40074777 TEXAS HEALTH RESEARCH & EDUCATION INSTITUTE 752562191 04 true true true 365589 TEXAS HEALTH SPECIALTY HOSPITAL 751648589 03 true true true 1018244 18 367571579 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 5047 false true 114668 true 1122542 false false 1242257 false Part II-B Texas Health Resources (THR) is the parent organization for a healthcare system consisting of hospitals and other related healthcare organizations. The amount of expenses paid, or incurred in connection with lobbying activities reported on this return represent the expenses incurred on behalf of THR and all its affiliates. Total expenses for the system were $3,526,968,111 for the year ended December 31,2013. Of this amount $1,242,257(.0352%) is used in connection with lobbying activities. Officers and/or Board members of THR may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities that THR serves. In pursuing this activity, officers and/or Board members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters. A portion of the dues paid to the American Hospital Association and Texas Hospital Association are used by these organizations to support lobbying activites. The amount of time and money involved in the activities described above is negligible. In no case has either THR, or any person acting on behalf of THR, intervened in any political campaign. 58636941 58636941 215739081 141821004 73918077 171584178 47489344 124094834 346156767 207024557 139132209 27494640 27494640 423276701 0 SECURITY DEPOSIT 32610 TRUSTEE FUNDS-SUPP RETIREMENT 2860540 TRUSTEE FUNDS-CAA 487991 POST RETIREMENT BENEFITS 5568016 UNAMORTIZED RENT 2799303 OTHER LIABILITIES 10791899 ASSET RETIREMENT OBLIGATION 1434765 MALPRACTICE TRUST RESERVE 31245040 INTERCOMPANY PAYABLE 1206318317 FMW SWAP AGREEMENT 5949843 MINORITY INTEREST 29931274 1297419598 true true X true X true X 0 true true true false true true 4549775 2299767 2250009 0.01070 13323486 5030509 8292977 0.03940 392325 219635 172691 0.00080 18265586 7549911 10715677 0.05090 2036764 2036764 0.00970 72225 72225 0.00030 828528 828528 0.00390 795275 795275 0.00380 3732792 3732792 0.01770 21998378 7549911 14448469 0.06860 87216 87216 0.00040 343942 343942 0.00160 431158 431158 0.00200 true 28838664 42240880 49111296 -6870416 X true true Flower Mound Hosp Hospital 0.55080 0.44920 Greenville Surg Ctr Ambulatory Surgery Center 0.80300 0.19700 Physician Med Ctr Hospital 0.06040 0.46730 Rockwall Regional Hospital 0.59320 0.40680 Southlake Specialty Hospital 0.06080 0.46200 Surg Caregivers FW Ambulatory Surgery Center 0.51000 0.49000 TH Flower Mound Orthopedic Surgery Center 0.51000 0.49000 THR-STT Rockwall ASC Ambulatory Surgery Center 0.51000 0.49000 THR-STT Southlake Ambulatory Surgery Center 0.51000 0.49000 USMD Arlington Hospital 0.51000 0.49000 USMD Fort Worth Hospital 0.50970 0.49030 Denton Surgery Ctr Ambulatory Surgery Center 0.71460 0.20170 TH Craig Ranch Ambulatory Surgery Center 0.66000 0.24000 7 1 Rockwall Regional Hospital 3150 Horizon Rd Rockwall TX 75032 www.texashealthrockwall.com 008599 X X X 2 Physicians Medical Center LLC 6020 Parker Rd Plano TX 75093 www.thcds.com 008153 X X X 3 Southlake Specialty Hospital LLC 1545 E Southlake Blvd Southlake TX 76092 www.texashealthsouthlake.com 008128 X X X 4 Flower Mound Hospital Partners 4400 Long Prairie Rd Flower Mound TX 75028 www.texashealthflowermound.com 100056 X X X 5 USMD Hospital at Arlington 801 W Interstate 20 Arlington TX 76017 www.usmdarlington.com 007990 X X X 6 USMD Hospital at Fort Worth 5900 Dirks Rd Fort Worth TX 76132 www.usmdfortworth.com 008614 X X X 7 Sherman Grayson Health System 500 N Highland Sherman TX 75092 www.wnj.org 100066 X X X Rockwall Regional Hospital 1 true X X X X X X X X X 13 true false true X See Part V, Section C for complete URL X www.texashealth.org/CHNA X X X X X X X X X X false false true true 200. true true X X X X X X X true true X X X X true false X X X X true X false false Physicians Medical Center LLC 2 true X X X X X X X X X 13 true false true X http://www.thcds.com/about X www.texashealth.org/CHNA X X X X X X X X X X false false true true 200. true true X X X X X X X true true X X X X true false X X X X true X false false Southlake Specialty Hospital LLC 3 true X X X X X X X X X 13 true false true X See Part V, Section C for complete URL X www.texashealth.org/CHNA X X X X X X X X X X false false true true 200. true true X X X X X X X true true X X X X true false X X X X true X false false Flower Mound Hospital Partners 4 true X X X X X X X X X 13 true false true X www.texashealthflowermound.com/community X www.texashealth.org/CHNA X X X X X X X X X X false false true true 200. true true X X X X X X X true true X X X X true false X X X X true X false false USMD Hospital at Arlington 5 true X X X X X X X X X 13 true false true X See Part V Section C for complete URL X www.texashealth.org/CHNA X X X X X X X X X X false false true true 200. true true X X X X X X X true true X true false X X X X true X false false USMD Hospital at Fort Worth 6 true X X X X X X X X X 13 true false true X See Part V Section C for complete URL X www.texashealth.org/CHNA X X X X X X X X X X false false true true 200. true true X X X X X X X true true X true false X X X X true X false false Sherman Grayson Health System 7 true X X X X X X X X X 13 true false true X See Part V Section C for complete URL X www.texashealth.org X X X X X X X X X X false false true true 200. true 300. true X X X X X X true true X X true false X X true X false false Part V Section B - Facility #1 Texas Health Rockwall Part V Section B-3 - Facility #1 Texas Health Rockwall 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 Rockwall conducted a series of community feedback sessions. Participants of the community feedback interviews included but were not limited to: political leaders, faith community representatives, public health officials, lay community members, physicians, school officials and city administration. The information gathered from the community feedback sessions helped Texas Health Rockwall to understand the health needs from a community perspective and align this to the data analysis Part V Section 5a - Facility #1 Hospital's website complete URL where CHNA is located: www.texashealthrockwall.com/community-health.html Part V Section B-5d - Facility #1 Texas Health Rockwall 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 - Facility #1 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 Rockwall categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. From there, Texas Health Rockwall 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 Rockwall 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) Injury and Violence - lack of expertise, low priority assigned, need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 3) Maternal, Infant & Child Health - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 4) Mental Health - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support 5) Oral Health - lack of expertise 6) Other Clinical/Preventive - the facility will continue to address the need at its current level of support 7) Social Determinants - resource