2023-11-08T09:26:27-06:00 2022-12-31 KPMG LLP 301 MAIN ST STE 2150 BATON ROUGE LA 70801 990 2022-01-01 831954982 Texas Health Hospital Frisco % DAVID JACKSON TEXA 4694952000 12400 Dallas Parkway Frisco TX 75033 Mitch Mulvehill Grp Finance Officer 4694952000 2023-11-01 true Mitch Mulvehill 999009999 Brittany Elliser P01284594 2253444000 2023-10-24 2 2022 2023-04-26 12:10:37Z Brett Lee 12400 Dallas Parkway Frisco TX 75033 162043561 false X WWW.TexasHealth.org X 2018 TX A faith-based organization whose mission is to improve the health of the people in the communities it serves regardless of their ability to pay. 6 3 760 26 0 0 1500835 298405 129440339 151212014 1464 440865 14054 13383 130956692 151964667 46100 158511 0 0 51278307 58516505 0 0 0 70344817 79846590 121669224 138521606 9287468 13443061 242640030 260145757 16697670 20760336 225942360 239385421 X A FAITH-BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES REGARDLESS OF THEIR ABILITY TO PAY. false false 100470503 158511 151211573 Texas Health Hospital Frisco (THF) is a jointly operated acute-care hospital between Texas Health Resources and UT Southwestern Medical Center and is a 93 licensed beds acute-care hospital serving the North Texas Denton and Collin County areas that began accepting patients on December 16, 2019. The hospital's services include an emergency department, heart and vascular, back & spine, orthopedics, imaging, nutrition, rehabilitation, digestive health, urology, women and infant care, wound care, and behavioral health. THF had 16,883 patient days, 4,687 discharges, 1,261 births, 29,244 outpatient encounters, and 21,629 emergency room visits during the calendar year 2022. THF provides quality medical healthcare services regardless of the patient's race, creed, sex, national origin, handicap, age or ability to pay. THF 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. THF also provides charity care to patients who are unable to pay for the services they receive. 100470503 true true false true false false false false false false true false false false true false true true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true X 77 0 true 760 true false false false false false false false false false false false false X 6 3 true false false false true true true true true false false true true true true true true false false false X X DAVID JACKSON 6822367900 612 E LAMAR BLD ARLINGTON TX 76011 McWhorterRicky E Trustee 0.01 50.0 X 0 1477178 157209 KingJames Kirk Chairman 0.01 50.0 X 0 1251353 249433 Craft Brian Trustee 0.01 40.0 X 0 580805 103073 LeeBrett Daniel President THF 40.0 0.0 X 508990 0 91648 BassRobert L Chief Qual & Med Officer THF 40.0 0.0 X 486147 0 80169 SchroederJennifer Ann Assist Sec Term Feb 2022 0.01 40.0 X 0 458331 50101 CantuStacy G Corporate Secretary 0.01 40.0 X 0 389083 68685 FogliaDorothy Cecelia Chief Nursing Officer THF 40.0 0.0 X 376027 0 64425 MulvehillMitchell James Grp Finan Offr THF-THSL-THCDS 20.0 20.0 X 0 315188 76997 KlitschJohn Joseph PROF & SUPPORT SVCS OFFICER 40.0 40.0 X 182547 106117 61744 FugatePaige Assistant Secretary 0.01 40.0 X 0 270945 69947 LeeChris SUPV NRSG 40.0 0.0 X 283683 0 43412 EstradaFloranito RN II 40.0 40.0 X 48242 183963 49257 FrieceChad Ryan DIR PHARMACY 40.0 0.0 X 210690 0 63259 NicholsDawn D DIR NRSG PERIOP/WOMENS/ADMV SV 40.0 0.0 X 197534 0 47591 BietermanThomas Charles Fin Officer Term April 2022 40.0 0.0 X 139427 37366 17795 Madden MD Christopher Vice Chairman 0.01 0.0 X 0 0 0 Serber Michael Trustee 0.01 0.0 X 0 0 0 Warner MD John Trustee 0.01 0.0 X 0 0 0 2433287 5070329 1294745 143 false true false Texas Health Resources 612 E Lamar Blvd ARLINGTON TX 76011 Mgmt & Emp Leasing 51666533 UTSW Medical Center PO Box 845477 DALLAS TX 75284 Physician Fees 2662761 OBHG Texas Holdings PA 777 Lowndes Hill Rd Bldg 1 GREENVILLE SC 29607 Physician Fees 1524000 CURA HOSPITALITY LLC PO Box 743676 ATLANTA GA 30374 Nutrition 1640963 CROTHALL HEALTHCARE INC 1500 LIBERTY RIDGE DR WAYNE PA 30374 Housekeeping 1915931 24 262182 36223 1117 298405 PATIENT REVENUE 622110 151149391 151149391 MANAGEMENT FEES 622110 55033 55033 EDUCATION 624190 7590 7590 151212014 461133 461133 0 0 0 0 0 10058626 10078894 -20268 -20268 -20268 0 0 0 0 0 0 0 0 0 COMMISSIONS 812900 12128 12128 CAFETERIA 812900 694 694 REFERENCE LAB 621511 249 249 312 