TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)
(1) Bass Anne........................................................................ Chairman	3.0 .......................0.0	X	216
(2) Beavers DMin Jay........................................................................ Trustee	3.0 .......................0.0	X	0
(3) Bloemendal MD FACS Lee........................................................................ Trustee	3.0 .......................0.0	X	0
(4) Curnutt Mary........................................................................ Trustee	3.0 .......................0.0	X	0
(5) Ferguson III John........................................................................ Vice Chairman	3.0 .......................0.0	X	0
(6) Greene Richard........................................................................ Trustee	3.0 .......................0.0	X	0
(7) Haggar III Joseph........................................................................ Trustee	3.0 .......................0.0	X	0
(8) Hunt Hunter........................................................................ Trustee	3.0 .......................0.0	X	0
(9) Jarvis Feliz........................................................................ Trustee	3.0 .......................0.0	X	0
(10) Nunez MD Ignacio........................................................................ Trustee	3.0 .......................0.0	X	71,700
(11) Roberts Leonard........................................................................ Immediate Past Chair	3.0 .......................0.0	X	0
(12) Stripling MD Dennis........................................................................ Trustee	3.0 .......................0.0	X	0
(13) Tatum Stephen........................................................................ Trustee	3.0 .......................0.0	X	0
(14) Turner Wesley........................................................................ Trustee	3.0 .......................0.0	X	0
(15) Vigness MD Richard........................................................................ Trustee	3.0 .......................0.0	X	16,000
(16) Wilder Jr Charles........................................................................ Trustee	3.0 .......................0.0	X	0
(17) Wynne James........................................................................ Trustee	3.0 .......................0.0	X	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) HawthorneDouglas D........................................................................ FOUNDING CEO EMERITUS	40.0 .......................2.0	X				2,470,273	0	70,486
(19) BerdanBarclay E........................................................................ CHIEF EXECUTIVE OFFICER	40.0 .......................2.0	X				1,755,695	0	120,756
(20) LongRonald R........................................................................ EVP RSRC DEVL & DEPLOY & CFO	40.0 .......................2.0	X				1,095,629	0	291,996
(21) AmparanOscar L........................................................................ EVP ZONE OPERATIONS LEADER	40.0 .......................2.0	X				1,050,594	0	34,639
(22) CanoseJeffrey L........................................................................ EVP SR & COO THR	40.0 .......................2.0	X				1,004,461	0	245,457
(23) VargaDaniel W........................................................................ EVP SR & CHIEF CLINICAL OFFICE	40.0 .......................2.0	X				960,300	0	100,232
(24) BellBonnie L........................................................................ EVP PEOPLE & CULTURE	40.0 .......................0.0	X				917,751	0	40,218
(25) SchollJonathan Wade........................................................................ EVP CHIEF STRATEGY OFFICER	40.0 .......................0.0	X				870,802	0	232,388
(26) BoesCharles........................................................................ EVP GENERAL COUNSEL/Secretary	40.0 .......................2.0	X				829,540	0	65,269
(27) LesterMark C........................................................................ EVP ZONE CLINICAL LEADER	40.0 .......................2.0	X				775,331	0	61,416
(28) BerenzweigHarold K........................................................................ EVP ZONE CLINICAL LEADER	40.0 .......................2.0	X				771,155	0	67,236
(29) McClungBrett S........................................................................ EVP ZONE OPERATIONS LEADER	40.0 .......................2.0	X				759,316	0	185,299
(30) RansomElizabeth........................................................................ EVP ZONE CLINICAL LEADER	40.0 .......................2.0	X				757,119	0	68,380
(31) NguyenTricia H........................................................................ EVP Popltn Hlth Mgmt/Pres Inst	20.0 .......................20.0	X				604,114	0	77,797
(32) McWhorterRicky E........................................................................ SVP FINANCE/ Asst Secretary	40.0 .......................2.0	X				549,781	0	117,891
(33) KramerKenneth J........................................................................ SVP ASSOC GEN COUNSEL/Asst Sec	40.0 .......................2.0	X				489,232	0	125,927
(34) James Kirk King........................................................................ THAM President/EVP	0.0 .......................40.0	X				0	742,634	165,124
(35) MimsKrystal........................................................................ SVP CARE CONTINUUM & COLLABORA	40.0 .......................0.0		X			700,644	0	73,417
(36) MarxEdward........................................................................ SVP CHIEF INFO OFFICER	40.0 .......................0.0		X			682,015	0	41,529
(37) VelascoFerdinand T........................................................................ SVP & CHIEF HLTH INFO OFFICER	40.0 .......................0.0		X			625,516	0	159,916
(38) Shinkus ClarkJoan Frances........................................................................ SVP CHIEF NURSING EXECUTIVE	40.0 .......................0.0		X			565,318	0	43,889
(39) RoperJack R........................................................................ SVP FINANCE	40.0 .......................0.0		X			559,762	0	17,195
(40) GaidaJohn B........................................................................ SVP SUPPLY CHAIN MGMT	40.0 .......................0.0		X			558,002	0	54,045
(41) KirbyMichelle Riddle........................................................................ SVP CHIEF PEOPLE OFFICER	40.0 .......................0.0		X			536,586	0	52,667
(42) HarveyGayla Dawn........................................................................ SVP FINAN / CHIEF REV OFFICER	40.0 .......................0.0		X			516,595	0	30,127
(43) LogsdonJames D........................................................................ VP REVENUE CYCLE OPERATIONS	40.0 .......................0.0		X			508,549	0	108,131
(44) AndersonSusan Elaine........................................................................ SVP & CHIEF COMPLIANCE OFFICER	40.0 .......................0.0		X			504,105	0	34,824
(45) TesmerDavid J........................................................................ SVP COMMUN ENGAG & ADVOCACY TH	40.0 .......................0.0		X			502,171	0	53,140
(46) SaldanaLuis Eduardo........................................................................ CMIO	40.0 .......................0.0		X			479,851	0	36,905
(47) HolmesKevin B........................................................................ SVP REAL ESTATE DEVL & DEPLOY	40.0 .......................0.0		X			465,683	0	58,645
(48) BrowningDouglas........................................................................ GRP FINAN OFFICER THPR	40.0 .......................0.0		X			463,316	0	21,511
(49) JonesRobert Douglas........................................................................ SVP TREASURER/CHIEF INVEST OFF	40.0 .......................0.0		X			458,440	0	52,536
(50) PearsonGeorge........................................................................ SVP MED STF AFFRS PHYS RLTNS	25.0 .......................15.0		X			455,387	0	47,562
(51) MitchellJohn D........................................................................ SVP BUSINESS DEVELOPMENT	40.0 .......................0.0		X			451,214	0	52,482
(52) SzablowskiPaul A........................................................................ SVP COMMUNICATION & IMAGE	40.0 .......................0.0		X			402,249	0	34,377
(53) HayDebra Ann........................................................................ CHIEF NURSING OFFICER THPR	40.0 .......................0.0		X			390,991	0	22,885
(54) GerbigLinda Mary........................................................................ SVP PERF IMPROV & QUAL OUTCOME	40.0 .......................0.0		X			388,569	0	33,820
(55) SchornickAmy C........................................................................ VP PAYOR RLTNS & CONTRACTING	40.0 .......................0.0			X		386,199	0	39,796
(56) EdwardsCarol Susan........................................................................ SVP HEART & VASCULAR SVC LINE	40.0 .......................0.0			X		373,120	0	32,318
(57) JacksonDavid W........................................................................ VP CORPORATE CONTROLLER	40.0 .......................0.0			X		368,103	0	26,132
(58) SullivanJon M........................................................................ VP REAL ESTATE OPS	40.0 .......................0.0			X		363,756	0	44,867
(59) HaganPaula........................................................................ VP ASST GENERAL COUNSEL	40.0 .......................0.0			X		342,063	0	24,984
(60) Berrett Britt........................................................................ Former Officer	0.0 .......................40.0				X	0	636,361	286,585
(61) Peterson Lisa Kaye........................................................................ Former Officer	0.0 .......................40.0				X	0	438,930	37,053

(A) Name and business address	(B) Description of services	(C) Compensation
Ridgemont Company, 1520 W Walnut Hill Ln IRVING,TX75038	Construction	10,820,289
One Southwest Media Group, 2100 Ross Ave 3000 DALLAS,TX75201	Advertising	9,815,405
Microsoft Services, 1 Microsoft Way REDMOND,WA98052	Software Services	7,410,587
Perficien Inc, 520 Maryville Center Drive 400 ST LOUIS,MO63141	Staffing	6,208,571
Skiles Group, PO Box 743636 DALLAS,TX75374	Construction	6,091,676
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 266

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	397,950	397,950
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	10,000	10,000
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............	0
4	Benefits paid to or for members ....	0
5	Compensation of current officers, directors, trustees, and key employees ....	27,788,801	27,788,801	0	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages ....	181,815,214	181,815,214
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,626,002	8,626,002
9	Other employee benefits .......	15,021,087	15,021,087
10	Payroll taxes ...........	13,690,728	13,690,728
11	Fees for services (non-employees):
a	Management ......	5,616,769	5,616,769
b	Legal .........	2,206,391	2,206,391
c	Accounting ...........	2,149,366	2,149,366
d	Lobbying ...........	393,610	393,610
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	10,107,739	10,107,739
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	57,398,527	57,398,527
12	Advertising and promotion ....	14,071,133	14,071,133
13	Office expenses .......	7,881,582	7,881,582
14	Information technology ......	53,850,873	53,850,873
15	Royalties ..	0
16	Occupancy ...........	26,029,224	26,029,224
17	Travel ............	1,760,585	1,760,585
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	1,951,862	1,951,862
20	Interest ...........	13,514,992	13,514,992
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	42,740,266	42,740,266
23	Insurance ..............	311,962	311,962
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	REPAIRS & MAINTENANCE	6,714,120	6,714,120
b	UNEXPECTED EVENT RESPONSE	4,688,420	4,688,420
c	LICENSE/DUES	3,031,891	3,031,891
d	SUPPLIES	2,210,148	2,210,148
e	All other expenses	856,559	856,559
25	Total functional expenses. Add lines 1 through 24e	504,835,801	504,835,801	0	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	19,169,864	1	11,669,929
2	Savings and temporary cash investments .........	254,832,140	2	384,799,853
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	42,078,408	4	57,529,912
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		7,801,425	5	4,367,785
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	6,912,711	7	6,115,813
8	Inventories for sale or use ..............	4,466,627	8	4,923,112
9	Prepaid expenses and deferred charges ..........	37,401,837	9	39,765,603
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	865,827,408
b	Less: accumulated depreciation .....	10b	432,262,577	423,276,701	10c	433,564,831
11	Investments—publicly traded securities ..........	2,695,860,111	11	3,116,799,259
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	139,660,365	13	194,646,932
14	Intangible assets ...............	67,760,549	14	71,071,336
15	Other assets. See Part IV, line 11 ...........	79,003,579	15	48,408,166
16	Total assets. Add lines 1 through 15 (must equal line 34)......	3,778,224,317	16	4,373,662,531
	17	Accounts payable and accrued expenses .........	191,199,275	17	191,592,315
18	Grants payable .................	0	18	616,248
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	1,297,496,174	20	1,269,388,697
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	185,893,558	23	174,185,466
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	24,305,180
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	1,297,419,598	25	1,560,961,930
26	Total liabilities. Add lines 17 through 25.........	2,972,008,605	26	3,221,049,836
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	806,215,712	27	1,152,612,695
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	806,215,712	33	1,152,612,695
34	Total liabilities and net assets/fund balances ........	3,778,224,317	34	4,373,662,531

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

Texas Health Resources

Employer identification number

75-2702388

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ............................. 18

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL	750972805	03	Yes		0	26,598,781
(B) TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE	451502252	03		No	0	9,256,191
(C) TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE	751748586	03		No	0	3,549,646
(D) TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE	751977850	03		No	0	7,681,976
(E) TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH	756001743	03	Yes		0	83,895,439
(F) TEXAS HEALTH HARRIS METHODIST HOSPITAL HEB	751438726	03		No	0	29,347,782
(G) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST	752678857	03		No	0	28,913,775
(H) TEXA HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE	751752253	03		No	0	5,591,732
(I) TEXAS HEALTH PHYSICIANS GROUP	752613493	09		No	0	5,612,953
(J) TEXAS HEALTH RESOURCES FOUNDATION	752022128	07		No	0	275,310
(K) TEXAS HEALTH PRESYBTERIAN HOPSITAL ALLEN	752890358	03		No	0	9,052,553
(L) TEXAS HEALTH PRESYBTERIAN HOPSITAL DALLAS	751047527	03	Yes		0	70,315,796
(M) TEXAS HEALTH PRESYBTERIAN HOPSITAL DENTON	432008974	03		No	0	20,372,266
(N) TEXAS HEALTH PRESYBTERIAN HOPSITAL KAUFMAN	752771437	03		No	0	4,039,252
(O) TEXAS HEALTH PRESYBTERIAN HOPSITAL PLANO	752770738	03		No	0	44,552,509
(P) TEXAS HEALTH RESEARCH & EDUCATION INSTITUTE	752562191	04		No	0	202,128
(Q) TEXAS HEALTH HARRIS METHODIST SPECIALTY HOSPITAL	751648589	03		No	0	1,119,934
(R) TEXAS HEALTH OUTPATIENT SURGICAL CENTER ALLIANCE	800800294	03		No	0	484,012
Total 18					0

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

0 %

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Yes

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Yes

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Yes

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Yes

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Supported Organizations - Part IV, Section A, Line 1	The governing documents of Texas Health Resources (THR) do not list all
Working Relationship-Part IV, Section D, Lines 2&3	THR is the controlling "parent" organization of a large health care
Officer/Board Appointments-Part IV, Section E, Line 3a	THR must approve all board members and officers of each entity in the THR
Substantial Direction -Part IV, Section E, Line 3b	See Response to Schedule A, Part VI, Section D, Lines 2 & 3
Additional Support - Part IV, Section A, Line 6	Texas Health Resources (THR) provides minimal support to various national
Substantial Direction-Part IV, Section E, Line 3b	As discussed in detail in the explanation to Schedule A, Part IV, Section

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

Texas Health Resources

Employer identification number

75-2702388

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization Texas Health Resources

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization Texas Health Resources

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
Texas Health Resources

Employer identification number

75-2702388

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Texas Health Resources

Employer identification number

75-2702388

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Yes

3,551

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

140,743

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

1,278,532

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

1,422,826

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Additional Information	Texas Health Resources (THR) is the parent organization for a healthcare system consisting of hospitals and other related healthcare organizations. The amount of expenses paid, or incurred in connection with lobbying activities reported on this return represent the expenses incurred on behalf of THR and all its affiliates. Total expenses for the system were $3,751,163,350 for the year ended December 31,2014. Of this amount $1,421,455(.0379%) is used in connection with lobbying activities. Officers and/or Board members of THR may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities that THR serves. In pursuing this activity, officers and/or Board members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters. A portion of the dues paid to the American Hospital Association and Texas Hospital Association are used by these organizations to support lobbying activites. The amount of time and money involved in the activities described above is negligible. In no case has either THR, or any person acting on behalf of THR, intervened in any political campaign.