constraints, low priority assigned, and lack of effective intervention 8) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support 9) Transportation - lack of expertise Part V. Sec B-11 - Facility #1 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- FACILITY #1 SEE RESPONSE TO PART I, LINE 3C AND PART V SEC B, LINE 11 Part V Section B - Facility #2 Physicians Medical Center Part V Section B-3 - Facility #2 Physicians Medical Center, LLC utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities in which we serve. As a means to further understand the needs from those engaged in the community, Physicians Medical Center, LLC conducted a series of community feedback sessions. Participants of the community feedback interviews included but were not limited to: faith community representatives, public health officials, lay community members, school officials, and others. The information gathered from the community feedback sessions helped Physicians Medical Center, LLC to understand the health needs from a community perspective and align this to the data analysis. Part V Section B-5d - Facility #2 Physicians Medical Center, LLC produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B-7 - Facility #2 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, Physician Medical Center, LLC categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. From there, Physician Medical Center, LLC was able to use a strategic prioritization method to determine the top needs within the community aligned with the ability to address said issues. Physician Medical Center, LLC will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support 2) Mental Health - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support 3) Nutrition, Physical activity and Obesity- need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 4) Oral Health - lack of expertise 5) Other Clinical/Preventive - the facility will continue to address the need at its current level of support 6) Social Determinants- resource constraints, low priority assigned and lack of effective intervention 7) Transportation- lack of expertise Part V. Sec B-11 - Facility #2 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- FACILITY #2 SEE RESPONSE TO PART I, LINE 3C AND PART V SEC B, LINE 11 Part V Section B - Facility #3 Texas Health Southlake Part V Section B-3 - Facility #3 Health Southlake 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 Southlake conducted a series of community feedback sessions. Participants of the community feedback interviews included but were not limited to: faith community representatives, public health officials, lay community members, physicians, school officials, city administration and others. The information gathered from the community feedback sessions helped Texas Health Southlake to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-5a - Facility #3 Hospital's website complete URL where CHNA is located: www.texashealthsouthlake.info/thrinthecommunity.php Part V. Section B-5d - Facility #3 Texas Health Southlake produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B-7 - Facility #3 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 Southlake categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. From there, Texas Health Southlake 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 Southlake 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) Injury and Violence - lack of expertise, low priority assigned, need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 3) Maternal, Infant & Child Health - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 4) Mental Health - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support 5) Preventive/Wellness - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 6) Social Determinants - resource constraints, low priority assigned and lack of effective intervention 7) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support 8) Transportation - lack of expertise Part V. Sec B-11 - Facility #3 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- FACILITY #3 SEE RESPONSE TO PART I, LINE 3C AND PART V SEC B, LINE 11 Part V Section B - Facility #4 Texas Health Flower Mound Part V. Section B-3 - Facility #4 Texas Health Flower Mound 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 Flower Mound conducted a series of community feedback sessions. Participants of the community feedback interviews included but were not limited to: faith community representatives, public health officials, lay community members, physicians, school officials. The information gathered from the community feedback sessions helped Texas Health Flower Mound to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-5d - Facility #4 Texas Health Flower Mound 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 - Facility #4 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 Flower Mound categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. From there, Texas Health Flower Mound 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 Flower Mound 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) Mental Health - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support 3) Nutrition, Physical Activity and Obesity - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 4) Reproductive and Sexual Health - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 5) Social Determinants - resource constraints, low priority assigned, and lack of effective intervention Part V. Sec B-11 - Facility #4 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- FACILITY #4 SEE RESPONSE TO PART I, LINE 3C AND PART V SEC B, LINE 11 Part V Section B - Facility #5 USMD at Arlington Part V. Section B-3 - Facility #5 USMD at Arlington 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, USMD at Arlington conducted a series of community feedback sessions. Participants of the community feedback interviews included but were not limited to: public health officials, lay community members, school officials and city administration. The information gathered from the community feedback sessions helped USMD at Arlington to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-5a - Facility #5 Hospital's website complete URL where CHNA is located: www.usmdarlington.com/patients-visitors/locations-directions Part V. Section B-5d - Facility #5 USMD at Arlington produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B-7 - Facility #5 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, USMD at Arlington categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. From there, USMD at Arlington was able to use a strategic prioritization method to determine the top needs within the community aligned with the ability to address said issues. USMD at Arlington will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support 2) 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 3) Mental Health - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support 4) Oral Health - lack of expertise 5) Other Clinical/Preventive - the facility will continue to address the need at its current level of support 6) Preventive/Wellness - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 