Frequently Asked Questions

Who owns Texas Health Care, P.L.L.C.?

Texas Health Care is equally owned by its physician members. As a membership entity, the group does not employ physicians. There is no outside ownership, venture capital, or hospital interest in the company.

How is Texas Health Care governed?

Texas Health Care is physician-owned and managed.  The Board of Managers, composed entirely of physicians, makes decisions in keeping with the official Rules and Regulations of Texas Health Care. The decisions of the Board of Managers are implemented by the Chief Executive Officer, Larry Tatum, M.D.  In addition to the Board of Managers, two operating committees help guide Texas Health Care, the Medical Advisory Committee and the Finance and Compensation Committee. These committees are comprised of physicians representing all specialties. The chairs of these committees have an ad hoc position on the Board of Managers.  A total of 50 physicians hold leadership positions in Texas Health Care.  

How much autonomy does each Texas Health Care member practice have?

Within each practice, physicians are free to: 

  • Practice medicine as they choose within the bounds of the State Board of Medical Examiners
  • Hire and manage their own staff and determine their compensation 
  • Set hours of practice
  • Share call with whom they choose
  • In the case of multiple physicians, determine their own method of allocating shared practice expenses
  • Work within our structure to choose a suitable practice site

How are Texas Health Care physicians compensated?

Physician compensation is completely based on productivity. Collections from each physician's billings are recorded and tracked each month. Local site practice expenses, each physician's personal expenses and each physician's share of the central business services costs are deducted from collections. Collections minus expenses equals compensation. 

How are business office functions coordinated?

Texas Health Care uses a central business office (CBO) to coordinate most business office functions. Each practice site gathers patient demographic information, schedules patient visits, and records and documents patient encounters. This information is transmitted daily to the CBO, which enters the charges and monitors the process until payment is received. Any discrepancies are quickly investigated so that full payments are collected in a timely manner. 

What are some additional Texas Health Care services provided and included in the allocated cost of the CBO?

Services include contracting, accounting, human resources, medical malpractice, credentialing, government compliance and ancillary services. 


  • Negotiation of reasonable reimbursement for services
  • Negotiation and follow-up on terms of payment
  • Review of contract language for the protection of physician(s) and group
  • Reasonable protection from fee erosion


  • Payroll
  • Payables
  • Monthly reporting
  • General liability insurance

Human Resources 

  • Standardized personnel policies and procedures
  • Employee handbook
  • Group health insurance
  • Group dental insurance
  • 401(k) retirement plan
  • Assistance in recruiting, hiring and proper termination

Medical Malpractice Insurance

  • Currently under Medical Protective
  • Tracking and coordinating all claims filed
  • Proper renewal


  • Tracking and timely updating of all physician credentialing, hospitals, other facilities and health plans
  • Licensure renewal

Government Program Compliance 

  • OSHA
  • Medicare

For further information, contact:
Corey Harriman, Practice Consultant Manager
(817) 378-3633