2026-08-14T16:08:39+00:00 2025-09-30 415375658 CROWE ADVISORY LLC 4801 OLYMPIA PARK PLAZA SUITE 4000 LOUISVILLE KY 402412098 990 2024-10-01 741100555 TEXAS CHILDREN'S HOSPITAL TEXA 8328242918 6330 WEST LOOP SOUTH 1300 BELLAIRE TX 77401 WELDON GAGE EXECUTIVE VP / CFO 8328242982 2026-08-14 true RACHEL SPURLOCK P00520729 5023263996 2026-08-14 2024 2025-03-06 01:10:19Z WELDON GAGE 6330 WEST LOOP SOUTH 1300 BELLAIRE TX 77401 4486109052 false X WWW.TEXASCHILDRENS.ORG X 1950 TX TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. 14 0 15716 642 -371471 5959 93924537 114399665 3715272566 4276178070 10529618 24842741 23339212 21535182 3843065933 4436955658 13147005 18314495 0 0 1695352329 1667611826 2868117 3755318 21813231 2222012634 2416315408 3933380085 4105997047 -90314152 330958611 8480089815 9178782905 2864735723 2849643614 5615354092 6329139291 TEXAS CHILDREN'S HOSPITAL, HEADQUARTERED IN HOUSTON, TEXAS, IS A NOT-FOR-PROFIT ORGANIZATION WHOSE MISSION IS TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. WE ARE PROUD TO BE CONSISTENTLY RANKED AMONG THE TOP CHILDREN'S HOSPITALS IN THE NATION. false false 3793264750 17687219 4243139452 PATIENT CARE: TEXAS CHILDREN'S HOSPITAL IS AN INTERNATIONALLY RECOGNIZED CHILDREN'S HOSPITAL AND IS CONSISTENTLY RANKED AS THE BEST CHILDREN'S HOSPITAL IN TEXAS AND AMONG THE TOP IN THE NATION. TEXAS CHILDREN'S HOSPITAL OPERATES THREE CAMPUSES IN THE HOUSTON AREA: MAIN CAMPUS LOCATED IN THE TEXAS MEDICAL CENTER; WEST CAMPUS LOCATED IN WEST HOUSTON; WOODLANDS CAMPUS LOCATED NORTH OF HOUSTON. THE MAIN CAMPUS IS THE LARGEST AND ALSO INCLUDES THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE, FEIGIN TOWER CENTER FOR PEDIATRIC RESEARCH, AND THE TEXAS CHILDREN'S PAVILION FOR WOMEN. (CONTINUED ON SCHEDULE O) 83317537 388493 39373753 RESEARCH: TEXAS CHILDREN'S HOSPITAL CREATED THE TEXAS CHILDREN'S RESEARCH INSTITUTE, A MULTIDISCIPLINARY BIOMEDICAL RESEARCH HUB THAT REIMAGINES RESEARCH TO ADVANCE DISEASE PREVENTION, DIAGNOSIS, AND TREATMENT. TEXAS CHILDREN'S AND BAYLOR RESEARCHERS AT THE FEIGIN TOWER, THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE AND THE CHILDREN'S NUTRITION RESEARCH CENTER ARE CONDUCTING SOME OF THE MOST INNOVATIVE ONGOING RESEARCH IN A VARIETY OF AREAS FROM PEDIATRIC CARDIOLOGY TO INFECTIOUS DISEASES, NUTRITION, VACCINES AND PEDIATRIC NEUROLOGY AND NEUROGENETICS. (CONTINUED ON SCHEDULE O) 51210227 238783 13478899 EDUCATION: THE HOSPITAL SERVES AS THE PRIMARY PEDIATRIC TEACHING FACILITY FOR BAYLOR COLLEGE OF MEDICINE (THEIR LONG-TERM ACADEMIC PARTNER). IN ADDITION, THE TEXAS CHILDREN'S PAVILION FOR WOMEN IS ONE OF THE PREMIER PRIVATE TRAINING HOSPITALS FOR BAYLOR COLLEGE OF MEDICINE'S DEPARTMENT OF OBSTECTRICS AND GYNECOLOGY. THE CLOSE AFFILIATION BETWEEN THE INSTITUTIONS EXTENDS THROUGH TEXAS CHILDREN'S OPERATIONS, BAYLOR FACULTY INCLUDING SERVICE CHIEFS, MEDICAL DIRECTORS AND STAFF PHYSICIANS ACROSS THE HOSPITAL'S 55 SUB-SPECIALTY CARE OFFERINGS. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2025, THE HOSPITAL INVESTED MORE THAN $52 MILLION IN THE TRAINING OF OVER 1,300 TRAINEES IN APPROXIMATELY 80 TRAINING PROGRAMS ROTATING AT TEXAS CHILDREN'S. BAYLOR AND TEXAS CHILDREN'S HAVE A PROVEN TRACK RECORD RECRUITING TRANSFORMATIVE PHYSICIAN-SCIENTISTS AND ONE OF THE STRONGEST PEDIATRIC RESIDENCY PROGRAMS IN THE COUNTRY. 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DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY TEXAS CHILDREN'S HOSPITA (TCH) MAINTAINS A GOVERNMENT RELATIONS DEPARTMENT THAT ADVOCATES FOR PUBLIC POLICY AT THE LOCAL, STATE, AND FEDERAL LEVEL. TCH SUPPORTS POLICIES THAT PROMOTE THE HEALTH OF CHILDREN AND WOMEN, BUILD HIGH QUALITY PEDIATRIC AND WOMEN'S HEALTHCARE SYSTEMS, AND ADVOCATE FOR HEALTH COVERAGE FOR CHILDREN AND WOMEN. IN ADDITION TO ADVOCAY, THE GOVERNMENT RELATIONS DEPARTMENT PROVDES EDUCATION ON THE UNIQUE NEEDS OF PEDIATRIC AND WOMEN'S HEALTHCARE PATIENTS AND FAMILIES. TEXAS CHILDREN'S HOSPITAL PAID DUES TO THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH) AND TEXAS HOSPITAL ASSOCIATION (THA), OF WHICH A PORTION WAS ATRIBUTABLE TO LOBBYING ACTIVITIES. 232243418 5225672 23792789 17038236 244223643 199489470 11056523 29741454 8044029 232243418 183957526 7427665 14299061 6194782 199489470 222836472 5802275 -35377485 9303736 183957526 201207680 7327318 22980171 8678697 222836472 0.0 1.0 0.0 false true true 0 160961635 160961635 0 1977940289 630557078 1347383211 0 82279158 50080443 32198715 0 2216552024 1415592038 800959986 0 170273843 153800317 16473526 2357977073 INVESTMENT IN TEXAS CHILDREN'S HOSPITAL FOUNDATION 2999242872 TCH INSURANCE COMPANY REBATE RECEIVABLE 72849676 MISCELLANEOUS RECEIVABLES 41502523 INTEREST RATE SWAP 5395084 DUE FROM AFFILIATES 1316248822 WAIVER RECEIVABLE 4435238977 FEDERAL INCOME TAXES DUE TO AFFILIATES INTEREST RATE SWAP DEFERRED COMPENSATION RETIREMENT PLAN LIABILITY OTHER LONG-TERM LIABILITY LINE OF CREDIT DUE TO AFFILIATES 792282751 INTEREST RATE SWAP 9333288 DEFERRED COMPENSATION 8885317 RETIREMENT PLAN LIABILITY 12549260 OTHER LONG-TERM LIABILITY 1920570 LINE OF CREDIT 152900000 LONG-TERM DEBT 100000000 1077871186 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS TEXAS CHILDREN'S HOSPITAL ENDOWMENT FUNDS ARE PERMANENTLY RESTRICTED FUNDS IN WHICH THE PRINCIPAL IS HELD IN PERPETUITY AND INVESTED FOR GROWTH AND THE INCOME GENERATED IS CONSUMED IN THE FURTHERANCE OF TEXAS CHILDREN'S EXEMPT PURPOSE. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS AS OF SEPTEMBER 30, 2025 OR 2024. 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A TEAM OF GRADUATE STUDENTS FROM THE UTHEALTH SCHOOL OF PUBLIC HEALTH THEN UTILIZED EXTANT DATA SOURCES AND ACADEMIC LITERATURE TO INVESTIGATE EACH OF THESE HEALTH NEEDS. THE FINDINGS WERE BROUGHT BEFORE THE HOSPITAL'S COMMUNITY BENEFITS WORKGROUP (CBW) ON JULY 15, 2022, FOR GUIDANCE ON PRIORITIZING THEM FROM THE HOSPITAL'S NETWORK OF CARE PERSPECTIVE. THE CBW CONSISTS OF PHYSICIANS AND ADMINISTRATIVE LEADERS ACROSS THE TEXAS CHILDREN'S NETWORK OF CARE, WHO PROVIDE CRITICAL GUIDANCE TO THE COMMUNITY BENEFITS DEPARTMENT REGARDING COMMUNITY HEALTH ISSUES. THEIR GUIDANCE IS SHAPED BY THE INSTITUTION'S MISSION TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. IT IS ALSO SHAPED BY THE FOUR CORE VALUES OF TEXAS CHILDREN'S: TO EMBRACE FREEDOM, LEAD TIRELESSLY, LIVE COMPASSIONATELY AND AMPLIFY UNITY. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - TEXAS CHILDREN'S HOSPITAL. TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY THAT TEXAS CHILDREN'S SERVES, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TEAM WAS ESTABLISHED, WHICH INCLUDED MEMBERS FROM THE TEXAS CHILDREN'S COMMUNITY BENEFITS DEPARTMENT, A CONSULTANT FROM THE UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH AND UT PUBLIC HEALTH STUDENTS FROM FUNDAMENTALS AND APPLICATIONS OF GEOGRAPHIC INFORMATION SYSTEMS (GIS) AND COMMUNITY ASSESSMENT METHODS CLASSES FROM THE FALL 2021 THROUGH FALL 2022 SEMESTERS. THE CHNA TEAM EMBARKED ON A YEAR AND A HALF-LONG EFFORT TO SOLICIT AND CONSIDER INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF GREATER HOUSTON, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THIS INVOLVED A HOST OF QUALITATIVE DATA-GATHERING EFFORTS, WHICH INCLUDED KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND COMMUNITY MEETING SURVEILLANCE. KEY INFORMANT INTERVIEWS THE CHNA TEAM ENGAGED WITH MORE THAN 20 ORGANIZATIONS IN GREATER HOUSTON THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY TEXAS CHILDREN'S SERVES. THESE ORGANIZATIONS REPRESENTED A VARIETY OF SECTORS THAT INTERFACE WITH VULNERABLE POPULATIONS. AFTER ESTABLISHING RAPPORT WITH REPRESENTATIVES FROM EACH ORGANIZATION AND DESCRIBING THE CHNA PROJECT, THE TEAM INVITED EACH PARTNER TO PARTICIPATE IN A RECORDED VIRTUAL INTERVIEW. TRAINED INTERVIEWERS FROM THE TEAM USED THE KEY INFORMANT INTERVIEW GUIDE (APPENDIX A), DEVELOPED FROM PREVIOUS CHNAS, UPDATED WITH TIME RELEVANT QUESTIONS, TO ENSURE CONSISTENCY AND VALIDITY AND UTILIZED PROBING QUESTIONS TO FURTHER DETAIL AS NEEDED WHEN CONDUCTING THE INTERVIEWS. THESE KEY INFORMANT INTERVIEWS WERE CONDUCTED FOR APPROXIMATELY 30-60 MINUTES. QUESTIONS INCLUDED BACKGROUND OF THE INTERVIEWEESGANIZATIONS, COMMUNITY HEALTH STATUS AND CONCERNS, HEALTHY LIVING, ACCESS TO HEALTH CARE AND SOCIAL SERVICES, COVID-19'S IMPACT ON ACCESS TO HEALTH CARE AND SOCIAL SERVICES AND COMMUNITY HEALTH ISSUES, WAYS TO IMPROVE COMMUNITY HEALTH AND ADVICE FOR TEXAS CHILDREN'S TEAM MEMBERS AS THEY DEVELOP THEIR COMMUNITY HEALTH IMPLEMENTATION STRATEGY FOR 2023-2025 TO ADDRESS TOP HEALTH CONCERNS. QUALITATIVE DATA WAS CODED USING DESCRIPTIVE AND IN VIVO CODES TO GENERATE PROMINENT THEMES THAT AROSE IN THE DATA (SEE ANALYSIS). EACH INTERVIEW RECORDING WAS RUN THROUGH CISCO WEBEX'S TEXT TO SPEECH SOFTWARE, WHICH PRODUCED A WRITTEN TRANSCRIPT FOR EACH INTERVIEW AS WELL AS WORD CLOUDS OF THE MOST USED WORDS/PHRASES FOR KEY QUESTIONS. FOCUS GROUPS THE CHNA TEAM ALSO CONDUCTED FOCUS GROUPS WITH COMMUNITY MEMBERS WHO REPRESENT THE BROAD INTERESTS OF THE TEXAS CHILDREN'S SERVICE AREA. THESE FOCUS GROUPS WERE AIMED AT COLLECTING QUALITATIVE DATA. THE TEAM PLANNED, SCHEDULED, COORDINATED AND FACILITATED THESE FOCUS GROUPS ACCORDING TO THE PROJECT TIMELINE, UTILIZING VIRTUAL MEETING PLATFORMS TO ENSURE PARTICIPANTS' SAFETY WHILE INCLUDING AS MANY COMMUNITY VOICES AS POSSIBLE. COMMUNITY MEETING SURVEILLANCE THE CHNA TEAM REVIEWED AND DOCUMENTED THE FINDINGS OF SEVERAL COMMUNITY-BASED MEETINGS TO UNDERSTAND COMMUNITY HEALTH NEEDS AND ISSUES WITHIN THE TEXAS CHILDREN'S SERVICE AREA. THE COMMUNITY MEETING SURVEILLANCE GUIDE (APPENDIX C OF THE CHNA REPORT) WAS UTILIZED AS A GUIDE TO COLLECT INFORMATION AT MEETINGS SUCH AS RELEVANT ISSUES AND TOPICS SPECIFICALLY REFERRING TO UNDERSERVED WOMEN AND CHILDREN. THESE MEETINGS INCLUDED SEVERAL COMMUNITY MEETINGS FOR THE MAYOR'S COMPLETE COMMUNITIES INITIATIVE. ONGOING PARTICIPATION IN LOCAL COMMUNITY HEALTH INITIATIVES TEXAS CHILDREN'S DEPARTMENT OF COMMUNITY BENEFITS PARTICIPATES IN SEVERAL COMMUNITY HEALTH INITIATIVES, WORKGROUPS, AND COUNCILS THROUGHOUT GREATER HOUSTON PROVIDING ONGOING INSIGHT INTO THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE. SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1 FACILITY , 1 - TEXAS CHILDREN'S HOSPITAL. TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY THAT TEXAS CHILDREN'S SERVES, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TEAM WAS ESTABLISHED, WHICH INCLUDED MEMBERS FROM THE TEXAS CHILDREN'S COMMUNITY BENEFITS DEPARTMENT, A CONSULTANT FROM THE UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH AND UT PUBLIC HEALTH STUDENTS FROM FUNDAMENTALS AND APPLICATIONS OF GEOGRAPHIC INFORMATION SYSTEMS (GIS) AND COMMUNITY ASSESSMENT METHODS CLASSES FROM THE FALL 2021 THROUGH FALL 2022 SEMESTERS. NO OTHER HOSPITAL FACILITIES WERE INVOLVED IN THESE EFFORTS. THE CHNA WAS CONDUCTED WITH THE UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - TEXAS CHILDREN'S HOSPITAL. HOW TEXAS CHILDREN'S IS ADDRESSING NEEDS IDENTIFIED IN ITS 2022 CHNA IN CONJUNCTION WITH THE 2023-2025 IMPLEMENTATION PLAN. TEXAS CHILDREN'S MISSION STATEMENT TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. CHARITY CARE ACTIVITIES TEXAS CHILDREN'S HOSPITAL IS PROUD TO OFFER FREE AND REDUCED COST HIGH QUALITY MEDICAL CARE TO PATIENTS THAT ARE UNABLE TO AFFORD CARE. IN FISCAL YEAR 2025, TEXAS CHILDREN'S PROVIDED $74 MILLION IN CHARITY CARE. IN ADDITION TO OUR TRADITIONAL HOSPITAL-BASED CHARITY CARE, TEXAS CHILDREN'S OFFERS CARE THROUGH MOBILE UNITS TO SUPPORT COMMUNITY MEMBERS THAT HAVE BARRIERS TO ACCESSING TRADITIONAL HEALTHCARE SERVICES. MOBILE CLINIC PROGRAM THE TEXAS CHILDREN'S MOBILE CLINIC PROGRAM PROVIDES FREE, COMPREHENSIVE PRIMARY AND PREVENTIVE CARE TO UNINSURED AND UNDERSERVED CHILDREN FROM BIRTH THROUGH AGE 18 ACROSS GREATER HOUSTON. SERVING IMMIGRANT, REFUGEE, AND NEWLY UNINSURED FAMILIES, THE PROGRAM OFFERS AN ACCESSIBLE ALTERNATIVE TO EMERGENCY DEPARTMENT CARE WHILE PROMOTING CONTINUITY THROUGH REFERRALS TO PERMANENT MEDICAL HOMES. IN 2025, THE PROGRAM COMPLETED MORE THAN 4,100 PATIENT ENCOUNTERS ACROSS THREE MOBILE UNITS, DELIVERING WELLCHILD CARE, SICK VISITS, SCREENINGS, REFERRALS FOR SPECIALTY, DENTAL, AND BEHAVIORAL HEALTH SERVICES, AND PROVIDED APPROXIMATELY 13,500 IMMUNIZATIONS. MOBILE