TEXAS HEALTH RESOURCES: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: TEXAS HEALTH RESOURCES (EIN 75-2702388)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-12
IRS object ID: 202403179349300125
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-12T06:27:35-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	811 MAIN ST STE 4500	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77002	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	752702388	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Texas Health Resources	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DAVID JACKSON	InCareOfNm
Business Name Control	TEXA	BusinessNameControlTxt
Phone	6822367900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	612 E Lamar Blvd Ste 600	AddressLine1Txt
City	Arlington	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76011	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	David Jackson	PersonNm
Person Title	Asst Secretary	PersonTitleTxt
Phone	6822367900	PhoneNum
Signature	2024-11-11	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kimberly Mac Namee	PreparerPersonNm
PTIN	P02479140	PTIN
Phone	7133192000	PhoneNum
Preparation	2024-11-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Barclay Berdan	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$3,529,459,708	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	texashealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	Through its affiliates, THR operates an integrated healthcare system with services and facilities throughout north central texas to improve healthcare.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	6942	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$4,104,378	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,172,412	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,160,855	PYContributionsGrantsAmt
CY Contributions Grants	$3,077,977	CYContributionsGrantsAmt
PY Program Service Revenue	$876,668,549	PYProgramServiceRevenueAmt
CY Program Service Revenue	$994,353,833	CYProgramServiceRevenueAmt
PY Investment Income	$211,783,646	PYInvestmentIncomeAmt
CY Investment Income	$376,050,261	CYInvestmentIncomeAmt
PY Other Revenue	$16,456,156	PYOtherRevenueAmt
CY Other Revenue	$12,135,519	CYOtherRevenueAmt
PY Total Revenue	$1,108,069,206	PYTotalRevenueAmt
CY Total Revenue	$1,385,617,590	CYTotalRevenueAmt
PY Grants And Similar Paid	$765,217	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$423,244	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$424,020,872	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$457,640,626	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$432,848,261	PYOtherExpensesAmt
CY Other Expenses	$459,876,051	CYOtherExpensesAmt
PY Total Expenses	$857,634,350	PYTotalExpensesAmt
CY Total Expenses	$917,939,921	CYTotalExpensesAmt
PY Revenues Less Expenses	$250,434,856	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$467,677,669	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,108,719,138	TotalAssetsBOYAmt
Total Assets EOY	$9,472,702,224	TotalAssetsEOYAmt
Total Liabilities BOY	$2,861,033,873	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,255,122,280	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,247,685,265	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,217,579,944	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THROUGH ITS AFFILIATES, THR OPERATES AN INTEGRATED HEALTHCARE SYSTEM WITH SERVICES AND FACILITIES THROUGHOUT NORTH CENTRAL TEXAS TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES THEY SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$917,939,921	ExpenseAmt
Grant	$423,244	GrantAmt
Revenue	$1,000,864,944	RevenueAmt
Desc	Founded in 1997, Texas Health Resources (THR) provides direction and oversight to its wholly-controlled affiliates. The range of centralized services provided by THR include information services, managed care contracting, human resources, revenue cycle, legal, tax, compliance, supply chain, business development, insurance, treasury, marketing, general accounting, and strategic planning. THR operates professional office buildings leased primarily to physicians who are members of the medical staff of THR affiliated hospitals. THR also operates, manages and coordinates physician services through Texas Health Physicians Group (THPG), a wholly owned affiliate of THR. THPG is a network of primary and specialty care physician practices providing the north Texas area community access to quality health care delivered either through an office setting or through a hospital program.	Desc
Total Program Service Expenses	$917,939,921	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1362	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6942	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (55 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BerdanBarclay E
Chief Executive Officer	43.25	6.75	Yes (X)	Yes (X)	$3,605,445	$0	$1,016,271
MiaoWinjie Tang
SEVP Chief Operating Officer	45.0	5.0		Yes (X)	$1,690,901	$0	$476,137
IrvineLaura L
SEVP Chief Experience Officer	50.0	0.0		Yes (X)	$1,381,444	$0	$527,251
McWhorterRicky E
SEVP & Chief Financial Officer	45.0	5.0		Yes (X)	$1,515,772	$0	$325,006
KingJames Kirk
Hospital Channel COO	45.0	5.0		Yes (X)	$1,271,947	$0	$369,248
KramerKenneth J
EVP General Counsel	45.0	5.0		Yes (X)	$1,206,803	$0	$235,245
JonesRobert Douglas
SVP & Chief Investment Officer	50.0	0.0		Yes (X)	$1,012,044	$0	$170,156
Sudomir JrJoseph M
SVP Chief Info Officer	40.0	0.0		Yes (X)	$984,894	$0	$163,482
MasicaAndrew
Chief Medical Officer	40.0	0.0		Yes (X)	$827,757	$0	$164,868
DawsonCarla S
Chief People Officer	40.0	0.0		Yes (X)	$781,681	$0	$199,642
VelascoFerdinand T
SVP & Chief Hlth Info Officer	40.0	0.0		Yes (X)	$763,872	$0	$163,560
MitchellJohn D
Chief Business Develpmt Officr	40.0	0.0		Yes (X)	$750,738	$0	$146,536
FlorenJoshua Andrew
SVP Hospital Channel	23.0	17.0		Yes (X)	$667,687	$0	$187,688
TuckerRebecca D
SVP Channel Integration	40.0	0.0		Yes (X)	$634,720	$0	$176,067
TesmerDavid J
Chief Commnty & Public Pol Off	40.0	0.0		Yes (X)	$626,154	$0	$170,432
CoxKathleen B
Ambulatory&Virtual Channel COO	40.0	0.0		Yes (X)	$627,517	$0	$167,781
GoldbergGary Alan
Chief Rev & Finan Risk Officer	40.0	0.0		Yes (X)	$568,763	$0	$127,268
BernardTraci H
President THSL	40.0	0.0			$571,329	$0	$124,686	Yes (X)
CraftBrian
SVP Hospital Financial Ops	40.0	0.0		Yes (X)	$560,964	$0	$128,379
McAllisterDeena A
SVP Brand Experience	40.0	0.0		Yes (X)	$555,680	$0	$132,957
JacksonDavid W
Chief Accounting Officer	40.0	0.0		Yes (X)	$515,108	$0	$165,877
PerrinCynthia
President THRW	40.0	0.0			$604,256	$0	$57,923	Yes (X)
RobinsonMary C
Chief Nursing Executive	40.0	0.0		Yes (X)	$540,533	$0	$118,181
WhiteleyJohn E
SVP Fin Plan Analys & Amb Ops	40.0	0.0		Yes (X)	$532,109	$0	$119,825
ClintonShaun
SVP Supply Chain Management	40.0	0.0		Yes (X)	$522,072	$0	$114,174
ParrisMichael
Chief Data & Analytics Officer	40.0	0.0		Yes (X)	$433,174	$0	$161,099
StewartRebekah
SVP & Chief Compliance Officer	40.0	0.0		Yes (X)	$514,127	$0	$77,582
HolmesKevin B
VP Facilities Design	40.0	0.0			$467,146	$0	$83,478	Yes (X)
MincherJeff
SVP Revenue Cycle	40.0	0.0		Yes (X)	$433,658	$0	$113,072
MehringRonald Charles
VP Technology & Security/CISO	40.0	0.0			$496,441	$0	$48,208	Yes (X)
Koshy-NesbittSunita Sara
Hospital Channel CQO	40.0	0.0			$471,617	$0	$70,810	Yes (X)
SullivanJon M
VP Real Estate Operations	40.0	0.0			$459,257	$0	$74,626		Yes (X)
ReevesSandra G
VP Treas/Asst Chief Invest Off	40.0	0.0			$436,437	$0	$76,586		Yes (X)
SchroederJennifer Ann
SVP Deputy General Counsel	40.0	0.0		Yes (X)	$424,355	$0	$84,919
PopeBrandon Reed
SVP Strategy & Mkt Development	40.0	0.0		Yes (X)	$379,750	$0	$96,990
CantuStacy G
VP Chief Gov Offr & Corp Secr	40.0	0.0		Yes (X)	$353,188	$0	$71,659
Parobek JrJames S
Former Officer	0.0	0.0			$0	$414,536	$0			Yes (X)
IngramBartholomew
SVP Product Design Term 2/2023	40.0	0.0		Yes (X)	$366,500	$0	$11,044
GentzelWilliam Todd
SVP Strategy & Mkt Term 2/2023	40.0	0.0		Yes (X)	$327,359	$0	$8,280
BerenzweigHarold Karl
Former Officer	0.0	20.0			$0	$166,694	$0			Yes (X)
KirbyMichelle Riddle
Former Office	0.0	0.0			$120,642	$0	$0			Yes (X)
Chhutani MD Sheila
Trustee	8.05	0.37	Yes (X)		$76,638	$0	$0
Vigness MD Richard
Chair	1.06	0.37	Yes (X)		$0	$0	$0
Hunt Hunter
Vice Chair	1.06	0.37	Yes (X)		$0	$0	$0
Wilder Jr Charles
Immediate Past Chair	1.06	0.37	Yes (X)		$0	$0	$0
Bernstein Kenneth
Trustee	1.06	0.37	Yes (X)		$0	$0	$0
Braun JD Vianei Lopez
Trustee	1.06	0.37	Yes (X)		$0	$0	$0
Guyton Michael
Trustee	1.06	0.37	Yes (X)		$0	$0	$0
Haggar III Joseph
Trustee	1.06	0.37	Yes (X)		$0	$0	$0
Hum MD Lawrence
Trustee	1.06	0.37	Yes (X)		$0	$0	$0
Iruegas Javier
Trustee	1.06	0.37	Yes (X)		$0	$0	$0
Montgomery Lynn
Trustee	1.06	0.37	Yes (X)		$0	$0	$0
Nunez MD Ignacio
Trustee	1.06	0.37	Yes (X)		$0	$0	$0
Reeves Kenneth
Trustee	1.06	0.37	Yes (X)		$0	$0	$0
Weeks DNP Susan
Trustee	1.06	0.37	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$23,320,190	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,748,640	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1610	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PWC Advisory Svs LLC
4040 W Boy Scout Blvd	TAMPA	FL	33607	Consulting Svc	$12,001,384
Mindstream Media Group LLC
1717 Main St 40th Flr	DALLAS	TX	75201	Marketing	$3,922,687
Miller Weisbrod Olesky LLP
11551 FOREST CENTRAL DR STE 300	DALLAS	TX	75243	Legal Services	$6,275,000
AVERSANO GOLD
1123 HAVARD ST	HOUSTON	TX	77008	Legal Services	$5,850,000
AMN HEALTHCARE INC
12400 HIGH BLUFF DR	SAN DIEGO	TX	92130	Professional Service	$4,166,311

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	173	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,077,977	RelatedOrganizationsAmt
Noncash Contributions	$3,000	NoncashContributionsAmt
Total Contributions	$3,077,977	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT FEE	541610	$802,349,257	$799,429,934	$2,919,323
JOINT VENTURE EARNINGS	621400	$116,360,448	$115,786,131	$574,317
RENTAL FEE	531120	$69,198,036	$69,198,036
MANAGED CARE FEES	541990	$5,775,355	$5,675,359	$99,996
INTERCOMPANY GUARANTEE FEE	622110	$476,802	$476,802

