2020-07-14T10:59:32-05:00 2019-08-31 BKD LLP 2700 Post Oak Blvd Ste 1500 HOUSTON TX 77056 990 2018-09-01 752660403 Hendrick Provider Network % JEREMY WALKER HEND 3256702000 PO Box 3117 Abilene TX 79604 JEREMY WALKER CFO 7134994600 2020-07-15 true Amanda Maya P01067777 7134994600 2020-07-15 167.68.126.162 76915820201965000038 2020-07-14 P 21E6481FF4EC5D606F81E380A49442717B3AD96E 413DC25F35764CB38C029D7A3BE266128AFE0E55 2018 2021-01-29 14:40:06Z BRAD HOLLAND 1242 N 19TH ST ABILENE TX 79604 45710682 false X WWW.EHENDRICK.ORG X 1995 TX TO PROVIDE MEDICAL CARE TO THE COMMUNITY OF ABILENE AND SURROUNDING AREAS. MANY PATIENTS ARE ON MEDICAID. SERVICES ARE PROVIDED REGARDLESS OF ABILITY TO PAY. 5 0 502 0 0 0 0 0 40372916 44303235 -1093 -1500 826372 1407447 41198195 45709182 0 1252 0 0 55577688 62589591 0 0 0 14142756 17102447 69720444 79693290 -28522249 -33984108 19774264 20122139 19771865 18703218 2399 1418921 TO PROVIDE MEDICAL CARE TO THE COMMUNITY OF ABILENE AND SURROUNDING AREAS. MANY PATIENTS ARE ON MEDICAID. SERVICES ARE PROVIDED TO PROMOTE BEST HEALTH PRACTICES REGARDLESS OF ABILITY TO PAY. false false 73180612 1252 44167395 HENDRICK PROVIDER NETWORK PROVIDES WOMEN'S HEALTH SERVICES, ONCOLOGY, CARDIOLOGY, CARDIOVASCULAR, FAMILY MEDICINE, RHEUMATOLOGY, PLASTIC SURGERY, GENERAL SURGERY, NEUROLOGY, ENDOCRINOLOGY, UROLOGY, OPHTHALMOLOGY, SLEEP MEDICINE AND INTERNAL MEDICINE SERVICES FOR PATIENTS IN THE ABILENE AND SURROUNDING AREA, MANY OF WHOM ARE UNINSURED OR ARE ON MEDICAID. THESE SERVICES ARE PROVIDED BY PHYSICIANS EMPLOYED BY THE COMPANY. 137213 HENDRICK PROVIDER NETWORK SUBLEASES THE BUILDING FOR THE ABILENE BRANCH OF TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SCHOOL OF NURSING AND SCHOOL OF PHARMACY. 73180612 true false false true false false false false false false true false false true false true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true false false false true 55 0 true 502 true false false false false false false false false false false false false X 5 0 false false false false true true true true true false false true true true true true true true false false X JEREMY WALKER 3256702000 1900 PINE STREET ABILENE TX 79601 X Henry Fosah Director 40.0 2.0 X 344787 0 28637 Jose Vega Secretary 40.0 2.0 X X 449812 0 39484 Ren Zhang Director 40.0 0.0 X 1226382 0 12467 Rhett Lohman Chair 40.0 2.0 X X 460959 0 37336 Gary Binkley Director 40.0 2.0 X 869586 0 8182 Tim Lancaster President 2.0 48.0 X 0 1134039 19973 David Stephenson Vice President 40.0 8.0 X 213928 0 37359 Joji Varghese Physician 40.0 0.0 X 1154363 0 45607 Harvinder Arora Physician 40.0 0.0 X 1248182 0 17337 Brent Mahoney Physician 40.0 0.0 X 1473821 0 45997 Nageswari Daggubati Physician 40.0 0.0 X 1281093 0 20250 Udaya Swarna Physician 40.0 0.0 X 1249113 0 64660 9972026 1134039 377289 85 false true false WEATHERBY MEDICAL STAFFING PO BOX 972633 DALLAS TX 753972633 LOCUM SERVICES 2962511 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 