TEXAS HEALTH RESOURCES: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: TEXAS HEALTH RESOURCES (EIN 75-2702388)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-11
IRS object ID: 202213159349300826
Schema version: 2021v4.2
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	2022-11-11T07:36:57-06:00	ReturnTs
Tax Period End	2021-12-31	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	301 MAIN STREET STE 2150	AddressLine1Txt
City	BATON ROUGE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70801	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	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	2022-11-10	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	David	PersonFirstNm
Person Last	Jackson	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brittany Elliser	PreparerPersonNm
PTIN	P01284594	PTIN
Phone	2253444000	PhoneNum
Preparation	2022-11-01	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$3,060,040,365	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	14	VotingMembersIndependentCnt
Total Employee	5296	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$6,039,706	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,127,749	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,202,278	PYContributionsGrantsAmt
CY Contributions Grants	$2,710,828	CYContributionsGrantsAmt
PY Program Service Revenue	$825,771,661	PYProgramServiceRevenueAmt
CY Program Service Revenue	$869,222,362	CYProgramServiceRevenueAmt
PY Investment Income	$338,941,572	PYInvestmentIncomeAmt
CY Investment Income	$502,212,921	CYInvestmentIncomeAmt
PY Other Revenue	$12,158,906	PYOtherRevenueAmt
CY Other Revenue	$11,438,492	CYOtherRevenueAmt
PY Total Revenue	$1,181,074,417	PYTotalRevenueAmt
CY Total Revenue	$1,385,584,603	CYTotalRevenueAmt
PY Grants And Similar Paid	$630,405	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$388,091	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$391,454,511	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$417,058,709	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$385,681,707	PYOtherExpensesAmt
CY Other Expenses	$382,869,984	CYOtherExpensesAmt
PY Total Expenses	$777,766,623	PYTotalExpensesAmt
CY Total Expenses	$800,316,784	CYTotalExpensesAmt
PY Revenues Less Expenses	$403,307,794	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$585,267,819	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,796,455,588	TotalAssetsBOYAmt
Total Assets EOY	$9,455,761,477	TotalAssetsEOYAmt
Total Liabilities BOY	$2,833,364,310	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,718,846,899	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,963,091,278	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,736,914,578	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	$800,316,784	ExpenseAmt
Grant	$388,091	GrantAmt
Revenue	$875,190,154	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	$800,316,784	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	false	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	Yes (true)	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	false	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	1357	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5296	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	14	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 (58 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BerdanBarclay E
Chief Executive Officer	43.25	6.75	Yes (X)	Yes (X)	$3,299,415	$0	$338,211
MiaoWinjie Tang
SEVP Chief Experience Officer	45.0	5.0		Yes (X)	$1,556,006	$0	$159,483
McWhorterRicky E
EVP & Chief Financial Officer	45.0	5.0		Yes (X)	$1,363,156	$0	$161,401
KingJames Kirk
Hospital Channel COO	45.0	5.0		Yes (X)	$1,201,569	$0	$149,837
Sudomir JrJoseph M
SVP Chief Info Officer	50.0	0.0		Yes (X)	$1,202,887	$0	$116,243
Parobek JrJames S
Former Officer	0.0	40.0			$0	$1,149,005	$139,023	Yes (X)
KramerKenneth J
EVP General Counsel	45.0	5.0		Yes (X)	$1,132,375	$0	$136,291
JonesRobert Douglas
SVP & Chief Investment Officer	50.0	0.0		Yes (X)	$970,474	$0	$117,286
VelascoFerdinand T
SVP & Chief Hlth Info Officer	40.0	0.0		Yes (X)	$781,812	$0	$122,946
MasicaAndrew
CMO Reliable Health	40.0	0.0		Yes (X)	$769,601	$0	$118,423
MitchellJohn D
Chief Business Develpmt Officr	40.0	5.0		Yes (X)	$777,722	$0	$106,053
DawsonCarla S
Chief People Officer	40.0	0.0		Yes (X)	$666,485	$0	$97,188
IngramBartholomew
SVP Product Development	40.0	0.0		Yes (X)	$651,526	$0	$101,409
TesmerDavid J
Chief Commnty & Public Pol Off	40.0	0.0		Yes (X)	$616,519	$0	$106,301
GentzelWilliam Todd
SVP Consm Strat & Mkt Insights	40.0	0.0		Yes (X)	$619,355	$0	$71,020
SalsberryDavid C
Chief Revenue Officer	40.0	0.0		Yes (X)	$619,822	$0	$62,267
CraftBrian
SVP Hospital Financial Ops	40.0	0.0		Yes (X)	$574,902	$0	$96,841
RobinsonMary C
CNO Reliable Health	40.0	0.0		Yes (X)	$559,875	$0	$86,956
MoralesMark A
VP Chief Learning Officer	40.0	0.0			$536,618	$0	$100,387		Yes (X)
JacksonDavid W
Chief Accounting Officer	40.0	5.0		Yes (X)	$535,754	$0	$90,372
CoxKathleen B
SVP Integrated Experience	40.0	0.0		Yes (X)	$542,977	$0	$77,870
McAllisterDeena A
SVP Brand Experience	40.0	0.0		Yes (X)	$517,779	$0	$101,397
WhiteleyJohn E
SVP Fin Plan Analys & Amb Ops	40.0	0.0		Yes (X)	$531,739	$0	$82,301
GoldbergGary Alan
SVP Risk Capablts & New Prods	40.0	0.0		Yes (X)	$511,923	$0	$100,509
MehringRonald Charles
VP Technology & Security/CISO	40.0	0.0			$553,349	$0	$53,153			Yes (X)
HolmesKevin B
VP Facilities Design & Constrn	40.0	0.0			$526,382	$0	$78,359		Yes (X)
BanerjeeSan
VP Digital Experience Term 10/	40.0	0.0			$538,102	$0	$59,670			Yes (X)
ClintonShaun
SVP Supply Chain Management	40.0	0.0		Yes (X)	$500,689	$0	$83,050
KingLenetra S
Prgm Devel&Integ COO Term 7/21	40.0	0.0		Yes (X)	$543,133	$0	$20,228
MeyerBrandie S
SVP Strategic Transformation	40.0	0.0		Yes (X)	$483,052	$0	$73,180
ReevesSandra G
VP Treas/Asst Chief Invest Off	40.0	0.0			$483,980	$0	$71,730		Yes (X)
BallRandell L
VP System Pharmacy Officer	40.0	0.0			$485,760	$0	$69,825		Yes (X)
SullivanJon M
VP Real Estate Operations	40.0	0.0			$484,908	$0	$70,093		Yes (X)
CollinsDonald B
VP Legal Services	40.0	0.0			$462,110	$0	$81,024			Yes (X)
KutacMary-Katherine Anne
Chief HR Officer SWHR CIN	40.0	0.0			$531,759	$0	$609			Yes (X)
SchroederJennifer Ann
VP Asst General Counsel	40.0	0.0			$459,823	$0	$50,701			Yes (X)
StewartRebekah
SVP & Chief Compliance Officer	40.0	0.0		Yes (X)	$424,219	$0	$34,954
CantuStacy G
VP Chief Gov Offr & Corp Secr	40.0	5.0		Yes (X)	$383,606	$0	$62,821
OliverosCatherine
VP Community Health Improvemnt	40.0	0.0			$407,196	$0	$37,897		Yes (X)
Koshy-NesbittSunita Sara
Hospital Channel CQO	40.0	0.0		Yes (X)	$349,352	$0	$27,575
PearsonGeorge
Former Officer	0.0	0.0			$157,519	$0	$0	Yes (X)
BerenzweigHarold Karl
Former Officer	0.0	12.0			$0	$156,600	$0	Yes (X)
LongRonald R
Former Officer	0.0	0.0			$126,630	$0	$0	Yes (X)
KirbyMichelle Riddle
Former Officer	0.0	0.0			$116,017	$0	$0	Yes (X)
Vigness MD Richard
Vice Chair	1.06	0.37	Yes (X)		$9,078	$0	$0
Siripurapu MD Ravi
Trustee	1.06	0.37	Yes (X)		$700	$0	$0
Wilder Jr Charles
Chair	1.06	0.37	Yes (X)		$0	$0	$0
Stripling MD W Dennis
Immediate past chair	1.06	0.37	Yes (X)		$0	$0	$0
Bernstein Kenneth
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
Hunt Hunter
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
Washington Bernice
Trustee	1.06	0.37	Yes (X)		$0	$0	$0
Weeks Susan
Trustee	1.06	0.37	Yes (X)		$0	$0	$0
Wynne James
Trustee	1.06	0.37	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$21,093,640	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,149,005	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,893,168	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	964	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
Accenture LLP
1255 Treat Blvd	WALNUT CREEK	CA	94597	Professional Svc	$8,408,000
PWC Advisory Svs LLC
4040 W Boy Scout Blvd	TAMPA	FL	33607	Consulting Svc	$7,696,358
Mindstream Media Group LLC
1717 Main St 40th Flr	DALLAS	TX	75201	Marketing	$6,942,038
Royal General Contractors Inc
PO Box 734	COPPELL	TX	75019	Construction	$6,600,638
Kelly's Restoration
4480 Shiloh Road	MIDLOTHIAN	TX	76065	Construction	$5,299,534

