TEXAS CHILDRENS HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: TEXAS CHILDRENS HOSPITAL (EIN 74-1100555)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-14
IRS object ID: 202422279349302592
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-14T14:41:03+00:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9 Greenway Plaza Suite 1700	AddressLine1Txt
City	Houston	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	770460946	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	741100555	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TEXAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TEXA	BusinessNameControlTxt
Phone	8328242918	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6330 WEST LOOP SOUTH 1300	AddressLine1Txt
City	Bellaire	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WELDON GAGE	PersonNm
Person Title	Executive VP / CFO	PersonTitleTxt
Phone	8328242982	PhoneNum
Signature	2024-08-14	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	7136679147	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WELDON GAGE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6330 WEST LOOP SOUTH 1300	AddressLine1Txt
City	Bellaire	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,858,087,101	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TEXASCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	14387	TotalEmployeeCnt
Total Volunteers	393	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$90,377,913	PYContributionsGrantsAmt
CY Contributions Grants	$99,755,472	CYContributionsGrantsAmt
PY Program Service Revenue	$2,981,690,830	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,686,740,831	CYProgramServiceRevenueAmt
PY Investment Income	$38,629,226	PYInvestmentIncomeAmt
CY Investment Income	$21,579,451	CYInvestmentIncomeAmt
PY Other Revenue	$27,497,662	PYOtherRevenueAmt
CY Other Revenue	$19,935,335	CYOtherRevenueAmt
PY Total Revenue	$3,138,195,631	PYTotalRevenueAmt
CY Total Revenue	$3,828,011,089	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,206,694	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$9,631,289	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,413,915,021	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,489,142,870	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$2,709,599	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$1,997,823	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$22,866,393	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,820,454,851	PYOtherExpensesAmt
CY Other Expenses	$2,144,102,299	CYOtherExpensesAmt
PY Total Expenses	$3,247,286,165	PYTotalExpensesAmt
CY Total Expenses	$3,644,874,281	CYTotalExpensesAmt
PY Revenues Less Expenses	-$109,090,534	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$183,136,808	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,762,073,162	TotalAssetsBOYAmt
Total Assets EOY	$7,309,906,948	TotalAssetsEOYAmt
Total Liabilities BOY	$1,991,143,721	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,047,539,768	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,770,929,441	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,262,367,180	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$3,291,110,955	ExpenseAmt
Grant	$9,091,452	GrantAmt
Revenue	$3,645,086,492	RevenueAmt
Desc	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. DURING THE YEAR, THE HOSPITAL SYSTEM OPERATED 905 INPATIENT BEDS, MORE THAN 130 AMBULATORY SPECIALTY CLINICS, AND EXCEEDED 1,872,200 OUTPATIENT CLINIC VISITS. THE HOSPITAL IS SUPPORTED BY AN AWARD-WINNING MEDICAL STAFF CONSISTING OF MORE THAN 890 BOARD-CERTIFIED PEDIATRIC PHYSICIANS, OBSTETRICIANS AND GYNECOLOGISTS, ADULT SUBSPECIALISTS, AND DENTISTS, AS WELL AS MORE THAN 12,100 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 6,539 DELIVERIES AND OPENED THE PAVILION FOR WOMEN TOWER II IN AUGUST 2023. THE PAVILION TOWER II WILL PROVIDE MORE SPACE FOR DELIVERY ROOMS AND SPECIALIZED CLINICS THAT CATER TO WOMEN AT EVERY STAGE OF LIFE. 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$137,313,157	ExpenseAmt
Grant	$379,318	GrantAmt
Revenue	$47,930,690	RevenueAmt
Desc	RESEARCH: TEXAS CHILDREN'S/BAYLOR RESEARCHERS AT THE FEIGIN CENTER, 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. DURING 2023, TEXAS CHILDREN'S INVESTED MORE THAN $137 MILLION IN OVER 1,700 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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$58,107,847	ExpenseAmt
Grant	$160,519	GrantAmt
Revenue	$13,576,457	RevenueAmt
Desc	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 54 SUB-SPECIALTY CARE OFFERINGS. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, THE HOSPITAL INVESTED MORE THAN $52 MILLION IN THE TRAINING OF OVER 1,200 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. BAYLOR'S PEDIATRIC RESIDENCY PROGRAM IS THE LARGEST TRAINING GROUND FOR PEDIATRICS AND ONE OF THE MOST COMPETITIVE IN THE COUNTRY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$3,486,531,959	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	796	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	14387	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Scott Elliott	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8328242951	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6330 WEST LOOP SOUTH STE 1300	AddressLine1Txt
City	BELLAIRE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MARK A WALLACE
BOARD MEMBER / CHAIR / PRESIDENT / CEO	36.0	4.0	Yes (X)	Yes (X)	$6,159,574	$0	$1,510,348
DANIEL R DIPRISCO
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	36.0	4.0	Yes (X)		$1,415,226	$0	$308,452
DEAN B ANDROPOULOS MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	38.0	2.0	Yes (X)		$825,776	$0	$0
JACQUELINE R WARD
BOARD MEMBER / SENIOR VICE PRESIDENT / CHIEF NURSING OFFICER	40.0	0.0	Yes (X)		$703,440	$0	$212,343
JAMES VERSALOVIC MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	37.0	3.0	Yes (X)		$1,410,515	$0	$0
Jeffrey S Shilt MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	37.0	3.0	Yes (X)		$155,700	$0	$0
LARA S SHEKERDEMIAN MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	37.0	3.0	Yes (X)		$180,500	$0	$100,000
Larry Hollier MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	38.0	2.0	Yes (X)		$212,300	$0	$0
MARK W MULLARKEY
BOARD MEMBER & EXECUTIVE VICE PRESIDENT THROUGH 2/24/23	28.0	12.0	Yes (X)		$1,860,899	$0	$391,518
MATTHEW T GIROTTO
BOARD MEMBER AS OF 4/1/23 / SENIOR VICE PRESIDENT ALL YEAR	38.0	2.0	Yes (X)		$1,078,616	$0	$192,981
MICHAEL A BELFORT MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	37.0	3.0	Yes (X)		$1,086,000	$0	$0
MICHELLE M RILEY-BROWN
BOARD MEMBER THROUGH 3/31/23 / EXECUTIVE VICE PRESIDENT THROUGH 4/15/23	35.0	5.0	Yes (X)		$1,820,170	$0	$421,507
TABITHA L RICE
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	37.0	3.0	Yes (X)		$1,632,963	$0	$311,748
THIERRY AGM HUISMAN MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	1.0	39.0	Yes (X)		$0	$2,109,351	$66,990
WELDON W GAGE
BOARD MEMBER / EXECUTIVE VICE PRESIDENT / CHIEF FINANCIAL OFFICER	38.0	2.0	Yes (X)		$2,265,469	$0	$481,183
AISHA JAMAL
BOARD SECRETARY AS OF 3/9/23 / VICE PRESIDENT ALL YEAR	33.0	7.0		Yes (X)	$399,578	$0	$125,198
LANCE A LIGHTFOOT
BOARD SECRETARY THROUGH 3/8/23 / SENIOR VICE PRESIDENT ALL YEAR	31.0	9.0		Yes (X)	$1,653,642	$0	$311,254
IVETT T SHAH
SENIOR VICE PRESIDENT THROUGH 09/27/22	39.0	1.0			$719,282	$0	$35,676	Yes (X)
KEITH C NELSON
SENIOR VICE PRESIDENT / CHIEF INVESTMENT OFFICER	40.0	0			$1,681,715	$0	$271,686	Yes (X)
LINDA W ALDRED
SENIOR VICE PRESIDENT & CHIEF HUMAN RESOURCES OFFICER	40.0	0			$2,042,706	$0	$175,922	Yes (X)
MYRA L DAVIS
SENIOR VICE PRESIDENT / CHIEF INFORMATION & INNOVATION OFFICER	40.0	0			$2,109,960	$0	$326,067	Yes (X)
STANLEY W SPINNER MD
VICE PRESIDENT / CHIEF MEDICAL OFFICER / PHYSICIAN	38.0	2.0			$675,162	$0	$154,031	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$30,089,193	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,109,351	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,396,904	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3796	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
BAYLOR COLLEGE OF MEDICINE
1 BAYLOR PLAZA	HOUSTON	TX	77030	PHYSCN & FACULTY SVC	$95,003,553
MCKESSON PLASMA AND BIOLOGICS LLC
16578 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	HEALTH SOLUTIONS	$71,838,244
TRUSTED HEALTH INC
604 MISSION ST	SAN FRANCISCO	CA	94105	EMPLOYMENT AGENCY	$43,214,619	STE 500
MCKESSON CORPORATION
One Post Street	SAN FRANCISCO	CA	94104	HEALTH SOLUTIONS	$41,987,266
RIGHTSOURCING INC
PO Box 515743	Los Angeles	CA	90051	EMPLOYMENT AGENCY	$18,700,195

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	273	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$1,267,668	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$15,771,532	GovernmentGrantsAmt
All Other Contributions	$82,716,272	AllOtherContributionsAmt
Noncash Contributions	$2,253,542	NoncashContributionsAmt
Total Contributions	$99,755,472	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	622310	$2,850,442,226	$2,850,442,226	$0	$0
MEDICAID & SUPPLEMENTAL REIMBURSEMENTS	622310	$453,224,141	$453,224,141	$0	$0
PHARMACY REVENUE	622310	$229,364,897	$229,364,897	$0	$0
MANAGEMENT SERVICES	541611	$34,018,917	$34,018,917	$0	$0
RENTAL INCOME	900099	$14,505,086	$14,505,086	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,185,564	TotalRevenueColumnAmt
Related Or Exempt Func Income	$105,185,564	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,686,740,831	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,636,633	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$21,636,633	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$269,521	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$78,586	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$190,935	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$190,935	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$190,935	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$27,182,670	SecuritiesAmt
Other	$120,973	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$26,488,691	SecuritiesAmt
Other	$872,134	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$693,979	SecuritiesAmt
Other	-$751,161	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$57,182	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$57,182	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$172,090	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,267,668	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$673,089	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$500,999	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$500,999	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,356,103	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,963,512	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$392,591	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$392,591	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PARKING GARAGE REVENUE	812930	$17,421,966	$17,421,966	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,430,842	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,430,842	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$19,852,808	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,828,011,089	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,706,593,639	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$21,661,978	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$9,331,289	TotalAmt
Program Services	$9,331,289	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$300,000	TotalAmt
Program Services	$300,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$51,408,310	TotalAmt
Program Services	$51,408,310	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,153,714,702	TotalAmt
Program Services	$1,078,221,637	ProgramServicesAmt
Management And General	$66,433,639	ManagementAndGeneralAmt
Fundraising	$9,059,426	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$43,488,630	TotalAmt
Program Services	$41,771,683	ProgramServicesAmt
Management And General	$1,349,142	ManagementAndGeneralAmt
Fundraising	$367,805	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$154,114,803	TotalAmt
Program Services	$143,640,351	ProgramServicesAmt
Management And General	$8,874,133	ManagementAndGeneralAmt
Fundraising	$1,600,319	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$86,416,425	TotalAmt
Program Services	$80,333,296	ProgramServicesAmt
Management And General	$5,402,691	ManagementAndGeneralAmt
Fundraising	$680,438	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,676,113	TotalAmt
Program Services	$175,005	ProgramServicesAmt
Management And General	$3,500,527	ManagementAndGeneralAmt
Fundraising	$581	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$590,953	TotalAmt
Program Services	$120,667	ProgramServicesAmt
Management And General	$469,249	ManagementAndGeneralAmt
Fundraising	$1,037	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$630,801	TotalAmt
Management And General	$630,801	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$1,997,823	TotalAmt
Fundraising	$1,997,823	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$679,829,017	TotalAmt
Program Services	$661,759,043	ProgramServicesAmt
Management And General	$15,198,825	ManagementAndGeneralAmt
Fundraising	$2,871,149	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$26,825,587	TotalAmt
Program Services	$25,874,810	ProgramServicesAmt
Management And General	$737,560	ManagementAndGeneralAmt
Fundraising	$213,217	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$76,187,255	TotalAmt
Program Services	$71,757,666	ProgramServicesAmt
Management And General	$4,273,164	ManagementAndGeneralAmt
Fundraising	$156,425	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$107,072,288	TotalAmt
Program Services	$100,970,416	ProgramServicesAmt
Management And General	$5,242,242	ManagementAndGeneralAmt
Fundraising	$859,630	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$80,222,202	TotalAmt
Program Services	$77,804,802	ProgramServicesAmt
Management And General	$2,137,701	ManagementAndGeneralAmt
Fundraising	$279,699	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,406,642	TotalAmt
Program Services	$3,912,818	ProgramServicesAmt
Management And General	$264,311	ManagementAndGeneralAmt
Fundraising	$229,513	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$4,825,657	TotalAmt
