TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD (EIN 75-1438726)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-12
IRS object ID: 201913169349301726
Schema version: 2018v3.1
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	2019-11-12T08:59:12-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	751438726	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Texas Health Harris Methodist Hospital	BusinessNameLine1Txt
Business Name Line2	Hurst-Euless-Bedford	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% DAVID JACKSON	InCareOfNm
Business Name Control	TEXA	BusinessNameControlTxt
Phone	8178484000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 Hospital Parkway	AddressLine1Txt
City	Bedford	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76022	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID JACKSON	PersonNm
Person Title	Assistant Secretary	PersonTitleTxt
Phone	6822367900	PhoneNum
Signature	2019-11-12	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	12.50.9.2	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	80738820193165000005	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-12	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	3E78A6ECC8DA71FB4B6305E1F5D71DDD1A0FACA8	AtSubmissionCreationDeviceId
At Submission Filing Device Id	1FEC91D2923A969736DE912BE8A46A37C887AF2E	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-01-14 16:20:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Fraser Hay	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 Hospital Parkway	AddressLine1Txt
City	Bedford	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76022	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$247,944,162	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.texashealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1973	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	A FAITH-BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES REGARDLESS OF THEIR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1667	TotalEmployeeCnt
Total Volunteers	258	TotalVolunteersCnt
Total Gross UBI	$163,100	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$7,179	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$135,441	PYContributionsGrantsAmt
CY Contributions Grants	$1,324,445	CYContributionsGrantsAmt
PY Program Service Revenue	$240,963,117	PYProgramServiceRevenueAmt
CY Program Service Revenue	$244,149,290	CYProgramServiceRevenueAmt
PY Investment Income	-$40,787	PYInvestmentIncomeAmt
CY Investment Income	$163,759	CYInvestmentIncomeAmt
PY Other Revenue	$2,892,164	PYOtherRevenueAmt
CY Other Revenue	$2,300,354	CYOtherRevenueAmt
PY Total Revenue	$243,949,935	PYTotalRevenueAmt
CY Total Revenue	$247,937,848	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,879,508	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$375,506	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$115,662,047	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$121,117,114	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$114,525,700	PYOtherExpensesAmt
CY Other Expenses	$123,904,723	CYOtherExpensesAmt
PY Total Expenses	$236,067,255	PYTotalExpensesAmt
CY Total Expenses	$245,397,343	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,882,680	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,540,505	CYRevenuesLessExpensesAmt
Total Assets BOY	$142,455,100	TotalAssetsBOYAmt
Total Assets EOY	$147,311,091	TotalAssetsEOYAmt
Total Liabilities BOY	$25,954,123	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$22,875,632	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$116,500,977	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$124,435,459	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	A FAITH-BASED ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES REGARDLESS OF THEIR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$197,029,289	ExpenseAmt
Grant	$375,506	GrantAmt
Revenue	$244,667,376	RevenueAmt
Desc	Located in Bedford, Texas since 1973, Texas Health Harris Methodist Hospital Hurst-Euless-Bedford (THHEB) operates a 285 bed acute care facility serving Northeast Tarrant County. The city of Bedford is located between Dallas and Fort Worth. THHEB offers a broad range of inpatient and outpatient medical services to the communities in northeast Tarrant County with specialized capabilities in many areas, including women's services, cardiovascular services, orthopedic services, physical therapy, digestive diseases, oncology services, and behavioral health. The behavior health program consists of three inpatient units (Adult Psych, Adult Chemical Dependency, and Adolescent Psych). The program also offers an extensive partial hospitalization program, five outpatient satellite clinics, and provides crisis evaluation services to acute care facilities in Tarrant County. THHEB also holds a number of specialty accreditations and certifications. THHEB is accredited by The Joint Commission for the Hospital Program and the Behavioral Health Program. THHEB holds accreditation in ACR CT, MRI, and Nuclear Medicine. The Clinical, Anatomic, and Ancillary Testing Departments of the laboratory are accredited by the American Association of Blood Banks American College of Pathologist (CAP). THHEB was the first Laboratory in Northeast Tarrant County to be recognized by the International Organization for Standardization for quality and competence in medical laboratories. The hospital also earned a 3-year accreditation with commendation from American College of Surgeons Commission on Cancer. THHEB is a fully Accredited Cycle IV Chest Pain Center as well as an advance Level III trauma facility. THHEB earned chest pain & heart failure certification from the joint commission and is certified as a Primary Stroke Center. THHEB is designated as an advance Level III trauma facility. THHEB earned a Baby Friendly designation from the World Health Organization. THHEB is a Center of Excellence in Minimally Invasive Gynecology. More than 1,300 employees work at the hospital, and more than 660 physicians are practicing on its medical staff. THHEB provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The hospital provides care to persons covered by governmental programs including Medicare and Medicaid for reimbursement that does not always cover the cost of providing the care. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. Community benefit is provided through many reduced-price services offered to the community. These services are essential to provide complete healthcare to the community served. Various health screenings are offered to the community for a nominal charge such as diabetes, chronic disease and balance. The faith based community nurse program offers free flu shots and blood pressure screenings. Education classes are offered at no charge for diabetes, water safety, sun safety, hand hygiene and CPR. The CASI program offers free car seat checks for the community. The NEAT program offers free exercise classes for breast cancer survivors. The H2OPE program offers aquatic fitness programs for special needs children. Twice a year, THHEB sponsors the Bluebonnet retreat for cancer patients. During the year, THHEB had 49,949 patient days, 12,513 discharges, 80,457 outpatient encounters, 58,306 emergency room visits and 2,201 births.	Desc
Total Program Service Expenses	$197,029,289	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	113	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1667	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID JACKSON	PersonNm
Phone	6822367900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	612 E LAMAR BLVD	AddressLine1Txt
City	Arlington	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76011	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bloemendal MD Lee C
Trustee	0.04	1.55	Yes (X)	$0	$0	$0
Ferguson III John R
Immediate Past Chair	0.03	1.6	Yes (X)	$0	$0	$0
Haggar III Joseph M
Trustee	0.02	0.68	Yes (X)	$0	$0	$0
Hum MD Lawrence
Trustee	0.02	0.68	Yes (X)	$0	$0	$0
Hunt Hunter L
Trustee	0.03	1.09	Yes (X)	$0	$0	$0
Montgomery Lynn A
Trustee	0.03	1.48	Yes (X)	$0	$0	$0
Reeves Kenneth W
Trustee	0.02	1.12	Yes (X)	$0	$0	$0
Stripling MD Dennis
Vice Chairman	0.03	1.58	Yes (X)	$0	$0	$0
