TEXAS CHILDRENS HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: TEXAS CHILDRENS HOSPITAL (EIN 74-1100555)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-14
IRS object ID: 201932269349302823
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-14T17:02:06-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	750 N St Paul Suite 850	AddressLine1Txt
City	Dallas	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75201	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	741100555	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	TEXA	BusinessNameControlTxt
Phone	8328242982	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WELDON GAGE	PersonNm
Person Title	Executive VP / CFO	PersonTitleTxt
Signature	2019-08-14	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$2,436,756,428	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TEXASCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	11543	TotalEmployeeCnt
Total Volunteers	1252	TotalVolunteersCnt
Total Gross UBI	$433,333	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$124,863,856	PYContributionsGrantsAmt
CY Contributions Grants	$131,328,683	CYContributionsGrantsAmt
PY Program Service Revenue	$2,010,205,801	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,263,329,456	CYProgramServiceRevenueAmt
PY Investment Income	$11,887,175	PYInvestmentIncomeAmt
CY Investment Income	$15,831,813	CYInvestmentIncomeAmt
PY Other Revenue	$14,807,520	PYOtherRevenueAmt
CY Other Revenue	$16,601,350	CYOtherRevenueAmt
PY Total Revenue	$2,161,764,352	PYTotalRevenueAmt
CY Total Revenue	$2,427,091,302	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,284,075	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$8,548,133	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$947,587,101	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,040,582,971	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,278,567	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$675,626	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$10,554,966	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,052,217,493	PYOtherExpensesAmt
CY Other Expenses	$1,172,900,708	CYOtherExpensesAmt
PY Total Expenses	$2,009,367,236	PYTotalExpensesAmt
CY Total Expenses	$2,222,707,438	CYTotalExpensesAmt
PY Revenues Less Expenses	$152,397,116	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$204,383,864	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,132,130,302	TotalAssetsBOYAmt
Total Assets EOY	$5,395,940,841	TotalAssetsEOYAmt
Total Liabilities BOY	$1,381,331,826	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,252,437,049	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,750,798,476	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,143,503,792	NetAssetsOrFundBalancesEOYAmt
Mission	TEXAS CHILDREN'S HOSPITAL, LOCATED 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. 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	$1,938,775,848	ExpenseAmt
Grant	$7,920,024	GrantAmt
Revenue	$2,218,916,836	RevenueAmt
Desc	PATIENT CARE: TEXAS CHILDREN'S HOSPITAL IS AN INTERNATIONALLY RECOGNIZED FULL-CARE PEDIATRIC HOSPITAL OPERATING TWO CAMPUSES IN THE HOUSTON AREA, THE LARGEST OF WHICH IS LOCATED IN THE TEXAS MEDICAL CENTER. ONE OF THE LARGEST PEDIATRIC HOSPITALS IN THE UNITED STATES, THE HOSPITAL IS CONSISTENTLY RANKED AS THE BEST CHILDREN'S HOSPITAL IN TEXAS, AND AMONG THE TOP IN THE NATION. TEXAS CHILDREN'S HAS GARNERED WIDESPREAD RECOGNITION FOR ITS EXPERTISE AND BREAKTHROUGHS IN PEDIATRIC AND WOMEN'S HEALTH. THE HOSPITAL INCLUDES TEXAS CHILDREN'S HOSPITAL; THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE; THE FEIGIN CENTER FOR PEDIATRIC RESEARCH; TEXAS CHILDREN'S PAVILION FOR WOMEN, A COMPREHENSIVE OBSTETRICS/GYNECOLOGY HOSPITAL FOCUSING ON HIGH-RISK BIRTHS; TEXAS CHILDREN'S HOSPITAL WEST CAMPUS, A COMMUNITY HOSPITAL IN SUBURBAN WEST HOUSTON; TEXAS CHILDREN'S HOSPITAL THE WOODLANDS, THE FIRST HOSPITAL DEVOTED TO CHILDREN'S CARE FOR COMMUNITIES NORTH OF HOUSTON, a second community hospital that opened April 2017. THE ORGANIZATION ALSO CREATED TEXAS CHILDREN'S HEALTH PLAN, THE NATIONS' FIRST HMO FOR CHILDREN; TEXAS CHILDREN'S PEDIATRICS, THE LARGEST PEDIATRIC PRIMARY CARE NETWORK IN THE COUNTRY; TEXAS CHILDREN'S URGENT CARE CLINICS THAT SPECIALIZE IN AFTER-HOURS CARE TAILORED SPECIFICALLY FOR CHILDREN; AND A GLOBAL HEALTH PROGRAM THAT'S CHANNELING CARE TO CHILDREN AND WOMEN ALL OVER THE WORLD. TEXAS CHILDREN'S HOSPITAL IS AFFILIATED WITH BAYLOR COLLEGE OF MEDICINE. TEXAS CHILDREN'S PAVILION FOR WOMEN OFFERS A FULL SPECTRUM GYNECOLOGICAL AND MATERNAL AND FETAL MEDICINE SERVICES, INCLUDING AN ARRAY OF FETAL DIAGNOSTIC PROCEDURES AND HIGHLY SPECIALIZED FETAL SURGERIES, THREE PRIVATE OB/GYN PRACTICES, THE FAMILY FERTILITY CENTER, THE MENOPAUSE CENTER AND THE WOMEN'S PLACE - CENTER FOR REPRODUCTIVE PSYCHIATRY. DURING THE YEAR THE HOSPITAL OVERALL OPERATED 795 INPATIENT BEDS AND MORE THAN 126 AMBULATORY SPECIALTY CLINICS, SUPPORTED BY AN AWARD-WINNING MEDICAL STAFF CONSISTING OF MORE THAN 1,797 BOARD-CERTIFIED PEDIATRIC SUBSPECIALISTS, OBSTETRICIANS AND GYNECOLOGISTS, ADULT SUBSPECIALISTS AND DENTISTS AND A DEDICATED AND HIGHLY SKILLED NURSING AND SUPPORT STAFF OF MORE THAN 10,181. IN 2018, THE PAVILION PERFORMED APPROXIMATELY 6,205 DELIVERIES AND THE HOSPITAL SYSTEM EXCEEDED 199,080 OUTPATIENT CLINIC VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$102,553,235	ExpenseAmt
Grant	$418,936	GrantAmt
Revenue	$32,271,034	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 2018, TEXAS CHILDREN'S INVESTED IN MORE THAN $102 MILLION IN OVER 2,133 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	$51,204,457	ExpenseAmt
Grant	$209,173	GrantAmt
Revenue	$11,708,253	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 OBSTETRICS AND GYNECOLOGY. THE CLOSE AFFILIATION BETWEEN THE INSTITUTIONS EXTENDS THROUGHOUT TEXAS CHILDREN'S OPERATIONS, BAYLOR FACULTY INCLUDING SERVICE CHIEFS, MEDICAL DIRECTORS AND STAFF PHYSICIANS ACROSS THE HOSPITAL'S 65 SUB-SPECIALTY CARE OFFERINGS. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018, THE HOSPITAL INVESTED MORE THAN $53 MILLION IN THE TRAINING OF OVER 1,261 TRAINEES IN 99 TRAINING PROGRAMS ROTATING AT TEXAS CHILDREN'S. BAYLOR AND TEXAS CHILDREN'S HAVE A PROVEN TRACK RECORD RECRUITING TRANSFORMATIVE PHYSICIAN-SCIENTISTS AND ONE OF THE STRONGEST PEDIATRIC RESIDENCY PROGRAMS IN THE COUNTRY. BAYLOR'S PEDIATRIC RESIDENCY PROGRAM IS THE LARGEST TRAINING GROUND FOR PEDIATRICS AND ONE OF THE MOST COMPETITIVE IN THE COUNTRY. MORE THAN 2,000 STUDENTS APPLY EACH YEAR FROM THE TOP MEDICAL SCHOOLS AROUND THE COUNTRY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$2,092,533,540	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	855	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	11543	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	2	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	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	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	JENNIFER LITTLE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8328242972	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1919 BRAESWOOD BLVD	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Dan DiPrisco
SCHEDULE O	39.0	1.0	Yes (X)	Yes (X)	$344,102	$0	$136,393
Weldon Gage
SCHEDULE O	38.0	2.0	Yes (X)	Yes (X)	$697,090	$0	$279,554
Mark Mullarkey
SCHEDULE O	34.0	6.0	Yes (X)	Yes (X)	$573,090	$0	$226,520
John R Nickens IV
Schedule O	39.0	1.0	Yes (X)	Yes (X)	$504,819	$0	$105,752
Michelle Riley-Brown
SCHEDULE O	39.0	1.0	Yes (X)	Yes (X)	$543,532	$0	$219,651
Mark A Wallace
Schedule O	36.0	4.0	Yes (X)	Yes (X)	$2,047,533	$0	$911,541
Mary Jo Andre
Schedule O	20.0	20.0	Yes (X)		$481,440	$0	$98,798
Dean B Andropoulos MD
BOARD MEMBER	1.0	1.0	Yes (X)		$26,322	$0	$0
Michael A Belfort MD PhD
BOARD MEMBER	1.0	3.0	Yes (X)		$37,790	$0	$0
George Bisset III MD
SCHEDULE O	1.0	39.0	Yes (X)		$0	$843,793	$43,322
Charles D Fraser Jr MD
SCHEDULE O	1.0	1.0	Yes (X)		$118,822	$0	$0
Angelo P Giardino MD PHD
SCHEDULE O	37.0	3.0	Yes (X)		$593,925	$0	$105,249
Larry Hollier MD
SCHEDULE O	1.0	1.0	Yes (X)		$0	$0	$200,000
Thierry Huisman MD
SCHEDULE O	1.0	1.0	Yes (X)		$0	$0	$0
Mark W Kline MD
BOARD MEMBER	1.0	4.0	Yes (X)		$40,122	$0	$300,000
James Versalovic MD PhD
BOARD MEMBER	1.0	1.0	Yes (X)		$28,246	$0	$0
Eric Williams MD
SCHEDULE O	39.0	1.0	Yes (X)		$0	$0	$0
Aisha Jamal
Assistant Secretary	36.0	4.0		Yes (X)	$114,966	$36,016	$23,582
Mallory Caldwell
SCHEDULE O	39.0	1.0			$557,749	$0	$131,604	Yes (X)
Matthew Girotto
Senior Vice President	39.0	1.0			$336,766	$0	$92,853	Yes (X)
Tabitha Rice
Senior Vice President	40.0	0.0			$403,889	$0	$134,079	Yes (X)
Ivett Shah
VICE PRESIDENT	38.0	2.0			$211,431	$0	$42,353	Yes (X)
Linda Aldred
Senior Vice President	40.0	0.0			$684,718	$0	$183,566		Yes (X)
MYRA L DAVIS
SENIOR VICE PRESIDENT	40.0	0			$518,286	$0	$115,895		Yes (X)
ROBERT DURDEN
SCHEDULE O	40.0	0			$1,122,134	$0	$153,533		Yes (X)
Lance Lightfoot
SCHEDULE O	40.0	0			$557,437	$0	$116,747		Yes (X)
Kay Tittle
Vice President	6.0	34.0			$601,169	$0	$104,153		Yes (X)
Benjamin Melson
SCHEDULE O	0.0	0.0			$362,993	$0	$19,832			Yes (X)
Dace Reinholds
Former Assistant Secretary	0.0	0.0			$124,894	$0	$15,111			Yes (X)
Randy Wright
SCHEDULE O	0.0	2.0			$203,983	$0	$3,576			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,837,248	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$879,809	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,763,664	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1967	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	$82,676,272
ACCUDATA SYSTEMS INC
10713 W SAM HOUSTON PARKWAY N	HOUSTON	TX	77064	NETWORK SERVICES	$10,259,162	SUITE 600
BAYLOR MIRACA GENETICS LABORATORIES LLC
PO BOX 847228	DALLAS	TX	752847228	LAB SERVICES	$7,055,917
BRIGGS AND CALDWELL LP
9801 Westheimer Road	HOUSTON	TX	77042	ADVERTISING	$6,651,058	Suite 701
MICROSOFT CORPORATION
1950 N STEMMONS FWY	DALLAS	TX	75207	IT SOLUTIONS	$6,436,060	SUITE 5010

