Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $1,201,897

• 1e · Government grants (contributions)

  $1,366

• 1f · All other contributions, gifts and grants

  $0

• 2a · Program service revenue: PATIENT REVENUE

  total $4,286,036 · related or exempt $4,286,036

• 2b · Program service revenue: NON GVRNMTL PERF INCENTIVES

  total $4,769 · related or exempt $4,769

• 3 · Investment income

  total $0

• 4 · Income from investment of tax-exempt bond proceeds

  total $0

• 5 · Royalties

  total $0

• 6c · Rental income or loss

  real property $0 · personal property $0

• 6d · Net rental income or loss

  total $0

• 7a · Gross sales of assets other than inventory

  other assets $0

• 7b · Less cost or other basis and sales expenses

  other assets $41,172

• 7c · Gain or loss

  other assets -$41,172

• 7d · Net gain or loss

  total -$41,172 · excluded -$41,172

• 8a · Fundraising events: gross income

  $0

• 8b · Fundraising events: direct expenses

  $0

• 8c · Net income from fundraising events

  total $0

• 9a · Gaming: gross income

  $0

• 9b · Gaming: direct expenses

  $0

• 9c · Net income from gaming

  total $0

• 10a · Gross sales of inventory

  $0

• 10b · Cost of goods sold

  $0

• 10c · Net income from sales of inventory

  total $0

• 11a · Other revenue: RETAIL SALES

  total $34,874 · excluded $34,874

• 11b · Other revenue: CAFETERIA

  total $8,555 · excluded $8,555

• 11e · Other revenue, total

  $43,429

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $1,500 · program services $1,500

• 2 · Grants to domestic individuals

  total $0

• 3 · Grants to foreign organizations and individuals

  total $0

• 4 · Benefits paid to or for members

  total $0

• 5 · Compensation of officers, directors and key employees

  total $114,412 · management and general $114,412 · fundraising $0

• 6 · Compensation of disqualified persons

  total $0

• 7 · Other salaries and wages

  total $3,553,183 · program services $3,063,109 · management and general $490,074

• 8 · Pension plan contributions

  total $109,602 · program services $95,051 · management and general $14,551

• 9 · Other employee benefits

  total $520,817 · program services $475,639 · management and general $45,178

• 10 · Payroll taxes

  total $264,639 · program services $223,001 · management and general $41,638

• 11a · Fees: management

  total $826,880 · management and general $826,880

• 11b · Fees: legal

  total $0

• 11c · Fees: accounting

  total $0

• 11d · Fees: lobbying

  total $0

• 11e · Fees: professional fundraising services

  total $0

• 11f · Fees: investment management

  total $0

• 11g · Fees: other

  total $920,069 · program services $643,264 · management and general $276,805

• 12 · Advertising and promotion

  total $4,370 · program services $4,370

• 13 · Office expenses

  total $23,739 · program services $6,274 · management and general $17,465

• 14 · Information technology

  total $28,945 · program services $12,766 · management and general $16,179

• 15 · Royalties

  total $0

• 16 · Occupancy

  total $162,715 · program services $162,079 · management and general $636

• 17 · Travel

  total $2,857 · program services $1,105 · management and general $1,752

• 18 · Travel or entertainment for public officials

  total $0

• 19 · Conferences, conventions and meetings

  total $4,492 · program services $393 · management and general $4,099

• 20 · Interest

  total $1,067,278 · program services $1,067,278

• 21 · Payments to affiliates

  total $0

• 22 · Depreciation, depletion and amortization

  total $1,553,268 · program services $9,360 · management and general $1,543,908

• 23 · Insurance

  total $46,334 · program services $46,334

• 24a · Other expenses: REPAIRS & MAINTENANCE

  total $252,523 · program services $28,144 · management and general $224,379

• 24b · Other expenses: NON MEDICAL SUPPLIES

  total $185,530 · program services $178,232 · management and general $7,298

• 24c · Other expenses: MEDICAL SUPPLIES

  total $161,913 · program services $147,730 · management and general $14,183

• 24d · Other expenses: INTERCOMPANY AFFILIATE SVC

  total $75,999 · program services $65,460 · management and general $10,539

• 24e · All other expenses

  total $93,846 · program services $58,170 · management and general $35,676

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year -$69 · end of year $151

• 2 · Savings and temporary cash investments

  beginning of year $0 · end of year $0

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $498,783 · end of year $687,764

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $19,857 · end of year $27,373

