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        <ExplanationTxt>The filing organization relied on a related organization's methods to establish the top management official's compensation. Refer to Schedule O for additional discussion.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 3 Significant changes in program services</FormAndLineReferenceDesc>
        <ExplanationTxt>The corporation ceased providing outpatient rehabilitation management services as well as certain therapist staffing to San Antonio Regional Hospital (SARH) as of November 2024.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Casa Colina, Inc. is the sole member of the organization.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of the filing organization is Casa Colina, Inc. The sole member shall elect the board of directors unless otherwise authorized by the bylaws. Currently, the bylaws authorize certain identified members of the board of directors within the filing organization and related organizations. Actions may be taken by the statutory member on behalf of the filing organization without a meeting if authorized by the board of directors of the statutory member. Authorization is required to be memorialized in writing and signed by an authorized officer of the member and filed with the secretary of the filing organization. The member may increase or decrease the number of board members. The member has the final approval of any changes to the bylaws.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 was reviewed by an independent accounting firm for accuracy and completeness. A paper copy of the Form 990 was made available for review by the Board of Directors prior to filing with the Internal Revenue Service.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>The Governance Committee of the Board reviews disclosure forms on an annual basis. In addition, the ratio of interested vs. disinterested directors is closely monitored. Interested directors are not allowed to hold office or serve on the audit committee. Finally, a protocol has been established that prevents the conversion of a current disinterested director to an interested director.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the organization's top management official is based on several criteria including but not limited to, committee review, independent compensation consultant, written employment contract and approval by the board of directors. The compensation is recorded by a related organization (Casa Colina, Inc.) As such, the filing organization relied on a related organization's method to establish the top management official's compensation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statements are made available to the public for inspection via the Electronic Municipal Market Access website. In addition, audited financial information is provided to the public for the purposes of grant awards upon request as necessary. The organization's governing documents and conflict of interest policy are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Net assets released for Capital - 8308; Total - 8308;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 20</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization is a Member of the Obligated Group for Casa Colina Inc.'s direct placement notes issued in 2016.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The number of employees listed in line 2a represents workers employed by Casa Colina, Inc. a related organization with FEIN 95-3655256, on behalf of the reporting organization.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990. Part IX, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Independent contractors were paid by Casa Colina Inc. (FEIN 95-3655256), a related organization, and are therefore listed on the Casa Colina, Inc. Form 990.</ExplanationTxt>
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