TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH (EIN 75-6001743)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-12
IRS object ID
201123169349300807
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-12T12:38:19-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TEXAS HEALTH RESOURCESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1612 E LAMAR BLVD STE 1400AddressLine1
CityARLINGTONCity
StateTXState
ZIP Code76011ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN756001743EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Texas Health Harris Methodist Hospital Fort WorthBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTEXANameControl
Phone8172502000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 Pennsylvania AveAddressLine1
CityFort WorthCity
StateTXState
ZIP Code76104ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn MitchellName
TitleAssistant SecretaryTitle
Phone8172502000Phone
Date Signed2011-10-24DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2011-11-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Texas Health Fort WorthBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonOscar AmparanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11301 Pennsylvania AveAddressLine1
CityFort WorthCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts689412595GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.texashealh.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1930YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionA faith-based organization whose mission is to improve the health of the people in the communities it serves regardless of one's ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees4644TotalNbrEmployees
Total Nbr Volunteers330TotalNbrVolunteers
Total Gross UBI436972TotalGrossUBI
Net Unrelated Business Txbl Income-103664NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1585679ContributionsGrantsPriorYear
Contributions Grants Current Year1522014ContributionsGrantsCurrentYear
Program Service Revenue Prior Year595448392ProgramServiceRevenuePriorYear
Program Service Revenue CY679722041ProgramServiceRevenueCY
Investment Income Prior Year-194947InvestmentIncomePriorYear
Investment Income Current Year-251091InvestmentIncomeCurrentYear
Other Revenue Prior Year7665568OtherRevenuePriorYear
Other Revenue Current Year7703247OtherRevenueCurrentYear
Total Revenue Prior Year604504692TotalRevenuePriorYear
Total Revenue Current Year688696211TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year417672GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY289410GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year262487234SalariesEtcPriorYear
Salaries Etc Current Year263259581SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year344142955OtherExpensePriorYear
Other Expenses Current Year395786671OtherExpensesCurrentYear
Total Expenses Prior Year607047861TotalExpensesPriorYear
Total Expenses Current Year659335662TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2543169RevenuesLessExpensesPriorYear
Revenues Less Expenses CY29360549RevenuesLessExpensesCY
Total Assets BOY683870920TotalAssetsBOY
Total Assets EOY724586428TotalAssetsEOY
Total Liabilities BOY55024847TotalLiabilitiesBOY
Total Liabilities EOY66566245TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY628846073NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY658020183NetAssetsOrFundBalancesEOY
Mission DescriptionA faith-based organization whose mission is to improve the health of the people in the communities it serves regardless of one's ability to pay.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense586770842Expense
Grants289410Grants
Revenue689061536Revenue
DescriptionLocated in the heart of Fort Worth, Texas for 80 years, Texas Health Harris Methodist Fort Worth (THFW) operates 660 beds. The hospital provides a broad range of inpatient and outpatient services with specialized capabilities in many areas, including cardiology and cardiovascular interventions, stroke and neuroscience, oncology, orthopedics, trauma and emergency care, and interventional radiology. THFW is designated as a Level III Trauma facility and has received a baby-friendly designation from the World Health Organization and UNICEF. In April 2010, THFW opened a new outpatient services clinic in Burleson, Texas. The Harris Methodist Heart Center, opened in 2006, is a fully integrated heart hospitl providing comprehensive cardiovascular care from prevention and education to diagnosis, treatment and rehabilitation. The Center for Women and Infants' Health has specialized medical services for women and newborns, including obstetrics and high risk perinatal services, uro-gynecological surgery, and Level III neonatal intensive care unit and specialized infertility services (ARTS). THFW also has a nationally recognized cancer center. THFW has performed kidney transplants for more than 20 years; offers sports rehabilitation services, serves as a regional laboratory resource and is a regional base for CareFlite air ambulance service. In addition to these services, THFW has achieved many honors and awards and received significant recognition. THFW has been named