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$193,935	TotalRevenueColumnAmt
Related Or Exempt Func Income	$193,935	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$994,353,833	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$172,320,934	TotalRevenueColumnAmt
Exclusion	$172,320,934	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,519	TotalRevenueColumnAmt
Exclusion	$9,519	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$248,829	TotalRevenueColumnAmt
Exclusion	$248,829	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,733,535	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$509,383	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,224,152	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,224,152	TotalRevenueColumnAmt
Unrelated Business Revenue	-$250,458	UnrelatedBusinessRevenueAmt
Exclusion	$1,474,610	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,338,048,161	SecuritiesAmt
Other	$9,004,382	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,134,364,918	SecuritiesAmt
Other	$8,967,817	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$203,683,243	SecuritiesAmt
Other	$36,565	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$203,719,808	TotalRevenueColumnAmt
Exclusion	$203,719,808	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
INSURANCE REIMBURSEMENT	541610	$1,920,567	$1,920,567
PARKING	812930	$1,763,829		$1,763,829
MEDICAL RECORDS	561000	$1,626,384		$1,626,384

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,351,758	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,590,544	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$761,200	UnrelatedBusinessRevenueAmt
Exclusion	$14	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,662,538	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,385,617,590	TotalRevenueColumnAmt
Related Or Exempt Func Income	$997,271,308	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,104,378	UnrelatedBusinessRevenueAmt
Exclusion	$381,163,927	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$423,244	TotalAmt
Program Services	$423,244	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$31,567,396	TotalAmt
Program Services	$31,567,396	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$352,807,472	TotalAmt
Program Services	$352,807,472	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,033,042	TotalAmt
Program Services	$10,033,042	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,205,451	TotalAmt
Program Services	$39,205,451	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$24,027,265	TotalAmt
Program Services	$24,027,265	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$33,492,338	TotalAmt
Program Services	$33,492,338	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,379,641	TotalAmt
Program Services	$4,379,641	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,297,471	TotalAmt
Program Services	$2,297,471	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$142,847	TotalAmt
Program Services	$142,847	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$20,537,055	TotalAmt
Program Services	$20,537,055	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$77,979,337	TotalAmt
Program Services	$77,979,337	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$12,112,881	TotalAmt
Program Services	$12,112,881	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,415,534	TotalAmt
Program Services	$10,415,534	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$111,941,301	TotalAmt
Program Services	$111,941,301	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,804,045	TotalAmt
Program Services	$21,804,045	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,907,979	TotalAmt
Program Services	$1,907,979	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,179,327	TotalAmt
Program Services	$1,179,327	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$50,839,085	TotalAmt
Program Services	$50,839,085	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$52,812,283	TotalAmt
Program Services	$52,812,283	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$623,657	TotalAmt
Program Services	$623,657	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
SWHR AFFILIATE AGREEMENT	$16,613,274	$16,613,274
BOOKS & SUBSCRIPTIONS	$8,195,591	$8,195,591
LICENSES & FEES	$6,625,909	$6,625,909
EMPLOYEE RECRUITING	$5,827,153	$5,827,153

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,149,343	TotalAmt
Program Services	$20,149,343	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$917,939,921	TotalAmt
Program Services	$917,939,921	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,461,658	BOYAmt
EOY	$27,138,779	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$451,452,723	BOYAmt
EOY	$608,614,273	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,871,382	BOYAmt
EOY	$5,465,318	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$965,364	BOYAmt
EOY	$966,398	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$39,351,620	BOYAmt
EOY	$37,444,585	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$18,573,649	BOYAmt
EOY	$17,945,438	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$65,068,780	BOYAmt
EOY	$69,374,055	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$914,768,116	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$494,957,047	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$367,408,573	BOYAmt
EOY	$419,811,069	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,514,568,330	BOYAmt
EOY	$6,276,074,806	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$274,613,961	BOYAmt
EOY	$429,540,777	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$768,167,035	BOYAmt
EOY	$710,988,129	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,334,406	BOYAmt
EOY	$18,334,406	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$578,881,657	BOYAmt
EOY	$851,004,191	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,108,719,138	BOYAmt
EOY	$9,472,702,224	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$631,210,711	BOYAmt
EOY	$1,037,539,120	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$10,266,111	BOYAmt
EOY	$14,463,045	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,208,946,025	BOYAmt
EOY	$1,204,695,686	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$947,904,424	BOYAmt
EOY	$948,601,491	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,706,602	BOYAmt
EOY	$49,822,938	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,861,033,873	BOYAmt
EOY	$3,255,122,280	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,247,685,265	BOYAmt
EOY	$6,217,579,944	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,247,685,265	BOYAmt
EOY	$6,217,579,944	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,108,719,138	BOYAmt
EOY	$9,472,702,224	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$467,677,669	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$484,514,637	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$17,702,373	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	22	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (22 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL
750972805	3	Yes (true)	$0	$46,184,973
TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE
451502252	3	Yes (true)	$0	$26,343,551
TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE
751748586	3	Yes (true)	$0	$7,052,745
TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE
751977850	3	Yes (true)	$0	$11,635,083
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
756001743	3	Yes (true)	$0	$161,881,064
TEXAS HEALTH HARRIS METHODIST HOSPITAL HEB
751438726	3	Yes (true)	$0	$45,119,531
TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST
752678857	3	Yes (true)	$0	$53,394,947
TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE
751752253	3	Yes (true)	$0	$8,657,950
TEXAS HEALTH PHYSICIANS GROUP
752613493	10	Yes (true)	$0	$83,026,851
TEXAS HEALTH RESOURCES FOUNDATION
752022128	7	Yes (true)	$0	$272,969
TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN
752890358	3	Yes (true)	$0	$17,758,518
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
751047527	3	Yes (true)	$0	$103,191,571
TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
432008974	3	Yes (true)	$0	$38,348,840
TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN
752771437	3	Yes (true)	$0	$6,427,522
TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
752770738	3	Yes (true)	$0	$71,207,035
TEXAS HEALTH RESEARCH & EDUCATION INSTITUTE
752562191	4	Yes (true)	$0	$268,267
TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH
751648589	3	Yes (true)	$0	$1,504,823
TEXAS HEALTH BACK CARE
474724257	10	Yes (true)	$0	$0
TEXAS HEALTH RECOVERY AND WELLNESS CENTER
812813227	3	Yes (true)	$0	$826,880
TEXAS HEALTH URGENT CARE
814317635	3	Yes (true)	$0	$5,156,877
TEXAS HEALTH MEDICAL SUPPORT
812833150	10	Yes (true)	$0	$1,445,866
TEXAS HEALTH VIRTUAL CARE
873611585	3	Yes (true)	$0	$320,310

Field	Value	IRS element (for citing)
Supported Organizations Total	22	SupportedOrganizationsTotalCnt
Other Support Sum	$690,026,173	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	Yes (true)	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (true)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (true)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (true)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (true)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Additional Support - Part IV, Section A, Line 6	Texas Health Resources (THR) provides minimal support to various national charitable organizations such as the March of Dimes, American Heart Association, and others who perform an activity that is in line with THR's charitable mission. They also provide support to local schools, city wide activities, and community development groups. As a large healthcare system in North Central Texas, THR takes an active role in the communities they serve. In doing so, THR makes donations, largely at the direction of the supported organizations, to various groups, or sponsor activities that benefit the community. The support to each group is minimal, and is not the organizations primary source of support.
Working Relationship-Part IV, Section D, Lines 2 & 3	THR is the controlling "parent" organization of a large health care system in North Texas. THR serves as a functionally-integrated supporting organization to all the controlled supported organizations providing centralized management. THR appoints or approves the board members of each controlled entity within the system. The current THR board members also serve on the board of each wholly owned hospital within the system.THR officers serve on the Boards of the controlled entities as well as some non-controlled entities in the system. Systemwide policies and standards are established by THR. The system investment policies are established at the THR level. THR approves the operating budgets, capital budgets, and future goals for the system as a whole. THR has established a single authority matrix used system wide. In this matrix, THR has ultimate control for the majority of the decisions made throughout the system.
Officer/Board Appointments-Part IV, Section E, Line 3a	The THR board approves all board members and board officers for each entity in the system. The THR board members also serve as the board of the wholly owned hospitals within the system. THR has a centralized recruitment, selection and placement process for the hiring/promotions of officers for all system entities. The human resources department is maintained at the system level and not by the individual entities. All supporting entity officers are interviewed by THR and entity personnel, with THR having the final decision on new hire placements and promotions.
Substantial Direction-Part IV, Section E, Line 3b	As discussed in detail in the explanation to Schedule A, Part IV, Section D, Lines 2 & 3, THR is the parent organization providing centralized management to the supported organizations in the system. As the parent organization THR is able to exercise a substantial degree of direction over the supported organizations through control of the board, setting policies, hiring officers, and the use of the authority matrix. Officers of THR are present at board meetings of the supported organizations as a liaison and provide a conduit for the supported organizations to voice opinions and concerns to THR.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$12,165	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$142,847	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$1,798,930	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$1,953,942	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 - Details of Lobbying Activities	FormAndLineReferenceDesc
Explanation	Texas Health Resources (THR) is the parent organization for a healthcare system consisting of hospitals and other related healthcare organizations. The amount of expenses paid, or incurred in connection with lobbying activities reported on this return represent the expenses incurred on behalf of THR and all its affiliates. Total expenses for the system were $5,934,199,000 for the year ended December 31, 2023. Of this amount $1,953,943(.033%) is used in connection with lobbying activities. Officers and/or Board members of THR may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities that THR serves. In pursuing this activity, officers and/or Board members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters on a personal level, and not as a representative of the organization. A portion of the dues paid to Healthcare Associations are used by these organizations to support lobbying activities related to the healthcare industry. The amount of time and money involved in the activities described above is negligible.In no case has either THR, or any person acting on behalf of THR, intervened in any political campaign. THR policy prohibits this type of activity for THR System employees.	ExplanationTxt

Schedule D IRS990ScheduleD

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$67,475,131	OtherCostOrOtherBasisAmt
Book Value	$67,475,131	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$236,329,407	OtherCostOrOtherBasisAmt
Depreciation	$130,363,651	DepreciationAmt
Book Value	$105,965,756	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$191,516,435	OtherCostOrOtherBasisAmt
Depreciation	$127,573,282	DepreciationAmt
Book Value	$63,943,153	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$391,944,309	OtherCostOrOtherBasisAmt
Depreciation	$237,020,114	DepreciationAmt
Book Value	$154,924,195	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,502,834	OtherCostOrOtherBasisAmt
Book Value	$27,502,834	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$419,811,069	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CONTROLLED CONSOLIDATED AFFIL	$229,235,596	C
CONTROLLED UNCONSOLIDATED AFFI	$481,752,533	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$710,988,129	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (11 entries)

DescDesc	Book ValueBookValueAmt
RECEIVABLES OTHER CONSOL AFFIL	$231,625,772
RECEIVABLES OTHER UNCONSOL AFL	$5,038,843
ASSETS LIMITED AS TO USE	$339,446,660
LT DEBT PROCEEDS	$12,689
INTERCOMPANY RECEIVABLES	$120,434,792
UNAMORTIZEED RENT LEASE	$18,364,659
OTHER NONCURRENT ASSETS	$122,860,916
OPERATING LEASE ASSETS	$5,638,776
DEPOSITS	$27,870
TRUSTEE FUNDS SUP RETIREMENT	$6,836,504
TRUSTEE FUNDS CASH VALUE LIFE	$716,710