Return Reference

Explanation

Additional Information

Texas Health Resources (THR) is the parent organization for a healthcare system consisting of hospitals and other related healthcare organizations. The amount of expenses paid, or incurred in connection with lobbying activities reported on this return represent the expenses incurred on behalf of THR and all its affiliates. Total expenses for the system were $3,751,163,350 for the year ended December 31,2014. Of this amount $1,421,455(.0379%) is used in connection with lobbying activities. Officers and/or Board members of THR may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities that THR serves. In pursuing this activity, officers and/or Board members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters. A portion of the dues paid to the American Hospital Association and Texas Hospital Association are used by these organizations to support lobbying activites. The amount of time and money involved in the activities described above is negligible. In no case has either THR, or any person acting on behalf of THR, intervened in any political campaign.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Texas Health Resources

Employer identification number

75-2702388

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	63,054,034		63,054,034
b	Buildings ................	224,163,504	152,149,992	72,013,512
c	Leasehold improvements ............	172,401,603	40,379,342	132,022,261
d	Equipment ................	360,054,417	239,733,243	120,321,174
e	Other .................	46,153,850		46,153,850
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				433,564,831

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		1,323
SECURITY DEPOSIT		25,832
TRUSTEE FUNDS-SUPP RETIREMENT		3,235,233
TRUSTEE FUNDS-CAA		376,774
POST RETIREMENT BENEFITS		5,606,251
UNAMORTIZED RENT		2,502,023
OTHER LIABILITIES		7,022,914
ASSET RETIREMENT OBLIGATION		1,574,072
MALPRACTICE TRUST RESERVE		30,503,168
INTERCOMPANY PAYABLE		1,461,814,542
FMW SWAP AGREEMENT		3,847,368
MINORITY INTEREST		44,452,430
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		1,560,961,930
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
Texas Health Resources

Employer identification number

75-2702388

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean		Investments		200,000
	Central America and the Caribbean	9	Send agents to seminar	capitive insurace	6,318
	Central America and the Caribbean	9	Conduct board meetings	captive insurance	7,162
	Sub-Saharan Africa	4	Program Services	Medical School	24,802













3a	Sub-total .....	22			238,282
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	22			238,282

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Texas Health Resources

Employer identification number

75-2702388

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other 900 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	3,925,755	1,692,698	2,233,057	1.080 %
b	Medicaid (from Worksheet 3, column a) ....	13,901,868	6,962,493	6,957,240	3.370 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	445,383	212,730	232,653	0.110 %
d	Total Financial Assistance and Means-Tested Government Programs .	18,273,006	8,867,921	9,422,950	4.560 %
Other Benefits		1,967,910		1,967,910	1.170 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	1,967,910		1,967,910	1.170 %
f	Health professions education (from Worksheet 5) ..	182,812	45,070	137,742	0.080 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	651,864		651,864	0.390 %
j	Total. Other Benefits ..	2,802,586	45,070	2,757,516	1.640 %
k	Total. Add lines 7d and 7j .	21,075,592	8,912,991	12,180,466	6.200 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	39,371	39,371	0.020 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	353,700	353,700	0.170 %
9	Other
10	Total	393,071	393,071	0.190 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

29,276,126

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

52,277,662

Enter Medicare allowable costs of care relating to payments on line 5.....

53,324,667

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-1,047,005

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1Flower Mound Hosp	Hospital	54.580 %	0.200 %	29.290 %
2Greenville Surg Ctr	Ambulatory Surgery Center	80.300 %		17.850 %
3Physician Med Ctr	Hospital	6.060 %	0.710 %	37.700 %
4Rockwall Regional	Hospital	59.750 %	0.410 %	37.460 %
5Southlake Specialty	Hospital	6.080 %		45.080 %
6Surg Caregivers FW	Ambulatory Surgery Center	51.000 %		49.000 %
7TH Flower Mound Orth	Orthopedic Surgery Center	51.000 %		49.000 %
8THR-STT Rockwall ASC	Ambulatory Surgery Center	51.000 %		49.000 %
9THR-STT Southlake	Ambulatory Surgery Center	51.000 %		49.000 %
10USMD Arlington	Hospital	51.000 %		49.000 %
11USMD Fort Worth	Hospital	50.970 %		49.030 %
12Denton Surgery Ctr	Ambulatory Surgery Center	60.320 %		39.680 %
13TH Craig Ranch	Ambulatory Surgery Center	66.000 %		34.000 %
14N Dallas Surgical	Ambulatory Surgery Center	51.000 %		49.000 %
15TX Health Spine Ctr	Ambulatory Surgery Center	51.000 %		49.000 %
16Wilson Creek Surgery	Ambulatory Surgery Center	51.000 %		48.030 %
17North Texas ACO	Accountable Care Organization	50.000 %		50.000 %

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?7 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Rockwall Regional Hospital 3150 Horizon Rd Rockwall,TX75032 www.texashealthrockwall.com 008599	X	X	X
2	Physicians Medical Center LLC 6020 Parker Rd Plano,TX75093 www.thcds.com 008153	X	X	X
3	Southlake Specialty Hospital LLC 1545 E Southlake Blvd Southlake,TX76092 www.texashealthsouthlake.com 008128	X	X	X
4	Flower Mound Hospital Partners 4400 Long Prairie Rd Flower Mound,TX75028 www.texashealthflowermound.com 100056	X	X	X
5	USMD Hospital at Arlington 801 W Interstate 20 Arlington,TX76017 www.usmdarlington.com 007990	X	X	X
6	USMD Hospital at Fort Worth 5900 Dirks Rd Fort Worth,TX76132 www.usmdfortworth.com 008614	X	X	X
7	Sherman Grayson Health System 500 N Highland Sherman,TX75092 www.wnj.org 100066	X	X	X

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Rockwall Regional Hospital
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): texashealthrockwall.com/community-health

Other website (list url): www.texashealth.org/chna

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.texashealth.org/chna

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Rockwall Regional Hospital
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 900.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url): X

A plain language summary of the FAP was widely available on a website (list url):
X

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Rockwall Regional Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Physicians Medical Center LLC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.thdcs.com/about

Other website (list url): www.texashealth.org/chna

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.texashealth.org/chna

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Physicians Medical Center LLC
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 900.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url): X

A plain language summary of the FAP was widely available on a website (list url):
X

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Physicians Medical Center LLC
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Southlake Specialty Hospital LLC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Section C

Other website (list url): www.texashealth.org/chna

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.texashealth.org/chna

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Southlake Specialty Hospital LLC
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 900.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url): X

A plain language summary of the FAP was widely available on a website (list url):
X

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Southlake Specialty Hospital LLC
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Flower Mound Hospital Partners
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.texashealthflowermound.com/community

Other website (list url): www.texashealth.org/chna

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.texashealth.org/chna

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Flower Mound Hospital Partners
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 900.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url): X

A plain language summary of the FAP was widely available on a website (list url):
X

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Flower Mound Hospital Partners
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	USMD Hospital at Arlington
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Section C

Other website (list url): www.texashealth.org/chna

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.texashealth.org/chna

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	USMD Hospital at Arlington
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 900.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	USMD Hospital at Arlington
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	USMD Hospital at Fort Worth
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Section C

Other website (list url): www.texashealth.org/chna

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.texashealth.org/chna

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	USMD Hospital at Fort Worth
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 900.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	USMD Hospital at Fort Worth
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Sherman Grayson Health System
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url): www.texashealth.org/chna