the most preferred hospital, based on quality and image, for 14 consecutive years by the National Research Corporation. In 2005 and again in 2009, THFW received the Magnet Recognition Program Award for excellence in nursing services, and also was named one of the Top 100 Hospitals in America by Solucient in 2005. In 2006, THFW received HealthGrades' awards for excellence in both pulmonary care and patient safety and quality. THFW has the only oncology program in Tarrant County to acieve accreditation with full commendation by the Commission on Cancer of the American College of Surgeons. THFW is the only CMS certified stroke program in Tarrant County and was the first hospital in Texas to be nationally recognized for the treatment of hip fractures. ************************************************************************** During the year, THFW had 177,817 patient days, 32,945 discharges, 131,859 outpatient encounters, 95,376 emergency room visits and 3,125 births. ************************************************************************** THFW provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The hospital provides care to persons covered by governmental programs including Medicare and Medicaid for reimbursement that does not always cover the cost of providing the care. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. ************************************************************************** Community benefit is provided through many reduced price services and free programs to the community. These services are essential to provide complete healthcare to the communities served. Some of these programs include: * THFW provides the resources and support to nurses participating in the Faith Community Nursing (FCN) program. With special attention to congregations in underserved areas, the FCN program has covenants with 39 congregations touching over 26,000 families through health screenings, health education and support for families of their congregations. * THFW has instituted the Harris Employees Advocating for Reducing Total Cardiovascular Risk (H.E.A.R.T.) program focusing on the hospital's employees and their families. The program provides health screenings, health education, a weight loss support group, fitness center memberships and case management to help participants reduce their risk assessment. * Wellness for Life is a prevention and early detection program available the community through the mobile health-screening unit. The goals of the program are to increase awareness of cancer prevention, promote the benefits of cancer screening and offer the community easy accessibility to many types of screening and early detection services.Description
Total Program Service Expense586770842TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096258NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees4644NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJack RoperNamePerson
Telephone Number6822367900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1612 E Lamar BlvdAddressLine1
CityArlingtonCity
StateTXState
ZIP Code76011ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
John Avila Jr
Trustee2.00X000
Jay L Beavers
Chair2.00X21500X
Cheryl K McDonald MD
Trustee2.00X29200
Lynn A Montgomery
Trustee2.00X000
Michael Guyton
Vice Chair2.00X000X
David D Parker
Trustee2.00X53100
F H Trey Moore III MD
Trustee2.00X14600
Stephen Tatum
Trustee2.00X000
Richard M Vigness MD
Trustee2.00X24600
Jennifer Giddings Brooks
Trustee2.00X000
Virginia I Puente
Secretary2.00X000X
Oscar L Amparan
President40.007221830259676X
Joseph S Prosser
VP40.00469473032371X
Harold K Berenzweig
VP40.00390925043122X
Lillie M Biggins
VP40.00366177073769X
Joseph C DeLeon
VP40.00262503039953X
Karen C Robeano
VP40.00315120036586X
Barclay Berdan
Corporate Officer0910021324580X
Charles W Boes
Asst Secretary0571901216175X
Kenneth Kramer
Asst Secretary0532950104051X
John D Mitchell
Asst Secretary027838735800X
Terri DeSio
Asst Secretary018201314157X
Randell Ball
Director40.00181752036198X
Wing Cheung Poon
Pharmacist40.00172456031781X
Glenn Bixler
Medical Director40.00156036020919X
Linda Moore
Pharmacist40.00155497025085X
Troy Stillings
Pharmacist40.00154974030159X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3348526TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2475272TotalReportableCompFrmRltdOrgs
Total Other Compensation1324382TotalOtherCompensation
Number Individuals GT100 K144NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Pinnacle Anesthesia Consultants PA
13601 Preston Rd Ste 900WDallasTX75240Medical Svcs5119949
Methodist Medical Center
PO Box 911875DallasTX75391Medical Svcs2029998
TRACC PA
1325 Pennsylvania Ave Ste 200Fort WorthTX76104Medical Svcs1773616
North Texas Healthcare Laundry Coop Assn
1080 Post and Paddock RdGrand PrairieTX75050Laundry Svcs1773616
Cook Childrens Medical Center
801 Seventh AveFort WorthTX76104Medical Svcs1513950
FieldValueIRS element (for citing)
Number Of Contractors GT100 K70NumberOfContractorsGT100K
Related Organizations869483RelatedOrganizations
Government Grants632300GovernmentGrants
All Other Contributions20231AllOtherContributions
