What is a Community Health Needs Assessment?
A Community Health Needs Assessment (CHNA) is a process of systematically collecting and analyzing data in order to comprehensively identify key health needs for the community of interest. The assessment is followed by an implementation plan where specific actions are described that address the identified needs. This whole process, if done well, increases the ability of communities to invest resources in ways that maximize desired population health outcomes. The process also can lead to greater collaboration among the range of stakeholders working to support the health and well-being of their community.

Who performs CHNAs?
Different entities are required or encouraged to perform CHNAs, including:

  1. Nonprofit Hospitals

  2. Public Health Organizations credentialing with the Public Health Accreditation Board

  3. Organizations applying for grants from the CDC or other grant-making organizations


Accredited Health Departments

The Public Health Accreditation Board (PHAB) started its national accreditation program for public health departments in September 2011. Under the program, local health departments are required to submit three prerequisites as part of the application process:

  1. A Community Health Assessment

  2. A Community Health Improvement Plan

  3. An Agency Strategic Plan

Health Department County Community Health Assessment Community Health Improvement Plan
Dallas County Health and Human Services Dallas 2016 Dallas County CHA
Houston Department of Health and Human Services Harris 2013 Houston CHIP
Tarrant County Public Health Tarrant 2013 Tarrant County CHA
Austin Public Health Travis 2017 Travis County CHA
Williamson County and Cities Health District Williamson 2016 Williamson County CHA

Non-Profit Hospitals in Texas

Non-Profit Hospitals, IRS Community Benefit Standard, and CHNAs

Prior to 1965, a hospital qualified as a tax exempt "charitable organization" if it provided medical care to people who could not afford to pay.

With introduction of Medicare in 1965 covering previously uncompensated care, the IRS established the Community Benefit Standard as the basis for tax-exemption. Free and discounted care continued to count toward justifying tax exemption, investments to promote community health also qualified toward meeting nonprofit hospitals' obligations. However, the lion's share of community benefit dollars still go towards uncompensated care.

Following the passage of the Affordable Care Act in 2010, those IRS rules were modified. Nonprofit hospitals are now required to perform a CHNA and an Implementation Plan every three years.

In addition, the IRS expanded the ways hospitals can satisfy community benefit requirement - including leadership development, community coalitions, cash and in-kind contributions to community groups. For more information, visit: https://www.chausa.org/communitybenefit/community-benefit

A non-profit hospital's current CHNA, Implementation Plan, and how it's community benefit dollars are spent are publicly-available documents. To find these documents, click on the location and a pop-up window will provide links. Additionally, you can check the hospital's website.