Tatum Stephen L
Trustee	0.03	1.52	Yes (X)	$0	$0	$0
Turner Wesley R
Chairman	0.02	1.39	Yes (X)	$0	$0	$0
Vigness MD Richard M
Trustee	0.06	2.01	Yes (X)	$0	$0	$0
Washington Bernice J
Trustee	0.04	1.55	Yes (X)	$0	$0	$0
Weeks DNP RN Susan L
Trustee	0.04	1.55	Yes (X)	$0	$0	$0
Wilder Jr Charles John
Trustee	0.03	1.68	Yes (X)	$0	$0	$0
Wynne James Y
Trustee	0.05	1.33	Yes (X)	$0	$0	$0
Berdan Barclay E
Trustee/THR CEO	0.64	44.36	Yes (X)	$0	$2,347,905	$302,734	Yes (X)
Cantu Stacy G
Corporate Secretary	0.5	40.0		$0	$320,135	$55,394	Yes (X)
McWhorter Ricky E
Assistant Secretary	0.5	40.0		$0	$1,097,946	$95,736	Yes (X)
Kramer Kenneth J
Assistant Secretary	0.5	40.0		$0	$879,443	$137,715	Yes (X)
Jackson David W
Assistant Secretary	0.5	40.0		$0	$397,637	$76,300	Yes (X)
Schroeder Jennifer Ann
Assistant Secretary	0.5	40.0		$0	$323,512	$40,659	Yes (X)
Lloyd Scott D
Chief Medical Officer THHEB	40.0	0.0		$323,032	$2,500	$75,469	Yes (X)
Asturi Elizabeth
Chief Nursing Officer THHEB	40.0	0.0		$306,525	$0	$33,157	Yes (X)
Hay Fraser Scott
President THHEB	40.0	0.0		$280,410	$0	$63,728	Yes (X)
Landers Alice J
VP Prof & Sprt Svcs Offr THHEB	40.0	0.0		$184,655	$0	$30,156	Yes (X)
Kelly Raymond Hugh
Chief Nursing Officer THHEB	40.0	0.0		$71,720	$0	$1,448	Yes (X)
James Jaime L
Grp Finan Officer THHEB-THAL	36.0	4.0		$253,796	$28,199	$37,806	Yes (X)
Riehm Anna Christine
SUPPORT SVCS OFFICER THHEB	40.0	0.0		$199,894	$0	$31,823		Yes (X)
Kelley Brenda L
DIR NRSG EMERGENCY/CRITICAL CR	40.0	0.0		$172,338	$0	$51,460		Yes (X)
Basinger Thomas Loyd
PHARMACIST CLIN	40.0	0.0		$162,624	$0	$30,080		Yes (X)
Krogman Lori A
DIR NRSG MED SURG	40.0	0.0		$159,426	$0	$35,362		Yes (X)
Kotera Tim E
DIR REHAB SVC	40.0	0.0		$155,103	$0	$38,224		Yes (X)
Canose Jeffrey L
Former Officer	0.0	40.0		$0	$1,528,574	$189,975			Yes (X)
McClung Brett S
Former Officer	0.0	40.0		$0	$924,596	$73,349			Yes (X)
Ransom Elizabeth
Former Officer	0.0	40.0		$0	$894,456	$70,017			Yes (X)
DeLeon Joseph C
Former Officer	0.0	40.0		$0	$586,081	$202,300			Yes (X)
Paganelli Deborah Ann
Former Officer	0.0	0.0		$280,933	$0	$0			Yes (X)
Land Susann F
Former Officer	0.0	0.0		$271,045	$0	$0			Yes (X)
Ball Randell L
Former Officer	0.0	40.0		$0	$375,951	$56,897			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,821,501	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,706,935	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,729,789	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	171	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Texas Health Resources
612 E Lamar Blvd	ARLINGTON	TX	76011	Management Fee	$36,184,371
Vanguard Resources
6500 Highway 281 North	SPRING BRANCH	TX	78070	Housekeeping Service	$3,517,994
Texas Health Physicians Group
9229 LBJ Freeway	DALLAS	TX	75243	Physician Services	$2,327,158
US Anesthesia Partners of Texas PA
12222 Merit Dr Ste 700	DALLAS	TX	75251	Patient Services	$903,900
North Texas Healthcare Laundry
1080 Post and Paddock	GRAND PRAIRIE	TX	75050	Laundry	$874,342

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,313,523	RelatedOrganizationsAmt
Government Grants	$10,722	GovernmentGrantsAmt
All Other Contributions	$200	AllOtherContributionsAmt
Total Contributions	$1,324,445	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$241,725,612	$241,725,612
DSRIP REVENUE	622110	$1,780,038	$1,780,038
MEDICARE/MEDICAID ADJUSTMENT	622110	$498,488	$498,488
EDUCATION	624190	$10,754	$10,754
TSNSC	622110	$134,365	$134,365

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33	TotalRevenueColumnAmt
Related Or Exempt Func Income	$33	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$244,149,290	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,611	TotalRevenueColumnAmt
Exclusion	$9,611	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Personal	$10,804	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$10,804	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,804	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,804	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$160,461	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$6,314	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$154,147	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$154,148	TotalRevenueColumnAmt
Exclusion	$154,148	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	722514	$913,956	$913,956
LABS	621511	$425,921	$262,821	$163,100
REBATES AND INCENTIVES	622110	$379,501			$379,501

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$570,172	TotalRevenueColumnAmt
Related Or Exempt Func Income	$127,781	RelatedOrExemptFuncIncomeAmt
Exclusion	$442,391	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,289,550	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$247,937,848	TotalRevenueColumnAmt
Related Or Exempt Func Income	$244,667,376	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$163,100	UnrelatedBusinessRevenueAmt
Exclusion	$1,782,927	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$375,506	TotalAmt
Program Services	$375,506	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,639,707	TotalAmt
Management And General	$1,639,707	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$93,748,111	TotalAmt
Program Services	$92,320,089	ProgramServicesAmt
Management And General	$1,428,022	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,198,081	TotalAmt
Program Services	$4,198,081	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,754,060	TotalAmt
Program Services	$14,754,060	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,777,155	TotalAmt
Program Services	$6,679,251	ProgramServicesAmt
Management And General	$97,904	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$36,184,371	TotalAmt
Management And General	$36,184,371	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,448,059	TotalAmt
Program Services	$8,246,407	ProgramServicesAmt
Management And General	$7,201,652	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$48,902	TotalAmt
Program Services	$10,646	ProgramServicesAmt
Management And General	$38,256	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,910,099	TotalAmt
Program Services	$1,657,998	ProgramServicesAmt
Management And General	$252,101	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$893,287	TotalAmt
Program Services	$816,383	ProgramServicesAmt
Management And General	$76,904	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,332,726	TotalAmt
Program Services	$3,215,452	ProgramServicesAmt
Management And General	$117,274	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$99,954	TotalAmt
Program Services	$78,119	ProgramServicesAmt
Management And General	$21,835	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$87,944	TotalAmt
Program Services	$80,798	ProgramServicesAmt
Management And General	$7,146	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,283,797	TotalAmt
Program Services	$3,283,797	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,277,329	TotalAmt
Program Services	$9,927,371	ProgramServicesAmt
Management And General	$349,958	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,412,344	TotalAmt
Program Services	$1,412,344	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$35,741,021	$35,704,098	$36,923
REPAIRS & MAINTENANCE	$3,869,942	$3,672,331	$197,611
PATIENT SERVICES	$3,586,437	$3,586,437
LPPF ASSESSMENTS	$3,547,866	$3,547,866

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,180,645	TotalAmt
Program Services	$3,462,255	ProgramServicesAmt
Management And General	$718,390	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$245,397,343	TotalAmt
Program Services	$197,029,289	ProgramServicesAmt
Management And General	$48,368,054	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$773,974	BOYAmt
EOY	$250,060	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$31,482,874	BOYAmt
EOY	$34,328,792	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$261,813	BOYAmt
EOY	$232,983	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,249,281	BOYAmt
EOY	$4,189,328	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$316,948	BOYAmt
EOY	$335,706	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$225,250,097	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$117,779,849	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$100,610,449	BOYAmt
