2024-11-12T06:27:35-06:00 2023-12-31 KPMG LLP 811 MAIN ST STE 4500 HOUSTON TX 77002 990 2023-01-01 752702388 Texas Health Resources % DAVID JACKSON TEXA 6822367900 612 E Lamar Blvd Ste 600 Arlington TX 76011 David Jackson Asst Secretary 6822367900 2024-11-11 true Kimberly Mac Namee P02479140 7133192000 2024-11-11 2023 2024-10-15 13:58:12Z Barclay Berdan 612 E Lamar Blvd Arlington TX 76011 3529459708 false X texashealth.org X 1997 TX Through its affiliates, THR operates an integrated healthcare system with services and facilities throughout north central texas to improve healthcare. 15 13 6942 14 4104378 2172412 3160855 3077977 876668549 994353833 211783646 376050261 16456156 12135519 1108069206 1385617590 765217 423244 0 0 424020872 457640626 0 0 0 432848261 459876051 857634350 917939921 250434856 467677669 8108719138 9472702224 2861033873 3255122280 5247685265 6217579944 X THROUGH ITS AFFILIATES, THR OPERATES AN INTEGRATED HEALTHCARE SYSTEM WITH SERVICES AND FACILITIES THROUGHOUT NORTH CENTRAL TEXAS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES THEY SERVE. false false 917939921 423244 1000864944 Founded in 1997, Texas Health Resources (THR) provides direction and oversight to its wholly-controlled affiliates. The range of centralized services provided by THR include information services, managed care contracting, human resources, revenue cycle, legal, tax, compliance, supply chain, business development, insurance, treasury, marketing, general accounting, and strategic planning. THR operates professional office buildings leased primarily to physicians who are members of the medical staff of THR affiliated hospitals. THR also operates, manages and coordinates physician services through Texas Health Physicians Group (THPG), a wholly owned affiliate of THR. THPG is a network of primary and specialty care physician practices providing the north Texas area community access to quality health care delivered either through an office setting or through a hospital program. 917939921 true true false true false false false false false false true false true true true false false true false false true false false false false false true true true false true true false false false false false true false false false true false false false false true true true true false false true 1362 0 true 6942 true true true true CJ false false false false false false false false true false X 15 13 true false false false false false false true true false false true true true true true true true true true true X DAVID JACKSON 6822367900 612 E LAMAR BLVD Arlington TX 76011 X BerdanBarclay E Chief Executive Officer 43.25 6.75 X X 3605445 0 1016271 MiaoWinjie Tang SEVP Chief Operating Officer 45.0 5.0 X 1690901 0 476137 IrvineLaura L SEVP Chief Experience Officer 50.0 0.0 X 1381444 0 527251 McWhorterRicky E SEVP & Chief Financial Officer 45.0 5.0 X 1515772 0 325006 KingJames Kirk Hospital Channel COO 45.0 5.0 X 1271947 0 369248 KramerKenneth J EVP General Counsel 45.0 5.0 X 1206803 0 235245 JonesRobert Douglas SVP & Chief Investment Officer 50.0 0.0 X 1012044 0 170156 Sudomir JrJoseph M SVP Chief Info Officer 40.0 0.0 X 984894 0 163482 MasicaAndrew Chief Medical Officer 40.0 0.0 X 827757 0 164868 DawsonCarla S Chief People Officer 40.0 0.0 X 781681 0 199642 VelascoFerdinand T SVP & Chief Hlth Info Officer 40.0 0.0 X 763872 0 163560 MitchellJohn D Chief Business Develpmt Officr 40.0 0.0 X 750738 0 146536 FlorenJoshua Andrew SVP Hospital Channel 23.0 17.0 X 667687 0 187688 TuckerRebecca D SVP Channel Integration 40.0 0.0 X 634720 0 176067 TesmerDavid J Chief Commnty & Public Pol Off 40.0 0.0 X 626154 0 170432 CoxKathleen B Ambulatory&Virtual Channel COO 40.0 0.0 X 627517 0 167781 GoldbergGary Alan Chief Rev & Finan Risk Officer 40.0 0.0 X 568763 0 127268 BernardTraci H President THSL 40.0 0.0 X 571329 0 124686 CraftBrian SVP Hospital Financial Ops 40.0 0.0 X 560964 0 128379 McAllisterDeena A SVP Brand Experience 40.0 0.0 X 555680 0 132957 JacksonDavid W Chief Accounting Officer 40.0 0.0 X 515108 0 165877 PerrinCynthia President THRW 40.0 0.0 X 604256 0 57923 RobinsonMary C Chief Nursing Executive 40.0 0.0 X 540533 0 118181 WhiteleyJohn E SVP Fin Plan Analys & Amb Ops 40.0 0.0 X 532109 0 119825 ClintonShaun SVP Supply Chain Management 40.0 0.0 X 522072 0 114174 ParrisMichael Chief Data & Analytics Officer 40.0 0.0 X 433174 0 161099 StewartRebekah SVP & Chief Compliance Officer 40.0 0.0 X 514127 0 77582 HolmesKevin B VP Facilities Design 40.0 0.0 X 467146 0 83478 MincherJeff SVP Revenue Cycle 40.0 0.0 X 433658 0 113072 MehringRonald Charles VP Technology & Security/CISO 40.0 0.0 X 496441 0 48208 Koshy-NesbittSunita Sara Hospital Channel CQO 40.0 0.0 X 471617 0 70810 SullivanJon M VP Real Estate Operations 40.0 0.0 X 459257 0 74626 ReevesSandra G VP Treas/Asst Chief Invest Off 40.0 0.0 X 436437 0 76586 SchroederJennifer Ann SVP Deputy General Counsel 40.0 0.0 X 424355 0 84919 PopeBrandon Reed SVP Strategy & Mkt Development 40.0 0.0 X 379750 0 96990 CantuStacy G VP Chief Gov Offr & Corp Secr 40.0 0.0 X 353188 0 71659 Parobek JrJames S Former Officer 0.0 0.0 X 0 414536 0 IngramBartholomew SVP Product Design Term 2/2023 40.0 0.0 X 366500 0 11044 GentzelWilliam Todd SVP Strategy & Mkt Term 2/2023 40.0 0.0 X 327359 0 8280 BerenzweigHarold Karl Former Officer 0.0 20.0 X 0 166694 0 KirbyMichelle Riddle Former Office 0.0 0.0 X 120642 0 0 Chhutani MD Sheila Trustee 8.05 0.37 X 76638 0 0 Vigness MD Richard Chair 1.06 0.37 X 0 0 0 Hunt Hunter Vice Chair 1.06 0.37 X 0 0 0 Wilder Jr Charles Immediate Past Chair 1.06 0.37 X 0 0 0 Bernstein Kenneth Trustee 1.06 0.37 X 0 0 0 Braun JD Vianei Lopez Trustee 1.06 0.37 X 0 0 0 Guyton Michael Trustee 1.06 0.37 X 0 0 0 Haggar III Joseph Trustee 1.06 0.37 X 0 0 0 Hum MD Lawrence Trustee 1.06 0.37 X 0 0 0 Iruegas Javier Trustee 1.06 0.37 X 0 0 0 Montgomery Lynn Trustee 1.06 0.37 X 0 0 0 Nunez MD Ignacio Trustee 1.06 0.37 X 0 0 0 Reeves Kenneth Trustee 1.06 0.37 X 0 0 0 Weeks DNP Susan Trustee 1.06 0.37 X 0 0 0 23320190 0 5748640 1610 true true false PWC Advisory Svs LLC 4040 W Boy Scout Blvd TAMPA FL 33607 Consulting Svc 12001384 Mindstream Media Group LLC 1717 Main St 40th Flr DALLAS TX 75201 Marketing 3922687 Miller Weisbrod Olesky LLP 11551 FOREST CENTRAL DR STE 300 DALLAS TX 75243 Legal Services 6275000 AVERSANO GOLD 1123 HAVARD ST HOUSTON TX 77008 Legal Services 5850000 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO TX 92130 Professional Service 4166311 173 3077977 3000 3077977 MANAGEMENT FEE 541610 802349257 799429934 2919323 JOINT VENTURE EARNINGS 621400 116360448 115786131 574317 RENTAL FEE 531120 69198036 69198036 MANAGED CARE FEES 541990 5775355 5675359 99996 INTERCOMPANY GUARANTEE FEE 622110 476802 476802 193935 193935 994353833 172320934 172320934 9519 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53394947 TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE 751752253 3 true 0 8657950 TEXAS HEALTH PHYSICIANS GROUP 752613493 10 true 0 83026851 TEXAS HEALTH RESOURCES FOUNDATION 752022128 7 true 0 272969 TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN 752890358 3 true 0 17758518 TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS 751047527 3 true 0 103191571 TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON 432008974 3 true 0 38348840 TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN 752771437 3 true 0 6427522 TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO 752770738 3 true 0 71207035 TEXAS HEALTH RESEARCH & EDUCATION INSTITUTE 752562191 4 true 0 268267 TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH 751648589 3 true 0 1504823 TEXAS HEALTH BACK CARE 474724257 10 true 0 0 TEXAS HEALTH RECOVERY AND WELLNESS CENTER 812813227 3 true 0 826880 TEXAS HEALTH URGENT CARE 814317635 3 true 0 5156877 TEXAS HEALTH MEDICAL SUPPORT 812833150 10 true 0 1445866 TEXAS HEALTH VIRTUAL CARE 873611585 3 true 0 320310 22 690026173 true false false false false true false false false false false false false false false true true true X true true Additional Support - Part IV, Section A, Line 6 Texas Health Resources (THR) provides minimal support to various national charitable organizations such as the March of Dimes, American Heart Association, and others who perform an activity that is in line with THR's charitable mission. They also provide support to local schools, city wide activities, and community development groups. As a large healthcare system in North Central Texas, THR takes an active role in the communities they serve. In doing so, THR makes donations, largely at the direction of the supported organizations, to various groups, or sponsor activities that benefit the community. The support to each group is minimal, and is not the organizations primary source of support. Working Relationship-Part IV, Section D, Lines 2 & 3 THR is the controlling "parent" organization of a large health care system in North Texas. THR serves as a functionally-integrated supporting organization to all the controlled supported organizations providing centralized management. THR appoints or approves the board members of each controlled entity within the system. The current THR board members also serve on the board