Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 01-01-2024 , and ending 12-31-2024
BCheck if applicable:
CName of organization
Texas Health Resources
 
% CHRIS LANE
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
612 E Lamar Blvd Ste 600
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Arlington, TX76011
D Employer identification number

75-2702388
E Telephone number

G Gross receipts $ 4,134,479,003
F Name and address of principal officer:
Barclay Berdan
612 E Lamar Blvd
Arlington,TX76011
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
texashealth.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 1997
M State of legal domicile: TX
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: Through its affiliates, THR operates an integrated healthcare system with services and facilities throughout north central texas to improve healthcare.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 7,005
6 Total number of volunteers (estimate if necessary) ............. 6 14
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 5,237,677
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 2,246,134
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,077,977 3,164,036
9 Program service revenue (Part VIII, line 2g) ......... 994,353,833 1,123,627,286
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 376,050,261 499,208,629
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 12,135,519 12,711,380
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,385,617,590 1,638,711,331
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 423,244 478,710
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 457,640,626 495,819,048
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 459,876,051 523,421,785
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 917,939,921 1,019,719,543
19 Revenue less expenses. Subtract line 18 from line 12....... 467,677,669 618,991,788
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 9,472,702,224 9,856,946,354
21 Total liabilities (Part X, line 26)............. 3,255,122,280 2,822,450,087
22 Net assets or fund balances. Subtract line 21 from line 20..... 6,217,579,944 7,034,496,267
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2024)
Form 990 (2024)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,019,719,543 including grants of $ 478,710 ) (Revenue $ 1,127,577,846 )
Founded in 1997, Texas Health Resources (THR) provides direction and oversight to its wholly controlled affiliates in the THR System (System). The System is made up of wholly controlled, consolidated and unconsolidated joint ventures. It includes acute care hospitals, a long-term care hospital, short-stay hospitals, and rehabilitation centers. Other health care services provided by the System, virtually or in person, include ambulatory surgery centers, urgent care centers, addiction treatment, mental health services, and an array of community-oriented education programs. 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.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expenses1,019,719,543
Form 990 (2024)
Form 990 (2024)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment
List of Attached Documents:
// Content
.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment
List of Attached Documents:
// Content
......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
List of Attached Documents:
// Content
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
List of Attached Documents:
// Content
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
List of Attached Documents:
// Content
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
List of Attached Documents:
// Content
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
List of Attached Documents:
// Content
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
Yes
 
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
List of Attached Documents:
// Content
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
1,367
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
7,005
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: CJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
CHRIS LANE612 E LAMAR BLVD   Arlington,TX76011 (682) 236-7900
Form 990 (2024)
Form 990 (2024)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) BerdanBarclay E......................................................................
THR CEO/Trustee
 45.05
.................
4.95 		X   X       4,340,945 0 1,249,460
(2) MiaoWinjie Tang......................................................................
SEVP Chief Operating Officer
 45.0
.................
5.0 		    X       1,927,618 0 532,205
(3) IrvineLaura L......................................................................
SEVP Chf Strat/Exper Ofr
 50.0
.................
0.0 		    X       1,747,953 0 590,651
(4) McWhorterRicky E......................................................................
SEVP & Chief Financial Officer
 45.0
.................
5.0 		    X       1,769,197 0 380,374
(5) KingJames Kirk......................................................................
Hospital Channel COO
 45.0
.................
5.0 		    X       1,623,103 0 289,873
(6) KramerKenneth J......................................................................
EVP/Assistant Secretary
 42.5
.................
7.5 		    X       1,346,110 0 271,306
(7) JonesRobert Douglas......................................................................
SVP & Chief Investment Officer
 50.0
.................
0.0 		    X       1,140,128 0 191,479
(8) DawsonCarla S......................................................................
Chief People Officer
 40.0
.................
0.0 		    X       982,965 0 233,586
(9) Sudomir JrJoseph M......................................................................
SVP Chief Info Officer
 50.0
.................
0.0 		    X       1,026,635 0 186,503
(10) MasicaAndrew......................................................................
Chief Medical Officer
 40.0
.................
0.0 		    X       937,286 0 179,622
(11) FlorenJoshua Andrew......................................................................
SVP Hospital Channel
 40.0
.................
0.0 		    X       915,242 0 166,513
(12) VelascoFerdinand T......................................................................
SVP & Chief Hlth Info Officer
 40.0
.................
0.0 		    X       840,484 0 179,231
(13) MitchellJohn D......................................................................
Chief Transaction Officer
 40.0
.................
0.0 		    X       826,596 0 162,058
(14) TuckerRebecca D......................................................................
SVP Channel Integration
 40.0
.................
0.0 		    X       815,679 0 145,270
(15) CoxKathleen B......................................................................
Ambulatory&Virtual Channel COO
 40.0
.................
0.0 		    X       835,071 0 117,960
(16) TesmerDavid J......................................................................
Chief Commnty & Public Pol Off
 40.0
.................
0.0 		    X       708,540 0 190,553
(17) JacksonDavid W......................................................................
Chief Accounting Officer/Asst
 32.5
.................
7.5 		    X       709,546 0 125,382
Form 990 (2024)
Form 990 (2024)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) GoldbergGary Alan........................................................................
Chief Rev & Finan Risk Officer
 40.0
.......................0.0 		    X       657,113 0 149,469
(19) BernardTraci H........................................................................
President THSL
 40.0
.......................0.0 		        X   659,361 0 133,271
(20) ParrisMichael........................................................................
Chief DA Officer term 07/2024
 40.0
.......................0.0 		    X       750,139 0 40,698
(21) McAllisterDeena A........................................................................
SVP Brand Experience
 40.0
.......................0.0 		    X       630,745 0 152,270
(22) CraftBrian........................................................................
SVP Hospital Financial Ops
 40.0
.......................0.0 		    X       622,469 0 141,235
(23) RobinsonMary C........................................................................
Chief Nursing Executive
 40.0
.......................0.0 		    X       628,845 0 130,708
(24) WhiteleyJohn E........................................................................
SVP Fin Plan Analys & Amb Ops
 40.0
.......................0.0 		    X       611,828 0 130,884
(25) Koshy-NesbittSunita Sara........................................................................
Hospital Channel CQO
 40.0
.......................40.0 		        X   224,151 406,464 105,916
(26) PopeBrandon Reed........................................................................
SVP Strategy & Mkt Development
 40.0
.......................0.0 		    X       563,207 0 157,013
(27) ClintonShaun........................................................................
SVP Supply Chain Management
 40.0
.......................0.0 		    X       579,656 0 134,156
(28) DaveNilesh B........................................................................
VP Clinical Effectiveness CMO
 40.0
.......................0.0 		        X   637,773 0 60,046
(29) StewartRebekah........................................................................
SVP & Chief Compliance Officer
 40.0
.......................0.0 		    X       594,375 0 95,457
(30) MincherJeff........................................................................
SVP Revenue Cycle
 40.0
.......................0.0 		    X       533,504 0 141,370
(31) MonksShelly........................................................................
VP & Chief Academic Officer
 40.0
.......................0.0 		        X   589,321 0 62,945
(32) SchroederJennifer Ann........................................................................
SVP Deputy General Counsel
 40.0
.......................0.0 		    X       537,805 0 108,836
(33) SullivanJon M........................................................................
VP Real Estate Operations
 40.0
.......................0.0 		      X     528,549 0 78,026
(34) HolmesKevin B........................................................................
VP Facilities Design & Constrn
 40.0
.......................0.0 		        X   519,850 0 86,601
(35) ReevesSandra G........................................................................
VP Treas/Asst Chief Invest Off
 40.0
.......................0.0 		      X     507,171 0 80,636
(36) CantuStacy G........................................................................
VP Chief Gov Offr & Corp Secr
 32.5
.......................7.5 		    X       399,545 0 73,969
(37) ScheeleJon Zachry........................................................................
SVP Busi Devl & Growth
 40.0
.......................0.0 		    X       242,517 0 29,982
(38) KirbyMichelle Riddle........................................................................
Former Officer
 0.0
.......................0.0 		          X 127,706 0 0
(39) Chhutani Sheila MD........................................................................
Trustee
 1.27
.......................0.37 		X           60,850 0 0
(40) Modi Dhruvangkumar MD........................................................................
Trustee
 0.89
.......................0.13 		X           21,869 0 0
(41) Vigness Richard MD........................................................................
Chair
 1.01
.......................0.23 		X           0 0 0
(42) Hunt Hunter........................................................................
Vice Chair
 1.23
.......................0.25 		X           0 0 0
(43) Wilder Jr Charles........................................................................
Immediate Past Chair
 0.93
.......................0.15 		X           0 0 0
(44) Bernstein Kenneth........................................................................
Trustee
 1.27
.......................0.26 		X           0 0 0
(45) Braun Vianei Lopez JD........................................................................
Trustee
 0.93
.......................0.15 		X           0 0 0
(46) Guyton Michael........................................................................
Trustee
 1.68
.......................0.55 		X           0 0 0
(47) Haggar III Joseph........................................................................
Trustee
 0.89
.......................0.13 		X           0 0 0
(48) Hum Lawrence MD........................................................................
Trustee
 1.27
.......................0.37 		X           0 0 0
(49) Iruegas Javier........................................................................
Trustee
 1.18
.......................0.21 		X           0 0 0
(50) Montgomery Lynn........................................................................
Trustee
 1.22
.......................0.25 		X           0 0 0
(51) NunezIgnacio MD........................................................................
Trustee
 1.53
.......................0.42 		X           0 0 0
(52) Susan Weeks DNP........................................................................
Trustee
 1.23
.......................0.25 		X           0 0 0
1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 27,277,749 406,464 6,176,477
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 1,923
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
PWC Advisory Svs LLC,
4040 W Boy Scout Blvd
TAMPA,FL33607 		Consulting Svc 16,012,383
BECK ARCHITECTURE LLC,
1601 ELM STREET STE 2800
DALLAS,TX75201 		Construction 5,992,813
Miller Weisbrod Olesky LLP,
11551 FOREST CENTRAL DR STE 300
DALLAS,TX75243 		Legal Services 8,946,000
PIVOT TECHNOLOGY SERVICES CORP,
6025 THE CORNERS PKWY NW
NORCROSS,GA30092 		Consulting Svc 14,328,231
HARTFORD FINANCIAL SERVICES GROUP I,
ONE HARTFORD PLAZA
HARTFORD,CT06155 		Financial Services 7,401,571
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 217
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 3,164,036
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f....... 3,164,036
Program Service RevenueAmt Business Code
2a MANAGEMENT FEE 541610 838,308,607 833,330,178 4,978,429  
b JOINT VENTURE EARNINGS 621400 199,416,229 199,682,852 -266,623  
c RENTAL FEE 531120 72,307,325 72,307,325    
d MANAGED CARE FEES 541990 12,529,953 12,429,957 99,996  
e EDUCATION REVENUE 624190 609,119 609,119    
f All other program service revenue. 456,053 456,053    
g Total. Add lines 2a–2f ..... 1,123,627,286
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 198,844,344     198,844,344
4 Income from investment of tax-exempt bond proceeds 15,315     15,315
5 Royalties........... 61,992     61,992
(i) Real (ii) Personal
6a Gross rents 6a 1,651,374  
b Less: rental expenses 6b 506,404  
c Rental income or (loss) 6c 1,144,970 0
d Net rental income or (loss)....... 1,144,970     1,425,265
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 2,781,390,703 14,219,535
b Less: cost or other basis and sales expenses 7b 2,481,279,177 13,982,091
c Gain or (loss) 7c 300,111,526 237,444
d Net gain or (loss)......... 300,348,970     300,348,970
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events.. 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities.. 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory.. 0      
OtherRevenueMiscAmt
Business Code
11a INSURANCE REIMBURSEMENT 541610 4,952,487 4,952,487    
b PARKING 812930 1,904,514     1,904,514
c REBATES 522100 856,493 856,493    
d All other revenue .... 3,790,924 2,953,382 706,170 131,372
e Total. Add lines 11a–11d ...... 11,504,418
12 Total revenue. See instructions..... 1,638,711,331 1,127,577,846 5,237,677 502,731,772
Form 990 (2024)
Form 990 (2024)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 468,710 468,710
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 10,000 10,000
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 36,605,636 36,605,636    
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 0      
7 Other salaries and wages........ 370,084,689 370,084,689    
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 10,321,176 10,321,176    
9 Other employee benefits ....... 52,826,271 52,826,271    
10 Payroll taxes ........... 25,981,276 25,981,276    
11 Fees for services (non-employees):        
a Management ...... 38,627,751 38,627,751    
b Legal ......... 4,454,964 4,454,964    
c Accounting ........... 2,824,149 2,824,149    
d Lobbying ........... 132,692 132,692    
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 25,198,811 25,198,811    
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 101,396,835 101,396,835    
12 Advertising and promotion .... 10,529,803 10,529,803    
13 Office expenses ....... 13,426,220 13,426,220    
14 Information technology ...... 118,702,988 118,702,988    
15 Royalties .. 0      
16 Occupancy ........... 21,324,456 21,324,456    
17 Travel ............ 2,109,989 2,109,989    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 1,776,438 1,776,438    
20 Interest ........... 51,187,358 51,187,358    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 55,425,713 55,425,713    
23 Insurance ... 633,996 633,996    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a NON MEDICAL SUPPLIES 17,880,646 17,880,646    
b SWHR AFFILIATE AGREEMENT 13,050,400 13,050,400    
c BOOKS & SUBSCRIPTIONS 9,511,236 9,511,236    
d INTERCOMPANY AFFILIATE SVC 7,487,303 7,487,303    
e All other expenses 27,740,037 27,740,037    
25 Total functional expenses. Add lines 1 through 24e 1,019,719,543 1,019,719,543 0 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 27,138,779 1 5,486,296
2 Savings and temporary cash investments ......... 608,614,273 2 690,383,474
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 5,465,318 4 936,849
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
966,398 5 970,675
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 37,444,585 7 37,778,886
8 Inventories for sale or use ............ 17,945,438 8 2,863,223
9 Prepaid expenses and deferred charges ...... 69,374,055 9 78,119,784
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 979,087,894
b Less: accumulated depreciation 10b 508,905,456 419,811,069 10c 470,182,438
11 Investments—publicly traded securities . 6,276,074,806 11 6,569,145,801
12 Investments—other securities. See Part IV, line 11 ..... 429,540,777 12 605,636,313
13 Investments—program-related. See Part IV, line 11 .. 710,988,129 13 839,358,769
14 Intangible assets ............... 18,334,406 14 18,334,406
15 Other assets. See Part IV, line 11 ........... 851,004,191 15 537,749,440
16 Total assets. Add lines 1 through 15 (must equal line 33)... 9,472,702,224 16 9,856,946,354
Liabilities 17 Accounts payable and accrued expenses ..... 1,037,539,120 17 576,268,966
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 14,463,045 19 8,991,120
20 Tax-exempt bond liabilities ......... 1,204,695,686 20 1,184,564,501
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 948,601,491 23 951,516,993
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 49,822,938 25 101,108,507
26 Total liabilities. Add lines 17 through 25.. 3,255,122,280 26 2,822,450,087
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 6,217,579,944 27 7,034,496,267
28 Net assets with donor restrictions ........... 0 28 0
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 6,217,579,944 32 7,034,496,267
33 Total liabilities and net assets/fund balances ........ 9,472,702,224 33 9,856,946,354
Form 990 (2024)
Form 990 (2024)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,638,711,331
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,019,719,543
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
618,991,788
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
6,217,579,944
5
Net unrealized gains (losses) on investments ...............
5
90,008,133
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
107,916,402
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
7,034,496,267
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2024)
Form 990 (2024)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
Name of the organization
Texas Health Resources
 