Total Contributions1522014TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Serv. Revenue678693742678693742
Joint Venture Revenue864699864699
Education Revenue163600163600
FieldValueIRS element (for citing)
Total Program Service Revenue679722041TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column114234TotalRevenueColumn
Exclusion$114,234ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column414193TotalRevenueColumn
Exclusion$414,193ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other2000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other367325Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-365325Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-365325TotalRevenueColumn
Exclusion-$365,325ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events483495GrossIncomeFundraisingEvents
Fundraising Direct Expenses349059FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column134436TotalRevenueColumn
Exclusion$134,436ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria Revenue3677098$3,677,098
Parking Revenue1011116$1,011,116
Gift Shop Revenue754837$754,837

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1711567TotalRevenueColumn
Unrelated Business Revenue436972UnrelatedBusinessRevenue
Exclusion$1,274,595ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7154618TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column688696211TotalRevenueColumn
Related Or Exempt Function Income679722041RelatedOrExemptFunctionIncome
Unrelated Business Revenue436972UnrelatedBusinessRevenue
Exclusion$7,015,184ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total289410Total
Program Services289410ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1752608Total
Management And General1752608ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total206926534Total
Program Services205533546ProgramServices
Management And General1392988ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8462998Total
Program Services8462998ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total31287788Total
Program Services31255372ProgramServices
Management And General32416ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14829653Total
Program Services14783817ProgramServices
Management And General45836ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total66236026Total
Management And General66236026ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2429Total
Program Services2429ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total358060Total
Program Services27772ProgramServices
Management And General330288ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total43327904Total
Program Services41421291ProgramServices
Management And General1906613ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total930618Total
Program Services836012ProgramServices
Management And General94606ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1698341Total
Program Services1685632ProgramServices
Management And General12709ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3504709Total
Program Services3504709ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10090991Total
Program Services10050799ProgramServices
Management And General40192ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total372776Total
Program Services365588ProgramServices
Management And General7188ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total218899Total
Program Services216610ProgramServices
Management And General2289ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6490796Total
Program Services6490796ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total22460710Total
Program Services21839580ProgramServices
Management And General621130ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2378831Total
Program Services2378831ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies12782400112781067913322
Bad Debt Expense7383198973831989
Patient Services1439353014393530
Equipment Rental80455778045577
Repairs & Maintenance7503198749145511743

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6117286Total
Program Services6052420ProgramServices
Management And General64866ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total659335662Total
Program Services586770842ProgramServices
Management And General72564820ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-1510958BOY
EOY-3112343EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY76900147BOY
EOY73169212EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2127995BOY
EOY1715063EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7833952BOY
EOY8046704EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4361878BOY
EOY1536423EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis478685071LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec236757015LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY238775815BOY
EOY241928056EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5146010BOY
EOY6097004EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY350236081BOY
EOY395206309EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY683870920BOY
EOY724586428EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY54072475BOY