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$851,004,191	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
OPERATING LEASE LIBILITY	$4,251,298
PROFESSIONAL LIABILITY RESERVE	$34,085,093
SECURITY DEPOSITS	$150,663
POST RETIREMENT BENEFITS	$382,989
SUP RETIREMENT LIABILITY	$6,836,504
ASSET RETIREMENT OBLIGATIONS	$1,540,261
UNAMORTIZED STRAIGHT LINE RENT	$2,576,130

Field	Value	IRS element (for citing)
Total Liability	$49,822,938	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	OfficesOfficesCnt	EmployeeEmployeeCnt
Central America and the Caribbean	Investments	$82,158,691
Central America and the Caribbean	Conduct board meetings	$23,946	0	7
Europe (Including Iceland and Greenland)	Investments	$4,898,207

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	7	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	7	TotalEmployeeCnt
Subtotal Spent	$87,080,844	SubtotalSpentAmt
Total Spent	$87,080,844	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3f - Investments	The amount in column f reflects investments based on an accrual method of accounting.
Part I, Line 3 - Investments	THR has a wholly owned captive, Grace Indemnity Company SPC, Ltd (Grace), domiciled in the Grand Cayman Islands. This entity is used to pay claims for the self-insured activity of the THR system. Although Grace is domiciled offshore, its investments are primarily in US government securities and US investment grade corporate bonds, all of which are custodied in Chicago, Illinois. While the majority of the investments held by Grace are not offshore, Grace does have a minimum balance that is maintained in a Grand Cayman bank account and used for operating purposes. A target maximum balance of uninvested cash of approximately $100,000 is in maintained in this off-shore fund. As part of a diverse portfolio, THR is exploring alternative investment opportunities including certain investments which have foreign activity. THR maintains a minority interest in these alternative investments.
Part I, Line 2f - Board Meetings	The amounts in column F reflect board Meeting expenses that were not reimbursed by the end of the year, based on an accrual method of accounting.

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,802,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$266,798	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,535,680	NetCommunityBenefitExpnsAmt
Total Expense	0.01620	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,617,264	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,593,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,023,576	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,458	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,332	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,126	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,480,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,881,818	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,598,382	NetCommunityBenefitExpnsAmt
Total Expense	0.01990	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,176,591	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,176,591	NetCommunityBenefitExpnsAmt
Total Expense	0.06120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,998	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$132,998	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,762,590	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,762,590	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,072,179	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,072,179	NetCommunityBenefitExpnsAmt
Total Expense	0.06820	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,552,379	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,881,818	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,670,561	NetCommunityBenefitExpnsAmt
Total Expense	0.08810	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,971	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,971	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,250	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,221	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$77,221	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$26,366,018	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$41,893,104	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$57,076,489	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,183,385	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (37 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Arlington Surg Ctr
Ambulatory Surgery Center	0.5175	0.0	0.4825
Cleburne Surg Ctr
Ambulatory Surgery Center	0.51	0.0	0.49
Cross Timbers Surg C
Ambulatory Surgery Center	0.51	0.0	0.49
Denton Surg Ctr
Ambulatory Surgery Center	0.5182	0.0	0.4818
Flower Mound Hosp
Hospital	0.535	0.0	0.465
Greenville Surg Ctr
Ambulatory Surgery Center	0.5658	0.0	0.4342
Mansfield Endoscopy
Endoscopy Center	0.51	0.0	0.49
N Dallas Surg Ctr
Ambulatory Surgery Center	0.6457	0.0	0.3543
Opthomology Surg Dal
Ambulatory Surgery Center	0.51	0.0	0.49
PARK HILL SURG CTR
Ambulatory Surgery Center	0.51	0.0	0.49
PHYSICIAN MED CTR
Hospital	0.5497	0.0	0.4503
ROCKWALL REG HOSP
Hospital	0.6233	0.0	0.3767
S ARLINGTON SURG PR
Ambulatory Surgery Center	0.51	0.0	0.49
SOUTHLAKE SPEC HOSP
Hospital	0.5721	0.0	0.4279
SURG CAREGIVERS FW
Ambulatory Surgery Center	0.51	0.0	0.49
TH CRAIG RANCH SURG
Ambulatory Surgery Center	0.5333	0.0	0.4667
TH FLOWER MOUND ORTH
Ambulatory Surgery Center	0.51	0.0	0.49
TH ORTHO CTR ALLIANC
Ambulatory Surgery Center	0.51	0.0	0.49
TH SPINE SURG ALLEN
Ambulatory Surgery Center	0.51	0.0	0.49
TH SPINE CTR ALLIANC
Ambulatory Surgery Center	0.51	0.0	0.49
TH SURG CTR ALLIANCE
Ambulatory Surgery Center	0.72	0.0	0.28
TH SURG CTR BEDFORD
Ambulatory Surgery Center	0.5205	0.0	0.4795
TH SURG CTR IRVING
Ambulatory Surgery Center	0.5258	0.0	0.4742
TH SURG CTR PRESTON
Ambulatory Surgery Center	0.5183	0.0	0.4817
TH SURG CTR ROCKWALL
Ambulatory Surgery Center	0.51	0.0	0.49
TH Surg Ctr SW FW
Ambulatory Surgery Center	0.51	0.0	0.49
TH SURG WAXAHACHIE
Ambulatory Surgery Center	0.57	0.0	0.43
TH Surg C Willow Pk
Ambulatory Surgery Center	0.51	0.0	0.49
THR-STT ROCKWALL ASC
Ambulatory Surgery Center	0.51	0.0	0.49
THR-STT SOUTHLAKE
Ambulatory Surgery Center	0.51	0.0	0.49
USMD HOSPITAL AT ARL
Hospital	0.5236	0.0	0.4764
WALNUT HILL SURG CTR
Ambulatory Surgery Center	0.51	0.0	0.49
WILSON CREEK SURG
Ambulatory Surgery Center	0.51	0.0	0.49
TH Surg Ctr Chisholm
Ambulatory Surgery Center	0.51	0.0	0.49
TH Huguley Surg Ctr
Ambulatory Surgery Center	0.77	0.0	0.23
Castle Hills Surgica
Ambulatory Surgery Center	0.51	0.0	0.49
FW Endoscopy Ctr
Ambulatory Surgery Center	0.51	0.0	0.49

Field	Value	IRS element (for citing)
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
Texas Health Rockwall
1	3150 Horizon Rd	Rockwall	TX	75032	www.texashealth.org	TDH #008599	Yes (X)	Yes (X)	Yes (X)	A
Texas Health Flower Mound
2	4400 Long Prairie Rd	Flower Mound	TX	75028	www.texashealth.org	TDH #100056	Yes (X)	Yes (X)	Yes (X)	A
USMD Hospital at Arlington
3	801 W Interstate 20	Arlington	TX	76017	www.usmdarlington.com	TDH #007990	Yes (X)	Yes (X)	Yes (X)
Physicians Medical Center
4	6020 Parker Rd	Plano	TX	75093	www.texashealth.org	TDH #008153	Yes (X)	Yes (X)	Yes (X)	A
Texas Health Southlake
5	1545 E Southlake Blvd	Southlake	TX	76092	www.texashealth.org	TDH #008128	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FacilityFacilityNum	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt
Facility Reporting Group A
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	See Section C	Yes (X)	Yes (true)	23	Yes (true)	See Section C	false	Yes (true)	Yes (X)	200.	500.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	See Section C	Yes (X)	See Section C	Yes (X)	See Section C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
USMD Hospital at Arlington
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	See Section C	Yes (X)	Yes (true)	23	Yes (true)	See Section C	false	Yes (true)	Yes (X)	200.	500.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	See Section C	Yes (X)	See Section C	Yes (X)	See Section C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	3	Yes (X)	See Section C

