TEXAS CHILDRENS HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: TEXAS CHILDRENS HOSPITAL (EIN 74-1100555)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-15
IRS object ID: 202312279349304001
Schema version: 2021v4.2
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-15T20:30:21+00:00	ReturnTs
Tax Period End	2022-09-30	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	750 N St Paul Suite 850	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	752013246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	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	8328242982	PhoneNum

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WELDON GAGE	PersonNm
Person Title	Executive VP / CFO	PersonTitleTxt
Phone	8328242982	PhoneNum
Signature	2023-08-15	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	WELDON	PersonFirstNm
Person Last	GAGE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	2147775200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

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	6621 FANNIN ST	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,146,650,158	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	13557	TotalEmployeeCnt
Total Volunteers	378	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$68,143,860	PYContributionsGrantsAmt
CY Contributions Grants	$90,377,913	CYContributionsGrantsAmt
PY Program Service Revenue	$2,650,840,461	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,981,690,830	CYProgramServiceRevenueAmt
PY Investment Income	$18,234,222	PYInvestmentIncomeAmt
CY Investment Income	$38,629,226	CYInvestmentIncomeAmt
PY Other Revenue	$14,668,103	PYOtherRevenueAmt
CY Other Revenue	$27,497,662	CYOtherRevenueAmt
PY Total Revenue	$2,751,886,646	PYTotalRevenueAmt
CY Total Revenue	$3,138,195,631	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,798,897	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$10,206,694	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,242,700,342	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,413,915,021	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,306,499	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$2,709,599	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$23,597,878	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,462,326,680	PYOtherExpensesAmt
CY Other Expenses	$1,820,454,851	CYOtherExpensesAmt
PY Total Expenses	$2,715,132,418	PYTotalExpensesAmt
CY Total Expenses	$3,247,286,165	CYTotalExpensesAmt
PY Revenues Less Expenses	$36,754,228	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$109,090,534	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,172,261,535	TotalAssetsBOYAmt
Total Assets EOY	$6,762,073,162	TotalAssetsEOYAmt
Total Liabilities BOY	$1,866,154,671	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,991,143,721	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,306,106,864	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,770,929,441	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	$2,891,468,520	ExpenseAmt
Grant	$9,592,561	GrantAmt
Revenue	$2,960,765,197	RevenueAmt
Desc	PATIENT CARE: TEXAS CHILDREN'S HOSPITAL IS AN INTERNATIONALLY RECOGNIZED FULL-SERVICE PEDIATRIC HOSPITAL OPERATING THREE CAMPUSES IN THE HOUSTON AREA, THE LARGEST OF WHICH IS LOCATED IN THE TEXAS MEDICAL CENTER. ONE OF THE LARGEST PEDIATRIC HOSPITALS IN THE UNITED STATES, THE HOSPITAL IS CONSISTENTLY RANKED AS THE BEST CHILDREN'S HOSPITAL IN TEXAS, AND AMONG THE TOP IN THE NATION. TEXAS CHILDREN'S HAS GARNERED WIDESPREAD RECOGNITION FOR ITS EXPERTISE AND BREAKTHROUGHS IN PEDIATRIC AND WOMEN'S HEALTH. THE HOSPITAL INCLUDES TEXAS CHILDREN'S HOSPITAL; THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE; THE FEIGIN CENTER FOR PEDIATRIC RESEARCH; TEXAS CHILDREN'S PAVILION FOR WOMEN, A COMPREHENSIVE OBSTETRICS/GYNECOLOGY HOSPITAL FOCUSING ON HIGH-RISK BIRTHS; TEXAS CHILDREN'S HOSPITAL WEST CAMPUS, A COMMUNITY HOSPITAL IN SUBURBAN WEST HOUSTON; AND TEXAS CHILDREN'S HOSPITAL THE WOODLANDS, THE FIRST HOSPITAL DEVOTED TO CHILDREN'S CARE FOR COMMUNITIES NORTH OF HOUSTON, A SECOND COMMUNITY HOSPITAL THAT OPENED APRIL 2017. TEXAS CHILDREN'S HOSPITAL WILL BE OPENING A BRAND NEW SEPARATELY LICENSED CHILDREN'S HOSPITAL IN AUSTIN, TX PLANNED FOR FEBRUARY 2024. 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. DURING THE YEAR THE HOSPITAL OVERALL OPERATED 863 INPATIENT BEDS AND MORE THAN 130 AMBULATORY SPECIALTY CLINICS, SUPPORTED BY AN AWARD-WINNING MEDICAL STAFF CONSISTING OF MORE THAN 870 BOARD-CERTIFIED PEDIATRIC PHYSICIANS, OBSTETRICIANS AND GYNECOLOGISTS, ADULT SUBSPECIALISTS AND DENTISTS AND A DEDICATED AND HIGLY SKILLED NURSING AND SUPPORT STAFF OF MORE THAN 11,300. IN 2022, THE PAVLION PERFORMED APPROXIMATELY 6,745 DELIVERIES AND THE HOSPITAL SYSTEM EXCEEDED 1,785,700 OUTPATIENT CLINIC VISITS. THE ORGANIZATION ALSO CREATED TEXAS CHILDREN'S HEALTH PLAN, THE NATION'S FIRST HMO FOR CHILDREN; TEXAS CHILDREN'S PEDIATRICS, THE LARGEST PEDIATRIC PRIMARY CARE NETWORK IN THE COUNTRY; TEXAS CHILDREN'S URGENT CARE CLINICS THAT SPECIALIZE IN AFTER-HOURS CARE TAILORED SPECIFICALLY FOR CHILDREN; AND A GLOBAL HEALTH PROGRAM THAT'S PROVIDING CARE TO CHILDREN AND WOMEN ALL OVER THE WORLD. TEXAS CHILDREN'S HOSPITAL IS AFFILIATED WITH BAYLOR COLLEGE OF MEDICINE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$119,294,534	ExpenseAmt
Grant	$395,764	GrantAmt
Revenue	$33,722,464	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 2022, TEXAS CHILDREN'S INVESTED IN MORE THAN $119 MILLION IN OVER 1,957 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	$65,822,521	ExpenseAmt
Grant	$218,369	GrantAmt
Revenue	$13,722,268	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 51 SUB-SPECIALTY CARE OFFERINGS. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2022, THE HOSPITAL INVESTED MORE THAN $55 MILLION IN THE TRAINING OF OVER 1,300 TRAINEES IN 100 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. MORE THAN 1,700 STUDENTS APPLY EACH YEAR FROM THE TOP MEDICAL SCHOOLS AROUND THE COUNTRY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$3,076,585,575	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	false	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	856	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	13557	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	3	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	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	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	Jessica Anderson	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8328242972	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 (25 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARK A WALLACE
BOARD MEMBER / CHAIR / PRESIDENT / CEO	36.0	4.0	Yes (X)	Yes (X)	$7,963,997	$0	$883,136
CATHERINE GORDON MD
BOARD MEMBER THROUGH 04/26/2022 / PHYSICIAN / IN-CHIEF	1.0	4.0	Yes (X)		$0	$0	$0
DANIEL R DIPRISCO
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	38.0	2.0	Yes (X)		$1,524,741	$0	$313,766
DEAN B ANDROPOULOS MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	1.0	2.0	Yes (X)		$138,300	$0	$234,300
ERIC K WILLIAMS MD
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
JACQUELINE R WARD
BOARD MEMBER / SENIOR VICE PRESIDENT / CHIEF NURSING OFFICER	40.0	0	Yes (X)		$1,004,393	$0	$112,908
James Versalovic MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	1.0	3.0	Yes (X)		$149,100	$0	$421,000
Jeffrey Shilt MD
BOARD MEMBER AS OF 04/27/2022 / PHYSICIAN	1.0	2.0	Yes (X)		$0	$0	$0
Lara Shekerdemian MD
BOARD MEMBER AS OF 04/27/2022	1.0	2.0	Yes (X)		$0	$0	$0
Larry Hollier MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	1.0	2.0	Yes (X)		$1,339,926	$0	$0
MARK W MULLARKEY
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	27.0	13.0	Yes (X)		$1,995,786	$0	$403,207