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	213	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,710,828	RelatedOrganizationsAmt
Noncash Contributions	$11,520	NoncashContributionsAmt
Total Contributions	$2,710,828	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT FEE	541610	$651,706,844	$648,744,124	$2,962,720
JOINT VENTURE EARNINGS	621400	$141,700,908	$139,335,631	$2,365,277
RENTAL FEE	531120	$68,956,362	$68,956,362
MANAGED CARE FEES	541990	$5,424,859	$5,324,860	$99,999
PATIENT REVENUE	622110	$745,627	$745,627

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$687,762	TotalRevenueColumnAmt
Related Or Exempt Func Income	$687,762	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$869,222,362	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,504,466	TotalRevenueColumnAmt
Exclusion	$105,504,466	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$124	TotalRevenueColumnAmt
Exclusion	$124	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$126,471	TotalRevenueColumnAmt
Exclusion	$126,471	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,241,910	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$450,123	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$791,787	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$791,787	TotalRevenueColumnAmt
Unrelated Business Revenue	-$260,296	UnrelatedBusinessRevenueAmt
Exclusion	$1,052,083	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,045,185,552	SecuritiesAmt
Other	$25,528,418	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,649,693,292	SecuritiesAmt
Other	$24,312,347	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$395,492,260	SecuritiesAmt
Other	$1,216,071	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$396,708,331	TotalRevenueColumnAmt
Exclusion	$396,708,331	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	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL RECORDS	561000	$2,157,893	$2,157,893
CENTRAL STAFFING	541800	$1,525,016		$1,525,016
PARKING	812930	$1,520,844	$1,520,844

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,316,481	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,442,776	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$872,006	UnrelatedBusinessRevenueAmt
Exclusion	$1,699	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,520,234	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,385,584,603	TotalRevenueColumnAmt
Related Or Exempt Func Income	$869,762,158	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,039,706	UnrelatedBusinessRevenueAmt
Exclusion	$507,071,911	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$358,091	TotalAmt
Program Services	$358,091	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$30,000	TotalAmt
Program Services	$30,000	ProgramServicesAmt

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	$25,590,140	TotalAmt
Program Services	$25,590,140	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	$324,504,250	TotalAmt
Program Services	$324,504,250	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,887,652	TotalAmt
Program Services	$6,887,652	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$40,066,349	TotalAmt
Program Services	$40,066,349	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,010,318	TotalAmt
Program Services	$20,010,318	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,868,338	TotalAmt
Program Services	$4,868,338	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,793,898	TotalAmt
Program Services	$2,793,898	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,223,239	TotalAmt
Program Services	$2,223,239	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$128,430	TotalAmt
Program Services	$128,430	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	$25,729,903	TotalAmt
Program Services	$25,729,903	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$54,291,097	TotalAmt
Program Services	$54,291,097	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$14,582,523	TotalAmt
Program Services	$14,582,523	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,947,878	TotalAmt
Program Services	$7,947,878	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$101,031,542	TotalAmt
Program Services	$101,031,542	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$29,255,962	TotalAmt
Program Services	$29,255,962	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,145,793	TotalAmt
Program Services	$1,145,793	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	$601,311	TotalAmt
Program Services	$601,311	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$46,777,473	TotalAmt
Program Services	$46,777,473	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$50,448,360	TotalAmt
Program Services	$50,448,360	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,187,841	TotalAmt
Program Services	$1,187,841	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
INTERCOMPANY AFFILIATE SVC	$6,857,615	$6,857,615
UBI FED INC TAX	$846,048	$846,048
LICENSES & FEES	$5,561,154	$5,561,154
SWHR AFFILIATE AGREEMENT	$5,328,938	$5,328,938

