2022-11-11T07:36:57-06:00 2021-12-31 KPMG LLP 301 MAIN STREET STE 2150 BATON ROUGE LA 70801 990 2021-01-01 752702388 Texas Health Resources % DAVID JACKSON TEXA 6822367900 612 E Lamar Blvd Ste 600 Arlington TX 76011 David Jackson Asst Secretary 6822367900 2022-11-10 David Jackson 999009999 Brittany Elliser P01284594 2253444000 2022-11-01 2 2021 2022-09-23 18:48:47Z Barclay Berdan 612 E Lamar Blvd Arlington TX 76011 3060040365 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 14 5296 14 6039706 2127749 4202278 2710828 825771661 869222362 338941572 502212921 12158906 11438492 1181074417 1385584603 630405 388091 0 0 391454511 417058709 0 0 0 385681707 382869984 777766623 800316784 403307794 585267819 8796455588 9455761477 2833364310 2718846899 5963091278 6736914578 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 800316784 388091 875190154 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. 800316784 true true false true false false false false false false true false true false true false false true false false true false false false false false true true true true true true false false false false false true false false false false false false false false true true true true false false true 1357 0 true 5296 true true true true CJ false false false false false false false false true false X 15 14 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 3299415 0 338211 MiaoWinjie Tang SEVP Chief Experience Officer 45.0 5.0 X 1556006 0 159483 McWhorterRicky E EVP & Chief Financial Officer 45.0 5.0 X 1363156 0 161401 KingJames Kirk Hospital Channel COO 45.0 5.0 X 1201569 0 149837 Sudomir JrJoseph M SVP Chief Info Officer 50.0 0.0 X 1202887 0 116243 Parobek JrJames S Former Officer 0.0 40.0 X 0 1149005 139023 KramerKenneth J EVP General Counsel 45.0 5.0 X 1132375 0 136291 JonesRobert Douglas SVP & Chief Investment Officer 50.0 0.0 X 970474 0 117286 VelascoFerdinand T SVP & Chief Hlth Info Officer 40.0 0.0 X 781812 0 122946 MasicaAndrew CMO Reliable Health 40.0 0.0 X 769601 0 118423 MitchellJohn D Chief Business Develpmt Officr 40.0 5.0 X 777722 0 106053 DawsonCarla S Chief People Officer 40.0 0.0 X 666485 0 97188 IngramBartholomew SVP Product Development 40.0 0.0 X 651526 0 101409 TesmerDavid J Chief Commnty & Public Pol Off 40.0 0.0 X 616519 0 106301 GentzelWilliam Todd SVP Consm Strat & Mkt Insights 40.0 0.0 X 619355 0 71020 SalsberryDavid C Chief Revenue Officer 40.0 0.0 X 619822 0 62267 CraftBrian SVP Hospital Financial Ops 40.0 0.0 X 574902 0 96841 RobinsonMary C CNO Reliable Health 40.0 0.0 X 559875 0 86956 MoralesMark A VP Chief Learning Officer 40.0 0.0 X 536618 0 100387 JacksonDavid W Chief Accounting Officer 40.0 5.0 X 535754 0 90372 CoxKathleen B SVP Integrated Experience 40.0 0.0 X 542977 0 77870 McAllisterDeena A SVP Brand Experience 40.0 0.0 X 517779 0 101397 WhiteleyJohn E SVP Fin Plan Analys & Amb Ops 40.0 0.0 X 531739 0 82301 GoldbergGary Alan SVP Risk Capablts & New Prods 40.0 0.0 X 511923 0 100509 MehringRonald Charles VP Technology & Security/CISO 40.0 0.0 X 553349 0 53153 HolmesKevin B VP Facilities Design & Constrn 40.0 0.0 X 526382 0 78359 BanerjeeSan VP Digital Experience Term 10/ 40.0 0.0 X 538102 0 59670 ClintonShaun SVP Supply Chain Management 40.0 0.0 X 500689 0 83050 KingLenetra S Prgm Devel&Integ COO Term 7/21 40.0 0.0 X 543133 0 20228 MeyerBrandie S SVP Strategic Transformation 40.0 0.0 X 483052 0 73180 ReevesSandra G VP Treas/Asst Chief Invest Off 40.0 0.0 X 483980 0 71730 BallRandell L VP System Pharmacy Officer 40.0 0.0 X 485760 0 69825 SullivanJon M VP Real Estate Operations 40.0 0.0 X 484908 0 70093 CollinsDonald B VP Legal Services 40.0 0.0 X 462110 0 81024 KutacMary-Katherine Anne Chief HR Officer SWHR CIN 40.0 0.0 X 531759 0 609 SchroederJennifer Ann VP Asst General Counsel 40.0 0.0 X 459823 0 50701 StewartRebekah SVP & Chief Compliance Officer 40.0 0.0 X 424219 0 34954 CantuStacy G VP Chief Gov Offr & Corp Secr 40.0 5.0 X 383606 0 62821 OliverosCatherine VP Community Health Improvemnt 40.0 0.0 X 407196 0 37897 Koshy-NesbittSunita Sara Hospital Channel CQO 40.0 0.0 X 349352 0 27575 PearsonGeorge Former Officer 0.0 0.0 X 157519 0 0 BerenzweigHarold Karl Former Officer 0.0 12.0 X 0 156600 0 LongRonald R Former Officer 0.0 0.0 X 126630 0 0 KirbyMichelle Riddle Former Officer 0.0 0.0 X 116017 0 0 Vigness MD Richard Vice Chair 1.06 0.37 X 9078 0 0 Siripurapu MD Ravi Trustee 1.06 0.37 X 700 0 0 Wilder Jr Charles Chair 1.06 0.37 X 0 0 0 Stripling MD W Dennis Immediate past chair 1.06 0.37 X 0 0 0 Bernstein Kenneth 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 Hunt Hunter 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 Washington Bernice Trustee 1.06 0.37 X 0 0 0 Weeks Susan Trustee 1.06 0.37 X 0 0 0 Wynne James Trustee 1.06 0.37 X 0 0 0 21093640 1149005 2893168 964 true true false Accenture LLP 1255 Treat Blvd WALNUT CREEK CA 94597 Professional Svc 8408000 PWC Advisory Svs LLC 4040 W Boy Scout