MICHAEL A BELFORT MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	1.0	3.0	Yes (X)		$184,200	$0	$312,150
MICHELLE M RILEY-BROWN
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	36.0	4.0	Yes (X)		$2,002,384	$0	$441,553
THIERRY HUISMAN MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	1.0	39.0	Yes (X)		$0	$868,276	$445,397
WELDON W GAGE
BOARD MEMBER / EXECUTIVE VICE PRESIDENT / CHIEF FINANCIAL OFFICER	39.0	1.0	Yes (X)		$2,285,833	$0	$469,997
LANCE A LIGHTFOOT
BOARD SECRETARY / SENIOR VICE PRESIDENT	32.0	8.0		Yes (X)	$1,570,769	$0	$351,599
IVETT T SHAH
SENIOR VICE PRESIDENT THROUGH 09/28/2022	39.0	1.0			$920,577	$0	$85,397	Yes (X)
MATTHEW T GIROTTO
SENIOR VICE PRESIDENT	39.0	1.0			$962,643	$0	$288,931	Yes (X)
TABITHA L RICE
EXECUTIVE VICE PRESIDENT	40.0	0.0			$1,202,067	$0	$380,710	Yes (X)
KATHARINE O TITTLE
SENIOR VICE PRESIDENT	40.0	0.0			$1,513,165	$0	$19,285		Yes (X)
KEITH C NELSON
SENIOR VICE PRESIDENT / CIO	40.0	0			$1,264,521	$0	$420,642		Yes (X)
LINDA W ALDRED
SENIOR VICE PRESIDENT	40.0	0			$1,938,548	$0	$362,032		Yes (X)
MYRA L DAVIS
SENIOR VICE PRESIDENT	40.0	0			$1,662,599	$0	$514,058		Yes (X)
STANLEY W SPINNER MD
VICE PRESIDENT / CHIEF MEDICAL OFFICER	38.0	2.0			$932,848	$0	$71,605		Yes (X)
BENJAMIN B MELSON
FORMER BOARD MEMBER, OFFICER & EXECUTIVE VICE PRESIDENT	0.0	0			$100,873	$0	$1,264			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$30,657,269	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$868,276	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,532,936	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3295	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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	$83,700,661
MCKESSON PLASMA AND BIOLOGICS LLC
16578 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	HEALTH SOLUTIONS	$52,682,728
TRUSTED HEALTH INC
604 MISSION ST	SAN FRANCISCO	CA	94105	EMPLOYMENT AGENCY	$21,209,769	STE 500
KINETIX LLC
50 GLENLAKE PKWY STE 625	ATLANTA	GA	30328	RECRUITING SERVICES	$9,086,218
WORLD WIDE TECHNOLOGY
1 WORLD WIDE WAY	ST LOUIS	MO	63146	INFORMATION TECHNOLOGY SERVICES	$6,198,974

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	255	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$1,411,498	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$15,251,841	GovernmentGrantsAmt
All Other Contributions	$73,714,574	AllOtherContributionsAmt
Noncash Contributions	$1,869,034	NoncashContributionsAmt
Total Contributions	$90,377,913	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	$2,529,274,290	$2,529,274,290	$0	$0
MEDICAID & SUPPLEMENTAL REIMBURSEMENTS	622310	$98,026,038	$98,026,038	$0	$0
PHARMACY REVENUE	622310	$197,299,131	$197,299,131	$0	$0
MANAGEMENT SERVICES	541611	$36,912,960	$36,912,960	$0	$0
RENTAL INCOME	900099	$15,112,715	$15,112,715	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,065,696	TotalRevenueColumnAmt
Related Or Exempt Func Income	$105,065,696	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,981,690,830	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,455,685	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$38,455,685	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	$227,913	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$67,944	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$159,969	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$159,969	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$159,969	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,005,331	SecuritiesAmt
Other	$139,453	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,791,561	SecuritiesAmt
Other	$179,682	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$213,770	SecuritiesAmt
Other	-$40,229	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$173,541	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$173,541	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$177,339	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,192,368	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$592,556	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$415,217	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$415,217	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	$3,056,594	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,822,784	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,233,811	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,233,811	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	$14,884,569	$14,884,569	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,634,530	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,634,530	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$26,519,099	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,138,195,631	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,008,209,929	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$39,607,789	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	$9,756,694	TotalAmt
Program Services	$9,756,694	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$450,000	TotalAmt
Program Services	$450,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$50,971,311	TotalAmt
Program Services	$50,971,311	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$203,010	TotalAmt
Program Services	$203,010	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,095,373,742	TotalAmt
Program Services	$1,027,054,927	ProgramServicesAmt
Management And General	$60,185,903	ManagementAndGeneralAmt
Fundraising	$8,132,912	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$46,495,187	TotalAmt
Program Services	$44,250,870	ProgramServicesAmt
Management And General	$1,904,913	ManagementAndGeneralAmt
Fundraising	$339,404	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$139,812,538	TotalAmt
Program Services	$130,586,131	ProgramServicesAmt
Management And General	$8,280,541	ManagementAndGeneralAmt
Fundraising	$945,866	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$81,059,233	TotalAmt
Program Services	$75,567,699	ProgramServicesAmt
Management And General	$4,909,708	ManagementAndGeneralAmt
Fundraising	$581,826	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,936,789	TotalAmt
Program Services	$465,176	ProgramServicesAmt
Management And General	$3,468,804	ManagementAndGeneralAmt
Fundraising	$2,809	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$348,092	TotalAmt
Program Services	$5,984	ProgramServicesAmt
Management And General	$342,108	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$486,582	TotalAmt
Program Services	$2,339	ProgramServicesAmt
Management And General	$484,243	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$2,709,599	TotalAmt
Fundraising	$2,709,599	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$666,437,821	TotalAmt
Program Services	$642,300,486	ProgramServicesAmt
Management And General	$20,798,946	ManagementAndGeneralAmt
Fundraising	$3,338,389	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$37,804,680	TotalAmt
Program Services	$36,155,746	ProgramServicesAmt
Management And General	$959,817	ManagementAndGeneralAmt
Fundraising	$689,117	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$63,193,581	TotalAmt
Program Services	$58,623,643	ProgramServicesAmt
Management And General	$4,378,262	ManagementAndGeneralAmt
Fundraising	$191,676	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$78,088,203	TotalAmt
Program Services	$70,804,677	ProgramServicesAmt
Management And General	$3,665,022	ManagementAndGeneralAmt
Fundraising	$3,618,504	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$75,910,283	TotalAmt
Program Services	$72,585,020	ProgramServicesAmt
Management And General	$3,148,842	ManagementAndGeneralAmt
Fundraising	$176,421	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,405,514	TotalAmt
Program Services	$2,175,296	ProgramServicesAmt