EOY	$107,470,248	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$503,974	BOYAmt
EOY	$503,974	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,803,735	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$142,455,100	BOYAmt
EOY	$147,311,091	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$25,453,042	BOYAmt
EOY	$22,372,504	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$501,081	BOYAmt
EOY	$503,128	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$25,954,123	BOYAmt
EOY	$22,875,632	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$116,500,977	BOYAmt
EOY	$124,435,459	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$116,500,977	BOYAmt
EOY	$124,435,459	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$142,455,100	BOYAmt
EOY	$147,311,091	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,540,505	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$5,393,977	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B - Additional Information	FormAndLineReferenceDesc
Explanation	Officers and/or Board Members of the corporation may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities the Corporation serves. In pursuing this activity, Officers and/or Board Members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters on a personal level, and not as a representative of the organization. The amount of time and money involved in these activities is negligible. In no case has either the Corporation, or any person acting on behalf of the Corporation, intervened in any political campaign.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,194,329	OtherCostOrOtherBasisAmt
Book Value	$5,194,329	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$134,736,832	OtherCostOrOtherBasisAmt
Depreciation	$65,972,269	DepreciationAmt
Book Value	$68,764,563	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,456,437	OtherCostOrOtherBasisAmt
Depreciation	$2,833,961	DepreciationAmt
Book Value	$622,476	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$74,925,351	OtherCostOrOtherBasisAmt
Depreciation	$48,973,619	DepreciationAmt
Book Value	$25,951,732	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,937,148	OtherCostOrOtherBasisAmt
Book Value	$6,937,148	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$107,470,248	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ASSET RETIREMENT OBLIGATIONS	Desc
Amt	$503,128	Amt

Field	Value	IRS element (for citing)
Total Liability	$503,128	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,429,561	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,121,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,308,361	NetCommunityBenefitExpnsAmt
Total Expense	0.07050	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,569,647	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,583,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,986,421	NetCommunityBenefitExpnsAmt
Total Expense	0.02850	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,178	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$442	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$736	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,000,386	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,704,868	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,295,518	NetCommunityBenefitExpnsAmt
Total Expense	0.09900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$496,135	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,754	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$435,381	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$916,927	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$916,927	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,490	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,490	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$429,517	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$429,517	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,844,069	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,754	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,783,315	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,844,455	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,765,622	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,078,833	NetCommunityBenefitExpnsAmt
Total Expense	0.10630	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,687	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,687	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,644	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,644	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,166	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,166	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$266,922	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$266,922	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$306,419	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$306,419	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$23,017,811	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$42,205,468	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$50,575,427	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,369,959	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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 H-E-B	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1600 Hospital Parkway	AddressLine1Txt
City	Bedford	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76022	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.texashealth.org	WebsiteAddressTxt
State License	TDH #182	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 H-E-B	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.texashealth.org/chna	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.texashealth.org/chna	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Section C	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Texas Health H-E-B	FormAndLineReferenceDesc
Explanation	Part V. Section B, Line 3e The CHNA contains a prioritized description of the significant health needs of the community as identified through the CHNA. Part V. Section B, Line 5 Texas Health Hurst-Euless-Bedfords (THHEB) Community Health Needs Assessment (CHNA) was a one-year collaborative process which utilized qualitative and quantitative data to assess the health needs of persons in the communities served by the hospital. As a means to further understand the needs of the community, THHEB gathered feedback through key informant interviews conducted between 12/1/2015 and 1/29/2016, focus group discussions and an online community survey. 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. Twelve persons with interests specific to the health of THHEBs community participated in a focus group, five served as key informants and 206 individuals responded to the online survey. The online survey was conducted only in English. While the online survey may not have reached the medically underserved, low-income or minority populations directly, organizations serving those populations were present at the focus group and served as key informants; these organizations included: the American Cancer Society; Arborlawn United Methodist Church; the City of Bedford Office of the Mayor; the Community Enrichment Center; Mission Central Metroplex, a local food pantry; Tarrant County Precinct Three; and Tarrant County Public Health. In order to gain a comprehensive understanding of the significant health needs for THHEBs service area, the findings from all three data sets (secondary data, interviews and focus groups, and the online community survey) were compared and studied together. The top five to seven health needs identified by each data source were analyzed for areas of overlap with the other two data sources. Health needs were determined to be significant if they were cited as a top need in at least two of the three data sources. Part V. Section B, Line 11 Following a CHNA conducted in 2016, THHEB adopted an implementation strategy in May 2017. THHEB is part of the Texas Health healthcare system (Texas Health), which developed a system-wide community benefit strategy to leverage internal and external resources and increase its ability to impact community health needs. The significant