Blvd TAMPA FL 33607 Consulting Svc 7696358 Mindstream Media Group LLC 1717 Main St 40th Flr DALLAS TX 75201 Marketing 6942038 Royal General Contractors Inc PO Box 734 COPPELL TX 75019 Construction 6600638 Kelly's Restoration 4480 Shiloh Road MIDLOTHIAN TX 76065 Construction 5299534 213 2710828 11520 2710828 MANAGEMENT FEE 541610 651706844 648744124 2962720 JOINT VENTURE EARNINGS 621400 141700908 139335631 2365277 RENTAL FEE 531120 68956362 68956362 MANAGED CARE FEES 541990 5424859 5324860 99999 PATIENT REVENUE 622110 745627 745627 687762 687762 869222362 105504466 105504466 124 124 126471 126471 1241910 450123 791787 0 791787 -260296 1052083 2045185552 25528418 1649693292 24312347 395492260 1216071 396708331 396708331 0 0 0 0 0 0 0 0 0 MEDICAL RECORDS 561000 2157893 2157893 CENTRAL STAFFING 541800 1525016 1525016 PARKING 812930 1520844 1520844 5316481 4442776 872006 1699 10520234 1385584603 869762158 6039706 507071911 358091 358091 30000 30000 0 0 25590140 25590140 0 324504250 324504250 0 0 6887652 6887652 40066349 40066349 20010318 20010318 4868338 4868338 2793898 2793898 2223239 2223239 128430 128430 0 25729903 25729903 54291097 54291097 14582523 14582523 7947878 7947878 101031542 101031542 0 29255962 29255962 1145793 1145793 0 601311 601311 46777473 46777473 0 50448360 50448360 1187841 1187841 INTERCOMPANY AFFILIATE SVC 6857615 6857615 UBI FED INC TAX 846048 846048 LICENSES & FEES 5561154 5561154 SWHR AFFILIATE AGREEMENT 5328938 5328938 21262641 21262641 800316784 800316784 0 0 68191583 14204172 767929025 653578610 0 0 9112242 5509690 1737688 1607416 0 0 41114701 31289578 27717319 19766656 40930274 60969227 810379842 450972694 373872410 359407148 6194878822 6828021556 0 151239810 790976426 794504854 91386236 113116948 388608862 422545812 8796455588 9455761477 485725877 479375819 0 0 12299720 11247327 1216649398 1212917994 0 0 0 0 939764545 945581991 0 0 178924770 69723768 2833364310 2718846899 X 5963091278 6736914578 0 0 5963091278 6736914578 8796455588 9455761477 X 585267819 221461370 -32905889 X X false true X true true true X X 22 TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL 750972805 3 true 0 46837451 TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE 451502252 3 false 0 21387229 TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE 751748586 3 false 0 6110340 TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE 751977850 3 false 0 11835747 TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH 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HEALTH UGENT CARE 814317635 3 false 0 2756788 TEXAS HEALTH MEDICAL SUPPORT 812833150 10 false 0 1111216 TEXAS HEALTH VIRTUAL CARE 873611585 3 false 0 0 22 586859930 false true false false true true false false false false false false false false false true true true X true true Supported Organizations - Part IV, Section A, Line 1 The governing documents of Texas Health Resources (THR) do not list all supported organizations by name. The documents specifically list Texas Health Presbyterian Hospital Dallas, Texas Health Harris Methodist Hospital Fort Worth and Texas Health Arlington Memorial Hospital. The documents also allow THR to support other hospitals and health care delivery organizations which are closely related in purpose or function through common control, ownership, and/or management. THR has not specifically listed the names of all supported organizations to ease the administrative burden of updating the governing documents when new hospitals are added to the system or when an entity changes its name. 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. Determination Letter - Part IV, Section A, Line 2 Texas Health Virtual Care was formed during 2021. An exemption application pursuant to IRC Section 501(c)(3) has been filed with the IRS. Part VI, Section A, Line 5a The following THR wholly owned supporting organization were dissolved in 2020: Texas Health Outpatient Surgery Center Alliance FEIN 80-0800294 Texas Health Behavioral Health Bedford FEIN 81-2798838 Texas Health Behavioral Health Plano FEIN 81-2792484 The following supported organization was formed by THR, the parent organization during 2021. Texas Health Virtual Care 87-3611585 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 11583 false true 128430 true 1701512 false false 1841525 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 $5,146,737,000 for the year ended December 31, 2021. Of this amount $1,840,226(.036%) 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. 