2025-08-07T14:26:17+00:00 2024-09-30 440160260 Forvis Mazars LLP 14221 Dallas Parkway Suite 400 Dallas TX 75254 990 2023-10-01 752717782 JPS FOUNDATION JPSF 8177027310 1350 S MAIN STREET SUITE 4000 FORT WORTH TX 76104 Karen Duncan President 2025-08-07 true Andrew Gray P01517705 9727028262 2025-08-05 2023 2025-03-06 01:10:19Z KAREN DUNCAN 1350 S MAIN STREET SUITE 4000 FORT WORTH TX 76104 3894753 false X WWW.JPSHEALTHNET.ORG/FOUNDATION X 1997 TX JPS FOUNDATION IS A NONPROFIT WHOSE PURPOSE IS TO PERFORM SERVICES ON BEHALF OF THE TARRANT COUNTY HOSPITAL DISTRICT, INCLUDING ... (CONTINUED ON SCHEDULE O) 11 10 0 10 0 0 2872879 3277846 113730 240824 256845 291280 394 0 3243848 3809950 1603047 1352281 0 0 0 0 0 0 27927 1945913 1596872 3548960 2949153 -305112 860797 7270099 9224921 245842 326734 7024257 8898187 JPS FOUNDATION IS A PUBLIC/PRIVATE COLLABORATION DEDICATED TO ACTS OF SERVICE AND SUPPORT TO IMPROVE THE HEALTH STATUS OF FAMILIES RECEIVING HEALTH CARE VIA JPS HEALTH NETWORK. IT IS THE FOUNDATION FOR JPS HEALTH NETWORK. false false 2854975 1352281 240824 FOR THE YEAR ENDED SEPTEMBER 30, 2024, HEALTH AND HUMAN ASSISTANCE SERVICES WERE PROVIDED FOR PATIENTS AND EMPLOYEES OF THE TARRANT COUNTY HOSPITAL DISTRICT DBA JPS HEALTH NETWORK (TCHD) THROUGH PATIENT ASSISTANCE, DENTAL VOUCHERS, AND EMPLOYEE GIVING CAMPAIGN. JPS FOUNDATION ALSO PROVIDES SUPPORT FOR ACTIVITIES OF TCHD, THE SUPPORTED ORGANIZATION, INCLUDING CAPITAL PROJECTS AND OTHER PROGRAMS. 2854975 true true false false true false false false true true false false false true false false true false false false false false false false false false true true true false false false false false false false false true false false false false true false false false true 85 0 true 0 false false false false false false false false false false false false false false false X 11 10 false false false false false true false true true false false false true true true true true false false false X Courtney Boedeker 8177023869 1350 S MAIN STREET STE 4000 FORT WORTH TX 76104 CHERYL SUTTERFIELD JPSF PRESIDENT 40.0 0.0 X X 0 339091 20325 FRANK TESTA VICE CHAIR 1.0 0.0 X X 0 0 0 LARRY ANFIN CHAIR 1.0 0.0 X X 0 0 0 MIMI TRAN SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 AMANDA ARIZOLA JPS BOARD OF MANAGERS LIAISON 1.0 0.0 X 0 0 0 AMY RADCLIFFE DIRECTOR 1.0 0.0 X 0 0 0 DR CYNTHIA MONTES DIRECTOR 1.0 0.0 X 0 0 0 KALISHA HOLLAND DIRECTOR 1.0 0.0 X 0 0 0 MYRA SAVAGE DIRECTOR 1.0 0.0 X 0 0 0 RAY CASAS DIRECTOR 1.0 0.0 X 0 0 0 TY STIMPSON DIRECTOR 1.0 0.0 X 0 0 0 DR KAREN DUNCAN PRESIDENT AND CEO TCHD 2.0 38.0 X 0 2064136 96628 TERESA YEARGINS DIRECTOR OF DEVELOPMENT 40.0 0.0 X 0 107567 35694 0 2510795 152647 0 false true false 0 784145 131062 2362639 632323 3277846 OTHER OPERATING REVENUE 624100 240824 240824 0 0 0 0 240824 289962 289962 0 0 86121 84803 1318 0 1318 1318 0 0 0 0 0 3809950 240824 0 291280 X 631984 631984 720297 720297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27969 