Employer identification number

75-2702388
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................23
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL
  		750972805 3 Yes   0 42,223,186
(B) TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE
  		451502252 3 Yes   0 25,667,351
(C) TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE
  		751748586 3 Yes   0 6,712,844
(D) TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE
  		751977850 3 Yes   0 10,639,761
(E) TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
  		756001743 3 Yes   0 158,084,801
(F) TEXAS HEALTH HARRIS METHODIST HOSPITAL HEB
  		751438726 3 Yes   0 44,663,177
(G) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST
  		752678857 3 Yes   0 48,161,470
(H) TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLE
  		751752253 3 Yes   0 9,148,231
(I) TEXAS HEALTH PHYSICIANS GROUP
  		752613493 10 Yes   0 125,258,840
(J) TEXAS HEALTH RESOURCES FOUNDATION
  		752022128 7 Yes   0 159,847
(K) TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN
  		752890358 3 Yes   0 16,651,524
(L) TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
  		751047527 3 Yes   0 108,201,728
(M) TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
  		432008974 3 Yes   0 36,563,122
(N) TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN
  		752771437 3 Yes   0 6,807,198
(O) TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
  		752770738 3 Yes   0 68,837,956
(P) TEXAS HEALTH RESEARCH & EDUCATION INSTITUTE
  		752562191 4 Yes   0 143,244
(Q) TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH
  		751648589 3 Yes   0 1,465,894
(R) TEXAS HEALTH BACK CARE
  		474724257 10 Yes   0 0
(S) TEXAS HEALTH RECOVERY AND WELLNESS CENTER
  		812813227 3 Yes   0 571,037
(T) TEXAS HEALTH URGENT CARE
  		814317635 3 Yes   0 5,420,791
(U) TEXAS HEALTH MEDICAL SUPPORT
  		812833150 10 Yes   0 841,723
(V) TEXAS HEALTH VIRTUAL CARE
  		873611585 3 Yes   0 442,298
(W) TEXAS HEALTH HOSPITAL FORNEY
  		333764147 3 Yes   0 0
Total
23
   716,666,023
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 2
Part II
Support Schedule for Organizations Described in Sections 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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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            
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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2024. 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 .......................right arrow
b
33 1/3% support test—2023. If the organization did not check a 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 ..................... right arrow
17a
10%-facts-and-circumstances test—2024. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2023. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
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 ..................................................... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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 on 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 VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2024. 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 ....... right arrow
b
33 1/3 % support tests—2023. 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 ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
Yes
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
Yes
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
Yes
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described on 11a above?
11b
 
No
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
Yes
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
Yes
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
Yes
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
Yes
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
Yes
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2024 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2024 		(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2024. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2025. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
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.
Added Supporting Entity - Part IV, Section A, Line 5 Texas Health Resources (THR) is the functionally integrated parent organization of a healthcare system in North Texas. THR formed Texas Heath Hospital Forney, a new subsidiary/supported organization, in December 2024. THR is the sole member of Texas Heath Hospital Forney, FEIN 33-3764147. The THR Certificate of Formation Article 5, Section C3 allows THR to add other hospitals whose purpose and design aligns with, is supportive of, and are closely related to the other supported organizations (mostly hospitals) in purpose or function through common control. On June 24, 2024, the Board of THR voted to approve the new Forney hospital and form Texas Health Hospital Forney.
Schedule A (Form 990) 2024


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

right arrow Attach to Form 990, 990-EZ, or 990-PF.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization
Texas Health Resources
 
Employer identification number

75-2702388
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ
501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization


Form 990-PF
501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.  
Note:  Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025) Page 2
Name of organization
Texas Health Resources
  		Employer identification number
75-2702388
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 3
Name of organization
Texas Health Resources
  		Employer identification number

75-2702388
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 4
Name of organization
Texas Health Resources
  		Employer identification number

75-2702388
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (Rev. 1-2025)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Texas Health Resources
 
Employer identification number

75-2702388
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................right arrow
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................right arrow
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................right arrow

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........right arrow

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2024

Schedule C (Form 990) 2024
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check right arrowexpenses, and share of excess lobbying expenditures).
B Check right arrow
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2021 (b) 2022 (c) 2023 (d) 2024 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2024


Schedule C (Form 990) 2024
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
Yes
 
8,467
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
132,692
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
1,904,817
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
2,045,976
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 - Details of Lobbying Activities 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 $6,237,174,000 for the year ended December 31, 2024. Of this amount $2,045,976(.033%) is used in connection with lobbying activities. Officers and/or Board members of THR may, to an insubstantial degree, make comments or statements concerning legislation that may affect either the healthcare industry or the health status of the communities that THR serves. In pursuing this activity, officers and/or Board members may engage in conversations and/or write letters to various federal, state, and local officials regarding such matters on a personal level, and not as a representative of the organization. A portion of the dues paid to Healthcare Associations are used by these organizations to support lobbying activities related to the healthcare industry. The amount of time and money involved in the activities described above is negligible.In no case has either THR, or any person acting on behalf of THR, intervened in any political campaign. THR policy prohibits this type of activity for THR System employees.
Schedule C (Form 990) 2024


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
Texas Health Resources
 
Employer identification number

75-2702388
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow  
b
Permanent endowment right arrow  
c
Term endowment right arrow  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   126,555,994 126,555,994
b Buildings ....   243,503,005 135,298,393 108,204,612
c Leasehold improvements   200,088,659 136,182,643 63,906,016
d Equipment ....   365,114,152 237,424,420 127,689,732
e Other .....   43,826,084   43,826,084
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 470,182,438
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) PRIVATE INVESTMENTS		 605,636,313 F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow 605,636,313
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)CONTROLLED CONSOLIDATED AFFIL 248,335,067 C
(2)CONTROLLED UNCONSOLIDATED AFFI 591,023,702 C
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow 839,358,769
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)RECEIVABLES OTHER CONSOL AFFIL -23,945,906
(2)RECEIVABLES OTHER UNCONSOL AFL 6,641,329
(3)ASSETS LIMITED AS TO USE 395,328,437
(4)LT DEBT PROCEEDS 28,004
(5)INTERCOMPANY RECEIVABLES 29,382
(6)UNAMORTIZEED RENT LEASE 19,648,904
(7)OTHER NONCURRENT ASSETS 129,153,598
(8)OPERATING LEASE ASSETS 1,708,912
(9)DEPOSITS 29,870
(10)TRUSTEE FUNDS SUP RETIREMENT 8,410,200
(11)TRUSTEE FUNDS CASH VALUE LIFE 716,710
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 537,749,440
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
OPERATING LEASE LIBILITY 882,941
PROFESSIONAL LIABILITY RESERVE 87,375,691
SECURITY DEPOSITS 153,695
POST RETIREMENT BENEFITS 178,574
SUP RETIREMENT LIABILITY 8,410,200
ASSET RETIREMENT OBLIGATIONS 1,641,921
UNAMORTIZED STRAIGHT LINE RENT 2,465,485


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 101,108,507
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right arrow Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right arrow Attach to Form 990.Right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
Texas Health Resources
 
Employer identification number

75-2702388
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
Central America and the Caribbean     Investments   175,709,969
Central America and the Caribbean 0 7 Conduct board meetings   4,932
Europe (Including Iceland and Greenland)     Investments   61,404,860
South Asia 0 4 Program Services Business Office Mtg 37,182
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 11 237,156,943
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 0 11 237,156,943
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
Part I, Line 3f - Investments, Meetings & Program Svc The amount in column f reflects investments, Board meetings, and program services 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 is a limited partner in these alternative investments.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) (Rev. 1-2025)
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
Texas Health Resources
 
