4A (Expenses $ 87572803 including grants of $ 46100) (Revenue $ 129440339)
Texas Health Hospital Frisco (THF) is a jointly operated acute-care hospital between Texas Health Resources and UT Southwestern Medical Center and is a 63 licensed beds acute-care hospital serving the North Texas Denton and Collin County areas that began accepting patients on December 16, 2019. The hospital's services include an emergency department, heart and vascular, back & spine, orthopedics, imaging, nutrition, rehabilitation, digestive health, urology, women and infant care, wound care, and behavioral health. THF had 16,035 patient days, 4,197 discharges, 1194 births, 22,803 outpatient encounters, and 16,003 emergency room visits during the calendar year 2021. THF provides quality medical healthcare services regardless of the patient's race, creed, sex, national origin, handicap, age or ability to pay. THF 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. THF also provides charity care to patients who are unable to pay for the services they receive.

Part V, Section B
Texas Health Frisco Part V. Section B, Line 3e The significant health needs of the community are in line with the significant health needs that have been prioritized and identified in the current CHNA. Part V. Section B, Line 5 Texas Health Frisco's (THF) 2019 CHNA was a collaborative process utilizing qualitative and quantitative methods to assess the health needs of persons within the service areas in the Collin County region. The 2019 CHNA was conducted at the Collin County regional level to generate community-driven solutions for better integration in addressing the clinical and social needs of individuals living in North Texas. Between April 2018 and August 2018, the communities' health needs were assessed through key informant interviews, secondary data analysis, a windshield survey serving to assist asset-mapping through community observation and focus groups. Key informants and focus group participants included, but were not limited to faith community representatives, public health officials, lay community members, school officials and city administration. The organization engaged 22 community members with interests specific to the health of individuals in the Collin County region in the CHNA development process. Seventeen of these community members were engaged across two separate focus groups held in zip-codes that were identified as underserved areas. Five served as key informants, and the windshield survey was conducted by two Texas Health graduate fellows and three community health managers. To gain a comprehensive understanding of the health needs and priorities of individuals in this region, Texas Health used focus group sessions and key informant interviews to engage the medically underserved, low-income or minority populations along with representatives from the following community organizations: Allen Community Outreach; ARTA Travel; Cigna; City of Plano; Frisco Chamber of Commerce; Iconic Consulting Group, Inc.; Northbridge Church; Plano ISD; Professional Office Services of Dallas; Texas Department of State Health Services; and Toyota Motor North America. Findings from all data sources (secondary data, interviews and focus groups, and the windshield survey/observational asset mapping) were compared. Recurring themes were pulled and analyzed to stratify the top medical and social determinant of health needs. The outlined needs/barriers will inform the development of the 2020 CHNA implementation plan, which will leverage integrated strategies across THR's internal and external stakeholders to enhance its service and program delivery in the target communities. Part V. Section B, Line 6a The 2019 CHNA for the Collin County Region was done in collaboration with Texas Health Frisco (THF), Texas Health Plano (THP), Texas Health Allen (THA) and Physicians Medical Center (PMC). Part V. Section B, Line 7a and Line 10a The most recently adopted implementation strategy and the CHNA is widely available on the following website at the bottom of the webpage: https://www.texashealth.org/en/Locations/texas-health-frisco Part V. Section B, Line 7b and Line 10a The most recently adopted implementation strategy and the CHNA is widely available on the following website at: https://www.texashealth.org/community-health/community-health-needs-assess ment Part V. Section B, Line 11 The 2020 - 2022 implementation strategy focused on reforming the delivery of our services in the target communities. The hospital is part of the Texas Health Resources (THR) healthcare system, which developed a system-wide community benefit strategy to increase its hospitals' ability to impact the community health needs of the target areas with a higher focus on three health priorities. Through the prioritization process these three health priorities from the 2019 CHNA were determined to be ongoing issues that THR hospitals needed to address: 1. Behavioral Health 2. Chronic Disease Prevention & Management 3. Access to Health Services and Healthcare Navigation & Literacy In 2021, Texas Health Frisco addressed significant health needs with the following approaches: 1. Behavioral Health 1a. Texas Health Community Impact Through an RFP process by Texas Health Resources through its Texas Health Community Impact (THCI) Initiative, two agencies in Collin County were awarded grants to address depression, anxiety, and food insecurity among underserved individuals in specific zip-codes in the hospital's region. The collaborating organizations in this effort include Collin County MHMR dba LifePath Systems, Community Garden Kitchen, Community Health Center of McKinney, Community Lifeline Center, Hope Clinic of McKinney, Wellness Center for Older Adults, Plano ISD Education Foundation, Assistance Center of Collin County, City House, North Texas Food Bank, and UT Southwestern Medical Center. 