Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Auditor’s Report and Financial Statements 
September 30, 2014 and 2013 

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Years Ended September 30, 2014 and 2013
Contents
Independent Auditor’s Report ............................................................................................... 1 
Management’s Discussion and Analysis ............................................................................. 3 
Financial Statements 
Balance Sheets .................................................................................................................................... 9 
Statements of Revenues, Expenses and Changes in Net Position .................................................... 10 
Statements of Cash Flows ................................................................................................................ 11 
Notes to Financial Statements .......................................................................................................... 13 
Supplementary Information 
Balance Sheet Information ............................................................................................................... 37 
Statement of Revenues, Expenses and Changes in Net Position Information .................................. 38 
Required Supplementary Information 
Schedule of Funding Progress – Pension Plan ................................................................................. 39 

 
Independent Auditor’s Report
Board of Managers 
Tarrant County Hospital District 
  d/b/a JPS Health Network 
Fort Worth, Texas 
We have audited the accompanying balance sheets of Tarrant County Hospital District d/b/a JPS Health 
Network (District), a component unit of Tarrant County, Texas, as of September 30, 2014 and 2013, and 
the related statements of revenues, expenses and changes in net position and cash flows for the years then 
ended, and the related notes to the financial statements, which collectively comprise the District’s basic 
financial statements. 
Management’s Responsibility for the Financial Statements 
Management is responsible for the preparation and fair presentation of these financial statements in 
accordance with accounting principles generally accepted in the United States of America; this includes 
the design, implementation and maintenance of internal control relevant to the preparation and fair 
presentation of financial statements that are free from material misstatement, whether due to fraud or 
error. 
Auditor’s Responsibility 
Our responsibility is to express an opinion on these financial statements based on our audits.  We 
conducted our audits in accordance with auditing standards generally accepted in the United States of 
America.  Those standards require that we plan and perform the audit to obtain reasonable assurance 
about whether the financial statements are free from material misstatement. 
An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in 
the financial statements.  The procedures selected depend on the auditor’s judgment, including the 
assessment of the risks of material misstatement of the financial statements, whether due to fraud or error.  
In making those risk assessments, the auditor considers internal control relevant to the entity’s preparation 
and fair presentation of the financial statements in order to design audit procedures that are appropriate in 
the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s 
internal control.  Accordingly, we express no such opinion.  An audit also includes evaluating the 
appropriateness of accounting policies used and the reasonableness of significant accounting estimates 
made by management, as well as evaluating the overall presentation of the financial statements.   
We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for 
our audit opinion. 

 
Board of Managers 
Tarrant County Hospital District 
  d/b/a JPS Health Network 
Page 2 
Opinion 
In our opinion, the financial statements referred to above present fairly, in all material respects, the 
financial position of the District as of September 30, 2014 and 2013, and the changes in its financial 
position and its cash flows for the years then ended in accordance with accounting principles generally 
accepted in the United States of America. 
Other Matters 
Required Supplementary Information 
Accounting principles generally accepted in the United States of America require that the management’s 
discussion and analysis and pension information listed in the table of contents be presented to supplement 
the basic financial statements.  Such information, although not part of the basic financial statements, is 
required by the Governmental Accounting Standards Board, who considers it to be an essential part of 
financial reporting for placing the basic financial statements in an appropriate operational, economic or 
historical context.  We have applied certain limited procedures to the required supplementary information 
in accordance with auditing standards generally accepted in the United States of America, which 
consisted of inquiries of management about the methods of preparing the information and comparing the 
information for consistency with management’s responses to our inquiries, the basic financial statements 
and other knowledge we obtained during our audits of the basic financial statements.  We do not express 
an opinion or provide any assurance on the information because the limited procedures do not provide us 
with sufficient evidence to express an opinion or provide any assurance. 
Supplementary Information 
Our audits were conducted for the purpose of forming an opinion on the financial statements as a whole.  
The other supplementary information listed in the table of contents is presented for purposes of additional 
analysis and is not a required part of the financial statements.  Such information has not been subjected to 
the auditing procedures applied in the audit of the financial statements, and accordingly, we do not 
express an opinion or provide any assurance on it. 
Dallas, Texas 
February 13, 2015 

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Management’s Discussion and Analysis
Years Ended September 30, 2014 and 2013
(In Thousands) 
Introduction 
This management’s discussion and analysis of the financial performance of Tarrant County Hospital 
District d/b/a JPS Health Network (District) provides an overview of the District’s financial activities for 
the years ended September 30, 2014 and 2013.  It should be read in conjunction with the accompanying 
financial statements of the District.  Unless otherwise indicated, amounts are in thousands. 
Financial Highlights 



Cash, short-term investments and other noncurrent investments increased in 2014 by $34,039 or 8.8% 
and decreased in 2013 by $10,227 or 2.6%. 
The District’s net position increased in each of the past two years with a $28,371 or 3.9% increase in 
2014 and a $60,260 or 9.0% increase in 2013. 
The District reported operating losses in both 2014 ($274,530) and 2013 ($236,678).  The operating 
loss in 2014 increased by $37,852 or 16.0%, as compared to the operating loss reported in 2013.  The 
operating loss in 2013 decreased by $55,204 or 18.9%, from the operating loss reported in 2012. 

Net nonoperating revenues increased by $5,598 or 1.9% in 2014 compared to 2013 and decreased by 
$8,972 or 2.9% in 2013 compared to 2012. 
Using This Annual Report 
The District’s financial statements consist of three statements—a balance sheet; a statement of revenues, 
expenses and changes in net position; and a statement of cash flows.  These statements provide 
information about the activities of the District, including resources held by the District but restricted for 
specific purposes by creditors, contributors, grantors or enabling legislation.  The District is accounted for 
as a business-type activity and presents its financial statements using the economic resources 
measurement focus and the accrual basis of accounting. 
The Balance Sheet and Statement of Revenues, Expenses and Changes in Net Position 
One of the most important questions asked about any hospital’s finances is “Is the hospital as a whole 
better or worse off as a result of the year’s activities?”  The balance sheet and the statement of revenues, 
expenses and changes in net position report information about the District’s resources and its activities in 
a way that helps answer this question.  These statements include all restricted and unrestricted assets and 
all liabilities using the accrual basis of accounting.  Using the accrual basis of accounting means that all 
of the current year’s revenues and expenses are taken into account regardless of when cash is received or 
paid.
3

 
These two statements report the District’s net position and changes in them.  The District’s total net 
position—the difference between assets and liabilities—is one measure of the District’s financial health 
or financial position.  Over time, increases or decreases in the District’s net position are an indicator of 
whether its financial health is improving or deteriorating.  Other nonfinancial factors, such as changes in 
the District’s patient base, changes in legislation and regulations, measures of the quantity and quality of 
services provided to its patients, and local economic factors should also be considered to assess the 
overall financial health of the District.  
The Statement of Cash Flows 
The statement of cash flows reports cash receipts, cash payments and net changes in cash and cash 
equivalents resulting from four defined types of activities.  It provides answers to such questions as where 
did cash come from, what was cash used for, and what was the change in cash and cash equivalents 
during the reporting period.  
The District’s Net Position 
The District’s net position are the difference between its assets and liabilities reported in the balance 
sheets.  The District’s net position increased by $28,371 (3.9%) in 2014 over 2013 and by $60,260 (9.0%) 
in 2013 over 2012, as shown in Table 1: 
Table 1:  Assets, Liabilities and Net Position 
2014
2013
2012
Assets
Cash and short-term investments
$
235,148
$
202,938
$
211,511
Patient accounts receivable, net 
Other current assets
Capital assets, net
47,721
192,677
284,087
187,366
53,928
161,882
283,409
187,096
62,726
58,645
303,812
188,876
Other noncurrent assets
Total assets
$
946,999
$
889,253
$
825,570
Liabilities
Long-term debt
$
46,045
$
48,742
$
54,024
Other current and noncurrent liabilities
141,687
109,615
100,910
Total liabilities
187,732
158,357
154,934
Net Position
Net investment in capital assets
Restricted expendable
Restricted nonexpendable
Unrestricted
233,599
1,735
315
232,625
1,434
315
250,529
4,425
250
523,618
496,522
415,432
Total net position
759,267
946,999
730,896
889,253
670,636
825,570
Total liabilities and net position
$
$
$
A significant change in the District’s assets in 2014 is the increase in amounts due from the state of Texas 
under supplemental funding programs.  Supplemental funding payments from the Medicaid 
Disproportionate Share Program and the Medicaid section 1115(a) demonstration (Waiver) funding pools, 
discussed more fully in Note 3, have been delayed and the related receivable increased by $28,377 or 
21.3% in 2014 as compared to 2013.  
4

