Texas Health has a robust philanthropic history and commitment to giving to our community. Being a good corporate citizen is an integral part of the way we do business as a faith-based, nonprofit health system. We believe it is our social responsibility to operate in ways that are ethical, responsible, sustainable and community-focused.

Goal Icon
To strengthen and support the North Texas community through strategic giving, community collaboration and employee volunteerism.
Contributing to Our Communities

As representatives of Texas Health, employees are encouraged to become actively involved in North Texas communities by sharing their time, talents and expertise. Our neighbors need access to quality health care, education and tools to enhance their well-being. That’s why we work hard to identify and address their needs through:

Strategic Giving:

Texas Health is committed to investing in programs and services that help North Texas residents improve their health and well-being. Through Texas Health’s Community Giving Program, eligible nonprofit and for-profit organizations may submit a request for an event sponsorship or charitable contribution from Texas Health and our wholly owned hospitals.

Community Collaboration:

We connect and build strong relationships with key business, industry and community stakeholders who affect how we deliver care. Through our charitable contributions and in-kind donations, Texas Health supports more than 200 nonprofit organizations and associations.

Employee Volunteerism:

We enable employees to contribute their time and talents to area nonprofit organizations that align with our Mission, Vision and Values. Our Community Time Off (CTO) program compensates every participating full and part-time employee for one regularly scheduled workday each year to provide community service.

2018 Performance

We affiliated with the Communities Foundation of Texas to extend our CTO program across Dallas/Fort Worth. Our goals were to increase overall employee participation and engage senior and mid-level management in large, high-impact projects to meet our communities’ most pressing needs. As part of this collaboration, we surveyed more than 240 senior leaders, hospital directors and managers systemwide and learned:

  • That 90 percent were interested in volunteering as a team-building activity and in making an impact in our communities.
  • Approximately 75 percent ranked health care and social services as their top volunteering priorities, followed by youth development and environmental care.
  • Seven in 10 respondents felt that time off for group volunteer projects was the most effective way to engage employees in Texas Health’s community involvement efforts.

In less than six months, Texas Health employees put in more than 1,000 community service hours with local nonprofits to provide meals, homeless shelter support, environmental cleanup and emergency assistance across North Texas. In addition to our partnership with the Communities Foundation of Texas, by the end of 2018, Texas Health employee volunteers logged a record-breaking 11,033 CTO hours and participated in 621 community service projects across the region. Since 2009, the investment of time and talent through CTO has provided $1.8 million in value back to our communities.

Also during the year:

  • Fortune and Great Place to Work® recognized Texas Health as the 19th Best Workplace for Giving Back in the nation.
  • D CEO magazine honored Texas Health with its Achievement in Community Outreach award for the Sexual Assault Nurse Examiner program, which trains nurses how to collect the forensic evidence from victims of sexual assault. The magazine also named Texas Health a finalist in its 2018 Nonprofit and Corporate Citizenship Awards (in-kind services supporter category) for fostering a culture and foundation of giving back to North Texas.
  • We awarded $2 million in charitable contributions and sponsorships.

In 2019, we plan to:

  • Expand our community engagement footprint through employee volunteerism, charitable giving and disaster relief efforts.
  • Enhance our brand and reputation as a responsible corporate citizen through new and innovative corporate social responsibility programs and initiatives.
  • Help expand our talent pipeline and close allied health workforce gaps through a new STEM health care initiative.
  • Align our diversity and inclusion and social responsibility priorities to support strategic community outreach goals, as well as increase employee recruitment, retention and engagement.

Texas Health has a long history of caring for those in need. Together with community stakeholders, we are identifying and addressing health disparities and the social and environmental conditions that affect overall health.

North Texas suffers from disproportionate disease rates and some communities lack resources that exacerbate health issues, which could be mitigated with proper access to prevention strategies and effective navigation to health and social services. To address these disparities, Texas Health leverages community partnerships, addresses social determinants of health and uses data to drive community health improvement in North Texas. Some of our key health improvement strategies and programs include:

Texas Health Community Impact

Unveiled early in 2018, Texas Health Community Impact connects Texas Health to community partners to address population health needs in innovative ways. We are making strategic investments aimed at reducing health disparities, addressing social determinants of health and improving targeted health outcomes in North Texas. We are awarding grants to address depression, food insecurity, health access and coping strategies for youth to help people attain their highest level of health and well-being. Additionally, we are collaborating with cross-sector organizations to help eliminate inequities that occur based on social and economic barriers, such as lack of education, transportation and unemployment.

Community Health Needs Assessment (CHNA)

To provide programs that address regional health issues, we conduct a CHNA every three years (we completed our last in 2016). The assessment helps us better understand the health status and needs of the North Texas community so that we can create and implement targeted health improvement plans and resources.

