TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE (EIN 75-1748586)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-16
- IRS object ID
- 201133209349300348
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-16T03:13:41-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEXAS HEALTH RESOURCES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 612 E LAMAR BLVD STE 1400 | AddressLine1 |
| City | ARLINGTON | City |
| State | TX | State |
| ZIP Code | 76011 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 751748586 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Harris Methodist Hospital Azle | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TEXA | NameControl |
| Phone | 8174448600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 108 Denver Trail | AddressLine1 |
| City | Azle | City |
| State | TX | State |
| ZIP Code | 76020 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Mitchell | Name |
| Title | Assistant Secretary | Title |
| Phone | 8174448600 | Phone |
| Date Signed | 2011-09-29 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2011-11-16 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Azle | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Winjie Tang Miao | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 108 Denver Trail | AddressLine1 |
| City | Azle | City |
| State | TX | State |
| ZIP Code | 76020 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 36970091 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.texashealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1954 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | A faith-based organization whose mission is to improve the health of the people in the communities it serves regardless of one's ability to pay. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 294 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 231389 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 60545 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 30230946 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 36800701 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -332191 | InvestmentIncomePriorYear |
| Investment Income Current Year | -29696 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 87335 | OtherRevenuePriorYear |
| Other Revenue Current Year | 108843 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 30217479 | TotalRevenuePriorYear |
| Total Revenue Current Year | 36940393 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 3860 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 6510 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 14916316 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 15077429 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 18170223 | OtherExpensePriorYear |
| Other Expenses Current Year | 21964215 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 33090399 | TotalExpensesPriorYear |
| Total Expenses Current Year | 37048154 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2872920 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -107761 | RevenuesLessExpensesCY |
| Total Assets BOY | 9890479 | TotalAssetsBOY |
| Total Assets EOY | 9575045 | TotalAssetsEOY |
| Total Liabilities BOY | 19209065 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 19000918 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -9318586 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -9425873 | NetAssetsOrFundBalancesEOY |
| Mission Description | A faith-based organization whose mission is to improve the health of the people in the communities it serves regardless of one's ability to pay. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 32924796 | Expense |
| Grants | 6510 | Grants |
| Revenue | 36879848 | Revenue |
| Description | Texas Health Harris Methodist Hospital Azle (THAZ) is a 31 bed community based hospital serving Azle, Lake Worth, Springtown and the surrounding areas. Since 1954, THAZ has provided quality health care services to the northwest Tarrant County community. Located in Azle, the hospital offers many services such as cardiovascular, imaging, inpatient/outpatien surgery, Outpatient Sports and Rehabilitation Center and an intensive care unit. ************************************************************************** During the year, THAZ had 5,377 patient days, 1,752 discharges, 32,795 outpatient encounters and 23,923 emergency room visits. ************************************************************************** THAZ provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The hospital provides care to persons covered by governmental programs including Medicare and Medicaid for reimbursement that does not always cover the cost of providing the care. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. ************************************************************************** Community benefit is provided through many reduced price services and free programs to the community. These services are essential to provide complete healthcare to the communities served. Some of these programs include: * Various health screenings were offered to the community free of charge or for a nominal charge such as diabetes and breast cancer. * THAZ participated in community education regarding good hand hygiene to promote awareness of proper hand washing in an effort to slow the spread of infection and disease. * The Better Living through Improved Fitness and Education (L.I.F.E.) program senior adults are encouraged to focus on improving their health with a range of physical activities, health education and screenings. * THAZ provided child safety seat checks, weekend Lamaze classes, smoking cessation classes and community health support groups. | Description |