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	257	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Fundraising	$2,979,293	FundraisingAmt
Related Organizations	$755,371	RelatedOrganizationsAmt
Government Grants	$13,578,483	GovernmentGrantsAmt
All Other Contributions	$114,015,536	AllOtherContributionsAmt
Noncash Contributions	$978,220	NoncashContributionsAmt
Total Contributions	$131,328,683	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622310	$1,980,263,709	$1,980,263,709
1115 WAIVER UNCOMPENSATED CARE POOL	622310	$112,810,360	$112,810,360
PHARMACY REVENUE	622310	$66,787,952	$66,787,952
MANAGEMENT SERVICES	541611	$65,303,310	$64,869,977	$433,333
RENTAL INCOME	900099	$18,282,094	$18,282,094

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,882,031	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,882,031	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,263,329,456	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,780,991	TotalRevenueColumnAmt
Exclusion	$15,780,991	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$403,201	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$77,480	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$325,721	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$325,721	TotalRevenueColumnAmt
Exclusion	$325,721	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,816,368	SecuritiesAmt
Other	$31,045	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$6,796,591	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$19,777	SecuritiesAmt
Other	$31,045	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50,822	TotalRevenueColumnAmt
Exclusion	$50,822	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$270,261	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,979,293	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$889,024	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$618,763	TotalRevenueColumnAmt
Exclusion	-$618,763	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$3,030,817	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,902,031	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,128,787	TotalRevenueColumnAmt
Exclusion	$1,128,787	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PARKING GARAGE REVENUE	Desc
Business	812930	BusinessCd
Total Revenue Column	$15,765,605	TotalRevenueColumnAmt
Exclusion	$15,765,605	ExclusionAmt

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	$15,765,605	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,427,091,302	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,262,896,123	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$433,333	UnrelatedBusinessRevenueAmt
Exclusion	$32,433,163	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	$8,097,807	TotalAmt
Program Services	$8,097,807	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$450,326	TotalAmt
Program Services	$450,326	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,704,506	TotalAmt
Program Services	$251,302	ProgramServicesAmt
Management And General	$8,453,204	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$33,782	TotalAmt
Management And General	$33,782	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$828,406,470	TotalAmt
Program Services	$784,483,485	ProgramServicesAmt
Management And General	$41,034,483	ManagementAndGeneralAmt
Fundraising	$2,888,502	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$39,669,189	TotalAmt
Program Services	$37,585,252	ProgramServicesAmt
Management And General	$1,911,952	ManagementAndGeneralAmt
Fundraising	$171,985	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$102,662,862	TotalAmt
Program Services	$95,510,336	ProgramServicesAmt
Management And General	$6,821,167	ManagementAndGeneralAmt
Fundraising	$331,359	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$61,106,162	TotalAmt
Program Services	$55,178,224	ProgramServicesAmt
Management And General	$5,729,665	ManagementAndGeneralAmt
Fundraising	$198,273	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,025,337	TotalAmt
Management And General	$4,025,337	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$469,000	TotalAmt
Management And General	$469,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$420,109	TotalAmt
Program Services	$420,109	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$675,626	TotalAmt
Fundraising	$675,626	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$421,446,530	TotalAmt
Program Services	$401,912,741	ProgramServicesAmt
Management And General	$19,226,225	ManagementAndGeneralAmt
Fundraising	$307,564	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$15,668,690	TotalAmt
Program Services	$7,206,892	ProgramServicesAmt
Management And General	$3,811,455	ManagementAndGeneralAmt
Fundraising	$4,650,343	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$53,585,838	TotalAmt
Program Services	$50,683,985	ProgramServicesAmt
Management And General	$2,791,964	ManagementAndGeneralAmt
Fundraising	$109,889	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$45,561,511	TotalAmt
Program Services	$37,424,330	ProgramServicesAmt
Management And General	$8,090,551	ManagementAndGeneralAmt
Fundraising	$46,630	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$53,650,964	TotalAmt
Program Services	$49,959,839	ProgramServicesAmt
Management And General	$3,485,795	ManagementAndGeneralAmt
Fundraising	$205,330	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,371,100	TotalAmt
Program Services	$4,145,725	ProgramServicesAmt
Management And General	$214,816	ManagementAndGeneralAmt
Fundraising	$10,559	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,448,414	TotalAmt
Program Services	$2,242,842	ProgramServicesAmt
Management And General	$198,867	ManagementAndGeneralAmt
Fundraising	$6,705	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$21,843,330	TotalAmt
Program Services	$18,989,735	ProgramServicesAmt
Management And General	$2,749,425	ManagementAndGeneralAmt
Fundraising	$104,170	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$156,732,178	TotalAmt
Program Services	$149,700,871	ProgramServicesAmt
Management And General	$6,319,928	ManagementAndGeneralAmt
Fundraising	$711,379	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,367,964	TotalAmt
Program Services	$10,014,575	ProgramServicesAmt
Management And General	$323,317	ManagementAndGeneralAmt
Fundraising	$30,072	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PHARMACEUTICAL SUPPLIES	$133,622,124	$133,622,124
MEDICAL/SURGICAL SUPPLIES	$111,221,671	$111,221,671
BAD DEBT	$57,379,291	$57,379,291
ENHANCED MISSION SUPPORT	$22,601,256	$22,601,256

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$57,485,401	TotalAmt
Program Services	$53,450,822	ProgramServicesAmt
Management And General	$3,927,999	ManagementAndGeneralAmt
Fundraising	$106,580	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,222,707,438	TotalAmt
Program Services	$2,092,533,540	ProgramServicesAmt
Management And General	$119,618,932	ManagementAndGeneralAmt
Fundraising	$10,554,966	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,129,978	BOYAmt
EOY	$19,051,408	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$103,391,709	BOYAmt
EOY	$139,544,622	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$321,036,518	BOYAmt
EOY	$356,709,163	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,277,905	BOYAmt
EOY	$21,493,964	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$31,615,156	BOYAmt
EOY	$42,847,250	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,639,006,559	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,384,652,453	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,102,358,002	BOYAmt
EOY	$2,254,354,106	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$81,716,609	BOYAmt
EOY	$350,305,832	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$249,851	BOYAmt
EOY	$249,851	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$78,963,186	BOYAmt
EOY	$135,268,259	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,385,391,388	BOYAmt
EOY	$2,076,116,386	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,132,130,302	BOYAmt
EOY	$5,395,940,841	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$293,941,406	BOYAmt
EOY	$253,114,828	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,825,685	BOYAmt
EOY	$12,808,582	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$940,483,475	BOYAmt
EOY	$919,924,627	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$13,107,831	BOYAmt
EOY	$3,866,034	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$129,973,429	BOYAmt
EOY	$62,722,978	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,381,331,826	BOYAmt
EOY	$1,252,437,049	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,382,201,494	BOYAmt
EOY	$3,731,684,755	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$207,757,471	BOYAmt
EOY	$226,818,324	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$160,839,511	BOYAmt
EOY	$185,000,713	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,750,798,476	BOYAmt
EOY	$4,143,503,792	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,132,130,302	BOYAmt
EOY	$5,395,940,841	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$204,383,864	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,497,726	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$124,700	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$182,699,026	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

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	$390,867	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$87,827	OtherActivitiesAmt
Total Lobbying Expenditures	$478,694	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

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.

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$139,937,336	BeginningYearBalanceAmt
Contributions	$15,943,722	ContributionsAmt
Investment Earnings Or Losses	$11,439,594	InvestmentEarningsOrLossesAmt
Administrative Expenses	$6,481,141	AdministrativeExpensesAmt
End Year Balance	$160,839,511	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$131,831,471	BeginningYearBalanceAmt
Contributions	$3,651,064	ContributionsAmt
Investment Earnings Or Losses	$10,445,580	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,990,779	AdministrativeExpensesAmt
End Year Balance	$139,937,336	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$132,134,564	BeginningYearBalanceAmt
Contributions	$7,810,864	ContributionsAmt
Investment Earnings Or Losses	-$2,104,397	InvestmentEarningsOrLossesAmt
Administrative Expenses	$6,009,560	AdministrativeExpensesAmt
End Year Balance	$131,831,471	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$121,015,298	BeginningYearBalanceAmt
Contributions	$2,864,009	ContributionsAmt
Investment Earnings Or Losses	$13,573,470	InvestmentEarningsOrLossesAmt
Administrative Expenses	$5,318,213	AdministrativeExpensesAmt
End Year Balance	$132,134,564	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.07	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.93	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)
Other Cost Or Other Basis	$130,868,740	OtherCostOrOtherBasisAmt
Book Value	$130,868,740	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,703,731,597	OtherCostOrOtherBasisAmt
Depreciation	$336,392,995	DepreciationAmt
Book Value	$1,367,338,602	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,139,471	OtherCostOrOtherBasisAmt
Depreciation	$30,258,183	DepreciationAmt
Book Value	$10,881,288	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,678,649,750	OtherCostOrOtherBasisAmt
Depreciation	$997,587,903	DepreciationAmt
Book Value	$681,061,847	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$84,617,001	OtherCostOrOtherBasisAmt
Depreciation	$20,413,372	DepreciationAmt
Book Value	$64,203,629	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,254,354,106	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN TEXAS CHILDREN'S HOSPITAL FOUNDATION	$1,978,019,143
TCH INSURANCE COMPANY REBATE RECEIVABLE	$52,396,612
MISC RECEIVABLES	$10,509,572
Prepaid Mission Support	$20,364,712
DUE FROM AFFILIATES	$14,826,347

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,076,116,386	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTEREST RATE SWAP	$18,593,952
DEFERRED COMPENSATION	$11,187,706
RETIREMENT PLAN LIABILITY	$27,863,632
OTHER LONG TERM LIABILITY	$5,077,688

Field	Value	IRS element (for citing)
Total Liability	$62,722,978	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, 2018 OR 2017.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Sub-Saharan Africa	Program Services	Health care services	$1,316,417
Central America and the Caribbean	Program Services	SELF- INSURANCE	$72,266

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	$1,388,683	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$1,388,683	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

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 (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
INFOGROUP INC
200 Pemberwick Road	GREENWICH	CT	06830	DIRECT MAIL	false	$533,101	-$533,101
270 STRATEGIES
626 WEST JACKSON BLVD SUITE 600	CHICAGO	IL	60661	ANALYTIC SERVICES	false	$80,065	-$80,065
TARRYN LANKFORD
9713 PINE LAKE DRIVE	HOUSTON	TX	77055	EVENT COORDINATION	false	$62,460	-$62,460