health needs across the Texas Health system were: 1. Mental Health & Substance Abuse 2. Exercise, Nutrition, & Weight 3. Access to Health Services and Healthcare Navigation & Literacy 4. Older Adults & Aging From 2017-2019, THHEB has committed to implement strategies and activities aimed at addressing these areas. Mental Health & Substance Abuse is categorized as Behavioral Health; Exercise, Nutrition, & Weight is grouped under Chronic Disease, which has been a strategic area of focus for Community Health Improvement since the 2013 CHNA; Access to Health Services and Healthcare Navigation & Literacy is jointly titled Awareness, Health Literacy, & Navigation; and Older Adults & Aging. In 2018, Texas Health HEB addressed significant health needs with the following approaches: 1. Behavioral Health 1a. In 2018 the Texas Health Community Impact Leadership Council for the Parker/Tarrant region, which serves the THHEB community, released a Request for Proposal to provide support to community organizations to deliver behavioral health services to underserved communities. It also addressed behavioral health needs identified in the 2016 CHNA. Programs will start implementation in 2019 and will address depression and social isolation among underserved populations. Grants will be awarded in April 2019. 1b. Managed and strengthened Delivery System Reform Incentive Payment (DSRIP) programs under the Medicaid 1115 Waiver to continue implementation of behavioral health program for underserved populations. 2. Chronic Disease Prevention & Management 2a. Continued implementation of evidence-based chronic disease self-management programs in partnership with the Community Council of Greater Dallas/Area Agency on Aging of Dallas County, North Central Texas Council of Governments Area Agency on Aging, Sixty and Better, Tarrant County Public Health, and the United Way of Tarrant County/Area Agency on Aging of Tarrant County. 2b. Continued to manage and strengthen DSRIP programs under the Medicaid 1115 Waiver to continue implementation of diabetes education and management program and congestive heart failure program for underserved populations. 2c. Maintained partnership with Healthy Tarrant County Collaboration (HTCC) on the execution of grants in support of HTCCs goal to continue diabetes prevention and management efforts in Tarrant County through promotion of healthy retail policies and procedures to increase availability of healthy foods. 3. Awareness, Literacy, & Navigation (ALN) 3a. Invested in offering a free online community resource guide called Aunt Bertha that provides a database of free and reduced-cost social services. 3b. Continued to manage and strengthen DSRIP programs under the Medicaid 1115 Waiver to provide Emergency Department navigation program to underserved populations. 4. Older Adults & Aging 4a. Continued implementation of A Matter of Balance Fall Prevention Program in partnership with the Community Council of Greater Dallas/Area Agency on Aging of Dallas County, North Central Texas Council of Governments Area Agency on Aging, Sixty and Better, Tarrant County Public Health, and the United Way of Tarrant County/Area Agency on Aging of Tarrant County. Texas Health HEB chose not to address the prioritized area of Childrens Health due to lack of expertise and the need already being addressed within the community. While this need is not addressed in the implementation strategy, Texas Health HEB will continue its work in related areas. All other significant health needs identified are being addressed by the hospital in one of the categories listed above. Part V. Section B, Lines 16 a, b & c The FAP, FAP Application and the Plain Language Summary of the FAP were widely available at this website: www.texashealth.org/patient-and-visitor-information/billing-and-payment-in formation/financial-help-for-those-in-need	ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Texas Health H-E-B	FormAndLineReferenceDesc
Explanation	Part I, Line 3c - Patient Eligibility Patients with a family income at or below 200% of applicable Federal Poverty Guidelines (FPG) may be eligible for free care if the patient lacks sufficient funds and assets to pay the out-of-pocket portion of their hospital bill. Patients with a family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified patient responsible amount if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's financial assistance application is reviewed. Assets considered when determining eligibility include cash, stocks, bonds and other financial assets that can be readily converted to cash. An additional process to screen for charity patients using publicly available financial information is also in place for patients not submitting a financial assistance application. Part I, Line 7 Cost-to-Charge Ratio A cost-to-charge ratio is used to compute the amounts reported on Lines 7a-7c. The cost-to-charge ratio is derived from Worksheet 2 Ratio of Patient Care Cost-to-Charges, as found in the Schedule H Instructions. The amounts reported on Lines 7e-7i were computed using direct costs, as determined by a cash outlay. Part II - Community Building The organization participates in community building activities that aim to address the socio-economic factors that influence the overall health of individuals in the communities served. As identified in the community health needs assessment, there are areas of need that are not in alignment with the operations of a hospital system. Our volunteerism, collaborations and partnerships with various aid organizations and various area coalitions help in addressing the socio-economic factors that are the backbone for many underlying health concerns. Part III, Lines 2, 3 & 4 - Bad Debts Bad debt expense is not included for purposes of reporting community benefits. Each patient qualifying for charity care is treated as a charity patient and no charges related to that patient are included in bad debt expense. The hospital is part of a consolidated system of hospitals which operate under the name Texas Health Resources (THR). THR's annual audit is conducted on a system-wide basis with a single consolidated audit report issued for THR and its affiliates. The audited financial statements of THR, which includes the activity of the organization, contain a footnote regarding Accounts Receivable and Allowance for Doubtful Accounts that reads as follows: Effective January 1, 2018, THR adopted the new revenue recognition standard, Accounting Standards Update (ASU) 2014-09, Revenue from Contracts with Customers (Topic 606), issued by the FASB in 2014, using the modified retrospective method. With the adoption of the new revenue recognition standard, net patient service revenue is reported at the amount that reflects the consideration to which THR expects to be entitled in exchange for providing patient care. Healthcare services promised in the contract with a patient represent a bundle of goods and (or) services that is distinct and accounted for as a single performance obligation. The transaction price for the bundled goods and (or) services provided is estimated by reducing the total standard charges by variable price concessions, including contractual adjustments based on the terms provided by (in the case of Medicare and Medicaid) or negotiated with (in the case of managed care and commercial insurance companies) third-party payors, THR discount policies, and other implicit price concessions based on historical collections experience for uninsured and under-insured patients who do not qualify for financial assistance. A portfolio approach by major payor categories and types of service was used to estimate the historical collections experience. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to net patient service revenue in the period of the change. Portfolio collection estimates are updated at least quarterly based on actual collections experience. THR believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach was used. Subsequent changes that are determined to be the result of an adverse change in the patients ability to pay are recorded as bad debt expense. Under THRs financial assistance policy, the Tax-Exempt Hospitals, Texas Health Rockwall, and Texas Health Physicians Group provide care to patients without charge or at amounts less than their established rates if the patient meets certain established criteria. The consolidated joint venture hospitals and healthcare entities have similar financial assistance policies, or have adopted the THR financial assistance policy. As the System does not pursue collection of amounts determined to qualify as financial assistance, those amounts are not reported as net patient service revenue or patient accounts receivable. Revenue related to providing care to patients is recognized as the performance obligation is satisfied over the period of time the patient is receiving treatment, as the patient is simultaneously receiving and consuming the benefits provided by THR. The performance obligation is generally satisfied over an average period of less than five days for inpatient services and one day for outpatient services. Generally, patients and third-party payors are billed within days after the services are performed and (or) the patient is discharged. The transaction price related to unsatisfied or partially unsatisfied performance obligations at the end of the reporting period primarily relate to inpatient acute care services for patients who remain admitted at that time (in-house patients). These contract assets were $37,668,000 on January 1, 2018 at the adoption of the new revenue recognition standard. As of December 31, 2018, contract assets of $38,520,000 were recorded in patient accounts receivable on the consolidated balance sheet. Patient accounts receivable is reported at the amount that reflects the consideration to which THR expects to be entitled in exchange for providing patient care. The primary collection risks relate to uninsured patient accounts, including patient accounts for which the primary insurance company has paid the amounts covered by the applicable agreement, but patient responsibility amounts remain outstanding. Implicit price concessions relate primarily to amounts due directly from patients based upon managements assessment of historical write-offs and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Patient accounts are monitored and, if necessary, past due accounts are placed with collection agencies in accordance with guidelines established by management. Accounts are written off when all reasonable internal and external collection efforts have been performed. Estimated implicit price concessions of $379,437,000 were recorded as reductions to patient accounts receivable at December 31, 2018 on the consolidated balance sheets. Prior to January 1, 2018 and the adoption of the new revenue recognition standard, net patient service revenue was recognized as services were provided and reported at the estimated net realizable amounts from patients, third-party payors and others for services rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors. Retroactive adjustments were accrued on an estimated basis in the period the related services were rendered and adjusted in future periods as final settlements were determined. Patient accounts receivable was reported net of estimated allowances for doubtful accounts and contractual adjustments on the consolidated balance sheets. The allowance and resulting provision for bad debts were based upon a combination of the aging of receivables and managements assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators for each of its major payor sources of revenue. Management assessed the adequacy of the allowance for doubtful accounts based upon historical write-off experience and payment trends by payor category. For receivabl	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Tarrant County Indigent Care Corporation
612 E Lamar Blvd	Arlington	TX	76011	260648532	501(c)(3)	$47,956	Indigent Health Care
HEB Education Foundation
PO Drawer 969	Bedford	TX	76095	463869684	501(c)(3)	$69,000	General Support
Tarrant Safety Net Support Corporation
612 E Lamar Blvd	Arlington	TX	76011	823171862	501(c)(3)	$236,575	Indigent Health Care
Birdville ISD
3124 Carson St	Haltom City	TX	76117	756000193	ISD	$20,000	sponsorship

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Monitoring Grants	FormAndLineReferenceDesc
Explanation	Texas Health HEB (THHEB) is a member of the Texas Health Resources (THR) healthCare system. The majority of the grants distributed by the system are to related tax exempt organizations. The hospital does not specifically monitor the use of grants paid to related organizations since THR administration monitors the use of these grants on a system basis for all members of the THR healthcare system. Grants to non-related tax exempt organizations are generally given to entities that are in the hospital's community and/or service area or to certain organizations which will specifically impact the hospital's community. These grants are typically monitored by hospital personnel who are working closely with the non-related nonprofit organization.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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
Berdan Barclay E
Trustee/THR CEO	$0	$1,199,718	$0	$890,661	$0	$257,526	$0	$259,398	$0	$43,336	$0	$2,650,639	$0	$207,003
Cantu Stacy G
Corporate Secretary	$0	$224,390	$0	$66,978	$0	$28,767	$0	$11,282	$0	$44,112	$0	$375,529	$0	$0
McWhorter Ricky E
Assistant Secretary	$0	$411,087	$0	$611,800	$0	$75,059	$0	$61,424	$0	$34,312	$0	$1,193,682	$0	$460,488
Kramer Kenneth J
Assistant Secretary	$0	$498,252	$0	$252,677	$0	$128,514	$0	$98,360	$0	$39,355	$0	$1,017,158	$0	$50,254
Jackson David W
Assistant Secretary	$0	$275,133	$0	$70,616	$0	$51,888	$0	$43,044	$0	$33,256	$0	$473,937	$0	$0
Schroeder Jennifer Ann
Assistant Secretary	$0	$257,662	$0	$34,437	$0	$31,413	$0	$16,826	$0	$23,833	$0	$364,171	$0	$0
Lloyd Scott D
Chief Medical Officer THHEB	$269,434	$2,500	$21,720	$0	$31,878	$0	$38,870	$188	$36,261	$150	$398,163	$2,838	$0	$0
Asturi Elizabeth
Chief Nursing Officer THHEB	$229,643	$0	$48,170	$0	$28,712	$0	$33,019	$0	$138	$0	$339,682	$0	$7,374	$0
Hay Fraser Scott
President THHEB	$201,065	$0	$41,905	$0	$37,440	$0	$27,806	$0	$35,922	$0	$344,138	$0	$0	$0
Landers Alice J
VP Prof & Sprt Svcs Offr THHEB	$88,130	$0	$38,904	$0	$57,621	$0	$10,463	$0	$19,693	$0	$214,811	$0	$0	$0
James Jaime L
Grp Finan Officer THHEB-THAL	$179,126	$19,903	$42,267	$4,696	$32,403	$3,600	$5,132	$570	$28,894	$3,210	$287,822	$31,979	$0	$0
Canose Jeffrey L
Former Officer	$0	$846,285	$0	$497,960	$0	$184,329	$0	$147,838	$0	$42,137	$0	$1,718,549	$0	$112,689
McClung Brett S
Former Officer	$0	$516,611	$0	$291,950	$0	$116,035	$0	$20,625	$0	$52,724	$0	$997,945	$0	$81,911
Ransom Elizabeth
Former Officer	$0	$498,388	$0	$283,353	$0	$112,715	$0	$20,625	$0	$49,392	$0	$964,473	$0	$82,167
DeLeon Joseph C
Former Officer	$0	$354,245	$0	$174,069	$0	$57,767	$0	$150,262	$0	$52,038	$0	$788,381	$0	$31,904
Paganelli Deborah Ann
Former Officer	$0	$0	$0	$0	$280,933	$0	$0	$0	$0	$0	$280,933	$0	$0	$0
Land Susann F
Former Officer	$0	$0	$0	$0	$271,045	$0	$0	$0	$0	$0	$271,045	$0	$0	$0
Ball Randell L
Former Officer	$0	$267,074	$0	$69,409	$0	$39,468	$0	$20,625	$0	$36,272	$0	$432,848	$0	$0
Riehm Anna Christine
SUPPORT SVCS OFFICER THHEB	$166,425	$0	$19,551	$0	$13,918	$0	$13,541	$0	$18,282	$0	$231,717	$0	$0	$0
Kelley Brenda L
DIR NRSG EMERGENCY/CRITICAL CR	$162,150	$0	$4,555	$0	$5,633	$0	$10,826	$0	$40,634	$0	$223,798	$0	$0	$0
Basinger Thomas Loyd
PHARMACIST CLIN	$162,251	$0	$373	$0	$0	$0	$12,275	$0	$17,805	$0	$192,704	$0	$0	$0
Krogman Lori A
DIR NRSG MED SURG	$147,437	$0	$4,218	$0	$7,771	$0	$12,026	$0	$23,336	$0	$194,788	$0	$0	$0
Kotera Tim E
DIR REHAB SVC	$143,543	$0	$4,137	$0	$7,423	$0	$11,878	$0	$26,346	$0	$193,327	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a - Discretionary Spending Account	Each executive at the vice president level and above receives a perk allowance which is include in the taxable compensation of the employee. This allowance covers costs such as business use of their personal vehicles in lieu of reimbursement for auto mileage. It also allows access to certain executive benefits including individual Long Term Disability, Long Term Care, and Individual Life insurance.