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Section B	FormAndLineReferenceDesc
Explanation	Facility #1 - Texas Health Flower Mound - Group A Facility #2 - Texas Health Rockwall - Group A Facility #3 - USMD at Arlington Facility #4 - Texas Health Southlake - Group A Facility #5 - Physicians Medical Center - Group A Part V. Section B, Line 3e - Facilities #1 - #5 The significant health needs of the community are in line with the significant health needs that have been prioritized and identified in the current CHNA. Part V. Section B, Line 5 - Facility #1 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Denton/Wise Counties region. The 2022 CHNA was conducted at the Denton/Wise Counties regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged sixteen community members with interests specific to the health of individuals in the Denton/Wise Counties region in the CHNA development process. Eight of these community members were engaged across two separate focus groups held in zip-codes that were identified as underserved areas. Eight served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and listening sessions, a community asset map was developed to provide an inventory of resources. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Children's Advocacy Center of North Texas, Denton Community Center, North Central Texas College, Lewisville ISD, TAPS Transportation, Wise County, Wise County Center of Hope and YMCA Denton. Findings from all data sources (secondary data, interviews and focus groups, and asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top medical and social determinant of health needs. The outlined needs/barriers informed the development of the 2023-2025 CHNA implementation plan, which will leverage integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 5 - Facility #2 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Dallas/Rockwall region. The 2022 CHNA was conducted at the Dallas/Rockwall regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged fifty-three community members with interests specific to the health of individuals in the Dallas/Rockwall region in the CHNA development process. Forty-two of these community members were engaged across five separate focus groups held in zip-codes that were identified as underserved areas. Eleven served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and listening sessions, a community asset map was developed to provide an inventory of resources. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Austin Street Center, Bonton Farms, Branch Baptist Church, Dallas Area Rape Crisis Center, Dallas Foundation, Literacy Archives, Mission Oak Cliff and Safer Dallas, Better Dallas. Findings from all data sources (secondary data, interviews and focus groups, and asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top social determinant of health needs. The outlined needs/barriers informed the development of the 2023-2025 CHNA implementation strategy, which leveraged integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 5 - Facilities #3 and #4 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Tarrant/Parker Counties region. The 2022 CHNA was conducted at the Tarrant/Parker Counties regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged twenty-four community members with interests specific to the health of individuals in the Tarrant/Parker Counties region in the CHNA development process. Sixteen of these community members were engaged across three separate focus groups held in zip-codes that were identified as underserved areas. Eight community members served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and listening sessions, a community asset map was developed to provide an inventory of resources. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Alzheimer's Association, Arlington Police Department, Cooper Street YMCA, Cornerstone Assistance Network, Eastside Ministries, Mansfield Mission Center, Meadowbrook Poly UMC and SafeHaven of Tarrant County. Findings from all data sources (secondary data, interviews and focus groups, and asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top social determinant of health needs. The outlined needs/barriers informed the development of the 2023-2025 CHNA implementation strategy, which leveraged integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 5 - Facility #5 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Collin County region. The 2022 CHNA was conducted at the Collin County regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged fourteen community members with interests specific to the health of individuals in the Collin County region in the CHNA development process. Twelve of these community members were engaged across two separate focus groups held in zip-codes that were identified as underserved areas. Two community members served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and liste	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	34	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Health Imaging Partners LLC
8610 Explorer Dr 300	Colorado Springs	CO	80920	Outpatient Diagnostic Imaging
TX Health Surgery Center Preston Plaza
17950 Preston Rd Ste 75	Dallas	TX	75252	Ambulatory Surgery Center
South Arlington Sugrical Providers
350 E Interstate 20 Ste 200	Arlington	TX	76018	Ambulatory Surgery Center
Surgical Caregivers of Fort Worth
2001 W Rosedale St	Fort Worth	TX	76104	Ambulatory Surgery Center
WALNUT HILL SURGERY CENTER
5494 Glen Lakes Dr	Dallas	TX	75231	Ambulatory Surgery Center
OPTHALMOLOGY SURGERY CENTER DALLAS LLC
10740 N Central Expy	Dallas	TX	75231	Ambulatory Surgery Center
TX HEALTH SURGERY CENTER ROCKWALL LLC
3144 Horizon Rd Ste 120	Rockwall	TX	75032	Ambulatory Surgery Center
TX HEALTH SURGERY CENTER ALLIANCE LLC
10840 Texas Health Trail Ste 100	Fort Worth	TX	76244	Ambulatory Surgery Center
TX HEALTH ORTHOPEDIC SURG CTR ALLIANCE
9848 N Beach St	Fort Worth	TX	76244	Ambulatory Surgery Center
FORT WORTH ENDOSCOPY CENTERS LLC
900 W Magnolia Ave 101	Fort Worth	TX	76104	Ambulatory Surgery Center
PARK HILL SURGERY CENTER LLC
3455 Locke Ave	Fort Worth	TX	75107	Ambulatory Surgery Center
THR-STT SOUTHLAKE ASC LLC
1545 E Southlake Blvd	Southlake	TX	76092	Ambultory Surgery Center
TX HEALTH CRAIG RANCH SURGERY CTR LLC
8080 State Hwy 121 Ste 100	MkKinney	TX	75070	Ambulatory Surgery Center
TX HEALTH FLOWER MOUND ORTHO SURG CTR
5000 Long Prairie Rd	Flower Mound	TX	75028	Ambulatory Surgery Center
GREENVILLE SURGERY CENTER LLC
7150 Greenville Ave Ste 200	Dallas	TX	75231	Ambulatory Surgery Center
DENTON SURGERY CENTER LLC
207 North Bonnie Brea	Denton	TX	76201	Ambulatory Surgery Center
WILSON CREEK SURGICAL CENTER LLC
8855 Synergy Dr	McKinney	TX	75070	Ambultory Surgery Center
CLEBURNE SURGICAL CENTER LLC
2010 W Katherine P Raines Blvd Ste	Cleburne	TX	76033	Ambulatory Surgery Center
TX HEALTH SURGERY CENTER BEDFORD LLC
1605 Airport Freeway Ste 100	Bedford	TX	76021	Ambulatory Surgery Center
NORTH DALLAS SURGICAL CENTER LLC
17980 Dallas Pkwy Ste 100	Dallas	TX	75287	Ambulatory Surgery Center
TX HEALTH SPINE SURGERY CENTER ALLEN LLC
1120 Raintree Cir Ste 100	Allen	TX	75013	Ambulatory Surgery Center
TX HEALTH SURGERY CENTER IRVING LLC
2120 N MacArthur Blvd Ste 200	Irving	TX	75061	Ambulatory Surgery Center
ARLINGTON SURGERY CENTER LLC
918 N Davis Dr	Arlington	TX	76012	Ambulatory Surgery Center
THR-STT ROCKWALL ASC LLC
1545 E Southlake Blvd	Southlake	TX	76092	Ambulatory Surgery Center
TX HEALTH SPINE SURGERY CTR ALLIANCE
1545 E Southlake Blvd Ste 100	Southlake	TX	76092	Ambulatory Surgery Center
TH Surgery Center SW Fort Worth
612 E Lamar Blvd Ste 600	Arlington	TX	76011	Ambulatory Surgery Center
Texas Health Huguley Surgery Center LLC
12001 S Freeway	Burleson	TX	76028	Ambulatory Surgery Center
Cross Timbers Surgery Center LLC
1001 N Waldrop Dr Ste 705	Arlington	TX	76012	Ambulatory Surgery Center
Mansfield Endoscopy Center LLC
647 N Miller Rd	Mansfield	TX	76063	Endoscopy
Willow Park Endoscopy Center LLC
130 Jimma Dr	Willow Park	TX	76087	Ambulatory Surgery Center
Texas Health Surgery Center Waxahachie
1434 US Hwy 287 Bypass Ste 100	Waxahachie	TX	75165	Ambulatory Surgery Center
Texas Health Surgery Center Chisholm Tr
5900 Altamesa Blvd	Fort Worth	TX	76132	Ambulatory Surgery Center
Castle Hills Surgicare LLC
4221 Medical Pkwy Ste 100	Carrollton	TX	75010	Ambulatory Surgery Center
TH Surg Ctr Willow Park
612 E Lamar Blvd Ste 600	Arlinton	TX	76011	Ambulatory Surgery Center

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI Supplemental Information	FormAndLineReferenceDesc
Explanation	Part I, Line 3c - Patient Eligibility The Schedule H for Texas Health Resources (THR) is filed solely because it has an ownership interest in five taxable joint ventures operating as hospitals. THR is a functionally integrated supporting organization and does not operate its own hospital. THR supports a system of faith-based, non-profit hospitals, an employed physician organization and an organization for medical research and education. THR has adopted a Financial Assistance Policy (FAP) which covers its wholly owned non-profit hospitals and most of its hospital joint ventures. Patients with a family income at or below 200% of applicable Federal Poverty Guidelines (FPG) may be eligible for free care if the patient lacks sufficient funds and assets to pay the out-of-pocket portion of their hospital bill. Patients with family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified patient responsible amount if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's financial assistance application is reviewed. Assets considered when determining eligibility include cash, stocks, bonds and other financial assets that can be readily converted to cash. An additional process to screen for charity patients using publicly available financial information is also in place for patients not submitting a financial assistance application. Part I, Line 7 - Cost-to-Charge Ratio A cost-to-charge ratio is used to compute the amounts reported on Lines 7a-7c. The cost-to-charge ratio is derived from Worksheet 2 - Ratio of Patient Care Cost-to-Charges, as found in the Schedule H Instructions. The amounts reported on Lines 7e-7i were computed using direct costs, as determined by a cash outlay. Part II - Community Building The organization participates in community building activities that aim to address the socio-economic factors that influence the overall health of individuals in the communities served. As identified in the community health needs assessment, there are areas of need that are not in alignment with the operations of a hospital system. Our volunteerism, collaborations and partnerships with various aid organizations and various area coalitions aid in addressing the socio-economic factors that are the backbone for many underlying health concerns. Part III, Lines 2, 3 & 4 - Bad Debts Bad debt expense is not included as a community benefit for purposes of reporting community benefits. Each patient qualifying for charity care is treated as a charity patient and no charges related to that patient are included in bad debt expense. Each joint venture hospital estimates bad debt expense utilizing various methods, analytical tools and benchmarks. Typically, bad debt expense is based upon a combination of factors including, but not limited to, aging of receivables, analyzing revenue trends in the healthcare industry and payor class, and assessing historical collection experience considering business and economic conditions. The footnote regarding Accounts Receivable and Net Patient Service Revenue is included on pages 13-14 of the attached audited financial statements of THR. Part III, Line 8 - Medicare Shortfall The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care & community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. THR is the parent company of a healthcare system filing a combined community benefit report in Texas. THR is not a hospital and does not have Medicare data to report to the state of Texas. The data provided for Sch H is THR's share of operations from its taxable joint ventures which operate hospitals in Texas. The Medicare amounts reported on Sch H are from the taxable joint venture hospitals' cost accounting systems. The taxable joint ventures are not required to file community benefit reports with or report Medicare shortfalls to the state of Texas. Part III, Line 9b - Debt Collection During the year, standard collection procedures were in place and uniformly applicable to all patient accounts. Except to the extent a patient receives a recovery from any third party or other source, no attempts are made to collect unpaid charges from patient accounts approved for adjustment under the Financial Assistance Policy. Part VI, Line 2 - Needs Assessment In 2022, Texas Health Resources (Texas Health) completed a community health needs assessment (CHNA) for 27 facilities across 5 regions using the following steps: - Demographic analysis by region - Secondary data analysis of health indicators to identify zip codes of highest-needs within each region and prioritize zip codes for the community impact initiative - Primary data collection via key informant interviews, focus groups, and a windshield survey - Synthesis of secondary and primary data to identify the most pressing health needs by region - Prioritization of health needs that Texas Health would focus on within the current CHNA cycle, resulting in the identification of these health needs: Behavioral health; Chronic disease prevention and management; and access, navigation, and health literacy. In addition to the CHNA, a community readiness assessment was conducted in 2023 to identify zip codes/communities that were ready to address the health and social needs in their communities within the next 3 years. Though this assessment key informant interviews were conducted across five regions. The interviews were then compiled, scored and analyzed to determine strengths and barriers within communities. To assess hospital utilization and health outcomes, a diagnosis code and hospital utilization dashboard was created. This dashboard compiles data from all major hospitals within the Dallas-Fort Worth region. The dashboard allows us to analyze demographics, insurance status, charge data and diagnoses codes by patient zip codes. Though this analysis, we have been able to assess which populations have a higher hospital utilization as well as determining which populations have a higher prevalence of certain diagnoses. The dashboard was recently used to determine zip codes where stroke education should be prioritized based on overall prevalence of stroke cases along with the percentage of patients that were self-pay. Additionally, the data was used to review hospital utilization among homeless individuals in Tarrant County. This project was requested to be used to strategically plan for implementation of a medical respite unit within Tarrant County. Through the CHNA report, transportation was identified for further assessment given that community members reported transportation as a barrier to healthcare access and other health-related issues. In 2023, an analysis of the availability of household transportation and the access to the public transportation system was completed to better understand transportation needs in our communities. This analysis has been compiled into a report that is being disseminated to various stakeholders to build appropriate action plans. Part VI, Line 3 - Patient Education A description of the Financial Assistance Policy (FAP), the Plain Language Summary of the FAP (PLS) and the FAP application are available on the THR website at www.TexasHealth.org in English and other languages. Financial assistance information is included in the patient's admission packets. Signs alerting patients of financial assistance and related contact information are posted in various areas of the hospital including admissions & registration and the emergency room. Additionally, financial assistance information is provided verbally and in writing to self-pay patients by financial counselors. As part of the financial counseling meeting, patients are screened for potential eligibility in other governmental assistance programs. If it is determined that the patient is potentially eligible for governmental assistance, the counselor will assist the patient in completing forms necessary to apply for the assistance. At the same time, patients are provided wit	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
March of Dimes Foundation
555 Hemphill St Ste 202	Fort Worth	TX	76104	131846366	501(c)(3)	$32,000	General Purpose
Dallas Regional Chamber
500 N Akard St Ste 2600	Dallas	TX	75201	750223440	501(C)(6)	$14,100	General Purpose
DFW Hospital Council
300 Decker Drive 300	Irving	TX	75062	237004426	501(C)(3)	$9,000	General Purpose
North Texas Commission
PO Box 610246	DFW Airport	TX	75261	751364760	501(c)(6)	$14,225	General Purpose
Cancer Support Community North Texas
PO Box 601744	Dallas	TX	75360	752633654	501(c)(3)		Cancer Support	$288,094	FMV	Rent Payment
Communities Foundation of Texas
5500 Caruth Haven Ln	Dallas	TX	75225	750964565	501(c)(3)	$10,000	General Purpose
Texas Medical Association
401 W 15th St Ste 100	Austin	TX	78701	741078510	501(c)(6)	$10,000	General Purpose