Employer identification number

75-2702388
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    6,153,456 246,180 5,907,276 1.900 %
b Medicaid (from Worksheet 3, column a) . . . . .     5,699,614 4,485,284 1,214,329 0.390 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     55,428 31,963 23,465 0.010 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     11,908,498 4,763,427 7,145,070 2.300 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     17,031,841   17,031,841 5.470 %
f Health professions education (from Worksheet 5) . . .     655,859   655,859 0.210 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     1,866,986   1,866,986 0.600 %
j Total. Other Benefits . .     19,554,686   19,554,686 6.280 %
k Total. Add lines 7d and 7j .     31,463,184 4,763,427 26,699,756 8.580 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     64,813   64,813 0.020 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building     2,034   2,034 0 %
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     66,847   66,847 0.020 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
28,333,103
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
51,253,520
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
58,465,212
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-7,211,692
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1Arlington Surg Ctr
  		Ambulatory Surgery Center 56.75 %   43.25 %
2Cleburne Surg Ctr
  		Ambulatory Surgery Center 51 %   49 %
3Cross Timbers Surg C
  		Ambulatory Surgery Center 51 %   49 %
4Denton Surg Ctr
  		Ambulatory Surgery Center 52.29 %   47.71 %
5Flower Mound Hosp
  		Hospital 53.79 %   46.21 %
6Greenville Surg Ctr
  		Ambulatory Surgery Center 56.58 %   43.42 %
7Mansfield Endoscopy
  		Endoscopy Center 51 %   49 %
8N Dallas Surg Ctr
  		Ambulatory Surgery Center 51 %   49 %
9Opthomology Surg Dal
  		Ambulatory Surgery Center 51 %   49 %
10PARK HILL SURG CTR
  		Ambulatory Surgery Center 51 %   49 %
11PHYSICIAN MED CTR
  		Hospital 55.497 %   44.503 %
12ROCKWALL REG HOSP
  		Hospital 68.34 %   31.66 %
13S ARLINGTON SURG PR
  		Ambulatory Surgery Center 51 %   49 %
14SOUTHLAKE SPEC HOSP
  		Hospital 55.62 %   44.38 %
15SURG CAREGIVERS FW
  		Ambulatory Surgery Center 51 %   49 %
16TH CRAIG RANCH SURG
  		Ambulatory Surgery Center 54.03 %   45.97 %
17TH FLOWER MOUND ORTH
  		Ambulatory Surgery Center 51 %   49 %
18TH ORTHO CTR ALLIANC
  		Ambulatory Surgery Center 51 %   49 %
19TH SPINE SURG ALLEN
  		Ambulatory Surgery Center 51 %   49 %
20TH SPINE CTR ALLIANC
  		Ambulatory Surgery Center 51 %   49 %
21TH SURG CTR ALLIANCE
  		Ambulatory Surgery Center 72 %   28 %
22TH SURG CTR BEDFORD
  		Ambulatory Surgery Center 52.05 %   47.95 %
23TH SURG CTR IRVING
  		Ambulatory Surgery Center 52.58 %   47.42 %
24TH SURG CTR PRESTON
  		Ambulatory Surgery Center 52.18 %   47.82 %
25TH SURG CTR ROCKWALL
  		Ambulatory Surgery Center 51 %   49 %
26TH Surg Ctr SW FW
  		Ambulatory Surgery Center 51 %   49 %
27TH Surg C Willow Pk
  		Ambulatory Surgery Center 51 %   49 %
28THR-STT ROCKWALL ASC
  		Ambulatory Surgery Center 51 %   49 %
29THR-STT SOUTHLAKE
  		Ambulatory Surgery Center 51 %   49 %
30USMD HOSPITAL AT ARL
  		Hospital 52.36 %   47.64 %
31WALNUT HILL SURG CTR
  		Ambulatory Surgery Center 51 %   49 %
32WILSON CREEK SURG
  		Ambulatory Surgery Center 51 %   49 %
33TH Surg Ctr Chisholm
  		Ambulatory Surgery Center 51.03 %   48.97 %
34TH Huguley Surg Ctr
  		Ambulatory Surgery Center 77 %   23 %
35Castle Hills Surgica
  		Ambulatory Surgery Center 51 %   49 %
36FW Endoscopy Ctr
  		Ambulatory Surgery Center 51 %   49 %
37C Park Surg Ctr
  		Ambulatory Surgery Center 51 %   49 %
38UPNT Surgery LLC
  		Ambulatory Surgery Center 51 %   49 %
39WillowPark Endoscopy
  		Ambulatory Surgery Center 51 %   49 %
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?5Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Texas Health Rockwall
3150 Horizon Rd
Rockwall,TX75032
www.texashealth.org
TDH #008599 		X X         X     A
2 Texas Health Flower Mound
4400 Long Prairie Rd
Flower Mound,TX75028
www.texashealth.org
TDH #100056 		X X         X     A
3 USMD Hospital at Arlington
801 W Interstate 20
Arlington,TX76017
www.usmdarlington.com
TDH #007990 		X X         X      
4 Physicians Medical Center
6020 Parker Rd
Plano,TX75093
www.texashealth.org
TDH #008153 		X X         X     A
5 Texas Health Southlake
1545 E Southlake Blvd
Southlake,TX76092
www.texashealth.org
TDH #008128 		X X         X     A
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Facility Reporting Group A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Section C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Facility Reporting Group A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.%
and FPG family income limit for eligibility for discounted care of 500.%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Section C
b
See Section C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
Facility Reporting Group A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Facility Reporting Group A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
USMD Hospital at Arlington
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		3
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Section C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
USMD Hospital at Arlington
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.%
and FPG family income limit for eligibility for discounted care of 500.%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Section C
b
See Section C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
USMD Hospital at Arlington
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
USMD Hospital at Arlington
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Part V, Section B Facility #1 - Texas Health Flower Mound - Group A Facility #2 - Texas Health Rockwall - Group A Facility #3 - USMD at Arlington Facility #4 - Texas Health Southlake - Group A Facility #5 - Physicians Medical Center - Group A Part V. Section B, Line 3e - Facilities #1 - #5 The significant health needs of the community are in line with the significant health needs that have been prioritized and identified in the current CHNA. Part V. Section B, Line 5 - Facility #1 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Denton/Wise Counties region. The 2022 CHNA was conducted at the Denton/Wise Counties regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged sixteen community members with interests specific to the health of individuals in the Denton/Wise Counties region in the CHNA development process. Eight of these community members were engaged across two separate focus groups held in zip-codes that were identified as underserved areas. Eight served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and listening sessions, a community asset map was developed to provide an inventory of resources. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Children's Advocacy Center of North Texas, Denton Community Center, North Central Texas College, Lewisville ISD, TAPS Transportation, Wise County, Wise County Center of Hope and YMCA Denton. Findings from all data sources (secondary data, interviews and focus groups, and asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top medical and social determinant of health needs. The outlined needs/barriers informed the development of the 2023-2025 CHNA implementation plan, which will leverage integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 5 - Facility #2 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Dallas/Rockwall region. The 2022 CHNA was conducted at the Dallas/Rockwall regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged fifty-three community members with interests specific to the health of individuals in the Dallas/Rockwall region in the CHNA development process. Forty-two of these community members were engaged across five separate focus groups held in zip-codes that were identified as underserved areas. Eleven served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and listening sessions, a community asset map was developed to provide an inventory of resources. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Austin Street Center, Bonton Farms, Branch Baptist Church, Dallas Area Rape Crisis Center, Dallas Foundation, Literacy Archives, Mission Oak Cliff and Safer Dallas, Better Dallas. Findings from all data sources (secondary data, interviews and focus groups, and asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top social determinant of health needs. The outlined needs/barriers informed the development of the 2023-2025 CHNA implementation strategy, which leveraged integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 5 - Facilities #3 and #4 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Tarrant/Parker Counties region. The 2022 CHNA was conducted at the Tarrant/Parker Counties regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged twenty-four community members with interests specific to the health of individuals in the Tarrant/Parker Counties region in the CHNA development process. Sixteen of these community members were engaged across three separate focus groups held in zip-codes that were identified as underserved areas. Eight community members served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and listening sessions, a community asset map was developed to provide an inventory of resources. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Alzheimer's Association, Arlington Police Department, Cooper Street YMCA, Cornerstone Assistance Network, Eastside Ministries, Mansfield Mission Center, Meadowbrook Poly UMC and SafeHaven of Tarrant County. Findings from all data sources (secondary data, interviews and focus groups, and asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top social determinant of health needs. The outlined needs/barriers informed the development of the 2023-2025 CHNA implementation strategy, which leveraged integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 5 - Facility #5 The hospital's 2022 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Collin County region. The 2022 CHNA was conducted at the Collin County regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between June 2021 and May 2022, the community's health needs were assessed through key informant interviews, secondary data analysis, focus groups and an asset-map. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged fourteen community members with interests specific to the health of individuals in the Collin County region in the CHNA development process. Twelve of these community members were engaged across two separate focus groups held in zip-codes that were identified as underserved areas. Two community members served as key informants. Listening sessions were additionally held to understand opportunities for strengthening community collaborations. Through focus groups, key informant interviews and liste
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?35
Name and address Type of Facility (describe)
1 Health Imaging Partners LLC
8610 Explorer Dr 300
Colorado Springs,CO80920 		Outpatient Diagnostic Imaging
2 South Arlington Sugrical Providers
350 E Interstate 20 Ste 200
Arlington,TX76018 		Ambulatory Surgery Center
3 OPTHALMOLOGY SURGERY CENTER DALLAS LLC
10740 N Central Expy
Dallas,TX75231 		Ambulatory Surgery Center
4 TH Surg Ctr Willow Park
120 JIMMA DR
Willow Park,TX76087 		Ambulatory Surgery Center
5 Walnut Hill Surgery Center LLC
5494 Glen Lakes Dr
Dallas,TX75231 		Ambulatory Surgery Center
6 UPNT Surgery LLC
5001 S Cooper Ste 201
Arlington,TX76017 		Ambulatory Surgery Center
7 Texas Health Surgery Center Rockwall LLC
3144 Horizon Rd Ste 120
Rockwall,TX75032 		Ambulatory Surgery Center
8 Park Hill Surgery Center LLC
3455 Locke Ave
Fort Worth,TX76107 		Ambulatory Surgery Center
9 Texas Health Surgery Center Chisholm Tra
5900 Altamesa Blvd
Fort Worth,TX76132 		Ambulatory Surgery Center
10 Texas Health Orthopedic Surgery Center A
9848 N Beach St
Fort Worth,TX76244 		Ambulatory Surgery Center
11 Denton Surgery Center LLC
207 North Bonnie Brea
Denton,TX76201 		Ambulatory Surgery Center
12 Fort Worth Endoscopy Centers LLC
900 W Magnolia Ave 101
Fort Worth,TX76104 		Endoscopy
13 Texas Health Surgery Center Preston Plaz
17950 Preston Road Ste 75
Dallas,TX75252 		Ambulatory Surgery Center
14 Texas Health Flower Mound Orthopedic Sur
5000 Long Prairie Rd
Flower Mound,TX75028 		Ambulatory Surgery Center
15 Surgical Caregivers of Fort Worth LLC
2001 W Rosedale St
Fort Worth,TX76104 		Ambulatory Surgery Center
16 Texas Health Surgery Center Alliance LLC
10840 Texas Health Trail Ste 100
Fort Worth,TX76244 		Ambulatory Surgery Center
17 Texas Health Craig Ranch Surgery Center
8080 State Hwy 121 Ste 100
McKinney,TX75070 		Ambulatory Surgery Center
18 Castle Hills Surgicare LLC
4221 Medical Parkway ste 100
Carrollton,TX75010 		Ambulatory Surgery Center
19 Wilson Creek Surigcal Center LLC
8855 Synergy Drive
McKinney,TX75070 		Ambulatory Surgery Center
20 Cross Timbers Surgery Center LLC
1001 N Waldrop Dr Ste 705
Arlington,TX76012 		Ambulatory Surgery Center
21 Mansfield Endoscopy Center LLC
647 N Miller Rd
Mansfield,TX76063 		Endoscopy
22 Texas Health Surgery Center Southwest Fo
6317 Harris Parkway Ste 200
Fort Worth,TX76132 		Ambulatory Surgery Center
23 Cleburne Surgical Center LLC
2010 W Katherine P Raines Blvd St
Cleburne,TX76033 		Ambulatory Surgery Center
24 Willow Park Endoscopy Center LLC
130 Jimma Drive
Willow Park,TX76087 		Ambulatory Surgery Center
25 Texas Health Huguley Surgery Center LLC
12001 S Freeway
Burleson,TX76028 		Ambulatory Surgery Center
26 Texas Health Surgery Center Bedford LLC
1605 Airport Freeway Ste 100
Bedford,TX76021 		Ambulatory Surgery Center
27 Arlington Surgery Center LLC
918 N Davis Dr
Arlington,TX76012 		Ambulatory Surgery Center
28 Greenville Surgery Center LLC
7150 Greenville Ave Ste 200
Dallas,TX75231 		Ambulatory Surgery Center
29 Texas Health Spine Surgery Center Allen
1120 Raintree Cir Ste 100
Allen,TX75013 		Ambulatory Surgery Center
30 Central Park Surgery Center LLC
411 Central Park Drive
Arlington,TX76014 		Ambulatory Surgery Center
31 Texas Health Surgery Center Irving LLC
2120 N MacArthur Blvd Ste 200
Irving,TX75061 		Ambulatory Surgery Center
32 North Dallas Surgical Center LLC
17980 Dallas Pkw Ste 100
Dallas,TX75287 		Ambulatory Surgery Center
33 Texas Health Spine Surgery Center Allian
1545 E Southlake Blvd Ste 100
Southlake,TX76092 		Ambulatory Surgery Center
34 THR-STT Southlake ASC LLC
1545 E Southlake Blvd
Southlake,TX76092 		Ambulatory Surgery Center
35 THR-STT Rockwall ASC LLC
1545 E Southlake Blvd
Southlake,TX76092 		Ambulatory Surgery Center
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Part VI Supplemental Information 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 250% 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 250% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified patient responsible amount if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's financial assistance application is reviewed. Assets considered when determining eligibility include cash, stocks, bonds and other financial assets that can be readily converted to cash. An additional process to screen for charity patients using publicly available financial information is also in place for patients not submitting a financial assistance application. Part I, Line 7 - Cost-to-Charge Ratio A cost-to-charge ratio is used to compute the amounts reported on Lines 7a-7c. The cost-to-charge ratio is derived from Worksheet 2 - Ratio of Patient Care Cost-to-Charges, as found in the Schedule H Instructions. The amounts reported on Lines 7e-7i were computed using direct costs, as determined by a cash outlay. Part II - Community Building The organization participates in community building activities that aim to address the socio-economic factors that influence the overall health of individuals in the communities served. As identified in the community health needs assessment, there are areas of need that are not in alignment with the operations of a hospital system. Our volunteerism, collaborations and partnerships with various aid organizations and various area coalitions aid in addressing the socio-economic factors that are the backbone for many underlying health concerns. Part III, Lines 2, 3 & 4 - Bad Debts Bad debt expense is not included as a community benefit for purposes of reporting community benefits. Each patient qualifying for charity care is treated as a charity patient and no charges related to that patient are included in bad debt expense. Each joint venture hospital estimates bad debt expense utilizing various methods, analytical tools and benchmarks. Typically, bad debt expense is based upon a combination of factors including, but not limited to, aging of receivables, analyzing revenue trends in the healthcare industry and payor class, and assessing historical collection experience considering business and economic conditions. The footnote regarding Accounts Receivable and Net Patient Service Revenue is included on pages 13-14 of the attached audited financial statements of THR. Part III, Line 8 - Medicare Shortfall The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care & community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. THR is the parent company of a healthcare system filing a combined community benefit report in Texas. THR is not a hospital and does not have Medicare data to report to the state of Texas. The data provided for Sch H is THR's share of operations from its taxable joint ventures which operate hospitals in Texas. The Medicare amounts reported on Sch H are from the taxable joint venture hospitals' cost accounting systems. The taxable joint ventures are not required to file community benefit reports with or report Medicare shortfalls to the state of Texas. Part III, Line 9b - Debt Collection During the year, standard collection procedures were in place and uniformly applicable to all patient accounts. Except to the extent a patient receives a recovery from any third party or other source, no attempts are made to collect unpaid charges from patient accounts approved for adjustment under the Financial Assistance Policy. Part VI, Line 2 - Needs Assessment In 2022, Texas Health Resources (Texas Health) completed a community health needs assessment (CHNA) for 27 facilities across 5 regions using the following steps: - Demographic analysis by region - Secondary data analysis of health indicators to identify zip codes of highest-needs within each region and prioritize zip codes for the community impact initiative - Primary data collection via key informant interviews, focus groups, and a windshield survey - Synthesis of secondary and primary data to identify the most pressing health needs by region - Prioritization of health needs that Texas Health would focus on within the current CHNA cycle, resulting in the identification of these health needs: Behavioral health; Chronic disease prevention and management; and access, navigation, and health literacy. In addition to the CHNA, a community readiness assessment was conducted in 2023 to identify zip codes/communities that were ready to address the health and social needs in their communities within the next 3 years. Through this assessment, key informant interviews were conducted across five regions. The interviews were then compiled, scored and analyzed to determine strengths and barriers within communities. To assess hospital utilization and health outcomes, a diagnosis code and hospital utilization dashboard was created. This dashboard compiles data from all major hospitals within the Dallas-Fort Worth region. The dashboard allows us to analyze demographics, insurance status, charge data and diagnoses codes by patient zip codes. Through this analysis, we have been able to assess which populations have a higher hospital utilization as well as determining which populations have a higher prevalence of certain diagnoses. The dashboard was recently used to determine zip codes where stroke education should be prioritized based on overall prevalence of stroke cases along with the percentage of patients that were self-pay. In another project, the data was used to review hospital utilization among homeless individuals in Tarrant County. This project was requested to be used to strategically plan for implementation of a medical respite unit within Tarrant County. The same data was used to strategically plan for the potential volume of uninsured and underinsured patients to be seen at a community center clinic that will be opened in 2025. To better understand the needs surrounding nutrition security-defined as having consistent access, availability, and affordability of foods that promote well-being and prevent disease-a community-based assessment was completed in 2024. To understand this complexity in North Texas, barriers and potential solutions for improving nutrition security were analyzed from the perspectives of policymakers, food system workers (FSW), and community members. Through the CHNA report, transportation, substance abuse and childcare were identified for further assessment given that community members reported these concerns as barriers to healthcare access and other health-related issues. In 2023, an analysis of the availability of household transportation and the access to the public transportation system was completed to better understand transportation needs in our communities. In 2024, daycare deserts were collected and compared to zip codes that were considered to have a high social vulnerability index. Nine key zip codes were identified as high risk for daycare barriers. Substance abuse data, including data from the medical examiners office and hospital diagnosis code, was analyzed to determine drug abuse trends across zip codes and demographics. All of these analyses have been compiled into a report that is being disseminated to various
Schedule H (Form 990) 2024
Additional Data