312 13383 151964667 151212263 453999 X 158511 158511 0 0 0 1764628 1764628 0 0 47511020 43095389 4415631 1292326 1192118 100208 4606573 4460343 146230 3341958 3175838 166120 15980723 3850050 12130673 0 36440 36440 0 0 0 15067308 11672605 3394703 582147 2253 579894 276179 101457 174722 312346 136718 175628 0 1691038 1691038 84926 12210 72716 0 23900 12284 11616 0 0 17660466 6737096 10923370 1201524 1201524 MEDICAL SUPPLIES 22419696 22215615 204081 LEASES AND EQUIPMENT RENTALS 1247311 1139069 108242 NON MEDICAL SUPPLIES 982728 1049796 -67068 NON CAPITAL EQUIPMENT 703873 640813 63060 1575985 818338 757647 138521606 100470503 38051103 0 X 4126782 4150271 22346605 36541319 0 0 19059260 25085937 0 0 0 0 0 0 2268052 2746479 574949 527734 240532010 49932132 193592614 190599878 0 0 0 0 0 0 0 0 671768 494139 242640030 260145757 16518872 20323946 0 0 178798 13101 0 0 0 0 0 0 0 0 0 0 0 423289 16697670 20760336 X 225937510 239380571 4850 4850 225942360 239385421 242640030 260145757 X 13443061 X X false true X false true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true false false false false false false Schedule C, Part II - B Additional Information 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 on a personal level, and not as a representative of the organization. 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. 10077582 10077582 68255626 5130516 63125110 85107490 13110691 71996799 76761162 31690924 45070238 330149 330149 190599878 0 EST THIRD PARTY PAYOR SETTLE 423289 423289 X 151948712 151948712 15955 15955 151964667 138541874 20268 20268 138521606 138521606 Part X, Line 2 - Tax Uncertain Positions The following is the footnote from the TH Frisco audited financials. The FASB Accounting Standards Codification (ASC) Topic 740, Income Taxes (ASC 740), prescribes a recognition threshold and measurement requirements for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. In addition, ASC 740 provides guidance on recognition, classification accounting in interim periods,and disclosure requirements for uncertain tax positions. The Hospital had no uncertain tax positions at December 31, 2022 or 2021. Part XI, Line 4b Other Loss on Equipment Disposal ($20,268) Capital Contributions $36,223 Total $15,955 Part XII, Line 2d Other Loss on Equipment Disposal ($20,268) Total ($20,268) true true X true X true X 500. true true false true true 3964008 156162 3807846 0.02750 5847195 2896356 2950839 0.02130 31874 50871 0 0.00000 9843077 3103389 6758685 0.04880 825549 825549 0.00600 499326 499326 0.00360 194647 194647 0.00140 1519522 1519522 0.01100 11362599 3103389 8278207 0.05980 10113 10113 0.00010 9859 9859 0.00000 19972 19972 0.00010 false 18406410 0 16676962 23634684 -6957722 X true true 1 1 Texas Health Hospital Frisco 12400 Dallas Parkway Frisco TX 75033 www.texashealth.org TDH #100500 X X X Texas Health Frisco 1 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 Part V, Section B Texas Health Frisco Part V. Section B, Line 3e 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 Texas Health Frisco's (THF) 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 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: Collin County Mental Health-Mental Retardation Center and Community Lifeline Center. 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 will inform 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 6a The 2022 CHNA for the Collin County Region was done in collaboration with Texas Health Frisco (THF), Texas Health Plano (THP), Texas Health Allen (THA) and Physicians Medical Center (PMC). Part V. Section B, Line 7a and Line 10a The most recently adopted implementation strategy and the CHNA is widely available on the following website at: https://www.texashealth.org/Community-Health/Community-Health-Needs-Assess ment Part V. Section B, Line 8 While a CHNA was conducted in 2022, the implementation strategy tied to the assessment was adopted in 2023. In 2022, the hospital completed the three year cycle of the hospital's previous CHNA's implementation strategy (2019-2022). Part V. Section B, Line 11 The 2023 - 2025 implementation strategy focuses on reforming the delivery of our services in the target communities. The hospital is part of the Texas Health Resources (THR) healthcare system, which developed a system-wide community benefit