Texas Health Communities
Community Responsibility & Sustainability Report

Our Communities

Community Engagement

Texas Health has a strong philanthropic history and is proud of our employees and their commitment to giving back to the community. Being a good corporate citizen is how we do business as a faith-based, nonprofit health care system. As representatives of Texas Health, employees are encouraged to become actively involved in the community by sharing their time, talent and expertise. All communities need access to quality health care, education and tools to enhance well-being. That’s why we work hard to identify and address community health needs through:

  • Strategic giving: Texas Health is committed to investing in programs and services that help North Texas residents improve their health.
  • Community collaboration: To thrive, Texas Health must connect and build strong relationships with key stakeholders who affect how we deliver care.
  • Employee volunteerism: We believe all employees should have the opportunity to make a positive contribution to nonprofit organizations that align with Texas Health’s Mission, Vision and Values.

To learn more about public health concerns and desired health services, we seek input from community board of trustee members, community stakeholders and health councils, patient advisory groups and other forums. We share findings with our leaders so they can refine strategies and tactics to improve our programs and services. As an active member of local business, civic and industry groups, Texas Health also assesses the most pressing health issues facing the communities of North Texas. This helps us identify nonprofits with which to collaborate and enables us to invest in the critical programs and services our communities need most.

Faith & Spirituality Integration

As a faith-based health care system, Texas Health is committed to providing health care for the whole person—body, mind and spirit. We believe there is something greater than both ourselves and medicine that can provide hope and healing to our patients.


We deliver care in many ways, respecting and welcoming the diversity of religious faiths and the different ways people nurture their spirits. We provide spiritual support throughout our health system and in North Texas congregations.

  • Pastoral Care

    Texas Health’s Pastoral Care Department comprises 28 full-time, board-certified chaplains, 43 chaplains who work as needed and 40 community on-call clergy. These professionals provide healing and hope to patients and their families making sense of momentous health care events. For employees, our chaplains provide a safe place to talk about professional or personal concerns, and to grieve and manage their emotions after loss or trauma.

    In 2016, our chaplains provided spiritual care services to 130,476 patients, family members, hospital employees and medical staff members. Moreover, Texas Health reorganized its chaplaincy program to delegate administrative responsibilities more effectively, evenly distribute chaplains across the system and establish a full-time position to support the Attending Clergy Association.

  • Clergy Education

    Texas Health’s Clinical Pastoral Education program is accredited by the Association for Clinical Pastoral Education, Inc. Students participate in an annual residency program that helps them develop and enhance their pastoral and theological knowledge, skills, abilities and experience. Over the course of their study at a Texas Health hospital, these chaplain students are provided opportunities that allow them to learn from physicians, nurses and clinical care teams, who empower them to integrate the skills they develop to better care for patients in a clinical setting.

    In 2016, 300 percent more applicants applied for this highly selective program than the prior year, and only 33 individuals were selected to participate. In fact, a new director was appointed to help extend pastoral outreach to smaller communities, and the department continued to establish a pastoral training center at Texas Health Presbyterian Hospital Plano, which will give the organization three training centers.

  • Faith At Work

    Texas Health’s faith-based Values are woven into the cultural fabric at each of our facilities. Caregivers are encouraged to nurture their spirit and live out their faith at work. To help employees integrate spirituality and find ways to deliver compassionate care, we offer:

    • Chapels that provide a quiet place to pray, worship, meditate and find serenity.
    • Meditation gardens that offer a natural, sacred space to clear minds.
    • Chimes that remind employees to say a short prayer and invite them to see their work as holy as they care for themselves and others.
    • The Texas Health Resources Prayer Book, which contains prayers from each of the world’s major faith traditions.
    • Blessing of the Hands, a routine blessing event that recognizes the sacred work of our employees.
  • Faith Community Nursing

    Through the Faith Community Nursing program, faith community nurses (FCNs) integrate care of the spirit as part of caring for our neighbors’ overall physical, mental and emotional health. Faith community health promoters (FCHPs) are non-nurses who are professionally trained in a health-related field and/or have an interest in health and healing. They use their gifts and talents to serve the needs of congregations throughout the North Texas region.

    FCNs and FCHPs help faith communities develop health ministry programs to meet the needs of congregation members, such as flu vaccine clinics, blood pressure screenings, health presentations, A Matter of Balance classes (a fall prevention program) and Stanford University’s Chronic Disease Self-Management program. Congregations receive resources and support free of charge. Since beginning at one Texas Health hospital in 2001, the Faith Community Nursing program is now in 13 of 14 wholly owned hospitals.


Community Affairs

Texas Health’s Community Affairs team develops and maintains community partnerships with stakeholders whose mission, vision and values are aligned with our own. In cooperation with executive management, senior leadership and multiple System Services departments, our community investments help us fulfill our Mission, preserve our nonprofit status, differentiate us from our competitors and allow us to improve the health of North Texans.

  • Community Engagement Programs

    Every year, Texas Health mobilizes people and resources to drive change and support vital community health programs. We award more than $2.2 million in community benefit grants and sponsorships, and on average, our employee volunteers serve more than one million people through community service projects.

    In 2016, we continued to implement a multi-faceted strategy to identify and respond to the diverse needs of the communities we serve.

  • Strategy

    Through our charitable contributions, community benefit grants and community service, Texas Health supports more than 300 nonprofit organizations. Our community investment decisions are made based on Texas Health’s Community Health Needs Assessment, which was first conducted in 2013 and continues every three years. We also consult with local business groups, civic leaders and industry associations to gather additional perspectives on pressing community health needs and how we can best support them. To make a more meaningful impact in North Texas, we also fund community benefit grants, sponsor health-related programs and events and offer a paid-time off employee volunteer program.

  • Memberships and Community Involvement

    Texas Health actively participates in more than 25 local, state and national health care industry associations, including the American Hospital Association, Premier Inc., Texas Hospital Association, Dallas-Fort Worth Business Group on Health and the Dallas-Fort Worth Hospital Council. We also are actively involved with several area chambers of commerce, diversity councils and health care collaborations within our 16-county service area. This allows us to serve, participate, engage, sponsor and share best practices with vital community organizations.

  • Nonprofit Collaboration

    To extend Texas Health’s culture across the care continuum and into the community, we strategically collaborate with nonprofit organizations to make a greater impact. We select these organizations based on their alignment with our Mission, Vision and Values; community health improvement needs; and stakeholder feedback.

    Through multi-year investments, we not only provide financial support, but also donate our time, talent and resources through employee volunteerism, executive engagement and strategic planning. Each year, these nonprofits provide an annual community benefit report to assist Texas Health with meeting federal and state requirements. These reports share measurable outcomes of our community investments.

    From supporting projects that provide access to care to funding for social services, economic development and better education in low-income communities, Texas Health supports a variety of outreach programs and health initiatives across North Texas. In 2016, our support included:

    • Working with the American Cancer Society, American Diabetes Association, American Heart Association and March of Dimes, Texas Health provided more than $425,000 in community benefit grants and sponsorships to support vital health programs, community outreach and prevention education to the communities we serve.
    • The Texas Health Grants program provided $2.2 million in grants and sponsorships to more than 300 nonprofit organizations to support community health improvement programs (45%); provide access to care for low-income individuals and families (40%); and provide in-kind and financial support (15%) to support economic development and strengthen communities.
    • Our Community Time Off (CTO) employee volunteer program compensates every participating full- and part-time employee for one regularly scheduled workday each year to provide community service. Texas Health employees volunteered 10,538 hours in 2016 and participated in 650 community service projects.

Community Health Improvement

Texas Health plays an integral role in helping our communities meet broader health and social needs. Not only is this central to our Mission, but a requirement of our nonprofit status.

  • Community Benefit

    Texas Health uses excess revenues made available via our tax-exempt status to support patients and the community in a variety of ways. Under Texas state law, we are required to allocate 5 percent of our net patient revenue to charity care and community benefit. Our “community benefit” support includes:

    • Caring for and treating uninsured and underinsured patients.
    • Absorbing any medical costs that are not reimbursed from Medicare or Medicaid.
    • Investing in community health initiatives through community benefit grants and sponsorships.
    • Financing our internally driven community health programs.
    • Volunteering our employees’ time and resources to support meaningful health-related causes.
  • Framework

    To make effective use of our resources for community support, Texas Health and its Community Health Improvement (CHI) team have established a community health framework with the vision of transforming health outcomes by addressing the whole person in his or her own unique environment.


  • Community Health Needs Assessment

    In 2016, Texas Health conducted its second Community Health Needs Assessment (CHNA) to evaluate the health status and needs of the communities we serve. After reviewing the data from our assessment, as well as the key areas of the 2013 CHNA, we selected three priority health needs to address:

    1. Behavioral health.
    2. Chronic disease, including exercise, nutrition and weight.
    3. Awareness, health literacy and navigation.

    We will develop strategies around these needs for each facility within our health care system to implement from 2017 through 2019. These strategies will focus on closing identified gaps in community health, addressing social determinants of health, informing the community about health services and other resources available regionally, and developing partnerships and collaborations that improve health and well-being.

  • Charity Care and Community Benefit

    In 2016, Texas Health provided nearly $864 million, or almost $2.4 million a day, in charity care and community benefit, exceeding the Texas nonprofit requirement by nearly 22 percent.


Government Affairs & Advocacy

Texas Health is transforming the way health care is delivered in our communities, working with other providers and community stakeholders to build a continuum of care to ensure that every individual gets the right care, at the right time, at the right cost and in the right setting. To continue this transformation and provide patients with the affordable, innovative and reliable care they need, a supportive public policy environment is needed. Texas Health’s participation in the public policy process is critical to advancing our Mission, Vision and Values, as well as the interests of our patients, employees and organization.

Our elected and appointed officials depend on information from stakeholders to develop legislation and regulations that facilitate community health and well-being. With numerous policy issues currently affecting health care, it is more important than ever to educate and inform policymakers on the real-life impact of legislation and regulation. Texas Health’s proactive advocacy efforts and initiatives facilitate the removal of barriers and help the organization avoid setbacks, strengthening and sustaining our organization for the long-term. These advocacy efforts are also designed to help ensure we can continue to innovate, flourish and grow within a dynamic and ever-changing health care industry.