Program Services	$2,688,229	ProgramServicesAmt
Management And General	$261,459	ManagementAndGeneralAmt
Fundraising	$1,875,969	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$30,118,293	TotalAmt
Program Services	$29,298,548	ProgramServicesAmt
Management And General	$629,544	ManagementAndGeneralAmt
Fundraising	$190,201	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$153,033,547	TotalAmt
Program Services	$151,616,313	ProgramServicesAmt
Management And General	$980,739	ManagementAndGeneralAmt
Fundraising	$436,495	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,760,807	TotalAmt
Program Services	$695,124	ProgramServicesAmt
Management And General	$10,060,276	ManagementAndGeneralAmt
Fundraising	$5,407	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
ENHANCED MISSION SUPPORT	$413,507,593	$413,507,593
PHARMACEUTICAL SUPPLIES	$281,492,857	$281,492,857
MEDICAL AND SURGICAL SUPPLIES	$184,756,080	$184,756,080
RECRUITING	$16,528,928	$12,886,298	$3,416,348	$226,282

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$69,637,679	TotalAmt
Program Services	$62,209,124	ProgramServicesAmt
Management And General	$5,613,578	ManagementAndGeneralAmt
Fundraising	$1,814,977	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,644,874,281	TotalAmt
Program Services	$3,486,531,959	ProgramServicesAmt
Management And General	$135,475,929	ManagementAndGeneralAmt
Fundraising	$22,866,393	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,215,827	BOYAmt
EOY	$14,833,290	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,965,203	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$120,757,779	BOYAmt
EOY	$123,996,786	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$662,812,637	BOYAmt
EOY	$617,802,937	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$2,642,538	BOYAmt
EOY	$2,666,780	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$39,858,046	BOYAmt
EOY	$35,312,543	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$220,654,022	BOYAmt
EOY	$241,574,720	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,317,602,912	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,979,650,397	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,196,278,203	BOYAmt
EOY	$2,337,952,515	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$537,148,815	BOYAmt
EOY	$474,349,465	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$18,403	BOYAmt
EOY	$18,403	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$230,312,524	BOYAmt
EOY	$240,507,397	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,739,374,368	BOYAmt
EOY	$3,218,926,909	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,762,073,162	BOYAmt
EOY	$7,309,906,948	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$578,015,245	BOYAmt
EOY	$613,022,076	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$65,849,699	BOYAmt
EOY	$66,916,919	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$953,406,476	BOYAmt
EOY	$1,079,911,748	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$599,187	BOYAmt
EOY	$476,048	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$393,273,114	BOYAmt
EOY	$287,212,977	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,991,143,721	BOYAmt
EOY	$2,047,539,768	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,357,629,020	BOYAmt
EOY	$4,809,989,578	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$413,300,421	BOYAmt
EOY	$452,377,602	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,770,929,441	BOYAmt
EOY	$5,262,367,180	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,762,073,162	BOYAmt
EOY	$7,309,906,948	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$183,136,808	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$54,271,679	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$254,029,252	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$427,348	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$203,453	OtherActivitiesAmt
Total Lobbying Expenditures	$630,801	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	TEXAS CHILDREN'S HOSPITAL (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 ADVOCACY, THE GOVERNMENT RELATIONS DEPARTMENT PROVIDES 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 ATTRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$183,957,526	BeginningYearBalanceAmt
Contributions	$7,427,665	ContributionsAmt
Investment Earnings Or Losses	$14,299,061	InvestmentEarningsOrLossesAmt
Administrative Expenses	$6,194,782	AdministrativeExpensesAmt
End Year Balance	$199,489,470	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$222,836,472	BeginningYearBalanceAmt
Contributions	$5,802,275	ContributionsAmt
Investment Earnings Or Losses	-$35,377,485	InvestmentEarningsOrLossesAmt
Administrative Expenses	$9,303,736	AdministrativeExpensesAmt
End Year Balance	$183,957,526	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$201,207,680	BeginningYearBalanceAmt
Contributions	$7,327,318	ContributionsAmt
Investment Earnings Or Losses	$22,980,171	InvestmentEarningsOrLossesAmt
Administrative Expenses	$8,678,697	AdministrativeExpensesAmt
End Year Balance	$222,836,472	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$185,987,863	BeginningYearBalanceAmt
Contributions	$7,506,964	ContributionsAmt
Investment Earnings Or Losses	$16,097,647	InvestmentEarningsOrLossesAmt
Administrative Expenses	$8,384,794	AdministrativeExpensesAmt
End Year Balance	$201,207,680	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$185,000,713	BeginningYearBalanceAmt
Contributions	$6,077,225	ContributionsAmt
Investment Earnings Or Losses	$2,446,808	InvestmentEarningsOrLossesAmt
Administrative Expenses	$7,536,883	AdministrativeExpensesAmt
End Year Balance	$185,987,863	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$159,243,951	OtherCostOrOtherBasisAmt
Book Value	$159,243,951	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,710,181,585	OtherCostOrOtherBasisAmt
Depreciation	$538,464,217	DepreciationAmt
Book Value	$1,171,717,368	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$56,669,818	OtherCostOrOtherBasisAmt
Depreciation	$43,897,344	DepreciationAmt
Book Value	$12,772,474	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,872,037,198	OtherCostOrOtherBasisAmt
Depreciation	$1,286,852,136	DepreciationAmt
Book Value	$585,185,062	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$519,470,360	OtherCostOrOtherBasisAmt
Depreciation	$110,436,700	DepreciationAmt
Book Value	$409,033,660	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,337,952,515	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN TEXAS CHILDREN'S HOSPITAL FOUNDATION	$2,558,672,274
TCH INSURANCE COMPANY REBATE RECEIVABLE	$56,181,185
MISC RECEIVABLES	$154,452,189
INTEREST RATE SWAP	$9,181,262
DUE FROM AFFILIATES	$294,481,697
WAIVER RECEIVABLE	$145,958,302

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,218,926,909	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$26,077,551
INTEREST RATE SWAP	$6,557,673
DEFERRED COMPENSATION	$13,397,367
RETIREMENT PLAN LIABILITY	$8,936,451
OTHER LONG-TERM LIABILITY	$243,935
LINE OF CREDIT	$232,000,000

Field	Value	IRS element (for citing)
Total Liability	$287,212,977	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, 2023 OR 2022.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
East Asia and the Pacific	Program Services	Patient care services	$22,693
Europe (Including Iceland and Greenland)	Program Services	Patient Care Services	$1,197,730
Middle East and North Africa	Program Services	Patient care services	$5,693
North America (Canada & Mexico only)	Program Services	Patient care services	$3,069,158
Sub-Saharan Africa	Program Services	Patient care services	$4,453,133
Central America and the Caribbean	Program Services	Patient Care Services	$7,647
South America	Program Services	Patient Care Services	$7,542
South Asia	Program Services	Patient Care Services	$1,111

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$8,764,707	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$8,764,707	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
RKD GROUP
3400 WATERVIEW PKWY STE 250	RICHARDSON	TX	75080	Direct Mail	false	$2,016,775	-$2,016,775
CHILDREN'S MIRACLE NETWORK HOSPITALS
205 W 700 S	SALT LAKE CITY	UT	84101	Fundraising Services	false	$407,257	-$407,257
WARD & AMES SPECIAL EVENTS
7500 SAN FELIPE STREET STE 350	HOUSTON	TX	77063	Event Coordinator	false	$339,814	-$339,814
GRENZEBACH GLIER AND ASSOCIATES
200 S MICHIGAN AVE STE 2100	CHICAGO	IL	60604	CAMPAIGN FEASIBILITY STUDY	false	$339,735	-$339,735
COMMUNITY COUNSELING SERVICE
527 MADISON AVENUE FIFTH FLOOR	NEW YORK	NY	10022	Campaign Management Services	false	$78,130	-$78,130
DENA JOY
808 LEHMAN STREET	HOUSTON	TX	77018	Direct Mail	false	$43,060	-$43,060
CATHEXIS PARTNERS
122 CELEBRATION BLVD	CELEBRATION	FL	34747	IT Services	false	$41,963	-$41,963
STELTER COMPANY
10435 NEW YORK AVE	DES MOINES	IA	50322	Planned Giving Solicitations	false	$32,503	-$32,503
DINI SPHERIS
2727 ALLEN PARKWAY STE 1650	HOUSTON	TX	77019	Fundraising Consulting Services	false	$5,000	-$5,000

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$3,304,237	TotalRetainedByContractorsAmt
Total Net To Organization	-$3,304,237	TotalNetToOrganizationAmt
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DE	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	AL	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	ID	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	IA	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	AK	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	AZ	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	SD	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	AN EVENING WITH FOOTABALL LEGENDS	Event1Nm
Gross Receipts Event1	$540,752	GrossReceiptsEvent1Amt
Charitable Contri Event1	$488,286	CharitableContriEvent1Amt
Gross Revenue Event1	$52,466	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$0	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$420,229	OtherDirectExpensesEvent1Amt
Event2	THE BAD PANTS OPEN	Event2Nm
Gross Receipts Event2	$357,276	GrossReceiptsEvent2Amt
Charitable Contri Event2	$266,276	CharitableContriEvent2Amt
Gross Revenue Event2	$91,000	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$0	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$168,702	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$541,730	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$513,106	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$28,624	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$0	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$84,158	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,439,758	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,267,668	CharitableContributionsTotAmt
Gross Revenue Total Events	$172,090	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$0	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$0	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$0	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$673,089	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$673,089	DirectExpenseSummaryEventsAmt
Net Income Summary	-$500,999	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,197,147	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,958,083	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,239,064	NetCommunityBenefitExpnsAmt
Total Expense	0.0113	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,819,877,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,447,397,781	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$372,479,719	NetCommunityBenefitExpnsAmt
Total Expense	0.1022	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,398,254	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,129,161	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,269,093	NetCommunityBenefitExpnsAmt
Total Expense	0.0047	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,898,472,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,467,485,025	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$430,987,876	NetCommunityBenefitExpnsAmt
Total Expense	0.1182	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,896,590	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,672,887	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,223,703	NetCommunityBenefitExpnsAmt
Total Expense	0.0023	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,944,099	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,058,714	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,885,385	NetCommunityBenefitExpnsAmt
Total Expense	0.0093	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,621,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,252,059	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,369,842	NetCommunityBenefitExpnsAmt
Total Expense	0.0031	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$134,059,072	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,307,508	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$97,751,564	NetCommunityBenefitExpnsAmt
Total Expense	0.0268	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,686,704	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,663,704	NetCommunityBenefitExpnsAmt
Total Expense	0.0021	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$241,208,366	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,314,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$158,894,198	NetCommunityBenefitExpnsAmt
Total Expense	0.0436	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,139,681,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,549,799,193	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$589,882,074	NetCommunityBenefitExpnsAmt
Total Expense	0.1618	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$194,349	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$194,349	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,490	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,490	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$178,693	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$178,693	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$194,639	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$194,639	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,900	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$135,343	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$135,343	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$797,414	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$797,414	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,157,382	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$7,911,217	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,668,317	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,757,100	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TEXAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6621 FANNIN STREET	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.TEXASCHILDRENS.ORG	WebsiteAddressTxt