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,262,641	TotalAmt
Program Services	$21,262,641	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$800,316,784	TotalAmt
Program Services	$800,316,784	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$68,191,583	BOYAmt
EOY	$14,204,172	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$767,929,025	BOYAmt
EOY	$653,578,610	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	$9,112,242	BOYAmt
EOY	$5,509,690	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$1,737,688	BOYAmt
EOY	$1,607,416	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	$41,114,701	BOYAmt
EOY	$31,289,578	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$27,717,319	BOYAmt
EOY	$19,766,656	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$40,930,274	BOYAmt
EOY	$60,969,227	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$810,379,842	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$450,972,694	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$373,872,410	BOYAmt
EOY	$359,407,148	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$6,194,878,822	BOYAmt
EOY	$6,828,021,556	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$151,239,810	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$790,976,426	BOYAmt
EOY	$794,504,854	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$91,386,236	BOYAmt
EOY	$113,116,948	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$388,608,862	BOYAmt
EOY	$422,545,812	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,796,455,588	BOYAmt
EOY	$9,455,761,477	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$485,725,877	BOYAmt
EOY	$479,375,819	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	$12,299,720	BOYAmt
EOY	$11,247,327	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,216,649,398	BOYAmt
EOY	$1,212,917,994	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	$939,764,545	BOYAmt
EOY	$945,581,991	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	$178,924,770	BOYAmt
EOY	$69,723,768	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,833,364,310	BOYAmt
EOY	$2,718,846,899	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	$5,963,091,278	BOYAmt
EOY	$6,736,914,578	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	$5,963,091,278	BOYAmt
EOY	$6,736,914,578	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,796,455,588	BOYAmt
EOY	$9,455,761,477	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$585,267,819	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$221,461,370	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$32,905,889	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	$46,837,451
TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE
451502252	3	false	$0	$21,387,229
TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE
751748586	3	false	$0	$6,110,340
TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE
751977850	3	false	$0	$11,835,747
TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
756001743	3	Yes (true)	$0	$127,783,991
TEXAS HEALTH HARRIS METHODIST HOSPITAL HEB
751438726	3	false	$0	$39,570,989
TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST
752678857	3	false	$0	$45,771,704
TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE
751752253	3	false	$0	$7,422,589
TEXAS HEALTH PHYSICIANS GROUP
752613493	10	false	$0	$59,650,605
TEXAS HEALTH RESOURCES FOUNDATION
752022128	7	false	$0	$482,249
TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN
752890358	3	false	$0	$16,618,251
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
751047527	3	Yes (true)	$0	$98,267,848
TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
432008974	3	false	$0	$33,344,397
TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN
752771437	3	false	$0	$5,675,088
TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
752770738	3	false	$0	$59,101,538
TEXAS HEALTH RESEARCH & EDUCATION INSTITUTE
752562191	4	false	$0	$300,169
TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH
751648589	3	false	$0	$1,321,226
TEXAS HEALTH BACK CARE
474724257	10	false	$0	$0
TEXAS HEALTH RECOVERY AND WELLNESS CENTER
812813227	3	false	$0	$1,510,515
TEXAS HEALTH UGENT CARE
814317635	3	false	$0	$2,756,788
TEXAS HEALTH MEDICAL SUPPORT
812833150	10	false	$0	$1,111,216
TEXAS HEALTH VIRTUAL CARE
873611585	3	false	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	22	SupportedOrganizationsTotalCnt
Other Support Sum	$586,859,930	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	Yes (true)	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	Yes (true)	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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Supported Organizations - Part IV, Section A, Line 1	The governing documents of Texas Health Resources (THR) do not list all supported organizations by name. The documents specifically list Texas Health Presbyterian Hospital Dallas, Texas Health Harris Methodist Hospital Fort Worth and Texas Health Arlington Memorial Hospital. The documents also allow THR to support other hospitals and health care delivery organizations which are closely related in purpose or function through common control, ownership, and/or management. THR has not specifically listed the names of all supported organizations to ease the administrative burden of updating the governing documents when new hospitals are added to the system or when an entity changes its name.
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.
Determination Letter - Part IV, Section A, Line 2	Texas Health Virtual Care was formed during 2021. An exemption application pursuant to IRC Section 501(c)(3) has been filed with the IRS.
Part VI, Section A, Line 5a	The following THR wholly owned supporting organization were dissolved in 2020: Texas Health Outpatient Surgery Center Alliance FEIN 80-0800294 Texas Health Behavioral Health Bedford FEIN 81-2798838 Texas Health Behavioral Health Plano FEIN 81-2792484 The following supported organization was formed by THR, the parent organization during 2021. Texas Health Virtual Care 87-3611585

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	$11,583	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$128,430	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$1,701,512	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$1,841,525	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 $5,146,737,000 for the year ended December 31, 2021. Of this amount $1,840,226(.036%) 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	$50,180,493	OtherCostOrOtherBasisAmt
Book Value	$50,180,493	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$204,723,709	OtherCostOrOtherBasisAmt
Depreciation	$120,199,152	DepreciationAmt
Book Value	$84,524,557	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$185,991,075	OtherCostOrOtherBasisAmt
Depreciation	$122,479,134	DepreciationAmt
Book Value	$63,511,941	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$342,107,606	OtherCostOrOtherBasisAmt
Depreciation	$208,294,409	DepreciationAmt
Book Value	$133,813,197	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,376,960	OtherCostOrOtherBasisAmt
Book Value	$27,376,960	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$359,407,148	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CONTROLLED CONSOLIDATED AFFIL	$207,599,488	C
CONTROLLED UNCONSOLIDATED AFFI	$586,905,366	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$794,504,854	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
OPERATING LEASE LIBILITY	$12,573,550
PROFESSIONAL LIABILITY RESERVE	$45,613,800
SECURITY DEPOSITS	$5,255
POST RETIREMENT BENEFITS	$717,389
SUP RETIREMENT LIABILITY	$5,747,421
ASSET RETIREMENT OBLIGATIONS	$1,494,067
UNAMORTIZED STRAIGHT LINE RENT	$3,572,286

Field	Value	IRS element (for citing)
Total Liability	$69,723,768	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$121,922,864	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$121,922,864	SubtotalSpentAmt
Total Spent	$121,922,864	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	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 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.

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	false	ExpensesExceedBudgetInd
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	$4,511,528	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$269,475	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,242,053	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,088,626	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,439,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,648,776	NetCommunityBenefitExpnsAmt
Total Expense	0.01400	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,868	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,220	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,646,022	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,725,973	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,920,049	NetCommunityBenefitExpnsAmt
Total Expense	0.03040	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,475,936	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,475,936	NetCommunityBenefitExpnsAmt
Total Expense	0.05960	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$257,644	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$257,644	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$183,013	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$183,013	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,916,593	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,916,593	NetCommunityBenefitExpnsAmt
Total Expense	0.06040	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,562,615	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,725,973	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,836,642	NetCommunityBenefitExpnsAmt
Total Expense	0.09080	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,025	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,025	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$619	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$619	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,644	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,644	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$25,655,466	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$38,013,189	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$48,360,044	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,346,855	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 (38 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	0.5448	0.0	0.4552
Flower Mound Hosp
Hospital	0.5395	0.0	0.4605
Greenville Surg Ctr
Ambulatory Surgery Center	0.5675	0.0	0.4325
LHCH XXXIII LLC
Home Care	0.2	0.0	0.8
Mansfield Endoscopy
Endoscopy Center	0.51	0.0	0.41
N Dallas Surg Ctr
Ambulatory Surgery Center	0.5695	0.0	0.4305
North Texas ACO
Accountable Care Org	0.5	0.0	0.5
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	0.5486	0.0	0.4514
ROCKWALL REG HOSP
Hospital	0.6127	0.0	0.3873
S ARLINGTON SURG PR
Ambulatory Surgery Center	0.51	0.0	0.49
SOUTHLAKE SPEC HOSP
Hospital	0.5393	0.0	0.4607
SURG CAREGIVERS FW
Ambulatory Surgery Center	0.51	0.0	0.49
TH CRAIG RANCH SURG
Ambulatory Surgery Center	0.5306	0.0	0.4694
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	0.735	0.0	0.265
TH SURG CTR BEDFORD
Ambulatory Surgery Center	0.5141	0.0	0.4859
TH SURG CTR IRVING
Ambulatory Surgery Center	0.51	0.0	0.49
TH SURG CTR PRESTON
Ambulatory Surgery Center	0.52	0.0	0.48
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
USMD HOSPITAL AT FW
Hospital - Not operating	0.5097	0.0	0.4904
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	0.3645	0.0	0.23

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
Texas Health Flower Mound
1	4400 Long Prairie Rd	Flower Mound	TX	75028	www.texashealth.org	TDH #100056	Yes (X)	Yes (X)	Yes (X)
Texas Health Rockwall
2	3150 Horizon Rd	Rockwall	TX	75032	www.texashealth.org	TDH #0008599	Yes (X)	Yes (X)	Yes (X)
USMD Hospital at Arlington
3	801 W Interstate 20	Arlington	TX	76017	www.usmdarlington.com	TDH #007990	Yes (X)	Yes (X)	Yes (X)
Texas Health Southlake
4	1545 E Southlake Blvd	Southlake	TX	76092	www.texashealth.org	TDH #006814	Yes (X)	Yes (X)	Yes (X)
Physicians Medical Center
5	6020 Parker Rd	Plano	TX	75093	www.texashealth.org	TDH #008153	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (5 entries)

