2026-08-14T17:13:45+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 14221 DALLAS PARKWAY SUITE 400 DALLAS TX 75254 990 2024-10-01 752717782 JPS FOUNDATION JPSF 8177027310 1350 S MAIN STREET SUITE 4000 FORT WORTH TX 76104 KAREN DUNCAN PRESIDENT 2026-08-14 true ANDREW J GRAY P01517705 9727028262 2026-08-17 2024 2025-03-06 01:10:19Z KAREN DUNCAN 1350 S MAIN STREET SUITE 4000 FORT WORTH TX 76104 3648180 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 3277846 3133055 240824 165557 291280 266406 0 -153259 3809950 3411759 1352281 1407541 0 0 0 0 0 0 1596872 1554676 2949153 2962217 860797 449542 9224921 10470386 326734 408249 8898187 10062137 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 2891416 1407541 165557 FOR THE YEAR ENDED SEPTEMBER 30, 2025, 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. 2891416 true true false false false true false false false true true false false false true true false true false false false false false false true false false true true true false false false false false false false false false false true false false false false true false false false false true 75 0 true 0 false false false false false true true false false false false false false false false false X 11 10 false false false false false true false true true false false false false true true true true true false false false false X ROBBIN SOOTER 8177023635 1400 S MAIN STREET FORT WORTH TX 76104 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 LEAH KING PRESIDENT JPS FOUNDATION (START: 10/2024) 40.0 0.0 X X 0 130321 6110 MIMI TRAN SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 SHANNON FLETCHER INTERIM PRESIDENT OF JPS FOUNDATION (START: 2/2024 & END: 10/2024) 5.0 35.0 X X 0 475050 20484 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 & CEO OF JPS HEALTH NETWORK 2.0 38.0 X 0 1291488 162919 TERESA YEARGINS DIRECTOR OF DEVELOPMENT 40.0 0.0 X 0 143421 30680 CHERYL SUTTERFIELD PRESIDENT OF JPS FOUNDATION (END: 2/2024) 40.0 X 0 157366 4768 0 2197646 224961 0 true true false 0 259112 873349 7542 1993052 573775 3133055 OTHER OPERATING REVENUE 624100 165557 165557 0 0 0 0 165557 264100 264100 0 0 52468 50162 2306 0 2306 2306 33000 259112 186259 -153259 -153259 0 0 0 0 0 3411759 165557 0 113147 X 563578 563578 843963 843963 5 5 37051 37051 634227 634227 0 0 2450 2450 195100 187344 7756 47499 46640 859 1622 1622 25413 19347 6066 EQUIPMENT EXPENSE 329063 329063 TRAINING 210473 210473 COMMUNITY RELATIONS 50180 50180 21593 4979 16614 0 2962217 2891416 70801 0 1345498 393592 0 0 105140 251865 0 0 0 0 0 0 0 0 55580 100724 23829 23829 0 0 7623997 9702350 0 0 0 0 94706 21855 9224921 10470386 12105 3318 0 0 17520 52250 0 0 0 0 0 0 0 0 0 0 297109 352681 326734 408249 X 6247375 7209334 2650812 2852803 0 0 0 0 0 0 8898187 10062137 9224921 10470386 449542 714408 0 X false true false false X 2431366 2082653 2872879 3277846 3133055 13797799 0 0 2431366 2082653 2872879 3277846 3133055 13797799 1002725 12795074 63540 120004 246234 289962 264100 983840 0 0 0 0 0 0 0 14781639 695258 0.86561 0.89504 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 520604 false false 667224 0 50392 10000 7666 699950 554688 13500 106082 7046 667224 509329 8500 43126 6267 554688 594430 5000 -83486 6615 509329 537531 10000 53510 6611 594430 0.0 0.609 0.391 false false 23829 23829 0 0 FEDERAL INCOME TAXES DUE TO AFFILIATES 352681 352681 5713411 714408 1400985 153258 2268651 3444760 0 0 3444760 4549459 1400985 0 1400985 3148474 3 3 3148477 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. WHITE COAT GALA 292112 259112 33000 69374 54739 18595 43551 0 0 292112 259112 33000 69374 54739 18595 43551 186259 -153259 true TARRANT COUNTY HOSPITAL DISTRICT 1500 S MAIN STREET FORT WORTH TX 76104 756000439 501(C)(3) 563578 IMPROVE HEALTH STATUS OF THE COMMUNITY 1 0 PATIENT ASSISTANCE 406 105761 EMPLOYEE ASSISTANCE 43 52764 PATIENT TRANSPORTATION 13984 67608 ACA CONNECTION SUPP TO INS. 4273 617830 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. true true false false false false false true false SHANNON FLETCHER INTERIM PRESIDENT OF JPS FOUNDATION (START: 2/2024 & END: 10/2024) 0 287615 0 177145 0 10290 0 11250 0 9234 0 495534 0 0 CHERYL SUTTERFIELD PRESIDENT OF JPS FOUNDATION (END: 2/2024) 0 47849 0 0 0 109517 0 500 0 4268 0 162134 0 0 DR KAREN DUNCAN PRESIDENT & CEO OF JPS HEALTH NETWORK 0 917717 0 281682 0 92089 0 75655 0 87264 0 1454407 0 0 TERESA YEARGINS DIRECTOR OF DEVELOPMENT 0 125280 0 17261 0 879 0 8348 0 22332 0 174100 0 0 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 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT EXECUTIVES WITH GREATER THAN 1 YEAR OF SERVICE MAY BE AWARDED SEVERANCE. SEVERANCE MAY BE CONSIDERED ONLY AT THE DISCRETION AND APPROVAL FROM THE CHRO, COO, AND/OR CEO. SEVERANCE PAYMENTS ARE NOT GUARANTEED AND ONLY PAID AFTER RECEIPT OF NON-REVOCATION AGREEMENT. DURING THE TAX YEAR, SEVERANCE WAS PAID TO CHERYL SUTTERFIELD IN THE AMOUNT OF $105,943. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EXECUTIVE LEADERSHIP EMPLOYEES ARE OFFERED TO PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SUPPLEMENTAL RETIREMENT PLAN FOR CALENDAR YEAR 2024: AMOUNTS INCLUDED IN THE W-2: KAREN DUNCAN $33,371.26 AMOUNTS DEFERRED: KAREN DUNCAN NONE SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS CERTAIN NON-FIXED PAYMENTS ARE PAID OUT AS BONUSES BASED ON ANNUAL INCENTIVE PAY AND RECRUITING. X 184950 MARKET VALUE X 375289 MARKET VALUE 6 1183 MARKET VALUE X ITEMS DONATED FOR AUCTION FOR THE ANNUAL GALA 40 12353 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 OTHER - ITEMS DONATED FOR AUCTION FOR THE ANNUAL GALA 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: 12500, PROGRAM SERVICE EXPENSE: 12500, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT SERVICES - TOTAL EXPENSE: 621446, PROGRAM SERVICE EXPENSE: 621446, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OUTSIDE SERVICES - TOTAL EXPENSE: 281, PROGRAM SERVICE EXPENSE: 281, MANAGEMENT AND GENERAL EXPENSES: , 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. 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