Management And General	$143,008	ManagementAndGeneralAmt
Fundraising	$87,210	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,379,640	TotalAmt
Program Services	$2,193,167	ProgramServicesAmt
Management And General	$134,733	ManagementAndGeneralAmt
Fundraising	$51,740	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$19,058,508	TotalAmt
Program Services	$18,421,771	ProgramServicesAmt
Management And General	$495,464	ManagementAndGeneralAmt
Fundraising	$141,273	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$162,531,379	TotalAmt
Program Services	$160,538,818	ProgramServicesAmt
Management And General	$1,621,978	ManagementAndGeneralAmt
Fundraising	$370,583	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$29,062,546	TotalAmt
Program Services	$430,728	ProgramServicesAmt
Management And General	$28,629,742	ManagementAndGeneralAmt
Fundraising	$2,076	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PHARMACEUTICAL SUPPLIES	$251,700,478	$251,700,478
MEDICAL/SURGICAL SUPPLIES	$180,322,445	$180,322,445
ENHANCED MISSION SUPPORT	$174,058,397	$174,058,397
RECRUITING	$12,262,176	$11,621,188	$539,851	$101,137

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$60,467,737	TotalAmt
Program Services	$55,339,574	ProgramServicesAmt
Management And General	$3,010,827	ManagementAndGeneralAmt
Fundraising	$2,117,336	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,247,286,165	TotalAmt
Program Services	$3,076,585,575	ProgramServicesAmt
Management And General	$147,102,712	ManagementAndGeneralAmt
Fundraising	$23,597,878	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$191,638,707	BOYAmt
EOY	$12,215,827	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$113,730,006	BOYAmt
EOY	$120,757,779	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$486,043,933	BOYAmt
EOY	$662,812,637	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$34,919,092	BOYAmt
EOY	$39,858,046	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$169,854,044	BOYAmt
EOY	$220,654,022	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,129,266,409	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,932,988,206	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,069,505,963	BOYAmt
EOY	$2,196,278,203	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$778,649,472	BOYAmt
EOY	$539,791,353	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$36,329	BOYAmt
EOY	$18,403	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$217,744,092	BOYAmt
EOY	$230,312,524	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,110,139,897	BOYAmt
EOY	$2,739,374,368	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,172,261,535	BOYAmt
EOY	$6,762,073,162	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$488,148,988	BOYAmt
EOY	$578,015,245	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$65,002,249	BOYAmt
EOY	$65,849,699	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,146,722,160	BOYAmt
EOY	$953,406,476	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
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	$673,070	BOYAmt
EOY	$599,187	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$165,608,204	BOYAmt
EOY	$393,273,114	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,866,154,671	BOYAmt
EOY	$1,991,143,721	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	$4,865,603,963	BOYAmt
EOY	$4,357,629,020	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$440,502,901	BOYAmt
EOY	$413,300,421	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,306,106,864	BOYAmt
EOY	$4,770,929,441	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,172,261,535	BOYAmt
EOY	$6,762,073,162	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$109,090,534	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$44,099,713	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$381,987,176	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	$432,296	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$54,286	OtherActivitiesAmt
Total Lobbying Expenditures	$486,582	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$160,839,511	BeginningYearBalanceAmt
Contributions	$13,640,542	ContributionsAmt
Investment Earnings Or Losses	$17,439,098	InvestmentEarningsOrLossesAmt
Administrative Expenses	$6,918,438	AdministrativeExpensesAmt
End Year Balance	$185,000,713	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	$159,112,150	OtherCostOrOtherBasisAmt
Book Value	$159,112,150	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,674,044,594	OtherCostOrOtherBasisAmt
Depreciation	$497,288,494	DepreciationAmt
Book Value	$1,176,756,100	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$56,438,515	OtherCostOrOtherBasisAmt
Depreciation	$41,065,375	DepreciationAmt
Book Value	$15,373,140	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,907,227,826	OtherCostOrOtherBasisAmt
Depreciation	$1,288,173,650	DepreciationAmt
Book Value	$619,054,176	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$332,443,324	OtherCostOrOtherBasisAmt
Depreciation	$106,460,687	DepreciationAmt
Book Value	$225,982,637	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,196,278,203	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (14 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN TEXAS CHILDREN'S HOSPITAL FOUNDATION
TCH INSURANCE COMPANY REBATE RECEIVABLE
MISC RECEIVABLES
PREPAID MISSION SUPPORT
DUE FROM AFFILIATES
DISPROPORTIONATE RECEIVABLE
WAIVER RECEIVABLE
BREAKDOWN IN PROCESS
INVESTMENT IN TEXAS CHILDREN'S HOSPITAL FOUNDATION	$2,400,361,854
TCH INSURANCE COMPANY REBATE RECEIVABLE	$51,424,987
MISC RECEIVABLES	$76,855,938
INTEREST RATE SWAP	$5,720,226
DUE FROM AFFILIATES	$189,143,682
WAIVER RECEIVABLE	$15,867,681

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,739,374,368	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
INTEREST RATE SWAP
DEFERRED COMPENSATION
RETIREMENT PLAN LIABILITY
OTHER LONG-TERM LIABILITY
BREAK DOWN IN PROCESS
DUE TO AFFILIATES	$107,918,138
INTEREST RATE SWAP	$11,921,544
DEFERRED COMPENSATION	$13,545,275
RETIREMENT PLAN LIABILITY	$51,209,232
OTHER LONG-TERM LIABILITY	$161,678,925
LINE OF CREDIT	$47,000,000

Field	Value	IRS element (for citing)
Total Liability	$393,273,114	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, 2022 OR 2021.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Sub-Saharan Africa	0	0	Program Services	Patient care services	$4,195,284
Europe (Including Iceland and Greenland)	0	0	Program Services	Patient Care Services	$731,690

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	$4,926,974	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$4,926,974	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	EUROPE (INCLUDING ICELAND AND GREENLAND)-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 (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
COMMUNITY COUNSELING SERVICE
527 MADISON AVENUE FIFTH FLOOR	NEW YORK	NY	10022	CAMPAIGN MANAGEMENT SERVICES	false	$114,339	-$114,339
CATHEXIS PARTNERS
122 CELEBRATION BLVD	CELEBRATION	FL	34747	IT SERVICES	false	$65,694	-$65,694
WARD & AMES SPECIAL EVENTS
7500 SAN FELIPE STE 350	HOUSTON	TX	77063	EVENT COORDINATOR	false	$230,554	-$230,554
RKD GROUP
3400 WATERVIEW PARKWAY	RICHARDSON	TX	75080	DIRECT MAIL	false	$2,498,879	-$2,498,879
DINI SPHERIS
2727 ALLEN PARKWAY STE 1650	HOUSTON	TX	77019	FUNDRAISING CONSULTING SERVICES	false	$132,684	-$132,684
CHILDREN'S MIRACLE NETWORK HOSPITALS
205 W 700 ST	SALT LAKE CITY	UT	84101	FUNDRAISING	false	$592,725	-$592,725

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$3,634,875	TotalRetainedByContractorsAmt
Total Net To Organization	-$3,634,875	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	BAD PANTS GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$393,325	GrossReceiptsEvent1Amt
Charitable Contri Event1	$306,925	CharitableContriEvent1Amt