FacilityFacilityNum	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	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt
Texas Health Flower Mound
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	See Section C	Yes (X)	Yes (true)	20	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
3	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	See Section C	Yes (X)	Yes (true)	20	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	Yes (X)	See Section C
Texas Health Rockwall
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	See Section C	Yes (X)	Yes (true)	20	Yes (true)	See Section C	false	false	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
Texas Health Southlake
4	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	See Section C	Yes (X)	Yes (true)	20	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
Physicians Medical Center
5	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	See Section C	Yes (X)	Yes (true)	20	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

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 Facility #2 - Texas Health Rockwall Facility #3 - USMD at Arlington Facility #4 - Texas Health Southlake Facility #5 - Physicians Medical Center 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 Texas Health Flower Mound's (THFM) 2019 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 2019 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 April 2018 and August 2018, the communities' health needs were assessed through key informant interviews, secondary data analysis, a windshield survey serving to assist asset-mapping through community observation, and focus groups. 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 community members with interests specific to the health of individuals in the Denton/Wise Counties region in the CHNA development process. Forty of these community members were engaged across six separate focus groups held in zip-codes that were identified as underserved areas. Ten served as key informants, and the windshield survey was conducted by two Texas Health graduate fellows and four community health managers. 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: Cultivar Capital, Inc.; DATCU Credit Union; Denton County Public Health; First Refuge Ministries; Hankins, Eastup, Deaton, Tonn & Seay; John E. Baines, P.C.; Maximus, Inc.; Saint Andrews Presbyterian Church; Texas Department of State Health Services; Texas Women's University; United Way of Denton County; and University of North Texas. Findings from all data sources (secondary data, interviews and focus groups, and the windshield survey/observational 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 impacted the development of the 2020 CHNA implementation plan, 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 #2 Texas Health Rockwall's (THRW) 2019 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 Counties region. The 2019 CHNA was conducted at the Dallas/Rockwall 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 May 2018 and August 2018, the communities' health needs were assessed through key informant interviews, secondary data analysis, a windshield survey serving to assist asset-mapping through community observation, and focus groups. 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 102 community members with interests specific to the health of individuals in the Dallas/Rockwall Counties region in the CHNA development process. Ninety-six of these community members were engaged across seven separate focus groups held in zip-codes that were identified as underserved areas. Six served as key informants, and the windshield survey was conducted by two Texas Health graduate fellows and three community health managers. 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 : Arlington-Mansfield YMCA; CCR & Associates; Cigna; Communities Foundation of Texas; Ernst & Young; Fee, Smith, Sharp & Vitullo, LLP; Fischer & Company; International Leadership of Texas; Literacy Achieves; Preston Hollow Presbyterian Church; Scheef & Stone, LLP; St. Barnabas Presbyterian Church; Texas Woman's University; The Senior Source and Toyota Motor North America. Findings from all data sources (secondary data, interviews and focus groups, and the windshield survey/observational 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 impacted the development of the 2020 CHNA implementation plan, 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 2019 CHNA for USMD Hospital Arlington (USMD) and Texas Health Southlake (THSL) 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 2019 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 April 2018 and August 2018, the communities' health needs were assessed through key informant interviews, secondary data analysis, a windshield survey serving to assist asset-mapping through community observation, and focus groups. 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 159 community members with interests specific to the health of individuals in the Tarrant/Parker Counties region in the CHNA development process. One hundred forty-nine of these community members were engaged across eleven separate focus groups held in zip-codes that were identified as underserved areas. Ten served as key informants, and the windshield survey was conducted by two Texas Health graduate fellows and five community health managers. 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: Azle ISD; Broadie's Aircraft; City of Bedford; Emergency Medicine Consultant Ltd.; Ft Worth South, Inc.; Higginbotham Insurance Agency; Higher Praise Family Church; KPMG; Private Wealth Solutions Inc.; Parker County Hospital District; Tarrant County College; Tarrant Transit Alliance; The Abbey Church; Thos.S. Byrne, Inc.; United Way of Tarrant County; Urban Theory; and Z's Cafe & Catering. Findings from all data sources (secondary data, interviews and focus groups, and the windshield survey/observational 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 impacted the development of the 2020 CHNA implementation plan, 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 Physicians Medical Center's (PMC) 2019 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 2019 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 April 2018 and August 2018, the communities' health needs were assessed through key informant interviews, secondary data analysis, a windshield survey serving to assist asset-mapping through community observation, and focus groups. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members,	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	27	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Texas Health Resources	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 disparities in the social determinants of health factors that influence the overall health and wellbeing of individuals in the communities Texas Health serves. As identified in the community health needs assessment, there are areas of need that are not aligned with the traditional operations of a hospital system. Our volunteerism, collaborations and partnership opportunities with various community-based organizations and coalitions foster our ability to address the social and environmental needs for the purpose of providing for the whole person beyond the clinical services. 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. 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 2019, Texas Health Resources (Texas Health) completed a community health needs assessment (CHNA) for 25 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 2020 to identify zip codes/communities that were ready to address the health and social needs in their communities within the next 3 years. Through this effort, sixteen zip codes emerged as highest readiness, which resulted in the launch of the community impact initiative that awarded grants to community-based organizations in these geographic locations to address the needs in their communities. In 2021, seven additional zip codes were added to this initiative, through additional funds to the community based organizations we have been able to expand resources and services to more community members. 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 with a financial assistance application. The patient is informed that the hospital is offering financial assistance to patients deemed medically or financially indigent. The PLS is included on the back of our patient bills. The patient is informed of how to qualify for financial assistance, how to ask for help, necessary documentation, and THR's collection process. The onsite financial counselors may assist the patient in completing the application and obtain available verification information. The counselors will continue to contact the patient to ensure all forms and verifications needed to file an application for governmental assistance and financial assistance have been provided. In certain cases, self-pay patients who are discharged before seeing a financial counselor receive both a phone call and a letter to alert them to the existence of the FAP. Each bill sent for hospital services also contains contact information alerting patients that Texas Health has a FAP. Part VI, Line 4 - Community Information THR does not operate its own hospitals, but has ownership in five joint ventures operating as hospitals. The joint ventures operate hospitals in various communities throughout North Texas. The communities served by the hospital	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 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
Dallas Regional Chamber
500 N Akard St Ste 2600	Dallas	TX	75201	750223440	501(C)(6)	$10,375	General Purpose
Davy O'Brien Educational & Charitable Trust
306 West 7th Street	Fort Worth	TX	76102	751620423	501(C)(3)	$12,000	General Purpose
Fort Worth Chamber of Commerce
777 Taylor St 900	Fort Worth	TX	76102	750275060	501(C)(6)	$13,500	General Purpose
Cancer Support Community North Texas
PO Box 601744	Dallas	TX	75360	752633654	501(c)(3)		Cancer Support	$282,166	FMV	Rent Payment
Arlington Chamber of Commerce
505 E Border St	Arlington	TX	76010	750745859	501(c)(6)	$10,100	General Purpose
American Red Cross North Texas Region
4800 Harry Hines Blvd	Dallas	TX	75234	530196605	501(c)(3)	$10,000	Disaster Relief