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.texashealth.org/chna

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Sherman Grayson Health System
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Sherman Grayson Health System
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Facility #1 -Rockwall Regional Hospital	Part V Section B, Ln 5 -Facility #1 Rockwall Regional Hospital utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, Rockwall Regional Hospital conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: political leaders, faith community representatives, public health officials, lay community members, physicians, school officials and city administration. The information gathered from the community feedback sessions helped Rockwall Regional Hospital to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7d - Facility #1 Rockwall Regional Hospital produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B, Ln 11 - Facility #1 CHNA 2013 revealed a vast number of community health issues that require collective action to improve the health of the community. In order to assist the organization in determining which health needs should be addressed, Rockwall Regional Hospital categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. By using a strategic prioritization method to determine the top needs within the community aligned with the ability to address the said issues, two areas were chosen and are being addressed through the 2014-2016 implementation plan. 2014 was the first year of implementation and the focus was to create the systems, structure and interventions that could be consistently deployed at the hospital and at other system hospitals for a consistent impact across the region. The two areas of priority are first, Awareness, Literacy and Navigation ("ALN") and second, Chronic Disease. In addition, our efforts were to clearly align and coordinate services and interventions with community partners for a collective impact to meet these two priority areas defined. 1. Awareness, Literacy and Navigation (ALN) 1a. Community Health Improvement Strategies include collaboration to develop an area resource guide of key services available to the local community, individuals and non-profit partners that address the social determinants of health. Collation of this information began through the community health councils and community partners during 2014. This "easy to understand and use" guide will provide key details including how to access the resource and/or service in the local community to meet the individual's needs. This guide information collected in 2014 will be made available in an online and/or print format during 2015. 1b. Support/sponsorship of Community Health and Wellness activities: The hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 1c. Texas Health Rockwall provided a range of health information on promoting healthy living, diabetes, nutrition, breast cancer, colon cancer, preventive services, preventive health, bike safety, CPR and many other topics addressing the health needs of different populations in the communities served. This was provided through various outreach efforts such as Health Fairs in the community and in settings such as local businesses, health clinics and chamber of commerce events. Through these efforts and with active involvement of about 230 hospital employees over 2,853 people were reached in the Rockwall Community. 2. Chronic Disease - Community Health Improvement strategies include maintaining existing chronic disease programs provided at the hospital with a focus on self-management programs. Active partnerships and sponsorships aligned with the strategic foci to address chronic diseases remains a top priority. 2a. The hospital provided and facilitated Bariatric Surgery Support group to strengthen individual skills related to managing weight and reducing obesity through sessions that address actions such as journaling, using local park resources as a "gym" and learning to manage eating during the holiday season. 2b. The hospital provided a Diabetes class focused on healthy nutrition and management of the disease. Rockwall Regional Hospital will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 2) Injury and Violence - lack of expertise, low priority assigned, need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 3) Maternal, Infant & Child Health - This need is currently being addressed by multiple outside organizations in the community. The facility will continue to address the need at its current level of support. 4) Mental Health - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 5) Oral Health - lack of expertise. 6) Other Clinical/Preventive - the facility will continue to address the need at its current level of support. 7) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. 8) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support. 9) Transportation - lack of expertise. Part V Section B-16A&B - Facility #1 The website where FAP and FAP application was widely available: www.texashealthrockwall.com/patient-visitors/insurance-billing.html Pt V, Sec B-20e - Facility #1 - Billing and Collections A Plain Language Summary (PLS) of the charity policy is provided on the back of all billing statements. Pt V, Sec B-22d - - Facility #1 Charges to Individuals Eligible for Assistance under the FAP The hospital used the Look-Back Method to compute its Amounts Generally Billed (AGB) percentage. The 4 largest managed care plans were combined and averaged to calculate the AGB. The AGB percentage is used to determine the discount taken from the patient's gross charges. Initially, an uninsured patient is sent a bill with charges less the AGB percentage. If a patient becomes FAP-eligible, then charity care is given for the patient balance due. At no time will the patient pay more than the AGB percentage of their hospital bill. If a patient becomes FAP-eligible, then charity care is given for the patient balance due. At no time will the patient pay more than the AGB percentage of their hospital bill.
Facility #2 - Physicians Medical Center, LLC	Part V Section B, Ln 5 -Facility #2 Physicians Medical Center, LLC utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, Physicians Medical Center, LLC conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: faith community representatives, public health officials, lay community members, and school officials. The information gathered from the community feedback sessions helped Physicians Medical Center, LLC to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7d - Facility #2 Physicians Medical Center, LLC produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B, Ln 11 - Facility #2 CHNA 2013 revealed a vast number of community health issues that require collective action to improve the health of the community. In order to assist the organization in determining which health needs should be addressed, Physicians Medical Center, LLC categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. By using a strategic prioritization method to determine the top needs within the community aligned with the ability to address the said issues, two areas were chosen and are being addressed through the 2014-2016 implementation plan. 2014 was the first year of implementation and the focus was to create the systems, structure and interventions that could be consistently deployed at the hospital and at other system hospitals for a consistent impact across the region. The two areas of priority are first, Awareness, Literacy and Navigation ("ALN") and second, Chronic Disease. In addition, our efforts were to clearly align and coordinate services and interventions with community partners for a collective impact to meet these two priority areas defined. 1. Awareness, Literacy and Navigation (ALN) 1a. Community Health Improvement Strategies include collaboration to develop an area resource guide of key services available to the local community, individuals and non-profit partners that address the social determinants of health. Collation of this information began through the community health councils and community partners during 2014. This "easy to understand and use" guide will provide key details including how to access the resource and/or service in the local community to meet the individual's needs. This guide information collected in 2014 will be made available in an online and/or print format during 2015. 1b. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 1c. PMC Plano provided sponsorship and/or donations for various community efforts such as Heart Walk and Food Drives. The hospital also addressed the health needs of women in the community by providing outreach through efforts such as Ladies Night Out events to provide health information on promoting healthy living, heart health and preventive health. Through these efforts and with active involvement of 12 employees, over 346 people were reached in the community. 2. Chronic Disease - Community Health Improvement strategies include maintaining existing chronic disease programs provided at the hospital with a focus on self-management programs. Active partnerships and sponsorships aligned with the strategic foci to address chronic diseases remains a top priority. Physicians Medical Center, LLC will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 2) Mental Health - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 3) Nutrition, Physical activity and Obesity - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 4) Oral Health - lack of expertise. 5) Other Clinical/Preventive - the facility will continue to address the need at its current level of support. 6) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. 7) Transportation - lack of expertise. Part V Section B-16A&B - Facility #2 The website where FAP and FAP application was widely available: www.thcds.com/patient-visitors/billing-information/ Pt V, Sec B-20e - Facility #2 - Billing and Collections A Plain Language Summary (PLS) of the charity policy is provided on the back of all billing statements. Pt V, Sec B-22d - - Facility #2 Charges to Individuals Eligible for Assistance under the FAP The hospital used the Look-Back Method to compute its Amounts Generally Billed (AGB) percentage. The 4 largest managed care plans were combined and averaged to calculate the AGB. The AGB percentage is used to determine the discount taken from the patient's gross charges. Initially, an uninsured patient is sent a bill with charges less the AGB percentage. If a patient becomes FAP-eligible, then charity care is given for the patient balance due. At no time will the patient pay more than the AGB percentage of their hospital bill.
Facility #3 -Southlake Specialty Hospital LLC	Part V Section B, Ln 5 -Facility #3 Southlake Specialty Hospital, LLC utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, Southlake Specialty Hospital, LLC conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: faith community representatives, public health officials, lay community members, and school officials. The information gathered from the community feedback sessions helped Southlake Specialty Hospital, LLC to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7a - Facility #3 The CHNA is available at the hospital's website at www.texashealthsouthlake.com/thrinthecommunity.php. Part V. Section B-7d - Facility #3 Southlake Specialty Hospital, LLC produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B, Ln 11 - Facility #3 CHNA 2013 revealed a vast number of community health issues that require collective action to improve the health of the community. In order to assist the organization in determining which health needs should be addressed, Southlake Specialty Hospital, LLC categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. By using a strategic prioritization method to determine the top needs within the community aligned with the ability to address the said issues, two areas were chosen and are being addressed through the 2014-2016 implementation plan. 2014 was the first year of implementation and the focus was to create the systems, structure and interventions that could be consistently deployed at the hospital and at other system hospitals for a consistent impact across the region. The two areas of priority are first, Awareness, Literacy and Navigation ("ALN") and second, Chronic Disease. In addition, our efforts were to clearly align and coordinate services and interventions with community partners for a collective impact to meet these two priority areas defined. 1. Awareness, Literacy and Navigation (ALN) 1a. Community Health Improvement Strategies include collaboration to develop an area resource guide of key services available to the local community, individuals and non-profit partners that address the social determinants of health. Collation of this information began through the community health councils and community partners during 2014. This "easy to understand and use" guide will provide key details including how to access the resource and/or service in the local community to meet the individual's needs. This guide information collected in 2014 will be made available in an online and/or print format during 2015. 1b. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 1c. Texas Health Southlake provided a range of health information on promoting healthy living, diabetes, nutrition, heart health, cancer, preventive health and other topics addressing the health needs of different populations in the communities served. This was provided through various outreach efforts such as Health Fairs in the community and in settings such as local businesses, city and chamber of commerce events. Through these efforts and with active involvement of about 478 hospital employees over 105,520 people were reached in the community. 2. Chronic Disease - Community Health Improvement strategies include maintaining existing chronic disease programs provided at the hospital with a focus on self-management programs. Active partnerships and sponsorships aligned with the strategic foci to address chronic diseases remains a top priority. Southlake Specialty Hospital, LLC will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 2) Injury and Violence - lack of expertise, low priority assigned, need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 3) Maternal, Infant & Child Health - the facility will continue to address the need at its current level of support. 4) Mental Health - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 5) Preventive/Wellness - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 6) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. 7) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support. 8) Transportation - lack of expertise. Part V Section B-16A&B - Facility #3 The website where FAP and FAP application was widely available: www.texashealthsouthlake.com/charitycare.php Pt V, Sec B-20e - Facility #3 - Billing and Collections A Plain Language Summary (PLS) of the charity policy is provided on the back of all billing statements. Pt V, Sec B-22d - - Facility #3 Charges to Individuals Eligible for Assistance under the FAP The hospital used the Look-Back Method to compute its Amounts Generally Billed (AGB) percentage. The 4 largest managed care plans were combined and averaged to calculate the AGB. The AGB percentage is used to determine the discount taken from the patient's gross charges. Initially, an uninsured patient is sent a bill with charges less the AGB percentage. If a patient becomes FAP-eligible, then charity care is given for the patient balance due. At no time will the patient pay more than the AGB percentage of their hospital bill.
Facility #4 - Flower Mound Hospital Partners	Part V Section B, Ln 5 -Facility #4 Flower Mound Hospital Partners utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, Flower Mound Hospital Partners conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: faith community representatives, public health officials, lay community members, physicians and school officials. The information gathered from the community feedback sessions helped Flower Mound Hospital Partners understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7d - Facility #4 Flower Mound Hospital Partners produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B, Ln 11 - Facility #4 CHNA 2013 revealed a vast number of community health issues that require collective action to improve the health of the community. In order to assist the organization in determining which health needs should be addressed, Flower Mound Hospital Partners categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. By using a strategic prioritization method to determine the top needs within the community aligned with the ability to address the said issues, two areas were chosen and are being addressed through the 2014-2016 implementation plan. 2014 was the first year of implementation and the focus was to create the systems, structure and interventions that could be consistently deployed at the hospital and at other system hospitals for a consistent impact across the region. The two areas of priority are first, Awareness, Literacy and Navigation ("ALN") and second, Chronic Disease. In addition, our efforts were to clearly align and coordinate services and interventions with community partners for a collective impact to meet these two priority areas defined. 1. Awareness, Literacy and Navigation (ALN) 1a. Community Health Improvement Strategies include collaboration to develop an area resource guide of key services available to the local community, individuals and non-profit partners that address the social determinants of health. Collation of this information began through the community health councils and community partners during 2014. This "easy to understand and use" guide will provide key details including how to access the resource and/or service in the local community to meet the individual's needs. This guide information collected in 2014 will be made available in an online and/or print format during 2015. 1b. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 1c. Texas Health Flower Mound provided health fairs targeted to different populations in the communities served such as the Woman's Health Fair, the YMCA Health Fair and Seniors in Motion. In addition, several sponsorships were provided to the address the health needs of the community which included communities in schools of north Texas, Denton County Food Bank to supporting a community Baby shower. Through these efforts and with active involvement of about 94 hospital employees over 37,000 people were reached in the Flower Mound Community. 2. Chronic Disease - Community Health Improvement strategies include maintaining existing chronic disease programs provided at the hospital with a focus on self-management programs. Active partnerships and sponsorships aligned with the strategic foci to address chronic diseases remains a top priority. Flower Mound Hospital Partners will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 2) Mental Health - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 3) Nutrition, Physical Activity and Obesity - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 4) Reproductive and Sexual Health - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 5) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. Part V Section B-16A&B - Facility #4 The website where FAP and FAP application was widely available: www.texashealthflowermound.com/patient-visitor-info/charity-care/ Pt V, Sec B-20e - Facility #4 - Billing and Collections A Plain Language Summary (PLS) of the charity policy is provided on the back of all billing statements. Pt V, Sec B-22d - - Facility #4 Charges to Individuals Eligible for Assistance under the FAP The hospital used the Look-Back Method to compute its Amounts Generally Billed (AGB) percentage. The 4 largest managed care plans were combined and averaged to calculate the AGB. The AGB percentage is used to determine the discount taken from the patient's gross charges. Initially, an uninsured patient is sent a bill with charges less the AGB percentage. If a patient becomes FAP-eligible, then charity care is given for the patient balance due. At no time will the patient pay more than the AGB percentage of their hospital bill.
Facility #5 - USMD Hospital at Arlington	Part V Section B, Ln 5 -Facility #5 USMD at Arlington utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, USMD at Arlington conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: public health officials, lay community members, school officials and city administration. The information gathered from the community feedback sessions helped USMD at Arlington understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7a - Facility #5 The CHNA can be found on the hospital's website at www.usmdarlington.com/patients-visitors/locations-directions. Part V. Section B-7d - Facility #5 USMD at Arlington produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B, Ln 11 - Facility #5 CHNA 2013 revealed a vast number of community health issues that require collective action to improve the health of the community. In order to assist the organization in determining which health needs should be addressed, USMD at Arlington categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. By using a strategic prioritization method to determine the top needs within the community aligned with the ability to address the said issues, two areas were chosen and are being addressed through the 2014-2016 implementation plan. 2014 was the first year of implementation and the focus was to create the systems, structure and interventions that could be consistently deployed at the hospital and at other system hospitals for a consistent impact across the region. The two areas of priority are first, Awareness, Literacy and Navigation ("ALN") and second, Chronic Disease. In addition, our efforts were to clearly align and coordinate services and interventions with community partners for a collective impact to meet these two priority areas defined. 1. Awareness, Literacy and Navigation (ALN) 1a. Community Health Improvement Strategies include collaboration to develop an area resource guide of key services available to the local community, individuals and non-profit partners that address the social determinants of health. Collation of this information began through the community health councils and community partners during 2014. This "easy to understand and use" guide will provide key details including how to access the resource and/or service in the local community to meet the individual's needs. This guide information collected in 2014 will be made available in an online and/or print format during 2015. 1b. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 2. Chronic Disease - Community Health Improvement strategies include maintaining existing chronic disease programs provided at the hospital with a focus on self-management programs. Active partnerships and sponsorships aligned with the strategic foci to address chronic diseases remains a top priority. USMD at Arlington will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 2) Maternal, Infant & Child Health - the facility will continue to address the need at its current level of support. 3) Mental Health - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 4) Oral Health - lack of expertise. 5) Other Clinical/Preventive - the facility will continue to address the need at its current level of support. 6) Preventive/Wellness - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 7) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. 8) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support. 9) Transportation - lack of expertise. Pt V, Sec B-22d - - Facility #5 Charges to Individuals Eligible for Assistance under the FAP The hospital used the Look-Back Method to compute its Amounts Generally Billed (AGB) percentage. The 4 largest managed care plans were combined and averaged to calculate the AGB. The AGB percentage is used to determine the discount taken from the patient's gross charges. Initially, an uninsured patient is sent a bill with charges less the AGB percentage. If a patient becomes FAP-eligible, then charity care is given for the patient balance due. At no time will the patient pay more than the AGB percentage of their hospital bill.
Facility #6- USMD Hospital at Fort Worth	Part V Section B, Ln 5 - Facility #6 USMD Hospital at Fort Worth utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, USMD Hospital at Fort Worth conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: public health officials, lay community members, and school officials. The information gathered from the community feedback sessions helped USMD Hospital at Fort Worth understand the health needs from a community perspective and align this to the data analysis. Part V. Section B-7a - Facility #6 The CHNA can be found on the hospital's website at www.usmdfortworth.com/patients-visitors/locations-directions. Part V. Section B-7d - Facility #6 USMD Hospital at Fort Worth produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B, Ln 11 - Facility #6 CHNA 2013 revealed a vast number of community health issues that require collective action to improve the health of the community. In order to assist the organization in determining which health needs should be addressed, USMD Hospital at Fort Worth categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. By using a strategic prioritization method to determine the top needs within the community aligned with the ability to address the said issues, two areas were chosen and are being addressed through the 2014-2016 implementation plan. 2014 was the first year of implementation and the focus was to create the systems, structure and interventions that could be consistently deployed at the hospital and at other system hospitals for a consistent impact across the region. The two areas of priority are first, Awareness, Literacy and Navigation ("ALN") and second, Chronic Disease. In addition, our efforts were to clearly align and coordinate services and interventions with community partners for a collective impact to meet these two priority areas defined. 1. Awareness, Literacy and Navigation (ALN) 1a. Community Health Improvement Strategies include collaboration to develop an area resource guide of key services available to the local community, individuals and non-profit partners that address the social determinants of health. Collation of this information began through the community health councils and community partners during 2014. This "easy to understand and use" guide will provide key details including how to access the resource and/or service in the local community to meet the individual's needs. This guide information collected in 2014 will be made available in an online and/or print format during 2015. 1b. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 2. Chronic Disease - Community Health Improvement strategies include maintaining existing chronic disease programs provided at the hospital with a focus on self-management programs. Active partnerships and sponsorships aligned with the strategic foci to address chronic diseases remains a top priority. USMD Hospital at Fort Worth will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 2) Cancer - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 3) Injury and Violence - lack of expertise, low priority assigned, need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 4) Maternal, Infant & Child Health - the facility will continue to address the need at its current level of support. 5) Mental Health - resource constraints and lack of effective intervention. The facility will continue to address the need at its current level of support. 6) Nutrition, Physical Activity and Obesity - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 7) Oral Health - lack of expertise. 8) Other Clinical/Preventive - the facility will continue to address the need at its current level of support. 9) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. 10) Tobacco - low priority assigned. 11) Transportation - lack of expertise. Pt V, Sec B-22d - - Facility #6 Charges to Individuals Eligible for Assistance under the FAP The hospital used the Look-Back Method to compute its Amounts Generally Billed (AGB) percentage. The 4 largest managed care plans were combined and averaged to calculate the AGB. The AGB percentage is used to determine the discount taken from the patient's gross charges. Initially, an uninsured patient is sent a bill with charges less the AGB percentage. If a patient becomes FAP-eligible, then charity care is given for the patient balance due. At no time will the patient pay more than the AGB percentage of their hospital bill.
Facility #7 - Sherman Grayson Health System	Part V Section B, Ln 5 -Facility #7 Sherman Grayson Health System (Sherman Grayson) utilized vast amounts of qualitative and quantitative data to assess the health needs of the persons in the communities served. As a means to further understand the needs from those engaged in the community, Sherman Grayson conducted a series of community feedback sessions. Participants of the community feedback interviews included, but were not limited to: political leaders, lay community members, physicians, school officials and city administration. The information gathered from the community feedback sessions helped Sherman Grayson to understand the health needs from a community perspective and align this to the data analysis. Part V. Section B, Line 7d - Facility #7 Sherman Grayson produced executive summaries of the completed CHNAs along with other information that is of benefit to community members as well as a comparison between the health needs of the community and the State of Texas statistics. This information is widely available throughout the facility and given out at various community coalition and partnership meetings in an effort to disseminate the information through various community-based outlets. Part V. Section B, Ln 11 - Facility #7 CHNA 2013 revealed a vast number of community health issues that require collective action to improve the health of the community. In order to assist the organization in determining which health needs should be addressed, Sherman Grayson categorized the community needs in alignment with the national objectives of Healthy People 2020 categories. By using a strategic prioritization method to determine the top needs within the community aligned with the ability to address the said issues, two areas were chosen and are being addressed through the 2014-2016 implementation plan. 2014 was the first year of implementation and the focus was to create the systems, structure and interventions that could be consistently deployed at the hospital and at other system hospitals for a consistent impact across the region. The two areas of priority are first, Awareness, Literacy and Navigation ("ALN") and second, Chronic Disease. In addition, our efforts were to clearly align and coordinate services and interventions with community partners for a collective impact to meet these two priority areas defined. 1. Awareness, Literacy and Navigation (ALN) 1a. Community Health Improvement Strategies include collaboration to develop an area resource guide of key services available to the local community, individuals and non-profit partners that address the social determinants of health. Collation of this information began through the community health councils and community partners during 2014. This "easy to understand and use" guide will provide key details including how to access the resource and/or service in the local community to meet the individual's needs. This guide information collected in 2014 will be made available in an online and/or print format during 2015. 1b. Support/Sponsorship of Community Health and Wellness activities: The Hospital provides community benefit grants, sponsorships and other in-kind resources to improve the health status of the communities served. Grants are provided to address health disparities, disease management, wellness, disease prevention and health promotion programs, and various community health events. 2. Chronic Disease - Community Health Improvement strategies include maintaining existing chronic disease programs provided at the hospital with a focus on self-management programs. Active partnerships and sponsorships aligned with the strategic foci to address chronic diseases remains a top priority. 2a. The hospital provided a range of health information on heart disease, weight management, and diabetes addressing the health needs of different populations in the communities served. This was provided through various outreach efforts such as health and community events at which both screenings and/or health information was provided. Through these efforts and with active involvement of about 36 hospital employees over 2,500 people were reached in the community. Sherman Grayson will not adopt new strategies for the following identified needs in the community for the reasons listed. 1) Access: Provider Supply - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support. 2) Cancer - The need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 3) Injury and Violence - lack of expertise, low priority assigned, need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 4) Maternal, Infant & Child Health - need is currently being addressed by multiple organizations in the community and the facility will continue to address the need at its current level of support. 5) Mental Health - resource constraints, lack of effective intervention and the facility will continue to address the need at its current level of support. 6) Oral Health - lack of expertise. 7) Other Clinical/Preventive - the facility will continue to address the need at its current level of support. 8) Social Determinants - resource constraints, low priority assigned and lack of effective intervention. 9) Substance Abuse - resource constraints and the facility will continue to address the need at its current level of support. 10) Tobacco - low priority assigned. 11) Transportation - lack of expertise.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?12
Name and address		Type of Facility (describe)
1	Health Imaging Partners LLC 8610 Explorer Dr 300 Colorado Springs,CO80920	Outpatient Diagnostic Imaging
2	Surgical Caregivers of Fort Worth LP 3000 Riverchase Galleria 500 Birmingham,AL35244	Ambulatory Surgery Center
3	THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake,TX76092	Ambultory Surgery Center
4	TX Health Flower Mound Orthopedic Surg 5000 Long Prairie Rd Flower Mound,TX75028	Ambulatory Surgery Center
5	THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake,TX76092	Ambulatory Surgery Center
6	Greenville Surgery Center LLC 3000 Riverchase Galleria 500 Birmingham,AL35244	Ambulatory Surgery Center
7	Denton Surgery Center LLC 3000 Riverchase Galleria Birmingham,AL35244	Ambulatory Surgery Center
8	Texas Health Craig Ranch Surgery Ctr LLC 8080 State Hwy 121 Ste 100 McKinney,TX75070	Ambulatory Surgery Center
9	Cleburne Surgical Center LLC 2010 W Katherine P Raines Blvd Ste Cleburne,TX76033	Ambulatory Surgery Center
10	Fort Worth Endoscopy Center LLC 569 Brookwood Village Suite 901 Birmingham,AL35209	Ambulatory Surgery Center
11	North Dallas Surgery Center LLC 5141 Virginia Way Suite 420 Brentwood,TN37027	Ambulatory Surgery Center
12	Wilson Creek Surgery Center LLC 8855 Synergy Dr McKinney,TX75070	Ambulatory Surgery Center