 
The District’s cash and investments and other noncurrent investments increased by $34,039 or 8.8% in 
2014 as compared to 2013 and the District’s accounts receivable decreased by $6,207 or 11.5% in 2014 as 
compared to 2013.  The increase in cash and investments is attributable to the excess of revenues over 
expenses and a decrease in patient accounts receivable.  The decrease in accounts receivable is primarily 
attributable to continued experience with the electronic health record and patient billing software program 
the District began utilizing in May 2012.   
The most significant change in the District’s assets in 2013 was also an increase in amounts due from the 
state of Texas under supplemental funding programs.  In 2012, the state of Texas began the transition of 
the Waiver and the related receivable increased by $100,236 or 301.3% in 2013 as compared to 2012.  
The District’s cash and investments and other noncurrent investments decreased by $10,227 or 2.6% in 
2013 as compared to 2012 and the District’s accounts receivable decreased by $8,798 or 14.0% in 2013 as 
compared to 2012.  The decrease in accounts receivable was primarily attributable to more experience 
with new electronic health record and patient billing software program as discussed above. 
Operating Results and Changes in the District’s Net Position 
In 2014, the District’s net position increased by $28,371 or 3.9%, as shown in Table 2.  This increase is 
made up of several different components and represents a decrease of 52.9% compared with the increase 
in net position for 2013 of $60,260.  The District’s change in net position increased from $16,508 in 2012 
to $60,260 in 2013. 
Table 2:  Operating Results and Changes in Net Position 
2014
2013
2012
Operating Revenues
Net patient service revenue
Supplemental Medicaid funding
Other operating revenue
$
299,019
185,143
42,396
$
261,427
211,628
51,384
$
271,604
121,596
47,871
Total operating revenues
526,558
524,439
441,071
Operating Expenses
Salaries and wages and employee benefits
Purchased services and professional fees
Supplies
Depreciation and amortization
Other operating expenses
408,976
189,390
124,201
40,084
372,709
187,917
121,011
42,491
356,588
180,248
117,048
43,396
38,437
36,989
35,673
Total operating expenses
801,088
761,117
732,953
Operating Loss
(274,530)
(236,678)
(291,882)
Nonoperating Revenues (Expenses)
Property taxes
Contributed services
291,013
9,185
2,318
283,766
12,427
725
279,403
23,676
2,811
Investment return, interest expense and other
Total nonoperating revenues (expenses)
302,516
296,918
305,890
Excess of Revenues Over Expenses
Before Capital Grants
27,986
385
60,240
20
14,008
2,500
Capital Grants
Increase in Net Position
$
28,371
$
60,260
$
16,508
5

 
Operating Losses 
The first component of the overall change in the District’s net position is its operating income or loss—
generally, the difference between net patient service and other operating revenues and the expenses 
incurred to perform those services.  In each of the past three years, the District has reported an operating 
loss.  This is consistent with the District’s recent operating history as the District was formed and is 
operated primarily to serve lower income residents of Tarrant County.  The District levies property taxes 
to provide sufficient resources to enable the facility to serve lower income and other residents. 
The operating loss for 2014 increased by $37,852 or 16.0% as compared to 2013.  The primary 
components of the increased operating loss are: 




An increase in net patient service revenue of $37,592 or 14.4% 
A decrease in Medicaid supplemental funding of $26,485 or 12.5% 
A decrease in other operating revenue of $8,988 or 17.5% 
An increase in salary and related expenses of $36,267 or 9.7% 
The increase in net patient service revenue is primarily attributable to an increase in patient volumes and 
changes in payer mix.  
The decrease in Medicaid supplemental funding revenue is due to the impact in the overall planned 
decrease in Waiver funding pools for 2014 and changes in funding allocation methodology. 
The decrease in other operating revenue is due in large part to a decrease in funding from the Medicare 
and Medicaid Electronic Health Records Incentive Program discussed more fully in Note 1.   
The increase in salary and related expenses is due to wage increases resulting from the District’s retention 
efforts and to the addition of full time equivalent employees to manage increased volume and 
operationalize projects associated with Delivery System Reform Incentive Payment (DSRIP) pool 
discussed in Note 3. 
The operating loss for 2013 of $236,678 was $55,204 less than the operating loss of $291,882 recognized 
in 2012.  The District had a decrease in net patient service revenue of $10,601 and an increase in Texas 
Medicaid supplemental funding of $90,032.  The increase in Medicaid supplemental funding was due to 
the Waiver transition discussed above.  Salaries and wages increased in 2013 by $16,121 or 4.5%, as 
compared to 2012, due to costs associated with programs formed for the participation in the DSRIP pool.  
Professional fees and purchased services increased in 2013 by $7,669 or 4.3%, as compared to 2012, as a 
result of increased payments to physician groups providing services to indigent patients serviced by the 
District and due to increased consulting services utilized during the implementation of the District’s 
electronic health record and patient billing system.   
Nonoperating Revenues and Expenses 
Nonoperating revenues and expenses consist primarily of property taxes levied by the District, 
contributions and investment income and interest expense.  The District held property tax rates steady in 
2014, but an increase in overall property values as well as changes in estimated uncollectible property 
taxes resulted in a net increase in property tax revenue of $7,247 or 2.6% from 2013 to 2014.  Investment 
return increased in 2014 compared to 2013, resulting primarily from a slight increase in interest rates on 
certificates of deposit and debt securities.  Contributed services represent the difference between the value 
of services provided to the District’s indigent patients by area physicians and the amount the District 
ultimately paid for those services.  Contributed services decreased by $3,242 or 26.1% in 2014 as 
compared to 2013.  This decrease resulted from the District taking on more of the costs associated with 
physician services provided to the District’s indigent patients.  Other contribution revenue increased by 
$986, or 308.1% in 2014 as compared to 2013. 
6

 
Interest expense decreased by $182 or 11.1% due to an increase in interest capitalized on construction in 
progress projects during 2014 as discussed in Note 1.   
The District’s Cash Flows 
Changes in the District’s cash flows are consistent with changes in operating losses and nonoperating 
revenues and expenses for 2014, 2013 and 2012, discussed earlier. 
Capital Asset and Debt Administration 
Capital Assets
At the end of 2014, the District had $284,087 invested in capital assets, net of accumulated depreciation, 
as detailed in Note 7 to the financial statements.  In 2014, the District purchased new capital assets costing 
$40,868. 
At the end of 2013, the District had $283,409 invested in capital assets, net of accumulated depreciation.  
In 2013, the District purchased new capital assets costing $23,775. 
Debt
At September 30, 2014, the District had $47,440 in revenue bonds and certificates of obligations 
outstanding.  The District issued no new debt in 2014.  In 2012, the District issued the Series 2012 Bonds 
to refinance the outstanding Series 2002 Bonds obligation, as discussed in Note 10.  The District’s formal 
debt issuances, revenue bonds, are subject to limitations imposed by state law.  There have been no 
changes in the District’s debt ratings in the past three years, but the District’s outlook was updated from 
negative to stable in 2014, by Moody’s and Standard & Poor’s. 
Other Economic Factors
The District is the Anchor facility for the Region 10 Regional Healthcare Partnership (RHP) DSRIP 
program under the Medicaid Section 1115(a) demonstration.  The Region 10 RHP is the result of a
shared commitment by the region’s providers to a community-oriented, regional health care delivery
model focused on the triple aims of improving the experience of care for patients and their families,
improving the health of the region, and reducing the cost of care without compromising quality.
Region 10’s DSRIP plan is the essential blueprint for improved individual and population health at a
lower cost, delivered more efficiently.
The District is anticipating a small increase in volumes in fiscal year 2015 from growth in the county.  
Based on the recommendation of the District’s Board of Managers (Board), the Tarrant County 
Commissioners Court set the property tax rate for fiscal year 2015 to $0.227897 per $100 valuation, 
which is consistent with the property tax rate for fiscal year 2014. 
The Board and management continue to monitor and consider many factors that have direct or indirect 
impact on future operations.  These include: 

The Medicaid Section 1115(a) demonstration project which could have a material impact on the 
District’s funding for providing uncompensated care and provides funding for improvements in the 
design of the health care delivery system and associated outcomes, specifically shifting 
reimbursement systems from fee for service to value based payments 

The reimbursement impact of the Patient Protection and Affordable Care Act, Texas Medicaid DSH 
and other federal legislation
7

 

Tarrant County’s population growth, as well as continued growth in the number of uninsured, 
working poor and medically indigent 



Shifting of care trend from inpatient to outpatient settings 
Continued growth in medical and pharmaceutical costs, as well as advances in therapies 
Continued advances in health care medical equipment and computing technology 
Significant Financial Practices 
The District maintains several financial practices designed to maintain its credit-worthiness and to 
position the District to carry out its defined mission of providing health care to the residents of Tarrant 
County, as well as its fiduciary responsibility to the taxpayers of Tarrant County.  Those practices are as 
follows: 
Investments Internally Designated for Capital Acquisition and Operating Activities
The Board sets aside funds for both long-term stability and capital improvements. 
Monthly Financial Reporting
The Board meets monthly and reviews the financial statements from the prior month.  This information is 
presented to show actual monthly and year-to-date revenues and expenses compared to budget and the 
prior year.  Management provides explanation for significant variances. 
Pay-As-You-Go Capital Funding
The District has maintained the practice to fund routine capital items under a pay-as-you-go basis.  This 
has been done to minimize borrowing costs as well as maintain financial flexibility. 
Budget Process
The operating and capital budgets are proposed by the District’s management and endorsed by the Board.  
Final approval is obtained from the Court.  The budget remains in effect for the entire fiscal year. 
Operating Practices