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Schedule I
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
Texas Health Resources
 
Employer identification number
75-2702388
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) March of Dimes Foundation
PO BOX 18819
ALANTA,GA31126 		13-1846366 501(c)(3) 32,000       General Purpose
(2) American Cancer Society
8900 John W Carpenter Fwy
Dallas,TX75247 		13-1788491 501(c)(3) 7,750       General Purpose
(3) Dallas Regional Chamber
500 N Akard St Ste 2600
Dallas,TX75201 		75-0223440 501(C)(6) 43,000       General Purpose
(4) DFW Hospital Council
300 Decker Drive 300
Irving,TX75062 		23-7004426 501(C)(3) 8,200       General Purpose
(5) Davy O'Brien Educational & Charitable Trust
306 West 7th Street
Fort Worth,TX76102 		75-1620423 501(C)(3) 13,000       General Purpose
(6) Fort Worth Stockshow Syndicate
PO Box 17005
Fort Worth,TX76102 		75-1790417 501(C)(3) 23,540       General Purpose
(7) Cancer Support Community North Texas
PO Box 601744
Dallas,TX75360 		75-2633654 501(c)(3)   284,950 FMV Rent Payment Cancer Support
(8) Tarrant County Medical Society
555 Hemphill St
Fort Worth,TX76104 		75-0693870 501(c)(3) 6,000       General Purpose
(9) Texas Medical Association
401 W 15th St Ste 100
Austin,TX78701 		74-1078510 501(c)(6) 10,000       General Purpose
(10) American Red Cross North Texas Region
4800 Harry Hines Blvd
Dallas,TX75234 		53-0196605 501(c)(3) 10,000       Disaster Relief
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
8
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) Rev. 1-2025

Schedule I (Form 990) Rev. 1-2025
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) Scholarships 1 10,000      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Part I, Line 2 - Procedures for Monitoring Grants 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.
Schedule I (Form 990) Rev. 1-2025



Additional Data


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Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
Texas Health Resources
 
Employer identification number

75-2702388
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1BerdanBarclay E
THR CEO/Trustee 		(i)

(ii)		 2,141,472
-------------
0 		1,829,962
-------------
0 		369,511
-------------
0 		1,195,301
-------------
0 		54,159
-------------
0 		5,590,405
-------------
0 		576,408
-------------
0
2KramerKenneth J
EVP/Assistant Secretary 		(i)

(ii)		 749,605
-------------
0 		447,361
-------------
0 		149,144
-------------
0 		228,611
-------------
0 		42,695
-------------
0 		1,617,416
-------------
0 		129,591
-------------
0
3JacksonDavid W
Chief Accounting Officer/Asst 		(i)

(ii)		 343,958
-------------
0 		292,182
-------------
0 		73,406
-------------
0 		83,749
-------------
0 		41,633
-------------
0 		834,928
-------------
0 		136,771
-------------
0
4CantuStacy G
VP Chief Gov Offr & Corp Secr 		(i)

(ii)		 287,922
-------------
0 		77,808
-------------
0 		33,815
-------------
0 		18,541
-------------
0 		55,428
-------------
0 		473,514
-------------
0 		0
-------------
0
5MiaoWinjie Tang
SEVP Chief Operating Officer 		(i)

(ii)		 1,053,266
-------------
0 		685,561
-------------
0 		188,791
-------------
0 		497,231
-------------
0 		34,974
-------------
0 		2,459,823
-------------
0 		178,807
-------------
0
6McWhorterRicky E
SEVP & Chief Financial Officer 		(i)

(ii)		 998,039
-------------
0 		615,187
-------------
0 		155,971
-------------
0 		339,384
-------------
0 		40,990
-------------
0 		2,149,571
-------------
0 		157,792
-------------
0
7IrvineLaura L
SEVP Chf Strat/Exper Ofr 		(i)

(ii)		 1,066,347
-------------
0 		516,335
-------------
0 		165,271
-------------
0 		528,214
-------------
0 		62,437
-------------
0 		2,338,604
-------------
0 		73,126
-------------
0
8KingJames Kirk
Hospital Channel COO 		(i)

(ii)		 775,899
-------------
0 		694,319
-------------
0 		152,885
-------------
0 		236,634
-------------
0 		53,239
-------------
0 		1,912,976
-------------
0 		342,914
-------------
0
9JonesRobert Douglas
SVP & Chief Investment Officer 		(i)

(ii)		 715,704
-------------
0 		339,076
-------------
0 		85,348
-------------
0 		139,163
-------------
0 		52,316
-------------
0 		1,331,607
-------------
0 		79,126
-------------
0
10Sudomir JrJoseph M
SVP Chief Info Officer 		(i)

(ii)		 631,201
-------------
0 		295,172
-------------
0 		100,262
-------------
0 		130,433
-------------
0 		56,070
-------------
0 		1,213,138
-------------
0 		69,657
-------------
0
11DawsonCarla S
Chief People Officer 		(i)

(ii)		 593,496
-------------
0 		290,921
-------------
0 		98,548
-------------
0 		188,828
-------------
0 		44,758
-------------
0 		1,216,551
-------------
0 		59,236
-------------
0
12MasicaAndrew
Chief Medical Officer 		(i)

(ii)		 563,157
-------------
0 		276,828
-------------
0 		97,301
-------------
0 		114,306
-------------
0 		65,316
-------------
0 		1,116,908
-------------
0 		81,246
-------------
0
13FlorenJoshua Andrew
SVP Hospital Channel 		(i)

(ii)		 522,023
-------------
0 		299,893
-------------
0 		93,326
-------------
0 		113,493
-------------
0 		53,020
-------------
0 		1,081,755
-------------
0 		116,007
-------------
0
14VelascoFerdinand T
SVP & Chief Hlth Info Officer 		(i)

(ii)		 514,319
-------------
0 		252,968
-------------
0 		73,197
-------------
0 		115,600
-------------
0 		63,631
-------------
0 		1,019,715
-------------
0 		62,056
-------------
0
15CoxKathleen B
Ambulatory&Virtual Channel COO 		(i)

(ii)		 427,474
-------------
0 		324,943
-------------
0 		82,654
-------------
0 		97,599
-------------
0 		20,361
-------------
0 		953,031
-------------
0 		156,901
-------------
0
16MitchellJohn D
Chief Transaction Officer 		(i)

(ii)		 468,641
-------------
0 		244,877
-------------
0 		113,078
-------------
0 		107,899
-------------
0 		54,159
-------------
0 		988,654
-------------
0 		59,921
-------------
0
17TuckerRebecca D
SVP Channel Integration 		(i)

(ii)		 448,753
-------------
0 		306,745
-------------
0 		60,181
-------------
0 		93,570
-------------
0 		51,700
-------------
0 		960,949
-------------
0 		133,533
-------------
0
18ParrisMichael
Chief DA Officer term 07/2024 		(i)

(ii)		 194,756
-------------
0 		194,427
-------------
0 		360,956
-------------
0 		13,352
-------------
0 		27,346
-------------
0 		790,837
-------------
0 		81,583
-------------
0
19TesmerDavid J
Chief Commnty & Public Pol Off 		(i)

(ii)		 435,535
-------------
0 		220,207
-------------
0 		52,798
-------------
0 		149,047
-------------
0 		41,506
-------------
0 		899,093
-------------
0 		49,745
-------------
0
20GoldbergGary Alan
Chief Rev & Finan Risk Officer 		(i)

(ii)		 413,824
-------------
0 		187,462
-------------
0 		55,827
-------------
0 		93,032
-------------
0 		56,437
-------------
0 		806,582
-------------
0 		44,853
-------------
0
21McAllisterDeena A
SVP Brand Experience 		(i)

(ii)		 372,865
-------------
0 		180,517
-------------
0 		77,363
-------------
0 		89,931
-------------
0 		62,339
-------------
0 		783,015
-------------
0 		43,573
-------------
0
22RobinsonMary C
Chief Nursing Executive 		(i)