Rural Health

In rural areas, lack of access to adequate care can be a matter of life and death. Texas Health is supporting seven rural and urban cluster counties that span more than 5,000 square miles by investing $1.5 million in local programs, such as chronic disease self-management, fall prevention education, faith-based solutions and paramedicine. We also are supporting local clinics that provide access to care for underserved populations.

Medicaid Projects

Texas Health supports numerous Delivery System Reform Incentive Payment (DSRIP) projects, which are part of the state of Texas’ Medicaid 1115 Transformation Waiver. These projects are designed to use resources more efficiently and direct funding in ways that improve health outcomes and population health for Medicaid beneficiaries and the uninsured. Initially, these 39 projects at 12 Texas Health hospitals included Emergency Department navigation, chronic disease education and management, behavioral health screening and referral, mobile cancer screening, palliative care and medication management, among others.

Charity Care and Community Benefit

As a nonprofit health system, Texas Health must provide at least 5 percent of net patient revenue back to the community in the form of charity care and community benefit. We use excess income to:

Care for and treat uninsured and underinsured patients.

  • Absorb any medical costs that are not reimbursed by Medicare or Medicaid.
  • Invest in community health initiatives through community benefit grants and sponsorships.
  • Finance internally driven community health programs.
  • Volunteer our employees’ time and resources to support important health-related causes.
Goal Icon
To deploy tailor-made programs and investments that improve community health.
2018 Performance

With the launch of Texas Health Community Impact, our first order of business was to narrow our focus to neighborhoods with the highest need. We used qualitative and quantitative surveys as well as focus groups to assess the health status of people living in more than 40 ZIP codes. We then identified 16 where we will invest $5.2 million in place-based grants in 2019 to:

  • Provide culturally appropriate health and nutrition education.
  • Increase the availability of affordable, healthy food.
  • Offer reliable access to preventive health care and affordable prescriptions.
  • Tackle social and community isolation.

Also during the year, the state extended DSRIP funding for four more years, which was a positive development for Texas Health. The funding allowed us to develop and begin implementing our evidence-based Healthy Education and Lifestyles Program (HELP) systemwide, which provides chronic disease management, including clinical care, education and social determinants of health support for the uninsured who would otherwise not have access to consistent medical care.

Finally, Texas Health provided $866 million, or almost $ 2.4 million a day, in charity care and community benefit.

 20142015201620172018
GRAND TOTAL$652,986,757$847,895,418$863,976,677$852,232,9154$885,750,9875
Charity Care
Patient charity care1$165,719,173$242,330,749$241,422,458$256,026,406$268,812,210
Cost of unreimbursed government-sponsored indigent health care2$21,946,439$66,133,325$58,527,190$42,338,364$8,185,368
Charity care provided through others$49,022,054$47,742,611$51,056,212$64,178,930$80,112,899
Sub-Total Charity Care$236,687,666$356,206,685$351,005,860$362,543,700$357,110,477
Other Community Benefit Care
Unreimbursed Medicare2$393,753,472$467,332,409$487,625,002$457,799,539$484,601,553
Community Benefit3
(Community Health Improvement program, cash and in-kind donations, and value of employee volunteer hours)$22,545,619$24,356,324$25,345,815$31,889,676$44,038,957

In 2019, we will:

  • Start the next CHNA cycle to deepen our understanding of the complex community issues that we can help address through collaborative partnerships and collective impact initiatives.
  • Pilot using community health workers to assist uninsured, low-income people and Medicaid beneficiaries who live with chronic disease, particularly diabetes and hypertension. They will teach evidence-based programs, provide self-management education and support, connect patients to services to reduce social determinants of health barriers and develop community support networks.

Poor health costs cities billions in lost productivity and health care expenses, and diminishes residents’ quality of life. Research shows that if you optimize social determinants of health – improve where people live, work, learn, worship and play – it makes it easier for them to get up and move, eat healthier, make new friends, find a reason for being and live longer.

In 2013, the Gallup-Sharecare Well-Being Index® – the world’s most extensive data set on well-being – revealed the city of Fort Worth would have ranked near the worst in the nation, 185th out of 190 large metro areas, based on how its citizens felt and experienced their daily lives. At that time, it was estimated that poor health would have cost the city $5 billion in lost productivity and health care costs over the next 10 years, undermining its economic viability and residents’ quality of life.

To help the residents of Fort Worth live longer, active and healthier lives, Texas Health infused $5 million in 2014 and partnered with city leaders, the Fort Worth Chamber of Commerce, Healthways, Inc. and the Blue Zones Project® to make healthy choices easier. Blue Zones Project is a community-led, well-being improvement initiative informed by lifestyles of the world’s longest-living people.

Since then, these organizations have worked across all sectors to transform schools, grocery stores, policies, restaurants, worksites and faith-based organizations to surround residents with healthier messages and options. This entailed forging public-private collaborations, engaging thousands of neighbors and creating lasting improvements.