27969 577489 550860 2187 24442 0 0 152529 136899 15630 0 49288 49288 0 0 45214 44590 624 18976 18976 0 0 51685 50023 1662 0 0 0 0 0 0 0 0 EQUIPMENT EXPENSE 430238 430238 TRAINING 169676 169676 COMMUNITY RELATIONS 46205 46205 27603 5939 19841 1823 2949153 2854975 66251 27927 2418496 1345498 0 0 47269 105140 0 0 0 0 0 0 0 0 9657 55580 23829 23829 0 0 4747774 7623997 0 0 0 0 46903 94706 7270099 9224921 8198 12105 0 0 0 17520 0 0 0 0 0 0 0 0 0 0 237644 297109 245842 326734 X 4518590 6247375 2505667 2650812 0 0 0 0 0 0 7024257 8898187 7270099 9224921 860797 1013133 0 0 0 0 X false true X false false X 2672238 2431366 2082653 2872879 3277846 13336982 0 0 2672238 2431366 2082653 2872879 3277846 13336982 668199 12668783 97758 63540 120004 246234 289962 817498 0 0 0 0 0 0 0 14154480 652101 0.8950 0.9178 X Schedule A, Part I, Line 12a Previous Supporting Organization Classification The organization was originally determined by the IRS to be an Internal Revenue Code (IRC) Section 501(c)(3) and further described under IRC Section 509(a)(3) as a Supporting Organization. Since its 2022 tax year, the organization qualifies as an IRC Section 509(a)(1) publicly supported organization. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 629459 false false 554688 13500 106082 7046 667224 509329 8500 43126 6267 554688 594430 5000 -83486 6615 509329 537531 10000 53510 6611 594430 512446 1025 30036 5976 537531 0.6389 0.3611 false false 23829 23829 0 0 Due to Affiliates 297109 297109 6057153 1013133 1262039 0 2275172 3781981 27969 0 27969 3809950 4183223 1262039 0 1262039 2921184 27969 0 27969 2949153 Schedule D, Part X, Line 2 ASC 740 FOOTNOTE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part V, Line 4 Intended uses of endowment funds THE PERMANENTLY RESTRICTED NET ASSETS OF JPS FOUNDATION REPRESENT FUNDS RESTRICTED BY THE DONOR TO ESTABLISH A PERMANENT ENDOWMENT. THE INCOME FROM THE ALCON OPHTHALMOLOGY ENDOWMENT IS FOR THE OPHTHALMOLOGY TEACHING PROGRAM AT JPS. THE INCOME FROM THE HEALING WINGS ENDOWMENT WAS ESTABLISHED FOR THE ONGOING PRESERVATION OF THE HEALING WINGS UNIT. THE MEDICAL LIBRARY ENDOWMENT MAY BE SPENT ON EQUIPMENT AND MATERIALS TO IMPROVE THE MEDICAL LIBRARY. THE INCOME FROM THE JPS HEALTH NETWORK ENDOWMENT FOR PODIATRIC RESIDENCY IS ALLOCATED 25% TO UNRESTRICTED FUNDS TO SUPPORT THE OVERALL MISSION OF THE FOUNDATION AND 75% TO SUPPORT THE JPS PODIATRIC RESIDENCY PROGRAM. true Tarrant County Hospital District 1500 S Main Street Fort Worth TX 76104 756000439 501(C)3 631984 Improve health status of the community. 