Hospital City Zip 2013 2016
Hendrick Medical Center Abilene 79601-2432 CHNA Report CHNA Report
ContinueCARE at Hendrick Medical Center Abilene 79601-2432 CHNA Report
CHRISTUS Spohn Hospital Alice Alice 78332-4169 CHNA Report CHNA Report
Texas Health Presbyterian Hospital Allen Allen 75013-6103 CHNA Report CHNA Report
Texas Health Arlington Memorial Hospital Arlington 76012-2503 CHNA Report CHNA Report
East Texas Medical Center Athens Athens 75751-5610 CHNA Report
St. David's South Austin Medical Center Austin 78704-6903 Implementation Plan CHNA Report Implementation Plan
Seton Medical Center Austin Austin 78705-1056 CHNA Report Implementation Plan
University Medical Center at Brackenridge Austin 78701-1996 CHNA Report Implementation Plan
St. David's Medical Center Austin 78705-2709 Implementation Plan CHNA Report Implementation Plan
Seton Southwest Hospital Austin 78737-1407 CHNA Report Implementation Plan
Dell Children's Medical Center Austin 78746 CHNA Report Implementation Plan
Seton Northwest Hospital Austin 78759-5236 CHNA Report Implementation Plan
St. David's North Austin Medical Center Austin 78758-2496 Implementation Plan CHNA Report Implementation Plan
Texas Health Harris Methodist Hospital Azle Azle 76020-3697 CHNA Report CHNA Report Implementation Plan
Houston Methodist San Jacinto Hospital Baytown 77521-3160 CHNA Report CHNA Report
CHRISTUS Southeast Texas - St. Elizabeth & St. Mary Beaumont 77726-5405 CHNA Report CHNA Report Implementation Plan
CHRISTUS Dubuis Hospital of Beaumont Beaumont 77702-1809 CHNA Report CHNA Report Implementation Plan
Baptist Hospitals of Southeast Texas Beaumont 77704-1591 CHNA Report CHNA Report
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford 76022-6913 CHNA Report CHNA Report Implementation Plan
CHRISTUS Spohn Hospital Beeville Beeville 78102-5383 CHNA Report CHNA Report Implementation Plan
Heart of Texas Healthcare System Brady 76825-1150 CHNA Report Community Benefits
Baylor Scott & White Medical Center - Brenham Brenham 77833-5413 CHNA Report CHNA Report Implementation Plan Community Benefits
CHRISTUS Dubuis Hospital of Bryan Bryan 77802-1502 CHNA Report Implementation Plan
Seton Highland Lakes Hospital Burnet 78611-7219 CHNA Report CHNA Report Implementation Plan
Dimmit County Memorial Hospital Carrizo Springs 78834-7016 CHNA Report
Baylor Scott & White Medical Center - Carrollton Carrollton 75010-4691 CHNA Report Implementation Plan CHNA Report Implementation Plan Community Benefits
East Texas Medical Center - Carthage Carthage 75633-1466 Executive Summary
Texas Health Harris Methodist Hospital Cleburne Cleburne 76033 CHNA Report CHNA Report Implementation Plan
Baylor Scott & White Medical Center - College Station College Station 77845 CHNA Report CHNA Report Implementation Plan Community Benefits
Columbus Community Hospital Columbus 78934-3016 CHNA Report
Comanche County Medical Center Comanche 76442 CHNA Report Implementation Plan
Driscoll Children's Hospital Corpus Christi 78411-1721 CHNA Report CHNA Report Implementation Plan
CHRISTUS Spohn Hospital Corpus Christi Corpus Christi 78465-5280 CHNA Report CHNA Report Implementation Plan
Crosbyton Clinic Hospital Crosbyton 79322-2143 CHNA Report Implementation Plan CHNA Report Implementation Plan
Methodist Dallas Medical Center Dallas 75265-5999 CHNA Report Implementation Plan CHNA Report
Our Children's House Dallas 75204-6219 CHNA Report
Texas Scottish Rite Hospital for Children/td> Dallas 75219-3924 CHNA Report Implementation Plan CHNA Report
Texas Health Presbyterian Hospital Dallas Dallas 75231-4402 CHNA Report CHNA Report Implementation Plan
Children's Medical Center Dallas Dallas 75235-7701 CHNA Report
Methodist Charlton Medical Center Dallas 75237-3460 CHNA Report CHNA Report
Baylor University Medical Center Dallas 75246-2088 CHNA Report Implementation Plan CHNA Report Implementation Plan
Texas Health Presbyterian Hospital Denton Denton 76201-5119 CHNA Report CHNA Report Implementation Plan
El Campo Memorial Hospital El Campo 77437-9535 CHNA Report
El Paso Children's Hospital El Paso 79905 CHNA Report Implementation Plan CHNA Report
East Texas Medical Center - Fairfield Fairfield 75840-1499 Executive Summary
Texas Health Harris Methodist Hospital Fort Worth Fort Worth 76104-2190 CHNA Report CHNA Report Implementation Plan
Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth 76101-0031 CHNA Report Implementation Plan CHNA Report Implementation Plan Community Benefits
Cook Children's Medical Center Fort Worth 76104-2796 CHNA Report Implementation Plan CHNA Report Implementation Plan
Texas Health Specialty Hospital Fort Worth Fort Worth 76104-2190 CHNA Report CHNA Report Implementation Plan