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$675,626	TotalRetainedByContractorsAmt
Total Net To Organization	-$675,626	TotalNetToOrganizationAmt
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DE	LicensedStatesCd
Licensed States	DC	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	AL	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	ID	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	IA	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	AK	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	AZ	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	SD	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	THE LEGACY OF MOTOWN GALA	Event1Nm
Gross Receipts Event1	$1,092,768	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,040,193	CharitableContriEvent1Amt
Gross Revenue Event1	$52,575	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$75,072	OtherDirectExpensesEvent1Amt
Event2	AN EVENING WITH A LEGEND	Event2Nm
Gross Receipts Event2	$645,135	GrossReceiptsEvent2Amt
Charitable Contri Event2	$589,568	CharitableContriEvent2Amt
Gross Revenue Event2	$55,567	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$378,103	OtherDirectExpensesEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$1,511,651	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,349,532	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$162,119	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$435,849	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$3,249,554	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,979,293	CharitableContributionsTotAmt
Gross Revenue Total Events	$270,261	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$889,024	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$889,024	DirectExpenseSummaryEventsAmt
Net Income Summary	-$618,763	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,862,720	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,514,016	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,348,704	NetCommunityBenefitExpnsAmt
Total Expense	0.0099	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$931,001,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$861,130,430	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,871,215	NetCommunityBenefitExpnsAmt
Total Expense	0.0323	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,705,951	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,858,740	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,847,211	NetCommunityBenefitExpnsAmt
Total Expense	0.0059	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	$1,019,570,316	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$915,503,186	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$104,067,130	NetCommunityBenefitExpnsAmt
Total Expense	0.0481	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,996,359	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,220,660	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,775,699	NetCommunityBenefitExpnsAmt
Total Expense	0.0022	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,204,456	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,977,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,227,144	NetCommunityBenefitExpnsAmt
Total Expense	0.0218	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,847,201	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,587,870	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,259,331	NetCommunityBenefitExpnsAmt
Total Expense	0.0066	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,553,235	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,271,034	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$70,282,201	NetCommunityBenefitExpnsAmt
Total Expense	0.0325	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,465,752	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,934	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,432,818	NetCommunityBenefitExpnsAmt
Total Expense	0.0034	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$192,067,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,089,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$143,977,193	NetCommunityBenefitExpnsAmt
Total Expense	0.0665	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,211,637,319	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$963,592,996	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$248,044,323	NetCommunityBenefitExpnsAmt
Total Expense	0.1146	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,500	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	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	0.0001	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,500	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
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	$141,110	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$141,110	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	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	$376,110	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$376,110	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$57,377,580	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$8,641,228	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$9,945,025	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,303,797	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.texaschildrens.org/about-us/community-benefit-efforts/reports-community-health-needs	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.texaschildrens.org/about-us/community-benefit-efforts/reports-community-health-needs	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Texas Children's Hospital. In the summer of fiscal year 2016, Texas Children's Hospital (Hospital) conducted a Community Health Needs Assessment (CHNA) using a collaborative research team consisting of members from the departments of Community Benefits, Public Health Pediatrics and Baylor College of Medicine. In preparation for conducting the 2016 CHNA, the research team reviewed and updated the comprehensive list of data indicators, key stakeholders and community service organizations developed from the 2013 report. The CHNA team then presented study findings to the Hospital's Community Benefits Workgroup (CBW) to vet the data and refine information to create informed recommendations on how the organization could proceed in addressing some of these needs over the next few years. Throughout the ten-week data collection period, the research team met weekly to discuss the progress and data findings, and to refine the list of stakeholders to be interviewed and included in the final report. Community representatives who participated in interviews also provided suggestions for additional data sources and subject matter experts. Researchers and staff from all three entities worked together to gather both the primary and secondary data used for this assessment. The Hospital serves an international population; however, in order to accomplish an adequate in-depth study, the scope of the needs assessment was limited to the geographic area immediately surrounding the Hospital and its local affiliates: Harris County and the seven bordering counties (Brazoria, Galveston, Fort Bend, Waller, Montgomery, Liberty and Chambers). The term "Greater Houston" is used to reference this eight-county region. As not all data were available at the county level, geographic locations are noted within indicators. In addition to the vast array of epidemiological data previously collected by federal, state and local institutions, qualitative research was conducted with key community stakeholders from a variety of professional backgrounds and areas of expertise, including elected officials, academicians, educators, law enforcement officials and community and faith-based organization leaders. Key informants included, but were not limited to, individuals from Fort Bend County Division of Behavioral Health Services, Harris County Protective Services for Children and Adults and Epiphany Community Outreach Services. A full list of key informants can be found in Appendix B of the CHNA. Thirty-one key participants were contacted by the Hospital's research team. In-person or telephone interviews were conducted by trained staff at locations convenient for the interview participants and lasted approximately 60 minutes. The interview guide and additional questions can be found in Appendix A of the CHNA. Community experts were asked to list and prioritize the most pressing needs of the community with whom they were most familiar. The top three to five priority areas were then discussed individually in more detail. Qualitative data were compiled and key themes that emerged across interviews were identified. All of the emergent themes fit within the three general categories (access to care, service and partnership outreach, and advocacy) and in the four healthcare topics (women's health, mental and preventive health, foster care and social determinants of health) identified by the team as a priority. Many of the themes were crosscutting and were discussed in the interviews in combination (e.g., mental health was discussed on its own as well as in relation to other chronic conditions, community violence and health behaviors); each interview was coded to ensure the overlapping themes were illustrated in the narrative.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Texas Children's Hospital. Facility Name: Public Health Pediatrics, Baylor College of Medicine Description: Launched in October 2015, the Public Health Pediatrics section has two components - child abuse pediatrics and the Center for the Study of Childhood Adversity and Resilience Education (CARE). Both components work together to engage the community around perceived risk factors and improve the trajectory for children of abuse and neglect. In conjunction with child abuse pediatrics, the main focus of CARE is community-level research to identify, promote and implement strategies to prevent adverse childhood experiences such as poverty, violence, inequality, homelessness, and lack of mental health, education and nutrition. Facility Name: Baylor College of Medicine Description: Baylor College of Medicine is a health sciences university that creates knowledge and applies science and discoveries to further education, healthcare and community service locally and globally. The school, located in the middle of the world's largest medical center (Texas Medical Center), is part owner of Baylor St. Luke's Medical Center, part of the CHI St. Luke's Health system, and has hospital affiliations with: Harris Health System, Texas Children's Hospital, The University of Texas MD Anderson Cancer Center, Memorial Hermann - The Institute for Rehabilitation and Research, Menninger Clinic, the Michael E. DeBakey Veterans Affairs Medical Center and Children's Hospital of San Antonio. The medical school has been consistently considered in the top tier of programs in the country.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Texas Children's Hospital. HOW TEXAS CHILDREN'S IS ADDRESSEING NEEDS IDENTIFIED IN ITS 2016 CHNA Texas Children's 2016 Community Health Needs Assessment identified four healthcare topics needing specific Hospital expertise and resources: * Women's Health - maternal mortality and postpartum depression * Mental and Preventive Health - expanding or collaborating on services and education * Foster Care - outreach and education to current and future foster families * Social Determinants of Health - screenings, referrals, and resources Texas Children's is addressing these needs by employing the strategies outlined in the Texas Children's 2017-2019 Community Benefit Implementation Plan. This plan, developed by the Hospital's Community Benefit Workgroup (CBW) and reviewed and endorsed by the Board of Trustees, presents current actions Texas Children's is taking to address these needs in addition to proposed actions and strategies. Women's Health - maternal mortality and postpartum depression Current actions to address this issue: * Leveraging existing Hospital and physician leadership roles in Texas' Maternal Mortality and Morbidity Taskforce. * Engaging elected officials to develop research studies on access to women's preventative health services and improved birth outcomes. Urging legislators to invest in family planning, cancer screenings, postpartum care, and other preventative health services. * Expanding screening of new mothers for PPD during the initial well-baby exam at Texas Children's Pediatrics sites. * Pursuing a telemedicine model for mental health consults and/or offer group therapy sessions in community clinics or service organizations for mothers who diagnosed with PPD to expand access to these services in the community. * Working with other national, state, and local advocacy organizations such as the March of Dimes, the Children's Hospital Association of Texas, the Texas Medical Association, the Texas Nurses Association, Texas Pediatric Society, and the American Academy of Pediatrics in urging policymakers to extend Medicaid coverage for new mothers after childbirth with a special focus on postpartum depression screening and treatment. Mental and Preventive Health - expanding or collaborating on services and education Current actions to address this issue: * Identifying and pursuing resources to assist in building the mental health professional workforce. Such resources include public/private partnerships, government grants, and private donors and foundations who champion community health and the strengthening of families. * Advocating to improve access to care and increase funding for health and dental care in Medicaid and CHIP at the State capitol and Washington, DC. * Considering the adoption a single screening tool to be used across Texas Children's system to identify social and medical needs of our families. Using data analytics, work to develop community-based strategies to address these needs. Seeking external funding to support these efforts. * In the summer of 2017 Texas Children's opened its Trauma and Grief (TAG) Center. The primary purpose of the Trauma and Grief Center is to raise the standard of care and increase access to best-practice care among traumatized and bereaved children, adolescents, and their families. The Trauma and Grief Clinic is a SAMHSA-funded Category II Treatment and Services Adaptation Center of the National Child Traumatic Stress Network (NCTSN). It provides evidence-based risk screening, assessment, and interventions for youth aged 7 to 17 who have experienced traumas and/or losses, including the death of loved ones. It use state-of-the-art, empirically validated screening tools to ensure that youth seen in the clinic receive the most appropriate and effective interventions. The primary treatments include Trauma and Grief Component Therapy, Multidimensional Grief Therapy, and Trauma-Focused Cognitive Behavioral Therapy. Proposed actions to address this issue: * Collaborate with other nonprofits to create and host education forums and materials that inform the larger community about cultural and social barriers to accessing mental health services, and ways to improve communication and information on disease conditions. * Consider the provision of mental health screenings and therapy services within our mobile clinics or through partnering schools with licensed mental health professionals such as social workers or psychologists. These services should include basic screenings for Adverse Childhood Experiences and referrals to community providers or other mental health resources such as mobile-behavioral health treatment interactive tools like those offered by the Harris Center for Mental Health and IDD (Intellectual Development and Disability). Foster Care - outreach and education to current and future foster families Current actions to address this issue: * Examining best practices from other hospitals and nonprofits in foster care, screening and referrals to social and community services, and sexual orientation and gender identity care. Proposed actions to address this issue: * Offering continuing medical education for providers on the unique healthcare needs of foster children and LGBTQ children. * Offering education forums throughout Texas Children's geographic service areas to interested community stakeholders and families on these topics, especially for school health providers and counselors, parent-teacher organizations, and small nonprofits that serve these families. Social Determinants of Health - screenings, referrals, and resources Current actions to address this issue: * Enhancing participation in community health initiatives with community service organizations, local businesses, chambers of commerce and schools, especially efforts that address social determinants of health such as nutrition, food insecurity, physical activity, parenting skills, etc. New partnerships would elevate overall community awareness and engagement regarding these issues and would begin to align the various community sectors' approaches to regional health care needs. * As part of the Hospital's Care Coordination Initiative, Texas Children's formed a Community Partnerships Workgroup to, among other things, explore the possibility of adopting a system-wide community resource referral platform. The Community Partnerships Workgroup has interviewed several companies including Aunt BERTHA, TAV Health, CareStarter and NowPow, who design platforms that enable hospitals to easily refer patients to community-based resources to help with social needs (housing, transportation, food insecurity, etc.). Many of the platforms also offer feedback mechanisms that can interface with electronic health records systems so that providers can see whether or not their patients are actually accessing the services they are being referred to.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Texas Children's Hospital. CHALLENGING REGIONAL HEALTH NEEDS In our assessment findings, two specific health services were identified as being severely inadequate for both the pediatric and female populations in our community. These services were mental and oral health (as they relate to women and children). According to our 2016 CHNA findings: Oral Health - despite increases in insurance enrollment, there is still a high percentage of children living in Greater Houston without dental coverage. In general, these children often lack a medical home. * Data from Medicaid.gov for 2014 on lack of dental coverage of children in our region did not show any change to this percentage - 27.3%; yet, the absence of pediatric access to basic dental health services was mentioned as a new topic in interviews of stakeholders for the 2016 CHNA. * Oral health is an important component of overall health and well-being. The Hospital's academic partner, Baylor College of Medicine (BCM), does not house a dental school. Fortunately, the University of Texas School of Dentistry is expanding its partnerships to complement care provided in the community by pediatric and adult medical providers. However, funding constraints, dental provider workforce shortages and clinic site limitations, especially for the uninsured and enrollees in government health programs, has limited the roll-out of these collaborations. * The Orthodontic Clinic at Texas Children's Hospital treats children who have congenital craniofacial anomalies and/or cleft palates. Children with special problems may be treated by a full range of orthodontic services. Minor orthodontic treatment is also available. Patients must be referred by the Craniofacial/Plastic Surgery team from within the Hospital. The Hospital also provides comprehensive dental services to patients with complex medical conditions. These children with complex dental needs or extensive problems are treated through various inpatient or outpatient means including our well-equipped operating rooms. Mental Health - Three quarters of Texas counties are mental health professional shortage areas. (CodeRedTexas.org 2015). * The Hospital does not have dedicated pediatric beds for psychiatric care. The organization does provide behavioral and mental health testing and assessment and counseling in our outpatient areas for some behavioral health diagnosis. Our licensed professional counselor social workers offer limited counseling to patients and families in coordination with care delivered by the clinical care teams throughout the hospital. * In the summer of 2017, Texas Children's launched the Trauma and Greif (TAG) Center under the leadership of Dr. Juile Kaplow. The primary purpose of the TAG Center is to raise the standard of care and increase access to best-practice care among traumatized and bereaved children, adolescents, and their families. Other significant community collaborations exist with Texas Children's subsidiaries. In 2013, the Texas Children's Health Plan opened The Center for Children and Women at Greenspoint and a second Center in 2014 in southwest Houston. These Centers provide comprehensive pediatric and adult health care including medical, dental care, vision and behavioral health services for Medicaid and CHIP health plan members.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - Texas Children's Hospital. The Hospital annually places a notice of its financial assistance policy in the legal section of a widely read local paper, The Houston Chronicle, as well as in the Spanish version of this paper, La Voz. Additionally, a notice of the financial assistance policy is posted in the Hospital's emergency rooms, waiting rooms and admissions offices.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - Texas Children's Hospital. Line 20A is not checked because the Hospital does not perform any Extraordinary Collection Actions.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Vannie Cook Children's Cancer and Hematology Clinic
101 W Expressway 83	McAllen	TX	78503	Community Based Outpatient / Diagnostic Clinic
SuperKids and Ronald McDonald Care Mobile Clinics
8080 N Stadium Drive	Houston	TX	77054	Community Based Mobile Clinics
Texas Children's Pavilion for Women - Obstetrics & Gynecology Pearland
9003 Broadway St	Pearland	TX	77584	Community Based Outpatient / Diagnostic Clinic
Primary Care Practice at Palm Center
5400 Griggs Road Suite 101	Houston	TX	77021	Community Based Outpatient / Diagnostic Clinic
Texas Children's Specialty Care - Upper Kirby
3023 Kirby Dr Suite 201	Houston	TX	77098	Community Based Outpatient / Diagnostic Clinic