BEHAVIORAL HEALTH UNIT (MBHU) IN 2025, THE MOBILE BEHAVIORAL HEALTH UNIT COMPLETED 538 VISITS SERVING 88 UNIQUE PATIENTS, PRIMARILY UNDERSERVED YOUTH FROM LOW INCOME AND MARGINALIZED FAMILIES. SCHOOLS ACROSS HOUSTON AND SURROUNDING AREAS REFER CHILDREN EXPERIENCING TRAUMA-RELATED SYMPTOMS, INCLUDING ANXIETY, DEPRESSION, AND MALADAPTIVE BEHAVIORS. MBHU PROVIDES ACCESSIBLE, BILINGUAL, EVIDENCE BASED SCREENING, ASSESSMENT, AND ONGOING TREATMENT, DELIVERING CARE DIRECTLY AT COMMUNITY PARTNER CAMPUSES TO MAXIMIZE REACH AND REDUCE BARRIERS TO BEHAVIORAL HEALTH SERVICES. COMMUNITY INVESTMENTS COMMUNITY BENEFIT PARTNER PROGRAM IN 2023, TEXAS CHILDREN'S LAUNCHED THE COMMUNITY BENEFIT PARTNER PROGRAM TO SUPPORT COMMUNITYBASED ORGANIZATIONS ALIGNED WITH THE 2023-2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGY. THROUGH A STRUCTURED SELECTION PROCESS, COMMUNITY PARTNERS WERE FUNDED TO EXPAND SERVICES ADDRESSING MENTAL AND BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL HEALTH ACROSS THE GREATER HOUSTON REGION. MENTAL AND BEHAVIORAL HEALTH YES TO YOUTH (MONTGOMERY COUNTY YOUTH SERVICES): PROVIDES FREE, TRAUMA INFORMED BEHAVIORAL HEALTH COUNSELING, PREVENTION PROGRAMS, AND EMERGENCY YOUTH SHELTER SERVICES FOR YOUTH AGES 6-17 AND THEIR FAMILIES. TEXAS CHILDREN'S FUNDING SUPPORTS A BILINGUAL COUNSELOR TO EXPAND ACCESS FOR SPANISH-SPEAKING FAMILIES. IN 2025, YES TO YOUTH SERVED APPROXIMATELY 650 FAMILIES THROUGH COUNSELING, SKILLS GROUPS AND CRISIS INTERVENTION, WITH STRONG ENGAGEMENT IN YOUTH-FOCUSED PROGRAMMING AND COMMUNITY WORKSHOPS. PROGRAM OUTCOMES SHOW THAT 82% OF PARTICIPANTS MET COUNSELING GOALS, AND 99% OF FAMILIES DEMONSTRATED IMPROVED PROTECTIVE FACTORS, REFLECTING STRENGTHENED COPING SKILLS, FAMILY FUNCTIONING AND OVERALL WELL-BEING. COMMUNITIES IN SCHOOLS (CIS) OF SOUTHEAST HARRIS COUNTY: DELIVERS SCHOOL-BASED CRISIS INTERVENTION, COUNSELING, AND CASE MANAGEMENT FOR STUDENTS IN GALENA PARK AND PASADENA ISDS. SERVICES SUPPORT MENTAL HEALTH, SUICIDE PREVENTION, AND EARLY INTERVENTION AT NO COST TO STUDENTS AND FAMILIES. FROM OCTOBER 2024- SEPTEMBER 2025, COMMUNITIES IN SCHOOLS OF SOUTHEAST HARRIS COUNTY SERVED 1,400 STUDENTS THROUGH OVER 17,000 HOURS OF SUPPORT. SOCIAL DETERMINANTS OF HEALTH KIDS' MEALS: ADDRESSES CHILDHOOD HUNGER BY DELIVERING FREE, HEALTHY MEALS DIRECTLY TO FOOD INSECURE PRESCHOOL CHILDREN THROUGHOUT GREATER HOUSTON, SUPPORTING HEALTHY DEVELOPMENT AND SCHOOL READINESS. IN THE PAST YEAR, KIDS' MEALS SERVED 3,399,597 MEALS, DELIVERED GROCERIES AT LEAST 3 TIMES PER WEEK, AND PROVIDED WRAP-AROUND SERVICE INFORMATION TO MORE THAN 7,200 HOUSEHOLDS IN THE GREATER HOUSTON AREA. HOUSTON FOOD BANK: SUPPORTS FOOD ACCESS AND WRAP-AROUND SERVICES, INCLUDING BENEFIT ENROLLMENT AND RESOURCE NAVIGATION. TEXAS CHILDREN'S FUNDING EXPANDS THE REFERRAL PARTNER PROGRAM AND CONNECTS FAMILIES TO FINANCIAL LITERACY, WORKFORCE CERTIFICATION, MENTAL HEALTH, AND MATERNAL HEALTH SERVICES. MATERNAL HEALTH UNIVERSITY OF HOUSTON GRADUATE SCHOOL OF SOCIAL WORK POSTPARTUM DOULA PROJECT: ADVANCES PERINATAL HEALTH EQUITY BY PROVIDING CULTURALLY RESPONSIVE POSTPARTUM DOULA SERVICES FOR BLACK MOTHERS. THE PROGRAM ALSO SUPPORTS DOULA WORKFORCE DEVELOPMENT THROUGH MENTORSHIP, CERTIFICATION PATHWAYS, AND COMMUNITY EDUCATION ON CHILDBIRTH, BREASTFEEDING, AND INFANT CARE. IN THE PAST FISCAL YEAR, THE DOULA PROGRAM SUPPORTED 12 MOTHERS BY PROVIDING POSTPARTUM CARE AND EDUCATION THROUGH A DEDICATED TEAM OF CONTRACTED DOULAS AND A DOULA MENTOR WITH MIDWIFERY EXPERTISE. THE PROGRAM ALSO STRENGTHENED COMMUNITY ENGAGEMENT BY HOSTING ITS SECOND ANNUAL "SIP, SOOTHE, AND THANK MAMA" EVENT IN PARTNERSHIP WITH SISTER'S THRIVE, EXPANDING OUTREACH AND SUPPORT FOR NEW MOTHERS." COMMUNITY BENEFIT PARTNER PROGRAM IN ADDITION TO OUR COMMUNITY BENEFITS GRANT PROGRAMS, TEXAS CHILDREN'S OFFERS COMMUNITY SPONSORSHIPS TO NON-PROFIT COMMUNITY ORGANIZATION THAT SUPPORTS HEALTHCARE, PEDIATRICS, WOMEN'S SERVICES IN THE GREATER HOUSTON AND AUSTIN MARKETS AND ALIGNS WITH OUR PILLARS OF GIVING: * MISSION-ALIGNED CAUSES * CHARITABLE CONTRIBUTIONS * SOCIAL DETERMINANTS OF HEALTH * STRATEGIC PARTNERSHIPS OUR COMMUNITY INVESTMENT ALSO INCLUDES A CLOSE PARTNERSHIP WITH THE RISE SCHOOL. THE RISE SCHOOL IS AN EARLY EDUCATION CENTER FOR CHILDREN SIX MONTHS OF AGE TO SIX YEARS, WITH AND WITHOUT DISABILITIES, IN AN INTEGRATED ENVIRONMENT. THROUGH OUR CLOSE AND LONG STANDING PARTNERSHIP, TCH CONTRIBUTED DIRECT AND INDIRECT SUPPORT OF APPROXIMATELY $1.1 MILLION IN THERAPEUTIC SERVICES AND OTHER SUPPORT. COMMUNITY BENEFIT PROGRAMMING TEXAS CHILDREN'S IS PROUD TO OFFER AN ARRAY OF PROGRAMMING THAT SUPPORTS THE HEALTH OF THE GREATER HOUSTON COMMUNITY WITH AN INTENTIONAL FOCUS ON MENTAL AND BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, MATERNAL HEALTH, AND CHRONIC DISEASE PREVENTION. DIVISION OF PUBLIC HEALTH PEDIATRICS THE DIVISION OF PUBLIC HEALTH PEDIATRICS AT TEXAS CHILDREN'S HOSPITAL AND BAYLOR COLLEGE OF MEDICINE ADDRESSES HOW FAMILY, SOCIAL, AND COMMUNITY FACTORS INFLUENCE CHILD HEALTH AND WELL BEING. THE DIVISION'S MISSION IS TO CREATE A HEALTHIER FUTURE FOR TEXAS CHILDREN THROUGH PATIENT CARE, EDUCATION, RESEARCH, AND SERVICES THAT MITIGATE CHILDHOOD ADVERSITY AND STRENGTHEN FAMILY AND COMMUNITY RESILIENCE. UPSTART COMMUNITY BASED PROGRAMS LAUNCHED IN 2022 IN RESPONSE TO COMMUNITY INPUT, UPSTART IS A SUITE OF EVIDENCE INFORMED PROGRAMS SUPPORTING FAMILIES WITH YOUNG CHILDREN. SERVICES ADDRESS EARLY BRAIN DEVELOPMENT, SOCIAL DRIVERS OF HEALTH, MATERNAL HEALTH, AND MENTAL HEALTH THROUGH MULTIDISCIPLINARY CARE TEAMS. IN 2025, UPSTART PROGRAMS REACHED MORE THAN 1,280 FAMILIES ACROSS A SUITE OF COMMUNITY-BASED PROGRAMS. THE PROGRAMS INCLUDED: * UPWORDS, A PARENTING PROGRAM FOR FAMILIES WITH CHILDREN 0 - 3 YEARS OF AGE THAT FOCUSES ON EARLY BRAIN AND LANGUAGE DEVELOPMENT, * UPWORDS2, A PARENTING PROGRAM THAT FOCUSES ON POSITIVE PARENTING, EMOTIONAL REGULATION, AND EARLY BRAIN DEVELOPMENT, * UPWORDS BRIDGES, PROVIDES INDIVIDUALIZED SUPPORT TO FAMILIES WITH A CHILD WITH A LANGUAGE OR DEVELOPMENTAL DELAY, * UPLIFT, A PROGRAM FOR WOMEN WITH PERINATAL OR MATERNAL DEPRESSION OR ANXIETY THAT CAN BE DELIVERED THROUGH HOME VISITATIONS, VIRTUAL SESSIONS, OR A GROUP FORMAT, AND * UPREACH AND UPREACH+, A BRIEF HOME VISITATION PROGRAM FOR PREGNANT WOMEN AND PARENTS OF INFANT THAT FOCUSES ON MATERNAL AND INFANT HEALTH AND SOCIAL DETERMINANTS OF HEALTH. EDUCATION AND CAPACITY BUILDING FOR COMMUNITY PARTNERS THE DIVISION BUILDS WORKFORCE CAPACITY BY PROVIDING TRAINING AND EDUCATION TO PROFESSIONALS. IN 2025, THE DIVISION DELIVERED TRAININGS ON SUICIDE PREVENTION, RECOGNIZING AND RESPONDING TO ABUSE AND NEGLECT, POSITIVE PARENTING, AND EARLY BRAIN DEVELOPMENT TO MORE THAN 3,000 PROFESSIONALS ACROSS THE REGION. IN ADDITION, THE DIVISION TRAINS ORGANIZATIONS AND PROFESSIONALS ON THE FAMILY CARE PORTFOLIO AND PARENTING ACTION PLAN, TO PROMOTE HEALTHY PREGNANCIES, FAMILY STABILITY, AND CHILD SAFETY IN THE HOME. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 2 FACILITY , 2 - TEXAS CHILDREN'S HOSPITAL. COMMUNITY COLLABORATION AND PREVENTION LEADERSHIP THE DIVISION LEADS AND PARTICIPATES IN REGIONAL COLLABORATIVES FOCUSED ON SOCIAL DRIVERS OF HEALTH, BEHAVIORAL HEALTH AND THE PREVENTION OF CHILD FATALITIES AND YOUTH SUICIDE. IT LEADS THE HARRIS COUNTY CHILD FATALITY REVIEW TEAM, REVIEWING CHILD DEATHS TO IDENTIFY PREVENTION STRATEGIES, AND SERVES AS A CO FOUNDER AND LEADER OF THE HOUSTON AREA SUICIDE PREVENTION COALITION. CENTER FOR CHILDHOOD INJURY PREVENTION (CCIP) INJURY IS THE LEADING CAUSE OF DEATH FOR CHILDREN IN THE GREATER HOUSTON REGION, YET MOST INJURIES ARE PREDICTABLE AND PREVENTABLE. AS A LEVEL I TRAUMA CENTER, TEXAS CHILDREN'S HOSPITAL TREATS THOUSANDS OF PREVENTABLE INJURIES ANNUALLY. THE CENTER FOR CHILDHOOD INJURY PREVENTION (CCIP) WORKS TO REDUCE INJURY AND DEATH THROUGH EDUCATION, PROPER USE OF SAFETY EQUIPMENT, AND COMMUNITY PARTNERSHIPS, WITH PROGRAMS FOCUSED ON CHILD PASSENGER SAFETY, BICYCLE AND PEDESTRIAN SAFETY, HOME SAFETY, WATER SAFETY, AND SAFE SLEEP. THE PROGRAMS INCLUDED: * CHILD PASSENGER SAFETY PROGRAM: CCIP'S CHILD PASSENGER SAFETY (CPS) PROGRAM EDUCATES FAMILIES ON CORRECT CAR SEAT INSTALLATION AND SAFE VEHICLE PRACTICES, ADDRESSING A LEADING CAUSE OF PEDIATRIC INJURY. IN 2024-2025, CCIP INSPECTED 3,154 CAR SEATS, DISTRIBUTED 1,200 SEATS TO FAMILIES IN NEED, TRAINED 27 NEW CPS TECHNICIANS, AND HOSTED 30 SAFETY EVENTS ACROSS A YEAR ROUND NETWORK OF 28 INSPECTION STATIONS. * BICYCLE AND PEDESTRIAN SAFETY: CCIP PROMOTES SAFE WALKING AND BIKING BEHAVIORS AMONG CHILDREN THROUGH SCHOOL AND COMMUNITY BASED EDUCATION. IN 2025, CCIP EDUCATED 12,590 CHILDREN THROUGH 116 CLASSES, DISTRIBUTED 1,036 HELMETS, AND HOSTED 41 BICYCLE AND PEDESTRIAN SAFETY EVENTS. THESE EFFORTS AIM TO REDUCE INJURY RISK AMONG CHILDREN TRAVELING IN HIGH TRAFFIC AND UNDERSERVED AREAS. * HOME SAFETY AND SAFE SLEEP: CCIP'S SAFE AT HOME PROGRAM FOCUSES ON INJURY PREVENTION THROUGH INFANT SAFE SLEEP, CHILDPROOFING, WATER SAFETY, AND FIREARM SAFE STORAGE EDUCATION. THE PROGRAM PROVIDES HANDS ON EDUCATION, DISTRIBUTES SAFETY EQUIPMENT, AND CONDUCTS OUTREACH THROUGH HEALTH FAIRS, CHILDCARE PROVIDERS, AND MEDIA. IN 2025, CCIP EDUCATED MORE THAN 1,000 INDIVIDUALS ON HOME SAFETY TOPICS AND REACHED BROAD AUDIENCES THROUGH OVER 50 BILINGUAL MEDIA INTERVIEWS AND SOCIAL MEDIA ENGAGEMENT. * GENERAL HOME SAFETY INITIATIVES: CCIP PARTNERS ANNUALLY WITH TEXAS CHILDREN'S PEDIATRIC CLINICS TO DISTRIBUTE WATER WATCHER CARDS AND PROMOTE DROWNING PREVENTION. IN 2025, CCIP DISTRIBUTED 1,525 WATER WATCHER CARDS, 24 PORTABLE CRIBS TO FAMILIES IN NEED, AND PROVIDED SAFE SLEEP EDUCATION THROUGH 36 CLASSES AND EVENTS. CCIP ALSO HOSTED A TRAIN THE TRAINER COURSE ON REDUCING SUDDEN UNEXPECTED INFANT DEATH WITH 30 PROFESSIONALS AND COMMUNITY STAKEHOLDERS AND SUPPORTED REGIONAL FIREARM INJURY SURVEILLANCE THROUGH THE SAFEWATCH HOUSTON DASHBOARD. PROJECT ADAM (CARDIAC EMERGENCY PREPAREDNESS) TEXAS CHILDREN'S CARDIOLOGY SUPPORTS SCHOOLS IN STRENGTHENING CARDIAC EMERGENCY PREPAREDNESS AND MEETING STATE REQUIREMENTS THROUGH PROJECT ADAM. THE PROGRAM PROVIDES CPR AND AED TRAINING, READINESS PLANNING AND EMERGENCY RESPONSE COORDINATION, HELPING SCHOOLS ENHANCE STAFF EDUCATION, MAINTAIN AED ACCESS AND IMPROVE RESPONSE TO SUDDEN CARDIAC ARREST. IN FY25, WE COMPLETED 84 HEART SAFE CERTIFICATIONS AND THREE TEXAS SCHOOL DISTRICTS COMPLETED THEIR DISTRICT LEVEL CERTIFICATIONS. COMMUNITY RESOURCE NAVIGATION (FINDHELP) TEXAS CHILDREN'S ENHANCES ACCESS TO COMMUNITY RESOURCES THROUGH AN INVESTMENT IN FINDHELP, A DIRECTORY AND REFERRAL PLATFORM USED BY STAFF, PATIENTS, FAMILIES, AND COMMUNITY MEMBERS. THE PLATFORM CAN BE ACCESSED AT: WWW.TXCHFAMILYRESOURCES.ORG AND COMMUNITY MEMBERS CAN SEARCH BY ZIP CODE TO FIND COMMUNITY RESOURCES. IN FY 2025, COMMUNITY MEMBERS, PATIENTS, FAMILIES, AND STAFF COMPLETED OVER 70,000 SEARCHES FOR COMMUNITY RESOURCES THROUGH THIS PLATFORM. MEDICAL-LEGAL PARTNERSHIP (MLP) TEXAS CHILDREN'S MEDICAL-LEGAL PARTNERSHIP, ESTABLISHED IN 2012 WITH HOUSTON VOLUNTEER LAWYERS, INTEGRATES LEGAL SERVICES INTO PATIENT CARE TO ADDRESS HEALTH-HARMING SOCIAL AND LEGAL ISSUES. IN 2025, THE MLP MANAGED 171 LEGAL CONSULTS AND CLOSED 201 CASES FOR LOW-INCOME PATIENTS AND FAMILIES. SERVICES INCLUDE HOUSING ADVOCACY, SSI APPEALS, GUARDIANSHIP PLANNING, AND ACCESS TO EDUCATION AND PUBLIC BENEFITS, SUPPORTING IMPROVED HEALTH OUTCOMES. PUBLIC BENEFITS ENROLLMENT SUPPORT TEXAS CHILDREN'S SUPPORTS COMMUNITY MEMBERS WITH ENROLLMENT IN PUBLIC BENEFITS BY PROVIDING EDUCATION, APPLICATION ASSISTANCE AND REFERRALS. THROUGH PARTNERSHIPS WITH FOOD BANKS, ONSITE NAVIGATORS, AND PEDIATRIC PRACTICES AT TEXAS CHILDREN'S PEDIATRICS, THE PROGRAM HELPS PATIENTS, FAMILIES, AND COMMUNITY MEMBERS APPLY FOR SNAP, TANF AND MEDICAID WHILE REDUCING ACCESS BARRIERS AND CONNECTING THEM TO COMMUNITY RESOURCES. SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1 FACILITY , 1 - TEXAS CHILDREN'S HOSPITAL. A NOTICE OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL'S EMERGENCY ROOMS, WAITING ROOMS AND ADMISSIONS OFFICES. SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY , 1 FACILITY , 1 - TEXAS CHILDREN'S HOSPITAL. LINE 20A IS NOT CHECKED BECAUSE THE HOSPITAL DOES NOT PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS. SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1 