strategy to increase its hospitals' ability to impact the community health needs of the target areas with a higher focus on three health priorities. Through the prioritization process these three health priorities from the 2022 CHNA were determined to be ongoing issues that THR hospitals needed to address: 1. Behavioral Health 2. Chronic Disease Prevention & Management 3. Access to Health Services and Healthcare Navigation & Literacy In 2022, Texas Health Frisco (THF) addressed significant health needs identified in the 2019 CHNA using the following approaches: 1. Behavioral Health 1a. Texas Health Community Impact Through a request for proposal (RFP) process by Texas Health Resources through its Texas Health Community Impact (THCI) Initiative, two agencies in Collin County were awarded grants in 2022 to address depression, anxiety, and food insecurity among underserved individuals in specific zip-codes in the hospital's region. The two agencies awarded are American Heart Association and Plano Independent School District. 2. Chronic Disease Prevention & Management 2a. Blood drive event 2a.1. THF partners with Carter BloodCare to host blood drives so patients who need blood transfusion as part of their chronic disease management regimen can gain access. 3. Access, Literacy, and Navigation (ALN) 3a. Maternal/Neonatal Outreach 3a.1. THF provides education to the Prosper EMS department on maternal deliveries and thermoregulation techniques. All the priority health needs identified are being addressed by the hospital in the category listed above. Part V. Section B, Line 13 h Although a patient may have been notified of the Financial Assistance Policy, there are times when the patient chooses not to complete the Financial Assistance Application. Texas Health routinely screens uninsured patients using an independent third party for financial assistance eligibility. Part V. Section B, Lines 16 a, b & c The FAP, FAP Application and the Plain Language Summary of the FAP were widely available at this website: https://www.texashealth.org/Costs-and-Billing/Financial-Assistance Part VI Supplemental Information Part I, Line 3c - Patient Eligibility Patients with 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 a 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 disparities in the social determinants of health factors that influence the overall health and wellbeing of individuals in the communities Texas Health serves. As identified in the community health needs assessment, there are areas of need that are not aligned with the traditional operations of a hospital system. Our volunteerism, collaborations and partnership opportunities with various community-based organizations and coalitions foster our ability to address the social and environmental needs for the purpose of providing for the whole person beyond the clinical services. Part III, Lines 2, 3 & 4 - Bad Debts Bad debt expense is not included 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. On pages 8-9 of the attached audited financial statements of Texas Health Frisco (THF) is a footnote regarding Accounts Receivable and Net Patient Service Revenue. Part III, Line 8 - Medicare Shortfall The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care & community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. The shortfall amount reported to the state of Texas for 2022 is $27,951,891. Sch H requires a different method to calculate the Medicare shortfall shown on Part III, Lines 5-7. 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 2020 to identify zip codes/communities that were ready to address the health and social needs in their communities within the next 3 years. Through this effort, sixteen zip codes emerged as highest readiness, which resulted in the launch of the community impact initiative that awarded grants to community-based organizations in these geographic locations to address the needs in their communities. In 2021, seven additional zip codes were added to this initiative, through additional funds to the community based organizations we have been able to expand resources and services to more community members. In 2022, nine additional zip codes were added based on findings from the CHNA. To better understand hospital utilizations in our service area, a dashboard was created to determine which hospitals individuals were using within each zip code. Through this assessment, we gathered demographic data (race, age and gender) along with total charges. This analysis helps us understand which zip codes have a higher number of individuals utilizing hospitals and the disparities among groups using the hospital system. We then use this data to further target community health programming. 