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 7 State filing of community benefit report	Additional information: The Hospital files the Annual Statement of Community Benefits Standard (ASCBS), the State of Texas' community benefit reporting for not-for-profit hospitals. For the fiscal year ended September 30, 2018, the Hospital reported approximately $261,533,000 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 $(13,489) 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 includes bad debt expense in the patient care RCC. Additionally, the ASCBS RCC is calculated using 2016 financial information. 4,821 ASCBS includes financial assistance provided to community by related organizations (6,269) ASCBS includes the unreimbursed cost of community building activities (5,310) ASCBS includes the unreimbursed cost of Medicare and Champus (6,731) Total variance between Part I line 7 and ASCBS (13,489)
Schedule H, Part VI, Line 5 Promotion of Community Health	(continued) c. Texas Children's Hospital West Campus serves one of the fastest growing pediatric populations in the country. As the population grows, so has this community hospital. To meet the needs of these diverse neighborhoods, the Hospital continues to look at its patients and engage community-based organizations and leaders to determine what programs, services and initiatives may make the most impact in west Houston. In 2018, Texas Children's Hospital provided pediatric care with over 417,000 visits at the West Campus, and this number has continued to grow annually each year since opening its doors in 2010. 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 new 22 bed pediatric intensive care unit and remains the only 24/7 dedicated pediatric emergency center in the west Houston area. 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 with dedicated physical therapists focusing on the unique needs of a pediatric athlete. In an effort to focus on our most vulnerable patients, a Complex Care Clinic was opened at West Campus to support patients with complex medical needs including care coordination needs, medical fragility, technology dependence, and increased health care utilization. As our 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, 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. d. Texas Children's Health Plan operates two Centers for Children and Women, a family-centered medical home for TCHP members located within two of Houston's most underserved areas, Greenspoint and Sharpstown. The facilities offer primary pediatric and obstetric care, pediatric optometry and dentistry and onsite imaging, speech therapy, lab and pharmacy. In November 2016, TCHP launched STAR Kids, a Medicaid-managed care plan for children and young adults up to 21 years old with disabilities. The STAR Kids program offers the same benefits as Medicaid plus many extra services, including long-term support, service coordination through the STAR Kids health plan, and help in the home to optimize the environment for the child with disabilities, among other benefits. e. The Jan and Dan Duncan Neurological Research Institute (NRI) at Texas Children's Hospital is the world's first comprehensive pediatric neurological research center devoted to collaborative efforts to understand neurological conditions like autism, cerebral palsy and epilepsy - a class of disorders that together are expected to exceed more than a half-trillion dollars annually in healthcare costs. The NRI includes more than 400,000 square feet of advanced research and office space, including a new laboratory floor, a customized nuclear MRI suite and additional vivarium space. f. At Texas Children's, we believe in providing women, mothers and babies quality health care at every important stage of their lives. We call this model "family-centered care." Texas Children's Pavilion for Women brings together obstetricians, gynecologists, oncologists, surgeons, geneticists and nurses from the Hospital and Baylor College of Medicine, to accomplish this purpose. With high-risk births on the rise nationally, our renowned experts and specialists focus on furthering obstetrical research. We also provide advanced treatment, including level IV neonatal intensive care units to give premature and sick babies more extensive support and care. The Hospital was the first hospital to receive designation from the State of Texas as a level IV NICU, one of only a few verified under the new regulations. g. The Feigin Tower is the Hospital's central hub for pediatric research. The Hospital is an internationally recognized leader in pediatric research and continues to be a leading recipient of pediatric grant funding through the National Institutes of Health (NIH). With total external and internal funding of more than $169 million annually, researchers conduct more than 1,100 clinical, basic science and translational research projects to identify groundbreaking treatments and cures for childhood diseases.
Schedule H, Part V, Section B, Line 16 FAP WEBSITE	The website for Schedule H, Part V, Lines 16a-c is: https://www.texaschildrens.org/patients-and-visitors/insurance-and-billing-assistance/financial-arrangements
Schedule H, Part I, Line 7g Organizational Subsidized Health Services	Continued from prior response on Schedule H, Part I, Line 7 Texas Children's Hospital Primary Care Practice at Palm Center provides comprehensive routine and preventive health care, including well child check-ups, sick visits, sports physicals, immunizations and management of chronic pediatric medical conditions. Texas Children's Hospital Primary Care Practice at Palm Center serves as the largest Texas Children's Hospital and Baylor College of Medicine practice that provides primary care experience for pediatric medical students and residents. This clinic's location in the Palm Center neighborhood in Houston's Third Ward offers a great opportunity to serve the community while modeling best practices to the next generation of pediatricians. Third Ward is a historically African American community with a rich history and cultural legacy along with a renewed sense of purpose and commitment. The clinic's location offers free parking and is conveniently located at the Palm Center Station on the MetroRail's Purple Line.
Schedule H, Part I, Line 7g Subsidized Health Services	The Hospital has included five hospital-based outpatient clinical services (The Autism Center, Renal Outpatient Services, Special Needs Primary Care Clinic, The Center for Childhood Obesity 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 $22,847,201, offsetting revenue of $8,587,870 and net expenses of $14,259,331 are included in that line. The stand-alone clinics include gross expenses of $11,807,385, offsetting revenue of $5,246,456 and net expenses of $6,560,930 in line 7g. These clinics qualify as subsidized health services because they provide care and services to vulnerable, low income populations whose communities lack primary care services and programs. The Texas Children's Autism Center and Meyer Center for Developmental Pediatrics provides diagnostic services for children suspected of having an Autism Spectrum Disorder, Developmental Delay, Intellectual Disabilities, Learning problems etc. This is a multidisciplinary center comprised of developmental pediatricians, neurologists, psychologists and psychiatrists who work collaboratively to provide a comprehensive diagnostic evaluation. They also have a social work team to help families obtain resources in the community and school not provided at the Hospital. The Autism Center and The Meyer Center for Developmental Pediatrics are housed in the same location and have over 4,800 patient visits annually. Renal Outpatient Services - Services started in 1980 in response to community needs for chronic hemodialysis for children. Approximately 70 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 3,800 patients are treated in pheresis and renal clinics. The Special Needs Primary Care Clinic provides a medical home, case management and social services for children with very complex underlying medical conditions. These patients have difficulty finding a general pediatrician to oversee their care and tend to utilize emergency rooms and subspecialists for routine care. The Center for Childhood Obesity was developed to provide comprehensive help to the community and providers in caring for patients with weight management challenges, obesity (children with a body mass index above the 95th percentile) and associated co-morbidities. Programs include: * The Program for Healthy Bodies: a comprehensive evaluation of medical and psychosocial issues as well as an assessment of lifestyle leads to an individualized plan for each patient. This plan may include subspecialty care. The goal for every family is additional weight management services close to home between visits to the Center. Over 80% of the children seen are severely obese. * On the Weigh: a 10-week group programs for elementary school age children and their parents are offered at the CyFair Health Center in the late afternoon. * The Weigh of Life Program: a 15-week program that serves individual children and addresses behavior change for weight control as well as emotions and self-esteem. * Kamp K'aana: a two-week residential camp program for children 10 to 14 years of age who are struggling with obesity, supported in part through fundraising efforts of volunteers from the Hospital. Sites expanded through community partners from Camp Cho-yeh and YMCA Camp Cullen. * The Saturday Wellness Program: quarterly sessions offered on Saturday mornings to teach children six to 16 years of age about healthy lifestyles and nutrition. Supported by the Texas Department of State Health Services. 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 over 11,000 patient visits annually. The Psychology Service serves patients with varying degrees of assessment and treatment needs. Services include neuropsychological testing, cognitive assessments, treatment in the areas of pre-school and school age disruptive behavior, anxiety and mood disorders, complex ADHD, and the Trauma and Grief Center (TAG). TAG services patients from 7-17 who are in need of therapy for trauma related incidents or grief counseling. The TAG team also helps train community partners including numerous school districts in trauma and grief protocols etc. 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 over 7,700 patient visits annually. Mobile Clinic Outreach Program -The Hospital's mobile clinics partner with underserved schools in the city and travel to low-income neighborhoods to provide free health care to children and adolescents ages zero to 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 2018, mobile clinics visited over 30 locations in Greater Houston, with nearly 10,000 patients, 11,000 procedures and 9,000 vaccines administered. Services include sick visits, well-child check-ups, vision and hearing screenings and free immunizations to all Texas Vaccines for Children-eligible patients. Additionally, our community health workers can 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 82% of the patients seen in the Dental Clinic are insured through Medicaid. In 2018, the Dental Clinic had over 3,400 patient visits which included about 1,100 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 2018, the Orthodontic Clinic had over 3,500 patient visits with about 66% insured through Medicaid. The Vannie E. Cook Jr. Children's Cancer and Hematology Clinic (Vannie Cook Clinic) is located in McAllen, Texas and is a joint effort between the Vannie E. Cook Jr. Cancer Foundation, Baylor College of Medicine and Texas Children's Cancer and Hematology Centers. The Vannie Cook Clinic offers treatment to children along the Mexico border in South Texas who suffer from cancer and blood disorders. It is the only comprehensive pediatric cancer treatment facility in South Texas. Many of these patients previously would have traveled to San Antonio or Houston for their treatment, a hardship physically, emotionally and financially for them and their families. It is a comprehensive care facility offering diagnostic and cancer treatment services, cancer genetic counseling and a long-term survivorship program which follows childhood cancer survivors through adulthood. Most of the patients (86%) are from low-income, uninsured or underinsured families. Every year, the clinic staff sees approximately 1,270 patients and of these patients, approximately 580 are newly diagnosed. (See continuation of Part I, Line 7g)
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	57379291
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 (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 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 cost report lines. The RCC for the related 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 2018 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), non-GME health professional education programs (line 7f) and in-kind contributions (line 7i). The indirect cost ratios computed from the 2018 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 2018 Medicaid cost report for state accredited and nationally accredited Graduate Medical Education (GME) programs. For Part 1, Line 7h, the Hospital included the direct and indirect expense from the 2018 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 SUPPORTS ORGANIZATIONS FOCUSED ON THE ROOT CAUSES OF HEALTH PROBLEMS (E.G., POVERTY AND HOMELESSNESS) AND VULNERABLE POPULATIONS (E.G., CHILDREN WITH SPECIAL HEALTHCARE NEEDS). Physical improvements and housing (Line 1) Net Community Building Expense HERMANN PARK CONSERVANCY $ 1,000 SEARCH - Houston without Homeless $ 1,000 TOTAL $ 2,000 Economic Development Activities (Line 2) Net Community Building Expense Genesys Works Houston $ 15,000 Community Support Activities (Line 3) Net Community Building Expense YMCA $ 50,000 BAKERRIPLEY $ 10,000 YES to YOUTH - Montgomery County Youth Services $ 3,000 The Woodlands Township $ 3,000 GIRL SCOUTS $ 2,500 Sam Houston Area Council - Boy Scouts of America $ 2,500 The Woodlands High School $ 1,000 TOTAL $ 72,000 Environmental Improvement Activities (Line 4) Net Community Building Expense Air Alliance Houston $ 1,500 Leadership Development and Training for Community Member Activities (Line 5) Net Community Building Expense JUNIOR LEAGUE OF HOUSTON $ 110,000 TEACH - To Educate All Children $ 15,000 Children's Defense Fund $ 5,000 TOTAL $ 130,000 Coalition Building Activities (Line 6) Net Community Building Expense NAACP $ 1,500 Community Health Improvement Advocacy Activities (Line 7) Net Community Building Expense Interfaith of The Woodlands $ 12,500 SAFEAustin - Stop Abuse for Everyone $ 500 TOTAL $ 13,000 Other (Line 9) Net Community Benefit Expenses CENTER FOR HEARING AND SPEECH $ 60,000 Texas A&M University - Biomedical Engineering Industry Alliance Fund $ 45,000 The Living Bank $ 25,000 SIRE - Therapeutic Horsemanship $ 3,000 INSPIRATION RANCH $ 2,800 Dec My Room $ 1,800 All Ears - Listening and Language Center $ 1,760 Kids' Meal $ 1,000 The Woodforest Charitable Foundation $750 TOTAL $ 141,110
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Bad debt expense represents the difference between the standard rates (or the discounted rates negotiated or provided by policy) and the amounts expected to be collected after all reasonable collection efforts have been exhausted. Bad debt expense is calculated as the charges written off (at full established rate), less any indirect funds received used 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 portion of patient charges written off to bad debt expense is attributable to the organization's financial assistance policy (FAP) or should be considered a community benefit. Robust screening processes are used in determining FAP-eligibility and financial assistance amounts are not expected to result in cash flows. All uncollected charges attributable to patients eligible under the organization's FAP are included in line 7a (at cost).
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Footnote describing accounts receivables and allowance for doubtful accounts (page 15) of audited financial statements: Patient receivables and related allowances for contractual adjustments and doubtful accounts are recorded on an accrual basis and at net realizable value in the consolidated balance sheets. For receivables associated with services provided to patients who have third-party coverage, Texas Children's analyzes contractually due amounts and provides estimated allowances. The allowance for doubtful accounts is recorded based primarily on the aging of patient receivables and historical collection experience by major payor group. Texas Children's regularly reviews revenue source data related to these major payor groups in evaluating the sufficiency of the allowance for doubtful accounts. Self-pay receivables include patients without insurance or government assistance. For self-pay patient receivables, Texas Children's records a provision for doubtful accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The allowance for doubtful accounts represents the difference between the standard rates (or the discounted rates negotiated or provided by the policy) and the amounts expected to be collected after all reasonable collection efforts have been exhausted.
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 2017 Medicare Cost Report and supporting workpapers. 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 which receive discounted care 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 bad debt. The Hospital may use reasonable efforts to collect bad debt which include but are not limited to: telephone calls, email and couriered written correspondence. The Hospital does not engage in extraordinary actions to force collections on patient accounts.
Schedule H, Part V, Section B, Line 16a FAP website	- TEXAS CHILDREN'S HOSPITAL: Line 16a URL: See Part VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- TEXAS CHILDREN'S HOSPITAL: Line 16b URL: See Part VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- TEXAS CHILDREN'S HOSPITAL: Line 16c URL: See Part VI;
