Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $3,077,977

• 1g · Noncash contributions included above

  $3,000

• 2a · Program service revenue: MANAGEMENT FEE

  total $802,349,257 · related or exempt $799,429,934 · unrelated business $2,919,323

• 2b · Program service revenue: JOINT VENTURE EARNINGS

  total $116,360,448 · related or exempt $115,786,131 · unrelated business $574,317

• 2c · Program service revenue: RENTAL FEE

  total $69,198,036 · related or exempt $69,198,036

• 2d · Program service revenue: MANAGED CARE FEES

  total $5,775,355 · related or exempt $5,675,359 · unrelated business $99,996

• 2e · Program service revenue: INTERCOMPANY GUARANTEE FEE

  total $476,802 · related or exempt $476,802

• 2f · All other program service revenue

  total $193,935 · related or exempt $193,935

• 3 · Investment income

  total $172,320,934 · excluded $172,320,934

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

  total $9,519 · excluded $9,519

• 5 · Royalties

  total $248,829 · excluded $248,829

• 6a · Gross rents

  real property $1,733,535

• 6b · Less rental expenses

  real property $509,383

• 6c · Rental income or loss

  real property $1,224,152 · personal property $0

• 6d · Net rental income or loss

  total $1,224,152 · unrelated business -$250,458 · excluded $1,474,610

• 7a · Gross sales of assets other than inventory

  securities $2,338,048,161 · other assets $9,004,382

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

  securities $2,134,364,918 · other assets $8,967,817

• 7c · Gain or loss

  securities $203,683,243 · other assets $36,565

• 7d · Net gain or loss

  total $203,719,808 · excluded $203,719,808

• 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: INSURANCE REIMBURSEMENT

  total $1,920,567 · related or exempt $1,920,567

• 11b · Other revenue: PARKING

  total $1,763,829 · excluded $1,763,829

• 11c · Other revenue: MEDICAL RECORDS

  total $1,626,384 · excluded $1,626,384

• 11d · All other revenue

  total $5,351,758 · related or exempt $4,590,544 · unrelated business $761,200 · excluded $14

• 11e · Other revenue, total

  $10,662,538

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $423,244 · program services $423,244

• 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 $31,567,396 · program services $31,567,396

• 6 · Compensation of disqualified persons

  total $0

• 7 · Other salaries and wages

  total $352,807,472 · program services $352,807,472

• 8 · Pension plan contributions

  total $10,033,042 · program services $10,033,042

• 9 · Other employee benefits

  total $39,205,451 · program services $39,205,451

• 10 · Payroll taxes

  total $24,027,265 · program services $24,027,265

• 11a · Fees: management

  total $33,492,338 · program services $33,492,338

• 11b · Fees: legal

  total $4,379,641 · program services $4,379,641

• 11c · Fees: accounting

  total $2,297,471 · program services $2,297,471

• 11d · Fees: lobbying

  total $142,847 · program services $142,847

• 11e · Fees: professional fundraising services

  total $0

• 11f · Fees: investment management

  total $20,537,055 · program services $20,537,055

• 11g · Fees: other

  total $77,979,337 · program services $77,979,337

• 12 · Advertising and promotion

  total $12,112,881 · program services $12,112,881

• 13 · Office expenses

  total $10,415,534 · program services $10,415,534

• 14 · Information technology

  total $111,941,301 · program services $111,941,301

• 15 · Royalties

  total $0

• 16 · Occupancy

  total $21,804,045 · program services $21,804,045

• 17 · Travel

  total $1,907,979 · program services $1,907,979

• 18 · Travel or entertainment for public officials

  total $0

• 19 · Conferences, conventions and meetings

  total $1,179,327 · program services $1,179,327

• 20 · Interest

  total $50,839,085 · program services $50,839,085

• 21 · Payments to affiliates

  total $0

• 22 · Depreciation, depletion and amortization

  total $52,812,283 · program services $52,812,283

• 23 · Insurance

  total $623,657 · program services $623,657

• 24a · Other expenses: SWHR AFFILIATE AGREEMENT

  total $16,613,274 · program services $16,613,274

• 24b · Other expenses: BOOKS & SUBSCRIPTIONS

  total $8,195,591 · program services $8,195,591

• 24c · Other expenses: LICENSES & FEES

  total $6,625,909 · program services $6,625,909

• 24d · Other expenses: EMPLOYEE RECRUITING

  total $5,827,153 · program services $5,827,153

• 24e · All other expenses

  total $20,149,343 · program services $20,149,343

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $4,461,658 · end of year $27,138,779