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 with a financial assistance application. The patient is informed that the hospital is offering financial assistance to patients deemed medically or financially indigent. The PLS is included on the back of our patient bills. The patient is informed of how to qualify for financial assistance, how to ask for help, necessary documentation, and THR's collection process. The onsite financial counselors may assist the patient in completing the application and obtain available verification information. The counselors will continue to contact the patient to ensure all forms and verifications needed to file an application for governmental assistance and financial assistance have been provided. In certain cases, self-pay patients who are discharged before seeing a financial counselor receive both a phone call and a letter to alert them to the existence of the FAP. Each bill sent for hospital services also contains contact information alerting patients that Texas Health has a FAP. Part VI, Line 4 - Community Information Texas Health Hospital Frisco (THF) is located in a county with a population of more than 1 million. The race and ethnicity composition of Collin County is 55.1% of residents identifying as White; 15.5% as Hispanic or Latino (of any race); 10.9% as Black or African American; 16.3% as Asian; and 3.6% as American Indian and Alaska Native, Native Hawaiian and Other Pacific Islander, Some other race, or Two or more races. In Collin County, 28.7% of residents speak a language other than English at home. Of residents 25 years and older in Collin County, 93.8% have a high school degree or higher and 52.3% have a bachelor's degree or higher. The median household income in the county is $96,913 with 18.3% of the population uninsured and 6.3% of the population living below the federal poverty level. During the year, 6.8% of THF's true Frisco Education Foundation PO Box 567 Frisco TX 75034 311689773 501(c)(3) 15000 Cash Value Scholarship Support Frisco Family Services Center 8780 Third Street PO Box 1387 Frisco TX 75034 752530888 501(c)(3) 30000 Cash Value General Support Frisco Chamber of Commerce 6843 Main St Frisco TX 75034 752149200 501(c)(6) 27550 Cash Value General Support Frisco Women's League PO BOX 2151 FRISCO TX 75034 710936759 501(c)(3) 15000 Cash Value General Support Rockwall Isd Education Foundation Inc 1050 Williams St Rockwall TX 75087 200317398 501(c)(3) 50000 Cash Value DALLAS SAFETY NET SUPPORT CORPORATION 1441 N BECKLEY AVE DALLAS TX 75203 823131059 501(C)(3) 8500 Cash Value 5 1 Schedule I, Part II - Monitoring Grants Texas Health Frisco (THF) is a member of the Texas Health Resources (THR) healthcare system. The majority of the grants distributed by the system are to related tax exempt organizations. The hospital does not specifically monitor the use of grants paid to related organizations since THR administration monitors the use of the grants on a system basis for all members of the THR Healthcare System. Grants to non-related tax exempt organizations are generally given to entities that are in the hospital's community and/or service area or to certain organizations which will specifically impact the hospital's community. These grants are typically monitored by hospital personnel who are working closely with the non-related nonprofit organization. X true true false true false false false false false false false KingJames Kirk Chairman 0 720897 0 389996 0 140460 0 200333 0 49100 0 1500786 0 48503 Craft Brian Trustee 0 360534 0 169417 0 50854 0 50856 0 52217 0 683878 0 13982 McWhorterRicky E Trustee 0 897686 0 438893 0 140599 0 120036 0 37173 0 1634387 0 39816 CantuStacy G Corporate Secretary 0 269180 0 87682 0 32221 0 17369 0 51316 0 457768 0 0 SchroederJennifer Ann Assist Sec Term Feb 2022 0 295296 0 105999 0 57036 0 20451 0 29650 0 508432 0 0 FugatePaige Assistant Secretary 0 