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Scholarships	GrantTypeTxt
Recipient	4	RecipientCnt
Cash Grant	$30,000	CashGrantAmt
Valuation Method Used	Book	ValuationMethodUsedDesc

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 (44 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	$1,675,202	$0	$1,247,300	$0	$376,913	$0	$289,437	$0	$48,774	$0	$3,637,626	$0	$268,618	$0
MiaoWinjie Tang
SEVP Chief Experience Officer	$894,932	$0	$391,888	$0	$269,186	$0	$128,896	$0	$30,587	$0	$1,715,489	$0	$52,361	$0
McWhorterRicky E
EVP & Chief Financial Officer	$785,374	$0	$332,535	$0	$245,247	$0	$114,232	$0	$47,169	$0	$1,524,557	$0	$39,816	$0
Sudomir JrJoseph M
SVP Chief Info Officer	$497,470	$0	$539,241	$0	$166,176	$0	$64,975	$0	$51,268	$0	$1,319,130	$0	$337,371	$0
KingJames Kirk
Hospital Channel COO	$656,358	$0	$307,624	$0	$237,587	$0	$101,868	$0	$47,969	$0	$1,351,406	$0	$48,503	$0
KramerKenneth J
EVP General Counsel	$629,563	$0	$297,194	$0	$205,618	$0	$98,557	$0	$37,734	$0	$1,268,666	$0	$46,912	$0
JonesRobert Douglas
SVP & Chief Investment Officer	$612,398	$0	$228,746	$0	$129,330	$0	$70,192	$0	$47,094	$0	$1,087,760	$0	$26,939	$0
VelascoFerdinand T
SVP & Chief Hlth Info Officer	$458,973	$0	$187,013	$0	$135,826	$0	$65,149	$0	$57,797	$0	$904,758	$0	$25,566	$0
MitchellJohn D
Chief Business Develpmt Officr	$445,947	$0	$175,698	$0	$156,077	$0	$58,654	$0	$47,399	$0	$883,775	$0	$22,066	$0
MasicaAndrew
CMO Reliable Health	$514,300	$0	$144,715	$0	$110,586	$0	$66,280	$0	$52,143	$0	$888,024	$0	$6,388	$0
DawsonCarla S
Chief People Officer	$420,487	$0	$142,132	$0	$103,866	$0	$57,003	$0	$40,185	$0	$763,673	$0	$5,454	$0
IngramBartholomew
SVP Product Development	$426,356	$0	$133,542	$0	$91,628	$0	$54,429	$0	$46,980	$0	$752,935	$0	$5,895	$0
SalsberryDavid C
Chief Revenue Officer	$375,284	$0	$143,184	$0	$101,354	$0	$14,468	$0	$47,799	$0	$682,089	$0	$20,301	$0
GentzelWilliam Todd
SVP Consm Strat & Mkt Insights	$398,801	$0	$128,862	$0	$91,692	$0	$37,114	$0	$33,906	$0	$690,375	$0	$5,625	$0
TesmerDavid J
Chief Commnty & Public Pol Off	$376,234	$0	$142,536	$0	$97,749	$0	$59,851	$0	$46,450	$0	$722,820	$0	$19,774	$0
CraftBrian
SVP Hospital Financial Ops	$345,243	$0	$124,202	$0	$105,457	$0	$48,567	$0	$48,274	$0	$671,743	$0	$13,982	$0
RobinsonMary C
CNO Reliable Health	$325,376	$0	$116,426	$0	$118,073	$0	$49,034	$0	$37,922	$0	$646,831	$0	$9,973	$0
KingLenetra S
Prgm Devel&Integ COO Term 7/21	$194,814	$0	$101,711	$0	$246,608	$0	$5,163	$0	$15,065	$0	$563,361	$0	$0	$0
CoxKathleen B
SVP Integrated Experience	$337,152	$0	$111,818	$0	$94,007	$0	$49,889	$0	$27,981	$0	$620,847	$0	$11,504	$0
JacksonDavid W
Chief Accounting Officer	$325,186	$0	$111,884	$0	$98,684	$0	$53,076	$0	$37,296	$0	$626,126	$0	$11,705	$0
WhiteleyJohn E
SVP Fin Plan Analys & Amb Ops	$324,783	$0	$108,121	$0	$98,835	$0	$47,606	$0	$34,695	$0	$614,040	$0	$8,450	$0
McAllisterDeena A
SVP Brand Experience	$298,105	$0	$109,245	$0	$110,429	$0	$47,562	$0	$53,835	$0	$619,176	$0	$8,822	$0
GoldbergGary Alan
SVP Risk Capablts & New Prods	$315,124	$0	$103,514	$0	$93,285	$0	$47,546	$0	$52,963	$0	$612,432	$0	$4,430	$0
ClintonShaun
SVP Supply Chain Management	$305,471	$0	$107,824	$0	$87,394	$0	$44,361	$0	$38,689	$0	$583,739	$0	$14,552	$0
MeyerBrandie S
SVP Strategic Transformation	$312,206	$0	$100,388	$0	$70,458	$0	$39,343	$0	$33,837	$0	$556,232	$0	$6,610	$0
StewartRebekah
SVP & Chief Compliance Officer	$307,071	$0	$75,000	$0	$42,148	$0	$25,377	$0	$9,577	$0	$459,173	$0	$0	$0
CantuStacy G
VP Chief Gov Offr & Corp Secr	$260,900	$0	$68,801	$0	$53,905	$0	$12,656	$0	$50,165	$0	$446,427	$0	$696	$0
Koshy-NesbittSunita Sara
Hospital Channel CQO	$292,110	$0	$0	$0	$57,242	$0	$2,623	$0	$24,952	$0	$376,927	$0	$0	$0
MoralesMark A
VP Chief Learning Officer	$265,788	$0	$63,570	$0	$207,260	$0	$50,522	$0	$49,865	$0	$637,005	$0	$0	$0
HolmesKevin B
VP Facilities Design & Constrn	$309,451	$0	$103,256	$0	$113,675	$0	$21,750	$0	$56,609	$0	$604,741	$0	$10,398	$0
BallRandell L
VP System Pharmacy Officer	$313,049	$0	$79,319	$0	$93,392	$0	$21,750	$0	$48,075	$0	$555,585	$0	$0	$0
SullivanJon M
VP Real Estate Operations	$295,655	$0	$81,970	$0	$107,283	$0	$21,750	$0	$48,343	$0	$555,001	$0	$0	$0
ReevesSandra G
VP Treas/Asst Chief Invest Off	$314,731	$0	$85,916	$0	$83,333	$0	$21,750	$0	$49,980	$0	$555,710	$0	$0	$0
OliverosCatherine
VP Community Health Improvemnt	$275,443	$0	$68,292	$0	$63,461	$0	$7,441	$0	$30,456	$0	$445,093	$0	$410	$0
MehringRonald Charles
VP Technology & Security/CISO	$278,016	$0	$184,090	$0	$91,243	$0	$21,750	$0	$31,403	$0	$606,502	$0	$100,833	$0
BanerjeeSan
VP Digital Experience Term 10/	$228,846	$0	$78,016	$0	$231,240	$0	$9,559	$0	$50,111	$0	$597,772	$0	$0	$0
KutacMary-Katherine Anne
Chief HR Officer SWHR CIN	$285,660	$0	$212,242	$0	$33,857	$0	$0	$0	$609	$0	$532,368	$0	$28,958	$0
CollinsDonald B
VP Legal Services	$278,211	$0	$80,217	$0	$103,682	$0	$21,750	$0	$59,274	$0	$543,134	$0	$0	$0
SchroederJennifer Ann
VP Asst General Counsel	$281,886	$0	$80,550	$0	$97,387	$0	$21,750	$0	$28,951	$0	$510,524	$0	$0	$0
LongRonald R
Former Officer	$0	$0	$31,806	$0	$94,824	$0	$0	$0	$0	$0	$126,630	$0	$125,628	$0
BerenzweigHarold Karl
Former Officer	$0	$156,500	$0	$100	$0	$0	$0	$0	$0	$0	$0	$156,600	$0	$0
PearsonGeorge
Former Officer	$0	$0	$0	$0	$157,519	$0	$0	$0	$0	$0	$157,519	$0	$157,519	$0
Parobek JrJames S
Former Officer	$0	$594,056	$0	$392,167	$0	$162,782	$0	$89,024	$0	$49,999	$0	$1,288,028	$0	$145,533
KirbyMichelle Riddle
Former Officer	$0	$0	$0	$0	$116,017	$0	$0	$0	$0	$0	$116,017	$0	$116,017	$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. No costs associated with his first-class travel are added to the taxable wages of the CEO. All other THR personnel follows 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 - 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. Banerjee, San 151,430 King, Lenetra 210,788
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 based 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). Banerjee,San 2,492 Berdan,Barclay E. 268,618 Clinton,Shaun 14,552 Cox,Kathleen B. 11,504 Craft,Brian 13,982 Dawson,Carla S 5,454 Gentzel,William Todd 5,625 Goldberg,Gary Alan 4,430 Holmes,Kevin B. 10,398 Ingram,Bartholomew 5,895 Jackson,David W. 11,705 Jones,Robert Douglas 26,939 King,James Kirk 48,503 King,Lenetra S 2,766 Kramer,Kenneth J. 46,912 Kutac,Mary-Katherine 150,000 Long,Ronald R 31,806 Masica,Andrew 6,388 McAllister,Deena A. 8,822 McWhorter,Ricky E. 39,816 Mehring,Ronald Charles 110,000 Meyer,Brandie S 6,610 Mitchell,John D. 22,066 Parobek Jr,James S 165,533 Robinson,Mary C. 9,973 Salsberry,David C 14,782 Sudomir Jr,Joseph M 365,704 Tesmer,David J. 19,774 Velasco,Ferdinand T. 25,566 Whiteley,John E 8,450