State License	000117	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TEXAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.texaschildrens.org/about-us/community-benefit-efforts/reports-community-health-needs	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.texaschildrens.org/about-us/community-benefit-efforts/reports-community-health-needs	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	Prioritized Community Health Needs Texas Children's identified four key health needs through an extensive process including but not limited to key informant interviews, focus groups and community meeting surveillance. 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) 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 6a 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 GIS and Community Assessment Methods classes from the Fall 2021 through Fall 2022 semesters. No other hospital facilities were involved in these efforts.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Texas Children's Hospital. 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 Texas Children's 2022 Community Health Needs Assessment identified four key community health issues needing specific Hospital expertise and resources, prioritized in the following order: 1. Mental and Behavioral Health 2. Social Determinants of Health a. Economic stability b. Food insecurity c. Access to care d. Health literacy 3. Maternal Health 4. Chronic Disease and Unhealthy Lifestyle Texas Children's is addressing these needs by employing the strategies outlined in the Texas Children's 2023-2025 Community Health Implementation Strategy. This strategy, developed by the CBW and reviewed and endorsed by the Board of Trustees, presents current actions Texas Children's is taking to address these needs in addition to proposed actions and strategies. Mental and Behavioral Health Current and planned actions to address this issue: Action 1 - Support the community with resources, evidence-based tools, and trainings in prevention and early intervention in mental and behavioral health. * Through clinical services, training and education, research and community programs, the Division of Public Health Pediatrics is leading a larger effort to reframe how children and families receive care and services that mitigate adversities and that foster resilience within our community. Texas Children's Hospital offers trainings related to behavioral health in the community through partnerships with Public Health Pediatrics and the Behavioral Health department. * The Division of Public Health Pediatrics at Texas Children's Hospital and Baylor College of Medicine was established in recognition that complex family and community forces play a substantial role in the health and well-being of children. The mission of the Division is to create a healthier future for Texas' children and families by leading in patient care, education, services and research that seeks to mitigate childhood adversities and foster individual, family and community resilience. In response to community needs and community feedback, in 2022 the Division launched upSTART, a suite of community-based programs offered to families with young children that addresses early brain development, social determinants of health, mental health and maternal health. Licensed nurses, social workers, community health workers, speech language pathologists and parent educators work together to provide education and training and connect families to community resources. * The Gatekeeper Training program was specially designed to teach Texas Children's and Baylor College of Medicine employees how to identify warning signs of suicide and to provide tools for navigating these difficult situations. More than 13,000 team members have completed this training and report feeling more comfortable about engaging in challenging conversations related to suicide. In 2023 all new onboarding employees receive this as required training as well. * Texas Children's Health Plan in 2023 continued partnerships with Aldine ISD and additional Houston area school systems to provide education on mental health for adolescents. Action 2 - Explore the logistics of continuing and expanding services provided in current Texas Children's mental and behavioral health programs. * Texas Children's Hospital and The Menninger Clinic have partnered to address the mental health epidemic adolescents are facing in the wake of the COVID-19 pandemic and crisis warnings sounded by the U.S. Surgeon General. This new affiliation will expand access to inpatient care for Houston patients ages 12 to 17 experiencing a behavioral health crisis. In 2023 Texas Children's had a relationship allowing for 12 psychiatric inpatient beds. * Texas Children's is expanding behavioral health services in the Greater Houston area. Recent philanthropic support has allowed Texas Children's to hire behavioral health specialists in Texas Children's Pediatrics (TCP) practices in Fort Bend County. In 2023 Texas Children's continues to add more behavioral health specialists in TCP practices throughout the Greater Houston area. * Texas Children's Behavioral Support team supports partnerships with the community and care management to establish community connections for discharge planning, including school partnerships, community providers for therapeutic and psychiatric needs and long-term care facilities when indicated. Action 3 - Support initiatives, programs and screenings to increase identification of mental and behavioral health issues. Expanded suicide risk screening has proven to optimize identification of adults and children at risk of suicide (Bryan et al., 2023). * Texas Children's screens patients for suicide ideation in inpatient areas, Emergency Centers and Behavioral Health care clinics and locations. * Texas Children's Government Relations continues to identify opportunities for Texas Children's physician experts and leaders to advocate at the state legislature by participating in various committee hearings with a focus on pediatric mental health in Texas. * At the federal level, Texas Children's is actively engaged in advocacy on the following legislative proposals: S. 4472, Health Care Capacity for Pediatric Mental Health Act H.R. 4943, Children's Mental Health Infrastructure Act H.R. 4944, Helping Kids Cope Act H.R. 7236, Strengthening Kids Mental Health Now Act * In 2023 Texas Children's engaged in the following outreach to affirm these goals: 35 presentations to the community on child abuse and maltreatment, adverse childhood experiences, and trauma informed care - Over 2300 people 15 presentation to the community and within our organization around Zero Suicide - Total of 900 people 12 presentations on Human Trafficking that meet the licensing requirements of HB2059 - Over 850 employees Social Determinants of Health Current and planned actions to address this issue: Action 1 - Support programs and partnerships that improve quality of life and health outcomes across communities living in poverty. Research shows socioeconomic factors alone may account for 47% of health outcomes, while health behaviors, clinical care and the physical environment account for 34%, 16% and 3% of health outcomes, respectively (Whitman et al., 2022). * In response to community needs and community feedback, in 2022 the Division of Public Health Pediatrics launched upSTART, a suite of community-based programs offered to families with young children that addresses early brain development, social determinants of health, mental health and maternal health. Licensed nurses, social workers, community health workers, speech-language pathologists and parent educators work together to provide education and training and connect families to community resources. * 2023 Capacity Building: In partnership with UTHealth Houston and Texas Prevention and Early Intervention, the Division trains professionals on how to support pregnant individuals and families with complex social needs, including substance use disorders, through an evidence-informed tool, the Family CARE Portfolio. The goal of this tool is to promote healthy pregnancies and family health and keep children safe in the home. Similarly, the Division also trains professionals to deliver the Parenting Action Plan, a tool that is designed to help maternal caregivers of newborns understand and plan for common stressors often experienced during an infant's first few months of life. * 2023 Education: The Division also offers trainings to community members and professionals on topics including positive parenting, recognizing, and responding to abuse and neglect, early brain development and adverse childhood experiences. * 2023 Collaboration: The Division both leads and participates in various community collaboratives designed to promote health equity and prevent youth suicides and unnatural child deaths. Specifically, the Division leads the Harris County Child Fatality Review team, which brings together local partners to review child deaths from a public health perspective in order to identify trends and strategies to decrease preventable child deaths. * 2023 Workforce Development: In collaboration with Trust CHW, the Division is providing free Community Health Worker certification training to current/prior upSTART participants. * Texas Children's plans to establish a strategic partnership with a non-profit or community agency which addresses food insecurity in the Greater Houston Area. Specifically, 2023 saw continued sponsorship of Kid's Meals and the Houston Food Bank. (See continuation of Part V, Line 11)
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Texas Children's Hospital. Action 2 - Support efforts to screen families for social determinants of health and connect families to resources. * Texas Children's continues in 2023 to utilize Findhelp.org is a free-for-use search engine to connect social services providers with the people they serve. Using zip code information, it connects users with a list of social service categories including food, housing, care, and transit. This tool facilitates referrals, establishes connections and supports quick follow-up and close referral loops. * The Center for Child Health Policy and Advocacy received grant funding through Episcopal Health Foundation which allowed implementation of a bundle of interventions to improve neurocognitive and developmental outcomes in young children at risk for health inequities. This bundle will use an intergenerational care model, focused on the needs of young children and their parents, to maximize benefits to the child. Two major upstream factors significantly associated with poor neurocognitive and developmental outcomes in children will be addressed - maternal mental health and household food insecurity. The program includes integrated screening for food insecurity, social needs, and mental health needs with direct connections to behavioral health clinicians and/or Houston Food Bank Navigators (respectively). Action 3- Participate in community-based collaborative efforts to support access to basic needs and social determinants of health. * Drs. Claire Bocchini and Michelle Lopez are members of the Board of Directors of CHILDREN AT RISK, a non-partisan research and advocacy nonprofit dedicated to understanding and addressing the root causes of child poverty and inequality. Established in 1989 by Houston child advocates and researchers, it has grown into a statewide organization tackling Texas children's and families' most pressing needs. Texas Children's Hospital has been a continuing sponsor for CHILDREN AT RISK, contributing to ongoing initiatives such as this. * Dr. Nancy Correa sits on the Steering Committee of the Health Equity Collective, a multi-sector effort focused on creating a more equitable health ecosystem in Greater Houston. The Collective has over 400 members representing over 140 organizations and more than 50 coalitions aligned with a shared mission to establish an impactful, sustainable, data-driven system to promote health equity and address the social drivers of health outcomes. Through this data sharing ecosystem, we aim to implement a comprehensive population-level approach to understand and effectively and efficiently address SDOH across the Greater Houston area. Action 4- Leverage partnerships and services to support community-based organizations focused on improving health insurance coverage and education in vulnerable communities. * Texas Children's Health Plan (TCHP) continues to identify geographic-specific partnerships with over 30 organizations, including nonprofit groups, community organizations, social services, school districts and police departments. Through these partnerships, community outreach events are facilitated to assist families with applications for the Children's Health Insurance Programs (CHIP) and Medicaid Programs. Maternal Health Current actions and plans to address this issue: Action 1 - Support and expand partnerships and programs which offer support services for pregnant women and new mothers. * Texas Children's Center for Childhood Injury Prevention - The Safe at Home Program focuses on infant safe sleep, home safety and water safety education and teaches parents how to childproof their homes and identify potential drowning hazards that may cause injury to their children. In 2023 there were over 70 firearm safe storage devices (cable locks), over 450 childproofing products, and approximately 2,000 water watcher cards distributed. * Child Passenger Safety (CPS) program - created to educate families on the correct installation and use of child safety restraints when traveling in a motor vehicle, while also addressing other injuries that occur in and around vehicles. This program is primarily supported by funds from Texas Department of