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2 - Procedures for Monitoring Grants	FormAndLineReferenceDesc
Explanation	Texas Health Resources (THR) receives various requests from the community for assistance. THR management reviews these requests to verify that they are benefiting the community and they are in agreement with THR's mission. The grants or assistance given by THR are generally to local organizations that have a longstanding record of benefiting the local community. Since the vast majority of the assistance given by THR is to local organizations, management is able to monitor the use of the funds using personal inspection. Many of the events are published in the local paper. Many are community wide events where THR employees attend, or work as volunteers or coordinators.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (41 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BerdanBarclay E
Chief Executive Officer	$1,860,563	$0	$1,414,089	$0	$330,793	$0	$963,751	$0	$52,520	$0	$4,621,716	$0	$731,476	$0
MiaoWinjie Tang
SEVP Chief Operating Officer	$1,007,749	$0	$501,381	$0	$181,771	$0	$442,186	$0	$33,951	$0	$2,167,038	$0	$231,168	$0
McWhorterRicky E
SEVP & Chief Financial Officer	$932,223	$0	$437,883	$0	$145,666	$0	$285,038	$0	$39,968	$0	$1,840,778	$0	$197,608	$0
IrvineLaura L
SEVP Chief Experience Officer	$1,020,689	$0	$202,004	$0	$158,751	$0	$466,912	$0	$60,339	$0	$1,908,695	$0	$39,697	$0
KingJames Kirk
Hospital Channel COO	$744,380	$0	$379,709	$0	$147,858	$0	$316,307	$0	$52,941	$0	$1,641,195	$0	$182,417	$0
KramerKenneth J
EVP General Counsel	$705,551	$0	$359,141	$0	$142,111	$0	$193,789	$0	$41,456	$0	$1,442,048	$0	$174,260	$0
JonesRobert Douglas
SVP & Chief Investment Officer	$676,170	$0	$254,523	$0	$81,351	$0	$119,379	$0	$50,777	$0	$1,182,200	$0	$106,065	$0
Sudomir JrJoseph M
SVP Chief Info Officer	$559,644	$0	$332,370	$0	$92,880	$0	$109,609	$0	$53,873	$0	$1,148,376	$0	$164,735	$0
MasicaAndrew
Chief Medical Officer	$544,000	$0	$190,121	$0	$93,636	$0	$101,849	$0	$63,019	$0	$992,625	$0	$83,937	$0
DawsonCarla S
Chief People Officer	$517,874	$0	$173,395	$0	$90,412	$0	$156,035	$0	$43,607	$0	$981,323	$0	$64,690	$0
VelascoFerdinand T
SVP & Chief Hlth Info Officer	$495,719	$0	$196,710	$0	$71,443	$0	$101,176	$0	$62,384	$0	$927,432	$0	$87,622	$0
MitchellJohn D
Chief Business Develpmt Officr	$474,745	$0	$187,174	$0	$88,819	$0	$94,016	$0	$52,520	$0	$897,274	$0	$81,987	$0
FlorenJoshua Andrew
SVP Hospital Channel	$438,390	$0	$169,778	$0	$59,519	$0	$135,165	$0	$52,523	$0	$855,375	$0	$67,564	$0
TuckerRebecca D
SVP Channel Integration	$433,437	$0	$142,623	$0	$58,660	$0	$126,197	$0	$49,870	$0	$810,787	$0	$54,881	$0
CoxKathleen B
Ambulatory&Virtual Channel COO	$420,450	$0	$139,871	$0	$67,196	$0	$145,136	$0	$22,645	$0	$795,298	$0	$58,405	$0
TesmerDavid J
Chief Commnty & Public Pol Off	$420,765	$0	$153,561	$0	$51,828	$0	$129,833	$0	$40,599	$0	$796,586	$0	$69,518	$0
GoldbergGary Alan
Chief Rev & Finan Risk Officer	$388,647	$0	$126,752	$0	$53,364	$0	$77,519	$0	$49,749	$0	$696,031	$0	$49,283	$0
CraftBrian
SVP Hospital Financial Ops	$375,500	$0	$133,572	$0	$51,892	$0	$77,594	$0	$50,785	$0	$689,343	$0	$59,425	$0
McAllisterDeena A
SVP Brand Experience	$357,030	$0	$125,550	$0	$73,100	$0	$78,520	$0	$54,437	$0	$688,637	$0	$52,395	$0
RobinsonMary C
Chief Nursing Executive	$341,903	$0	$123,344	$0	$75,286	$0	$76,635	$0	$41,546	$0	$658,714	$0	$53,941	$0
WhiteleyJohn E
SVP Fin Plan Analys & Amb Ops	$360,393	$0	$120,823	$0	$50,893	$0	$76,803	$0	$43,022	$0	$651,934	$0	$51,242	$0
ClintonShaun
SVP Supply Chain Management	$351,493	$0	$121,590	$0	$48,989	$0	$70,613	$0	$43,561	$0	$636,246	$0	$55,299	$0
JacksonDavid W
Chief Accounting Officer	$348,305	$0	$117,613	$0	$49,190	$0	$125,200	$0	$40,677	$0	$680,985	$0	$53,142	$0
StewartRebekah
SVP & Chief Compliance Officer	$359,115	$0	$105,937	$0	$49,075	$0	$67,038	$0	$10,544	$0	$591,709	$0	$43,852	$0
MincherJeff
SVP Revenue Cycle	$295,542	$0	$69,270	$0	$68,846	$0	$59,356	$0	$53,716	$0	$546,730	$0	$10,118	$0
ParrisMichael
Chief Data & Analytics Officer	$291,783	$0	$72,696	$0	$68,695	$0	$109,240	$0	$51,859	$0	$594,273	$0	$12,017	$0
SchroederJennifer Ann
SVP Deputy General Counsel	$332,468	$0	$50,226	$0	$41,661	$0	$55,618	$0	$29,301	$0	$509,274	$0	$0	$0
PopeBrandon Reed
SVP Strategy & Mkt Development	$266,740	$0	$75,000	$0	$38,010	$0	$52,341	$0	$44,649	$0	$476,740	$0	$0	$0
IngramBartholomew
SVP Product Design Term 2/2023	$57,836	$0	$5,235	$0	$303,429	$0	$2,898	$0	$8,146	$0	$377,544	$0	$62,318	$0
CantuStacy G
VP Chief Gov Offr & Corp Secr	$278,238	$0	$41,945	$0	$33,005	$0	$17,934	$0	$53,725	$0	$424,847	$0	$0	$0
GentzelWilliam Todd
SVP Strategy & Mkt Term 2/2023	$56,338	$0		$0	$271,021	$0	$1,367	$0	$6,913	$0	$335,639	$0	$53,750	$0
SullivanJon M
VP Real Estate Operations	$341,452	$0	$54,404	$0	$63,401	$0	$24,750	$0	$49,876	$0	$533,883	$0	$0	$0
ReevesSandra G
VP Treas/Asst Chief Invest Off	$344,919	$0	$52,565	$0	$38,953	$0	$24,750	$0	$51,836	$0	$513,023	$0	$0	$0
BerenzweigHarold Karl
Former Officer	$0	$166,444		$250	$0		$0	$0	$0	$0	$0	$166,694	$0	$0
Parobek JrJames S
Former Officer	$0	$0		$0	$0	$414,536	$0	$0	$0	$0	$0	$414,536	$0	$0
KirbyMichelle Riddle
Former Office	$0	$0	$0	$0	$120,642	$0	$0	$0	$0	$0	$120,642	$0	$120,642	$0
PerrinCynthia
President THRW	$370,356	$0	$181,473	$0	$52,427	$0	$14,344	$0	$43,579	$0	$662,179	$0	$107,756	$0
BernardTraci H
President THSL	$364,455	$0	$156,918	$0	$49,956	$0	$75,236	$0	$49,450	$0	$696,015	$0	$43,920	$0
MehringRonald Charles
VP Technology & Security/CISO	$324,246	$0	$136,357	$0	$35,838	$0	$24,750	$0	$23,458	$0	$544,649	$0	$56,250	$0
Koshy-NesbittSunita Sara
Hospital Channel CQO	$352,298	$0	$56,935	$0	$62,384	$0	$40,290	$0	$30,520	$0	$542,427	$0	$2,025	$0
HolmesKevin B
VP Facilities Design	$334,686	$0	$67,693	$0	$64,767	$0	$24,750	$0	$58,728	$0	$550,624	$0	$10,398	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A - FIRST CLASS TRAVEL	The THR Board approved first class travel for the CEO associated with business travel on behalf of the system. Other first class or business class travel must be preapproved by the THR Chief Financial Officer. In the current year, Business class was approved for overseas travel for THR employees. No costs associated with this first-class travel are added to the taxable wages of the CEO nor any other THR employee whose first class travel was approved. All other THR personnel follow a system travel policy which reimburses business air travel at the most economical fare reasonably available.
SCHEDULE J, PART I, LINE 1A - DISCRETIONARY SPENDING ACCOUNT	Each executive at the vice president level and above receives a perk allowance and flexible benefit allowance which is included in the taxable compensation of the employee. The perk allowance covers costs such as business use of their personal vehicles in lieu of reimbursement for auto mileage. The flexible benefit allowance can be used to purchase executive benefits on an after-tax basis.
Schedule J, Part I, Line 1a - Personal Services	The THR CEO is provided financial planning and tax preparation services. These services are included in the taxable compensation of the employee
Schedule J, Part I, Line 4a - Severance Pay	POSITION ELIMINATION THR'S separation pay plan provides payments to employees whose positions were eliminated by the organization. The separation pay is based on the employee's years of service and the level of the affected position. The employee listed qualified for severance based on an involuntary separation from service without a comparable position being open and available at the time of separation. Ingram,Bartholomew 225,541 SEVERANCE SETTLEMENT The settlement payment was paid out as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. Gentzel,William Todd 269,044 Ingram,Bartholomew 72,449 Parobek Jr,James S 414,536
Schedule J, Part I, Line 4b - Nonqualified Retirement Plan	Participation in the THR plans is made available to a select group of management and highly compensated employees who are providing services in key positions of management and/or responsibility and who are determined by the THR Board of Trustees. SERP: For the active restoration account (Account balances after 12/31/2009) SERP benefits vest while the participant is employed if the participant: * Reaches age 65 * Becomes disabled or dies, * Reaches the following years of service: 2 Years - 25%; 3 Years - 50%; 4 Years - 75% and 5 or more years - 100% Participants must be employed on Dec 1 to qualify for the current year's SERP Benefit unless separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) SERP benefits are calculated each Dec 1. Vested balances are taxed to the employee and the net balances begin accruing earnings. Vested balances are paid in a cash lump sum within a 90-day period commencing on the earlier of death, disability, or separation from service. The deferred portion is included in Schedule J, Part II, column C. In frozen restoration accounts (account balances prior to 1/1/2010), the participant or beneficiary shall be taxed on his or her vested SERP benefits upon the earliest of: * Continued employment in THR until age 68 * Termination of employment for disability or death * Involuntary termination of employment without reasonable cause; or * Satisfying a 24 month non-compete period following his/her termination of employment. Payment follows the before mentioned events, except in the case of involuntary separation when the participant must wait 24 months to receive the previously taxed benefit. LTIP: The Long Term Incentive Plan covers 2,3,or 4 years. Payouts are made over 2,3, or4 years after key performance goals are met. Benefits vest if they are employed at the end of the year the payout is made. Payments can also be made if separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) In the case of retirement and early retirement, CEO approval much be obtained and a non-compete must be satisfied prior to the end of the year payout. Retention: A retention agreement may be offered to an executive in a key position or ba sed on succession planning needs of the system. The length of the retention period will be dependent upon the needs of the organization to retain the key executive. Payments are made within 2 1/2 months following the end of the retention period. Payouts to the following employees were made during the year for all the plans listed above. The amounts below are included in the amount reported on Sch J, Part II, Column B(iii) and Column (F). Berdan,Barclay E. 731,476 Bernard,Traci H 43,920 Clinton,Shaun 55,299 Cox,Kathleen B. 58,405 Craft,Brian 59,425 Dawson,Carla S 64,690 Floren,Joshua Andrew 67,564 Goldberg,Gary Alan 49,283 Gentzel,William Todd 6,902 Holmes,Kevin B. 10,398 Ingram,Bartholomew 9,285 Irvine,Laura L. 64,469 Jackson,David W. 53,142 Jones,Robert Douglas 106,065 King,James Kirk 182,417 Kramer,Kenneth J. 174,260 Masica,Andrew 75,759 McAllister,Deena A. 52,395 McWhorter,Ricky E. 197,608 Mehring,Ronald Charles 90,000 Miao,Winjie Tang 231,168 Mincher,Jeff 14,627 Mitchell,John D. 81,987 Parris,Michael 16,650 Perrin,Cynthia 107,756 Robinson,Mary C. 53,941 Stewart,Rebekah 42,021 Sudomir Jr,Joseph M 206,360 Tesmer,David J. 69,518 Tucker,Rebecca D 54,881 Velasco,Ferdinand T. 87,622 Whiteley,John E 51,242