• 9 · Prepaid expenses and deferred charges

  beginning of year $45,189 · end of year $20,994

• 10a · Land, buildings and equipment: cost or other basis

  $37,759,358

• 10b · Land, buildings and equipment: accumulated depreciation

  $10,360,861

• 10c · Land, buildings and equipment, net

  beginning of year $28,842,163 · end of year $27,398,497

• 11 · Investments: publicly traded securities

  beginning of year $0 · end of year $0

• 12 · Investments: other securities

  beginning of year $0 · end of year $0

• 13 · Investments: program-related

  beginning of year $0 · end of year $0

• 14 · Intangible assets

  beginning of year $0 · end of year $0

• 15 · Other assets

  beginning of year $0 · end of year $0

• 17 · Accounts payable and accrued expenses

  beginning of year $385,971 · end of year $418,335

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $1,366 · end of year $0

• 20 · Tax-exempt bond liabilities

  beginning of year $0 · end of year $0

• 21 · Escrow or custodial account liability

  beginning of year $0 · end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $0 · end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $0 · end of year $0

• 27 · Net assets without donor restrictions

  beginning of year $29,018,586 · end of year $27,716,444

• 28 · Net assets with donor restrictions

  beginning of year $0 · end of year $0

The filer's explanations (Part III)

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 3 - CEO Compensation

Texas Health Resources (THR) used the following methods to establish the compensation of the organization's CEO, officers, 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 officer compensation and committee approval is obtained 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 obtained. 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.

Sch 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, or 4 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 must be obtained and a non-compete must be satisfied prior to the end of 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 months following the end of the retention period. Payouts to the following employees were made during the year for all the plans listed above. The amounts below are included in the amount reported on Sch J, Part II, Column B(iii) and Column (F). Berdan,Barclay E. 731,476 Cox,Kathleen B. 58,405 Jackson,David W. 53,142 Kramer,Kenneth J. 174,260 McWhorter,Ricky E. 197,608

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• AMH Cath Labs LLC

  Hospital · TX

  Directly controlled by NA

• Arlington Surgery Center LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Castle Hills Surgicare LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Cleburne Surgical Center LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Cross Timbers Surgery Center LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Denton Surgery Center LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Flower Mound Hospital Partners LLC

  Hospital · TX

  Directly controlled by NA

• Fort Worth Endoscopy Centers LLC

  Endoscopy Center · TX

  Directly controlled by NA

• Greenville Surgery Center LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Health Imaging Partners LLC

  Medical Imaging · TX

  Directly controlled by NA

• Mansfield Endoscopy Center LLC

  Endoscopy · TX

  Directly controlled by NA

• North Dallas Surgical Center LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Opthalmology Surgery Center of Dallas LL

  Amb Surg Ctr · TX

  Directly controlled by NA

• Park Hill Surgery Center LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Physicians Medical Center LLC

  Hospital · TX

  Directly controlled by NA

• Presbyterian Cancer Ctr-Dallas LLC

  Cancer Ctr · TX

  Directly controlled by NA

• Rockwall Regional Hospital LLC

  Hospital · TX

  Directly controlled by NA

• South Arlington Surgical Providers LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Southlake Specialty Hospital LLC

  Hospital · TX

  Directly controlled by NA

• Surgical Caregivers of Fort Worth LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Craig Ranch Surgery Center

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Flower Mound Orthopedic Sur

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Huguley Surgery Center LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Orthopedic Surgery Center A

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Spine Surgery Center Allen

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Spine Surgery Center Allian

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Supply Chain Services LLC

  Purchasing Co · TX

  Directly controlled by NA

• Texas Health Surgery Center Alliance LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Surgery Center Bedford LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Surgery Center Chisholm Tra

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Surgery Center Forney LLC

  Inactive · TX

  Directly controlled by NA

• Texas Health Surgery Center Irving LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Surgery Center Preston Plaz

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Surgery Center Rockwall LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Surgery Center Southwest Fo

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Health Surgery Center Waxahachie

  Inactive · TX

  Directly controlled by NA

• Texas Health Surgery Center Willow Park

  Amb Surg Ctr · TX

  Directly controlled by NA

• Texas Institute for Surgery LLP

  Hospital · TX

  Directly controlled by NA

• THR-STT Rockwall ASC LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• THR-STT Southlake ASC LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• USMD Hospital at Arlington LP

  Hospital · TX

  Directly controlled by NA

• USMD Hospital at Fort Worth LP

  Hospital Closed · TX

  Directly controlled by NA

• Walnut Hill Surgery Center LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Willow Park Endoscopy Center LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Wilson Creek Surigcal Center LLC

  Amb Surg Ctr · TX

  Directly controlled by NA

• Women's Specialty Surgery Center of Dall

  Amb Surg Ctr · TX

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• Grace Indemnity Company SPC Ltd

  C Corp · Captive Insur · CJ

  Directly controlled by NA

• Texas Health Biomedical Advancement Cent

  C Corp · Research · TX

  Directly controlled by NA