TEXAS CHILDRENS HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: TEXAS CHILDRENS HOSPITAL (EIN 74-1100555)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-14
IRS object ID: 202502269349301555
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-14T07:59:16+00:00	ReturnTs
Tax Period End	2024-09-30	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	4801 Olympia Park Plaza Suite 4000	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402412098	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	741100555	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Texas Children's Hospital	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6330 West Loop South 1300	AddressLine1Txt
City	Bellaire	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Weldon Gage	PersonNm
Person Title	Executive VP / CFO	PersonTitleTxt
Phone	8328242982	PhoneNum
Signature	2025-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum
Preparation	2025-08-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	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	6330 West Loop South 1300	AddressLine1Txt
City	Bellaire	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,901,857,402	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	15617	TotalEmployeeCnt
Total Volunteers	537	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$99,755,472	PYContributionsGrantsAmt
CY Contributions Grants	$93,924,537	CYContributionsGrantsAmt
PY Program Service Revenue	$3,686,740,831	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,715,272,566	CYProgramServiceRevenueAmt
PY Investment Income	$21,579,451	PYInvestmentIncomeAmt
CY Investment Income	$10,529,618	CYInvestmentIncomeAmt
PY Other Revenue	$19,935,335	PYOtherRevenueAmt
CY Other Revenue	$23,339,212	CYOtherRevenueAmt
PY Total Revenue	$3,828,011,089	PYTotalRevenueAmt
CY Total Revenue	$3,843,065,933	CYTotalRevenueAmt
PY Grants And Similar Paid	$9,631,289	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,147,005	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,489,142,870	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,695,352,329	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,997,823	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$2,868,117	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$22,137,082	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,144,102,299	PYOtherExpensesAmt
CY Other Expenses	$2,222,012,634	CYOtherExpensesAmt
PY Total Expenses	$3,644,874,281	PYTotalExpensesAmt
CY Total Expenses	$3,933,380,085	CYTotalExpensesAmt
PY Revenues Less Expenses	$183,136,808	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$90,314,152	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,309,906,948	TotalAssetsBOYAmt
Total Assets EOY	$8,480,089,815	TotalAssetsEOYAmt
Total Liabilities BOY	$2,047,539,768	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,864,735,723	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,262,367,180	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,615,354,092	NetAssetsOrFundBalancesEOYAmt
Mission	TEXAS CHILDREN'S HOSPITAL, HEADQUARTERED IN HOUSTON, TEXAS, IS A NOT-FOR-PROFIT ORGANIZATION WHOSE MISSION IS TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. WE ARE PROUD TO BE CONSISTENTLY RANKED AMONG THE TOP CHILDREN'S HOSPITALS IN THE NATION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$3,561,948,211	ExpenseAmt
Grant	$12,439,460	GrantAmt
Revenue	$3,684,233,087	RevenueAmt
Desc	PATIENT CARE: TEXAS CHILDREN'S HOSPITAL IS AN INTERNATIONALLY RECOGNIZED CHILDREN'S HOSPITAL AND IS CONSISTENTLY RANKED AS THE BEST CHILDREN'S HOSPITAL IN TEXAS AND AMONG THE TOP IN THE NATION. TEXAS CHILDREN'S HOSPITAL OPERATES THREE CAMPUSES IN THE HOUSTON AREA: MAIN CAMPUS LOCATED IN THE TEXAS MEDICAL CENTER; WEST CAMPUS LOCATED IN WEST HOUSTON; WOODLANDS CAMPUS LOCATED NORTH OF HOUSTON. THE MAIN CAMPUS IS THE LARGEST AND ALSO INCLUDES THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE, FEIGIN TOWER CENTER FOR PEDIATRIC RESEARCH, AND THE TEXAS CHILDREN'S PAVILION FOR WOMEN. DURING THE YEAR, THE HOSPITAL SYSTEM OPERATED 957 INPATIENT BEDS, MORE THAN 140 AMBULATORY SPECIALTY CLINICS, AND EXCEEDED 2,002,800 OUTPATIENT CLINIC VISITS. THE HOSPITAL IS SUPPORTED BY AN AWARD-WINNING MEDICAL STAFF OF BOARD-CERTIFIED PEDIATRIC PHYSICIANS, OBSTETRICIANS AND GYNECOLOGISTS, ADULT SUBSPECIALISTS, AND DENTISTS, AS WELL AS MORE THAN 11,200 DEDICATED AND HIGLY SKILLED NURSING AND SUPPORT STAFF. TEXAS CHILDREN'S PAVILION FOR WOMEN OFFERS A FULL SPECTRUM OF GYNECOLOGICAL AND MATERNAL AND FETAL MEDICINE SERVICES, INCLUDING AN ARRAY OF FETAL DIAGNOSTIC PROCEDURES AND HIGHLY SPECIALIZED FETAL SURGERIES, THREE PRIVATE OB/GYN PRACTICES, THE FAMILY FERTILITY CENTER, THE MENOPAUSE CENTER AND THE WOMEN'S PLACE - CENTER FOR REPRODUCTIVE PSYCHIATRY. THE PAVILION HOUSES A LEVEL II AND LEVEL III NEONATAL INTENSIVE CARE UNIT ("NICU"), AND LOCATED IN THE WEST TOWER OF THE HOSPITAL IS A LEVEL IV NICU, THE HIGHEST LEVEL OF CARE AVAILABLE FOR NEWBORNS. DURING THE YEAR, THE PAVLION PERFORMED APPROXIMATELY 6,430 DELIVERIES. TEXAS CHILDREN'S HOSPITAL IS AFFILIATED WITH BAYLOR COLLEGE OF MEDICINE AND SERVES AS THEIR PRIMARY PEDIATRIC TRAINING SITE. THE HOSPITAL IS STAFFED PRIMARILY BY BAYLOR COLLEGE OF MEDICINE PHYSICIANS, AND COLLABORATES WITH BAYLOR PHYSICIANS AND RESEARCHERS ACROSS HUNDREDS OF PROJECTS TO CONTINUALLY IMPROVE TREATMENTS AND OUTCOMES FOR CHILDREN.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$126,582,598	ExpenseAmt
Grant	$442,067	GrantAmt
Revenue	$37,990,865	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 THE YEAR, TEXAS CHILDREN'S INVESTED MORE THAN $126 MILLION IN CLINICAL, BASIC AND TRANSLATIONAL RESEARCH PROJECTS, EXPLORING A WIDE RANGE OF CHILDREN'S AND WOMEN'S HEALTH ISSUES. IN ADDITION, THE HOSPITAL CONTINUED ITS STRATEGIC FOCUS ON THE GROWTH AND SUCCESS OF ALL TEXAS CHILDREN'S RESEARCH ENDEAVORS THROUGH ENHANCED INFRASTRUCTURE, SUCH AS THE EXPANSION OF THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE WHERE INVESTIGATORS CAN ACCESS CUTTING EDGE IMAGING MODALITIES, SUCH AS TWO-PHOTON MICROSCOPY, AND STATE-OF-THE-ART NEUROPHYSIOLOGY AND BEHAVIORAL SCIENCE CORE RESOURCES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$76,017,595	ExpenseAmt
Grant	$265,478	GrantAmt
Revenue	$13,880,176	RevenueAmt
Desc	EDUCATION: THE HOSPITAL SERVES AS THE PRIMARY PEDIATRIC TEACHING FACILITY FOR BAYLOR COLLEGE OF MEDICINE (THEIR LONG-TERM ACADEMIC PARTNER). IN ADDITION, THE TEXAS CHILDREN'S PAVILION FOR WOMEN IS ONE OF THE PREMIER PRIVATE TRAINING HOSPITALS FOR BAYLOR COLLEGE OF MEDICINE'S DEPARTMENT OF OBSTECTRICS AND GYNECOLOGY. THE CLOSE AFFILIATION BETWEEN THE INSTITUTIONS EXTENDS THROUGH TEXAS CHILDREN'S OPERATIONS, BAYLOR FACULTY INCLUDING SERVICE CHIEFS, MEDICAL DIRECTORS AND STAFF PHYSICIANS ACROSS THE HOSPITAL'S 54 SUB-SPECIALTY CARE OFFERINGS. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024, THE HOSPITAL INVESTED MORE THAN $57 MILLION IN THE TRAINING OF OVER 1,200 TRAINEES IN APPROXIMATELY 80 TRAINING PROGRAMS ROTATING AT TEXAS CHILDREN'S. BAYLOR AND TEXAS CHILDREN'S HAVE A PROVEN TRACK RECORD RECRUITING TRANSFORMATIVE PHYSICIAN-SCIENTISTS AND ONE OF THE STRONGEST PEDIATRIC RESIDENCY PROGRAMS IN THE COUNTRY. BAYLOR'S PEDIATRIC RESIDENCY PROGRAM IS THE LARGEST TRAINING GROUND FOR PEDIATRICS AND ONE OF THE MOST COMPETITIVE IN THE COUNTRY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$3,764,548,404	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	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	754	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	15617	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	8328242951	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DEBRA F SUKIN PHD
BOARD MEMBER & PRESIDENT AS OF 1/8/24	37.0	3.0	Yes (X)	Yes (X)	$278,838	$0	$1,428
MARK A WALLACE
BOARD MEMBER & CHAIR & CEO ALL YEAR / PRESIDENT THROUGH 1/7/24	36.0	4.0	Yes (X)	Yes (X)	$4,366,595	$0	$1,889,486
DANIEL R DIPRISCO
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	23.0	17.0	Yes (X)		$1,033,119	$0	$624,119
DEAN B ANDROPOULOS MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	38.0	2.0	Yes (X)		$174,090	$0	$187,200
JACQUELINE R WARD
BOARD MEMBER / SENIOR VICE PRESIDENT / CHIEF NURSE EXECUTIVE	36.0	4.0	Yes (X)		$737,381	$0	$276,274
JAMES T VERSALOVIC MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	37.0	3.0	Yes (X)		$229,083	$0	$171,600
JEFFREY S SHILT MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	37.0	3.0	Yes (X)		$177,900	$0	$228,800
KEITH C NELSON
BOARD MEMBER / EXECUTIVE VICE PRESIDENT / CHIEF INVESTMENT OFFICER	38.0	2.0	Yes (X)		$1,074,012	$0	$675,181
LARA S SHEKERDEMIAN MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	37.0	3.0	Yes (X)		$206,200	$0	$198,900
LARRY H HOLLIER MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	38.0	2.0	Yes (X)		$242,600	$0	$234,000
LINDA W ALDRED
BOARD MEMBER / EXECUTIVE VICE PRESIDENT & CHIEF HUMAN RESOURCES OFFICER	38.0	2.0	Yes (X)		$1,342,584	$0	$632,624
MATTHEW T GIROTTO
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	37.0	3.0	Yes (X)		$781,866	$0	$485,924
MICHAEL A BELFORT MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	37.0	3.0	Yes (X)		$269,566	$0	$228,800
MYRA L DAVIS
BOARD MEMBER / EXECUTIVE VICE PRESIDENT / CHIEF INFORMATION & INNOVATION OFFICER	38.0	2.0	Yes (X)		$1,337,382	$0	$789,735
TABITHA L RICE
BOARD MEMBER THROUGH 7/1/24 / EXECUTIVE VICE PRESIDENT	38.0	2.0	Yes (X)		$1,034,956	$0	$647,720
THIERRY AGM HUISMAN MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	1.0	39.0	Yes (X)		$0	$1,115,523	$261,308
WELDON W GAGE
BOARD MEMBER / EXECUTIVE VICE PRESIDENT / CHIEF FINANCIAL OFFICER	38.0	2.0	Yes (X)		$1,646,141	$0	$959,614
AISHA JAMAL
BOARD SECRETARY / VICE PRESIDENT	31.0	9.0		Yes (X)	$542,606	$0	$282,494
BRADLEY S MORRILL
ASSISTANT SECRETARY	33.0	7.0		Yes (X)	$124,711	$0	$20,950
JESSICA V FLEISCHER
ASSISTANT SECRETARY THROUGH 7/8/24	33.0	7.0		Yes (X)	$166,699	$0	$33,049
BERT M GUNMERINGER
SENIOR VICE PRESIDENT	40.0	0			$637,621	$0	$174,812	Yes (X)
CRAIG J MILLS
SENIOR VICE PRESIDENT	40.0	0			$620,427	$0	$253,265	Yes (X)
LANCE A LIGHTFOOT
SENIOR VICE PRESIDENT THROUGH 8/6/24	38.0	2.0			$1,171,971	$0	$310,089	Yes (X)
RUSSELL WILLIAMS
SENIOR VICE PRESIDENT	40.0	0			$696,176	$0	$200,886	Yes (X)
STANLEY W SPINNER MD
VICE PRESIDENT / PHYSICIAN	38.0	2.0			$715,508	$0	$213,294	Yes (X)
IVETT T SHAH
FORMER KEY EMPLOYEE & SENIOR VICE PRESIDENT	0.0	0.0			$450,078	$0	$0		Yes (X)
MARK W MULLARKEY
FORMER OFFICER & EXECUTIVE VICE PRESIDENT	0.0	1.0			$439,064	$0	$12,823		Yes (X)
MICHELLE M RILEY-BROWN
FORMER OFFICER & EXECUTIVE VICE PRESIDENT	0.0	2.0			$482,896	$0	$25,523		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$20,980,070	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,115,523	TotReportableCompRltdOrgAmt
Total Other Compensation	$10,019,898	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4070	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	$98,460,963
MCKESSON PLASMA AND BIOLOGICS LLC
16578 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	HEALTH SOLUTIONS	$80,908,663
WS BELLOWS
PO Box 2132	Houston	TX	77252	CONSTRUCTION SERVICES	$51,859,881
MCCARTHY BUILDING COMPANIES INC
3800 Buffalo Speedway	Houston	TX	77098	CONSTRUCTION SERVICES	$44,404,983	Ste 250
MCKESSON CORPORATION
One Post Street	San Francisco	CA	94104	HEALTH SOLUTIONS	$39,083,847