235837 0 25134 0 9974 0 18879 0 51068 0 340892 0 0 LeeBrett Daniel President THF 318997 0 143678 0 46315 0 42322 0 49326 0 600638 0 7715 0 BassRobert L Chief Qual & Med Officer THF 308768 0 122125 0 55254 0 32573 0 47596 0 566316 0 3699 0 FogliaDorothy Cecelia Chief Nursing Officer THF 252865 0 93051 0 30111 0 24861 0 39564 0 440452 0 2344 0 BietermanThomas Charles Fin Officer Term April 2022 61577 0 74819 0 3031 37366 3019 0 14776 0 157222 37366 0 37366 MulvehillMitchell James Grp Finan Offr THF-THSL-THCDS 0 198746 0 72754 0 43688 0 14854 0 62143 0 392185 0 0 LeeChris SUPV NRSG 270204 0 7435 0 6044 0 20865 0 22547 0 327095 0 0 0 EstradaFloranito RN II 39333 173987 8809 9556 100 420 2490 10895 6813 29059 57545 223917 0 0 FrieceChad Ryan DIR PHARMACY 181284 0 21397 0 8009 0 9099 0 54160 0 273949 0 0 0 KlitschJohn Joseph PROF & SUPPORT SVCS OFFICER 143495 84360 32809 0 6243 21757 7148 2180 37960 14456 227655 122753 0 0 NicholsDawn D DIR NRSG PERIOP/WOMENS/ADMV SV 174241 0 19214 0 4079 0 13594 0 33997 0 245125 0 0 0 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 3 - CEO Compensation 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 the compensation of the organization's President. * The Governance committee (which includes independent persons) performs reviews and makes recommendations to the THR Board to approve the overall payment philosophy. * An Independent compensation consultant may be hired. * Compensation surveys or studies are utilized. * Board or Governance committee approves the executive compensation parameters within the executive compensation philosophy. 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, or 4 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 must be obtained and a non-compete must be satisfied prior to the end of year payout. Retention: A retention agreement may be offered to an executive in a key position or based 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 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). Bass,Robert L. 2,940 Craft,Brian 13,982 Foglia,Dorothy Cecelia 2,344 King,James Kirk 48,503 Lee,Brett Daniel 6,303 McWhorter,Ricky E. 39,816 990, Part VI, Section A, Line 2 - Business Relationship Texas Health Resources (THR), a related organization included in the THR healthcare system, and UT Southwestern Medical Center (UTSW) encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees and UTSW 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 and UTSW 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 A, Lines 6&7a - Members Texas Health Resources (THR) and UT Southwestern Medical Center (UTSW) are the members of the organization. 990, Part VI, Section A, Line 7b - Governance Decisions Reserved The following actions require the approval of the Members: (a) any fundamental change in the purposes of the Corporation as set forth in Article Five of the Certificate of Formation; (b) any fundamental change in the philosophy, mission, or vision of the Corporation; (c) any amendment, restatement or repeal of the Certificate of Formation or these Bylaws; (d) any entry into or consummation of any merger, consolidation, dissolution, sale or other transfer of all or substantially all of the assets of the Corporation or any material subsidiary or entity controlled by the Corporation, or other change in corporate form, that in the case of any of the foregoing would constitute or otherwise result in a fundamental reorganization of the Corporation or any material subsidiary or entity controlled by the Corporation; (e) any admission of any additional member to the Corporation; (f) any capital call; (g) the incurrence or issuance of any debt that would require the guaranty of either or both of the Members; (h) any change to the name of the Corporation; (i) the creation of affiliates or subsidiaries of the Corporation, entry by the Corporation into any joint venture, and approval of the initial governing documents of any affiliate or subsidiary of the Corporation; (j) the selection or approval of the Corporation's external auditor; provided, however, that should THR consolidate the Corporation's financial results into the audited financial statements of THR, then the Corporation's external auditor shall be selected and approved by THR. (k) the confession of a judgment against the Corporation or an