Schedule J, Part I, Line 3 - CEO Compensation	The organization relied on Texas Health Resources (THR), a related 501(c)(3) organization with centralized compensation professionals to use the following methods to establish the compensation of the organization's President. The Compensation committee (which includes independent persons) performs reviews and makes recommendations to the THR Board. An Independent compensation consultant may be hired. Compensation surveys or studies are utilized. Approval by the Board or Compensation committee is required.
Schedule J, Part I, Line 4b - Severance Settlement	The settlement payment was paid out as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. Deborah Ann Paganelli $277,604 Susann F Land $271,045
Schedule J, Part I, Line 4b - 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 service in key position 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 years - 100% Participants must be employed on Dec 1 to qualify for the current year's SERP Benefit unless separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and continuous service with the system.) SERP benefits are calculated each Dec 1. Vested balances are taxed to the employee and the net balances begin accruing earnings. Vested balances are paid in 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 follow the before mentioned events, except in the case of involuntary separation when the participant must wait 24 months to receive the previously taxed benefit. Payouts to the following employee 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) Elizabeth Asturi $7,374 Barclay Barclay $207,003 Jeffrey Canose $112,689 Joseph Deleon $31,904 Raymond Kelly $11,829 Kenneth Kramer $50,254 Susan Land $51,658 Brett McClung $81,911 Rick McWhorter $460,488 Deborah Ann Paganelli $73,939

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
990, Part VI, Section A, Line 2 - Business Relationship	Texas Health Resources (THR) and its related organizations included in the THR healthcare system encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees who are serving as officers, board members, or key employees may, from time to time, also serve on the boards of various community organizations such as church boards, United Way, etc. There may be a business relationship as a result of multiple THR employees serving on the same community boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards.
990, Part VI, Section A, Line 4 - Changes to Organizational Documents	The bylaws were amended effective 1/1/18 to improve the governance of the Texas Health Resources (THR) Healthcare System. Below is a summary of the significant changes. . The composition of the hospital board membership will be the same as the membership of the THR (parent entity) board. . The composition of the board officers (Chair, Vice, & Immediate Past Chair) is changed to be comprised of the THR Board Chair, Vice Chair, and Immediate Past Chair. . The election and term of the board officers is the same as the election and term of the THR Board. . The THR CEO appoints the entity officers without approval by the THR board. The board will be comprised of up to 16 voting members and 5 non-voting members. Up to 14 of these board members will be community representatives. At least 3 members shall be licensed physicians.
990, Part VI, Section A, Lines 6&7a - Members	Texas Health Resources (THR) is the sole member of the organization.
990, Part VI, Section A, Line 7b - Governance Decisions Reserved	The following actions require the approval of Texas Health Resources (THR): (a) Amendment, restatement or repeal of the Certificate of Formation or these Bylaws. (b) Sale, exchange, lease or other transfer of all or substantially all of the assets of the Corporation. (c) Merger or consolidation of the Corporation. (d) Dissolution of the Corporation. (e) Election of members of the Board of Trustees (f) Removal of a member of the Board of Trustees (g) Creation of affiliates or subsidiaries and approval of the initial governing documents. (h) Incurrence of debt not included in the budgets. (i) Discontinuing the operations of a licensed health care facility controlled by the corporation. (j) Activities involving winding up, distribution, conversion or exchange under Chapter 11
990, Part VI, Section B, Line 11b - Form 990 Filing	The Texas Health Resources (THR) tax department staff prepares the Forms 990 for THR and all of its wholly controlled affiliates. In order to accurately prepare the returns, the tax staff works closely with various other departments to gather and review the information needed to complete the return. The departments involved in this process include, but are not limited to accounting, finance, treasury, human resources, payroll, legal, governance, and corporate compliance. The returns are then reviewed twice within the tax department before being given to the Financial Reporting department to review and to ensure that the financial information is accurate and up to date. All THR System Forms 990 are provided to members of the Audit and Compliance Committee of the THR Board, giving them an opportunity to review, comment and ask questions regarding the Forms 990. The tax department Vice President provides an overview presentation to the committee highlighting various areas of the Form 990. A resolution to approve all of the returns is voted upon at this meeting. Once the Audit and Compliance Committee has approved the returns, each return is then reviewed and signed by the Chief Accounting Officer/Assistant Secretary. The members of the governing Boards are provided a copy of the Form 990 for their respective entity after the Audit and Compliance Committee approval process and before the Form 990 is filed.
990, Part VI, Section B, Line 12c - Conflict of Interest	Texas Health Resources (THR) has adopted a Conflict of Interest Policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the first quarter of each fiscal year, a Duality and Conflict of Interest Statement Form is distributed by the THR Chief Compliance Officer to all board members, officers, contracted medical directors, employees with a title of manager or above, employed physicians, and certain committee members and other employees based upon function. All disclosed conflicts are reviewed by the THR Chief Compliance Officer. A report, listing each reported Duality of Interest or Conflict of Interest is given to both the Chair of the Governing body and the President of the Corporation with which the reporting person is affiliated. The THR Board of Trustees receives a report when the Annual Disclosure process is complete. Progressive corrective action is taken for any identified noncompliance which may include removal from a board or committee or physician/employee counseling if the person fails to provide the disclosure. In addition, THR monitors physician payments through a public database implemented by CMS. Management plans are executed as needed based upon disclosures. THR also educates the Boards and workforce annually through either a web based or live compliance training.