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Patient Eligibility	Part I, Line 3c The Schedule H for Texas Health Resources ("THR")is filed solely because it has an ownership interest in 7 taxable joint ventures operating as hospitals. THR is a functionally integrated supporting organization and does not operate its own hospital. THR supports a system of faith-based, non-profit hospitals, an employed physician organization and an organization for medical research and education. THR has adopted a charity care policy which covers all 14 non-profit hospitals it supports. Patients with family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified "patient responsible amount" if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's charity care 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 charity care application.
Cost to Charge Ratio	Part I, Ln 7 A cost to charge ratio is used in computing the amounts reported in Lines 7a-7c. The amounts reported on Lines 7e-7i were obtained using direct costs, as determined by a cash outlay or, in the case of reporting employee volunteer hours, by using an average national volunteer wage rate.
Bad Debt Expense	Part III, Lines 2, 3 & 4 Bad debt expense is not included as a community benefit for purposes of reporting community benefits to Texas. We treat each patient qualifying for charity care as a charity patient and no charges related to that patient are included in bad debt expense. Each of the Joint Venture hospitals estimates bad debt expense utilizing various methods, analytical tools and benchmarks. Typically, bad debt expense is based upon a combination of factors including, but not limited to, aging of receivables, analyzing revenue trends in the healthcare industry and payor class, and assessing historical collection experience considering business and economic conditions.
Medicare Shortfall	Part III, Ln 8 The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care & community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. THR is the parent company of a healthcare system filing a combined community benefit report in Texas. THR is not a hospital and does not have Medicare data to report to Texas. The data provided for Sch H is THR's share of operations from its taxable joint ventures which operate hospitals in Texas. The taxable joint ventures are not required to file community benefit reports with or report Medicare Shortfalls to the State of Texas.
Debt Collection	Part III, Line 9b During the year, standard collection procedures were in place and uniformly applicable to all patient accounts. Except to the extent a patient receives a recovery from any third party or other source, no attempts are made to collect unpaid charges from patient accounts approved for adjustment under the Charity Care Program.
Needs Assessment	Part VI, Line 2 The organization is the parent of the Texas Health Resources (THR) healthcare system. In addition to the THR hospitals' community Health Needs Assessment (CHNA), THR developed and implemented, as a healthcare system, a Community Benefit Framework (CBF), based on the Public Health Institute's best practices ASACB program. The CBF systematically integrates internal practices into the community to improve the efficiency and effectiveness of THR's community health improvement (CHI) strategy, to address disproportionate unmet health needs (DUHN), to address primary prevention and to improve community capacity. CBF provides a quantitative approach to parallel the CHNA in identifying key communities within THR's service area, and the means to align them with a THR entity. The CBF contains five phases: assessment/profile, infrastructure, Community Health Council, programmatic review and strategy development. THR works with each entity's community health representative to examine its structure and programs for gaps, needs, strengths, and alignment with the CBF, CHNA and ASACB standards.
Community Information	Part VI, Line 4 Texas Health Resources does not operate its own hospital, but has ownership in 7 joint ventures operating as hospitals. The joint ventures operate hospitals in various communities throughout North Texas. The communities served by the hospitals vary in age and race. The population of the communities range from 129,000 to 1.3 million and the percentage of the population in these communities who are uninsured varies from 13% to 22.5%. The median income of the communities served by the hospitals ranges from $42,000 to $84,000.
Promotion of Community Health	Part VI, Line 5 Each of the Joint Venture hospitals further THR's exempt purpose by promoting the health of the community by following THR's charity care policy, by conducting a CHNA along with adopting the implementation strategy set forth and by providing discounted healthcare to FAP-eligible individuals in the community.
Affiliated Health Care System	Part VI, Line 6 The organization is the parent of the THR healthcare system. THR is one of the largest faith-based, nonprofit healthcare delivery systems in the US and the largest in North TX in terms of patients served. The system of 14 hospitals includes an organization for medical research and education. The system also includes a foundation that fosters philanthropic relationships which support the programs and services of the hospitals it supports. The mission of the hospitals in the THR system is to improve the health of the people in the communities we serve. THR takes its responsibility to its communities seriously and invests charitable resources to promote good health and prevent disease. Not only does THR provide health care to those who do not have the means to pay, its hospitals also conduct a variety of programs designed to improve health and prevent illness in the community. The community health strategies of THR and its affiliated healthcare organizations are driven by community health needs, are community-based, include confronting health problems at the source and emphasize health promotion, disease prevention, and early treatment of illness.
State Community Benefit Report	Part VI, Line 7 The organization files a Texas Annual Statement of Community Benefit Standard. Texas has established a minimum level of charity care and community benefit that must be provided by nonprofit hospitals in order to retain their Texas tax-exempt status. The standard set by the state is met when charity care and community benefits are provided in a combined amount equal to at least five percent of the hospital's or hospital system's net patient revenue, of which charity care and government-sponsored indigent health care are provided in an amount equal to at least four percent of net patient revenue. THR is the parent company of a healthcare system filing the combined community benefit report in Texas. THR reported other community benefits in this report. The data provided for Schedule H is THR's share of operations from its taxable joint ventures which operate hospitals in Texas. The taxable joint ventures are not required to file community benefit reports with the state of Texas.
Patient Education	Part VI, Line 3 A description of both the Charity Care program and application are available on the THR website at www.TexasHealth.org in English and Spanish. Signs alerting patients of charity care assistance and related contact information are posted in various areas of the hospital including admissions & registration, the emergency room and other outpatient departments. Additionally, financial assistance information is provided verbally and in writing to self-pay patients by financial counselors. As part of the financial counseling meeting, patients are screened for potential eligibility in other governmental assistance programs. If it is determined that the patient is potentially eligible for governmental assistance, the counselor will assist the patient in completing forms necessary to apply for the assistance. At the same time, patients are provided with a Charity Care application and information flyer. The patient is informed that the hospital is a non-profit organization offering financial assistance to patients deemed medically or financially indigent. A Plain Language Summary titled "Getting Help Paying Your Bill" is included on the back of our patient statements. The plain language summary informs the patients of how to qualify for charity, how to apply for help, necessary documentation, and informs of THR's collection activities. The onsite financial counselors may assist the patient in completing the application and obtain available verification information. Once the patient is discharged, the counselors will continue to contact the patient to ensure all forms and verifications needed to file an application for governmental assistance and Charity Care have been provided. In certain cases, self-pay patients who are discharged before seeing a financial counselor receive both a phone call and a letter to alert them to the existence of the financial assistance program. Each bill sent for hospital services also contains contact information alerting patients that Texas Health has a charity care program.
Community Building	Part II 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 aid in addressing the socio-economic factors that are the backbone for many underlying health concerns. The organization also partners with local universities to increase promotion and training of diverse candidates into the healthcare workforce which in turn increases access to healthcare for many in the community.