Schedule H, Part VI, Line 2 Needs assessment	In addition to the CHNA, Texas Children's Hospital has a Community Benefits department whose structure and purpose includes engaging with internal and external partners in the development of community partnerships, identifying new programs and 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. The Community Benefits programs are guided by six priority areas: 1) Access to Appropriate Care and Health Coverage; 2) Education and Research; 3) Disease and Injury Prevention; 4) Management of Chronic Diseases; 5) Community Health Partnerships and Collaborations; and 6) Women's Health. A Community Benefits Workgroup, comprised of physician and administrative leaders from across Texas Children's, works in collaboration with the Community Benefits department. The workgroup is charged with determining how best to address identified community needs that would fall under these health pillars. Members/Leaders provide critical guidance to the Community Benefits department in the Hospital's supported programs created to address existing community health needs and 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. * The Hospital annually publishes a summary of its financial assistance policy in the local major newspapers. * 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 has defined its community as local, national and international. In regards to its CHNA, the Hospital chose to focus on addressing local needs. For more in depth information for each county in the Hospital's primary service area in addition to five vulnerable neighborhoods highlighted, please refer to the Hospital's CHNA online: https://www.texaschildrens.org/about-us/community-benefit-efforts/reports-community-health-needs Locally, the following cities and counties are the Hospital's primary and secondary service areas: Harris, Houston, Brazoria, Alvin, Chambers, Baytown, Fort Bend, Sugar Land, Galveston, Liberty, Dayton, Montgomery, The Woodlands, Waller and Brookshire. The U.S. Department of Health and Human Services Health Resources and Service Administration (HRSA) defines Medically Underserved Areas (MUAs) as the following: May be a whole county or a group of contiguous counties, a group of county or civil divisions or a group of urban census tracts in which residents have a shortage of personal health services. HRSA defines Medically Underserved Populations (MUPs) as the following: May include groups of persons who face economic, cultural or linguistic barriers to health care. In Harris County alone, HRSA has identified 24 Medically Underserved Areas and Medically Underserved Populations (MUA/Ps) stated as the following: Pov/Span-Speaking/Immigrant Population- Southwest Houston (MUP); Harris Service Area (MUA); East Central Houston (MUA); Ripley Service Area (MUA); South Central Harris County (MUA); Casa De Amigos Service Area (MUA); Baytown Service Area (MUA); Galena Park/ Jacinto City Service Area (MUA); Low Income- Alief Service Area (MUP); Acres Home Service Area (MUA); Settegast Service Area (MUA); Independence Heights Service Area (MUA); Trinity Gardens Service Area (MUA); Aldine (MUA); North Central (MUA); South Service Area (MUA); Northeast Central Service Area (MUA); Central Harris (MUA); West Pasadena (MUA); Low Income- Spring Branch (MUP); Southern Third Ward Service Area (MUA); North Forest Service Area (MUA); Low Income- Northwest Harris (MUP); Governor's Low Income- Southwest Harris (MUP). The Hospital's other service area MUAs include the following: Brazoria County:- Three MUAs (Brazoria, Alvin and South Service Area); Chambers County-One MUA (Chambers Service Area); Fort Bend County- One MUA (Fort Bend Service Area): Galveston County- Three MUAs (Two in the Galveston Service Area and Bayshore); Liberty County- One MUA (Liberty Service Area); Montgomery County- Two MUAs (Montgomery Service Area and East Montgomery); and Walker County- One MUA (Walker Service Area). Understanding the demographics of our state and our region is important to planning a thoughtful community benefit program with lasting impact. Consider the following facts: I. The Census Bureau reported that between 2010 and 2015 the state of Texas increased by a greater number of people than any other state in the nation, adding 2.3 million residents. II. Harris County's population increased by approximately 11% between 2010 and 2015, while Houston added nearly half a million people, which is more than the growth of New York City and Chicago combined. III. In 2014 there were 73.6 million children in the U.S. with 1 in 10 living in Texas. Of those over seventy million children in Texas, almost 2 in 10 lived in Harris County. IV. The largest county is Harris, with a population of 4,092,459. The surrounding counties and respective populations include: Fort Bend, 583,375; Montgomery, 455,746; Brazoria, 313,166; Galveston, 291,309; Liberty, 75,643; and Chambers, 35,096. V. Over 3 million children in Texas are covered by Medicaid and Children's Health Insurance Program. While these statistics underscore the tremendous growth and diversity of the greater Houston area and its surrounding counties, a closer review of social, economic, environmental and health indicators is essential in assisting the Hospital's CBW in the support and development of community collaborations and programs relevant to current needs. As the City's evolving population places further demands on the traditional health care system, it will be critical to identify and execute innovative, effective and collaborative programs or solutions to maintain the health and well-being of our community, particularly for our children.
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 third among all children's hospitals nationally by U.S. News & World Report, Texas Children's Hospital is the only children's hospital in Texas to receive the prestigious Honor Roll designation. In the 2019 U.S. News survey - which uses data from 2018 - the Hospital ranked in the top ten in all ten subspecialties and #1 in the nation in cardiology/heart surgery and pulmonology. As a national leader among pediatric institutions, the Hospital has multidisciplinary expertise in some of the most complex medical challenges facing children today. 4) As part of its responsiveness to the community, the Hospital operates and supports several advisory committees, comprised of community members and patient families. These groups consult with Hospital representatives on a wide range of topics designed to increase the quality of care and services provided. 5) The Hospital invests its operating margin in capital projects and programmatic initiatives focused on improving patient care, medical education and research. 6) The Hospital served as a training center for nursing students, supporting approximately 1640 candidates in 2018. 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 2018, there were a total of 384 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. 8) The Simulation Center at Texas Children's Hospital provides Pediatric Simulation Training for Emergency Pre-hospital Providers (Pedi-STEPPs) to members of the Houston Fire Department (HFD). This program originally started with a grant from the Cullen Trust for Healthcare, as well as a commitment from the Hospital, which allowed this innovative training to be offered free of charge to the City. The initial grant was for two years. Although there is no longer a grant, the hospital continues to see great need for this program, continuing its commitment to train firefighters. In fiscal year 2018, 237 individuals participated in this training. The training course incorporates multimedia, technical skills training and communication/team skills training through participation in high-fidelity simulation scenarios. February 26, 2016, marked the first day of implementing newly revised scenarios with the continuation of each high-fidelity simulation followed by a facilitated video-reviewed debriefing session where participants reflect on and learn from their performance. 9) The Hospital's 24/7 transport service, the Kangaroo Crew, comprises a fixed-wing aircraft and ground ambulance medical service providing coordinated patient assessment, necessary intervention and safe, rapid transport of critically ill or injured patients. All transport service personnel are specially trained in pediatric/neonatal transport medicine and safety in accordance with Federal Aviation Administration (FAA) and Texas Department of State Health Services guidelines. 10) The transport service team is a member of the Pediatric Disaster Coalition (Coalition), a planning group that consists of subject matter experts from freestanding children's hospitals, facilities with dedicated pediatric/neonatal units, pediatric specialty transport organizations, local and state public health and federal partners. The Coalition shares recommendations and technical guidance with other healthcare facilities throughout the state, as well as federal agencies and other national organizations including Child Health Care Association (CHCA), Children's Hospital Association (CHA), Association of Air Medical Services (AAMS) and American Academy of Pediatrics (AAP) Section on Transport Medicine. 11) At Texas Children's Hospital, we are committed not only to providing the best possible care, but also to expanding that care-reaching out to more children and families and providing more specialized services where they are most needed. The Hospital is committed to creating a healthier future for children and women throughout our global community by leading in patient care, education and research: a. This region has embraced Texas Children's Hospital The Woodlands since we opened the doors in 2017. We have brought world class pediatric care closer to home for the North Region's patient and families. This pediatric hospital campus increases access to pediatric subspecialty care within the following services: adolescent medicine and physical rehabilitation, allergy and immunology, cardiology, cancer and hematology, dermatology, developmental pediatrics, diabetes and endocrinology, gastroenterology, hepatology and nutrition, genetics, infectious disease, neurology, neurosurgery, ophthalmology, orthopedics, otolaryngology, pediatric and adolescent gynecology, pediatric surgery, plastic surgery, psychiatry, psychology, pulmonology, rheumatology, sports medicine and urology. Hospital facilities include 25 emergency center rooms, 74 outpatient rooms, five radiology rooms, four operating rooms and 46 acute care beds, 14 pediatric intensive care and 14 neonatal intensive care beds with plans allowing for expansion up to 200 beds. 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 anticipates serving families throughout Greater North Houston and north of Houston including Montgomery, Angelina, Walker, Brazos, Grimes, Madison, Liberty, Harris, Polk, San Jacinto, Trinity and Hardin counties. b. In 2018, a $350 million expansion to add 19 stories and 640,000 square feet on top of an existing 6 floor building was completed. The Lester and Sue Smith Legacy Tower is the Hospital's new home for surgery, critical care and the #1 ranked Texas Children's Heart Center. It was designed to help the Hospital meet the increasing demand for the highly-specialized, critical and medically-complex pediatric care that few centers in the country can provide. It enhances patient care by giving caregivers and families in critical and progressive care areas much-needed additional space. The tower houses a 130-bed intensive care unit, new operating rooms with the latest technology and a cardiovascular intensive care unit. The roof features a helipad to transport critically ill patients to the Hospital. A renovation and expansion of the Hospital's existing Emergency Center will begin next.
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 51 practices in the Greater Houston area, 3 in Austin, and 1 in College station, TCP pediatricians serve approximately 25 percent of Houston's children, helping treat and prevent infectious illnesses. Seven 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 36,000 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 ACA 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 2018, there were eleven TCUC sites around the greater Houston area and one location in South Austin. 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 busiest locations are located adjacent to our Medical Center EC and West Camps EC. These locations have helped redirect patients to seeking care in a more appropriate setting, as well as reducing the cost of care from the patient side. The impact has been tremendous on reducing the EC low acuity visits at being treated in our Emergency Center. Texas Children's Health Plan (TCHP, EIN 76-048264) is the largest and most frequently selected provider of Children's Medicaid/CHIP coverage in the region. TCHP was founded in 1996 by Texas Children's Hospital making it the nation's first health maintenance organization (HMO) created just for children. Through a contractor role with the Texas Health and Human Services Commission (HHSC), Texas Children's Health Plan provides STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens and children in Houston and surrounding areas. Starting in November 2016, Texas Children's Health Plan also provides STAR Kids to children and young adults under the age of 21 with disabilities. As of September 2018, the Health Plan has over 438,000 members. The staff and network of over 3,000 primary care physicians, 6,000 specialists and 110 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 more than 1,700 board-certified, primary care 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 (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
AGA KHAN FOUNDATION USA
1825 K STREET NW SUITE 901	WASHINGTON	DC	20006	521231983	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
AIDS FOUNDATION HOUSTON
3202 WESLAYAN ANNEX	HOUSTON	TX	77027	760073661	501(C)(3)	$25,000	SUPPORT NON-PROFIT HEALTHCARE ORG
AMERICAN HEART ASSOCIATION
10060 BUFFALO SPEEDWAY	HOUSTON	TX	77054	135613797	501(C)(3)	$55,000	SUPPORT NON-PROFIT HEALTHCARE ORG
ASSOCIATION OF FUNDRAISING PROFESSIONALS
4300 WILSON BOULEVARD SUITE 300	ARLINGTON	VA	222034167	943011524	501(C)(3)	$25,000	SUPPORT NON-PROFIT MISSION
BEYOND BATTEN DISEASE FOUNDATION
3300 DUVAL ROAD SUITE 110	AUSTIN	TX	78759	263223661	501(C)(3)	$6,500	SUPPORT NON-PROFIT HEALTHCARE ORG
BLUE BIRD CIRCLE
615 WEST ALABAMA	HOUSTON	TX	77055	741405134	501(C)(3)	$25,000	SUPPORT PEDIATRIC HEALTHCARE ORG
THE CENTER FOR HEARING AND SPEECH
3636 WEST DALLAS	HOUSTON	TX	77019	746003178	501(C)(3)	$60,000	SUPPORT NON-PROFIT HEALTHCARE ORG
CHILDREN'S SAFE HARBOR INC
1416 20TH STREET	ROCKFORD	IL	61104	364628644	501(C)(3)	$25,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
CROHN'S AND COLITIS FOUNDATION
386 PARK AVENUE SOUTH	NEW YORK	NY	10016	136193105	501(C)(3)	$10,000	SUPPORT NON-PROFIT HEALTHCARE ORG
EASTER SEALS OF GREATER HOUSTON INC
4500 BISSONNET SUITE 340	BELLAIRE	TX	774013006	741238418	501(C)(3)	$25,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
EPILEPSY FOUNDATION OF TEXAS
2401 FOUNTAIN VIEW SUITE 900	HOUSTON	TX	77057	742141084	501(C)(3)	$12,500	SUPPORT NON-PROFIT HEALTHCARE ORG
GENESYS WORKS
14400 MEMORIAL DRIVE SUITE 200	HOUSTON	TX	77079	900757035	501(C)(3)	$15,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
GOOD SAMARITAN FOUNDATION
3355 W ALABAMA STREET SUITE 1025	HOUSTON	TX	77098	741235398	501(C)(3)	$22,500	SUPPORT NON-PROFIT PHILANTHROPIC ORG
GRANT A STARR FOUNDATION
10451 CLAY ROAD	HOUSTON	TX	77043	205003726	501(C)(3)	$10,000	SUPPORT NON-PROFIT HEALTHCARE ORG
Holocaust Museum Houston
9220 KIRBY DRIVE NO 100	HOUSTON	TX	77054	760331398	501(C)(3)	$15,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
HOUSTON CHILDREN'S CHARITY
230 WESTCOTT ST	HOUSTON	TX	77007	760135741	501(C)(3)	$20,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
HOUSTON HOSPICE
1905 HOLCOMBE BLVD	HOUSTON	TX	77030	742092951	501(C)(3)	$10,000	SUPPORT NON-PROFIT HEALTHCARE ORG
HOUSTON-HARRIS COUNTY IMMUNIZATION REGISTRY INC
PO BOX 5168	KATY	TX	77491	760695612	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
WOODLANDS RELIGIOUS COMMUNITY INC
4242 INTERFAITH WAY	THE WOODLANDS	TX	77381	741804123	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
JUNIOR LEAGUE OF HOUSTON
1811 Briar Oaks Lane	HOUSTON	TX	77027	741185659	501(C)(3)	$110,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
MAKE A WISH FOUNDATION OF THE TEXAS GULF COAST AND LOUISIANA INC
12625 SOUTHWEST FREEWAY	STAFFORD	TX	77477	760116615	501(C)(3)	$25,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
MARCH OF DIMES FOUNDATION
3000 WESLAYAN SUITE 100	HOUSTON	TX	77027	131846366	501(C)(3)	$25,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
MEN OF DISTINCTION OF GREATER HOUSTON INC
4218 MARQUETTE	HOUSTON	TX	77005	260421594	501(C)(3)	$15,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
MUSCULAR DYSTROPHY ASSOCIATION INC
222 S RIVERSIDE PLAZA	CHICAGO	IL	60606	131665552	501(C)(3)	$6,500	SUPPORT NON-PROFIT HEALTHCARE ORG	STE 1500
BAKERRIPLEY
PO BOX 271389	HOUSTON	TX	77277	237062976	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
NORA'S GIFT FOUNDATION
8300 EL RIO STREET	HOUSTON	TX	77054	621763895	501(C)(3)	$25,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
PERIWINKLE FOUNDATION
3000 RICHMOND AVE SUITE 340	HOUSTON	TX	77098	760093914	501(C)(3)	$17,500	SUPPORT NON-PROFIT PHILANTHROPIC ORG
PURPLE SONGS CAN FLY
2455 DUNSTAN ROAD	HOUSTON	TX	77005	203068698	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
WILLIAM MARCH RICE UNIVERSITY
6100 MAIN STREET	HOUSTON	TX	77005	741109620	501(C)(3)	$9,500	SUPPORT NON-PROFIT EDUCATIONAL ORG
RONALD MCDONALD HOUSE OF HOUSTON INC
1907 HOLCOMBE BLVD	HOUSTON	TX	77030	741984499	501(C)(3)	$160,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
SERIOUSFUN CHILDREN'S NETWORK
228 SAUGATUCK AVENUE	WESTPORT	CT	06880	311794455	501(C)(3)	$15,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
TCH PEDIATRIC ASSOCIATES INC
PO BOX 300630	HOUSTON	TX	77230	760460242	501(C)(3)	$6,500,000	SUPPORT NON-PROFIT HEALTHCARE ORG
TEXANS FOR LAWSUIT REFORM
1701 BRUN	HOUSTON	TX	77019	760439129	501(C)(6)	$55,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
TEXAS A&M RESEARCH FOUNDATION
400 HARVEY MITCHELL PKWAY NO 300	COLLEGE STATION	TX	77845	741238434	501(C)(3)	$20,000	SUPPORT NON-PROFIT EDUCATIONAL ORG
TEXAS A&M FOUNDATION
401 GEORGE BUSH DRIVE	COLLEGE STATION	TX	77840	742245072	501(C)(3)	$75,000	SUPPORT NON-PROFIT EDUCATIONAL ORG
THE BRENDA AND JOHN H DUNCAN RISE SCHOOL OF HOUSTON
5618 H MARK CROSSWELL JR STREET	HOUSTON	TX	77021	760606866	501(C)(3)	$5,250	SUPPORT NON-PROFIT EDUCATIONAL ORG
KNOWLEDGE ARTS FOUNDATION
2900 WESLAYAN	HOUSTON	TX	77027	202425139	501(C)(3)	$15,000	SUPPORT NON-PROFIT EDUCATIONAL ORG
TEXAS MEDICAL CENTER
2450 HOLCOMBE BLVD SUITE 1	HOUSTON	TX	77021	741030788	501(C)(3)	$10,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER
7000 FANNIN STREET SUITE 1200	HOUSTON	TX	77226	741761309	GOVT	$60,000	SUPPORT NON-PROFIT MEDICAL SCHOOL
YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE GREATER HOUSTON AREA
2600 NORTH LOOP WEST	HOUSTON	TX	77092	741109737	501(C)(3)	$80,000	SUPPORT NON-PROFIT PHILANTHROPIC ORG