Transportation. In 2023, there were over 3,000 car seats inspected, over 1,100 car seats distributed to families in need, 46 new child passenger safety technicians trained, over 47,000 educational materials on child safety topics disbursed, and 27 community events. * upWORDS2 is offered to parents who have participated in the upWORDS program and are seeking additional sessions on early brain development and positive parenting. As part of the broader upSTART Program, the hospital has engaged in the following activities in 2023: over 700 children and 160 Families were assisted in upWORDS 2, along with 125 Families assisted through upWORDS Bridges, and over 30 Developmental Pediatric Evaluations were performed. * upLIFT: Many mothers experience symptoms of depression and anxiety during pregnancy and in the year after giving birth. Through upLIFT, a licensed social worker meets with the mother in her home. * In 2023 Family Connects supports families of newborns and is delivered in their homes by a registered nurse. The nurses support parents in caring for their newborns, conduct health assessments of the baby and the mother from the comfort of the home, answer questions about caring for the newborn(s), identify parent needs and help connect families with community services and resources virtually. Up to eight sessions are provided to support the new mother in learning new tools and strategies to help ease symptoms of depression and anxiety. * Texas Children's Health Plan ("TCHP") has established a workgroup to increase information about the importance of mental health and resources. * University of Houston Graduate School of Social Work: The Community-Based Postpartum Doula Project aims to advance perinatal health equity through the provision of high quality, culturally responsive postpartum doula support for Black mothers residing in the greater Houston area. In addition to direct provision of postpartum doula services, this project provides mentorship support to the postpartum doulas as they serve families, support the training and certification process of a new community-based postpartum doula, and provide community-based education opportunities on childbirth, breastfeeding, infant care, and doula services. As such, we seek to reduce barriers for diverse individuals who aspire to pursue professional paths to providing postpartum doula services and to increase community awareness about doula services and their potential impact on family health and wellbeing. Action 2- Support initiatives which focus on reducing racial inequalities in accessing maternal health resources. * Continued support for The Harris County Child Fatality Review Team (CFRT) in 2023. The CFRT is led by Public Health Pediatrics. It brings together local partners to review child mortality from a public health perspective in order to identify trends and strategies to decrease preventable child deaths. * Maintaining an active Patient & Family Advisory Council in 2023. Texas Children's believes patients and families are important partners in care and our allies for quality, safety and an optimal patient experience. We are committed to providing patient- and family-centered care that is tailored to meet the unique needs of our population. * The Department of Patient and Family Engagement aims to enhance communication and strengthen collaboration with patients and families at both the micro (bedside) and macro (organizational) levels. Our Specialists work to engage patients and families to serve as Advisors on a wide variety of hospital projects, committees, and strategic initiatives, helping ensure the consumer voice is a guiding force in all that we do. * Texas Children's Government Relations Department, in 2023, continued its mission to ensure that Texas children have access to effective, high quality, comprehensive and appropriately funded health care, Texas Children's Government Relations Department actively advocates for increased access to public programs designed to serve children and their families. Hospital leadership regularly shares its voice at the local, state and national levels to increase awareness of issues that shape public policy related to children's health. * TCHP held a cultural competency focus group in December 2022 and heard from members about an increasing focus on mental health (across Black and Hispanic groups) but a lack of awareness of benefits. (See continuation of Part V, Line 11)
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - Texas Children's Hospital. * In 2023 Texas Children's engaged in the following outreach to affirm these goals: 19 TCP locations were visited to receive training about clinical and community based services - Total of 330 staff members Action 3- Advocate for the support, access, and expansion of Medicaid coverage for mothers' post-partum. * Texas Children's Government Relations continues to identify opportunities for Texas Children's physician experts and leaders to advocate at the state legislature by participating in various legislative committee hearings with a focus on maternal health in Texas. * During the 88th Texas Legislative Session in 2023, Texas Children's Government Relations proactively advocated in support of House Bill 12, which extended post-partum Medicaid coverage for mothers from two to 12 months. As part of the advocacy effort, Texas Children's has joined letters of support, as signatories, and registered in support of the bill as part of the public record. * State Budget 2024-2025 General Appropriations Act: Texas Children's Government Relations proactively supported key hospital and healthcare funding items in the Texas Legislature's two-year state budget. Governor Greg Abbott signed on June 18, 2023, which appropriated $321 billion. The state budget provides the following items as they relate to maternal health including maternal care, family planning, and breast and cervical cancer programs: The Healthy Texas Women program received $129 million in funding for 2024 and just under $140 million for 2025. The Family Planning Program - historically underfunded in past budgets - received $145 million over the biennium ($74.7 million in 2024 and $70.3 million in 2025), almost doubling the program's appropriations for 2022-23. The Breast & Cervical Cancer Program received $11.3 million for each year for a biennial total of more than $22 million. The Legislature also demonstrated its commitment to tackling the state's maternal mortality and morbidity problem with a fully funded allocation of $3.5 million per year to the TexasAIM initiative, a collaboration that helps hospitals and clinics implement projects for maternal safety. An additional $10.9 million went toward implementing the Maternal Health Quality and Improvement System and Maternal Mortality Review Information Application Replacement. Chronic Disease and Unhealthy Lifestyle Current and planned actions to address this issue: Action 1 - Support and connect families with low-cost/no-cost community resources to support healthy eating and physical activity in neighborhoods. According to the 2018 Physical Activity Guidelines Advisory Committee Scientific Report, strong evidence demonstrates that, in children and adolescents, higher amounts of physical activity are associated with more favorable status for multiple health indicators (Physical Activity Guidelines, 2018). Additionally, it was concluded in the Youth Risk Behavior Survey that more opportunities are needed for children to learn about a healthy diet and physical activity. It was also suggested that communities work together to create positive environmental changes (Youth Risk Behavior Survey, 2019). * Current collaborations include the Texas Children's Health Plan, Texas Children's Pediatrics, Houston Food Bank, Kids Meals and various food pantries across Houston. In 2023 Texas Children's helped fund the following activities: Kid's Meals mission is to end childhood hunger by delivering free healthy meals to the doorsteps of Greater Houston's hungriest preschool-aged children and through collaboration provide their families with resources to help end the cycle of poverty. By consistently delivering a healthy lunch to the doorsteps of children in need, Kids' Meals ensures they have the best opportunity to thrive and break the crippling cycle of poverty. Through our collaborative relationships, the imperative support of thousands of volunteers, and generous gifts from donors like TCH, Kids' Meals moves closer to ending childhood hunger in Houston. Since the partnership, Kids Meals served approximately 658,000 meals, delivered groceries at least 4 times per week, and had a 17.3% increase in enrollment growth. Additionally, Kids Meals provided wrap-around service information for 70+ collaborative partners to approximately 5,000 households. Houston Food Bank (HFB) is the largest food bank in the United States in meals distributed to partner agencies and a member of Feeding America, the largest hunger-relief charity in the nation. Texas Children's has collaborated with HFB to support and expand referral programs and wrap-around services. HFB's established team of community-based Community Resource Navigators, provide application assistance for state benefits such as SNAP, TANF, Medicaid, and CHIP to over 15,000 individuals each year. To compliment this proven program, HFB created the Referral Partner Program (RPP) three year ago. RPP is a one-year program, in which referral specialists (RS) check-in with clients every 3 months to ensure they are receiving the social services, such as housing, childcare, and utilities. * Texas Children's works with Episcopal Health Foundation, City of Houston Parks Department and the Memorial Hermann Community Benefit Corporation to improve park space in the Alief area of Houston, an economically disadvantaged community that is part of the Mayor's Complete Communities initiative. Community Benefit resources and foundations are utilized to support and enhance programming and equipment at a park in Alief and track utilization and health outcomes over time. * Through over $63,000 in funding provided by Texas Children's Hospital, the 50/50 Park Partnership was able to revitalize Forum Park, which is nestled within the Alief-Westwood Complete Community. The playground was upgraded by installing a new shade sail, adding a fresh coat of paint, and repairing the seating wall. A new illuminated parking with 16 spaces and an ADA parking space was built to improve safety and accessibility. New amenities, including picnic tables, benches, barbeque grills, water fountains, and a new park sign were installed, as well as a sidewalk that now connects the park to the adjacent Best Elementary School. Texas Children's Hospital joined with other healthcare organizations in the community to collectively commit $190,000 for the construction of a new soccer mini-pitch and a basketball half-court. These improvements will give children increased options for play and physical activity, which will limit health disparities and improve the quality of life within the Alief-Westwood community. Action 2 - Support opportunities aimed to better inform, educate, and engage the public regarding chronic disease prevention and management. According to the CDC, approximately two in five children ages 6-17 have a chronic health condition such as asthma, diabetes or epilepsy. The CDC recommends a coordinated effort between children, their families, community groups, social service agencies, schools and medical providers to manage chronic diseases in this population (CDC, 2023). * The Children's Nutrition Research Center (CNRC) is a unique cooperative venture between Texas Children's, Baylor College of Medicine and the U.S. Department of Agriculture/Agricultural Research Service. In 2023 The CNRC has over 40 faculty members conducting nutrition-related research. Research goals center on establishing evidence-based guidelines promoting health, growth and development through optimal nutrition. These guidelines are for use by physicians, parents and others responsible for the care and feeding of children. * Texas Children's operates mobile clinics to provide trusted, high-quality medical services to children who may not have the access or opportunity to receive health care. This fleet of mobile clinics travels to low-income, largely Hispanic neighborhoods to provide comprehensive health care to underserved children. They provide free care to children from newborn to 18 years of age and are open to the public; children do not have to attend the school where the clinic is parked to receive care. (See continuation of Part V, Line 11)