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		2010-11-30	$135,000,000	Construction & Equip Health Facili	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	$2,490,000	$0	$135,000,000	$0	$0	$0	$444,565	$0	$0	$134,555,435	$0	$0	2013	false	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	0.01600	0.01600	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.01570	0.01570	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 10/30/2018.
Part IV, Line 2C, Column B	Rebate calculations for the 2010 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 10/17/17.
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	0.00230	0.00230	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.00040	0.00040	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	Yes (true)	false	false	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

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI, Line 2c, Column A	FormAndLineReferenceDesc
Explanation	Rebate calculations for the 2016 series were completed 11/18/2021.	ExplanationTxt

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	Yes (true)	Yes (true)
King James Kirk
Officer	Split Dollar Life	Yes (X)	$128,966	false	Yes (true)	Yes (true)
Kramer Kenneth Jr
Officer	Split Dollar Life	Yes (X)	$150,799	false	Yes (true)	Yes (true)
Long Ronald R
Former	Split Dollar Life	Yes (X)	$771,290	false	Yes (true)	Yes (true)
Tesmer David J
Officer	Split Dollar Life	Yes (X)	$86,108	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$1,607,416	TotalBalanceDueAmt

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 first quarter of each fiscal year, a Duality and Conflict of Interest Statement Form is distributed by the THR Chief Compliance Officer to all board members, officers, contracted medical directors, employees with a title of manager or above, employed physicians, and certain committee members and other employees based upon function. All disclosed conflicts are reviewed by the THR Chief Compliance Officer. A report, listing each reported Duality of Interest or Conflict of Interest is given to both the Chair of the Governing body and the President of the Corporation with which the reporting person is affiliated. The THR Board of Trustees receives a report when the Annual Disclosure process is complete. Progressive corrective action is taken for any identified noncompliance which may include removal from a board or committee or physician/employee counseling if the person fails to provide the disclosure. In addition, THR monitors physician payments through a public database implemented by CMS. Management plans are executed as needed based upon disclosures. THR also educates the Boards and workforce annually through either a web based or live compliance training.
990, Part VI, Section 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 ($331,059) Adjustment for Intercompany Transactions of a Controlled Group ($32,574,830) 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 (4 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	$37,299,609	$91,718,919	TH Resources
THR-SCA Holdings LLC
612 E Lamar Blvd	Arlington	TX	76011	461096461	Holding Co	TX	$82,549,391	$148,710,504	TH Resources
Texas Health Resources Trust
612 E Lamar Blvd	Arlington	TX	76011	306406740	Investments	TX	$26,580,269	$166,550,290	TH Resources
Tx Hlth Surgery Center Las Colinas LLC
612 E Lamar Blvd	Arlington	TX	76011	843814491	Inactive	TX	$0	$0	THR-SCA Hold

