Liabilities / Assets
75th percentile
Higher debt load relative to assets than 75% of similar nonprofits.
EIN 84-3475904 • 501(c)3 • Houston, TX
Profile
To provide cutting-edge cardiac care to diagnose, treat, and prevent cardiovascular diseases.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
75th percentile
Higher debt load relative to assets than 75% of similar nonprofits.
Liabilities / Revenue
59th percentile
Higher debt load relative to revenue than 59% of similar nonprofits.
Net Margin
35th percentile
Higher net margin than 35% of similar nonprofits.
Top Officer Pay
96th percentile
Higher top officer pay than 96% of similar nonprofits.
Top officer pay equals 5.4% of source-year revenue.
Asset Growth
10th percentile
Faster asset growth than 10% of similar nonprofits.
Revenue Growth
32nd percentile
Faster revenue growth than 32% of similar nonprofits.
Assets
Down$13,154,017
Down $1,717,016 (-12%) from 2023
Liabilities
Down$6,345,416
Down $1,693,448 (-21%) from 2023
Net Assets
Down$6,808,601
Down $23,568 (-0.3%) from 2023
Revenue
Up$19,679,102
Up $1,057,204 (+5.7%) from 2023
Expenses
Up$19,702,670
Up $358,896 (+1.9%) from 2023
Net Income
Up-$23,568
Up $698,308 (+97%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To provide cutting-edge cardiac care to diagnose, treat, and prevent cardiovascular diseases.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $6,912,829 | $5,975,430 | ▼ $937,399 |
| Accounts Receivable | $1,871,792 | $2,082,156 | ▲ $210,364 |
| Cash and Non-Interest-Bearing Accounts | $457,526 | $276,702 | ▼ $180,824 |
| Prepaid Expenses and Deferred Charges | $218,350 | $62,971 | ▼ $155,379 |
| Total Assets | $14,871,033 | $13,154,017 | ▼ $1,717,016 |
| Other Assets Total | $5,410,536 | $4,756,758 | ▼ $653,778 |
| Liabilities | |||
| Other Liabilities | $6,654,014 | $5,948,242 | ▼ $705,772 |
| Accounts Payable and Accrued Expenses | $1,384,850 | $397,174 | ▼ $987,676 |
| Total Liabilities | $8,038,864 | $6,345,416 | ▼ $1,693,448 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $6,832,169 | $6,808,601 | ▼ $23,568 |
| Total Net Assets Fund Balance | $6,832,169 | $6,808,601 | ▼ $23,568 |
| Total Liabilities and Net Assets / Fund Balance | $14,871,033 | $13,154,017 | ▼ $1,717,016 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Leasehold Improvements | $4,047,632 | $1,177,750 | $5,225,382 |
| Equipment | $1,519,556 | $760,405 | $2,279,961 |
| Other Land Buildings | $408,242 | $253,288 | $661,530 |
| Other Assets Org | $4,756,758 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Stephanie Coulter | Director, Physician | FT | $846,224 | $34,564 | $880,788 |
| Jennifer Cozart | Physician | FT | $787,466 | $10,040 | $797,506 |
| Alberto Lopez | Director, Physician | FT | $756,634 | $34,673 | $791,307 |
| Eduardo Hernandez | President, Physician | FT | $762,336 | $25,600 | $787,936 |
| D Richard Leachman | Director, Physician | FT | $723,429 | $8,169 | $731,598 |
| James Livesay | Physician | FT | $685,629 | $19,815 | $705,444 |
| Alexander Postalian Yrausquin | Physician | FT | $628,601 | $34,853 | $663,454 |
| Hector Medina | Physician | FT | $593,077 | $16,316 | $609,393 |
| Zvonimir Krajcer | Physician | FT | $512,148 | - | $512,148 |
| Emerson Perin | Director, Physician | PT | $474,112 | $569,486 | $474,112 |
| Joseph Rogers | Chair, Physician | PT | $164,554 | $888,791 | $164,554 |
| Name | Title |
|---|---|
| Marcia Strauss | Secretary |
| Howard Schramm | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Enhanced Revenue Solutions Inc | Medical billing services | PO Box 654079, Dallas, TX 75265 | $336,623 |
| SP Plus Parking | Parking management | PO Box 790402, St Louis, MO 63179 | $175,977 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $14,844,452 |
| Other Expenses | $4,858,218 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $12,213,524 | - | - | $12,213,524 |
| Depreciation Depletion | $997,611 | - | - | $997,611 |
| Occupancy | $996,665 | - | - | $996,665 |
| Other Employee Benefits | $958,097 | - | - | $958,097 |
| Current Officers, Directors, Trustees, and Key Employees | $952,490 | - | - | $952,490 |
| Fees for Services Other | $795,026 | - | - | $795,026 |
| Payroll Taxes | $582,505 | - | - | $582,505 |
| Office Expenses | $248,858 | - | - | $248,858 |
| Insurance | $237,414 | - | - | $237,414 |
| Pension Plan Contributions | $137,836 | - | - | $137,836 |
| Advertising | $77,051 | - | - | $77,051 |
| Information Technology | $75,362 | - | - | $75,362 |
| Other Expenses | $36,477 | - | - | $36,477 |
| All Other Expenses | $29,669 | - | - | $29,669 |
| Fees for Services Legal | $23,838 | - | - | $23,838 |
| Travel | $12,021 | - | - | $12,021 |
| Conferences and Meetings | $11,234 | - | - | $11,234 |
| Total Functional Expenses | $19,702,670 | $0 | $0 | $19,702,670 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Lease liabilities | $4,819,748 |
| Due to affiliates | $1,128,494 |
“The Texas Heart Institute (THI) is the sole member of Texas Heart Medical Group (THMG).”
“Each Director nominated by the Board of Directors is subject to the approval of the member, THI.”
“The sole member has the right to take specific actions without the need for approval by the Board of Directors as explained in Section 2.8 of the bylaws, including but not limited to the adoption, amendment, or interpretation of any mission statement of THMG; the amendment of bylaws or adoption of new bylaws; the amendment or repeal of THMG's certificate of formation; the merger, consolidation, reorganization or dissolution of THMG.”
“The Treasurer/CFO, CAO, and Controller of Texas Heart Institute review Form 990 before filing with the IRS. A copy of the Form is provided to the Board before filing.”
“The annual conflict of interest policy is provided to each Director and employee for a self-audit, and potential conflicts of interest must be reported to the Board. Knowledge of the policy is reinforced by communication from management through weekly, monthly, and annual performance review meetings.”
“The President's compensation is determined with the assistance of ECG Management Consultants. ECG's recommendations are submitted to the THMG Board of Directors for approval and must be approved by the Texas Heart Institute Board. The compensation of other officers is recommended by the Compensation Committee and approved by the Texas Heart Institute Board.”
“Available upon request.”
“Howard Schramm spends 40 hours per week in his position as Treasurer, CAO, and CFO of the Texas Heart Institute. He receives no compensation for services provided to Texas Heart Medical Group. Marcia Strauss spends 40 hours per week in her position as Executive Director of the Texas Heart Institute. She receives no compensation for services provided to Texas Heart Medical Group.”
“DBA: The Texas Heart Institute Center for Cardiovascular Care”
“To provide and promote cardiovascular excellence through advanced medical, scientific, and related research projects in the public interest; to deliver healthcare to the public, support medical education, and educate the public and cardiovascular professionals on medical and related public health topics.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1384850 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 397174 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1871792 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2082156 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | To provide cutting-edge cardiac care to diagnose, treat, and prevent cardiovascular diseases. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 77051 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 77051 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 29669 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 29669 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Darin Maxwell |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8323553653 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 6770 Bertner Ave |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Houston |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 77030 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 457526 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 276702 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 952490 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 952490 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 11234 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 11234 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 336623 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 175977 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO Box 654079 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO Box 790402 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Dallas |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | St Louis |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 75265 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 63179 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Enhanced Revenue Solutions Inc |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | SP Plus Parking |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Medical billing services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Parking management |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 8100000 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 4858218 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 11579102 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -23568 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 14844452 |
| IRS990/CYTotalExpensesAmt | 0 | 19702670 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 19679102 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 997611 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 997611 |
| IRS990/Desc | 0 | Texas Heart Medical Group (THMG) provides cutting-edge cardiac care to diagnose, treat, and prevent cardiovascular diseases, participates in scientific research, and supports medical education and scholarship. THMG is a multi-cultural medical group practice affiliated with the world-renowned Texas Heart Institute that specializes in comprehensive cardiovascular care. Its practice includes 16 physicians specializing in all areas of cardiac care and peripheral vascular disease. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 0 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | See Schedule O |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 84 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 19702670 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 23838 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 23838 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 795026 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 795026 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 25.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 25.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 41.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 15.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 15.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 20569 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 26286 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 34673 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 8169 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 34564 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 25600 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 26502 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 2962 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 10040 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 34853 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 16316 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 19815 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Joseph Rogers |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Emerson Perin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Alberto Lopez |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | D Richard Leachman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Stephanie Coulter |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Eduardo Hernandez |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Howard Schramm |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Marcia Strauss |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Zvonimir Krajcer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Jennifer Cozart |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Alexander Postalian Yrausquin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Hector Medina |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | James Livesay |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 164554 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 474112 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 756634 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 723429 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 846224 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 762336 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 512148 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 787466 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 628601 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 593077 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 685629 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 868222 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 543200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 488456 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 150495 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Chair, Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director, Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director, Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Director, Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director, Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | President, Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Physician |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2019 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 19679102 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 23 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 75362 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 75362 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 237414 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 237414 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 29 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2191443 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 6912829 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 5975430 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 8166873 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | See Schedule O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 6832169 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 6808601 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 6832169 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 6808601 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 996665 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 996665 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 248858 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 248858 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 5410536 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 4756758 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 958097 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 958097 |
| IRS990/OtherExpensesGrp/Desc | 0 | Material and supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Repairs and maintenance |
| IRS990/OtherExpensesGrp/Desc | 2 | Dues and licenses |
| IRS990/OtherExpensesGrp/Desc | 3 | Equipment expenses |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 931332 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 198055 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 187605 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 36477 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 931332 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 198055 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 187605 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 36477 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 6654014 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 5948242 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 12213524 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 12213524 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 582505 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 582505 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 137836 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 137836 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 218350 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 62971 |
| IRS990/PrincipalOfficerNm | 0 | Howard Schramm |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Patient services |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 11579102 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 11579102 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 6973886 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 4927855 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 11648012 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -721876 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 14415919 |
| IRS990/PYTotalExpensesAmt | 0 | 19343774 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 18621898 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -23568 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/RelatedOrganizationsAmt | 0 | 8100000 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 11579102 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 8100000 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 6973886 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 11248786 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 5016655 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 2468001 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 33807328 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 11579102 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 11648012 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 8669850 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 8747061 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 1946918 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 42590943 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00000 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 1.00000 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 1.00000 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 76398271 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 19679102 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 18621898 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 19918636 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 13763716 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 4414919 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 76398271 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 19679102 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 18621898 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 19918636 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 13763716 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 4414919 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 76398271 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 1519556 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 760405 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 2279961 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 4047632 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt | 0 | 1177750 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt | 0 | 5225382 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 0 | 4756758 |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 0 | Lease right-of-use assets |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 408242 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 253288 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 661530 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 4819748 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 1128494 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | Lease liabilities |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | Due to affiliates |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 5975430 |
| IRS990ScheduleD/TotalBookValueOtherAssetsAmt | 0 | 4756758 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 5948242 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 0 |
| IRS990ScheduleJ/BoardOrCommitteeApprovalInd | 0 | X |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompensationCommitteeInd | 0 | X |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/IndependentConsultantInd | 0 | X |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 164554 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 474112 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 846224 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 3 | 787466 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 4 | 756634 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 5 | 762336 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 6 | 723429 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 7 | 685629 |
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