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Tarrant Cnty Cultural Education Facility Fin Corp
A	043833551	87638RCL5	2008-10-30	$366,120,000	Refund 1/31/89 & 5/14/03 Bonds	false	false	false
Tarrant Cnty Cultural Education Facility FIN Corp
B	043833551		2015-07-31	$134,875,000	Refund 2010 Tax Exempt Note	false	false	false
Tarrant Cnty Cultural Education Facility FIN Corp
C	043833551	87638TEH2	2012-10-04	$50,000,000	Construction & Equip Health Facili	false	false	false
Tarrant Cnty Cultural Education Facility Fin Corp
D	043833551	87638TEZ2	2015-05-21	$60,535,400	Construction & Equip Health Facili	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$216,940,000	$0	$366,264,054	$0	$0	$0	$1,868,320	$0	$0	$178,040,202	$186,355,532	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$134,875,000	$0	$0	$0	$0	$0	$0	$0	$134,875,000	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$50,037,844	$0	$0	$0	$0	$0	$0	$50,037,844	$0	$0	2014	false	false	Yes (true)	Yes (true)
D	$0	$0	$61,433,172	$0	$0	$0	$247,878	$0	$0	$61,185,294	$0	$0	2016	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.00860	0.00860	false	false	false	Yes (true)
B	false	false	false		false	0		false	false	false	Yes (true)
C	false	false	false		false	0		false	false	false	Yes (true)
D	false	false	false		false	0		false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
D	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Column e and Part II, Line 3	All bonds issued The amount of total proceeds of issue reported in Part II, Line 3 differs from the amount of the issue price reported in Part I, Column e. The difference relates to cumulative investment earnings.
Part IV, Line 2C, Column A	Rebate Calculations for the 2008 Series were completed 12/13/2023.
Part IV, Line 2C, Column B	Rebate calculations for the 2015 Note Payable are not required. They are not subject to arbitrage.
Part IV, Line 2C, Column C	Rebate calculations for the 2012 Series were completed 10/26/22.
Part IV, Line 2c, Column D	Rebate calculations for the 2015 series were completed 6/11/20.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Tarrant Cnty Cultural Education Facility FIN Corp
A	043833551	87638TFM0	2016-11-18	$708,403,645	Refund 2007A Bonds & Capital Impro	false	false	false
Tarrant Cnty Cultural Education Facility FIN Corp
B	043833551	87638TFP3	2017-10-19	$133,470,000	Refund 2007B Bonds & Construction	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$710,702,084	$0	$0	$0	$5,017,452	$0	$0	$224,653,017	$481,031,615	$0	2019	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$133,878,156	$0	$0	$0	$1,329,479	$0	$0	$30,048,677	$102,500,000	$0	2018	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.00320	0.00320	false	false	false	Yes (true)
B	false	false	false		false	0		false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part VI, Line 2c, Column A	Rebate calculations for the 2016 series were completed 01/26/2022.
Part VI, Line 2c, Column B	Rebate calculations for the 2017 series were completed 11/01/22.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (5 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Berdan Barclay
Officer	Split Dollar Life	Yes (X)	$470,253	false	false	false
King James Kirk
Officer	Split Dollar Life	Yes (X)	$128,966	false	false	false
Kramer Kenneth Jr
Officer	Split Dollar Life	Yes (X)	$150,799	false	false	false
Kevin Holmes
Former	Split Dollar Life	Yes (X)	$130,272	false	false	false
Tesmer David J
Officer	Split Dollar Life	Yes (X)	$86,108	false	false	false

Field	Value	IRS element (for citing)
Total Balance Due	$966,398	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Richard Vigness MD
Entity Owned by Board Member	$141,518	Independent Contractor	false
ParrisZaira Xiomara
Family member of Michel Parris	$95,304	Employment	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
990, Part VI, Section A, Line 2 - Business Relationship	Texas Health Resources (THR) and its related organizations included in the THR healthcare system encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees who are serving as officers, board members, or key employees may, from time to time, also serve on the boards of various community organizations such as church boards, United Way, etc. There may be a business relationship as a result of multiple THR employees serving on the same community boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards.
990, Part VI, Section 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, Line 12c - Conflict of Interest	Texas Health Resources (THR) has adopted a Conflict of Interest Policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the year, a Duality and Conflict of Interest Statement Form is distributed by the THR Chief Compliance Officer to all board members, officers, contracted medical directors, employees with a title of manager or above, employed physicians, and certain committee members and other employees based upon function. All disclosed conflicts are reviewed by the THR Chief Compliance Officer. A report, listing each reported Duality of Interest or Conflict of Interest is given to both the Chair of the Governing body and the President of the Corporation with which the reporting person is affiliated. The THR Board of Trustees receives a report when the Annual Disclosure process is complete. Progressive corrective action is taken for any identified noncompliance which may include removal from a board or committee or physician/employee counseling if the person fails to provide the disclosure. In addition, THR monitors physician payments through a public database implemented by CMS. Management plans are executed as needed based upon disclosures. THR also educates the Boards and workforce annually through either a web based or live compliance training.
990, Part VI, Section B, Lines 15 a&b - Compensation Determination	Texas Health Resources (THR) used the following methods to establish the compensation of the organizations CEO, officer and key employees. * The Governance committee (which includes independent persons) performs reviews and makes recommendations to the THR Board for the CEO compensation and for the overall payment philosophy for the remaining officers. * Governance Committee approves the elements of officers compensation and committee approval is required for officer compensation payments outside the approved parameters. * Independent consultants may be hired. * Compensation surveys or studies are utilized. * Approval by the Board or Governance committee is required. The board of THR hires an independent third-party compensation consultant to review base pay of the CEO annually. Every 3 years, the independent third-party compensation consultant is hired to review all aspects of executive compensation, which includes a review and confirmation of the executive compensation philosophy. Each year the Governance committee of the THR board of trustees reviews a detailed report analyzing CEO, CEO direct reports, and other senior level officers compensation packages.
990, Part VI, Section C, Line 19 - Public Disclosure	The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner.
990, Part XI, Line 9 - Other Changes in Fund Balance	Affiliate Treasury Shares $1,353,618 Partner Distributions $8,136,008 Adjustment for Intercompany Transactions of a Controlled Group $8,212,747 The intercompany adjustment eliminated the receivable/payable balance as of the end of the year between Texas Health Resources (THR) and all wholly controlled tax-exempt entities included in the THR Healthcare System. The adjustment represents current year activity. The THR Healthcare System records all related transactions through the intercompany Receivable/Payable accounts for each entity. The types of transactions recorded in the Intercompany accounts include management fees charged by the parent organization, services purchased between related organizations, supplies purchased by a centralized purchasing department, daily cash sweeps and similar transactions.
990, Part XII, Line 2c - Consolidated Financial Statements	Texas Health Resources (THR) prepares consolidated financial statements with its related entities. The THR Board appoints an audit and compliance sub-committee that assumes responsibility for oversight of the consolidated audit for all related entities. The related entities do not have a separate audit committee, but abide by the THR committee's oversight. There has been no change during the year in the organizations oversight selection process.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Texas Health Partners LLC
612 E Lamar Blvd	Arlington	TX	76011	020546958	Mgmt Co	TX	$50,332,738	$200,368,083	TH Resources
THR-SCA Holdings LLC
612 E Lamar Blvd	Arlington	TX	76011	461096461	Holding Co	TX	$87,141,265	$176,558,912	TH Resources
Texas Health Resources Trust
612 E Lamar Blvd	Arlington	TX	76011	306406740	Investments	TX	$73,957,973	$23,237,961	TH Resources
TX Hlth Surgery Center Las Colinas LLC
612 E Lamar Blvd	Arlington	TX	76011	843814491	Inactive	TX	$0	$0	THR-SCA Hold
Denton Endoscopy Surgery Center LLC
612 E Lamar Blvd	Arlington	TX	76011		Inactive	TX	$0	$0	THR-SCA Hold
TX Health Surgery Center Royse City LLC
612 E LAMAR BLVD STE 600	ARLINGTON	TX	76011	884370079	Inactive	TX	$0	$0	THR-SCA Hold
Fort Worth Acquisition Company LLC
612 E LAMAR BLVD STE 600	Arlington	TX	76011	991896089	Inactive	DE	$0	$0	FW Acquisiti
Fort Worth Acquisition Holding Company L
612 E Lamar Blvd	Arlington	TX	76011	992201278		DE	$0	$0	TH Resources