EOY65642611EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY952372BOY
EOY923634EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY55024847BOY
EOY66566245EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY628524175BOY
EOY657617548EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY321898BOY
EOY402635EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY628846073BOY
EOY658020183EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY683870920BOY
EOY724586428EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses29360549ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteerstrueVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$100MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB100TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
ExplanationOfficers and/or Board Members of the corporation may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities the Corporation serves. In pursuing this activity, Officers and/or Board Members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters. The amount of time and money involved in these activities is negligible. In no case has either the Corporation, or any person acting on behalf of the Corporation, intervened in any political campaign.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis26292158OtherCostOrOtherBasis
Book Value26292158BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis290012347OtherCostOrOtherBasis
Depreciation123656364Depreciation
Book Value166355983BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis159831164OtherCostOrOtherBasis
Depreciation113100652Depreciation
Book Value46730512BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2549401OtherCostOrOtherBasis
Book Value2549401BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings241928054TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Institute of Cardiac Care1474C
Clear Fork ASC250976C
Community Hospice5696054C
Texas Rehab Hospital148500C
FieldValueIRS element (for citing)
Total Of Book Value Securities6097004TotalOfBookValueSecurities

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionIntercompany ReceivableDescription
Book Value395206309BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets395206309TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAsset Retirement ObligationsDescription
Amount$923,634Amount
FieldValueIRS element (for citing)
Total Of Amounts923634TotalOfAmounts
Total Revenue688696211TotalRevenue
Total Expenses659335662TotalExpenses
Excess Or Deficit For Year29360549ExcessOrDeficitForYear
Excess Or Deficit Per FS29360549ExcessOrDeficitPerFS

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Uniform SaleNameOfEvent1
Gross Receipts Event1164440GrossReceiptsEvent1
Gross Revenue Event1164440GrossRevenueEvent1
Other Direct Expenses Event1138615OtherDirectExpensesEvent1
Name Of Event2Jewelry SaleNameOfEvent2
Gross Receipts Event2155061GrossReceiptsEvent2
Gross Revenue Event2155061GrossRevenueEvent2
Other Direct Expenses Event288760OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events166067GrossReceiptsOtherEvents
Gross Revenue Other Events166067GrossRevenueOtherEvents
Other Direct Expenses Other Events126161OtherDirectExpensesOtherEvents
Gross Receipts Total485568GrossReceiptsTotal
Gross Revenue Total Events485568GrossRevenueTotalEvents
Other Direct Expenses Total Events353536OtherDirectExpensesTotalEvents
Direct Expense Summary Events353536DirectExpenseSummaryEvents
Net Income Summary132032NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
FieldValueIRS element (for citing)
LicensedfalseLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense25793675TotalCommunityBenefitExpense
Net Community Benefit Expense25793675NetCommunityBenefitExpense
Percent Of Total Expense0.04410PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense55363258TotalCommunityBenefitExpense
Direct Offsetting Revenue74573570DirectOffsettingRevenue
Net Community Benefit Expense-19210312NetCommunityBenefitExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense576943TotalCommunityBenefitExpense
Direct Offsetting Revenue336450DirectOffsettingRevenue
Net Community Benefit Expense240493NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense81733876TotalCommunityBenefitExpense
Direct Offsetting Revenue74910020DirectOffsettingRevenue
Net Community Benefit Expense6823856NetCommunityBenefitExpense
Percent Of Total Expense0.01170PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1004572TotalCommunityBenefitExpense
Net Community Benefit Expense1004572NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense508581TotalCommunityBenefitExpense
Net Community Benefit Expense508581NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense252129TotalCommunityBenefitExpense
Net Community Benefit Expense252129NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense12540226TotalCommunityBenefitExpense
Net Community Benefit Expense12540226NetCommunityBenefitExpense
Percent Of Total Expense0.02140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14305508TotalCommunityBenefitExpense
Net Community Benefit Expense14305508NetCommunityBenefitExpense
Percent Of Total Expense0.02440PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense96039384TotalCommunityBenefitExpense