• 2 · Savings and temporary cash investments

  beginning of year $451,452,723 · end of year $608,614,273

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $6,871,382 · end of year $5,465,318

• 5 · Loans and receivables from officers and key people

  beginning of year $965,364 · end of year $966,398

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $39,351,620 · end of year $37,444,585

• 8 · Inventories for sale or use

  beginning of year $18,573,649 · end of year $17,945,438

• 9 · Prepaid expenses and deferred charges

  beginning of year $65,068,780 · end of year $69,374,055

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

  $914,768,116

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

  $494,957,047

• 10c · Land, buildings and equipment, net

  beginning of year $367,408,573 · end of year $419,811,069

• 11 · Investments: publicly traded securities

  beginning of year $5,514,568,330 · end of year $6,276,074,806

• 12 · Investments: other securities

  beginning of year $274,613,961 · end of year $429,540,777

• 13 · Investments: program-related

  beginning of year $768,167,035 · end of year $710,988,129

• 14 · Intangible assets

  beginning of year $18,334,406 · end of year $18,334,406

• 15 · Other assets

  beginning of year $578,881,657 · end of year $851,004,191

• 17 · Accounts payable and accrued expenses

  beginning of year $631,210,711 · end of year $1,037,539,120

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $10,266,111 · end of year $14,463,045

• 20 · Tax-exempt bond liabilities

  beginning of year $1,208,946,025 · end of year $1,204,695,686

• 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 $947,904,424 · end of year $948,601,491

• 24 · Unsecured notes and loans payable

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $62,706,602 · end of year $49,822,938

• 27 · Net assets without donor restrictions

  beginning of year $5,247,685,265 · end of year $6,217,579,944

• 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 - FIRST CLASS TRAVEL

The THR Board approved first class travel for the CEO associated with business travel on behalf of the system. Other first class or business class travel must be preapproved by the THR Chief Financial Officer. In the current year, Business class was approved for overseas travel for THR employees. No costs associated with this first-class travel are added to the taxable wages of the CEO nor any other THR employee whose first class travel was approved. All other THR personnel follow a system travel policy which reimburses business air travel at the most economical fare reasonably available.

SCHEDULE J, PART I, LINE 1A - DISCRETIONARY SPENDING ACCOUNT

Each executive at the vice president level and above receives a perk allowance and flexible benefit allowance which is included in the taxable compensation of the employee. The perk allowance covers costs such as business use of their personal vehicles in lieu of reimbursement for auto mileage. The flexible benefit allowance can be used to purchase executive benefits on an after-tax basis.

Schedule J, Part I, Line 1a - Personal Services

The THR CEO is provided financial planning and tax preparation services. These services are included in the taxable compensation of the employee

Schedule J, Part I, Line 4a - Severance Pay

POSITION ELIMINATION THR'S separation pay plan provides payments to employees whose positions were eliminated by the organization. The separation pay is based on the employee's years of service and the level of the affected position. The employee listed qualified for severance based on an involuntary separation from service without a comparable position being open and available at the time of separation. Ingram,Bartholomew 225,541 SEVERANCE SETTLEMENT The settlement payment was paid out as part of a mutually agreed upon employment transition agreement that resulted in a separation of employment from THR. Gentzel,William Todd 269,044 Ingram,Bartholomew 72,449 Parobek Jr,James S 414,536