7) Social Determinants - resource constraints, low priority assigned, and lack of effective intervention 8) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support 9) Transportation - lack of expertise Part V. Sec B-11 - Facility #5 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- FACILITY #5 SEE RESPONSE TO PART I, LINE 3C AND PART V SEC B, LINE 11 Part V. Sec B-20d - Facility #5 The hospital provides at least a 35% discount to self-pay patients. The 35% discount is approximately the average discount provided to a non-government third party payer. Additionally, patients who qualify under the FAP may be eligible for a charity discount up to 100% of their hospital bill. Part V Section B - Facility #6 USMD at Fort Worth Part V. Section B-3 - Facility #6 USMD at Fort Worth 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, USMD at Fort Worth conducted a series of community feedback sessions. Participants of the community feedback interviews included but were not limited to: public health officials, lay community members and school officials. The information gathered from the community feedback sessions helped USMD at Fort Worth to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-5a - Facility #6 Hospital's website complete URL where CHNA is located: www.usmdfortworth.com/patients-visitors/locations-directions Part V. Section B-5d - Facility #6 USMD at Fort Worth produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B-7 - Facility #6 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, USMD at Fort Worth categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. From there, USMD at Fort Worth was able to use a strategic prioritization method to determine the top needs within the community aligned with the ability to address said issues. USMD at Fort Worth will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints, 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) Injury and Violence - lack of expertise, low priority assigned, need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 4) Maternal, Infant & Child Health - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support Mental Health - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support 5) Nutrition, Physical Activity and Obesity - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 6) Oral Health - lack of expertise 7) Other Clinical/Preventive - the facility will continue to address the need at its current level of support 8) Social Determinants - resource constraints, low priority assigned, and lack of effective intervention 9) Tobacco - low priority assigned 10) Transportation - lack of expertise Part V. Sec B-11 - Facility #6 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- FACILITY #6 SEE RESPONSE TO PART I, LINE 3C AND PART V SEC B, LINE 11 Part V. Sec B-20d - Facility #6 The hospital provides at least a 35% discount to self-pay patients. The 35% discount is approximately the average discount provided to a non-government third party payer. Additionally, patients who qualify under the FAP may be eligible for a charity discount up to 100% of their hospital bill. Part V Section B - Facility #7 - Sherman Grayson Health System Part V Section B-3 - Facility #7 Sherman Grayson 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, Sherman Grayson conducted a series of community feedback sessions. Participants of the community feedback interviews included but were not limited to: political leaders, lay community members, physicians, school officials and city administration. The information gathered from the community feedback sessions helped Sherman Grayson to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-5a - Facility #7 Hospital's website complete URL where CHNA is located: http://www.wnj.org/index.php/about-us/community-information Part V. Section B-5d - Facility #7 Sherman Grayson produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B-7 - Facility #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, Sherman Grayson categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. From there, Sherman Grayson was able to use a strategic prioritization method to determine the top needs within the community aligned with the ability to address said issues. Sherman Grayson will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support 2) Cancer - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 3) Injury and Violence - lack of expertise, low priority assigned, need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 4) Maternal, Infant & Child Health - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support 5) Mental Health - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support 6) Oral Health - lack of expertise 7) Other Clinical/Preventive - the facility will continue to address the need at its current level of support 8) Social Determinants - resource constraints, low priority assigned and lack of effective intervention 9) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support 10) Tobacco - low priority assigned 11) Transportation - lack of expertise Part V. Section B-11 - Facility #7 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 BETWEEN 200-300% OF APPLICABLE FPG WHO HAVE UNPAID MEDICAL BILLS EXCEEDING A SPECIFIED PERCENTAGE OF THE PATIENT'S ANNUAL GROSS INCOME 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. 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, LAND, SAVINGS AND HOUSING. 9 Health Imaging Partners LLC 8610 Explorer Dr 300 Colorado Springs CO 80920 Outpatient Diagnostic Imaging Surgical Caregivers of Fort Worth LP 3000 Riverchase Galleria 500 Birmingham AL 35244 Ambulatory Surgery Center THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 Ambultory Surgery Center TX Health Flower Mound Orthopedic Surg 5000 Long Prairie Rd Flower Mound TX 75028 Ambulatory Surgery Center THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 Ambulatory Surgery Center Greenville Surgery Center LLC 3000 Riverchase Galleria 500 Birmingham AL 35244 Ambulatory Surgery Center Denton Surgery Center LLC 3000 Riverchase Galleria Birmingham AL 35244 Ambulatory Surgery Center TH Craig Ranch 8080 State Hwy 121 Ste 100 McKinney TX 75070 Ambulatory Surgery Center Cleburne Surgery Center LLC 2010 W Katherine P Raines Blvd Ste Cleburne TX 76033 Ambulatory Surgery Center Pt I, Ln 3c The Schedule H for Texas Health Resources ("THR")is filed solely because it has an ownership interest in 7 taxable joint ventures operating as hospitals. THR is a functionally integrated supporting organization and does not operate its own hospital. THR supports a system of faith-based, non-profit hospitals, an employed physician organization and an organization for medical research and education. THR has adopted a charity care policy which covers all 14 non-profit hospitals it supports. Patients with family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified "patient responsible amount" if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's charity care application is reviewed. Assets considered when determining eligibility include cash, stocks, bonds and other financial assets that can be readily converted to cash. An additional process to screen for charity patients using publicly available financial information is also in place for patients not submitting a charity care application. Pt I, Ln 7 A cost to charge ratio is used in computing the amounts reported in Lines 7a-7c. The amounts reported on Lines 7e-7i were obtained using direct costs, as determined by a cash outlay or, in the case of reporting employee volunteer hours, by using an average national volunteer wage rate. Pt III, Lns 2 & 4 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 organization is the parent 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. 