The District’s adoption of LEAN and Six Sigma methodologies to improve efficiency and reduce 
outcome variation 
Contacting the District’s Financial Management 
This financial report is designed to provide our readers with a general overview of the District’s finances 
and to show the District’s accountability for the money it receives.  Questions about this report and 
requests for additional financial information should be directed to the District’s Financial Offices at 1350 
South Main Street, Suite 4000, Fort Worth, Texas 76104. 
8

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Balance Sheets
September 30, 2014 and 2013
(In Thousands) 
Assets
2014
2013
Current Assets
Cash and cash equivalents
Short-term investments
$
144,248
90,900
47,721
4,075
161,885
10
190
9,640
16,877
$
97,800
105,138
53,928
4,342
133,508
25
300
8,644
15,063
Patient accounts receivable, net
Property taxes receivable, net
Supplemental Medicaid funding receivable
Restricted pledges receivable, net
Internally designated for self-insurance, current portion
Supplies inventory
Prepaid expenses and other assets
Total current assets
475,546
418,748
Noncurrent Cash and Investments
Internally designated for debt service
Internally designated for self-insurance
Restricted by donors for capital acquisitions and
specific operating activities
333
11,502
298
11,274
2,069
173,462
187,366
-
1,786
172,069
185,427
1,669
Internally designated for capital acquisitions and 
operating activities
Total noncurrent cash and investments
Other Receivables
Capital Assets, Net
284,087
946,999
283,409
889,253
$
$
Total assets
See Notes to Financial Statements

 
Liabilities and Net Position
2014
2013
Current Liabilities
Accounts payable
$
89,178
$
57,905
Accrued expenses
38,784
3,434
5,357
2,405
36,071
6,912
4,152
2,340
Due to third-party payers
Current portion of self-insurance costs
Current maturities of long-term debt
Total current liabilities
Estimated Self-insurance Costs
Long-term Debt
139,158
107,380
1,370
46,045
1,159
1,366
48,742
869
Other Long-term Liabilities
Total liabilities
187,732
158,357
Net Position
Net investment in capital assets
Restricted expendable
Restricted nonexpendable
Unrestricted
233,599
1,735
315
232,625
1,434
315
523,618
496,522
Total net position
759,267
946,999
730,896
889,253
$
$
Total liabilities and net position
9

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Statements of Revenues, Expenses and Changes in Net Position
Years Ended September 30, 2014 and 2013
(In Thousands) 
2014
2013
Operating Revenues
Net patient service revenue, net of provision for 
uncollectible accounts; 2014 – $349,306; 2013 – $328,286
Supplemental Medicaid funding
$
299,019
185,143
42,396
$
261,427
211,628
51,384
Other operating revenue
Total operating revenues
526,558
524,439
Operating Expenses
Salaries and related expenses
Professional fees and purchased services
Supplies
Depreciation and amortization
Other
408,976
189,390
124,201
40,084
372,709
187,917
121,011
42,491
38,437
36,989
Total operating expenses
801,088
761,117
Operating Loss
(274,530)
(236,678)
Nonoperating Revenues (Expenses)
Property tax revenue
Contributed services
291,013
9,185
1,306
283,766
12,427
320
Contributions
Interest expense
Investment return and other
(1,459)
2,471
(1,641)
2,046
Total nonoperating revenues (expenses)
Excess of Revenues Over Expenses Before Capital Grants
Capital Grants
302,516
27,986
385
296,918
60,240
20
Increase in Net Position
28,371
730,896
759,267
60,260
670,636
730,896
Net Position, Beginning of Year
Net Position, End of Year
$
$
See Notes to Financial Statements
10

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Statements of Cash Flows
Years Ended September 30, 2014 and 2013
(In Thousands) 
2014
2013
Operating Activities
Receipts from and on behalf of patients
Receipts from Texas Medicaid supplemental
funding programs
Payments to suppliers and contractors
Payments to employees
$
302,178
$
273,590
156,766
(315,302)
(405,910)
41,965
111,392
(333,948)
(368,362)
51,493
Other receipts, net
Net cash used in operating activities
(220,303)
(265,835)
Noncapital Financing Activities
Noncapital grants and gifts
1,306
320
Property taxes supporting operations
289,179
281,578
Net cash provided by noncapital financing activities
290,485
281,898
Capital and Related Financing Activities
Proceeds from issuance of long-term debt
Principal paid on long-term debt
Interest paid on long-term debt
Payment of bond issuance costs
Property taxes supporting debt service
Capital grants and gifts
-
(2,340)
(2,038)
-
2,101
2,051
80
27,657
(32,495)
(2,158)
(270)
2,099
20
Proceeds from sale of capital assets
Purchase of capital assets
388
(23,577)
(38,548)
Net cash used in capital and related financing activities
(38,694)
(28,336)
Investing Activities
Purchase of investments
(286,783)
(296,108)
Proceeds from the sale and maturities of
  short-term investments
Interest income and other
300,715
3,257
250,954
2,046
Net cash provided by (used in) investing activities
17,189
48,677
99,257
147,934
(43,108)
(55,381)
154,638
99,257
Increase (Decrease) in Cash and Cash Equivalents
Cash and Cash Equivalents, Beginning of Year
Cash and Cash Equivalents, End of Year
$
$
See Notes to Financial Statements
11

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Statements of Cash Flows (Continued)
Years Ended September 30, 2014 and 2013
(In Thousands) 
2014
2013
Reconciliation of Cash and Cash Equivalents to the Balance Sheets
Cash and cash equivalents in current assets
Cash and cash equivalents in noncurrent cash and investments
$
$
144,248
3,686
$
$
97,800
1,457
147,934
99,257
Reconciliation of Net Operating Revenues (Expenses) to 
   Net Cash Used in Operating Activities
Operating loss
Depreciation and amortization
(Gain) loss on disposal of assets
$
(274,530)
40,084
(324)
$
(236,678)
42,491
15
Provision for uncollectible accounts
Contributed services expense
349,306
9,185
328,286
12,427
Changes in operating assets and liabilities
Patient accounts receivable
Texas Medicaid supplemental funding receivable
Estimated amounts due from and to third-party payers
Accounts payable and accrued expenses
Other assets and liabilities
(343,099)
(28,377)
(3,478)
32,648
(319,488)
(100,236)
3,365
8,056
(4,073)
(1,718)
Net cash used in operating activities
$
(220,303)
$
(265,835)
Supplemental Cash Flows Information
Capital asset acquisitions included in accounts payable
Contributed services revenue (Note 14  )
$
$
2,371
9,185
$
$
330
12,427
See Notes to Financial Statements
12

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Note 1:     Nature of Operations and Summary of Significant Accounting Policies
Nature of Operations and Reporting Entity 
Tarrant County Hospital District d/b/a JPS Health Network (District) is a political subdivision of 
the state of Texas and operates a hospital, a psychiatric inpatient facility, a skilled nursing unit, 24 
ambulatory health centers, a psychiatric emergency center, an emergency department and a 
designated Level 1 trauma center, three health centers for women, 20 school-based clinics and 
dental services at seven locations.  Additionally, it manages medical care services at the Tarrant 
County correctional system’s three locations.  The District is under the supervision of the Tarrant 
County Commissioners Court (Court) and is governed by an 11 member Board of Managers 
(Board) appointed by the Court.  For this reason, the District is considered to be a component unit 
of Tarrant County, Texas (County) and is included as a discretely presented component unit in the 
basic financial statements of the County. 
JPS Physician Group (JPSPG) began operations in July 2003, primarily for the purpose of 
providing physician services to District patients.  The District is the sole corporate member of 
JPSPG and has the authority to exercise significant control over the financial operations of JPSPG.  
As such, JPSPG is presented as a blended component unit of the District.  Separate financial 
statements of JPSPG can be obtained by contacting the District’s management. 
JPS Foundation (Foundation) was formed on August 4, 1997, solely to support and benefit 
scientific, educational and charitable activities conducted by the District.  The Foundation is a non-
profit organization whose purpose is to perform services on behalf of the District, including 
organizing fundraising activities, providing patient assistance programs, participating in recruiting 
functions and conducting administrative services.  Because the Foundation operates primarily for 
the exclusive benefit of the District, it is also presented as a blended component unit of the District.  
Separate financial statements of the Foundation can be obtained by contacting the District’s 
management. 
The District’s financial statements include the activities as set forth above.  All material 
intercompany accounts and transactions have been eliminated in the financial statements.
Basis of Accounting and Presentation 
The accompanying financial statements of the District have been prepared on the accrual basis of 
accounting using the economic resources measurement focus.  Revenues, expenses, gains, losses, 
assets and liabilities from exchange and exchange-like transactions are recognized when the 
exchange transaction takes place, while those from government-mandated nonexchange 
transactions (principally federal and state grants) are recognized when all applicable eligibility 
requirements are met.  Operating revenues and expenses include exchange transactions and 
program-specific, government-mandated nonexchange transactions.
13