Schedule J, Part I, Line 4b - Nonqualified Retirement Plan

Participation in the THR plans is made available to a select group of management and highly compensated employees who are providing services in key positions of management and/or responsibility and who are determined by the THR Board of Trustees. SERP: For the active restoration account (Account balances after 12/31/2009) SERP benefits vest while the participant is employed if the participant: * Reaches age 65 * Becomes disabled or dies, * Reaches the following years of service: 2 Years - 25%; 3 Years - 50%; 4 Years - 75% and 5 or more years - 100% Participants must be employed on Dec 1 to qualify for the current year's SERP Benefit unless separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) SERP benefits are calculated each Dec 1. Vested balances are taxed to the employee and the net balances begin accruing earnings. Vested balances are paid in a cash lump sum within a 90-day period commencing on the earlier of death, disability, or separation from service. The deferred portion is included in Schedule J, Part II, column C. In frozen restoration accounts (account balances prior to 1/1/2010), the participant or beneficiary shall be taxed on his or her vested SERP benefits upon the earliest of: * Continued employment in THR until age 68 * Termination of employment for disability or death * Involuntary termination of employment without reasonable cause; or * Satisfying a 24 month non-compete period following his/her termination of employment. Payment follows the before mentioned events, except in the case of involuntary separation when the participant must wait 24 months to receive the previously taxed benefit. LTIP: The Long Term Incentive Plan covers 2,3,or 4 years. Payouts are made over 2,3, or4 years after key performance goals are met. Benefits vest if they are employed at the end of the year the payout is made. Payments can also be made if separation is due to death, disability, retirement (Age 65) or early retirement (separation from service at or after age 55 with 75 years of combined age and service with the system.) In the case of retirement and early retirement, CEO approval much be obtained and a non-compete must be satisfied prior to the end of the year payout. Retention: A retention agreement may be offered to an executive in a key position or ba sed on succession planning needs of the system. The length of the retention period will be dependent upon the needs of the organization to retain the key executive. Payments are made within 2 1/2 months following the end of the retention period. Payouts to the following employees were made during the year for all the plans listed above. The amounts below are included in the amount reported on Sch J, Part II, Column B(iii) and Column (F). Berdan,Barclay E. 731,476 Bernard,Traci H 43,920 Clinton,Shaun 55,299 Cox,Kathleen B. 58,405 Craft,Brian 59,425 Dawson,Carla S 64,690 Floren,Joshua Andrew 67,564 Goldberg,Gary Alan 49,283 Gentzel,William Todd 6,902 Holmes,Kevin B. 10,398 Ingram,Bartholomew 9,285 Irvine,Laura L. 64,469 Jackson,David W. 53,142 Jones,Robert Douglas 106,065 King,James Kirk 182,417 Kramer,Kenneth J. 174,260 Masica,Andrew 75,759 McAllister,Deena A. 52,395 McWhorter,Ricky E. 197,608 Mehring,Ronald Charles 90,000 Miao,Winjie Tang 231,168 Mincher,Jeff 14,627 Mitchell,John D. 81,987 Parris,Michael 16,650 Perrin,Cynthia 107,756 Robinson,Mary C. 53,941 Stewart,Rebekah 42,021 Sudomir Jr,Joseph M 206,360 Tesmer,David J. 69,518 Tucker,Rebecca D 54,881 Velasco,Ferdinand T. 87,622 Whiteley,John E 51,242

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• Texas Health Partners LLC

  Mgmt Co · TX · income $50,332,738 · assets $200,368,083

  Directly controlled by TH Resources

• THR-SCA Holdings LLC

  Holding Co · TX · income $87,141,265 · assets $176,558,912

  Directly controlled by TH Resources

• Texas Health Resources Trust

  Investments · TX · income $73,957,973 · assets $23,237,961

  Directly controlled by TH Resources

• TX Hlth Surgery Center Las Colinas LLC

  Inactive · TX · income $0 · assets $0

  Directly controlled by THR-SCA Hold

• Denton Endoscopy Surgery Center LLC

  Inactive · TX · income $0 · assets $0

  Directly controlled by THR-SCA Hold

• TX Health Surgery Center Royse City LLC

  Inactive · TX · income $0 · assets $0

  Directly controlled by THR-SCA Hold

• Fort Worth Acquisition Company LLC

  Inactive · DE · income $0 · assets $0

  Directly controlled by FW Acquisiti

• Fort Worth Acquisition Holding Company L

  DE · income $0 · assets $0

  Directly controlled by TH Resources

Related partnerships

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

• AMH Cath Labs LLC

  Hospital · TX

• Arlington Surgery Center LLC

  Related · Amb Surg Ctr · TX · 51.753% owned · share of income $1,361,946 · share of assets $2,237,000 · general or managing partner