Gross Revenue Event1	$86,400	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$135,372	OtherDirectExpensesEvent1Amt
Event2	AN EVENING WITH BASEBALL LEGENDS	Event2Nm
Gross Receipts Event2	$687,535	GrossReceiptsEvent2Amt
Charitable Contri Event2	$624,791	CharitableContriEvent2Amt
Gross Revenue Event2	$62,744	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$337,207	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$507,977	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$479,782	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$28,195	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$119,977	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,588,837	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,411,498	CharitableContributionsTotAmt
Gross Revenue Total Events	$177,339	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$592,556	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$592,556	DirectExpenseSummaryEventsAmt
Net Income Summary	-$415,217	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
Percent200	Yes (X)	Percent200Ind
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	$30,813,924	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,047,270	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,766,654	NetCommunityBenefitExpnsAmt
Total Expense	0.0091	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,624,188,085	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,099,409,577	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$524,778,508	NetCommunityBenefitExpnsAmt
Total Expense	0.1611	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,031,660	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,727,599	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,304,061	NetCommunityBenefitExpnsAmt
Total Expense	0.0062	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	$1,690,033,669	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,115,184,446	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$574,849,223	NetCommunityBenefitExpnsAmt
Total Expense	0.1764	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,608,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,302,197	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,306,713	NetCommunityBenefitExpnsAmt
Total Expense	0.0053	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,822,521	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,612,544	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,209,977	NetCommunityBenefitExpnsAmt
Total Expense	0.0188	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,847,514	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,779,174	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,068,340	NetCommunityBenefitExpnsAmt
Total Expense	0.0031	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$119,294,534	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,722,464	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$85,572,070	NetCommunityBenefitExpnsAmt
Total Expense	0.0263	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,349,849	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$162,390	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,187,459	NetCommunityBenefitExpnsAmt
Total Expense	0.0025	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$231,923,328	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,578,769	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$182,344,559	NetCommunityBenefitExpnsAmt
Total Expense	0.0560	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,921,956,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,164,763,215	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$757,193,782	NetCommunityBenefitExpnsAmt
Total Expense	0.2324	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,900	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,900	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$195,403	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$195,403	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$150,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$150,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$750	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$750	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,797	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
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	$92,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$92,500	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	$558,350	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$558,350	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$7,861,862	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$9,448,819	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,586,957	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	200.0	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 (8 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 interviewees' organizations, 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 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. All new onboarding employees receive this as required training as well. * Texas Children's Health Plan is establishing 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. * 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. The ultimate goal is 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 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. * 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. Action 2 - Support efforts to screen families for social determinants of health and connect families to resources. * 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) identifies 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. (See continuation of Part V, Line 11)
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Texas Children's Hospital. 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. * upWORDS2 is offered to parents who have participated in the upWORDS program and are seeking additional sessions on early brain development and positive parenting. * 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. * 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. * TCHP has established a workgroup to increase information about the importance of mental health and resources. 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): 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. 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 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. 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. 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. * 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. 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. 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. * TCHP has a partnership with Harris County Public Health Department 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.
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
Vannie Cook Children's Cancer and Hematology Clinic
101 W Expressway 83	McAllen	TX	78503	Community Based Outpatient / Diagnostic Clinic
SuperKids and Ronald McDonald Care Mobile Clinics
8080 N Stadium Drive	Houston	TX	77054	Community Based Mobile Clinics
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 (22 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, 2022, the Hospital reported $545,567,905 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 $211,626 (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. $234,058. ASCBS includes financial assistance provided to community by related organizations $(4,403) ASCBS includes the unreimbursed cost of community building activities $(1,042) ASCBS includes the unreimbursed cost of Medicare and Champus $(16,987) Total variance between Part I line 7 and ASCBS $211,626.