(ii)		 377,420
-------------
0 		173,067
-------------
0 		78,358
-------------
0 		89,090
-------------
0 		41,618
-------------
0 		759,553
-------------
0 		43,969
-------------
0
23CraftBrian
SVP Hospital Financial Ops 		(i)

(ii)		 388,655
-------------
0 		180,393
-------------
0 		53,421
-------------
0 		88,453
-------------
0 		52,782
-------------
0 		763,704
-------------
0 		45,443
-------------
0
24WhiteleyJohn E
SVP Fin Plan Analys & Amb Ops 		(i)

(ii)		 384,735
-------------
0 		173,687
-------------
0 		53,406
-------------
0 		88,436
-------------
0 		42,448
-------------
0 		742,712
-------------
0 		42,792
-------------
0
25StewartRebekah
SVP & Chief Compliance Officer 		(i)

(ii)		 382,451
-------------
0 		160,080
-------------
0 		51,844
-------------
0 		80,911
-------------
0 		14,546
-------------
0 		689,832
-------------
0 		44,687
-------------
0
26ClintonShaun
SVP Supply Chain Management 		(i)

(ii)		 384,702
-------------
0 		142,678
-------------
0 		52,276
-------------
0 		87,484
-------------
0 		46,672
-------------
0 		713,812
-------------
0 		40,747
-------------
0
27PopeBrandon Reed
SVP Strategy & Mkt Development 		(i)

(ii)		 386,696
-------------
0 		95,140
-------------
0 		81,371
-------------
0 		94,851
-------------
0 		62,162
-------------
0 		720,220
-------------
0 		0
-------------
0
28SchroederJennifer Ann
SVP Deputy General Counsel 		(i)

(ii)		 377,710
-------------
0 		108,076
-------------
0 		52,019
-------------
0 		78,017
-------------
0 		30,819
-------------
0 		646,641
-------------
0 		0
-------------
0
29MincherJeff
SVP Revenue Cycle 		(i)

(ii)		 329,133
-------------
0 		128,000
-------------
0 		76,371
-------------
0 		88,474
-------------
0 		52,896
-------------
0 		674,874
-------------
0 		15,929
-------------
0
30ScheeleJon Zachry
SVP Busi Devl & Growth 		(i)

(ii)		 128,848
-------------
0 		90,000
-------------
0 		23,669
-------------
0 		24,169
-------------
0 		5,813
-------------
0 		272,499
-------------
0 		0
-------------
0
31SullivanJon M
VP Real Estate Operations 		(i)

(ii)		 354,436
-------------
0 		109,078
-------------
0 		65,035
-------------
0 		25,875
-------------
0 		52,151
-------------
0 		606,575
-------------
0 		0
-------------
0
32ReevesSandra G
VP Treas/Asst Chief Invest Off 		(i)

(ii)		 364,002
-------------
0 		102,599
-------------
0 		40,570
-------------
0 		25,875
-------------
0 		54,761
-------------
0 		587,807
-------------
0 		0
-------------
0
33KirbyMichelle Riddle
Former Officer 		(i)

(ii)		 0
-------------
0 		127,706
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		127,706
-------------
0 		127,706
-------------
0
34BernardTraci H
President THSL 		(i)

(ii)		 386,359
-------------
0 		221,482
-------------
0 		51,520
-------------
0 		81,869
-------------
0 		51,402
-------------
0 		792,632
-------------
0 		42,300
-------------
0
35DaveNilesh B
VP Clinical Effectiveness CMO 		(i)

(ii)		 497,221
-------------
0 		89,714
-------------
0 		50,838
-------------
0 		27,093
-------------
0 		32,953
-------------
0 		697,819
-------------
0 		0
-------------
0
36Koshy-NesbittSunita Sara
Hospital Channel CQO 		(i)

(ii)		 111,976
-------------
326,783 		102,067
-------------
10,091 		10,108
-------------
69,590 		5,494
-------------
69,402 		9,630
-------------
21,390 		239,275
-------------
497,256 		0
-------------
2,536
37MonksShelly
VP & Chief Academic Officer 		(i)

(ii)		 408,480
-------------
0 		113,282
-------------
0 		67,559
-------------
0 		22,238
-------------
0 		40,707
-------------
0 		652,266
-------------
0 		1,004
-------------
0
38HolmesKevin B
VP Facilities Design & Constrn 		(i)

(ii)		 347,239
-------------
0 		107,080
-------------
0 		65,531
-------------
0 		25,875
-------------
0 		60,726
-------------
0 		606,451
-------------
0 		0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE J, PART I, LINE 1A - FIRST CLASS TRAVEL The THR Board approved first class travel for the CEO associated with business travel on behalf of the system. Other first class or business class travel must be preapproved by the THR Chief Financial Officer. In the current year, Business class was approved for overseas travel for THR employees. No costs associated with this first-class travel are added to the taxable wages of the CEO nor any other THR employee whose first class travel was approved. All other THR personnel follow a system travel policy which reimburses business air travel at the most economical fare reasonably available.
SCHEDULE J, PART I, LINE 1A - DISCRETIONARY SPENDING ACCOUNT Each executive at the vice president level and above receives a perk allowance and flexible benefit allowance which is included in the taxable compensation of the employee.The perk allowance covers costs such as business use of their personal vehicles in lieu of reimbursement for auto mileage. The flexible benefit allowance can be used to purchase executive benefits on an after-tax basis.
Schedule J, Part I, Line 1a - Personal Services The THR CEO is provided financial planning and tax preparation services. These services are included in the taxable compensation of the employee
Schedule J, Part I, Line 4a - Severance Pay SEVERANCE SETTLEMENT The settlement payment was paid out as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. Parris,Michael 336,849
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(ii) and Column (F), if previously reported as deferred. Berdan,Barclay E. 576,408 Bernard,Traci H 42,300 Clinton,Shaun 40,747 Cox,Kathleen B. 166,901 Craft,Brian 45,443 Dawson,Carla S 59,236 Floren,Joshua Andrew 133,715 Goldberg,Gary Alan 44,853 Irvine,Laura L. 64,469 Jackson,David W. 171,438 Jones,Robert Douglas 79,126 King,James Kirk 361,914 Kramer,Kenneth J. 129,591 Masica,Andrew 69,371 McAllister,Deena A. 43,573 McWhorter,Ricky E. 157,792 Miao,Winjie Tang 178,807 Mincher,Jeff 14,627 Mitchell,John D. 59,921 Parris,Michael 96,075 Robinson,Mary C. 43,969 Stewart,Rebekah 42,021 Sudomir Jr,Joseph M 69,657 Tesmer,David J. 49,745 Tucker,Rebecca D 148,348 Velasco,Ferdinand T. 62,056 Whiteley,John E 42,792
Schedule J (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
Texas Health Resources
 
Employer identification number
75-2702388
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A Tarrant Cnty Cultural Education Facility Fin Corp
  		04-3833551 87638RCL5 10-30-2008 366,120,000 Refund 1/31/89 & 5/14/03 Bonds   X   X   X
B Tarrant Cnty Cultural Education Facility FIN Corp
  		04-3833551   07-31-2015 134,875,000 Refund 2010 Tax Exempt Note   X   X   X
C Tarrant Cnty Cultural Education Facility FIN Corp
  		04-3833551 87638TEH2 10-04-2012 50,000,000 Construction & Equip Health Facili   X   X   X
D Tarrant Cnty Cultural Education Facility Fin Corp
  		04-3833551 87638TEZ2 05-21-2015 60,535,400 Construction & Equip Health Facili   X   X   X
Tarrant Cnty Cultural Education Facility FIN Corp
  		04-3833551 87638TFM0 11-18-2016 708,403,645 Refund 2007A Bonds & Capital Impro   X   X   X
Tarrant Cnty Cultural Education Facility FIN Corp
  		04-3833551 87638TFP3 10-19-2017 133,470,000 Refund 2007B Bonds & Construction   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 216,940,000 5,220,000 0 0
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 366,264,054 134,875,000 50,037,844 61,433,172
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,868,320 0 0 247,878
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 178,040,202 0 50,037,844 61,185,294
11 Other spent proceeds ............. 186,355,532 134,875,000 0 0
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2009 2015 2014 2016
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X   X     X   X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X     X   X   X
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X     X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X              
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government .... 1.550 % 0.100 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 1.550 % 0.100 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 3.960 %      
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X     X
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Part I, Column e and Part II, Line 3 All bonds issued The amount of total proceeds of issue reported in Part II, Line 3 differs from the amount of the issue price reported in Part I, Column e. The difference relates to cumulative investment earnings.
Part IV, Line 2C, Column A Rebate Calculations for the 2008 Series were completed 12/13/2023.
Part IV, Line 2C, Column B Rebate calculations for the 2015 Note Payable are not required. They are not subject to arbitrage.
Part IV, Line 2C, Column C Rebate calculations for the 2012 Series were completed 10/26/22.
Part IV, Line 2c, Column D Rebate calculations for the 2015 series were completed 6/11/20.
Part VI, Line 2c, Column A Rebate calculations for the 2016 series were completed 01/26/2022.
Part VI, Line 2c, Column B Rebate calculations for the 2017 series were completed 11/01/22.
Part III, Line 8a-c, Column A A remedial action was taken pursuant to Regulations sections 1.141-12 and 1.145-2 to prevent private business use of bond-financed property sold to an unrelated third party. Disposition proceeds resulting from the sale are expected to be allocated within two years of such sale to capital projects that do not cause the issue to meet either the private business tests or the private loan financing test in accordance with Regulations section 1.141-12(e)(1).
Schedule K (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
Texas Health Resources
 
Employer identification number
75-2702388
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A Tarrant Cnty Cultural Education Facility Fin Corp
  		04-3833551 87638RCL5 10-30-2008 366,120,000 Refund 1/31/89 & 5/14/03 Bonds   X   X   X
B Tarrant Cnty Cultural Education Facility FIN Corp
  		04-3833551   07-31-2015 134,875,000 Refund 2010 Tax Exempt Note   X   X   X
C Tarrant Cnty Cultural Education Facility FIN Corp
  		04-3833551 87638TEH2 10-04-2012 50,000,000 Construction & Equip Health Facili   X   X   X
D Tarrant Cnty Cultural Education Facility Fin Corp
  		04-3833551 87638TEZ2 05-21-2015 60,535,400 Construction & Equip Health Facili   X   X   X
Tarrant Cnty Cultural Education Facility FIN Corp
  		04-3833551 87638TFM0 11-18-2016 708,403,645 Refund 2007A Bonds & Capital Impro   X   X   X
Tarrant Cnty Cultural Education Facility FIN Corp
  		04-3833551 87638TFP3 10-19-2017 133,470,000 Refund 2007B Bonds & Construction   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 216,940,000 5,220,000 0 0
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 366,264,054 134,875,000 50,037,844 61,433,172
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,868,320 0 0 247,878
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 178,040,202 0 50,037,844 61,185,294
11 Other spent proceeds ............. 186,355,532 134,875,000 0 0
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2009 2015 2014 2016
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X   X     X   X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X     X   X   X
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X     X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X              
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government .... 1.550 % 0.100 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 1.550 % 0.100 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 3.960 %      
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X     X
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Part I, Column e and Part II, Line 3 All bonds issued The amount of total proceeds of issue reported in Part II, Line 3 differs from the amount of the issue price reported in Part I, Column e. The difference relates to cumulative investment earnings.
Part IV, Line 2C, Column A Rebate Calculations for the 2008 Series were completed 12/13/2023.
Part IV, Line 2C, Column B Rebate calculations for the 2015 Note Payable are not required. They are not subject to arbitrage.
Part IV, Line 2C, Column C Rebate calculations for the 2012 Series were completed 10/26/22.
Part IV, Line 2c, Column D Rebate calculations for the 2015 series were completed 6/11/20.
Part VI, Line 2c, Column A Rebate calculations for the 2016 series were completed 01/26/2022.
Part VI, Line 2c, Column B Rebate calculations for the 2017 series were completed 11/01/22.
Part III, Line 8a-c, Column A A remedial action was taken pursuant to Regulations sections 1.141-12 and 1.145-2 to prevent private business use of bond-financed property sold to an unrelated third party. Disposition proceeds resulting from the sale are expected to be allocated within two years of such sale to capital projects that do not cause the issue to meet either the private business tests or the private loan financing test in accordance with Regulations section 1.141-12(e)(1).
Schedule K (Form 990) (Rev. 1-2025)

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Schedule L
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
Texas Health Resources
 