of each wholly owned hospital within the system.THR officers serve on the Boards of the controlled entities as well as some non-controlled entities in the system. Systemwide policies and standards are established by THR. The system investment policies are established at the THR level. THR approves the operating budgets, capital budgets, and future goals for the system as a whole. THR has established a single authority matrix used system wide. In this matrix, THR has ultimate control for the majority of the decisions made throughout the system. Officer/Board Appointments-Part IV, Section E, Line 3a The THR board approves all board members and board officers for each entity in the system. The THR board members also serve as the board of the wholly owned hospitals within the system. THR has a centralized recruitment, selection and placement process for the hiring/promotions of officers for all system entities. The human resources department is maintained at the system level and not by the individual entities. All supporting entity officers are interviewed by THR and entity personnel, with THR having the final decision on new hire placements and promotions. Substantial Direction-Part IV, Section E, Line 3b As discussed in detail in the explanation to Schedule A, Part IV, Section D, Lines 2 & 3, THR is the parent organization providing centralized management to the supported organizations in the system. As the parent organization THR is able to exercise a substantial degree of direction over the supported organizations through control of the board, setting policies, hiring officers, and the use of the authority matrix. Officers of THR are present at board meetings of the supported organizations as a liaison and provide a conduit for the supported organizations to voice opinions and concerns to THR. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 12165 false true 142847 true 1798930 false false 1953942 false Schedule C, Part II-B, Line 1 - Details of Lobbying Activities Texas Health Resources (THR) is the parent organization for a healthcare system consisting of hospitals and other related healthcare organizations. The amount of expenses paid, or incurred in connection with lobbying activities reported on this return represent the expenses incurred on behalf of THR and all its affiliates. Total expenses for the system were $5,934,199,000 for the year ended December 31, 2023. Of this amount $1,953,943(.033%) is used in connection with lobbying activities. Officers and/or Board members of THR may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities that THR serves. In pursuing this activity, officers and/or Board members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters on a personal level, and not as a representative of the organization. A portion of the dues paid to Healthcare Associations are used by these organizations to support lobbying activities related to the healthcare industry. The amount of time and money involved in the activities described above is negligible.In no case has either THR, or any person acting on behalf of THR, intervened in any political campaign. THR policy prohibits this type of activity for THR System employees. 67475131 67475131 236329407 130363651 105965756 191516435 127573282 63943153 391944309 237020114 154924195 27502834 27502834 419811069 CONTROLLED CONSOLIDATED AFFIL 229235596 C CONTROLLED UNCONSOLIDATED AFFI 481752533 C 710988129 RECEIVABLES OTHER CONSOL AFFIL 231625772 RECEIVABLES OTHER UNCONSOL AFL 5038843 ASSETS LIMITED AS TO USE 339446660 LT DEBT PROCEEDS 12689 INTERCOMPANY RECEIVABLES 120434792 UNAMORTIZEED RENT LEASE 18364659 OTHER NONCURRENT ASSETS 122860916 OPERATING LEASE ASSETS 5638776 DEPOSITS 27870 TRUSTEE FUNDS SUP RETIREMENT 6836504 TRUSTEE FUNDS CASH VALUE LIFE 716710 851004191 0 OPERATING LEASE LIBILITY 4251298 PROFESSIONAL LIABILITY RESERVE 34085093 SECURITY DEPOSITS 150663 POST RETIREMENT BENEFITS 382989 SUP RETIREMENT LIABILITY 6836504 ASSET RETIREMENT OBLIGATIONS 1540261 UNAMORTIZED STRAIGHT LINE RENT 2576130 49822938 Central America and the Caribbean Investments 82158691 Central America and the Caribbean 0 7 Conduct board meetings 23946 Europe (Including Iceland and Greenland) Investments 4898207 0 7 0 7 87080844 87080844 true false true true true false Part I, Line 3f - Investments The amount in column f reflects investments based on an accrual method of accounting. Part I, Line 3 - Investments THR has a wholly owned captive, Grace Indemnity Company SPC, Ltd (Grace), domiciled in the Grand Cayman Islands. This entity is used to pay claims for the self-insured activity of the THR system. Although Grace is domiciled offshore, its investments are primarily in US government securities and US investment grade corporate bonds, all of which are custodied in Chicago, Illinois. While the majority of the investments held by Grace are not offshore, Grace does have a minimum balance that is maintained in a Grand Cayman bank account and used for operating purposes. A target maximum balance of uninvested cash of approximately $100,000 is in maintained in this off-shore fund. As part of a diverse portfolio, THR is exploring alternative investment opportunities including certain investments which have foreign activity. THR maintains a minority interest in these alternative investments. Part I, Line 2f - Board Meetings The amounts in column F reflect board Meeting expenses that were not reimbursed by the end of the year, based on an accrual method of accounting. true true X true X true X 500. true true true false true true 4802478 266798 4535680 0.01620 7617264 6593688 1023576 0.00360 60458 21332 39126 0.00010 12480200 6881818 5598382 0.01990 17176591 17176591 0.06120 132998 132998 0.00050 1762590 1762590 0.00650 19072179 19072179 0.06820 31552379 6881818 24670561 0.08810 75971 75971 0.00030 1250 1250 77221 77221 0.00030 true 26366018 0 41893104 57076489 -15183385 X true true Arlington Surg Ctr Ambulatory Surgery Center 0.5175 0.0 0.4825 Cleburne Surg Ctr Ambulatory Surgery Center 0.51 0.0 0.49 Cross Timbers Surg C Ambulatory Surgery Center 0.51 0.0 0.49 Denton Surg Ctr Ambulatory Surgery Center 0.5182 0.0 0.4818 Flower Mound Hosp Hospital 0.535 0.0 0.465 Greenville Surg Ctr Ambulatory Surgery Center 0.5658 0.0 0.4342 Mansfield Endoscopy Endoscopy Center 0.51 0.0 0.49 N Dallas Surg Ctr Ambulatory Surgery Center 0.6457 0.0 0.3543 Opthomology Surg Dal Ambulatory Surgery Center 0.51 0.0 0.49 PARK HILL SURG CTR Ambulatory Surgery Center 0.51 0.0 0.49 PHYSICIAN MED CTR Hospital 0.5497 0.0 0.4503 ROCKWALL REG HOSP Hospital 0.6233 0.0 0.3767 S ARLINGTON SURG PR Ambulatory Surgery Center 0.51 0.0 0.49 SOUTHLAKE SPEC HOSP Hospital 0.5721 0.0 0.4279 SURG CAREGIVERS FW Ambulatory Surgery Center 0.51 0.0 0.49 TH CRAIG RANCH SURG Ambulatory Surgery Center 0.5333 0.0 0.4667 TH FLOWER MOUND ORTH Ambulatory Surgery Center 0.51 0.0 0.49 TH ORTHO CTR ALLIANC Ambulatory Surgery Center 0.51 0.0 0.49 TH SPINE SURG ALLEN Ambulatory Surgery Center 0.51 0.0 0.49 TH SPINE CTR ALLIANC Ambulatory Surgery Center 0.51 0.0 0.49 TH SURG CTR ALLIANCE Ambulatory Surgery Center 0.72 0.0 0.28 TH SURG CTR BEDFORD Ambulatory Surgery Center 0.5205 0.0 0.4795 TH SURG CTR IRVING Ambulatory Surgery Center 0.5258 0.0 0.4742 TH SURG CTR PRESTON Ambulatory Surgery Center 0.5183 0.0 0.4817 TH SURG CTR ROCKWALL Ambulatory Surgery Center 0.51 0.0 0.49 TH Surg Ctr SW FW Ambulatory Surgery Center 0.51 0.0 0.49 TH SURG WAXAHACHIE Ambulatory Surgery Center 0.57 0.0 0.43 TH Surg C Willow Pk Ambulatory Surgery Center 0.51 0.0 0.49 THR-STT ROCKWALL ASC Ambulatory Surgery Center 0.51 0.0 0.49 THR-STT SOUTHLAKE Ambulatory Surgery Center 0.51 0.0 0.49 USMD HOSPITAL AT ARL Hospital 0.5236 0.0 0.4764 WALNUT HILL SURG CTR Ambulatory Surgery Center 0.51 0.0 0.49 WILSON CREEK SURG Ambulatory Surgery Center 0.51 0.0 0.49 TH Surg Ctr Chisholm Ambulatory Surgery Center 0.51 0.0 0.49 TH Huguley Surg Ctr Ambulatory Surgery Center 0.77 0.0 0.23 Castle Hills Surgica Ambulatory Surgery Center 0.51 0.0 0.49 FW Endoscopy Ctr Ambulatory Surgery Center 0.51 0.0 0.49 5 1 Texas Health Rockwall 3150 Horizon Rd Rockwall TX 75032 www.texashealth.org TDH #008599 X X X A 2 Texas Health Flower Mound 4400 Long Prairie Rd Flower Mound TX 75028 www.texashealth.org TDH #100056 X X X A 3 USMD Hospital at Arlington 801 W Interstate 20 Arlington TX 76017 www.usmdarlington.com TDH #007990 X X X 4 Physicians Medical Center 6020 Parker Rd Plano TX 75093 www.texashealth.org TDH #008153 X X X A 5 Texas Health Southlake 1545 E Southlake Blvd Southlake TX 76092 www.texashealth.org TDH #008128 X X X A Facility Reporting Group A false false true X X X X X X X X X 22 true true false true X See Section C X true 23 true See Section C false true X 200. 500. X X X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X X X true X false false USMD Hospital at Arlington 3 false false true X X X X X X X X X 22 true true false true X See Section C X See Section C X true 23 true See Section C false true X 200. 