50180493 50180493 204723709 120199152 84524557 185991075 122479134 63511941 342107606 208294409 133813197 27376960 27376960 359407148 CONTROLLED CONSOLIDATED AFFIL 207599488 C CONTROLLED UNCONSOLIDATED AFFI 586905366 C 794504854 0 OPERATING LEASE LIBILITY 12573550 PROFESSIONAL LIABILITY RESERVE 45613800 SECURITY DEPOSITS 5255 POST RETIREMENT BENEFITS 717389 SUP RETIREMENT LIABILITY 5747421 ASSET RETIREMENT OBLIGATIONS 1494067 UNAMORTIZED STRAIGHT LINE RENT 3572286 69723768 Central America and the Caribbean Investments 121922864 121922864 121922864 true false true true false 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. true true X true X true X 500. true true false true true 4511528 269475 4242053 0.01630 8088626 4439850 3648776 0.01400 45868 16648 29220 0.00010 12646022 4725973 7920049 0.03040 15475936 15475936 0.05960 257644 257644 0.00010 183013 183013 0.00070 15916593 15916593 0.06040 28562615 4725973 23836642 0.09080 5025 5025 619 619 5644 5644 false 25655466 0 38013189 48360044 -10346855 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 0.5448 0.0 0.4552 Flower Mound Hosp Hospital 0.5395 0.0 0.4605 Greenville Surg Ctr Ambulatory Surgery Center 0.5675 0.0 0.4325 LHCH XXXIII LLC Home Care 0.2 0.0 0.8 Mansfield Endoscopy Endoscopy Center 0.51 0.0 0.41 N Dallas Surg Ctr Ambulatory Surgery Center 0.5695 0.0 0.4305 North Texas ACO Accountable Care Org 0.5 0.0 0.5 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 0.5486 0.0 0.4514 ROCKWALL REG HOSP Hospital 0.6127 0.0 0.3873 S ARLINGTON SURG PR Ambulatory Surgery Center 0.51 0.0 0.49 SOUTHLAKE SPEC HOSP Hospital 0.5393 0.0 0.4607 SURG CAREGIVERS FW Ambulatory Surgery Center 0.51 0.0 0.49 TH CRAIG RANCH SURG Ambulatory Surgery Center 0.5306 0.0 0.4694 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 0.735 0.0 0.265 TH SURG CTR BEDFORD Ambulatory Surgery Center 0.5141 0.0 0.4859 TH SURG CTR IRVING Ambulatory Surgery Center 0.51 0.0 0.49 TH SURG CTR PRESTON Ambulatory Surgery Center 0.52 0.0 0.48 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 USMD HOSPITAL AT FW Hospital - Not operating 0.5097 0.0 0.4904 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 0.3645 0.0 0.23 5 1 Texas Health Flower Mound 4400 Long Prairie Rd Flower Mound TX 75028 www.texashealth.org TDH #100056 X X X 2 Texas Health Rockwall 3150 Horizon Rd Rockwall TX 75032 www.texashealth.org TDH #0008599 X X X 3 USMD Hospital at Arlington 801 W Interstate 20 Arlington TX 76017 www.usmdarlington.com TDH #007990 X X X 4 Texas Health Southlake 1545 E Southlake Blvd Southlake TX 76092 www.texashealth.org TDH #006814 X X X 5 Physicians Medical Center 6020 Parker Rd Plano TX 75093 www.texashealth.org TDH #008153 X X X Texas Health Flower Mound 1 false false true X X X X X X X X X 19 true true false true X See Section C X true 20 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 19 true true false true X See Section C X See Section C X true 20 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 Texas Health Rockwall 2 false false true X X X X X X X X X 19 true true false true X See Section C X true 20 true See Section C false false 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 Texas Health Southlake 4 false false true X X X X X X X X X 19 true true false true X See Section C X true 20 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 Physicians Medical Center 5 false false true X X X X X X X X X 19 true true false true X See Section C X true 20 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 Facility #2 - Texas Health Rockwall Facility #3 - USMD at Arlington Facility #4 - Texas Health Southlake Facility #5 - Physicians Medical Center 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 Texas Health Flower Mound's (THFM) 2019 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 2019 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 April 2018 and August 2018, the communities' health needs were assessed through key informant interviews, secondary data analysis, a windshield survey serving to assist asset-mapping through community observation, and focus groups. 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 community members with interests specific to the health of individuals in the Denton/Wise Counties region in the CHNA development process. Forty of these community members were engaged across six separate focus groups held in zip-codes that were identified as underserved areas. Ten served as key informants, and the windshield survey was conducted by two Texas Health graduate fellows and four community health managers. 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: Cultivar Capital, Inc.; DATCU Credit Union; Denton County Public Health; First Refuge Ministries; Hankins, Eastup, Deaton, Tonn & Seay; John E. Baines, P.C.; Maximus, Inc.; Saint Andrews Presbyterian Church; Texas Department of State Health Services; Texas Women's University; United Way of Denton County; and University of North Texas. Findings from all data sources (secondary data, interviews and focus groups, and the windshield survey/observational 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 impacted the development of the 2020 CHNA implementation plan, 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 #2 Texas Health Rockwall's (THRW) 2019 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 Counties region. The 2019 CHNA was conducted at the Dallas/Rockwall 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 May 2018 and August 2018, the communities' health needs were assessed through key informant interviews, secondary data analysis, a windshield survey serving to assist asset-mapping through community observation, and focus groups. 