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Government-mandated nonexchange transactions that are not program specific, property taxes, 
investment income and interest on capital assets-related debt are included in nonoperating revenues 
and expenses.  The District first applies restricted net position when an expense or outlay is 
incurred for purposes for which both restricted and unrestricted net position is available. 
Use of Estimates 
The preparation of financial statements in conformity with accounting principles generally 
accepted in the United States of America requires management to make estimates and assumptions 
that affect the reported amounts of assets and liabilities and disclosure of contingent assets and 
liabilities at the date of the financial statements and the reported amounts of revenues and expenses 
during the reporting period.  Actual results could differ from those estimates. 
Cash and Cash Equivalents 
The District considers all liquid investments with original maturities of three months or less to be 
cash equivalents.  At September 30, 2014 and 2013, cash equivalents consisted primarily of money 
market accounts with brokers and state investment pools described more fully in Note 5. 
Risk Management 
The District is exposed to various risks of loss from torts; theft of, damage to and destruction of 
assets; business interruption; errors and omissions; employee injuries and illnesses; natural 
disasters; medical malpractice; and employee health, dental and accident benefits.  Commercial 
insurance coverage is purchased for claims arising from such matters other than medical 
malpractice, employee health and workers’ compensation claims.  Settled claims have not 
exceeded this commercial coverage in any of the three preceding years. 
The District is self-insured for a portion of its exposure to risk of loss from medical malpractice, 
employee health and workers’ compensation claims.  Annual estimated provisions are accrued for 
the self-insured portion of these risks and include an estimate of the ultimate costs for both reported 
claims and claims incurred but not yet reported. 
Investments and Investment Income 
Investments in U.S. Treasury, agency and instrumentality obligations with a remaining maturity of 
one-year or less at time of acquisition and in nonnegotiable certificates of deposit are carried at 
amortized cost.  All other investments are carried at fair value.  Fair value is determined using 
quoted market prices.
14

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Investment income includes dividend and interest income, realized gains and losses on investments 
carried at other than fair value and the net change for the year in the fair value of investments 
carried at fair value. 
Patient Accounts Receivable 
The District reports patient accounts receivable for services rendered at net realizable amounts 
from third-party payers, patients and others.  The District provides an allowance for uncollectible 
accounts based upon a review of outstanding receivables, historical collection information and 
existing economic conditions.  
Supplies 
Supply inventories are stated at the lower of cost, determined using the first-in, first-out method or 
market. 
Capital Assets 
Capital assets are recorded at cost at the date of acquisition, or fair value at the date of donation if 
acquired by gift.  Depreciation is computed using the straight-line method over the estimated useful 
life of each asset.  Assets under capital lease obligations and leasehold improvements are 
depreciated over the shorter of the lease term or their respective estimated useful lives.  The 
following estimated useful lives are being used by the District: 
Land improvements
Buildings and improvements
Equipment
10 – 20 years
10 – 40 years
3 – 20 years
3 – 10 years
Computer software
The District capitalizes interest costs as a component of construction in progress, based on the 
weighted-average rates paid for long-term borrowing.  Total interest incurred was: 
2014
2013
Interest costs capitalized
Interest costs charged to expense
$
$
279
1,459
$
$
150
1,641
Total interest incurred
1,738
1,791
15

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Compensated Absences 
District policies permit most employees to accumulate vacation and sick leave benefits that may be 
realized as paid time off or, in limited circumstances, as a cash payment.  Expense and the related 
liability are recognized as benefits are earned whether the employee is expected to realize the 
benefit as time off or in cash.  Compensated absence liabilities are computed using the regular pay 
and termination pay rates in effect at the balance sheet date, plus an additional amount for 
compensation-related payments such as social security and Medicare taxes computed using rates in 
effect at that date. 
Net Position 
Net position of the District is classified in four components.  Net investment in capital assets 
consists of capital assets net of accumulated depreciation and reduced by the outstanding balances 
of borrowings used to finance the purchase or construction of those assets.  Restricted expendable 
net position is made up of noncapital assets that must be used for a particular purpose, as specified 
by creditors, grantors or donors external to the District, including amounts deposited with trustees 
as required by bond indentures, reduced by the outstanding balances of any related borrowings.  
Restricted nonexpendable net position consists of noncapital assets that are required to be 
maintained in perpetuity as specified by parties external to the District, such as permanent 
endowments.  Unrestricted net position is the remaining assets less remaining liabilities that do not 
meet the definition of net invested in capital assets or restricted net position. 
Net Patient Service Revenue 
The District has agreements with third-party payers that provide for payments to the District at 
amounts different from its established rates.  Net patient service revenue is reported at the 
estimated net realizable amounts from patients, third-party payers and others for services rendered 
and includes estimated retroactive revenue adjustments and a provision for uncollectible accounts.  
Retroactive adjustments are considered in the recognition of revenue on an estimated basis in the 
period the related services are rendered and such estimated amounts are revised in future periods as 
adjustments become known. 
Tobacco Settlement Revenue 
The District receives revenue that is the result of a settlement between various counties and 
hospital districts in Texas and the tobacco industry for tobacco-related health care costs.  The 
District received approximately $5,485 and $5,801 in revenue from this settlement for the years 
ended September 30, 2014 and 2013, respectively.  This revenue is recognized as a component of 
other operating revenue in the accompanying statements of revenues, expenses and changes in net 
position.
16

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Charity Care 
The District provides care without charge or at amounts less than its established rates to patients 
meeting certain criteria under its charity care policy.  Because the District does not pursue 
collection of amounts determined to qualify as charity care, these amounts are not reported as net 
patient service revenue. 
Income Taxes 
As an essential government function of the County, the District is generally exempt from federal 
and state income taxes under Section 115 of the Internal Revenue Code (IRC) and a similar 
provision of state law.  The District and the Foundation also carry an exemption from income taxes 
under IRC Section 501(c)(3).  JPSPG is exempt from income taxes under Section 501(a) of the 
IRC.  The District, the Foundation and JPSPG are all subject to federal income tax on any unrelated 
business taxable income. 
Electronic Health Records Incentive Program 
The Electronic Health Records Incentive Program, enacted as part of the American Recovery and 
Reinvestment Act of 2009, provides for one time incentive payments under both the Medicare and 
Medicaid programs to eligible hospitals that demonstrate meaningful use of certified electronic 
health records technology (EHR).  Payments under the Medicare program are generally made for 
up to four years based on a statutory formula.  Payments under the Medicaid program are generally 
made for up to four years based upon a statutory formula, as determined by the state, which is 
approved by the Centers for Medicare and Medicaid Services.  Payments under both programs are 
contingent on the District continuing to meet escalating meaningful use criteria and any other 
specific requirements that are applicable for the reporting period.  The final amount for any 
payment year is determined based upon an audit by the administrative contractor.  JPSPG may also 
receive incentive payments of up to $44,000 per eligible physician over five years for Medicare 
and $63,750 per eligible physician over six years for Medicaid.  Events could occur that would 
cause the final amounts to differ materially from the initial payments under the program. 
The District recognizes revenue under the grant accounting model using the cliff recognition 
approach.  Under this approach, revenue is recognized once meaningful use status has been met for 
the full reporting period. 
In 2014 and 2013, the District completed the second-year and first-year requirements under the 
Medicare program and recorded revenue of approximately $1,447 and $1,636, respectively.  In 
2014 and 2013, the District completed the third-year and second-year requirements under the 
Medicaid program, respectively, and recorded revenue of approximately $860 and $5,010 in 2014 
and 2013, respectively.  The revenue earned from these programs is included as a component of 
other operating revenue in the accompanying statements of revenue, expenses and changes in net 
position.
17

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Reclassifications 
Certain reclassifications have been made to the 2013 financial statements to conform to the 2014 
financial statement presentation.  The reclassifications had no effect on the changes in financial 
position. 
Note 2:     Net Patient Service Revenue
The District has agreements with third-party payers that provide for payments to the District at 
amounts different from its established rates.  These payment arrangements include: 
Medicare.  Inpatient acute care services and substantially all outpatient services rendered to 
Medicare program beneficiaries are paid at prospectively determined rates.  These rates vary 
according to a patient classification system that is based on clinical, diagnostic and other factors.  
Certain inpatient nonacute services and defined medical education costs are paid based on a cost 
reimbursement methodology.  The District is reimbursed for certain services at tentative rates 
with final settlement determined after submission of annual cost reports by the District and 
audits thereof by the Medicare administrative contractor.  The District’s Medicare cost reports 
have been audited by the Medicare administrative contractor through September 30, 2010. 
Medicaid.   Inpatient services rendered to Medicaid program beneficiaries are reimbursed under a 
prospective payment system.  Inpatient reimbursement is inclusive of an add-on for trauma care 
that is based on the Medicaid Standards Dollar Amount.  Outpatient and physician services are 
reimbursed under a mixture of fee schedules and cost reimbursement.  The District is reimbursed 
for cost reimbursable services at tentative rates with final settlement determined after submission 
of annual cost reports by the District and audits thereof by the Medicaid administrative 
contractor.  The District’s Medicaid cost reports have been audited by the Medicaid 
administrative contractor through September 30, 2009. 
Approximately 82% and 80% of net patient service revenue is from participation in the Medicare 
and state-sponsored Medicaid programs for both the years ended September 30, 2014 and 2013.  
Settlements under reimbursement agreements with Medicare and Medicaid programs are estimated 
and recorded in the period the related services are rendered and are adjusted in future periods as 
adjustments become known or as the service years are no longer subject to audit, review or 
investigation.  Annual cost reports required under the Medicare and Medicaid programs are subject 
to routine audits, which may result in adjustments to the amounts ultimately determined to be due 
under the reimbursement programs.  These audits often require several years to reach their financial 
determination of amounts earned under the programs.  As a result, it is reasonably possible that 
recorded estimates will change materially in the near term.  Net patient service revenue increased in 
2014 by approximately $2,633 and decreased in 2013 by approximately $2,494, due to changes in 
previous estimates.
18