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	329	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$2,544,223	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$17,330,784	GovernmentGrantsAmt
All Other Contributions	$74,049,530	AllOtherContributionsAmt
Noncash Contributions	$3,732,315	NoncashContributionsAmt
Total Contributions	$93,924,537	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	$3,111,134,442	$3,111,134,442	$0	$0
MEDICAID & SUPPLEMENTAL REIMBURSEMENTS	622310	$257,965,429	$257,965,429	$0	$0
PHARMACY REVENUE	622310	$216,147,385	$216,147,385	$0	$0
MANAGEMENT SERVICES	541611	$50,331,126	$50,331,126	$0	$0
Indirect Expense Reimbursement from Affiliates	900099	$14,304,414	$14,304,414	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$65,389,770	TotalRevenueColumnAmt
Related Or Exempt Func Income	$65,389,770	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,715,272,566	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,647,280	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,647,280	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	$11,880,008	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$9,420,190	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,459,818	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,459,818	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,459,818	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$43,645,783	SecuritiesAmt
Other	$1,206,023	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$43,853,757	SecuritiesAmt
Other	$2,115,711	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$207,974	SecuritiesAmt
Other	-$909,688	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,117,662	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$1,117,662	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$232,993	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,544,223	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,209,249	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$976,256	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$976,256	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	$3,216,650	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,192,562	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,024,088	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,024,088	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PARKING GARAGE REVENUE	812930	$16,544,610	$16,544,610	$0	$0
Other non-operating income	900099	$4,286,952	$4,286,952	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

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)
Other Revenue Total	$20,831,562	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,843,065,933	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,736,104,128	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$13,037,268	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	$13,147,005	TotalAmt
Program Services	$13,147,005	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$31,526,248	TotalAmt
Program Services	$31,526,248	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$2,605,024	TotalAmt
Program Services	$2,605,024	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,338,625,885	TotalAmt
Program Services	$1,246,772,292	ProgramServicesAmt
Management And General	$83,105,719	ManagementAndGeneralAmt
Fundraising	$8,747,874	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$44,108,316	TotalAmt
Program Services	$42,244,509	ProgramServicesAmt
Management And General	$1,521,494	ManagementAndGeneralAmt
Fundraising	$342,313	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$178,368,611	TotalAmt
Program Services	$165,762,825	ProgramServicesAmt
Management And General	$11,558,516	ManagementAndGeneralAmt
Fundraising	$1,047,270	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$100,118,245	TotalAmt
Program Services	$95,788,153	ProgramServicesAmt
Management And General	$3,670,827	ManagementAndGeneralAmt
Fundraising	$659,265	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,597,612	TotalAmt
Program Services	$383,618	ProgramServicesAmt
Management And General	$6,212,705	ManagementAndGeneralAmt
Fundraising	$1,289	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$981,777	TotalAmt
Program Services	$433,892	ProgramServicesAmt
Management And General	$545,941	ManagementAndGeneralAmt
Fundraising	$1,944	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$573,789	TotalAmt
Management And General	$573,789	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$2,868,117	TotalAmt
Fundraising	$2,868,117	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$783,696,991	TotalAmt
Program Services	$759,843,382	ProgramServicesAmt
Management And General	$19,667,212	ManagementAndGeneralAmt
Fundraising	$4,186,397	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$33,173,604	TotalAmt
Program Services	$31,574,808	ProgramServicesAmt
Management And General	$834,392	ManagementAndGeneralAmt
Fundraising	$764,404	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$74,707,380	TotalAmt
Program Services	$74,113,770	ProgramServicesAmt
Management And General	$348,964	ManagementAndGeneralAmt
Fundraising	$244,646	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$125,030,195	TotalAmt
Program Services	$118,263,768	ProgramServicesAmt
Management And General	$5,769,446	ManagementAndGeneralAmt
Fundraising	$996,981	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$81,305,837	TotalAmt
Program Services	$78,243,004	ProgramServicesAmt
Management And General	$2,945,769	ManagementAndGeneralAmt
Fundraising	$117,064	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,598,400	TotalAmt
Program Services	$4,146,781	ProgramServicesAmt
Management And General	$264,933	ManagementAndGeneralAmt
Fundraising	$186,686	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$9,211,979	TotalAmt
Program Services	$8,848,068	ProgramServicesAmt
Management And General	$293,389	ManagementAndGeneralAmt
Fundraising	$70,522	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$43,301,567	TotalAmt
Program Services	$42,314,895	ProgramServicesAmt
Management And General	$720,347	ManagementAndGeneralAmt
Fundraising	$266,325	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$164,777,311	TotalAmt
Program Services	$163,607,161	ProgramServicesAmt
Management And General	$877,807	ManagementAndGeneralAmt
Fundraising	$292,343	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,764,905	TotalAmt
Program Services	$783,650	ProgramServicesAmt
Management And General	$3,977,816	ManagementAndGeneralAmt
Fundraising	$3,439	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PHARMACEUTICAL SUPPLIES	$313,018,852	$313,018,852
ENHANCED MISSION SUPPORT	$271,534,552	$271,534,552
MEDICAL AND SURGICAL SUPPLIES	$208,253,926	$208,251,634	$1,650	$642
RECRUITING	$14,612,984	$14,300,857	$228,680	$83,447

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$81,870,973	TotalAmt
Program Services	$77,039,656	ProgramServicesAmt
Management And General	$3,575,203	ManagementAndGeneralAmt
Fundraising	$1,256,114	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,933,380,085	TotalAmt
Program Services	$3,764,548,404	ProgramServicesAmt
Management And General	$146,694,599	ManagementAndGeneralAmt
Fundraising	$22,137,082	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,833,290	BOYAmt
EOY	$18,866,079	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,965,203	BOYAmt
EOY	$1,120,650	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$123,996,786	BOYAmt
EOY	$118,216,779	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$617,802,937	BOYAmt
EOY	$767,188,226	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$2,666,780	BOYAmt
EOY	$2,670,991	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$35,312,543	BOYAmt
EOY	$34,357,225	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$241,574,720	BOYAmt
EOY	$286,526,182	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,485,176,785	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,096,419,727	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,337,952,515	BOYAmt
EOY	$2,388,757,058	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$474,349,465	BOYAmt
EOY	$653,137,163	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$240,507,397	BOYAmt
EOY	$304,596,309	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,218,926,909	BOYAmt
EOY	$3,904,634,750	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,309,906,948	BOYAmt
EOY	$8,480,089,815	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$613,022,076	BOYAmt
EOY	$590,772,383	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$66,916,919	BOYAmt
EOY	$76,843,261	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,079,911,748	BOYAmt
EOY	$1,217,417,830	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$476,048	BOYAmt
EOY	$377,624	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$287,212,977	BOYAmt
EOY	$979,324,625	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,047,539,768	BOYAmt
EOY	$2,864,735,723	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	$4,809,989,578	BOYAmt
EOY	$5,113,821,829	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$452,377,602	BOYAmt
EOY	$501,532,263	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,262,367,180	BOYAmt
EOY	$5,615,354,092	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,309,906,948	BOYAmt
EOY	$8,480,089,815	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$90,314,152	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$31,256,534	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$412,044,530	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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$79,357,930	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$68,143,860	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$90,377,913	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$99,755,472	CurrentTaxYearMinus1YearAmt
Current Tax Year	$93,924,537	CurrentTaxYearAmt
Total	$431,559,712	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$79,357,930	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$68,143,860	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$90,377,913	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$99,755,472	CurrentTaxYearMinus1YearAmt
Current Tax Year	$93,924,537	CurrentTaxYearAmt
Total	$431,559,712	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$15,197,741	SubstantialContributorsTotAmt
Public Support Total170	$416,361,971	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,632,571	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$18,426,083	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$38,683,598	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,906,154	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,824,518	CurrentTaxYearAmt
Total	$103,472,924	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,977,628	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$16,069,409	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,233,933	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,852,808	CurrentTaxYearMinus1YearAmt
Current Tax Year	$24,048,212	CurrentTaxYearAmt
Total	$79,181,990	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$614,214,626	TotalSupportAmt
Gross Receipts Rltd Activities	$15,635,355,127	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.6779	PublicSupportCY170Pct
Public Support PY170	0.5889	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part II, Line 10 Other Income	FormAndLineReferenceDesc
Explanation	DESCRIPTION - OTHER INCOME, COLUMN A - 15977628.0, COLUMN B - 16069409.0, COLUMN C - 3233933.0, COLUMN D - 19852808.0, COLUMN E - 24048212.0, COLUMN F - 79181990.0;	ExplanationTxt

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	$341,385	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$232,404	OtherActivitiesAmt
Total Lobbying Expenditures	$573,789	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	$199,489,470	BeginningYearBalanceAmt
Contributions	$11,056,523	ContributionsAmt
Investment Earnings Or Losses	$29,741,454	InvestmentEarningsOrLossesAmt
Administrative Expenses	$8,044,029	AdministrativeExpensesAmt
End Year Balance	$232,243,418	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

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	$160,378,935	OtherCostOrOtherBasisAmt
Book Value	$160,378,935	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,950,018,315	OtherCostOrOtherBasisAmt
Depreciation	$583,440,421	DepreciationAmt
Book Value	$1,366,577,894	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$59,931,478	OtherCostOrOtherBasisAmt
Depreciation	$46,614,666	DepreciationAmt
Book Value	$13,316,812	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,163,882,570	OtherCostOrOtherBasisAmt
Depreciation	$1,340,232,646	DepreciationAmt
Book Value	$823,649,924	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$150,965,487	OtherCostOrOtherBasisAmt
Depreciation	$126,131,994	DepreciationAmt
Book Value	$24,833,493	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,388,757,058	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN TEXAS CHILDREN'S HOSPITAL FOUNDATION	$2,676,918,372
TCH INSURANCE COMPANY REBATE RECEIVABLE	$68,776,560
MISC RECEIVABLES	$39,417,031
INTEREST RATE SWAP	$4,155,909
DUE FROM AFFILIATES	$1,088,754,831
WAIVER RECEIVABLE	$26,612,047

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,904,634,750	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$675,759,410
INTEREST RATE SWAP	$12,530,064
DEFERRED COMPENSATION	$11,368,639
RETIREMENT PLAN LIABILITY	$10,659,606
OTHER LONG-TERM LIABILITY	$2,706,906
LINE OF CREDIT	$266,300,000

Field	Value	IRS element (for citing)
Total Liability	$979,324,625	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, 2024 OR 2023.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
East Asia and the Pacific	Program Services	Patient care services	$10,906
Europe (Including Iceland and Greenland)	Program Services	Patient Care Services	$756,864
Middle East and North Africa	Program Services	Patient care services	$14,218
North America (Canada & Mexico only)	Program Services	Patient care services	$12,270,458
Sub-Saharan Africa	Program Services	Patient care services	$4,324,903
Central America and the Caribbean	Program Services	Patient Care Services	$274,594
South America	Program Services	Patient Care Services	$5,542
South Asia	Program Services	Patient Care Services	$585

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	$17,658,070	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$17,658,070	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