Direct Offsetting Revenue74910020DirectOffsettingRevenue
Net Community Benefit Expense21129364NetCommunityBenefitExpense
Percent Of Total Expense0.03610PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense39764TotalCommunityBuildingExpense
Net Community Building Expense39764NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Net Community Building Expense39764NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense81TotalCommunityBuildingExpense
Net Community Building Expense81NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense39845TotalCommunityBuildingExpense
Net Community Building Expense39845NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$34,428,424BadDebtExpenseAmount
Amount Attributable To10328527AmountAttributableTo
Amount Reimbursed By Medicare137760020AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare146302351CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-8542331MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicyfalseWrittenDebtCollectionPolicy
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Texas Health Fort WorthBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11301 Pennsylvania AveAddressLine1
CityFort WorthCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Ft Worth Inst CardiacCare
1300 W Terrell Ste 500Fort WorthTX76104Cardiac Cath Lab
HMFW Surgery Center LP
1235 Pennsylvania Ave Ste 800Fort WorthTX76104Ambulatory Surgery Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
1Part 1, line 3cPart 1, line 3c:
2Part 1, line7Part 1, line7:
3Part IIPart II:
4Part III, line 4Part III, line 4:
5Part III, line 8Part III, line 8:
6Part III, line 9bPart III, line 9b:
7Part VI, line 2Part VI, line 2:
8Part VI, line 3Part VI, line 3:
9Part VI, line 4Part VI, line 4:
10Part VI, line 5Part VI, line 5:
11Part VI, line 6Part VI, line 6:
12Part VI, line 7Part VI, line 7:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UNT Health Science Center
3500 Camp Bowie Blvd EAD 802Fort WorthTX76107710986983501(c)(3)210000Nurse Midwife Program
Baylor University
One Bear Place 97043WacoTX76798741159753501(c)(3)7000Scholarships
Southwestern Adventist University
PO Box 567KeeneTX76059750891465501(c)(3)7000Scholarships
Tarrant County College
1500 Houston StFort WorthTX76102751217163County7000Scholarships
Texas Christian University
TCU Box 297012Fort WorthTX76129720827465501(c)(3)7000Scholarships
Texas Tech University
3601 4th St Mail Stop 8310LubbockTX79430756002622State7000Scholarships
University of Texas Arlington
PO Box 19199ArlingtonTX76019756000121State28000Scholarships
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants19TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationThe organization receives various requests from the community for assistance. Management reviews these requests to verify they are benefiting the community and they in agreement with the organization's mission. The grants or assistance given are generally to local organizations who have a longstanding record of benefiting the local community. Since the vast majority of the assistance given by the organization 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 the organization's employees attend, or work as volunteers or coordinators.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Personal ServicesXPersonalServices
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Oscar L Amparan
4374662016358308324424315433981860
Joseph S Prosser
30125210302765193147001767150184327368
Harold K Berenzweig
26531390936346761470028422434047
Lillie M Biggins
2194936492181763584981527143994636331
Joseph C DeLeon
18009753699287081261627337302457
Karen C Robeano
21828367764290731001426571351705
Barclay Berdan
Charles W Boes
Kenneth Kramer
John D Mitchell
Terri DeSio
Randell Ball
1606321392671941322622972217950
Wing Cheung Poon
16380577279251273619044204237
Glenn Bixler
1549941042109209999176955
Linda Moore
144597509103911188113204180582
Troy Stillings
14983050446401190818251185133

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
ExplanationSch J, Part I, Line 1 Travel for Companions The organization and/or related organizations allow spouses or guests to accompany an officer of the organization on business related travel, as long as the spouse's or guest's presence on the trip is for a justified business purpose. . 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. . Discretionary Spending Account Each executive at the vice president level and above receive a perk allowance which is included in the taxable compensation of the employee. . Personal Services - Financial Planning Officers can use their discretionary spending account to pay for financial planning services. The organization does not directly pay for any officer's personal services. . . Sch J, Part I, Question 3 The organization relied on Texas Health Resources (THR), a related 501(c)(3) organization, with centralized compensation professionals to use the following methods to establish compensation of the organization's President. - THR has a compensation committee comprised of external Board members that review compensation philosophy and design. - THR Board hired