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
The District has also entered into payment agreements with certain commercial insurance carriers, 
HMOs and preferred provider organizations.  The basis for payment to the District under these 
agreements includes prospectively determined rates per discharge, discounts from established 
charges and prospectively determined daily rates. 
Note 3:     Supplemental Medicaid Funding Revenue
Supplemental Medicaid funding revenue included in the statement of revenues, expenses and 
changes in net position includes revenue received from the Medicaid Disproportionate Share 
Program (DSH) of approximately $39,191 and $26,726 for the years ended September 30, 2014 
and 2013, respectively.  The amounts the District may expect to receive from this program in future 
years could be impacted by the Medicaid section 1115(a) demonstration program discussed below.   
On December 12, 2011, the United States Department of Health and Human Services approved a 
new Medicaid section 1115(a) demonstration entitled “Texas Health Transformation and Quality 
Improvement Program” (Waiver).  The Waiver expanded existing Medicaid managed care 
programs and established two funding pools that assists providers with uncompensated care costs 
(UC Pool) and promotes health system transformation (DSRIP Pool). The Waiver is effective from 
December 12, 2011 to September 30, 2016.  The revenue from the two funding pools is recognized 
as earned throughout the related demonstration year.  During 2014, the District recognized 
approximately $102,072 and $43,880 from the UC Pool and DSRIP Pool, respectively. During 
2013, the District recognized approximately $128,757 and $56,145 from the UC Pool and DSRIP 
Pool, respectively.  Approximately $8,349 of revenue recognized in 2013 related to settlement of 
the 2012 UC Pool.  The funding the District has received is subject to audit and is not 
representative of funding to be received in future years. 
The programs described above are subject to review and scrutiny by both the Texas Legislature and
the Center for Medicare and Medicaid Services (CMS) and the programs could be modified or 
terminated based on new legislation or regulation in future periods. 
Note 4:     Property Tax Revenue
The District received approximately 36% and 35% of its support from property taxes in the years 
ended September 30, 2014 and 2013, respectively.  Property taxes are levied by the District on 
October 1 of each year based on the preceding January 1 assessed property values.  To secure 
payment, an enforceable lien attaches to the property on January 1, when the value is assessed.  
Property taxes become due and payable when levied on October 1.  This is the date on which an 
enforceable legal claim arises and the District records a receivable for the property tax assessment, 
less an allowance for uncollectible taxes.  Property taxes are considered delinquent after January 31 
of the following year.  The District recorded an allowance for uncollectible property taxes of 
approximately $8,877 and $8,722 at September 30, 2014 and 2013, respectively.
19

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
The District’s property tax rate was $0.226253 and $0.226210 per $100 valuation for 2014 and 
2013, respectively, for the maintenance and operation fund and property tax revenue for this fund 
was $288,914 and $281,666 for 2014 and 2013, respectively.  The District’s property tax rate was 
$0.001644 and $0.001687 per $100 valuation for 2014 and 2013, respectively, for the interest and 
sinking fund and property tax revenue for this fund was $2,099 and $2,100 for 2014 and 2013, 
respectively.  
Note 5:     Deposits, Investments and Investment Income
Deposits 
Custodial credit risk is the risk that in the event of a bank failure, a government’s deposits may not 
be returned to it.  The District’s deposit policy for custodial credit risk requires compliance with the 
provisions of state law.  
State law requires collateralization of all deposits with federal depository insurance or other 
qualified investments.  At September 30, 2014 and 2013, the District’s deposits were either insured 
or collateralized in accordance with state law. 
At September 30, 2014, the Foundation’s cash accounts exceeded federally insured limits by 
$1,839. 
Investments 
The District may legally invest in direct obligations of and other obligations guaranteed as to 
principal by the U.S. Treasury and U.S. agencies and instrumentalities and in bank repurchase 
agreements.  It may also invest to a limited extent in corporate bonds and equity securities. 
20

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
At September 30, 2014 and 2013, the District had the following investments and maturities as: 
September 30, 2014
Maturities in Years
Less
More
Type
Fair Value
Than 1
1-5
6-10
Than 10
Money market mutual funds
Investment pools
U.S. Treasury obligations
U.S. agencies obligations
Municipal bonds
$
43
64,714
1,223
29,927
5,714
$
$
43
64,714
507
2,840
102
$
-
-
716
27,087
5,612
$
$
-
-
-
-
-
$
$
-
-
-
-
-
68,206
$
33,415
-
-
Mutual funds
531
$
102,152
September 30, 2013
Maturities in Years
Less
More
Type
Fair Value
Than 1
1-5
6-10
Than 10
Money market mutual funds
Investment pools
U.S. Treasury obligations
U.S. agencies obligations
Municipal bonds
$
32
55,194
1,236
36,749
5,752
$
$
32
55,194
-
6,001
153
$
$
-
-
1,236
29,848
5,599
$
$
-
-
-
900
-
$
$
-
-
-
-
-
61,380
36,683
900
-
Mutual funds
525
$
99,488
Interest Rate Risk –  As a means of limiting its exposure to fair value losses arising from rising 
interest rates, the District investment policy requires that total investments have a weighted-average 
maturity of five years or less.  The District’s investments in U.S. Treasury and agency obligations 
include fixed-rate notes and bonds with a weighted-average maturity of three years.  The longer the 
maturity of a fixed-rate obligation, the greater the impact a change in interest rates will have on its 
fair value.  As interest rates increase, the fair value of the obligations decrease.  Likewise, when 
interest rates decrease, the fair value of the obligations increase.  The money market mutual funds 
are presented as an investment with a maturity of less than one-year because they are redeemable in 
full immediately.
21

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Credit Risk –  Credit risk is the risk that the issuer or other counterparty to an investment will not 
fulfill its obligations.  It is the District’s policy to limit its investments to U.S. Treasury and agency 
obligations or otherwise follow the restriction of the Texas Public Funds Investment Act.  The 
District’s investment in U.S. Treasury obligations carry the explicit guarantee of the U.S. 
government.  The debt securities of the U.S. agencies are rated AA+ by Standard & Poor’s rating 
agency.  The District’s investments in municipal bonds were rated AA- to AA+ by Standard & 
Poor’s.  The District also invests in State Investment Pools (Pools), which are considered 
investments for financial reporting.  The District has an undivided beneficial interest in the pool of 
assets held by the Pools.  Authorized investments include obligations of the United States or its 
agencies, direct obligation of the state of Texas or its agencies, certificates of deposit and 
repurchase agreements.  The fair value of the position in these pools is the same as the value of the 
shares in each pool.  The Pools, as well as the money market mutual funds invested in by the 
District, are rated as AAAm by Standard & Poor’s. 
The District also invests in certificates of deposit, which are classified as deposits for financial 
reporting purposes.  These certificates of deposit are fully collateralized by the various financial 
institutions.
Custodial Credit Risk –  For an investment, custodial credit risk is the risk that, in the event of the 
failure of the counterparty, the District will not be able to recover the value of its investment or 
collateral securities that are in the possession of an outside party.  All of the District’s investments 
are held in safekeeping or trust accounts. 
Concentration of Credit Risk –  The District places no limit on the amount that may be invested in 
any one issuer as long as the restrictions of the Texas Public Funds Investment Act are followed.   
The following table reflects the District’s investments in single issuers that represent more than 5% 
of total investments: 
2014
2013
Federal Home Loan Bank
8.8%
9.6%
Federal National Mortgage Association
Federal Farm Credit Bank
Federal Agricultural Mortgage Corporation
3.1%
10.5%
5.4%
6.8%
11.5%
5.7%
22

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Summary of Carrying Values 
The carrying values of deposits and investments shown previously are included in the balance 
sheets as follows: 
2014
2013
Carrying value
Deposits
Investments
$
$
320,552
102,152
$
$
289,177
99,488
422,704
388,665
Included in the following balance sheet captions
Cash and cash equivalents
Short-term investments
Internally designated for self-insurance, current portion
Noncurrent cash and investments
$
$
144,248
90,900
190
$
$
97,800
105,138
300
187,366
185,427
422,704
388,665
Investment Income 
Investment income for the years ended September 30 consisted of: 
2014
2013
Interest and dividend income
Net decrease in fair value of investments
$
$
2,816
(706)
$
$
3,624
(1,574)
2,110
2,050
23

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Note 6:     Patient Accounts Receivable
The District grants credit without collateral to its patients, many of whom are area residents and are 
insured under third-party payer agreements.  Patient accounts receivable at September 30 consisted 
of: 
2014
2013
Medicare
Medicaid
Other third-party payers
Patients
$
$
10,758
20,846
25,803
125,949
183,356
135,635
$
$
10,173
27,628
15,707
135,668
189,176
135,248
Less allowance for uncollectible accounts
47,721
53,928
Note 7:     Capital Assets
Capital assets activity for the years ended September 30 was: 
2014
Beginning
Balance
Transfers
and Other
Ending
Balance
Additions
Disposals
Land and improvements
Buildings and improvements
Equipment
$
51,835
$
301
$
-
-
(4,991)
-
$
482
3,283
17,186
$
52,618
237,015
366,069
7,358
1,055
17,423
22,089
241,353
395,687
8,496
Construction in progress
(20,951)
662,277
378,868
283,409
40,868
40,084
784
(4,991)
(4,885)
(106)
-
-
-
698,154
414,067
284,087
Less accumulated 
  depreciation
Capital assets, net
$
$
$
$
$
24