Schedule H, Part V, Section B, Line 11 Facility , 4	Facility , 4 - Texas Children's Hospital. * Texas Children's Hospital is committed to increasing access to behavioral health care for all young people, including our community's most underserved and marginalizedchildren and families. Children who experience adversity are at higher risk for trauma, stress, and related mental health concerns and often experience significant barriers to accessing mental health care, such as limited transportation, lack of insurance, low income, and mental health stigma. Texas Children's grew theMobile Behavioral Health Unit (MBHU) to allow these children and families to receive high-quality, comprehensive, and confidential behavioral health care where they live and when needed: in schools and other community locations. * In 2023, the MBHU completed 410 visits. The MBHU focuses on underserved youth from low-income and marginalized second-generation and newly immigrated families. Houston and neighboring area schools refer youth for psychological evaluation or treatment for post-traumatic stress symptoms, as well as related symptoms of anxiety, depression, or maladaptive behaviors. Many of these children have experienced devastating traumas (e.g., verbal, physical and sexual abuse, sex trafficking, and exposure to torture or severe domestic violence) and personal losses (e.g., death of close family members or friends from suicide, domestic or gun violence). The MBHU aims to provide easy access to specially trained, bilingual behavioral health clinicians who offer high-quality, individualized, and evidence-based therapeutic screening, assessment, and ongoing treatment to those most impacted by trauma and loss. The MBHU is parked at specific community partnership campuses to help maximize our reach in the community. * TCHP continued a partnership with Harris County Public Health Department in 2023 to remediate known environmental asthma triggers for high-risk asthma members. Action 3- Provide culturally appropriate support for healthy lifestyles in underserved communities. According to studies, "there has been a growing awareness that providing culturally sensitive pediatric primary care, especially during well-child visits, is a potentially modifiable way to address health care disparities and promote health equity (Okoniewski, MD 2022). * Texas Children's plans to establish a strategic partnership with a nonprofit or community agency which addresses the community regarding chronic disease prevention and management in the Greater Houston Area. * Patient Assistance Fund - Our patient family assistance fund is used to help meet identified social determinants of health barriers for patients and families. In 2023, the Patient Assistance Fund supported basic needs for 212 families, for approximately $48,000. Additionally, 116 families were supported with bereavement assistance estimated at approximately $35,000. * Medical Legal Partnership (MLP) - In addition to medical concerns, patients at Texas Children's often experience challenging social and legal issues that further complicate what they are already facing medically. In many cases, an attorney can address these issues, helping to improve patients' health care outcomes. In 2023, the MLP managed and closed 182 cases. * Communities in Schools (CIS) - Communities in Schools Crisis/Mental Health Program focuses on students' well-being and social, emotional needs at no cost to the families. Crisis specialists offer services throughout the school day, weekends, evenings, and during the summer as crises arise. The crisis specialist is responsible for coordinating and providing peer support, mental health services, supportive guidance, victim assistance, court advocacy, and other needed services at the student's home or home campus. These needs may be met through individual, or group sessions offered at no charge to the students. Communities in Schools of Southeast Harris County understands that data driven decision making is key to improving programs and outcomes. As students are supported by a caring adult, they develop crucial social-emotional skills that lead to improvement in mental health, academic performance, behavior, and school attendance. Over time, this leads to students staying in school, graduating, pursuing post-secondary options, and becoming productive members of society. CIS operates programs that are school-based and support the students and families who attend school in Galena Park and Pasadena Independent School Districts. These students are dealing with an emotional crisis (depression, anxiety), mental health/well-being, self-regulation, suicide ideations, and professional counseling for students who lack health insurance. Crisis specialists conduct an in-depth needs assessment of the campuses and communities they serve to ensure that the gaps in services and needs are met without duplication. The goal is to provide consistent case management aimed at prevention and early intervention for mental health and behavioral issues as well as educational support. In 2023, Communities in Schools served 848 youth through the Crisis/Mental Health program with approximately 14,800 services for approximately 9,000 service hours.
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.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SuperKids and Ronald McDonald Care Mobile Clinics
8080 N Stadium Drive	Houston	TX	77054	Community Based Mobile Clinics
Vannie Cook Children's Cancer and Hematology Clinic
101 W Expressway 83	McAllen	TX	78503	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 Pavilion for Women - Obstetrics & Gynecology Pearland
9003 Broadway Street	Pearland	TX	77584	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

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 7 State filing of community benefit report	Additional information: 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, 2023, the Hospital reported approximately $430,945,656 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 $158,936 (in $1000's) 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. Additionally, the ASCBS RCC is calculated using 2021 financial information. $189,261. ASCBS includes financial assistance provided to community by related organizations $(4,179) ASCBS includes the unreimbursed cost of community building activities $(754) ASCBS includes the unreimbursed cost of Medicare and Champus $(25,392) Total variance between Part I line 7 and ASCBS $158,936.
Schedule H, Part VI, Line 5 Promotion of Community Health	Continued from prior response on schedule H, Part VI, Line 5 b. In 2019, our $350 million expansion, the Lester and Sue Smith Legacy Tower, completed its first full year operation. The Hospital's new home for surgery, critical care and Texas Children's Heart Center was designed to help 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, in December 2020, Texas Children's opened a first-of-its-kind dedicated facility designed by and for adults with congenital heart disease. The 27,000-square-foot space, situated on the 24th floor of Lester and Sue Smith Legacy Tower, is entirely managed by the dedicated Adult 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. Further expanding the 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. c. 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 2022, Texas Children's Hospital provided pediatric care with over 465,000 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. In response to the pandemic in 2020, West Campus was the first facility to accept and treat a COVID-19 patient within the Texas Children's system; in addition the facility offers COVID-19 drive through testing to support ongoing clinical operations with approximately 100 patients tested per day in the height of the pandemic. d. Texas Children's Health Plan operates two Centers for Children and Women, family-centered medical homes for TCHP members located within two of Houston's most underserved areas, Greenspoint and Sharpstown. The facilities offer primary pediatric and obstetric care, pediatric optometry and dentistry and onsite imaging, speech therapy, lab and pharmacy. TCHP provides STAR Kids, a Medicaid-managed care plan for children and young adults up to 21 years old with disabilities. The STAR Kids program offers the same benefits as Medicaid plus many extra services, including long-term support, service coordination through the STAR Kids health plan, and help in the home to optimize the environment for the child with disabilities, among other benefits. e. 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. f. 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. g. The Feigin Tower is the Hospital's central hub for pediatric research. The 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). With total external and internal funding of more than $209 million annually, researchers conduct more than 1,790 clinical, basic science and translational research projects to identify groundbreaking treatments and cures for childhood diseases.
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 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	The Hospital has included four hospital-based outpatient clinical services (The Developmental Pediatrics and Autism Center, 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 $19,621,901, offsetting revenue of $8,252,059 and net expenses of $11,369,842 are included in that line. The stand-alone clinics include gross expenses of $11,889,331, offsetting revenue of $7,131,328 and net expenses of $4,758,003 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 Autism Center and Meyer Center for Developmental Pediatrics 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 Autism Center and The Meyer Center for Developmental Pediatrics are housed in the same location and have over 6,400 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, approximately 4,800 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 20,400 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 1,700 patient visits annually. Mobile Clinic Outreach Program -The Hospital's mobile clinics partner with underserved schools in the city and travel to low-income neighborhoods to provide free health care to children and adolescents from birth to age 18 who do not have insurance. As part of its goal to build a community of healthy children, the Hospital operates mobile clinics to provide trusted, high-quality medical services to children who normally might not have the opportunity to receive health care. In 2021, the COVID-19 pandemic limited the program to providing car-side immunization only services. In 2023, the mobile clinics conveniently and safely provided vaccines at 429 events covering over 136 different locations in Greater Houston. The mobile clinics provided approximately 6,300 free immunizations to all Texas Vaccines for Children-eligible patients. Additionally, we were able to help families apply for public health insurance, such as Medicaid, CHIP and the Harris Health Eligibility Card. We also provide referrals for social services and affordable permanent medical homes. 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 70% of the patients seen in the Dental Clinic are insured through Medicaid. In 2023, the Dental Clinic had over 3,600 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 2023, the Orthodontic Clinic had over 3,900 patient visits with approximately 60% insured through Medicaid. 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. 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 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 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 2023 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 2023 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 2023 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 2023 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 (Line 1) Net Community Building Expense Hermann Park Conservancy $ 100,000 Houston Parks Board $ 63,349 The Astros Golf Foundation $ 16,000 Friends of West University Parks Fund $ 10,000 The Friends of West University Parks Fund $ 3,500 Houston Heights Association $ 1,500 TOTAL $ 194,349 Vulnerable Population Economic Improvement (Line 2) Net Community Building Expense The Woodlands Area Economic Development Partnership $ 6,650 Cristo Rey Work Study Program $ 840 TOTAL $ 7,490 Community Support Activities (Line 3) Net Community Building Expense Ronald McDonald House Houston $ 120,000 The Sanctuary Foster Care Services $ 15,000 BakerRipley $ 10,000 Sam Houston Area Council - Boy Scouts of America $ 10,000 YES to YOUTH - Montgomery County Youth Services $ 10,000 SAFEAustin - Stop Abuse for Everyone $ 8,333 Covenant House $ 5,000 DAV - Disabled American Veterans $ 360 TOTAL $ 178,693 Leadership Development and Training for Community Member Activities (Line 5) Net Community Building Expense Junior League of Houston $ 120,000.00 Texas Business Hall of Fame Foundation $ 25,638.69 American Leadership Forum $ 20,000.00 American Turkish Association Houston $ 10,000.00 Ignite Healthcare $ 10,000.00 Jack and Jill of America $ 8,000.00 Leadership Montgomery County $ 1,000.00 . TOTAL $ 194,639 Coalition Building Activities (Line 6) Net Community Building Expense Holocaust Museum Houston $ 30,000 Leander Educational Excellence Foundation $ 5,000 Leaping Butterfly Ministry $ 900 TOTAL $ 35,900 Community Health Improvement Advocacy Activities (Line 7) Net Community Building Expense Hand to Hold $ 25,000 Texas Liver Foundation $ 15,000 Interfaith of the Woodlands $ 6,000 Children At Risk $ 5,000 TOTAL $ 51,000 Other (Line 9) Net Community Benefit Expenses The Health Museum $ 50,000 Houston Children's Charity $ 25,000 Genesys Works Houston $ 10,000 Texas Hearing Institute $ 10,000 The Brookwood Community $ 9,000 Inspiration Ranch $ 5,500 Rotary House $ 5,020 Austin Diaper Bank $ 5,000 Barbara Bush Houston Literacy Foundation $ 5,000 DePelchin's Children Center $ 5,000 Heroes for Children $ 2,572 Hearing Loss Association of America $ 2,500 The Woodforest Charitable Foundation $ 750 TOTAL $ 135,343
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 14) 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 each quarter. Footnote describing Net Patient Service Revenue, and implicit price concessions based on historical collection rates (page 38) 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 2023 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: See Part VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- TEXAS CHILDREN'S HOSPITAL: Line 16b URL: See Part VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- TEXAS CHILDREN'S HOSPITAL: Line 16c URL: See Part VI;
Schedule H, Part VI, Line 2 Needs assessment	In addition to the CHNA, Texas Children's Hospital's Community Benefits department structure and purpose includes engaging with internal and external partners in the development of community partnerships. Community Benefits maintains strong relationships with community-facing internal stakeholders including Injury Prevention, Public Health Pediatrics, and Texas Children's Health Plan. Additionally, Community Benefits actively participates in external Greater Houston area coalitions focused on community health needs such as Health Equity Collective, Understanding Houston, Children at Risk, and Maternal Mortality and Morbidity Review Committees (MMRCs). 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 Workgroup, comprised of physician and administrative leaders from across Texas Children's, works in collaboration with the Community Benefits department. The CBW is charged with determining how best to address identified community needs. Members/Leaders in the Hospital's supported programs created to address existing community health needs provide critical guidance to the Community Benefits department on how best to measure program success and continued support, or expansion of these efforts to other areas of the community.