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
Texas Health Resources

Employer identification number
75-2702388

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) American Diabetes Association 4000 Alpha Road Dallas,TX75244	13-1623888	501(c)(3)	44,000	General Purpose
(2) March of Dimes Foundation 12660 Coit Rd Ste 200 Dallas,TX75251	13-1846366	501(c)(3)	32,500	General Purpose
(3) American Cancer Society 8900 John W Carpenter Freeway Dallas,TX75247	13-1788491	501(c)(3)	30,000	General Purpose
(4) Texas Medical Association 401 W 15th Street Suite 100 Austin,TX78701	74-1078510	501(c)(6)	30,000	General Purpose
(5) Dallas US Conference of Mayors 400 South Record St Dallas,TX75202	46-3073520	501(c)(6)	25,000	General Purpose
(6) Trinity University 1 Trinity PL San Antonio,TX78212	74-1109633	501(c)(3)	25,000	General Purpose
(7) Salesmanship Club of Dallas 106 East Tenth Street Dallas,TX75203	75-0717135	501(c)(3)	20,000	General Purpose
(8) Cancer Support Community North Texas PO Box 601744 Dallas,TX75360	75-2633654	501(c)(3)	13,000	General Purpose
(9) Austin College 900 N Grand Ave Ste 6F Sherman,TX75090	75-0827409	501(c)(3)	10,000	General Purpose
(10) Boy Scouts of America 8605 Harry Hines Blvd Dallas,TX75235	75-0800615	501(c)(3)	7,500	General Purpose
(11) Texas Health Resources Foundation 612 E Lamar Blvd Arlington,TX76011	75-2022128	501(c)(3)	8,800	Greer Garson Gala
(12) Susan G Komen Greater Fort Worth 2216 Green Oaks Rd Fort Worth,TX76116	75-2445070	501(c)(3)	5,500	General Purpose
(13) Dallas Holocaust Museum 211 N Record Street Dallas,TX75202	75-2113723	501(c)(3)	5,500	General Purpose
(14) Crystal Charity Ball 3838 Oaklawn Ave Dallas,TX75219	75-6035893	501(c)(3)	12,500	General Purpose
(15) YMCA of Metropolitan Dallas 601 N Akard St Dallas,TX75201	75-0800696	501(c)(3)	12,000	General Purpose
(16) YMCA of Metropolitan Fort Worth 512 Lamar St Fort Worth,TX76102	75-0827471	501(C)(3)	7,000	General Purpose
(17) Youth Improved Inc 10255 west Higgins Rosemont,IL60018	27-0988546	501(c)(3)	10,000	General Purpose

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) Texas A&M University Scholarships	2	6,000

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

Procedures for Monitoring Grants

Texas Health Resources (THR) receives various requests from the community for assistance. THR management reviews these requests to verify that they are benefiting the community and they are in agreement with THR's mission. The grants or assistance given by THR are generally to local organizations that have a longstanding record of benefiting the local community. Since the vast majority of the assistance given by THR is to local organizations, management is able to monitor the use of the funds using personal inspection. Many of the events are published in the local paper. Many are community wide events where THR employees attend, or work as volunteers or coordinators.

Schedule I (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Texas Health Resources

Employer identification number

75-2702388

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1HawthorneDouglas DFOUNDING CEO EMERITUS	(i) (ii)	1,147,329 ............................... 0	672,196 ............................... 0	650,748 ............................... 0	54,681 ............................... 0	15,805 ............................... 0	2,540,759 ............................... 0	403,402 ............................... 0
2BerdanBarclay ECHIEF EXECUTIVE OFFICER	(i) (ii)	757,467 ............................... 0	575,693 ............................... 0	422,535 ............................... 0	99,214 ............................... 0	21,542 ............................... 0	1,876,451 ............................... 0	201,768 ............................... 0
3LongRonald REVP RSRC DEVL & DEPLOY & CFO	(i) (ii)	593,819 ............................... 0	268,781 ............................... 0	233,029 ............................... 0	275,359 ............................... 0	16,637 ............................... 0	1,387,625 ............................... 0	150,230 ............................... 0
4AmparanOscar LEVP ZONE OPERATIONS LEADER	(i) (ii)	555,905 ............................... 0	262,042 ............................... 0	232,647 ............................... 0	19,500 ............................... 0	15,139 ............................... 0	1,085,233 ............................... 0	146,127 ............................... 0
5CanoseJeffrey LEVP SR & COO THR	(i) (ii)	518,833 ............................... 0	223,906 ............................... 0	261,722 ............................... 0	229,225 ............................... 0	16,232 ............................... 0	1,249,918 ............................... 0	102,300 ............................... 0
6VargaDaniel WEVP SR & CHIEF CLINICAL OFFICE	(i) (ii)	644,021 ............................... 0	210,253 ............................... 0	106,026 ............................... 0	77,444 ............................... 0	22,788 ............................... 0	1,060,532 ............................... 0	13,345 ............................... 0
7BellBonnie LEVP PEOPLE & CULTURE	(i) (ii)	362,654 ............................... 0	243,396 ............................... 0	311,701 ............................... 0	19,500 ............................... 0	20,718 ............................... 0	957,969 ............................... 0	143,685 ............................... 0
8SchollJonathan WadeEVP CHIEF STRATEGY OFFICER	(i) (ii)	537,502 ............................... 0	241,108 ............................... 0	92,192 ............................... 0	211,282 ............................... 0	21,106 ............................... 0	1,103,190 ............................... 0	48,931 ............................... 0
9BoesCharlesEVP GENERAL COUNSEL/Secretary	(i) (ii)	408,551 ............................... 0	194,194 ............................... 0	226,795 ............................... 0	50,591 ............................... 0	14,678 ............................... 0	894,809 ............................... 0	99,608 ............................... 0
10LesterMark CEVP ZONE CLINICAL LEADER	(i) (ii)	437,039 ............................... 0	200,895 ............................... 0	137,397 ............................... 0	47,478 ............................... 0	13,938 ............................... 0	836,747 ............................... 0	40,229 ............................... 0
11BerenzweigHarold KEVP ZONE CLINICAL LEADER	(i) (ii)	447,865 ............................... 0	213,429 ............................... 0	109,861 ............................... 0	51,676 ............................... 0	15,560 ............................... 0	838,391 ............................... 0	58,261 ............................... 0
12McClungBrett SEVP ZONE OPERATIONS LEADER	(i) (ii)	445,392 ............................... 0	178,201 ............................... 0	135,723 ............................... 0	162,820 ............................... 0	22,479 ............................... 0	944,615 ............................... 0	52,015 ............................... 0
13RansomElizabethEVP ZONE CLINICAL LEADER	(i) (ii)	433,266 ............................... 0	171,565 ............................... 0	152,288 ............................... 0	47,613 ............................... 0	20,767 ............................... 0	825,499 ............................... 0	15,504 ............................... 0
14NguyenTricia HEVP Popltn Hlth Mgmt/Pres Inst	(i) (ii)	515,862 ............................... 0	0 ............................... 0	88,252 ............................... 0	51,246 ............................... 0	26,551 ............................... 0	681,911 ............................... 0	0 ............................... 0
15McWhorterRicky ESVP FINANCE/ Asst Secretary	(i) (ii)	307,285 ............................... 0	114,754 ............................... 0	127,742 ............................... 0	110,053 ............................... 0	7,838 ............................... 0	667,672 ............................... 0	54,952 ............................... 0
16KramerKenneth JSVP ASSOC GEN COUNSEL/Asst Sec	(i) (ii)	250,474 ............................... 0	102,500 ............................... 0	136,258 ............................... 0	101,031 ............................... 0	24,896 ............................... 0	615,159 ............................... 0	55,389 ............................... 0
17MimsKrystalSVP CARE CONTINUUM & COLLABORA	(i) (ii)	381,026 ............................... 0	244,035 ............................... 0	75,583 ............................... 0	46,807 ............................... 0	26,610 ............................... 0	774,061 ............................... 0	77,087 ............................... 0
18MarxEdwardSVP CHIEF INFO OFFICER	(i) (ii)	393,704 ............................... 0	153,739 ............................... 0	134,572 ............................... 0	15,600 ............................... 0	25,929 ............................... 0	723,544 ............................... 0	62,282 ............................... 0
19VelascoFerdinand TSVP & CHIEF HLTH INFO OFFICER	(i) (ii)	375,731 ............................... 0	124,272 ............................... 0	125,513 ............................... 0	137,109 ............................... 0	22,807 ............................... 0	785,432 ............................... 0	49,518 ............................... 0
20Shinkus ClarkJoan FrancesSVP CHIEF NURSING EXECUTIVE	(i) (ii)	352,778 ............................... 0	127,826 ............................... 0	84,714 ............................... 0	28,624 ............................... 0	15,265 ............................... 0	609,207 ............................... 0	49,466 ............................... 0
21RoperJack RSVP FINANCE	(i) (ii)	138,011 ............................... 0	318,970 ............................... 0	102,781 ............................... 0	12,944 ............................... 0	4,251 ............................... 0	576,957 ............................... 0	298,206 ............................... 0
22GaidaJohn BSVP SUPPLY CHAIN MGMT	(i) (ii)	319,295 ............................... 0	125,606 ............................... 0	113,101 ............................... 0	35,618 ............................... 0	18,427 ............................... 0	612,047 ............................... 0	14,421 ............................... 0
23KirbyMichelle RiddleSVP CHIEF PEOPLE OFFICER	(i) (ii)	288,299 ............................... 0	114,305 ............................... 0	133,982 ............................... 0	43,389 ............................... 0	9,278 ............................... 0	589,253 ............................... 0	42,508 ............................... 0
24HarveyGayla DawnSVP FINAN / CHIEF REV OFFICER	(i) (ii)	384,873 ............................... 0	60,062 ............................... 0	71,660 ............................... 0	13,609 ............................... 0	16,518 ............................... 0	546,722 ............................... 0	2,949 ............................... 0
25LogsdonJames DVP REVENUE CYCLE OPERATIONS	(i) (ii)	258,280 ............................... 0	167,222 ............................... 0	83,047 ............................... 0	87,001 ............................... 0	21,130 ............................... 0	616,680 ............................... 0	124,514 ............................... 0
26AndersonSusan ElaineSVP & CHIEF COMPLIANCE OFFICER	(i) (ii)	276,194 ............................... 0	103,582 ............................... 0	124,329 ............................... 0	33,274 ............................... 0	1,550 ............................... 0	538,929 ............................... 0	47,298 ............................... 0
27TesmerDavid JSVP COMMUN ENGAG & ADVOCACY TH	(i) (ii)	300,977 ............................... 0	107,027 ............................... 0	94,167 ............................... 0	39,764 ............................... 0	13,376 ............................... 0	555,311 ............................... 0	31,344 ............................... 0
28SaldanaLuis EduardoCMIO	(i) (ii)	428,523 ............................... 0	0 ............................... 0	51,328 ............................... 0	15,600 ............................... 0	21,305 ............................... 0	516,756 ............................... 0	0 ............................... 0
29HolmesKevin BSVP REAL ESTATE DEVL & DEPLOY	(i) (ii)	243,832 ............................... 0	96,050 ............................... 0	125,801 ............................... 0	32,275 ............................... 0	26,370 ............................... 0	524,328 ............................... 0	53,756 ............................... 0
30BrowningDouglasGRP FINAN OFFICER THPR	(i) (ii)	203,896 ............................... 0	81,183 ............................... 0	178,237 ............................... 0	13,653 ............................... 0	7,858 ............................... 0	484,827 ............................... 0	1,031 ............................... 0
31JonesRobert DouglasSVP TREASURER/CHIEF INVEST OFF	(i) (ii)	304,789 ............................... 0	108,616 ............................... 0	45,035 ............................... 0	28,144 ............................... 0	24,392 ............................... 0	510,976 ............................... 0	15,419 ............................... 0
32PearsonGeorgeSVP MED STF AFFRS PHYS RLTNS	(i) (ii)	230,851 ............................... 0	87,797 ............................... 0	136,739 ............................... 0	31,322 ............................... 0	16,240 ............................... 0	502,949 ............................... 0	61,400 ............................... 0
33MitchellJohn DSVP BUSINESS DEVELOPMENT	(i) (ii)	235,009 ............................... 0	89,024 ............................... 0	127,181 ............................... 0	31,658 ............................... 0	20,824 ............................... 0	503,696 ............................... 0	39,581 ............................... 0
34SzablowskiPaul ASVP COMMUNICATION & IMAGE	(i) (ii)	341,549 ............................... 0	7,000 ............................... 0	53,700 ............................... 0	21,643 ............................... 0	12,734 ............................... 0	436,626 ............................... 0	0 ............................... 0
35HayDebra AnnCHIEF NURSING OFFICER THPR	(i) (ii)	245,079 ............................... 0	115,629 ............................... 0	30,283 ............................... 0	21,418 ............................... 0	1,467 ............................... 0	413,876 ............................... 0	36,667 ............................... 0
36GerbigLinda MarySVP PERF IMPROV & QUAL OUTCOME	(i) (ii)	245,043 ............................... 0	77,059 ............................... 0	66,467 ............................... 0	19,781 ............................... 0	14,039 ............................... 0	422,389 ............................... 0	20,556 ............................... 0
37SchornickAmy CVP PAYOR RLTNS & CONTRACTING	(i) (ii)	240,593 ............................... 0	67,010 ............................... 0	78,596 ............................... 0	15,949 ............................... 0	23,847 ............................... 0	425,995 ............................... 0	29,774 ............................... 0
38EdwardsCarol SusanSVP HEART & VASCULAR SVC LINE	(i) (ii)	236,595 ............................... 0	79,700 ............................... 0	56,825 ............................... 0	22,319 ............................... 0	9,999 ............................... 0	405,438 ............................... 0	3,750 ............................... 0
39JacksonDavid WVP CORPORATE CONTROLLER	(i) (ii)	198,062 ............................... 0	53,077 ............................... 0	116,964 ............................... 0	19,305 ............................... 0	6,827 ............................... 0	394,235 ............................... 0	37,514 ............................... 0
40SullivanJon MVP REAL ESTATE OPS	(i) (ii)	223,988 ............................... 0	60,638 ............................... 0	79,130 ............................... 0	19,352 ............................... 0	25,515 ............................... 0	408,623 ............................... 0	20,868 ............................... 0
41HaganPaulaVP ASST GENERAL COUNSEL	(i) (ii)	210,680 ............................... 0	59,098 ............................... 0	72,285 ............................... 0	17,102 ............................... 0	7,882 ............................... 0	367,047 ............................... 0	1,321 ............................... 0
42James Kirk KingTHAM President/EVP	(i) (ii)	............................... 371,247	0 ............................... 182,853	0 ............................... 188,534	0 ............................... 143,016	0 ............................... 22,108	0 ............................... 907,758	0 ............................... 89,807
43Berrett BrittFormer Officer	(i) (ii)	............................... 282,431	0 ............................... 180,594	0 ............................... 173,336	0 ............................... 272,570	0 ............................... 14,015	0 ............................... 922,946	0 ............................... 116,561
44Peterson Lisa KayeFormer Officer	(i) (ii)	............................... 302,383	0 ............................... 82,006	0 ............................... 54,541	0 ............................... 13,283	0 ............................... 23,770	0 ............................... 475,983	0 ............................... 4,520