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 102 community members with interests specific to the health of individuals in the Dallas/Rockwall Counties region in the CHNA development process. Ninety-six of these community members were engaged across seven separate focus groups held in zip-codes that were identified as underserved areas. Six served as key informants, and the windshield survey was conducted by two Texas Health graduate fellows and three community health managers. 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 : Arlington-Mansfield YMCA; CCR & Associates; Cigna; Communities Foundation of Texas; Ernst & Young; Fee, Smith, Sharp & Vitullo, LLP; Fischer & Company; International Leadership of Texas; Literacy Achieves; Preston Hollow Presbyterian Church; Scheef & Stone, LLP; St. Barnabas Presbyterian Church; Texas Woman's University; The Senior Source and Toyota Motor North America. Findings from all data sources (secondary data, interviews and focus groups, and the windshield survey/observational 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 impacted the development of the 2020 CHNA implementation plan, 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 2019 CHNA for USMD Hospital Arlington (USMD) and Texas Health Southlake (THSL) 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 2019 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 April 2018 and August 2018, the communities' health needs were assessed through key informant interviews, secondary data analysis, a windshield survey serving to assist asset-mapping through community observation, and focus groups. 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 159 community members with interests specific to the health of individuals in the Tarrant/Parker Counties region in the CHNA development process. One hundred forty-nine of these community members were engaged across eleven separate focus groups held in zip-codes that were identified as underserved areas. Ten served as key informants, and the windshield survey was conducted by two Texas Health graduate fellows and five community health managers. 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: Azle ISD; Broadie's Aircraft; City of Bedford; Emergency Medicine Consultant Ltd.; Ft Worth South, Inc.; Higginbotham Insurance Agency; Higher Praise Family Church; KPMG; Private Wealth Solutions Inc.; Parker County Hospital District; Tarrant County College; Tarrant Transit Alliance; The Abbey Church; Thos.S. Byrne, Inc.; United Way of Tarrant County; Urban Theory; and Z's Cafe & Catering. Findings from all data sources (secondary data, interviews and focus groups, and the windshield survey/observational 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 impacted the development of the 2020 CHNA implementation plan, 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 Physicians Medical Center's (PMC) 2019 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 2019 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 April 2018 and August 2018, the communities' health needs were assessed through key informant interviews, secondary data analysis, a windshield survey serving to assist asset-mapping through community observation, and focus groups. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, 27 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 Texas Health Resources 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 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 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. 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 2019, Texas Health Resources (Texas Health) completed a community health needs assessment (CHNA) for 25 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. 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 THR does not operate its own hospitals, but has ownership in five joint ventures operating as hospitals. The joint ventures operate hospitals in various communities throughout North Texas. The communities served by the hospital true Dallas Regional Chamber 500 N Akard St Ste 2600 Dallas TX 75201 750223440 501(C)(6) 10375 General Purpose Davy O'Brien Educational & Charitable Trust 306 West 7th Street Fort Worth TX 76102 751620423 501(C)(3) 12000 General Purpose Fort Worth Chamber of Commerce 777 Taylor St 900 Fort Worth TX 76102 750275060 501(C)(6) 13500 General Purpose Cancer Support Community North Texas PO Box 601744 Dallas TX 75360 752633654 501(c)(3) 282166 FMV Rent Payment Cancer Support Arlington Chamber of Commerce 505 E Border St Arlington TX 76010 750745859 