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. Pt III, Ln 8 The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care & community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. Pt III, Ln 9b During the year, standard collection procedures were in place and uniformly applicable to all patient accounts. Except to the extent a patient receives a recovery from any third party or other source, no attempts are made to collect unpaid charges from patient accounts approved for adjustment under the Charity Care Program. Pt VI, Ln 2 The organization is part of the Texas Health Resources (THR) healthcare system. In addition to the organization's Community Health Needs Assessment (CHNA), THR developed and implemented, as a healthcare system, a Community Benefit Framework (CBF), based on the Public Health Institute's best practices ASACB program. The CBF systematically integrates internal practices into the community to improve the efficiency and effectiveness of THR's community health improvement (CHI) strategy, to address disproportionate unmet health needs (DUHN), to address primary prevention and to improve community capacity. CBF provides a quantitative approach to parallel the CHNA in identifying key communities within THR's service area, and the means to align them with a THR entity. The CBF contains five phases: assessment/profile, infrastructure, Community Health Council, programmatic review and strategy development. THR works with each entity community health representative to examine its structure and programs for gaps, needs, strengths, and alignment with the CBF, CHNA and ASACB standards. 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. Pt VI, Ln 4 Texas Health does not operate a hospital. Therefore, there is no information to provide regarding a hospital service area. Pt VI, Ln 5 Texas Health does not operate a hospital. The Schedule H reflects Texas Health's ownership interest in its taxable joint ventures which operate hospitals. Pt VI, Ln 6 The organization is the parent of the THR healthcare system. THR is one of the largest faith-based, nonprofit healthcare delivery systems in the US and the largest in North TX in terms of patients served. The system of 14 hospitals includes an organization for medical research and education. The system also includes a foundation that fosters philanthropic relationships which support the programs and services of the hospitals it supports. The mission of the hospitals in the THR system is to improve the health of the people in the communities we serve. THR takes its responsibility to its communities seriously and invests charitable resources to promote good health and prevent disease. Not only does THR provide health care to those who do not have the means to pay, its hospitals also conduct a variety of programs designed to improve health and prevent illness in the community. The community health strategies of THR and its affiliated healthcare organizations are driven by community health needs, are community-based and include confronting health problems at the source and emphasize health promotion, disease prevention, and early treatment of illness. Pt VI, Ln 7 The organization files a Texas Annual Statement of Community Benefit Standard. Texas has established a minimum level of charity care and community benefit that must be provided by nonprofit hospitals in order to retain their Texas tax-exempt status. The standard set by the state is met when charity care and community benefits are provided in a combined amount equal to at least five percent of the hospital's or hospital system's net patient revenue, provided that charity care and government-sponsored indigent health care are provided are at least four percent of net patient revenue. THR is the parent company of a healthcare system filing the combined community benefit report in Texas. THR reported other community benefit in this report. The data provided for Schedule H is THR's share of operations from its taxable joint ventures which operate hospitals in Texas. The taxable joint ventures are not required to file community benefit reports with the state of Texas. Part VI Ln 3 A description of both the Charity Care program and application are available on the THR website at www.TexasHealth.org in English and Spanish. Signs alerting patients of charity care assistance and related contact information are posted in various areas of the hospital including admissions & registration, the emergency room and other outpatient departments. Additionally, financial assistance information is provided verbally and in writing to self-pay patients by financial counselors. As part of the financial counseling meeting, patients are screened for potential eligibility in other governmental assistance programs. If it is determined that the patient is potentially eligible for governmental assistance, the counselor will assist the patient in completing forms necessary to apply for the assistance. At the same time, patients are provided with a Charity Care application and information flyer. The patient is informed that the hospital is a non-profit organization offering financial assistance to patients deemed medically or financially indigent. A Plain Language Summary titled "Getting Help Paying Your Bill" is included on the back of our patient statements. The plain language summary informs the patients of how to qualify for charity, how to apply for help, necessary documentation, and informs of THR's collection activities. The onsite financial counselors may assist the patient in completing the application and obtain available verification information. Once the patient is discharged, the counselors will continue to contact the patient to ensure all forms and verifications needed to file an application for governmental assistance and Charity Care have been provided. In certain cases, self-pay patients who are discharged before seeing a financial counselor receive both a phone call and a letter to alert them to the existence of the financial assistance program. Each bill sent for hospital services also contains contact information alerting patients that Texas Health has a charity care program. Part II Community Building The organization participates in community building activities that aim to address the socio-economic factors that influence the overall health of individuals in the communities served. As identified in the community health needs assessment, there are areas of need that are not in alignment with the operations of a hospital system. Our