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
2013
Beginning
Balance
Transfers
and Other
Ending
Balance
Additions
Disposals
Land and improvements
Buildings and improvements
Equipment
$
51,199
$
1,959
116
9,604
$
(373)
$
(950)
5,574
3,291
$
51,835
232,187
354,042
4,402
(862)
(868)
-
237,015
366,069
7,358
Construction in progress
12,096
(9,140)
641,830
338,018
303,812
23,775
42,550
(2,103)
(1,700)
(403)
(1,225)
-
662,277
378,868
283,409
Less accumulated 
  depreciation
Capital assets, net
$
$
(18,775)
$
$
(1,225)
$
Note 8:     Accounts Payable and Accrued Expenses
Accounts payable and accrued expenses included in current liabilities at September 30 consisted of: 
2014
2013
Payable to suppliers and contractors
Payable to employees (including payroll taxes 
and benefits)
Payable to TCICC  (Note 14)
Patient credit balances
$
40,656
$
30,913
38,534
46,336
2,182
254
35,798
25,233
1,752
280
Other accrued liabilities
$
127,962
$
93,976
Note 9:     Risk Management
Medical Malpractice and General Liability Risks 
The District is self-insured for medical malpractice and general liability claims.  The District’s 
maximum liability for professional and general liability claims as a governmental unit under the 
Tort Claims Act is generally $100,000 per individual and $300,000 per occurrence. 
25

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Losses from asserted and unasserted claims identified under the District’s incident reporting system 
are accrued based on estimates that incorporate the District’s past experience, as well as other 
considerations, including the nature of each claim or incident and relevant trend factors.  It is 
reasonably possible that the District’s estimate of losses will change by a material amount in the 
near term. 
Activity in the District’s accrued medical malpractice claims liability during 2014 and 2013 is 
summarized as follows: 
2014
2013
Balance, beginning of year
$
$
665
$
$
785
Current year claims incurred and changes in 
estimates for claims incurred in prior years
Claims and expenses paid
(61)
(119)
28
(148)
Balance, end of year
485
665
Employee Health Claims 
Substantially all of the District’s employees and their dependents are eligible to participate in the 
District’s employee health insurance plan.  Commercial stop-loss insurance coverage is purchased 
for claims in excess of $500,000.  A provision is accrued for self-insured employee health claims 
including both claims reported and claims incurred but not yet reported.  The accrual is estimated 
based on consideration of prior claims experience, recently settled claims, frequency of claims and 
other economic and social factors.  It is reasonably possible that the District’s estimate will change 
by a material amount in the near term. 
Activity in the District’s accrued employee health claims liability during 2014 and 2013 is 
summarized as follows: 
2014
2013
Balance, beginning of year
$
$
2,970
$
$
4,450
Current year claims incurred and changes in 
estimates for claims incurred in prior years
Claims and expenses paid
32,533
(31,243)
26,714
(28,194)
Balance, end of year
4,260
2,970
26

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Workers’ Compensation Claims 
The District is self-insured for workers’ compensation claims.  A provision is accrued for 
self-insured employee health claims including both claims reported and claims incurred but not yet 
reported.  The accrual is estimated based on consideration of prior claims experience, recently 
settled claims, frequency of claims and other economic and social factors.  It is reasonably possible 
that the District’s estimate will change by a material amount in the near term. 
Activity in the District’s accrued workers’ compensation claims liability during 2014 and 2013 is 
summarized as follows: 
2014
2013
Balance, beginning of year
$
$
1,883
$
$
1,728
Current year claims incurred and changes in 
estimates for claims incurred in prior years
Claims and expenses paid
1,446
(1,347)
1,402
(1,247)
Balance, end of year
1,982
1,883
Note 10:   Long-term Debt
A summary of long-term debt is as follows: 
2014
2013
Revenue bonds, Series 2012
Certificates of obligation, Series 2006
$
23,015
24,425
47,440
1,010
$
24,405
25,375
49,780
1,302
Bond premium (discount), net
$           48,450 
 $           51,082 
27

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Revenue Bonds – Series 2012 
The Series 2012 revenue bonds consist of Tarrant County Hospital District Senior Lien Revenue 
Refunding Bonds, Series 2012 (Series 2012 Bonds) in the original amount of $25,890 dated 
September 1, 2012, which bear interest at 2.0% to 5.0%.  The Series 2012 Bonds are payable in 
annual installments of $1,420 to $2,205 through August 15, 2027.  The Series 2012 Bonds are 
secured by revenues of the District, exclusive of ad valorem tax revenue.  All of the Series 2012 
Bonds still outstanding may be redeemed at the District’s option on or after August 15, 2023, at par 
value plus accrued interest.  The proceeds from the Series 2012 Bonds were used to advance 
refund the Series 2002 Bonds.   
Certificates of Obligation – Series 2006 
The Series 2006 certificates of obligation consist of Tarrant County Hospital District Certificates of 
Obligation, Series 2006 (Certificates) in the original amount of $30,330 dated March 1, 2006, 
which bear interest at 4.0% to 5.0%.  The Certificates are payable in remaining annual installments 
of $985 to $2,025 through February 15, 2031.  All of the Certificates still outstanding may be 
redeemed at the District’s option on or after February 15, 2016, at par value plus accrued interest.  
The Certificates are secured by the net revenues of the District, including property tax revenue. 
The indenture agreements require the District to comply with certain restrictive covenants 
including minimum insurance coverage and days cash on hand. 
The following is a summary of long-term debt transactions for the District for the years ended 
September 30: 
2014
Beginning
Balance
Ending
Balance
Current
Portion
Additions
Deductions
Long-term debt
Revenue bonds, Series 2012
Certificates of obligation, Series 2006
$
$
24,405
25,375
$
$
-
-
$
1,390
950
$
$
23,015
24,425
$
$
1,420
985
Total long-term debt
49,780
-
$
2,340
47,440
2,405
28

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
2013
Beginning
Balance
Ending
Balance
Current
Portion
Additions
Deductions
Long-term debt
Revenue bonds, Series 2002
Revenue bonds, Series 2012
Certificates of obligation, Series 2006
$
$
30,100
-
26,285
$
$
-
25,890
-
$
30,100
1,485
910
$
$
-
24,405
25,375
$
$
-
1,390
950
Total long-term debt
56,385
25,890
$
32,495
49,780
2,340
The debt service requirements as of September 30, 2014, are as follows: 
Year Ending
September 30,
Principal
Interest
Total
2015
2016
2017
2018
2019
2020 – 2024
2025 – 2029
2030 – 2031
$
2,405
$
1,946
1,877
1,792
1,702
1,608
5,904
2,343
186
$
4,351
4,347
4,347
4,352
4,343
21,724
17,188
4,146
2,470
2,555
2,650
2,735
15,820
14,845
3,960
$
47,440
$
17,358
$
64,798
Note 11:   Restricted and Designated Net Position
At September 30, 2014 and 2013, $1,735 and $1,434, respectively, of net position were restricted 
by donors for capital and operating activities. 
At September 30, 2014 and 2013, $173,462 and $172,069, respectively, of unrestricted net position 
has been designated by the Board for future operating needs and capital acquisitions.  Designated 
assets remain under the control of the Board, which may, at its discretion, later use these assets for 
other purposes. 
At September 30, 2014 and 2013, the District had $315 of restricted nonexpendable net position 
which is a general endowment for the Foundation. 
29

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Note 12:   Uncompensated Care
In support of its mission, the District voluntarily provides free care to patients who lack financial 
resources and are deemed to be medically indigent.  The costs of charity care provided under the 
District’s charity care policy were $141,587 and $158,148 for 2014 and 2013, respectively.  The 
cost of charity care is estimated by applying the ratio of cost to gross charges to the gross charity 
care charges.  The decrease in uncompensated care cost in 2014 as compared to 2013 is primarily 
attributable to more of the District’s patients obtaining health insurance coverage through the 
federal health insurance exchange. 
Note 13:   Pension Plan
Plan Description 
The District sponsors a defined benefit pension plan for eligible employees within a multiemployer 
retirement program sponsored for member hospitals by the Texas Hospital Association (THA).  
HealthShare/THA, a wholly owned subsidiary of THA, is the plan administrator of the pension 
plan.  The plan’s assets are invested as a portion of the THA’s master pension trust fund.  The plan 
provides retirement, death and disability benefits.  Amendments to the plan are made only with the 
authority of the District’s Board.   
The plan does not issue a stand-alone financial report.  However, an annual actuarial valuation 
report is available from the District or HealthShare/THA.  That report may be obtained by writing 
HealthShare/THA at 1108 Lavaca, Suite 700, Austin, Texas  78701. 
Funding Policy 
The Board has the sole authority to establish or amend the obligations to contribute to the plan by 
participants or the employer.  The District is not subject to any explicit legal or contractual 
contribution rate.  Plan members are required to annually contribute 1% of their compensation.  
Effective October 1, 2006, participation in the pension plan became mandatory for full-time 
employees completing one-year of service on or after October 1, 2006.  An amendment effective 
October 1, 2011, made plan participation voluntary for employees hired after that date. 
The District makes annual contributions, which are actuarially determined as a level percentage of 
total participant compensation less projected employee contributions in accordance with the Entry 
Age Normal (EAN) actuarial funding method.  Under the EAN method, the District contribution 
rate is set equal to 6.5% of total participant compensation beginning with the current fiscal year 
until a future actuarial valuation shows that:  (a) actuarial value of assets equals or exceeds the 
EAN accrued liability, which will cause a reduction to the employer contribution rate or (b) the 
implicit amortization period of the unfunded EAN accrued liability at the current contribution rate 
exceeds 25 years, which would be remediated by an increase in the employer contribution rate.  
30