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 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 Grou	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 Foundatio	false
Dallas County Indigent Care Corporation
PO Box 655999	Dallas	TX	75265	260610562	Support Org	TX	501(c)(3)	12a	NA	false
Healthy Tarrant County Collaboration
PO Box 8040	Fort Worth	TX	76124	432087946	Support Org.	TX	501(c)(3)	12a	NA	false
Texas Health Huguley Surgery Center LLC
12001 S Freeway	Burleson	TX	76028	821289045	Amb Surg Ctr	TX	501(c)(3)	3	TH Huguley	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (43 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
AMH Cath Labs LLC
811 Wright St	Arlington	TX	76012	203003947	Hospital	TX	NA	N/A
Arlington Surgery Center LLC
918 N Davis Dr	Arlington	TX	76012	752055800	Amb Surg Ctr	TX	THR-SCA Holding	Related	$1,520,749	$1,675,006	false	$0	false	0.51753
Cleburne Surgical Center LLC
2010 W Katherine P Raines Blvd St	Cleburne	TX	76033	203742012	Amb Surg Ctr	TX	THR-SCA Holding	Related	$2,700,322	$2,653,857	false	$0	Yes (true)	0.51000
Cross Timbers Surgery Center LLC
1001 N Waldrop Dr Ste 705	Arlington	TX	76102	752862780	Amb Surg Ctr	TX	THR-SCA Holding	Related	$107,600	$1,570,315	false	$0	Yes (true)	0.51000
Denton Surgery Center LLC
207 North Bonnie Brea	Denton	TX	76201	470926556	Amb Surg Ctr	TX	THR-SCA Holding	Related	$3,011,826	$7,165,149	false	$0	Yes (true)	0.54483
Flower Mound Hospital Partners LLC
4400 Long Prairie Rd	Flower Mound	TX	75028	260684968	Hospital	TX	TH Resources	Related	$25,990,237	$100,162,294	false	$0	Yes (true)	0.54285
Fort Worth Endoscopy Centers LLC
900 W Magnolia Ave 101	Fort Worth	TX	76104	770368346	Endoscopy Center	TX	THR-SCA Holding	Related	$12,236,923	$6,017,862	false	$0	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	$1,897,780	$2,185,462	false	$0	Yes (true)	0.56750
Health Imaging Partners LLC
8610 Explorer Drive Ste 300	Colorado Springs	CO	80920	271385885	Medical Imaging	TX	TH Resources	Related	$27,901,730	$43,244,372	false	$0	false	0.51000
Mansfield Endoscopy Center LLC
647 N Miller Rd	Mansfield	TX	76063	861354607	Endoscopy	TX	THR-SCA Holding	Related	-$155,436	$2,304,599	false	$0	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	$1,677,830	$530,755	false	$0	Yes (true)	0.56953
Opthalmology Surgery Center of Dallas LL
10740 N Central Expy	Dallas	TX	75231	261914835	Amb Surg Ctr	TX	THR-SCA Holding	Related	$11,495,181	$8,551,774	false	$0	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	$4,751,468	$3,105,315	false	$0	Yes (true)	0.51000
Physicians Medical Center LLC
6020 W Parker Rd	Plano	TX	75093	481281376	Hospital	TX	TH Resources	Related	$16,976,148	$31,596,859	false	$0	Yes (true)	0.54862
Presbyterian Cancer Ctr-Dallas LLC
PO Box 819067	Dallas	TX	75381	260422749	Cancer Ctr	TX	NA	N/A
Rockwall Regional Hospital LLC
3150 Horizon Rd	Rockwall	TX	75032	202848116	Hospital	TX	TH Resources	Related	$11,537,514	$134,644,197	false	$0	Yes (true)	0.61267
South Arlington Surgical Providers LLC
350 E Interstate 20 Ste 200	Arlington	TX	76018	752723958	Amb Surg Ctr	TX	THR-SCA Holding	Related	$788,066	$14,658,696	false	$0	Yes (true)	0.51000
Southlake Specialty Hospital LLC
1545 E Southlake Blvd	Southlake	TX	76092	020555370	Hospital	TX	TH Resources	Related	$7,123,591	$18,266,453	false	$0	Yes (true)	0.53932
Surgical Caregivers of Fort Worth LLC
2001 W Rosedale St	Fort Worth	TX	76104	751925497	Amb Surg Ctr	TX	THR-SCA Holding	Related	$5,474,818	$4,766,351	false	$0	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	$3,086,486	$3,399,059	false	$0	Yes (true)	0.53061
Texas Health Flower Mound Orthopedic Sur
5000 Long Prairie Rd	Flower Mound	TX	75028	800866449	Amb Surg Ctr	TX	THR-SCA Holding	Related	$5,067,988	$3,509,716	false	$0	Yes (true)	0.51000
Texas Health Huguley Surgery Center LLC
12001 S Freeway	Burleson	TX	76028	821289045	Amb Surg Ctr	TX	TH Huguley	Related	$1,548,179	$2,945,037	false	$0	false	0.36450
Texas Health Orthopedic Surgery Center A
9848 N Beach St	Fort Worth	TX	76244	814977249	Amb Surg Ctr	TX	THR-SCA Holding	Related	$4,348,461	$6,130,805	false	$0	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	$662,851	$1,579,615	false	$0	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	$52,713	$1,927,284	false	$0	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	$527,991	$5,136,362	false	$0	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	$1,565,305	$5,233,109	false	$0	Yes (true)	0.73500
Texas Health Surgery Center Bedford LLC
1605 Airport Freeway Ste 100	Bedford	TX	76021	821307876	Amb Surg Ctr	TX	THR-SCA Holding	Related	$811,939	$2,098,942	false	$0	Yes (true)	0.51406
Texas Health Surgery Center Chisholm Tra
5900 Altamesa Blvd	Fort Worth	TX	76132	851225852	Amb Surg Ctr	TX	THR-SCA Holding	Related	-$149,889	$1,153,177	false	$0	Yes (true)	0.51000
Texas Health Surgery Center Irving LLC
2120 N MacArthur Blvd Ste 200	Irving	TX	75061	831085415	Amb Surg Ctr	TX	THR-SCA Holding	Related	$670,106	$1,700,483	false	$0	Yes (true)	0.51000
Texas Health Surgery Center Preston Plaz
17950 Preston Road Ste 75	Dallas	TX	75252	203991622	Amb Surg Ctr	TX	THR-SCA Holding	Related	$6,511,252	$5,708,352	false	$0	Yes (true)	0.52000
Texas Health Surgery Center Rockwall LLC
3144 Horizon Rd Ste 120	Rockwall	TX	75032	474425996	Amb Surg Ctr	TX	THR-SCA Holding	Related	$6,080,088	$7,430,712	false	$0	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	$915,927	$2,560,823	false	$0	Yes (true)	0.51000
Texas Health Surgery Center Waxahachie
1434 US Hwy 287 Bypass Ste 100	Waxahachie	TX	75165	831464243	Amb Surg Ctr	TX	THR-SCA Holding	Related	-$516,991	$4,967,942	false	$0	Yes (true)	0.57000
Texas Health Surgery Center Willow Park
612 E Lamar Blvd Ste 600	Arlington	TX	76011	841953918	Inactive	TX	THR-SCA Holding	Related			false	$0	Yes (true)	0.51000
Texas Institute for Surgery LLP
7115 Greenville Ave Ste 100	Dallas	TX	75231	770628004	Hospital	TX	NA	N?A
THR-STT Rockwall ASC LLC
1545 E Southlake Blvd	Southlake	TX	76092	262429878	Amb Surg Ctr	TX	TH Resources	Related	$1,676,490	$779,909	false	$0	Yes (true)	0.51000
THR-STT Southlake ASC LLC
1545 E Southlake Blvd	Southlake	TX	76092	201728912	Amb Surg Ctr	TX	TH Resources	Related	$1,784,953	$794,491	false	$0	Yes (true)	0.63352
USMD Hospital at Arlington LP
801 I -20 West	Arlington	TX	76017	731662763	Hospital	TX	TH Resources	Related	$3,711,425	$34,793,935	false	$0	false	0.52364
