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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
Texas Health Presbyterian Hospital Dallas
 
Employer identification number

75-1047527
Return Reference Explanation
990, PART VI, SECTION A, LINE 2 - BUSINESS RELATIONSHIP TEXAS HEALTH RESOURCES (THR) AND ITS RELATED ORGANIZATIONS INCLUDED IN THE THR HEALTHCARE SYSTEM ENCOURAGE EMPLOYEES TO BECOME INVOLVED IN PHILANTHROPIC ENDEAVORS IN THEIR COMMUNITIES. AS A RESULT, THR HEALTHCARE SYSTEM EMPLOYEES WHO ARE SERVING AS OFFICERS, BOARD MEMBERS, OR KEY EMPLOYEES MAY, FROM TIME TO TIME, ALSO SERVE ON THE BOARDS OF VARIOUS COMMUNITY ORGANIZATIONS SUCH AS CHURCH BOARDS, UNITED WAY, ETC. THERE MAY BE A BUSINESS RELATIONSHIP AS A RESULT OF MULTIPLE THR EMPLOYEES SERVING ON THE SAME COMMUNITY BOARDS. THR EMPLOYEES SERVE AS THE CORPORATE OFFICERS OF EACH SUBSIDIARY ORGANIZATION. AS THR SYSTEM EMPLOYEES, ALL OFFICERS HAVE A BUSINESS RELATIONSHIP WITHIN THE ORGANIZATIONS OF THE THR HEALTHCARE SYSTEM. THR ALSO APPOINTS SYSTEM OFFICERS TO THE BOARDS OF VARIOUS CONTROLLED JOINT VENTURES. AS THR SYSTEM EMPLOYEES, VARIOUS OFFICERS OF THE ORGANIZATION MAY HAVE A BUSINESS RELATIONSHIP THROUGH SERVING ON THR CONTROLLED JOINT VENTURE BOARDS.
990, PART VI, SECTION A, LINE 6&7A - MEMBERS TEXAS HEALTH RESOURCES (THR) IS THE SOLE MEMBER OF THE ORGANIZATION
990, PART VI, SECTION A, LINE 7B - GOVERNANCE DECISIONS RESERVED THE FOLLOWING ACTIONS REQUIRE THE APPROVAL OF TEXAS HEALTH RESOURCES (THR): (A) AMENDMENT, RESTATEMENT OR REPEAL OF THE CERTIFICATE OF FORMATION OR THESE BYLAWS. (B) SALE, EXCHANGE, LEASE OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. (C) MERGER OR CONSOLIDATION OF THE CORPORATION. (D) DISSOLUTION OF THE CORPORATION. (E) ELECTION OF MEMBERS OF THE BOARD OF TRUSTEES (F) REMOVAL OF A MEMBER OF THE BOARD OF TRUSTEES (G) CREATION OF AFFILIATES OR SUBSIDIARIES AND APPROVAL OF THE INITIAL GOVERNING DOCUMENTS. (H) INCURRENCE OF DEBT NOT INCLUDED IN THE BUDGETS. (I) DISCONTINUING THE OPERATIONS OF A LICENSED HEALTH CARE FACILITY CONTROLLED BY THE CORPORATION. (J) ACTIVITIES INVOLVING WINDING UP, DISTRIBUTION, CONVERSION OR EXCHANGE UNDER CHAPTER 11
990, PART VI, SECTION B, LINE 11B - FORM 990 FILING The Texas Health Resources (THR) tax department staff prepares the Forms 990 for THR and all of its wholly controlled affiliates. In order to accurately prepare the returns, the tax staff works closely with various other departments to gather and review the information needed to complete the return. The departments involved in this process include, but are not limited to accounting, finance, treasury, human resources, payroll, legal, governance, and corporate compliance. The returns are then reviewed twice within the tax department, before being reviewed by an outside preparer, and by the Chief Accounting Officer/Assistant Secretary. All THR System Forms 990 are provided to members of the Audit and Compliance Committee of the THR Board, giving them an opportunity to review, comment and ask questions regarding the Forms 990. The tax department Vice President provides an overview presentation to the committee highlighting various areas of the Form 990. A resolution to approve all of the returns is voted upon at this meeting. Once the Audit and Compliance Committee has approved the returns, each return is then reviewed and signed by the Chief Accounting Officer/Assistant Secretary. The members of the governing Boards are provided a copy of the Form 990 for their respective entity before the Form 990 is filed.