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. * Financial counselors also contact patients arriving via the Emergency Center after appropriate medical screenings to discuss 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-The Woodlands-Sugar Land 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 government agencies for statistical purposes - 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 (90.9% in Fiscal Year 2019) come from Greater Houston. In terms of land area, Greater Houston is approximately 9,440 square miles, making it larger than the states of New Hampshire (9,350 sqm), New Jersey (8,721 sqm), Connecticut (5,543 sqm), Delaware (2,489 sqm) and Rhode Island (1,545 sqm). 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 neighborhoods with high concentrations of poverty because poverty is linked to many other social determinants of health. Several research institutions have developed indexes to better understand neighborhood-level factors beyond poverty that can affect health outcomes. These indexes include the CDC's Social Vulnerability Index (SVI), Ohio State University's Childhood Opportunity Index (COI), and HRSA/The University of Wisconsin's Area Deprivation Index (ADI). These indexes often score neighborhoods based on a variety of factors related to socioeconomic status to paint a more comprehensive picture of the disadvantages faced by neighborhood residents. Texas Children's uses the Area Deprivation Index to identify the most vulnerable neighborhoods in our service area because it is based on the most current data of all of the indexes. Additionally, it provides data at a higher spatial resolution, the census block group, compared to other indexes that oftentimes use census tracts or zip codes. The ADI was developed by HRSA over twenty years ago for county-level use, but has since been adapted and validated to the census block group level by researchers at the University of Wisconsin-Madison. The ADI ranks each census block group in each state from 1 to 10 based socioeconomic factors, such as income, education, employment, and housing quality. Census block groups that receive a score of 1 are the lowest on the ADI, and are the least disadvantaged neighborhoods, while census block groups that receive a score of 10 are the highest on the ADI and are the most disadvantaged neighborhoods.
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 second among all children's hospitals nationally by U.S. News & World Report, Texas Children's Hospital is the only children's hospital in Texas to receive the prestigious Honor Roll designation. In the 2023 U.S. News survey - which uses data from 2022 - the Hospital ranked in the top ten in ten subspecialties, #1 in the nation in Pulmonology, #1 in the nation in Nephrology, and #1 in the nation in cardiology/heart surgery for the sixth year in a row. 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 1,400 candidates in 2023. 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 Medical Legal Partnership (MLP) promotes the health of vulnerable, low-income populations by addressing legal needs that affect patient health. In fiscal year 2023, there were a total of over 225 consultations. The MLP brings together lawyers, doctors and social workers when a legal situation is required. A staff attorney and volunteers provide free legal advice to patients and families on a variety of legal matters including improving housing conditions, obtaining guardianships for adult children or unrelated caregivers and securing public school accommodations for children with disabilities. MLP also connects patient families with volunteer attorneys to represent them. 8) 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. 9) 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. 10) 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. This region has embraced Texas Children's Hospital The Woodlands since we opened the doors in 2017. We have brought world class pediatric care closer to home for the North Region's patient and families. This pediatric hospital campus increases 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. (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, 18 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 38,000 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 2023, there were 11 TCUC sites around the greater Houston area and one location 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. Our three busiest locations are located adjacent to our Medical Center EC, West Camps EC, and Woodlands Campus EC. 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. Starting in November 2016, Texas Children's Health Plan also provides STAR Kids to children and young adults under the age of 21 with disabilities. As of September 2023, the Health Plan has over 537,000 members. The staff and network of over 4,300 primary care physicians, 6,800 specialists and 118 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (83 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
TCH Pediatric Associates Inc
PO BOX 300630	Houston	TX	77230	760460242	501(c)(3)	$7,000,000	Indigent Care Support
Ronald McDonald House Houston
1907 Holcombe Blvd	Houston	TX	77030	741984499	501(c)(3)	$195,000	General support
Qtego Fundraising Services
5816 W 74th Street	Indianapolis	IN	46278			$130,000	Event Sponsorship
Junior League of Houston
1811 Briar Oaks Ln	Houston	TX	77027	741185659	501(c)(3)	$120,000	General support
Sports Authority Foundation
701 Avenida de las Americas	Houston	TX	77010	822157834	501(c)(3)	$100,000	Event Sponsorship	Suite 450
Hermann Park Conservancy
1700 Hermann Park	Houston	TX	77004	760327389	501(c)(3)	$100,000	General Support
AHF - AIDS Foundation Houston
3202 Weslayan Annex	Houston	TX	77027	760073661	501(c)(3)	$85,783	General Support
March of Dimes
3000 Weslayan	Houston	TX	77027	131846366	501(c)(3)	$85,000	Event Sponsorship	Suite 100
Houston Parks Board
300 N Post Oak Lane	Houston	TX	77024	741860046	501(c)(3)	$63,349	Geenral Support
Sports in Action LLC
405 State Hwy 121 Sam Rayburn Toll	Lewisville	TX	75067			$57,750	Event Sponsorship	Suite A-200
University of Texas - Blanton Museum of Art
200 E Martin Luther King Jr Blvd	Austin	TX	78712	746000203	501(c)(3)	$55,000	General Support
The Health Museum
1515 Hermann Drive	Houston	TX	77004	746106357	501(c)(3)	$50,000	General Support
Institute for Spirituality and Health
8100 Greenbriar	Houston	TX	77054	741246255	501(c)(3)	$50,000	Event Sponsorship
Houston Children's Charity
230 Westcott St	Houston	TX	77007	760135741	501(c)(3)	$50,000	General support
Greater Houston Women's Chamber of Commerce
3201 Kirby Dr	Houston	TX	77098	261536004	501(c)(6)	$50,000	Event Sponsorship
American Heart Association - AHA
10060 Buffalo Speedway	Houston	TX	770541302	135613797	501(c)(3)	$37,500	General support
Round Rock ISD Partners in Education Foundation
595 Round Rock West Dr	Round Rock	TX	78681	742488709	501(c)(3)	$31,611	General support	Suite 404
United Negro College Fund
1805 7th Street NW	Washington	DC	20001	131624241	501(c)(3)	$30,000	General Support
Holocaust Museum Houston
9220 Kirby Drive	Houston	TX	77054	760331398	501(c)(3)	$30,000	General Support	No 100
Foundation for Angelman Syndrome Therapeutics
PO Box 40307	Austin	TX	78704	263160079	501(c)(3)	$30,000	General Support
Texas Business Hall of Fame Foundation
675 BERING DR	Houston	TX	770572268	751842638	501(c)(3)	$25,639	Event Sponsorship	STE 200
Make-a-Wish
12625 Southwest Freeway	Stafford	TX	77477	760116615	501(c)(3)	$25,000	General Support
Make the Connection
1401 RIO GRANDE ST	Austin	TX	787011505	843108102	501(c)(3)	$25,000	General Support
Kids' Meals
330 Garden Oaks Blvd	Houston	TX	770185502	760330447	501(c)(3)	$25,000	Event Sponsorship
Hand to Hold
12325 Hymeadow Dr	Austin	TX	78750	273802900	501(c)(3)	$25,000	General support	Suite 4 102
Easter Seals Greater Houston
4500 Bissonnet	Bellaire	TX	774013006	741238418	501(c)(3)	$25,000	Event Sponsorship	Suite 340
Austin Childrens Museum
1830 SIMOND AVE	Austin	TX	787234603	742288789	501(c)(3)	$25,000	General support
Graeme McDaniel Foundation
28310 DAYSTROM LN	Katy	TX	774944995	872237264	501(c)(3)	$20,145	General support
Texas Hearing Institute
3100 Shenandoah St	Houston	TX	77021	746003178	501(c)(3)	$20,000	General support
Champions of the Field
PO Box 13165	Austin	TX	78711	462614625	501(c)(3)	$20,000	Event Sponsorship
The Brookwood Community
1752 FM 1489	Brookshire	TX	77423	741587672	501(c)(3)	$18,000	Event Sponsorship
Crohn's & Colitis Foundation Inc
733 Third Ave	New York	NY	10017	136193105	501(c)(3)	$17,500	General support	Suite 510
The Astros Golf Foundation
501 Crawford St	Houston	TX	77002	831791157	501(c)(3)	$16,000	Event Sponsorship	Ste 500
The Sanctuary Foster Care Services
1350 E NASA Parkway	Houston	TX	77058	825440662	501(c)(3)	$15,000	General support	Suite 210
The Joe Niekro Foundation
2401 Fountain View Dr	Houston	TX	77057	421740818	501(c)(3)	$15,000	General support	Ste 312 PMB 12