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 435,000 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 $189 million annually, researchers conduct more than 1,750 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: https://www.texaschildrens.org/patients-and-visitors/insurance-and-billing-assistance/financial-arrangements
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, Special Needs Primary 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 $16,847,514, offsetting revenue of $6,779,174 and net expenses of $10,068,340 are included in that line. The stand-alone clinics include gross expenses of $8,060,543, offsetting revenue of $2,110,823 and net expenses of $5,949,720 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 3,000 patient visits annually. Renal Outpatient Services - Services started in 1980 in response to community needs for chronic hemodialysis for children. Approximately 80 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 4,350 patients are treated in pheresis and renal clinics. The Special Needs Primary Care Clinic provides a medical home, case management and social services for children with very complex underlying medical conditions. These patients have difficulty finding a general pediatrician to oversee their care and tend to utilize emergency rooms and subspecialists for routine care. 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 5,100 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 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 2022, the mobile clinics conveniently and safely provided vaccines at 400 events covering over 140 different locations in Greater Houston. The mobile clinics provided approximately 6,500 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 71% of the patients seen in the Dental Clinic are insured through Medicaid. In 2022, the Dental Clinic had over 4,900 patient visits which included approximately 500 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 2022, the Orthodontic Clinic had over 3,100 patient visits with approximately 62% 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 (75%) 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 Bad Debt Expense excluded from financial assistance calculation	0
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	For Part 1, Line 7, Texas Children's Hospital (Hospital) applied the ratio of patient care costs (RCC) to charges derived from Worksheet 2 to the charges the Hospital forgave pursuant to the financial assistance policy (FAP) (line 7a), Medicaid charges (line 7b), other means-tested charges (line 7c) and research patient care charges (line 7h). Worksheets 1, 2, 3, 4, 5, 6, 7 & 8 and the corresponding instructions have been used as the primary basis for completing Part 1, Line 7. For each subsidized health service, the Hospital used the RCC for Medicaid cost report line 90.00 Outpatient Clinics 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 2022 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 2022 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 2022 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 2022 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). Vulnerable Population Economic Improvement (Line 2) Net Community Building Expense Cristo Rey Work Study Program $ 72,900 TOTAL $ 72,900 Community Support Activities (Line 3) Net Community Building Expense Ronald McDonald House Houston $ 75,000 Project Joy & Hope $ 20,000 Sam Houston Area Council - Boy Scouts of America $ 20,000 Candlelighters Childhood Cancer Family Alliance $ 15,000 Lifeline Chaplaincy $ 15,000 The Sanctuary Foster Care Services $ 10,298 Covenant House $ 10,000 Houston Angels $ 5,245 Down Syndrome Association $ 5,150 Bo's Place $ 5,100 SEARCH - Houston without Homeless $ 5,000 YES to YOUTH - Montgomery County Youth Services $ 5,000 Avondale House $ 2,510 AJF - Ashley Jadine Foundation $ 1,070 BakerRipley $ 780 Houston Jewish Family Foundation $ 250 TOTAL $ 195,403 Leadership Development and Training for Community Member Activities (Line 5) Net Community Building Expense Junior League of Houston $ 120,000 American Leadership Forum $ 20,000 Jack and Jill of America $ 10,000 TOTAL $ 150,000 Coalition Building Activities (Line 6) Net Community Building Expense The Woodforest Charitable Foundation $ 750 TOTAL $ 750 Community Health Improvement Advocacy Activities (Line 7) Net Community Building Expense Texas Liver Foundation $ 15,000 Hand to Hold $ 10,000 Children At Risk $ 10,000 Change Happens! $ 5,000 Texas Medical Association $ 3,500 Interfaith of The Woodlands $ 2,500 Colon Cancer Coalition $ 797 TOTAL $ 46,797 Other (Line 9) Net Community Benefit Expenses SIRE - Therapeutic Horsemanship $ 25,000 Houston Children's Charity $ 25,000 Center for Pursuit $ 17,500 Texas Hearing Institute $ 15,000 The Brookwood Community $ 10,000 TOTAL $ 92,500
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	In accordance with HFMA Statement 15 and ASU 2014-09, Topic 606, Bad debt expense represents the difference between the standard rates (or explicit contracted rates) and the amounts expected to be collected from a third-party payor after all reasonable collection efforts have been exhausted. Also in accordance with HFMA Statement 15 and ASU 2014-09, Topic 606, Bad debt expense is calculated as the charges written off (at full established rate), less any indirect funds received to offset charges written off.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Bad debt attributable to patients eligible under financial assistance policy: The Hospital does not contend that any of its bad debt expense is attributable to the organization's financial assistance policy (FAP) 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 2022 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 2022 U.S. News survey - which uses data from 2021 - the Hospital ranked in the top ten in eight subspecialties, #1 in the nation in Pulmonology, 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 1,700 candidates in 2022. 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 2022, there were a total of over 200 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 and physical rehabilitation, allergy and immunology, 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, plastic surgery, psychiatry, psychology, pulmonology, rheumatology, sports medicine and urology. Hospital facilities include 25 emergency center rooms, 74 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 expansion 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 50 practices in the Greater Houston area, 13 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 43,000 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 2022, there were ten 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 2022, the Health Plan has over 590,000 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 (82 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