990, PART VI, SECTION B, LINES 12C - CONFLICT OF INTEREST TEXAS HEALTH RESOURCES (THR) HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO THR AND ALL OF ITS WHOLLY OWNED OR WHOLLY CONTROLLED AFFILIATES. DURING THE FIRST QUARTER OF EACH FISCAL YEAR, A DUALITY AND CONFLICT OF INTEREST STATEMENT FORM IS DISTRIBUTED BY THE THR CHIEF COMPLIANCE OFFICER TO ALL BOARD MEMBERS, OFFICERS, CONTRACTED MEDICAL DIRECTORS, EMPLOYEES WITH A TITLE OF MANAGER OR ABOVE, EMPLOYED PHYSICIANS, AND CERTAIN COMMITTEE MEMBERS AND OTHER EMPLOYEES BASED UPON FUNCTION. ALL DISCLOSED CONFLICTS ARE REVIEWED BY THE THR CHIEF COMPLIANCE OFFICER. A REPORT, LISTING EACH REPORTED DUALITY OF INTEREST OR CONFLICT OF INTEREST IS GIVEN TO BOTH THE CHAIR OF THE GOVERNING BODY AND THE PRESIDENT OF THE CORPORATION WITH WHICH THE REPORTING PERSON IS AFFILIATED. THE THR BOARD OF TRUSTEES RECEIVES A REPORT WHEN THE ANNUAL DISCLOSURE PROCESS IS COMPLETE. PROGRESSIVE CORRECTIVE ACTION IS TAKEN FOR ANY IDENTIFIED NONCOMPLIANCE WHICH MAY INCLUDE REMOVAL FROM A BOARD OR COMMITTEE OR PHYSICIAN/EMPLOYEE COUNSELING IF THE PERSON FAILS TO PROVIDE THE DISCLOSURE. IN ADDITION, THR MONITORS PHYSICIAN PAYMENTS THROUGH A PUBLIC DATABASE IMPLEMENTED BY CMS. MANAGEMENT PLANS ARE EXECUTED AS NEEDED BASED UPON DISCLOSURES. THR ALSO EDUCATES THE BOARDS AND WORKFORCE ANNUALLY THROUGH EITHER A WEB BASED OR LIVE COMPLIANCE TRAINING.
990, PART VI, SECTION 15A&B - COMPENSATION DETERMINATION THE ORGANIZATION RELIED ON TEXAS HEALTH RESOURCES (THR), its sole member, WITH CENTRALIZED COMPENSATION PROFESSIONALS TO REVIEW AND ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S OFFICERS. A MORE IN-DEPTH DISCUSSION OF EXECUTIVE COMPENSATION REVIEW CAN BE FOUND ON SCHEDULE J, PART III.
990, PART VI, SECTION C, LINE 19 - PUBLIC DISCLOSURE THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE CONSOLIDATED FINANCIAL STATEMENTS OF TEXAS HEALTH RESOURCES (THR) ARE MADE AVAILABLE TO THE PUBLIC ON THE WEBSITE WWW.DACBOND.COM. CONSOLIDATED FINANCIAL STATEMENTS ARE POSTED TO THIS WEBSITE QUARTERLY AND THE AUDITED FINANCIAL STATEMENTS ARE POSTED ANNUALLY. THE FINANCIAL STATEMENTS OF THE WHOLLY CONTROLLED AFFILIATES OF THR ARE NOT POSTED TO THE WEBSITE NOR ARE THEY GENERALLY MADE AVAILABLE TO THE PUBLIC IN ANY OTHER MANNER.
990, PART IX, LINE 24B - OTHER EXPENSES TEXAS HEALTH DALLAS (THD) HAS A JOINT OPERATING AGREEMENT WITH SOUTHWESTERN HEALTH RESOURCES JOINT OPERATING CORPORATION TO REIMBURSE EXPENSES.
990, Part XI, Line 9 - Other Changes in Net Assets Adjustment for Intercompany Transactions of a Controlled Group ($20,756,866) The intercompany adjustment eliminated the receivable/payable balance as of the end of the year between Texas Health Resources (THR) and all wholly controlled tax-exempt entities included in the THR Healthcare System. The adjustment represents current year activity. The THR Healthcare System records all related transactions through the intercompany Receivable/Payable accounts for each entity. The types of transactions recorded in the Intercompany accounts include management fees charged by the parent organization, services purchased between related organizations, supplies purchased by a centralized purchasing department, daily cash sweeps and similar transactions.
990, PART XII, LINE 2C - CONSOLIDATED FINANCIAL STATEMENTS TEXAS HEALTH RESOURCES (THR) PREPARES CONSOLIDATED FINANCIAL STATEMENTS WITH ITS RELATED ENTITIES. THE THR BOARD APPOINTS AN AUDIT AND COMPLIANCE SUB-COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE CONSOLIDATED AUDIT FOR ALL RELATED ENTITIES. THE RELATED ENTITIES DO NOT HAVE A SEPARATE AUDIT COMMITTEE, BUT ABIDE BY THE THR COMMITTEE'S OVERSIGHT. THERE HAS BEEN NO CHANGE DURING THE YEAR IN THE ORGANIZATIONS OVERSIGHT SELECTION PROCESS.
990, PART XII, LINE 3B - SINGLE AUDIT ACT & OMB CIRCULAR A-133 THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED AUDIT OF TEXAS HEALTH RESOURCES. THE REQUIRED AUDIT will be PERFORMED UNDER THE UNIFORM GUIDANCE ON A CONSOLIDATED BASIS AND IS LISTED ON THE FEDERAL CLEARING HOUSE WEBSITE UNDER THE NAME OF TEXAS HEALTH RESOURCES. The audit deadline was extended until March 2022 and will be completed on or before this extended deadline.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


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