TEXAS HEALTH HUGULEY INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- TEXAS HEALTH HUGULEY INC (EIN 45-2694620)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349327609
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T17:24:26-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452694620 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEXAS HEALTH HUGULEY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TEXA | BusinessNameControlTxt |
| Phone | 8172939110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11801 S FREEWAY | AddressLine1Txt |
| City | BURLESON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76028 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN C ADDISCOTT | PersonNm |
| Person Title | ASSISTANT SECRETARY | PersonTitleTxt |
| Phone | 8172939110 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LYNN | PersonFirstNm |
| Person Last | ADDISCOTT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PENNY JOHNSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11801 S FREEWAY | AddressLine1Txt |
| City | BURLESON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76028 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $280,180,241 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TEXASHEALTHHUGULEY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF A 327 BED HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 58 | TotalVolunteersCnt |
| Total Gross UBI | $1,143,493 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $350,519 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,124,103 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,898,439 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $233,807,365 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $265,508,812 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,772,350 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,764,919 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,663,184 | PYOtherRevenueAmt |
| CY Other Revenue | $5,003,920 | CYOtherRevenueAmt |
| PY Total Revenue | $242,367,002 | PYTotalRevenueAmt |
| CY Total Revenue | $280,176,090 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $167,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $80,585 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,421,478 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,255,955 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $204,233,339 | PYOtherExpensesAmt |
| CY Other Expenses | $228,782,174 | CYOtherExpensesAmt |
| PY Total Expenses | $206,821,817 | PYTotalExpensesAmt |
| CY Total Expenses | $231,118,714 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $35,545,185 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $49,057,376 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $261,729,508 | TotalAssetsBOYAmt |
| Total Assets EOY | $308,074,574 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,504,327 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,835,345 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $217,225,181 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $272,239,229 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO EXTEND THE HEALING MINISTRY OF CHRIST BY IDENTIFYING AND MEETING THE HEALTH NEEDS OF OUR COMMUNITY, PROVIDING QUALITY, CUSTOMER ORIENTED AND COST EFFECTIVE SERVICES, AND ENSURING ACCESS TO THOSE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $216,179,794 | ExpenseAmt |
| Grant | $80,585 | GrantAmt |
| Revenue | $269,353,435 | RevenueAmt |
| Desc | OPERATION OF AN ACUTE CARE HOSPITAL TOTALING 327 BEDS WITH 11,582 PATIENT ADMISSIONS, 54,381 PATIENT DAYS, AND 124,891 OUTPATIENT VISITS IN THE CURRENT YEAR. | Desc |
| Total Program Service Expenses | $216,179,794 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JESSE SUTTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8175512704 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11801 S FREEWAY | AddressLine1Txt |
| City | BURLESON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76028 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHNSON PENNY | |||||||||
| CEO | 25.00 | 15.00 | Yes (X) | $1,300,909 | $780,545 | $146,255 | |||
| KING JAMES KIRK | |||||||||
| DIRECTOR/VICE CHAIRMAN | 0.20 | 50.00 | $0 | $1,201,569 | $149,837 | Yes (X) | |||
| CRAFT BRIAN | |||||||||
| DIRECTOR | 0.20 | 50.00 | $0 | $574,902 | $96,841 | Yes (X) | |||
| JACKSON DAVID | |||||||||
| DIRECTOR | 0.20 | 50.00 | $0 | $535,754 | $90,372 | Yes (X) | |||
| TUCKER REBECCA | |||||||||
| DIRECTOR (BEG 01/21) | 0.20 | 50.00 | $0 | $509,001 | $93,868 | Yes (X) | |||
| LLOYD MD DAVID | |||||||||
| DIRECTOR (BEG 06/21) | 0.20 | 50.00 | $0 | $511,730 | $87,235 | Yes (X) | |||
| LAUE MD ED | |||||||||
| CMO (END 06/21) | 35.00 | 15.00 | $344,438 | $147,616 | $66,198 | Yes (X) | |||
| THORSBERRY MD MICHAEL | |||||||||
| DIRECTOR (END 06/21) | 0.20 | 50.00 | $0 | $496,877 | $33,845 | Yes (X) | |||
| SUTTON JESSE | |||||||||
| CFO | 15.00 | 20.00 | Yes (X) | $172,518 | $230,024 | $67,746 | |||
| FORD MD RONNY | |||||||||
| DIRECTOR(END06/21)/CMO(BEG06/21) | 35.00 | 15.00 | $118,906 | $255,448 | $61,540 | Yes (X) | |||
| PAI AJITH | |||||||||
| DIRECTOR | 0.20 | 50.00 | $0 | $335,948 | $78,473 | Yes (X) | |||
| FINCH KENNETH | |||||||||
| FORMER CEO | 0.00 | 0.00 | $0 | $335,617 | $6,078 | Yes (X) | |||
| ELLIS TAMMY | |||||||||
| CNO | 30.00 | 10.00 | $204,363 | $68,122 | $42,483 | Yes (X) | |||
| LEMON SEAN | |||||||||
| COO (BEG 08/21) | 40.00 | 10.00 | $191,140 | $47,785 | $49,319 | Yes (X) | |||
| HASLAM MD DENNIS | |||||||||
| DIRECTOR | 0.20 | 0.00 | $0 | $34,450 | $0 | Yes (X) | |||
| HAFFNER PHD RANDALL | |||||||||
| DIRECTOR/CHAIRMAN (END 02/21) | 0.20 | 50.00 | $0 | $0 | $0 | Yes (X) | |||
| SOLER EDDIE | |||||||||
| DIRECTOR (END 08/21) | 0.20 | 50.00 | $0 | $0 | $0 | Yes (X) | |||
| BACON KENNETH | |||||||||
| DIRECTOR/CHAIRMAN (BEG 03/21) | 0.20 | 50.00 | $0 | $0 | $0 | Yes (X) | |||
| RANDOLPH KARSTEN | |||||||||
| DIRECTOR (BEG 08/21) | 0.20 | 50.00 | $0 | $0 | $0 | Yes (X) | |||
| SHAW EDD KENNETH | |||||||||
| DIRECTOR (END 05/21) | 0.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| CRAIG CARLOS | |||||||||
| DIRECTOR (BEG 05/21) | 0.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| PATTERSON ANA | |||||||||
| DIRECTOR (BEG 07/21) | 0.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| MOORE LARRY | |||||||||
| DIRECTOR (END 05/21) | 0.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| SECHRIST SHERRI | |||||||||
| DIRECTOR | 0.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| BOND JUSTIN | |||||||||
| DIRECTOR (BEG 01/21) | 0.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| OWEN DALLAS | |||||||||
| DIRECTOR (BEG 01/21) | 0.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| PAGE JOHN | |||||||||
| DIRECTOR (BEG 01/21) | 0.20 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,332,274 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,065,388 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,070,090 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THE BECK GROUP | |||||
| 1601 ELM STREET | DALLAS | TX | 75201 | GENERAL CONTRACTOR | $5,622,396 |
| SOUND PHYSICIANS OF NEW MEXICO | |||||
| 1498 PACIFIC AVENUE SUITE 400 | TACOMA | WA | 98402 | HOSPITALIST STAFFING | $3,958,371 |
| MAXIM HEALTHCARE SERVICES INC | |||||
| 12558 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | STAFFING SERVICES | $1,124,071 |
| HUGULEY PATHOLOGY CONSULTANTS PA | |||||
| PO BOX 879 | BURLESON | TX | 76028 | LABORATORY MEDICAL DIRECTOR/SUBSIDY SERV | $1,077,496 |
| NORTHSTAR ANESTHESIA PA | |||||
| 6225 STATE HIGHWAY 161 SUITE 200 | IRVING | TX | 75038 | ANESTHESIA SERVICES | $985,611 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 69 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Government Grants | $4,873,110 | GovernmentGrantsAmt |
| All Other Contributions | $25,329 | AllOtherContributionsAmt |
| Total Contributions | $4,898,439 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $259,070,054 | $259,070,054 | |
| MEDICAL OFFICE BUILDING | 622110 | $1,478,139 | $1,478,139 | |
| MANAGEMENT FEE REVENUE | 622110 | $1,339,313 | $1,280,341 | $58,972 |
| LAB REVENUE | 622110 | $1,076,341 | $1,076,341 | |
| CAFETERIA REVENUE | 622110 | $974,485 | $966,305 | $8,180 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,570,480 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,570,480 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $265,508,812 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,276,553 | TotalRevenueColumnAmt |
| Exclusion | $2,276,553 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,804 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,804 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,804 | TotalRevenueColumnAmt |
| Exclusion | $15,804 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,485,995 | SecuritiesAmt |
| Other | $6,522 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $4,151 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,485,995 | SecuritiesAmt |
| Other | $2,371 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,488,366 | TotalRevenueColumnAmt |
| Exclusion | $2,488,366 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EQUITY EARNINGS FROM RELATED ENTI | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $4,988,116 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,988,116 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,988,116 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $280,176,090 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $269,353,435 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,143,493 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,780,723 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,585 | TotalAmt |
| Program Services | $80,585 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,255,955 | TotalAmt |
| Management And General | $2,255,955 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,503 | TotalAmt |
| Management And General | $96,503 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,000 | TotalAmt |
| Management And General | $180,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,695 | TotalAmt |
| Management And General | $194,695 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,256,954 | TotalAmt |
| Program Services | $134,698,820 | ProgramServicesAmt |
| Management And General | $9,558,134 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,794 | TotalAmt |
| Management And General | $241,794 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,736,603 | TotalAmt |
| Program Services | $2,615,757 | ProgramServicesAmt |
| Management And General | $1,120,846 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,170,016 | TotalAmt |
| Program Services | $9,667,333 | ProgramServicesAmt |
| Management And General | $502,683 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,624,682 | TotalAmt |
| Program Services | $6,624,682 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,527 | TotalAmt |
| Management And General | $154,527 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,262 | TotalAmt |
| Management And General | $438,262 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,023 | TotalAmt |
| Program Services | $3,023 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,891,923 | TotalAmt |
| Program Services | $10,891,923 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $404,463 | TotalAmt |
| Program Services | $236,619 | ProgramServicesAmt |
| Management And General | $167,844 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $41,343,996 | $41,343,996 | |
| REPAIRS & MAINTENANCE | $5,959,847 | $5,959,847 | |
| STATE TAX INDIGENT ASSE | $3,928,106 | $3,928,106 | |
| UBI TAXES | -$123,112 | -$123,112 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,892 | TotalAmt |
| Program Services | $129,103 | ProgramServicesAmt |
| Management And General | $150,789 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,118,714 | TotalAmt |
| Program Services | $216,179,794 | ProgramServicesAmt |
| Management And General | $14,938,920 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,902 | BOYAmt |
| EOY | $5,899 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,265,618 | BOYAmt |
| EOY | $78,624,995 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,953,004 | BOYAmt |
| EOY | $34,398,478 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,993,295 | BOYAmt |
| EOY | $6,667,846 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,738,055 | BOYAmt |
| EOY | $9,634,261 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $220,233,586 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $78,405,415 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,508,881 | BOYAmt |
| EOY | $141,828,171 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,664,931 | BOYAmt |
| EOY | $18,634,919 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,280 | BOYAmt |
| EOY | $40,329 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,342,542 | BOYAmt |
| EOY | $18,239,676 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $261,729,508 | BOYAmt |
| EOY | $308,074,574 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,491,617 | BOYAmt |
| EOY | $7,162,487 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,652,107 | BOYAmt |
| EOY | $16,668,223 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,360,603 | BOYAmt |
| EOY | $12,004,635 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,504,327 | BOYAmt |
| EOY | $35,835,345 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,475,423 | BOYAmt |
| EOY | $270,470,464 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,749,758 | BOYAmt |
| EOY | $1,768,765 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,225,181 | BOYAmt |
| EOY | $272,239,229 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $261,729,508 | BOYAmt |
| EOY | $308,074,574 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $49,057,376 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,774,000 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $4,182,672 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $7,022 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,022 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AMERICAN HOSPITAL ASSOCIATION AND TEXAS HOSPITAL ASSOCIATION DUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,413,027 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $186,470 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $186,470 | OtherExpendituresAmt |
| End Year Balance | $1,413,027 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,413,027 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $185,178 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $185,178 | OtherExpendituresAmt |