| Total Program Service Expense | 32924796 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 40 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 294 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Jack Roper | NamePerson |
| Telephone Number | 6822367900 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 612 E Lamar Blvd | AddressLine1 |
| City | Arlington | City |
| State | TX | State |
| ZIP Code | 76011 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Frank Briggs | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Shawn B Davis MD | |||||||
| Trustee | 2.00 | X | 16213 | 0 | 0 | ||
| William Craig Doyle | |||||||
| Vice Chair | 2.00 | X | 0 | 0 | 0 | X | |
| Steven L Parker | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Tanya Layne Anderson | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Kristie D Tatsch | |||||||
| Secretary | 2.00 | X | 0 | 0 | 0 | X | |
| Larry A Vaughan | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Lori M Wasson DO | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Robert W Buckel | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Ronnie Feemster | |||||||
| Chair | 2.00 | X | 0 | 0 | 0 | X | |
| Winjie Tang Miao | |||||||
| President | 40.00 | 254750 | 0 | 72273 | X | ||
| Barclay Berdan | |||||||
| Corporate Officer | 0 | 910021 | 324580 | X | |||
| Charles Boes | |||||||
| Asst Secretary | 0 | 571901 | 216175 | X | |||
| Kenneth Kramer | |||||||
| Asst Secretary | 0 | 532950 | 104051 | X | |||
| John Mitchell | |||||||
| Asst Secretary | 0 | 278387 | 35800 | X | |||
| Terri DeSio | |||||||
| Asst Secretary | 0 | 182013 | 14157 | X | |||
| Valarie Gilbert | |||||||
| Chief Nursing Exec | 40.00 | 149516 | 0 | 17501 | X | ||
| Jeffrey Snead | |||||||
| Pharmacy Mgr | 40.00 | 127740 | 0 | 24080 | X | ||
| Carolyn Davidson | |||||||
| RN II | 40.00 | 112865 | 0 | 24438 | X | ||
| Catherine Back | |||||||
| RN II | 40.00 | 110027 | 0 | 27656 | X | ||
| Antonio Sanchez | |||||||
| Mgr Radiology | 40.00 | 105792 | 0 | 3925 | X | ||
| Kristi Kuenstler MD | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 876903 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2475272 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 864636 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Pinnacle Anesthesia Consultants | |||||
| 13601 Preston Rd Ste 900W | Dallas | TX | 75240 | Medical Svcs | 454438 |
| Fort Worth Surgical Specialists PA | |||||
| 1325 Pennsylvania Ave Ste 200 | Fort Worth | TX | 76104 | Medical Svcs | 303680 |
| Texas Medicine Resources | |||||
| 6451 Brentwood Stair Ste 200 | Fort Worth | TX | 76112 | Medical Svcs | 156000 |
| Diagnostic Managment Group Ltd | |||||
| PO Drawer 2757 | Abilene | TX | 79604 | Medical Svcs | 124125 |
| Mobile Diagnostic Systems Inc | |||||
| 2445 Gateway Ste 100 | Irving | TX | 75063 | Medical Svcs | 100559 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 48445 | RelatedOrganizations |
| All Other Contributions | 12100 | AllOtherContributions |
| Total Contributions | 60545 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Serv. Revenue | Description |
| Total Revenue Column | 36800701 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36800701 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 36800701 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2 | TotalRevenueColumn |
| Exclusion | $2 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27500 | TotalRevenueColumn |
| Exclusion | $27,500 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 29698 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -29698 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -29698 | TotalRevenueColumn |
| Exclusion | -$29,698 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| Cafeteria Revenue | 57188 | $57,188 |
| Medical Records | 23080 | $23,080 |
| Recycling | 775 | $775 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 300 | TotalRevenueColumn |
| Exclusion | $300 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 81343 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36940393 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36800701 | RelatedOrExemptFunctionIncome |
| Exclusion | $79,147 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6510 | Total |
| Program Services | 6510 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196052 | Total |
| Management And General | 196052 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12106408 | Total |
| Program Services | 11855095 | ProgramServices |
| Management And General | 251313 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 441061 | Total |
| Program Services | 441061 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1487201 | Total |
| Program Services | 1484601 | ProgramServices |
| Management And General | 2600 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 846707 | Total |
| Program Services | 830911 | ProgramServices |
| Management And General | 15796 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3314213 | Total |
| Management And General | 3314213 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2332713 | Total |
| Program Services | 2207091 | ProgramServices |
| Management And General | 125622 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134801 | Total |
| Program Services | 133090 | ProgramServices |
| Management And General | 1711 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116953 | Total |
| Program Services | 109167 | ProgramServices |
| Management And General | 7786 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193620 | Total |
| Program Services | 193596 | ProgramServices |
| Management And General | 24 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 272684 | Total |
| Program Services | 271154 | ProgramServices |
| Management And General | 1530 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14237 | Total |
| Program Services | 13245 | ProgramServices |
| Management And General | 992 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10503 | Total |
| Program Services | 4717 | ProgramServices |
| Management And General | 5786 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155045 | Total |
| Program Services | 14148 | ProgramServices |
| Management And General | 140897 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1003703 | Total |
| Program Services | 1000764 | ProgramServices |
| Management And General | 2939 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114246 | Total |
| Program Services | 114246 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt Expense | 9383909 | 9383909 | |
| Supplies | 3144889 | 3118596 | 26293 |
| Patient Services | 813081 | 813081 | |
| Equipment Rental | 391650 | 391650 | |
| Repairs & Maintenance | 330714 | 330314 | 400 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 237254 | Total |
| Program Services | 207850 | ProgramServices |
| Management And General | 29404 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37048154 | Total |
| Program Services | 32924796 | ProgramServices |
| Management And General | 4123358 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -78731 | BOY |
| EOY | -115251 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2484688 | BOY |
| EOY | 3009010 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 95159 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 530530 | BOY |
| EOY | 410700 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132464 | BOY |
| EOY | 38789 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 15639830 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9503192 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6821528 | BOY |
| EOY | 6136638 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9890479 | BOY |
| EOY | 9575045 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1993409 | BOY |
| EOY | 2331529 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17215656 | BOY |
| EOY | 16669389 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19209065 | BOY |
| EOY | 19000918 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -9318586 | BOY |
| EOY | -9425873 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -9318586 | BOY |
| EOY | -9425873 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9890479 | BOY |
| EOY | 9575045 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -107761 | ReconcilationRevenueExpenses |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Form1120 Pol Filed | false | Form1120PolFiled |
| Form4720 Filed | false | Form4720Filed |
| Volunteers | true | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | true | MailingsMembers |
| Mailings Members | $100 | MailingsMembersAmount |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 100 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
| Substantially All Dues Nondeduct | false | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | false | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | false | AgreeToCarryoverPriorYear |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Officers and/or Board Members of the corporation may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities the Corporation serves. In pursuing this activity, Officers and/or Board Members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters. The amount of time and money involved in these activities is negligible. In no case has either the Corporation, or any person acting on behalf of the Corporation, intervened in any political campaign. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 145334 | OtherCostOrOtherBasis |
| Book Value | 145334 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10870703 | OtherCostOrOtherBasis |
| Depreciation | 6443430 | Depreciation |
| Book Value | 4427273 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4623794 | OtherCostOrOtherBasis |
| Depreciation | 3059763 | Depreciation |
| Book Value | 1564031 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6136638 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Asset Retirement Obligations | $229,148 |
| Intercompany Payable | $16,440,241 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 16669389 | TotalOfAmounts |
| Total Revenue | 36940393 | TotalRevenue |
| Total Expenses | 37048154 | TotalExpenses |
| Excess Or Deficit For Year | -107761 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -107761 | ExcessOrDeficitPerFS |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 858222 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 858222 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03100 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2891094 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2318161 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 572933 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02070 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 38160 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11271 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26889 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3787476 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2329432 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1458044 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05270 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 111543 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 111543 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 533924 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 533924 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01930 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 645467 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 645467 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02330 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4432943 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2329432 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2103511 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07600 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $4,375,789 | BadDebtExpenseAmount |
| Amount Attributable To | 1312737 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 6324186 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 6860302 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -536116 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicy |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Texas Health Azle | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 108 Denver Trail | AddressLine1 |
| City | Azle | City |
| State | TX | State |
| ZIP Code | 76020 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | Part 1, line 3c | Part 1, line 3c: |
| 2 | Part 1, line7 | Part 1, line7: |
| 3 | Part III, line 4 | Part III, line 4: |
| 4 | Part III, line 8 | Part III, line 8: |
| 5 | Part III, line 9b | Part III, line 9b: |
| 6 | Part VI, line 2 | Part VI, line 2: |
| 7 | Part VI, line 3 | Part VI, line 3: |
| 8 | Part VI, line 4 | Part VI, line 4: |
| 9 | Part VI, line 5 | Part VI, line 5: |
| 10 | Part VI, line 6 | Part VI, line 6: |
| 11 | Part VI, line 7 | Part VI, line 7: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
| No Grant More Than5000 | X | NoGrantMoreThan5000 |
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Personal Services | X | PersonalServices |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|
| Winjie Tang Miao | |||||
| 168699 | 54600 | 31450 | 61133 | 11140 | 327022 |
| Barclay Berdan | |||||
| Charles Boes | |||||
| Kenneth Kramer | |||||
| John Mitchell | |||||
| Terri DeSio | |||||
| Valarie Gilbert | |||||
| 130900 | 13378 | 5238 | 9800 | 7701 | 167017 |
| Jeffrey Snead | |||||
| 121202 | 4248 | 2290 | 7585 | 16495 | 151820 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Sch J, Part I, Line 1 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 O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | 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, 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: Frank Briggs - 1 hour 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Deuteronomy | |||||||||||
| 8440 Walnut Hill Lane Ste 830 | Dallas | TX | 75231 | 752561680 | Physician Clinic | TX | 501(c)(3) | 9 | Texas Health Resources | false | |
| Harris Methodist Health System | |||||||||||
| 612 E Lamar Blvd Ste 1400 | Arlington | TX | 76011 | 751823547 | Supporting Organization | TX | 501(c)(3) | 11 Type 1 | false | N/A | |
| Presbyterian Healthcare Resources | |||||||||||
| 612 E Lamar Blvd Ste 1400 | Arlington | TX | 76011 | 510190395 | Supporting Organization | TX | 501(c)(3) | 11 Type 3 | false | N/A | |
| Texas Health Arlington Memorial Hospital | |||||||||||
| 800 Randol Mill Rd | Arlington | TX | 76012 | 750972805 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Harris Methodist Foundation | |||||||||||
| 6100 Western Place Ste 1001 | Fort Worth | TX | 76107 | 752401033 | Supporting Organization | TX | 501(c)(3) | 9 | Harris Methodist Health System | false | |
| Texas Health Harris Methodist Hospital Azle | |||||||||||
| 108 Denver Trail | Azle | TX | 76020 | 751748586 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Harris Methodist Hospital Cleburne | |||||||||||
| 201 Walls Dr | Cleburne | TX | 76033 | 751977850 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Harris Methodist Hospital Fort Worth | |||||||||||
| 1301 Pennsylvania Ave | Fort Worth | TX | 76104 | 756001743 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | |||||||||||
| 1600 Hospital Parkway | Bedford | TX | 76022 | 751438726 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | |||||||||||
| 6100 Hospital Parkway | Fort Worth | TX | 76132 | 752678857 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Harris Methodist Hospital Stephenville | |||||||||||
| 411 Belknap | Stephenville | TX | 76401 | 751752253 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Physicians Group | |||||||||||
| 1301 Pennsylvania Ave | Fort Worth | TX | 76104 | 752613493 | Physician Clinic | TX | 501(c)(3) | 11 Type 1 | Texas Health Resources | false | |
| Texas Health Presbyterian Foundation | |||||||||||
| 8440 Walnut Hill Ln Ste 800 LB6 | Dallas | TX | 75231 | 752022128 | Supporting Organization | TX | 501(c)(3) | 9 | Presbyterian Healthcare Resources | false | |
| Texas Health Presbyterian Hospital Allen | |||||||||||
| 1105 Central Expressway North | Allen | TX | 75013 | 752890358 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Presbyterian Hospital Dallas | |||||||||||