1 0 Patient Assistance 588 113012 Employee Assistance 21 19484 Patient Transportation 9645 55569 ACA Connection Supp to Ins. 3426 532232 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds PATIENT ASSISTANCE FOR MEDICAL TREATMENT, TRANSPORTATION, RENT PAYMENTS, UTILITIES, AND SUPPLIES - REQUESTS FOR DISTRIBUTIONS FROM THESE FUNDS ARE SUBMITTED FROM THE SOCIAL SERVICES DEPARTMENT TO THE JPS FOUNDATION. UPON RECEIPT, THE REQUESTS ARE REVIEWED AND APPROVED BY THE MANAGEMENT AT JPS FOUNDATION FOR CHECK DISBURSEMENT. A LOG OF GAS CARDS AND BUS PASSES IS REVIEWED MONTHLY. EMPLOYEE EMERGENCY ASSISTANCE - FOR A JPS EMPLOYEE TO SUBMIT AN APPLICATION FOR EMERGENCY ASSISTANCE, THEY MUST MEET THE CRITERIA OF (1) FULL TIME EMPLOYMENT AT JPS FOR AT LEAST SIX MONTHS OR PART TIME FOR ONE YEAR, (2) NO DISCIPLINARY ACTIONS WITHIN THE LAST TWELVE MONTHS OR CURRENTLY UNDER INVESTIGATION WITH ANY MAJOR AREA OF CONCERN, AND (3) SITUATION MUST BE A NATURALLY OCCURRING EMERGENCY OR CATASTROPHE (FIRE, FLOOD, TORNADO, ETC). APPLICATIONS FOR EMERGENCY ASSISTANCE ARE SUBMITTED TO THE JPS EMPLOYEE ASSISTANCE DEPARTMENT AND FORWARDED TO A REVIEW COMMITTEE AND A MAJORITY DECISION VOTE IS MADE TO APPROVE OR REJECT THE APPLICATION. APPROVED APPLICATIONS ARE FORWARDED TO THE ACCOUNTANT FOR PAYMENT OF EMERGENCY EXPENSES FROM THE FUND. ASSISTANCE IS DONE BY PAYING BILLS DIRECTLY. IT IS INTENDED TO HELP WITH LIFE SUSTAINING OR ESSENTIAL EXPENSES. TYPICALLY, LIFE SUSTAINING OR ESSENTIAL INCLUDES UTILITIES, CAR PAYMENT, HOUSE PAYMENT, APARTMENT RENT, TRAVEL (TO ATTEND FUNERAL OR REACH BEDSIDE OF TERMINALLY ILL FAMILY MEMBER), FOOD, ETC. DIRECT PAYMENTS TO THE EMPLOYEE TYPICALLY ARE NOT MADE. THE MAXIMUM AMOUNT OF ASSISTANCE PER EMPLOYEE IN AN EIGHTEEN MONTH PERIOD IS $1,500. THE JPS HEALTH NETWORK WILL DONATE FUNDS TO THE FOUNDATION TO COVER ELIGIBLE PATIENT EXPENSES. THE NETWORK ESTABLISHED THE JPS CONNECTION PROGRAM TO ASSIST INDIVIDUALS WHO NEED MEDICAL ASSISTANCE BUT ARE WITHOUT THE FINANCIAL MEANS TO AFFORD NECESSARY MEDICAL SERVICES. THE NETWORK WILL IDENTIFY A PORTION OF THE NETWORK'S ELIGIBLE JPS CONNECTION POPULATION WHO ARE ELIGIBLE FOR ENROLLMENT AND/OR MAY ENROLL IN THE FUTURE IN A QUALIFIED HEALTH PLAN OR STAND-ALONE DENTAL PLAN AND LACK THE FINANCIAL RESOURCES FOR PAYMENT OF THE REQUIRED INSURANCE PREMIUMS AND OTHER ELIGIBLE PATIENT EXPENSES. ONLY THE PATIENTS' NEEDS AND NOT THEIR HEALTH STATUS IS CONSIDERED. ASSISTANCE, WHERE APPLICABLE, MUST COVER THE ENTIRE POLICY YEAR, BE PROVIDED IN AMOUNTS THAT ARE CONSISTENT WITH APPLICABLE FAIR MARKET VALUE, AND BE CONSISTENT WITH APPLICABLE NETWORK POLICIES AND PROCEDURES. PAYMENTS ARE THEN WIRED WEEKLY FROM THE JPS FOUNDATION TO VARIOUS PHYSICIAN NETWORKS THAT PROVIDE SERVICES TO THESE PATIENTS. false true false false false false false false false CHERYL SUTTERFIELD JPSF PRESIDENT 0 243502 0 79153 0 16437 0 5995 0 14330 0 359417 0 42393 DR KAREN DUNCAN PRESIDENT AND CEO TCHD 0 832260 0 1137925 0 93952 0 84864 0 11764 0 2160765 0 1010889 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation EXECUTIVE COMPENSATION: THE TARRANT COUNTY HOSPITAL DISTRICT, A RELATED ORGANIZATION, DETERMINES COMPENSATION OF THE FOUNDATION'S PRESIDENT THROUGH THE USE OF THE FOLLOWING: - COMPENSATION SURVEYS OR STUDIES - COMPENSATION CONSULTANTS - APPROVAL BY THE