990, Part VI, Section B, Lines 15 a&b - Compensation Determination	The organization relied on Texas Health Resources (THR) with centralized compensation professionals to review and establish the compensation of the organizations officers. A more in-depth discussion of executive compensation review can be found on Schedule J, Part III.
990, Part VI, Section C, Line 19 - Public Disclosure	The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner.
990, Part XI, Line 9 - Other Changes in Net Assets	Adjustment for Intercompany Transactions of a Controlled Group $5,393,977 The intercompany adjustment eliminated the receivable/payable balance as of the end of the year between Texas Health Resources (THR) and all wholly controlled tax-exempt entities included in the THR Healthcare System. The adjustment represents current year activity. The THR Healthcare System records all related transactions through the intercompany Receivable/Payable accounts for each entity. The types of transactions recorded in the Intercompany accounts include management fees charged by the parent organization, services purchased between related organizations, supplies purchased by a centralized purchasing department, daily cash sweeps and similar transactions.
990, Part XII, Line 2c - Consolidated Financial Statements	Texas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 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
Johnson County Community Care Corp
612 E Lamar Blvd	Arlington	TX	76011	452793120	Indigent Care	TX	501(c)(3)	12a	TH Cleburne	false
Huguley Medical Associates Inc
11801 South Freeway	Burleson	TX	76028	752547668	Phys Clinic	TX	501(c)(3)	3	TH Huguley	false
North Texas Healthy Communities
612 E Lamar Blvd	Arlington	TX	76011	464513182	Comm Support	TX	501(c)(3)	7	TH Resources	false
Southwestern Health Resources JOC
5323 Harry Hines Blvd	Dallas	TX	75390	811575989	Mgmt Org	TX	501(c)(3)	12b	TH Resources	false
Texas Health Arlington Memorial Hospital
800 West Randol Mill Rd	Arlington	TX	76012	750972805	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Back Care
9229 LBJ Freeway	Dallas	TX	75243	474724257	Phys. Clinic	TX	501(c)(3)	10	TH Phys Grp	false
TH Behavioral Health Hospital Corinth
612 E Lamar Blvd	Arlington	TX	76011	814317635	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Medical Support
612 E Lamar Blvd	Arlington	TX	76011	812833150	Spec Drugs	TX	501(c)(3)	10	TH Resources	false
Texas Health Alliance
10864 Texas Health Trail	Fort Worth	TX	76244	451502252	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Azle
108 Denver Trail	Azle	TX	76020	751748586	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Cleburne
201 Walls Dr	Cleburne	TX	76033	751977850	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Fort Worth
1301 Pennsylvania Ave	Fort Worth	TX	76104	756001743	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Hurst-Euless-Bedford
1600 Hospital Parkway	Bedford	TX	76022	751438726	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Southwest Fort Worth
6100 Harris Parkway	Fort Worth	TX	76132	752678857	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Stephenville
411 Belknap	Stephenville	TX	76401	751752253	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Frisco
612 E Lamar Blvd	Arlington	TX	76011	831954982	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Mansfield
612 E Lamar Blvd	Arlington	TX	76011	831869297	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Huguley Inc
11801 S Freeway	Burleson	TX	76028	452694620	Hospital	FL	501(c)(3)	3	TH Resources	false
TX Health Outpatient Surg Ctr Alliance
10840 Texas Health Trail	Fort Worth	TX	76244	800800294	Inactive	TX	501(c)(3)	3	TH Alliance	false
Texas Health Physicians Group
9229 LBJ Freeway	Dallas	TX	75243	752613493	Phys. Clinic	TX	501(c)(3)	10	TH Resources	false
TH Recovery and Wellness Center
240 Miller Road	Mansfield	TX	76063	812813227	Resd Trmt Ctr	TX	501(c)(3)	3	TH Resources	false
Texas Health Resources Foundation
612 E Lamar Blvd	Arlington	TX	76011	752022128	Fundraising	TX	501(c)(3)	7	TH Resources	false
Texas Health Allen
1105 Central Expressway N	Allen	TX	75013	752890358	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Dallas
8200 Walnut Hill Ln	Dallas	TX	75231	751047527	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Denton
3000 North Interstate 35	Denton	TX	76201	432008974	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Kaufman
850 Ed Hall Drive	Kaufman	TX	75142	752771437	Hospital	TX	501(c)(3)	3	TH Resources	false
Texas Health Plano
6200 W Parker Rd	Plano	TX	75093	752770738	Hospital	TX	501(c)(3)	3	TH Resources	false
TX Health Research & Education Institute
612 E Lamar Blvd	Arlington	TX	76011	752562191	Edu& Research	TX	501(c)(3)	4	TH Resources	false
Texas Health Resources
612 E Lamar Blvd	Arlington	TX	76011	752702388	System Mgmt	TX	501(c)(3)	12c	NA	false
TH Behavioral Health Hospital Plano
6110 W Parker Rd	Plano	TX	75093	812792484	Inactive	TX	501(c)(3)	3	TH Resources	false
TH Behavioral Health Hospital Bedford
2717 Tibbets Dr	Bedford	TX	76022	812798838	Inactive	TX	501(c)(3)	3	TH Resources	false
TH Specialty Hospital Fort Worth
1301 Pennsylvania Ave	Fort Worth	TX	76104	751648589	LT Hospital	TX	501(c)(3)	3	TH Resources	false
WW Ward Endowment Fund Trust
612 E Lamar Blvd	Arlington	TX	76011	756196065	Nursing Grant	TX	501(c)(3)	12a	TH Foundatio	false
Healthy Tarrant County Collaboration
PO Box 8040	Fort Worth	TX	76124	432087946	Support Org	TX	501(c)(3)	12a	na	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AMH Cath Labs LLC
811 Wright St	Arlington	TX	76012	203003947	Hospital	TX	na
Arlington Surgery Center LLC
918 N Davis Dr	Arlington	TX	76012	752055800	Amb Surg Ctr	TX	na
Cleburne Imaging LLC
PO Box 820519	Dallas	TX	75382	460767278	Medical Imagi	TX	na
Cleburne Surgical Center LLC
2010 W Katherine P Raines Blvd St	Cleburne	TX	76033	203742012	Amb Surg Ctr	TX	na