FACILITY , 1 - TEXAS CHILDREN'S HOSPITAL NORTH AUSTIN. A NOTICE OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL'S EMERGENCY ROOMS, WAITING ROOMS AND ADMISSIONS OFFICES. SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY , 1 FACILITY , 1 - TEXAS CHILDREN'S HOSPITAL NORTH AUSTIN. LINE 20A IS NOT CHECKED BECAUSE THE HOSPITAL DOES NOT PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS. 8 VANNIE COOK CHILDREN'S CANCER AND HEMATOLOGY CLINIC 101 W EXPRESSWAY 83 MCALLEN TX 78503 COMMUNITY BASED OUTPATIENT / DIAGNOSTIC CLINIC TEXAS CHILDREN'S SPECIALTY CARE - NORTH AUSTIN 8611 N MOPAC EXPY 300 AUSTIN TX 78759 COMMUNITY BASED OUTPATIENT/DIAGNOSTIC CLINIC SUPERKIDS AND RONALD MCDONALD CARE MOBILE CLINICS 8080 N STADIUM DRIVE HOUSTON TX 77054 COMMUNITY BASED MOBILE CLINICS TEXAS CHILDREN'S PAVILION FOR WOMEN - OBSTETRICS & GYNECOLOGY PEARLAND 9003 BROADWAY STREET PEARLAND TX 77584 COMMUNITY BASED OUTPATIENT / DIAGNOSTIC CLINIC NORTH AUSTIN PAVILION FOR WOMEN - OBGYN 9817 N LAKE CREEK PARKWAY AUSTIN TX 78717 COMMUNITY BASED OUTPATIENT/DIAGNOSTIC CLINIC PRIMARY CARE PRACTICE AT PALM CENTER 5400 GRIGGS ROAD SUITE 101 HOUSTON TX 77021 COMMUNITY BASED OUTPATIENT / DIAGNOSTIC CLINIC TEXAS CHILDREN'S SPECIALTY CARE - UPPER KIRBY 3023 KIRBY DRIVE SUITE 201 HOUSTON TX 77098 COMMUNITY BASED OUTPATIENT / DIAGNOSTIC CLINIC NORTH AUSTIN PERINATAL ASSOCIATES 6500 N MOPAC EXPY STE I-1205 AUSTIN TX 78731 COMMUNITY BASED OUTPATIENT/DIAGNOSTIC CLINIC SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT THE HOSPITAL FILES THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS), THE STATE OF TEXAS' COMMUNITY BENEFIT REPORTING FOR NOT-FOR-PROFIT HOSPITALS. FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2025, THE HOSPITAL REPORTED APPROXIMATELY $960.4 MILLION AS THE TOTAL ANNUAL CHARITY AND COMMUNITY BENEFIT IN ITS ASCBS. DIFFERENCES BETWEEN SCHEDULE H AND THE ASCBS ARE STATED BELOW. THE RESULTING DIFFERENCE OF ($665,999) BETWEEN THE ASCBS AND THE AMOUNTS RECORDED IN PART I LINE 7 ARE DUE PRIMARILY TO VARYING REPORTING REQUIREMENTS AS OUTLINED BELOW (IN $1000'S): ASCBS DOES NOT INCLUDE LPPF TAXES AND REQUIRES CHIRP TO BE REMOVED FROM MEDICAID PAYMENTS. ADDITIONALLY, THE ASCBS RCC IS CALCULATED USING 2024 FINANCIAL INFORMATION: $(583,731) ASCBS INCLUDES FINANCIAL ASSISTANCE PROVIDED TO COMMUNITY BY RELATED ORGANIZATIONS: $(10,570) ASCBS INCLUDES THE UNREIMBURSED COST OF COMMUNITY BUILDING ACTIVITIES: $(363) ASCBS INCLUDES THE UNREIMBURSED COST OF MEDICARE AND TRICARE: $(71,335) TOTAL VARIANCE BETWEEN PART I LINE 7 AND ASCBS: $(665,999) SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CONTINUED FROM PRIOR RESPONSE ON SCHEDULE H, PART VI, LINE 5 12) AT TEXAS CHILDREN'S HOSPITAL, WE ARE COMMITTED NOT ONLY TO PROVIDING THE BEST POSSIBLE CARE, BUT ALSO TO EXPANDING THAT CARE-REACHING OUT TO MORE CHILDREN AND FAMILIES AND PROVIDING MORE SPECIALIZED SERVICES WHERE THEY ARE MOST NEEDED. THE HOSPITAL IS COMMITTED TO CREATING A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH: A. TEXAS CHILDREN'S HOSPITAL THE WOODLANDS HAS BROUGHT WORLD CLASS PEDIATRIC CARE CLOSER TO HOME FOR THE NORTH REGION'S PATIENT AND FAMILIES. THIS PEDIATRIC HOSPITAL CAMPUS PROVIDES ACCESS TO PEDIATRIC SUBSPECIALTY CARE WITHIN THE FOLLOWING SERVICES: ADOLESCENT MEDICINE, ALLERGY AND IMMUNOLOGY, BARIATRICS, CARDIOLOGY, CANCER AND HEMATOLOGY, DERMATOLOGY, DEVELOPMENTAL PEDIATRICS, DIABETES AND ENDOCRINOLOGY, GASTROENTEROLOGY, HEPATOLOGY AND NUTRITION, GENETICS, INFECTIOUS DISEASE, NEONATOLOGY, NEUROLOGY, NEUROSURGERY, OPHTHALMOLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, PALLIATIVE CARE, PEDIATRIC AND ADOLESCENT GYNECOLOGY, PEDIATRIC SURGERY, PHYSICAL MEDICINE AND REHABILITATION, PLASTIC SURGERY, PSYCHIATRY, PSYCHOLOGY, PUBLIC HEALTH, PULMONOLOGY, RENAL, RHEUMATOLOGY, SPORTS MEDICINE, UROLOGY, AND WOUND CARE. HOSPITAL FACILITIES INCLUDE 29 EMERGENCY CENTER ROOMS, 87 OUTPATIENT ROOMS, FIVE RADIOLOGY ROOMS, SIX OPERATING ROOMS AND 46 ACUTE CARE BEDS, 14 PEDIATRIC INTENSIVE CARE AND 14 NEONATAL INTENSIVE CARE BEDS WITH PLANS ALLOWING FOR AN EXPANSION BUILD OUT UP TO 200 BEDS. PEDIATRIC EMERGENCY SERVICES ARE AVAILABLE 24 HOURS A DAY, OPEN EVERY DAY, AND ARE PROVIDED REGARDLESS OF ABILITY TO PAY. ADDITIONAL HOSPITAL SERVICES INCLUDE: RADIOLOGY, PATHOLOGY, SLEEP CENTER, INFUSION CENTER, HELIPAD ACCESS, AUDIOLOGY, CARDIAC STRESS TESTS, ECHOSONOGRAPHY, PULMONARY DIAGNOSTICS, DEVELOPMENTAL PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY AND SPORTS PHYSICAL THERAPY AS WELL AS MOTION GAIT ANALYSIS AND FETAL MEDICINE TESTING. ALONG WITH SERVING FAMILIES THROUGHOUT THE WOODLANDS AREA, THE HOSPITAL SERVES FAMILIES THROUGHOUT GREATER NORTH HOUSTON AND NORTH OF HOUSTON INCLUDING MONTGOMERY, ANGELINA, WALKER, BRAZOS, GRIMES, MADISON, LIBERTY, HARRIS, POLK, SAN JACINTO, TRINITY AND HARDIN COUNTIES. B. TEXAS CHILDREN'S HOSPITAL WEST CAMPUS SERVES ONE OF THE FASTEST GROWING PEDIATRIC POPULATIONS IN THE COUNTRY. AS THE POPULATION GROWS, SO HAS THIS COMMUNITY HOSPITAL. TO MEET THE NEEDS OF THESE DIVERSE NEIGHBORHOODS, THE HOSPITAL CONTINUES TO LOOK AT ITS PATIENTS AND ENGAGE COMMUNITY-BASED ORGANIZATIONS AND LEADERS TO DETERMINE WHAT PROGRAMS, SERVICES AND INITIATIVES MAY MAKE THE MOST IMPACT IN WEST HOUSTON. IN 2024, TEXAS CHILDREN'S HOSPITAL PROVIDED PEDIATRIC CARE WITH OVER 496,800 VISITS AT THE WEST CAMPUS. THE CAMPUS PROVIDES SUBSPECIALTY OUTPATIENT CARE INCLUDING PHYSICIAN VISITS, THERAPY SERVICES, AND A FULL COMPLEMENT OF DIAGNOSTIC SERVICES. THE HOSPITAL HAS 86 INPATIENT BEDS, WHICH INCLUDES A 22 BED PEDIATRIC INTENSIVE CARE UNIT AND REMAINS THE ONLY 24/7 DEDICATED PEDIATRIC EMERGENCY CENTER IN THE WEST HOUSTON AREA. THE HOSPITAL CONTINUES TO OPERATE A STATE OF THE ART SPECIAL ISOLATION UNIT TO CARE FOR THOSE PATIENTS WITH HIGHLY CONTAGIOUS DISEASES SUCH AS EBOLA. IN ADDITION, A 28,500 SQUARE FOOT, STATE-OF-THE-ART SPORTS MEDICINE CLINIC CONTINUES TO SERVE THE GREATER HOUSTON AREA WITH PHYSICIANS SPECIALIZED IN ORTHOPEDICS AND SPORTS MEDICINE, AND WITH DEDICATED PHYSICAL THERAPISTS FOCUSING ON THE UNIQUE NEEDS OF A PEDIATRIC ATHLETE. IN AN EFFORT TO FOCUS ON OUR MOST VULNERABLE PATIENTS, WEST CAMPUS CONTINUES TO UTILIZE ITS COMPLEX CARE CLINIC TO SUPPORT PATIENTS WITH COMPLEX MEDICAL NEEDS INCLUDING CARE COORDINATION NEEDS, MEDICAL FRAGILITY, TECHNOLOGY DEPENDENCE, AND INCREASED HEALTH CARE UTILIZATION. TO MEET THE NEED FOR PROVIDING INCREASED ACCESS TO DIAGNOSTIC SERVICES, WEST CAMPUS OPERATES AN INTERVENTIONAL RADIOLOGY SUITE PROVIDING A WIDE RANGE OF IMAGE-GUIDED MINIMALLY INVASIVE PROCEDURES SUCH AS NEEDLE BIOPSIES, AND THE PLACEMENT OF CENTRAL LINES, FEEDING AND DRAINAGE TUBES FOR ABSCESS OR OTHER ABNORMAL COLLECTIONS OF PUS/FLUID IN THE BODY. THE PATIENTS MOST COMMONLY SERVED BY THIS DEPARTMENT INCLUDE THOSE WITH HYPERSALIVATION, VARICOCELE, DEEP VEIN THROMBOSIS, CYSTIC FIBROSIS, FOREIGN BODY REMOVAL AND VENOUS SYSTEM RELATED DISEASES. WEST CAMPUS CONTINUES TO OFFER THE LARGEST PEDIATRIC SLEEP CENTER, WITH 15 BEDS DEDICATED TO PEDIATRIC SLEEP MEDICINE WITH AN ACCOMPANYING SLEEP CLINIC. C. TEXAS CHILDREN'S HOSPITAL NORTH AUSTIN PROUDLY SERVES THE CHILDREN AND WOMEN OF CENTRAL TEXAS. THE HOSPITAL EXPANDS TEXAS CHILDREN'S TRUSTED NETWORK OF CARE IN AUSTIN, OFFERING PEDIATRIC PRIMARY CARE, URGENT CARE, SPECIALTY CARE, FETAL CARE, GYNECOLOGY, AND MATERNAL-FETAL MEDICINE. THOUGHTFULLY DESIGNED WITH A HILL COUNTRY THEME, THE CHILDREN'S AND WOMEN'S HOSPITAL DELIVERS ADVANCED, FAMILY-CENTERED CARE - SUPPORTING A CITY THAT CONTINUES TO SHAPE THE FUTURE. D. THE LESTER AND SUE SMITH LEGACY TOWER IS THE HOSPITAL'S HOME FOR SURGERY, CRITICAL CARE AND TEXAS CHILDREN'S HEART CENTER, AND IS DESIGNED TO MEET THE INCREASING DEMAND FOR THE HIGHLY-SPECIALIZED, CRITICAL AND MEDICALLY-COMPLEX PEDIATRIC CARE THAT FEW CENTERS IN THE COUNTRY CAN PROVIDE. IT ENHANCES PATIENT CARE BY GIVING CAREGIVERS AND FAMILIES IN CRITICAL AND PROGRESSIVE CARE AREAS MUCH-NEEDED ADDITIONAL SPACE.THE TOWER HOUSES A 130-BED INTENSIVE CARE UNIT, NEW OPERATING ROOMS WITH THE LATEST TECHNOLOGY AND A CARDIOVASCULAR INTENSIVE CARE UNIT. ADDITIONALLY SITUATED ON THE 24TH FLOOR OF LESTER AND SUE SMITH LEGACY TOWER, TEXAS CHILDREN'S OPERATES A FIRST-OF-ITS-KIND DEDICATED FACILITY DESIGNED BY AND FOR ADULTS WITH CONGENITAL HEART DISEASE. THE 27,000-SQUARE-FOOT SPACE IS ENTIRELY MANAGED BY THE DEDICATEDADULT CONGENITAL HEART TEAM. OUR MULTIDISCIPLINARY TEAM OF SPECIALISTS ARE TRAINED IN BOTH PEDIATRIC AND ADULT CONGENITAL HEART DISEASE. WE WORK CLOSELY WITH PATIENTS ON THE WIDE SPECTRUM OF CHALLENGES THAT CONGENITAL HEART DISEASE PATIENTS FACE THROUGHOUT THEIR LIVES. THIS INNOVATIVE APPROACH TO CARE IS UNPRECEDENTED, AND ANOTHER STEP FORWARD FOR THE NO. 1 RANKED HOSPITAL FOR CARDIOLOGY AND HEART SURGERY BY U.S. NEWS & WORLD REPORT. THE FACILITY INCLUDES 16 UNIVERSAL CARE BEDS EQUIPPED FOR ALL LEVELS OF TREATMENT, INTEGRATED INPATIENT/OUTPATIENT SPACE, A CARDIAC REHABILITATION GYM, AND A DIAGNOSTICS LAB. DEMAND FOR THE LEVEL OF CARE TEXAS CHILDREN'S PROVIDES CONTINUES TO GROW - HERE IN OUR LOCAL COMMUNITY AND FAR BEYOND HOUSTON. THIS EXPANDED HEART CENTER ALLOWS TEXAS CHILDREN'S TO ADVANCE QUALITY, SERVICE AND SAFETY, IMPROVE THE PATIENT AND FAMILY EXPERIENCE, AND EXPAND ACCESS TO EXPERT CARDIAC CARE. E. AT TEXAS CHILDREN'S, WE BELIEVE IN PROVIDING WOMEN, MOTHERS AND BABIES QUALITY HEALTH CARE AT EVERY IMPORTANT STAGE OF THEIR LIVES. WE CALL THIS MODEL "FAMILY-CENTERED CARE." TEXAS CHILDREN'S PAVILION FOR WOMEN BRINGS TOGETHER OBSTETRICIANS, GYNECOLOGISTS, ONCOLOGISTS, SURGEONS, GENETICISTS AND NURSES FROM THE HOSPITAL AND BAYLOR COLLEGE OF MEDICINE, TO ACCOMPLISH THIS PURPOSE. WITH HIGH-RISK BIRTHS ON THE RISE NATIONALLY, OUR RENOWNED EXPERTS AND SPECIALISTS FOCUS ON FURTHERING OBSTETRICAL RESEARCH. WE ALSO PROVIDE ADVANCED TREATMENT, INCLUDING LEVEL IV NEONATAL INTENSIVE CARE UNITS TO GIVE PREMATURE AND SICK BABIES MORE EXTENSIVE SUPPORT AND CARE. F. TEXAS CHILDREN'S HOSPITAL IS AN INTERNATIONALLY RECOGNIZED LEADER IN PEDIATRIC RESEARCH AND CONTINUES TO BE A LEADING RECIPIENT OF PEDIATRIC GRANT FUNDING THROUGH THE NATIONAL INSTITUTES OF HEALTH (NIH). RESEARCHERS CONDUCT CLINICAL, BASIC, AND TRANSLATIONAL RESEARCH PROJECTS TO IDENTIFY GROUNDBREAKING TREATMENTS AND CURES FOR CHILDHOOD DISEASES. THE TEXAS CHILDREN'S RESEARCH INSTITUTE IS A MULTIDISCIPLINARY BIOMEDICAL RESEARCH HUB THAT REIMAGINES RESEARCH TO ADVANCE DISEASE PREVENTION, DIAGNOSIS AND TREATMENT. THEN WE BRING THOSE BREAKTHROUGHS TO OUR HOSPITALS AND CLINICS, CREATING A SEAMLESS PIPELINE FROM DISCOVERY AND INNOVATION TO PATIENT CARE. THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE (NRI) AT TEXAS CHILDREN'S HOSPITAL IS THE WORLD'S FIRST COMPREHENSIVE PEDIATRIC NEUROLOGICAL RESEARCH CENTER DEVOTED TO COLLABORATIVE EFFORTS TO UNDERSTAND NEUROLOGICAL CONDITIONS LIKE AUTISM, CEREBRAL PALSY AND EPILEPSY - A CLASS OF DISORDERS THAT TOGETHER ARE EXPECTED TO EXCEED MORE THAN A HALF-TRILLION DOLLARS ANNUALLY IN HEALTHCARE COSTS. THE NRI INCLUDES MORE THAN 400,000 SQUARE FEET OF ADVANCED RESEARCH AND OFFICE SPACE, INCLUDING A NEW LABORATORY FLOOR, A CUSTOMIZED NUCLEAR MRI SUITE AND ADDITIONAL VIVARIUM SPACE. SCHEDULE H, PART V, SECTION B, LINE 16 HOSPITAL FACILITIES - FAP WEBSITE THE WEBSITE FOR SCHEDULE H, PART V, LINES 16A-C IS: WWW.TEXASCHILDRENS.ORG/PATIENTS-FAMILIES/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION A HOSPITAL FACILITIES THE HOUSTON HOSPITAL IS LICENSED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES UNDER LICENSE NUMBER 000117. THE HOSPITAL IS COMPRISED OF MULTIPLE BUILDINGS ON THREE CAMPUSES. ALL ARE INCLUDED UNDER ONE LICENSE NUMBER; THEREFORE, THE HOSPITAL IS ONE HOSPITAL FACILITY. SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES CONTINUED FROM PRIOR RESPONSE ON SCHEDULE H, PART I, LINE 7G TEXAS CHILDREN'S HOSPITAL PRIMARY CARE PRACTICE AT PALM CENTER PROVIDES COMPREHENSIVE ROUTINE AND PREVENTIVE HEALTH CARE, INCLUDING WELL CHILD CHECK-UPS, SICK VISITS, SPORTS PHYSICALS, IMMUNIZATIONS AND MANAGEMENT OF CHRONIC PEDIATRIC MEDICAL CONDITIONS. TEXAS CHILDREN'S HOSPITAL PRIMARY CARE PRACTICE AT PALM CENTER SERVES AS THE LARGEST TEXAS CHILDREN'S HOSPITAL AND BAYLOR COLLEGE OF MEDICINE PRACTICE THAT PROVIDES PRIMARY CARE EXPERIENCE FOR PEDIATRIC MEDICAL