| End Year Balance | $1,413,027 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,413,027 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $170,164 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $170,164 | OtherExpendituresAmt |
| End Year Balance | $1,413,027 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,413,027 | BeginningYearBalanceAmt |
| End Year Balance | $1,413,027 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,475,927 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $109,260 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $172,160 | OtherExpendituresAmt |
| End Year Balance | $1,413,027 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,742,536 | OtherCostOrOtherBasisAmt |
| Book Value | $6,742,536 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $118,614,894 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,551,767 | DepreciationAmt |
| Book Value | $86,063,127 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $78,963,528 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,546,600 | DepreciationAmt |
| Book Value | $35,416,928 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,912,628 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,307,048 | DepreciationAmt |
| Book Value | $13,605,580 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $141,828,171 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN COMMUNITY HOSPICE OF TEXAS | $14,943,021 | C |
| INVESTMENT IN THH SURGERY CENTER | $3,691,898 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $18,634,919 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED | $9,708,358 |
| OTHER RECEIVABLES | $4,807,039 |
| RECEIVABLE FROM THIRD PARTIES | $804,655 |
| DUE FROM AFFILIATED | $9,108 |
| RIGHT OF USE ASSET-OPERATING LEASE | $1,385,289 |
| OTHER ASSETS | $1,525,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,239,676 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $5,949 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED | $6,362,304 |
| PAYABLE TO THIRD PARTIES | $2,857,260 |
| CREDIT BALANCES IN A/R | $369,569 |
| ACCRUED INTEREST PAYABLE | $4,491 |
| LEASES PAYABLE | $47,170 |
| OPERATING LEASE LIABILITY | $1,398,574 |
| OTHER LIABILITIES | $959,318 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,004,635 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE FILING ORGANIZATION'S ENDOWMENT CONSISTS OF TWO DONOR-RESTRICTED ENDOWMENT FUNDS ESTABLISHED TO SUPPORT A VARIETY OF PURPOSES INCLUDING THE ACQUISITION AND MAINTENANCE OF THE HOSPITAL'S EQUIPMENT, AND ASSISTANCE TO THE HELPING HAND FUND WHICH PROVIDES ASSISTANCE TO ORGANIZATIONS AND NEEDY INDIVIDUALS WITHIN THE COMMUNITY. AN ENDOWNMENT FUND TOTALING $1,313,027 HAS A DONOR-IMPOSED RESTRICTION ON THE INVESTMENT RETURN TO BE USED EXCLUSIVELY FOR CAPITAL IMPROVEMENTS AND MAINTENANCE OF THE HOSPITAL. THE REMAINING FUND HAS NO DONOR-IMPOSED RESTRICTION ON ITS INVESTMENT RETURN. |
| PART X, LINE 2: | THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR THE TWELVE-MONTH PERIOD ENDED 12/31/2021 INCLUDE THE FILING ORGANIZATION AND THREE OF ITS SUBSIDIARIES: HUGULEY MEDICAL ASSOCIATES (HMA), A NONPROFIT, TAX-EXEMPT PHYSICIAN GROUP, TEXAS HEALTH HUGULEY SURGERY CENTER, A FREESTANDING AMBULATORY SURGERY CENTER, AND TEXAS HEALTH HOSPITAL MANSFIELD, A NONPROFIT, TAX-EXEMPT HOSPITAL. THESE CONSOLIDATED AUDITED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING FIN 48 FOOTNOTE: THE COMPANY IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES. ACCORDINGLY, THE COMPANY AND ITS TAX-EXEMPT AFFILIATES ARE NOT SUBJECT TO FEDERAL, STATE OR LOCAL INCOME TAXES, EXCEPT FOR ANY NET UNRELATED BUSINESS TAXABLE INCOME. FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED BY THE COMPANY AND ITS TAX-EXEMPT AFFILIATES DID NOT GENERATE A MATERIAL AMOUNT OF COMBINED FEDERAL, STATE OR LOCAL INCOME TAX. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,784,931 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,784,931 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06830 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,248,817 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,072,984 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,175,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,033,748 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,072,984 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,960,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $184,144 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $184,144 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,815 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,815 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $266,959 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $266,959 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,300,707 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,072,984 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,227,723 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08760 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $22,078,370 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,833,146 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $38,168,919 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $36,746,632 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,422,287 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11801 S FREEWAY | AddressLine1Txt |
| City | BURLESON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76028 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.TEXASHEALTHHUGULEY.ORG | WebsiteAddressTxt |
| State License | 100157 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | PART V, SECTION B, LINE 5: TEXAS HEALTH HUGULEY, INC. (THH OR THE HOSPITAL) OPERATES A 327-BED ACUTE-CARE HOSPITAL FACILITY IN BURLESON, TEXAS IN THE FORT WORTH, TEXAS AREA. THE MEMBERSHIP OF THH IS HELD BY TEXAS HEALTH RESOURCES (51%) AND ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (49%), BOTH ORGANIZATIONS ARE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3).BECAUSE THH'S SERVICE COVERS PORTIONS OF JOHNSON AND TARRANT COUNTIES, THH PARTICIPATED IN BOTH COLLABORATIVE REGIONAL CHNAS CONDUCTED BY TEXAS HEALTH RESOURCES' (THR'S) AFFILIATED HOSPITALS. THE DESCRIPTION OF BOTH CHNAS ARE PROVIDED BELOW. THE SOUTHERN REGION 2019 CHNA WAS A COLLABORATIVE PROCESS UTILIZING QUALITATIVE AND QUANTITATIVE METHODS TO ASSESS THE HEALTH NEEDS OF PERSONS WITHIN THE SERVICE AREAS CONSISTING OF ERATH, JOHNSON, ELLIS & KAUFMAN COUNTIES. THE 2019 CHNA WAS CONDUCTED AT THE 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 138 COMMUNITY MEMBERS WITH INTERESTS SPECIFIC TO THE HEALTH OF INDIVIDUALS IN THE SOUTHERN REGION COUNTIES IN THE CHNA DEVELOPMENT PROCESS. ONE HUNDRED TWENTY-THREE OF THESE COMMUNITY MEMBERS WERE ENGAGED ACROSS SIX SEPARATE FOCUS GROUPS HELD IN ZIP-CODES THAT WERE IDENTIFIED AS UNDERSERVED AREAS. FIFTEEN 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: CAIN & ASSOCIATES; CITY OF CLEBURNE; COMPASSION COUNSELING CENTER; CORNERSTONE ASSEMBLY OF GOD; ELMO CRIME WATCH; ELMO WATER DEPARTMENT; H-E-B GROCERY; HOOD COUNTY COMMITTEE ON AGING; HOPE MEDICAL CLINIC; KAUFMAN CHAMBER OF COMMERCE; LIGHTHOUSE CENTER FOR LEARNING; OAKDALE & HANNIBAL UNITED METHODIST CHURCHES; RUTH'S PLACE; SENIOR CONNECT; SOUTHWEST ADVENTIST UNIVERSITY; SPECIALIZED FLEET SERVICES; TARLETON STATE UNIVERSITY; TEXAS DEPARTMENT OF STATE HEALTH SERVICES; TEXAS VETERANS COMMISSION; AND TRI COUNTY FORD.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 WILL INFORM THE DEVELOPMENT OF THE 2020 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.THE TARRANT/PARKER COUNTIES REGION 2019 CHNA WAS A COLLABORATIVE PROCESS UTILIZING QUALITATIVE AND QUANTITATIVE METHODS TO ASSESS THE HEALTH NEEDS OF PERSONS WITHIN THE SERVICE AREAS WITHIN THESE COUNTIES. 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 WILL INFORM THE DEVELOPMENT OF THE 2020 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. |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | PART V, SECTION B, LINE 6A: THE 2019 CHNA FOR THE SOUTHERN REGION WAS DONE IN COLLABORATION WITH TEXAS HEALTH CLEBURNE (THC), TEXAS HEALTH STEPHENVILLE (THS), TEXAS HEALTH KAUFMAN (THK), AND TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH(THH).THE 2019 CHNA FOR THE TARRANT/PARKER COUNTIES REGION WAS CONDUCTED IN COLLABORATION WITH TEXAS HEALTH ALLIANCE (THAL), TEXAS HEALTH ARLINGTON MEMORIAL (THAM), TEXAS HEALTH FORT WORTH (THFW), TEXAS HEALTH SPECIALTY HOSPITAL (THSH), TEXAS HEALTH SOUTHWEST FORT WORTH (THSW), TEXAS HEALTH HEB (THHEB), TEXAS HEALTH AZLE (THAZ), AMH CATH LABS (AMHH), TEXAS HEALTH SOUTHLAKE (THSL), USMD AT ARLINGTON (USMD-ARL), USMD AT FORT WORTH (USMD-FW), AND TEXAS HEALTH HUGULEY (THH). |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | PART V, SECTION B, LINE 11: TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH, D/B/A TEXAS HEALTH HUGULEY WILL BE REFERRED TO IN THIS DOCUMENT AS TEXAS HEALTH HUGULEY OR "THE HOSPITAL". TEXAS HEALTH HUGULEY IS PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH. THE DIVISION INCLUDES 17 HOSPITAL FACILITIES.THIS IS THE SECOND-YEAR UPDATE FOR TEXAS HEALTH HUGULEY'S 2020-2022 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. TEXAS HEALTH HUGULEY DEVELOPED THIS PLAN AND POSTED IT BY MAY 2020 AS PART OF ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, TEXAS HEALTH HUGULEY WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN OUR SERVICE AREA. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT USED PRIMARY DATA INTERVIEWS AND SURVEYS; SECONDARY DATA FROM LOCAL, REGIONAL AND NATIONAL HEALTH-RELATED SOURCES; AND HOSPITAL PREVALENCE DATA TO HELP THE HOSPITAL DETERMINE THE HEALTH NEEDS OF THE COMMUNITY WE SERVE. ONCE THE DATA WAS GATHERED, THE PRIMARY ISSUES IDENTIFIED IN THE NEEDS ASSESSMENT WERE PRIORITIZED BY COMMUNITY AND HOSPITAL STAKEHOLDERS, WHO THEN SELECTED KEY ISSUES FOR THE HOSPITAL TO ADDRESS IN ITS 2020-2022 COMMUNITY HEALTH PLAN. THE SECOND-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THE NARRATIVE DESCRIBES THE ISSUES IDENTIFIED IN 2019 AND GIVES AN UPDATE ON THE STRATEGIES ADDRESSING THOSE ISSUES. THERE IS ALSO A DESCRIPTION OF THE IDENTIFIED ISSUES THAT THE HOSPITAL DID NOT ADDRESS.TEXAS HEALTH HUGULEY CHOSE THREE PRIORITIES FOR ITS 2020-2022 COMMUNITY HEALTH PLAN: 1. CHRONIC DISEASE PREVENTION AND MANAGEMENT2. BEHAVIORAL HEALTH 3. AWARENESS, HEALTH LITERACY, NAVIGATION PRIORITY 1: CHRONIC DISEASE PREVENTION AND MANAGEMENT 2019 DESCRIPTION OF THE ISSUE:CHRONIC DISEASES ARE THE MAJOR CAUSES OF ILLNESS, DISABILITY AND DEATH IN TEXAS AND ACCOUNT FOR OVER 50% OF ALL DEATHS PER YEAR. THERE IS EVIDENCE THAT THE SOCIAL CONTEXT OF A PERSON'S LIFE DETERMINES THEIR RISK OF EXPOSURE, DEGREE OF SUSCEPTIBILITY AND THE COURSE AND OUTCOME OF CHRONIC DISEASES. CHRONIC CONDITIONS ARE DEVASTATING FOR QUALITY OF LIFE AND ARE COSTLY CONDITIONS TO TREAT AND MANAGE. IN 2014, TEXAS REPORTED OVER $34 BILLION IN HOSPITAL CHARGES RELATED TO JUST THREE CHRONIC DISEASES: HEART DISEASE, CANCER AND STROKE. THERE IS MOUNTING EVIDENCE THAT FOCUSING INTERVENTIONS, POLICIES AND INVESTMENTS ON ADDRESSING STRUCTURAL INEQUITIES CAN IMPROVE THE HEALTH STATUS AND OUTCOMES OF VULNERABLE POPULATIONS, THEREBY REDUCING HEALTH DISPARITIES. TEXAS HEALTH HUGULEY BEGAN OFFERING THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP) IN COLLABORATION WITH LOCAL COMMUNITY PARTNERS IN 2013 TO ADDRESS THE CHRONIC DISEASE PRIORITY IDENTIFIED BY TEXAS HEALTH HUGULEY IN THE TEXAS HEALTH RESOURCES SYSTEM-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS NATIONALLY RECOGNIZED PROGRAM AIMS TO ENABLE INDIVIDUALS TO BUILD THE SELF-CONFIDENCE AND MOTIVATION THEY NEED TO MANAGE THE CHALLENGES OF LIVING WITH A CHRONIC DISEASE. PARTICIPANTS ARE ADULTS EXPERIENCING CHRONIC HEALTH CONDITIONS SUCH AS HYPERTENSION, ARTHRITIS, HEART DISEASE, STROKE, LUNG DISEASE AND DIABETES. THE PROGRAM PROVIDES EDUCATIONAL INFORMATION AND SKILL-BUILDING PRACTICE OVER SIX WEEKS. INITIALLY, THE PROGRAM WORKSHOPS WERE EXCLUSIVELY IN-PERSON.TEXAS HEALTH RESOURCES (THR) MISSION IS TO "IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE". THR TAKES ITS RESPONSIBILITY TO ITS COMMUNITIES VERY SERIOUSLY AND INVESTS CHARITABLE RESOURCES TO PROMOTE GOOD HEALTH AND PREVENT DISEASE. THR PROVIDES HEALTHCARE TO THOSE WHO DO NOT HAVE THE MEANS TO PAY. ITS HOSPITALS ALSO CONDUCT A VARIETY OF PROGRAMS DESIGNED TO IMPROVE HEALTH AND PREVENT ILLNESS IN THE COMMUNITY. THR'S COMMUNITY HEALTH IMPROVEMENT STRATEGIES ARE DRIVEN BY THE COMMUNITY HEALTH NEEDS AND ARE COMMUNITY-BASED.THE HOSPITAL COMMUNITY BENEFIT STRATEGY INCLUDES CONFRONTING HEALTH PROBLEMS AT ITS SOURCE AND EMPHASIZES HEALTH PROMOTION, DISEASE PREVENTION AND EARLY DETECTION AND TREATMENT OF ILLNESS. THE HOSPITAL PROVIDED FREE SCREENINGS AND SUPPORT CLASSES FOR CHRONIC CONDITIONS SUCH AS DIABETES AND CANCER TO IMPROVE THE CHANCES OF EARLY DETECTION AND TREATMENT OF THESE CONDITIONS. SPECIFICALLY, THE HOSPITAL PROVIDED 30 DIABETES SUPPORT CLASSES AND LOGGED EIGHT VOLUNTEER HOURS FOR DIABETES SCREENINGS. ADDITIONALLY, THE HOSPITAL PROVIDED 45 MAMMOGRAMS, THREE COLONOSCOPIES, EIGHT HOURS OF SERVICE AT COMMUNITY EVENTS AND SIX SUPPORT CLASSES FOR COMMUNITY MEMBERS. THR HOSPITALS ALSO PROVIDE FREE CHILDHOOD AND FLU IMMUNIZATIONS TO THE UNINSURED AND HIGH-RISK POPULATIONS, IN ADDITION TO CHILD AUTO PASSENGER SAFETY SEATS TO NEW PARENTS. 2021 UPDATE: WHEN THE CORONAVIRUS PANDEMIC IMPACTED TEXAS, TEXAS HEALTH HUGULEY TOOK PROACTIVE MEASURES TO MINIMIZE THE RISK OF EXPOSURE TO ITS PARTICIPANTS AND STAFF BY MOVING CLASSES AND WORKSHOPS TO A VIRTUAL FORMAT WITH THE COLLABORATING PARTNERS' SUPPORT. AS A RESULT, THR AND ITS COLLABORATING AGENCIES PROVIDED 15 CDSMP WORKSHOPS SERVING 25 INDIVIDUALS IN THE HOSPITAL'S SERVICE AREA IN 2021, OF WHICH 30% WERE RESIDENTS IN HIGH NEED ZIP CODES, AS IDENTIFIED IN THE 2019 CHNA. DESPITE THE CHALLENGES OF WORKING WITH THE DISTANCE LEARNING FORMATS, 80% OF THE PARTICIPANTS GRADUATED (ATTENDED FOUR OR MORE OF THE SIX SESSIONS), YIELDING A 20% INCREASE IN THE GRADUATION RATE FROM THE PRIOR YEAR.BEFORE THE ONSET OF COVID-19, TEXAS HEALTH HUGULEY PLANNED TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH SEVERAL AVENUES. THESE AVENUES INCLUDE FREE COMMUNITY EDUCATION EVENTS (DIABETES, HEART ATTACK AND STROKE) AND COMMUNITY EDUCATION ON ANNUAL SCREENINGS FOR CANCER PREVENTION (BREAST, LUNG, COLON). MOREOVER, TEXAS HEALTH HUGULEY PLANNED FOR LOCAL SPEAKING ENGAGEMENTS WITH PHYSICIANS RELEVANT TO EACH AREA OF OPPORTUNITY (SCHOOLS, CHURCHES, CITY EVENTS, ETC.). THESE ENGAGEMENTS AND INITIATIVES CHANGED DUE TO THE CIRCUMSTANCES OF THE PANDEMIC. IN 2020, TEXAS HEALTH HUGULEY PIVOTED MANY OF ITS COMMUNITY PROGRAMMING AND RESOURCES TO FOCUS ON THE COVID-19 PANDEMIC. EFFORTS INCLUDED SAFETY GUIDANCE FOR COMMUNITY BUSINESSES, LOCAL SCHOOLS, SIGNAGE AND SUPPLY DONATIONS, FREE COVID-19 TESTING SITES, AND VACCINE CLINICS TO PREVENT THE SPREAD OF THE DISEASE. ADDITIONAL EFFORTS INCLUDED COVID-19 EDUCATION AND SPREADING VACCINATION AWARENESS THROUGHOUT THE HOSPITAL'S SERVICE AREAS. TEXAS HEALTH HUGULEY PARTNERED WITH THE CITY OF BURLESON AND BURLESON FIRE DEPARTMENT TO ADMINISTER OVER 15,000 COVID-19 TESTS. IN PARTNERSHIP WITH THE CITY OF BURLESON, TEXAS HEALTH HUGULEY OPENED A COMMUNITY VACCINATION CLINIC AND ADMINISTERED OVER 32,000 COVID-19 VACCINES. THE HOSPITAL SUPPLIED AN ESTIMATED 3,000 OF THE ADMINISTERED VACCINES. THE TEXAS HEALTH HUGULEY HOSPITAL COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE CHRONIC DISEASE PREVENTION AND MANAGEMENT PRIORITY. 1. INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET COMMUNITIESGOAL 1: INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET COMMUNITIESOBJECTIVE 1: THE FIRST OBJECTIVE ADDRESSES THE PRIORITY OF CHRONIC DISEASE MANAGEMENT TO INCREASE THE VISIBILITY OF THR'S COMMUNITY HEALTH IMPROVEMENT (CHI) INTERVENTIONS AMONG INTERNAL AND EXTERNAL STAKEHOLDERS TO CREATE OPPORTUNITIES FOR COLLABORATION AND INTEGRATION AT THE DEPARTMENTAL AND SYSTEM LEVELS. THE INITIATIVE IS CONDUCTED THROUGH THE HOSPITAL AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE PROVIDES MORE VISIBILITY, WHICH WILL INCREASE THE ABILITY OF THE HOSPITAL TO PROVIDE SERVICES IN THE COMMUNITY. THE HOSPITAL MET ITS SET GOAL OF REACHING 300,000 COMMUNITY MEMBERS BY PROVIDING EDUCATION AND AWARENESS FOR CHRONIC DISEASE RESULTING IN ABOUT 320,000 COMMUNITY MEMBERS REACHED. THE SECOND GOAL FOR THE OBJECTIVE WAS MET BY INCREASING THE NUMBER OF PARTNERSHIPS AND COLLABORATIONS ESTABLISHED. TEXAS HEALTH HUGULEY WAS ABLE TO REACH THE 320,000 INDIVIDUALS WITHIN OUR SERVICE AREA THROUGH COLLABORATING WITH THE BELOW MENTIONED PARTNERS TO PROVIDE HEALTH EDUCATION ON SCREENINGS, HEART HEALTH, DIABETES AND OTHER CHRONIC DISEASE AREAS. THE HOSPITAL WAS ABLE TO ESTABLISH OR FURTHER RELATIONSHIPS WITH THE FOLLOWING ORGANIZATIONS: CITY OF BURLESON, BURLESON FIRE DEPARTMENT, AMERICAN CANCER SOCIETY, ATHENA SOCIETY OF BURLESON AND SOUTHWESTERN ADVENTIST UNIVERSITY. *** SEE CONTINUATION OF PART V, SECTION B, LINE 11 |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | PART V, SECTION B, LINE 13H: EFFECTIVE MARCH 1, 2020, THE FILING ORGANIZATION'S HOSPITAL FACILITY (OR FACILITIES) AUGMENTED THEIR FINANCIAL ASSISTANCE POLICY WITH A COVID-19 FINANCIAL GRACE ADDENDUM. PURSUANT TO THE COVID-19 FINANCIAL GRACE ADDENDUM, UNINSURED PATIENTS TREATED FOR COVID-19 RELATED EVALUATIONS ARE TO RECEIVE FREE OR DISCOUNTED CARE DEPENDING ON THE PATIENT'S COOPERATION IN SUBMITTING NECESSARY FINANCIAL ASSISTANCE INFORMATION. INSURED PATIENTS TESTED FOR COVID-19 ARE NOT EXPECTED TO HAVE OUT-OF-POCKET EXPENSES BASED ON INSURANCE COMMUNITY RESPONSE TO WAIVE PATIENT FINANCIAL RESPONSIBILITY. IF A PAYER UNEXPECTEDLY FAILS TO WAIVE PATIENT RESPONSIBILITY FOR COVID-19 RELATED TESTING, THE FILING ORGANIZATION WILL NOT BALANCE BILL PATIENTS FOR ANY OUT-OF-POCKET EXPENSES RELATED TO COVID-19. IN ADDITION, PATIENTS WITH EXISTING PAYMENT PLANS ARE PROVIDED OPPORTUNITIES FOR REDUCING THEIR MONTHLY PAYMENTS. |
| PART V, SECTION B, LINES 7A AND 10A: | LINE 7A. HOSPITAL FACILITY CHNA WEBSITE:WWW.TEXASHEALTHHUGULEY.ORG/HOSPITAL-AND-EMERGENCY-ROOMS/TEXAS-HEALTH-HUGULEY-HOSPITAL-FORT-WORTH-SOUTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS LINE 10A. COMMUNITY HEALTH PLAN (IMPLEMENATION STRATEGIES):WWW.TEXASHEALTHHUGULEY.ORG/HOSPITAL-AND-EMERGENCY-ROOMS/TEXAS-HEALTH-HUGULEY-HOSPITAL-FORT-WORTH-SOUTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS |
| PART V, SECTION B, LINE 16A, 16B, AND 16C: | 16A. FAP WEBSITE:WWW.TEXASHEALTHHUGULEY.ORG/HOSPITAL-AND-EMERGENCY-ROOMS/TEXAS-HEALTH-HUGULEY-HOSPITAL-FORT-WORTH-SOUTH/BILLING-AND-FINANCIAL-SERVICES 16B. FAP APPLICATION WEBSITE:WWW.TEXASHEALTHHUGULEY.ORG/HOSPITAL-AND-EMERGENCY-ROOMS/TEXAS-HEALTH-HUGULEY-HOSPITAL-FORT-WORTH-SOUTH/BILLING-AND-FINANCIAL-SERVICES 16C. PLAIN LANGUAGE SUMMARY OF FAP WEBSITE:WWW.TEXASHEALTHHUGULEY.ORG/HOSPITAL-AND-EMERGENCY-ROOMS/TEXAS-HEALTH-HUGULEY-HOSPITAL-FORT-WORTH-SOUTH/BILLING-AND-FINANCIAL-SERVICES |
| *** CONTINUATION OF PART V, SECTION B, LINE 11: | THE CITY OF BURLESON IS A LOCAL GOVERNING BODY THAT COLLABORATES WITH THE BURLESON FIRE DEPARTMENT, WHICH HAS A MISSION TO IMPROVE THE QUALITY OF LIFE AND SAFETY OF THE CITIZENS THROUGH FIRE PREVENTION AND EMERGENCY RESPONSE. THE AMERICAN CANCER SOCIETY IS A NON-PROFIT ORGANIZATION THAT PROMOTES A HEALTHY LIFESTYLE TO HELP PREVENT CANCER. THE ATHENA SOCIETY OF BURLESON IS A NON-PROFIT ORGANIZATION COMPRISED OF WOMEN WITH A MISSION TO CONTRIBUTE TO THEIR COMMUNITY TO IMPROVE THE QUALITY OF LIFE FOR OTHERS. THE SOUTHWESTERN ADVENTIST UNIVERSITY HAS A MISSION TO INSPIRE KNOWLEDGE, FAITH AND SERVICE CENTERED THROUGH CHRIST-CENTERED EDUCATION. OBJECTIVE 2: THE SECOND OBJECTIVE, WHICH ADDRESSES THE PRIORITY OF CHRONIC DISEASE MANAGEMENT, IS TO FINALIZE SUSTAINABILITY PLANS AND COLLECTIVELY SUPPORT STRATEGIES THAT INCREASE RESOURCES, FUNDING AND COLLABORATION OPPORTUNITIES THAT STRENGTHEN THR'S COMMUNITY HEALTH IMPROVEMENT INTERVENTIONS. THE INITIATIVE IS FUNDED AND DEPLOYED THROUGH THE HOSPITAL AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE PROVIDES RESOURCES, AWARENESS, MONETARY DONATIONS AND EDUCATION TO COMMUNITY ORGANIZATIONS THAT PRESENT OPPORTUNITIES FOR HEALTH IMPROVEMENTS. THE HOSPITAL MET ITS SET GOAL OF DONATING FUNDS IN THE FORM OF SPONSORSHIPS TO OVER 30 COMMUNITY ORGANIZATIONS. TEXAS HEALTH HUGULEY PROVIDED $85,750 TO ORGANIZATIONS LIKE MEALS ON WHEELS ($2,750), CRAZY8 MINISTRIES ($4,000), HARVEST HOUSE ($500), AMERICAN CANCER SOCIETY ($1,000), CASA OF JOHNSON COUNTY ($2,000), COMMUNITY HOSPICE OF TEXAS ($2,500), ONE SAFE PLACE ($500), NEXT STEP WOMEN'S CENTER ($2,500) AND OTHER NON-PROFIT ORGANIZATIONS THAT TOTAL THE AMOUNT OF $70,000. THESE DONATIONS WERE GIVEN TO EACH OF THE ABOVE ORGANIZATIONS TO SUPPORT SPECIFIC EVENTS OR INITIATIVES THAT RELATED TO THE PRIORITY CHRONIC DISEASE PREVENTION. THE HOSPITAL ALSO COLLABORATED WITH 15 OF THE 30 NON-PROFIT ORGANIZATIONS TO PROVIDE FOOD, MEDICAL SCREENINGS (CANCER, DIABETES, HEART HEALTH, BEHAVIORAL HEALTH), VOLUNTEER HOURS AND HEALTH EDUCATION MATERIALS (PRINT COLLATERAL, PROMOTIONAL ITEMS AND SPEAKING ENGAGEMENTS) TO AID THESE ORGANIZATIONS IN IMPROVING THE HEALTH OF THE COMMUNITY AND MANAGING OR PREVENTING CHRONIC DISEASE. OBJECTIVE 3:THE THIRD OBJECTIVE, WHICH ADDRESSES THE PRIORITY OF CHRONIC DISEASE MANAGEMENT, IS TO DEMONSTRATE INNOVATION AT THE DEPARTMENTAL OR SYSTEM-LEVEL FOCUSED ON IMPROVING THE DELIVERY OF HEALTH SERVICES TO OUR TARGET POPULATION/COMMUNITIES. THE INITIATIVE IS CONDUCTED THROUGH THE HOSPITAL AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE USES THE TEXAS HEALTH HUGULEY'S MOBILE HEALTH BUS TO PROVIDE SERVICES TO THOSE UNABLE TO ACCESS HEALTHCARE DUE TO A LACK OF TRANSPORTATION OR ADEQUATE FINANCIAL RESOURCES. SERVICES INCLUDE IMMUNIZATIONS, WELL WOMEN EXAMS, REGULAR AND SPORTS PHYSICALS, EKG, TB TESTING, FLU SHOTS, SKIN CANCER SCREENING, HEPATITIS A & B VACCINES, BLOOD PRESSURE SCREENINGS AND LAB WORK. THE HOSPITAL MET ITS SET GOAL OF DELIVERING ACCESS TO POPULATIONS IN NINE UNDERPRIVILEGED ZIP CODES OF FAMILIES WHICH INCLUDE ADULTS AND CHILDREN THAT WERE REACHED. DURING THE COURSE OF 2021, 50,000+ COVID VACCINES WERE ADMINISTERED IN OUR COMMUNITY. FROM MAY - OCTOBER OF 2021 THE MOBILE HEALTH BUS WAS ENGAGING IN ITS REGULAR SCHEDULE, VISITING TARGETED ZIP CODES WITHIN OUR PSA TO PROVIDE IMMUNIZATIONS, WELL WOMEN EXAMS, REGULAR AND SPORTS PHYSICALS, EKG, TB TESTING, FLU SHOTS, SKIN CANCER SCREENING, HEPATITIS A & B VACCINES, BLOOD PRESSURE SCREENINGS, LAB WORK , MEDICATIONS AND TREATMENT OPTIONS FOR ADULTS AND CHILDREN RESIDING IN THESE AREAS. DURING THIS TIME THE BUS WAS AVAILABLE 59 TIMES, SERVING 708 PATIENTS. DUE TO MECHANICAL ISSUES WITH THE BUS, ADDITIONAL COMMUNITY OUTREACH WAS ENGAGED IN BY THE STAFF DURING NOVEMBER AND DECEMBER. ACTIVITY INCLUDED SCREENINGS AND IMMUNIZATIONS FOR 300 FAMILIES AT THE CROWLEY HOUSE OF HOPE'S BACK TO SCHOOL FAIR; FOUR SEPARATE FLU CLINICS WHERE 630 FLU SHOTS WERE ADMINISTERED; 9 COMMUNITY CPR CLASSES EDUCATING 35 INDIVIDUALS.PRIORITY 2: BEHAVIORAL HEALTH 2019 DESCRIPTION OF THE ISSUE:BEHAVIORAL HEALTH CONDITIONS AFFECT NEARLY ONE IN FIVE AMERICANS AND OFTEN GOES UNDETECTED AND UNTREATED DUE TO THE FRAGMENTED BEHAVIORAL AND PHYSICAL HEALTH SYSTEMS. IF LEFT UNTREATED, UNCONTROLLED BEHAVIORAL HEALTH CAN LEAD TO HIGH UTILIZATION OF PREVENTABLE HOSPITALIZATION, WHICH IN TURN LEADS TO HIGH HEALTH EXPENSES FOR MANY PATIENTS AND HEALTH CARE SYSTEMS. ACCORDING TO THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), THE COST OF CARE IS 75 PERCENT HIGHER FOR PEOPLE WITH CO-MORBID BEHAVIORAL AND PHYSICAL HEALTH CONDITIONS. LIMITED HEALTH CARE ACCESS AND UNSAFE ENVIRONMENTS ARE POTENTIAL RISK FACTORS FOR BEHAVIORAL HEALTH DISORDERS. ALSO, EXPOSURES TO VIOLENCE, SOCIAL ISOLATION AND DISCRIMINATION ARE SOURCES OF TOXIC STRESS THAT SIGNIFICANTLY CONTRIBUTE TO THE DEVELOPMENT AND EXACERBATION OF BEHAVIORAL HEALTH DISORDERS. IT IS IMPORTANT TO EMPOWER INDIVIDUALS WITH THE SKILLS AND RESOURCES TO ACCESS AND UTILIZE APPROPRIATE BEHAVIORAL HEALTH SERVICES.2021 UPDATE: IN SEPTEMBER 2020, TEXAS HEALTH HUGULEY LAUNCHED AN ADOLESCENT BEHAVIORAL HEALTH PROGRAM TO MEET THE NEEDS OF YOUTH IN JOHNSON/TARRANT COUNTY SUFFERING FROM MENTAL HEALTH DISABILITIES. THE TIMING OF THE COVID-19 OUTBREAK ALLOWED TEXAS HEALTH HUGULEY TO BECOME A "HUB" FOR ADOLESCENTS STRUGGLING AS THEIR FAMILIES NAVIGATED THE CHALLENGES OF THE PANDEMIC INCLUDING THE TRANSITION TO VIRTUAL LEARNING, INCREASES IN DOMESTIC VIOLENCE, ETC. THE "HUB" FOR THESE SERVICES ENTAILED PROVIDING FREE WALK-IN OR VIRTUAL ASSESSMENT FOR THOSE WHO ARE CLINICALLY IDENTIFIED AS MENTALLY OR EMOTIONALLY UNSTABLE. THIS WOULD ALSO INCLUDE PROVIDING FREE OF COST THERAPY OR TREATMENT TO THOSE WHO NEED ADDITIONAL RESOURCES TO COPE WITH THE BEHAVIORAL HEALTH ISSUES THAT HAVE BEEN IDENTIFIED FOR EACH INDIVIDUAL. THE "HUB" ALSO ENTAILS PROVIDING COUNSELING AND GUIDANCE FREE OF CHARGE TO PARENTS AND FAMILY MEMBERS ON HOW TO ADDRESS THE ISSUES AT HOME. WHILE LAUNCHING THIS PROGRAM, TEXAS HEALTH HUGULEY'S BEHAVIORAL HEALTH DEPARTMENT WAS ABLE TO OFFER FREE SERVICES IN SUPPORT OF COMMUNITY BENEFIT AND MEET THE MENTAL HEALTH NEEDS OF ADULTS IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THE TEXAS HEALTH HUGULEY, COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENTS UNDER THE BEHAVIORAL HEALTH PRIORITY. 1. INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET COMMUNITIESGOAL 1: INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET COMMUNITIESOBJECTIVE 1: THE FIRST OBJECTIVE, WHICH ADDRESSES THE PRIORITY OF BEHAVIORAL HEALTH, IS TO INCREASE THE VISIBILITY OF THR'S COMMUNITY HEALTH IMPROVEMENT (CHI) INTERVENTIONS AMONG INTERNAL AND EXTERNAL STAKEHOLDERS TO CREATE OPPORTUNITIES FOR COLLABORATION AND INTEGRATION AT THE DEPARTMENTAL AND SYSTEM LEVELS. THE INITIATIVE IS CONDUCTED THROUGH THE HOSPITAL AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. INTERNAL STAKEHOLDERS FROM OUR BEHAVIORAL HEALTH DEPARTMENT WORKED WITH SCHOOL COUNSELORS TO OFFER FREE THERAPY CLASSES AND ASSESSMENTS TO SCHOOL-AGED ADOLESCENTS. THESE SERVICES WERE ALSO OFFERED FREE OF CHARGE TO BEHAVIORAL-HEALTH RELATED NETWORKING GROUPS (BURLESON INDEPENDENT SCHOOL DISTRICT, UNITED WAY, PRIVATE PRACTICES, ADULT AND ADOLESCENT THERAPISTS). THERE WERE 103 ADOLESCENTS SERVED THROUGH THIS EFFORT IN 2021. IN ADDITION, 390 ADULTS WERE PROVIDED WITH FREE MENTAL HEALTH ASSESSMENT SERVICES.OBJECTIVE 2: THE SECOND OBJECTIVE, WHICH ADDRESSES THE PRIORITY OF BEHAVIORAL HEALTH, IS TO FINALIZE SUSTAINABILITY PLANS AND COLLECTIVELY SUPPORT STRATEGIES THAT INCREASE RESOURCES, FUNDING AND COLLABORATION OPPORTUNITIES THAT STRENGTHEN THR'S COMMUNITY HEALTH IMPROVEMENT INTERVENTIONS. THE INITIATIVE IS FUNDED AND DEPLOYED THROUGH TEXAS HEALTH RESOURCES AND THE REPORTING HOSPITAL. THE HOSPITAL MET ITS SET GOAL FOR THE ABOVE OBJECTIVE THROUGH TEXAS HEALTH RESOURCES SYSTEM INVOLVEMENT TOUCHING OUR PRIMARY SERVICE AREA ZIP CODES IN JOHNSON AND SOUTHWEST TARRANT COUNTIES. WITH THE LAUNCH OF THE ADOLESCENT BEHAVIORAL HEALTH PROGRAM IN SEPTEMBER 2020, THE HOSPITAL HAS HAD THE OPPORTUNITY TO GREATLY EXPAND BEHAVIORAL SERVICES FOR THIS POPULATION. IN 2021, 300 ADOLESCENTS WERE SERVED IN THE PROGRAM. THE TEXAS HEALTH HUGULEY BEHAVIORAL HEALTH PROGRAM HAS ALSO CREATED PARTNERSHIPS WITH LOCAL ORGANIZATIONS LIKE UNITED WAY, CENTER FOR AUTISTIC SPECTRUM DISORDER (ASD) AND LOCAL INDEPENDENT SCHOOL DISTRICTS (ISDS) TO OFFER SERVICES AND SPREAD AWARENESS. AN ADDITIONAL 1,929 ADULTS WERE PROVIDED WITH MENTAL HEALTH ASSESSMENT AND TREATMENT DURING 2021. *** SEE CONTINUATION OF PART V, SECTION B, LINE 11 |