volunteerism, collaborations and partnerships with various aid organizations and various area coalitions aid in addressing the socio-economic factors that are the backbone for many underlying health concerns. The organization also partners with local universities to increase promotion and training of diverse candidates into the healthcare workforce which in turns increases access to healthcare for many in the community. true TX Health Resources Foundation 612 E Lamar Blvd Arlington TX 76011 752022128 501(c)(3) 215000 General Purpose March of Dimes Foundation 12661 Coit Rd Suite 200 Dallas TX 75251 131846366 501(c)(3) 47500 General Purpose The American Cancer Society 8901 Carpenter Freeway Dallas TX 75247 741185665 501(c)(3) 30000 General Purpose American Diabetes Association 4101 Alpha Road Dallas TX 75244 131623888 501(c)(3) 27000 General Purpose Boys & Girls Club of Collin County 702 S Church St McKinney TX 75069 751296869 501(c)(3) 25000 General Purpose Central Texas Conference of the United Methodist 465 Bailey Avenue Fort Worth TX 76107 750851211 501(c)(3) 25000 General Purpose North Texas Accountable Healthcare Partnership 141 E 12st Dallas TX 75262 273651426 501(c)(3) 25000 General Purpose Salesman Club 107 East Tenth Street Dallas TX 75203 750717135 501(c)(3) 20000 General Purpose North Texas Commission Foundation PO Box 610246 DFW Airport TX 75262 752948710 501(c)(3) 15000 General Purpose UT Health Science Center PO Box 20186 Houston TX 76107 741761309 501(c)(3) 6000 General Purpose 10 Part I, Line 2 Texas Health Resources (THR) receives various requests from the community for assistance. THR management reviews these requests to verify that they are benefiting the community and they are in agreement with THR's mission. The grants or assistance given by THR are generally to local organizations that have a longstanding record of benefiting the local community. Since the vast majority of the assistance given by THR is to local organizations, management is able to monitor the use of the funds using personal inspection. Many of the events are published in the local paper. Many are community wide events where THR employees attend, or work as volunteers or coordinators. X X X X X X true true X X X X X false true false false false false false false false HawthorneDouglas D CHIEF EXECUTIVE OFFICER 1060254 832170 290327 19125 15563 2217439 337256 BerdanBarclay E EVP SR & COO THR 646567 410936 160959 19125 21972 1259559 140510 LongRonald R EVP RSRC DEVL & DEPLOY & CFO 557041 351331 116120 15300 24376 1064168 131691 AmparanOscar L EVP ZONE OPERATIONS LEADER 540415 343441 91316 19125 15439 1009736 111549 SchollJonathan Wade EVP CHIEF STRATEGY OFFICER 512047 213251 88930 87919 21504 923651 36604 CanoseJeffrey L EVP ZONE OPERATIONS LEADER 459843 248966 103424 15300 16491 844024 66475 BellBonnie L EVP PEOPLE & CULTURE 392575 230738 104526 19125 20954 767918 84440 BoesCharles Secretary/EVP 383161 230379 91687 19125 14961 739313 89186 BerenzweigHarold K EVP ZONE CLINICAL LEADER 435277 164154 77328 19125 17532 713416 0 LesterMark C EVP ZONE CLINICAL LEADER 212150 212150 73211 73211 47318 47318 16359 16359 7098 7098 356136 356136 2766 2766 VargaDaniel W EVP SR & CHIEF CLINICAL OFFICE 561551 0 95219 40034 19214 716018 0 RansomElizabeth EVP ZONE CLINICAL LEADER 403332 150126 92544 32218 21093 699313 0 McClungBrett S EVP ZONE OPERATIONS LEADER 157182 217061 63972 88342 39883 55077 50851 70222 9079 12538 320967 443240 15898 15898 McWhorterRicky E Asst Secretary/SVP FINANCE 264662 87862 65214 56627 7986 482351 9354 HansonStephen C EVP ZONE OPERATIONS LEADER 116923 199863 153446 15300 6118 491650 0 NguyenTricia H EVP Popltn Hlth Mgmt/Pres Inst 119035 200000 21921 0 8625 349581 0 KramerKenneth J SVP ASSOC GEN COUNSEL 242634 123563 63179 85425 25320 540121 40613 MarxEdward SVP CHIEF INFO OFFICER 377899 174157 87984 15300 26399 681739 48502 MimsKrystal SVP CARE CONTINUUM & COLLABORA 364769 206622 67726 92946 28950 761013 54568 VelascoFerdinand T SVP & CHIEF HLTH INFO OFFICER 357381 186939 51112 114132 23688 733252 100000 GaidaJohn B SVP SUPPLY CHAIN MGMT 306240 153893 77328 19125 18680 575266 50611 Shinkus ClarkJoan Frances SVP CHIEF NURSING EXECUTIVE 330869 143235 63182 10730 15023 563039 55228 RoperJack R SVP FINANCE 277131 139370 65077 19125 15325 516028 47019 PearsonGeorge SVP MED STF AFFRS PHYS RLTNS 221349 184787 66180 19125 16533 507974 37755 JohnstonPatricia B VP INFORMATION SVCS THR 205473 217604 33665 14569 18288 489599 175000 TesmerDavid J SVP COMMUN ENGAG & ADVOCACY 285951 116915 50829 24925 13655 492275 35266 KirbyMichelle Riddle SVP CHIEF HR OFFICER 263800 125470 58932 24805 8952 481959 41096 AndersonSusan Elaine SVP & CHIEF COMPLIANCE OFFICER 264738 114920 68369 19125 465 467617 38282 SaldanaLuis Eduardo CMIO 432943 0 850 15300 21695 470788 0 HolmesKevin B SVP REAL ESTATE DEVL & DEPLOY 235490 110559 68267 19125 26358 459799 39283 JonesRobert Douglas SVP TREASURER/CHIEF INVEST OFF 292823 73562 43824 14116 24834 449159 1289 SchornickAmy C VP PAYOR RLTNS & CONTRACTING 234084 87520 48546 40586 24192 434928 35000 MitchellJohn D SVP BUSINESS DEVELOPMENT 225175 63377 68845 19125 21213 397735 0 GerbigLinda Mary SVP PERF IMPROV & QUAL OUTCOME 231721 69534 53781 28419 13689 397144 35712 HarveyGayla Dawn SVP FINAN / CHIEF REV OFFICER 168431 125000 36525 8847 4416 343219 0 BeckJesse St John VP STRATEGIC MARKETING 162732 130000 20987 5363 14765 333847 0 SullivanJon M VP REAL ESTATE OPS 220979 48585 39336 18831 26074 353805 0 BerrettBritt R Former EVP 0 513799 0 207463 0 106222 0 282639 0 21849 0 1131972 0 40604 StoltzMichael L Former PRESIDENT THOP 0 244374 0 218614 0 115580 0 15300 0 9706 0 603574 0 63923 PetersonLisa Kaye Former VP FINANCE THOP 0 307235 0 91580 0 46825 0 14970 0 23889 0 484499 0 2773 ZiesmannThomas Former SVP OPERATIONS THOP 0 170587 0 121669 0 52579 0 8378 0 12677 0 365890 0 Menke-FleischerSusan Richelle CNSLT FINAN/REVENUE CYCLE PRN 307493 307493 0 SpearsPaula Jean VP PROF PRAC RSRCH & MAGNET 200729 45281 46101 7472 13633 313216 0 LogsdonJames D VP REVENUE CYCLE OPERATIONS 201762 45278 42637 71194 22707 383578 0 JacksonDavid W VP CORPORATE CONTROLLER 191621 42899 54744 17231 7105 313600 0 AuzenneDana S VP REVENUE PLANNING & ANALYSIS 183368 68983 35230 35813 23528 346922 30000 Schedule J, Part I, Line 1a - First Class Travel THE CEO uses first class travel infrequently, upgrading to first class when available and/or possible to specific destinations where flights are overbooked by the airlines and passengers with coach tickets are not guaranteed to be on the specific flight booked. Schedule J, Part I, Line 1a - Travel for Companions The organization and/or related organizations allow spouses or guests to accompany an officer of the organization on business related travel. The value of the spouse/guest travel is included in the taxable compensation of the employee. Schedule J, Part I, Line 1a - Gross-up Payments Certain imputed income is grossed-up to include the employment taxes paid on the listed person's behalf. The grossed up amount is included in the taxable compensation of the employee. Schedule J, Part I, Line 1a - Discretionary Spending