STUDENTS AND RESIDENTS. THIS CLINIC'S LOCATION IN THE PALM CENTER NEIGHBORHOOD IN HOUSTON'S THIRD WARD OFFERS A GREAT OPPORTUNITY TO SERVE THE COMMUNITY WHILE MODELING BEST PRACTICES TO THE NEXT GENERATION OF PEDIATRICIANS. THIRD WARD IS A HISTORICALLY AFRICAN AMERICAN COMMUNITY WITH A RICH HISTORY AND CULTURAL LEGACY ALONG WITH A RENEWED SENSE OF PURPOSE AND COMMITMENT. THE CLINIC'S LOCATION OFFERS FREE PARKING AND IS CONVENIENTLY LOCATED AT THE PALM CENTER STATION ON THE METRORAIL'S PURPLE LINE. SCHEDULE H, PART V, SECTION A HOSPITAL FACILITIES THE NORTH AUSTIN HOSPITAL IS LICENSED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES UNDER LICENSE NUMBER 100608. THE NORTH AUSTIN HOSPITAL WAS FIRST LICENSED DECEMBER 17TH, 2023, THE HOSPITAL'S FIRST CHNA DUE TO BE COMPLETED SEPTEMBER 30, 2026, WITH THE IMPLEMENTATION STRATEGY TO BE ADOPTED BY THE 15TH DAY OF THE FIFTH MONTH AFTER THE END OF THE TAX YEAR IN WHICH THE CHNA IS COMPLETED. SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES TEXAS CHILDREN'S HOSPITAL'S COMMITMENT TO IMPROVING THE HEALTH OF THE COMMUNITY INCLUDES OFFERING SUBSIDIZED HEALTH SERVICES THROUGH FOUR HOSPITAL-BASED OUTPATIENT CLINICAL SERVICES (THE MEYER CENTER FOR DEVELOPMENTAL PEDIATRICS AND AUTISM, RENAL OUTPATIENT SERVICES, COMPLEX CARE CLINIC, AND MENTAL HEALTH SERVICES - INCLUDES PEDIATRIC AND MATERNAL SERVICES) AND FOUR STAND-ALONE CLINICS (THE MOBILE CLINIC OUTREACH PROGRAM, PEDIATRIC DENTISTRY, THE PRIMARY CARE PRACTICE AT PALM CENTER, AND THE VANNIE E. COOK JR. CHILDREN'S CANCER AND HEMATOLOGY CLINIC) AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G. GROSS EXPENSES OF $33,222,986, OFFSETTING REVENUE OF $18,702,717 AND NET EXPENSES OF $14,520,269 ARE INCLUDED IN THAT LINE. THE STAND-ALONE CLINICS INCLUDE GROSS EXPENSES OF $13,429,369, OFFSETTING REVENUE OF $6,967,686 AND NET EXPENSES OF $6,461,683 IN LINE 7G. THESE CLINICS QUALIFY AS SUBSIDIZED HEALTH SERVICES BECAUSE THEY PROVIDE CARE AND SERVICES TO VULNERABLE, LOW INCOME POPULATIONS WHOSE COMMUNITIES LACK PRIMARY CARE SERVICES AND PROGRAMS. THE TEXAS CHILDREN'S MEYER CENTER FOR DEVELOPMENTAL PEDIATRICS AND AUTISM PROVIDE DIAGNOSTIC SERVICES FOR CHILDREN SUSPECTED OF HAVING AN AUTISM SPECTRUM DISORDER, DEVELOPMENTAL DELAY, INTELLECTUAL DISABILITIES, LEARNING PROBLEMS, ETC. THESE MULTIDISCIPLINARY CENTERS ARE COMPRISED OF DEVELOPMENTAL PEDIATRICIANS, NEUROLOGISTS, PSYCHOLOGISTS AND PSYCHIATRISTS WHO WORK COLLABORATIVELY TO PROVIDE A COMPREHENSIVE DIAGNOSTIC EVALUATION. THEY ALSO HAVE A SOCIAL WORK TEAM TO HELP FAMILIES OBTAIN RESOURCES IN THE COMMUNITY AND SCHOOL NOT PROVIDED AT THE HOSPITAL. THE MEYER CENTER FOR DEVELOPMENTAL PEDIATRICS AND AUTISM ARE HOUSED IN THE SAME LOCATION AND HAVE OVER 5,500 PATIENT VISITS ANNUALLY. RENAL OUTPATIENT SERVICES - SERVICES STARTED IN 1980 IN RESPONSE TO COMMUNITY NEEDS FOR CHRONIC HEMODIALYSIS FOR CHILDREN. APPROXIMATELY 90 CHRONIC PATIENTS ARE SEEN ANNUALLY BY PEDIATRIC NEPHROLOGISTS AND UNDERGO DIALYSIS TREATMENT AT THE HOSPITAL OR AT HOME IN ORDER TO IMPROVE THEIR HEALTH OUTCOMES WHILE MAINTAINING A CHILD'S NORMALCY OF SCHOOL AND ACTIVITIES WITH FRIENDS. IN ADDITION TO CHRONIC END STAGE RENAL DIALYSIS PATIENTS, OVER 5,500 PATIENTS ARE TREATED IN PHERESIS AND RENAL CLINICS. THE COMPLEX CARE CLINIC AT TEXAS CHILDREN'S HOSPITAL PROVIDES AN EXCEPTIONAL TEAM-BASED APPROACH TO THE PRIMARY CARE OF CHILDREN WITH MEDICAL COMPLEXITY. WE AIM TO OPTIMIZE PATIENT QUALITY OF LIFE AND HELP THEM REALIZE THEIR FULL POTENTIAL. WE STRIVE FOR PATIENT AND FAMILY PHYSICAL, EMOTIONAL AND SOCIAL WELL-BEING AND PROMOTE BETTER CARE THROUGH THE EDUCATION OF CAREGIVERS AND HEALTH CARE PROFESSIONALS. AS ONE OF THE LARGEST COMPLEX CARE CLINICS IN THE COUNTRY, OUR MEDICAL PROVIDERS ARE EXPERIENCED IN CARING FOR CHILDREN WITH A WIDE VARIETY OF COMPLEX DIAGNOSES AND SPECIALIZED NEEDS. RECOGNIZING THAT EACH CHILD'S MEDICAL JOURNEY IS UNIQUE, WE PROVIDE PERSONALIZED CARE TO ENCOMPASS ALL ASPECTS OF A CHILD'S LIFE. THE PSYCHIATRY SERVICE SERVES PATIENTS WITH A WIDE VARIETY OF PSYCHIATRIC CONDITIONS OFTEN WHICH ARE COMORBID. SERVICES INCLUDE DIAGNOSTIC ASSESSMENTS AND TREATMENT OF COMPLEX ANXIETY AND MOOD DISORDERS, TOURETTE'S SYNDROME, OBSESSIVE COMPULSIVE DISORDER, POST-TRAUMATIC STRESS DISORDER, MEDICATION MANAGEMENT FOR CHILDREN WITH AUTISM SPECTRUM DISORDERS, AMONG OTHER CONDITIONS. THE SERVICE ALSO HAS A CONSULT LIAISON SERVICE TO THE INPATIENT UNITS OF THE HOSPITAL. THE SERVICE HAS APPROXIMATELY 23,500 PATIENT VISITS ANNUALLY. THE PSYCHOLOGY SERVICE SERVES PATIENTS WITH VARYING DEGREES OF ASSESSMENT AND TREATMENT NEEDS. SERVICES INCLUDE NEUROPSYCHOLOGICAL TESTING, COGNITIVE ASSESSMENTS, TREATMENT IN THE AREAS OF PRE-SCHOOL AND SCHOOL AGE DISRUPTIVE BEHAVIOR, ANXIETY AND MOOD DISORDERS, AND COMPLEX ADHD. THE PSYCHOLOGY SERVICE WORKS CLOSELY WITH OTHER SERVICES WITHIN TEXAS CHILDREN'S HOSPITAL, BOTH INPATIENT AND OUTPATIENT, IN HELPING PATIENTS ADJUST TO AND MANAGE COMPLICATED OR SERIOUS MEDICAL DIAGNOSES. THE SERVICE HAS APPROXIMATELY 36,000 PATIENT VISITS ANNUALLY. TEXAS CHILDREN'S HOSPITAL NORTH AUSTIN CAMPUS PSYCHOLOGY AND PSYCHIATRY PROGRAMS OFFER EFFECTIVE, EVIDENCE-BASED THERAPIES TAILORED TO THE NEEDS OF CHILDREN AND FAMILIES, WITH SPECIAL EXPERTISE IN PSYCHOLOGICAL CARE FOR CHILDREN AND TEENS WHO HAVE COMPLEX PHYSICAL HEALTH CONDITIONS AND INJURIES, ANXIETY AND OCD, DEPRESSION, DISRUPTIVE BEHAVIOR AND ATTENTION PROBLEMS, ACUTE PSYCHOLOGICAL EMERGENCIES, TRAUMA, ADJUSTMENT, DIFFICULTIES IN FAMILY FUNCTIONING AND COMMUNICATION, AND OTHER PRESENTING CONCERNS. THE PEDIATRIC PSYCHIATRY PROGRAM FOCUSES EXCLUSIVELY ON CHILD AND ADOLESCENT BEHAVIORAL, EMOTIONAL, DEVELOPMENTAL AND MENTAL HEALTH. MOBILE CLINIC OUTREACH PROGRAM - THE TEXAS CHILDREN'S MOBILE CLINIC PROGRAM PROVIDES FREE, COMPREHENSIVE PRIMARY AND PREVENTIVE CARE TO UNINSURED AND UNDERSERVED CHILDREN FROM BIRTH THROUGH AGE 18 ACROSS GREATER HOUSTON. SERVING IMMIGRANT, REFUGEE, AND NEWLY UNINSURED FAMILIES, THE PROGRAM OFFERS AN ACCESSIBLE ALTERNATIVE TO EMERGENCY DEPARTMENT CARE WHILE PROMOTING CONTINUITY THROUGH REFERRALS TO PERMANENT MEDICAL HOMES. IN 2025, THE PROGRAM COMPLETED MORE THAN 4,100 PATIENT ENCOUNTERS ACROSS THREE MOBILE UNITS, DELIVERING WELLCHILD CARE, SICK VISITS, SCREENINGS, REFERRALS FOR SPECIALTY, DENTAL, AND BEHAVIORAL HEALTH SERVICES, AND PROVIDED APPROXIMATELY 13,500 IMMUNIZATIONS. PEDIATRIC DENTISTRY SERVICES - COMMUNITY BASED DENTISTS ARE GENERALLY NOT EQUIPPED TO TREAT DENTAL PATIENTS WITH SPECIAL NEEDS THAT OFTEN REQUIRE TREATMENT IN THE OPERATING ROOM OR HEAVY SEDATION. THE PEDIATRIC DENTAL CLINIC AT TEXAS CHILDREN'S HOSPITAL (DENTAL CLINIC) WAS DEVELOPED TO CARE FOR THESE CHILDREN. THE DENTAL CLINIC IS PRIMARILY FOCUSED ON PATIENTS WITH CARDIAC ISSUES, CANCER, NEUROLOGIC DISORDERS AND OTHER MEDICAL ISSUES. APPROXIMATELY 78% OF THE PATIENTS SEEN IN THE DENTAL CLINIC ARE INSURED THROUGH MEDICAID OR UNINSURED. IN 2025, THE DENTAL CLINIC HAD OVER 5,200 PATIENT VISITS PLUS APPROXIMATELY 2,800 OPERATING ROOM CASES. ADDITIONALLY, THE PEDIATRIC ORTHODONTIC CLINIC AT TEXAS CHILDREN'S HOSPITAL (ORTHODONTIC CLINIC) TREATS CHILDREN WHO HAVE CONGENITAL ANOMALIES AND/OR CLEFT PALATES IN CONJUNCTION WITH THE PLASTIC SURGERY DEPARTMENT. IN 2025, THE ORTHODONTIC CLINIC HAD APPROXIMATELY 1,000 PATIENT VISITS WITH APPROXIMATELY 59% INSURED THROUGH MEDICAID OR UNINSURED. TEXAS CHILDREN'S CRANIOFACIAL PROGRAM IN NORTH AUSTIN IS LED BY RICHARD HOPPER, MD, MS, PEDIATRIC PLASTIC SURGEON, THE FORMER PRESIDENT OF BOTH THE AMERICAN SOCIETY OF CRANIOFACIAL SURGERY AND THE INTERNATIONAL SOCIETY OF CRANIOFACIAL SURGERY. IT'S THE ONLY CRANIOFACIAL PROGRAM IN AUSTIN TO OFFER PLASTIC SURGERY, CRANIOFACIAL ORTHODONTICS AND PEDIATRIC DENTISTRY IN ONE LOCATION. AT TEXAS CHILDREN'S NORTH AUSTIN, PATIENT FAMILIES WILL EXPERIENCE THE FULL SPECTRUM OF CRANIOFACIAL CARE, INCLUDING CRITICAL CARE AND SUBSPECIALTY SERVICES, DIRECTLY FROM EXPERIENCED, SENIOR SPECIALISTS. THE VANNIE E. COOK JR. CHILDREN'S CANCER AND HEMATOLOGY CLINIC (VANNIE COOK CLINIC) IS LOCATED IN MCALLEN, TEXAS AND IS A JOINT EFFORT BETWEEN THE VANNIE E. COOK JR. CANCER FOUNDATION, BAYLOR COLLEGE OF MEDICINE AND TEXAS CHILDREN'S CANCER AND HEMATOLOGY CENTERS. THE VANNIE COOK CLINIC OFFERS TREATMENT TO CHILDREN ALONG THE MEXICO BORDER IN SOUTH TEXAS WHO SUFFER FROM CANCER AND BLOOD DISORDERS. IT IS THE ONLY COMPREHENSIVE PEDIATRIC CANCER TREATMENT FACILITY IN SOUTH TEXAS. MANY OF THESE PATIENTS PREVIOUSLY WOULD HAVE TRAVELED TO SAN ANTONIO OR HOUSTON FOR THEIR TREATMENT, A HARDSHIP PHYSICALLY, EMOTIONALLY AND FINANCIALLY FOR THEM AND THEIR FAMILIES. IT IS A COMPREHENSIVE CARE FACILITY OFFERING DIAGNOSTIC AND CANCER TREATMENT SERVICES, CANCER GENETIC COUNSELING AND A LONG-TERM SURVIVORSHIP PROGRAM WHICH FOLLOWS CHILDHOOD CANCER SURVIVORS THROUGH ADULTHOOD. MOST OF THE PATIENTS (85%) ARE FROM LOW-INCOME, UNINSURED OR UNDERINSURED FAMILIES. EVERY YEAR, THE CLINIC STAFF SEES APPROXIMATELY 1,200 PATIENTS AND OF THESE PATIENTS, APPROXIMATELY 600 ARE NEWLY DIAGNOSED. (SEE CONTINUATION OF PART 1, LINE G) SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION 0 SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE FOR PART 1, LINE 7, TEXAS CHILDREN'S HOSPITAL (HOSPITAL) APPLIED THE RATIO OF PATIENT CARE COSTS (RCC) TO CHARGES DERIVED FROM WORKSHEET 2 TO THE CHARGES THE HOSPITAL FORGAVE PURSUANT TO THE FINANCIAL ASSISTANCE POLICY (FAP) (LINE 7A), MEDICAID CHARGES (LINE 7B), OTHER MEANS-TESTED CHARGES (LINE 7C) AND RESEARCH PATIENT CARE CHARGES (LINE 7H). WORKSHEETS 1, 2, 3, 4, 5, 6, 7 & 8 AND THE CORRESPONDING INSTRUCTIONS HAVE BEEN USED AS THE PRIMARY BASIS FOR COMPLETING PART 1, LINE 7. FOR EACH SUBSIDIZED HEALTH SERVICE, THE HOSPITAL USED THE RCC FOR MEDICAID COST REPORT LINE 90.00 OUTPATIENT CLINICS OR LINE 93.99 AS APPLICABLE, WHERE THE SUBSIDIZED HEALTH SERVICE COST CENTERS RESIDE AND APPLIED IT TO THE RESPECTIVE GROSS PATIENT CHARGES TO CALCULATE COMMUNITY BENEFIT EXPENSE. THE EXCEPTION TO THE ABOVE IS RENAL OUTPATIENT SERVICES. COSTS INCURRED FOR RENAL OUTPATIENT SERVICES RESIDE IN MULTIPLE COST CENTERS AND MULTIPLE MEDICAID COST REPORT LINES. THE RCC FOR THE RELATED MEDICAID COST REPORT LINE WHERE THE ACTUAL GROSS PATIENT CHARGES WERE RECORDED WAS USED TO CALCULATE COMMUNITY BENEFIT EXPENSE FOR RENAL OUTPATIENT SERVICES. FOR EACH SUBSIDIZED STAND-ALONE CLINIC, THE HOSPITAL CALCULATED A SPECIFIC RATIO OF PATIENT CARE COSTS TO CHARGES USING THE SAME METHOD PRESCRIBED IN WORKSHEET 2 AND APPLIED IT TO THE RESPECTIVE CLINICS' GROSS PATIENT CHARGES TO CALCULATE COMMUNITY BENEFIT EXPENSES. FOR PART 1, LINE 7, THE HOSPITAL APPLIED INDIRECT COST RATIOS FROM THE 2025 MEDICAID COST REPORT TO DIRECT PROGRAM EXPENSE TO DETERMINE TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), HEALTH PROFESSIONAL EDUCATION PROGRAMS OTHER THAN GRADUATE MEDICAL EDUCATION (GME) (LINE 7F) AND IN-KIND CONTRIBUTIONS (LINE 7I). THE INDIRECT COST RATIOS COMPUTED FROM THE 2025 MEDICAID COST REPORT ARE BOTH COMPREHENSIVE AND A GOOD PROXY OF THE ASSOCIATED OVERHEAD COSTS. FOR PART 1, LINE 7F, THE HOSPITAL INCLUDED THE DIRECT AND INDIRECT EXPENSE FROM THE 2025 MEDICAID COST REPORT FOR STATE ACCREDITED AND NATIONALLY ACCREDITED GME PROGRAMS. FOR PART 1, LINE 7H, THE HOSPITAL INCLUDED THE DIRECT AND INDIRECT EXPENSE FROM THE 2025 MEDICAID COST REPORT FOR RESEARCH. NO INDUSTRY-SPONSORED RESEARCH ACTIVITIES ARE INCLUDED IN LINE 7H. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED AND SUPPORT ORGANIZATIONS FOCUSED ON THE ROOT CAUSES OF HEALTH PROBLEMS (E.G., POVERTY AND HOMELESSNESS) AND VULNERABLE POPULATIONS (E.G., CHILDREN WITH SPECIAL HEALTHCARE NEEDS). PHYSICAL IMPROVEMENTS AND HOUSING, COMMUNITY BUILDING PART II, LINE 1 ASTROS GOLF FOUNDATION $10,000 EMANCIPATION PARK CONSERVANCY $7,500 SAINT LOUISE HOUSE $1,500 TOTAL $19,000 COMMUNITY SUPPORT ACTIVITIES, COMMUNITY BUILDING PART II, LINE 3 RONALD MCDONALD HOUSE HOUSTON $150,000 YES TO YOUTH - MONTGOMERY COUNTY YOUTH SERVICES $23,000 COMMUNITIES IN SCHOOLS SOUTHEAST HARRIS AND BRAZORIA COUNTY $20,000 GENUINE FOUNDATION $15,000 PRO-VISION, INC. $10,000 GIRL SCOUTS OF SAN JACINTO $5,000 SAM HOUSTON AREA COUNCIL - BOY SCOUTS OF AMERICA $5,000 CANCARE $2,500 PROJECT JOY & HOPE $2,500 COMPASSIONATE TOUCH $2,000 CATHERINE CARES $300 TOTAL $235,300 LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBER ACTIVITIES, COMMUNITY BUILDING PART II, LINE 5 JUNIOR LEAGUE OF HOUSTON $25,000 IGNITE HEALTHCARE $5,000 TOTAL $30,000 COALITION BUILDING ACTIVITIES, COMMUNITY BUILDING PART II, LINE 6 COMMUNITY FOUNDATION OF THE TEXAS HILL COUNTRY $12,500 THE WOODLANDS TOWNSHIP $8,000 GIT-R-DONE FOUNDATION $7,500 INTERFAITH OF THE WOODLANDS $5,000 TOTAL $33,000 COMMUNITY HEALTH IMPROVEMENT ADVOCACY ACTIVITIES, COMMUNITY BUILDING PART II, LINE 7 HAND TO HOLD $6,000 CHILDREN AT RISK $5,000 TEXAS LIVER FOUNDATION $5,000 TOTAL $16,000 COMMUNITY HEALTH IMPROVEMENT ADVOCACY ACTIVITIES, COMMUNITY BUILDING PART II, LINE 8 HOUSTON CHRISTIAN UNIVERSITY $3,500 TOTAL $3,500 OTHER, COMMUNITY BUILDING PART II, LINE 9 THE BROOKWOOD COMMUNITY $10,000 THE HEALTH MUSEUM $10,000 HOUSTON CIVIC EVENTS INC $10,000 GENESYS WORKS HOUSTON $5,000 TEXAS HEARING INSTITUTE $5,000 INSPIRATION RANCH $3,500 TOTAL $43,500 SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT IN ACCORDANCE WITH HFMA STATEMENT 15 AND ASU 2014-09, TOPIC 606, BAD DEBT EXPENSE REPRESENTS THE DIFFERENCE BETWEEN THE STANDARD RATES (OR EXPLICIT CONTRACTED RATES) AND THE AMOUNTS EXPECTED TO BE COLLECTED FROM A THIRD-PARTY PAYOR AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED. ALSO IN ACCORDANCE WITH HFMA STATEMENT 15 AND ASU 2014-09, TOPIC 606, BAD DEBT EXPENSE IS CALCULATED AS THE CHARGES WRITTEN OFF (AT FULL ESTABLISHED RATE), LESS ANY INDIRECT FUNDS RECEIVED TO OFFSET CHARGES WRITTEN OFF. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY: THE HOSPITAL DOES NOT CONTEND THAT ANY OF ITS BAD DEBT EXPENSE IS ATTRIBUTABLE TO THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY OR SHOULD BE CONSIDERED A COMMUNITY BENEFIT. ROBUST SCREENING PROCESSES ARE USED IN DETERMINING FAP-ELIGIBILITY AND FINANCIAL ASSISTANCE AMOUNTS ARE NOT EXPECTED TO RESULT IN CASH FLOWS. ALL UNCOLLECTED CHARGES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FAP ARE INCLUDED IN LINE 7A (AT COST). SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE FOOTNOTE DESCRIBING ACCOUNTS RECEIVABLES (PAGE 16) OF AUDITED FINANCIAL STATEMENTS: PATIENT ACCOUNTS RECEIVABLE INCLUDE REDUCTIONS FOR EXPLICIT CONTRACTUAL AGREEMENTS, DISCOUNTS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS, IMPLICIT PRICE CONCESSIONS, AND CHARITY ADJUSTMENTS AND ARE RECORDED ON AN ACCRUAL BASIS AT NET REALIZABLE VALUE IN THE CONSOLIDATED BALANCE SHEETS. THE ESTIMATE OF PATIENT ACCOUNTS RECEIVABLE IS BASED PRIMARILY ON TEXAS CHILDREN'S HISTORICAL COLLECTION AND WRITE-OFF EXPERIENCE AND THE AGING OF PATIENT ACCOUNTS RECEIVABLES. CHANGES IN BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL, STATE AND PRIVATE EMPLOYER HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS ARE ALSO TAKEN INTO CONSIDERATION WHEN ESTIMATING PRICE CONCESSIONS. FOOTNOTE DESCRIBING NET PATIENT SERVICE REVENUE, AND IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION RATES (PAGE 39) OF AUDITED FINANCIAL STATEMENTS: NET PATIENT SERVICE REVENUES ARE RECORDED AS GOODS AND SERVICES ARE PROVIDED AT THE TRANSACTION PRICE ESTIMATED BY TEXAS CHILDREN'S TO REFLECT THE TOTAL CONSIDERATION DUE FROM PATIENTS AND THIRD-PARTY PAYORS. THE TRANSACTION PRICE, WHICH INVOLVES SIGNIFICANT ESTIMATES, IS DETERMINED BASED ON TEXAS CHILDREN'S STANDARD CHARGES FOR THE GOODS AND SERVICES PROVIDED WITH A REDUCTION RECORDED FOR PRICE CONCESSIONS, WHICH INCLUDE DISCOUNTS BASED ON THIRD PARTY CONTRACTUAL ARRANGEMENTS AND PATIENT DISCOUNTS, AS WELL AS IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION RATES. AS PERFORMANCE OBLIGATIONS ARE MET (I.E.: ROOM, BOARD, ANCILLARY SERVICES, LEVEL OF CARE, ETC.), NET PATIENT SERVICE REVENUE IS RECOGNIZED BASED UPON AN ALLOCATED TRANSACTION PRICE AS GOODS AND SERVICES ARE PROVIDED TO THE PATIENT. IN INSTANCES WHERE PERFORMANCE OBLIGATIONS ARE ACROSS MULTIPLE PERIODS, THE TRANSACTION PRICE IS ALLOCATED BY APPLYING AN ESTIMATED IMPLICIT AND EXPLICIT RATE TO GROSS CHARGES BASED ON THE SEPARATE PERFORMANCE OBLIGATIONS OR THE PATIENT'S LENGTH OF STAY. SUBSTANTIALLY ALL PERFORMANCE OBLIGATIONS HAVE A DURATION OF LESS THAN ONE YEAR. TEXAS CHILDREN'S HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN ACCOUNTING STANDARDS CODIFICATION 606-10-50-14(A) AND IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY SATISFIED AT THE END OF THE REPORTING PERIOD, WHICH ARE PRIMARILY RELATED TO INPATIENT ACUTE CARE SERVICES. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS THE SOURCES USED TO DETERMINE THE AMOUNT REPORTED AS MEDICARE ALLOWABLE COSTS ON PART III, LINE 6 WAS THE HOSPITAL'S 2025 MEDICARE COST REPORT AND SUPPORTING WORK PAPERS. SUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. THE HOSPITAL ACCEPTS MEDICARE PATIENTS SEEKING PEDIATRIC OR WOMEN'S HEALTH SERVICES, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARDS FOR NONPROFIT HOSPITALS, IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE PATIENTS WHO HAVE QUALIFIED FOR FINANCIAL ASSISTANCE, IF THE DISCOUNT IS LESS THAN 100%, WILL BE RESPONSIBLE FOR PAYMENT OF ANY APPLICABLE HOSPITAL CHARGES AT A REDUCED RATE. IF THE PATIENT DOES NOT PAY THE AMOUNT AND FAILS TO RENEGOTIATE A PAYMENT PLAN (IF APPLICABLE), THE UNCOLLECTED BALANCE WILL BE CONSIDERED AN IMPLICIT PRICE CONCESSION. PROVISIONS FOR ESTIMATED RETROACTIVE ADJUSTMENTS UNDER SUCH PROGRAMS ARE PROVIDED IN THE PERIOD THE RELATED SERVICES ARE RENDERED, ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED, AND ARE INCLUDED IN OTHER CURRENT ASSETS. THE HOSPITAL MAY USE REASONABLE EFFORTS TO COLLECT OUTSTANDING PATIENT RECEIVABLES WHICH INCLUDE BUT ARE NOT LIMITED TO: TELEPHONE CALLS, EMAIL AND COURIERED WRITTEN CORRESPONDENCE. THE HOSPITAL DOES NOT ENGAGE IN EXTRAORDINARY ACTIONS TO FORCE COLLECTIONS ON PATIENT ACCOUNTS. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - TEXAS CHILDREN'S HOSPITAL: LINE 16A URL: HTTPS://WWW.TEXASCHILDRENS.ORG/PATIENTS-FAMILIES/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE; - TEXAS CHILDREN'S HOSPITAL NORTH AUSTIN: LINE 16A URL: HTTPS://WWW.TEXASCHILDRENS.ORG/PATIENTS-FAMILIES/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - TEXAS CHILDREN'S HOSPITAL: LINE 16B URL: HTTPS://WWW.TEXASCHILDRENS.ORG/PATIENTS-FAMILIES/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE; - TEXAS CHILDREN'S HOSPITAL NORTH AUSTIN: LINE 16B URL: HTTPS://WWW.TEXASCHILDRENS.ORG/PATIENTS-FAMILIES/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - TEXAS CHILDREN'S HOSPITAL: LINE 16C URL: HTTPS://WWW.TEXASCHILDRENS.ORG/PATIENTS-FAMILIES/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE; - TEXAS CHILDREN'S HOSPITAL NORTH AUSTIN: LINE 16C URL: HTTPS://WWW.TEXASCHILDRENS.ORG/PATIENTS-FAMILIES/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT IN ADDITION TO THE CHNA, TEXAS CHILDREN'S HOSPITAL'S COMMUNITY BENEFITS DEPARTMENT MAINTAINS STRONG INTERNAL AND EXTERNAL PARTNERSHIPS TO STRENGTHEN OUR UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS. INTERNAL PARTNERSHIPS INCLUDE THE CENTER FOR INJURY PREVENTION, THE DIVISION OF PUBLIC HEALTH PEDIATRICS, POPULATION HEALTH, SOCIAL WORK DEPARTMENT, AND MOBILE CLINICS. ADDITIONALLY, COMMUNITY BENEFITS MAINTAINS STRONG COLLABORATION, PARTNERSHIP, AND COMMUNICATION WITH COMMUNITY PARTNERS AND COALITIONS INCLUDING THE CONNECTED CARE COALITION, HOUSTON AREA SUICIDE PREVENTION COALITION, SAFE KIDS GREATER HOUSTON COALITION, HOUSTON FOOD BANK, MONTGOMERY COUNTY FOOD BANK, KIDS MEALS, YES TO YOUTH, AND COMMUNITIES IN SCHOOL. THIS TEAM ALSO IDENTIFIES NEW PROGRAMS, FUNDING OPPORTUNITIES AND REPORTING COMMUNITY BENEFIT PROGRAMS' PROGRESS, OUTCOMES AND EVALUATION. TO ACCOMPLISH THIS, COMMUNITY BENEFITS EMPLOYS THE ICARE FRAMEWORK: * IDENTIFY COMMUNITY HEALTH NEEDS AS THEY ARISE. * COLLECT DATA. * ALIGN THE TEXAS CHILDREN'S COMMUNITY-RELATED EFFORTS WITH IDENTIFIED NEEDS. * RECOGNIZE COMPONENTS OF TEXAS CHILDREN'S THAT PROVIDE QUALITY COMMUNITY-RELATED SERVICES * ENHANCE COMMUNITY-RELATED HEALTH EFFORTS ACROSS THE ENTIRE SYSTEM. A COMMUNITY BENEFITS EXECUTIVE STEERING COMMITTEE (CBESC), COMPRISED OF PHYSICIAN AND ADMINISTRATIVE LEADERS FROM ACROSS TEXAS CHILDREN'S, WORKS IN COLLABORATION WITH THE COMMUNITY BENEFITS DEPARTMENT. THE CBESC IS CHARGED WITH DETERMINING HOW BEST TO ADDRESS IDENTIFIED COMMUNITY NEEDS. MEMBERS OF THE CBESC PROVIDE CRITICAL GUIDANCE TO THE COMMUNITY BENEFITS DEPARTMENT ON HOW TO MOST EFFECTIVELY RESPOND TO IDENTIFIED COMMUNITY HEALTH NEEDS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ALL PATIENTS WHO RECEIVE SERVICES AT THE HOSPITAL OR THEIR FAMILIES ARE NOTIFIED OF THEIR RIGHTS AND RESPONSIBILITIES AND THE AVAILABILITY OF GOVERNMENT OR HOSPITAL SPONSORED PROGRAMS IF FINANCIAL ASSISTANCE IS NEEDED. * INFORMATION IS PROVIDED DURING INPATIENT AND OUTPATIENT REGISTRATION WHERE MATERIALS ARE ALWAYS AVAILABLE IN BOTH ENGLISH AND SPANISH. * NOTICES OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN PUBLIC WAITING AND REGISTRATION AREAS, INCLUDING ADMISSIONS, EMERGENCY CENTER, OUTPATIENT CLINICS AND OTHER PROMINENT AREAS. A VARIETY OF LANGUAGE SERVICES ARE AVAILABLE UPON REQUEST. * THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE POSTED ON TEXAS CHILDREN'S HOSPITAL'S PUBLIC WEBSITE IN BOTH ENGLISH AND SPANISH. THE SITE DIRECTS PATIENT FAMILIES TO CONTACT ADMISSIONS COUNSELORS AND FINANCIAL COUNSELORS IN THE ADMISSIONS DEPARTMENT FOR MORE INFORMATION ABOUT AVAILABLE FINANCIAL OPTIONS AND RESOURCES. * FINANCIAL COUNSELORS ARE AVAILABLE TO DETERMINE ELIGIBILITY FOR GOVERNMENT AND/OR HOSPITAL-SPONSORED FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS RECEIVE TRAINING ON ELIGIBILITY REQUIREMENTS FOR FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS. * STATE OUT-STATIONED ELIGIBILITY WORKERS (OEW) ARE ON-SITE TO SUPPORT THE GOVERNMENT-SPONSORED ASSISTANCE PROGRAM APPLICATION PROCESS. * REFERRALS FOR CHARITY CONSIDERATION MAY ORIGINATE WITH THE SCHEDULING, PRE-SERVICE, CUSTOMER SERVICE DEPARTMENTS, HOSPITAL SOCIAL WORKERS AND CLINICIANS, EXTERNAL PROVIDERS AND THROUGH SELF-REFERRAL. THESE REFERRALS ARE DIRECTED TO THE APPROPRIATE DEPARTMENT'S FINANCIAL COUNSELORS WHO DISCUSS OPTIONS, INCLUDING CHARITY ASSISTANCE. * FOR UNINSURED PATIENTS ARRIVING VIA THE EMERGENCY CENTER, AFTER APPROPRIATE MEDICAL SCREENINGS ARE PERFORMED, REGISTRATION PROVIDES INFORMATION PACKETS CONTAINING INFORMATION REGARDING ELIGIBILITY FOR GOVERNMENT PROGRAMS LIKE MEDICAID, CHIP, CSHCN AND CHARITY ASSISTANCE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION GIVEN THE SERVICES PROVIDED TO PATIENTS FROM AROUND THE WORLD, THE HOSPITAL DEFINES ITS COMMUNITY AS LOCAL, NATIONAL AND INTERNATIONAL. IN REGARDS TO THE CHNA, THE HOSPITAL FOCUSES ON ADDRESSING LOCAL NEEDS. FOR COMMUNITY BENEFIT REPORTING PURPOSES, TEXAS CHILDREN'S HOSPITAL DEFINES THE COMMUNITY IT SERVES AS THE HOUSTON-PASADENA-THE WOODLANDS METROPOLITAN STATISTICAL AREA (MSA), ALSO KNOWN AS "GREATER HOUSTON." AN MSA - DEFINED BY THE U.S. OFFICE OF MANAGEMENT AND BUDGET (OMB) AND USED BY THE CENSUS BUREAU AND OTHER FEDERAL AGENCIES IS A GEOGRAPHICAL REGION WITH A HIGH POPULATION DENSITY AND CLOSE ECONOMIC TIES THROUGHOUT THE AREA. WHILE THE TEXAS CHILDREN'S HOSPITAL NETWORK OF CARE TREATS PATIENTS FROM AROUND THE GLOBE, MOST OF OUR PATIENTS (85% IN FISCAL YEAR 2024) COME FROM GREATER HOUSTON. THE GREATER HOUSTON AREA HAS AN ESTIMATED POPULATION OF 7.8 MILLION, MAKING IT THE FIFTH MOST POPULOUS AREA IN THE UNITED STATES (AMERICAN COMMUNITY SURVEY, 2024) AND IS APPROXIMATELY 8,800 SQUARE MILES. GREATER HOUSTON INCLUDES THE FOLLOWING TEN COUNTIES: AUSTIN, BRAZORIA, CHAMBERS, FORT BEND, GALVESTON, HARRIS, LIBERTY, MONTGOMERY, SAN JACINTO, AND WALLER. THE GREATER HOUSTON MSA COUNTIES ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND GREATER HOUSTON INCLUDES COUNTIES DESIGNATED AS RURAL, PARTIALLY RURAL AND NON-RURAL. IN GREATER HOUSTON, 18.4% RESIDENTS ARE UNINSURED, 14.3% LIVE BELOW THE POVERTY LINE, AND THE MEDIAN HOUSEHOLD INCOME IS $81,417 (AMERICAN COMMUNITY SURVEY, 2024). DEMOGRAPHICALLY, GREATER HOUSTON IS HIGHLY DIVERSE WITH 39% HISPANIC, 31% WHITE NON-HISPANIC, 17% BLACK NON-HISPANIC, 9% ASIAN NON-HISPANIC, AND 4% TWO OR MORE RACES (AMERICAN COMMUNITY SURVEY, 2024). FOR MORE IN-DEPTH INFORMATION ON EACH COUNTY IN THE HOSPITAL'S COMMUNITY BENEFITS SERVICE AREA, INCLUDING DEMOGRAPHIC PROFILES, PLEASE REFER TO THE HOSPITAL'S CHNA ONLINE: HTTPS://WWW.TEXASCHILDRENS.ORG/ABOUT-US/COMMUNITY-BENEFIT-EFFORTS/REPORTS-COMMUNITY-HEALTH-NEEDS IN GENERAL, TEXAS CHILDREN'S FOCUSES COMMUNITY BENEFIT EFFORTS IN LOW INCOME NEIGHBORHOODS. GREATER HOUSTON HAS A POVERTY RATE OF 14.3%. IN ADDITION TO SERVING GREATER HOUSTON, TEXAS CHILDREN'S OPENED A FREE STANDING HOSPITAL IN AUSTIN, TEXAS IN 2024, AND IS NOW ALSO SERVING THE AUSTIN-ROUND ROCK-SAN MARCOS MSA, "GREATER AUSTIN." GREATER AUSTIN INCLUDES FIVE COUNTIES IN CENTRAL TEXAS INCLUDING: BASTROP, CALDWELL, HAYS, TRAVIS, AND WILLIAMSON COUNTIES. GREATER AUSTIN HAS A POPULATION OF 2.5 MILLION AND 88% OF TEXAS CHILDREN'S AUSTIN CAMPUS PATIENTS RESIDE IN GREATER AUSTIN. GREATER AUSTIN IS ALSO DIVERSE WITH 47% OF RESIDENTS WHITE NON-HISPANIC, 33% HISPANICS, 9% ASIAN, AND 7% BLACK. FURTHERMORE, 9% OF RESIDENTS IN GREATER AUSTIN RESIDE IN POVERTY, 12% ARE UNINSURED, AND THE MEDIAN HOUSEHOLD INCOME IS $99,897 (AMERICAN COMMUNITY SURVEY, 2024). SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH AS A LEADER IN PEDIATRICS AND WOMEN'S HEALTH, THE HOSPITAL CONTINUES ITS MISSION TO SERVE THE COMMUNITY THROUGH PREEMINENT RESEARCH, EDUCATION AND PATIENT CARE. THIS ONGOING COMMITMENT ENSURES THE HEALTH AND WELL-BEING OF THE YOUNGEST AND MOST VULNERABLE MEMBERS OF THE COMMUNITY, WHETHER THEY RESIDE IN NEARBY NEIGHBORHOODS OR ON THE OTHER SIDE OF THE WORLD. IN ADDITION TO THE INFORMATION SUPPLIED IN OTHER SECTIONS OF THIS DOCUMENT, THE FOLLOWING ARE EXAMPLES OF THE HOSPITAL'S ONGOING COMMITMENT TO THE COMMUNITY IT SERVES: 1) TEXAS CHILDREN'S BOARD OF TRUSTEES IS COMPOSED OF REPRESENTATIVES WHO RESIDE IN THE GREATER HOUSTON COMMUNITY AND ARE NOT EMPLOYEES OF THE HOSPITAL. MANY TRUSTEES ARE BUSINESS AND CIVIC LEADERS WHO ARE ACTIVE IN OTHER LOCAL CHARITABLE ORGANIZATIONS. 2) THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED NON-HOSPITAL-BASED PHYSICIANS FROM THE COMMUNITY. PRIVILEGES ARE GRANTED IN ACCORDANCE WITH MEDICAL STAFF BYLAWS. 3) EMPHASIZING ITS WORLD-CLASS EXPERTISE IN HIGHLY SPECIALIZED FIELDS, THE HOSPITAL OPERATES CENTERS OF EXCELLENCE IN ONCOLOGY, CARDIOLOGY AND NEONATOLOGY. RANKED BY U.S. NEWS & WORLD REPORT, TEXAS CHILDREN'S HOSPITAL ONCE AGAIN RECEIVED THE PRESTIGIOUS HONOR ROLL DESIGNATION AND RANKED NO. 1 IN TEXAS FOR THE 16TH CONSECUTIVE YEAR. IN THE 2026 U.S. NEWS SURVEY - WHICH USES DATA FROM 2025 - THE HOSPITAL RANKED IN THE TOP TEN IN NINE SUBSPECIALTIES, #1 IN THE NATION IN NEUROLOGY AND NEUROSURGERY, AND #1 IN THE NATION IN CARDIOLOGY AND HEART SURGERY FOR THE SEVENTH YEAR IN A ROW. TEXAS CHILDREN'S ALSO EARNED THE HIGHEST DESIGNATION AVAILABLE FOR BEHAVIORAL HEALTH BY U.S. NEWS & WORLD REPORT. AS A NATIONAL LEADER AMONG PEDIATRIC INSTITUTIONS, THE HOSPITAL HAS MULTIDISCIPLINARY EXPERTISE IN SOME OF THE MOST COMPLEX MEDICAL CHALLENGES FACING CHILDREN TODAY. 4) AS PART OF ITS RESPONSIVENESS TO THE COMMUNITY, THE HOSPITAL OPERATES AND SUPPORTS SEVERAL ADVISORY COMMITTEES, COMPRISED OF COMMUNITY MEMBERS AND PATIENT FAMILIES. THESE GROUPS CONSULT WITH HOSPITAL REPRESENTATIVES ON A WIDE RANGE OF TOPICS DESIGNED TO INCREASE THE QUALITY OF CARE AND SERVICES PROVIDED. 5) THE HOSPITAL INVESTS ITS OPERATING MARGIN IN CAPITAL PROJECTS AND PROGRAMMATIC INITIATIVES FOCUSED ON IMPROVING PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. 6) THE HOSPITAL SERVED AS A TRAINING CENTER FOR NURSING STUDENTS, SUPPORTING APPROXIMATELY 1,500 CANDIDATES IN 2025. ALTHOUGH THESE TRAINEES ARE NOT OBLIGATED TO REMAIN AT THE HOSPITAL UPON CERTIFICATION, THEY GAIN VALUABLE KNOWLEDGE FOR THEIR CAREERS IN PEDIATRICS. 7) TEXAS CHILDREN'S MOBILE CLINIC PROGRAM PROVIDES FREE, COMPREHENSIVE PRIMARY AND PREVENTIVE CARE TO UNINSURED AND UNDERSERVED CHILDREN FROM BIRTH THROUGH AGE 18 ACROSS GREATER HOUSTON. SERVING IMMIGRANT, REFUGEE, AND NEWLY UNINSURED FAMILIES, THE PROGRAM OFFERS AN ACCESSIBLE ALTERNATIVE TO EMERGENCY DEPARTMENT CARE WHILE PROMOTING CONTINUITY THROUGH REFERRALS TO PERMANENT MEDICAL HOMES. 8) TEXAS CHILDREN'S INVESTS IN COMMUNITY PARTNERS THROUGH ITS COMMUNITY BENEFITS PARTNER PROGRAM. THROUGH A STRUCTURED SELECTION PROCESS, COMMUNITY PARTNERS ARE FUNDED TO EXPAND SERVICES THAT DIRECTLY ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING MENTAL AND BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH AND MATERNAL HEALTH. 9) TEXAS CHILDREN'S ALSO OFFERS PROGRAMMING IN THE COMMUNITY THROUGH ITS CENTER FOR CHILDHOOD INJURY PREVENTION AND UPSTART COMMUNITY PROGRAMS TO PROMOTE COMMUNITY HEALTH. THE CENTER FOR CHILDHOOD INJURY PREVENTION IS DEDICATED TO PREVENTING CHILDHOOD INJURIES AND ACTIVITIES INCLUDE DISTRIBUTION OF CAR SEATS AND BIKE HELMETS TO LOW INCOME FAMILIES, CAR SEAT INSPECTIONS, AND HOSTING EDUCATIONAL SAFETY EVENTS. UPSTART COMMUNITY PROGRAMS IS A SUITE OF COMMUNITY-BASED PROGRAMS SUPPORTING PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN THAT ADDRESS EARLY BRAIN DEVELOPMENT, SOCIAL DETERMINANTS OF HEALTH, MATERNAL HEALTH, AND MENTAL HEALTH. 10) THE HOSPITAL'S 24/7 TRANSPORT SERVICE, THE KANGAROO CREW, COMPRISES A FIXED-WING AIRCRAFT AND GROUND AMBULANCE MEDICAL SERVICE PROVIDING COORDINATED PATIENT ASSESSMENT, NECESSARY INTERVENTION AND SAFE, RAPID TRANSPORT OF CRITICALLY ILL OR INJURED PATIENTS. ALL TRANSPORT SERVICE PERSONNEL ARE SPECIALLY TRAINED IN PEDIATRIC/NEONATAL TRANSPORT MEDICINE AND SAFETY IN ACCORDANCE WITH FEDERAL AVIATION ADMINISTRATION (FAA) AND TEXAS DEPARTMENT OF STATE HEALTH SERVICES GUIDELINES. 11) THE TRANSPORT SERVICE TEAM IS A MEMBER OF THE PEDIATRIC DISASTER COALITION (COALITION), A PLANNING GROUP THAT CONSISTS OF SUBJECT MATTER EXPERTS FROM FREESTANDING CHILDREN'S HOSPITALS, FACILITIES WITH DEDICATED PEDIATRIC/NEONATAL UNITS, PEDIATRIC SPECIALTY TRANSPORT ORGANIZATIONS, LOCAL AND STATE PUBLIC HEALTH AND FEDERAL PARTNERS. THE COALITION SHARES RECOMMENDATIONS AND TECHNICAL GUIDANCE WITH OTHER HEALTHCARE FACILITIES THROUGHOUT THE STATE, AS WELL AS FEDERAL AGENCIES AND OTHER NATIONAL ORGANIZATIONS INCLUDING CHILD HEALTH CARE ASSOCIATION (CHCA), CHILDREN'S HOSPITAL ASSOCIATION (CHA), ASSOCIATION OF AIR MEDICAL SERVICES (AAMS) AND AMERICAN ACADEMY OF PEDIATRICS (AAP) SECTION ON TRANSPORT MEDICINE. (SEE CONTINUATION OF PART VI, LINE 5) SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM THE HOSPITAL IS AFFILIATED WITH TEXAS CHILDREN'S PEDIATRICS (TCP, EIN 76-0460242) IN PROMOTING HEALTH CARE IN THE COMMUNITY SERVED. TCP IS ONE OF THE NATION'S LARGEST PEDIATRIC PRIMARY CARE NETWORKS. WITH 49 PRACTICES IN THE GREATER HOUSTON AREA, 15 IN AUSTIN, AND 1 IN COLLEGE STATION, TCP PEDIATRICIANS SERVE APPROXIMATELY 25 PERCENT OF HOUSTON'S CHILDREN, HELPING TREAT AND PREVENT INFECTIOUS ILLNESSES. EIGHT TCP PRACTICES, IDENTIFIED AS THE COMMUNITY CARES PROGRAM, ARE LOCATED IN MEDICALLY UNDERSERVED NEIGHBORHOODS AND PROVIDE CONSISTENT CARE FOR LITTLE OR NO COST TO MORE THAN 45,000 CHILDREN WHO OTHERWISE WOULD SEEK SERVICES FROM EMERGENCY ROOMS OR GO WITHOUT CARE. IN ADDITION TO PROVIDING HIGH QUALITY, AFFORDABLE PRIMARY CARE, EACH COMMUNITY CARES PRACTICE IS UNIQUELY DESIGNED TO MEET THE NEEDS OF THE DIVERSE COMMUNITIES THEY SERVE. USING THE MEDICAL HOME MODEL OF CARE, WE PROVIDE: WRAP-AROUND SERVICES THAT ELIMINATE LOGISTICAL, CULTURAL AND SOCIAL BARRIERS TO ACCESS CARE; COUNSELING AND EDUCATIONAL SERVICES WITH EMPHASIS ON RISK BEHAVIORS; ON-SITE SOCIAL WORKERS AND SPECIALISTS WHO PROVIDE ASSISTANCE SIGNING UP FOR MEDICAID/CHIP OR OTHER AFFORDABLE CARE ACT PROVIDERS; PARTNERSHIPS WITH LOCAL DENTISTS, PHARMACIES AND OTHER SERVICES TO ENSURE COMPREHENSIVE AFFORDABLE HEALTH CARE IS PROVIDED; EXTRA SUPPORT AND GUIDANCE FOR PARENTS TO PROMOTE TOTAL HEALTH AND WELL-BEING OF CHILDREN. IN ADDITION TO PROVIDING CARE TO CHILDREN IN OUR COMMUNITY DURING NORMAL BUSINESS HOURS, TCP THROUGH ITS SUBSIDIARY, TEXAS CHILDREN'S URGENT CARE (TCUC, EIN 47-2029489), PROVIDES URGENT CARE WHEN KIDS GET SICK AT NIGHT OR ON THE WEEKENDS. AS OF THE END OF 2025, THERE WERE 11 TCUC SITES AROUND THE GREATER HOUSTON AREA AND TWO LOCATIONS IN SOUTH AUSTIN AS WELL AS OUR TELEMEDICINE VIRTUAL CARE OPTION. THESE SITES PROVIDE FAMILIES WITH CONVENIENT ACCESS TO CARE WHEN IT IS NEEDED MOST, AND SAVES THEM TIME AND MONEY FROM SEEKING OUT INAPPROPRIATE USE OF EMERGENCY CENTER CARE. TWO OF OUR THREE BUSIEST LOCATIONS ARE LOCATED ADJACENT TO OUR WEST CAMPS EC AND WOODLANDS CAMPUS EC AND OUR THIRD IS OUR TELEMEDICINE VIRTUAL CARE. THESE LOCATIONS HAVE HELPED REDIRECT PATIENTS TO SEEKING CARE IN A MORE APPROPRIATE SETTING, AS WELL AS REDUCING THE COST OF CARE FROM THE PATIENT SIDE. THE IMPACT HAS BEEN TREMENDOUS ON REDUCING THE LOW ACUITY VISITS BEING TREATED IN OUR EMERGENCY CENTER. TEXAS CHILDREN'S HEALTH PLAN (TCHP, EIN 76-048264) IS THE LARGEST AND MOST FREQUENTLY SELECTED PROVIDER OF CHILDREN'S MEDICAID/CHIP COVERAGE IN THE REGION. TCHP WAS FOUNDED IN 1996 BY TEXAS CHILDREN'S HOSPITAL MAKING IT THE NATION'S FIRST HEALTH MAINTENANCE ORGANIZATION (HMO) CREATED JUST FOR CHILDREN. THROUGH A CONTRACTOR ROLE WITH THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC), TEXAS CHILDREN'S HEALTH PLAN PROVIDES STAR/MEDICAID AND CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) TO PREGNANT WOMEN, TEENS AND CHILDREN IN HOUSTON AND SURROUNDING AREAS. TEXAS CHILDREN'S HEALTH PLAN ALSO PROVIDES STAR KIDS TO CHILDREN AND YOUNG ADULTS UNDER THE AGE OF 21 WITH DISABILITIES. AS OF SEPTEMBER 2025, THE HEALTH PLAN HAS OVER 451,000 MEMBERS. THE STAFF AND NETWORK OF OVER 2,300 PRIMARY CARE PHYSICIANS, 7,200 SPECIALISTS AND 97 HOSPITALS THAT PROVIDE ACUTE CARE AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH AND SUBSTANCE ABUSE TREATMENT ARE COMMITTED TO PROVIDING EXCELLENT SERVICE AND PATIENT CARE TO TCHP MEMBERS. THE HOSPITAL IS BAYLOR COLLEGE OF MEDICINE'S PRIMARY PEDIATRIC TRAINING HOSPITAL, WITH ONE OF THE LARGEST PEDIATRIC RESIDENCY PROGRAMS IN THE COUNTRY. THE HOSPITAL'S MEDICAL STAFF CONSISTS OF APPROXIMATELY 1,750 BOARD-CERTIFIED, PRIMARY CARE PHYSICIANS, OBGYN PHYSICIANS, PEDIATRIC SUBSPECIALISTS AND PEDIATRIC-SURGICAL SUBSPECIALISTS. TOGETHER, THE HOSPITAL AND BAYLOR COLLEGE OF MEDICINE REPRESENT ONE OF THE MOST ACTIVE AND BEST FUNDED PEDIATRIC RESEARCH PROGRAMS IN THE COUNTRY. BAYLOR COLLEGE OF MEDICINE INVESTIGATORS AT THE HOSPITAL ARE CONDUCTING INNOVATIVE RESEARCH IN NEARLY EVERY PEDIATRIC SUBSPECIALTY WITH THE GOAL OF QUICKLY TRANSLATING DISCOVERIES INTO BREAKTHROUGH TREATMENTS FOR CHILDREN EVERYWHERE. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT TX true TEXAS CHILDREN'S GLOBAL 6330 W LOOP S STE 1300 BELLAIRE TX 77401 261482195 501(C)(3) 9533737 GENERAL SUPPORT TCH PEDIATRIC ASSOCIATES INC 6330 W LOOP S STE 1300 BELLAIRE TX 77401 760460242 501(C)(3) 7324348 INDIGENT CARE SUPPORT RONALD MCDONALD HOUSE HOUSTON 1907 HOLCOMBE BLVD HOUSTON TX 77030 741984499 501(C)(3) 150000 GENERAL SUPPORT MARCH OF DIMES 3000 WESLAYAN SUITE 100 HOUSTON TX 77027 131846366 501(C)(3) 80000 GENERAL SUPPORT TEXAS CHILDREN'S PHYSICIAN GROUP 6330 W LOOP S STE 1300 BELLAIRE TX 77401 260834681 501(C)(3) 75847 GENERAL SUPPORT FRIENDS OF THE ABC ZILKER PARK KITE FESTIVAL INC PO BOX 41856 AUSTIN TX 787040031 471324551 501(C)(3) 43000 GENERAL SUPPORT ROUND ROCK ISD EDUCATION FOUNDATON 595 ROUND ROCK W DR STE 404 ROUND ROCK TX 78681 742488709 501(C)(3) 40618 EVENT SPONSORSHIP HOUSTON BALLET FOUNDATION 601 PRESTON STREET HOUSTON TX 77002 741394920 501(C)(3) 35000 NUTCRACKER SPONSORSHIP SPRING ISD 16717 ELLA BLVD HOUSTON TX 77090 760383444 GOVT 34000 GENERAL SUPPORT TEXAS CHILDREN'S URGENT CARE 6330 W LOOP S STE 1300 BELLAIRE TX 77401 472029489 501(C)(3) 33274 GENERAL SUPPORT GOOD SAMARITAN FOUNDATION 3355 W ALABAMA ST STE 1025 HOUSTON TX 77098 741235398 501(C)(3) 32500 GENERAL SUPPORT JUNIOR LEAGUE OF HOUSTON 1811 BRIAR OAKS LN HOUSTON TX 77027 741185659 501(C)(3) 25000 GENERAL SUPPORT THE IMMUNIZATION PARTNERSHIP PO BOX 5168 KATY TX 77491 760695612 501(C)(3) 25000 GENERAL SUPPORT YES TO YOUTH - MONTGOMERY COUNTY YOUTH SERVICES 105 WEST LEWIS ST CONROE TX 77301 742035878 501(C)(3) 23000 GENERAL SUPPORT COMMUNITIES IN SCHOOLS SOUTHEAST HARRIS AND BRAZORIA COUNTY 4005 TECHNOLOGY DRIVE 2150 ANGLETON TX 77515 760242189 501(C)(3) 20000 GENERAL SUPPORT HOUSTON FOOD BANK 535 PORTWALL ST HOUSTON TX 770291332 742181456 501(C)(3) 20000 GENERAL SUPPORT KIDS' MEALS 330 GARDEN OAKS BLVD HOUSTON TX 770185502 760330447 501(C)(3) 20000 GENERAL SUPPORT