Field	Value	IRS element (for citing)
Total501c3 Org	39	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
FELLOWSHIPS	4	$432,326
SCHOLARSHIPS	6	$18,000

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule I, Part I, Line 1 DESCRIPTION OF GRANT SELECTION CRITERIA	TEXAS CHILDREN'S HOSPITAL REQUIRES ALL REQUESTS TO BE IN WRITING AND BE SUBMITTED TO THE OFFICE OF DEVELOPMENT FOR EVALUATION. THE DIRECTOR OF DEVELOPMENT MAKES A RECOMMENDATION FOR RECOGNITION OF EACH CONTRIBUTION TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF TEXAS CHILDREN'S HOSPITAL FOR FINAL APPROVAL.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	AFTER THE SPONSORSHIP/DONATION IS MADE, WE RECEIVE AN ACKNOWLEDGMENT LETTER WITH A RECEIPT OF THE GIFT. TYPICALLY THIS LETTER TELLS US HOW THE MONEY WILL BE USED AT THEIR PARTICULAR ORGANIZATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Benjamin Melson
SCHEDULE O	$102,602	$0	$0	$0	$260,391	$0	$15,559	$0	$4,273	$0	$382,825	$0	$174,928	$0
Randy Wright
SCHEDULE O	$116,001	$0	$0	$0	$87,982	$0	$2,596	$0	$980	$0	$207,559	$0	$0	$0
Dan DiPrisco
SCHEDULE O	$312,127	$0	$24,850	$0	$7,125	$0	$120,775	$0	$15,618	$0	$480,495	$0	$0	$0
Weldon Gage
SCHEDULE O	$632,423	$0	$44,850	$0	$19,817	$0	$259,133	$0	$20,421	$0	$976,644	$0	$0	$0
Mark Mullarkey
SCHEDULE O	$462,246	$0	$32,800	$0	$78,044	$0	$189,824	$0	$36,696	$0	$799,610	$0	$75,940	$0
John R Nickens IV
Schedule O	$366,547	$0	$0	$0	$138,272	$0	$85,494	$0	$20,258	$0	$610,571	$0	$65,835	$0
Michelle Riley-Brown
SCHEDULE O	$467,262	$0	$32,800	$0	$43,470	$0	$189,824	$0	$29,827	$0	$763,183	$0	$41,066	$0
Mark A Wallace
Schedule O	$1,293,642	$0	$147,000	$0	$606,891	$0	$887,324	$0	$24,217	$0	$2,959,074	$0	$318,903	$0
Mary Jo Andre
Schedule O	$380,144	$0	$37,000	$0	$64,296	$0	$74,890	$0	$23,908	$0	$580,238	$0	$0	$0
George Bisset III MD
SCHEDULE O	$0	$798,119	$0	$34,766	$0	$10,908	$0	$18,700	$0	$24,622	$0	$887,115	$0	$0
Angelo P Giardino MD PHD
SCHEDULE O	$481,709	$0	$33,075	$0	$79,141	$0	$92,350	$0	$12,899	$0	$699,174	$0	$57,233	$0
Larry Hollier MD
SCHEDULE O	$0	$0	$0	$0	$0	$0	$200,000	$0	$0	$0	$200,000	$0	$0	$0
Mark W Kline MD
BOARD MEMBER	$0	$0	$40,122	$0	$0	$0	$300,000	$0	$0	$0	$340,122	$0	$0	$0
Dace Reinholds
Former Assistant Secretary	$97,742	$0	$0	$0	$27,152	$0	$12,507	$0	$2,604	$0	$140,005	$0	$0	$0
Aisha Jamal
Assistant Secretary	$111,689	$35,988	$2,225	$0	$1,052	$28	$10,665	$475	$9,310	$3,132	$134,941	$39,623	$0	$0
Mallory Caldwell
SCHEDULE O	$464,936	$0	$33,200	$0	$59,613	$0	$96,186	$0	$35,418	$0	$689,353	$0	$0	$0
Matthew Girotto
Senior Vice President	$285,719	$0	$16,975	$0	$34,072	$0	$57,200	$0	$35,653	$0	$429,619	$0	$0	$0
Tabitha Rice
Senior Vice President	$326,070	$0	$22,425	$0	$55,394	$0	$107,633	$0	$26,446	$0	$537,968	$0	$53,418	$0
Ivett Shah
VICE PRESIDENT	$199,649	$0	$10,775	$0	$1,007	$0	$36,063	$0	$6,290	$0	$253,784	$0	$0	$0
Linda Aldred
Senior Vice President	$426,512	$0	$169,633	$0	$88,573	$0	$148,168	$0	$35,398	$0	$868,284	$0	$206,101	$0
MYRA L DAVIS
SENIOR VICE PRESIDENT	$436,350	$0	$29,825	$0	$52,111	$0	$82,730	$0	$33,165	$0	$634,181	$0	$0	$0
ROBERT DURDEN
SCHEDULE O	$634,620	$0	$467,150	$0	$20,364	$0	$122,670	$0	$30,863	$0	$1,275,667	$0	$0	$0
Lance Lightfoot
SCHEDULE O	$450,698	$0	$25,575	$0	$81,164	$0	$89,120	$0	$27,627	$0	$674,184	$0	$0	$0
Kay Tittle
Vice President	$472,060	$0	$26,725	$0	$102,384	$0	$90,810	$0	$13,343	$0	$705,322	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	FormAndLineReferenceDesc
Explanation	457(F) PLAN: PAID/DEFERRED BENJAMIN MELSON 174,928 / 0 RANDY WRIGHT 77,544 / 0 DAN DIPRISCO 24,850 / 102,000 WELDON GAGE 44,850 / 240,583 MARK MULLARKEY 108,740 / 168,624 JOHN R. NICKENS, IV 65,835 / 77,544 MICHELLE RILEY-BROWN 73,866 / 168,624 MARK A. WALLACE 696,730 / 316,174 MARY JO ANDRE 70,337 / 53,540 GEORGE BISSET III 4,050 / 0 ANGELO P. GIARDINO, MD, PhD 90,308 / 71,000 MALLORY CALDWELL 72,380 / 77,636 MATTHEW GIROTTO 31,992 / 36,000 TABITHA RICE 75,843 / 86,433 IVETT SHAH 10,775 / 20,000 LINDA ALDRED 236,501 / 126,818 MYRA DAVIS 79,217 / 61,380 ROBERT DURDEN 467,150 / 104,120 LANCE LIGHTFOOT 86,337 / 67,920 KAY TITTLE 108,743 / 69,460 DIRECTOR INCENTIVE PLAN: PAID/DEFERRED AISHA JAMAL 2,225 / 0 457(F): THE 457(F) PLAN IS A NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT ALLOWS ELIGIBLE EXECUTIVES, FROM THE ASSISTANT VICE PRESIDENT LEVEL TO CHIEF EXECUTIVE OFFICER, TO RECEIVE SUPPLEMENTAL EXECUTIVE RETIREMENT INCOME. FUNDS MAY BE CREDITED INTO THIS ACCOUNT FROM AN EMPLOYER CONTRIBUTION, CALCULATED BASED ON AN INDIVIDUAL'S TITLE AND BASE SALARY AS OF JANUARY 1. THESE EMPLOYER FUNDED CONTRIBUTIONS VEST THE EARLIER OF FIVE YEARS, OR THE ATTAINMENT OF AGE 60 AND 75-POINTS DETERMINED AS OF THEIR AGE AND YEARS OF SERVICE. THE 457(F) PLAN ALSO CONTAINS RESIDUAL LONG-TERM INCENTIVE PLAN CONTRIBUTIONS AND CAPITAL ACCUMULATION CONTRIBUTIONS FROM A FLEXIBLE BENEFIT ACCOUNT SURPLUS. THE LONG-TERM INCENTIVE CONTRIBUTIONS VEST AFTER THREE YEARS AND THE CAPITAL ACCUMULATION CONTRIBUTIONS VEST AFTER 5 YEARS IN THE PLAN. DIRECTOR INCENTIVE PLAN: THE DIRECTOR INCENTIVE PLAN IS AN ANNUAL INCENTIVE PLAN IN WHICH ELIGIBLE DIRECTORS PARTICIPATE. THE PLAN SHARES GOALS WITH THE EXECUTIVE ANNUAL INCENTIVE PLAN, FOCUSING ON FACTORS SUCH AS FINANCIAL PERFORMANCE, QUALITY GOALS, AND PATIENT SATISFACTION. IN ADDITION, THERE ARE INDIVIDUAL COMPONENTS FOR EACH DIRECTOR WHICH VARY DEPENDING ON THE EXPECTED OUTCOMES FOR THAT AREA AND/OR YEAR.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
A	760337885	414009DY3	2010-01-15	$80,078,929	REFUND PRIOR ISSUES (1999B-2 SERIES ISSUED 07/20/99).	false	false	false
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
B	760337885	414009CG3	2009-06-17	$198,965,284	BUILD HEALTH CARE FACILITIES	false	false	false
HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CO
C	521284201	414152RW0	2008-04-30	$300,000,000	REFUND PRIOR ISSUES (2007 SERIES ISSUED 06/27/07)	false	false	false
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
D	760337885	414009JX9	2015-06-30	$225,732,600	REFUND AND REDEEM PRIOR ISSUES (1999B-1 SERIES ISSUED 07/20/99) AND BUILD HEALTH CARE FACILITIES	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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$23,025,000	$0	$80,078,929	$0	$0	$0	$1,278,929	$0	$0	$0	$78,800,000	$0	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$72,535,000	$0	$199,780,590	$0	$0	$0	$3,311,550	$0	$0	$196,469,040	$0	$0	2011	false	false	Yes (true)	Yes (true)
C	$15,300,000	$0	$300,000,000	$0	$0	$0	$0	$0	$0	$0	$300,000,000	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
D	$12,545,000	$0	$225,843,941	$0	$3,839,429	$0	$1,825,784	$0	$0	$97,078,729	$123,100,000	$0	2018	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0.0	0.0
B	0.009	0.009	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	0.005	0.005	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)
D	0.0	0.0	false	false	false		false	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	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	false	false	false	Yes (true)
C	false	false	Yes (true)	false	Yes (true)	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part VI Explanation for variance	THE VARIANCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR ALL ISSUES INCLUDE INVESTMENT EARNINGS.
Schedule K, Part I, Column (c) CUSIP #	Prior fiscal year, Bond Issuance Price of 160,000,000 consisted of two CUSIP #s: 414009KC3 and 414009KB5. CUSIP 414009KC3 and 414009KB5 are now reported separately.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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	414009KB5	2015-06-03	$50,000,000	BUILD HEALTH CARE FACILITIES	false	false	false
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO
B	760337885	NONEAVAIL	2015-07-16	$100,000,000	BUILD HEALTH CARE FACILITIES	false	false	false
Harris County Cultural Education Facilities FIN CO
C	760337885	414009KC3	2015-06-03	$110,000,000	BUILD HEALTH CARE FACILITIES	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$50,158,367	$0	$369,684	$0	$436,586	$0	$0	$49,352,097	$0	$0	2018	false	false	Yes (true)	Yes (true)
B	$1,700,000	$0	$100,911,324	$0	$1,779,231	$0	$63,000	$0	$0	$99,069,093	$0	$0	2018	false	false	Yes (true)	Yes (true)
C	$0	$0	$110,637,440	$0	$666,579	$0	$783,455	$0	$0	$109,187,406	$0	$0	2018	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	false	false	Yes (true)
C	false	false	Yes (true)	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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	Yes (true)	false	false	false	Yes (true)
C	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$1,525	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$12,284	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	20	ContributionCnt
Noncash Contributions Rpt F990	$818,756	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Other	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	6	ContributionCnt
Noncash Contributions Rpt F990	$46,714	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	EQUIPMENT	4	$85,634	Cost
Yes (X)	TICKETS AND CERTIFICATES	18	$13,307	Cost