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a - First Class Travel	THE CEO uses first class travel infrequently, upgrading to first class when available and/or possible to specific destinations where flights are overbooked by the airlines and passengers with coach tickets are not guaranteed to be on the specific flight booked.
Schedule J, Part I, Line 1a - Travel for Companions	The organization and/or related organizations allow spouses or guests to accompany an officer of the organization on business related travel. The value of the spouse/guest travel is included in the taxable compensation of the employee.
Schedule J, Part I, Line 1a - Gross-Up Payments	Certain imputed income is grossed-up to include the employment taxes paid on the listed person's behalf. The grossed up amount is included in the taxable compensation of the employee.
Schedule J, Part I, Line 1a - Discretionary Spending Account	Each Executive at the vice president level and above receives a perk allowance which is included in the taxable compensation of the employee.
Schedule J, Part I, Line 1a - Social Club Dues	The CEO is reimbursed for social club dues. The portion of the dues allocable to personal use is included in the taxable compensation of the employee.
Schedule J, Part I, Line 1a- Personal Services	The CEO is provided financial planning and tax preparation services. These services are included in the taxable compensation of the CEO.
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 SERVICES TO AN EMPLOYER IN KEY POSITIONS OF MANAGEMENT AND RESPONSIBILITY. BENEFITS ARE CALCULATED FOR ELIGIBLE EMPLOYEES WHEN BASE PAY AND INCENTIVES EXCEED THE IRS QUALIFIED PLAN COMPENSATION LIMIT. SERP BENEFITS VEST WHILE THE PARTICIPANT IS EMPLOYED IF THE PARTICIPANT: REACHES AGE 65, BECOMES DISABLED, DIES, OR REACHES THE FOLLOWING YEARS OF SERVICE: 2 YEARS - 25%; 3 YEARS -50%; 4 YEARS - 75%; AND 5 OR MORE - 100%. FOR 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: * REMAINING EMPLOYED BY THR TO 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 OR HER TERMINATION OF EMPLOYMENT. PAYMENT IS MADE FOLLOWING THE BEFORE MENTIONED EVENTS, EXCEPT IN THE CASE OF INVOLUNTARY SEPARATIONS FOR WHICH THE PARTICIPANT MUST WAIT UNTIL AFTER 24 MONTHS TO RECEIVE THE PREVIOUSLY TAXED BENEFIT. FOR THE ACTIVE RESTORATION ACCOUNT (ACCOUNT BALANCES AFTER 12/31/2009)PARTICIPANTS MUST BE EMPLOYED ON DEC 1 TO QUALIFY FOR THE CURRENT YEAR'S SERP AMOUNT 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 AMOUNTS ARE CALCULATED EACH DEC 1; VESTED BALANCES ARE TAXED; AND THE NET BALANCES CAN BEGIN ACCRUING EARNINGS. VESTED BALANCES ARE PAID IN CASH LUMP SUMS WITHIN THE 90 DAY PERIOD COMMENCING UPON THE EARLIER OF DEATH, DISABILITY, OR SEPARATION FROM SERVICE. The deferred portion is included in Schedule J, Part II, column c. THR OWNS ANY INVESTMENTS PURCHASED IN CONNECTION WITH ITS OBLIGATIONS UNDER THE SERP PLAN. IF THR BECOMES INSOLVENT, EXECUTIVES ARE UNSECURED CREDITORS AND WILL HAVE NO PREFERRED CLAIM TO ANY ASSETS. Payouts TO THE FOLLOWING EMPLOYEES WERE MADE DURING THE YEAR. THE AMOUNTS BELOW ARE INCLUDED IN THE AMOUNT REPORTED ON SCH J, PART II, COLUMN B(III) AND COLUMN (F). Amparan,Oscar L. $111,292.47 Anderson,Susan Elaine $35,828.03 Bell,Bonnie L. $176,832.88 Berdan,Barclay E. $159,033.82 Berrett, Britt $39,92.59 Berenzweig,Harold K. $34,124.89 Boes,Charles $73,748.35 Browning,Douglas $3,503.07 Canose,Jeffrey L. $72,921.95 Gerbig,Linda Mary $17,735.79 Hagan,Paula $1,321.23 Hawthorne,Douglas D. $306,155.99 Holmes,Kevin B. $42,187.71 Jackson,David W. $37,514.23 King,James Kirk $64,072.88 Kirby,Michelle Riddle $30,221.97 Kramer,Kenneth J. $43,770.94 Lester,Mark C. $14,933.18 Logsdon,James D. $16,644.60 Long,Ronald R. $112,501.87 Marx,Edward $44,454.65 McClung,Brett S. $34,115.33 McWhorter,Ricky E. $43,077.34 Mitchell,John D. $28,976.36 Pearson,George $50,682.52 Roper,Jack R. $270,260.49 Schornick,Amy C. $29,733.93 Shinkus Clark,Joan Frances $35,145.77 Sullivan,Jon M. $20,868.06 Tesmer,David J. $19,192.43 Velasco,Ferdinand T. $33,533.80
Schedule J, Part I, Line 4a - Severance	THE SEVERANCE PAYMENT WAS PAID OUT as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. Douglas Browning $124,948

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
Texas Health Resources

Employer identification number
75-2702388

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551	87638TAS2	05-31-2007	620,367,416	Refund 10/30/97 Issue Bonds		X		X		X
B	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551	87638TBE2	05-31-2007	102,323,221	Construction & Equip for Facility		X		X		X
C	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551	87638TCL5	10-30-2008	366,120,000	Refund 1/31/89 & Refund 5/14/03 Bo		X		X		X
D	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551	87638TEE9	11-23-2010	151,950,525	Redeem 10/30/08 Series D, F & G		X		X		X
	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551		11-30-2010	135,000,000	Construction & Equip Health Facili		X		X		X
	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551	87638TEH2	10-04-2012	50,000,000	Construction & Equipment Health Fa		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		0		190,065,000		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	620,432,581		109,908,750		366,264,054		151,950,525
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	617,372,104		0		327,900,000		150,425,000
7 Issuance costs from proceeds . . . . . . . . . . . .	3,060,477		529,732		1,868,320		1,525,525
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		109,379,018		36,495,734		0
11 Other spent proceeds . . . . . . . . . . . . . .	0		0		0		0
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2007		2009		2009		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X			X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X			X	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	1.660 %		0.540 %		0.580 %		1.020 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.010 %		0 %		0.060 %		0.060 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	1.670 %		0.540 %		0.640 %		1.080 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0 %		0 %		0 %		0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X			X			X
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . .	X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X		X	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part IV, Line 2c, Column A & B	Rebate calculations for the 2007A and 2007B Series were completed 6/25/12.
Part IV, Line 2c, Column C	Rebate calculations for the the 2008 Series were completed 11/7/13

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
Texas Health Resources

Employer identification number
75-2702388

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551	87638TAS2	05-31-2007	620,367,416	Refund 10/30/97 Issue Bonds		X		X		X
B	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551	87638TBE2	05-31-2007	102,323,221	Construction & Equip for Facility		X		X		X
C	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551	87638TCL5	10-30-2008	366,120,000	Refund 1/31/89 & Refund 5/14/03 Bo		X		X		X
D	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551	87638TEE9	11-23-2010	151,950,525	Redeem 10/30/08 Series D, F & G		X		X		X
	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551		11-30-2010	135,000,000	Construction & Equip Health Facili		X		X		X
	Tarrant Cnty Cultural Education Facility Fin Corp	04-3833551	87638TEH2	10-04-2012	50,000,000	Construction & Equipment Health Fa		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		0		190,065,000		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	620,432,581		109,908,750		366,264,054		151,950,525
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	617,372,104		0		327,900,000		150,425,000
7 Issuance costs from proceeds . . . . . . . . . . . .	3,060,477		529,732		1,868,320		1,525,525
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		109,379,018		36,495,734		0
11 Other spent proceeds . . . . . . . . . . . . . .	0		0		0		0
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2007		2009		2009		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X			X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X			X	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	1.660 %		0.540 %		0.580 %		1.020 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.010 %		0 %		0.060 %		0.060 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	1.670 %		0.540 %		0.640 %		1.080 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0 %		0 %		0 %		0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X			X			X
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . .	X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X		X	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Part IV, Line 2c, Column A & B	Rebate calculations for the 2007A and 2007B Series were completed 6/25/12.
Part IV, Line 2c, Column C	Rebate calculations for the the 2008 Series were completed 11/7/13

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Texas Health Resources

Employer identification number

75-2702388

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) Amparan Oscar	Officer	Split Dollar Life		X	385,718	385,718		No	Yes		Yes
(2) Anderson Elaine	Key Employee	Split Dollar Life		X	132,286	132,286		No	Yes		Yes
(3) Bell Bonnie	Officer	Split Dollar Life		X	87,418	87,418		No	Yes		Yes
(4) Berdan Barclay	Officer	Split Dollar Life		X	427,883	427,883		No	Yes		Yes
(5) Boes Charles	Officer	Split Dollar Life		X	338,786	338,786		No	Yes		Yes
(6) Canose Jeffrey L	Officer	Split Dollar Life		X	251,136	251,136		No	Yes		Yes
(7) Hawthorne Douglas	Officer	Split Dollar Life		X	679,621	679,621		No	Yes		Yes
(8) Holmes Kevin B	Key Employee	Split Dollar Life		X	126,902	126,902		No	Yes		Yes
(9) King James K	Officer	Split Dollar Life		X	125,226	125,226		No	Yes		Yes
(10) Kirby Michelle R	Key Employee	Split Dollar Life		X	62,732	62,732		No	Yes		Yes
(11) Kramer Kenneth Jr	Officer	Split Dollar Life		X	147,517	147,517		No	Yes		Yes
(12) Long Ronald R	Officer	Split Dollar Life		X	617,032	617,032		No	Yes		Yes
(13) Pearson George L	Key Employee	Split Dollar Life		X	329,731	329,731		No	Yes		Yes
(14) Tesmer David J	Key Employee	Split Dollar Life		X	147,371	147,371		No	Yes		Yes
(15) Giada John	Key Employee	Split Dollar Life		X	327,637	327,635		No	Yes		Yes
(16) McClung Brett	Officer	Split Dollar Life		X	180,791	180,791		No	Yes		Yes
Total ...... $						4,367,785