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
The employer contributions were 6.5% of estimated participant compensation for both the years 
ended September 30, 2014 and 2013.  The costs of administering the plan are paid by the plan and 
are considered in the determination of the employer contribution rate. 
Annual Pension Cost 
The District’s annual pension cost was $11,625 and $12,380 for the years ended September 30, 
2014 and 2013, respectively.  These costs were equal to the annual required contributions as 
determined in the actuarial valuations dated October 1, 2013 and 2012, respectively.  There is no 
existing net pension obligation. 
The required contributions for the plan year ended September 30, 2014, were based on the results 
of the actuarial valuation as of October 1, 2013, using the EAN actuarial funding method and were 
in compliance with the GASB Statement No. 27, Accounting for Pensions by State and Local 
Governmental Employers, parameters.  The actuarial assumptions included:  (a) a 7.75% 
investment rate of return (net of administrative expenses) and (b) projected salary increases of 
4.5% to 8.0%, per year, varying by attained age.  Both (a) and (b) included an inflation component 
of 4.0%.  The assumptions did not include any postretirement benefit increases.  The actuarial 
value of plan assets was determined using a five-year smoothed market value method. 
Three-year Trend Information 
Annual
Pension Cost
(APC)
Percentage
of APC
Contributed
Net Pension
Obligation
Fiscal Year Ended
2012
2013
2014
$
12,051
12,380
11,625
100%
100%
100%
$
-
-
-
Schedule of Funding Progress 
Plan Assets
Less Than
AAL as a
Percent of
Covered
Acturial
Valuation
Date
Acturial
Value of Plan
Assets
Acturial
Accrued
Liability (AAL)
Plan Assets
Less
than AAL
Funded
Ratio
Covered
Payroll
Payroll
10/1/2011
10/1/2012
10/1/2013
$
113,033
125,181
145,400
$
144,579
159,752
170,583
$
(31,546)
(34,571)
(25,183)
78.2%
78.4%
85.2%
$
185,406
190,464
178,847
(17.0%)
(18.2%)
(14.1%)
31

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Other Benefit Plans 
The District has an IRC Section 401(a) plan that includes an employer match calculated as 50% of 
an employee’s contribution to the IRC Section 403(b) plan discussed below, up to 4% of pay.  The 
contributions for the employer match on the plan were approximately $3,963 and $3,645 for the 
years ended September 30, 2014 and 2013, respectively.   
In addition, the District offers its employees a tax-deferred annuity plan created in accordance with 
IRC Section 457.  The plan, available to all District employees, permits them to defer a portion of 
their salary until future years.  All amounts of compensation deferred under the plan and income 
attributable to those amounts are solely the property of the employee.  Thus, the plan amounts are 
not reported in the accompanying financial statements. 
The District also offers its employees a tax-deferred annuity plan created in accordance with IRC 
Section 403(b).  The plan, available to all District employees, permits them to defer a portion of 
their salary until future years.  All amounts of compensation deferred under the plan and income 
attributable to those amounts are solely the property of the employee.  Thus, the plan amounts are 
not reported in the financial statements.  Employee contributions were $9,070 and $8,470 for the 
years ended September 30, 2014 and 2013, respectively. 
The District has a Governmental Excess Benefit Arrangement Plan for executives approved by the 
Board.  This plan is to provide participants in the defined benefit plan that portion of the 
participant’s benefits that would otherwise be payable under the terms of the defined benefit plan, 
except for the limitations on benefits imposed by Section 415(b) of the IRC.  As of September 30, 
2014 and 2013, approximately $345 and $0 was due under this plan.  Approximately $345 of 
benefit expense was recognized in 2014. 
Note 14:   Related Party Transactions
The District is party to an indigent care affiliation agreement with the Tarrant County Indigent Care 
Corporation (TCICC), a non-profit corporation comprised of affiliated Tarrant County hospitals.  
This agreement was intended to increase funding for the Medicaid population and to access federal 
funding for the indigent population of Tarrant County through the Texas Medicaid Supplemental 
Payment Program also known as the Private Upper Payment Limit Program (UPL).  During 2012, 
funding through the UPL program was largely replaced with funding from the Waiver.  This 
program allows for continued funding under the current TCICC agreement. 
Under this program, the District contributes certain government funds to the state of Texas, limited 
to the amount allowed based on aggregate statewide funding caps.  TCICC uses the funds received 
for medical direction and indigent care for services to the Tarrant County indigent care population 
provided at the District’s facilities.  Prior to this agreement, the medical direction and indigent care 
services were funded by the District.
32

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Services provided by TCICC were valued at approximately $36,124 and $47,967 for the years 
ended September 30, 2014 and 2013, respectively.  As part of the affiliation agreement, the District 
provided $26,939 and $35,540 in funding to the program for the years ended September 30, 2014 
and 2013, respectively.  The District recognizes revenue from contributed services equal to the 
difference in the value of the services provided by TCICC and the program funding provided by 
the District.  Contributed services revenue was $9,185 and $12,427 for 2014 and 2013, 
respectively. 
Should TCICC cease providing these services, the District has entered a standby agreement with 
physicians participating in this program under which the District would assume the payment 
obligations of TCICC.  
Note 15:   Condensed Combining Information
The following tables include condensed combining balance sheet information for the District and 
its blended component units as of September 30, 2014 and 2013: 
September 30, 2014
Hospital
JPSPG
Foundation
Eliminations
Total
Assets
Current assets
$       452,113 
865
185,297
282,621
$         24,769 
245
-
$              443 
 $         (1,779)
(1,121)
-
-
$        475,546 
-
187,366
284,087
Due from affiliates
Noncurrent cash and investments
Capital assets, net
11
2,069
2
1,464
Total assets
$
920,896
$
26,478
$
2,525
$
(2,900)
$
946,999
Liabilities and Net Position
Current liabilities
Due to affiliates
Estimated self-insurance costs
Long-term debt
Other long-term liabilities
Total liabilities
$       135,560 
273
1,370
46,045
345
183,593
$           5,367 
805
-
-
814
6,986
$                10 
43
-
-
-
 $         (1,779)
(1,121)
-
-
-
$        139,158 
-
1,370
46,045
1,159
187,732
53
(2,900)
Net Position
Net investment in capital assets
Restricted expendable
Restricted nonexpendable
Unrestricted
232,133
-
-
505,170
737,303
1,464
-
-
18,028
19,492
2
1,735
315
420
2,472
-
-
-
-
-
233,599
1,735
315
523,618
759,267
Total net position
Total liabilities and net position
$
920,896
$
26,478
$
2,525
$
(2,900)
$
946,999
33

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
September 30, 2013
Hospital
JPSPG
Foundation
Eliminations
Total
Assets
Current assets
$       394,188 
1,070
183,641
1,667
$         25,851 
82
-
-
1,657
$              120 
$
(1,411)
(1,196)
-
-
-
$        418,748 
-
185,427
1,669
Due from affiliates
Noncurrent cash and investments
Other receivables
44
1,786
2
Capital assets, net
281,749
3
283,409
Total assets
$
862,315
$
27,590
$
1,955
$
$
(2,607)
$
889,253
Liabilities and Net Position
Current liabilities
Due to affiliates
Estimated self-insurance costs
Long-term debt
Other long-term liabilities
Total liabilities
$       103,109 
133
$           5,656 
$                26 
(1,411)
(1,196)
-
-
-
$        107,380 
961
-
-
869
7,486
102
-
-
-
128
-
1,366
48,742
869
1,366
48,742
-
153,350
(2,607)
158,357
Net Position
Net investment in capital assets
Restricted expendable
Restricted nonexpendable
Unrestricted
230,965
20
-
477,980
708,965
1,657
-
-
18,447
20,104
3
1,414
315
95
1,827
-
-
-
-
-
232,625
1,434
315
496,522
730,896
Total net position
Total liabilities and net position
$
862,315
$
27,590
$
1,955
$
(2,607)
$
889,253
The following tables include condensed combining statements of revenues, expenses and changes 
in net position information for the District and its blended component units for the years ended 
September 30, 2014 and 2013. 
September 30, 2014
Hospital
JPSPG
Foundation
Eliminations
Total
Operating revenues
Operating expenses
$       504,984 
778,243
(273,259)
301,212
385
$         42,438 
$              108 
 $       (20,972)
(21,089)
117
(117)
-
-
-
$        526,558 
801,088
(274,530)
302,516
385
43,109
(671)
59
-
(612)
20,104
825
(717)
1,362
-
645
1,827
Operating income (loss)
Nonoperating revenues (expenses)
Capital grants
Increase (decrease) in net position
Net position, beginning of year
Net position, end of year
28,338
708,965
28,371
730,896
$
737,303
$
19,492
$
2,472
$
-
$
759,267
34