501(c)(6) 10100 General Purpose American Red Cross North Texas Region 4800 Harry Hines Blvd Dallas TX 75234 530196605 501(c)(3) 10000 Disaster Relief 3 3 Scholarships 4 30000 Book 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 1675202 0 1247300 0 376913 0 289437 0 48774 0 3637626 0 268618 0 MiaoWinjie Tang SEVP Chief Experience Officer 894932 0 391888 0 269186 0 128896 0 30587 0 1715489 0 52361 0 McWhorterRicky E EVP & Chief Financial Officer 785374 0 332535 0 245247 0 114232 0 47169 0 1524557 0 39816 0 Sudomir JrJoseph M SVP Chief Info Officer 497470 0 539241 0 166176 0 64975 0 51268 0 1319130 0 337371 0 KingJames Kirk Hospital Channel COO 656358 0 307624 0 237587 0 101868 0 47969 0 1351406 0 48503 0 KramerKenneth J EVP General Counsel 629563 0 297194 0 205618 0 98557 0 37734 0 1268666 0 46912 0 JonesRobert Douglas SVP & Chief Investment Officer 612398 0 228746 0 129330 0 70192 0 47094 0 1087760 0 26939 0 VelascoFerdinand T SVP & Chief Hlth Info Officer 458973 0 187013 0 135826 0 65149 0 57797 0 904758 0 25566 0 MitchellJohn D Chief Business Develpmt Officr 445947 0 175698 0 156077 0 58654 0 47399 0 883775 0 22066 0 MasicaAndrew CMO Reliable Health 514300 0 144715 0 110586 0 66280 0 52143 0 888024 0 6388 0 DawsonCarla S Chief People Officer 420487 0 142132 0 103866 0 57003 0 40185 0 763673 0 5454 0 IngramBartholomew SVP Product Development 426356 0 133542 0 91628 0 54429 0 46980 0 752935 0 5895 0 SalsberryDavid C Chief Revenue Officer 375284 0 143184 0 101354 0 14468 0 47799 0 682089 0 20301 0 GentzelWilliam Todd SVP Consm Strat & Mkt Insights 398801 0 128862 0 91692 0 37114 0 33906 0 690375 0 5625 0 TesmerDavid J Chief Commnty & Public Pol Off 376234 0 142536 0 97749 0 59851 0 46450 0 722820 0 19774 0 CraftBrian SVP Hospital Financial Ops 345243 0 124202 0 105457 0 48567 0 48274 0 671743 0 13982 0 RobinsonMary C CNO Reliable Health 325376 0 116426 0 118073 0 49034 0 37922 0 646831 0 9973 0 KingLenetra S Prgm Devel&Integ COO Term 7/21 194814 0 101711 0 246608 0 5163 0 15065 0 563361 0 0 0 CoxKathleen B SVP Integrated Experience 337152 0 111818 0 94007 0 49889 0 27981 0 620847 0 11504 0 JacksonDavid W Chief Accounting Officer 325186 0 111884 0 98684 0 53076 0 37296 0 626126 0 11705 0 WhiteleyJohn E SVP Fin Plan Analys & Amb Ops 324783 0 108121 0 98835 0 47606 0 34695 0 614040 0 8450 0 McAllisterDeena A SVP Brand Experience 298105 0 109245 0 110429 0 47562 0 53835 0 619176 0 8822 0 GoldbergGary Alan SVP Risk Capablts & New Prods 315124 0 103514 0 93285 0 47546 0 52963 0 612432 0 4430 0 ClintonShaun SVP Supply Chain Management 305471 0 107824 0 87394 0 44361 0 38689 0 583739 0 14552 0 MeyerBrandie S SVP Strategic Transformation 312206 0 100388 0 70458 0 39343 0 33837 0 556232 0 6610 0 StewartRebekah SVP & Chief Compliance Officer 307071 0 75000 0 42148 0 25377 0 9577 0 459173 0 0 0 CantuStacy G VP Chief Gov Offr & Corp Secr 260900 0 68801 0 53905 0 12656 0 50165 0 446427 0 696 0 Koshy-NesbittSunita Sara Hospital Channel CQO 292110 0 0 0 57242 0 2623 0 24952 0 376927 0 0 0 MoralesMark A VP Chief Learning Officer 265788 0 63570 0 207260 0 50522 0 49865 0 637005 0 0 0 HolmesKevin B VP Facilities Design & Constrn 309451 0 103256 0 113675 0 21750 0 56609 0 604741 0 10398 0 BallRandell L VP System Pharmacy Officer 313049 0 79319 0 93392 0 21750 0 48075 0 555585 0 0 0 SullivanJon M VP Real Estate Operations 295655 0 81970 0 107283 0 21750 0 48343 0 555001 0 0 0 ReevesSandra G VP Treas/Asst Chief Invest Off 314731 0 85916 0 83333 0 21750 0 49980 0 555710 0 0 0 OliverosCatherine VP Community Health Improvemnt 275443 0 68292 0 63461 0 7441 0 30456 0 445093 0 410 0 MehringRonald Charles VP Technology & Security/CISO 278016 0 184090 0 91243 0 21750 0 31403 0 606502 0 100833 0 BanerjeeSan VP Digital Experience Term 10/ 228846 0 78016 0 231240 0 9559 0 50111 0 597772 0 0 0 KutacMary-Katherine Anne Chief HR Officer SWHR CIN 285660 0 212242 0 33857 0 0 0 609 0 532368 0 28958 0 CollinsDonald B VP Legal Services 278211 0 80217 0 103682 0 21750 0 59274 0 543134 0 0 0 SchroederJennifer Ann VP Asst General Counsel 281886 0 80550 0 97387 0 21750 0 28951 0 510524 0 0 0 LongRonald R Former Officer 0 0 31806 0 94824 0 0 0 0 0 126630 0 125628 0 BerenzweigHarold Karl Former Officer 0 156500 0 100 0 0 0 0 0 0 0 156600 0 0 PearsonGeorge Former Officer 0 0 0 0 157519 0 0 0 0 0 157519 0 157519 0 Parobek JrJames S Former Officer 0 594056 0 392167 0 162782 0 89024 0 49999 0 1288028 0 145533 KirbyMichelle Riddle Former Officer 0 0 0 0 116017 0 0 0 0 0 116017 0 116017 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. No costs associated with his first-class travel are added to the taxable wages of the CEO. All other THR personnel follows 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 - 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. Banerjee, San 151,430 King, Lenetra 210,788 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 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 