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

Fundraiser Activity Info FundraiserActivityInfoGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
RKD GROUP
3400 WATERVIEW PKWY STE 250	RICHARDSON	TX	75080	Direct Mail	false	$2,165,948	-$2,165,948
CHILDREN'S MIRACLE NETWORK HOSPITALS
205 W 700 S	SALT LAKE CITY	UT	84101	Fundraising Services	false	$512,792	-$512,792
WARD & AMES SPECIAL EVENTS
7500 SAN FELIPE STREET STE 350	HOUSTON	TX	77063	Event Coordinator	false	$397,359	-$397,359
COMMUNITY COUNSELING SERVICE
PO Box 824885	Philadelpha	NY	19182	Campaign Management Services	false	$498,945	-$498,945
DENA JOY
808 LEHMAN STREET	HOUSTON	TX	77018	Direct Mail	false	$65,444	-$65,444
CATHEXIS PARTNERS
122 CELEBRATION BLVD	CELEBRATION	FL	34747	IT Services	false	$46,188	-$46,188
STELTER COMPANY
PO Box 5228	DES MOINES	IA	50305	Planned Giving Solicitations	false	$44,766	-$44,766
Adcetera Design Studio
3000 Louisiana St	Houston	TX	77006	Fundraising Services	false	$120,475	-$120,475
Razorfish
375 Hudson St	New York	NY	10014	Consulting	false	$105,003	-$105,003
E Douglas Strategies
19915 Powerscourt Dr	Houston	TX	77346	Consulting	false	$40,000	-$40,000

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$3,996,920	TotalRetainedByContractorsAmt
Total Net To Organization	-$3,996,920	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	MS	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	AZ	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	SD	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	AN EVENING WITH LEGENDS	Event1Nm
Gross Receipts Event1	$1,196,004	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,122,213	CharitableContriEvent1Amt
Gross Revenue Event1	$73,791	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$679,666	OtherDirectExpensesEvent1Amt
Event2	SALUTE TO CHAMPIONS	Event2Nm
Gross Receipts Event2	$545,246	GrossReceiptsEvent2Amt
Charitable Contri Event2	$506,593	CharitableContriEvent2Amt
Gross Revenue Event2	$38,653	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$153,949	OtherDirectExpensesEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$1,035,966	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$915,417	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$120,549	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$375,634	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$2,777,216	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,544,223	CharitableContributionsTotAmt
Gross Revenue Total Events	$232,993	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$1,209,249	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,209,249	DirectExpenseSummaryEventsAmt
Net Income Summary	-$976,256	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,332,271	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,694,415	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,637,856	NetCommunityBenefitExpnsAmt
Total Expense	0.0182	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,796,810,019	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,442,312,832	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$354,497,187	NetCommunityBenefitExpnsAmt
Total Expense	0.0901	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,452,991	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,948,705	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,504,286	NetCommunityBenefitExpnsAmt
Total Expense	0.0083	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	$1,931,595,281	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,472,955,952	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$458,639,329	NetCommunityBenefitExpnsAmt
Total Expense	0.1166	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,136,824	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,367,253	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,769,571	NetCommunityBenefitExpnsAmt
Total Expense	0.0010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,968,481	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,297,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,670,650	NetCommunityBenefitExpnsAmt
Total Expense	0.0047	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,708,683	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,953,976	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,754,707	NetCommunityBenefitExpnsAmt
Total Expense	0.0030	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$126,513,885	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,147,979	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$88,365,906	NetCommunityBenefitExpnsAmt
Total Expense	0.0225	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,875,605	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,825,605	NetCommunityBenefitExpnsAmt
Total Expense	0.0020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$237,203,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$106,817,039	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$130,386,439	NetCommunityBenefitExpnsAmt
Total Expense	0.0331	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,168,798,759	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,579,772,991	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$589,025,768	NetCommunityBenefitExpnsAmt
Total Expense	0.1498	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,530,005	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,530,005	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$143,570	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$325,872	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,872	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$324,000	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	$130,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$130,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,000	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	$100,392	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,392	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	$2,293,839	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,872	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,286,967	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	-$141,237	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$8,435,179	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$12,739,258	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,304,079	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	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd
TEXAS CHILDREN'S HOSPITAL
1	6621 FANNIN STREET	HOUSTON	TX	77030	WWW.TEXASCHILDRENS.ORG	000117	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
Texas Children's Hospital North Austin
2	9835 North Lake Creek Parkway	Austin	TX	78717	https://www.texaschildrens.org/locations/texas-childrens-hospital/north-austin-campus	100608	Yes (X)	Yes (X)	Yes (X)			Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd
TEXAS CHILDREN'S HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (true)	false	Yes (true)	Yes (true)	Yes (X)	https://www.texaschildrens.org/about-us/community-efforts/community-benefit-efforts/reports-communit	Yes (X)	Yes (true)	22	Yes (true)	https://www.texaschildrens.org/about-us/community-efforts/community-benefit-efforts/reports-communit	false	Yes (true)	Yes (X)	250.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance	Yes (X)	https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance	Yes (X)	https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Texas Children's Hospital North Austin
1	Yes (true)	false	false																						false	Yes (true)	Yes (X)	250.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance	Yes (X)	https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance	Yes (X)	https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)		Yes (true)		false	false	Yes (X)