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth 76132-4199 CHNA Report CHNA Report Implementation Plan
Texas Health Huguley Hospital Fort Worth 76115-6337 CHNA Report CHNA Report Implementation Plan
Texas Health Harris Methodist Hospital Alliance Fort Worth 76244 CHNA Report CHNA Report Implementation Plan
Hill Country Memorial Hospital Fredericksburg 78624-0835 CHNA Report CHNA Report
Parmer Medical Center Friona 79035-1121 CHNA Report
Shriners Hospitals for Children - Galveston Galveston 77550-2720 CHNA Report CHNA Report
Baylor Scott & White Medical Center - Garland Garland 75042-5706 CHNA Report Implementation Plan CHNA Report Implementation Plan Community Benefits
Baylor Scott & White Medical Center - Grapevine Grapevine 76051-3596 Implementation Plan CHNA Report Implementation Plan Community Benefits
East Texas Medical Center Henderson Henderson 75652-5956 Executive Summary
Houston Methodist Hospital Houston 77030-2707 CHNA Report CHNA Report
Memorial Hermann Greater Heights Hospital Houston 77008-1500 CHNA Report Implementation Plan CHNA Report Implementation Plan
TIRR Memorial Hermann Houston 77030-3405 CHNA Report Implementation Plan CHNA Report Implementation Plan
Texas Children's Hospital Houston 77030-2399 CHNA Report Implementation Plan CHNA Report
Shriners Hospitals for Children - Houston Houston 77030-3701 CHNA Report CHNA Report
Memorial Hermann Hospital Houston 77030-1501 CHNA Report Implementation Plan CHNA Report Implementation Plan
Memorial Hermann Memorial City Medical Center Houston 77024-2501 CHNA Report Implementation Plan CHNA Report Implementation Plan
Houston Methodist Willowbrook Hospital Houston 77070-4318 CHNA Report CHNA Report
St. Luke's Hospital at the Vintage Houston 77070 CHNA Report CHNA Report
Memorial Hermann Southwest Hospital Houston 77074-4389 CHNA Report CHNA Report
Memorial Hermann Southeast Hospital Houston 77089-6041 Implementation Plan Implementation Plan
Houston Methodist West Hospital Houston 77094-1110 CHNA Report CHNA Report
Memorial Hermann Northeast Hospital Humble 77338 CHNA Report Implementation Plan CHNA Report Implementation Plan
Huntsville Memorial Hospital Huntsville 77342-4001 CHNA Report
Baylor Scott & White Medical Center - Irving Irving 75061-2291 CHNA Report Implementation Plan CHNA Report Implementation Plan Community Benefits
East Texas Medical Center Jacksonville Jacksonville 75766-2413 Executive Summary Executive Summary
Mother Frances Hospital Jacksonville Jacksonville 75766-5822 CHNA Report CHNA Report
Houston Methodist St. Catherine Hospital Katy 77450-2237 CHNA Report
Memorial Hermann Katy Hospital Katy 77494-1323 CHNA Report Implementation Plan CHNA Report Implementation Plan
Texas Health Presbyterian Hospital Kaufman Kaufman 75142-5401 CHNA Report Implementation Plan
Peterson Regional Medical Center Kerrville 78028 CHNA Report
Metroplex Hospital Killeen 76549-4110 CHNA Report Implementation Plan CHNA Report
CHRISTUS Spohn Hospital Kleberg Kingsville 78364-1197 CHNA Report CHNA Report Implementation Plan
Seton Medical Center Hays Kyle 78640 CHNA Report CHNA Report Implementation Plan
St. Mark's Medical Center La Grange 78945 CHNA Report CHNA Report
Brazosport Regional Health System Lake Jackson 77566-5674 CHNA Report
Rollins Brook Community Hospital Lampasas 76550-1106 CHNA Report Implementation Plan CHNA Report
Covenant Hospital Levelland Levelland 79336-6508 CHNA Report CHNA Report
CHI St Luke's Health - Memorial Livingston Livingston 77351-1257 CHNA Report CHNA Report
Baylor Scott & White Medical Center - Llano Llano 78643-2628 CHNA Report Implementation Plan 2014 Status Update CHNA Report Implementation Plan Community Benefits
Good Shepherd Medical Center Longview 75601-5572 Implementation Plan CHNA Report
Covenant Children's Hospital Lubbock 79408-1201 CHNA Report Implementation Plan
Covenant Medical Center Lubbock 79408-1201 CHNA Report Implementation Plan
CHI St Luke's Health Memorial Specialty Hospital Lufkin 75904-3357 CHNA Report CHNA Report Implementation Plan
CHI St Luke's Memorial Lufkin Lufkin 75902-1447 CHNA Report CHNA Report Implementation Plan
Seton Edgar B. Davis Hospital Luling 78648 CHNA Report CHNA Report Implementation Plan
Methodist Mansfield Medical Center Mansfield 76063 Implementation Plan CHNA Report
Falls Community Hospital and Clinic Marlin 76661-0060 CHNA Report Implementation Plan CHNA Report Implementation Plan
Good Shepherd Medical Center - Marshall Marshall 75671-1599 CHNA Report Implementation Plan CHNA Report Implementation Plan
Baylor Scott & White Medical Center - McKinney McKinney 75071 CHNA Report Implementation Plan CHNA Report Implementation Plan Community Benefits