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). Banerjee,San 2,492 Berdan,Barclay E. 268,618 Clinton,Shaun 14,552 Cox,Kathleen B. 11,504 Craft,Brian 13,982 Dawson,Carla S 5,454 Gentzel,William Todd 5,625 Goldberg,Gary Alan 4,430 Holmes,Kevin B. 10,398 Ingram,Bartholomew 5,895 Jackson,David W. 11,705 Jones,Robert Douglas 26,939 King,James Kirk 48,503 King,Lenetra S 2,766 Kramer,Kenneth J. 46,912 Kutac,Mary-Katherine 150,000 Long,Ronald R 31,806 Masica,Andrew 6,388 McAllister,Deena A. 8,822 McWhorter,Ricky E. 39,816 Mehring,Ronald Charles 110,000 Meyer,Brandie S 6,610 Mitchell,John D. 22,066 Parobek Jr,James S 165,533 Robinson,Mary C. 9,973 Salsberry,David C 14,782 Sudomir Jr,Joseph M 365,704 Tesmer,David J. 19,774 Velasco,Ferdinand T. 25,566 Whiteley,John E 8,450 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 2010-11-30 135000000 Construction & Equip Health Facili 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 2490000 0 135000000 0 0 0 444565 0 0 134555435 0 0 2013 false 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 0.01600 0.01600 false false false true B false false true true false 0.01570 0.01570 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 10/30/2018. Part IV, Line 2C, Column B Rebate calculations for the 2010 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 10/17/17. 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 0.00230 0.00230 false false false true B false false true true false 0.00040 0.00040 false false false true A false false false true false false 0 false 0 false true B false true false false 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 11/18/2021. Berdan Barclay Officer Split Dollar Life X 470253 false true true King James Kirk Officer Split Dollar Life X 128966 false true true Kramer Kenneth Jr Officer Split Dollar Life X 150799 false true true Long Ronald R Former Split Dollar Life X 771290 false true true Tesmer David J Officer Split Dollar Life X 86108 false true true 1607416 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 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 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 ($331,059) Adjustment for Intercompany Transactions of a Controlled Group ($32,574,830) 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 37299609 91718919 TH Resources THR-SCA Holdings LLC 612 E Lamar Blvd Arlington TX 76011 461096461 Holding Co TX 82549391 148710504 TH Resources Texas Health Resources Trust 612 E Lamar Blvd Arlington TX 76011 306406740 Investments TX 26580269 166550290 TH Resources Tx Hlth Surgery Center Las Colinas LLC 612 E Lamar Blvd Arlington TX 76011 843814491 Inactive TX 0 0 THR-SCA Hold 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 Grou 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 Foundatio false Dallas County Indigent Care Corporation PO Box 655999 Dallas TX 75265 260610562 Support Org TX 501(c)(3) 12a NA false Healthy Tarrant County Collaboration PO Box 8040 Fort Worth TX 76124 432087946 Support Org. TX 501(c)(3) 12a NA false Texas Health Huguley Surgery Center LLC 12001 S Freeway Burleson TX 76028 821289045 Amb Surg Ctr TX 501(c)(3) 3 TH Huguley false AMH Cath Labs LLC 811 Wright St Arlington TX 76012 203003947 Hospital TX NA N/A Arlington Surgery Center LLC 918 N Davis Dr Arlington TX 76012 752055800 Amb Surg Ctr TX THR-SCA Holding Related 1520749 1675006 false 0 false 0.51753 Cleburne Surgical Center LLC 2010 W Katherine P Raines Blvd St Cleburne TX 76033 203742012 Amb Surg Ctr TX THR-SCA Holding Related 2700322 2653857 false 0 true 0.51000 Cross Timbers Surgery Center LLC 1001 N Waldrop Dr Ste 705 Arlington TX 76102 752862780 Amb Surg Ctr TX THR-SCA Holding Related 107600 1570315 false 0 true 0.51000 Denton Surgery Center LLC 207 North Bonnie Brea Denton TX 76201 470926556 Amb Surg Ctr TX THR-SCA Holding Related 3011826 7165149 false 0 true 0.54483 Flower Mound Hospital Partners LLC 4400 Long Prairie Rd Flower Mound TX 75028 260684968 Hospital TX TH Resources Related 25990237 100162294 false 0 true 0.54285 Fort Worth Endoscopy Centers LLC 900 W Magnolia Ave 101 Fort Worth TX 76104 770368346 Endoscopy Center TX THR-SCA Holding Related 12236923 6017862 false 0 true 0.51000 Greenville Surgery Center LLC 7150 Greenville Ave Ste 200 Dallas TX 75231 742411643 Amb Surg Ctr TX THR-SCA Holding Related 1897780 2185462 false 0 true 0.56750 Health Imaging Partners LLC 8610 Explorer Drive Ste 300 Colorado Springs CO 80920 271385885 Medical Imaging TX TH Resources Related 27901730 43244372 false 0 false 0.51000 Mansfield Endoscopy Center LLC 647 N Miller Rd Mansfield TX 76063 861354607 Endoscopy TX THR-SCA Holding Related -155436 2304599 false 0 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 1677830 530755 false 0 true 0.56953 Opthalmology Surgery Center of Dallas LL 10740 N Central Expy Dallas TX 75231 261914835 Amb Surg Ctr TX THR-SCA Holding Related 11495181 8551774 