| *** CONTINUATION OF PART V, SECTION B, LINE 11: | TEXAS HEALTH HUGULEY AWARDED $125,000 FROM THE HOSPITAL SYSTEM BUDGET TO THE FOLLOWING COMMUNITY ORGANIZATIONS: BURLESON OPPORTUNITY FUND, CASA OF JOHNSON COUNTY, CRAZY 8 MINISTRIES, HARVEST HOUSE, MEALS ON WHEELS, NEXT STEP WOMEN'S CENTER AND ONE SAFE PLACE. THE AIM OF THIS INITIATIVE WAS TO ADVANCE THE PREVENTION AND MANAGEMENT OF SOCIAL, PHYSICAL, AND BEHAVIORAL HEALTH IN UNDERSERVED COMMUNITIES, WITH THE GOAL OF REDUCING HEALTH DISPARITIES AND IMPROVING HEALTH EQUITY. THE INITIATIVE CALLS ON AGENCIES FROM DIFFERENT SECTORS EDUCATION, HEALTH CARE, GOVERNMENT, GRASSROOTS ORGANIZATIONS, AND OTHERS TO UNITE AGAINST IDENTIFIED ISSUES.PRIORITY 3: AWARENESS, HEALTH LITERACY, NAVIGATION 2019 DESCRIPTION OF THE ISSUE:APPROXIMATELY 80 MILLION ADULTS IN THE UNITED STATES HAVE LIMITED HEALTH LITERACY, WHICH ADVERSELY AFFECTS THE QUALITY AND COST OF HEALTHCARE. EVIDENCE SHOWS THAT POOR HEALTH LITERACY IS ASSOCIATED WITH HIGHER HOSPITALIZATIONS, GREATER USE OF EMERGENCY CARE, LOWER RECEIPTS OF SCREENINGS AND VACCINES, REDUCED ABILITY TO DEMONSTRATE MEDICATION ADHERENCE AND POOR OVERALL HEALTH STATUS AND HIGHER MORTALITY RATES. INDIVIDUALS OR GROUPS THAT LACK ECONOMIC RESOURCES, RESIDE IN NEIGHBORHOODS WITH HIGH CONDITIONS OF CRIME, HAVE LIMITED GREEN SPACE AND GROCERY STORES ARE AT RISK FOR ADVERSE HEALTH OUTCOMES. THERE IS EVIDENCE THAT A PERSON'S ZIP CODE HAS POWERFUL INFLUENCES ON THEIR HEALTH STATUS, ACCESS TO RESOURCES, AND THE ABILITY TO NAVIGATE THOSE RESOURCES.2021 UPDATE: IN 2021, TEXAS HEALTH HUGULEY WAS ABLE TO ADDRESS THIS ISSUE OF AWARENESS, HEALTH LITERACY AND NAVIGATION THROUGH SEVERAL DIFFERENT AVENUES. TEXAS HEALTH HUGULEY'S COMMUNITY CARE CLINIC WAS ABLE TO PROVIDE POST-ACUTE PRIMARY CARE FOLLOW UP FOR UNINSURED INDIVIDUALS UPON BEING DISCHARGED FROM OUR EMERGENCY DEPARTMENT OR AT THE CONCLUSION OF AN INPATIENT STAY. SERVICES INCLUDE OFFICE VISITS, MEDICATION MANAGEMENT, MONETARY ASSISTANCE FOR MEDICATION, HELP WITH NEEDED DME AND GLUCOSE MONITORING DEVICES. CARE CLINIC ASSISTANCE PROVIDED RESOURCES (FUNDING, MEDICATION, REFERRALS) FOR THOSE WITH HIGH BLOOD PRESSURE, DIABETES, HEART DISEASE AND MANY OTHER CHRONIC HEALTH ISSUES. ASSISTANCE RESULTED IN A MONETARY PROVISION OF OVER $1,500 IN PRESCRIPTION MEDICATIONS PLUS ADDITIONAL LAB, X-RAY OR RADIOLOGY SERVICES FOR EACH PATIENT BASED ON INCOME, EMPLOYMENT, INSURANCE STATUS AND OTHER CRITERIA. TEXAS HEALTH HUGULEY'S MOBILE HEALTH BUS WAS ABLE TO AID SURROUNDING JOHNSON/TARRANT COUNTY RESIDENTS THROUGH GIVING VACCINATIONS, PHYSICAL EXAMS, PAP SMEARS, PASSING OUT FREE MAMMOGRAM VOUCHERS AND MEETING MANY OTHER MEDICAL NEEDS. SERVICE AREAS FOCUSED ON THE TOWNS OF EVERMAN, CROWLEY, BURLESON, JOSHUA, GODLEY AND SOUTH FORT WORTH. TO ALLOW PATIENTS TO BETTER NAVIGATE HEALTH ISSUES, TEXAS HEALTH HUGULEY HAS ADDED SEVERAL CLINICAL NAVIGATOR ROLES TO SERVICES INCLUDING ONCOLOGY, ORTHOPEDICS AND SPINE. THESE ROLES ARE NOT ONLY USED TO NAVIGATE PATIENTS WITHIN THE SERVICE LINES BUT ARE REQUIRED TO PARTICIPATE IN FINDING OUTSIDE COMMUNITY BENEFIT OPPORTUNITIES TO SERVICE THOSE WHO NEED ACCESS TO THESE SERVICES BUT CANNOT AFFORD THEM. ADDITIONAL EDUCATOR ROLES HAVE BEEN ADDED TO DEPARTMENTS LIKE WOMEN'S SERVICES AND CRITICAL CARE TO MAKE EACH PATIENT'S JOURNEY AS STREAMLINED AS POSSIBLE AND PROVIDE ADDITIONAL EDUCATION NEEDED FREE OF CHARGE.THE HOSPITAL IS A PART OF SEVERAL COMMUNITY COLLABORATIONS THAT WORKED ON CONTRIBUTING TO THIS PRIORITY, INCLUDING: CRAZY 8 MINISTRIES, PARTNERSHIPS WITH LOCALS ISDS, NEXT STEP WOMEN'S CENTER, ONE SAFE PLACE AND THE BURLESON AREA CHAMBER OF COMMERCE. THE EFFORTS DESCRIBED ARE FOR THE INDIVIDUAL FACILITY, TEXAS HEALTH HUGULEY, TO ADDRESS THIS ISSUE IS PROVIDING CONSISTENT EDUCATIONAL OPPORTUNITIES, AS WELL AS STAFFING AND MATERIALS FOR THE MOBILE HEALTH BUS AND OFFERING COMMUNITY EDUCATION AND SUPPORT CLASSES DURING A PANDEMIC.THE COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENTS UNDER THE AWARENESS, HEALTH LITERACY, NAVIGATION PRIORITY. 1. INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET GOAL 1: INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET OBJECTIVE 1: THE FIRST OBJECTIVE WHICH ADDRESSES THE PRIORITY OF AWARENESS, HEALTH LITERACY AND NAVIGATION, IS TO INCREASE THE VISIBILITY OF THR'S COMMUNITY HEALTH IMPROVEMENT (CHI) INTERVENTIONS AMONG INTERNAL AND EXTERNAL STAKEHOLDERS TO CREATE OPPORTUNITIES FOR COLLABORATION AND INTEGRATION AT THE DEPARTMENTAL AND SYSTEM LEVELS. THE INITIATIVE IS CONDUCTED THROUGH TEXAS HEALTH HUGULEY AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THIS INITIATIVE WILL AIM TO PROVIDE WAYS TO MAKE IT EASIER FOR THE TARGET POPULATION TO ACCESS HEALTH EDUCATION, SUPPLIES AND SERVICES THEY NEED TO CARE FOR THEMSELVES AND THEIR FAMILIES. THE HOSPITAL MET ITS SET GOAL OF REACHING INDIVIDUALS IN PRIMARY SERVICE AREA ZIP CODES (76133, 76123, 76140, 76036 TARRANT, 76028, 76058, 76059, 76031, 76009 JOHNSON) THROUGH EDUCATION PROGRAMS SUCH AS DIABETES EDUCATION PROGRAM, COLLABORATIONS WITH ORGANIZATIONS, SPEAKING ENGAGEMENTS AND DISTRIBUTING MATERIALS AT COMMUNITY EVENTS. SPECIFICALLY, THE HOSPITAL PROVIDED A MOBILE HEALTH SERVICES CLINIC, COMMUNITY CARE CLINIC, BEHAVIORAL HEALTH PROGRAM, PARTNERSHIPS AND COLLABORATIONS WITH VARIOUS ORGANIZATIONS AND STAKEHOLDERS THAT AID IN ACCESS AND LITERACY AND AWARENESS (I.E. MEALS ON WHEELS, HARVEST HOUSE, ETC.).OBJECTIVE 2: THE SECOND OBJECTIVE WHICH ADDRESSES THE PRIORITY OF AWARENESS, HEALTH LITERACY AND NAVIGATION, IS TO FINALIZE SUSTAINABILITY PLANS AND COLLECTIVELY SUPPORT STRATEGIES THAT INCREASE RESOURCES, FUNDING AND COLLABORATION OPPORTUNITIES THAT STRENGTHEN THR'S COMMUNITY HEALTH IMPROVEMENT INTERVENTIONS.THE INITIATIVE IS CONDUCTED THROUGH TEXAS HEALTH HUGULEY AND TEXAS HEALTH RESOURCES AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE TO FINALIZE SUSTAINABILITY AND STRATEGY PLANS IS TO CONTINUE TO OFFER SERVICES IN OUR AREA THAT PROVIDE EDUCATION, AWARENESS, LITERACY AND ACCESS TO HEALTH SERVICES AND SUPPLIES FOR THE TARGET POPULATIONS. THIS WILL BE ACCOMPLISHED THROUGH COLLABORATING WITH COMMUNITY STAKEHOLDERS AND LOCAL ORGANIZATIONS TO ATTEND COMMUNITY EVENTS, OFFER EDUCATION THROUGH SPEAKING ENGAGEMENTS AND CONTINUE DISTRIBUTING MATERIALS.THE HOSPITAL MET IT'S SET METRIC OF REACHING 330,000 INDIVIDUALS IN THE HOSPITAL'S SERVICE AREA THAT BENEFITED FROM EDUCATION, SUPPLIES OR SERVICES THAT TEXAS HEALTH HUGULEY WAS ABLE TO OFFER. THIS WAS DONE THROUGH COMMUNITY ENGAGEMENTS AND EVENTS, CLINICIAN EDUCATION SESSIONS AND SPEAKING EVENTS AS WELL AS NON-PAID SOCIAL AND EMAIL CAMPAIGNS TO EDUCATE INDIVIDUALS. ADDITIONALLY, THE HOSPITAL CONTINUED TO WORK WITH INTERNAL DEPARTMENTS TO CREATE STRATEGIES AND PLANS TO FURTHER REACH OUR COMMUNITY TO MEET THIS NEED. FOUR EXAMPLES OF THIS INCLUDE OUR FAITH COMMUNITY COMMITTEE IN COLLABORATION WITH BEHAVIORAL HEALTH, COMMUNITY STRATEGY COMMITTEE IN PARTNERSHIP WITH KEY STAKEHOLDERS IN OUR COMMUNITY, AND NEW INITIATIVES WITH BOTH OUR BEHAVIORAL HEALTH AND PASTORAL CARE DEPARTMENTS THAT OFFER EDUCATION AND SERVICES ON GRIEF AND MENTAL HEALTH. OBJECTIVE 3:THE THIRD OBJECTIVE WHICH ADDRESSES THE PRIORITY OF AWARENESS, HEALTH LITERACY AND NAVIGATION, IS TO DEMONSTRATE INNOVATION AT THE DEPARTMENTAL OR SYSTEM-LEVEL FOCUSED ON IMPROVING THE DELIVERY OF HEALTH SERVICES TO OUR TARGET POPULATION/COMMUNITIES. THE INITIATIVE IS CONDUCTED THROUGH TEXAS HEALTH RESOURCES AND TEXAS HEALTH HUGULEY AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE PROVIDES ACCESS TO HEALTH CARE AND THE KNOWLEDGE OF HEALTH CARE THROUGH STRATEGIC PLANNING AND INNOVATION TO REACH TARGETED AUDIENCES. THE HOSPITAL MET ITS SET METRIC OF CREATING TWO NEW, INNOVATIVE WAYS TO STRATEGICALLY DECIDE HOW TO MEET THE NEEDS OF OUR POPULATION. THIS METRIC WAS MET BY IMPLEMENTING THE COMMUNITY STRATEGY COMMITTEE AND FAITH COMMUNITY COMMITTEE. THESE COMMITTEES INCLUDE DEPARTMENT REPRESENTATIVES, EXECUTIVES AND KEY STAKEHOLDERS IN THE COMMUNITY THAT GET TOGETHER MONTHLY TO ASSESS AND PLAN WHERE HOSPITAL STAFF TIME AND EFFORTS ARE BEING SPENT AND SHOULD BE FOCUSED. IN THESE MEETINGS, INDIVIDUALS ARE TASKED WITH RELATIONSHIP BUILDING AND FINDING WAYS FOR THE HOSPITAL TO PROMOTE HEALTH SERVICES AND EDUCATE THE COMMUNITY BETTER. *** SEE CONTINUATION OF PART V, SECTION B, LINE 11 |
| *** CONTINUATION OF PART V, SECTION B, LINE 11: | COMMUNITY NEEDS NOT CHOSEN BY TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH:THE PRIMARY AND SECONDARY DATA IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MULTIPLE COMMUNITY ISSUES. THE HOSPITAL AND COMMUNITY STAKEHOLDERS USED THE FOLLOWING CRITERIA TO NARROW THE LARGER LIST TO THE PRIORITY AREAS NOTED ABOVE:1. HOW ACUTE IS THE NEED? (BASED ON DATA AND COMMUNITY CONCERN)2. WHAT IS THE TREND? IS THE NEED GETTING WORSE?3. DOES THE HOSPITAL PROVIDE SERVICES THAT RELATE TO THE PRIORITY? 4. IS SOMEONE ELSE - OR MULTIPLE GROUPS - IN THE COMMUNITY ALREADY WORKING ON THIS ISSUE? 5. IF THE HOSPITAL WERE TO ADDRESS THIS ISSUE, ARE THERE OPPORTUNITIES TO WORK WITH COMMUNITY PARTNERS? BASED ON THIS PRIORITIZATION PROCESS, THE HOSPITAL DID NOT CHOOSE THE FOLLOWING COMMUNITY ISSUES:1. TRANSPORTATION: A POOR TRANSPORTATION SYSTEM PREVENTS THOSE WHO DO NOT OWN A CAR OR HAVE RELIABLE TRANSPORTATION FROM ACCESSING HEALTH CARE. TRANSPORTATION BARRIERS LEAD TO RESCHEDULED OR MISSED APPOINTMENTS, DELAYED CARE AND MISSED OR DELAYED MEDICATION USE. 2. HEART DISEASE & STROKE: THOUGH NOT A PRIORITIZED AREA, THE HOSPITAL HAS CERTIFICATIONS IN STROKE AND CHEST PAIN. THE HOSPITAL WILL PROMOTE HEART HEALTH EDUCATION IN THE COMMUNITY ON EACH TOPIC AND PARTNER WITH COMMUNITY ORGANIZATIONS AS NECESSARY.3. CANCER: CANCER IS THE SECOND LEADING CAUSE OF DEATH IN THE U.S. WITH OVER 100 TYPES. MANY ARE PREVENTABLE AND RESEARCH ADVANCES IN DETECTION AND TREATMENT HAVE GREATLY IMPROVED SURVIVAL RATES. THE HOSPITAL WILL CONTINUE TO PARTICIPATE BY SUPPORTING REFERRALS FROM SUSAN G. KOMEN FOUNDATION AND MONCRIEF CANCER INSTITUTE TO PROVIDE MAMMOGRAPHY, CLINICAL BREAST EXAMINATIONS AND PAP SMEARS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - TEXAS HEALTH HUGULEY IMAGING CENTER | ||||
| 12001 S FREEWAY SUITE 100 | BURLESON | TX | 76028 | OUTPATIENT IMAGING |
| 2 - CENTER FOR WOUND CARE & HYPERBARIC MED | ||||
| 12001 S FREEWAY SUITE 301 | BURLESON | TX | 76028 | OUTPATIENT WOUND CARE |
| 3 - OUTPATIENT REHABILITATION | ||||
| 215 OLD HIGHWAY 1187 | BURLESON | TX | 76028 | OUTPATIENT REHAB THERAPY |
| 4 - OUTPATIENT MRI | ||||
| 215 OLD HIGHWAY 1187 | BURLESON | TX | 76028 | OUTPATIENT MRI |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS. |
| PART III, LINE 2: | THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 OF SECTION A OF PART III IS RECORDED IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO REVENUE, NOT BAD DEBT EXPENSE. |
| PART III, LINE 3: | METHODOLOGY FOR DETERMINING THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT MAY REPRESENT PATIENTS WHO COULD HAVE QUALIFIED UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY:SELF-PAY PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM). IF AN INDIVIDUAL DOES NOT SUBMIT A COMPLETE FAA FORM WITHIN 240 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL, AN INDIVIDUAL MAY BE CONSIDERED FOR PRESUMPTIVE ELIGIBILITY BASED UPON A SCORING TOOL THAT IS DESIGNED TO CLASSIFY PATIENTS INTO GROUPS OF VARYING ECONOMIC MEANS. THE SCORING TOOL USES ALGORITHMS THAT INCORPORATE DATA FROM CREDIT BUREAUS, DEMOGRAPHIC DATABASES, AND HOSPITAL SPECIFIC DATA TO INFER AND CLASSIFY PATIENTS INTO RESPECTIVE ECONOMIC MEANS CATEGORIES. INDIVIDUALS WHO EARN A CERTAIN SCORE ON THE SCORING TOOL ARE CONSIDERED TO QUALIFY AS ELIGIBLE FOR THE MOST GENEROUS FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. AS DETERMINED BY THE FILING ORGANIZATION, A NOMINAL AMOUNT OF SUCH A PATIENT'S BILL IS WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING PORTION OF THE PATIENT'S BILL IS CONSIDERED NON-STATE CHARITY. THE AMOUNT WRITTEN OFF AS BAD DEBT EXPENSE FOR THOSE PATIENTS WHO POTENTIALLY QUALIFY AS NON-STATE CHARITY USING THE SCORING TOOL IS THE AMOUNT SHOWN ON LINE 3 OF SECTION A OF PART III. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY. |
| PART III, LINE 4: | FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 6 THROUGH 8. |
| PART III, LINE 8: | COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO.RATIONALE FOR INCLUDING A MEDICARE SHORTFALL AS COMMUNITY BENEFIT:AS A 501(C)(3) ORGANIZATION, THE FILING ORGANIZATION PROVIDES EMERGENCY AND NON-ELECTIVE CARE TO ALL REGARDLESS OF ABILITY TO PAY. ALL HOSPITAL SERVICES ARE PROVIDED IN A NON-DISCRIMINATORY MANNER TO PATIENTS WHO ARE COVERED BENEFICIARIES UNDER THE MEDICARE PROGRAM. AS A PUBLIC INSURANCE PROGRAM, MEDICARE PROVIDES A PRE-ESTABLISHED REIMBURSEMENT RATE/AMOUNT TO HEALTH CARE PROVIDERS FOR THE SERVICES THEY PROVIDE TO PATIENTS. IN SOME CASES, THE REIMBURSEMENT AMOUNT PROVIDED TO A HOSPITAL MAY EXCEED ITS COSTS OF PROVIDING A PARTICULAR SERVICE OR SERVICES TO A PATIENT. IN OTHER CASES, THE MEDICARE REIMBURSEMENT AMOUNT MAY RESULT IN THE HOSPITAL EXPERIENCING A SHORTFALL OF REIMBURSEMENT RECEIVED OVER COSTS INCURRED. IN THOSE CASES WHERE AN OVERALL SHORTFALL IS GENERATED FOR PROVIDING SERVICES TO ALL MEDICARE PATIENTS, THE SHORTFALL AMOUNT SHOULD BE CONSIDERED AS A BENEFIT TO THE COMMUNITY. TAX-EXEMPT HOSPITALS ARE REQUIRED TO ACCEPT ALL MEDICARE PATIENTS REGARDLESS OF THE PROFITABILITY, OR LACK THEREOF, WITH RESPECT TO THE SERVICES THEY PROVIDE TO MEDICARE PATIENTS. THE POPULATION OF INDIVIDUALS COVERED UNDER THE MEDICARE PROGRAM IS SUFFICIENTLY LARGE SO THAT THE PROVISION OF SERVICES TO THE POPULATION IS A BENEFIT TO THE COMMUNITY AND RELIEVES THE BURDENS OF GOVERNMENT. IN THOSE SITUATIONS WHERE THE PROVISION OF SERVICES TO THE TOTAL MEDICARE PATIENT POPULATION OF A TAX-EXEMPT HOSPITAL DURING ANY YEAR RESULTS IN A SHORTFALL OF REIMBURSEMENT RECEIVED OVER THE COST OF PROVIDING CARE, THE TAX-EXEMPT HOSPITAL HAS PROVIDED A BENEFIT TO A CLASS OF PERSONS BROAD ENOUGH TO BE CONSIDERED A BENEFIT TO THE COMMUNITY. DESPITE A FINANCIAL SHORTFALL, A TAX-EXEMPT HOSPITAL MUST AND WILL CONTINUE TO ACCEPT AND CARE FOR MEDICARE PATIENTS. TYPICALLY, TAX-EXEMPT HOSPITALS PROVIDE HEALTH CARE SERVICES BASED UPON AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THEIR COMMUNITY AS OPPOSED TO THEIR TAXABLE COUNTERPARTS WHERE PROFITABILITY OFTEN DRIVES DECISIONS ABOUT PATIENT CARE SERVICES THAT ARE OFFERED. PATIENT CARE PROVIDED BY TAX-EXEMPT HOSPITALS THAT RESULTS IN MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS PROVIDING A BENEFIT TO THE COMMUNITY AND RELIEVING THE BURDENS OF GOVERNMENT. |
| PART III, LINE 9B: | THE HOSPITAL FILING ORGANIZATION'S COLLECTION PRACTICES ARE IN CONFORMITY WITH THE REQUIREMENTS SET FORTH IN THE 2014 FINAL REGULATIONS REGARDING THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(R)(4) - (R)(6). NO EXTRAORDINARY COLLECTION ACTIONS (ECA'S) ARE INITIATED BY THE HOSPITAL FILING ORGANIZATION IN THE 120-DAY PERIOD FOLLOWING THE DATE AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL (OR, IF LATER, THE SPECIFIED DEADLINE GIVEN IN A WRITTEN NOTICE OF ACTIONS THAT MAY BE TAKEN, AS DESCRIBED BELOW). INDIVIDUALS ARE PROVIDED WITH AT LEAST ONE WRITTEN NOTICE (NOTICE OF ACTIONS THAT MAY BE TAKEN) AND A COPY OF THE FILING ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY THAT INFORMS THE INDIVIDUAL THAT THE HOSPITAL FILING ORGANIZATION MAY TAKE ACTIONS TO REPORT ADVERSE INFORMATION TO CREDIT REPORTING AGENCIES/BUREAUS IF THE INDIVIDUAL DOES NOT SUBMIT A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM) OR PAY THE AMOUNT DUE BY A SPECIFIED DEADLINE. THE SPECIFIED DEADLINE IS NOT EARLIER THAN 120 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL AND IS AT LEAST 30 DAYS AFTER THE NOTICE IS PROVIDED. A REASONABLE ATTEMPT IS ALSO MADE TO ORALLY NOTIFY AN INDIVIDUAL ABOUT THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FAA FORM DURING THE 240-DAY PERIOD FOLLOWING THE DATE ON WHICH THE FIRST POST-DISCHARGE BILLING STATEMENT WAS SENT TO THE INDIVIDUAL, THE HOSPITAL FILING ORGANIZATION SUSPENDS ANY REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS (OR CEASES ANY OTHER ECA'S) AND PROVIDES A WRITTEN NOTICE TO THE INDIVIDUAL DESCRIBING WHAT ADDITIONAL INFORMATION OR DOCUMENTATION IS NEEDED TO COMPLETE THE FAA FORM. THIS WRITTEN NOTICE CONTAINS CONTACT INFORMATION INCLUDING THE TELEPHONE NUMBER AND PHYSICAL LOCATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY, AS WELL AS CONTACT INFORMATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS OR, ALTERNATIVELY, A NONPROFIT ORGANIZATION OR GOVERNMENTAL AGENCY THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS IF THE HOSPITAL FACILITY IS UNABLE TO DO SO. IF AN INDIVIDUAL SUBMITS A COMPLETE FAA FORM WITHIN A REASONABLE TIME-PERIOD AS SET FORTH IN THE NOTICE DESCRIBED ABOVE, THE HOSPITAL FILING ORGANIZATION WILL SUSPEND ANY ADVERSE REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS UNTIL A FINANCIAL ASSISTANCE POLICY ELIGIBILITY DETERMINATION CAN BE MADE. |