agreement to compromise or settle claims above $100,000; (l) the approval of a decision for the Corporation to file a voluntary petition for bankruptcy; (m) the discontinuation of the operations of a licensed health care facility controlled by the Corporation; (n) the approval of non-budgeted capital or operating expenditures in excess of $1,000,000; (o) the incurrence or issuance of any non-guaranteed debt in excess of $1,000,000; (p) any change in the name of any hospital or health facility owned by the Corporation; (q) the approval of any managed care contract that is materially inconsistent with managed care contracts executed by THR on behalf of its other non-wholly owned affiliated hospitals or that would uniquely disadvantage any hospital operated by the Corporation; (r) voluntary winding up under Chapter 11; (s) revocation of a voluntary decision to wind up under Chapter 11.151 of the BOC; (t) cancellation of an event requiring winding up under Chapter 11.152 of the BOC; (u) reinstatement under Chapter 11.202 of the BOC; and (v) approval of any distribution plan under Chapter 22.305 of the BOC, a plan of conversion under Chapter 11, Subchapter F of the BOC, or a plan of exchange under Chapter 11, Subchapter F of the BOC. 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 Frisco (THF) has adopted a Conflict of Interest Policy which is consistent with that of Texas Health Resources (THR) and is monitored by THR. During the first quarter of each fiscal 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 The organization relied on Texas Health Resources (THR) with centralized compensation professionals to review and establish the compensation of the organization's officers. A more in-depth discussion of executive compensation review can be found on Schedule J, Part III. 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 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 and separate audits 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. 990, Part V, Line 2a - Number of Employees Texas Health Frisco is a joint venture between Texas Health Resources and UT Southwestern. The individuals reported as employees of Texas Health Frisco on this return are leased employees from a related Texas Health Resources organization. Texas Health Resources has been appointed as their paying agent for payroll purposes. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:7810272 FORM 990 PART IX LINE 11G DESCRIPTION:ENVIRONMENT PURCH SERVICE TOTAL FEES:2332591 FORM 990 PART IX LINE 11G DESCRIPTION:SUPPORT PURCH SERVICES TOTAL FEES:1769590 FORM 990 PART IX LINE 11G DESCRIPTION:CLINICAL PROFESSIONAL FEES TOTAL FEES:1149381 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIPMENT MAINTENANCE TOTAL FEES:1078576 FORM 990 PART IX LINE 11G DESCRIPTION:FINANCIAL PURCH SERVICES TOTAL FEES:409130 FORM 990 PART IX LINE 11G DESCRIPTION:BUILDING SERVICE CONTRACTS TOTAL FEES:234112 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:199470 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONSULTING FEES TOTAL FEES:78985 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:5201 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 false Southwestern Health Resources JOC 5323 Harry Hines Blvd Dallas TX 75390 811575989 Mgmt Org TX 501(c)(3) 12b TH Resources false Texas Health Arlington Memorial Hospital 800 West Randol Mill Rd Arlington TX 76012 750972805 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Back Care 9250 Amberton Pkwy Dallas TX 75243 474724257 Phys. Clinic TX 501(c)(3) 10 TH Phys Grou false Texas Health Alliance 10864 Texas Health Trail Fort Worth TX 76244 451502252 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Azle 108 Denver Trail Azle TX 76020 751748586 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Cleburne 201 Walls Dr Cleburne TX 76033 751977850 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 756001743 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Hurst-Euless-Bedford 1600 Hospital Parkway Bedford TX 76022 751438726 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Southwest Fort Worth 6100 Harris Parkway Fort Worth TX 76132 752678857 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Stephenville 411 Belknap Stephenville TX 76401 751752253 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Frisco 12400 