TCH Pediatric Associates Inc
PO BOX 300630	0	Houston	TX	77230	760460242	501(c)(3)	$7,000,000	Free healthcare for indigent pediatric patients
Ronald McDonald House
1907 Holcombe Blvd	0	Houston	TX	77030	741984499	501(c)(3)	$150,000	General support
The Cynthia Woods Mitchell Pavilion
2005 Lake Robbins Drive	0	The Woodlands	TX	77380	760276606	501(c)(3)	$125,000	Support for the 2021 Children's Festival event
Junior League of Houston
1811 Briar Oaks Ln	0	Houston	TX	77027	741185659	501(c)(3)	$120,000	General support
Sports Authority Foundation
701 Avenida de las Americas	Suite 450	Houston	TX	77010	822157834	501(c)(3)	$100,000	Support for Final Four event in Houston
YMCA of Greater Houston
2600 North Loop West	0	Houston	TX	77092	741109737	501(c)(3)	$89,700	General support, support for The Woodlands YMCA Trunk n' Treat event, and support for the YMCA Run Thru the Woods event
Cristo Rey Work Study Program
6700 Mount Carmel St	0	Houston	TX	77087	263739361	501(c)(3)	$72,900	General support
Upper Kirby District Foundation
3120 Southwest Freeway	Suite 102	Houston	TX	77098	800472449	501(c)(3)	$65,000	Support for the Levy Park Conservancy Family Movie Night Series and Summer Block Party Series
Houston Zoo Inc
1513 Cambridge	0	Houston	TX	77030	741590271	501(c)(3)	$60,000	General support
March of Dimes
3000 Weslayan	Suite 100	Houston	TX	77027	131846366	501(c)(3)	$55,000	Support for the 2022 March for Babies initiatives in Houston, Fort Bend, and Montgomery County
Houston Defender Network
12401 South Post Oak	0	Houston	TX	77063	760238885	For Profit	$53,400	Support for the State Of Black Women Health Forum
Texas Medical Center Orchestra (TMCO)
PO Box 980983	0	Houston	TX	77098	760669727	501(c)(3)	$50,000	General support
The Cure Starts Now
10280 Chester Road	0	Cincinnati	OH	45215	260269131	501(c)(3)	$50,000	Support for the 2022 Hearts For MK initiative
Girl Scouts
12012 Park Thirty-Five Circle	0	Austin	TX	78753	741109644	501(c)(3)	$45,000	General support and support for the Success to Significance 2021 event
AFP - Association for Fundraising Professionals Greater Houston
4300 Wilson Boulevard	Suite 300	Arlington	VA	222034167	943011524	501(c)(3)	$43,705	General support
Good Samaritan Foundation
3355 W Alabama St	Suite 1025	Houston	TX	77098	741235398	501(c)(3)	$39,500	General support
American Heart Association - AHA
10060 Buffalo Speedway	0	Houston	TX	770541302	135613797	501(c)(3)	$35,000	General support
Blue Bird Circle
615 W Alabama	0	Houston	TX	77055	741405134	501(c)(3)	$35,000	General support
Houston Food Bank
535 Portwall St	0	Houston	TX	770291332	742181456	501(c)(3)	$35,000	General support
Friends of the ABC Zilker Park Kite Festival Inc
PO BOX 41856	0	Austin	TX	787040031	471324551	501(c)(3)	$30,000	Support for the ABC Kite Fest
Hydrocephalus Association
4340 East West Highway	Suite 905	Bethesda	MD	20814	943000301	501(c)(3)	$30,000	General support and support for the HA Connect 2022 National Conference on Hydrocephalus
Institute for Spirituality and Health
8100 Greenbriar	0	Houston	TX	77054	741246255	501(c)(3)	$30,000	Support for the Via Colori Houston 2022 Event
Round Rock ISD Partners in Education Foundation
595 Round Rock West Dr	Suite 404	Round Rock	TX	78681	742488709	501(c)(3)	$30,000	General support
Doctors For Change
2900 Weslayan Street	Suite 400	Houston	TX	77027	412212976	501(c)(3)	$25,875	General support
Know Autism Foundation
6430 Richmond Ave	Suite 410	Houston	TX	77057	462573522	501(c)(3)	$25,747	Support for the As I Am Festival
Easter Seals Greater Houston
4500 Bissonnet	Suite 340	Bellaire	TX	774013006	741238418	501(c)(3)	$25,563	Support for the Easter Seals' Annual Walk With Me event
Asia Society
725 Park Avenue	0	New York	NY	100215088	133234632	501(c)(3)	$25,000	General support
Astros Foundation
501 Crawford St	0	Houston	TX	77002	742793078	501(c)(3)	$25,000	General support
Evelyn Rubenstein Jewish Community Center of Houston (ERJCC)
5601 S Braeswood Blvd	0	Houston	TX	77096	131740507	501(c)(3)	$25,000	General support
Greater Houston Women's Chamber of Commerce
3201 Kirby Dr	0	Houston	TX	77098	261536004	501(c)(6)	$25,000	Support for the Greater Houston Women's Chamber of Commerce Hall of Fame Event and support for the Greater Houston Women's Chamber of Commerce Conference for Women 2022
Houston Children's Charity
230 Westcott St	0	Houston	TX	77007	760135741	501(c)(3)	$25,000	General support
SIRE - Therapeutic Horsemanship
11211 Katy Freeway	Suite 660	Houston	TX	77079	742168515	501(c)(3)	$25,000	General support
The Marfan Foundation
22 Manhasset Avenue	0	Port Washington	NY	11050	521265361	501(c)(3)	$25,000	General support
The Rise School
5618 H Mark Crosswell Jr St	0	Houston	TX	77021	760606866	501(c)(3)	$25,000	General support
Alpha Kappa Alpha Sorority Incorporated
5656 South Stony Island Avenue	0	Chicago	IL	60637	363201654	501(c)(7)	$20,000	General support
American Leadership Forum
3101 Richmond Avenue	0	Houston	TX	77098	760284248	501(c)(3)	$20,000	General support
Project Joy & Hope
PO Box 5111	0	Pasadena	TX	77508	760646721	501(c)(3)	$20,000	General support
Sam Houston Area Council - Boy Scouts of America
2225 North Loop West	0	Houston	TX	77008	760239833	501(c)(3)	$20,000	Support for the 2022 Sam Houston Area Council Friends of Scouting Campaign - Sports Breakfast Team
Center for Pursuit
810 Marston St	0	Houston	TX	77019	741272417	501(c)(3)	$17,500	General support
Athletes and Causes - HelpCureHD
12551 Franklin Rd	0	Thonotosassa	FL	33592	472377003	501(c)(3)	$15,000	General support
Austin Smiles
9415 Burnet Rd	Suite 207	Austin	TX	78758	742479196	501(c)(3)	$15,000	General support
Candlelighters Childhood Cancer Family Alliance
12919 Southwest Freeway	Suite 100	Stafford	TX	77477	760367440	501(c)(3)	$15,000	Support for the 2022 Lights of Courage event
Capital Factory Properties LLC
701 Brazos St	0	Austin	TX	78701	455547792	For Profit	$15,000	Support for the 2022 Austin Startup Week event
Hope and Healing Center & Institute (HHCI)
717 Sage Road	0	Houston	TX	77056	453305276	501(c)(3)	$15,000	General support
Kids' Meals
330 Garden Oaks Blvd	0	Houston	TX	770185502	760330447	501(c)(3)	$15,000	Support for the Kids' Meals 2022 Harvest Event
Lifeline Chaplaincy
1415 Southmore Blvd	0	Houston	TX	77004	760504483	501(c)(3)	$15,000	General support
The Periwinkle Foundation
3000 Richmond Ave	Suite 340	Houston	TX	77098	760093914	501(c)(3)	$15,000	General support
Texas Hearing Institute