| SUPPLEMENTAL SCHEDULE TO SCHEDULE H, PART III, SECTION B, LINE 8 | RECONCILIATION OF SCHEDULE H REPORTED MEDICARE SURPLUS/(SHORTFALL) TO UNREIMBURSED MEDICARE COSTS ASSOCIATED WITH THE PROVISION OF SERVICESTO ALL MEDICARE BENEFICIARIES:THE MEDICARE REVENUE AND ALLOWABLE COSTS OF CARE REPORTED IN SECTION B OF PART III OF SCHEDULE H ARE BASED UPON THE AMOUNTS REPORTED IN THE FILING ORGANIZATION'S MEDICARE COST REPORT IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR SCHEDULE H. ON AN ANNUAL BASIS, THE FILING ORGANIZATION ALSO DETERMINES ITS TOTAL UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO ALL MEDICARE PATIENTS. UNREIMBURSED COSTS ARE CONSIDERED A COMMUNITY BENEFIT TO THE ELDERLY AND ARE COMBINED INTO AN ANNUAL COMMUNITY BENEFIT STATEMENT PREPARED BY ADVENTHEALTH.THE PRIMARY RECONCILING ITEMS BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H AND THE FILING ORGANIZATION'S UNREIMBURSED COSTS OF SERVICES PROVIDED TO MEDICARE PATIENTS AS REPORTED IN THE AHS COMMUNITY BENEFIT REPORT ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ 1,422,287- DIFFERENCE IN COSTING METHODOLOGY: (2,000,821)- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (11,095,412) -------------TOTAL UNREIMBURSED COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITY BENEFIT REPORTING: $(11,673,946) AS INDICATED ABOVE, THE PRIMARY DIFFERENCES BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 AND THE FILING ORGANIZATION'S PORTION OF THE COMPANY'S ANNUAL COMMUNITY BENEFIT STATEMENT IS DUE TO A DIFFERENCE IN THE COSTING METHODOLOGY AND DIFFERENCES IN THE POPULATION OF MEDICARE PATIENTS WITHIN THE CALCULATION. THE COST METHODOLOGY UTILIZED IN CALCULATING ANY MEDICARE SURPLUS/(SHORTFALL) FOR PURPOSES OF THE ANNUAL COMMUNITY BENEFIT REPORTING IS BASED UPON THE COST-TO-CHARGE RATIO OUTLINED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE SAME COST-TO-CHARGE RATIO IS USED TO DETERMINE THE COSTS ASSOCIATED WITH SERVICES PROVIDED TO CHARITY CARE PATIENTS AND MEDICAID PATIENTS AS REPORTED IN SCHEDULE H, PART I, LINE 7. IN ADDITION, THE MEDICARE COST REPORT EXCLUDES SERVICES PROVIDED TO MEDICARE PATIENTS FOR PHYSICIAN SERVICES, SERVICES PROVIDED TO PATIENTS ENROLLED IN MEDICARE HMOS, AND CERTAIN SERVICES PROVIDED BY OUTPATIENT DEPARTMENTS OF THE FILING ORGANIZATION THAT ARE REIMBURSED ON A FEE SCHEDULE. THE COMPANY'S OWN COMMUNITY BENEFIT STATEMENT CAPTURES THE UNREIMBURSED COST OF PROVIDING SERVICES TO ALL MEDICARE BENEFICIARIES THROUGHOUT THE ORGANIZATION. |
| PART VI, LINE 2: | THE HOSPITAL CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) EVERY THREE YEARS. ITS 2019 CHNA WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2019, THE END OF THE HOSPITAL'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNA. THE HOSPITAL'S 2019 CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. A HOSPITAL OPERATING/COMMUNITY BOARD COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2. POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITY; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITY. |
| PART VI, LINE 3: | THE FINANCIAL ASSISTANCE POLICY (FAP), FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) OF THE FILING ORGANIZATION'S HOSPITAL FACILITY ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR THE HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITE. THE WEBSITE INDICATES THAT A COPY OF THE FAP, FAA FORM, AND PLS IS AVAILABLE AND HOW TO OBTAIN SUCH COPIES IN THE PRIMARY LANGUAGES OF ANY POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITY, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS THE HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP, FAA FORM, AND PLS CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT TO OBTAIN COPIES OF THE FAP, FAA FORM AND PLS OR TO OBTAIN MORE INFORMATION ABOUT THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY AND BY MAIL. PAPER COPIES ARE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGES OF ANY LEP DEFINED POPULATIONS. THE FILING ORGANIZATION'S HOSPITAL FACILITY'S FINANCIAL COUNSELORS SEEK TO PROVIDE PERSONAL FINANCIAL COUNSELING TO ALL INDIVIDUALS ADMITTED TO THE HOSPITAL FACILITY WHO ARE CLASSIFIED AS SELF-PAY DURING THE COURSE OF THEIR HOSPITAL STAY OR AT TIME OF DISCHARGE TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | THE FILING ORGANIZATION CURRENTLY OPERATES TEXAS HEALTH HUGULEY (THH) A 327-BED ACUTE-CARE HOSPITAL IN BURLESON, TEXAS. BURLESON, TEXAS IS LOCATED IN JOHNSON COUNTY AND THH SERVES THE SOUTH FORT WORTH AREA. THE HOSPITAL INCLUDES A MEDICAL INTENSIVE CARE UNIT, A CARDIOVASCULAR CRITICAL CARE UNIT, A PROGRESSIVE CARE UNIT, OPEN HEART SURGERY CENTER AND BEHAVIORAL HEALTH. THH ALSO HAS AN ACCREDITED BONE AND JOINT PROGRAM, AN ACCREDITED CHEST PAIN CENTER, AND AN AWARD WINNING EMERGENCY DEPARTMENT AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK. MORE THAN 400 PRIMARY CARE AND SPECIALTY PHYSICIANS PROVIDE A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES. PART OF THH'S PRIMARY SERVICE AREA INCLUDES A NUMBER OF SMALLER COMMUNITIES WITH LIMITED ACCESS TO HEALTHCARE SERVICES. TO MEET THE NEEDS OF THESE RESIDENTS, THH HAS A SUBSIDIARY THAT OPERATES MULTIPLE PRIMARY CARE CLINICS THROUGHOUT ITS PRIMARY SERVICE AREA. IN ADDITION, THE MOBILE HEALTH SERVICES BUS PROVIDES HEALTH SCREENINGS AND WELLNESS EDUCATION SERVICES THROUGHOUT TARRANT AND JOHNSON COUNTIES. DURING 2021, THE HOSPITAL'S PATIENT PERCENTAGE POPULATION WAS MADE UP OF THE BELOW PAYORS WITH THE REMAINING PERCENTAGE OF THE PATIENTS BEING COVERED UNDER COMMERCIAL INSURANCE. IN 2021, ABOUT 71.90% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 47.5% - MEDICAID PATIENTS 11.1% - SELF-PAY PATIENTS 8.0% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S COMMUNITY IS AS FOLLOWS: - POPULATION (APPROXIMATELY) 300,000 - POVERTY (BELOW 100% FPL) 14.6% - UNEMPLOYMENT RATE 6.3% - VIOLENT CRIME RATE (PER 100,000 POP.) 334.6 - POP. AGE 25+ WITH NO HIGH SCHOOL DIPLOMA 16.7% - UNINSURED ADULTS 21.6% - UNINSURED CHILDREN 10.8% - FOOD INSECURITY RATE 15.2% - POP. WITH LOW FOOD ACCESS 32.4% |
| PART VI, LINE 5: | THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO TEXAS HEALTH HUGULEY'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE FILING ORGANIZATION IS A FUNCTION OF "EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE FIING ORGANIZATION'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE FILING ORGANIZATION COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE HOSPITAL CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE FILING ORGANIZATION PROVIDED $456,714 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY. THE FILING ORGANIZATION ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE FILING ORGANIZATION EXPENDED $26,401,036 IN NEW CAPITAL IMPROVEMENTS. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE FILING ORGANIZATION IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY. |
| PART VI, LINE 6: | AS EXPLAINED IN OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 6, TEXAS HEALTH HUGULEY, INC. (THH OR THE HOSPITAL) HAS TWO MEMBERS. THE MEMBERS ARE TEXAS HEALTH RESOURCES AND ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI). AHSSI IS A WHOLLY-OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. THH IS ABLE TO DRAW UPON THE EXPERTISE AND LEADERSHIP OF BOTH ITS HEALTH SYSTEM MEMBERS IN ITS EFFORT TO CREATE EXCELLENT PATIENT EXPERIENCES AND OFFER A BROAD SPECTRUM OF HEALTH SERVICES NEEDED IN ITS COMMUNITY.DURING ITS CURRENT TAX YEAR, THH WAS MANAGED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 48 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 10 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. PURSUANT TO A MANAGEMENT SERVICES AGREEMENT, AHSSHC PROVIDES MANAGEMENT AND CERTAIN CONSULTING SERVICES TO TEXAS HEALTH HUGULEY. MANAGEMENT AND CONSULTING SERVICES INCLUDE PERSONNEL ADMINISTRATION, PROCUREMENT, HEALTH INFORMATION MANAGEMENT, MAINTENANCE AND SECURITY, CONTRACTS, FINANCIAL ACCOUNTING SYSTEMS AND BUDGET DEVELOPMENT.THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION IN A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITAL AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. EACH ADVENTHEALTH SUBSIDIARY PAYS A MANAGEMENT FEE TO AHSSHC FOR THE INTERNAL SERVICES PROVIDED BY AHSSHC. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY AN ADVENTHEALTH SUBSIDIARY ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY BY ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF ADVENTHEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEB-SITE OF ADVENTHEALTH AT WWW.ADVENTHEALTH.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF ADVENTHEALTH. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | TX |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| YOUR HARVEST HOUSE | ||||||||
| 349 NW RENFRO STREET | BURLESON | TX | 76028 | 751985674 | 501(C)(3) | $7,100 | $0 | GENERAL SUPPORT |
| SOUTHWESTERN ADVENTIST UNIVERSITY | ||||||||
| 100 W HILLCREST STREET | KEENE | TX | 76059 | 750891465 | 501(C)(3) | $17,500 | $0 | GENERAL SUPPORT |
| BURLESON AREA CHAMBER OF COMMERCE | ||||||||
| 124 S MAIN STREET SUITE 226 | BURLESON | TX | 76028 | 751228140 | 501(C)(6) | $11,500 | $0 | GENERAL SUPPORT |
| BURLESON ISD | ||||||||
| 1160 SW WILSHIRE BOULEVARD | BURLESON | TX | 76028 | 756000295 | 501(C)(3) | $12,750 | $0 | GENERAL SUPPORT |
| CITY OF BURLESON | ||||||||
| 141 W RENFRO STREET | BURLESON | TX | 76028 | 756000475 | GOVT | $9,985 | $0 | GENERAL SUPPORT |
| KEENE CHAMBER OF COMMERCE | ||||||||
| 110 S OLD BETSY ROAD | KEENE | TX | 76059 | 752505148 | 501(C)(6) | $6,000 | $0 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE GENERALLY MADE ONLY TO RELATED ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3), OR TO OTHER LOCAL CHARITABLE COMMUNITY ORGANIZATIONS, OR TO OTHER 501(C)(3) ORGANIZATIONS THAT ARE A PART OF THE GROUP EXEMPTION RULING ISSUED TO THE GENERAL CONFERENCE OF SEVENTH-DAY ADVENTISTS. ACCORDINGLY, THE FILING ORGANIZATION HAS NOT ESTABLISHED SPECIFIC PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES AS THE FILING ORGANIZATION DOES NOT HAVE A GRANT MAKING PROGRAM THAT WOULD NECESSITATE SUCH PROCEDURES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHNSON PENNY | ||||||||||||||
| CEO | $328,481 | $197,088 | $137,817 | $82,690 | $834,611 | $500,767 | $64,356 | $38,614 | $27,053 | $16,232 | $1,392,318 | $835,391 | $40,012 | $24,007 |
| KING JAMES KIRK | ||||||||||||||
| DIRECTOR/VICE CHAIRMAN | $0 | $656,358 | $0 | $307,624 | $0 | $237,587 | $0 | $101,868 | $0 | $47,969 | $0 | $1,351,406 | $0 | $48,503 |
| CRAFT BRIAN | ||||||||||||||
| DIRECTOR | $0 | $345,243 | $0 | $124,202 | $0 | $105,457 | $0 | $48,567 | $0 | $48,274 | $0 | $671,743 | $0 | $13,982 |
| JACKSON DAVID | ||||||||||||||
| DIRECTOR | $0 | $325,186 | $0 | $111,884 | $0 | $98,684 | $0 | $53,076 | $0 | $37,296 | $0 | $626,126 | $0 | $11,705 |
| TUCKER REBECCA | ||||||||||||||
| DIRECTOR (BEG 01/21) | $0 | $327,103 | $0 | $100,286 | $0 | $81,612 | $0 | $46,527 | $0 | $47,341 | $0 | $602,869 | $0 | $6,532 |
| LLOYD MD DAVID | ||||||||||||||
| DIRECTOR (BEG 06/21) | $0 | $307,602 | $0 | $96,842 | $0 | $107,286 | $0 | $39,229 | $0 | $48,006 | $0 | $598,965 | $0 | $8,587 |
| LAUE MD ED | ||||||||||||||
| CMO (END 06/21) | $241,938 | $103,688 | $52,722 | $22,595 | $49,778 | $21,333 | $28,537 | $12,231 | $17,801 | $7,629 | $390,776 | $167,476 | $12,993 | $5,569 |
| THORSBERRY MD MICHAEL | ||||||||||||||
| DIRECTOR (END 06/21) | $0 | $155,308 | $0 | $131,492 | $0 | $210,077 | $0 | $12,904 | $0 | $20,941 | $0 | $530,722 | $0 | $0 |
| SUTTON JESSE | ||||||||||||||
| CFO | $115,270 | $153,693 | $40,601 | $54,135 | $16,647 | $22,196 | $17,721 | $23,628 | $11,313 | $15,084 | $201,552 | $268,736 | $10,068 | $13,424 |
| FORD MD RONNY | ||||||||||||||
| DIRECTOR(END06/21)/CMO(BEG06/21) | $114,067 | $253,374 | $0 | $0 | $4,839 | $2,074 | $21,527 | $9,226 | $13,173 | $17,614 | $153,606 | $282,288 | $0 | $0 |
| PAI AJITH | ||||||||||||||
| DIRECTOR | $0 | $202,802 | $0 | $63,921 | $0 | $69,225 | $0 | $30,924 | $0 | $47,549 | $0 | $414,421 | $0 | $4,506 |
| FINCH KENNETH | ||||||||||||||
| FORMER CEO | $0 | $0 | $0 | $0 | $0 | $335,617 | $0 | $0 | $0 | $6,078 | $0 | $341,695 | $0 | $0 |
| ELLIS TAMMY | ||||||||||||||
| CNO | $164,897 | $54,966 | $28,826 | $9,609 | $10,640 | $3,547 | $9,329 | $3,110 | $22,533 | $7,511 | $236,225 | $78,743 | $0 | $0 |
| LEMON SEAN | ||||||||||||||
| COO (BEG 08/21) | $162,775 | $40,694 | $20,352 | $5,088 | $8,013 | $2,003 | $9,494 | $2,373 | $29,962 | $7,490 | $230,596 | $57,648 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | AS DISCLOSED IN OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 3, INDIVIDUALS WHO SERVE AS OFFICERS OF THE FILING ORGANIZATION IN THE ROLES OF CEO, CFO, COO, CMO, AND CNO ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). THE FILING ORGANIZATION REIMBURSES AHSSHC FOR THE SALARY AND BENEFIT COST OF THOSE EXECUTIVES ON THE PAYROLL OF AHSSHC. AT THE DIRECTION OF AHSSHC, AND IN ACCORDANCE WITH THE RESERVED POWERS IN THE FILING ORGANIZATION'S GOVERNING DOCUMENTS, THE EXECUTIVE TEAM LISTED ON PART VII PROVIDES SERVICES TO THE FILING ORGANIZATION. FIRST-CLASS OR CHARTER TRAVEL: PURSUANT TO THE ADVENTHEALTH SYSTEM-WIDE GENERAL POLICY REGARDING BUSINESS TRAVEL, NO REIMBURSEMENT WILL BE PROVIDED FOR ANY ADDITIONAL COST INCURRED WITH RESPECT TO FIRST-CLASS OR CHARTER AIR TRAVEL BEYOND THE COST OF A REGULAR COACH AIRFARE. AS A MEANS OF PROVIDING ADDITIONAL BUSINESS TRAVEL REIMBURSEMENT FOR THOSE MEMBERS OF THE AHSSHC SENIOR EXECUTIVE MANAGEMENT TEAM THAT TRAVEL FREQUENTLY ON BEHALF OF ADVENTHEALTH, A SPECIAL ANNUAL TRAVEL ALLOWANCE IS PROVIDED FOR THOSE EXECUTIVES. AS ADVENTHEALTH OPERATES 48 HOSPITALS IN 9 STATES, THE SENIOR LEADERSHIP OF AHSSHC TRAVEL EXTENSIVELY AND OFTEN VISIT MULTIPLE HOSPITAL LOCATIONS IN DIFFERENT STATES AS A PART OF A SINGLE BUSINESS TRIP. THE SPECIAL TRAVEL ALLOWANCE CAN PROVIDE REIMBURSEMENTS TO THE EXECUTIVE FOR SUCH ITEMS AS THE PURCHASE OF AIR TRAVEL UPGRADE COUPONS, TO COVER THE COST DIFFERENTIAL BETWEEN COACH AND FIRST-CLASS TRAVEL, OR TO COVER THE COST OF A CHARTER FLIGHT. THE SPECIAL TRAVEL ALLOWANCE BENEFIT WAS ORIGINALLY AUTHORIZED BY AND CODIFIED INTO A POLICY BY THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE), AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS, WHO ALSO APPROVES THE ANNUAL CAP ON THE AMOUNT OF THE ALLOWANCE. THE SPECIAL TRAVEL ALLOWANCE HAS AN ANNUAL CAP OF $24,000 FOR MEMBERS OF THE LEADERSHIP EXECUTIVE TEAM (ADVENTHEALTH CABINET - 13 MEMBERS) AND $15,000 FOR ADVENTHEALTH CORPORATE OFFICE SENIOR VICE PRESIDENTS, REGIONAL CEO'S, AND DIVISION CHIEF OFFICERS (GENERALLY 20-35 INDIVIDUAL EXECUTIVES). TWO INDIVIDUALS WHO SERVED IN 2021 AS REGIONAL CEOS FOR ADVENTHEALTH ARE MEMBERS OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. THE REGIONAL CEOS ARE CONSIDERED COMMON LAW EMPLOYEES AND ARE ON THE PAYROLL OF AHSSHC. WHILE THE SPECIAL TRAVEL ALLOWANCE BENEFIT IS AN AHSSHC COMPENSATION POLICY AND PRACTICE, THE COST OF PROVIDING THIS BENEFIT IS ALLOCATED TO AND EITHER WHOLLY OR PARTIALLY REIMBURSED BY THE FILING ORGANIZATION. ACCORDINGLY, THE FILING ORGANIZATION HAS CHECKED THE BOX IN SCHEDULE J, PART I, LINE 1A FOR FIRST-CLASS OR CHARTER TRAVEL SINCE IT HAS WHOLLY OR PARTIALLY PAID FOR THE COST OF PROVIDING THIS BENEFIT. THOSE EXECUTIVES WHO RECEIVE THE SPECIAL TRAVEL ALLOWANCE ARE RESPONSIBLE FOR TRACKING THE EXPENSES REIMBURSABLE UNDER THE SPECIAL TRAVEL ALLOWANCE AND MUST SUBMIT SUCH EXPENSES ON THEIR ACCOUNTABLE PLAN EXPENSE REPORT. ANY TAXABLE REIMBURSEMENTS MADE TO EXECUTIVES UNDER THE SPECIAL TRAVEL ALLOWANCE ARRANGEMENT ARE TREATED AS TAXABLE COMPENSATION TO THE EXECUTIVE. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO CERTAIN EXECUTIVE LEADERS AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL ADVENTHEALTH PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ADVENTHEALTH HAS A SYSTEM-WIDE POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS/OTHER TAXABLE ITEMS. UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS (I.E. TAXABLE BUSINESS-RELATED MOVING EXPENSES, TAXABLE ITEMS PROVIDED IN CONNECTION WITH EMPLOYMENT) PROVIDED TO ANY EMPLOYEE MAY BE GROSSED-UP AT A 25% RATE UPON APPROVAL BY THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: OCCASIONAL DISCRETIONARY SPENDING AMOUNTS ARE PERIODICALLY PROVIDED TO ELIGIBLE EXECUTIVES WHO ATTEND ANNUAL BUSINESS MEETINGS SUCH AS THE ADVENTHEALTH PRESIDENT'S COUNCIL, CFO CONFERENCE OR THE CMO/CNO BUSINESS MEETING. PAYMENTS PROVIDED TO EACH EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT ADDRESSES BUSINESS DEVELOPMENT EXPENDITURES. UNDER THIS POLICY, TO ENCOURAGE EXECUTIVES TO ESTABLISH AND CULTIVATE STRONG WORKING RELATIONSHIPS WITH THE MEDICAL COMMUNITY AND OTHER LEADERS IN THE COMMUNITY AND INDUSTRY, CERTAIN ADVENTHEALTH EXECUTIVES MAY BE REIMBURSED FOR MEMBER DUES AND USAGE CHARGES FOR A COUNTRY CLUB OR OTHER SOCIAL CLUB UPON AUTHORIZATION. CLUB MEMBERSHIPS MUST BE APPROVED BY THE ADVENTHEALTH PRESIDENT/CEO INITIALLY AS WELL AS ON AN ANNUAL BASIS. EACH ADVENTHEALTH EXECUTIVE WHO IS APPROVED FOR A CLUB MEMBERSHIP MUST SUBMIT AN ANNUAL REPORT DESCRIBING HOW THEY USED THE MEMBERSHIP TO BENEFIT THEIR ORGANIZATION DURING THE PRECEDING YEAR SO THAT THE ADVENTHEALTH PRESIDENT/CEO CAN MAKE A DETERMINATION IF CONTINUANCE OF THE CLUB MEMBERSHIP FURTHERS THE BUSINESS INTERESTS OF ADVENTHEALTH. IN THE CURRENT YEAR, FOR THIS FILING ORGANIZATION, ONE EXECUTIVE LISTED IN PART VII RECEIVED REIMBURSEMENT FOR CLUB FEES. WHILE THE CLUB DUES MEMBERSHIP IS AN AHSSHC COMPENSATION POLICY AND PRACTICE, THE COST OF PROVIDING THIS BENEFIT IS ALLOCATED TO AND REIMBURSED IN WHOLE OR IN PART BY THE FILING ORGANIZATION. ACCORDINGLY, THE FILING ORGANIZATION HAS CHECKED THE BOX IN SCHEDULE J, PART I, LINE 1A FOR HEALTH OR SOCIAL CLUB DUES SINCE IT HAS WHOLLY OR PARTIALLY PAID FOR THE COST OF PROVIDING THIS BENEFIT. |
| PART I, LINE 3 | THE INDIVIDUAL WHO SERVES AS THE CEO OF THE FILING ORGANIZATION IS COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), AN UNRELATED ENTITY AS DISCLOSED IN OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 3, FOR THAT INDIVIDUAL'S ROLE IN SERVING AS THE CEO PURSUANT TO THE MANAGEMENT SERVICES AGREEMENT BETWEEN THE FILING ORGANIZATION AND AHSSHC. COMPENSATION AND BENEFITS PROVIDED TO THIS INDIVIDUAL ARE DETERMINED PURSUANT TO POLICIES, PROCEDURES, AND PROCESSES OF AHSSHC THAT ARE DESIGNED TO ENSURE COMPLIANCE WITH THE INTERMEDIATE SANCTIONS LAWS AS SET FORTH IN IRC SECTION 4958. AHSSHC HAS TAKEN STEPS TO ENSURE THAT PROCESSES ARE IN PLACE TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS STANDARD AS SET FORTH IN TREASURY REGULATION 53.4958-6 WITH RESPECT TO ITS ACTIVE EXECUTIVE-LEVEL POSITIONS. THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE) SERVES AS THE GOVERNING BODY FOR ALL EXECUTIVE COMPENSATION MATTERS. THE COMMITTEE IS COMPOSED OF CERTAIN MEMBERS OF THE BOARD OF DIRECTORS (THE BOARD) OF AHSSHC. VOTING MEMBERS OF THE COMMITTEE INCLUDE ONLY INDIVIDUALS WHO SERVE ON THE BOARD AS INDEPENDENT REPRESENTATIVES, WHO HOLD NO EMPLOYMENT POSITIONS WITH AHSSHC AND WHO DO NOT HAVE RELATIONSHIPS WITH ANY OF THE INDIVIDUALS WHOSE COMPENSATION IS UNDER THEIR REVIEW THAT IMPACTS THEIR BEST INDEPENDENT JUDGMENT AS FIDUCIARIES OF AHSSHC. THE COMMITTEE'S ROLE IS TO REVIEW AND APPROVE ALL COMPONENTS OF THE EXECUTIVE COMPENSATION PLAN OF AHSSHC. AS AN INDEPENDENT GOVERNING BODY WITH RESPECT TO EXECUTIVE COMPENSATION, IT SHOULD BE NOTED THAT THE COMMITTEE WILL OFTEN CONFER IN EXECUTIVE SESSIONS ON MATTERS OF COMPENSATION POLICY AND POLICY CHANGES. IN SUCH EXECUTIVE SESSIONS, NO MEMBERS OF MANAGEMENT OF AHSSHC ARE PRESENT, OTHER THAN THE CHIEF PEOPLE OFFICER, WHO REMAINS AT THE REQUEST OF THE CHAIRMAN/COMMITTEE TO PROVIDE ASSISTANCE/INFORMATION AS NEEDED. THE COMMITTEE IS ADVISED BY AN INDEPENDENT THIRD-PARTY COMPENSATION ADVISOR. THIS ADVISOR PREPARES ALL THE BENCHMARK STUDIES FOR THE COMMITTEE. COMPENSATION LEVELS ARE BENCHMARKED WITH A NATIONAL PEER GROUP OF OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS OF SIMILAR SIZE AND COMPLEXITY TO ADVENTHEALTH AND EACH OF ITS AFFILIATED ENTITIES. THE FOLLOWING PRINCIPLES GUIDE THE ESTABLISHMENT OF INDIVIDUAL EXECUTIVE COMPENSATION: - THE SALARY OF THE PRESIDENT/CEO OF ADVENTHEALTH WILL NOT EXCEED THE 50TH PERCENTILE OF COMPARABLE SALARIES PAID BY SIMILARLY SITUATED ORGANIZATIONS; AND - OTHER EXECUTIVE SALARIES SHALL BE ESTABLISHED USING MARKET MEDIANS. THE COMPENSATION PHILOSOPHY, POLICIES, AND PRACTICES OF AHSSHC ARE CONSISTENT WITH THE ORGANIZATION'S FAITH-BASED MISSION AND CONFORM TO APPLICABLE LAWS, REGULATIONS, AND BUSINESS PRACTICES. AS A FAITH-BASED ORGANIZATION SPONSORED BY THE SEVENTH-DAY ADVENTIST CHURCH (THE CHURCH), AHSSHC'S PHILOSOPHY AND PRINCIPLES WITH RESPECT TO ITS EXECUTIVE COMPENSATION PRACTICES REFLECT THE CONSERVATIVE APPROACH OF THE CHURCH'S MISSION OF SERVICE AND WERE DEVELOPED IN COUNSEL WITH THE CHURCH'S LEADERSHIP. |
| PART I, LINES 4A-B | PART I, LINE 4A: DURING THE YEAR ENDING DECEMBER 31, 2021, KENNETH FINCH RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $329,608 FROM ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE COPORATION (AHSSHC), AN UNRELATED ENTITY, FOR SERVICES PROVIDED TO THE FILING ORGANIZATION. PURSUANT TO THE AHSSHC CORPORATE EXECUTIVE POLICY GOVERNING EXECUTIVE SEVERANCE, SEVERANCE AGREEMENTS FOR EXECUTIVES OPERATING AT THE VICE PRESIDENT LEVEL AND ABOVE ARE ENTERED INTO UPON ELIGIBILITY TO FACILITATE THE TRANSITION TO SUBSEQUENT EMPLOYMENT FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT WITH ADVENTHEALTH. PART I, LINE 4B: NONQUALIFIED RETIREMENT PLAN - TEXAS HEALTH RESOURCES: CERTAIN OF THE BOARD MEMBERS ARE COMPENSATED BY TEXAS HEALTH RESOURCES (THR), A RELATED ENTITY TO THE FILING ORGANIZATION, AND ARE COVERED BY A NONQUALIFIED RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS MADE AVAILABLE TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES, AS DETERMINED BY THE THR BOARD OF TRUSTEES, WHO ARE PROVIDING SERVICES IN KEY POSITIONS OF MANAGEMENT AND RESPONSIBILITY. 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 - 100%. PARTICIPANTS MUST BE EMPLOYED ON DECEMBER 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 CONTINUOUS SERVICE WITH THE SYSTEM). SERP BENEFITS ARE CALCULATED EACH DECEMBER 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 SEPARATIONS FOR WHICH THE PARTICIPANT MUST WAIT 24 MONTHS TO RECEIVE THE PREVIOUSLY TAXED BENEFIT. PAYOUTS TO THE FOLLOWING EMPLOYEES WERE MADE DURING THE YEAR. THE AMOUNTS BELOW ARE INCLUDED IN THE AMOUNT REPORTED ON SCH J, PART II, COLUMN B(III) AND COLUMN (F). CRAFT, BRIAN 13,982 KING, JAMES K. 48,503 THORNSBERRY, MICHAEL D. 41,133 JACKSON, DAVID 11,705 PAI, AJITH 4,506 LLOYD, DAVID 8,587 TUCKER, REBECCA 6,532 NONQUALIFIED RETIREMENT PLAN - ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION KENNETH FINCH, PENNY JOHNSON, JESSE SUTTON, ED LAUE, MD, RONNY FORD, MD, SEAN LEMON, AND TAMMY ELLIS RECEIVED COMPENSATION FROM ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE TOP-TIER PARENT OF THE THE 49% OWNER OF THE FILING ORGANIZATION AND THE PARENT ORGANIZATION OF THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF ADVENTHEALTH, ADVENTHEALTH PROVIDES SUPPLEMENTAL EXECUTIVE BENEFIT PLANS TO ELIGIBLE EXECUTIVES. IN 2020, ADVENTHEALTH RESTRUCTURED ITS EXECUTIVE SUPPLEMENTAL RETIREMENT AND BENEFIT PLANS TO REDUCE COMPLEXITY, TO INCREASE PREDICTABILITY OF BENEFITS AND TO CONSOLIDATE MULTIPLE SUPPLEMENTAL EXECUTIVE BENEFIT PLANS INTO ONE PLAN. EFFECTIVE 1/1/2020, A NEW SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP III) WAS ADOPTED AND THE THREE EXISTING PLANS, DESCRIBED BELOW, WERE AMENDED AND RESTATED. THE NEWLY ADOPTED SERP III PLAN, AS WELL AS THE AMENDED AND RESTATED PLANS, WERE REVIEWED AND APPROVED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. SERP III PLAN (EFFECTIVE 1/1/2020): TO RECOGNIZE THE CONTRIBUTION EACH EXECUTIVE MAKES TO THE SUCCESS OF ADVENTHEALTH AND TO RECOGNIZE THE LIMITATIONS AVAILABLE TO EXECUTIVES IN QUALIFIED RETIREMENT PLANS DUE TO COMPENSATION LIMITS SET ON SUCH PLANS, ADVENTHEALTH ADOPTED A NEW SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP III) IN 2020. THE SERP III PLAN EFFECTIVELY REPLACES THE PRIOR SERP II PLAN, THE EXECUTIVE FLEX BENEFIT PROGRAM PLAN, AND THE SENIOR EXECUTIVE DEATH BENEFIT PLAN FOR QUALIFIED EXECUTIVES EXCEPT FOR CERTAIN GRANDFATHERED EXECUTIVE EMPLOYEES. THE SERP III PLAN PROVIDES ELIGIBLE EXECUTIVES A PERCENTAGE OF THEIR BASE PAY, WHICH IS CREDITED TO A DEFERRED COMPENSATION ACCOUNT. THE PLAN ALSO PROVIDES FOR COMPENSATION DEFERRAL AND SELECTION OF LIFE INSURANCE COVERAGE AND LONG-TERM CARE INSURANCE. TO BE ELIGIBLE TO PARTICIPATE IN THE SERP III PLAN, EXECUTIVES MUST BE ON THE AHSSHC CORPORATE PAYROLL AND BE EITHER A CEO OF AN ADVENTHEALTH ENTITY, AN AHSSHC VICE PRESIDENT (VP) OR VP OF AN ADVENTHEALTH ENTITY WITH A BASE SALARY OF AT LEAST $290,000 IN 2021 (ADJUSTED ANNUALLY BY THE SAME PERCENTAGE AS IRC SECTION 401(A)(17) LIMIT INCREASES), OR OTHER LEADER SPECIFICALLY APPROVED BY THE ADVENTHEALTH PRESIDENT. ELIGIBLE EXECUTIVES DO NOT INCLUDE GRANDFATHERED EXECUTIVES, MEANING THOSE EXECUTIVES WHO WOULD SATISFY ALL THE ELIGIBILITY REQUIREMENTS OF THE SERP II PLAN PRIOR TO DEC 31, 2027, HAD THE PLAN NOT BEEN AMENDED AND RESTATED AS OF JAN. 1, 2020. CONTRIBUTION CREDITS WILL BE ESTABLISHED AND MAINTAINED BY CLASS YEAR ACCOUNTS FOR EACH PARTICIPANT USING TIERED CONTRIBUTION CREDIT PERCENTAGES OF ANNUAL BASE COMPENSATION. CONTRIBUTION CREDIT PERCENTAGES RANGE BETWEEN 15% AND 19% OF BASE COMPENSATION. CONTRIBUTION CREDITS WILL BE MADE EACH QUARTER IN 25% INCREMENTS WITH REDUCTIONS IN CONTRIBUTIONS IF THE EXECUTIVE IS ALSO A GRANDFATHERED FLEX PARTICIPANT (SEE BELOW). SERP III PROVIDES FOR A CLASS YEAR VESTING AND PAYMENT SCHEDULE (7 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S DEFERRED COMPENSATION ACCOUNT. UPON ATTAINMENT OF A NORMAL RETIREMENT AGE (AGE 62), OR UPON CERTAIN OTHER CIRCUMSTANCES AS DEFINED IN THE SERP III PLAN DOCUMENT, ALL DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT. FOR ANY EXECUTIVES WORKING BEYOND THE NORMAL RETIREMENT AGE, FUTURE EMPLOYER CONTRIBUTIONS WILL BE MADE QUARTERLY FROM SERP III DIRECTLY TO THE PARTICIPANT AS A TAXABLE CASH BONUS. SERP II PLAN (AMENDED AND RESTATED IN 2020): IN 2020, THE SERP II PLAN WAS AMENDED AND RESTATED TO PROVIDE THAT ELIGIBLE EMPLOYEES ARE RESTRICTED TO THOSE EXECUTIVES WHO, AS OF JANUARY 1, 2020, SATISFIED, OR IF EMPLOYMENT CONTINUES, WILL SATISFY THE ELIGIBILITY REQUIREMENTS OF SERP II PRIOR TO DECEMBER 31, 2027. THE SERP II PLAN IS A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO ADVENTHEALTH AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITALS OR HEALTH CARE INSTITUTIONS. UNDER THE PROVISIONS OF THE SERP II PLAN, BENEFITS ARE PROVIDED TO QUALIFYING EXECUTIVE PARTICIPANTS ON A PRO-RATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF ADVENTHEALTH AND/OR ANOTHER HOSPITAL OR HEALTH CARE INSTITUTION CONTROLLED BY THE SEVENTH-DAY ADVENTIST CHURCH AND WHO SATISFY CERTAIN OTHER QUALIFYING CRITERIA. THIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP II) WAS DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES WITH THE ECONOMIC EQUIVALENT OF AN ANNUAL INCOME BEGINNING AT NORMAL RETIREMENT AGE EQUAL TO 60% OF THE AVERAGE OF THE PARTICIPANT'S THREE, FIVE OR SEVEN HIGHEST YEARS OF BASE SALARY FROM ADVENTHEALTH ACTIVE EMPLOYMENT INCLUSIVE OF INCOME FROM ALL OTHER SEVENTH-DAY ADVENTIST CHURCH HEALTHCARE EMPLOYER-FINANCED RETIREMENT INCOME SOURCES AND INVESTMENT INCOME EARNED ON THOSE CONTRIBUTIONS THROUGH SOCIAL SECURITY NORMAL RETIREMENT AGE AS DEFINED IN THE PLAN. THE NUMBER OF YEARS INCLUDED IN HIGHEST AVERAGE COMPENSATION IS DETERMINED BY THE INDIVIDUAL'S YEAR OF ENTRY TO SERP II AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE ADVENTHEALTH EXECUTIVE FLEX BENEFIT PROGRAM. |