  Directly controlled by THR-SCA Holding

• Castle Hills Surgicare LLC

  Related · Amb Surg Ctr · TX · 51% owned · share of income $248,386 · share of assets $3,755,443 · general or managing partner

  Directly controlled by THR-SCA Holding

• Cleburne Surgical Center LLC

  Related · Amb Surg Ctr · TX · 51% owned · share of income $1,936,664 · share of assets $2,577,600 · general or managing partner

  Directly controlled by THR-SCA Holding

• Cross Timbers Surgery Center LLC

  Related · Amb Surg Ctr · TX · 51% owned · share of income $3,413,821 · share of assets $3,252,619 · general or managing partner

  Directly controlled by THR-SCA Holding

• Denton Surgery Center LLC

  Related · Amb Surg Ctr · TX · 51.821% owned · share of income $3,385,053 · share of assets $5,835,062 · general or managing partner

  Directly controlled by THR-SCA Holding

• Flower Mound Hospital Partners LLC

  Related · Hospital · TX · 53.504% owned · share of income $32,806,060 · share of assets $98,230,967 · general or managing partner

  Directly controlled by TH Resources

• Fort Worth Endoscopy Centers LLC

  Related · Endoscopy Center · TX · 51% owned · share of income $12,067,595 · share of assets $6,457,308 · general or managing partner

  Directly controlled by THR-SCA Holding

• Greenville Surgery Center LLC

  Related · Amb Surg Ctr · TX · 56.579% owned · share of income $1,126,345 · share of assets $1,897,317 · general or managing partner

  Directly controlled by THR-SCA Holding

• Health Imaging Partners LLC

  Related · Medical Imaging · TX · 51% owned · share of income $25,969,199 · share of assets $46,032,749

  Directly controlled by TH Resources

• Mansfield Endoscopy Center LLC

  Related · Endoscopy · TX · 51% owned · share of income $1,330,370 · share of assets $2,969,909 · general or managing partner

  Directly controlled by THR-SCA Holding

• North Dallas Surgical Center LLC

  Related · Amb Surg Ctr · TX · 64.563% owned · share of income $761,835 · share of assets $1,956,252 · general or managing partner

  Directly controlled by THR-SCA Holding

• Opthalmology Surgery Center of Dallas LL

  Related · Amb Surg Ctr · TX · 51% owned · share of income $10,680,367 · share of assets $10,291,688 · general or managing partner

  Directly controlled by THR-SCA Holding

• Park Hill Surgery Center LLC

  Related · Amb Surg Ctr · TX · 51% owned · share of income $6,748,416 · share of assets $5,877,730 · general or managing partner

  Directly controlled by THR-SCA Holding

• Physicians Medical Center LLC

  Related · Hospital · TX · 54.966% owned · share of income $10,540,935 · share of assets $28,468,865 · general or managing partner

  Directly controlled by TH Resources

• Presbyterian Cancer Ctr-Dallas LLC

  Cancer Ctr · TX

• Rockwall Regional Hospital LLC

  Related · Hospital · TX · 64.555% owned · share of income $4,884,035 · share of assets $128,451,191 · general or managing partner

  Directly controlled by TH Resources

• South Arlington Surgical Providers LLC

  Related · Amb Surg Ctr · TX · 51% owned · share of income $372,837 · share of assets $12,285,226 · general or managing partner

  Directly controlled by THR-SCA Holding

• Southlake Specialty Hospital LLC

  Related · Hospital · TX · 57.207% owned · share of income $7,828,956 · share of assets $32,395,275 · general or managing partner

  Directly controlled by TH Resources

• Surgical Caregivers of Fort Worth LLC

  Related · Amb Surg Ctr · TX · 51% owned · share of income $4,423,218 · share of assets $4,747,538 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Craig Ranch Surgery Center

  Related · Amb Surg Ctr · TX · 53.333% owned · share of income $3,878,923 · share of assets $3,538,971 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Flower Mound Orthopedic Sur

  Related · Amb Surg Ctr · TX · 51% owned · share of income $5,358,020 · share of assets $3,682,355 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Huguley Surgery Center LLC

  Amb Surg Ctr · TX

• Texas Health Orthopedic Surgery Center A

  Related · Amb Surg Ctr · TX · 51% owned · share of income $5,530,947 · share of assets $6,054,027