The Faris Foundation
13135 Dairy Ashford Rd	Sugar Land	TX	774783689	833109684	501(c)(3)	$15,000	General support	Ste 560
The Children's Assessment Center (CAC)
2500 Bolsover St	Houston	TX	77005	760458780	501(c)(3)	$15,000	General support
Texas Liver Foundation
2429 Bissonnet	Houston	TX	77005	851898778	501(c)(3)	$15,000	General support	Number 30
Men of Distinction
4218 Marquette	Houston	TX	77005	260421594	501(c)(3)	$15,000	General support
Hydrocephalus Association
4340 East West Highway	Bethesda	MD	20814	943000301	501(c)(3)	$15,000	General support	Suite 905
Commemorative Air Force
PO Box 764769	Dallas	TX	75376	741484491	501(c)(3)	$15,000	Event Sponsorship
Alzheimer's Association
225 North Michigan Avenue	Chicago	IL	60601	133039601	501(c)(3)	$15,000	General support	Floor 17
Alley Theater
615 Texas Avenue	Houston	TX	77002	741143076	501(c)(3)	$15,000	General support
MDA - Muscular Dystrophy Association
222 S Riverside Plaza	Chicago	IL	60606	131665552	501(c)(3)	$15,000	General support	Suite 1500
Children's Museum of Houston
950 Trout Brook Drive	West Hartford	CT	06119	060896043	501(c)(3)	$12,500	General support
Childrens Heart Foundation
PO Box 244	Lincolnshire	IL	60069	364077528	501(c)(3)	$12,500	General support
American Cancer Society
3380 Chastain Meadows Pky NW	Kennesaw	GA	30144	131788491	501(c)(3)	$12,500	General support	Suite 200
YMCA of Greater Houston
2600 North Loop West	Houston	TX	77092	741109737	501(c)(3)	$11,000	General support
The Rise School
5618 H Mark Crosswell Jr St	Houston	TX	77021	760606866	501(c)(3)	$10,500	General support
Medical Bridges
2706 Magnet St	Houston	TX	77054	760548161	501(c)(3)	$10,363	General support
YES to YOUTH - Montgomery County Youth Services
105 West Lewis St	Conroe	TX	77301	742035878	501(c)(3)	$10,000	General support
TOKC - Triumph Over Kid Cancer Foundation
723 Coleman Ave	Corpus Christi	TX	78401	272224984	501(c)(3)	$10,000	General support
The Menninger Clinic
12301 Main Street	Houston	TX	77035	371453409	501(c)(3)	$10,000	General support
The Ensemble Theater
3535 Main Street	Houston	TX	77002	741941943	501(c)(3)	$10,000	General support
Texas Business leadership Council
515 Congress Ave	Austin	TX	78701	752580060	501(c)(6)	$10,000	General support
Sky High
9800 Richmond Ave	Houston	TX	77042	260465972	501(c)(3)	$10,000	General support	Ste 335
Sam Houston Area Council - Boy Scouts of America
2225 North Loop West	Houston	TX	77008	760239833	501(c)(3)	$10,000	Event Sponsorship
Ignite Healthcare
6711 Stella Link Rd	Houston	TX	77005	841887955	501(c)(3)	$10,000	General support	Ste 431
High Point Village
6223 County Road	Lubock	TX	79416	611562223	501(c)(3)	$10,000	Event Sponsorship	6300
Genesys Works Houston
14400 Memorial Drive	Houston	TX	77079	900757035	501(c)(3)	$10,000	General support	Suite 200
Friends of West University Parks Fund
4210 BELLAIRE BLVD	Houston	TX	770251006	760192413	501(c)(3)	$10,000	General support
Epilepsy Foundation
2401 Fountain View Dr	Houston	TX	77057	742141084	501(c)(3)	$10,000	General support	900
Children's Brain Tumor Foundation
1460 Broadway	New York	NY	10036	133512123	501(c)(3)	$10,000	General support
Children At Risk
2900 Weslayan St	Houston	TX	77027	760360533	501(c)(3)	$10,000	General support	Suite 400
Camp Allen
18800 FM 362	Navasota	TX	77868	746016479	501(c)(3)	$10,000	General support
BakerRipley
PO Box 231808	Houston	TX	77223	237062976	501(c)(3)	$10,000	General support
Austin Smiles
9415 Burnet Rd	Austin	TX	78758	742479196	501(c)(3)	$10,000	General support	Suite 207
Austin Black Senators
8005 SLATE CREEK CT	Austin	TX	787172999	872505559	501(c)(3)	$10,000	General support
American Turkish Association Houston
PO BOX 460253	Houston	TX	77056	742122946	501(c)(3)	$10,000	General support
Albert Schweitzer Fellowship
6431 Fannin Street	Houston	TX	77030	463641306	501(c)(3)	$10,000	General support
ACHA - Adult Congenital Heart Association
280 North Providence Road	Media	PA	19063	043447959	501(c)(3)	$10,000	General support	Suite 6
SAFEAustin - Stop Abuse for Everyone
PO Box 19454	Austin	TX	78760	742320657	501(c)(3)	$8,333	General support
Nora's Home
8300 El Rio St	Houston	TX	77054	621763895	501(c)(3)	$8,225	General support
Jack and Jill of America
1930 17th St NW	Washington	DC	20009	510224656	501(c)(3)	$8,000	General support
AFP - Association for Fundraising Professionals Greater Houston
4300 Wilson Boulevard	Arlington	VA	222034167	943011524	501(c)(3)	$7,625	General support	Suite 300
Woodlands Area Chamber of Commerce
9320 Lakeside Blvd	The Woodlands	TX	77381	742053667	501(c)(6)	$7,620	General support	200
Cookies for Cancer
31 Hoffmans Crossing Rd	Califon	NJ	07830	262320528	501(c)(3)	$7,500	General support
The Woodlands Area Economic Development Partnership
2107 RESEARCH FOREST DR	The Woodlands	TX	773804169	474960672	501(c)(3)	$6,650	General support	STE 150
Chance For Hope Foundation
PO Box 842044	Pearland	TX	77584	465359628	501(c)(3)	$6,000	General support
Texas Association of Nurse Anesthetists
919 CONGRESS AVE	Austin	TX	78701	510136915		$5,500	General support	Suite 720
Inspiration Ranch
33029 Wright Road	Magnolia	TX	77355	205323335	501(c)(3)	$5,500	General support
GiGis Playhouse Sugarland
13003 Southwest Fwy	Stafford	TX	77477	475408975	501(c)(3)	$5,500	General support	170
Rotary House
PO BOX 7353	The Woodlands	TX	773877353	823300251	501(c)(3)	$5,020	General support

Field	Value	IRS element (for citing)
Total501c3 Org	77	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	FELLOWSHIPS	GrantTypeTxt
Recipient	4	RecipientCnt
Cash Grant	$300,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARK A WALLACE
BOARD MEMBER / CHAIR / PRESIDENT / CEO	$2,474,348	$0	$3,032,800	$0	$652,426	$0	$1,476,652	$0	$33,696	$0	$7,669,922	$0	$2,200,000	$0
DEAN B ANDROPOULOS MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$127,400	$0	$698,376	$0	$0	$0	$0	$0	$825,776	$0	$698,376	$0
MICHAEL A BELFORT MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$155,700	$0	$930,300	$0	$0	$0	$0	$0	$1,086,000	$0	$930,300	$0
Larry Hollier MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$212,300	$0	$0	$0	$0	$0	$0	$0	$212,300	$0	$0	$0
THIERRY AGM HUISMAN MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$865,869	$0	$1,216,900	$0	$26,582	$0	$23,081	$0	$43,909	$0	$2,176,341	$0	$1,089,500
LARA S SHEKERDEMIAN MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$180,500	$0	$0	$0	$100,000	$0	$0	$0	$280,500	$0	$0	$0
Jeffrey S Shilt MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$155,700	$0	$0	$0	$0	$0	$0	$0	$155,700	$0	$0	$0
JAMES VERSALOVIC MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$155,700	$0	$1,254,815	$0	$0	$0	$0	$0	$1,410,515	$0	$1,254,815	$0
DANIEL R DIPRISCO
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	$651,466	$0	$660,600	$0	$103,160	$0	$282,615	$0	$25,837	$0	$1,723,678	$0	$527,400	$0
WELDON W GAGE
BOARD MEMBER / EXECUTIVE VICE PRESIDENT / CHIEF FINANCIAL OFFICER	$1,049,839	$0	$1,006,450	$0	$209,180	$0	$449,648	$0	$31,535	$0	$2,746,652	$0	$857,750	$0
MARK W MULLARKEY
BOARD MEMBER & EXECUTIVE VICE PRESIDENT THROUGH 2/24/23	$809,749	$0	$808,000	$0	$243,150	$0	$347,542	$0	$43,976	$0	$2,252,417	$0	$682,344	$0
MICHELLE M RILEY-BROWN
BOARD MEMBER THROUGH 3/31/23 / EXECUTIVE VICE PRESIDENT THROUGH 4/15/23	$862,094	$0	$866,350	$0	$91,726	$0	$370,278	$0	$51,229	$0	$2,241,677	$0	$728,394	$0
MATTHEW T GIROTTO
BOARD MEMBER AS OF 4/1/23 / SENIOR VICE PRESIDENT ALL YEAR	$389,349	$0	$560,234	$0	$129,033	$0	$149,297	$0	$43,684	$0	$1,271,597	$0	$499,334	$0
TABITHA L RICE
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	$646,082	$0	$895,326	$0	$91,555	$0	$260,753	$0	$50,995	$0	$1,944,711	$0	$762,326	$0
JACQUELINE R WARD
BOARD MEMBER / SENIOR VICE PRESIDENT / CHIEF NURSING OFFICER	$498,514	$0	$119,700	$0	$85,226	$0	$185,529	$0	$26,814	$0	$915,783	$0	$0	$0
LANCE A LIGHTFOOT
BOARD SECRETARY THROUGH 3/8/23 / SENIOR VICE PRESIDENT ALL YEAR	$753,414	$0	$737,560	$0	$162,668	$0	$275,313	$0	$35,941	$0	$1,964,896	$0	$627,694	$0
AISHA JAMAL
BOARD SECRETARY AS OF 3/9/23 / VICE PRESIDENT ALL YEAR	$312,836	$0	$64,100	$0	$22,642	$0	$106,973	$0	$18,225	$0	$524,776	$0	$0	$0
MYRA L DAVIS
SENIOR VICE PRESIDENT / CHIEF INFORMATION & INNOVATION OFFICER	$800,604	$0	$1,209,710	$0	$99,646	$0	$292,035	$0	$34,032	$0	$2,436,027	$0	$1,081,890	$0
LINDA W ALDRED
SENIOR VICE PRESIDENT & CHIEF HUMAN RESOURCES OFFICER	$775,104	$0	$1,088,926	$0	$178,676	$0	$150,246	$0	$25,676	$0	$2,218,628	$0	$906,526	$0
KEITH C NELSON
SENIOR VICE PRESIDENT / CHIEF INVESTMENT OFFICER	$670,795	$0	$985,800	$0	$25,120	$0	$228,769	$0	$42,917	$0	$1,953,401	$0	$826,200	$0
IVETT T SHAH
SENIOR VICE PRESIDENT THROUGH 09/27/22	$326,450	$0	$0	$0	$392,832	$0	$27,754	$0	$7,922	$0	$754,958	$0	$196,536	$0
STANLEY W SPINNER MD
VICE PRESIDENT / CHIEF MEDICAL OFFICER / PHYSICIAN	$469,388	$0	$91,500	$0	$114,274	$0	$115,125	$0	$38,906	$0	$829,193	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travel	DR. LARRY HOLLIER TRAVELED FIRST CLASS ON THE DOMESTIC PORTION OF ONE BUSINESS TRIP. THE AMOUNT WAS NOT REPORTED AS TAXABLE COMPENSATION.