500. X X X X true true X X X true X See Section C X See Section C X See Section C X X X X X X true X false X X X X true X false false Part V, Section B Facility #1 - Texas Health Flower Mound - Group A Facility #2 - Texas Health Rockwall - Group A Facility #3 - USMD at Arlington Facility #4 - Texas Health Southlake - Group A Facility #5 - Physicians Medical Center - Group A Part V. Section B, Line 3e - Facilities #1 - #5 The significant health needs of the community are in line with the significant health needs that have been prioritized and identified in the current CHNA. Part V. Section B, Line 5 - Facility #1 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Denton/Wise Counties region. The 2022 CHNA was conducted at the Denton/Wise Counties regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged sixteen community members with interests specific to the health of individuals in the Denton/Wise Counties region in the CHNA development process. Eight of these community members were engaged across two separate focus groups held in zip-codes that were identified as underserved areas. Eight served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and listening sessions, a community asset map was developed to provide an inventory of resources. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Children's Advocacy Center of North Texas, Denton Community Center, North Central Texas College, Lewisville ISD, TAPS Transportation, Wise County, Wise County Center of Hope and YMCA Denton. Findings from all data sources (secondary data, interviews and focus groups, and asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top medical and social determinant of health needs. The outlined needs/barriers informed the development of the 2023-2025 CHNA implementation plan, which will leverage integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 5 - Facility #2 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Dallas/Rockwall region. The 2022 CHNA was conducted at the Dallas/Rockwall regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged fifty-three community members with interests specific to the health of individuals in the Dallas/Rockwall region in the CHNA development process. Forty-two of these community members were engaged across five separate focus groups held in zip-codes that were identified as underserved areas. Eleven served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and listening sessions, a community asset map was developed to provide an inventory of resources. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Austin Street Center, Bonton Farms, Branch Baptist Church, Dallas Area Rape Crisis Center, Dallas Foundation, Literacy Archives, Mission Oak Cliff and Safer Dallas, Better Dallas. Findings from all data sources (secondary data, interviews and focus groups, and asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top social determinant of health needs. The outlined needs/barriers informed the development of the 2023-2025 CHNA implementation strategy, which leveraged integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 5 - Facilities #3 and #4 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Tarrant/Parker Counties region. The 2022 CHNA was conducted at the Tarrant/Parker Counties regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged twenty-four community members with interests specific to the health of individuals in the Tarrant/Parker Counties region in the CHNA development process. Sixteen of these community members were engaged across three separate focus groups held in zip-codes that were identified as underserved areas. Eight community members served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and listening sessions, a community asset map was developed to provide an inventory of resources. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Alzheimer's Association, Arlington Police Department, Cooper Street YMCA, Cornerstone Assistance Network, Eastside Ministries, Mansfield Mission Center, Meadowbrook Poly UMC and SafeHaven of Tarrant County. Findings from all data sources (secondary data, interviews and focus groups, and asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top social determinant of health needs. The outlined needs/barriers informed the development of the 2023-2025 CHNA implementation strategy, which leveraged integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 5 - Facility #5 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Collin County region. The 2022 CHNA was conducted at the Collin County regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged fourteen community members with interests specific to the health of individuals in the Collin County region in the CHNA development process. Twelve of these community members were engaged across two separate focus groups held in zip-codes that were identified as underserved areas. Two community members served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and liste 34 Health Imaging Partners LLC 8610 Explorer Dr 300 Colorado Springs CO 80920 Outpatient Diagnostic Imaging TX Health Surgery Center Preston Plaza 17950 Preston Rd Ste 75 Dallas TX 75252 Ambulatory Surgery Center South Arlington Sugrical Providers 350 E Interstate 20 Ste 200 Arlington TX 76018 Ambulatory Surgery Center Surgical Caregivers of Fort Worth 2001 W Rosedale St Fort Worth TX 76104 Ambulatory Surgery Center WALNUT HILL SURGERY CENTER 5494 Glen Lakes Dr Dallas TX 75231 Ambulatory Surgery Center OPTHALMOLOGY SURGERY CENTER DALLAS LLC 10740 N Central Expy Dallas TX 75231 Ambulatory Surgery Center TX HEALTH SURGERY CENTER ROCKWALL LLC 3144 Horizon Rd Ste 120 Rockwall TX 75032 Ambulatory Surgery Center TX HEALTH SURGERY CENTER ALLIANCE LLC 10840 Texas Health Trail Ste 100 Fort Worth TX 76244 Ambulatory Surgery Center TX HEALTH ORTHOPEDIC SURG CTR ALLIANCE 9848 N Beach St Fort Worth TX 76244 Ambulatory Surgery Center FORT WORTH ENDOSCOPY CENTERS LLC 900 W Magnolia Ave 101 Fort Worth TX 76104 Ambulatory Surgery Center PARK HILL SURGERY CENTER LLC 3455 Locke Ave Fort Worth TX 75107 Ambulatory Surgery Center THR-STT SOUTHLAKE ASC LLC 1545 E Southlake Blvd Southlake TX 76092 Ambultory Surgery Center TX HEALTH CRAIG RANCH SURGERY CTR LLC 8080 State Hwy 121 Ste 100 MkKinney TX 75070 Ambulatory Surgery Center TX HEALTH FLOWER MOUND ORTHO SURG CTR 5000 Long Prairie Rd Flower Mound TX 75028 Ambulatory Surgery Center GREENVILLE SURGERY CENTER LLC 7150 Greenville Ave Ste 200 Dallas TX 75231 Ambulatory Surgery Center DENTON SURGERY CENTER LLC 207 North Bonnie Brea Denton TX 76201 Ambulatory Surgery Center WILSON CREEK SURGICAL CENTER LLC 8855 Synergy Dr McKinney TX 75070 Ambultory Surgery Center CLEBURNE SURGICAL CENTER LLC 2010 W Katherine P Raines Blvd Ste Cleburne TX 76033 Ambulatory Surgery Center TX HEALTH SURGERY CENTER BEDFORD LLC 1605 Airport Freeway Ste 100 Bedford TX 76021 Ambulatory Surgery Center NORTH DALLAS SURGICAL CENTER LLC 17980 Dallas Pkwy Ste 100 Dallas TX 75287 Ambulatory Surgery Center TX HEALTH SPINE SURGERY CENTER ALLEN LLC 1120 Raintree Cir Ste 100 Allen TX 75013 Ambulatory Surgery Center TX HEALTH SURGERY CENTER IRVING LLC 2120 N MacArthur Blvd Ste 200 Irving TX 75061 Ambulatory Surgery Center ARLINGTON SURGERY CENTER LLC 918 N Davis Dr Arlington TX 76012 Ambulatory Surgery Center THR-STT ROCKWALL ASC LLC 1545 E Southlake Blvd Southlake TX 76092 Ambulatory Surgery Center TX HEALTH SPINE SURGERY CTR ALLIANCE 1545 E Southlake Blvd Ste 100 Southlake TX 76092 Ambulatory Surgery Center TH Surgery Center SW Fort Worth 612 E Lamar Blvd Ste 600 Arlington TX 76011 Ambulatory Surgery Center Texas Health Huguley Surgery Center LLC 12001 S Freeway Burleson TX 76028 Ambulatory Surgery Center Cross Timbers Surgery Center LLC 1001 N Waldrop Dr Ste 705 Arlington TX 76012 Ambulatory Surgery Center Mansfield Endoscopy Center LLC 647 N Miller Rd Mansfield TX 76063 Endoscopy Willow Park Endoscopy Center LLC 130 Jimma Dr Willow Park TX 76087 Ambulatory Surgery Center Texas Health Surgery Center Waxahachie 1434 US Hwy 287 Bypass Ste 100 Waxahachie TX 75165 Ambulatory Surgery Center Texas Health Surgery Center Chisholm Tr 5900 Altamesa Blvd Fort Worth TX 76132 Ambulatory Surgery Center Castle Hills Surgicare LLC 4221 Medical Pkwy Ste 100 Carrollton TX 75010 Ambulatory Surgery Center TH Surg Ctr Willow Park 612 E Lamar Blvd Ste 600 Arlinton TX 76011 Ambulatory Surgery Center Part VI Supplemental Information Part I, Line 3c - Patient Eligibility The Schedule H for Texas Health Resources (THR) is filed solely because it has an ownership interest in five taxable joint ventures operating as hospitals. THR is a functionally integrated supporting organization and does not operate its own hospital. THR supports a system of faith-based, non-profit hospitals, an employed physician organization and an organization for medical research and education. THR has adopted a Financial Assistance Policy (FAP) which covers its wholly owned non-profit hospitals and most of its hospital joint ventures. Patients with a family income at or below 200% of applicable Federal Poverty Guidelines (FPG) may be eligible for free care if the patient lacks sufficient funds and assets to pay the out-of-pocket portion of their hospital bill. Patients with family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified patient responsible amount if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's financial assistance application is reviewed. Assets considered when determining eligibility include cash, stocks, bonds and other financial assets that can be readily converted to cash. An additional process to screen for charity patients using publicly available financial information is also in place for patients not submitting a financial assistance application. Part I, Line 7 - Cost-to-Charge Ratio A cost-to-charge ratio is used to compute the amounts reported on Lines 7a-7c. The cost-to-charge ratio is derived from Worksheet 2 - Ratio of Patient Care Cost-to-Charges, as found in the Schedule H Instructions. The amounts reported on Lines 7e-7i were computed using direct costs, as determined by a cash outlay. Part II - Community Building The organization participates in community building activities that aim to address the socio-economic factors that influence the overall health of individuals in the communities served. As identified in the community health needs assessment, there are areas of need that are not in alignment with the operations of a hospital system. Our volunteerism, collaborations and partnerships with various aid organizations and various area coalitions aid in addressing the socio-economic factors that are the backbone for many underlying health concerns. Part III, Lines 2, 3 & 4 - Bad Debts Bad debt expense is not included as a community benefit for purposes of reporting community benefits. Each patient qualifying for charity care is treated as a charity patient and no charges related to that patient are included in bad debt expense. Each joint venture hospital estimates bad debt expense utilizing various methods, analytical tools and benchmarks. Typically, bad debt expense is based upon a combination of factors including, but not limited to, aging of receivables, analyzing revenue trends in the healthcare industry and payor class, and assessing historical collection experience considering business and economic conditions. The footnote regarding Accounts Receivable and Net Patient Service Revenue is included on pages 13-14 of the attached audited financial statements of THR. Part III, Line 8 - Medicare Shortfall The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care & community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. THR is the parent company of a healthcare system filing a combined community benefit report in Texas. THR is not a hospital and does not have Medicare data to report to the state of Texas. The data provided for Sch H is THR's share of operations from its taxable joint ventures which operate hospitals in Texas. The Medicare amounts reported on Sch H are from the taxable joint venture hospitals' cost accounting systems. The taxable joint ventures are not required to file community benefit reports with or report Medicare shortfalls to the state of Texas. Part III, Line 9b - Debt Collection During the year, standard collection procedures were in place and uniformly applicable to all patient accounts. Except to the extent a patient receives a recovery from any third party or other source, no attempts are made to collect unpaid charges from patient accounts approved for adjustment under the Financial Assistance Policy. Part VI, Line 2 - Needs Assessment In 2022, Texas Health Resources (Texas Health) completed a community health needs assessment (CHNA) for 27 facilities across 5 regions using the following steps: - Demographic analysis by region - Secondary data analysis of health indicators to identify zip codes of highest-needs within each region and prioritize zip codes for the community impact initiative - Primary data collection via key informant interviews, focus groups, and a windshield survey - Synthesis of secondary and primary data to identify the most pressing health needs by region - Prioritization of health needs that Texas Health would focus on within the current CHNA cycle, resulting in the identification of these health needs: Behavioral health; Chronic disease prevention and management; and access, navigation, and health literacy. In addition to the CHNA, a community readiness assessment was conducted in 2023 to identify zip codes/communities that were ready to address the health and social needs in their communities within the next 3 years. Though this assessment key informant interviews were conducted across five regions. The interviews were then compiled, scored and analyzed to determine strengths and barriers within communities. To assess hospital utilization and health outcomes, a diagnosis code and hospital utilization dashboard was created. This dashboard compiles data from all major hospitals within the Dallas-Fort Worth region. The dashboard allows us to analyze demographics, insurance status, charge data and diagnoses codes by patient zip codes. Though this analysis, we have been able to assess which populations have a higher hospital utilization as well as determining which populations have a higher prevalence of certain diagnoses. The dashboard was recently used to determine zip codes where stroke education should be prioritized based on overall prevalence of stroke cases along with the percentage of patients that were self-pay. Additionally, the data was used to review hospital utilization among homeless individuals in Tarrant County. This project was requested to be used to strategically plan for implementation of a medical respite unit within Tarrant County. Through the CHNA report, transportation was identified for further assessment given that community members reported transportation as a barrier to healthcare access and other health-related issues. In 2023, an analysis of the availability of household transportation and the access to the public transportation system was completed to better understand transportation needs in our communities. This analysis has been compiled into a report that is being disseminated to various stakeholders to build appropriate action plans. Part VI, Line 3 - Patient Education A description of the Financial Assistance Policy (FAP), the Plain Language Summary of the FAP (PLS) and the FAP application are available on the THR website at www.TexasHealth.org in English and other languages. Financial assistance information is included in the patient's admission packets. Signs alerting patients of financial assistance and related contact information are posted in various areas of the hospital including admissions & registration and the emergency room. Additionally, financial assistance information is provided verbally and in writing to self-pay patients by financial counselors. As part of the financial counseling meeting, patients are screened for potential eligibility in other governmental assistance programs. If it is determined that the patient is potentially eligible for governmental assistance, the counselor will assist the patient in completing forms necessary to apply for the assistance. At the same time, patients are provided wit true March of Dimes Foundation 555 Hemphill St Ste 202 Fort Worth TX 76104 131846366 501(c)(3) 32000 General Purpose Dallas Regional Chamber 500 N Akard St Ste 2600 Dallas TX 75201 750223440 501(C)(6) 14100 General Purpose DFW Hospital Council 300 Decker Drive 300 Irving TX 75062 237004426 501(C)(3) 9000 General Purpose North Texas Commission PO Box 610246 DFW Airport TX 75261 751364760 501(c)(6) 14225 General Purpose Cancer Support Community North Texas PO Box 601744 Dallas TX 75360 752633654 501(c)(3) 288094 FMV Rent Payment Cancer Support Communities Foundation of Texas 5500 Caruth Haven Ln Dallas TX 75225 750964565 501(c)(3) 10000 General Purpose Texas Medical Association 401 W 15th St Ste 100 Austin TX 78701 741078510 501(c)(6) 10000 General Purpose 4 3 Part I, Line 2 - Procedures for Monitoring Grants Texas Health Resources (THR) receives various requests from the community for assistance. THR management reviews these requests to verify that they are benefiting the community and they are in agreement with THR's mission. The grants or assistance given by THR are generally to local organizations that have a longstanding record of benefiting the local community. Since the vast majority of the assistance given by THR is to local organizations, management is able to monitor the use of the funds using personal inspection. Many of the events are published in the local paper. Many are community wide events where THR employees attend, or work as volunteers or coordinators. X X X true true X X X X X true true false false false false false false false BerdanBarclay E Chief Executive Officer 1860563 0 1414089 0 330793 0 963751 0 52520 0 4621716 0 731476 0 MiaoWinjie Tang SEVP Chief Operating Officer 1007749 0 501381 0 181771 0 442186 0 33951 0 2167038 0 231168 0 McWhorterRicky E SEVP & Chief Financial Officer 932223 0 437883 0 145666 0 285038 0 39968 0 1840778 0 197608 0 IrvineLaura L SEVP Chief Experience Officer 1020689 0 202004 0 158751 0 466912 0 60339 0 1908695 0 39697 0 KingJames Kirk Hospital Channel COO 744380 0 379709 0 147858 0 316307 0 52941 0 1641195 0 182417 0 KramerKenneth J EVP General Counsel 705551 0 359141 0 142111 0 193789 0 41456 0 1442048 0 174260 0 JonesRobert Douglas SVP & Chief Investment Officer 676170 0 254523 0 81351 0 119379 0 50777 0 1182200 0 106065 0 Sudomir JrJoseph M SVP Chief Info Officer 559644 0 332370 0 92880 0 109609 0 53873 0 1148376 0 164735 0 MasicaAndrew Chief Medical Officer 544000 0 190121 0 93636 0 101849 0 63019 0 992625 0 83937 0 DawsonCarla S Chief People Officer 517874 0 173395 0 90412 0 156035 0 43607 0 981323 0 64690 0 VelascoFerdinand T SVP & Chief Hlth Info Officer 495719 0 196710 0 71443 0 101176 0 62384 0 927432 0 87622 0 MitchellJohn D Chief Business Develpmt Officr 474745 0 187174 0 88819 0 94016 0 52520 0 897274 0 81987 0 FlorenJoshua Andrew SVP Hospital Channel 438390 0 169778 0 59519 0 135165 0 52523 0 855375 0 67564 0 TuckerRebecca D SVP Channel Integration 433437 0 142623 0 58660 0 126197 0 49870 0 810787 0 54881 0 CoxKathleen B Ambulatory&Virtual Channel COO 420450 0 139871 0 67196 0 145136 0 22645 0 795298 0 58405 0 TesmerDavid J Chief Commnty & Public Pol Off 420765 0 153561 0 51828 0 129833 0 40599 0 796586 0 69518 0 GoldbergGary Alan Chief Rev & Finan Risk Officer 388647 0 126752 0 53364 0 77519 0 49749 0 696031 0 49283 0 CraftBrian SVP Hospital Financial Ops 375500 0 133572 0 51892 0 77594 0 50785 0 689343 0 59425 0 McAllisterDeena A SVP Brand Experience 357030 0 125550 0 73100 0 78520 0 54437 0 688637 0 52395 0 RobinsonMary C Chief Nursing Executive 341903 0 123344 0 75286 0 76635 0 41546 0 658714 0 53941 0 WhiteleyJohn E SVP Fin Plan Analys & Amb Ops 360393 0 120823 0 50893 0 76803 0 43022 0 651934 0 51242 0 ClintonShaun SVP Supply Chain Management 351493 0 121590 0 48989 0 70613 0 43561 0 636246 0 55299 0 JacksonDavid W Chief Accounting Officer 348305 0 117613 0 49190 0 125200 0 40677 0 680985 0 53142 0 StewartRebekah SVP & Chief Compliance Officer 359115 0 105937 0 49075 0 67038 0 10544 0 591709 0 43852 0 MincherJeff SVP Revenue Cycle 295542 0 69270 0 68846 0 59356 0 53716 0 546730 0 10118 0 ParrisMichael Chief Data & Analytics Officer 291783 0 72696 0 68695 0 109240 0 51859 0 594273 0 12017 0 SchroederJennifer Ann SVP Deputy General Counsel 332468 0 50226 0 41661 0 55618 0 29301 0 509274 0 0 0 PopeBrandon Reed SVP Strategy & Mkt Development 266740 0 75000 0 38010 0 52341 0 44649 0 476740 0 0 0 IngramBartholomew SVP Product Design Term 2/2023 57836 0 5235 0 303429 0 2898 0 8146 0 377544 0 62318 0 CantuStacy G VP Chief Gov Offr & Corp Secr 278238 0 41945 0 33005 0 17934 0 53725 0 424847 0 0 0 GentzelWilliam Todd SVP Strategy & Mkt Term 2/2023 56338 0 0 271021 0 1367 0 6913 0 335639 0 53750 0 SullivanJon M VP Real Estate Operations 341452 0 54404 0 63401 0 24750 0 49876 0 533883 0 0 0 ReevesSandra G VP Treas/Asst Chief Invest Off 344919 0 52565 0 38953 0 24750 0 51836 0 513023 0 0 0 BerenzweigHarold Karl Former Officer 0 166444 250 0 0 0 0 0 0 166694 0 0 Parobek JrJames S Former Officer 0 0 0 0 414536 0 0 0 0 0 414536 0 0 KirbyMichelle Riddle Former Office 0 0 0 0 120642 0 0 0 0 0 120642 0 120642 0 PerrinCynthia President THRW 370356 0 181473 0 52427 0 14344 0 43579 0 662179 0 107756 0 BernardTraci H President THSL 364455 0 156918 0 49956 0 75236 0 49450 0 696015 0 43920 0 MehringRonald Charles VP Technology & Security/CISO 324246 0 136357 0 35838 0 24750 0 23458 0 544649 0 56250 0 Koshy-NesbittSunita Sara Hospital Channel CQO 352298 0 56935 0 62384 0 40290 0 30520 0 542427 0 2025 0 HolmesKevin B VP Facilities Design 334686 0 67693 0 64767 0 24750 0 58728 0 550624 0 10398 0 SCHEDULE J, PART I, LINE 1A - FIRST CLASS TRAVEL The THR Board approved first class travel for the CEO associated with business travel on behalf of the system. Other first class or business class travel must be preapproved by the THR Chief Financial Officer. In the current year, Business class was approved for overseas travel for THR employees. No costs associated with this first-class travel are added to the taxable wages of the CEO nor any other THR employee whose first class travel was approved. All other THR personnel follow a system travel policy which reimburses business air travel at the most economical fare reasonably available. SCHEDULE J, PART I, LINE 1A - DISCRETIONARY SPENDING ACCOUNT Each executive at the vice president level and above receives a perk allowance and flexible benefit allowance which is included in the taxable compensation of the employee. The perk allowance covers costs such as business use of their personal vehicles in lieu of reimbursement for auto mileage. The flexible benefit allowance can be used to purchase executive benefits on an after-tax basis. Schedule J, Part I, Line 1a - Personal Services The THR CEO is provided financial planning and tax preparation services. These services are included in the taxable compensation of the employee Schedule J, Part I, Line 4a - Severance Pay POSITION ELIMINATION THR'S separation pay plan provides payments to employees whose positions were eliminated by the organization. The separation pay is based on the employee's years of service and the level of the affected position. The employee listed qualified for severance based on an involuntary separation from service without a comparable position being open and available at the time of separation. Ingram,Bartholomew 225,541 SEVERANCE SETTLEMENT The settlement payment was paid out as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. Gentzel,William Todd 269,044 Ingram,Bartholomew 72,449 Parobek Jr,James S 414,536 Schedule J, Part I, Line 4b - Nonqualified Retirement Plan Participation in the THR plans is made available to a select group of management and highly compensated employees who are providing services in key positions of management and/or responsibility and who are determined by the THR Board of Trustees. SERP: For the active restoration account (Account balances after 12/31/2009) SERP benefits vest while the participant is employed if the participant: * Reaches age 65 * Becomes disabled or dies, * Reaches the following years of service: 2 Years - 25%; 3 Years - 50%; 4 Years - 75% and 5 or more years - 100% Participants must be employed on Dec 1 to qualify for the current year's SERP Benefit unless separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) SERP benefits are calculated each Dec 1. Vested balances are taxed to the employee and the net balances begin accruing earnings. Vested balances are paid in a cash lump sum within a 90-day period commencing on the earlier of death, disability, or separation from service. The deferred portion is included in Schedule J, Part II, column C. In frozen restoration accounts (account balances prior to 1/1/2010), the participant or beneficiary shall be taxed on his or her vested SERP benefits upon the earliest of: * Continued employment in THR until 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/her termination of employment. Payment follows the before mentioned events, except in the case of involuntary separation when the participant must wait 24 months to receive the previously taxed benefit. LTIP: The Long Term Incentive Plan covers 2,3,or 4 years. Payouts are made over 2,3, or4 years after key performance goals are met. Benefits vest if they are employed at the end of the year the payout is made. Payments can also be made if separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) In the case of retirement and early retirement, CEO approval much be obtained and a non-compete must be satisfied prior to the end of the year payout. Retention: A retention agreement may be offered to an executive in a key position or ba sed on succession planning needs of the system. The length of the retention period will be dependent upon the needs of the organization to retain the key executive. Payments are made within 2 1/2 months following the end of the retention period. Payouts to the following employees were made during the year for all the plans listed above. The amounts below are included in the amount reported on Sch J, Part II, Column B(iii) and Column (F). Berdan,Barclay E. 731,476 Bernard,Traci H 43,920 Clinton,Shaun 55,299 Cox,Kathleen B. 58,405 Craft,Brian 59,425 Dawson,Carla S 64,690 Floren,Joshua Andrew 67,564 Goldberg,Gary Alan 49,283 Gentzel,William Todd 6,902 Holmes,Kevin B. 10,398 Ingram,Bartholomew 9,285 Irvine,Laura L. 64,469 Jackson,David W. 53,142 Jones,Robert Douglas 106,065 King,James Kirk 182,417 Kramer,Kenneth J. 174,260 Masica,Andrew 75,759 McAllister,Deena A. 52,395 McWhorter,Ricky E. 197,608 Mehring,Ronald Charles 90,000 Miao,Winjie Tang 231,168 Mincher,Jeff 14,627 Mitchell,John D. 81,987 Parris,Michael 16,650 Perrin,Cynthia 107,756 Robinson,Mary C. 53,941 Stewart,Rebekah 42,021 Sudomir Jr,Joseph M 206,360 Tesmer,David J. 69,518 Tucker,Rebecca D 54,881 Velasco,Ferdinand T. 87,622 Whiteley,John E 51,242 A Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638RCL5 2008-10-30 366120000 Refund 1/31/89 & 5/14/03 Bonds false false false B Tarrant Cnty Cultural Education Facility FIN Corp 043833551 2015-07-31 134875000 Refund 2010 Tax Exempt Note false false false C Tarrant Cnty Cultural Education Facility FIN Corp 043833551 87638TEH2 2012-10-04 50000000 Construction & Equip Health Facili false false false D Tarrant Cnty Cultural Education Facility Fin