Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TEXAS HEALTH INSTITUTE
Employer identification number
74-2237787
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
159,016
2,372,056
2,313,505
1,932,741
2,070,145
8,847,463
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
159,016
2,372,056
2,313,505
1,932,741
2,070,145
8,847,463
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
8,847,463
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
159,016
2,372,056
2,313,505
1,932,741
2,070,145
8,847,463
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
41,754
34,488
42,752
31,614
54,949
205,557
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
3,957
1,167
1,904
7,028
11
Total support (Add lines 7 through 10).
9,060,048
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
1,468,798
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
97.650 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
97.180 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TEXAS HEALTH INSTITUTE
Employer identification number
74-2237787
Identifier
Return Reference
Explanation
PROGRAM SERVICE STATEMENT
FORM 990, PART III, LINE 4C
OBESITY AND DIABETES PROJECTS - SINCE 2007, THI HAS FACILITATED THE ANNUAL SOUTHERN OBESITY SUMMIT WITH A CONSORTIUM OF 16 SOUTHERN STATES. THIS SUMMIT HAS EVOLVED INTO A POLICY CONSORTIUM OF LEADERSHIP FROM THE MEMBER STATES WHO HAVE DEVELOPED A SOUTHERN STRATEGY TO REDUCE OBESITY WITH STRONG STATE COALITIONS AND A NETWORK OF STAKEHOLDERS SHARING INFORMATION ON BEST PRACTICES. THI PROVIDES ADMINISTRATIVE SERVICES FOR THE PARTNERSHIP FOR A HEALTHY TEXAS, A HIGHLY SUCCESSFUL POLICY COALITION THAT HAS LED POLICY DEVELOPMENT IN THE AREA OF OBESITY PREVENTION AT THE STATE LEVEL. THI IS PART OF THE FIVE YEAR ROBERT WOOD JOHNSON FOUNDATION-FUNDED TEXAS CHILDHOOD OBESITY PREVENTION POLICY EVALUATION (T-COPPE) STUDY TEAM AND ASSISTS DR. HOELSCHER, UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH AND DR. ORY, TEXAS A&M UNIVERSITY SCHOOL OF RURAL PUBLIC HEALTH WITH POLICY ANALYSIS, RESEARCH DISSEMINATION AT THE STATE AND NATIONAL AND OTHER COMMUNICATION FUNCTIONS. PUBLIC HEALTH - IN THE PUBLIC HEALTH AREA, THI PROVIDES TECHNICAL ASSISTANCE IN STAKEHOLDER ENGAGEMENT, STRATEGIC PLANNING, FUTURING, INFRASTRUCTURE DEVELOPMENT, FINANCE, AND POLICY DEVELOPMENT. AN EXAMPLE OF THIS WAS THI CONVENING PUBLIC MEETINGS AROUND THE COUNTY HEALTH RANKINGS PUBLISHED BY THE UNIVERSITY OF WISCONSIN AND THE ROBERT WOOD JOHNSON FOUNDATION. HEALTH INFORMATION TECHNOLOGY - THE TEXAS HEALTH IT SUMMITS WERE CREATED IN PARTNERSHIP WITH TMF HEALTH QUALITY INSTITUTE AND THE FOUR TX HIT REC'S AS TEXAS' FOREMOST CONFERENCE ON HEALTH INFORMATION TECHNOLOGY. THE TEXAS HEALTH IT SUMMITS ARE REGIONALLY IMPORTANT EDUCATIONAL OPPORTUNITIES THAT FOCUS PROVIDERS ON "MEANINGFUL USE", E-PRESCRIBING, EHR IMPLEMENTATION, HEALTH INFORMATION EXCHANGE (HIE), FEDERAL STIMULUS FUNDING, WORKFORCE AND CAREER AND A NUMBER OF OTHER SHORT AND LONG TERM CHALLENGES OF HIT DEVELOPMENT AT EVERY LEVEL. SINCE 2010, SUMMITS WERE HELD IN DALLAS, HOUSTON AND TWO IN AUSTIN. MORE THAN 950 STAKEHOLDERS ATTENDED AND 41 VENDORS EXHIBITED AND DEMONSTRATED THEIR PRODUCT. TEXAS HEALTH IT SUMMITS PROVIDE MULTIPLE LEARNING OPPORTUNITIES FOR PROFESSIONALS LOOKING TO PURCHASE AN EHR, THE HARDWARE NEEDED TO MOVE INTO THE NEXT LEVEL OF HEALTHCARE, OR THOSE WHO WANT TO LEARN MORE ABOUT THE ALPHABET SOUP OF HEALTH INFORMATION TECHNOLOGY. FOR VENDORS, THIS IS AN UNPRECEDENTED OPPORTUNITY TO DEMONSTRATE PRODUCTS AND THEIR COMPANY WITH TEXAS HEALTHCARE PROVIDERS IN THE REGIONAL AREA.
FORM 990, PART VI, SECTION B, LINE 11
THE BOARD OF DIRECTORS HAS AN AUDIT/INVESTMENTS/TAX COMMITTEE. THE AIT COMMITTEE REVIEWS THE FORM 990 WITH THE TAX PREPARER AND MEMBERS OF THI STAFF. ONCE THEY ARE SATISFIED, IT IS PUT BEFORE THE WHOLE BOARD FOR REPORTING PURPOSES AND ANY ISSUES OR QUESTIONS ARE THEN ADDRESSED.
FORM 990, PART VI, SECTION B, LINE 12C
AS PROJECTS ARE PURSUED, THE ORGANIZATION USES DUE DILIGENCE AND RESEARCH TO DETERMINE IF ANY BOARD MEMBER OR KEY EMPLOYEE HAS A CONFLICT OF INTEREST. CURRENTLY, THE ORGANIZATION HAS NO KEY EMPLOYEES OR BOARD MEMBERS WITH A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15A
THE PRESIDENT/CEO SALARY IS DETERMINED BY THE GOVERNING BODY WHICH IS COMPRISED OF UNPAID VOLUNTEERS.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 50,968.
FOMR 990, PART XI, LINE 2C:
THE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS HAS NOT CHANGED FROM PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.