Employer identification number

75-2702388
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
(1) Berdan Barclay Officer Split Dollar Life   X   470,253   No   No   No
(2) King James Kirk Officer Split Dollar Life   X   128,966   No   No   No
(3) Kramer Kenneth Jr Officer Split Dollar Life   X   150,799   No   No   No
(4) Kevin Holmes Former Split Dollar Life   X   134,549   No   No   No
(5) Tesmer David J Officer Split Dollar Life   X   86,108   No   No   No
Total ............... $ 970,675
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) (Rev. 1-2025)
Schedule L (Form 990) (Rev. 1-2025)
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Richard Vigness MD Entity Owned by Board Member 145,766 Independent Contractor   No
(2) ParrisZaira Xiomara Family member of Michel Parris 94,554 Employment   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) (Rev. 1-2025)


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SCHEDULE O
(Form 990)
(Rev. January 2025)
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 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
Texas Health Resources
 
Employer identification number

75-2702388
Return Reference Explanation
990, Part VI, Section A, Line 2 - Business Relationship Texas Health Resources (THR) and its related organizations included in the THR healthcare system encourage employees to become involved in philanthropic endeavors in their communities. As a result, THR healthcare system employees who are serving as officers, board members, or key employees may, from time to time, also serve on the boards of various community organizations such as church boards, United Way, etc. There may be a business relationship as a result of multiple THR employees serving on the same community boards. THR employees serve as the corporate officers of each subsidiary organization. As THR system employees, all officers have a business relationship within the organizations of the THR healthcare system. THR also appoints system officers to the boards of various controlled joint ventures. As THR system employees, various officers of the organization may have a business relationship through serving on THR controlled joint venture boards.
990, Part VI, Section B, Line 11b - Form 990 Filing The Texas Health Resources (THR) tax department staff prepares the Forms 990 for THR and all of its wholly controlled affiliates. In order to accurately prepare the returns, the tax staff works closely with various other departments to gather and review the information needed to complete the return. The departments involved in this process include, but are not limited to accounting, finance, treasury, human resources, payroll, legal, governance, and corporate compliance. The returns are then reviewed twice within the tax department, before being reviewed by an outside preparer, and by the Chief Accounting Officer/Assistant Secretary. All THR System Forms 990 are provided to members of the Audit and Compliance Committee of the THR Board, giving them an opportunity to review, comment and ask questions regarding the Forms 990. The tax department Vice President provides an overview presentation to the committee highlighting various areas of the Form 990. A resolution to approve all of the returns is voted upon at this meeting. Once the Audit and Compliance Committee has approved the returns, each return is then reviewed and signed by the Chief Accounting Officer/Assistant Secretary. The members of the governing Boards are provided a copy of the Form 990 for their respective entity before the Form 990 is filed.
990, Part VI, Section B, Line 12c - Conflict of Interest Texas Health Resources (THR) has adopted a Conflict of Interest Policy that applies to THR and all of its wholly owned or wholly controlled affiliates. During the year, a Duality and Conflict of Interest Statement Form is distributed by the THR Chief Compliance Officer to all board members, officers, contracted medical directors, employees with a title of manager or above, employed physicians, and certain committee members and other employees based upon function. All disclosed conflicts are reviewed by the THR Chief Compliance Officer. A report, listing each reported Duality of Interest or Conflict of Interest is given to both the Chair of the Governing body and the President of the Corporation with which the reporting person is affiliated. The THR Board of Trustees receives a report when the Annual Disclosure process is complete. Progressive corrective action is taken for any identified noncompliance which may include removal from a board or committee or physician/employee counseling if the person fails to provide the disclosure. In addition, THR monitors physician payments through a public database implemented by CMS. Management plans are executed as needed based upon disclosures. THR also educates the Boards and workforce annually through either a web based or live compliance training.
990, Part VI, Section B, Lines 15 a&b - Compensation Determination Texas Health Resources (THR) used the following methods to establish the compensation of the organizations CEO, officer and key employees. * The Governance committee (which includes independent persons) performs reviews and makes recommendations to the THR Board for the CEO compensation and for the overall payment philosophy for the remaining officers. * Governance Committee approves the elements of officers compensation and committee approval is required for officer compensation payments outside the approved parameters. * Independent consultants may be hired. * Compensation surveys or studies are utilized. * Approval by the Board or Governance committee is required. The board of THR hires an independent third-party compensation consultant to review base pay of the CEO annually. Every 3 years, the independent third-party compensation consultant is hired to review all aspects of executive compensation, which includes a review and confirmation of the executive compensation philosophy. Each year the Governance committee of the THR board of trustees reviews a detailed report analyzing CEO, CEO direct reports, and other senior level officers compensation packages.
990, Part VI, Section C, Line 19 - Public Disclosure The organization does not make its governing documents or conflict of interest policy available to the public. The consolidated financial statements of Texas Health Resources (THR) are made available to the public on the website www.dacbond.com. Consolidated financial statements are posted to this website quarterly and the audited financial statements are posted annually. The financial statements of the wholly controlled affiliates of THR are not posted to the website nor are they generally made available to the public in any other manner.
990, Part XI, Line 9 - Other Changes in Fund Balance Affiliate Treasury Shares ($4,228,264) Transfer of control (1,006,898) Adjustment for Intercompany Transactions of a Controlled Group $113,151,564 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
Open to Public Inspection
Name of the organization
Texas Health Resources
 
Employer identification number

75-2702388
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) Texas Health Partners LLC
612 E Lamar Blvd
Arlington,TX76011
02-0546958 		Mgmt Co TX 55,355,664 9,553,737 TH Resources
 
(2) THR-SCA Holdings LLC
612 E Lamar Blvd
Arlington,TX76011
46-1096461 		Holding Co TX 87,653,878 162,498,769 TH Resources
 
(3) Texas Health Resources Trust
612 E Lamar Blvd
Arlington,TX76011
30-6406740 		Investments TX -11,451 29,285,408 TH Resources
 
(4) TX Hlth Surgery Center Las Colinas LLC
612 E Lamar Blvd
Arlington,TX76011
84-3814491 		Inactive TX 0 0 THR-SCA Hold
 
(5) Denton Endoscopy Surgery Center LLC
612 E Lamar Blvd
Arlington,TX76011
 Inactive TX 0 0 THR-SCA Hold
 
(6) TX Health Surgery Center Royse City LLC
612 E LAMAR BLVD STE 600
ARLINGTON,TX76011
88-4370079 		Inactive TX 0 0 THR-SCA Hold
 
(7) Fort Worth Acquisition Company LLC
612 E LAMAR BLVD STE 600
Arlington,TX76011
99-1896089 		Inactive DE 7,251 2,197,251 FW Acquisiti
 
(8) Fort Worth Acquisition Holding Company L
612 E Lamar Blvd
Arlington,TX76011
99-2201278 		  DE 659 2,215,659 TH Resources
 
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)Huguley Medical Assoc Inc
11801 South Freeway

Burleson,TX76028
75-2547668 		Phys Clinic TX 501(c)(3) 3 TH Huguley
 
Yes
 
(2)North Texas Healthy Communities
612 E Lamar Blvd

Arlington,TX76011
46-4513182 		Comm Support TX 501(c)(3) 7 TH Resources
 
Yes
 
(3)Southwestern Health Resources JOC
5323 Harry Hines Blvd

Dallas,TX75390
81-1575989 		Mgmt Org TX 501(c)(3) 12b TH Resources
 
Yes
 
(4)Texas Health Arlington Memorial Hospital
800 West Randol Mill Rd

Arlington,TX76012
75-0972805 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(5)Texas Health Back Care
9250 Amberton Pkwy

Dallas,TX75243
47-4724257 		Phys. Clinic TX 501(c)(3) 3 TH Phys Grp
 
Yes
 
(6)Texas Health Alliance
10864 Texas Health Trail

Fort Worth,TX76244
45-1502252 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(7)Texas Health Azle
108 Denver Trail

Azle,TX76020
75-1748586 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(8)Texas Health Cleburne
201 Walls Dr

Cleburne,TX76033
75-1977850 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(9)Texas Health Fort Worth
1301 Pennsylvania Ave

Fort Worth,TX76104
75-6001743 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(10)Texas Health Hurst-Euless-Bedford
1600 Hospital Parkway

Bedford,TX76022
75-1438726 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(11)Texas Health Southwest Fort Worth
6100 Harris Parkway

Fort Worth,TX76132
75-2678857 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(12)Texas Health Stephenville
411 Belknap

Stephenville,TX76401
75-1752253 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(13)Texas Health Forney
612 E Lamar Blvd

Arlington,TX76011
33-3764147 		Inactive TX 501(c)(3) 3 TH Resources
 
Yes
 
(14)Texas Health Frisco
12400 Dallas Parkway

Frisco,TX75033
83-1954982 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(15)Texas Health Mansfield
2300 Lone Star Rd

Mansfield,TX76063
83-1869297 		Hospital TX 501(c)(3) 3 TH Huguley
 
Yes
 
(16)Texas Health Huguley Inc
11801 S Freeway

Burleson,TX76028
45-2694620 		Hospital FL 501(c)(3) 3 TH Resources
 
Yes
 
(17)Texas Health Medical Support
612 E Lamar Blvd

Arlington,TX76011
81-2833150 		Spec Drugs TX 501(c)(3) 3 TH Resources
 
Yes
 
(18)Texas Health Physicians Group
9250 Amberton Pkwy

Dallas,TX75243
75-2613493 		Phys. Clinic TX 501(c)(3) 3 TH Resources
 
Yes
 
(19)Texas Health Allen
1105 Central Expressway N

Allen,TX75013
75-2890358 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(20)Texas Health Dallas
8200 Walnut Hill Ln

Dallas,TX75231
75-1047527 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(21)Texas Health Denton
3000 North Interstate 35

Denton,TX76201
43-2008974 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(22)Texas Health Kaufman
850 Ed Hall Drive

Kaufman,TX75142
75-2771437 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(23)Texas Health Plano
6200 W Parker Rd

Plano,TX75093
75-2770738 		Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(24)TH Recovery and Wellness Center
240 Miller Road

Mansfield,TX76063
81-2813227 		Resd Trmt Ctr TX 501(c)(3) 3 TH Resources
 
Yes
 
(25)TX Health Research & Education Institute
612 E Lamar Blvd

Arlington,TX76011
75-2562191 		Edu& Research TX 501(c)(3) 4 TH Resources
 
Yes
 
(26)Texas Health Resources
612 E Lamar Blvd

Arlington,TX76011
75-2702388 		System Mgmt TX 501(c)(3) 12c NA
 
 
 
(27)Texas Health Resources Foundation
612 E Lamar Blvd

Arlington,TX76011
75-2022128 		Fundraising TX 501(c)(3) 7 TH Resources
 
Yes
 
(28)TH Specialty Hospital Fort Worth
1301 Pennsylvania Ave

Fort Worth,TX76104
75-1648589 		LT Hospital TX 501(c)(3) 3 TH Resources
 
Yes
 
(29)TX Health Urgent Care
3805 W University Park 100

McKinney,TX75071
81-4317635 		Urgent Care TX 501(c)(3) 3 TH Resources
 
Yes
 
(30)TX Health Virtual Care
612 E Lamar Blvd

Arlington,TX76011
87-3611585 		Virtual Care TX 501(c)(3) 3 TH Resources
 
Yes
 
(31)WW Ward Endowment Fund Trust
612 E Lamar Blvd

Arlington,TX76011
75-6196065 		Nursing Grant TX 501(c)(3) 12a TH Fndn
 
Yes
 
(32)Dallas County Indigent Care Corporation
1441 N Beckley Ave

Dallas,TX75203
26-0610562 		Support Org. TX 501(c)(3) 12a NA
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) AMH Cath Labs LLC

811 Wright St
Arlington,TX76012
20-3003947 		Hospital TX NA
  		                 
(2) Arlington Surgery Center LLC

918 N Davis Dr
Arlington,TX76012
75-2055800 		Amb Surg Ctr TX THR-SCA Holding
  		Related 1,177,381 2,042,402   No 0 Yes   56.754 %
(3) Castle Hills Surgicare LLC

4221 Medical Parkway ste 100
Carrollton,TX75010
81-3020487 		Amb Surg Ctr TX THR-SCA Holding
  		Related 659,583 3,570,509   No 0 Yes   51.000 %
(4) Central Park Surgery Center LLC

411 Central Park Drive
Arlington,TX76014
16-1705322 		Amb Surg Ctr TX THR-SCA Holding
  		Related 948,447 1,473,772   No 0 Yes   51.000 %
(5) Cleburne Surgical Center LLC

2010 W Katherine P Raines Blvd St
Cleburne,TX76033
20-3742012 		Amb Surg Ctr TX THR-SCA Holding
  		Related 2,296,779 2,689,958   No 0 Yes   51.000 %
(6) Cross Timbers Surgery Center LLC