independent compensation consultants - THR & the independent compensation consultants utilize published third-party compensation surveys . An independent third party compensation consultant is hired by the THR Board of Trustees (Board) to review base pay annually as compared to a peer group of employers similar in size and scope to THR. Every three years the independent compensation consultant reviews all aspects of executive compensation (base, incentives, benefits, etc.) which includes: - Review and confirmation of the executive compensation philosophy, - Market review of base and incentive pay for all positions. National, regional, and local data is reviewed when available. - Market review of benefits and perquisites, - Interview of selected officers and members of the Governance Committee of the THR Board of Trustees, and - Review of financial reports, job descriptions, organizational charts, current salaries, incentive opportunities, incentive payments, benefits, perquisites and plan documents. . The independent compensation consultant meets directly with the executive compensation & benefits sub-committee which is made up of five independent Board members and the governance committee to report the results of the total compensation study. . At the beginning of each year, the executive compensation & benefits sub-committee reviews; the governance committee reviews and recommends for approval by the Board; and the Board approves the following: - Market analysis recommendation based on the results of the outside consultant's review - Officer market/equity base salary adjustments - Prior year executive annual incentive awards - Current year executive annual incentive plan targets, key performance indicators and potential payout amounts . . Sch J, Part I, Question 4b 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 68, 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 benefit 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 Accounts (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 (age 60 or above with 15 or more years of service). 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.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Tarrant County Infectious DiseaseBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipEntity owned by Cheryl McDonald, MD-Bd Member of THFWRelationship
Amount Of Transaction102213AmountOfTransaction
Description Of TransactionPhysician ServicesDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
ExplanationPart 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, THR General Counsel and the THR Audit & Compliance Committee. 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 Texas Health Resources (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, - Survey of officers and members of the Governace Committee of the THR Board of Trustees, and - Review of financial reports, job descriptions, organizational charts, current salaries, salary range midpoints, incentive opportunities, incentive payments, benefits, perquisites and plan documents. The independent compensation consultant meets directly with the executive compensation & benefits sub-committee which is made up of five independent Board members and the governance committee to report the results of the total compensation study. At the beginning of each year, the executive compensation & benefits sub-committee reviews; the governance committee reviews and recommends for approval by the Board; and the Board approves the following: - Market analysis recommendation based on the results of the outside consultant's review - Officer Market/equity base salary adjustments - Prior year executive annual incentive awards - Current year executive annual incentive plan targets, key performance indicators, and potential payout amounts 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 VII, Section A, Officers Related Entity Hours: The following persons devoted the indicated estimated average hours per week to related organizations: Jay Beavers - 4 hours Richard Vigness - 1 hour Oscar Amparan - 5 hours Barclay Berdan - 40 hours Charles Boes - 40 hours John Mitchell - 40 hours Kenneth Kramer - 40 hours Terri DeSio - 40 hours Part XI, 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.Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Deuteronomy
8440 Walnut Hill Lane Ste 830DallasTX75231752561680Physician ClinicTX501(c)(3)9Texas Health Resourcesfalse
Harris Methodist Health System
612 E Lamar Blvd Ste 1400ArlingtonTX76011751823547Supporting OrganizationTX501(c)(3)11 Type 1falseN/A
Presbyterian Healthcare Resources
612 E Lamar Blvd Ste 1400ArlingtonTX76011510190395Supporting OrganizationTX501(c)(3)11 Type 3falseN/A
Texas Health Arlington Memorial Hospital
800 Randol Mill RdArlingtonTX76012750972805HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Harris Methodist Foundation
6100 Western Place Ste 1001Fort WorthTX76107752401033Supporting OrganizationTX501(c)(3)9Harris Methodist Health Systemfalse
Texas Health Harris Methodist Hospital Azle
108 Denver TrailAzleTX76020751748586HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Harris Methodist Hospital Cleburne