Account Each Executive at the vice president level and above receives a perk allowance which is included in the taxable compensation of the employee. Schedule J, Part I, Line 1a - Social Club Dues The CEO is reimbursed for social club dues. The portion of the dues allocable to personal use is included in the taxable compensation of the employee. Schedule J, Part I, Line 1a - Personal Services The CEO is provided financial planning and tax preparation services. These services are included in the taxable compensation of the CEO. Schedule J, Part I, Line 3 - CEO Compensation Texas Health Resources (THR) uses the following methods to establish the compensation of the organization's CEO. " 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. " Written employment contract " Approval by the board and compensation committee An independent third party compensation consultant is hired by the THR Board of Trustees (Board) to review base pay annually as compared to a peer group of employers similar in size and scope to THR. Every three years the independent compensation consultant reviews all aspects of executive compensation (base, incentives, benefits, etc.) which includes: " Review and confirmation of the executive compensation philosophy. " Market review of base and incentive pay for all positions. National, regional, and local data is reviewed when available. " Market review of benefits and perquisites, " Interview of selected officers and members of the Governance Committee of the Board (Compensation Committee), and " Review of financial reports, job descriptions, organizational charts, current salaries, incentive opportunities, incentive payments, benefits, perquisites and plan documents. The independent third party compensation consultant meets directly with the executive compensation & benefits sub-committee which is made up of six independent Board members and the governance committee to report the results of the total compensation study. At the beginning of each year, the compensation committee reviews the results of the outside consultant's market analysis for base salaries, and makes recommendations to the Board and the Board approves the following for the CEO: " Base salary and benefits " Prior year executive annual incentive awards " Current year executive annual incentive plan targets, key performance indicators and potential payout amounts " Long-term incentive award if cycle has ended " Long-term incentive plan targets, key performance indicators and potential payout amount if new cycle is staring, and " Employment agreement in years of renewal. Schedule J, Part I, Line 4b - Nonqualified Retirment 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. Contribution 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). Stephen Hanson $87,829 Jonathan Scholl $9,338 Mark Lester $5,531 Joan Shinkus Clark $5,511 Robert Jones $1,289 Britt Berrett $9,997 Michael Stoltz $44,860 Lisa Peterson $2,773 Thomas Ziesmann $19,964 A Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638TAS2 2007-05-31 620367416 Refund 10/30/97 Issue Bonds B Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638TBE2 2007-05-31 102323221 Construction & Equip for Facility false false false C Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638TCL5 2008-10-30 366120000 Refund 1/31/89 & Refund 5/14/03 Bo false false false D Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638TEE9 2010-11-23 151950525 Redeem 10/30/08 Series D, F & G A 0 0 620432581 0 0 617372104 3060477 0 0 0 0 0 2007 false true true true B 0 0 109908750 0 0 0 529732 0 0 109379018 0 0 2009 false false true true C 190065000 0 366264054 0 0 327900000 1868320 0 0 36495734 0 0 2009 true false true true D 0 0 151950525 0 0 150425000 1525525 0 0 0 0 0 2010 true false true true A false true true true false 0.01500 0.00010 0.01510 false false false true B false false true true false 0.00540 0.00540 false false false true C false true true true false 0.00570 0.00030 0.00600 false false false true D false true true true false 0.01010 0.00030 0.01040 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true true false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true Part IV, Line 2c, Column A & B Rebate calculations for the 2007A and 2007B Series were completed 6/25/12. Part IV, Line 2c, Column C Rebate calculations for the the 2008 Series were completed 11/7/13 A Tarrant Cnty Cultural Education Facility Fin Corp 043833551 2010-11-30 135000000 Construction & Equip Health Facili false false false B Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638TEH2 2012-10-04 50000000 Construction & Equipment Health Fa false false false A 0 0 135000000 0 0 0 444565 0 0 134555435 0 0 2013 false false true true B 0 0 50037844 0 0 0 0 0 0 27914327 0 22123517 2014 false false false true A false false false false 0.00330 0.00330 false false false true B false false false false 0 false false false true A false false true false 0 false 0 false true B false false true false 0 false 0 false true A true B true Amparan Oscar Officer Split Dollar Life X 434920 384813 false true true Anderson Elaine Key Employee Split Dollar Life X 146729 132286 false true true Bell Bonnie Officer Split Dollar Life X 348692 307652 false true true Berdan Barclay Officer Split Dollar Life X 422063 404684 false true true Boes Charles Officer Split Dollar Life X 414123 339212 false true true Canose Jeffrey L MD Officer Split Dollar Life X 228565 223232 false true true Hawthorne Douglas Officer Split Dollar Life X 1021860 665849 false true true Holmes Kevin B Key Employee Split Dollar Life X 163523 126170 false true true King James K Key Employee Split Dollar Life X 124689 124303 false true true Kirby Michelle R Key Employee Split Dollar Life X 61753 56423 false true true Kramer Kenneth Jr Officer Split Dollar Life X 175999 146031 false true true Kretz Blake W Key Employee Split Dollar Life X 323197 305221 false true true Leu Christopher T Key Employee Split Dollar Life X 245075 233751 false true true Long Ronald R Officer Split Dollar Life X 554065 539903 false true true Paganelli Deborah A Key Employee Split Dollar Life X 146534 146534 false true true Pearson George L Key Employee Split Dollar Life X 361302 314862 false true true Roper Jack R Key Employee Split Dollar Life X 223470 220437 false true true Tesmer David J Key Employee Split Dollar Life X 153625 136719 false true true Young Patsy L Key Employee Split Dollar Life X 355640 334285 false true true Bourland Ron Former Officer Split Dollar Life X 288402 278061 false true true Casey John Former Officer Split Dollar Life X 661447 661447 false true true Deegan Michael Former Officer Split Dollar Life X 651068 651068 false true true Giada John Officer Split Dollar Life X 383459 326830 false true true McCabe John Former Officer Split Dollar Life X 158651 158651 false true true McClung Brett Key Employee Split Dollar Life X 206940 171365 false true true McKinney Sheila Former Officer Split Dollar Life X 115267 97357 false true true Merrill Mark Former Officer Split Dollar Life X 244229 206868 false true true Muntz David Former Officer Split Dollar Life X 107411 107411 false true true 7801425 Part