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Huguley Medical Assoc Inc
11801 South Freeway	Burleson	TX	76028	752547668	Phys Clinic	TX	501(c)(3)	3	TH Huguley	false
North Texas Healthy Communities
612 E Lamar Blvd	Arlington	TX	76011	464513182	Comm Support	TX	501(c)(3)	7	TH Resources	Yes (true)
Southwestern Health Resources JOC
5323 Harry Hines Blvd	Dallas	TX	75390	811575989	Mgmt Org	TX	501(c)(3)	12b	TH Resources	Yes (true)
Texas Health Arlington Memorial Hospital
800 West Randol Mill Rd	Arlington	TX	76012	750972805	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Back Care
9250 Amberton Pkwy	Dallas	TX	75243	474724257	Phys. Clinic	TX	501(c)(3)	10	TH Phys Grp	false
Texas Health Alliance
10864 Texas Health Trail	Fort Worth	TX	76244	451502252	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Azle
108 Denver Trail	Azle	TX	76020	751748586	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Cleburne
201 Walls Dr	Cleburne	TX	76033	751977850	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Fort Worth
1301 Pennsylvania Ave	Fort Worth	TX	76104	756001743	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Hurst-Euless-Bedford
1600 Hospital Parkway	Bedford	TX	76022	751438726	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Southwest Fort Worth
6100 Harris Parkway	Fort Worth	TX	76132	752678857	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Stephenville
411 Belknap	Stephenville	TX	76401	751752253	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Frisco
12400 Dallas Parkway	Frisco	TX	75033	831954982	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Mansfield
2300 Lone Star Rd	Mansfield	TX	76063	831869297	Hospital	TX	501(c)(3)	3	TH Huguley	false
Texas Health Huguley Inc
11801 S Freeway	Burleson	TX	76028	452694620	Hospital	FL	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Medical Support
612 E Lamar Blvd	Arlington	TX	76011	812833150	Spec Drugs	TX	501(c)(3)	10	TH Resources	Yes (true)
Texas Health Physicians Group
9250 Amberton Pkwy	Dallas	TX	75243	752613493	Phys. Clinic	TX	501(c)(3)	10	TH Resources	Yes (true)
Texas Health Allen
1105 Central Expressway N	Allen	TX	75013	752890358	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Dallas
8200 Walnut Hill Ln	Dallas	TX	75231	751047527	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Denton
3000 North Interstate 35	Denton	TX	76201	432008974	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Kaufman
850 Ed Hall Drive	Kaufman	TX	75142	752771437	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
Texas Health Plano
6200 W Parker Rd	Plano	TX	75093	752770738	Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
TH Recovery and Wellness Center
240 Miller Road	Mansfield	TX	76063	812813227	Resd Trmt Ctr	TX	501(c)(3)	3	TH Resources	Yes (true)
TX Health Research & Education Institute
612 E Lamar Blvd	Arlington	TX	76011	752562191	Edu& Research	TX	501(c)(3)	4	TH Resources	Yes (true)
Texas Health Resources
612 E Lamar Blvd	Arlington	TX	76011	752702388	System Mgmt	TX	501(c)(3)	12c	NA
Texas Health Resources Foundation
612 E Lamar Blvd	Arlington	TX	76011	752022128	Fundraising	TX	501(c)(3)	7	TH Resources	Yes (true)
TH Specialty Hospital Fort Worth
1301 Pennsylvania Ave	Fort Worth	TX	76104	751648589	LT Hospital	TX	501(c)(3)	3	TH Resources	Yes (true)
TX Health Urgent Care
3805 W University Park 100	McKinney	TX	75071	814317635	Urgent Care	TX	501(c)(3)	3	TH Resources	Yes (true)
TX Health Virtual Care
612 E Lamar Blvd	Arlington	TX	76011	873611585	Virtual Care	TX	501(c)(3)	3	TH Resources	Yes (true)
WW Ward Endowment Fund Trust
612 E Lamar Blvd	Arlington	TX	76011	756196065	Nursing Grant	TX	501(c)(3)	12a	TH Fndn	false
Dallas County Indigent Care Corporation
1441 N Beckley Ave	Dallas	TX	75203	260610562	Support Org.	TX	501(c)(3)	12a	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (46 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
AMH Cath Labs LLC
811 Wright St	Arlington	TX	76012	203003947	Hospital	TX	N/A
Arlington Surgery Center LLC
918 N Davis Dr	Arlington	TX	76012	752055800	Amb Surg Ctr	TX		THR-SCA Holding	Related	$1,361,946	$2,237,000	false	Yes (true)	0.51753
Castle Hills Surgicare LLC
4221 Medical Parkway ste 100	Carrollton	TX	75010	813020487	Amb Surg Ctr	TX		THR-SCA Holding	Related	$248,386	$3,755,443	false	Yes (true)	0.51000
Cleburne Surgical Center LLC
2010 W Katherine P Raines Blvd St	Cleburne	TX	76033	203742012	Amb Surg Ctr	TX		THR-SCA Holding	Related	$1,936,664	$2,577,600	false	Yes (true)	0.51000
Cross Timbers Surgery Center LLC
1001 N Waldrop Dr Ste 705	Arlington	TX	76012	752862780	Amb Surg Ctr	TX		THR-SCA Holding	Related	$3,413,821	$3,252,619	false	Yes (true)	0.51000
Denton Surgery Center LLC
207 North Bonnie Brea	Denton	TX	76201	470926556	Amb Surg Ctr	TX		THR-SCA Holding	Related	$3,385,053	$5,835,062	false	Yes (true)	0.51821
Flower Mound Hospital Partners LLC
4400 Long Prairie Rd	Flower Mound	TX	75028	260684968	Hospital	TX		TH Resources	Related	$32,806,060	$98,230,967	false	Yes (true)	0.53504
Fort Worth Endoscopy Centers LLC
900 W Magnolia Ave 101	Fort Worth	TX	76104	770368346	Endoscopy Center	TX		THR-SCA Holding	Related	$12,067,595	$6,457,308	false	Yes (true)	0.51000
Greenville Surgery Center LLC
7150 Greenville Ave Ste 200	Dallas	TX	75231	742411643	Amb Surg Ctr	TX		THR-SCA Holding	Related	$1,126,345	$1,897,317	false	Yes (true)	0.56579
Health Imaging Partners LLC
8610 Explorer Drive Ste 300	Colorado Springs	CO	80920	271385885	Medical Imaging	TX		TH Resources	Related	$25,969,199	$46,032,749	false	false	0.51000
Mansfield Endoscopy Center LLC
647 N Miller Rd	Mansfield	TX	76063	861354607	Endoscopy	TX		THR-SCA Holding	Related	$1,330,370	$2,969,909	false	Yes (true)	0.51000
North Dallas Surgical Center LLC
17980 Dallas Pkw Ste 100	Dallas	TX	75287	272248103	Amb Surg Ctr	TX		THR-SCA Holding	Related	$761,835	$1,956,252	false	Yes (true)	0.64563
Opthalmology Surgery Center of Dallas LL
10740 N Central Expy	Dallas	TX	75231	261914835	Amb Surg Ctr	TX		THR-SCA Holding	Related	$10,680,367	$10,291,688	false	Yes (true)	0.51000
Park Hill Surgery Center LLC
3455 Locke Ave	Fort Worth	TX	76107	451484375	Amb Surg Ctr	TX		THR-SCA Holding	Related	$6,748,416	$5,877,730	false	Yes (true)	0.51000
Physicians Medical Center LLC
6020 W Parker Rd	Plano	TX	75093	481281376	Hospital	TX		TH Resources	Related	$10,540,935	$28,468,865	false	Yes (true)	0.54966
Presbyterian Cancer Ctr-Dallas LLC
PO Box 819067	Dallas	TX	75381	260422749	Cancer Ctr	TX	N/A
Rockwall Regional Hospital LLC
3150 Horizon Rd	Rockwall	TX	75032	202848116	Hospital	TX		TH Resources	Related	$4,884,035	$128,451,191	false	Yes (true)	0.64555
South Arlington Surgical Providers LLC
350 E Interstate 20 Ste 200	Arlington	TX	76018	752723958	Amb Surg Ctr	TX		THR-SCA Holding	Related	$372,837	$12,285,226	false	Yes (true)	0.51000
Southlake Specialty Hospital LLC
1545 E Southlake Blvd	Southlake	TX	76092	020555370	Hospital	TX		TH Resources	Related	$7,828,956	$32,395,275	false	Yes (true)	0.57207
Surgical Caregivers of Fort Worth LLC
2001 W Rosedale St	Fort Worth	TX	76104	751925497	Amb Surg Ctr	TX		THR-SCA Holding	Related	$4,423,218	$4,747,538	false	Yes (true)	0.51000
Texas Health Craig Ranch Surgery Center
8080 State Hwy 121 Ste 100	McKinney	TX	75070	383897811	Amb Surg Ctr	TX		THR-SCA Holding	Related	$3,878,923	$3,538,971	false	Yes (true)	0.53333
Texas Health Flower Mound Orthopedic Sur
5000 Long Prairie Rd	Flower Mound	TX	75028	800866449	Amb Surg Ctr	TX		THR-SCA Holding	Related	$5,358,020	$3,682,355	false	Yes (true)	0.51000
Texas Health Huguley Surgery Center LLC
12001 S Freeway	Burleson	TX	76028	821289045	Amb Surg Ctr	TX	N/A
Texas Health Orthopedic Surgery Center A
9848 N Beach St	Fort Worth	TX	76244	814977249	Amb Surg Ctr	TX		THR-SCA Holding	Related	$5,530,947	$6,054,027	false	false	0.51000
Texas Health Spine Surgery Center Allen
1120 Raintree Cir Ste 100	Allen	TX	75013	300957868	Amb Surg Ctr	TX		TH Resources	Related	$892,801	$1,695,187	false	Yes (true)	0.51000
Texas Health Spine Surgery Center Allian
1545 E Southlake Blvd Ste 100	Southlake	TX	76092	320571301	Amb Surg Ctr	TX		TH Resources	Related	$559,315	$1,658,451	false	Yes (true)	0.51000
Texas Health Supply Chain Services LLC
612 E Lamar Blvd Ste 600	Arlington	TX	76011	841833532	Purchasing Co	TX		TH Resources	Related	$673,789	$6,470,993	false	Yes (true)	0.51000
Texas Health Surgery Center Alliance LLC
10840 Texas Health Trail Ste 100	Fort Worth	TX	76244	822296081	Amb Surg Ctr	TX		THR-SCA Holding	Related	$631,823	$3,928,979	false	Yes (true)	0.72004
Texas Health Surgery Center Bedford LLC
1605 Airport Freeway Ste 100	Bedford	TX	76021	821307876	Amb Surg Ctr	TX		THR-SCA Holding	Related	$392,640	$1,724,950	false	Yes (true)	0.52051
Texas Health Surgery Center Chisholm Tra
5900 Altamesa Blvd	Fort Worth	TX	76132	851225852	Amb Surg Ctr	TX		THR-SCA Holding	Related	$3,894,133	$6,470,710	false	Yes (true)	0.51000
Texas Health Surgery Center Forney LLC
612 E Lamar Blvd Ste 600	Arlington	TX	76011	923847064	Inactive	TX		THR-SCA Holding	Related	$0	$0	false	Yes (true)	0.57250
Texas Health Surgery Center Irving LLC
2120 N MacArthur Blvd Ste 200	Irving	TX	75061	831085415	Amb Surg Ctr	TX		THR-SCA Holding	Related	$725,262	$1,979,948	false	Yes (true)	0.52577
Texas Health Surgery Center Preston Plaz
17950 Preston Road Ste 75	Dallas	TX	75252	203991622	Amb Surg Ctr	TX		THR-SCA Holding	Related	$6,602,059	$4,913,055	false	Yes (true)	0.51827
Texas Health Surgery Center Rockwall LLC
3144 Horizon Rd Ste 120	Rockwall	TX	75032	474425996	Amb Surg Ctr	TX		THR-SCA Holding	Related	$7,959,537	$6,854,646	false	Yes (true)	0.51000
Texas Health Surgery Center Southwest Fo
6317 Harris Parkway Ste 200	Fort Worth	TX	76132	843814490	Amb Surg Ctr	TX		THR-SCA Holding	Related	$2,568,138	$2,690,811	false	Yes (true)	0.51000
Texas Health Surgery Center Waxahachie
1434 US Hwy 287 Bypass Ste 100	Waxahachie	TX	75165	831464243	Inactive	TX		THR-SCA Holding	Related	$0	$0	false	Yes (true)	0.57000
Texas Health Surgery Center Willow Park
612 E Lamar Blvd Ste 600	Arlington	TX	76011	841953918	Amb Surg Ctr	TX		THR-SCA Holding	Related	-$1,854,109	$5,862,031	false	Yes (true)	0.51000
Texas Institute for Surgery LLP
7115 Greenville Ave Ste 100	Dallas	TX	75231	770628004	Hospital	TX	N/A
THR-STT Rockwall ASC LLC
1545 E Southlake Blvd	Southlake	TX	76092	262429878	Amb Surg Ctr	TX		TH Resources	Related	$1,543,987	$1,566,581	false	Yes (true)	0.51000
THR-STT Southlake ASC LLC
1545 E Southlake Blvd	Southlake	TX	76092	201728912	Amb Surg Ctr	TX		TH Resources	Related	$1,645,745	$1,411,499	false	Yes (true)	0.64509
USMD Hospital at Arlington LP
801 I -20 West	Arlington	TX	76017	731662763	Hospital	TX		TH Resources	Related	$41,868	$31,062,012	false	false	0.52364
USMD Hospital at Fort Worth LP
5900 Altamesa Blvd	Fort Worth	TX	76132	203571243	Hospital Closed	TX		TH Resources	Related	-$55,241	$0	false	false	0.50965
Walnut Hill Surgery Center LLC
5494 Glen Lakes Dr	Dallas	TX	75231	364499777	Amb Surg Ctr	TX		THR-SCA Holding	Related	$441,862	$7,876,160	false	Yes (true)	0.51000
Willow Park Endoscopy Center LLC
130 Jimma Drive	Willow Park	TX	76087	881643733	Amb Surg Ctr	TX		THR-SCA Holding	Related	$646,644	$1,348,494	false	Yes (true)	0.51000
Wilson Creek Surigcal Center LLC
8855 Synergy Drive	McKinney	TX	75070	274816583	Amb Surg Ctr	TX		THR-SCA Holding	Related	$4,915,568	$3,224,213	false	Yes (true)	0.51000
Women's Specialty Surgery Center of Dall
8230 Walnut Hill Ln Ste 101	Dallas	TX	75231	262310072	Amb Surg Ctr	TX	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
Grace Indemnity Company SPC Ltd
1159 Caribbean Plaza	Grand Cayman	CJ	KY 1-1102	981209573	Captive Insur	CJ	TH Resources	C Corp	$5,121,774	$129,043,708	Yes (true)
Texas Health Biomedical Advancement Cent
				752636884	Research		NA	C Corp			false	612 E Lamar Blvd	Arlington	TX	76011	TX