Corp 043833551 87638TEZ2 2015-05-21 60535400 Construction & Equip Health Facili false false false A 216940000 0 366264054 0 0 0 1868320 0 0 178040202 186355532 0 2009 true false true true B 0 0 134875000 0 0 0 0 0 0 0 134875000 0 2015 true false true true C 0 0 50037844 0 0 0 0 0 0 50037844 0 0 2014 false false true true D 0 0 61433172 0 0 0 247878 0 0 61185294 0 0 2016 false false true true A false true true true false 0.00860 0.00860 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false false true true false 0 false 0 false true B false false false true true false 0 false 0 false true C false false false true true false 0 false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true Part I, Column e and Part II, Line 3 All bonds issued The amount of total proceeds of issue reported in Part II, Line 3 differs from the amount of the issue price reported in Part I, Column e. The difference relates to cumulative investment earnings. Part IV, Line 2C, Column A Rebate Calculations for the 2008 Series were completed 12/13/2023. Part IV, Line 2C, Column B Rebate calculations for the 2015 Note Payable are not required. They are not subject to arbitrage. Part IV, Line 2C, Column C Rebate calculations for the 2012 Series were completed 10/26/22. Part IV, Line 2c, Column D Rebate calculations for the 2015 series were completed 6/11/20. A Tarrant Cnty Cultural Education Facility FIN Corp 043833551 87638TFM0 2016-11-18 708403645 Refund 2007A Bonds & Capital Impro false false false B Tarrant Cnty Cultural Education Facility FIN Corp 043833551 87638TFP3 2017-10-19 133470000 Refund 2007B Bonds & Construction false false false A 0 0 710702084 0 0 0 5017452 0 0 224653017 481031615 0 2019 true false true true B 0 0 133878156 0 0 0 1329479 0 0 30048677 102500000 0 2018 true false true true A false true true true false 0.00320 0.00320 false false false true B false false false false 0 false false false true A false false false true false false 0 false 0 false true B false false false true true false 0 false 0 false true A true B true Part VI, Line 2c, Column A Rebate calculations for the 2016 series were completed 01/26/2022. Part VI, Line 2c, Column B Rebate calculations for the 2017 series were completed 11/01/22. Berdan Barclay Officer Split Dollar Life X 470253 false false false King James Kirk Officer Split Dollar Life X 128966 false false false Kramer Kenneth Jr Officer Split Dollar Life X 150799 false false false Kevin Holmes Former Split Dollar Life X 130272 false false false Tesmer David J Officer Split Dollar Life X 86108 false false false 966398 Richard Vigness MD Entity Owned by Board Member 141518 Independent Contractor false ParrisZaira Xiomara Family member of Michel Parris 95304 Employment false 990, Part VI, Section A, Line 2 - Business Relationship Texas Health Resources (THR) and its related organizations included in the THR healthcare system encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees who are serving as officers, board members, or key employees may, from time to time, also serve on the boards of various community organizations such as church boards, United Way, etc. There may be a business relationship as a result of multiple THR employees serving on the same community boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards. 990, Part VI, Section B, Line 11b - Form 990 Filing The Texas Health Resources (THR) tax department staff prepares the Forms 990 for THR and all of its wholly controlled affiliates. In order to accurately prepare the returns, the tax staff works closely with various other departments to gather and review the information needed to complete the return. The departments involved in this process include, but are not limited to accounting, finance, treasury, human resources, payroll, legal, governance, and corporate compliance. The returns are then reviewed twice within the tax department, before being reviewed by an outside preparer, and by the Chief Accounting Officer/Assistant Secretary. All THR System Forms 990 are provided to members of the Audit and Compliance Committee of the THR Board, giving them an opportunity to review, comment and ask questions regarding the Forms 990. The tax department Vice President provides an overview presentation to the committee highlighting various areas of the Form 990. A resolution to approve all of the returns is voted upon at this meeting. Once the Audit and Compliance Committee has approved the returns, each return is then reviewed and signed by the Chief Accounting Officer/Assistant Secretary. The members of the governing Boards are provided a copy of the Form 990 for their respective entity before the Form 990 is filed. 990, Part VI, Section B, Line 12c - Conflict of Interest Texas Health Resources (THR) has adopted a Conflict of Interest Policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the year, a Duality and Conflict of Interest Statement Form is distributed by the THR Chief Compliance Officer to all board members, officers, contracted medical directors, employees with a title of manager or above, employed physicians, and certain committee members and other employees based upon function. All disclosed conflicts are reviewed by the THR Chief Compliance Officer. A report, listing each reported Duality of Interest or Conflict of Interest is given to both the Chair of the Governing body and the President of the Corporation with which the reporting person is affiliated. The THR Board of Trustees receives a report when the Annual Disclosure process is complete. Progressive corrective action is taken for any identified noncompliance which may include removal from a board or committee or physician/employee counseling if the person fails to provide the disclosure. In addition, THR monitors physician payments through a public database implemented by CMS. Management plans are executed as needed based upon disclosures. THR also educates the Boards and workforce annually through either a web based or live compliance training. 990, Part VI, Section B, Lines 15 a&b - Compensation Determination Texas Health Resources (THR) used the following methods to establish the compensation of the organizations CEO, officer and key employees. * The Governance committee (which includes independent persons) performs reviews and makes recommendations to the THR Board for the CEO compensation and for the overall payment philosophy for the remaining officers. * Governance Committee approves the elements of officers compensation and committee approval is required for officer compensation payments outside the approved parameters. * Independent consultants may be hired. * Compensation surveys or studies are utilized. * Approval by the Board or Governance committee is required. The board of THR hires an independent third-party compensation consultant to review base pay of the CEO annually. Every 3 years, the independent third-party compensation consultant is hired to review all aspects of executive compensation, which includes a review and confirmation of the executive compensation philosophy. Each year the Governance committee of the THR board of trustees reviews a detailed report analyzing CEO, CEO direct reports, and other senior level officers compensation packages. 990, Part VI, Section C, Line 19 - Public Disclosure The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner. 990, Part XI, Line 9 - Other Changes in Fund Balance Affiliate Treasury Shares $1,353,618 Partner Distributions $8,136,008 Adjustment for Intercompany Transactions of a Controlled Group $8,212,747 The intercompany adjustment eliminated the receivable/payable balance as of the end of the year between Texas Health Resources (THR) and all wholly controlled tax-exempt entities included in the THR Healthcare System. The adjustment represents current year activity. The THR Healthcare System records all related transactions through the intercompany Receivable/Payable accounts for each entity. The types of transactions recorded in the Intercompany accounts include management fees charged by the parent organization, services purchased between related organizations, supplies purchased by a centralized purchasing department, daily cash sweeps and similar transactions. 