606731242 SOFTWARE SUPPORT 1816225 TEXAS TECH UNIVERSITY HEALTH SCIENC 3601 4STH STREET STOP 6225 LUBBOCK TX 79424 PHYSICIAN SERVICES 818065 ZIRMED INC 1311 SOLUTIONS CENTER CHICAGO IL 606771311 ACH SVC/SOFTWARE SUP 290651 QUESTCARE OBSTETRICS PLLC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 OB/GYN PROVIDER CARE 214440 9 0 Net Patient Fees 621500 44167395 44167395 Related NMTC Rental Revenue 531120 135840 135840 44303235 0 0 0 1373 1373 0 1373 1373 1500 -1500 -1500 -1500 0 0 0 0 0 0 0 0 0 Miscellaneous 900099 1406074 1406074 1406074 45709182 44304608 1404574 1252 1252 0 0 0 3728917 3476084 252833 0 51786037 48450416 3335621 871012 790600 80412 3893790 3260241 633549 2309835 2056160 253675 42725 42725 69498 32736 36762 25083 25083 0 0 0 4983931 3791787 1192144 187033 140560 46473 533405 395858 137547 1403349 1388516 14833 0 2399134 2267799 131335 122179 116921 5258 0 0 0 0 736000 657948 78052 480720 475866 4854 BAD DEBT EXPENSE 3254236 3254236 MEDICAL SUPPLIES 1818248 1818248 TIME ALLOCATIONS 223503 2275 221228 MINOR EQUIPMENT 217953 192842 25111 605450 567542 37908 79693290 73180612 6512678 0 27382 46317 90817 168377 0 0 3092735 3115202 0 0 0 0 0 0 619159 480270 543083 238554 8310962 4743091 2756318 3567871 0 0 0 0 0 0 0 0 12644770 12505548 19774264 20122139 6891865 5823218 0 0 0 0 0 0 0 0 0 0 12880000 12880000 0 0 0 0 19771865 18703218 X 2399 1418921 0 0 0 0 2399 1418921 19774264 20122139 X -33984108 35400630 X false true X true false X 0 0 0 0 0 0 26914964 31409824 35527801 40372916 44303235 178528740 0 0 0 26914964 31409824 35527801 40372916 44303235 178528740 0 0 0 178528740 1404 1875 1712 1628 1373 7992 0 1404 1875 1712 1628 1373 7992 0 1322164 716862 912645 824744 1406074 5182489 28238532 32128561 36442158 41199288 45710682 183719221 0.97175 0.97320 0.00004 0.00005 X false false false false false true 9500 false false false 9500 false PART II-B, QUESTION 1F Amount reported in Part II-B, Question 1F represents portion of dues paid to trade associations that is attributable to lobbying activities. 132270 126557 5713 38478 38478 8044634 4577597 3467037 95580 459 95121 3567871 Other Asset 94266 Due from HMC 12261064 NMTC reserve 150218 12505548 0 0 X 42326229 -3249953 -3249953 45576182 133000 133000 45709182 76310337 -128717 -128717 76439054 3254236 3254236 79693290 SCHEDULE D, PART X, LINE 2 FIN 48 FINANCIAL STATEMENTS FOOTNOTE IN ACCORDANCE WITH ASC 740-10 FASB INTERPRETATION (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT EVALUATED HENDRICK'S TAX POSITIONS AND CONCLUDED THAT HENDRICK HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH A FEW EXCEPTIONS, HENDRICK IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2016. SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 REVENUE ON BOOKS, NOT ON RETURN: BAD DEBT EXPENSE IN AUDIT REVENUE $(3,254,236) OTHER DIFFERENCE 4,283 ----------- $(3,249,953) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 REVENUE ON RETURN, NOT ON BOOKS: RENTAL INCOME INCLUDED IN AUDIT EXPENSE $ 133,000 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 EXPENSE ON BOOKS, NOT ON RETURN: RENTAL INCOME INCLUDED IN AUDIT EXPENSE $ (133,000) OTHER DIFFERENCE 4,283 --------- $ (128,717) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSE PER AUDITED FINANCIAL STATEMENTS TO FORM 990 EXPENSE ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE IN AUDIT REVENUE $3,254,236 X X X X X false true false false false false false false false Tim Lancaster President 0 708164 0 270917 0 154958 0 0 0 19973 0 1154012 0 133965 Henry Fosah Director 234880 0 109585 0 322 0 6967 0 21670 0 373424 0 0 0 Jose Vega Secretary 327316 0 121962 0 534 0 7870 0 31614 0 489296 0 0 0 Ren Zhang Director 672349 0 551557 0 2476 0 7419 0 5048 0 1238849 0 0 0 Rhett Lohman Chair 409235 0 51050 0 674 0 7777 0 29559 0 498295 0 0 0 Gary Binkley Director 653000 0 197476 0 19110 0 6768 0 1414 0 877768 0 0 0 Joji Varghese Physician 460887 0 674681 0 18795 0 7702 0 37905 0 1199970 0 0 0 Harvinder Arora Physician 472279 0 757109 0 18794 0 7703 0 9634 0 1265519 0 0 0 Brent Mahoney Physician 573105 0 881238 0 19478 0 7555 0 38442 0 1519818 0 0 0 Nageswari Daggubati Physician 1008745 0 249908 0 22440 0 7419 0 12831 0 1301343 0 0 0 Udaya Swarna Physician 583435 0 640351 0 25327 0 7549 0 57111 0 1313773 0 0 0 David Stephenson Vice President 165453 0 45543 0 2932 0 11786 0 25573 0 251287 0 0 0 PART 1, LINE 4B PARTICIPATION IN OR PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANTS IN 457(F) REPORTED W-2 DEFERRED COMP. PAID BY -------------------------- ------------ -------------- ------- TIM LANCASTER 133,965 NONE HMC DAVID STEPHENSON NONE 11,786 HPN FORM 990, PART VI, SECTION A, LINE 6 HENDRICK MEDICAL CENTER IS THE SOLE MEMBER OF HENDRICK PROVIDER NETWORK. FORM 990, PART VI, SECTION A, LINE 7A PERSONS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY: THE MEMBER, HENDRICK MEDICAL CENTER, SHALL ELECT THE SUCCESSORS OF THE INITIAL DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY OTHER PERSONS: ARTICLE VII OF THE RESTATED ARTICLES OF INCORPORATION PROVIDES, IN PART, THAT AN AMENDMENT TO ARTICLE II RELATING TO THE PURPOSE OF THE CORPORATION AND ARTICLE VI RELATING TO THE NUMBER AND METHOD OF THE ELECTION OR APPOINTMENT OF THE BOARD OF TRUSTEES SHALL OCCUR ONLY WITH THE CONSENT OF THE BAPTIST GENERAL CONVENTION OF TEXAS OR ITS EXECUTIVE BOARD. FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE REVIEW PROCESS OF FORM 990: THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DESCRIBE THE ORGANIZATION'S PRACTICE FOR MONITORING COMPLIANCE WITH POLICY: THE ORGANIZATION CONDUCTS, AT A MINIMUM, ANNUAL REVIEWS OF THE POSSIBLE CONFLICTS OF INTEREST AND OTHER FINANCIAL RELATIONSHIPS IDENTIFIED UNDER THIS CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15A PROCESS FOR DETERMINING COMPENSATION OF CEO, DIRECTORS, OR TOP OFFICIALS: A COMPREHENSIVE REVIEW OF COMPENSATION IS CONDUCTED BY AN INDEPENDENT