Supplemental Information SupplementalInformationGrp (11 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 (UT) 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 1.5-year 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 project 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, developed from previous CHNAs, updated with time-relevant questions, to ensure consistency and validity and utilized probing questions to further detail as needed when conducting the interviews. These key informant interviews were conducted for approximately 30-60 minutes. Questions included background of the intervieweesganizations, community health status and concerns, healthy living, access to health care and social services, COVID-19's impact on access to health care and social services 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. 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 was utilized as a guide to collect information at meetings such as relevant issues and topics specifically referring to underserved women and children. These meetings included several community meetings for the Mayor's Complete Communities Initiative. Ongoing Participation in Local Community Health Initiatives Texas Children's Department of Community Benefits participates in several community health initiatives, workgroups, and councils throughout Greater Houston providing ongoing insight into the health needs of the communities we serve.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Texas Children's Hospital. The CHNA was conducted with The UT School of Public Health.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Texas Children's Hospital Houston. HOW TEXAS CHILDREN'S IS ADDRESSING NEEDS IDENTIFIED IN ITS 2022 CHNA Texas Children's Mission Statement To create a healthier future for children and women throughout our global community by leading in patient care, education and research. Charity Care Activities Medical Legal Partnership (MLP): In addition to medical concerns, patients at Texas Children's often experience challenging social and legal issues that further complicate what they are already facing medically. In many cases, an attorney can address these issues, helping to improve patients' health care outcomes. In 2024, the MLP managed and closed 259 cases. In 2012, Texas Children's entered into a Medical-Legal partnership (MLP) with the Houston Bar Association's Houston Volunteer Lawyers. Endorsed by organizations such as the American Bar Association and the American Medical Association, MLPs give health care teams the ability to address adverse social conditions and legal issues facing their already ill patients. This partnership provides Texas Children's low-income patients and their families with critical assistance. Through the MLP, a dedicated staff attorney provides legal advice and much needed representation to Texas Children's patients and their families from outside pro bono lawyers. Examples of assistance: * Negotiating with a property owner to address sub-standard living conditions, such as a mold infestation that triggers a child's asthma. * Preparing legal guardianships to allow parents to continue making health care decisions for their children with special needs after they turn 18. * Appealing Supplemental Security Income (SSI) denials and facilitating implementation of benefits. * Addressing benefit issues or facilitating services to which patients may be entitled because of their health condition or special needs. * Aiding with public school services for patients who have unmet social needs. Community Benefit Activities In 2023, Texas Children's launched the Community Benefit Partner program. Through a systematic selection process, partners with programmatic and operational alignment with the 2023-2025 Community Health Implementation Strategy were selected as annual partners to receive funding in support of these initiatives. Five partners were selected with impactful programs supporting the Greater Houston community in various areas. Mental and Behavioral Health YES to YOUTH: YES TO YOUTH Montgomery County Youth Services (YES to YOUTH - MCYS) is a private community based 501(c)3 non-profit which provides emergency youth shelter, family and youth behavioral health counseling, and prevention programs - all free of charge to clients. YES TO YOUTH - MCYS counselors are Licensed Professional Counselors, Licensed Social Workers, and/or Licensed Marriage and Family Therapists or have a minimum of a Bachelor's degree in a related field. These dedicated counselors offer individual, family, and group behavioral health counseling to youth ages 6 - 17 and their families who are experiencing struggles, including but not limited to family conflict, problems at school, grief and anger issues, suicidal ideation, anxiety, depression, and divorce adjustment issues. Clients do not have to meet income or insurance criteria to qualify for services. However, the majority of our clients are at or below the Asset Limited, Income Constrained, Employed (ALICE) income levels. Services are not zip code restricted. The Texas Children's Community Benefit Partner program supports a Bilingual Counselor position to support Spanish-speaking community members. As a result of this position, hired is August 2024, the Bilingual Counselor has 11 active families on her caseload comprised of 13 target youth participants and 11 caregivers. Communities in Schools (CIS): Communities in Schools Crisis/Mental Health Program focuses on students' well-being and social, emotional needs at no cost to the families. Crisis specialists offer services throughout the school day, weekends, evenings, and during the summer as crises arise. The crisis specialist is responsible for coordinating and providing peer support, mental health services, supportive guidance, victim assistance, court advocacy, and other needed services at the student's home or home campus. These needs may be met through individual, or group sessions offered at no charge to the students. Communities In Schools of Southeast Harris County understands that data driven decision making is key to improving programs and outcomes. As students are supported by a caring adult, they develop crucial social-emotional skills that lead to improvement in mental health, academic performance, behavior, and school attendance. Over time, this leads to students staying in school, graduating, pursuing post-secondary options, and becoming productive members of society. CIS operates programs that are school-based and support the students and families who attend school in Galena Park and Pasadena Independent School Districts. These students are dealing with an emotional crisis (depression, anxiety), mental health/well-being, self-regulation, suicide ideations, and professional counseling for students who lack health insurance. Crisis specialists conduct an in-depth needs assessment of the campuses and communities they serve to ensure that the gaps in services and needs are met without duplication. The goal is to provide consistent case management aimed at prevention and early intervention for mental health and behavioral issues as well as educational support. In 2024, Communities in Schools served 842 youth through the Crisis/Mental Health program with 93% improved behavior outcomes, 96% promoted to the next grade level, 100% stayed in school, and 100% eligible to graduate. Social Determinants of Health Kid's Meals: Kid's Meals mission is to end childhood hunger by delivering free healthy meals to the doorsteps of Greater Houston's hungriest preschool-aged children and through collaboration provide their families with resources to help end the cycle of poverty. By consistently delivering a healthy lunch to the doorsteps of children in need, Kids' Meals ensures they have the best opportunity to thrive and break the crippling cycle of poverty. Through our collaborative relationships, the imperative support of thousands of volunteers, and generous gifts from donors like TCH, Kids' Meals moves closer to ending childhood hunger in Houston. Since the partnership, Kids Meals served 909,333 meals, delivered groceries at least 4 times per week, and had a 8.2% increase in enrollment growth. Additionally, Kids Meals provided wrap-around service information for 70+ collaborative partners to 6,036 households. Houston Food Bank: Houston Food Bank (HFB) is the largest food bank in the United States in meals distributed to partner agencies and a member of Feeding America, the largest hunger-relief charity in the nation. Texas Children's has collaborated with HFB to support and expand referral programs and wrap-around services. HFB's established team of community-based Community Resource Navigators, provide application assistance for state benefits such as SNAP, TANF, Medicaid, and CHIP to over 15,000 individuals each year. To compliment this proven program, HFB created the Referral Partner Program (RPP) three year ago. RPP is a one-year program, in which referral specialists (RS) check-in with clients every 3 months to ensure they are receiving the social services, such as housing, childcare, and utilities. Through the Texas Children's Community Benefit Partner Program, HFB's RPP will be expanded and, for the first time, be connected to financial literacy, mental health, job certification, or maternal health programs presented by Houston Area Urban League (HAUL), a community-based organization that has been working to enable marginalized communities to secure economic self-reliance, parity, power, and civil rights since 1968. In 2024 32 families were supported through the Referral Partner Program with referrals ranging from car seats, affordable housing, rent/utilities, diapers, Gold Card, and food pantries. (See continuation of Part V, Line 11)
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Texas Children's Hospital Houston. Maternal Health University of Houston Graduate School of Social Work: The CommunityBased Postpartum Doula Project aims to advance perinatal health equity through the provision of high quality, culturally responsive postpartum doula support for Black mothers residing in the greater Houston area. In addition to direct provision of postpartum doula services, this project provides mentorship support to the postpartum doulas as they serve families, support the training and certification process of a new community-based postpartum doula, and provide community-based education opportunities on childbirth, breastfeeding, infant care, and doula services. As such, we seek to reduce barriers for diverse individuals who aspire to pursue professional paths to providing postpartum doula services and to increase community awareness about doula services and their potential impact on family health and wellbeing. Since the partnership, the Doula Program has achieved the following key activities: * Secured the commitment of 3 postpartum doulas to provide services and completed fully executed contracts/vendor set-up for each doula. * Secured the commitment of 1 postpartum doula mentor with midwifery expertise to support doulas throughout service administration. * Commenced postpartum doula services with two mothers in the greater Houston area. * Planned, hosted, and facilitated a dynamic community education event, "Empowered Mama: A Black Maternal Wellness Circle," with community partner Sister's Thrive. Internal Community Benefit Activities Mental and Behavioral Health Mobile Behavioral Health Unit: Texas Children's Hospital is committed to increasing access to behavioral health care for all young people, including our community's most underserved and marginalizedchildren and families. Children who experience adversity are at higher risk for trauma, stress, and related mental health concerns and often experience significant barriers to accessing mental health care, such as limited transportation, lack of insurance, low income, and mental health stigma. We grew our Mobile Behavioral Health Unit (MBHU) to allow these children and families to receive high-quality, comprehensive, and confidential behavioral health care where they live and when needed: in schools and other community locations. In 2024, the Mobile Behavioral Health Unit (MBHU) completed 318 visits with 47 unique patients. The MBHU focuses on underserved youth from low-income and marginalized second-generation and newly immigrated families. Houston and neighboring area schools refer youth for psychological evaluation or treatment for post-traumatic stress symptoms, as well as related symptoms of anxiety, depression, or maladaptive behaviors. Many of these children have experienced devastating traumas (e.g., verbal, physical and sexual abuse, sex trafficking, and exposure to torture or severe domestic violence) and personal losses (e.g., death of close family members or friends from suicide, domestic or gun violence). The Mobile Behavioral Health Unit aims to provide easy access to specially trained, bilingual behavioral health clinicians who offer high-quality, individualized, and evidence-based therapeutic screening, assessment, and ongoing treatment to those most impacted by trauma and loss. The MBHU is parked at specific community partnership campuses to help maximize our reach in the community. (See continuation of Part V, Line 11)
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - Texas Children's Hospital Houston. Chronic Disease Mobile Clinic The Texas Children's Mobile Clinic Program (TC-MCP) began in 2000 with the donation of the Superkids Mobile Clinic (SKMC) by the Junior League of Houston. The vision for the mobile clinic was to provide uninsured families an alternative to the emergency room for healthcare. Over time, this evolved to providing free care for uninsured and underserved children from newborn to 18 years of age. The SKMC serves primarily the southwest area of Houston. In 2006, the Ronald McDonald House Charities of Greater Houston/Galveston, Inc. added their Ronald McDonald Care Mobile (RMCM) to the TC-MCP, serving the southeast and north areas of Houston. In 2014, with a donation from the Katz Foundation, an additional unit named the Texas Children's Care Squad (TCCS) joined the fleet of mobile clinics. Serving from 7,000-11,000 patients annually, the clinic provides care to immigrant and refugee families from all over the world. The program also serves as a much-needed safety net for native Houstonians who have suddenly become uninsured. The mission is to provide comprehensive health care and preventive education to underserved children in the Houston area. The TC-MCP's goals are to: * Educate families about health insurance options * Explain to families the advantages of establishing a permanent medical home for their children * Increase immunization rates in target areas * Reduce inappropriate ER use by increasing access to health care in target areas * Promote health education and healthy living in the communities served * Provide a learning opportunity for Baylor College of Medicine medical students and residents with a focus on addressing health care disparities. The mobile clinics provide everything from well childcare to illness and urgent care visits to immunizations to hearing and vision screening. The clinics also work through health insurance referrals, dental and mental health referrals, and referrals to permanent and trusted medical homes. With 13 members, including five English-Spanish bilingual Baylor College of Medicine providers, one pediatrician/medical director, two pediatricians and two nurse practitioners, the clinic offers formative educational experiences for Baylor College of Medicine medical students and pediatric resident physicians. In 2024, RMCM completed 3,265 encounters, and SKMS completed 3,655 encounters. Hematology - Sickle Cell Support CRU, or Creating Real Unity, is a support group for teens living with sickle cell disease. It is designed to get the kids out of the hospital, where they already spend hours for appointments and receiving treatment. CRU offers teens the opportunity to find connections with others facing similar health challenges. During frequent clinic visits and hospitalizations, teens living with sickle cell disease are provided with disease management but find difficulty navigating the impact of the disease on their lives. The goal of this program is to provide valuable learning to empower these individuals to manage their disease independently, advocate for themselves and eventually successfully transition to adult medicine. CRU is open to teens aged 13-19 and meets quarterly for networking and socializing, followed by a fun team-building event. As teens with sickle cell disease, they are confronted by issues such as the worsening of their disease, academic struggles that result from sickle cell complications and/or frequent absences, the desire to manage their health more independently and social isolation due to having a rare disease. Community Sponsorships Texas Children's Hospital has been an integral part of the Houston community since we opened our doors in 1954. A Community Sponsorship is an opportunity for Texas Children's to support a non-profit community organization that supports healthcare, pediatrics, women's services in the Greater Houston and Austin markets and aligns with our Pillars of Giving: - Mission-aligned causes - Charitable contributions - Social Determinants of Health - Strategic Partnership The Division of Public Health Pediatrics The Division of Public Health Pediatrics at Texas Children's Hospital and Baylor College of Medicine was established in recognition that complex family and community forces play a substantial role in the health and well-being of children. The mission of the Division is to create a healthier future for Texas' children and families by leading in patient care, education, services and research that seeks to mitigate childhood adversities and foster individual, family and community resilience. In response to community needs and community feedback, in 2022 the Division launched upSTART, a suite of community-based programs offered to families with young children that addresses early brain development, social determinants of health, mental health and maternal health. Licensed nurses, social workers, community health workers, speech language pathologists and parent educators work together to provide education and training and connect families to community resources. In addition to the community programs, it offers directly to community members, the Division is committed to supporting community partners and building capacity in community organizations to better serve high-risk pregnant individuals and families with young children. 2024 upSTART Program reach: * upWORDS: 573 * upWORDS2 : 134 * upWORDS Bridges: 103 * upLIFT: 131 * upLIFT Group: 46 * upREACH+: 226 Capacity Building: In partnership with UTHealth Houston and Texas Prevention and Early Intervention, the Division trains professionals on how to support pregnant individuals and families with complex social needs, including substance use disorders, through an evidence-informed tool, the Family CARE Portfolio. The goal of this tool is to promote healthy pregnancies and family health and keep children safe in the home. Similarly, the Division also trains professionals to deliver the Parenting Action Plan, a tool that is designed to help maternal caregivers of newborns understand and plan for common stressors often experienced during an infant's first few months of life. Education: The Division also offers trainings to community members and professionals on topics including positive parenting, recognizing and responding to abuse and neglect, early brain development and adverse childhood experiences. Collaboration: The Division both leads and participates in various community collaboratives designed to promote health equity and prevent youth suicides and unnatural child deaths. Specifically, the Division leads the Harris County Child Fatality Review team, which brings together local partners to review child deaths from a public health perspective in order to identify trends and strategies to decrease preventable child deaths. Texas Children's collaborates with Houston Area Suicide Prevention Coalition (HASPC) as a lead/co-founder to the organization which is focused on decreasing suicide in the Greater Houston Area through community engagement, suicide awareness, prevention, and post-vention. Workforce Development: In collaboration with Trust CHW, the Division is providing free Community Health Worker certification training to current/prior upSTART participants. 2024 Outreach: * 60 parent facing community events that 10,411 families attended * 15 Suicide prevention, 15 SCAN, 28 early brain development trainings to 2,379 professionals * 207 Child fatality cases reviewed * 95 professionals trained in the Family CARE Portfolio, 3,132 Family CARE Portfolios distributed (See continuation of Part V, Line 11)
Schedule H, Part V, Section B, Line 11 Facility , 4	Facility , 4 - Texas Children's Hospital Houston. Center for Childhood Injury Prevention (CCIP) Injury is the leading cause of death in children in the Greater Houston region. These tragedies are preventable - they do not have to happen. They often occur in predictable ways and can be completely avoided with the right prevention strategies. As a Level 1 Trauma Center, Texas Children's Hospital cares for thousands of patients with preventable injuries each year. The mission of the Center for Childhood Injury Prevention (CCIP) is to reduce injury and death to children through education, increased and proper usage of safety equipment and the engagement of child advocates across greater Houston in the development and implementation of injury prevention programs. CCIP has programming focused on child passenger safety, bike and pedestrian safety, childproofing the home, water safety and safe sleep. Child Passenger Safety Program The Child Passenger Safety (CPS) program was created to educate families on the correct installation and use of child safety restraints when traveling in a motor vehicle, while also addressing other injuries that occur in and around vehicles. This program is primarily supported by funds from Texas Department of Transportation. In 2024: * Car Seats Inspected: 3,183 * Car Seats Distributed to Families in Need: 1,285 * New Child Passenger Safety Technicians Trained: 50 * Educational Materials on Child Safety Topics: 50,000 Home Safety The Center for Childhood Injury Prevention implements a Safe at Home Program focused on infant safe sleep, home safety and water safety education. The program teaches parents how to childproof their homes for potential hazards that may cause injury to their children, as well as teach parents of infants less than 1 year old how to reduce their child's risk for sleep-related death (e.g. SIDS). As funding allows, the program distributes portable crib systems, firearm safe storage devices and childproofing kits. It also offers presentations on home safety topics, water safety and safe sleep practices to community-based organizations, health care providers and licensed childcare providers. Throughout the year, staff is engaged in participating in health fairs, community events and media outreach in targeted neighborhoods with diverse populations. By providing parents and caregivers with the knowledge and tools needed to reinforce safety practices in the home, many injuries and deaths to young children can be prevented. In 2024, Injury Prevention educated more than 1,000 people on home safety topics, including safe sleep and childproofing tips and raised broad awareness of child safety issues through more than 50 media interviews (bilingual) and social media engagement. 2024 Education Numbers: * Water Watcher cards- 1,000 * Children educated in pedestrian safety education and reflective materials- 1,460 * Bicycle helmets- 500
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - Texas Children's Hospital. A notice of the financial assistance policy is posted in the Hospital's emergency rooms, waiting rooms and admissions offices.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - Texas Children's Hospital. Line 20A is not checked because the Hospital does not perform any Extraordinary Collection Actions.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - Texas Children's Hospital North Austin. A notice of the financial assistance policy is posted in the Hospital's emergency rooms, waiting rooms and admissions offices.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - Texas Children's Hospital North Austin. LINE 20A IS NOT CHECKED BECAUSE THE HOSPITAL DOES NOT PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 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
North Austin Pavilion for Women - OBGYN
9817 N Lake Creek Parkway	Austin	TX	78717	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 - North Austin
8611 N Mopac Expy 300	Austin	TX	78759	Community Based Outpatient/Diagnostic Clinic
Texas Children's Specialty Care - Upper Kirby
3023 Kirby Drive Suite 201	Houston	TX	77098	Community Based Outpatient / Diagnostic Clinic
North Austin Perinatal Associates
6500 N Mopac Expy Ste I-1205	Austin	TX	78731	Community Based Outpatient/Diagnostic Clinic