| PART I, LINE 4B CONT'D: | FLEX PLAN (AMENDED AND RESTATED IN 2020): IN 2020, THE FLEX PLAN WAS AMENDED AND RESTATED TO EXCLUDE EMPLOYED EXECUTIVES WHO ARE HIRED OR PROMOTED AFTER A CERTAIN DATE FROM BEING ELIGIBLE TO PARTICIPATE IN THE FLEX PLAN EXCEPT FOR CERTAIN INSURANCE COVERAGE FEATURES OF THE PLAN. ADDITIONALLY, A PROVISION WAS ADDED TO PLACE A MAXIMUM LIMIT ON THE AMOUNT OF A PARTICIPANT'S ANNUAL FLEX ALLOWANCE TO NOT BE GREATER THAN A MAXIMUM DOLLAR AMOUNT OR PERCENTAGE OF COMPENSATION AS ESTABLISHED BY THE ADVENTHEALTH BENEFITS ADMINISTRATION COMMITTEE. THE FLEX PLAN WAS ORIGINALLY DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES AN OPPORTUNITY TO SELECT FROM AMONG A VARIETY OF SUPPLEMENTAL BENEFITS, INCLUDING A SPLIT DOLLAR LIFE INSURANCE POLICY AND LONG-TERM CARE INSURANCE, TO INDIVIDUALLY TAILOR A BENEFITS PROGRAM APPROPRIATE TO EACH EXECUTIVE'S NEEDS. THE FLEX PLAN PROVIDES ELIGIBLE PARTICIPANTS A PRE-DETERMINED BENEFITS ALLOWANCE CREDIT THAT IS EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE PAY FROM WHICH THE COST OF MANDATORY AND ELECTIVE EMPLOYEE BENEFITS IS DEDUCTED. THE BENEFITS ALLOWANCE CREDIT PERCENTAGE IS DETERMINED BY THE ADVENTHEALTH BENEFITS ADMINISTRATION COMMITTEE. FOR GRANDFATHERED ELIGIBLE EMPLOYEES, THE ANNUAL PRE-DETERMINED FLEX ALLOWANCE IS CONTRIBUTED AND ANY FUNDS THAT REMAIN AFTER THE COST OF MANDATORY AND ELECTIVE BENEFITS ARE SUBTRACTED ARE, AT THE EMPLOYEE'S OPTION, CONTRIBUTED TO EITHER AN IRC 457(F) DEFERRED COMPENSATION ACCOUNT OR TO AN IRC 457(B) ELIGIBLE DEFERRED COMPENSATION PLAN. UPON ATTAINMENT OF AGE 65, ALL PREVIOUS 457(F) DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT AND ANY FUTURE EMPLOYER CONTRIBUTIONS ARE MADE QUARTERLY FROM THE PLAN DIRECTLY TO THE PARTICIPANT. THE PLAN PROVIDES FOR A CLASS YEAR VESTING SCHEDULE (2 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT. DISTRIBUTIONS COULD ALSO BE MADE FROM THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT UPON ATTAINMENT OF AGE 65 OR UPON AN INVOLUNTARY SEPARATION. THE ACCOUNT WILL BE FORFEITED BY THE EXECUTIVE UPON A VOLUNTARY SEPARATION. WITH RESPECT TO GRANDFATHERED PARTICIPANTS, THE FLEX PLAN DOCUMENTS DEFINE ELIGIBLE EMPLOYEES TO INCLUDE THE CHIEF EXECUTIVE OFFICERS OF ADVENTHEALTH ENTITIES AND VICE PRESIDENTS OF ALL ADVENTHEALTH ENTITIES WHOSE BASE SALARY WAS AT LEAST EQUAL TO THE INTERNAL REVENUE CODE SECTION 401(A)(17) COMPENSATION LIMIT EACH YEAR. SENIOR EXECUTIVE DEATH BENEFIT PLAN (SEDB) (AMENDED AND RESTATED IN 2020): THE SEDB PLAN WAS ORIGINALLY DESIGNED TO PROVIDE A BENEFIT IN AN AMOUNT EQUAL TO THE AMOUNT THE EXECUTIVE'S BENEFIT WOULD HAVE BEEN UNDER THE SERP II PLAN ASSUMING THAT, ON THE DATE OF THE EXECUTIVE'S DEATH (AND NOT BEFORE), THE EXECUTIVE SATISFIED THE LAST OF THE ELIGIBILITY REQUIREMENTS OF THE SERP II PLAN WITH PRESENT VALUE RECOGNIZING AN EARLY BENEFIT COMMENCEMENT. IN CONJUNCTION WITH THE AMENDMENT AND RESTATEMENT OF THE SERP II PLAN, THE SEDB WAS SIMILARLY AMENDED IN 2020 TO LIMIT ELIGIBLE EMPLOYEES TO ONLY THOSE WHO EITHER SATISFY THE ELIGIBILITY REQUIREMENTS OF SERP II AS OF JANUARY 1 2020, OR REMAIN IN ACTIVE EMPLOYMENT AND WILL SATISFY THOSE REQUIREMENTS PRIOR TO DECEMBER 31, 2027. AN ELIGIBLE EXECUTIVE BECOMES A PARTICIPANT IN THE SEDB PLAN IF THE EXECUTIVE DIES PRIOR TO TERMINATION OF EMPLOYMENT, PROVIDED THE EXECUTIVE HAS NOT SATISFIED ALL THE ELIGIBILITY REQUIREMENTS OF SERP II AS OF THE EXECUTIVE'S DATE OF DEATH BUT WOULD HAVE SATISFIED ALL THOSE REQUIREMENTS WITHIN FIVE (5) YEARS FOLLOWING DEATH HAD THE EXECUTIVE LIVED AND CONTINUED EMPLOYMENT. THE SEDB PLAN WILL TERMINATE AUTOMATICALLY AFTER DECEMBER 31, 2027. FLEX PLAN FLEX PLAN SERP II SERP III CONTR. DISTR.* CONTR./DISTR. CONTR. JOHNSON,PENNY $ 90,531 $ 77,160 $ 1,239,962 $ 0 SUTTON,JESSE $ 30,466 $ 27,784 $ 0 $ 0 LAUE,MD,ED $ 44,721 $ 21,755 $ 0 $ 0 FORD,MD,RONNY $ 0 $ 0 $ 0 $ 23,192 * INCLUDING INVESTMENT EARNINGS |
| FORM 990, PART VII, SECTION A, LINE 5: | KENNETH FINCH, FORMER CEO, PENNY JOHNSON, CEO, JESSE SUTTON, CFO, SEAN LEMON, COO, ED LAUE, MD, FORMER CMO, RONNY FORD, MD, CMO, AND TAMMY ELLIS, CNO, WERE COMPENSATED BY AHSSHC IN 2021 FOR SERVICES PROVIDED TO THE FILING ORGANIZATION. PLEASE SEE OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 3 FOR A DISCUSSION CONCERNING THE FILING ORGANIZATIONS AFFILIATION WITH AHSSHC. COMPENSATION FOR KENNETH FINCH, PENNY JOHNSON, JESSE SUTTON, SEAN LEMON, ED LAUE, MD, RONNY FORD, MD, AND TAMMY ELLIS IS DISCLOSED IN SCHEDULE J, PART II. COMPENSATION FOR PENNY JOHNSON, JESSE SUTTON, AND TAMMY ELLIS REFLECTS COMPENSATION FOR SERVICES PROVIDED TO THE FILING ORGANIZATION AND RELATED ENTITIES. THESE EXECUTIVES ALSO PROVIDE SERVICES TO AHHSSHC AFFILIATES, WHICH ARE UNRELATED, AND ARE NOT REFLECTED IN THIS RETURN. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| PART V, LINE 1A: | EFFECTIVE JANUARY 1, 2012, TEXAS HEALTH HUGULEY, INC. (THE FILING ORGANIZATION) ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). A 501(C)(3) SUBSIDIARY HOSPITAL ORGANIZATION OF AHSSHC, ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI), OWNS A 49% MEMBER INTEREST IN THE FILING ORGANIZATION. AHSSHC HAS ESTABLISHED A SHARED SERVICE CENTER TO CENTRALIZE THE ACCOUNTS PAYABLE (A/P) FUNCTION FOR ALL AHSSHC SUBSIDIARY ORGANIZATIONS. THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A BECAUSE THE FILING ORGANIZATION NO LONGER ISSUES FORM 1099 RETURNS, RATHER, ALL SUCH RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF AHSSHC AS THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. THE FACTS AND CIRCUMSTANCES SUPPORT A POSITION THAT AHSSHC, AS A PAYOR ON BEHALF OF ITS SUBSIDIARY ORGANIZATIONS IN A SHARED SERVICE ENVIRONMENT, WILL HAVE SUFFICIENT MANAGEMENT AND OVERSIGHT IN CONNECTION WITH THE SUBSIDIARY ORGANIZATIONS' PAYMENTS TO MEET THE STANDARD SET FORTH IN TREAS. REG. SECTION 1.6041-1(E). AHSSHC WILL NOT MERELY BE MAKING PAYMENTS AT THE DIRECTION OF ITS SUBSIDIARY ORGANIZATIONS. ACCORDINGLY, AHSSHC IS CONSIDERED THE PAYOR SUBJECT TO THE INFORMATION REPORTING REQUIREMENTS OF SECTION 6041. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE MEMBERS OF THE BOARD OF DIRECTORS LISTED ON PART VII OF THIS FORM 990 INCLUDE THE FILING ORGANIZATION'S GOVERNING BOARD AND THE MEMBERS OF THE FILING ORGANIZATION'S HOSPITAL BOARD. THE HOSPITAL BOARD IS PRIMARILY RESPONSIBLE FOR MATTERS OF THE HOSPITAL INVOLVING THE OVERSIGHT OF MEDICAL STAFF (INCLUDING THE REVIEW AND APPROVAL OF MEDICAL STAFF BYLAWS, AND APPROVAL OF APPOINTMENTS TO AND DISMISSALS FROM THE MEDICAL STAFF), CARE OF PATIENTS, IMPROVEMENTS TO LAND, BUILDINGS AND EQUIPMENT, QUALITY ASSESSMENT AND IMPROVEMENT PROGRAMS IMPLEMENTED AT THE HOSPITAL AND RISK MANAGEMENT FUNCTIONS. |
| FORM 990, PART VI, SECTION A, LINE 3 | EFFECTIVE JANUARY 1, 2012, TEXAS HEALTH HUGULEY, INC. (THE FILING ORGANIZATION) ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). DURING THE CURRENT YEAR, AHSSHC SERVED AS A PARENT ORGANIZATION TO 30 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS AND A NUMBER OF OTHER HEALTH CARE FACILITIES THAT OPERATED IN 10 STATES WITHIN THE U.S. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). A 501(C)(3) SUBSIDIARY HOSPITAL ORGANIZATION OF AHSSHC, ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI), OWNS A 49% MEMBER INTEREST IN THE FILING ORGANIZATION. UNDER THE MANAGEMENT SERVICES AGREEMENT (THE AGREEMENT), AHSSHC MUST FOLLOW THE POLICIES OF THE FILING ORGANIZATION'S BOARD OF DIRECTORS. MANAGERIAL SERVICES PROVIDED BY AHSSHC INCLUDED OVERSIGHT AND DAY TO DAY MANAGEMENT OF THE FILING ORGANIZATION'S HOSPITAL, INCLUDING THE FOLLOWING FUNCTIONS: PERSONNEL ADMINISTRATION, INCLUDING RECRUITMENT, HIRING, TRAINING, PROMOTING, DIRECTING AND TERMINATING PERSONNEL; PROCUREMENT, INCLUDING THE ACQUISITION OF FOOD AND BEVERAGE ITEMS, SUPPLIES, DEVICES, FURNITURE, AND MEDICAL EQUIPMENT; HEALTH INFORMATION MANAGEMENT; MAINTENANCE AND SECURITY; CONTRACTING FOR SERVICES AND CONSULTING SERVICES; FINANCIAL ACCOUNTING SYSTEMS; DEVELOPMENT OF OPERATIONAL AND CAPITAL BUDGETS; BILLING AND COLLECTION OF RECEIVABLES AND REMITTANCES OF PAYABLES; PATIENT SAFETY AND QUALITY SYSTEMS; MARKETING; REGULATORY COMPLIANCE; ADMINISTRATION - POLICIES AND PROCEDURES, INCLUDING APPOINTMENT OF THE CFO, COO, AND CNO. THE INDIVIDUALS WHO SERVE AS OFFICERS OF THE FILING ORGANIZATION IN THE ROLES OF CEO, CFO, COO, CMO, AND CNO ARE LISTED IN PART VII, SECTION A. IN 2021, THESE INDIVIDUALS WERE COMPENSATED BY AND ON THE PAYROLL OF AHSSHC FOR SERVICES RENDERED TO THE FILING ORGANIZATION. THEIR COMPENSATION HAS BEEN REPORTED ON PART VII AND SCHEDULE J IN ACCORDANCE WITH THE INSTRUCTIONS FOR PART VII, SECTION A, LINE 5. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ARTICLES OF INCORPORATION OF THE FILING ORGANIZATION PROVIDE THAT 51% OF THE MEMBERSHIP IN THE FILING ORGANIZATION SHALL BE HELD BY TEXAS HEALTH RESOURCES, THE SOLE CLASS A MEMBER, AND 49% OF THE MEMBERSHIP IN THE FILING ORGANIZATION SHALL BE HELD BY ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI), THE SOLE CLASS B MEMBER. BOTH AHSSI AND THR ARE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). THERE ARE NO OTHER CLASSES OF MEMBERSHIP IN THH. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE BOARD OF DIRECTORS (GOVERNING BOARD) OF THE FILING ORGANIZATION ARE APPOINTED BY THR (MAJORITY MEMBER) AND AHSSI (MINORITY MEMBER). THE MAJORITY MEMBER IS ENTITLED TO ELECT THREE DIRECTORS TO THE BOARD OF THE FILING ORGANIZATION AND THE MINORITY MEMBER IS ENTITLED TO ELECT TWO DIRECTORS TO THE BOARD. IN ADDITION, THE MEMBERSHIP SHALL APPOINT FOR THE HOSPITAL A COMMUNITY HOSPITAL BOARD TO OVERSEE THE OPERATIONS OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN GOVERNANCE POWERS ARE RESERVED TO THE MEMBERS OF THE FILING ORGANIZATION. THE GOVERNING DOCUMENTS OF THE FILING ORGANIZATION DESCRIBE THOSE MATTERS REQUIRING ONLY AN AFFIRMITIVE VOTE OF THE CLASS A MEMBER (THR), THOSE MATTERS REQUIRING ONLY AN AFFIRMATIVE VOTE OF THE CLASS B MEMBER (AHSSI) AND THOSE MATTERS REQUIRING A SUPERMAJORITY VOTE OF THE MEMBERS. A SUPERMAJORITY VOTE REQUIRES AN AFFIRMATIVE VOTE OF NOT LESS THAN 52% OF THE OUTSTANDING MEMBERSHIP INTERESTS. THE RESERVED POWERS REQUIRING AN AFFIRMATIVE VOTE OF ONLY THE CLASS A MEMBER, THR, INCLUDE THE FOLLOWING: 1) TO APPROVE OR AMEND MANAGED CARE CONTRACTS TO WHICH THE FILING ORGANIZATION IS A PARTICIPATING PROVIDER; 2) TO APPROVE THE STRATEGIC PLANS OF THE FILING ORGANIZATION; 3) TO APPROVE THE ANNUAL OPERATING PLANS AND OPERATING AND CAPITAL BUDGET OF THE FILING ORGANIZATION; AND 4) TO APPROVE THE SELECTION, REMOVAL AND/OR MODIFICATION OF THE AUTHORITY AND RESPONSIBILITIES OF LAWYERS, ACCOUNTANTS AND OTHER ADVISORS AND CONSULTANTS TO THE FILING ORGANIZATION THAT ARE NOT OTHERWISE IDENTIFIED IN THE APPROVED ANNUAL OPERATING BUDGET. THE RESERVED POWERS REQUIRING AN AFFIRMATIVE VOTE OF ONLY THE CLASS B MEMBER, AHSSI, INCLUDE THE FOLLOWING: 1) TO APPROVE CHANGES TO THE MISSION, VISION, OR VALUES OF THE HOSPITAL; 2) TO APPROVE CHANGES TO RELIGIOUS AFFILIATION OF HOSPITAL; AND 3) TO APPROVE CHANGES TO OPERATIONAL POLICIES, PLANS, PROCEDURES THAT ARE SPECIFICALLY RELATED TO THE HOSPITAL'S RELIGIOUS AFFILIATION WITH THE SEVENTH-DAY ADVENTIST CHURCH. BOTH THR, THE MAJORITY MEMBER, AND AHSSI, THE MINORITY MEMBER HAVE THE RESERVED POWER TO TERMINATE THE APPOINTMENT OF THE INDIVIDUAL HOLDING THE OFFICE OF PRESIDENT/CEO. THE FOLLOWING MATTERS REQUIRE A SUPERMAJORITY VOTE OF THE MEMBERSHIP: 1) TO AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) TO CHANGE THE NAME OF THE HOSPITAL; 3) TO ADD NEW CORPORATE MEMBERS OF THE FILING ORGANIZATION; 4) TO APPOINT AND REMOVE THE HOSPITAL BOARD; 5) TO APPROVE DISTRIBUTIONS OF CASH AND OTHER PROPERTY; 6) TO APPROVE THE BORROWING OF MONEY OR OTHERWISE COMMITTING THE CREDIT OF THE FILING ORGANIZATION FOR CORPORATE ACTIVITIES, AND THE VOLUNTARY PREPAYMENT OR EXTENSION OF DEBT IN EXCESS OF $200,000; 7) TO ADOPT AND THEREAFTER AMEND QUALITY AND/OR RISK MANAGEMENT PLANS; 8) TO APPROVE THE TRANSFER OF CORPORATE PROPERTY HAVING A VALUE IN EXCESS OF $500,000; 9) TO APPROVE ANY SALE, LEASE, TRANSFER, MERGER OR CONSOLIDATION OF THE FILING ORGANIZATION WITH A THIRD PARTY; 10) TO DISSOLVE THE FILING ORGANIZATION; 11) TO APPROVE THE FORMATION OF ANY SUBSIDIARY OF THE FILING ORGANIZATION OR APPROVE THE FILING ORGANIZATION ENTERING INTO ANY AFFILIATION OR JOINT VENTURE AGREEMENT; AND 12) TO APPROVE ANY SINGLE CAPITAL BUDGET ITEM OF $1,000,000 (OR MORE). |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FILING ORGANIZATION'S CURRENT YEAR FORM 990 WAS REVIEWED BY THE CEO, CFO, AND BOARD CHAIRMAN PRIOR TO ITS FILING WITH THE IRS. THE REVIEW CONDUCTED BY THESE INDIVIDUALS DID NOT INCLUDE THE REVIEW OF ANY SUPPORTING WORKPAPERS THAT WERE USED IN PREPARATION OF THE CURRENT YEAR FORM 990, BUT DID INCLUDE A REVIEW OF THE ENTIRE FORM 990 AND ALL SUPPORTING SCHEDULES. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY OF THE FILING ORGANIZATION APPLIES TO MEMBERS OF ITS BOARD OF DIRECTORS AND ITS PRINCIPAL OFFICERS (TO BE KNOWN AS INTERESTED PERSONS). IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR ANY PRINCIPAL OFFICER OF THE FILING ORGANIZATION (I.E. INTERESTED PERSONS) MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST WITH THE FILING ORGANIZATION AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS CONCERNING THE FINANCIAL INTEREST/ARRANGEMENT TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION OR TO ANY MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT IS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUBSEQUENT TO ANY DISCLOSURE OF ANY FINANCIAL INTEREST/ARRANGEMENT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE RELEVANT BOARD MEMBER OR PRINCIPAL OFFICER, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD DELEGATED POWERS SHALL DISCUSS, ANALYZE, AND VOTE UPON THE POTENTIAL FINANCIAL INTEREST/ARRANGEMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. ACCORDING TO THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS (OR COMMITTEE WITH BOARD DELEGATED POWERS), BUT AFTER SUCH PRESENTATION, SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. EACH INTERESTED PERSON, AS DEFINED UNDER THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY, SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTERESTS POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE FILING ORGANIZATION IS A CHARITABLE ORGANIZATION THAT MUST PRIMARILY ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES. THE FILING ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT PERIODIC REVIEWS SHALL BE CONDUCTED TO ENSURE THAT THE FILING ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION, ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT GENERALLY MADE AVAILABLE TO THE PUBLIC AS A WHOLE. |
| PART VII, SECTION A, COLUMN (B) | FOR THOSE BOARD OF DIRECTOR MEMBERS WHO DEVOTE LESS THAN FULL-TIME TO THE FILING ORGANIZATION (BASED UPON THE AVERAGE NUMBER OF HOURS PER WEEK SHOWN IN COLUMN (B) ON PAGE 7 OF THE RETURN) THE COMPENSATION AMOUNTS SHOWN IN COLUMNS (E) AND (F) ON PAGE 7 WERE PROVIDED IN CONJUNCTION WITH THAT PERSON'S RESPONSIBILITIES AND ROLES IN SERVING IN AN EXECUTIVE LEADERSHIP POSITION WITHIN THR. PHYSICIAN MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FROM RELATED ORGANIZATIONS AS A RESULT OF PROVIDING VARIOUS MEDICAL SERVICES TO THOSE RELATED ENTITIES. ADDITIONALLY, COMPENSATION FOR PENNY JOHNSON, JESSE SUTTON, AND TAMMY ELLIS DOES NOT REFLECT SERVICES PROVIDED TO AFFFILIATES OF AHSSHC, WHICH ARE NOT RELATED TO THE TAXPAYER. |
| PART VIII, LINES 7A, B AND C: | THE AMOUNT SHOWN IN PART VIII, LINE 7C(I) OF THE FORM 990 REPRESENTS AN ALLOCATED SHARE OF CAPITAL GAIN/(LOSS) FROM A SYSTEM WIDE, CORPORATE ADMINISTERED, INVESTMENT PROGRAM. |