Schedule J, Part I, Line 4a Severance or change-of-control payment	DURING CALENDAR YEAR 2022, THE ORGANIZATION MADE A SEVERANCE PAYMENT TO IVETT T. SHAH IN THE AMOUNT OF $105,577 THAT WAS TREATED AS TAXABLE AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III).
Schedule J, Part I, Line 4b 457(F) PLANS	457(F) PLANS: PAID/DEFERRED AISHA JAMAL 0 / 30,000 DANIEL R. DIPRISCO 79,145 / 118,000 IVETT T. SHAH 260,869 / 0 JACQUELINE R. WARD 53,767 / 74,500 KEITH C. NELSON 0 / 109,500 LANCE A. LIGHTFOOT 132,705 / 125,500 LINDA W. ALDRED 129,500 / 0 MARK A. WALLACE 519,500 / 0 MARK W. MULLARKEY 232,730 / 151,000 MATTHEW T. GIROTTO 103,503 / 54,500 MICHELLE M. RILEY-BROWN 80,768 / 162,000 MYRA L. DAVIS 63,932 / 135,500 STANLEY W. SPINNER 69,500 / 0 TABITHA L. RICE 85,309 / 87,500 THIERRY A.G.M. HUISMAN 0 / 4,575 WELDON W. GAGE 179,497 / 206,000 457(F): THE 457(F) PLANS ARE NON-QUALIFIED DEFERRED COMPENSATION PLANS THAT ALLOW 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. THE 475(F) PLAN ALSO CONTAINS RESIDUAL CAPITAL APPRECIATION CONTRIBUTIONS FROM A FLEXIBLE BENEFIT ACCOUNT SURPLUS. THESE CONTRIBUTIONS VEST AFTER A MINIMUM OF 5 YEARS IN THE PLAN.
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 were paid by Texas Children's prior to calendar year 2022 and 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, MARK W. MULLARKEY, MATTHEW T. GIROTTO, MICHELLE M. RILEY-BROWN, AND TABITHA L. RICE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
A	760337885	414009JX9	2015-06-03	$225,732,600	REFUND AND REDEEM PRIOR ISSUES (1999B-1 SERIES ISSUED 07/20/99) AND BUILD HEALTH CARE FACILITIES.	false	false	false
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
B	760337885	414009KB5	2015-06-03	$160,000,000	BUILD HEALTH CARE FACILITIES	false	false	false
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
C	760337885	414009MA5	2019-07-10	$271,811,948	REFUND 2008-3 & SERIES 2009 & SERIES 2010	false	false	false
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
D	760337885	414009QY9	2021-07-20	$399,037,888	BUILD HEALTHCARE FACILITIES & REFUND 2015-4	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$62,940,000	$0	$225,732,600	$0	$0	$0	$1,700,783	$0	$0	$100,931,817	$123,100,000	$0	2018	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$160,000,000	$0	$0	$0	$1,274,762	$0	$0	$158,725,238	$0	$0	2018	false	false	Yes (true)	Yes (true)
C	$32,255,000	$0	$271,811,948	$0	$0	$178,136,681	$2,174,707	$0	$0	$0	$91,500,560	$0	2019	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$399,037,888	$0	$0	$0	$2,711,023	$0	$0	$287,123,041	$96,325,000	$12,878,824		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd
A	false	false	false	false	0.0	0.0	false	false	Yes (true)
B	false	false	Yes (true)	false	0.0	0.0	false	false	Yes (true)	Yes (true)
C	false	Yes (true)	Yes (true)	false	0.0009	0.0009	false	false	Yes (true)	Yes (true)
D	false	false	false	false	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)
D	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	760337885	BondIssuerEIN
CUSIP	414009RB8	CUSIPNum
Bond Issued	2021-07-20	BondIssuedDt
Issue Price	$190,350,000	IssuePriceAmt
Purpose	REFUND SERIES 2008-1 & SERIES 2008-2	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$550,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$190,350,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$190,350,000	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2021	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0015	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0015	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (7 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Lance A Lightfoot
BOARD SECRETARY THROUGH 3/8/23 / SENIOR VICE PRESIDENT ALL YEAR	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$246,020	false	Yes (true)	Yes (true)
Linda W Aldred
SENIOR VICE PRESIDENT	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$260,909	false	Yes (true)	Yes (true)
Mark A Wallace
BOARD MEMBER / CHAIR / PRESIDENT / CEO	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$1,573,770	false	Yes (true)	Yes (true)
Mark W Mullarkey
BOARD MEMBER & EXECUTIVE VICE PRESIDENT THROUGH 2/24/23	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$135,540	false	Yes (true)	Yes (true)
Matthew T Girotto
BOARD MEMBER AS OF 4/1/23 / SENIOR VICE PRESIDENT ALL YEAR	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$195,950	false	Yes (true)	Yes (true)
Michelle M Riley-Brown
BOARD MEMBER THROUGH 3/31/23 / EXECUTIVE VICE PRESIDENT THROUGH 4/15/23	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$136,421	false	Yes (true)	Yes (true)
Tabitha L Rice
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$118,170	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$2,666,780	TotalBalanceDueAmt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	576077	ContributionCnt
Noncash Contributions Rpt F990	$2,237,175	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Equipment	2	$4,124	Cost
Yes (X)	Tickets and Certificates	601	$4,050	Cost
Yes (X)	Toys	159	$8,193	NONE

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Securities - Publicly traded - 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	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
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 VII, Section A INCENTIVE COMPENSATION	DRS. ANDROPOULOS, BELFORT, HOLLIER, SHEKERDEMIAN, SHILT, AND VERSALOVIC, WHILE EMPLOYED BY BAYLOR COLLEGE OF MEDICINE, SERVE AS IN-CHIEFS DIRECTING PATIENT CARE AT TEXAS CHILDREN'S HOSPITAL. DUE TO THEIR SENIOR LEADERSHIP ROLES, THEY ARE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON THEIR CONTRIBUTIONS TO ACHIEVING THE ORGANIZATION'S STRATEGIC GOALS. ALL COMPENSATION IS EARNED IN THEIR CAPACITY AS PHYSICIAN LEADERS.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Restricted Funds Utilized - Total Revenue: 51899287, Related or Exempt Function Revenue: 51899287, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Other Revenues - Total Revenue: 36803239, Related or Exempt Function Revenue: 36803239, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Indirect Expense Reimbursement from Affiliates - Total Revenue: 16483038, Related or Exempt Function Revenue: 16483038, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other non-operating income - Total Revenue: 2430842, Related or Exempt Function Revenue: 2430842, 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: 293049, Fundraising Expenses: 6403; HEALTHCARE PROFESSIONAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 4360226, Fundraising Expenses: 315512; OTHER NON-HEALTHCARE PROFESSIONAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 10545550, Fundraising Expenses: 2549234; - 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: ; - 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 LOSS ON PENSION - -13488859; ASSETS RELEASED FROM RESTRICTION - -5601029; AUXILIARY RESTRICTED FUND - -583527; CHANGE IN BENEFICIAL INTEREST IN AFFILIATES - XXX-XX-XXXX; CHANGE IN CHARITABLE GIFT ANNUITY - 10029; CHANGES IN FUND BALANCE - -XXX-XX-XXXX; GRANT FUNDED CAPITAL - -66860; INVESTMENT IN AFFILIATES - -1827843;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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 800	BELLAIRE	TX	77401	760486264	HEALTH CARE	TX	501(c)(3)	10	TEXAS CHILDREN'S	false
TEXAS CHILDREN'S GLOBAL
PO BOX 300630		HOUSTON	TX	77230	261482195	HEALTH CARE	TX	501(c)(3)	Type II	TEXAS CHILDREN'S	false
TEXAS CHILDREN'S HOSPITAL FOUNDATION
6621 FANNIN STREET		HOUSTON	TX	77030	202380599	SUPPORTING ORG	TX	501(c)(3)	Type II	TEXAS CHILDREN'S	false
TCH PEDIATRIC ASSOCIATES Inc
PO BOX 300630		HOUSTON	TX	77230	760460242	HEALTH CARE	TX	501(c)(3)	10	TEXAS CHILDREN'S	false
TEXAS CHILDREN'S PHYSICIAN GROUP
6621 FANNIN STREET		HOUSTON	TX	77030	260834681	HEALTH CARE	TX	501(c)(3)	10	TEXAS CHILDREN'S	false
TEXAS CHILDREN'S HEALTH PLAN - THE CENTER
6330 WEST LOOP SOUTH	SUITE 800	BELLAIRE	TX	77401	461392824	HEALTH CARE	TX	501(c)(3)	Type I	TEXAS CHILDREN'S HEALTH PLAN	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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm
TCH INSURANCE COMPANY LTD
PO BOX 1051	GRAND CAYMAN	CJ	KY11102	980176652	INSURANCE	CJ	NA	C Corporation	false
CVI GVF HOLDINGS 3 LTD
PO BOX 309GT UGLAND HOUSE	GRAND CAYMAN	CJ	KY11104	981078282	INVESTMENT	CJ	NA	C Corporation	false	S CHURCH ST	GEORGE TOWN

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd