Texas Health Resources

What it reported doing in 2024

Located in Denton Texas, Texas Health Presbyterian Hospital Denton (THDN) is a hospital with 239 staffed beds featuring more than 43 specialties, accompanied by our patient-centered care model, which places the patient and family at the center of the decision-making process. THDN provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. The hospital provides care to persons covered by governmental programs including Medicare and Medicaid for reimbursement that does not always cover the cost of providing the care. Recognizing its mission to the community, services are provided to both financially indigent and medically indigent patients. THDN takes its responsibility to the community very seriously and invests charitable resources to promote good health and prevent disease. Not only does THDN provide health care to those who do not have the means to pay, it also conducts a variety of programs designed to improve health and prevent illness in the community. THDN's community benefit strategy includes confronting health problems at their source and emphasizes health promotion, disease prevention, and early treatment of illness. For example, THDN provides screenings and educational services for diseases that may not have early symptoms but that should be treated or managed early, such as diabetes, cancer and hypertension. THDN also provides free flu immunizations, targeting the uninsured and high-risk populations. Since improving community health also requires attention to accident prevention, THDN provides free programs such as, A Matter of Balance and our Car Seat Safety Check. A Matter of Balance is an evidenced based fall prevention program for older adults. The educational course is conducted over eight two-hour sessions to instill new habit-forming behaviors to reduce the risk of injury due to falls. Our Car Seat Safety Check is designed as an accident prevention program which uses car seats as a central safety issue in the lives of children and parents. Certified technicians train caregivers on the proper installation and maintenance of car seats, raise community awareness about child passenger safety and the risk of unintentional injury from motor vehicle collisions, and provide free car seats to those in need. The following is a sampling of some of the other community benefit activities provided in 2024: a. Below cost community education classes for breast feeding, childbirth, fall prevention, car seat safety, diabetes self-management, chronic disease self-management and first aid/CPR. b. Support groups for cancer survivors, persons with stroke, persons with chronic breathing problems and for persons with other chronic conditions. Families and caregivers are also encouraged to attend support group sessions. c. Screenings for skin cancer, glucose, blood pressure, prostate health and pulmonary function. d. Healthcare shadowing and mentoring programs for high school students. e. Education classes and training for nurse residencies -- partnerships with Texas Woman's University, University of Texas in Arlington, and North Central Texas College. f. Partnership with Texas Tech University, Creighton University, Midwestern State University, Tarleton State University, Texas Woman's University, University of North Texas, ABC Resources and North Central Texas College to include education classes and training for college/university students in pharmacy, radiology, surgical tech, lab, cardiac rehab and other allied health specialties. g. Support funding for clinics providing care for the uninsured and underinsured in Denton County. In 2024 THDN had 49,276 patient days, 12,067 discharges, 2,004 births, 74,948 outpatient encounters and 51,881 emergency room visits during the calendar year.

Financial Efficiency

• Mission deployment rate: 78.4%; rating input score 78
• Program expense ratio: 82.9%; rating input score 83
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 82%; rating input score 82; 18th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 80%; rating input score 80; 28th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 5.4%; rating input score 58; 58th percentile among comparable filings
• Total-asset coverage ratio: 0.85; rating input score 34; 34th percentile among comparable filings
• Liabilities to assets ratio: 0.1; rating input score 82; 82nd percentile among comparable filings
• Officer compensation ratio: 2.1%; rating input score 54; 54th percentile among comparable filings

Growth

• Program expense growth: 5.2% per year; rating input score 100; 43rd percentile among comparable filings
• Revenue growth: 4.6% per year; rating input score 100; 38th percentile among comparable filings
• Asset growth: 6.6% per year; rating input score 100; 48th percentile among comparable filings