Dallas Parkway Frisco TX 75033 831954982 Hospital TX 501(c)(3) 3 TH Resources 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 false Texas Health Medical Support 612 E Lamar Blvd Arlington TX 76011 812833150 Spec Drugs TX 501(c)(3) 10 TH Resources false Texas Health Physicians Group 9250 Amberton Pkwy Dallas TX 75243 752613493 Phys. Clinic TX 501(c)(3) 10 TH Resources false Texas Health Allen 1105 Central Expressway N Allen TX 75013 752890358 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Dallas 8200 Walnut Hill Ln Dallas TX 75231 751047527 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Denton 3000 North Interstate 35 Denton TX 76201 432008974 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Kaufman 850 Ed Hall Drive Kaufman TX 75142 752771437 Hospital TX 501(c)(3) 3 TH Resources false Texas Health Plano 6200 W Parker Rd Plano TX 75093 752770738 Hospital TX 501(c)(3) 3 TH Resources false TH Recovery and Wellness Center 240 Miller Road Mansfield TX 76063 812813227 Resd Trmt Ctr TX 501(c)(3) 3 TH Resources false TX Health Research & Education Institute 612 E Lamar Blvd Arlington TX 76011 752562191 Edu& Research TX 501(c)(3) 4 TH Resources false Texas Health Resources 612 E Lamar Blvd Arlington TX 76011 752702388 System Mgmt TX 501(c)(3) 12c NA false Texas Health Resources Foundation 612 E Lamar Blvd Arlington TX 76011 752022128 Fundraising TX 501(c)(3) 7 TH Resources false TH Specialty Hospital Fort Worth 1301 Pennsylvania Ave Fort Worth TX 76104 751648589 LT Hospital TX 501(c)(3) 3 TH Resources false TX Health Urgent Care 3805 W University Park 100 McKinney TX 75071 814317635 Urgent Care TX 501(c)(3) 3 TH Resources false TX Health Virtual Care 612 E Lamar Blvd Arlington TX 76011 873611585 Virtual Care TX 501(c)(3) 3 TH Resources false WW Ward Endowment Fund Trust 612 E Lamar Blvd Arlington TX 76011 756196065 Nursing Grant TX 501(c)(3) 12a TH Foundatio false Southwestern Health Resources 5323 Harry HInes Dallas TX 75390 811555446 Support Org TX 501(c)(3) 12a na false AMH Cath Labs LLC 811 Wright St Arlington TX 76012 203003947 Hospital TX NA Arlington Surgery Center LLC 918 N Davis Dr Arlington TX 76012 752055800 Amb Surg Ctr TX NA Castle Hills Surgicare LLC 4221 Medical Parkway ste 100 Carrollton TX 75010 813020487 Amb Surg Ctr TX NA Cleburne Surgical Center LLC 2010 W Katherine P Raines Blvd St Cleburne TX 76033 203742012 Amb Surg Ctr TX NA Cross Timbers Surgery Center LLC 1001 N Waldrop Dr Ste 705 Arlington TX 76102 752862780 Amb Surg Ctr TX NA Denton Surgery Center LLC 207 North Bonnie Brea Denton TX 76201 470926556 Amb Surg Ctr TX NA Flower Mound Hospital Partners LLC 4400 Long Prairie Rd Flower Mound TX 75028 260684968 Hospital TX NA Fort Worth Endoscopy Centers LLC 900 W Magnolia Ave 101 Fort Worth TX 76104 770368346 Endoscopy Center TX NA Greenville Surgery Center LLC 7150 Greenville Ave Ste 200 Dallas TX 75231 742411643 Amb Surg Ctr TX NA Health Imaging Partners LLC 8610 Explorer Drive Ste 300 Colorado Springs CO 80920 271385885 Medical Imaging TX NA Mansfield Endoscopy Center LLC 647 N Miller Rd Mansfield TX 76063 861354607 Endoscopy TX NA North Dallas Surgical Center LLC 17980 Dallas Pkw Ste 100 Dallas TX 75287 272248103 Amb Surg Ctr TX NA Opthalmology Surgery Center of Dallas LL 10740 N Central Expy Dallas TX 75231 261914835 Amb Surg Ctr TX NA Park Hill Surgery Center LLC 3455 Locke Ave Fort Worth TX 76107 451484375 Amb Surg Ctr TX NA Physicians Medical Center LLC 6020 W Parker Rd Plano TX 75093 481281376 Hospital TX NA Presbyterian Cancer Ctr-Dallas LLC PO Box 819067 Dallas TX 75381 260422749 Cancer Ctr TX NA Rockwall Regional Hospital LLC 3150 Horizon Rd Rockwall TX 75032 202848116 Hospital TX NA South Arlington Surgical Providers LLC 350 E Interstate 20 Ste 200 Arlington TX 76018 752723958 Amb Surg Ctr TX NA Southlake Specialty Hospital LLC 1545 E Southlake Blvd Southlake TX 76092 020555370 Hospital TX NA Surgical Caregivers of Fort Worth LLC 2001 W Rosedale St Fort Worth TX 76104 751925497 Amb Surg Ctr TX NA Texas Health Craig Ranch Surgery Center 8080 State Hwy 121 Ste 100 McKinney TX 75070 383897811 Amb Surg Ctr TX NA Texas Health Flower Mound Orthopedic Sur 5000 Long Prairie Rd Flower Mound TX 75028 800866449 Amb Surg Ctr TX NA Texas Health Huguley Surgery Center LLC 12001 S Freeway Burleson TX 76028 821289045 Amb