1001 N Waldrop Dr Ste 705
Arlington,TX76012
75-2862780 		Amb Surg Ctr TX THR-SCA Holding
  		Related 2,828,500 2,943,972   No 0 Yes   51.000 %
(7) Denton Surgery Center LLC

207 North Bonnie Brea
Denton,TX76201
47-0926556 		Amb Surg Ctr TX THR-SCA Holding
  		Related 3,903,547 5,525,485   No 0 Yes   52.285 %
(8) Flower Mound Hospital Partners LLC

4400 Long Prairie Rd
Flower Mound,TX75028
26-0684968 		Hospital TX TH Resources
  		Related 27,396,091 95,161,652   No 0 Yes   54.039 %
(9) Fort Worth Endoscopy Centers LLC

900 W Magnolia Ave 101
Fort Worth,TX76104
77-0368346 		Endoscopy Center TX THR-SCA Holding
  		Related 10,791,658 5,338,959   No 0 Yes   51.000 %
(10) Greenville Surgery Center LLC

7150 Greenville Ave Ste 200
Dallas,TX75231
74-2411643 		Amb Surg Ctr TX THR-SCA Holding
  		Related 1,235,915 1,885,962   No 0 Yes   56.579 %
(11) Health Imaging Partners LLC

8610 Explorer Drive Ste 300
Colorado Springs,CO80920
27-1385885 		Medical Imaging TX TH Resources
  		Related 33,130,645 50,504,578   No 0   No 51.000 %
(12) Mansfield Endoscopy Center LLC

647 N Miller Rd
Mansfield,TX76063
86-1354607 		Endoscopy TX THR-SCA Holding
  		Related 1,396,837 2,913,956   No 0 Yes   51.000 %
(13) North Dallas Surgical Center LLC

17980 Dallas Pkw Ste 100
Dallas,TX75287
27-2248103 		Amb Surg Ctr TX THR-SCA Holding
  		Related 543,904 1,391,382   No 0 Yes   51.000 %
(14) Opthalmology Surgery Center of Dallas LL

10740 N Central Expy
Dallas,TX75231
26-1914835 		Amb Surg Ctr TX THR-SCA Holding
  		Related 9,466,104 8,682,951   No 0 Yes   51.000 %
(15) Park Hill Surgery Center LLC

3455 Locke Ave
Fort Worth,TX76107
45-1484375 		Amb Surg Ctr TX THR-SCA Holding
  		Related 5,665,799 6,496,667   No 0 Yes   51.000 %
(16) Physicians Medical Center LLC

6020 W Parker Rd
Plano,TX75093
48-1281376 		Hospital TX TH Resources
  		Related 8,463,849 19,108,888   No 0 Yes   55.512 %
(17) Presbyterian Cancer Ctr-Dallas LLC

PO Box 819067
Dallas,TX75381
26-0422749 		Cancer Ctr TX NA
  		                 
(18) Rockwall Regional Hospital LLC

3150 Horizon Rd
Rockwall,TX75032
20-2848116 		Hospital TX TH Resources
  		Related 18,328,640 143,513,728   No 0 Yes   70.146 %
(19) South Arlington Surgical Providers LLC

350 E Interstate 20 Ste 200
Arlington,TX76018
75-2723958 		Amb Surg Ctr TX THR-SCA Holding
  		Related 807,114 11,017,383   No 0 Yes   51.000 %
(20) Southlake Specialty Hospital LLC

1545 E Southlake Blvd
Southlake,TX76092
02-0555370 		Hospital TX TH Resources
  		Related 7,405,354 14,658,985   No 0 Yes   55.617 %
(21) Surgical Caregivers of Fort Worth LLC

2001 W Rosedale St
Fort Worth,TX76104
75-1925497 		Amb Surg Ctr TX THR-SCA Holding
  		Related 3,663,369 3,870,873   No 0 Yes   51.000 %
(22) Texas Health Craig Ranch Surgery Center

8080 State Hwy 121 Ste 100
McKinney,TX75070
38-3897811 		Amb Surg Ctr TX THR-SCA Holding
  		Related 3,848,602 3,659,402   No 0 Yes   54.026 %
(23) Texas Health Flower Mound Orthopedic Sur

5000 Long Prairie Rd
Flower Mound,TX75028
80-0866449 		Amb Surg Ctr TX THR-SCA Holding
  		Related 5,219,134 4,118,189   No 0 Yes   51.000 %
(24) Texas Health Huguley Surgery Center LLC

12001 S Freeway
Burleson,TX76028
82-1289045 		Amb Surg Ctr TX NA
  		                 
(25) Texas Health Orthopedic Surgery Center A

9848 N Beach St
Fort Worth,TX76244
81-4977249 		Amb Surg Ctr TX THR-SCA Holding
  		Related 5,134,675 5,701,026   No 0   No 51.000 %
(26) Texas Health Spine Surgery Center Allen

1120 Raintree Cir Ste 100
Allen,TX75013
30-0957868 		Amb Surg Ctr TX TH Resources
  		Related 1,071,669 1,881,732   No 0 Yes   51.000 %
(27) Texas Health Spine Surgery Center Allian

1545 E Southlake Blvd Ste 100
Southlake,TX76092
32-0571301 		Amb Surg Ctr TX TH Resources
  		Related 256,889 1,390,989   No 0 Yes   51.000 %
(28) Texas Health Supply Chain Services LLC

612 E Lamar Blvd Ste 600
Arlington,TX76011
84-1833532 		Purchasing Co TX TH Resources
  		Related 1,836,474 8,400,819   No 0 Yes   51.000 %
(29) Texas Health Surgery Center Alliance LLC

10840 Texas Health Trail Ste 100
Fort Worth,TX76244
82-2296081 		Amb Surg Ctr TX THR-SCA Holding
  		Related 936,946 3,777,066   No 0 Yes   72.004 %
(30) Texas Health Surgery Center Bedford LLC

1605 Airport Freeway Ste 100
Bedford,TX76021
82-1307876 		Amb Surg Ctr TX THR-SCA Holding
  		Related 970,804 2,155,787   No 0 Yes   52.051 %
(31) Texas Health Surgery Center Chisholm Tra

5900 Altamesa Blvd
Fort Worth,TX76132
85-1225852 		Amb Surg Ctr TX THR-SCA Holding
  		Related 4,255,635 6,263,100   No 0 Yes   51.035 %
(32) Texas Health Surgery Center Forney LLC

612 E Lamar Blvd Ste 600
Arlington,TX76011
92-3847064 		Inactive TX THR-SCA Holding
  		Related 0 0   No 0 Yes   57.250 %
(33) Texas Health Surgery Center Irving LLC

2120 N MacArthur Blvd Ste 200
Irving,TX75061
83-1085415 		Amb Surg Ctr TX THR-SCA Holding
  		Related 222,874 1,421,166   No 0 Yes   52.577 %
(34) Texas Health Surgery Center Preston Plaz

17950 Preston Road Ste 75
Dallas,TX75252
20-3991622 		Amb Surg Ctr TX THR-SCA Holding
  		Related 5,394,011 5,064,305   No 0 Yes   52.184 %
(35) Texas Health Surgery Center Rockwall LLC

3144 Horizon Rd Ste 120
Rockwall,TX75032
47-4425996 		Amb Surg Ctr TX THR-SCA Holding
  		Related 7,814,076 6,770,093   No 0 Yes   51.000 %
(36) Texas Health Surgery Center Southwest Fo

6317 Harris Parkway Ste 200
Fort Worth,TX76132
84-3814490 		Amb Surg Ctr TX THR-SCA Holding
  		Related 3,233,775 2,701,496   No 0 Yes   51.000 %
(37) Texas Health Surgery Center Willow Park

120 Jimma Drive
Willow Park,TX76087
84-1953918 		Amb Surg Ctr TX THR-SCA Holding
  		Related 611,002 7,564,672   No 0 Yes   51.000 %
(38) Texas Institute for Surgery LLP

7115 Greenville Ave Ste 100
Dallas,TX75231
77-0628004 		Hospital TX NA
  		                 
(39) THR-STT Rockwall ASC LLC

1545 E Southlake Blvd
Southlake,TX76092
26-2429878 		Amb Surg Ctr TX TH Resources
  		Related 1,713,961 1,175,010   No 0 Yes   51.000 %
(40) THR-STT Southlake ASC LLC

1545 E Southlake Blvd
Southlake,TX76092
20-1728912 		Amb Surg Ctr TX TH Resources
  		Related 2,046,687 1,364,666   No 0 Yes   63.352 %
(41) UPNT Surgery LLC

5001 S Cooper Ste 201
Arlington,TX76017
37-1939831 		Amb Surg Ctr TX TH Resources
  		Related 553,025 6,939,525   No 0   No 51.000 %
(42) USMD Hospital at Arlington LP

801 I -20 West
Arlington,TX76017
73-1662763 		Hospital TX TH Resources
  		Related 1,170,170 30,780,851   No 0   No 52.364 %
(43) Walnut Hill Surgery Center LLC

5494 Glen Lakes Dr
Dallas,TX75231
36-4499777 		Amb Surg Ctr TX THR-SCA Holding
  		Related 520,035 7,235,129   No 0 Yes   51.000 %
(44) Willow Park Endoscopy Center LLC

130 Jimma Drive
Willow Park,TX76087
88-1643733 		Amb Surg Ctr TX THR-SCA Holding
  		Related -7,879 2,534,342   No 0 Yes   51.000 %
(45) Wilson Creek Surigcal Center LLC

8855 Synergy Drive
McKinney,TX75070
27-4816583 		Amb Surg Ctr TX THR-SCA Holding
  		Related 5,632,732 3,488,513   No 0 Yes   51.000 %
(46) Women's Specialty Surgery Center of Dall

8230 Walnut Hill Ln Ste 101
Dallas,TX75231
26-2310072 		Amb Surg Ctr TX NA
  		                 
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Grace Indemnity Company SPC Ltd

1159 Caribbean Plaza
Grand Cayman   KY 1-1102
CJ
98-1209573 		Captive Insur CJ TH Resources
  		C Corp 5,088,386 138,241,708 100.000 % Yes  
(2) Texas Health Biomedical Advancement Cent