USMD Hospital at Fort Worth LP
5900 Altamesa Blvd	Fort Worth	TX	76132	203571243	Hospital Closed	TX	TH Resources	Related	-$208,119	$62,580	false	$0	false	0.50965
Walnut Hill Surgery Center LLC
5494 Glen Lakes Dr	Dallas	TX	75231	364499777	Amb Surg Ctr	TX	THR-SCA Holding	Related	$775,422	$9,443,028	false	$0	Yes (true)	0.51000
Wilson Creek Surigcal Center LLC
8855 Synergy Drive	McKinney	TX	75070	274816583	Amb Surg Ctr	TX	THR-SCA Holding	Related	$4,069,193	$3,396,532	false	$0	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	NA	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	OwnershipOwnershipPct	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	$699,128	$81,559,901	1.00000	false
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	Yes (true)	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 (96 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Ft Worth Endoscopy Ctr LLC
a	$705,158	Lease
Health Imaging Partners LLC
a	$347,094	Lease
TH Surgery Ctr Alliance LLC
a	$649,156	Lease
TH Surgery Center Southwest Fort Worth LLC
a	$1,091,521	Lease
TH Supply Chain Services LLC
a	$99,437	lease
TH Surgery Center Chisholm Trail LLC
b	$1,275,005	JV Agreement
Arlington Surgery Center LLC
c	$1,157,829	JV Agreement
Cleburne Surgical Ctr LLC
c	$2,295,489	JV Agreement
Denton Surgery Center LLC
c	$4,019,533	JV Agreement
Flower Mound Hospital Partners LLC
c	$22,683,552	JV Agreement
Ft Worth Endoscopy Ctr LLC
c	$10,956,110	JV Agreement
Greenville Surgery Center LLC
c	$2,092,889	JV Agreement
Health Imaging Partners LLC
c	$24,151,050	JV Agreement
North Dallas Surgical Ctr LLC
c	$963,654	JV Agreement
Ophthalmology Surg Ctr-Dallas LLC
c	$10,477,340	JV Agreement
Park Hill Surgery Center LLC
c	$4,565,946	JV Agreement
Physician Medical Center LLC
c	$17,234,663	JV Agreement
Rockwall Regional Hospital LLC
c	$11,892,363	JV Agreement
South Arlington Surgical Providers LLC
c	$2,627,099	JV Agreement
Southlake Specialty Hospital
c	$7,387,366	JV Agreement
Surg Caregivers of Fort Worth
c	$5,167,678	JV Agreement
TH Craig Ranch Surg Ctr LLC
c	$3,007,444	JV Agreement
TH Flower Mound Ortho Surg
c	$5,150,656	JV Agreement
TH Ortho Surg Ctr Alliance LLC
c	$3,687,707	JV Agreement
TH Spine Surgery Ctr Allen LLC
c	$694,610	JV Agreement
TH Spine Surgery Ctr Alliance LLC
c	$101,379	JV Agreement
TH Surg Ctr Alliance LLC
c	$1,180,577	JV Agreement
TH Surg Ctr Preston Plaza LLC
c	$5,890,668	JV Agreement
TH Surg Ctr Rockwall LLC
c	$4,715,790	JV Agreement
TH Surgery Center Southwest Fort Worth
c	$660,859	JV Agreement
TH Surgery Ctr Bedford LLC
c	$972,614	JV Agreement
TH Surgery Ctr Irving LLC
c	$583,529	JV Agreement
THR-STT Rockwall ASC LLC
c	$1,229,594	JV Agreement
THR-STT Southlake ASC LLC
c	$1,707,746	JV Agreement
USMD Hospital at Fort Worth LP
c	$4,421,216	JV Agreement
Walnut Hill Surgery Ctr LLC
c	$1,391,867	JV Agreement
Wilson Creek Surgical Ctr LLC
c	$3,635,687	JV Agreement
Flower Mound Hospital Partners LLC
d	$208,746	InterCo Billing
Ophthalmology Surg Ctr-Dallas
d	$60,000	InterCo Billing
Rockwall Regional Hospital LLC
d	$257,303	InterCo Billing
Arlington Surgery Center LLC
l	$169,356	InterCo Billing
Cleburne Surgical Ctr LLC
l	$211,839	InterCo Billing
Denton Surgery Center LLC
l	$196,654	InterCo Billing
Flower Mound Hospital Partners LLC
l	$14,173,273	InterCo Billing
Ft Worth Endoscopy Ctr LLC
l	$318,374	InterCo Billing
Greenville Surgery Center LLC
l	$111,688	InterCo Billing
Health Imaging Partners LLC
l	$2,505,733	InterCo Billing
North Dallas Surgical Ctr LLC
l	$159,212	InterCo Billing
Ophthalmology Surg Ctr-Dallas LLC
l	$214,271	InterCo Billing
Park Hill Surgery Center LLC
l	$203,107	InterCo Billing
Physician Medical Center LLC
l	$4,601,055	InterCo Billing
Rockwall Regional Hospital LLC
l	$13,319,886	InterCo Billing
South Arlington Surgery Ctr LLC
l	$100,145	InterCo Billing
Southlake Specialty Hospital
l	$5,442,425	InterCo Billing
Surg Caregivers of Fort Worth
l	$218,558	InterCo Billing
TH Craig Ranch Surg Ctr LLC
l	$353,110	InterCo Billing
TH Flower Mound Ortho Surg
l	$281,422	InterCo Billing
TH Ortho Surg Ctr Alliance LLC
l	$190,427	InterCo Billing
TH Spine Surgery Ctr Allen LLC
l	$69,315	InterCo Billing
TH Spine Surgery Ctr Alliance LLC
l	$269,942	InterCo Billing
TH Supply Chain Services LLC
l	$1,278,668	InterCo Billing
TH Surg Ctr Chsholm Trl LLC
l	$269,616	InterCo Billing
TH Surg Ctr Irving LLC
l	$65,400	InterCo Billing
TH Surg Ctr Preston Plaza LLC
l	$113,683	InterCo Billing
TH Surg Ctr Rockwall LLC
l	$173,834	InterCo Billing
TH Surgery Center Southwest Fort Worth
l	$82,180	InterCo Billing
TH Surgery Ctr Bedford LLC
l	$131,760	InterCo Billing
ow Park LLC THR-STT Rockwall ASC LLC
l	$237,910	InterCo Billing
TH Surgery Ctr Willow Park LLC
l	$75,000	InterCo Billing
THR-STT Rockwall ASC LLC
l	$103,335	InterCo Billing
THR-STT Southlake ASC LLC
l	$105,990	InterCo Billing
USMD Hospital at Arlington LP
l	$109,683	InterCo Billing
Walnut Hill Surg Ctr LLC
l	$53,508	InterCo Billing
Wilson Creek Surgical Ctr LLC
l	$330,454	InterCo Billing
Cleburne Surgical Ctr LLC
q	$60,221	InterCo Billing
Denton Surgery Center LLC
q	$68,863	InterCo Billing
Flower Mound Hospital Partners LLC
q	$767,112	InterCo Billing
Ft Worth Endoscopy Ctr LLC
q	$125,355	InterCo Billing
Greenville Surgery Center LLC
q	$50,316	InterCo Billing
Health Imaging Partners LLC
q	$549,677	InterCo Billing
North Dallas Surg Ctr LLC
q	$56,185	InterCo Billing
Ophthalmology Surg Ctr-Dallas
q	$192,649	InterCo Billing
Park Hill Surgery Center LLC
q	$117,847	InterCo Billing
Physician Medical Center LLC
q	$404,388	InterCo Billing
Rockwall Regional Hospital LLC
q	$636,927	InterCo Billing
Southlake Specialty Hospital
q	$282,149	InterCo Billing
Surg Caregivers of Fort Worth
q	$109,473	InterCo Billing
TH Ortho Surg Ctr Alliance LLC
q	$88,679	InterCo Billing
Texas Health Surgery Center Alliance LLC
q	$55,334	InterCo Billing
TH Surg Ctr Preston Plaza LLC
q	$100,876	InterCo Billing
TH Surg Ctr Rockwall LLC
q	$107,626	InterCo Billing
TH Craig Ranch Sug Ctr LLC
q	$69,038	InterCo Billing
TH Flower Mound Ortho Surg Ctr LLC
q	$96,237	InterCo Billing
Wilson Creek Surgical Ctr LLC
q	$77,910	InterCo Billing
Grace Indemnity Company SPC Ltd
r	$41,709,270	Cash Trans
Grace Indemnity Company SPC Ltd
s	$12,623,373	Cash Trans

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