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

Transactions Related Org TransactionsRelatedOrgGrp (106 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Cross Timbers Surgery Center LLC
a	$277,878	Lease
Ft Worth Endoscopy Ctr LLC
a	$822,268	Lease
Health Imaging Partners LLC
a	$94,754	Lease
TH Surgery Center Southwest Fort Worth LLC
a	$1,291,949	Lease
TH Supply Chain Services LLC
a	$100,105	lease
Rockwall Regional Hospital LLC
b	$1,884,760	JV Agreement
TH Surg Ctr Willow Park LLC
b	$1,725,000	JV Agreement
Castle Hills Surgicare LLC
b	$146,891	JV Agreement
Arlington Surgery Center LLC
c	$1,255,155	JV Agreement
Cleburne Surgical Ctr LLC
c	$2,315,424	JV Agreement
Cross Timbers Surgery Center LLC
c	$3,404,765	JV Agreement
Denton Surgery Center LLC
c	$3,052,456	JV Agreement
Flower Mound Hospital Partners LLC
c	$27,556,843	JV Agreement
Ft Worth Endoscopy Ctr LLC
c	$11,765,896	JV Agreement
Greenville Surgery Center LLC
c	$978,211	JV Agreement
Health Imaging Partners LLC
c	$27,581,820	JV Agreement
Mansfield Endoscopy Center LLC
c	$1,198,691	JV Agreement
North Dallas Surgical Ctr LLC
c	$1,001,196	JV Agreement
Ophthalmology Surg Ctr-Dallas LLC
c	$10,816,631	JV Agreement
Park Hill Surgery Center LLC
c	$5,802,026	JV Agreement
Physician Medical Center LLC
c	$10,399,802	JV Agreement
Rockwall Regional Hospital LLC
c	$4,075,613	JV Agreement
South Arlington Surgical Providers LLC
c	$1,511,612	JV Agreement
Southlake Specialty Hospital
c	$7,661,299	JV Agreement
Surg Caregivers of Fort Worth
c	$4,383,927	JV Agreement
TH Craig Ranch Surg Ctr LLC
c	$3,641,817	JV Agreement
TH Flower Mound Ortho Surg
c	$4,869,319	JV Agreement
TH Ortho Surg Ctr Alliance LLC
c	$4,218,517	JV Agreement
TH Spine Surgery Ctr Allen LLC
c	$895,417	JV Agreement
TH Spine Surgery Ctr Alliance LLC
c	$565,009	JV Agreement
TH Surg Ctr Alliance LLC
c	$228,396	JV Agreement
TH Surg Ctr Preston Plaza LLC
c	$6,361,657	JV Agreement
TH Surg Ctr Rockwall LLC
c	$7,906,064	JV Agreement
TH Surgery Center Southwest Fort Worth
c	$2,754,825	JV Agreement
TH Surgery Ctr Bedford LLC
c	$411,199	JV Agreement
TH Surgery Ctr Irving LLC
c	$518,027	JV Agreement
TH Surg Ctr Chisholm Trail LLC
c	$1,155,525	JV Agreement
THR-STT Rockwall ASC LLC
c	$1,627,509	JV Agreement
THR-STT Southlake ASC LLC
c	$1,761,652	JV Agreement
Walnut Hill Surgery Ctr LLC
c	$1,141,163	JV Agreement
Wilson Creek Surgical Ctr LLC
c	$4,729,740	JV Agreement
Flower Mound Hospital Partners LLC
d	$189,606	InterCo Billing
Rockwall Regional Hospital LLC
d	$257,197	InterCo Billing
Arlington Surgery Center LLC
l	$164,449	InterCo Billing
Castle Hills Surgicare LLC
1	$157,483	InterCo Billing
Cleburne Surgical Ctr LLC
l	$166,215	InterCo Billing
Cross Timbers Surger Center LLC
l	$134,387	InterCo Billing
Denton Surgery Center LLC
l	$177,867	InterCo Billing
Flower Mound Hospital Partners LLC
l	$18,305,363	InterCo Billing
Ft Worth Endoscopy Ctr LLC
l	$392,701	InterCo Billing
Greenville Surgery Center LLC
l	$92,783	InterCo Billing
Health Imaging Partners LLC
l	$2,793,519	InterCo Billing
Mansfield Endoscopy Ctr LLC
l	$70,302	InterCo Billing
North Dallas Surgical Ctr LLC
l	$124,716	InterCo Billing
Ophthalmology Surg Ctr-Dallas LLC
l	$575,360	InterCo Billing
Park Hill Surgery Center LLC
l	$336,987	InterCo Billing
Physician Medical Center LLC
l	$7,259,560	InterCo Billing
Rockwall Regional Hospital LLC
l	$12,069,077	InterCo Billing
South Arlington Surgery Ctr LLC
l	$123,533	InterCo Billing
Southlake Specialty Hospital
l	$6,654,749	InterCo Billing
Surg Caregivers of Fort Worth
l	$225,436	InterCo Billing
TH Craig Ranch Surg Ctr LLC
l	$120,650	InterCo Billing
TH Flower Mound Ortho Surg
l	$218,022	InterCo Billing
TH Ortho Surg Ctr Alliance LLC
l	$208,308	InterCo Billing
TH Spine Surgery Ctr Allen LLC
l	$60,206	InterCo Billing
TH Spine Surgery Ctr Alliance LLC
l	$122,894	InterCo Billing
TH Supply Chain Services LLC
l	$1,531,638	InterCo Billing
TH Surg Ctr Chsholm Trl LLC
l	$174,573	InterCo Billing
TH Surg Ctr Irving LLC
l	$94,993	InterCo Billing
TH Surg Ctr Preston Plaza LLC
l	$319,179	InterCo Billing
TH Surg Ctr Rockwall LLC
l	$340,816	InterCo Billing
TH Surgery Center Southwest Fort Worth
l	$174,421	InterCo Billing
TH Surgery Ctr Bedford LLC
l	$107,280	InterCo Billing
THR-STT Rockwall ASC LLC
l	$90,155	InterCo Billing
THR-STT Southlake ASC LLC
l	$83,122	InterCo Billing
USMD Hospital at Arlington LP
l	$111,333	InterCo Billing
Walnut Hill Surg Ctr LLC
l	$85,726	InterCo Billing
Wilson Creek Surgical Ctr LLC
l	$192,897	InterCo Billing
Willow Park Endoscopy Ctr LLC
1	$81,127	InterCo Billing
Cleburne Surgical Ctr LLC
q	$76,133	InterCo Billing
Denton Surgery Center LLC
q	$83,339	InterCo Billing
Flower Mound Hospital Partners LLC
q	$778,107	InterCo Billing
Ft Worth Endoscopy Ctr LLC
q	$208,284	InterCo Billing
Health Imaging Partners LLC
q	$840,834	InterCo Billing
North Dallas Surg Ctr LLC
q	$56,670	InterCo Billing
Ophthalmology Surg Ctr-Dallas
q	$192,305	InterCo Billing
Park Hill Surgery Center LLC
q	$152,904	InterCo Billing
Physician Medical Center LLC
q	$398,158	InterCo Billing
Rockwall Regional Hospital LLC
q	$358,712	InterCo Billing
THRSTT Rockwall ASC LLC
q	$51,876	InterCo Billing
Southlake Specialty Hospital
q	$325,841	InterCo Billing
Texas Health Chisholm Trail LLC
q	$56,196	InterCo Billing
Surg Caregivers of Fort Worth
q	$112,527	InterCo Billing
TH Ortho Surg Ctr Alliance LLC
q	$113,755	InterCo Billing
Texas Health Surgery Center Alliance LLC
q	$50,747	InterCo Billing
TH Surg Ctr Preston Plaza LLC
q	$141,340	InterCo Billing
TH Surg Ctr Rockwall LLC
q	$148,317	InterCo Billing
TH Surgery Center SW Fort Worth LLC
q	$98,138	InterCo Billing
TH Craig Ranch Sug Ctr LLC
q	$76,703	InterCo Billing
TH Flower Mound Ortho Surg Ctr LLC
q	$132,070	InterCo Billing
USMD Hospital at Arlington LP
q	$244,212	InterCo Billing
Wilson Creek Surgical Ctr LLC
q	$87,935	InterCo Billing
Grace Indemnity Company SPC Ltd
r	$45,837,173	Cash Trans
Grace Indemnity Company SPC Ltd
s	$27,697,401	Cash Trans
Rockwall Regional Hospital LLC
k	$56,840	Facility Lease
TH Supply Chain Services LLC
k	$127,000	Facility Lease

Supplemental Information Detail SupplementalInformationDetail

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