  • Priorities

    Our Government Affairs and Advocacy department advocates for public policies at the federal, state and local levels of government to enhance health care delivery and strengthen the capacity of the organization to improve the health of the people in the communities we serve. Every two years, the department develops Texas Health’s federal and state public policy priorities with input from board members, system and hospital leadership, industry trade associations and community stakeholders.

  • 2016 Progress

    The most important federal health care legislation passed into law was the passage of the 21st Century Cures Act of 2016, which stimulates drug development and discovery of new cures and treatments. It also contained several key provisions important to Texas Health, including:

    • Revising the 2015 Bipartisan Budget Act, which prevented off-campus hospital outpatient departments (HOPDs) from receiving full Medicare reimbursement after a certain date for such services as nursing, laboratory, imaging or chemotherapy. The 2015 legislation also cut funding to HOPDs that were in mid-build, relocating or expanding, which would have impacted Texas Health Neighborhood Care & Wellness Prosper’s and Texas Health Harris Methodist Hospital Azle’s ability to deliver much-needed care. The 2016 law restored some of the Medicare reimbursement for these two entities.
    • Adjusting the Hospital Readmissions Reduction Program to account for socioeconomic status. Previously, hospitals were penalized financially if patients were readmitted within 30 days regardless if that readmission had anything to do with the original condition. There also are factors beyond a hospital’s control that can impact readmission rates, such as poorer patients, who often have inadequate access to care and lack resources to improve their health. With the passage of the law, these types of socioeconomic factors will be considered.
    • Reversing a 2009 ruling that called for hospitals and physicians to directly supervise outpatient therapeutic services that are provided in critical access hospitals and certain small, rural hospitals. This administrative burden took physician time away from patient care and threatened the ability for rural hospitals to attract the number of physicians they needed.

    In Texas, the five-year Medicaid 1115 Transformation Waiver was set to expire in September 2016. Designed to decrease health care costs while improving access, quality and care coordination, the waiver funds more than 1,400 Delivery System Reform Incentive Payment projects statewide—including 39 projects managed by 12 Texas Health hospitals.

    These projects include clinics, emergency department navigation, chronic disease education and management, behavioral health screening and referral, mobile cancer screening, palliative care and medication management, among others. Combined, these projects have served more than 40,000 people who are primarily Medicaid beneficiaries and low-income uninsured. The projects also helped Texas Health earn more than $116 million for achieving outcomes and reporting requirements, and saved the health system more than $5 million.

    Fortunately, the Centers for Medicare and Medicaid Services approved a 15-month extension of the waiver, allowing funding to continue through December 31, 2017. Texas Health’s financial sustainability is dependent in part on this waiver, and we will continue to advocate for its long-term extension.

    No matter what happens in Austin or Washington, D.C., Texas Health will continue to chart its own course by inspiring change in the way consumers think about their own health and well-being. The most effective health care reform will happen at the local level, where care is delivered through collaboration among health systems, physicians, employers, insurance companies and patients.

    As health care reform evolves, our advocacy efforts will continue to draw on the collective strength of Texas Health’s senior leadership, employees, clinicians, trustees and volunteers. These strategies will enable our system to lead, and they will be our focus as we move forward in shaping policy to advance health and well-being.

Texas Health Resources Foundation

The Texas Health Resources Foundation partners with generous donors to help fulfill the Mission of Texas Health to improve the health of the people in the communities we serve. Contributions from former patients and their families, employees, corporations and foundations support Texas Health in the delivery of quality patient care, and help meet an ever-growing demand for health care, education, outreach and research, and faility and technology enhancements.

The Foundation’s philanthropy supports various clinical and educational projects such as:

  • Palliative care serves for terminally ill patients.
  • Mobile health outreach providing mammograms and well-woman exams for women in underserved communities.
  • Scholarships that allow Texas Health nurses to receive continuing nursing education or pursue advanced degrees.
  • 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.
  • Fundraising

    The Foundation’s Texas Health 365 Fund helps to close the gap between technological advancements and the organization’s ability to provide the critical resources needed to improve the health of the people in our communities. Contributions raised assist in funding nursing education and patient care programs, as well as medical equipment and technologies. In 2016, nearly $860,000 was raised.

    In addition to the Texas Health 365 Fund, the Texas Health Resources Foundation leads two employee-giving campaigns every year:

    • Each fall, the Community Employee Giving campaign encourages employees to support local nonprofit organizations—such as the United Way, our strategic nonprofit partners and food drive beneficiaries. In 2016, more than 2,800 employees gave $866,000.
    • Each spring, the Texas Health Associates campaign lets employees financially support Texas Health programs and services they are passionate about. Nearly $950,000 was raised in 2016—the most in campaign history.
    • Together, both campaigns raised more than $1.8 million in funding to support health care programs inside and outside the walls of Texas Health.