PARTY AT LEAST EVERY THREE YEARS. THIS REPORT PRESENTS THE RESULTS OF THE ANALYSIS OF SALARY, INCENTIVE, TOTAL CASH COMPENSATION (SALARY PLUS INCENTIVE), BENEFITS, AND TOTAL COMPENSATION (TOTAL CASH AND BENEFITS). INTEGRATED HEALTHCARE STRATEGIES (IHS) WORKS WITH THE PERSONNEL COMMITTEE TO FORMALLY DEFINE AN EXECUTIVE TOTAL COMPENSATION PHILOSOPHY. HENDRICK HEALTH SYSTEM'S CURRENT PHILOSOPHY IS TO USE RANGES BUILT AROUND THE MEDIAN OF THE MARKET WITH A 50% SPREAD FROM MINIMUM TO MAXIMUM. INCENTIVE OPPORTUNITY LEVELS ARE COMPETITIVE WITH PRACTICES OF PEER GROUPS AND BENEFITS WILL BE DELIVERED AT MARKET COMPETITIVE LEVELS. SEVERANCE AND PERQUISITES REFLECT A CONSERVATIVE PHILOSOPHY. THE COMMITTEE DETERMINED THAT THE PEER GROUP WOULD BE PRIMARILY REGIONAL NOT-FOR-PROFIT HOSPITALS OF SIMILAR SIZE AND COMPLEXITY. NATIONAL PEER GROUP WILL BE USED FOR REFERENCE PURPOSES WHERE APPROPRIATE. THE HENDRICK HEALTH SYSTEM PERSONNEL COMMITTEE IS DELEGATED THE RESPONSIBILITY FOR THE EXECUTIVE COMPENSATION PROGRAM BY THE BOARD OF TRUSTEES. THE COMMITTEE: SETS THE OVERALL EXECUTIVE COMPENSATION PHILOSOPHY TO BE IMPLEMENTED BY HENDRICK HEALTH SYSTEM; SETS COMPENSATION COMPONENTS FOR THE PRESIDENT AND CEO; REVIEWS, DISCUSSES AND MAKES DECISIONS BASED ON THE PRESIDENT AND CEO'S RECOMMENDATIONS FOR HIS DIRECT REPORTS; REPORTS A SUMMARY OF THE PROCESS BACK TO THE BOARD OF TRUSTEES ALONG WITH THE ACTUAL COMPENSATION APPROVED FOR THE PRESIDENT AND CEO; AND APPROVES ALL INCENTIVE GOALS AND AWARDS. FORM 990, PART VI, SECTION C, LINE 19 DESCRIBE WHETHER THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE TO PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: EQUITY CONTRIBUTIONS HMC $35,400,630 HPN RO BILLING SERVICES LLC 1900 PINE ST ABILENE TX 79601 813892121 Radiology SVC TX -551188 0 HPN HPN PHYSICIAN BILLING LLC 1900 PINE ST ABILENE TX 79601 815158335 Billing SRVCS TX 0 0 HPN HENDRICK MEDICAL CENTER PO BOX 3117 ABILENE TX 79604 750827446 Hospital TX 501(C) (3) 3 NA false HENDRICK ANESTHESIA NETWORK PO BOX 3117 ABILENE TX 79604 752728889 Anesthesia TX 501(C) (3) 10 HMC true HENDRICK MEDICAL CENTER FOUNDATION PO BOX 3117 ABILENE TX 79604 237413284 Fundraising TX 501(C) (3) 7 HMC true HENDRICK HOSPICE CARE PO BOX 3117 ABILENE TX 79604 751835287 Hospice Care TX 501(C) (3) 10 HMC true HMC HOSPICE PROPERTIES PO BOX 3117 ABILENE TX 79604 814244839 Property Mgmt TX 501(C) (3) 12A, Type 1 HMC true HENDRICK SURGERY CENTER LLC PO BOX 3117 ABILENE TX 79604 811804826 Surgery Center TX HMC Related false false Hendrick Dialysis Center 1900 Pine St Abilene TX 79601 834206582 Dialysis Center TX HMC Related false false HENDRICK HEALTH NETWORK PO BOX 3117 ABILENE TX 79604 721619011 Health Insurance TX HMC C-Corporation true HENDRICK SOUTHWESTERN HEALTH DEV CORP PO BOX 3117 ABILENE TX 79604 751598794 Retail Sales TX HMC C-Corporation true false false true false false false false false false false true false false false false false false false false