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 7 State filing of community benefit report	The Hospital files the Annual Statement of Community Benefits Standard (ASCBS), the State of Texas' community benefit reporting for not-for-profit hospitals. For the fiscal year ended September 30, 2024, the Hospital reported approximately $1.01 billion 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 ($419,842) between the ASCBS and the amounts recorded in Part I line 7 are due primarily to varying reporting requirements as outlined below (in $1000's): ASCBS does not include LPPF taxes and requires CHIRP to be removed from Medicaid payments. Additionally, the ASCBS RCC is calculated using 2023 financial information: $(364,120) ASCBS includes financial assistance provided to community by related organizations: $(4,737) ASCBS includes the unreimbursed cost of community building activities: $(2,287) ASCBS includes the unreimbursed cost of Medicare and Champus : $(48,698) Total variance between Part I line 7 and ASCBS: $(419,842)
Schedule H, Part VI, Line 5 Promotion of Community Health	Continued from prior response on schedule H, Part VI, Line 5 b. Texas Children's Hospital West Campus serves one of the fastest-growing pediatric populations in the country. As the population grows, so has this community hospital. To meet the needs of these diverse neighborhoods, the Hospital continues to look at its patients and engage community-based organizations and leaders to determine what programs, services and initiatives may make the most impact in West Houston. In 2024, Texas Children's provided pediatric care with over 496,800 visits at the West Campus. The campus provides subspecialty outpatient care including physician visits, therapy services, and a full complement of diagnostic services. The Hospital has 86 inpatient beds, which includes a 22-bed pediatric intensive care unit and remains the only 24/7 dedicated pediatric emergency center in the west Houston area. The hospital continues to operate a state-of-the-art Special Isolation Unit to care for those patients with highly contagious diseases such as Ebola. In addition, a 28,500-square-foot, state-of-the-art sports medicine clinic continues to serve the Greater Houston area with physicians specialized in Orthopedics and Sports Medicine, and with dedicated physical therapists focusing on the unique needs of pediatric athletes. 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, 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 placement of central lines, feeding and drainage tubes for abscess or other abnormal collections of pus/fluid in the body. The patients most commonly served by this department include those with Hypersalivation, Varicocele, deep Vein thrombosis, Cystic Fibrosis, foreign body removal and Venous-system related diseases. West Campus continues to offer the largest pediatric sleep center, with 15 beds dedicated to pediatric sleep medicine with an accompanying sleep clinic. c. Texas Children's North Austin campus is a five-floor hospital and 170,000 square-foot outpatient building is connected under one roof, providing comprehensive, efficient, and convenient care for patients and their families. The 52-bed hospital features neonatal, cardiovascular, and pediatric intensive care units, operating rooms, a sleep center, and full-service diagnostic services for mothers and children, including a fetal center for advanced interventions. Additionally, the campus houses a full-service emergency center, safe rooms for behavioral health cases, and a variety of transportation options for patients including Kangaroo Crew ambulances and a helicopter. Conveniently located next to the Emergency Center is Texas Children's Urgent Care, which offers families an alternative care option. Texas Children's North Austin Campus also includes an on-site pharmacy, a non-denominational chapel, a cafeteria, a coffee shop, and a business center, ensuring that families can spend more time with their loved ones without the need to leave the campus. d. The Lester and Sue Smith Legacy Tower is the Hospital's home for surgery, critical care and Texas Children's Heart Center, and is designed to meet the increasing demand for highly specialized, critical and medically-complex pediatric care that few centers in the country can provide. It enhances patient care by giving caregivers and families in critical and progressive care areas much-needed additional space. The tower houses a 130-bed intensive care unit, new operating rooms with the latest technology and a cardiovascular intensive care unit. Additionally situated on the 24th floor of Lester and Sue Smith Legacy Tower, Texas Children's operates a first-of-its-kind dedicated facility designed by and dedicated to adults with congenital heart disease. The 27,000-square-foot space 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. This expanded Heart Center allows Texas Children's to advance quality, service and safety; improve the patient and family experience; and expand access to expert cardiac care. The Jan and Dan Duncan Neurological Research Institute (NRI) at Texas Children's 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. e. At Texas Children's, we believe in providing women, mothers and babies quality health care at every important stage of their lives. We call this model "family-centered care." Texas Children's Pavilion for Women brings together obstetricians, gynecologists, oncologists, surgeons, geneticists and nurses from the Hospital and Baylor College of Medicine, to accomplish this purpose. With high-risk births on the rise nationally, our renowned experts and specialists focus on furthering obstetrical research. We also provide advanced treatment, including level IV neonatal intensive care units to give premature and sick babies more extensive support and care. f. 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. Researchers conduct clinical, basic science and translational research projects to identify groundbreaking treatments and cures for childhood diseases. g. Texas Children's Austin Specialty Care Clinic brings specialized and nationally ranked pediatric care to the Austin area. The Specialty Care Center brings subspecialty pediatric care to the Austin community, increasing access for children and families in need of cardiology, ophthalmology, pulmonary and other specialty care. The 28,000-square-foot building includes clinical areas including plastic surgery, urology, cardiology, allergy and immunology, pulmonary, gastro, diabetes and endocrine, neurology, x-ray, and ophthalmology suite.
Schedule H, Part V, Section B, Line 16 Hospital Facilities - FAP WEBSITE	The website for Schedule H, Part V, Lines 16a-c is: www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance
Schedule H, Part V, Section A HOSPITAL FACILITIES	The Houston Hospital is licensed by the Texas Department of State Health Services under license number 000117. The Hospital is comprised of multiple buildings on three campuses. All are included under one license number; therefore, the Hospital is one hospital facility. The North Austin Hospital is licensed by the Texas Department of State Health Services under license number 100608. The North Austin Hospital was first licensed December 7th, 2023, with operation beginning in February 2024. The Hospital's first CHNA due to be completed for the 2025 Tax Year.
Schedule H, Part I, Line 7g Subsidized Health Services	Continued from prior response on schedule H, Part I, Line 7G Texas Children's Hospital Primary Care Practice at Palm Center provides comprehensive routine and preventive health care, including well child check-ups, sick visits, sports physicals, immunizations and management of chronic pediatric medical conditions. Texas Children's Hospital Primary Care Practice at Palm Center serves as the largest Texas Children's Hospital and Baylor College of Medicine practice that provides primary care experience for pediatric medical students and residents. This clinic's location in the Palm Center neighborhood in Houston's Third Ward offers a great opportunity to serve the community while modeling best practices to the next generation of pediatricians. Third Ward is a historically African American community with a rich history and cultural legacy along with a renewed sense of purpose and commitment. The clinic's location offers free parking and is conveniently located at the Palm Center Station on the MetroRail's Purple Line.
Schedule H, Part V, Section B Line 1 Initial License in State	The North Austin Hospital was first licensed December 7, 2023, with the operation beginning in February 2024. The Hospital's first CHNA due to be completed for the 2025 Tax Year.
Schedule H, Part I, Line 7g Subsidized Health Services	The Hospital has included four hospital-based outpatient clinical services (The Meyer Center for Developmental Pediatrics and Autism, Renal Outpatient Services, Complex Care Clinic, and Mental Health Services - includes pediatric and maternal services) and four stand-alone clinics (the Mobile Clinic Outreach Program, Pediatric Dentistry, the Primary Care practice at Palm Center, and the Vannie E. Cook Jr. Children's Cancer and Hematology Clinic) as subsidized health services in Part I, Line 7g. Gross expenses of $30,708,683, offsetting revenue of $18,953,976 and net expenses of $11,754,707 are included in that line. The stand-alone clinics include gross expenses of $11,267,544, offsetting revenue of $7,719,066 and net expenses of $3,548,478 in line 7g. These clinics qualify as subsidized health services because they provide care and services to vulnerable, low income populations whose communities lack primary care services and programs. The Texas Children's Meyer Center for Developmental Pediatrics and Autism provide diagnostic services for children suspected of having an Autism Spectrum Disorder, Developmental Delay, Intellectual Disabilities, Learning problems, etc. These multidisciplinary centers are comprised of developmental pediatricians, neurologists, psychologists and psychiatrists who work collaboratively to provide a comprehensive diagnostic evaluation. They also have a social work team to help families obtain resources in the community and school not provided at the Hospital. The Meyer Center for Developmental Pediatrics and Autism are housed in the same location and have over 5,500 patient visits annually. Renal Outpatient Services - Services started in 1980 in response to community needs for chronic hemodialysis for children. Approximately 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 4,900 patients are treated in pheresis and renal clinics. The Complex Care Clinic at Texas Children's Hospital provides an exceptional team-based approach to the primary care of children with medical complexity. We aim to optimize patient quality of life and help them realize their full potential. We strive for patient and family physical, emotional and social well-being and promote better care through the education of caregivers and health care professionals. As one of the largest complex care clinics in the country, our medical providers are experienced in caring for children with a wide variety of complex diagnoses and specialized needs. Recognizing that each child's medical journey is unique, we provide personalized care to encompass all aspects of a child's life. The Psychiatry Service serves patients with a wide variety of psychiatric conditions often which are comorbid. Services include diagnostic assessments and treatment of complex anxiety and mood disorders, Tourette's syndrome, Obsessive Compulsive Disorder, Post-Traumatic Stress Disorder, medication management for children with Autism Spectrum Disorders, among other conditions. The Service also has a consult liaison service to the inpatient units of the Hospital. The Service has approximately 22,800 patient visits annually. Texas Children's Hospital North Austin Campus offers effective, evidence-based therapies tailored to the needs of children and families, with special expertise in psychological care for children and teens who have complex physical health conditions and injuries, anxiety and OCD, depression, disruptive behavior and attention problems, acute psychological emergencies, trauma, adjustment, difficulties in family functioning and communication, and other presenting concerns. Pediatric Psychiatry Program focuses exclusively on child and adolescent behavioral, emotional, developmental and mental health. 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 25,200 patient visits annually. Texas Children's Hospital North Austin Campus Psychology and Psychiatry programs offer effective, evidence-based therapies tailored to the needs of children and families, with special expertise in psychological care for children and teens who have complex physical health conditions and injuries, anxiety and OCD, depression, disruptive behavior and attention problems, acute psychological emergencies, trauma, adjustment, difficulties in family functioning and communication, and other presenting concerns. The Pediatric Psychiatry Program focuses exclusively on child and adolescent behavioral, emotional, developmental and mental health. Mobile Clinic Outreach Program -The 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 2024, the mobile clinics conveniently and safely provided vaccines at 407 events covering over 98 different locations in Greater Houston. The mobile clinics provided approximately 27,000 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 63% of the patients seen in the Dental Clinic are insured through Medicaid. In 2024, the Dental Clinic had over 4,000 patient visits plus approximately 2,800 operating room cases. Additionally, the Pediatric Orthodontic Clinic at Texas Children's Hospital (Orthodontic Clinic) treats children who have congenital anomalies and/or cleft palates in conjunction with the Plastic Surgery department. In 2024, the Orthodontic Clinic had over 3,700 patient visits with approximately 60% insured through Medicaid. Texas Children's Craniofacial Program in North Austin is led by Richard Hopper, MD, MS, pediatric plastic surgeon, the former President of both the American Society of Craniofacial Surgery and the International Society of Craniofacial Surgery. It's the only craniofacial program in Austin to offer plastic surgery, craniofacial orthodontics and pediatric dentistry in one location. At Texas Children's North Austin, patient families will experience the full spectrum of craniofacial care, including critical care and subspecialty services, directly from experienced, senior specialists. The Vannie E. Cook Jr. Children's Cancer and Hematology Clinic (Vannie Cook Clinic) is located in McAllen, Texas and is a joint effort between the Vannie E. Cook Jr. Cancer Foundation, Baylor College of Medicine and Texas Children's Cancer and Hematology Centers. The Vannie Cook Clinic offers treatment to children along the Mexico border in South Texas who suffer from cancer and blood disorders. It is the only comprehensive pediatric cancer treatment facility in South Texas. Many of these patients previously would have traveled to San Antonio or Houston for their treatment, a hardship physically, emotionally and financially for them and their families. It is a comprehensive care facility offering diagnostic and cancer treatment services, cancer genetic counseling and a long-term survivorship program which follows childhood cancer survivors through adulthood. Most of the patients (85%) are from low-income, uninsured or underinsured families. Every year, the clinic staff sees approximately 1,200 patients and of these patients, approximately 600 are newly diagnosed.