3100 Shenandoah St	0	Houston	TX	77021	746003178	501(c)(3)	$15,000	General support
Texas Liver Foundation
2429 Bissonnet	Number 30	Houston	TX	77005	851898778	501(c)(3)	$15,000	General support
The Children's Assessment Center (CAC)
2500 Bolsover St	0	Houston	TX	77005	760458780	501(c)(3)	$15,000	General support
The Faris Foundation
13135 Dairy Ashford Rd	Ste 560	Sugar Land	TX	774783689	833109684	501(c)(3)	$15,000	General support
The Thinkery
1830 Simond Ave	0	Austin	TX	78723	742288789	501(c)(3)	$15,000	General support
Katy ISD Education Foundation
6301 South Stadium Lane	0	Katy	TX	77494	800732375	501(c)(3)	$11,100	General support and support for the Katy ISD food insecurity program
Great Southwest Equestrian Center
515 Post Oak Blvd	No 1000	Houston	TX	77027	813819013	501(c)(3)	$10,300	General support
Houston Junior Woman's Club
PO Box 19684	0	Houston	TX	772249684	237045947	501(c)(3)	$10,300	General support
The Sanctuary Foster Care Services
1350 E NASA Parkway	Suite 210	Houston	TX	77058	825440662	501(c)(3)	$10,298	General support
Texans Care for Children
1106 Clayton Lane	0	Austin	TX	78723	752687008	501(c)(3)	$10,020	General support
Angelman Syndrome Foundation
3015 E New York Street	Suite A2 285	Aurora	IL	60504	593092842	501(c)(3)	$10,000	Support for the Angelman Syndrome Foundation 2022 National Walk
Brighter Bites
PO BOX 25456	0	Houston	TX	772655456	474070026	501(c)(3)	$10,000	General support
Championship Hearts Foundation
8310 Shoregrove Dr	0	Humble	TX	77346	811986712	501(c)(3)	$10,000	General support
Children At Risk
2900 Weslayan St	Suite 400	Houston	TX	77027	760360533	501(c)(3)	$10,000	General support
Covenant House
461 Eighth Avenue	0	New York	NY	10001	132725416	501(c)(3)	$10,000	Support for the Sleep Out to End Youth Homelessness event
Epilepsy Foundation
2401 Fountain View Dr	900	Houston	TX	77057	742141084	501(c)(3)	$10,000	General support
Hand to Hold
12325 Hymeadow Dr	Suite 4 102	Austin	TX	78750	273802900	501(c)(3)	$10,000	General support
Jack and Jill of America
1930 17th St NW	0	Washington	DC	20009	510224656	501(c)(3)	$10,000	General support
JDRF - Juvenile Diabetes Research Foundation
1776 Yorktown	0	Houston	TX	77056	231907729	501(c)(3)	$10,000	General support
KIPP Texas Public Schools
10711 KIPP WAY DR	0	Houston	TX	770992675	010639602	501(c)(3)	$10,000	General support
The Menninger Clinic
12301 Main Street	0	Houston	TX	77035	371453409	501(c)(3)	$20,000	General support
Sky High
9800 Richmond Ave	Ste 335	Houston	TX	77042	260465972	501(c)(3)	$10,000	General support
The Brookwood Community
1752 FM 1489	0	Brookshire	TX	77423	741587672	501(c)(3)	$10,000	Support for The Brookwood Community Inspiring Purpose Event
The Crohn's & Colitis Foundation
386 Park Avenue South	0	New York	NY	10016	136193105	501(c)(3)	$10,000	General support
The Ensemble Theater
3535 Main Street	0	Houston	TX	77002	741941943	501(c)(3)	$10,000	General support
The Immunization Partnership
PO Box 5168	0	Katy	TX	77491	760695612	501(c)(3)	$10,000	General support
Fore the Cure
9568 Doliver Dr	0	Houston	TX	770631011	472874715	501(c)(3)	$8,000	General support
Nora's Home
8300 El Rio St	0	Houston	TX	77054	621763895	501(c)(3)	$8,000	General support
Buffalo Bayou Partership
1019 Commerce Street	Suite 200	Houston	TX	77002	760183954	501(c)(3)	$6,000	General support
His Grace Foundation
PO Box 722	0	Tomball	TX	77377	200585227	501(c)(3)	$6,000	General support
South Montgomery County Woodlands Chamber of Commerce
9320 Lakeside Blvd	Suite 200	The Woodlands	TX	77381	742053667	501(c)(6)	$8,500	General support
Houston Angels
PO Box 420966	0	Houston	TX	77242	844233396	501(c)(3)	$5,245	General support
Turn It Gold
14053 Memorial Dr	Ste 142	Houston	TX	770796826	462319604	501(c)(3)	$5,181	General support
Down Syndrome Association of Houston
7115 West Tidwell Rd	Building K 109	Houston	TX	77092	237203655	501(c)(3)	$5,150	General support
Bo's Place
10050 Buffalo Speedway	0	Houston	TX	77054	760326979	501(c)(3)	$5,100	General support

Field	Value	IRS element (for citing)
Total501c3 Org	77	Total501c3OrgCnt
Total Other Org	5	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	FELLOWSHIPS	GrantTypeTxt
Recipient	6	RecipientCnt
Cash Grant	$450,000	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)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	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 (21 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
BENJAMIN B MELSON
FORMER BOARD MEMBER, OFFICER & EXECUTIVE VICE PRESIDENT	$0	$0	$0	$0	$100,873	$0	$0	$0	$1,264	$0	$102,137	$0	$0	$0
MARK A WALLACE
BOARD MEMBER / CHAIR / PRESIDENT / CEO	$2,212,643	$0	$4,655,373	$0	$1,095,981	$0	$849,357	$0	$33,778	$0	$8,847,132	$0	$1,426,455	$0
DEAN B ANDROPOULOS MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$138,300	$0	$0	$0	$234,300	$0	$0	$0	$372,600	$0	$0	$0
MICHAEL A BELFORT MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$184,200	$0	$0	$0	$312,150	$0	$0	$0	$496,350	$0	$0	$0
DANIEL R DIPRISCO
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	$544,740	$0	$894,600	$0	$85,402	$0	$293,755	$0	$20,011	$0	$1,838,507	$0	$406,065	$0
WELDON W GAGE
BOARD MEMBER / EXECUTIVE VICE PRESIDENT / CHIEF FINANCIAL OFFICER	$825,941	$0	$1,342,300	$0	$117,591	$0	$440,244	$0	$29,753	$0	$2,755,829	$0	$635,833	$0
Larry Hollier MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$1,339,926	$0	$0	$0	$0	$0	$0	$0	$1,339,926	$0	$800,000	$0
THIERRY HUISMAN MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$709,644	$0	$135,500	$0	$23,131	$0	$404,419	$0	$40,978	$0	$1,313,673	$0	$0
MARK W MULLARKEY
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	$678,185	$0	$1,094,400	$0	$223,201	$0	$361,391	$0	$41,816	$0	$2,398,993	$0	$541,094	$0
MICHELLE M RILEY-BROWN
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	$737,366	$0	$1,179,200	$0	$85,817	$0	$392,704	$0	$48,849	$0	$2,443,936	$0	$574,869	$0
James Versalovic MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$149,100	$0	$0	$0	$421,000	$0	$0	$0	$570,100	$0	$0	$0
JACQUELINE R WARD
BOARD MEMBER / SENIOR VICE PRESIDENT / CHIEF NURSING OFFICER	$407,987	$0	$523,200	$0	$73,206	$0	$88,261	$0	$24,647	$0	$1,117,301	$0	$239,794	$0
LANCE A LIGHTFOOT
BOARD SECRETARY / SENIOR VICE PRESIDENT	$598,669	$0	$829,300	$0	$142,800	$0	$316,282	$0	$35,316	$0	$1,922,368	$0	$408,819	$0
IVETT T SHAH
SENIOR VICE PRESIDENT THROUGH 09/28/2022	$368,050	$0	$508,100	$0	$44,427	$0	$75,250	$0	$10,146	$0	$1,005,974	$0	$226,069	$0
MATTHEW T GIROTTO
SENIOR VICE PRESIDENT	$355,563	$0	$514,900	$0	$92,180	$0	$234,493	$0	$54,438	$0	$1,251,574	$0	$259,348	$0
TABITHA L RICE
EXECUTIVE VICE PRESIDENT	$474,720	$0	$642,600	$0	$84,747	$0	$343,353	$0	$37,357	$0	$1,582,777	$0	$363,622	$0
LINDA W ALDRED
SENIOR VICE PRESIDENT	$587,019	$0	$805,900	$0	$545,629	$0	$334,036	$0	$27,996	$0	$2,300,579	$0	$469,477	$0