Additionally, Texas Health took steps to enable employees to live longer and better lives by installing walking paths, enhancing wellness programs, offering more nutritious food options and more. In 2016, our system became the world’s largest Blue Zones Project Approved™ Worksite for adopting healthier behaviors.

2018 Performance

After a five-year investment to make the healthy choice the easy choice, Fort Worth is now a certified Blue Zones Community® – the largest in the nation. Fort Worth’s well-being ranking improved by 127 places to 58th. Rankings in the five elements of well-being – purpose, social, financial, community and physical – also have outpaced national trends, which declined during this same timeframe.

To earn Blue Zones Project Approved™ certification:

  • Nearly 88,000 residents took the Blue Zones Personal Pledge to make healthier changes and participate in wellness activities.
  • Fort Worth companies implemented policies that improve well-being, such as walking or standing meetings. This has impacted about 78,000 people.
  • Residents who exercise 30+ minutes at least three days a week increased by 17 percent.
  • About 6,000 people eat in Blue Zones Project-approved restaurants and another 25,000 eat in approved worksite cafes each day. They are offered more nutritious options and smaller portions.
  • Fort Worth enacted 24 new food, built environment or smoking policies. A smoking ban led to a 31 percent drop in smoking rates.
  • Schools provided improved campuses for about 30,000 students, who are now moving more before, during and after school, eating healthier and participating in mindfulness exercises.
  • Grocery stores are providing healthier food options and recipes. People who consume five or more servings of produce at least four days a week increased 3 percent.

In 2019, the Blue Zones Project team, under the umbrella of Texas Health, will continue to collaborate with community leaders and nearly 500 partner organizations to expand and deepen the impact of this well-being initiative in the community.

Goal Icon
Transform the city of Fort Worth into a certified Blue Zones Community® by 2018 to help its citizens live longer, healthier and happier lives.
The following are now Blue Zones Project Approved™:

Whether caring for patients, partnering with faith communities to promote health and well-being, or educating clergy and lay leaders through our accredited clinical pastoral education program, the department of Faith & Spirituality Integration provides resources that contribute to well-being. Integrating faith and medicine can enhance the treatment and healing process, which supports Texas Health’s Mission to improve the health of the people in the communities we serve.

Pastoral Care

Offering hope and healing, we welcome the diversity of religious faiths and different ways that people nurture their spirits. Our board-certified chaplains provide support, comfort and guidance to patients, loved ones and employees throughout the system. Through professional assessments, interventions and contributions to care plans, they also support Texas Health in providing quality care that compassionately attends to the fullness of patients’ experiences. Each entity also has a chapel that provides a quiet place for employees, visitors and patients to pray, worship, meditate and simply breathe. Other sites have meditation gardens to use for reflection and a positive break.

Preparing Pastoral Leaders

Each year, Texas Health’s accredited Clinical Pastoral Education center offers residency and intern programs designed to prepare pastors for crisis ministry and/or vocations in professional chaplaincy. These intensive programs, led by certified Association for Clinical Pastoral Education (CPE) educators, support seminary students, clergy and lay leaders in the integration of theology and lived experience. CPE participants also tap the expertise of Texas Health’s physicians, nurses, and other clinicians who empower them to integrate skills developed to better care for people experiencing health concerns.

Goal Icon
Texas Health aspires to provide spiritual support to our patients, families and employees.
2018 Performance

Texas Health chaplains provided spiritual care services to more than 170,000 patients, family members and employees during the year.

Through Texas Health’s Faith Community Nursing (FCN) program, we can reach people outside of the traditional hospital or clinic setting to provide education and resources that will help improve their health and well-being.

Wellness, Prevention and Wholeness

FCN promotes wellness, prevention and wholeness before, during and after disease. The program creates safe and sacred places for healing and advocates for compassion, mercy and dignity at Christian, Jewish and Muslim congregations in North Texas.

Executed through unpaid registered nurses and health promoters who share their time and expertise outside of their jobs, these volunteers:

  • Educate congregation members about healthy lifestyles and encourage healthy behaviors.
  • Host flu clinics, health screenings and speakers on such topics as chronic disease self-management or advanced care planning.
  • Lead support groups as needs arise.
  • Facilitate access to health care services.

Driven by a “local knows best” philosophy, FCN nurses and promoters survey congregations on their health interests and needs to determine future programs and activities – all within the context of holistic care – body, mind and spirit. All services are provided free of charge.

2018 Performance

More than 225 nurse volunteers put their faith into action by serving 115 faith communities during the year, which included faith-based community centers for the first time. Additionally, Texas Health developed a congregational care kit to reduce the stigma of mental health and trained Faith Community Health Promoters at four hospitals. The program:

In 2019, we plan to provide diabetes support and education, as well as engage more underserved communities.