990, Part XII, Line 2c - Consolidated Financial Statements Texas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process. Texas Health Partners LLC 612 E Lamar Blvd Arlington TX 76011 020546958 Mgmt Co TX 50332738 200368083 TH Resources THR-SCA Holdings LLC 612 E Lamar Blvd Arlington TX 76011 461096461 Holding Co TX 87141265 176558912 TH Resources Texas Health Resources Trust 612 E Lamar Blvd Arlington TX 76011 306406740 Investments TX 73957973 23237961 TH Resources TX Hlth Surgery Center Las Colinas LLC 612 E Lamar Blvd Arlington TX 76011 843814491 Inactive TX 0 0 THR-SCA Hold Denton Endoscopy Surgery Center LLC 612 E Lamar Blvd Arlington TX 76011 Inactive TX 0 0 THR-SCA Hold TX Health Surgery Center Royse City LLC 612 E LAMAR BLVD STE 600 ARLINGTON TX 76011 884370079 Inactive TX 0 0 THR-SCA Hold Fort Worth Acquisition Company LLC 612 E LAMAR BLVD STE 600 Arlington TX 76011 991896089 Inactive DE 0 0 FW Acquisiti Fort Worth Acquisition Holding Company L 612 E Lamar Blvd Arlington TX 76011 992201278 DE 0 0 TH Resources Huguley Medical Assoc Inc 11801 South Freeway Burleson TX 76028 752547668 Phys Clinic TX 501(c)(3) 3 TH Huguley false North Texas Healthy Communities 612 E Lamar Blvd Arlington TX 76011 464513182 Comm Support TX 501(c)(3) 7 TH Resources true Southwestern Health Resources JOC 5323 Harry Hines Blvd Dallas TX 75390 811575989 Mgmt Org TX 501(c)(3) 12b TH Resources true Texas Health Arlington Memorial Hospital 800 West Randol Mill Rd Arlington TX 76012 750972805 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Back Care 9250 Amberton Pkwy Dallas TX 75243 474724257 Phys. Clinic TX 501(c)(3) 10 TH Phys Grp false Texas Health Alliance 10864 Texas Health Trail Fort Worth TX 76244 451502252 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Azle 108 Denver Trail Azle TX 76020 751748586 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Cleburne 201 Walls Dr Cleburne TX 76033 751977850 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 756001743 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Hurst-Euless-Bedford 1600 Hospital Parkway Bedford TX 76022 751438726 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Southwest Fort Worth 6100 Harris Parkway Fort Worth TX 76132 752678857 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Stephenville 411 Belknap Stephenville TX 76401 751752253 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Frisco 12400 Dallas Parkway Frisco TX 75033 831954982 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Mansfield 2300 Lone Star Rd Mansfield TX 76063 831869297 Hospital TX 501(c)(3) 3 TH Huguley false Texas Health Huguley Inc 11801 S Freeway Burleson TX 76028 452694620 Hospital FL 501(c)(3) 3 TH Resources true Texas Health Medical Support 612 E Lamar Blvd Arlington TX 76011 812833150 Spec Drugs TX 501(c)(3) 10 TH Resources true Texas Health Physicians Group 9250 Amberton Pkwy Dallas TX 75243 752613493 Phys. Clinic TX 501(c)(3) 10 TH Resources true Texas Health Allen 1105 Central Expressway N Allen TX 75013 752890358 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Dallas 8200 Walnut Hill Ln Dallas TX 75231 751047527 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Denton 3000 North Interstate 35 Denton TX 76201 432008974 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Kaufman 850 Ed Hall Drive Kaufman TX 75142 752771437 Hospital TX 501(c)(3) 3 TH Resources true Texas Health Plano 6200 W Parker Rd Plano TX 75093 752770738 Hospital TX 501(c)(3) 3 TH Resources true TH Recovery and Wellness Center 240 Miller Road Mansfield TX 76063 812813227 Resd Trmt Ctr TX 501(c)(3) 3 TH Resources true TX Health Research & Education Institute 612 E Lamar Blvd Arlington TX 76011 752562191 Edu& Research TX 501(c)(3) 4 TH Resources true Texas Health Resources 612 E Lamar Blvd Arlington TX 76011 752702388 System Mgmt TX 501(c)(3) 12c NA Texas Health Resources Foundation 612 E Lamar Blvd Arlington TX 76011 752022128 Fundraising TX 501(c)(3) 7 TH Resources true TH Specialty Hospital Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 751648589 LT Hospital TX 501(c)(3) 3 TH Resources true TX Health Urgent Care 3805 W University Park 100 McKinney TX 75071 814317635 Urgent Care TX 501(c)(3) 3 TH Resources true TX Health Virtual Care 612 E Lamar Blvd Arlington TX 76011 873611585 Virtual Care TX 501(c)(3) 3 TH Resources true WW Ward Endowment Fund Trust 612 E Lamar Blvd Arlington TX 76011 756196065 Nursing Grant TX 501(c)(3) 12a TH Fndn false Dallas County Indigent Care Corporation 1441 N Beckley Ave Dallas TX 75203 260610562 Support Org. TX 501(c)(3) 12a NA false AMH Cath Labs LLC 811 Wright St Arlington TX 76012 203003947 Hospital TX N/A Arlington Surgery Center LLC 918 N Davis Dr Arlington TX 76012 752055800 Amb Surg Ctr TX THR-SCA Holding Related 1361946 2237000 false true 0.51753 Castle Hills Surgicare LLC 4221 Medical Parkway ste 100 Carrollton TX 75010 813020487 Amb Surg Ctr TX THR-SCA Holding Related 248386 3755443 false true 0.51000 Cleburne Surgical Center LLC 2010 W Katherine P Raines Blvd St Cleburne TX 76033 203742012 Amb Surg Ctr TX THR-SCA Holding Related 1936664 2577600 false true 0.51000 Cross Timbers Surgery Center LLC 1001 N Waldrop Dr Ste 705 Arlington TX 76012 752862780 Amb Surg Ctr TX THR-SCA Holding Related 3413821 3252619 false true 0.51000 Denton Surgery Center LLC 207 North Bonnie Brea Denton TX 76201 470926556 Amb Surg Ctr TX THR-SCA Holding Related 3385053 5835062 false true 0.51821 Flower Mound Hospital Partners LLC 4400 Long Prairie Rd Flower Mound TX 75028 260684968 Hospital TX TH Resources Related 32806060 98230967 false true 0.53504 Fort Worth Endoscopy Centers LLC 900 W Magnolia Ave 101 Fort Worth TX 76104 770368346 Endoscopy Center TX THR-SCA Holding Related 12067595 6457308 false true 0.51000 Greenville Surgery Center LLC 7150 Greenville Ave Ste 200 Dallas TX 75231 742411643 Amb Surg Ctr TX THR-SCA Holding Related 1126345 1897317 false true 0.56579 Health Imaging Partners LLC 8610 Explorer Drive Ste 300 Colorado Springs CO 80920 271385885 Medical Imaging TX TH Resources Related 25969199 46032749 false false 0.51000 Mansfield Endoscopy Center LLC 647 N Miller Rd Mansfield TX 76063 861354607 Endoscopy TX THR-SCA Holding Related 1330370 2969909 false true 0.51000 North Dallas Surgical Center LLC 17980 Dallas Pkw Ste 100 Dallas TX 75287 272248103 Amb Surg Ctr TX THR-SCA Holding Related 761835 1956252 false true 0.64563 Opthalmology Surgery Center of Dallas LL 10740 N Central Expy Dallas TX 75231 261914835 Amb Surg Ctr TX THR-SCA Holding Related 10680367 10291688 false true 0.51000 Park Hill Surgery Center LLC 3455 Locke Ave Fort Worth TX 76107 451484375 Amb Surg Ctr TX THR-SCA Holding Related 6748416 5877730 false true 0.51000 Physicians Medical Center LLC 6020 W Parker Rd Plano TX 75093 481281376 Hospital TX TH Resources Related 10540935 28468865 false true 0.54966 Presbyterian Cancer Ctr-Dallas LLC PO Box 819067 Dallas TX 75381 260422749 Cancer Ctr TX N/A Rockwall Regional Hospital LLC 3150 Horizon Rd Rockwall TX 75032 202848116 Hospital TX TH Resources Related 4884035 128451191 false true 0.64555 South Arlington Surgical Providers LLC 350 E Interstate 20 Ste 200 Arlington TX 76018 752723958 Amb Surg Ctr TX THR-SCA Holding Related 372837 12285226 false true 0.51000 Southlake Specialty Hospital LLC 1545 E Southlake Blvd Southlake TX 76092 020555370 Hospital TX TH Resources Related 7828956 32395275 false true 0.57207 Surgical Caregivers of Fort Worth LLC 2001 W Rosedale St Fort Worth TX 76104 751925497 Amb Surg Ctr TX THR-SCA Holding Related 4423218 4747538 false true 0.51000 Texas Health Craig Ranch Surgery Center 8080 State Hwy 121 Ste 100 McKinney TX 75070 383897811 Amb Surg Ctr TX THR-SCA Holding Related 3878923 3538971 false true 0.53333 Texas Health Flower Mound Orthopedic Sur 5000 Long Prairie Rd Flower Mound TX 75028 800866449 Amb Surg Ctr TX THR-SCA Holding Related 5358020 3682355 false true 0.51000 Texas Health Huguley Surgery Center LLC 12001 S Freeway Burleson TX 76028 821289045 Amb Surg Ctr TX N/A Texas Health Orthopedic Surgery Center A 9848 N Beach St Fort Worth TX 76244 814977249 Amb Surg Ctr TX THR-SCA Holding Related 5530947 6054027 false false 0.51000 Texas Health Spine Surgery Center Allen 1120 Raintree Cir Ste 100 Allen TX 75013 300957868 Amb Surg Ctr TX TH Resources Related 892801 1695187 false true 0.51000 Texas Health Spine Surgery Center Allian 1545 E Southlake Blvd Ste 100 Southlake TX 76092 320571301 Amb Surg Ctr TX TH Resources Related 559315 1658451 false true 0.51000 Texas Health Supply Chain Services LLC 612 E Lamar Blvd Ste 600 Arlington TX 76011 841833532 Purchasing Co TX TH Resources Related 673789 6470993 false true 0.51000 Texas Health Surgery Center Alliance LLC 10840 Texas Health Trail Ste 100 Fort Worth TX 76244 822296081 Amb Surg Ctr TX THR-SCA Holding Related 631823 3928979 false true 0.72004 Texas Health Surgery Center Bedford LLC 1605 Airport Freeway Ste 100 Bedford TX 76021 821307876 Amb Surg Ctr TX THR-SCA Holding Related 392640 1724950 false true 0.52051 Texas Health Surgery Center Chisholm Tra 5900 Altamesa Blvd Fort Worth TX 76132 851225852 Amb Surg Ctr TX THR-SCA Holding Related 3894133 6470710 false true 0.51000 Texas Health Surgery Center Forney LLC 612 E Lamar Blvd Ste 600 Arlington TX 76011 923847064 Inactive TX THR-SCA Holding Related 0 0 false true 0.57250 Texas Health Surgery Center Irving LLC 2120 N MacArthur Blvd Ste 200 Irving TX 75061 831085415 Amb Surg Ctr TX THR-SCA Holding Related 725262 1979948 false true 0.52577 Texas Health Surgery Center Preston Plaz 17950 Preston Road Ste 75 Dallas TX 75252 203991622 Amb Surg Ctr TX THR-SCA Holding Related 6602059 4913055 false true 0.51827 Texas Health Surgery Center Rockwall LLC 3144 Horizon Rd Ste 120 Rockwall TX 75032 474425996 Amb Surg Ctr TX THR-SCA Holding Related 7959537 6854646 false true 0.51000 Texas Health Surgery Center Southwest Fo 6317 Harris Parkway Ste 200 Fort Worth TX 76132 843814490 Amb Surg Ctr TX THR-SCA Holding Related 2568138 2690811 false true 0.51000 Texas Health Surgery Center Waxahachie 1434 US Hwy 287 Bypass Ste 100 Waxahachie TX 75165 831464243 Inactive TX THR-SCA Holding