| 8200 Walnut Hill Ln | Dallas | TX | 75231 | 751047527 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Presbyterian Hospital Denton | |||||||||||
| 3000 North Interstate 35 | Denton | TX | 76201 | 432008974 | Hospital | TX | 501(c)(3) Pend | 3 | Texas Health Resources | false | |
| Texas Health Presbyterian Hospital Kaufman | |||||||||||
| 850 Ed Hall Drive | Kaufman | TX | 75142 | 752771437 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Presbyterian Hospital Plano | |||||||||||
| 6200 W Parker Rd | Plano | TX | 75093 | 752770738 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Presbyterian Hospital Winnsboro | |||||||||||
| 719 W Coke Rd | Winnsboro | TX | 75494 | 752771569 | Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
| Texas Health Research Education Institute | |||||||||||
| 612 E Lamar Blvd Ste 1400 | Arlington | TX | 76011 | 752562191 | Medical Research & Education | TX | 501(c)(3) | 4 | Texas Health Resources | false | |
| Texas Health Resources | |||||||||||
| 612 E Lamar Blvd Ste 1400 | Arlington | TX | 76011 | 752702388 | Mgmt Supporting Organization | TX | 501(c)(3) | 11 Type 3 | false | N/A | |
| Texas Health Resources Self-Insurance Trust | |||||||||||
| 612 E Lamar Blvd Ste 1400 | Arlington | TX | 76011 | 756335901 | Insurance Trust | TX | 501(c)(3) | 11 Type 3 | Texas Health Resources | false | |
| Texas Health Specialty Hospital | |||||||||||
| 1301 Pennsylvania Ave 4th Flr | Fort Worth | TX | 76104 | 751648589 | Long Term Hospital | TX | 501(c)(3) | 3 | Texas Health Resources | false | |
Form990 Schedule R Part III Form990ScheduleRPartIII (19 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|
| AMH Cath Labs LLC | |||||||||
| 800 W Randol Mill Rd | Arlington | TX | 76012 | 203003947 | Healthcare Services | TX | N/A | false | false |
| Denton Surgery Center LLC | |||||||||
| 14131 Midway Rd Ste 1050 | Addison | TX | 75001 | 470926556 | Ambulatory Surgery Center | TX | N/A | false | false |
| Flower Mound Hospital Partners LLC | |||||||||
| 14131 Midway Rd Ste 1050 | Addison | TX | 75001 | 260684968 | Hospital | TX | N/A | false | false |
| Harris HEB Radiology Ltd | |||||||||
| 1600 Hospital Parkway | Bedford | TX | 76022 | 752825710 | MRI Services | TX | N/A | false | false |
| Harris Oncology LLC | |||||||||
| 1600 Hospital Parkway | Bedford | TX | 76022 | 752927939 | Rental Real Estate | TX | N/A | false | false |
| Health Imaging Partners LLC | |||||||||
| 8610 Explorer Dr Ste 300 | Colorado Spring | CO | 80920 | 271385885 | Outpatient Diag. Imaging Ctr | TX | N/A | false | false |
| HEB Oncology LP | |||||||||
| 1601 Hospital Parkway | Bedford | TX | 76022 | 752927940 | Rental Real Estate | TX | N/A | false | false |
| Physician Medical Center LLC | |||||||||
| 6200 W Parker Rd | Plano | TX | 75093 | 481281376 | Ambulatory Surgery Center | TX | N/A | false | false |
| Presbyterian Cancer Center-Dallas LLC | |||||||||
| 6200 W Parker Rd | Plano | TX | 75093 | 260422749 | Medical Management | TX | N/A | false | false |
| Radiology Management Co LLC | |||||||||
| 1601 Hospital Parkway | Bedford | TX | 76022 | 752825708 | MRI Services | TX | N/A | false | false |
| Rockwall Regional Hospital LLC | |||||||||
| 14131 Midway Rd Ste 1050 | Addison | TX | 75001 | 202848116 | Hospital | TX | N/A | false | false |
| Sherman Grayson Health System LLC | |||||||||
| 500 Highland Ave | Sherman | TX | 75092 | 272025497 | Hospital | TX | N/A | false | false |
| Southlake Specialty Hospital LLC | |||||||||
| 14131 Midway Rd Ste 1050 | Addison | TX | 75001 | 020555370 | Hospital | TX | N/A | false | false |
| Texas Health MedSynergies LLC | |||||||||
| 1255 Corporate Drive Fl 3 | Irving | TX | 75038 | 800272951 | Management Consulting | TX | N/A | false | false |
| Texas Single Source Staffing | |||||||||
| 524 E Lamar Blvd Ste 300 | Arlington | TX | 76011 | 270324828 | Manage Contract Nursing | TX | N/A | false | false |
| Texas Institute for Surgery LLP | |||||||||
| 7715 Greenville Ave Ste 100 | Dallas | TX | 75231 | 770628004 | Hospital | TX | N/A | false | false |
| Womens Specialty Surgery Center | |||||||||
| 1300 Post Oak Blvd Ste 600 | Houston | TX | 77056 | 262310072 | Ambulatory Surgery Center | TX | N/A | false | false |
| USMD Hospital at Fort Worth LP | |||||||||
| 801 I-20 West | Arlington | TX | 76107 | 731662763 | Hospital | TX | N/A | false | false |
| USMD Hospital of Arlington LP | |||||||||
| 801 I-20 West | Arlington | TX | 76107 | 203571243 | Hospital | TX | N/A | false | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|---|
| AMH Health Ventures Inc | |||||||||
| 800 W Randol Mill Road | Arlington | TX | 76012 | 752141114 | Computer & Billing Services | TX | Arlington Memorial Hospital | C-Corp | |
| PH Denton Physicians Inc | |||||||||
| 3000 N Interstate 35 | Denton | TX | 76201 | 261696945 | Physician Services | TX | Texas Health Presbyterian Hospital Denton | ||
| Biomedical Advancement Center Inc | |||||||||
| 812 E Lamar Blvd | Arlington | TX | 76011 | 752636884 | Inactive | TX | Texas Health Research Education Institute | C-Corp | |
| Texas Health Resources Casualty Company | |||||||||
| c/o AON Insurance | Burlington | VT | 05401 | 030310676 | Insurance | VT | Texas Health Resources | C-Corp | 76 St Paul 5th floor |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Texas Health Resources | ||
| l | 3314213 | l |
| Texas Health Single Source Staffing | ||
| l | 330397 | l |
| See Sch R Part VII | ||
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