false 0 true 0.51000 Park Hill Surgery Center LLC 3455 Locke Ave Fort Worth TX 76107 451484375 Amb Surg Ctr TX THR-SCA Holding Related 4751468 3105315 false 0 true 0.51000 Physicians Medical Center LLC 6020 W Parker Rd Plano TX 75093 481281376 Hospital TX TH Resources Related 16976148 31596859 false 0 true 0.54862 Presbyterian Cancer Ctr-Dallas LLC PO Box 819067 Dallas TX 75381 260422749 Cancer Ctr TX NA N/A Rockwall Regional Hospital LLC 3150 Horizon Rd Rockwall TX 75032 202848116 Hospital TX TH Resources Related 11537514 134644197 false 0 true 0.61267 South Arlington Surgical Providers LLC 350 E Interstate 20 Ste 200 Arlington TX 76018 752723958 Amb Surg Ctr TX THR-SCA Holding Related 788066 14658696 false 0 true 0.51000 Southlake Specialty Hospital LLC 1545 E Southlake Blvd Southlake TX 76092 020555370 Hospital TX TH Resources Related 7123591 18266453 false 0 true 0.53932 Surgical Caregivers of Fort Worth LLC 2001 W Rosedale St Fort Worth TX 76104 751925497 Amb Surg Ctr TX THR-SCA Holding Related 5474818 4766351 false 0 true 0.51000 Texas Health Craig Ranch Surgery Center 8080 State Hwy 121 Ste 100 McKinney TX 75070 383897811 Amb Surg Ctr TX THR-SCA Holding Related 3086486 3399059 false 0 true 0.53061 Texas Health Flower Mound Orthopedic Sur 5000 Long Prairie Rd Flower Mound TX 75028 800866449 Amb Surg Ctr TX THR-SCA Holding Related 5067988 3509716 false 0 true 0.51000 Texas Health Huguley Surgery Center LLC 12001 S Freeway Burleson TX 76028 821289045 Amb Surg Ctr TX TH Huguley Related 1548179 2945037 false 0 false 0.36450 Texas Health Orthopedic Surgery Center A 9848 N Beach St Fort Worth TX 76244 814977249 Amb Surg Ctr TX THR-SCA Holding Related 4348461 6130805 false 0 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 662851 1579615 false 0 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 52713 1927284 false 0 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 527991 5136362 false 0 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 1565305 5233109 false 0 true 0.73500 Texas Health Surgery Center Bedford LLC 1605 Airport Freeway Ste 100 Bedford TX 76021 821307876 Amb Surg Ctr TX THR-SCA Holding Related 811939 2098942 false 0 true 0.51406 Texas Health Surgery Center Chisholm Tra 5900 Altamesa Blvd Fort Worth TX 76132 851225852 Amb Surg Ctr TX THR-SCA Holding Related -149889 1153177 false 0 true 0.51000 Texas Health Surgery Center Irving LLC 2120 N MacArthur Blvd Ste 200 Irving TX 75061 831085415 Amb Surg Ctr TX THR-SCA Holding Related 670106 1700483 false 0 true 0.51000 Texas Health Surgery Center Preston Plaz 17950 Preston Road Ste 75 Dallas TX 75252 203991622 Amb Surg Ctr TX THR-SCA Holding Related 6511252 5708352 false 0 true 0.52000 Texas Health Surgery Center Rockwall LLC 3144 Horizon Rd Ste 120 Rockwall TX 75032 474425996 Amb Surg Ctr TX THR-SCA Holding Related 6080088 7430712 false 0 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 915927 2560823 false 0 true 0.51000 Texas Health Surgery Center Waxahachie 1434 US Hwy 287 Bypass Ste 100 Waxahachie TX 75165 831464243 Amb Surg Ctr TX THR-SCA Holding Related -516991 4967942 false 0 true 0.57000 Texas Health Surgery Center Willow Park 612 E Lamar Blvd Ste 600 Arlington TX 76011 841953918 Inactive TX THR-SCA Holding Related false 0 true 0.51000 Texas Institute for Surgery LLP 7115 Greenville Ave Ste 100 Dallas TX 75231 770628004 Hospital TX NA N?A THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake TX 76092 262429878 Amb Surg Ctr TX TH Resources Related 1676490 779909 false 0 true 0.51000 THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake TX 76092 201728912 Amb Surg Ctr TX TH Resources Related 1784953 794491 false 0 true 0.63352 USMD Hospital at Arlington LP 801 I -20 West Arlington TX 76017 731662763 Hospital TX TH Resources Related 3711425 34793935 false 0 false 0.52364 USMD Hospital at Fort Worth LP 5900 Altamesa Blvd Fort Worth TX 76132 203571243 Hospital Closed TX TH Resources Related -208119 62580 false 0 false 0.50965 Walnut Hill Surgery Center LLC 5494 Glen Lakes Dr Dallas TX 75231 364499777 Amb Surg Ctr TX THR-SCA Holding Related 775422 9443028 false 0 true 0.51000 Wilson Creek Surigcal Center LLC 8855 Synergy Drive McKinney TX 75070 274816583 Amb Surg Ctr TX THR-SCA Holding Related 4069193 3396532 false 0 true 0.51000 Women's Specialty Surgery Center of Dall 8230 Walnut Hill Ln Ste 101 Dallas TX 75231 262310072 Amb Surg Ctr TX NA N/A Grace Indemnity Company SPC Ltd 1159 Caribbean Plaza Grand Cayman CJ KY 1-1102 981209573 Captive Insur CJ TH Resources C Corp 699128 81559901 1.00000 false 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 true false true false false false true true true true Ft Worth Endoscopy Ctr LLC a 705158 Lease Health Imaging Partners LLC a 347094 Lease TH Surgery Ctr Alliance LLC a 649156 Lease TH Surgery Center Southwest Fort Worth LLC a 1091521 Lease TH Supply Chain Services LLC a 99437 lease TH Surgery Center Chisholm