Denton Surgery Center LLC
207 North Bonnie Brea	Denton	TX	76201	470926556	Amb Surg Ctr	TX	na
Flower Mound Hospital Partners LLC
4400 Long Prairie Rd	Flower Mound	TX	75028	260684968	Hospital	TX	na
Fort Worth Endoscopy Centers LLC
900 W Magnolia Ave 101	Fort Worth	TX	76104	770368346	Endoscopy Ctr	TX	na
FTH DFW Partners LLC
1401 E Trinity Mills Rd	Carrollton	TX	75006	473381640	Hospital/ER	TX	na
Greenville Surgery Center LLC
7150 Greenville Ave Ste 200	Dallas	TX	75231	742411643	Amb Surg Ctr	TX	na
Health Imaging Partners LLC
8610 Explorer Drive Ste 300	Colorado Springs	CO	80920	271385885	Medical Imagi	TX	na
North Dallas Surgical Center LLC
17980 Dallas Parkway Ste 100	Dallas	TX	75287	272248103	Amb Surg Ctr	TX	na
Opthalmology Surgery Center of Dallas LL
10740 N Central Expy	Dallas	TX	75231	261914835	Amb Surg Ctr	TX	na
Park Hill Surgery Center LLC
3455 Locke Ave	Fort Worth	TX	76107	451484375	Amb Surg Ctr	TX	na
Physicians Medical Center LLC
6020 W Parker Rd	Plano	TX	75093	481281376	Hospital	TX	na
Presbyterian Cancer Ctr-Dallas LLC
PO Box 819067	Dallas	TX	75381	260422749	Cancer Ctr	TX	na
Rockwall Regional Hospital LLC
3150 Horizon Rd	Rockwall	TX	75032	202848116	Hospital	TX	na
Southlake Specialty Hospital LLC
1545 E Southlake Blvd	Southlake	TX	76092	020555370	Hospital	TX	na
Surgical Caregivers of Fort Worth LLC
2001 W Rosedale Street	Fort Worth	TX	76104	751925497	Amb Surg Ctr	TX	na
Texas Health Craig Ranch Surgery Center
8080 State Hwy 121 Ste 100	McKinney	TX	75070	383897811	Amb Surg Ctr	TX	na
Texas Health Spine Surgery Center Allen
1120 Raintree Cir Ste 100	Allen	TX	75013	300957868	Amb Surg Ctr	TX	na
Texas Health Spine Surgery Center Allian
1545 E Southlake Blvd Ste 100	Southlake	TX	76092	320571301	Inactive	TX	na
Texas Health Orthopedic Surgery Center A
9848 North Beach St	Fort Worth	TX	76244	814977249	Amb Surg Ctr	TX	na
Texas Health Surgery Center Alliance LLC
10840 Texas Health Trail Ste 100	Fort Worth	TX	76244	822296081	Amb Surg Ctr	TX	na
Texas Health Surgery Center Bedford LLC
1605 Airport Freeway Suite 100	Bedford	TX	76021	821307876	Amb Surg Ctr	TX	na
Texas Health Surgery Center Irving LLC
2120 N MacArthur Blvdd Ste 200	Irving	TX	75061	831085415	Amb Surg Ctr	TX	na
Texas Health Flower Mound Orthopedic Sur
5000 Long Prairie Road	Flower Mound	TX	75028	800866449	Amb Surg Ctr	TX	na
Texas Health Surgery Center Preston Plaz
17950 Preston Road Ste 75	Dallas	TX	75252	203991622	Amb Surg Ctr	TX	na
Texas Health Surgery Center Rockwall LLC
3144 Horizon Rd Ste 120	Rockwall	TX	75032	474425996	Amb Surg Ctr	TX	na
Texas Health Surgery Center South Arling
569 Brookwood Village ste 901	Birmingham	AL	35209	999999999	Inactive	TX	na
Texas Institute for Surgery LLP
7715 Greenville Ave Ste 100	Dallas	TX	75231	770628004	Hospital	TX	na
THR-STT Rockwall ASC LLC
1545 E Southlake Blvd	Southlake	TX	76092	262429878	Amb Surg Ctr	TX	na
THR-STT Southlake ASC LLC
1545 E Southlake Blvd	Southlake	TX	76092	201728912	Amb Surg Ctr	TX	na
USMD Hospital at Arlington LP
801 I -20 West	Arlington	TX	76017	731662763	Hospital	TX	na
USMD Hospital at Fort Worth LP
5900 Altamesa Blvd	Fort Worth	TX	76132	203571243	Hospital	TX	na
Wilson Creek Surigcal Center LLC
8855 synergy Dr	McKinney	TX	75070	274816583	Amb Surg Ctr	TX	na
Women's Specialty Surgery Center of Dall
8230 Walnut Hill Ln Ste 101	Dallas	TX	75231	262310072	Amb Surg Ctr	TX	na

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
Grace Indemnity Company Ltd
1159 Caribbean Plaza	Grand Cayman	CJ	KY 1-1102	981209573	Captive Insur	CJ	NA	C Corp	false
Texas Health Biomedical Advancement Cent
				752636884	Research		NA	C Corp	false	612 E Lamar Blvd	Arlington	TX	76011	TX
THR Primary Care Ext Physcian Network
				465365421	Inactive		NA	C Corp	false	612 E Lamar Blvd	Arlington	TX	76011	TX
Charitable Remainder Trusts (4)
				465365421	CR Trust		NA	Trust	false	612 E Lamar Blvd	Arlington	TX	76011	TX

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	See Part V for Explanation	BusinessNameLine1Txt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part V, Line 2 - Related Transactions	FormAndLineReferenceDesc
Explanation	Texas Health Resources (THR) is the parent organization in a large healthcare system made up of both wholly owned entities as well as related controlled joint ventures as listed on Schedule R. THR's role is to plan, manage and coordinate the activities of the affiliated healthcare system in order to maximize opportunities to deliver cost effective quality medical care to residents of north central Texas. THR provides direction and oversight to its wholly owned affiliates through centralized services. They also provide oversight for the controlled joint ventures. As an integral part of providing centralized services to the affiliates, THR maintains intercompany receivable/payable accounts, most of which do not fall within the scope of IRC Section 512(b)(13). The range of centralized services provided by THR include information services, managed care contracting, Human resources, revenue cycle, billing and collections, patient access/admissions, legal, tax, compliance, supply chain, quality, business development, insurance, treasury, marketing, general accounting, real estate services, coding, transcription and strategic planning. In addition, THR does daily cash sweeps of all controlled tax exempt entity cash accounts. As a result, THR has numerous daily transactions with controlled tax exempt entities, none of which fall within the scope of IRC Section 512(b)(13). A management fee is charged for the centralized services and reported on Form 990, Part VII, Section B as a professional services fee. Transactions with related tax exempt organizations falling within the meaning of centralized services as described above, are not listed on Schedule R, Part V, Line 2.	ExplanationTxt