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 2024 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 2024 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 2024 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 2024 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). Contributions below are reported net of any restricted or pass through funding. Physical Improvements and Housing (Line 1) Net Community Building Expense Houston Parks Board $ 1,500,000 Waterloo Greenway Conservancy $ 20,000 Saint Louise House $ 10,005 TOTAL $ 1,530,005 Vulnerable Population Economic Improvement (Line 2) Net Community Building Expense Cristo Rey Work Study Program $ 143,570 TOTAL $ 143,570 Community Support Activities (Line 3) Net Community Building Expense Ronald McDonald House Houston $ 157,500 Communities in Schools Southeast Harris and Brazoria County $ 30,000 YES to YOUTH - Montgomery County Youth Services $ 30,000 Lifeline Chaplaincy $ 20,000 Girl Scouts of San Jacinto $ 15,000 Project Joy & Hope $ 15,000 Candlelighters Childhood Cancer Family Alliance $ 10,000 Compassionate Touch $ 10,000 Sam Houston Area Council - Boy Scouts of America $ 10,000 Letting Everyone Achieve Dreams (LEAD) $ 7,500 The Riverside Project $ 5,500 BakerRipley $ 5,000 Shalom Austin $ 5,000 Bo's Place $ 3,500 TOTAL $ 324,000 Leadership Development and Training for Community Member Activities (Line 5) Net Community Building Expense Junior League of Houston $ 120,000 Jack and Jill of America $ 10,000 TOTAL $ 130,000 Coalition Building Activities (Line 6) Net Community Building Expense Austin Community Foundation $ 10,000 Holocaust Museum Houston $ 9,000 TOTAL $ 19,000 Community Health Improvement Advocacy Activities (Line 7) Net Community Building Expense Texas Liver Foundation $ 15,000 Austin Black Physicians Association $ 10,000 Children At Risk $ 10,000 Hand to Hold $ 10,000 TOTAL $ 45,000 Other (Line 9) Net Community Benefit Expenses Houston Children's Charity $ 25,000 The Brookwood Community $ 25,000 The Health Museum $ 25,000 Barbara Bush Houston Literacy Foundation $ 5,000 Texas Hearing Institute $ 5,000 DePelchin's Children Center $ 3,000 Hearing Loss Association of America $ 2,500 The Alliance TX $ 2,500 Texas Association Of Parents And Educators Of The Deaf $ 2,000 Foundation for Achievement and Charity of Texas (F.A.C.T.) $ 392 TOTAL $ 95,392
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	In accordance with HFMA Statement 15 and ASU 2014-09, Topic 606, Bad debt expense represents the difference between the standard rates (or explicit contracted rates) and the amounts expected to be collected from a third-party payor after all reasonable collection efforts have been exhausted. Also in accordance with HFMA Statement 15 and ASU 2014-09, Topic 606, Bad debt expense is calculated as the charges written off (at full established rate), less any indirect funds received to offset charges written off.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Bad debt attributable to patients eligible under financial assistance policy: The Hospital does not contend that any of its bad debt expense is attributable to the organization's financial assistance policy or should be considered a community benefit. Robust screening processes are used in determining FAP-eligibility and financial assistance amounts are not expected to result in cash flows. All uncollected charges attributable to patients eligible under the organization's FAP are included in line 7a (at cost).
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Footnote describing accounts receivables (page 14) of audited financial statements: Patient accounts receivable include reductions for explicit contractual agreements, discounts provided to uninsured and underinsured patients, implicit price concessions, and charity adjustments and are recorded on an accrual basis at net realizable value in the consolidated balance sheets. The estimate of patient accounts receivable is based primarily on Texas Children's historical collection and write-off experience and the aging of patient accounts receivables. Changes in business and economic conditions, trends in federal, state and private employer health care coverage, and other collection indicators are also taken into consideration when estimating price concessions each quarter. Footnote describing Net Patient Service Revenue, and implicit price concessions based on historical collection rates (page 38) of audited financial statements: Net patient service revenues are recorded as goods and services are provided at the transaction price estimated by Texas Children's to reflect the total consideration due from patients and third-party payors. The transaction price, which involves significant estimates, is determined based on Texas Children's standard charges for the goods and services provided with a reduction recorded for price concessions, which include discounts based on third party contractual arrangements and patient discounts, as well as implicit price concessions based on historical collection rates. As performance obligations are met (i.e.: room, board, ancillary services, level of care, etc.), net patient service revenue is recognized based upon an allocated transaction price as goods and services are provided to the patient. In instances where performance obligations are across multiple periods, the transaction price is allocated by applying an estimated implicit and explicit rate to gross charges based on the separate performance obligations or the patient's length of stay. Substantially all performance obligations have a duration of less than one year. Texas Children's has elected to apply the optional exemption provided in Accounting Standards Codification 606-10-50-14(a) and is not required to disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially satisfied at the end of the reporting period, which are primarily related to inpatient acute care services.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The sources used to determine the amount reported as Medicare Allowable Costs on Part III, line 6 was the Hospital's 2024 Medicare cost report and supporting work papers. Substantial shortfalls typically arise from payments that are less than the cost to provide the care or services and do not include any amounts relating to inefficient or poor management. The Hospital accepts Medicare patients seeking pediatric or women's health services, as reflected on the year-end Medicare cost report, with the knowledge that there may be shortfalls. IRS Revenue Ruling 69-545, which established the community benefit standards for nonprofit hospitals, implies that treating Medicare patients is a community benefit and states that if a hospital serves patients with governmental health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Patients who have qualified for financial assistance, if the discount is less than 100%, will be responsible for payment of any applicable hospital charges at a reduced rate. If the patient does not pay the amount and fails to renegotiate a payment plan (if applicable), the uncollected balance will be considered an implicit price concession. Provisions for estimated retroactive adjustments under such programs are provided in the period the related services are rendered, adjusted in future periods as final settlements are determined, and are included in other current assets. The Hospital may use reasonable efforts to collect outstanding patient receivables which include but are not limited to: telephone calls, email and couriered written correspondence. The Hospital does not engage in extraordinary actions to force collections on patient accounts.
Schedule H, Part V, Section B, Line 16a FAP website	- TEXAS CHILDREN'S HOSPITAL: Line 16a URL: https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance; - Texas Children's Hospital North Austin: Line 16a URL: https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- TEXAS CHILDREN'S HOSPITAL: Line 16b URL: https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance; - Texas Children's Hospital North Austin: Line 16b URL: https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- TEXAS CHILDREN'S HOSPITAL: Line 16c URL: https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance; - Texas Children's Hospital North Austin: Line 16c URL: https://www.texaschildrens.org/patients-families/insurance-and-billing/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	In addition to the CHNA, Texas Children's Hospital's Community Benefits department 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). Texas Children's Pediatrics began its journey in Austin in 2018 to improve the lives and health of Central Texas families. As the nation's largest pediatric care network, we are growing to provide integrated health care for more women and children in the region, with a new state-of-the-art hospital in North Austin - opened in February 2024. The Austin-Round Rock-San Marcos Metropolitan Statistical Area (MSA) is a large metropolitan area in Texas, encompassing five counties and the city of Austin. It's the 25th largest MSA in the United States, with a population exceeding 2.5 million. The Austin-Round Rock-San Marcos MSA is located in Central Texas and includes the counties of Bastrop, Caldwell, Hays, Travis, and Williamson. 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-efforts/community-benefit-efforts/reports-community-health-needs Texas Children's strategically directs its community benefit initiatives in areas with elevated poverty levels, recognizing the profound impact of economic hardship on a broad range of social determinants that influence health outcomes. 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, Ohio State University's Childhood Opportunity Index, and the Health Resources and Services Administration (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 ADI 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 20 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 by U.S. News & World Report, Texas Children's Hospital once again received the prestigious Honor Roll designation and ranked No. 1 in Texas for the 16th consecutive year. In the 2025 U.S. News survey - which uses data from 2024 - the Hospital ranked in the top 10 in all 10 subspecialties, #No. 1 in the nation in Nephrology and #No. 1 in the nation in cardiology/heart surgery for the seventh year in a row. Texas Children's also earned the highest designation available for Behavioral Health, a newly ranked specialty this year. 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, comprising 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 1,800 candidates in 2024. 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 2024, there were a total of over 250 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 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 and local, state, and federal public health 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 the Child Health Care Association, Children's Hospital Association, Association of Air Medical Services and American Academy of Pediatrics Section on Transport Medicine. 10) At Texas Children's, we are committed not only to providing the best possible care, but also to expanding that care-reaching out to more children and families and providing more specialized services where they are most needed. The Hospital is committed to creating a healthier future for children and women throughout our global community by leading in patient care, education and research: a. Texas Children's Hospital The Woodlands has brought world-class pediatric care closer to home for the North Region's patient and families. This pediatric hospital campus provides access to pediatric subspecialty care within the following services: adolescent medicine, allergy and immunology, bariatrics, cardiology, cancer and hematology, dermatology, developmental pediatrics, diabetes and endocrinology, gastroenterology, hepatology and nutrition, genetics, infectious disease, neonatology, neurology, neurosurgery, ophthalmology, orthopedics, otolaryngology, palliative care, pediatric and adolescent gynecology, pediatric surgery, physical medicine and rehabilitation, plastic surgery, psychiatry, psychology, public health, pulmonology, renal, rheumatology, sports medicine, urology, and wound care. Hospital facilities include 29 emergency center rooms, 87 outpatient rooms, five radiology rooms, six operating rooms, 46 acute care beds, 14 pediatric intensive care beds and 14 neonatal intensive care beds with plans allowing for an expansion build out up to 200 beds. Pediatric Emergency Services are available 24 hours a day, every day, and are provided regardless of ability to pay. Additional hospital services include: radiology, pathology, sleep center, infusion center, helipad access, audiology, cardiac stress tests, echosonography, pulmonary diagnostics, developmental physical, occupational and speech therapy and sports physical therapy as well as motion gait analysis and fetal medicine testing. Along with serving families throughout The Woodlands area, the Hospital serves families throughout Greater North Houston and north of Houston including Montgomery, Angelina, Walker, Brazos, Grimes, Madison, Liberty, Harris, Polk, San Jacinto, Trinity and Hardin counties. (SEE CONTINUATION OF PART VI, LINE 5)
Schedule H, Part VI, Line 6 Affiliated health care system	The Hospital is affiliated with Texas Children's Pediatrics (TCP, EIN 76-0460242) in promoting health care in the community served. TCP is one of the nation's largest pediatric primary care networks. With 49 practices in the Greater Houston area, 16 in Austin, and 1 in College Station, TCP pediatricians serve approximately 25% of Houston's children, helping treat and prevent infectious illnesses. Eight TCP practices, identified as the Community Cares Program, are located in medically underserved neighborhoods and provide consistent care for little or no cost to more than 45,000 children who otherwise would seek services from emergency rooms or go without care. In addition to providing high-quality, affordable primary care, each Community Cares practice is uniquely designed to meet the needs of the diverse communities they serve. Using the medical home model of care, we provide: wrap-around services that eliminate logistical, cultural and social barriers to access care; counseling and educational services with emphasis on risk behaviors; on-site social workers and specialists who provide assistance signing up for Medicaid/CHIP or other Affordable Care Act providers; partnerships with local dentists, pharmacies and other services to ensure comprehensive affordable health care is provided; extra support and guidance for parents to promote total health and well-being of children. In addition to providing care to children in our community during normal business hours, TCP through its subsidiary, Texas Children's Urgent Care (TCUC, EIN 47-2029489), provides urgent care when kids get sick at night or on the weekends. As of the end of 2024, there were 11 TCUC sites around the greater Houston area and one location in South Austin as well as our telemedicine virtual care option. These sites provide families with convenient access to care when it is needed most, and saves them time and money from seeking out inappropriate use of emergency center care. Two of our three busiest locations are located adjacent to our West Campus Emergency Center and Woodlands Campus Emergency Center and our third is our telemedicine virtual care. These locations have helped redirect patients to seek care in a more appropriate setting, as well as reduce 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/Children's Health Insurance Program (CHIP) coverage in the region. TCHP was founded in 1996 by Texas Children's, making it the nation's first health maintenance organization created just for children. Through a contractor role with the Texas Health and Human Services Commission, TCHP provides STAR/Medicaid and CHIP to pregnant women, teens and children in Houston and surrounding areas. TCHP also provides STAR Kids to children and young adults under age 21 with disabilities. As of September 2024, TCHP has approximately 448,000 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 (86 entries)

Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Business Name Line2RecipientBusinessName/BusinessNameLine2Txt
TCH Pediatric Associates Inc
760460242	501(c)(3)	$7,000,000	Indigent Care Support
Camp for All
760404267	501(c)(3)	$2,250,000	General Support
Houston Parks Board
741860046	501(c)(3)	$1,500,000	General Support
Ronald McDonald House Houston
741984499	501(c)(3)	$157,500	General Support
Cristo Rey Work Study Program
263739361	501(c)(3)	$143,570	General Support
Junior League of Houston
741185659	501(c)(3)	$120,000	General Support
American Heart Association - AHA
135613797	501(c)(3)	$100,000	General Support
Texans For Lawsuit Reform
760439129	501(c)(6)	$100,000	General Support
Houston Food Bank
742181456	501(c)(3)	$80,000	General Support
March of Dimes
131846366	501(c)(3)	$80,000	General Support
Good Samaritan Foundation
741235398	501(c)(3)	$69,500	General Support
Sports in Action LLC
464512255		$60,638	Event Sponsorship
Compassionate Touch
202193278	501(c)(3)	$50,000	Event Sponsorship
Texas Medical Center Orchestra
760669727	501(c)(3)	$50,000	General Support
YMCA of Greater Houston
741109737	501(c)(3)	$46,250	General Support
Easter Seals Greater Houston
741238418	501(c)(3)	$40,000	General Support
Round Rock ISD Partners in Education Foundation
742488709	501(c)(3)	$40,000	Event Sponsorship
Epilepsy Foundation
742141084	501(c)(3)	$35,000	General Support
AFP - Association for Fundraising Professionals Greater Houston
943011524	501(c)(3)	$30,000	General Support
Children's Cancer Association
931181662	501(c)(3)	$30,000	General Support
Kids' Meals
760330447	501(c)(3)	$30,000	General Support
University of Houston Graduate College of Social Work
746001399	GOVT	$30,000	General Support
YES to YOUTH - Montgomery County Youth Services
742035878	501(c)(3)	$30,000	General Support
Texas Children's Urgent Care
472029489	501(c)(3)	$29,785	General Support
AIDS Foundation Houston
760073661	501(c)(3)	$25,000	General Support
Foundation for Angelman Syndrome Therapeutics
263160079	501(c)(3)	$25,000	General Support
Houston Children's Charity
760135741	501(c)(3)	$25,000	General Support
JDRF - Juvenile Diabetes Research Foundation
231907729	501(c)(3)	$25,000	General Support
Smile Train
133661416	501(c)(3)	$25,000	General Support
The Brookwood Community
741587672	501(c)(3)	$25,000	General Support
The Health Museum
746106357	501(c)(3)	$25,000	General Support
World Affairs Council of Greater Houston
760308253	501(c)(3)	$20,001	General Support
Lifeline Chaplaincy
760504483	501(c)(3)	$20,000	General Support
The Periwinkle Foundation
760093914	501(c)(3)	$20,000	General Support
Waterloo Greenway Conservancy
273225405	501(c)(3)	$20,000	General Support
Nora's Home
621763895	501(c)(3)	$18,000	General Support
American Cancer Society
131788491	501(c)(3)	$17,500	General Support
Communities in Schools-SEHC Inc
760242189	501(c)(3)	$15,000	General Support
Communities in Schools of Brazoria County Inc
760392820	501(c)(3)	$15,000	General Support
Alzheimer's Association
133039601	501(c)(3)	$15,000	General Support
Blue Bird Circle
741405134	501(c)(3)	$15,000	Event Sponsorship
Girl Scouts of San Jacinto
741109644	501(c)(3)	$15,000	General Support
Make-A-Wish
760116615	501(c)(3)	$15,000	General Support
Men of Distinction
260421594	501(c)(3)	$15,000	General Support
Project Joy & Hope
760646721	501(c)(3)	$15,000	General Support
Texas Liver Foundation
851898778	501(c)(3)	$15,000	General Support
The Center for Health Policy (CHP) - Rice University's Baker Institute for
741109620	501(c)(3)	$15,000	Event Sponsorship	Public Policy
The Children's Assessment Center (CAC)
760458780	501(c)(3)	$15,000	Event Sponsorship
The Faris Foundation
833109684	501(c)(3)	$15,000	General Support
The Joe Niekro Foundation
421740818	501(c)(3)	$15,000	General Support
United Negro College Fund
131624241	501(c)(3)	$15,000	General Support
VICTORY Houston Inc
883476550	501(c)(3)	$15,000	Event Sponsorship
GiGis Playhouse
475408975	501(c)(3)	$10,500	General Support
Saint Louise House
742968167	501(c)(3)	$10,005	General Support
Austin Black Physicians Association
812627234	501(c)(3)	$10,000	General Support
Austin Community Foundation
741934031	501(c)(3)	$10,000	General Support
Brighter Bites
474070026	501(c)(3)	$10,000	General Support
Camp Allen
746016479	501(c)(3)	$10,000	General Support
Candlelighters Childhood Cancer Family Alliance
760367440	501(c)(3)	$10,000	Event Sponsorship
Children At Risk
760360533	501(c)(3)	$10,000	General Support
Children's Transplant Initiative
814625738	501(c)(3)	$10,000	General Support
Graeme McDaniel Foundation
872237264	501(c)(3)	$10,000	General Support
Great Southwest Equestrian Center
813819013	501(c)(3)	$10,000	General Support
Hand to Hold
273802900	501(c)(3)	$10,000	Event Sponsorship
Houston Junior Women's Club
237045947	501(c)(3)	$10,000	General Support
International Liver Transplantation Society
541624149	501(c)(3)	$10,000	Event Sponsorship
Jack and Jill of America
510224656	501(c)(3)	$10,000	General Support
KIPP Texas Public Schools
010639602	501(c)(3)	$10,000	General Support
Sam Houston Area Council - Boy Scouts of America
760239833	501(c)(3)	$10,000	General Support
Sky High
260465972	501(c)(3)	$10,000	General Support
Spectrum Sailing
880637151	501(c)(3)	$10,000	General Support
Texas Hearing Institute
746003178	501(c)(3)	$10,000	General Support
UT Health - School of Nursing
741761309	GOVT	$10,000	Event Sponsorship
Holocaust Museum Houston
760331398	501(c)(3)	$9,000	Event Sponsorship
Greater Houston Women's Chamber of Commerce
261536004	501(c)(6)	$8,500	Event Sponsorship
The Rise School
760606866	501(c)(3)	$8,000	General Support
Lake Travis Education Foundation
742406134	501(c)(3)	$7,510	Event Sponsorship
Children's Museum of Houston
060896043	501(c)(3)	$7,500	General Support
Letting Everyone Achieve Dreams (LEAD)
202369453	501(c)(3)	$7,500	General Support
The Crohn's & Colitis Foundation
136193105	501(c)(3)	$7,500	General Support
Turn It Gold
462319604	501(c)(3)	$7,500	Event Sponsorship
University of Houston C T Bauer College of Business
746001399	GOVT	$7,200	General Support
The Cure Starts Now
260269131	501(c)(3)	$7,000	Event Sponsorship
ASE Foundation
431972597	501(c)(3)	$6,350	Event Sponsorship
Harrison's Heroes
474958602	501(c)(3)	$6,000	General Support
The Riverside Project
832597854	501(c)(3)	$5,500	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	80	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 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
MICHELLE M RILEY-BROWN
FORMER OFFICER & EXECUTIVE VICE PRESIDENT	$255,803	$0	$24,143	$0	$202,950	$0	$9,900	$0	$15,623	$0	$508,419	$0	$115,500	$0
MARK A WALLACE
BOARD MEMBER & CHAIR & CEO ALL YEAR / PRESIDENT THROUGH 1/7/24	$2,565,858	$0	$1,068,105	$0	$732,632	$0	$1,852,732	$0	$36,754	$0	$6,256,081	$0	$0	$0
DEBRA F SUKIN PHD
BOARD MEMBER & PRESIDENT AS OF 1/8/24	$28,470	$0	$250,000	$0	$368	$0	$0	$0	$1,428	$0	$280,266	$0	$0	$0
MARK W MULLARKEY
FORMER OFFICER & EXECUTIVE VICE PRESIDENT	$135,875	$0	$22,862	$0	$280,327	$0	$4,830	$0	$7,993	$0	$451,887	$0	$98,780	$0
DEAN B ANDROPOULOS MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$145,600	$0	$28,490	$0	$187,200	$0	$0	$0	$361,290	$0	$0	$0
MICHAEL A BELFORT MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$231,630	$0	$37,936	$0	$228,800	$0	$0	$0	$498,366	$0	$0	$0
LARRY H HOLLIER MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$242,600	$0	$0	$0	$234,000	$0	$0	$0	$476,600	$0	$0	$0
THIERRY AGM HUISMAN MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$866,730	$0	$185,881	$0	$62,912	$0	$215,262	$0	$46,046	$0	$1,376,831	$0	$1,375
LARA S SHEKERDEMIAN MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$206,200	$0	$0	$0	$198,900	$0	$0	$0	$405,100	$0	$0	$0
JEFFREY S SHILT MD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$177,900	$0	$0	$0	$228,800	$0	$0	$0	$406,700	$0	$0	$0
JAMES T VERSALOVIC MD PHD
BOARD MEMBER / PHYSICIAN / IN-CHIEF	$0	$0	$177,900	$0	$51,183	$0	$171,600	$0	$0	$0	$400,683	$0	$0	$0
LINDA W ALDRED
BOARD MEMBER / EXECUTIVE VICE PRESIDENT & CHIEF HUMAN RESOURCES OFFICER	$857,333	$0	$297,817	$0	$187,434	$0	$601,196	$0	$31,428	$0	$1,975,208	$0	$0	$0
MYRA L DAVIS
BOARD MEMBER / EXECUTIVE VICE PRESIDENT / CHIEF INFORMATION & INNOVATION OFFICER	$858,924	$0	$312,221	$0	$166,237	$0	$754,164	$0	$35,571	$0	$2,127,117	$0	$93,760	$0
DANIEL R DIPRISCO
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	$649,715	$0	$219,089	$0	$164,315	$0	$582,227	$0	$41,892	$0	$1,657,238	$0	$80,388	$0
WELDON W GAGE
BOARD MEMBER / EXECUTIVE VICE PRESIDENT / CHIEF FINANCIAL OFFICER	$1,059,920	$0	$347,131	$0	$239,090	$0	$926,903	$0	$32,711	$0	$2,605,755	$0	$137,500	$0
MATTHEW T GIROTTO
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	$482,537	$0	$182,915	$0	$116,414	$0	$440,081	$0	$45,843	$0	$1,267,790	$0	$42,500	$0
KEITH C NELSON
BOARD MEMBER / EXECUTIVE VICE PRESIDENT / CHIEF INVESTMENT OFFICER	$743,315	$0	$261,972	$0	$68,725	$0	$630,218	$0	$44,963	$0	$1,749,193	$0	$0	$0
TABITHA L RICE
BOARD MEMBER THROUGH 7/1/24 / EXECUTIVE VICE PRESIDENT	$693,181	$0	$237,001	$0	$104,774	$0	$607,608	$0	$40,112	$0	$1,682,676	$0	$52,500	$0
JACQUELINE R WARD
BOARD MEMBER / SENIOR VICE PRESIDENT / CHIEF NURSE EXECUTIVE	$488,144	$0	$144,400	$0	$104,837	$0	$248,723	$0	$27,551	$0	$1,013,655	$0	$27,620	$0
JESSICA V FLEISCHER
ASSISTANT SECRETARY THROUGH 7/8/24	$152,397	$0	$1,815	$0	$12,487	$0	$14,546	$0	$18,503	$0	$199,748	$0	$0	$0
AISHA JAMAL
BOARD SECRETARY / VICE PRESIDENT	$318,628	$0	$176,900	$0	$47,078	$0	$263,659	$0	$18,835	$0	$825,100	$0	$0	$0
IVETT T SHAH
FORMER KEY EMPLOYEE & SENIOR VICE PRESIDENT	$0	$0	$0	$0	$450,078	$0	$0	$0	$0	$0	$450,078	$0	$0	$0
STANLEY W SPINNER MD
VICE PRESIDENT / PHYSICIAN	$455,600	$0	$109,800	$0	$150,108	$0	$174,102	$0	$39,192	$0	$928,802	$0	$0	$0
LANCE A LIGHTFOOT
SENIOR VICE PRESIDENT THROUGH 8/6/24	$753,293	$0	$237,110	$0	$181,568	$0	$272,711	$0	$37,378	$0	$1,482,060	$0	$90,900	$0
RUSSELL WILLIAMS
SENIOR VICE PRESIDENT	$440,471	$0	$162,900	$0	$92,805	$0	$169,519	$0	$31,367	$0	$897,062	$0	$0	$0
BERT M GUNMERINGER
SENIOR VICE PRESIDENT	$382,677	$0	$116,900	$0	$138,044	$0	$144,817	$0	$29,995	$0	$812,433	$0	$0	$0
CRAIG J MILLS
SENIOR VICE PRESIDENT	$461,822	$0	$130,600	$0	$28,005	$0	$210,253	$0	$43,012	$0	$873,692	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Housing allowance or residence for personal use	Russell Williams, a highest compensated employee, received a housing allowance. The amount was reported as taxable compensation.
Schedule J, Part I, Line 4a Severance or change-of-control payment	DURING CALENDAR YEAR 2023, THE ORGANIZATION MADE A SEVERANCE PAYMENT TO IVETT T. SHAH IN THE AMOUNT OF $450,000 THAT WAS TREATED AS TAXABLE AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III).
Schedule J, Part I, Line 4b 457(F) PLAN	457(F) PLAN: PAID/DEFERRED AISHA JAMAL 0 / 39,800 BERT M. GUNMERINGER 55,400 / 0 CRAIG J. MILLS 0 / 65,800 DANIEL R. DIPRISCO 116,056 / 121,440 JACQUELINE R. WARD 41,378 / 76,200 KEITH C. NELSON 40,010 / 112,600 LANCE A. LIGHTFOOT 120,014 / 129,240 LINDA W. ALDRED 133,400 / 0 MARK A. WALLACE 544,500 / 0 MARK W. MULLARKEY 172,517 / 0 MATTHEW T. GIROTTO 64,877 / 55,400 MICHELLE M. RILEY-BROWN 121,264 / 0 MYRA L. DAVIS 98,439 / 139,640 RUSSEL WILLIAMS 0 / 75,000 STANLEY W. SPINNER 71,000 / 0 TABITHA L. RICE 74,029 / 127,160 THIERRY A.G.M. HUISMAN 1,326 / 4,950 WELDON W. GAGE 173,646 / 212,960 457(F): THE 457(F) PLAN IS A NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT ALLOWS EXECUTIVES AND ELIGIBLE PHYSICIANS TO RECEIVE SUPPLEMENTAL RETIREMENT INCOME. FUNDS MAY BE CREDITED INTO THIS ACCOUNT FROM AN EMPLOYER CONTRIBUTION, CALCULATED BASED ON AN INDIVIDUAL'S TITLE AND BASE SALARY AS OF JANUARY 1. THESE EMPLOYER FUNDED CONTRIBUTIONS VEST AFTER THE EARLIER OF 5 YEARS IN THE PLAN, THE ATTAINMENT OF AGE 60 WITH 75 POINTS DETERMINED AS THE SUM OF AGE AND YEARS OF SERVICE, OR AT AGE 65 WITH 3 OR MORE YEARS OF SERVICE. THE 457(F) PLAN ALSO CONTAINS RESIDUAL CAPITAL APPRECIATION CONTRIBUTIONS FROM A FLEXIBLE BENEFIT ACCOUNT SURPLUS. THESE CONTRIBUTIONS VEST AFTER A MINIMUM OF 5 YEARS IN THE PLAN.
Schedule J, Part I, Line 4b SPLIT-DOLLAR LIFE INSURANCE PLAN	Certain individuals listed at Form 990, Part VII, have split-dollar life insurance policies. The premiums paid by Texas Children's Hospital will be recovered partially or fully when the policy is terminated or transferred to the executive. Participants include the following executives: LANCE A. LIGHTFOOT, LINDA W. ALDRED, MARK A. WALLACE, MARK W. MULLARKEY, MATTHEW T. GIROTTO, MICHELLE M. RILEY-BROWN, AND TABITHA L. RICE. Amounts for the surrendered cash value and/or earnings on the cash value were considered taxable to the following individuals: Mark A. Wallace $15,484
Schedule J, Part II, Column (C) LONG-TERM INCENTIVE PLAN	The Long Term Incentive Plan (LTIP) spans 3 years with the current plan being for fiscal years 2022-2024. Per the terms of the LTIP, participants must generally be actively employed on the payment date to receive a payment. Employment of the individuals listed below terminated in 2024 and the estimated LTIP values, reported as deferred compensation on Schedule J, Part II, Column (C), were forfeited and will not be paid to these individuals: - Mark A. Wallace: $997,438 for 2023 and $959,438 for 2022 - Tabitha L. Rice: $226,379 for 2023 and $217,672 for 2022 - Linda W. Aldred: $284,591 for 2023 and $273,645 for 2022 - Lance A. Lightfoot: $108,259 for 2023 and $104,095 for 2022 - Aisha Jamal: $88,015 for 2023 and $84,630 for 2022