UNIVERSITY OF HOUSTON GRADUATE COLLEGE OF SOCIAL WORK 3511 CULLEN BLVD ROOM 117 HOUSTON TX 772044013 746001399 GOVT 20000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 10060 BUFFALO SPEEDWAY HOUSTON TX 770541302 135613797 501(C)(3) 15000 GENERAL SUPPORT GENUINE FOUNDATION 10010 DOLIVER DR HOUSTON TX 770422016 992463550 501(C)(3) 15000 GENERAL SUPPORT MAKE-A-WISH 12625 SOUTHWEST FREEWAY STAFFORD TX 77477 760116615 501(C)(3) 15000 GENERAL SUPPORT MEN OF DISTINCTION 4218 MARQUETTE HOUSTON TX 77005 260421594 501(C)(3) 15000 GENERAL SUPPORT GREATER HOUSTON PARTNERSHIP 701 AVENIDA DE LAS AMERICAS STE 9 HOUSTON TX 77010 208179135 501(C)(6) 13000 GENERAL SUPPORT ASIA SOCIETY 725 PARK AVENUE NEW YORK NY 100215088 133234632 501(C)(3) 12500 GENERAL SUPPORT COMMUNITY FOUNDATION OF THE TEXAS HILL COUNTRY 241 EARL GARRETT STREET KERRVILLE TX 78028 742225369 501(C)(3) 12500 GENERAL SUPPORT THE BLUE BIRD CIRCLE 615 W ALABAMA HOUSTON TX 77055 741405134 501(C)(3) 12500 GENERAL SUPPORT ASTROS GOLF FOUNDATION 501 CRAWFORD ST STE 500 HOUSTON TX 77002 831791157 501(C)(3) 10000 GENERAL SUPPORT GRAEME MCDANIEL FOUNDATION 28310 DAYSTROM LN KATY TX 774944995 872237264 501(C)(3) 10000 GENERAL SUPPORT GREAT SOUTHWEST EQUESTRIAN CENTER 515 POST OAK BLVD NO 1000 HOUSTON TX 77027 813819013 501(C)(3) 10000 GENERAL SUPPORT HOPE AND HEALING CENTER & INSTITUTE 717 SAGE ROAD HOUSTON TX 77056 453305276 501(C)(3) 10000 GENERAL SUPPORT HOUSTON CIVIC EVENTS INC 901 BAGBY ST FL 1 HOUSTON TX 77002 473703677 501(C)(3) 10000 GENERAL SUPPORT HOUSTON JUNIOR WOMAN'S CLUB PO BOX 19684 HOUSTON TX 772249684 237045947 501(C)(3) 10000 GENERAL SUPPORT KATY ISD EDUCATION FOUNDATION 6301 SOUTH STADIUM LANE KATY TX 77494 800732375 501(C)(3) 10000 GENERAL SUPPORT PRO-VISION INC 2656 SOUTH LOOP WEST STE 650 HOUSTON TX 77054 760336711 501(C)(3) 10000 GENERAL SUPPORT THE BROOKWOOD COMMUNITY 1752 FM 1489 BROOKSHIRE TX 77423 741587672 501(C)(3) 10000 GENERAL SUPPORT THE CHILDREN'S ASSESSMENT CENTER (CAC) 2500 BOLSOVER ST HOUSTON TX 77005 760458780 501(C)(3) 10000 EVENT SPONSORSHIP THE HEALTH MUSEUM 1515 HERMANN DRIVE HOUSTON TX 77004 746106357 501(C)(3) 10000 GENERAL SUPPORT THE WOODLANDS TOWNSHIP 2801 TECHNOLOGY FOREST BLVD THE WOODLANDS TX 77381 760148478 GOVT 8000 GENERAL SUPPORT GIT-R-DONE FOUNDATION 5555 GLENRIDGE CONNECTOR 525 ATLANTA GA 30342 386865165 501(C)(3) 7500 GENERAL SUPPORT LAKE TRAVIS EDUCATION FOUNDATION PO BOX 340759 AUSTIN TX 78734 742406134 501(C)(3) 7500 EVENT SPONSORSHIP SAINT LOUISE HOUSE PO BOX 150637 AUSTIN TX 78715 742968167 501(C)(3) 7500 GENERAL SUPPORT THE MENNINGER CLINIC 12301 MAIN STREET HOUSTON TX 77035 371453409 501(C)(3) 7500 EVENT SPONSORSHIP THE RISE SCHOOL 5618 H MARK CROSSWELL JR ST HOUSTON TX 77021 760606866 501(C)(3) 7000 GENERAL SUPPORT CHILD ADVOCATES OF MONTGOMERY COUNTY - CASA 412 W PHILLIPS ST NO 107 CONROE TX 77301 760333595 501(C)(3) 6500 GENERAL SUPPORT MOSAICS 33114 FOREST WEST STREET MAGNOLIA TX 77354 822349260 501(C)(3) 6250 GENERAL SUPPORT BREAKTHROUGH T1D SOUTHERN TEXAS 1776 YORKTOWN SUITE 560 HOUSTON TX 77056 231907729 501(C)(3) 6000 GENERAL SUPPORT CHILDREN'S HEART FOUNDATION 5 REVERE DRIVE ONE NORTHBROOK PLACE SUITE 200 NORTHBROOK IL 600621500 364077528 501(C)(3) 6000 GENERAL SUPPORT HAND TO HOLD 12325 HYMEADOW DRIVE SUITE 4102 AUSTIN TX 78750 273802900 501(C)(3) 6000 GENERAL SUPPORT HARRISON'S HEROES 10921 ROARING BROOK LN HOUSTON TX 770246837 474958602 501(C)(3) 6000 GENERAL SUPPORT WEST HOUSTON ASSOCIATION 820 GESSNER SUITE 1310 HOUSTON TX 77024 742043455 501(C)(4) 5500 GENERAL SUPPORT 48 2 SCHEDULE I, PART I, LINE 1 DESCRIPTION OF GRANT SELECTION CRITERIA TEXAS CHILDREN'S HOSPITAL REQUIRES ALL REQUESTS TO BE IN WRITING AND BE SUBMITTED TO THE OFFICE OF DEVELOPMENT FOR EVALUATION. THE DIRECTOR OF DEVELOPMENT MAKES A RECOMMENDATION FOR RECOGNITION OF EACH CONTRIBUTION TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF TEXAS CHILDREN'S HOSPITAL FOR FINAL APPROVAL. SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS AFTER THE SPONSORSHIP/DONATION IS MADE, WE RECEIVE AN ACKNOWLEDGMENT LETTER WITH A RECEIPT OF THE GIFT. TYPICALLY THIS LETTER TELLS US HOW THE MONEY WILL BE USED AT THEIR PARTICULAR ORGANIZATION. X X true true X X X X true true false false false false false false false DEBRA F SUKIN PHD BOARD MEMBER & CEO AS OF 10/4/24 / PRESIDENT 1540861 0 530000 0 71933 0 305850 0 47603 0 2496247 0 0 0 MARK A WALLACE BOARD MEMBER, CHAIR & CEO THROUGH 10/4/24 2097370 0 1630000 0 9521932 0 62169 0 26548 0 13338019 0 800000 0 DANIEL R DIPRISCO BOARD MEMBER / EXECUTIVE VICE PRESIDENT 677449 0 680600 0 219940 0 380527 0 44273 0 2002789 0 513492 0 DEAN B ANDROPOULOS MD BOARD MEMBER / PHYSICIAN / IN-CHIEF 0 0 0 0 0 0 194688 0 0 0 194688 0 0 0 JACQUELINE R WARD BOARD MEMBER / SVP / CHIEF NURSE EXECUTIVE 506444 0 413900 0 162951 0 116782 0 27083 0 1227160 0 312428 0 JAMES T VERSALOVIC MD PHD BOARD MEMBER / PHYSICIAN / IN-CHIEF 0 0 0 0 0 0 178464 0 0 0 178464 0 0 0 JEFFREY S SHILT MD BOARD MEMBER / PHYSICIAN / IN-CHIEF 0 0 0 0 0 0 237952 0 0 0 237952 0 0 0 KEITH C NELSON BOARD MEMBER / EVP / CHIEF INVESTMENT OFFICER 799701 0 704500 0 171852 0 413173 0 44322 0 2133548 0 568456 0 LARA S SHEKERDEMIAN MD BOARD MEMBER / PHYSICIAN / IN-CHIEF 0 0 0 0 0 0 198900 0 0 0 198900 0 0 0 LARRY H HOLLIER MD BOARD MEMBER / PHYSICIAN / IN-CHIEF 0 0 0 0 0 0 243360 0 0 0 243360 0 0 0 LINDA W ALDRED BOARD MEMBER & EVP & CHIEF HRO THROUGH 10/11/24 745439 0 560102 0 741219 0 332798 0 19278 0 2398836 0 0 0 MATTHEW T GIROTTO BOARD MEMBER / EXECUTIVE VICE PRESIDENT 534805 0 486200 0 175318 0 313583 0 49796 0 1559702 0 398435 0 MICHAEL A BELFORT MD PHD BOARD MEMBER / PHYSICIAN / IN-CHIEF 0 0 0 0 0 0 237952 0 0 0 237952 0 0 0 MYRA L DAVIS BOARD MEMBER / EVP / CHIEF INFORMATION & INNOVATION OFFICER 925924 0 835300 0 926081 0 334573 0 38791 0 3060669 0 1177013 0 THIERRY AGM HUISMAN MD PHD BOARD MEMBER / PHYSICIAN / IN-CHIEF 0 902745 0 0 0 67282 0 225118 0 49976 0 1245121 0 4200 WELDON W GAGE BOARD MEMBER / EVP / CFO 1103403 0 1083900 0 298025 0 604327 0 28958 0 3118613 0 823885 0 JESSICA V FLEISCHER FORMER OFFICER 83577 0 0 0 23818 0 12724 0 11272 0 131391 0 0 0 LANCE A LIGHTFOOT FORMER OFFICER & SENIOR VICE PRESIDENT 483102 0 0 0 1443343 0 39266 0 23847 0 1989558 0 93952 0 AFSHEEN S DAVIS BOARD SECRETARY AS OF 10/12/24 / SVP & GENERAL COUNSEL 434080 0 353500 0 84880 0 74643 0 46696 0 993799 0 0 0 AISHA JAMAL BOARD SECRETARY THROUGH 10/11/24 263251 0 222768 0 394625 0 142948 0 15561 0 1039153 0 16125 0 AMANDA R WILLIAMS ASSISTANT SECRETARY AS OF 11/7/24 259233 0 500 0 21637 0 21760 0 35727 0 338857 0 0 0 BRADLEY S MORRILL ASSISTANT SECRETARY THROUGH 11/6/24 126224 0 500 0 12459 0 11425 0 17414 0 168022 0 0 0 IVETT T SHAH FORMER KEY EMPLOYEE & SENIOR VICE PRESIDENT 0 0 0 0 119423 0 5625 0 0 0 125048 0 0 0 TABITHA L RICE FORMER KEY EMPLOYEE & EXECUTIVE VICE PRESIDENT 363973 0 0 0 248739 0 39801 0 21266 0 673779 0 62000 0 BERT M GUMERINGER SENIOR VICE PRESIDENT 401276 0 335000 0 144120 0 36928 0 30851 0 948175 0 0 0 CRAIG J MILLS SENIOR VICE PRESIDENT 482937 0 374400 0 59836 0 91532 0 47048 0 1055753 0 0 0 KELLY JO GOLSON CHIEF BRAND & EXTERNAL AFFAIRS OFFICER 119186 0 125000 0 646842 0 2325 0 4881 0 898234 0 0 0 RUSSELL WILLIAMS CHIEF OPERATING OFFICER 627969 0 333600 0 64811 0 124070 0 40475 0 1190925 0 0 0 STANLEY W SPINNER MD VICE PRESIDENT / PHYSICIAN 474859 0 394200 0 154718 0 48140 0 34324 0 1106241 0 257550 0 SCHEDULE J, PART I, LINE 1A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE KELLY JO GOLSON, A HIGHEST COMPENSATED EMPLOYEE, RECEIVED A HOUSING ALLOWANCE. THE AMOUNT WAS REPORTED AS TAXABLE COMPENSATION. SCHEDULE J, PART I, LINE 1A PERSONAL SERVICES DR. DEBRA SUKIN, A BOARD MEMBER AND OFFICER, RECEIVED PERSONAL TRANSPORTATION SERVICES. THE AMOUNT WAS NOT REPORTED AS TAXABLE COMPENSATION. SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT DURING CALENDAR YEAR 2024, THE ORGANIZATION MADE SEVERANCE PAYMENTS TO THE FOLLOWING INDIVIDUALS, WHICH WAS TREATED AS TAXABLE AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): AISHA JAMAL $72,800 KELLY JO GOLSON $494,712 LANCE A. LIGHTFOOT $317,990 LINDA W. ALDRED $183,040 MARK A. WALLACE $7,008,300 SCHEDULE J, PART I, LINE 4B 457(F) PLAN 457(F) PLAN: PAID/DEFERRED AFSHEEN S. DAVIS $31,504 / $46,620 AISHA JAMAL $213,514 / $0 BERT M. GUMERINGER $57,436 / $0 CRAIG J. MILLS $32,997 / $68,252 DANIEL R. DIPRISCO $167,425 / $126,118 DEBRA F. SUKIN $0 / $295,500 JACQUELINE R. WARD $93,034 / $79,068 KEITH C. NELSON $137,283 / $132,066 KELLY JO GOLSON $119,516 / $0 LANCE A. LIGHTFOOT $905,895 / $0 LINDA W. ALDRED $174,898 / $0 MARK A. WALLACE $566,100 / $0 MATTHEW T. GIROTTO $112,141 / $97,060 MYRA L. DAVIS $850,054 / $0 RUSSELL WILLIAMS $0 / $103,820 STANLEY W. SPINNER $73,660 / $0 THIERRY A.G.M. HUISMAN $4,551 / $5,175 WELDON W. GAGE $231,276 / $221,298 457(F): THE 457(F) PLAN IS A NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT ALLOWS EXECUTIVES AND ELIGIBLE PHYSICIANS TO RECEIVE SUPPLEMENTAL RETIREMENT INCOME. FUNDS MAY BE CREDITED INTO THIS ACCOUNT FROM AN EMPLOYER CONTRIBUTION, CALCULATED BASED ON AN INDIVIDUAL'S TITLE AND BASE SALARY AS OF JANUARY 1. THESE EMPLOYER FUNDED CONTRIBUTIONS VEST AFTER THE EARLIER OF 5 YEARS IN THE PLAN, THE ATTAINMENT OF AGE 60 WITH 75 POINTS DETERMINED AS THE SUM OF AGE AND YEARS OF SERVICE, OR AT AGE 65 WITH 3 OR MORE YEARS OF SERVICE. SCHEDULE J, PART I, LINE 4B SPLIT-DOLLAR LIFE INSURANCE PLAN CERTAIN INDIVIDUALS LISTED AT FORM 990, PART VII, HAVE SPLIT-DOLLAR LIFE INSURANCE POLICIES. THE PREMIUMS PAID BY TEXAS CHILDREN'S HOSPITAL WILL BE RECOVERED PARTIALLY OR FULLY WHEN THE POLICY IS TERMINATED OR TRANSFERRED TO THE EXECUTIVE. PARTICIPANTS INCLUDE THE FOLLOWING EXECUTIVES: LANCE A. LIGHTFOOT, LINDA W. ALDRED, MARK A. WALLACE, AND MATTHEW T. GIROTTO. AMOUNTS FOR THE SURRENDERED CASH VALUE AND/OR EARNINGS ON THE CASH VALUE WERE CONSIDERED TAXABLE TO THE FOLLOWING INDIVIDUALS: LANCE A. LIGHTFOOT $96,024 LINDA W. ALDRED $170,242 MARK A. WALLACE $1,120,905 MATTHEW T. GIROTTO $6,949 A HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO 760337885 414009JX9 2015-06-03 225732600 REFUND AND REDEEM PRIOR ISSUES (1999B-1 SERIES ISSUED 07/20/99) AND BUILD HEALTH CARE FACILITIES. false false false B HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO 760337885 414009KB5 2015-06-03 160000000 BUILD HEALTH CARE FACILITIES false false false C HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO 760337885 414009MA5 2019-07-10 271811948 REFUND 2008-3 & SERIES 2009 & SERIES 2010 false false false D HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO 760337885 414009QY9 2021-07-20 399037888 BUILD HEALTHCARE FACILITIES & REFUND 2015-4 false false false A 89815000 0 225732600 0 0 0 1700783 0 0 100931817 123100000 0 2018 true false true true B 0 0 160000000 0 0 0 1274762 0 0 158725238 0 0 2018 false false true true C 133090000 271811948 0 0 178136681 2174707 0 0 0 91500560 0 2019 true false true true D 0 0 399037888 0 0 0 2711023 0 0 300001865 96325000 0 2024 true false true true A false false false false false false 0.0 0.0 0.0 false false 0 false true B false false true true false false 0.0 0.0 0.0 false false 0 false true C false true true true false false 0.0009 0.0 0.0009 false false 0 false true D false false false false false false 0.0 0.0 0.0 false false 0 false true A false false false true false false 0 false false false 0 false false true B false false false true true false 0 false false false 0 false false true C false false false true false false 0 false false false 0 false false true D false true false false false false 0 false false false 0 false false true A true B true C true D true SCHEDULE K, PART I, COLUMN (C) BOND ISSUE B ADDITIONAL CUSIP 414009KC3 SCHEDULE K, PART I, COLUMN (C) BOND ISSUE D ADDITIONAL CUSIP 414009QZ6 SCHEDULE K, PART II, LINE 13 BOND ISSUE D ISSUE USED TO REFUND SERIES 2015-4 ($96.3 MILLION); REMAINING PROCEEDS ALLOCATED TO PROJECT THAT HAS NOT COMPLETED. SCHEDULE K, PART II, LINE 13 BOND ISSUE F ISSUE USED TO REFUND SERIES 2019-B ($80.9 MILLION); REMAINING PROCEEDS ALLOCATED TO PROJECT THAT HAS NOT COMPLETED. SCHEDULE K, PART IV, LINE 2C COLUMN A ISSUER NAME: HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 07/28/2020 SCHEDULE K, PART IV, LINE 2C COLUMN B ISSUER NAME: HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 