Trail LLC b 1275005 JV Agreement Arlington Surgery Center LLC c 1157829 JV Agreement Cleburne Surgical Ctr LLC c 2295489 JV Agreement Denton Surgery Center LLC c 4019533 JV Agreement Flower Mound Hospital Partners LLC c 22683552 JV Agreement Ft Worth Endoscopy Ctr LLC c 10956110 JV Agreement Greenville Surgery Center LLC c 2092889 JV Agreement Health Imaging Partners LLC c 24151050 JV Agreement North Dallas Surgical Ctr LLC c 963654 JV Agreement Ophthalmology Surg Ctr-Dallas LLC c 10477340 JV Agreement Park Hill Surgery Center LLC c 4565946 JV Agreement Physician Medical Center LLC c 17234663 JV Agreement Rockwall Regional Hospital LLC c 11892363 JV Agreement South Arlington Surgical Providers LLC c 2627099 JV Agreement Southlake Specialty Hospital c 7387366 JV Agreement Surg Caregivers of Fort Worth c 5167678 JV Agreement TH Craig Ranch Surg Ctr LLC c 3007444 JV Agreement TH Flower Mound Ortho Surg c 5150656 JV Agreement TH Ortho Surg Ctr Alliance LLC c 3687707 JV Agreement TH Spine Surgery Ctr Allen LLC c 694610 JV Agreement TH Spine Surgery Ctr Alliance LLC c 101379 JV Agreement TH Surg Ctr Alliance LLC c 1180577 JV Agreement TH Surg Ctr Preston Plaza LLC c 5890668 JV Agreement TH Surg Ctr Rockwall LLC c 4715790 JV Agreement TH Surgery Center Southwest Fort Worth c 660859 JV Agreement TH Surgery Ctr Bedford LLC c 972614 JV Agreement TH Surgery Ctr Irving LLC c 583529 JV Agreement THR-STT Rockwall ASC LLC c 1229594 JV Agreement THR-STT Southlake ASC LLC c 1707746 JV Agreement USMD Hospital at Fort Worth LP c 4421216 JV Agreement Walnut Hill Surgery Ctr LLC c 1391867 JV Agreement Wilson Creek Surgical Ctr LLC c 3635687 JV Agreement Flower Mound Hospital Partners LLC d 208746 InterCo Billing Ophthalmology Surg Ctr-Dallas d 60000 InterCo Billing Rockwall Regional Hospital LLC d 257303 InterCo Billing Arlington Surgery Center LLC l 169356 InterCo Billing Cleburne Surgical Ctr LLC l 211839 InterCo Billing Denton Surgery Center LLC l 196654 InterCo Billing Flower Mound Hospital Partners LLC l 14173273 InterCo Billing Ft Worth Endoscopy Ctr LLC l 318374 InterCo Billing Greenville Surgery Center LLC l 111688 InterCo Billing Health Imaging Partners LLC l 2505733 InterCo Billing North Dallas Surgical Ctr LLC l 159212 InterCo Billing Ophthalmology Surg Ctr-Dallas LLC l 214271 InterCo Billing Park Hill Surgery Center LLC l 203107 InterCo Billing Physician Medical Center LLC l 4601055 InterCo Billing Rockwall Regional Hospital LLC l 13319886 InterCo Billing South Arlington Surgery Ctr LLC l 100145 InterCo Billing Southlake Specialty Hospital l 5442425 InterCo Billing Surg Caregivers of Fort Worth l 218558 InterCo Billing TH Craig Ranch Surg Ctr LLC l 353110 InterCo Billing TH Flower Mound Ortho Surg l 281422 InterCo Billing TH Ortho Surg Ctr Alliance LLC l 190427 InterCo Billing TH Spine Surgery Ctr Allen LLC l 69315 InterCo Billing TH Spine Surgery Ctr Alliance LLC l 269942 InterCo Billing TH Supply Chain Services LLC l 1278668 InterCo Billing TH Surg Ctr Chsholm Trl LLC l 269616 InterCo Billing TH Surg Ctr Irving LLC l 65400 InterCo Billing TH Surg Ctr Preston Plaza LLC l 113683 InterCo Billing TH Surg Ctr Rockwall LLC l 173834 InterCo Billing TH Surgery Center Southwest Fort Worth l 82180 InterCo Billing TH Surgery Ctr Bedford LLC l 131760 InterCo Billing ow Park LLC THR-STT Rockwall ASC LLC l 237910 InterCo Billing TH Surgery Ctr Willow Park LLC l 75000 InterCo Billing THR-STT Rockwall ASC LLC l 103335 InterCo Billing THR-STT Southlake ASC LLC l 105990 InterCo Billing USMD Hospital at Arlington LP l 109683 InterCo Billing Walnut Hill Surg Ctr LLC l 53508 InterCo Billing Wilson Creek Surgical Ctr LLC l 330454 InterCo Billing Cleburne Surgical Ctr LLC q 60221 InterCo Billing Denton Surgery Center LLC q 68863 InterCo Billing Flower Mound Hospital Partners LLC q 767112 InterCo Billing Ft Worth Endoscopy Ctr LLC q 125355 InterCo Billing Greenville Surgery Center LLC q 50316 InterCo Billing Health Imaging Partners LLC q 549677 InterCo Billing North Dallas Surg Ctr LLC q 56185 InterCo Billing Ophthalmology Surg Ctr-Dallas q 192649 InterCo Billing Park Hill Surgery Center LLC q 117847 InterCo Billing Physician Medical Center LLC q 404388 InterCo Billing Rockwall Regional Hospital LLC q 636927 InterCo Billing Southlake Specialty Hospital q 282149 InterCo Billing Surg Caregivers of Fort Worth q 109473 InterCo Billing TH Ortho Surg Ctr Alliance LLC q 88679 InterCo Billing Texas Health Surgery Center Alliance LLC q 55334 InterCo Billing TH Surg Ctr Preston Plaza LLC q 100876 InterCo Billing TH Surg Ctr Rockwall LLC q 107626 InterCo Billing TH Craig Ranch Sug Ctr LLC q 69038 InterCo Billing TH Flower Mound Ortho Surg Ctr LLC q 96237 InterCo Billing Wilson Creek Surgical Ctr LLC q 77910 InterCo Billing Grace Indemnity Company SPC Ltd r 41709270 Cash Trans Grace Indemnity Company SPC Ltd s 12623373 Cash Trans 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.