Surg Ctr TX NA Texas Health Orthopedic Surgery Center A 9848 N Beach St Fort Worth TX 76244 814977249 Amb Surg Ctr TX NA Texas Health Spine Surgery Center Allen 1120 Raintree Cir Ste 100 Allen TX 75013 300957868 Amb Surg Ctr TX NA Texas Health Spine Surgery Center Allian 1545 E Southlake Blvd Ste 100 Southlake TX 76092 320571301 Amb Surg Ctr TX NA Texas Health Supply Chain Services LLC 612 E Lamar Blvd Ste 600 Arlington TX 76011 841833532 Purchasing Co TX NA Texas Health Surgery Center Alliance LLC 10840 Texas Health Trail Ste 100 Fort Worth TX 76244 822296081 Amb Surg Ctr TX NA Texas Health Surgery Center Bedford LLC 1605 Airport Freeway Ste 100 Bedford TX 76021 821307876 Amb Surg Ctr TX NA Texas Health Surgery Center Chisholm Tra 5900 Altamesa Blvd Fort Worth TX 76132 851225852 Amb Surg Ctr TX NA Texas Health Surgery Center Irving LLC 2120 N MacArthur Blvd Ste 200 Irving TX 75061 831085415 Amb Surg Ctr TX NA Texas Health Surgery Center Preston Plaz 17950 Preston Road Ste 75 Dallas TX 75252 203991622 Amb Surg Ctr TX NA Texas Health Surgery Center Rockwall LLC 3144 Horizon Rd Ste 120 Rockwall TX 75032 474425996 Amb Surg Ctr TX NA Texas Health Surgery Center Southwest Fo 6317 Harris Parkway Ste 200 Fort Worth TX 76132 843814490 Amb Surg Ctr TX NA Texas Health Surgery Center Waxahachie 1434 US Hwy 287 Bypass Ste 100 Waxahachie TX 75165 831464243 Amb Surg Ctr TX NA Texas Health Surgery Center Willow Park 612 E Lamar Blvd Ste 600 Arlington TX 76011 841953918 Inactive TX NA Texas Institute for Surgery LLP 7115 Greenville Ave Ste 100 Dallas TX 75231 770628004 Hospital TX NA THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 262429878 Amb Surg Ctr TX NA THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 201728912 Amb Surg Ctr TX NA USMD Hospital at Arlington LP 801 I -20 West Arlington TX 76017 731662763 Hospital TX NA USMD Hospital at Fort Worth LP 5900 Altamesa Blvd Fort Worth TX 76132 203571243 Hospital Closed TX NA Walnut Hill Surgery Center LLC 5494 Glen Lakes Dr Dallas TX 75231 364499777 Amb Surg Ctr TX NA Willow Park Endoscopy Center LLC 130 Jimma Drive Willow Park TX 76087 881643733 Amb Surg Ctr TX NA Wilson Creek Surigcal Center LLC 8855 Synergy Drive McKinney TX 75070 274816583 Amb Surg Ctr TX NA Women's Specialty Surgery Center of Dall 8230 Walnut Hill Ln Ste 101 Dallas TX 75231 262310072 Amb Surg Ctr TX NA Grace Indemnity Company SPC Ltd 1159 Caribbean Plaza Grand Cayman CJ KY 1-1102 981209573 Captive Insur CJ NA C Corp false Texas Health Biomedical Advancement Ctr 612 E Lamar Blvd ARlington TX 76011 752636884 research TX NA C Corp false Care N Care Insurance Company 1601 LBJ Freeway Ste 800 Farmers Branch TX 75234 262608628 Insurance TX NA C corp false North TX Pimary Care Associates 1601 LBJ Freeway Ste 800 Farmers Branch TX 75234 460535746 Healthcare TX NA C corp false SW Health Res Clinically Integrated Net 1601 LBJ Freeway Ste 800 Farmers Branch TX 75234 832453315 Healthcare TX NA C corp false SW Health Resources Physician Network 1601 LBJ Freeway Ste 800 Farmers Branch TX 75234 811596374 Healthcare TX NA C corp false UT Southwestern Accountable Care Network 1601 LBJ Freeway Ste 800 Farmers Branch TX 75234 462866906 Healthcare TX NA C corp false SW Health Resources ACO Alliance LLC 1601 LBJ Freeway Ste 800 Farmers Branch TX 75234 881921782 Healthcare TX N/A C Corp false false false true false false false false false false false true false true false false true true false false Schedule R, Part V, Line 2 - Related Transactions Texas Health Resources (THR) is the parent organization in a large healthcare system made up of both wholly owned entities as well as related controlled joint ventures as listed on Schedule R. THR's role is to plan, manage and coordinate the activities of the affiliated healthcare system in order to maximize opportunities to deliver cost effective quality medical care to residents of north central Texas. THR provides direction and oversight to its wholly owned affiliates through centralized services. They also provide oversight for the controlled joint ventures. As an integral part of providing centralized services to the affiliates, THR maintains intercompany receivable/payable accounts, most of which do not fall within the scope of IRC Section 512(b)(13). 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.