2. Chronic Disease Prevention & Management 2a. Blood drive event 2a.1. THF partnered with Carter BloodCare to host blood drives. These drives help provide access for patients needing blood transfusion as part of their chronic disease management regimen. 3. Access, Literacy, and Navigation (ALN) 3a. Maternal/Neonatal Outreach 3a.1. THF provided education to the Prosper EMS department on maternal deliveries and thermoregulation techniques. All the priority health needs identified are being addressed by the hospital in the categories listed above. Part V. Section B, Line 13 h Although a patient may have been notified of the Financial Assistance Policy, there are times when the patient chooses not to complete the Financial Assistance Application. Texas Health routinely screens uninsured patients using an independent third party for financial assistance eligibility. Part V. Section B, Lines 16 a, b & c The FAP, FAP Application and the Plain Language Summary of the FAP were widely available at this website: https://www.texashealth.org/Costs-and-Billing/Financial-Assistance

Texas Health Frisco
Part I, Line 3c - Patient Eligibility Patients with family income at or below 200% of applicable Federal Poverty Guidelines (FPG) may be eligible for free care if the patient lacks sufficient funds and assets to pay the out-of-pocket portion of their hospital bill. Patients with a family income above 200% of applicable FPG who have unpaid medical bills exceeding a specified percentage of the patient's annual gross income, as determined on a sliding scale based on FPG, may be deemed medically indigent and eligible for charity care. The patient may be eligible for a charity adjustment up to 100% of the unpaid balance of their hospital bill in excess of a specified patient responsible amount if the patient has insufficient funds/assets to pay his hospital bill without incurring an undue financial hardship. The patient responsible amount is based on a percentage of the patient's annual income in relation to FPG. A determination as to whether or not a patient has insufficient funds and/or assets to pay for purposes of determining both financial and medical indigence is made at the time a patient's financial assistance application is reviewed. Assets considered when determining eligibility include cash, stocks, bonds and other financial assets that can be readily converted to cash. An additional process to screen for charity patients using publicly available financial information is also in place for patients not submitting a financial assistance application. Part I, Line 7 - Cost-to-Charge Ratio A cost-to-charge ratio is used to compute the amounts reported on Lines 7a-7c. The cost-to-charge ratio is derived from Worksheet 2 - Ratio of Patient Care Cost-to-Charges, as found in the Schedule H Instructions. The amounts reported on Lines 7e-7i were computed using direct costs, as determined by a cash outlay. Part II - Community Building The organization participates in community building activities that aim to address the disparities in the social determinants of health factors that influence the overall health and wellbeing of individuals in the communities Texas Health serves. As identified in the community health needs assessment, there are areas of need that are not aligned with the traditional operations of a hospital system. Our volunteerism, collaborations and partnership opportunities with various community-based organizations and coalitions foster our ability to address the social and environmental needs for the purpose of providing for the whole person beyond the clinical services. Part III, Lines 2, 3 & 4 - Bad Debts Bad debt expense is not included for purposes of reporting community benefits. Each patient qualifying for charity care is treated as a charity patient and no charges related to that patient are included in bad debt expense. The audited financial statements of Texas Health Frisco (THF) contain a footnote regarding Accounts Receivable and Net Patient Service Revenue that reads as follows: Patient service revenue is reported at the amount that reflects the consideration to which the Hospital expects to be entitled in exchange for providing patient care. Healthcare services promised in the contract with a patient represent a bundle of goods and (or) services that is distinct and accounted for as a single performance obligation. The transaction price for the bundled goods and (or) services provided is estimated by reducing the total standard charges by variable price concessions, including contractual adjustments based on the terms provided by (in the case of Medicare and Medicaid) or negotiated with (in the case of managed care and commercial insurance companies) third-party payors, the Hospital discount policies, and other implicit price concessions based on historical collections experience for uninsured and under-insured patients who do not qualify for financial assistance. A portfolio approach by major payor categories and types of service was used to estimate the historical collections experience. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Portfolio collection estimates are updated at least quarterly based on actual collections experience. The Hospital believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach was used. Under the Hospital's current financial assistance policy, the Hospital provides care to patients without charge or at amounts less than their established rates if the patient meets certain established criteria. As the Hospital does not pursue collection of amounts determined to qualify as financial assistance, those amounts are not reported as patient service revenue or patient accounts receivable. The Hospital estimates costs associated with financial assistance based on the ratio of cost to gross charges and applying this ratio to financial assistance provided. Revenue related to providing care to patients is recognized as the performance obligation is satisfied over the period of time the patient is receiving treatment, as the patient is simultaneously receiving and consuming the benefits provided by the Hospital. The performance obligation is generally satisfied over an average period of less than five days for inpatient services and one day for outpatient services. Generally, patients and third-party payors are billed within days after the services are performed and (or) the patient is discharged. The transaction price related to unsatisfied or partially unsatisfied performance obligations at the end of the reporting period primarily relate to inpatient acute care services for patients who remain admitted at that time (in-house patients). As of December 31, 2021 and 2020, contract assets of $1,236,980 and $1,650,072, respectively, were recorded in patient accounts receivable on the balance sheets. Patient accounts receivable is reported at the amount that reflects the consideration to which the Hospital expects to be entitled in exchange for providing patient care. The primary collection risks relate to uninsured patient accounts, including patient accounts for which the primary insurance company has paid the amounts covered by the applicable agreement, but patient responsibility amounts remain outstanding. Implicit price concessions relate primarily to amounts due directly from patients based upon management's assessment of historical write-offs and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Patient accounts are monitored and, if necessary, past due accounts are placed with collection agencies in accordance with guidelines established by management. Accounts are written off when all reasonable internal and external collection efforts have been performed. Estimated implicit price concessions of $11,983,738 and $6,125,144 were recorded as reductions to patient accounts receivable at December 31, 2021 and 2020, respectively, on the balance sheets. Part III, Line 8 - Medicare Shortfall The state of Texas treats any Medicare shortfall as a community benefit for meeting the state statutory requirements for charity care & community benefit. For state purposes, the shortfall is computed by comparing actual Medicare reimbursements with the estimated cost the hospital incurs in providing these services to Medicare patients. Cost is determined by applying a cost-to-charge ratio (with costs determined in accordance with generally accepted accounting principles) to billed charges. The shortfall amount reported to the state of Texas for 2021 is $52,591,411. Sch H requires a different method to calculate the Medicare shortfall shown on Part III, Lines 5-7. Part III, Line 9b - Debt Collection During the year, standard collection procedures were in place and uniformly applicable to all patient accounts. Except to the extent a patient receives a recovery from any third party or other source, no attempts are made to collect unpaid charges from patient accounts approved for adjustment under the Financial Assistance Policy. Part VI, Line 2 - Needs Assessment In 2019, Texas Health Resources (Texas Health) completed a community health needs assessment (CHNA) for 25 facilities across 5 regions using the following steps: - Demographic analysis by region - Secondary data analysis of health indicators to identify zip codes of highest-needs within each region and prioritize zip codes for the community impact initiative - Primary data collection via key informant interviews, focus groups, and a windshield survey - Synthesis of secondary and primary data to identify the most pressing health needs by region - Prioritization of health needs that Texas Health would focus on within the current CHNA cycle, resulting in the identification of these health needs: Behavioral health; Chronic disease prevention and management; an