| FORM 990, PART IX, LINE 11G | PAYMENTS TO HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 15,594,315. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,594,315. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,448,578. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,448,578. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,140,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,140,769. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 1,404,078. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,404,078. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 46,829. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,829. RECRUITING: PROGRAM SERVICE EXPENSES 470,538. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 470,538. LEASED PERSONNEL COSTS: PROGRAM SERVICE EXPENSES 109,796,342. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,796,342. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,797,371. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,797,371. ADVENTHEALTH MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,833,719. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,833,719. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,166,018. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,166,018. ADVENTHEALTH SHARED SERVICE FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,653,825. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,653,825. LEASED PERSONNEL COSTS MGMT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,904,572. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,904,572. |
| PART X, LINE 2 | THE AMOUNTS SHOWN ON LINE 2 OF PART X OF THIS RETURN INCLUDE THE FILING ORGANIZATION'S INTEREST IN A CENTRAL INVESTMENT POOL MAINTAINED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, THE FILING ORGANIZATION'S TOP-TIER PARENT. THE INVESTMENTS IN THE CENTRAL INVESTMENT POOL ARE RECORDED AT MARKET VALUE. |
| FORM 990, PART XI, LINE 9: | TRANSFER FROM RELATED AND AFFILIATED ENTITIES 4,171,165. RESTRICTED GIFTS 28,081. OTHER -16,573. ROUNDING -1. |
| FORM 990, PART XII, LINE 3B: | FOR THE 2020 FISCAL YEAR ENDING DECEMBER 31, 2020, TEXAS HEALTH HUGULEY, INC. WAS SUBJECT TO THE SINGLE AUDIT REQUIREMENTS, AS SET FORTH IN THE REGULATIONS AT 2 CFR PART 200, SUBPART F. AS A CALENDAR YEAR TAXPAYER, THE DEADLINE TO COMPLETE AND SUBMIT THE SINGLE AUDIT REPORTING PACKAGE TO THE FEDERAL AUDIT CLEARINGHOUSE, AS REQUIRED UNDER SUBPART F OF 2 CFR 200.501, IS SEPTEMBER 30, 2021. HOWEVER, ON MARCH 19TH, 2021, THE OFFICE OF MANAGEMENT AND BUDGET (OMB) ISSUED MEMORANDUM M21-20, WHICH OUTLINED THE OMB'S EFFORTS TO SUPPLEMENT THE SUPPORT IN THE AMERICAN RESCUE PLAN ACT OF 2021 (ARP), PROMOTE PUBLIC TRUST IN THE FEDERAL GOVERNMENT'S STEWARDSHIP OF TAXPAYER RESOURCES, AND ALLEVIATE SOME OF THE ADMINISTRATIVE CHALLENGES RELATED TO THE CORONAVIRUS PANDEMIC. AS PART OF THE ADMINISTRATIVE RELIEF INCLUDED IN MEMORANDUM M21-20, THE OMB PROVIDED A SIX-MONTH EXTENSION OF TIME TO COMPLETE AND SUBMIT THE SINGLE AUDIT REPORTING PACKAGE. THE EXTENDED REPORTING DEADLINE FOR CALENDAR YEAR TAXPAYERS IS MARCH 31, 2022. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HUGULEY MEDICAL ASSOCIATES | |||||||||||
| 11801 SOUTH FREEWAY | BURLESON | TX | 76028 | 752547668 | PHYS. CLINIC | TX | 501(C)(3) | LINE 3 | TH HUGULEY | Yes (1) | |
| NORTH TEXAS HEALTHY COMMUNITIES | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 464513182 | COMM SUPPORT | TX | 501(C)(3) | LINE 7 | TH RESOURCES | 0 | |
| SOUTHWESTERN HEALTH RESOURCES JOC | |||||||||||
| 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 811575989 | MANAGEMENT ORG. | TX | 501(C)(3) | LINE 12B | TH RESOURCES | 0 | |
| TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL | |||||||||||
| 800 WEST RANDOL MILL RD | ARLINGTON | TX | 76012 | 750972805 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH BACK CARE | |||||||||||
| 9250 AMBERTON PKWY | DALLAS | TX | 75243 | 474724257 | PHYS. CLINIC | TX | 501(C)(3) | LINE 10 | TH PHYS GROUP | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE | |||||||||||
| 10864 TEXAS HEALTH TRAIL | FORT WORTH | TX | 76244 | 451502252 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE | |||||||||||
| 108 DENVER TRAIL | AZLE | TX | 76020 | 751748586 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE | |||||||||||
| 201 WALLS DR | CLEBURNE | TX | 76033 | 751977850 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | |||||||||||
| 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 756001743 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD | |||||||||||
| 1600 HOSPITAL PARKWAY | BEDFORD | TX | 76022 | 751438726 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | |||||||||||
| 6100 HARRIS PARKWAY | FORT WORTH | TX | 76132 | 752678857 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE | |||||||||||
| 411 BELKNAP STREET | STEPHENVILLE | TX | 76401 | 751752253 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HOSPITAL FRISCO | |||||||||||
| 12400 DALLAS PKWY | FRISCO | TX | 75033 | 831954982 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH HOSPITAL MANSFIELD | |||||||||||
| 2300 LONE STAR RD | MANSFIELD | TX | 76063 | 831869297 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH HUGULEY | Yes (1) | |
| TEXAS HEALTH HUGULEY INC | |||||||||||
| 11801 S FREEWAY | BURLESON | TX | 76028 | 452694620 | HOSPITAL | FL | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH MEDICAL SUPPORT | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 812833150 | SPEC DRUGS | TX | 501(C)(3) | LINE 10 | TH RESOURCES | 0 | |
| TEXAS HEALTH PHYSICIANS GROUP | |||||||||||
| 9250 AMBERTON PKWY | DALLAS | TX | 75243 | 752613493 | PHYS. CLINIC | TX | 501(C)(3) | LINE 10 | TH RESOURCES | 0 | |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN | |||||||||||
| 1105 CENTRAL EXPRESSWAY N | ALLEN | TX | 75013 | 752890358 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | |||||||||||
| 8200 WALNUT HILL LN | DALLAS | TX | 75231 | 751047527 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON | |||||||||||
| 3000 NORTH INTERSTATE 35 | DENTON | TX | 76201 | 432008974 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | |||||||||||
| 850 ED HALL DRIVE | KAUFMAN | TX | 75142 | 752771437 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO | |||||||||||
| 6200 W PARKER RD | PLANO | TX | 75093 | 752770738 | HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH RECOVERY AND WELLNESS CENTER | |||||||||||
| 240 MILLER ROAD | MANSFIELD | TX | 76063 | 812813227 | RESD TRMT CTR | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH RESEARCH & EDUCATION INSTITUTE | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 752562191 | EDUC & RESEARCH | TX | 501(C)(3) | LINE 4 | TH RESOURCES | 0 | |
| TEXAS HEALTH RESOURCES | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 752702388 | SYSTEM MANAGEMENT | TX | 501(C)(3) | LINE 12C | 0 | N/A | |
| TEXAS HEALTH RESOURCES FOUNDATION | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 752022128 | FUNDRAISING | TX | 501(C)(3) | LINE 7 | TH RESOURCES | 0 | |
| TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH | |||||||||||
| 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 751648589 | LT HOSPITAL | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH URGENT CARE | |||||||||||
| 3805 W UNIVERSITY PARK 100 | MCKINNEY | TX | 75071 | 814317635 | URGENT CARE CTR | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| TEXAS HEALTH VIRTUAL CARE | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 873611585 | VIRTUAL CARE | TX | 501(C)(3) | LINE 3 | TH RESOURCES | 0 | |
| WW WARD ENDOWMENT FUND TRUST | |||||||||||
| 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | 756196065 | NURSING GRANTS | TX | 501(C)(3) | LINE 12A | TH FOUNDATION | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| AMH CATH LABS LLC | |||||||||
| 811 WRIGHT STREET | ARLINGTON | TX | 76012 | 203003947 | HOSPITAL | TX | N/A | 0 | 0 |
| ARLINGTON SURGERY CENTER LLC | |||||||||
| 918 N DAVIS DRIVE | ARLINGTON | TX | 76012 | 752055800 | AMB SURG CTR | TX | N/A | 0 | 0 |
| CLEBURNE SURGICAL CENTER LLC | |||||||||
| 2010 W KATHERINE P RAINES BLVD STE | CLEBURNE | TX | 76033 | 203742012 | AMB SURG CTR | TX | N/A | 0 | 0 |
| CROSS TIMBERS SURGERY CENTER LLC | |||||||||
| 1001 N WALDROP DRIVE STE 705 | ARLINGTON | TX | 76102 | 752862780 | AMB SURG CTR | TX | N/A | 0 | 0 |
| DENTON SURGERY CENTER LLC | |||||||||
| 207 NORTH BONNIE BRAE STREET | DENTON | TX | 76201 | 470926556 | AMB SURG CTR | TX | N/A | 0 | 0 |
| FLOWER MOUND HOSPITAL PRTS LLC | |||||||||
| 4400 LONG PRAIRIE ROAD | FLOWER MOUND | TX | 75028 | 260684968 | HOSPITAL | TX | N/A | 0 | 0 |
| FORT WORTH ENDOSCOPY CENTER LLC | |||||||||
| 900 W MAGNOLIA AVENUE 101 | FORT WORTH | TX | 76104 | 770368346 | ENDOSCOPY CENTER | TX | N/A | 0 | 0 |
| GREENVILLE SURGERY CENTER LLC | |||||||||
| 7150 GREENVILLE AVENUE STE 200 | DALLAS | TX | 75231 | 742411643 | AMB SURG CTR | TX | N/A | 0 | 0 |
| HEALTH IMAGING PARTNERS LLC | |||||||||
| 8610 EXPLORER DRIVE STE 300 | COLORADO SPRINGS | CO | 80920 | 271385885 | MEDICAL IMAGING | TX | N/A | 0 | 0 |
| MANSFIELD ENDOSCOPY CENTER LLC | |||||||||
| 647 N MILLER ROAD | MANSFIELD | TX | 76063 | 861354607 | ENDOSCOPY CENTER | TX | N/A | 0 | 0 |
| NORTH DALLAS SURGICAL CENTER LLC | |||||||||
| 17980 DALLAS PARKWAY STE 100 | DALLAS | TX | 75287 | 272248103 | AMB SURG CTR | TX | N/A | 0 | 0 |
| OPTHALMOLOGY SURGERY CENTER OF DALLAS | |||||||||
| 10740 N CENTRAL EXPY | DALLAS | TX | 75231 | 261914835 | AMB SURG CTR | TX | N/A | 0 | 0 |
| PARK HILL SURGERY CENTER LLC | |||||||||
| 3455 LOCKE AVENUE | FORT WORTH | TX | 76107 | 451484375 | AMB SURG CTR | TX | N/A | 0 | 0 |
| PHYSICIAN MEDICAL CENTER LLC | |||||||||
| 6020 W PARKER ROAD | PLANO | TX | 75093 | 481281376 | HOSPITAL | TX | N/A | 0 | 0 |
| PRESBYTERIAN CANCER CENTER-DALLAS LLC | |||||||||
| PO BOX 819067 | DALLAS | TX | 75381 | 260422749 | CANCER CTR | TX | N/A | 0 | 0 |
| ROCKWALL REGIONAL HOSPITAL LLC | |||||||||
| 3150 HORIZON ROAD | ROCKWALL | TX | 75032 | 202848116 | HOSPITAL | TX | N/A | 0 | 0 |
| SOUTH ARLINGTON SURGICAL PROVIDERS LLC | |||||||||
| 350 E INTERSTATE 20 STE 200 | ARLINGTON | TX | 76018 | 752723958 | AMB SURG CTR | TX | N/A | 0 | 0 |
| SOUTHLAKE SPECIALTY HOSPITAL LLC | |||||||||
| 1545 E SOUTHLAKE BLVD | SOUTHLAKE | TX | 76092 | 020555370 | HOSPITAL | TX | N/A | 0 | 0 |
| SURGICAL CAREGIVERS OF FORT WORTH LLC | |||||||||
| 2001 W ROSEDALE STREET | FORT WORTH | TX | 76104 | 751925497 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TEXAS HEALTH CRAIG RANCH SURGERY CENTER LLC | |||||||||
| 8080 STATE HWY 121 STE 100 | MCKINNEY | TX | 75070 | 383897811 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TEXAS HEALTH HUGULEY SURGERY CENTER LLC | |||||||||
| 12001 S FREEWAY | BURLESON | TX | 76028 | 821289045 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TEXAS HEALTH ORTHOPEDIC SURGERY CENTER ALLIANCE LLC | |||||||||
| 9848 N BEACH STREET | FORT WORTH | TX | 76244 | 814977249 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TEXAS HEALTH SPINE SURGERY CENTER ALLEN LLC | |||||||||
| 1120 RAINTREE CIRCLE STE 100 | ALLEN | TX | 75013 | 300957868 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TEXAS HEALTH SUPPLY CHAIN SERVICES LLC | |||||||||
| 612 E LAMAR BLVD STE 600 | ARLINGTON | TX | 76011 | 841833532 | PURCHASING CO | TX | N/A | 0 | 0 |
| TEXAS HEALTH SURGERY CENTER ALLIANCE LLC | |||||||||
| 10840 TEXAS HEALTH TRAIL STE 100 | FORT WORTH | TX | 76244 | 822296081 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TEXAS HEALTH SURGERY CENTER BEDFORD LLC | |||||||||
| 1605 AIRPORT FREEWAY STE 100 | BEDFORD | TX | 76021 | 821307876 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TEXAS HEALTH SURGERY CENTER IRVING LLC | |||||||||
| 2120 N MACARTHUR BLVD STE 200 | IRVING | TX | 75061 | 831085415 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TEXAS HEALTH SURGERY CENTER WAXAHACHIE LLC | |||||||||
| 1434 US HWY 287 BYPASS STE 100 | WAXAHACHIE | TX | 75165 | 831464243 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TEXAS HEALTH SURGERY CENTER WILLOW PARK LLC | |||||||||
| 612 E LAMAR BLVD STE 600 | ARLINGTON | TX | 76011 | 841953918 | INACTIVE | TX | N/A | 0 | 0 |
| TEXAS HLTH SPINE SURGERY CENTER ALLIANCE LLC | |||||||||
| 1545 E SOUTHLAKE BLVD STE 100 | SOUTHLAKE | TX | 76092 | 320571301 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TEXAS INSTITUTE FOR SURGERY LLP | |||||||||
| 7115 GREENVILLE AVENUE STE 100 | DALLAS | TX | 75231 | 770628004 | HOSPITAL | TX | N/A | 0 | 0 |
| TH FLOWER MOUND ORTHOPEDIC SURGERY CENTER LLC | |||||||||
| 5000 LONG PRAIRIE ROAD | FLOWER MOUND | TX | 75028 | 800866449 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TH SURGERY CENTER CHISHOLM TRAIL LLC | |||||||||
| 5900 ALTAMESA BLVD | FORT WORTH | TX | 76132 | 851225852 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TH SURGERY CENTER PRESTON PLAZA LLC | |||||||||
| 17950 PRESTON ROAD STE 75 | DALLAS | TX | 75252 | 203991622 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TH SURGERY CENTER ROCKWALL LLC | |||||||||
| 3144 HORIZON ROAD STE 120 | ROCKWALL | TX | 75032 | 474425996 | AMB SURG CTR | TX | N/A | 0 | 0 |
| TH SURGERY CENTER SW FORT WORTH LLC | |||||||||
| 6317 HARRIS PARKWAY STE 200 | FORT WORTH | TX | 76132 | 843814490 | AMB SURG CTR | TX | N/A | 0 | 0 |
| THR-STT ROCKWALL ASC LLC | |||||||||
| 1545 E SOUTHLAKE BLVD | SOUTHLAKE | TX | 76092 | 262429878 | AMB SURG CTR | TX | N/A | 0 | 0 |
| THR-STT SOUTHLAKE ASC LLC | |||||||||
| 1545 E SOUTHLAKE BLVD | SOUTHLAKE | TX | 76092 | 201728912 | AMB SURG CTR | TX | N/A | 0 | 0 |
| USMD HOSPITAL AT ARLINGTON LP | |||||||||
| 801 I -20 WEST | ARLINGTON | TX | 76017 | 731662763 | HOSPITAL | TX | N/A | 0 | 0 |
| USMD HOSPITAL AT FORT WORTH LP | |||||||||
| 5900 ALTAMESA BLVD | FORT WORTH | TX | 76132 | 203571243 | HOSPITAL CLOSED | TX | N/A | 0 | 0 |
| WALNUT HILL SURGERY CENTER LLC | |||||||||
| 5494 GLEN LAKES DRIVE | DALLAS | TX | 75231 | 364499777 | AMB SURG CTR | TX | N/A | 0 | 0 |
| WILSON CREEK SURIGCAL CENTER LLC | |||||||||
| 8855 SYNERGY DRIVE | MCKINNEY | TX | 75070 | 274816583 | AMB SURG CTR | TX | N/A | 0 | 0 |
| WOMEN'S SPECIALTY SURGERY CENTER OF DALLAS LLC | |||||||||
| 8230 WALNUT HILL LANE STE 101 | DALLAS | TX | 75231 | 262310072 | AMB SURG CTR | TX | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GRACE INDEMNITY COMPANY SPC LTD | |||||||||||||
| 1159 CARIBBEAN PLAZA | GRAND CAYMAN | CJ | 981209573 | CAPTIVE INSURANCE | CJ | N/A | C | 0 | |||||
| TEXAS HEALTH BIOMEDICAL ADVANCEMENT CENTER INC | |||||||||||||
| 752636884 | RESEARCH | N/A | C | 0 | 612 E LAMAR BLVD | ARLINGTON | TX | 76011 | TX | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HUGULEY MEDICAL ASSOCIATES | ||
| A | $642,163 | FMV RENT |
| HUGULEY MEDICAL ASSOCIATES | ||
| Q | $1,852,605 | COST |
| HUGULEY MEDICAL ASSOCIATES | ||
| R | $5,442,365 | ACTUAL AMOUNT TRANSFERRED |
| HUGULEY MEDICAL ASSOCIATES | ||
| L | $60,000 | ACTUAL AMOUNT RECEIVED |
| TEXAS HEALTH RESOURCES | ||
| S | $1,822,500 | ACTUAL AMOUNT RECEIVED |
| TEXAS HEALTH HOSPITAL MANSFIELD | ||
| Q | $1,929,825 | COST |
| TEXAS HEALTH HOSPITAL MANSFIELD | ||
| D | $8,000,000 | ACTUAL AMOUNT TRANSFERRED |
| TEXAS HEALTH HOSPITAL MANSFIELD | ||
| S | $6,530,207 | ACTUAL AMOUNT RECEIVED |
| TEXAS HEALTH HUGULEY SURGERY CENTER LLC | ||
| L | $691,776 | ACTUAL AMOUNT RECEIVED |
| TEXAS HEALTH HUGULEY SURGERY CENTER LLC | ||
| Q | $6,159,047 | COST |
| TEXAS HEALTH HUGULEY SURGERY CENTER LLC | ||
| R | $104,733 | ACTUAL AMOUNT TRANSFERRED |
| TEXAS HEALTH HUGULEY SURGERY CENTER LLC | ||
| S | $661,323 | ACTUAL AMOUNT RECEIVED |