Goal Icon
Help individuals navigate their paths to a healthier future and improve their quality of life.

Public policy affects Texas Health’s ability to enhance health care delivery and our capacity to improve the health of the people in the communities we serve.

From preserving health insurance coverage for North Texans, improving care quality and patient safety, ensuring funding sources to providing access to care for people living in underserved areas, our ability to positively influence policymakers is critical to sustaining our organization and effectively caring for millions of people each year.

Shaping Public Policy

We help facilitate the enactment of sound health care public policy that strengthens our ability to achieve our Mission. Our advocacy strategies include:

  • Engaging employees, community leaders and policymakers.
  • Assessing the impact of potential legislative and regulatory changes on both Texas Health and the communities we serve.
  • Collaborating with industry and community stakeholders to maximize our influence.
  • Employing multiple communication channels to lead and facilitate strategic initiatives.
  • Providing a unified voice for the organization at the federal, state and local levels.
Goal Icon
Every two years, we set federal and state public policy priorities with input from board members, system leadership, industry trade associations and community stakeholders.
2018 Performance

The Government Affairs and Advocacy department provided systemwide support through advocacy, collaboration and engagement in 2018. Team members spent the year encouraging employees to get-out-the-vote during the primary, runoff and general elections. During the second session of the 115th Congress and in preparation for the 86th Texas Legislature, they advocated for health care legislation that promoted health and well-being.

Additionally, we provided feedback on proposed changes to regulations by federal and state agencies:

  • Continuation of the 340B Drug Pricing Program as well as the promotion of drug market competition, price transparency, value-based payment arrangements and site-neutral payments for pharmaceuticals.
  • Changes to a state rule that limit the use of in-hospital do-not-resuscitate orders that honor patients’ wishes.
  • Reforming the Stark1 and anti-kickback rules to permit greater physician and hospital collaboration on innovating health care delivery models and promoting access to value-based care.
  • Changes to a state rule that promote consistent and fair uncompensated care payments to hospitals that provide care to low-income and uninsured Texans.

In 2019, we will continue to advocate at the federal and state levels for policies that align with our 2019-2020 priorities and our ability to fulfill our Mission.

Position on Crucial Legislation

As a faith-based nonprofit, Texas Health relies on financial contributions to help fulfill our Mission of improving the health of the people in the communities we serve.

The Texas Health Resources Foundation engages generous donors in supporting clinical, educational and community health programs that address critical health care needs in the region.

Providing Critical Resources

Each year, we fundraise through various campaigns, programs and events, such as golf tournaments and galas. Our primary strategies include:

  • The Texas Health 365 Fund, which provides money for closing the gap between technological advancements and our ability to provide critical resources. Contributions help fund nursing education and patient care programs, as well as medical equipment and technologies.
  • The Community Employee Giving campaign encourages employees to support local nonprofit organizations, our strategic nonprofit partners and food drive beneficiaries each fall.
  • The Texas Health Associates campaign, which allows employees to financially support Texas Health programs and services they are passionate about each spring.
2018 Performance

The Foundation received more than $21.9 million from big-hearted employees, former patients and their families, corporations and external foundations. Donors also gave $1,051,520 to the Texas Health 365 Fund, which provides money for lifesaving care and services to people across North Texas. These funds help support:

  • The Sexual Assault Nurse Examiner (SANE) Program, which offers multidisciplinary, patient-centered care to sexual assault victims who present to a hospital Emergency Department or clinic across a 16-county region.
  • The FINAL SALUTE to show our gratitude to, and ceremoniously recognize, veterans who have spent their last days with us.
  • Music therapy to bring the healing power of music to our patients to put them at ease before surgery, reduce their pain afterward and soothe newborn babies in the neonatal intensive care unit.

Our Associates campaign raised more than $1,068,000, which put the amount donated in the campaign’s 17 years to more than $14 million for new facilities, technology and continuing education. Through our Community Employee Giving campaign, employees gave more than $845,000 to support worthy nonprofits, such as the United Way, American Cancer Society, American Diabetes Association, American Heart Association, March of Dimes and food drive beneficiaries.

Also during the year, the Foundation’s board of trustees appointed a new chair, vice chair and six new members. Former Vice Chair Bill M. Lamkin is now chair of the board, replacing R. Brock Compton. Chris Skaggs stepped in as vice chair. Six new members also joined the board, and member Philip A. Moroneso retired.

In 2019, the Foundation will focus its fundraising efforts for capital improvements at our hospitals in Allen, Fort Worth and Plano, as well as community health improvement programs and services across the Texas Health system to help fill the gaps of the most significant needs. We hope to raise at least $21 million to help fund these efforts.

Goal Icon
Raise $25 million in donations in 2018.