Midland Memorial Hospital Midland 79701 CHNA Report Implementation Plan CHNA Report Implementation Plan
Mission Regional Medical Center Mission 78572-6613 CHNA Report CHNA Report
Houston Methodist Clear Lake Hospital Nassau Bay 77058-6302 CHNA Report
CHRISTUS Santa Rosa Hospital - New Braunfels New Braunfels 78130-4191 CHNA Report CHNA Report Implementation Plan
ContinueCARE Hospital at Medical Center Odessa 79761 CHNA Report
Medical Center Health System Odessa 79761 CHNA Report CHNA Report
Baptist Orange Hospital Orange 77630-4717 CHNA Report CHNA Report
Palacios Community Medical Center Palacios 77465-3214 CHNA Report
Pampa Regional Medical Center Pampa 79065
Dubuis Hospital of Paris Paris 75460-6027 CHNA Report CHNA Report Implementation Plan
Frio Regional Hospital Pearsall 78061-3998 CHNA Report Implementation Plan
East Texas Medical Center Pittsburg Pittsburg 75686-4289 Executive Summary
Covenant Hospital Plainview Plainview 79072-1833 CHNA Report CHNA Report
Texas Health Presbyterian Hospital Plano Plano 75093-7938 CHNA Report CHNA Report Implementation Plan
Baylor Scott & White Medical Center - Plano Plano 75093-5323 CHNA Report Implementation Plan CHNA Report Implementation Plan Community Benefits
East Texas Medical Center - Quitman Quitman 75783-1000 Executive Summary
Methodist Richardson Medical Center Richardson 75082 CHNA Report CHNA Report
Seton Medical Center Williamson Round Rock 78665-8000 CHNA Report CHNA Report Implementation Plan
Baylor Scott & White Medical Center - Round Rock Round Rock 78665-1032 CHNA Report Implementation Plan 2014 Update CHNA Report Implementation Plan Community Benefits
St. David's Round Rock Medical Center Round Rock 78681-4097 Implementation Plan CHNA Report Implementation Plan
Shannon Medical Center San Angelo 76902-1879 CHNA Report Implementation Plan CHNA Report
Children's Hospital of San Antonio San Antonio 78207-3198 CHNA Report CHNA Report Implementation Plan
CHRISTUS Santa Rosa - Medical Center San Antonio 78229 CHNA Report CHNA Report Implementation Plan
CHI St Luke's Health Memorial San Augustine San Augustine 75972-0658 CHNA Report CHNA Report Implementation Plan
Central Texas Medical Center San Marcos 78666-7544 Implementation Plan CHNA Report Implementation Plan
Seton Smithville Regional Hospital Smithville 78957-9556 CHNA Report CHNA Report Implementation Plan
Stamford Memorial Hospital Stamford 79553-0911 CHNA Report
Texas Health Harris Methodist Hospital Stephenville Stephenville 76401-1399 CHNA Report CHNA Report Implementation Plan
St. Luke's Sugar Land Hospital Sugar Land 77478-3997 CHNA Report CHNA Report
Memorial Hermann Sugar Land Sugar Land 77479-2562 CHNA Report Implementation Plan CHNA Report Implementation Plan
Houston Methodist Sugar Land Hospital Sugar Land 77479-2343 CHNA Report CHNA Report
Baylor Scott & White Medical Center - Taylor Taylor 76574-1208 CHNA Report Implementation Plan CHNA Report Implementation Plan Community Benefits
Baylor Scott & White Continuing Care Hospital Temple 76502-4069 CHNA Report Implementation Plan Community Benefits
Scott & White Memorial Hospital Temple 76508-0002 CHNA Report Implementation Plan CHNA Report Implementation Plan
CHRISTUS St. Michael Health System Texarkana 75504-2911 CHNA Report CHNA Report Implementation Plan
CHRISTUS St. Michael Rehabilitation Hospital Texarkana 75504-2911 CHNA Report CHNA Report
Memorial Hermann The Woodlands Hospital The Woodlands 77380-3225 CHNA Report Implementation Plan CHNA Report Implementation Plan
St. Luke's the Woodlands Hospital The Woodlands 77384-8007 CHNA Report CHNA Report
East Texas Medical Center Trinity Trinity 75862-3169 Executive Summary
Swisher Memorial Hospital Tulia 79088-0808 CHNA Report
East Texas Medical Center Rehabilitation Hospital Tyler 75701-1996 CHNA Report
East Texas Medical Center Specialty Hospital Tyler 75711-7018
Mother Frances Hospital Tyler 75701-2093 CHNA Report
East Texas Medical Center Tyler 75711-6400 CHNA Report
Tyler Continue Care Hospital Tyler 75701-2036 CHNA Report CHNA Report
Baylor Scott & White Medical Center - Hillcrest Waco 76702 CHNA Report Implementation Plan CHNA Report Implementation Plan Community Benefits
Providence Health Center Waco 76702-2589 CHNA Report CHNA Report Implementation Plan
Baylor Scott & White Medical Center at Waxahachie Waxahachie 75165 CHNA Report Implementation Plan CHNA Report Implementation Plan Community Benefits
United Regional Health Care System Wichita Falls 76301-4307 CHNA Report Implementation Plan CHNA Report
Mother Frances Hospital - Winnsboro Winnsboro 75494-3007 CHNA Report CHNA Report
Yoakum Community Hospital Yoakum 77995 CHNA Report CHNA Report
Texas Health Resources System Wide Report CHNA Report CHNA Report