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
September 30, 2013
Hospital
JPSPG
Foundation
Eliminations
Total
Operating revenues
Operating expenses
$
492,618
$
50,042
$
450
1,228
(778)
248
$
(18,351)
(18,792)
441
(441)
-
-
-
-
$        524,759 
761,117
(236,358)
296,598
20
731,431
(238,813)
296,741
20
57,948
651,017
708,965
47,250
2,792
50
Operating income (loss)
Nonoperating revenues (expenses)
Capital grants
Increase (decrease) in net position
Net position, beginning of year
Net position, end of year
-
-
2,842
17,262
20,104
(530)
2,357
1,827
60,260
670,636
$
$
$
$
$
730,896
The following tables include condensed combining statements of cash flows information for the 
District and its blended component units for the years ended September 30, 2014 and 2013. 
September 30, 2014
Hospital
JPSPG
Foundation
Eliminations
Total
Net cash provided by (used in):
Operating activities
Noncapital financing activities
Capital and related financing activities
Investing activities
Increase in cash and cash equivalents
Cash and cash equivalents, beginning of year
Cash and cash equivalents, end of year
$     (223,304)
290,485
(38,531)
17,100
45,750
82,763
$           3,743 
$            (742)
-
-
30
(712)
1,828
 $                   - 
$       (220,303)
290,485
(38,694)
17,189
48,677
99,257
-
(163)
59
3,639
14,666
-
-
-
-
-
$
128,513
$
18,305
$
1,116
$
-
$
147,934
September 30, 2013
Foundation
Hospital
JPSPG
Eliminations
Total
Net cash provided by (used in):
Operating activities
Noncapital financing activities
Capital and related financing activities
Investing activities
Increase in cash and cash equivalents
Cash and cash equivalents, beginning of year
Cash and cash equivalents, end of year
$     (265,004)
281,898
(26,405)
(43,406)
(52,917)
135,680
$            (156)
$            (675)
-
-
248
(427)
2,255
$
-
-
-
-
-
-
-
$       (265,835)
281,898
(28,336)
(43,108)
(55,381)
-
(1,931)
50
(2,037)
16,703
154,638
$
82,763
$
14,666
$
1,828
$
$
99,257
35

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Notes to Financial Statements
September 30, 2014 and 2013
(In Thousands) 
Note 16:    Future Change in Accounting Principle
In June 2012, GASB issued Statement No. 68, Accounting and Financial Reporting for Pensions.  
In addition to making changes to how annual pension expense is to be calculated for defined 
benefit pension plans, the standard also requires that governmental entities record a liability in their 
financial statements that is equal to the unfunded pension obligation.  Historically, governmental 
entities have only been required to record a liability for the difference between APC and the 
amount of APC contributed to the plan.  This standard is effective for the District’s fiscal year 
ending September 30, 2015.  Management has estimated the impact of adopting this standard and 
anticipates recording a liability of approximately $12,000 to $16,000 in 2015. 
Note 17:   Subsequent Event
Subsequent to year-end, the Board approved a plan to create a joint 501a entity with the two 
members being the District and the UNT Health Science Center (UNTHSC).  The new entity 
(Acclaim Physician Group, Inc.) will result in a physician services organization that is physician 
led in which there will be standardized governance and coordinated patient care resulting in overall 
improved care for the residents of Tarrant County.  The District and UNTHSC will each appoint 
three representatives to the joint governing body of the new organization.  The intent is to have 
Acclaim operational by the end of 2015. 
36

 
Supplementary Information

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Balance Sheet Information
September 30, 2014
(In Thousands) 
Assets
Hospital
JPSPG
Foundation
Eliminations
Total
Current Assets
Cash and cash equivalents
Short-term investments
$
125,548
$
18,305
-
1,889
-
242
-
-
-
4,333
$
395
-
-
-
-
10
-
-
$
-
-
(1,779)
-
-
-
-
-
-
$
144,248
90,900
47,721
4,075
161,885
10
190
9,640
16,877
90,900
47,611
4,075
161,643
-
190
9,640
12,506
Patient accounts receivable, net
Property taxes receivable, net
Supplemental Medicaid funding receivable
Restricted pledges receivable, net
Internally designated for self-insurance, current portion
Supplies inventory
Prepaid expenses and other assets
38
Total current assets
452,113
865
24,769
245
443
11
(1,779)
(1,121)
475,546
-
Due from Affiliates
Noncurrent Cash and Investments
Internally designated for debt service
Internally designated for self-insurance
Restricted by donors for capital acquisitions and
specific operating activities
333
11,502
-
-
-
-
-
-
333
11,502
-
173,462
185,297
282,621
920,896
-
2,069
-
-
2,069
173,462
187,366
284,087
946,999
Internally designated for capital acquisitions and 
operating activities
-
-
-
Total noncurrent cash and investments
Capital Assets, Net
2,069
2
-
-
1,464
26,478
Total assets
$
$
$
2,525
$
(2,900)
$

 
Liabilities  and Net Position
Hospital
JPSPG
Foundation
Eliminations
Total
Current Liabilities
Accounts payable
Accrued expenses
Due to third-party payers
Current portion of self-insurance costs
Current maturities of long-term debt
$
90,653
$
294
5,073
-
-
-
$
10
-
-
-
-
$
(1,779)
$
89,178
33,711
3,434
5,357
2,405
-
-
-
-
38,784
3,434
5,357
2,405
Total current liabilities
Due to Affiliates
135,560
273
5,367
805
-
10
43
-
(1,779)
139,158
-
(1,121)
Estimated Self-insurance Costs
Long-term Debt
1,370
46,045
345
-
-
-
1,370
46,045
1,159
-
-
Other Long-term Liabilities
814
-
Total liabilities
183,593
6,986
53
(2,900)
187,732
Net Position
Net investment in capital assets
Restricted expendable
Restricted nonexpendable
Unrestricted
232,133
-
-
1,464
-
-
2
1,735
315
-
-
-
-
233,599
1,735
315
505,170
18,028
420
523,618
Total net position
737,303
920,896
19,492
26,478
2,472
2,525
-
759,267
946,999
Total liabilities and net position
$
$
$
$
(2,900)
$
37

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Statement of Revenues, Expenses and
Changes in Net Position Information
Year Ended September 30, 2014
(In Thousands) 
Hospital
JPSPG
Foundation
Eliminations
Total
Operating Revenues
Net patient service revenue
Supplemental Medicaid funding
Other operating revenue
$
284,576
181,481
38,927
$
28,964
3,662
9,812
$
-
-
108
$
(14,521)
-
(6,451)
$
299,019
185,143
42,396
Total operating revenues
504,984
42,438
108
(20,972)
526,558
Operating Expenses
Salaries and related expenses
Professional fees and purchased services
Supplies
Depreciation and amortization
Other
368,859
208,880
124,053
39,890
40,048
2,113
71
193
684
69
408
79
1
268
-
(22,011)
(2)
-
924
408,976
189,390
124,201
40,084
36,561
38,437
Total operating expenses
778,243
43,109
(671)
825
(21,089)
117
801,088
Operating Income (Loss)
(273,259)
(717)
(274,530)
Nonoperating Revenues (Expenses)
Property tax revenue
Contributed services
Contributions
Interest expense
291,013
9,185
64
(1,459)
2,409
-
-
-
-
59
-
-
-
(90)
-
291,013
9,185
1,306
(1,459)
2,471
-
1,332
-
Investment return and other
30
(27)
Total nonoperating revenues (expenses)
301,212
59
1,362
(117)
302,516
Excess of Revenues Over Expenses Before Capital
Grants and Gifts
27,953
385
(612)
-
645
-
-
-
27,986
385
Capital Grants and Gifts
Increase (Decrease) in Position
Net Position, Beginning of Year
Net Position, End of Year
28,338
708,965
737,303
(612)
20,104
19,492
645
1,827
2,472
-
-
-
28,371
730,896
759,267
$
$
$
$
$
38

 
Required Supplementary Information

 
Tarrant County Hospital District
d/b/a JPS Health Network
A Component Unit of Tarrant County, Texas
Schedule of Funding Progress – Pension Plan
September 30, 2014
Plan Assets
Less Than
AAL as a
Percent of
Covered
Acturial
Valuation
Date
Acturial
Value of Plan
Assets
Acturial
Accrued
Liability (AAL)
Plan Assets
Less
than AAL
Funded
Ratio
Covered
Payroll
Payroll
10/1/2011
10/1/2012
10/1/2013
$ 113,033,130         $ 144,578,735
$
(31,545,605)
(34,571,085)
(25,182,895)
78.2%
78.4%
85.2%
$ 185,406,171
190,463,939
178,847,385
(17.0%)
(18.2%)
(14.1%)
125,180,815
145,400,069
159,751,900
170,582,964
39