Related 0 0 false true 0.57000 Texas Health Surgery Center Willow Park 612 E Lamar Blvd Ste 600 Arlington TX 76011 841953918 Amb Surg Ctr TX THR-SCA Holding Related -1854109 5862031 false true 0.51000 Texas Institute for Surgery LLP 7115 Greenville Ave Ste 100 Dallas TX 75231 770628004 Hospital TX N/A THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 262429878 Amb Surg Ctr TX TH Resources Related 1543987 1566581 false true 0.51000 THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 201728912 Amb Surg Ctr TX TH Resources Related 1645745 1411499 false true 0.64509 USMD Hospital at Arlington LP 801 I -20 West Arlington TX 76017 731662763 Hospital TX TH Resources Related 41868 31062012 false false 0.52364 USMD Hospital at Fort Worth LP 5900 Altamesa Blvd Fort Worth TX 76132 203571243 Hospital Closed TX TH Resources Related -55241 0 false false 0.50965 Walnut Hill Surgery Center LLC 5494 Glen Lakes Dr Dallas TX 75231 364499777 Amb Surg Ctr TX THR-SCA Holding Related 441862 7876160 false true 0.51000 Willow Park Endoscopy Center LLC 130 Jimma Drive Willow Park TX 76087 881643733 Amb Surg Ctr TX THR-SCA Holding Related 646644 1348494 false true 0.51000 Wilson Creek Surigcal Center LLC 8855 Synergy Drive McKinney TX 75070 274816583 Amb Surg Ctr TX THR-SCA Holding Related 4915568 3224213 false true 0.51000 Women's Specialty Surgery Center of Dall 8230 Walnut Hill Ln Ste 101 Dallas TX 75231 262310072 Amb Surg Ctr TX N/A Grace Indemnity Company SPC Ltd 1159 Caribbean Plaza Grand Cayman CJ KY 1-1102 981209573 Captive Insur CJ TH Resources C Corp 5121774 129043708 true Texas Health Biomedical Advancement Cent 612 E Lamar Blvd Arlington TX 76011 752636884 Research TX NA C Corp false true true true true false false false false false false false true false false false true true true true Cross Timbers Surgery Center LLC a 277878 Lease Ft Worth Endoscopy Ctr LLC a 822268 Lease Health Imaging Partners LLC a 94754 Lease TH Surgery Center Southwest Fort Worth LLC a 1291949 Lease TH Supply Chain Services LLC a 100105 lease Rockwall Regional Hospital LLC b 1884760 JV Agreement TH Surg Ctr Willow Park LLC b 1725000 JV Agreement Castle Hills Surgicare LLC b 146891 JV Agreement Arlington Surgery Center LLC c 1255155 JV Agreement Cleburne Surgical Ctr LLC c 2315424 JV Agreement Cross Timbers Surgery Center LLC c 3404765 JV Agreement Denton Surgery Center LLC c 3052456 JV Agreement Flower Mound Hospital Partners LLC c 27556843 JV Agreement Ft Worth Endoscopy Ctr LLC c 11765896 JV Agreement Greenville Surgery Center LLC c 978211 JV Agreement Health Imaging Partners LLC c 27581820 JV Agreement Mansfield Endoscopy Center LLC c 1198691 JV Agreement North Dallas Surgical Ctr LLC c 1001196 JV Agreement Ophthalmology Surg Ctr-Dallas LLC c 10816631 JV Agreement Park Hill Surgery Center LLC c 5802026 JV Agreement Physician Medical Center LLC c 10399802 JV Agreement Rockwall Regional Hospital LLC c 4075613 JV Agreement South Arlington Surgical Providers LLC c 1511612 JV Agreement Southlake Specialty Hospital c 7661299 JV Agreement Surg Caregivers of Fort Worth c 4383927 JV Agreement TH Craig Ranch Surg Ctr LLC c 3641817 JV Agreement TH Flower Mound Ortho Surg c 4869319 JV Agreement TH Ortho Surg Ctr Alliance LLC c 4218517 JV Agreement TH Spine Surgery Ctr Allen LLC c 895417 JV Agreement TH Spine Surgery Ctr Alliance LLC c 565009 JV Agreement TH Surg Ctr Alliance LLC c 228396 JV Agreement TH Surg Ctr Preston Plaza LLC c 6361657 JV Agreement TH Surg Ctr Rockwall LLC c 7906064 JV Agreement TH Surgery Center Southwest Fort Worth c 2754825 JV Agreement TH Surgery Ctr Bedford LLC c 411199 JV Agreement TH Surgery Ctr Irving LLC c 518027 JV Agreement TH Surg Ctr Chisholm Trail LLC c 1155525 JV Agreement THR-STT Rockwall ASC LLC c 1627509 JV Agreement THR-STT Southlake ASC LLC c 1761652 JV Agreement Walnut Hill Surgery Ctr LLC c 1141163 JV Agreement Wilson Creek Surgical Ctr LLC c 4729740 JV Agreement Flower Mound Hospital Partners LLC d 189606 InterCo Billing Rockwall Regional Hospital LLC d 257197 InterCo Billing Arlington Surgery Center LLC l 164449 InterCo Billing Castle Hills Surgicare LLC 1 157483 InterCo Billing Cleburne Surgical Ctr LLC l 166215 InterCo Billing Cross Timbers Surger Center LLC l 134387 InterCo Billing Denton Surgery Center LLC l 177867 InterCo Billing Flower Mound Hospital Partners LLC l 18305363 InterCo Billing Ft Worth Endoscopy Ctr LLC l 392701 InterCo Billing Greenville Surgery Center LLC l 92783 InterCo Billing Health Imaging Partners LLC l 2793519 InterCo Billing Mansfield Endoscopy Ctr LLC l 70302 InterCo Billing North Dallas Surgical Ctr LLC l 124716 InterCo Billing Ophthalmology Surg Ctr-Dallas LLC l 575360 InterCo Billing Park Hill Surgery Center LLC l 336987 InterCo Billing Physician Medical Center LLC l 7259560 InterCo Billing Rockwall Regional Hospital LLC l 12069077 InterCo Billing South Arlington Surgery Ctr LLC l 123533 InterCo Billing Southlake Specialty Hospital l 6654749 InterCo Billing Surg Caregivers of Fort Worth l 225436 InterCo Billing TH Craig Ranch Surg Ctr LLC l 120650 InterCo Billing TH Flower Mound Ortho Surg l 218022 InterCo Billing TH Ortho Surg Ctr Alliance LLC l 208308 InterCo Billing TH Spine Surgery Ctr Allen LLC l 60206 InterCo Billing TH Spine Surgery Ctr Alliance LLC l 122894 InterCo Billing TH Supply Chain Services LLC l 1531638 InterCo Billing TH Surg Ctr Chsholm Trl LLC l 174573 InterCo Billing TH Surg Ctr Irving LLC l 94993 InterCo Billing TH Surg Ctr Preston Plaza LLC l 319179 InterCo Billing TH Surg Ctr Rockwall LLC l 340816 InterCo Billing TH Surgery Center Southwest Fort Worth l 174421 InterCo Billing TH Surgery Ctr Bedford LLC l 107280 InterCo Billing THR-STT Rockwall ASC LLC l 90155 InterCo Billing THR-STT Southlake ASC LLC l 83122 InterCo Billing USMD Hospital at Arlington LP l 111333 InterCo Billing Walnut Hill Surg Ctr LLC l 85726 InterCo Billing Wilson Creek Surgical Ctr LLC l 192897 InterCo Billing Willow Park Endoscopy Ctr LLC 1 81127 InterCo Billing Cleburne Surgical Ctr LLC q 76133 InterCo Billing Denton Surgery Center LLC q 83339 InterCo Billing Flower Mound Hospital Partners LLC q 778107 InterCo Billing Ft Worth Endoscopy Ctr LLC q 208284 InterCo Billing Health Imaging Partners LLC q 840834 InterCo Billing North Dallas Surg Ctr LLC q 56670 InterCo Billing Ophthalmology Surg Ctr-Dallas q 192305 InterCo Billing Park Hill Surgery Center LLC q 152904 InterCo Billing Physician Medical Center LLC q 398158 InterCo Billing Rockwall Regional Hospital LLC q 358712 InterCo Billing THRSTT Rockwall ASC LLC q 51876 InterCo Billing Southlake Specialty Hospital q 325841 InterCo Billing Texas Health Chisholm Trail LLC q 56196 InterCo Billing Surg Caregivers of Fort Worth q 112527 InterCo Billing TH Ortho Surg Ctr Alliance LLC q 113755 InterCo Billing Texas Health Surgery Center Alliance LLC q 50747 InterCo Billing TH Surg Ctr Preston Plaza LLC q 141340 InterCo Billing TH Surg Ctr Rockwall LLC q 148317 InterCo Billing TH Surgery Center SW Fort Worth LLC q 98138 InterCo Billing TH Craig Ranch Sug Ctr LLC q 76703 InterCo Billing TH Flower Mound Ortho Surg Ctr LLC q 132070 InterCo Billing USMD Hospital at Arlington LP q 244212 InterCo Billing Wilson Creek Surgical Ctr LLC q 87935 InterCo Billing Grace Indemnity Company SPC Ltd r 45837173 Cash Trans Grace Indemnity Company SPC Ltd s 27697401 Cash Trans Rockwall Regional Hospital LLC k 56840 Facility Lease TH Supply Chain Services LLC k 127000 Facility Lease Schedule R, Part V, Line 2 - Related Transaction Texas Health Resources (THR) is the parent organization in a large healthcare system made up of both wholly owned entities as well as related controlled joint ventures as listed on Schedule R. THR's role is to plan, manage and coordinate the activities of the affiliated healthcare system in order to maximize opportunities to deliver cost effective quality medical care to residents of north central Texas. THR provides direction and oversight to its wholly owned affiliates through centralized services. They also provide oversight for the controlled joint ventures. As an integral part of providing centralized services to the affiliates, THR maintains intercompany receivable/payable accounts, most of which do not fall within the scope of IRC Section 512(b)(13). The range of centralized services provided by THR include information services, managed care contracting, Human resources, revenue cycle, billing and collections, patient access/admissions, legal, tax,compliance, supply chain, quality, business development, insurance,treasury, marketing, general accounting, real estate services, coding, transcription, and strategic planning. In addition, THR does daily cash sweeps of all controlled tax-exempt entity cash accounts. As a result, THR has numerous daily transactions with controlled tax-exempt entities, none of which fall within the scope of IRC Section 512(b)(13). A management fee is charged for the centralized services and reported on Form 990, Part VII, Section B as a professional services fee.Transactions with related tax-exempt organizations falling within the meaning of centralized services as described above, are not listed on Schedule R, Part V, Line 2.