EXECUTIVE ADMINISTRATOR OVER THE DEPARTMENT Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan JPS HEALTH NETWORK OFFERED A LONG -TERM INCENTIVE PLAN (LTIP) TO EXECUTIVE LEADERSHIP EMPLOYEES. THIS PLAN WAS CLOSED IN calendar year 2023; THEREFORE, ALL DEFERRED COMPENSATION WAS PAID OUT IN calendar year 2023. THE DEFERRED COMPENSATION PLAN IS IN COMPLIANCE WITH THE IRC SECTION 457(F), INELIGIBLE DEFERRED COMPENSATION PLAN SPONSORED BY A TAX-EXEMPT ORGANIZATION. THE FOLLOWING PARTICIPATED IN THE PLAN DURING Calendar year 2023. AMOUNTS INCLUDED IN THE W-2: KAREN DUNCAN $1,010,889 CHERYL SUTTERFIELD $42,393 AMOUNTS DEFERRED: NONE-PLAN WAS CLOSED X 294652 Market value X 336378 Market value X 25 1293 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Books and publications - Number of contributions Food inventory - Number of contributions Clothing and household goods - Number of contributions Form 990, Part VI, Line 7a Members or stockholders electing members of governing body AT ALL TIMES THE JPS FOUNDATION BOARD WILL CONSIST OF MEMBERS OF THE TCHD BOARD, THE TCHD CEO AND PERSONS SELECTED BY THE TCHD CEO. Form 990, Part VI, Line 11b Review of form 990 by governing body FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, CONTROLLER AT TARRANT COUNTY HOSPITAL DISTRICT AND JPS FOUNDATION PRESIDENT PRIOR TO SUBMISSION Form 990, Part VI, Line 12c Conflict of interest policy MEMBERS ARE ASKED TO DISCLOSE, ANNUALLY, ANY BUSINESS RELATIONSHIPS THAT POTENTIALLY GIVE RISE TO CONFLICTS. ANY CONFLICTS THAT ARISE ARE RESOLVED AT THE BOARD LEVEL. IN THE EVENT OF A CONFLICT, THE BOARD MEMBER ABSTAINS FROM VOTING AND DISCUSSION OF THE RELATED MATTER. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE JPS HEALTH NETWORK WEBSITE. Form 990, Part IX, Line 11g Other Fees PROFESSIONAL SERVICES - Total Expense: 385374, Program Service Expense: 385374, Management and General Expenses: , Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 175791, Program Service Expense: 149536, Management and General Expenses: 1813, Fundraising Expenses: 24442; OUTSIDE SERVICES - Total Expense: 16324, Program Service Expense: 15950, Management and General Expenses: 374, Fundraising Expenses: ; Form 990, Part XII, Line 2c COMMITTEE RESPONSIBLE OVER THE AUDIT: TARRANT COUNTY HOSPITAL DISTRICT, A RELATED ORGANIZATION, ALONG WITH ITS BOARD OF MANAGERS, HAVE THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. TARRANT COUNTY HOSPITAL DISTRICT 1500 SOUTH MAIN STREET FORT WORTH TX 76104 756000439 HEALTHCARE TX 501(c)(3) 6 NA false ACCLAIM PHYSICIAN GROUP 200 W MAGNOLIA AVE SUITE 20 FORT WORTH TX 761047644 352526373 HEALTHCARE TX 501(c)(3) 3 Tarrant County Hospital District false TCHD PUBLIC FACILITY CORPORATION 1500 SOUTH MAIN STREET FORT WORTH TX 76104 384224168 PUBLIC FACILITY TX Tarrant County Hospital District C Corporation false false true true false true false false false false false false true false true true true true true false