201 Walls DrCleburneTX76033751977850HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania AveFort WorthTX76104756001743HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford
1600 Hospital ParkwayBedfordTX76022751438726HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Harris Methodist Hospital Southwest Fort Worth
6100 Hospital ParkwayFort WorthTX76132752678857HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Harris Methodist Hospital Stephenville
411 BelknapStephenvilleTX76401751752253HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Physicians Group
1301 Pennsylvania AveFort WorthTX76104752613493Physician ClinicTX501(c)(3)11 Type 1Texas Health Resourcesfalse
Texas Health Presbyterian Foundation
8440 Walnut Hill Ln Ste 800 LB6DallasTX75231752022128Supporting OrganizationTX501(c)(3)9Presbyterian Healthcare Resourcesfalse
Texas Health Presbyterian Hospital Allen
1105 Central Expressway NorthAllenTX75013752890358HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Presbyterian Hospital Dallas
8200 Walnut Hill LnDallasTX75231751047527HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Presbyterian Hospital Denton
3000 North Interstate 35DentonTX76201432008974HospitalTX501(c)(3) Pend3Texas Health Resourcesfalse
Texas Health Presbyterian Hospital Kaufman
850 Ed Hall DriveKaufmanTX75142752771437HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Presbyterian Hospital Plano
6200 W Parker RdPlanoTX75093752770738HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Presbyterian Hospital Winnsboro
719 W Coke RdWinnsboroTX75494752771569HospitalTX501(c)(3)3Texas Health Resourcesfalse
Texas Health Research Education Institute
612 E Lamar Blvd Ste 1400ArlingtonTX76011752562191Medical Research & EducationTX501(c)(3)4Texas Health Resourcesfalse
Texas Health Resources
612 E Lamar Blvd Ste 1400ArlingtonTX76011752702388Mgmt Supporting OrganizationTX501(c)(3)11 Type 3falseN/A
Texas Health Resources Self-Insurance Trust
612 E Lamar Blvd Ste 1400ArlingtonTX76011756335901Insurance TrustTX501(c)(3)11 Type 3Texas Health Resourcesfalse
Texas Health Specialty Hospital
1301 Pennsylvania Ave 4th FlrFort WorthTX76104751648589Long Term HospitalTX501(c)(3)3Texas Health Resourcesfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (19 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNADisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
AMH Cath Labs LLC
800 W Randol Mill RdArlingtonTX76012203003947Healthcare ServicesTXN/Afalsefalse
Denton Surgery Center LLC
14131 Midway Rd Ste 1050AddisonTX75001470926556Ambulatory Surgery CenterTXN/Afalsefalse
Flower Mound Hospital Partners LLC
14131 Midway Rd Ste 1050AddisonTX75001260684968HospitalTXN/Afalsefalse
Harris HEB Radiology Ltd
1600 Hospital ParkwayBedfordTX76022752825710MRI ServicesTXN/Afalsefalse
Harris Oncology LLC
1600 Hospital ParkwayBedfordTX76022752927939Rental Real EstateTXN/Afalsefalse
Health Imaging Partners LLC
8610 Explorer Dr Ste 300Colorado SpringCO80920271385885Outpatient Diag. Imaging CtrTXN/Afalsefalse
HEB Oncology LP
1601 Hospital ParkwayBedfordTX76022752927940Rental Real EstateTXN/Afalsefalse
Physician Medical Center LLC
6200 W Parker RdPlanoTX75093481281376Ambulatory Surgery CenterTXN/Afalsefalse
Presbyterian Cancer Center-Dallas LLC
6200 W Parker RdPlanoTX75093260422749Medical ManagementTXN/Afalsefalse
Radiology Management Co LLC
1601 Hospital ParkwayBedfordTX76022752825708MRI ServicesTXN/Afalsefalse
Rockwall Regional Hospital LLC
14131 Midway Rd Ste 1050AddisonTX75001202848116HospitalTXN/Afalsefalse
Sherman Grayson Health System LLC
500 Highland AveShermanTX75092272025497HospitalTXN/Afalsefalse
Southlake Specialty Hospital LLC
14131 Midway Rd Ste 1050AddisonTX75001020555370HospitalTXN/Afalsefalse
Texas Health MedSynergies LLC
1255 Corporate Drive Fl 3IrvingTX75038800272951Management ConsultingTXN/Afalsefalse
Texas Single Source Staffing
524 E Lamar Blvd Ste 300ArlingtonTX76011270324828Manage Contract NursingTXN/Afalsefalse
Texas Institute for Surgery LLP
7715 Greenville Ave Ste 100DallasTX75231770628004HospitalTXN/Afalsefalse
Womens Specialty Surgery Center
1300 Post Oak Blvd Ste 600HoustonTX77056262310072Ambulatory Surgery CenterTXN/Afalsefalse
USMD Hospital at Fort Worth LP
801 I-20 WestArlingtonTX76107731662763HospitalTXN/Afalsefalse
USMD Hospital of Arlington LP
801 I-20 WestArlingtonTX76107203571243HospitalTXN/Afalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line2AddressUS/AddressLine2
AMH Health Ventures Inc
800 W Randol Mill RoadArlingtonTX76012752141114Computer & Billing ServicesTXArlington Memorial HospitalC-Corp
PH Denton Physicians Inc
3000 N Interstate 35DentonTX76201261696945Physician ServicesTXTexas Health Presbyterian Hospital Denton
Biomedical Advancement Center Inc
812 E Lamar BlvdArlingtonTX76011752636884InactiveTXTexas Health Research Education InstituteC-Corp
Texas Health Resources Casualty Company
c/o AON InsuranceBurlingtonVT05401030310676InsuranceVTTexas Health ResourcesC-Corp76 St Paul 5th floor
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Texas Health Single Source Staffing LLC
l153107l
Texas Health Resources
l66236026l
See Sch R Part VII

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