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

Texas Health Resources

Employer identification number

75-2702388

Return Reference	Explanation
Business Relationship-Part VI, Section A, Line 2	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.
Form 990 Filing-Part VI, Section B, Line 11b	A full copy of the Form 990 is provided to members of the governing board before filing. In addition, the Audit & Compliance Committee of the Texas Health Resources (THR) Board of trustees is given the opportunity to review, comment, and ask questions regarding the Form 990s filed for THR and each of its wholly controlled affiliates.
Conflict of Interest- Part VI, Section B, Line 12c	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 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 through a public database recently 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.
Compensation Determination-Part VI, Section B, Line 15	TEXAS HEALTH RESOURCES (THR) USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. * THR has the THR Governance Committee of the Board of Trustees (Compensation Committee) COMPRISED OF EXTERNAL BOARD MEMBERS THAT REVIEW COMPENSATION PHILOSOPHY AND DESIGN. * THR BOARD HIRED INDEPENDENT COMPENSATION CONSULTANTS. * THR & THE INDEPENDENT COMPENSATION CONSULTANTS UTILIZE PUBLISHED THIRD-PARTY COMPENSATION SURVEYS. * APPROVAL BY THE BOARD AND COMPENSATION COMMITTEE AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT IS HIRED BY THE THR BOARD OF TRUSTEES (BOARD) TO REVIEW BASE PAY ANNUALLY AS COMPARED TO A PEER GROUP OF EMPLOYERS SIMILAR IN SIZE AND SCOPE TO THR. EVERY THREE YEARS THE INDEPENDENT COMPENSATION CONSULTANT REVIEWS ALL ASPECTS OF EXECUTIVE COMPENSATION (BASE, INCENTIVES, BENEFITS, ETC.) WHICH INCLUDES: * REVIEW AND CONFIRMATION OF THE EXECUTIVE COMPENSATION PHILOSOPHY. * MARKET REVIEW OF BASE AND INCENTIVE PAY FOR ALL POSITIONS. NATIONAL, REGIONAL, AND LOCAL DATA IS REVIEWED WHEN AVAILABLE. * MARKET REVIEW OF BENEFITS AND PERQUISITES. * INTERVIEW OF SELECTED OFFICERS AND MEMBERS OF THE COMPENSATION COMMITTEE, AND * REVIEW OF FINANCIAL REPORTS, JOB DESCRIPTIONS, ORGANIZATIONAL CHARTS, CURRENT SALARIES, INCENTIVE OPPORTUNITIES, INCENTIVE PAYMENTS, BENEFITS, PERQUISITES AND PLAN DOCUMENTS. THE INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT MEETS DIRECTLY WITH THE EXECUTIVE COMPENSATION & BENEFITS SUB-COMMITTEE WHICH IS MADE UP OF FIVE INDEPENDENT BOARD MEMBERS AND THE Compensation Committee TO REPORT THE RESULTS OF THE TOTAL COMPENSATION STUDY. AT THE BEGINNING OF EACH YEAR, THE COMPENSATION COMMITTEE REVIEWS THE RESULTS OF THE OUTSIDE CONSULTANT'S MARKET ANALYSIS FOR BASE SALARIES, AND MAKES RECOMMENDATIONS TO THE BOARD AND THE BOARD APPROVES THE FOLLOWING FOR THE CEO: * BASE SALARY AND BENEFITS * PRIOR YEAR EXECUTIVE ANNUAL INCENTIVE AWARDS * CURRENT YEAR EXECUTIVE ANNUAL INCENTIVE PLAN TARGETS, KEY PERFORMANCE INDICATORS AND POTENTIAL PAYOUT AMOUNTS * LONG-TERM INCENTIVE AWARD IF CYCLE HAS ENDED * LONG-TERM INCENTIVE PLAN TARGETS, KEY PERFORMANCE INDICATORS AND POTENTIAL PAYOUT AMOUNT IF NEW CYCLE IS STARTING, AND * EMPLOYMENT AGREEMENT IN YEARS OF RENEWAL.
Public Disclosure-Part VI, Section C, Line 19	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.
Consolidated Financial Statements-Part XII, Line 2c	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.
Other Changes in Fund Balance-Part XI, Line 9	Controlled Joint Venture Treasury Shares ($2,299,904)
Members-Part VI, Section A, Lines 6&7a	Two Founding Members, Presbyterian Healthcare Resources (PHR) and Harris Methodist Health System (HMHS), and one Sponsoring Member, Texas Health Arlington Memorial Hospital (THAM), are members of Texas Health Resources (THR). The Founding members and Sponsoring member have the authority to approve the election of THR board.
Governance Decisions Reserved-Part VI, Section A, Line 7b	The following actions require the approval of the Founding Members, Presbyterian Healthcare Resources (PHR) and Harris Methodist Health System (HMHS): (a) Amendment, restatement or repeal of the Certificate or these Bylaws. (b) Establishment of or change in the mission, vision or values of the Corporation. (c) Any action by the Board of Trustees or the management of the Corporation which would adversely affect the religious or church practices or religious or church affiliation of the Corporation or an Affiliated Participant. (d) Sale, exchange, lease or other transfer of all or substantially all of the assets of the Corporation. (e) Merger or consolidation of the Corporation. (f) Dissolution of the Corporation. (g) Addition of a Founding Member of the Corporation. (h) Any action related to the right to nominate a majority of the voting members. (i) Transfer of a membership interest in the Corporation. The following actions, if they would eliminate or adversely affect the rights of the Sponsoring Member shall require the approval of the Sponsoring Member, Texas Health Arlington Memorial Hospital (THAM) when an amendment, restatement or repeal of certain sections in the bylaws refer to: (a) Items requiring the sponsoring member's approval. (b) Events requiring termination of a member's rights. (c) Effects of termination of a members interest. (d) Distribution of remaining assets. (e) Amendments to the bylaws.
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CONSULTING SERVICES TOTAL FEES:31420896
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER SERVICES TOTAL FEES:13122799
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION SERVICES TOTAL FEES:6323868
FORM 990 PART IX LINE 11G	DESCRIPTION:BUILDING SERVICES TOTAL FEES:3654733
FORM 990 PART IX LINE 11G	DESCRIPTION:RECRUITING SERVICES TOTAL FEES:1423063
FORM 990 PART IX LINE 11G	DESCRIPTION:SECURITY SERVICES TOTAL FEES:556631
FORM 990 PART IX LINE 11G	DESCRIPTION:ADMIN SERVICES TOTAL FEES:474263
FORM 990 PART IX LINE 11G	DESCRIPTION:CBO SERVICES TOTAL FEES:230357
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIANS SERVICES TOTAL FEES:165688
FORM 990 PART IX LINE 11G	DESCRIPTION:IT SERVICES TOTAL FEES:25769
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL WASTE REMOVAL TOTAL FEES:460

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Texas Health Resources

Employer identification number

75-2702388

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Texas Health Partners LLC 612 E Lamar Blvd Arlington,TX76011 02-0546958	Mgmt Co	TX	18,250,861	5,189,998	TH Resources
(2) Texas Health SingleSource Staffing LLC 612 E Lamar Blvd Arlington,TX76011 27-0324828	Staffing	TX	0	0	TH Resources
(3) THR-SCA Holdings LLC 612 E Lamar Blvd Arlington,TX76011 46-1096461	Holding Co	TX	9,655,373	60,808,498	TH Resources
(4) Texas Health Resources Trust 612 E Lamar Blvd Arlington,TX76011 36-6406740	Investments	TX	0	294,143,687	TH Resources

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Harris Methodist Health System 612 E Lamar Blvd Arlington,TX76011 75-1823547	Support Org.	TX	501(c)(3)	11a	NA		No
(2) Johnson County Community Care Corp 612 E Lamar Blvd Arlington,TX76011 45-2793120	Support Org.	TX	501(c)(3)	11a	TH Cleburne		No
(3) North Texas Healthy Communities 612 E Lamar Blvd Arlington,TX76012 46-4513182	Comm Support	TX	501(c)(3)	7	TH Resources	Yes
(4) Presbyterian Healthcare Resources 612 E Lamar Blvd Arlington,TX76011 51-0190395	Support Org.	TX	501(c)(3)	11c	NA		No
(5) Texas Health Arlington Memorial Hospital 800 West Randol Mill Rd Arlington,TX76012 75-0972805	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(6) Texas Health Alliance 10864 Texas Health Trail Fort Worth,TX76244 45-1502252	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(7) Texas Health Azle 108 Denver Trail Azle,TX76020 75-1748586	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(8) Texas Health Cleburne 201 Walls Dr Cleburne,TX76033 75-1977850	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(9) Texas Health Fort Worth 1301 Pennsylvania Ave Fort Worth,TX76104 75-6001743	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(10) Texas Health Hurst-Euless-Bedford 1600 Hospital Parkway Bedford,TX76022 75-1438726	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(11) Texas Health Southwest Fort Worth 6100 Harris Parkway Fort Worth,TX76132 75-2678857	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(12) Texas Health Stephenville 411 Belknap Stephenville,TX76401 75-1752253	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(13) Texas Health Huguley Inc 11801 S Freeway Burleson,TX76028 45-2694620	Hospital	FL	501(c)(3)	3	TH Resources	Yes
(14) TX Health Outpatient Surg Ctr Alliance 10840 Texas Health Trail Fort Worth,TX76244 80-0800294	Hospital	TX	501(c)(3)	3	TH Alliance	Yes
(15) Texas Health Physicians Group 9229 LBJ Freeway Dallas,TX75243 75-2613493	Phys. Clinic	TX	501(c)(3)	9	TH Resources	Yes
(16) Texas Health Presbyterian Foundation 612 E Lamar Blvd Arlington,TX76011 75-2022128	Fundraising	TX	501(c)(3)	7	TH Resources	Yes
(17) Texas Health Allen 1105 Central Expressway N Allen,TX75013 75-2890358	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(18) Texas Health Dallas 8200 Walnut Hill Ln Dallas,TX75231 75-1047527	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(19) Texas Health Denton 3000 North Interstate 35 Denton,TX76201 43-2008974	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(20) Texas Health Kaufman 850 Ed Hall Drive Kaufman,TX75142 75-2771437	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(21) Texas Health Plano 6200 W Parker Rd Plano,TX75093 75-2770738	Hospital	TX	501(c)(3)	3	TH Resources	Yes
(22) TX Health Research & Education Institute 612 E Lamar Blvd Arlington,TX76011 75-2562191	Edu& Research	TX	501(c)(3)	4	TH Resources	Yes
(23) TX Health Resources Self-Insurance Trust 612 E Lamar Blvd Arlington,TX76011 75-6335902	Insur Trust	TX	501(c)(3)	11c	TH Resources	Yes
(24) TH Specialty Hospital Fort Worth 1301 Pennsylvania Ave Fort Worth,TX76104 75-1648589	LT Hospital	TX	501(c)(3)	3	TH Resources	Yes
(25) WW Ward Endowment Fund Trust 612 E Lamar Blvd Arlington,TX76011 75-6196065	Support Org.	TX	501(c)(3)	11a	TH Fndation		No
(26) Healthy Tarrant County Collaboration PO Box 8040 Fort Worth,TX76124 43-2087946	Support Org	TX	501(c)(3)	11a	TH Resources	Yes
(27) Tarrant County Indigent Care Corporation 612 E Lamar Blvd Arlington,TX76011 26-0648532	Support Org	TX	501(c)(3)	11a	NA		No
(28) Dallas County Indigent Care Corporation PO Box 655999 Dallas,TX75203 26-0610562	Support Org	TX	501(c)(3)	11a	NA		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) AMH Cath Labs LLC 811 Wright St Arlington,TX76012 20-3003947	Hospital	TX	NA	N/A
(2) Cleburne Imaging LLC PO Box 820519 Dallas,TX75382 46-0767278	Outpatient Diagno	TX	NA	N/A
(3) Cleburne Surgical Center LLC 2010 W Katherine P Raines Blvd St Cleburne,TX76033 20-3742012	Amb Surg Ctr	TX	TH Resources	Related	1,927,720	2,044,799		No	0	Yes		51.000 %
(4) Denton Surgery Center LLC 569 Brookwood Village Ste 901 Birmingham,AL35209 47-0926556	Amb Surg Ctr	TX	TH Resources	Related	4,031,667	4,028,602		No	0	Yes		60.320 %
(5) Flower Mound Hospital Partners LLC 612 E Lamar Blvd Ste 600 Arlington,TX76011 26-0684968	Hospital	TX	TH Resources	Related	13,601,268	67,443,895		No	0		No	54.600 %
(6) Fort Worth Endoscopy Centers LLC 900 W Magnolia Ave 101 Fort Worth,TX76104 77-0368346	Endocsopy Center	TX	TH Resources	Related	5,231,236	3,912,111		No	0	Yes		51.000 %
(7) Greenville Surgery Center LLC 7150 Greenville Ave Ste 200 Dallas,TX75231 74-2411643	Amb Surg Ctr	TX	TH Resources	Related	1,755,705	1,814,608		No	0	Yes		80.300 %
(8) Health Imaging Partners LLC 8610 Explorer Drive Ste 300 Colorado Springs,CO80920 27-1385885	Outpatient Diagno	TX	TH Resources	Related	7,698,499	44,907,263		No	0		No	51.000 %
(9) North Dallas Surgical Center LLC 17980 Dallas Parkway Ste 100 Dallas,TX75287 27-2248103	Amb Surg Ctr	TX	TH Resources	Related	-121,131	1,047,659		No	0	Yes		51.000 %
(10) Physician Medical Center LLC 612 E Lamar Blvd 6th Flr Arlington,TX76011 48-1281376	Hospital	TX	TH Plano	Related	1,584,468	1,939,330		No	0		No	6.060 %
(11) Presbyterian Cancer Center-Dallas LLC 1220 Senlac Drive 2nd Flr Carrollton,TX75006 26-0422749	Cancer Treatment	TX	NA	N/A
(12) Rockwall Regional Hospital LLC 612 E Lamar Blvd 6th Flr Arlington,TX76011 20-2848116	Hospital	TX	TH Resources	Related	11,837,334	47,249,086		No	0	Yes		59.750 %
(13) ShermanGrayson Healthcare System LLC 2400 Dallas Pkwy Plano,TX75093 27-2025497	Hospital	TX	TH Resources	Related	8,772,573	0		No	0		No	50.100 %
(14) Southlake Specialty Hospital LLC 612 E Lamar Blvd 6th Flr Arlington,TX76011 02-0555370	Hospital	TX	TH HEB	Related	1,004,185	1,621,055		No	0	Yes		6.080 %
(15) Surgical Caregivers of Fort Worth LLC 569 Brookwood Village Ste 901 Birmingham,AL35209 75-1925497	Amb Surg Ctr	TX	TH Resources	Related	4,414,855	3,202,873		No	0	Yes		51.000 %
(16) Texas Health Craig Ranch Surgery Center 8080 State Hwy 121 Ste 100 McKinney,TX75070 38-3897811	Amb Surg Ctr	TX	TH Resources	Related	2,467,122	3,959,062		No	0	Yes		66.000 %
(17) Texas Health Flower Mound Orthopedic Sur 5000 Long Prairie Road Flower Mound,TX75028 80-0866449	Amb Surg Ctr	TX	TH Resources	Related	2,977,162	5,086,952		No	0	Yes		51.000 %
(18) Texas Health MedSynergies LLC 909 Hidden Ridge Ste 300 Irving,TX75038 80-0272951	Mgmt Services	TX	TH Resources	Related	281,663	18,639,897		No	0		No	89.610 %
(19) Texas Health Spine Center Arlington 1545 E Southlake Blvd Ste 100 Southlake,TX76092 46-4143686	Inactive	TX	TH Resources	Related	0	0		No	0	Yes		51.000 %
(20) Texas Institute for Surgery LLP 7715 Greenville Ave Ste 100 Dallas,TX75231 77-0628004	Hospital	TX	NA	N/A
(21) THR-STT Rockwall ASC LLC 1545 E Southlake Blvd Southlake,TX76092 26-2429878	Amb Surg Ctr	TX	TH Resources	Related	1,105,799	1,458,478		No	0	Yes		51.000 %
(22) THR-STT Southlake ASC LLC 1545 E Southlake Blvd Southlake,TX76092 20-1728912	Amb Surg Ctr	TX	TH Resources	Related	2,819,633	5,937,871		No	0	Yes		51.000 %
(23) USMD Hospital at Arlington LP 801 I -20 West Arlington,TX76017 73-1662763	Hospital	TX	TH Resources	Related	9,128,730	39,020,082		No	0		No	51.000 %
(24) USMD Hospital at Fort Worth LP 6333 North State Hwy 161 Ste 200 Irving,TX75038 20-3571243	Hospital	TX	TH Resources	Related	4,267,624	4,952,277		No	0		No	50.970 %
(25) Wilson Creek Surigcal Center LLC 8855 Synergy Drive McKinney,TX75070 27-4816583	Amb Surg Ctr	TX	TH Resources	Related	502,441	940,300		No	0	Yes		51.000 %
(26) Women's Specialty Surgery Center 8230 Walnut Hill Ln Ste 101 Dallas,TX75231 26-2310072	Amb Surg Ctr	TX	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) Grace Indemntiy Company Ltd 1159 Caribbean Plaza Grand Cayman KY1-1101 CJ 98-1209573	Captive Insurance	CJ	TH Resources	C Corp	0	200,000	100.000 %	Yes
(2) Huguley Medical Associates Inc 11801 South Freeway Burleson,TX76028 75-2547668	Phys Clinics	TX	NA	C Corp					No
(3) Texas Health Biomedical Advancement Cent 612 E Lamar Blvd Arlington,TX76011 75-2636884	Research	TX	NA	C Corp					No
(4) Texas Health Resources Casualty Company 612 E Lamar Blvd Arlington,TX76011 03-0310676	Insurance	VT	TH Resources	C Corp	20,947	309,041	100.000 %	Yes
(5) Texas Health Resources Cardiovascular Se 612 E Lamar Blvd Arlington,TX76011 46-5588632	Inactive	TX	TH Resources	C Corp	0	0	100.000 %	Yes
(6) Texas Health Resources Joint Services 612 E Lamar Blvd Arlington,TX76011 46-5365421	Inactive	TX	TH Resources	C Corp	0	0	100.000 %	Yes
(7) Texas Health Resources Spine Services 612 E Lamar Blvd Arlington,TX76011 46-5347751	Inactive	TX	TH Resources	C Corp	0	0	100.000 %	Yes
(8) Texas Health Resources Women's Services 612 E Lamar Blvd Arlington,TX76011 46-5330487	Inactive	TX	TH Resources	C Corp	0	0	100.000 %	Yes
(9) Charitable Remainder Trusts (4) 612 E Lamar Blvd Arlington,TX76011	CR Trust	TX	TH Resources	Trust