612 E Lamar Blvd
Arlington,TX76011
75-2636884 		Research TX NA
  		C Corp       Yes  










Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) AMH Cath Labs LLC

 A 294,169 Note
(2) Cross Timbers Surgery Center LLC

 A 272,481 Lease
(3) FW Endoscopy Centers LLC

 A 827,914 Lease
(4) Health Imaging Partners LLC

 A 112,225 Lease
(5) Texas Health Medical Support

 A 285,490 Lease
(6) Texas Health Virtual Care

 A 96,749 Lease
(7) TH Allen

 A 680,710 Lease
(8) TH Alliance

 A 57,115 Lease
(9) TH Arlington Memorial

 A 490,022 Lease
(10) TH Azle

 A 231,817 Lease
(11) TH Cleburne

 A 167,848 Lease
(12) TH Dallas

 A 273,443 Lease
(13) TH Fort Worth

 A 4,912,004 Lease
(14) TH HEB

 A 761,726 Lease
(15) TH Physicians Group

 A 14,546,333 Lease
(16) TH Plano

 A 3,862,991 Lease
(17) TH Southwest

 A 889,468 Lease
(18) TH Stephenville

 A 422,907 Lease
(19) TH Supply Chain Services LLC

 A 96,108 Lease
(20) TH Surgery Ctr SW Fort Worth LLC

 A 1,331,807 Lease
(21) THR Foundation

 A 240,820 Lease
(22) TH Research & Education

 A 153,226 Lease
(23) Women's Specialty Surg Ctr Dallas LLC

 A 306,490 Lease
(24) UPNT Surgery LLC

 B 1,700,000 JV Agreement
(25) Arlington Surgery Center LLC

 C 1,018,862 JV Agreement
(26) Castle Hills Surgicare LLC

 C 897,983 JV Agreement
(27) Cleburne Surgical Ctr LLC

 C 2,313,788 JV Agreement
(28) Cross Timbers Surgery Center LLC

 C 2,885,616 JV Agreement
(29) Denton Surgery Center LLC

 C 3,492,372 JV Agreement
(30) Flower Mound Hospital Partners LLC

 C 27,285,953 JV Agreement
(31) Flower Mound Ortho Surg Ctr LLC

 C 4,922,664 JV Agreement
(32) FW Endoscopy Centers LLC

 C 11,181,449 JV Agreement
(33) Greenville Surgery Center LLC

 C 1,093,496 JV Agreement
(34) Health Imaging Partners LLC

 C 29,873,250 JV Agreement
(35) Mansfield Endoscopy Center LLC

 C 1,476,774 JV Agreement
(36) North Dallas Surgical Center LLC

 C 258,858 JV Agreement
(37) Ophthalmology Surg Ctr-Dallas

 C 11,470,731 JV Agreement
(38) Park Hill Surgery Center LLC

 C 6,264,691 JV Agreement
(39) Physicians Medical Center LLC

 C 7,596,116 JV Agreement
(40) Rockwall Regional Hospital LLC

 C 12,158,759 JV Agreement
(41) AMH Cath Labs LLC

 C 1,976,455 JV Agreement
(42) Southlake Specialty Hospital LLC

 C 6,957,698 JV Agreement
(43) Surgical CareGivers of FW LLC

 C 4,120,159 JV Agreement
(44) TH Craig Ranch Surg Ctr LLC

 C 3,662,668 JV Agreement
(45) Texas Health Frisco

 C 10,500,000 Cash Trans
(46) TH Ortho Surg Ctr Alliance LLC

 C 4,506,685 JV Agreement
(47) TH Spine Surgery Ctr Allen LLC

 C 731,728 JV Agreement
(48) TH Spine Surgery Ctr Alliance LLC

 C 200,864 JV Agreement
(49) TH Surg Ctr Alliance LLC

 C 590,223 JV Agreement
(50) TH Surg Ctr Chisholm Trail LLC

 C 4,271,255 JV Agreement
(51) TH Surg Ctr Preston Plaza LLC

 C 5,470,390 JV Agreement
(52) TH Surg Ctr Rockwall LLC

 C 7,443,386 JV Agreement
(53) TH Surgery Ctr SW Fort Worth LLC

 C 3,052,025 JV Agreement
(54) TH Surgery Ctr Bedford LLC

 C 510,646 JV Agreement
(55) TH Surgery Ctr Irving LLC

 C 448,145 JV Agreement
(56) THR-STT Rockwall ASC LLC

 C 1,611,238 JV Agreement
(57) THR-STT Southlake ASC LLC

 C 1,855,585 JV Agreement
(58) USMD Hospital at Arlington LP

 C 1,426,810 JV Agreement
(59) Walnut Hill Surgery Center LLC

 C 1,191,851 JV Agreement
(60) Wilson Creek Surgical Center LLC

 C 5,596,038 JV Agreement
(61) AMH Cath Labs LLC

 D 10,191,395 Note
(62) Flower Mound Hospital Partners LLC

 D 181,980 Contract
(63) Rockwall Regional Hospital LLC

 D 247,221 Contract
(64) AMH Cath Labs LLC

 l 115,000 Svc Agreement
(65) AMH Cath Labs LLC

 l 4,265,966 Svc Agreement
(66) Arlington Surgery Center LLC

 L 256,367 Svc Agreement
(67) Castle Hills Surgicare LLC

 L 79,294 Svc Agreement
(68) Cleburne Surgical Ctr LLC

 L 244,366 Svc Agreement
(69) Cross Timbers Surgery Center LLC

 L 165,529 Svc Agreement
(70) Denton Surgery Center LLC

 L 263,071 Svc Agreement
(71) Flower Mound Hospital Partners LLC

 l 17,709,480 Svc Agreement
(72) Flower Mound Ortho Surg Ctr LLC

 L 296,999 Svc Agreement
(73) FW Endoscopy Centers LLC

 L 273,028 Svc Agreement
(74) FW Endoscopy Centers LLC

 L 302,056 Svc Agreement
(75) Greenville Surgery Center LLC

 L 139,324 Svc Agreement
(76) Health Imaging Partners LLC

 l 3,743,752 Svc Agreement
(77) Mansfield Endoscopy Center LLC

 L 99,462 Svc Agreement
(78) North Dallas Surgical Center LLC

 L 105,948 Svc Agreement
(79) Ophthalmology Surg Ctr-Dallas

 L 744,950 Svc Agreement
(80) Park Hill Surgery Center LLC

 L 487,903 Svc Agreement
(81) Physicians Medical Center LLC

 l 106,155 Svc Agreement
(82) Physicians Medical Center LLC

 l 7,080,063 Svc Agreement
(83) Rockwall Regional Hospital LLC

 l 272,597 Svc Agreement
(84) Rockwall Regional Hospital LLC

 l 13,757,246 Svc Agreement
(85) AMH Cath Labs LLC

 L 163,644 Svc Agreement
(86) Southlake Specialty Hospital LLC

 l 197,898 Svc Agreement
(87) Southlake Specialty Hospital LLC

 l 6,075,526 Svc Agreement
(88) Southwestern Health Resources

 l 4,932,688 Svc Agreement
(89) Surgical CareGivers of FW LLC

 L 270,339 Svc Agreement
(90) Texas Health Frisco

 l 17,265,732 Svc Agreement
(91) Texas Health Medical Support

 l 841,723 Svc Agreement
(92) Texas Health Urgent Care

 l 5,440,874 Svc Agreement
(93) Texas Health Urgent Care

 l 224,494 Svc Agreement
(94) Texas Health Virtual Care

 l 628,220 Svc Agreement
(95) Texas Institute for Surgery

 l 136,902 Svc Agreement
(96) TH Allen

 l 16,696,394 Svc Agreement
(97) TH Alliance

 l 25,719,366 Svc Agreement
(98) TH Arlington Memorial

 l 42,321,143 Svc Agreement
(99) TH Azle

 l 6,731,231 Svc Agreement
(100) TH Cleburne

 l 10,673,389 Svc Agreement
(101) TH Craig Ranch Surg Ctr LLC

 L 220,056 Svc Agreement
(102) TH Dallas

 l 108,649,506 Svc Agreement
(103) TH Denton

 l 36,636,623 Svc Agreement
(104) TH Fort Worth

 l 158,399,659 Svc Agreement
(105) TH HEB

 l 44,739,963 Svc Agreement
(106) TH Huguley

 l 1,625,297 Svc Agreement
(107) TH Kaufman

 l 6,839,689 Svc Agreement
(108) TH Mansfield

 l 556,741 Svc Agreement
(109) TH Ortho Surg Ctr Alliance LLC

 L 310,612 Svc Agreement
(110) TH Physicians Group

 l 125,276,365 Svc Agreement
(111) TH Physicians Group

 l 979,652 Svc Agreement
(112) TH Plano

 l 68,973,496 Svc Agreement
(113) TH Plano

 l 545,054 Svc Agreement
(114) TH Recovery & Wellness Ctr

 l 575,099 Svc Agreement
(115) TH Southwest

 l 48,256,827 Svc Agreement
(116) TH Specialty Hospital

 l 1,465,894 Svc Agreement
(117) TH Spine Surgery Ctr Allen LLC

 l 77,921 Svc Agreement
(118) TH Spine Surgery Ctr Alliance LLC

 l 50,101 Svc Agreement
(119) TH Stephenville

 l 9,173,880 Svc Agreement
(120) TH Supply Chain Services LLC

 l 130,113 Svc Agreement
(121) TH Supply Chain Services LLC

 l 1,624,966 Svc Agreement
(122) TH Surg Ctr Alliance LLC

 L 158,440 Svc Agreement
(123) TH Surgery Ctr Bedford LLC

 L 122,065 Svc Agreement
(124) TH Surgery Ctr Irving LLC

 L 124,877 Svc Agreement
(125) TH Surg Ctr Preston Plaza LLC

 L 409,389 Svc Agreement
(126) TH Surg Ctr Rockwall LLC

 L 575,123 Svc Agreement
(127) TH Surgery Ctr SW Fort Worth LLC

 L 229,173 Svc Agreement
(128) TH Surg Ctr Chisholm Trail LLC

 L 376,611 Svc Agreement
(129) THR Foundation

 l 214,159 Svc Agreement
(130) TH Research & Education

 l 148,790 Svc Agreement
(131) THR-STT Rockwall ASC LLC

 l 111,373 Svc Agreement
(132) THR-STT Southlake ASC LLC

 l 97,257 Svc Agreement
(133) USMD Hospital at Arlington LP

 l 92,117 Svc Agreement
(134) Walnut Hill Surgery Center LLC

 L 122,835 Svc Agreement
(135) Willow Park Endoscopy Center LLC

 L 200,189 Svc Agreement
(136) Wilson Creek Surgical Center LLC

 L 337,027 Svc Agreement
(137) Women's Specialty Surg Ctr Dallas LLC

 l 206,272 Svc Agreement
(138) TH Dallas

 M 170,820 Svc Agreement
(139) TH Fort Worth

 M 154,662 Svc Agreement
(140) TH Plano

 M 126,576 Svc Agreement
(141) TH Research & Education

 M 104,568 Svc Agreement
(142) AMH Cath Labs LLC

 Q 260,122 Cash Trans
(143) Arlington Surgery Center LLC

 Q 50,102 Cash Trans
(144) Cleburne Surgical Ctr LLC

 Q 66,881 Cash Trans
(145) Cross Timbers Surgery Center LLC

 Q 52,854 Cash Trans
(146) Denton Surgery Center LLC

 Q 89,049 Cash Trans
(147) Flower Mound Hospital Partners LLC

 Q 878,933 Cash Trans
(148) Flower Mound Ortho Surg Ctr LLC

 Q 137,601 Cash Trans
(149) FW Endoscopy Centers LLC

 Q 225,578 Cash Trans
(150) Health Imaging Partners LLC

 Q 939,435 Cash Trans
(151) Ophthalmology Surg Ctr-Dallas

 Q 191,169 Cash Trans
(152) Park Hill Surgery Center LLC

 Q 162,098 Cash Trans
(153) Physicians Medical Center LLC

 Q 450,323 Cash Trans
(154) Rockwall Regional Hospital LLC

 Q 507,591 Cash Trans
(155) Southlake Specialty Hospital LLC

 Q 390,688 Cash Trans
(156) Surgical CareGivers of FW LLC

 Q 103,208 Cash Trans
(157) TH Ortho Surg Ctr Alliance LLC

 Q 148,408 Cash Trans
(158) TH Surg Ctr Chisholm Trail LLC

 Q 123,522 Cash Trans
(159) TH Surg Ctr Preston Plaza LLC

 Q 145,770 Cash Trans
(160) TH Surg Ctr Rockwall LLC

 Q 168,417 Cash Trans
(161) TH Surgery Ctr SW Fort Worth LLC

 Q 100,835 Cash Trans
(162) TH Craig Ranch Surg Ctr LLC

 Q 83,851 Cash Trans
(163) TH Mansfield

 Q 87,158 Cash Trans
(164) THR-STT Rockwall ASC LLC

 Q 54,239 Cash Trans
(165) USMD Hospital at Arlington LP

 Q 274,770 Cash Trans
(166) Wilson Creek Surgical Center LLC

 Q 115,354 Cash Trans
(167) Women's Specialty Surg Ctr Dallas LLC

 Q 78,323 Cash Trans
(168) Grace Indemnity Company SPC Ltd

 R 47,472,055 Cash Trans
(169) TH Allen

 R 16,360,748 Cash Trans
(170) TH Alliance

 R 16,447,313 Cash Trans
(171) TH Arlington Memorial

 R 14,298,808 Cash Trans
(172) TH Azle

 R 5,734,483 Cash Trans
(173) TH Dallas

 R 92,765,766 Cash Trans
(174) TH Denton

 R 22,836,848 Cash Trans
(175) TH Fort Worth

 R 141,072,225 Cash Trans
(176) TH HEB

 R 31,275,669 Cash Trans
(177) TH Kaufman

 R 4,301,007 Cash Trans
(178) TH Plano

 R 73,102,886 Cash Trans
(179) TH Southwest

 R 52,945,811 Cash Trans
(180) TH Specialty Hospital

 R 1,409,882 Cash Trans
(181) TH Stephenville

 R 24,282,403 Cash Trans
(182) Grace Indemnity Company SPC Ltd

 S 42,468,847 Cash Trans
(183) North Texas Health Communities

 S 10,591,622 Cash Trans
(184) Texas Health Medical Support

 S 2,132,523 Cash Trans
(185) Texas Health Urgent Care

 S 13,293,477 Cash Trans
(186) Texas Health Virtual Care

 S 5,610,377 Cash Trans
(187) Texas Health Virtual Care

 S 2,496,173 Cash Trans
(188) TH Back Care

 S 14,464,875 Cash Trans
(189) TH Cleburne

 S 16,416,680 Cash Trans
(190) TH Physicians Group

 S 306,667,628 Cash Trans
(191) TH Recovery & Wellness Ctr

 S 4,791,219 Cash Trans
(192) THR Foundation

 S 5,628,712 Cash Trans
(193) TH Research & Education

 S 1,485,869 Cash Trans
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R, Part V, Line 2 - Related Transaction 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.
Schedule R (Form 990) (Rev. 1-2025)

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