MYRA L DAVIS
SENIOR VICE PRESIDENT	$657,886	$0	$907,100	$0	$97,613	$0	$482,414	$0	$31,645	$0	$2,176,657	$0	$456,978	$0
KATHARINE O TITTLE
SENIOR VICE PRESIDENT	$380,703	$0	$817,200	$0	$315,262	$0	$8,700	$0	$10,585	$0	$1,532,450	$0	$518,717	$0
KEITH C NELSON
SENIOR VICE PRESIDENT / CIO	$521,808	$0	$719,200	$0	$23,513	$0	$373,894	$0	$46,748	$0	$1,685,164	$0	$354,780	$0
STANLEY W SPINNER MD
VICE PRESIDENT / CHIEF MEDICAL OFFICER	$362,176	$0	$488,300	$0	$82,372	$0	$38,300	$0	$33,305	$0	$1,004,453	$0	$258,804	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	FormAndLineReferenceDesc
Explanation	457(F) PLAN: PAID/DEFERRED ALDRED, LINDA W 514,972 / 0 DAVIS, MYRA L 64,479 / 108,402 DIPRISCO, DANIEL R 61,846 / 95,630 GAGE, WELDON W 91,104 / 158,000 GIROTTO, MATTHEW T 69,773 / 48,979 HUISMAN, THIERRY A G M 0 / 4,350 LIGHTFOOT, LANCE A 118,966 / 96,611 MULLARKEY, MARK W 218,883 / 123,460 NELSON, KEITH C 0 / 82,240 RICE, TABITHA L 81,622 / 68,335 RILEY-BROWN, MICHELLE M 81,322 / 136,000 SHAH, IVETT T 20,840 / 48,868 SPINNER, STANLEY W 48,816 / 0 TITTLE, KATHARINE O 105,930 / 0 WALLACE, MARK A 463,800 / 0 WARD, JACQUELINE R 47,016 / 57,520 457(F): THE 457(F) PLAN IS A NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT ALLOWS ELIGIBLE EXECUTIVES, FROM THE ASSISTANT VICE PRESIDENT LEVEL TO CHIEF EXECUTIVE OFFICER, TO RECEIVE SUPPLEMENTAL EXECUTIVE 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 THE EARLIER OF FIVE YEARS, OR THE ATTAINMENT OF AGE 60 AND 75-POINTS DETERMINED AS OF THEIR AGE AND YEARS OF SERVICE. THE 457(F) PLAN ALSO CONTAINS RESIDUAL LONG-TERM INCENTIVE PLAN CONTRIBUTIONS AND CAPITAL ACCUMULATION CONTRIBUTIONS FROM A FLEXIBLE BENEFIT ACCOUNT SURPLUS. THE LONG-TERM INCENTIVE CONTRIBUTIONS VEST AFTER THREE YEARS AND THE CAPITAL ACCUMULATION CONTRIBUTIONS VEST AFTER A MINIMUM OF 5 YEARS IN THE PLAN.	ExplanationTxt

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	$50,720,000	$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	$26,400,000	$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	$182,763,594	$96,325,000	$117,238,271		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	false

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	$275,000	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 M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	34778	ContributionCnt
Noncash Contributions Rpt F990	$1,838,294	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	3	$11,600	Cost
Yes (X)	Tickets and Certificates	12	$15,840	Cost
Yes (X)	Toys	5	$3,300	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. -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 SPECIFIC FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER. -APPROVE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. -ADOPTION OR AMENDMENT OF SALARIES OR OTHER COMPENSATION OF THE OFFICERS, PHYSICIAN EMPLOYEES AND INDEPENDENT CONTRACTOR PHYSICIANS OF THE CORPORATION. -APPROVE DEBT INCURRED BY THE CORPORATION, WHICH 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 OR STRATEGIC PLANS FOR THE CORPORATION. -SELECTION OF THE CORPORATION'S AUDITORS. -DESIGNATION OF ADDITIONAL OR SUCCESSOR MEMBERS. -TAKE ANY ACTION WHICH WOULD BE INCONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE MEMBER.
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. Please note the audit and compliance committee and the risk, management & insurance committee were consolidated into one Committee this year. Following the AC&R Committee's review and approval, the completed Form 990 are 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 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	ALL 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, VERSALOVIC, AND HOLLIER 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: 46661696, Related or Exempt Function Revenue: 46661696, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Other Revenues - Total Revenue: 42143168, Related or Exempt Function Revenue: 42143168, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Indirect Expense Reimbursement from Affiliates - Total Revenue: 16260832, Related or Exempt Function Revenue: 16260832, 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: 11634530, Related or Exempt Function Revenue: 11634530, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part IX, Line 11g Other Fees	HEALTHCARE PROFESSIONAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 15958907, Fundraising Expenses: 2116246; TCPSO HEALTHCARE PROGRAM SUPPORT - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 2153371, Fundraising Expenses: 40086; OTHER NON-HEALTHCARE PROFESSIONAL SERVICES - Total Expense: 71577507, Program Service Expense: 67708782, Management and General Expenses: 2686668, Fundraising Expenses: 1182057; - 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 GAIN ON PENSION - 26828555; GRANT FUNDED CAPITAL - 66860; CHANGE IN BENEFICIAL INTEREST IN AFFILIATES - -XXX-XX-XXXX; CHANGE IN CHARITABLE GIFT ANNUITY - -29260; AUXILIARY RESTRICTED FUND - -2656164; FUND BALANCE ADJUSTMENT - -1308167; ASSETS RELEASED FROM RESTRICTION - -45289496; INVESTMENT IN AFFILIATES - XXX-XX-XXXX;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	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	Address Line2USAddress/AddressLine2Txt
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
1919 S BRAESWOOD 4TH FL	HOUSTON	TX	77030	760461578	PARENT	TX	501(c)(3)	Type II	NA	false
TEXAS CHILDREN'S PHYSICIAN GROUP
6621 FANNIN STREET	HOUSTON	TX	77030	260834681	HEALTH CARE	TX	501(c)(3)	10	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 HEALTH PLAN
6330 WEST LOOP SOUTH SUITE 800	BELLAIRE	TX	77401	760486264	HEALTH CARE	TX	501(c)(3)	10	TEXAS CHILDREN'S	false	8TH FLOOR
TEXAS CHILDREN'S HOSPITAL FOUNDATION
6621 FANNIN STREET	HOUSTON	TX	77030	202380599	SUPPORTING ORG	TX	501(c)(3)	Type II	TEXAS CHILDREN'S	false
TEXAS CHILDREN'S HEALTH PLAN - THE CENTER
6621 FANNIN STREET	HOUSTON	TX	77030	461392824	HEALTH CARE	TX	501(c)(3)	Type I	TEXAS CHILDREN'S HEALTH PLAN INC	false
TEXAS CHILDREN'S URGENT CARE
1919 S BRAESWOOD BLVD	HOUSTON	TX	77030	472029489	HEALTH CARE	TX	501(c)(3)	10	TCH PEDIATRIC ASSOCIATES INC	false	4TH FLOOR
THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION
9 GREENWAY PLAZA	HOUSTON	TX	77046	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
TCH INSURANCE COMPANY LTD
23 LIME TREE BAY AVENUE	GRAND CAYMAN	CJ	KY11102	980176652	INSURANCE	CJ	NA	C Corporation	false
CVI GVF HOLDINGS 3 LTD
UGLAND HOUSE SOUTH CHURCH STREET	GEORGE TOWN	CJ	KY11104	981078282	INVESTMENT	CJ	NA	C Corporation	false

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	false	TransferFromOtherOrgInd