TX HHS Form 3228. Application for a License to Operate a General or Special Hospital

The TX HHS Form 3228 is a crucial document for hospitals seeking to operate in the state of Texas. This application helps solve the problem of obtaining a license to operate a general or special hospital, ensuring compliance with regulatory requirements.

This form requires key information from applicants, including hospital details such as name, mailing address, and phone number. Additionally, it collects ownership data, including legal names, Social Security numbers (for sole proprietors), Employer Identification Numbers (EINs), and email addresses. The form also asks about physician ownership and whether the hospital is owned by a partnership or corporation.

To complete this application, hospitals must provide required information and follow specific procedures outlined in the instructions. Key points to note include:

• The need for IRS letters assigning EINs, certificates of filing from the Office of the Secretary of State, and organizational charts showing ownership structures.
• The requirement to mark "yes" or "no" for physician ownership and partnership/corporate ownership, with corresponding sections (15 and 16) to complete if applicable.