VI, Section A, Line 2 Texas Health Resources (THR) and its related organizations included in the THR healthcare system encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees who are serving as officers, board members, or key employees may, from time to time, also serve on the boards of various community organizations such as church boards, United Way, etc. There may be a business relationship as a result of multiple THR employees serving on the same community boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards. Part VI, Section B, Line 11b A full copy of the Form 990 is provided to members of the governing board before filing. In addition, the Audit & Compliance Committee of the Texas Health Resources (THR) Board of trustees is given the opportunity to review, comment, and ask questions regarding the Form 990s filed for THR and each of its wholly controlled affiliates. Part VI, Section B, Line 12c Texas Health Resources (THR) has adopted a Conflict of Interest Policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the first quarter of each fiscal year, a Duality and Conflict Statement Form is distributed by the THR Chief Compliance Officer to all 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. Part VI, Section B, Line 15 a & b An independent third party compensation consultant is hired by the THR Board of Trustees (Board) to review base pay annually as compared to a peer group of employers similar in size and scope to THR. In addition, every three years the independent compensation consultant reviews all aspects of executive compensation (base, incentives, benefits, etc.) At the beginning of each year, the executive compensation & benefits sub-committee and the governance committee review a detailed compensation report and the consultant's report for executive compensation. A summary of their findings are presented to the Board. A more in depth discussion of the executive compensation review can be found on Schedule J, Part III. Part VI, Section C, Line 19 The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner. Part XII, Line 2c Texas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process. Part XI, Line 9 Transfers to a related IRC Section 501(c)(3) entity $54,872,675 Controlled Joint Venture System Adjustment $133,554,928 The change in fund balance is the result of a reallocation between fund balances and intercompany balances related to the taxpayer's investments in joint ventures. The reallocation is being made system wide to accurately state the balances as they relate to the joint ventures. This adjustment is between related tax exempt entities within the Texas Health Resources health care system, and has a zero net effect on a consolidated basis. Part VI, Section A, Line 7a - Members Two Founding Members, Presbyterian Healthcare Resources (PHR) and Harris Methodist Health System (HMHS), and one Sponsoring Member, Texas Health Arlington Memorial Hospital (THAM), are members of Texas Health Resources (THR). The Founding members and Sponsoring member have the authority to approve the election of THR board. Part VI, Section A, Line 7b - Governance Decisions The following actions require the approval of the Founding Members, Presbyterian Healthcare Resources (PHR) and Harris Methodist Health System (HMHS): (a) Amendment, restatement or repeal of the Certificate or these Bylaws. (b) Establishment of or change in the mission, vision or values of the Corporation. (c) Any action by the Board of Trustees or the management of the Corporation which would adversely affect the religious or church practices or religious or church affiliation of the Corporation or an Affiliated Participant. (d) Sale, exchange, lease or other transfer of all or substantially all of the assets of the Corporation. (e) Merger or consolidation of the Corporation. (f) Dissolution of the Corporation. (g) Addition of a Founding Member of the Corporation. (h) Any action related to the right to nominate a majority of the voting members. (i) Transfer of a membership interest in the Corporation. The following actions, if they would eliminate or adversely affect the rights of the Sponsoring Member shall require the approval of the Sponsoring Member, Texas Health Arlington Memorial Hospital (THAM) when an amendment, restatement or repeal of certain section in the bylaws refer to: (a) Items requiring the sponsoring member's approval. (b) Events requiring termination of a member's rights. (c) Effects of termination of a members interest. (d) Distribution of remaining assets. (e) Amendments to the bylaws. Part VII, Section A, Column B - Office Hours Mark Lester and Brent McClung were full time employees for related organizations at the beginning of the year. They both transferred to the taxpayer during the year. Texas Health Partners LLC 612 E Lamar Blvd Arlington TX 76011 020546958 Mgmt Co TX 17855998 4505854 TH Resources Texas Health SingleSource Staffing LLC 612 E Lamar Blvd Arlington TX 76011 270324828 Staffing TX 2241 TH Resources THR-SCA Holdings LLC 612 E Lamar Blvd Arlington TX 76011 461096461 Holding Co TX 3262244 12002344 TH Resources 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 true 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 true Texas Health Harris Methodist Foundation 612 E Lamar Blvd Arlington TX 76011 752401033 Fundraising TX 501(c)(3) 9 TH Resources true Texas Health Alliance 10864 Texas Health Trail Fort Worth TX 76244 451502252 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Azle 108 Denver Trail Azle TX 76020 751748586 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Cleburne 201 Walls Dr Cleburne TX 76033 751977850 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 756001743 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Hurst-Euless-Bedford 1600 Hospital Parkway Bedford TX 76022 751438726 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Southwest Fort Worth 6100 Hospital Parkway Fort Worth TX 76132 752678857 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Stephenville 411 Belknap Stephenville TX 76401 751752253 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Huguley Inc 111 North Orlando Ave Winter Park FL 32789 452694620 Hospital FL 501(c)(3) 3 TH Resources true TX Health Outpatient Surg Ctr Alliance 10840 Texas Health Trail Fort Worth TX 76244 800800294 Hospital TX 501(c)(3) 3 TH Alliance false Texas Health Physicians Group 9229 lBJ Freeway Dallas TX 75243 752613493 Phys. Clinic TX 501(c)(3) 9 TH Resources true Texas Health Resources Foundation 612 E Lamar Blvd Arlington TX 76011 752022128 Fundraising TX 501(c)(3) 9 TH Resources true Texas Health Allen 1105 Central Expressway N Allen TX 75013 752890358 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Dallas 8200 Walnut Hill Ln Dallas TX 75231 751047527 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Denton 3000 North Interstate 35 Denton TX 76201 432008974 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Kaufman 850 Ed Hall Drive Kaufman TX 75142 752771437 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Plano 6200 W Parker Rd Plano TX 75093 752770738 Hospital TX 501(c)(3) 3 TH Resources true TX Health Research & Education