  Directly controlled by THR-SCA Holding

• Texas Health Spine Surgery Center Allen

  Related · Amb Surg Ctr · TX · 51% owned · share of income $892,801 · share of assets $1,695,187 · general or managing partner

  Directly controlled by TH Resources

• Texas Health Spine Surgery Center Allian

  Related · Amb Surg Ctr · TX · 51% owned · share of income $559,315 · share of assets $1,658,451 · general or managing partner

  Directly controlled by TH Resources

• Texas Health Supply Chain Services LLC

  Related · Purchasing Co · TX · 51% owned · share of income $673,789 · share of assets $6,470,993 · general or managing partner

  Directly controlled by TH Resources

• Texas Health Surgery Center Alliance LLC

  Related · Amb Surg Ctr · TX · 72.004% owned · share of income $631,823 · share of assets $3,928,979 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Surgery Center Bedford LLC

  Related · Amb Surg Ctr · TX · 52.051% owned · share of income $392,640 · share of assets $1,724,950 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Surgery Center Chisholm Tra

  Related · Amb Surg Ctr · TX · 51% owned · share of income $3,894,133 · share of assets $6,470,710 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Surgery Center Forney LLC

  Related · Inactive · TX · 57.25% owned · share of income $0 · share of assets $0 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Surgery Center Irving LLC

  Related · Amb Surg Ctr · TX · 52.577% owned · share of income $725,262 · share of assets $1,979,948 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Surgery Center Preston Plaz

  Related · Amb Surg Ctr · TX · 51.827% owned · share of income $6,602,059 · share of assets $4,913,055 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Surgery Center Rockwall LLC

  Related · Amb Surg Ctr · TX · 51% owned · share of income $7,959,537 · share of assets $6,854,646 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Surgery Center Southwest Fo

  Related · Amb Surg Ctr · TX · 51% owned · share of income $2,568,138 · share of assets $2,690,811 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Surgery Center Waxahachie

  Related · Inactive · TX · 57% owned · share of income $0 · share of assets $0 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Health Surgery Center Willow Park

  Related · Amb Surg Ctr · TX · 51% owned · share of income -$1,854,109 · share of assets $5,862,031 · general or managing partner

  Directly controlled by THR-SCA Holding

• Texas Institute for Surgery LLP

  Hospital · TX

• THR-STT Rockwall ASC LLC

  Related · Amb Surg Ctr · TX · 51% owned · share of income $1,543,987 · share of assets $1,566,581 · general or managing partner

  Directly controlled by TH Resources

• THR-STT Southlake ASC LLC

  Related · Amb Surg Ctr · TX · 64.509% owned · share of income $1,645,745 · share of assets $1,411,499 · general or managing partner

  Directly controlled by TH Resources

• USMD Hospital at Arlington LP

  Related · Hospital · TX · 52.364% owned · share of income $41,868 · share of assets $31,062,012

  Directly controlled by TH Resources

• USMD Hospital at Fort Worth LP

  Related · Hospital Closed · TX · 50.965% owned · share of income -$55,241 · share of assets $0

  Directly controlled by TH Resources

• Walnut Hill Surgery Center LLC

  Related · Amb Surg Ctr · TX · 51% owned · share of income $441,862 · share of assets $7,876,160 · general or managing partner

  Directly controlled by THR-SCA Holding

• Willow Park Endoscopy Center LLC

  Related · Amb Surg Ctr · TX · 51% owned · share of income $646,644 · share of assets $1,348,494 · general or managing partner

  Directly controlled by THR-SCA Holding

• Wilson Creek Surigcal Center LLC

  Related · Amb Surg Ctr · TX · 51% owned · share of income $4,915,568 · share of assets $3,224,213 · general or managing partner

  Directly controlled by THR-SCA Holding

• Women's Specialty Surgery Center of Dall

  Amb Surg Ctr · TX

Related corporations and trusts

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

• Grace Indemnity Company SPC Ltd

  C Corp · Captive Insur · CJ · share of income $5,121,774 · share of assets $129,043,708 · controlled entity

  Directly controlled by TH Resources

• Texas Health Biomedical Advancement Cent

  C Corp · Research · TX

  Directly controlled by NA