07/28/2020 SCHEDULE K, PART IV, LINE 2C COLUMN C ISSUER NAME: HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 09/30/2024 A HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO 760337885 414009RB8 2021-07-20 190350000 REFUND SERIES 2008-1 & SERIES 2008-2 false false false B HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO 760337885 414009SU5 2024-09-24 253029582 REFUND AND REDEEM PRIOR ISSUES (2019B) AND RENOVATE AND BUILD HEALTH CARE FACILITIES. false false false A 1100000 0 190350000 0 0 0 0 0 0 0 190350000 0 2021 true false true true B 0 0 253029582 0 0 0 2141632 0 0 112979556 80882750 57025644 true false false true A false true true true false false 0.0015 0.0 0.0015 false false 0 false true B false true true true false false 0.0 0 0.0 false false 0 false true A false true false false true false 0 false false false 0 false false true B false true false false false false 0 false false false 0 false false true A true B true LANCE A LIGHTFOOT FORMER OFFICER & SENIOR VICE PRESIDENT SPLIT DOLLAR LIFE INSURANCE TREATED AS LOAN X 246020 359649 false true true MATTHEW T GIROTTO BOARD MEMBER / EXECUTIVE VICE PRESIDENT SPLIT DOLLAR LIFE INSURANCE TREATED AS LOAN X 136290 304405 false true true MICHELLE M RILEY-BROWN FORMER OFFICER & EXECUTIVE VICE PRESIDENT SPLIT DOLLAR LIFE INSURANCE TREATED AS LOAN X 57030 57030 false true true TABITHA L RICE FORMER KEY EMPLOYEE & EXECUTIVE VICE PRESIDENT SPLIT DOLLAR LIFE INSURANCE TREATED AS LOAN X 118170 341228 false true true 1062312 RUSSELL COLLINS FAMILY MEMBER OF BOARD MEMBER 170515 COMPENSATION false 7286 167879 MARKET VALUE X FOOD 3 35700 COST X EQUIPMENT 84 1680 COST X TICKETS AND CERTIFICATES 20 26500 COST X TOYS 28 49154 COST 0 false true false SCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS SECURITIES - PUBLICLY TRADED - COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS OTHER - FOOD COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS OTHER - EQUIPMENT COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS OTHER - TICKETS AND CERTIFICATES COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS OTHER - TOYS COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION (CONTINUED) DURING THE YEAR, THE HOSPITAL SYSTEM OPERATED 1031 INPATIENT BEDS, MORE THAN 150 AMBULATORY SPECIALTY CLINICS, AND EXCEEDED 2,164,600 OUTPATIENT CLINIC VISITS. THE HOSPITAL IS SUPPORTED BY AN AWARD-WINNING MEDICAL STAFF OF BOARD-CERTIFIED PEDIATRIC PHYSICIANS, OBSTETRICIANS AND GYNECOLOGISTS, ADULT SUBSPECIALISTS, AND DENTISTS, AS WELL AS MORE THAN 10700 DEDICATED AND HIGLY SKILLED NURSING AND SUPPORT STAFF. TEXAS CHILDREN'S PAVILION FOR WOMEN OFFERS A FULL SPECTRUM OF GYNECOLOGICAL AND MATERNAL AND FETAL MEDICINE SERVICES, INCLUDING AN ARRAY OF FETAL DIAGNOSTIC PROCEDURES AND HIGHLY SPECIALIZED FETAL SURGERIES, THREE PRIVATE OB/GYN PRACTICES, THE FAMILY FERTILITY CENTER, THE MENOPAUSE CENTER AND THE WOMEN'S PLACE - CENTER FOR REPRODUCTIVE PSYCHIATRY. THE PAVILION HOUSES A LEVEL II AND LEVEL III NEONATAL INTENSIVE CARE UNIT ("NICU"), AND LOCATED IN THE WEST TOWER OF THE HOSPITAL IS A LEVEL IV NICU, THE HIGHEST LEVEL OF CARE AVAILABLE FOR NEWBORNS. DURING THE YEAR, THE PAVLION PERFORMED APPROXIMATELY 6,120 DELIVERIES. TEXAS CHILDREN'S HOSPITAL IS AFFILIATED WITH BAYLOR COLLEGE OF MEDICINE AND SERVES AS THEIR PRIMARY PEDIATRIC TRAINING SITE. THE HOSPITAL IS STAFFED PRIMARILY BY BAYLOR COLLEGE OF MEDICINE PHYSICIANS, AND COLLABORATES WITH BAYLOR PHYSICIANS AND RESEARCHERS ACROSS HUNDREDS OF PROJECTS TO CONTINUALLY IMPROVE TREATMENTS AND OUTCOMES FOR CHILDREN. FORM 990, PART III, LINE 4B PROGRAM SERVICE DESCRIPTION (CONTINUED) DURING THE YEAR, TEXAS CHILDREN'S INVESTED MORE THAN $83 MILLION IN CLINICAL, BASIC AND TRANSLATIONAL RESEARCH PROJECTS, EXPLORING A WIDE RANGE OF CHILDREN'S AND WOMEN'S HEALTH ISSUES. IN ADDITION, THE HOSPITAL CONTINUED ITS STRATEGIC FOCUS ON THE GROWTH AND SUCCESS OF ALL TEXAS CHILDREN'S RESEARCH ENDEAVORS THROUGH ENHANCED INFRASTRUCTURE, SUCH AS THE EXPANSION OF THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE WHERE INVESTIGATORS CAN ACCESS CUTTING EDGE IMAGING MODALITIES, SUCH AS TWO-PHOTON MICROSCOPY, AND STATE-OF-THE-ART NEUROPHYSIOLOGY AND BEHAVIORAL SCIENCE CORE RESOURCES. FORM 990, PART VI, LINE 1A TEXAS CHILDREN'S IS THE PARENT ENTITY OF TEXAS CHILDREN'S HOSPITAL. TEXAS CHILDREN'S BOARD OF DIRECTORS RETAINS SIGNIFICANT RESERVED AUTHORITIES (DETAILED IN PART VI, LINE 7B BELOW) THAT ALLOW IT TO PROVIDE STRATEGIC OVERSIGHT AND DIRECTION TO TEXAS CHILDREN'S HOSPITAL AND ITS AFFILIATED ENTITIES. TEXAS CHILDREN'S BOARD IS REPRESENTATIVE OF THE COMMUNITY SERVED AND IS COMPOSED OF 35 INDIVIDUALS, 34 OF WHICH ARE INDEPENDENT. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS TEXAS CHILDREN'S IS THE SOLE CORPORATE MEMBER OF TEXAS CHILDREN'S HOSPITAL. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY TEXAS CHILDREN'S ANNUALLY APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS PER THE ORGANIZATION'S BYLAWS, THE MEMBER HAS CERTAIN RESERVED POWERS: - APPROVE, INTERPRET, OR CHANGE THE PURPOSE OF THE CORPORATION. - FIX THE NUMBER, APPOINT, OR REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR OF THE CORPORATION. - FIX THE NUMBER, APPOINT, OR REMOVE, WITH OR WITHOUT CAUSE, ANY OFFICER OF THE CORPORATION. - APPROVE THE MERGER, DISSOLUTION, OR CONSOLIDATION, OR REORGANIZATION OF THE CORPORATION. - APPROVE THE ACQUISITION, SALE, LEASE, TRANSFER, OR OTHER ALIENATION OF PROPERTY OF THE CORPORATION, OTHER THAN IN THE USUAL AND REGULAR COURSE OF THE CORPORATION'S BUSINESS, WHEN SUCH ACQUISITION, SALE, LEASE, TRANSFER, OR OTHER ALIENATION IS ABOVE SPECIFIED FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER. - APPROVE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. - ADOPT OR AMEND SALARIES OR OTHER COMPENSATION (INCLUDING THE AWARDING OF ANY INCENTIVE COMPENSATION) OF THE OFFICERS, PHYSICIAN EMPLOYEES OF THE CORPORATION, IF ANY, AND PHYSICIANS WHO ARE INDEPENDENT CONTRACTORS TO THE CORPORATION, IF ANY. - APPROVE DEBT INCURRED BY THE CORPORATION THAT IS IN EXCESS OF SUCH LIMITS AS ARE ESTABLISHED BY THE MEMBER. - APPROVE THE DISPOSITION OF ASSETS OF THE CORPORATION AT THE TIME OF ITS DISSOLUTION. - APPROVE ANY LONG-RANGE FINANCIAL AND STRATEGIC PLANS FOR THE CORPORATION. - SELECT THE CORPORATION'S AUDITORS. - DESIGNATE ADDITIONAL OR SUCCESSOR MEMBER(S). - ANY OTHER MATTERS WITH RESPECT TO WHICH EXCLUSIVE AUTHORITY IS GRANTED TO THE MEMBER BY LAW, THE CERTIFICATE OF FORMATION, OR THESE BYLAWS. FORM 990, PART VI, LINE 8B DOCUMENTATION OF MEETINGS HELD BY COMMITTEES OF GOVERNING BODY NO SUCH COMMITTEES EXIST. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY PER A RESOLUTION APPROVED BY THE MEMBER'S BOARD OF TRUSTEES, THE MEMBER BOARD'S AUDIT, COMPLIANCE, & RISK COMMITTEE HAS DELEGATED AUTHORITY TO REVIEW THE ORGANIZATION'S COMPLETED FORM 990 PRIOR TO FILING. FOLLOWING THE AUDIT, COMPLIANCE, & RISK COMMITTEE'S REVIEW AND APPROVAL, THE COMPLETED FORM 990 IS SHARED WITH THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS AND BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY THE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY THROUGH TWO SEPARATE PROCESSES, ONE THAT APPLIES TO THE BOARD MEMBERS, AND A SECOND THAT APPLIES TO OFFICERS AND KEY EMPLOYEES. 1) BOARD MEMBERS: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE MEMBER'S BOARD LEADERSHIP AND PRESENTED TO THE MEMBER'S AUDIT, COMPLIANCE, & RISK COMMITTEE. IF THE COMMITTEE DEEMS THERE ARE ANY SIGNIFICANT ISSUES, THE RESPONSES ARE THEN REVIEWED BY THE MEMBER BOARD'S EXECUTIVE COMMITTEE AND ANY REQUIRED ACTION (RECUSEMENT FROM BOARD DELIBERATIONS RELATED TO THE CONFLICT, ETC.) IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT. 2) OFFICERS / KEY EMPLOYEES: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE SERVICES DEPARTMENT. IF THE DEPARTMENT DEEMS THERE ARE ANY SIGNIFICANT ISSUES, REQUIRED ACTION IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT AND THE BOARD IS NOTIFIED OF SUCH ACTIONS. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE ANNUAL PROCESS FOR DETERMINING COMPENSATION INCLUDES: - REVIEW AND APPROVAL BY THE MEMBER'S INDEPENDENT GOVERNING BODY AND COMPENSATION COMMITTEE, PROVIDED THAT PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE WERE NOT INVOLVED. - COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. - CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT. THE CALENDAR YEAR 2024 COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES WAS REVIEWED IN OCTOBER 2023, AND COMPENSATION OF THE ORGANIZATION'S CEO WAS REVIEWED IN JANUARY 2024. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES PLEASE REFER TO PROCESS DESCRIBED IN PART VI, LINE 15A. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE OTHER REVENUES - TOTAL REVENUE: 17415678, RELATED OR EXEMPT FUNCTION REVENUE: 17052283, UNRELATED BUSINESS REVENUE: 363395, REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 0; RESTRICTED FUNDS UTILIZED - TOTAL REVENUE: 48028499, RELATED OR EXEMPT FUNCTION REVENUE: 48028499, UNRELATED BUSINESS REVENUE: 0, REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 0; FORM 990, PART IX, LINE 11G OTHER FEES TCPSO HEALTHCARE PROGRAM SUPPORT - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: XXX-XX-XXXX, MANAGEMENT AND GENERAL EXPENSES: 3425851, FUNDRAISING EXPENSES: 49526; HEALTHCARE PROFESSIONAL SERVICES - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: XXX-XX-XXXX, MANAGEMENT AND GENERAL EXPENSES: 3703369, FUNDRAISING EXPENSES: 69773; OTHER NON-HEALTHCARE PROFESSIONAL SERVICES - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: XXX-XX-XXXX, MANAGEMENT AND GENERAL EXPENSES: 7921157, FUNDRAISING EXPENSES: 3860148; CASE MANAGEMENT SERVICES - TOTAL EXPENSE: 2105025, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 2105025, FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES ACTUARIAL GAIN ON PENSION - 10713298; ASSETS RELEASED FROM RESTRICTION - -8070139; CHANGE IN BENEFICIAL INTEREST IN AFFILIATES - XXX-XX-XXXX; CHANGE IN CHARITABLE GIFT ANNUITY - 1693; CHANGES IN FUND BALANCE - XXX-XX-XXXX; GRANT FUNDED CAPITAL - -1996312; INVESTMENT IN AFFILIATES - -XXX-XX-XXXX; TOTAL - XXX-XX-XXXX; TEXAS CHILDREN'S 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 760461578 PARENT TX 501(C)(3) TYPE II NA false TEXAS CHILDREN'S HEALTH PLAN 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 760486264 HEALTH CARE TX 501(C)(3) 10 TEXAS CHILDREN'S false TEXAS CHILDREN'S GLOBAL 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 261482195 HEALTH CARE TX 501(C)(3) TYPE II TEXAS CHILDREN'S false TEXAS CHILDREN'S HOSPITAL FOUNDATION 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 202380599 SUPPORTING ORG TX 501(C)(3) TYPE II TEXAS CHILDREN'S false TCH PEDIATRIC ASSOCIATES INC 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 760460242 HEALTH CARE TX 501(C)(3) 10 TEXAS CHILDREN'S PHYSICIAN ORGANIZATION false TEXAS CHILDREN'S PHYSICIAN GROUP 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 260834681 HEALTH CARE TX 501(C)(3) 10 TEXAS CHILDREN'S PHYSICIAN ORGANIZATION false MAIN STREET COMMUNITY INITIATIVES 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 461392824 HEALTH CARE TX 501(C)(3) TYPE I TEXAS CHILDREN'S false TEXAS CHILDREN'S URGENT CARE 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 472029489 HEALTH CARE TX 501(C)(3) 10 TCH PEDIATRIC ASSOCIATES INC false THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 760246858 SUPPORTING ORG TX 501(C)(3) TYPE I TEXAS CHILDREN'S false TEXAS CHILDREN'S PHYSICIAN ORGANIZATION 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 333549710 SUPPORTING ORG TX 501(C)(3) TYPE II TEXAS CHILDREN'S false JOINT PEDIATRIC ONCOLOGY PROGRAM - A COLLABORATION BETWEEN THE UNIVERSITY O F TEXAS MD ANDERSON CANCER CENTER AND TEXAS CHILDREN'S HOSPITAL 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 335042515 HEALTH CARE TX 501(C)(3) TYPE I TEXAS CHILDREN'S HOSPITAL false TCH INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN CJ KY11102 980176652 INSURANCE CJ NA C CORPORATION false TEXAS CHILDREN'S CLINICALLY INTEGRATED NETWORK 6330 WEST LOOP SOUTH SUITE 1300 BELLAIRE TX 77401 333557179 HEALTH CARE TX NA C CORPORATION false false true true false false false false false false true true true true true true false true true true