Institute 612 E Lamar Blvd Arlington TX 76011 752562191 Edu& Research TX 501(c)(3) 4 TH Resources true 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 true TH Specialty Hospital Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 751648589 LT Hospital TX 501(c)(3) 3 TH Resources true WW Ward Endowment Fund Trust 612 E Lamar Blvd Arlington TX 76011 756196065 Support Org. TX 501(c)(3) 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 Tarrant County Indigent Care Corporation 612 E Lamar Blvd Arlington TX 76011 260648532 Support Org TX 501(c)(3) 11 Type 1 NA false Dallas County Indigent Care Corporation PO Box 655999 Dallas TX 75203 260610562 Support Org TX 501(c)(3) 11 Type 1 NA false 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 TH Resources Related -289051 785126 false 0 true 0.51000 Denton Surgery Center LLC 3000 Riverchase Galleria Ste 500 Birmingham AL 35244 470926556 Amb Surg Ctr TX TH Resources Related 2962782 3410092 false 0 true 0.71460 Flower Mound Hospital Partners LLC 612 E Lamar Blvd Ste 600 Arlington TX 76011 260684968 Hospital TX TH Resources Related 14376917 60855796 false false 0.55080 Greenville Surgery Center LLC 3000 Riverchase Galleria Ste 500 Birmingham AL 35244 742411643 Amb Surg Ctr TX TH Resources Related 1704759 2136046 false 0 true 0.80300 Health Imaging Partners LLC 8610 Explorer Dr Ste 300 Colorado Springs CO 80920 271385885 Outpatient Diagno TX TH Resources Related 6726223 37369012 false 0 false 0.51000 Physician Medical Center LLC 612 E Lamar Blvd 6th Flr Arlington TX 76011 481281376 Hospital TX TH Plano Related 1590311 2004659 false false 0.06003 Presbyterian Cancer Center-Dallas LLC 1220 Senlac Drive 2nd Flr Carrollton TX 75006 260422749 Medical Mgmt TX NA 0 Rockwall Regional Hospital LLC 612 E Lamar Blvd 6th Flr Arlington TX 76011 202848116 Hospital TX TH Resources Related 10064939 41909309 false 0 true 0.59320 ShermanGrayson Healthcare System LLC 2400 Dallas Pkwy Plano TX 75093 272025497 Hospital TX TH Resources Related -7137760 10051651 false 0 false 0.50100 Southlake Specialty Hospital LLC 612 E Lamar Blvd 6th Flr Arlington TX 76011 020555370 Hospital TX TH HEB Related 1032460 1742859 false true 0.06090 Surgical Caregivers of Fort Worth LLC 3000 Riverchase Galleria Ste 500 Birmingham AL 35244 751925497 Amb Surg Ctr TX TH Resources Related 2941344 3961360 false 0 true 0.51000 Texas Health Craig Ranch Surgery Center 8080 State Hwy 121 Ste 100 McKinney TX 75070 383897811 Amb Surg Ctr TX TH Resources Related -476392 3445717 false 0 true 0.66000 Texas Health Flower Mound Orthopedic Sur 5000 Long Prairie Road Flower Mound TX 75028 800866449 Amb Surg Ctr TX TH Resources Related -922296 2907342 false 0 true 0.51000 Texas Health MedSynergies LLC 909 Hidden Ridge Ste 300 Irving TX 75038 800272951 Mgmt Services TX TH Resources Related 514494 17463640 false false Texas Institute for Surgery LLP 7715 Greenville Ave Ste 100 Dallas TX 75231 770628004 Hospital TX NA false 0 THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 262429878 Amb Surg Ctr TX TH Resources Related 1248306 1504920 false 0 true 0.51000 THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 201728912 Amb Surg Ctr TX TH Resources Related 2256800 6355372 false 0 true 0.51000 USMD Hospital at Arlington LP 801 I -20 West Arlington TX 76017 731662763 Hospital TX TH Resources Related 10177399 40108419 false 0 false 0.51000 USMD Hospital at Fort Worth LP 6333 North State Hwy 161 Ste 200 Irving TX 75038 203571243 Hospital TX TH Resources Related 4711137 8368912 false false 0.50965 Women's Specialty Surgery Center 8230 Walnut Hill Ln Ste 101 Dallas TX 75231 262310072 Amb Surg Ctr TX NA AMH Health Ventures Inc 800 W Randol Mill Road Arlington TX 76012 752141114 Comp/Billing Svc TX N/A C Corp false Fort Worth Surgical Care Givers Inc 3000 Riverchase Galleria Ste 500 Birmingham AL 35244 621204446 Holding Co TX THR-SCA Holding C Corp 492462 0 1.00000 true Greenville Surgery Center Inc 3000 Riverchase Galleria Ste 500 Birmingham AL 35244 752123689 Holding Co TX THR-SCA Holding C Corp 155179 0 1.00000 true Texas Health Biomedical Advancement Ctr 612 E Lamar Blvd Arlington TX 76011 752636884 Research TX N/A C Corp false Texas Health Resources Casualty Company 612 E Lamar Blvd Arlington TX 76011 030310676 Insurance VT TH Resources C Corp 249333 308157 1.00000 true Charitable Remainder Trusts (4) 612 E Lamar Blvd Arlington TX 76011 CR Trust TX TH Resources Trust false Huguley Medical Associates Inc 11801 South Freeway Burleson TX 76028 752547668 Physician Clinics TX N/A c corp false true true true true false false false false false false false true true false false true true true true Health Imaging Partners LLC a 238259 Contract Women's Specialty Surgery Center a 348466 Contract Rockwall Regional Hospital LLC a 22425 Contract Texas Health Huguley Inc a 80904 Contract Texas Health Stephenville a 93009 Contract Texas Health Fort Worth a 2880327 Contract Texas Health HEB a 969776 Contract Texas Health Dallas a 862044 Contract Texas Health Plano a 2134121 Contract Texas Health Research Foundation a 168686 Contract Texas Health Harris Methodist Foundation a 27668 Contract Texas Helath Allen a 356976 Contract Texas Health Kaufman a 31220 Contract Texas Health Physician Group a 6907005 Contract Texas Health Research & Education Inst a 227610 Contract Texas Health Azle a 232878 Contract Texas Health Denton a 2164801 Contract Texas Health Alliance a 769798 Contract Texas Health Outpatient Surgery Ctr a 721488 Contract Health Imaging Partners LLC m 66678 Contract Health Imaging Partners LLC l 573267 Contract Denton Surgery Center LLC l 80418 Contract Flower Mound Hospital Partners LLC l 99996 Contract USMD Hospital at Arlington LP l 99996 Contract USMD Hospital at Fort Worth LP l 99996 Contract THRSTT Southlake ASC LLC l 99996 Contract Surgical Caregivers of Fort Worth l 142748 Contract Greenville Surgery Center LLC l 70567 Contract Cleburne Surgical Center LLC r 646497 JV Agreement Health Imaging Partners LLC r 2473503 JV Agreement Texas Health Craig Ranch Surgery Ctr LLC r 1320000 JV Agreement Denton Surgery Center LLC s 2739073 JV Agreement Flower Mound Hospital Partners LLC s 7633968 JV Agreement Greenville Surgery Center LLC s 314575 JV Agreement Health Imaging Partners LLC s 6400500 JV Agreement Physician Medical Center LLC s 1516584 JV Agreement Rockwall Regional Hospital LLC s 5608978 JV Agreement Southlake Specialty Hospital LLC s 1070269 JV Agreement Surgical Caregivers of Fort Worth LLC s 2029438 JV Agreement THRSTT Rockwall ASC LLC s 1321340 JV Agreement THRSTT Southlake ASC LLC s 2742195 JV Agreement USMD Hospital at Arlington LP s 9257577 JV Agreement USMD Hospital at Fort Worth LP s 3435420 JV Agreement Flower Mound Hospital Partners LLC l 7897566 Contract Physicians Medical Center LLC l 5502881 Contract Rockwall Regional Hospital LLC l 7844294 Contract Southlake Specialty Hospital LLC l 4370166 Contract Flower Mound Hospital Partners LLC l 253316 Contract Rockwall Regional Hospital LLC l 842585 Contract Flower Mound Hospital Partners LLC d 261443 Contract Schedule R, Part V - Related Transactions 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.