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Health Imaging Partners LLC	a	243,987	Contract
(2) North Dallas Surgery Center LLC	a	16,170	Contract
(3) Rockwall Regional Hospital LLC	a	209,771	Contract
(4) Texas Health Huguley Inc	a	107,320	Contract
(5) Texas Health Stephenville	a	72,783	Contract
(6) Texas Health Fort Worth	a	3,005,161	Contract
(7) Texas Health Hurst-Euless-Bedford	a	921,851	Contract
(8) Texas Health Dallas	a	359,750	Contract
(9) Texas Health Plano	a	2,339,887	Contract
(10) Texas Health Research Foundation	a	396,359	Contract
(11) Texas Health Specialty Hospital	a	135,501	Contract
(12) Texas Health Allen	a	366,092	Contract
(13) Texas Health Kaufman	a	99,458	Contract
(14) Texas Health Physician Group	a	7,499,927	Contract
(15) Texas Health Research & Education Inst	a	366,013	Contract
(16) Texas Health Azle	a	232,348	Contract
(17) Texas Health Denton	a	1,716,622	Contract
(18) Texas Health Alliance	a	831,015	Contract
(19) Texas Health Outpatient Surgery Ctr Alliance	a	710,793	Contract
(20) Texas Health Southwest	a	745,155	Contract
(21) Flower Mound Hospital Partners LLC	a	39,200	Contract
(22) Fort Worth Endoscopy Center LLC	b	849,421	JV Agreement
(23) Texas Health Spine Center Arlington LLC	b	306,000	JV Agreement
(24) Wilson Creek Surgical Center LLC	b	502,315	JV Agreement
(25) Cleburne Surgical Center LLC	s	524,610	JV Agreement
(26) Denton Surgery Center LLC	s	2,889,124	JV Agreement
(27) Flower Mound Hospital Partners LLC	s	10,343,826	JV Agreement
(28) Fort Worth Endoscopy Centers LLC	s	2,412,900	JV Agreement
(29) Greenville Surgery Center LLC	s	1,631,860	JV Agreement
(30) Health Imaging Partners LLC	S	6,018,000	JV Agreement
(31) Physicians Medical Center LLC	s	1,533,821	JV Agreement
(32) Rockwall Regional Hospital LLC	s	6,800,863	JV Agreement
(33) Southlake Specialty Hospital LLC	s	1,002,934	JV Agreement
(34) Surgical Caregivers of Fort Worth LLC	s	4,134,437	JV Agreement
(35) Texas Health Craig Ranch Surgery Center LLC	s	1,174,943	JV Agreement
(36) Tx Health Flower Mound Orthopedic Surgical	s	1,360,175	JV Agreement
(37) THRSTT Rockwall ASC LLC	s	1,194,646	JV Agreement
(38) THRSTT Southlake ASC LLC	s	2,980,303	JV Agreement
(39) USMD Hospital at Arlington LP	s	10,391,054	JV Agreement
(40) USMD Hospital at Fort Worth LP	s	6,129,792	JV Agreement
(41) Health Imaging Partners LLC	l	1,187,754	Contract
(42) Flower Mound Hospital Parnters LLC	l	100,000	Contract
(43) Physician Medical Center LLC	l	100,000	Contract
(44) Rockwall Regional Hospital LLC	l	100,000	Contract
(45) Southlake Specialty Hospital LLC	l	100,000	Contract
(46) THRSTT Southlake ASC LLC	l	100,000	Contract
(47) USMD Hospital at Arlington LP	l	100,000	Contract
(48) USMD Hospital at Fort Worth LP	l	100,000	Contract
(49) ShermanGrayson Healthcare System	l	83,333	Contract
(50) Southlake Specialty Hospital LLC	l	4,676,428	Contract
(51) Physicians Medical Center LLC	l	5,901,850	Contract
(52) Flower Mound Specialty Hosptial LLC	l	11,478,528	Contract
(53) Rockwall Regional Hospital LLC	l	10,540,468	Contract
(54) Flower Mound Hospital Partners LLC	a	63,055	Contract

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

Related Transaction-Part V, Line 2

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.

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Through its affiliates, THR operates an integrated healthcare system with services and facilities throughout north central texas to improve healthcare.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	3,363
6	Total number of volunteers (estimate if necessary) .............	6
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	928,107
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-1,459,689

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	329,765	1,114,693
9	Program service revenue (Part VIII, line 2g) .........	503,688,986	596,809,071
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	210,272,366	266,958,695
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,037,672	3,731,780
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	718,328,789	868,614,239
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	519,625	407,950
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	223,442,988	246,941,832
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	208,644,688	257,486,019
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	432,607,301	504,835,801
19	Revenue less expenses. Subtract line 18 from line 12.......	285,721,488	363,778,438
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,778,224,317	4,373,662,531
21	Total liabilities (Part X, line 26).............	2,972,008,605	3,221,049,836
22	Net assets or fund balances. Subtract line 21 from line 20.....	806,215,712	1,152,612,695

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 504,835,801 including grants of $ 407,950 ) (Revenue $ 598,562,205 )
	Founded in 1997, Texas Health Resources (THR) provides direction and oversight to its wholly-controlled affiliates. The range of centralized services provided by THR include information services, managed care contracting, human resources, revenue cycle, legal, tax, compliance, supply chain, business development, insurance, treasury, marketing, general accounting, and strategic planning. THR operates professional office buildings leased primarily to physicians who are members of the medical staff of THR affiliated hospitals. THR also operates, manages and coordinates physician services through Texas Health Physicians Group (THPG), a wholly owned affiliate of THR. THPG is a network of primary and specialty care physician practices providing the north Texas area community access to quality health care delivered either through an office setting or through a hospital program.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses504,835,801

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	27,797,213	1,817,925	3,591,849

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		1,114,693
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			1,114,693
			Business Code
2a	MANAGEMENT FEE		622110	438,613,163	438,423,167	189,996
b	JV ACTIVITY		622110	99,370,380	99,646,186	-275,806
c	RENTAL FEE		531310	58,712,851	58,712,851
d	EDUCATION REVENUE		611430	112,677	112,677
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			596,809,071
3	Investment income (including dividends, interest, and other similar amounts).......			58,178,541			58,178,541
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			202,484			202,484
		(i) Real	(ii) Personal
6a	Gross rents	848,013
b	Less: rental expenses	77,112
c	Rental income or (loss)	770,901	0
d	Net rental income or (loss).......			770,901		10,206	760,695
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	1,169,593,185	10,157
b	Less: cost or other basis and sales expenses	960,418,311	404,877
c	Gain or (loss)	209,174,874	-394,720
d	Net gain or (loss)..........			208,780,154			208,780,154
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	TELECOMMUNICATIONS		517919	1,490,249	486,538	1,003,711
b	REBATE		900099	1,093,902	1,093,902
c	FITNESS CENTER		713940	76,931	76,931
d	All other revenue ....			97,313	95,763		1,550
e	Total. Add lines 11a–11d ......			2,758,395
12	Total revenue. See Instructions......			868,614,239	598,648,015	928,107	267,923,424


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			19,169,864	1	11,669,929
2	Savings and temporary cash investments .........			254,832,140	2	384,799,853
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			42,078,408	4	57,529,912
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				7,801,425	5	4,367,785
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			6,912,711	7	6,115,813
8	Inventories for sale or use ..............			4,466,627	8	4,923,112
9	Prepaid expenses and deferred charges ..........			37,401,837	9	39,765,603
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	865,827,408
b	Less: accumulated depreciation .....	10b	432,262,577	423,276,701	10c	433,564,831
11	Investments—publicly traded securities ..........			2,695,860,111	11	3,116,799,259
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			139,660,365	13	194,646,932
14	Intangible assets ...............			67,760,549	14	71,071,336
15	Other assets. See Part IV, line 11 ...........			79,003,579	15	48,408,166
16	Total assets. Add lines 1 through 15 (must equal line 34)......			3,778,224,317	16	4,373,662,531
17	Accounts payable and accrued expenses .........			191,199,275	17	191,592,315
18	Grants payable .................			0	18	616,248
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			1,297,496,174	20	1,269,388,697
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			185,893,558	23	174,185,466
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	24,305,180
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			1,297,419,598	25	1,560,961,930
26	Total liabilities. Add lines 17 through 25.........			2,972,008,605	26	3,221,049,836
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			806,215,712	27	1,152,612,695
28	Temporarily restricted net assets ...........			0	28	0
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			806,215,712	33	1,152,612,695
34	Total liabilities and net assets/fund balances ........			3,778,224,317	34	4,373,662,531

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No