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	$75,975,000	$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	$41,490,000	$78,910,000	$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	$300,001,865	$96,325,000	$0		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	false	Yes (true)	false	false	false	false	Yes (true)
D	false	Yes (true)	false	false	false	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 (7 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 II, Line 13 Bond Issue F	ISSUE USED TO REFUND SERIES 2019-B (-$80.9 MILLION); REMAINING PROCEEDS ALLOCATED TO PROJECT THAT HAS NOT COMPLETED.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO The calculation for computing no rebate due was performed on 07/28/2020
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO The calculation for computing no rebate due was performed on 07/28/2020
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO The calculation for computing no rebate due was performed on 09/30/2024

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 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	414009RB8	2021-07-20	$190,350,000	REFUND SERIES 2008-1 & SERIES 2008-2	false	false	false
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
B	760337885	414009SU5	2024-09-24	$253,029,582	REFUND AND REDEEM PRIOR ISSUES (2019B) AND RENOVATE AND BUILD HEALTH CARE FACILITIES.	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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	$825,000	$0	$190,350,000	$0	$0	$0	$0	$0	$0	$0	$190,350,000	$0	2021	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$253,029,582	$0	$0	$0	$2,141,632	$0	$0	$52,898,687	$80,882,750	$117,106,513		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.0015	0.0	0.0015	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.0		0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (7 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Lance A Lightfoot
SENIOR VICE PRESIDENT THROUGH 8/6/24	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$246,020	false	Yes (true)	Yes (true)
Linda W Aldred
BOARD MEMBER / EXECUTIVE VICE PRESIDENT & CHIEF HUMAN RESOURCES OFFICER	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$260,909	false	Yes (true)	Yes (true)
Mark A Wallace
BOARD MEMBER & CHAIR & CEO ALL YEAR / PRESIDENT THROUGH 1/7/24	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$1,573,770	false	Yes (true)	Yes (true)
Mark W Mullarkey
FORMER OFFICER & EXECUTIVE VICE PRESIDENT	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$135,540	false	Yes (true)	Yes (true)
Matthew T Girotto
BOARD MEMBER / EXECUTIVE VICE PRESIDENT	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$195,950	false	Yes (true)	Yes (true)
Michelle M Riley-Brown
FORMER OFFICER & EXECUTIVE VICE PRESIDENT	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$140,632	false	Yes (true)	Yes (true)
Tabitha L Rice
BOARD MEMBER THROUGH 7/1/24 / EXECUTIVE VICE PRESIDENT	Split Dollar Life Insurance Treated As Loan	Yes (X)	$0	$118,170	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$2,670,991	TotalBalanceDueAmt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	196739	ContributionCnt
Noncash Contributions Rpt F990	$3,680,098	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Food	1155	$3,696	Cost
Yes (X)	Equipment	2	$5,750	Cost
Yes (X)	Mineral Rights	1	$7,122	Cost
Yes (X)	Tickets and Certificates	2	$649	Cost
Yes (X)	Toys	1	$35,000	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 - Food COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS Other - Equipment COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS Other - Mineral Rights 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 (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a	Texas Children's is the parent entity of Texas Children's Hospital. Texas Children's board of directors retains significant reserved authorities (detailed in Part VI, Line 7b below) that allow it to provide strategic oversight and direction to Texas Children's Hospital and its affiliated entities. Texas Children's board is representative of the community served and is composed of 35 individuals, 34 of which are independent.
Form 990, Part VI, Line 6 Classes of members or stockholders	Texas Children's is the sole corporate member of Texas Children's Hospital.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Texas Children's annually appoints the Organization's board of directors.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	PER THE ORGANIZATION'S BYLAWS, THE MEMBER HAS CERTAIN RESERVED POWERS: - Approve, interpret, or change the purpose of the Corporation. - Fix the number, appoint, or remove, with or without cause, any Director of the Corporation. - Fix the number, appoint, or remove, with or without cause, any Officer of the Corporation. - Approve the merger, dissolution, or consolidation, or reorganization of the Corporation. - Approve the acquisition, sale, lease, transfer, or other alienation of property of the Corporation, other than in the usual and regular course of the Corporation's business, when such acquisition, sale, lease, transfer, or other alienation is above specified financial levels set in accordance with policies established from time to time by the Member. - Approve capital and operating budgets of the Corporation. - Adopt or amend salaries or other compensation (including the awarding of any incentive compensation) of the Officers, physician employees of the Corporation, if any, and physicians who are independent contractors to the Corporation, if any. - Approve debt incurred by the Corporation that is in excess of such limits as are established by the Member. - Approve the disposition of assets of the Corporation at the time of its dissolution. - Approve any long-range financial and strategic plans for the Corporation. - Select the Corporation's auditors. - Designate additional or successor Member(s). - Any other matters with respect to which exclusive authority is granted to the Member by law, the Certificate of Formation, or these Bylaws.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	No such committees exist.
Form 990, Part VI, Line 11b Review of form 990 by governing body	Per a resolution approved by the member's board of trustees, the member board's audit, compliance, & risk committee has delegated authority to review the organization's completed Form 990 prior to filing. Following the audit, compliance, & risk Committee's review and approval, the completed Form 990 is shared with the members of the organization's board of directors and board of trustees prior to filing with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY THROUGH TWO SEPARATE PROCESSES, ONE THAT APPLIES TO THE BOARD MEMBERS, AND A SECOND THAT APPLIES TO OFFICERS AND KEY EMPLOYEES. 1) BOARD MEMBERS: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE MEMBER'S BOARD LEADERSHIP AND PRESENTED TO THE MEMBER'S AUDIT, COMPLIANCE, & RISK COMMITTEE. IF THE COMMITTEE DEEMS THERE ARE ANY SIGNIFICANT ISSUES, THE RESPONSES ARE THEN REVIEWED BY THE MEMBER BOARD'S EXECUTIVE COMMITTEE AND ANY REQUIRED ACTION (RECUSEMENT FROM BOARD DELIBERATIONS RELATED TO THE CONFLICT, ETC.) IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT. 2) OFFICERS / KEY EMPLOYEES: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE SERVICES DEPARTMENT. IF THE DEPARTMENT DEEMS THERE ARE ANY SIGNIFICANT ISSUES, REQUIRED ACTION IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT AND THE BOARD IS NOTIFIED OF SUCH ACTIONS.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE ANNUAL PROCESS FOR DETERMINING COMPENSATION INCLUDES: - REVIEW AND APPROVAL BY THE MEMBER'S INDEPENDENT GOVERNING BODY AND COMPENSATION COMMITTEE, PROVIDED THAT PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE WERE NOT INVOLVED. - COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. - CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT. THE CALENDAR YEAR 2023 COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES WAS REVIEWED IN OCTOBER 2022, AND COMPENSATION OF THE ORGANIZATION'S CEO WAS REVIEWED IN JANUARY 2023.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	Please refer to process described in Part VI, Line 15a.
Form 990, Part VI, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VII, Section A INCENTIVE COMPENSATION	DRS. ANDROPOULOS, BELFORT, HOLLIER, SHEKERDEMIAN, SHILT, AND VERSALOVIC, WHILE EMPLOYED BY BAYLOR COLLEGE OF MEDICINE, SERVE AS IN-CHIEFS DIRECTING PATIENT CARE AT TEXAS CHILDREN'S HOSPITAL. DUE TO THEIR SENIOR LEADERSHIP ROLES, THEY ARE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON THEIR CONTRIBUTIONS TO ACHIEVING THE ORGANIZATION'S STRATEGIC GOALS. ALL COMPENSATION IS EARNED IN THEIR CAPACITY AS PHYSICIAN LEADERS.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Other Revenues - Total Revenue: 19811049, Related or Exempt Function Revenue: 19811049, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; RESTRICTED FUNDS UTILIZED - Total Revenue: 45578721, Related or Exempt Function Revenue: 45578721, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part IX, Line 11g Other Fees	TCPSO HEALTHCARE PROGRAM SUPPORT - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 4736960, Fundraising Expenses: 42182; HEALTHCARE PROFESSIONAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 4778691, Fundraising Expenses: 0; OTHER NON-HEALTHCARE PROFESSIONAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 8051561, Fundraising Expenses: 4144215; Case Management Services - Total Expense: 2100000, Program Service Expense: , Management and General Expenses: 2100000, 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 - 27660677; ASSETS RELEASED FROM RESTRICTION - -283033; CHANGE IN BENEFICIAL INTEREST IN AFFILIATES - -40054658; CHANGE IN CHARITABLE GIFT ANNUITY - 7290; CHANGES IN FUND BALANCE - XXX-XX-XXXX; GRANT FUNDED CAPITAL - 1996312; INVESTMENT IN AFFILIATES - XXX-XX-XXXX;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
TEXAS CHILDREN'S
6330 WEST LOOP SOUTH	SUITE 1300	BELLAIRE	TX	77401	760461578	PARENT	TX	501(c)(3)	Type II	NA	false
TEXAS CHILDREN'S HEALTH PLAN
6330 WEST LOOP SOUTH	SUITE 800	BELLAIRE	TX	77401	760486264	HEALTH CARE	TX	501(c)(3)	10	TEXAS CHILDREN'S	false
TEXAS CHILDREN'S GLOBAL
PO BOX 300630		HOUSTON	TX	77230	261482195	HEALTH CARE	TX	501(c)(3)	Type II	TEXAS CHILDREN'S	false
TEXAS CHILDREN'S HOSPITAL FOUNDATION
6621 FANNIN STREET		HOUSTON	TX	77030	202380599	SUPPORTING ORG	TX	501(c)(3)	Type II	TEXAS CHILDREN'S	false
TCH PEDIATRIC ASSOCIATES Inc
PO BOX 300630		HOUSTON	TX	77230	760460242	HEALTH CARE	TX	501(c)(3)	10	TEXAS CHILDREN'S	false
TEXAS CHILDREN'S PHYSICIAN GROUP
6621 FANNIN STREET		HOUSTON	TX	77030	260834681	HEALTH CARE	TX	501(c)(3)	10	TEXAS CHILDREN'S	false
TEXAS CHILDREN'S HEALTH PLAN - THE CENTER
6330 WEST LOOP SOUTH	SUITE 800	BELLAIRE	TX	77401	461392824	HEALTH CARE	TX	501(c)(3)	Type I	TEXAS CHILDREN'S HEALTH PLAN	false
TEXAS CHILDREN'S URGENT CARE
6330 WEST LOOP SOUTH	SUITE 1300	BELLAIRE	TX	77401	472029489	HEALTH CARE	TX	501(c)(3)	10	TCH PEDIATRIC ASSOCIATES INC	false
THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION
6330 WEST LOOP SOUTH	SUITE 1300	BELLAIRE	TX	77401	760246858	SUPPORTING ORG	TX	501(c)(3)	Type I	TEXAS CHILDREN'S	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

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

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