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 Food inventory - COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS Other - EQUIPMENT - COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS Other - TICKETS AND CERTIFICATES - COLUMN (B) REPRESENTS NUMBER OF CONTRIBUTIONS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a	Texas Children's is the parent entity of Texas Children's Hospital. Texas Children's board of directors retains significant reserved authorities (detailed in Part VI, Line 7b below) that allow it to provide strategic oversight and direction to Texas Children's Hospital and its affiliated entities. Texas Children's board is representative of the community served and is composed of 35 individuals, 34 of which are independent.
Form 990, Part VI, Line 6 Classes of members or stockholders	Texas Children's is the sole corporate member of Texas Children's Hospital.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Texas Children's annually appoints the Organization's board of directors.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	PER THE ORGANIZATION'S BYLAWS THE MEMBER HAS CERTAIN RESERVED POWERS: -APPROVE, INTERPRET OR CHANGE THE PURPOSE OF THE CORPORATION. -FIX THE NUMBER, APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR OF THE CORPORATION. -APPROVE THE MERGER, DISSOLUTION OR CONSOLIDATION OR REORGANIZATION OF THE CORPORATION. -APPROVE THE ACQUISITION, SALE, LEASE, TRANSFER, OR OTHER ALIENATION OF PROPERTY OF THE CORPORATION, OTHER THAN IN THE USUAL AND REGULAR COURSE OF THE CORPORATION'S BUSINESS, WHEN SUCH ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION IS ABOVE SPECIFIC FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER. -APPROVE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. -ADOPTION OR AMENDMENT OF SALARIES OR OTHER COMPENSATION OF THE OFFICERS, PHYSICIAN EMPLOYEES AND INDEPENDENT CONTRACTOR PHYSICIANS OF THE CORPORATION. -APPROVE DEBT INCURRED BY THE CORPORATION, WHICH IS IN EXCESS OF SUCH LIMITS AS ARE ESTABLISHED BY THE MEMBER. -APPROVE THE DISPOSITION OF ASSETS OF THE CORPORATION AT THE TIME OF ITS DISSOLUTION. -APPROVE ANY LONG-RANGE FINANCIAL OR STRATEGIC PLANS FOR THE CORPORATION. -SELECTION OF THE CORPORATION'S AUDITORS. -DESIGNATION OF ADDITIONAL OR SUCCESSOR MEMBERS. -TAKE ANY ACTION WHICH WOULD BE INCONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE MEMBER.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	No such committees exist.
Form 990, Part VI, Line 11b Review of form 990 by governing body	Per a resolution approved by the member's board of directors, the member board's audit and compliance committee has Delegated authority to review the organization's completed Form 990 prior to filing. Following the committee's Review, the completed Form 990 is distributed to the members of the organization's board of directors 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 COMMITTEE. IF THE COMMITTEE DEEMS THERE ARE ANY SIGNIFICANT ISSUES, THE RESPONSES ARE THEN REVIEWED BY THE MEMBER BOARD'S EXECUTIVE COMMITTEE AND ANY REQUIRED ACTION ( RECUSEMENT FROM BOARD DELIBERATIONS RELATED TO THE CONFLICT, ETC. ) IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT. 2) OFFICERS/KEY EMPLOYEES - PER THE ORGANIZATION'S BOARD APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE SERVICES DEPARTMENT. IF THE DEPARTMENT DEEMS THERE ARE ANY SIGNIFICANT ISSUES, REQUIRED ACTION IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD APPROVED CODE OF CONDUCT AND THE BOARD IS NOTIFIED OF SUCH ACTIONS.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE ANNUAL PROCESS FOR DETERMINING COMPENSATION INCLUDES: - REVIEW AND APPROVAL BY GOVERNING BODY AND COMPENSATION COMMITTEE, PROVIDED THAT PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE WERE NOT INVOLVED. - COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. - CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	Please refer to process described in Part VI, Line 15a.
Form 990, Part VI, Line 19 Required documents available to the public	ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VII, Section A TITLES	DAN DIPRISCO: EXECUTIVE VICE PRESIDENT FOR THE ENTIRE YEAR AND BOARD MEMBER AS OF 10/2/17 WELDON GAGE: CFO, EXECUTIVE VICE PRESIDENT, AND BOARD TREASURER MARK MULLARKEY: EXECUTIVE VICE PRESIDENT AND BOARD MEMBER JOHN R NICKENS, IV: EXECUTIVE VICE PRESIDENT AND BOARD MEMBER THROUGH 10/2/17 MICHELLE RILEY-BROWN: EXECUTIVE VICE PRESIDENT AND BOARD MEMBER MARK A WALLACE: CEO, PRESIDENT AND BOARD CHAIRMAN MARY JO ANDRE: SENIOR VICE PRESIDENT, CNO AND BOARD MEMBER GEORGE S. BISSET, III, M.D.: BOARD MEMBER THROUGH 6/5/18 CHARLES D. FRASER JR., M.D.: BOARD MEMBER THROUGH 1/11/18 ANGELO GIARDINO, M.D., PH.D.: CHIEF QUALITY OFFICER, SENIOR VICE PRESIDENT AND BOARD MEMBER THROUGH 5/24/18 LARRY HOLLIER, M.D.: BOARD MEMBER AS OF 1/11/18 THIERRY HUISMAN, M.D.: BOARD MEMBER AS OF 9/13/18 ERIC WILLIAMS, M.D.: BOARD MEMBER AS OF 9/13/18 MALLORY CALDWELL: SENIOR VICE PRESIDENT THROUGH 3/17/18 ROBERT DURDEN: SENIOR VICE PRESIDENT THROUGH 2/11/18 LANCE LIGHTFOOT: SENIOR VICE PRESIDENT AS OF 1/1/18 BENJAMIN MELSON: FORMER CFO, EXECUTIVE VICE PRESIDENT AND BOARD TREASURER RANDALL WRIGHT: FORMER EXECUTIVE VICE PRESIDENT AND BOARD MEMBER
Form 990, Part VII, Section A INCENTIVE COMPENSATION	DRS. ANDROPOULOS, BELFORT, FRASER, KLINE 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 - Total Revenue: 19882031, Related or Exempt Function Revenue: 19882031, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	HEALTHCARE PROFESSIONAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; OTHER NON-HEALTHCARE PROFESSIONAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: 80853796, Management and General Expenses: 19226225, Fundraising Expenses: 307564;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	ACTUARIAL GAIN ON PENSION - 34020417; CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - -39922220; CHANGE IN BENEFICIAL INTEREST IN AFFILIATES - -24590246; CHANGE IN CHARITABLE GIFT ANNUITY - -37583; CHANGE IN SWAP VALUATION - 14709281; CHANGE IN TECO VALUATION - 920970; TRANSFER FROM FOUNDATION - XXX-XX-XXXX; TRANSFER TO TCH PEDIATRIC ASSOCIATES - -110928; DESIGNATED ASSETS RELEASED FOR EQUIPMENT - -1355016; DUE TO TEXAS CHILDREN'S HOSPITAL FROM CAIN FOUNDATION - -229092;
SCHEDULE O FORM 5471 DISCLOSURE STATEMENT	UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT: TEXAS CHILDREN'S HOSPITAL FOUNDATION EIN: 20-2380599 6621 FANNIN ST HOUSTON, TX 77030

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt
TEXAS CHILDREN'S WOMEN'S SPECIALISTS
PO BOX 300630	HOUSTON	TX	77230	261482195	HEALTH CARE	TX	501(c)(3)	Type II	TEXAS CHILDREN'S	Yes (true)
TEXAS CHILDREN'S
1919 S BRAESWOOD 4TH FL	HOUSTON	TX	77030	760461578	PARENT	TX	501(c)(3)	Type II	NA	false
TEXAS CHILDREN'S PHYSICIAN GROUP
6621 FANNIN STREET	HOUSTON	TX	77030	260834681	HEALTH CARE	TX	501(c)(3)	10	TEXAS CHILDREN'S	Yes (true)
TCH PEDIATRIC ASSOCIATES INC
PO BOX 300630	HOUSTON	TX	77230	760460242	HEALTH CARE	TX	501(c)(3)	10	TEXAS CHILDREN'S	Yes (true)
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	Yes (true)	8TH FLOOR
TEXAS CHILDREN'S HOSPITAL FOUNDATION
6621 FANNIN STREET	HOUSTON	TX	77030	202380599	SUPPORTING ORG	TX	501(c)(3)	Type II	TEXAS CHILDREN'S	Yes (true)
TEXAS CHILDREN'S HEALTH PLAN - THE CENTER
6621 FANNIN STREET	HOUSTON	TX	77030	461392824	HEALTH CARE	TX	501(c)(3)	Type I	TEXAS CHILDREN'S HEALTH PLAN INC	Yes (true)
TEXAS CHILDREN'S URGENT CARE
1919 S BRAESWOOD BLVD	HOUSTON	TX	77030	472029489	HEALTH CARE	TX	501(c)(3)	10	TCH PEDIATRIC ASSOCIATES INC	Yes (true)	4TH FLOOR
THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION
9 GREENWAY PLAZA	HOUSTON	TX	77046	760246858	SUPPORTING ORG	TX	501(c)(3)	Type I	TEXAS CHILDREN'S HOSPITAL	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CORDILLERA PRIMARY WAVE CO-INVESTMENT FUND LP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3000 SAND HILL ROAD	AddressLine1Txt
Address Line2	BUILDING 3 SUITE 100	AddressLine2Txt
City	MENLO PARK	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94025	ZIPCd

Field	Value	IRS element (for citing)
EIN	821568240	EIN
Primary Activities	INVESTMENT	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
TCH INSURANCE COMPANY LTD
23 LIME TREE BAY AVENUE	GRAND CAYMAN	CJ	KY11102	980176652	INSURANCE	CJ	NA	C Corporation	Yes (true)
CVI GVF HOLDINGS 3 LTD
UGLAND HOUSE SOUTH CHURCH STREET	GEORGE TOWN	CJ	KY11104	981078282	INVESTMENT	CJ	NA	C Corporation	Yes (true)

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	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
TEXAS CHILDREN'S HEALTH PLAN
L	$7,578,075	COST
TEXAS CHILDREN'S HEALTH PLAN
N	$27,172,722	COST
TEXAS CHILDREN'S HEALTH PLAN
Q	$42,195,804	COST
TEXAS CHILDREN'S HEALTH PLAN
L	$382,158,239	COST
TEXAS CHILDREN'S HEALTH PLAN
R	$50,000,000	COST
TEXAS CHILDREN'S WOMEN'S SPECIALISTS
L	$737,752	COST
TCH PEDIATRIC ASSOCIATES INC
L	$3,000,000	COST
TCH PEDIATRIC ASSOCIATES INC
B	$6,500,000	COST
TCH PEDIATRIC ASSOCIATES INC
R	$110,928	COST
TCH PEDIATRIC ASSOCIATES INC
Q	$30,731,104	COST
TEXAS CHILDREN'S PHYSICIAN GROUP
Q	$1,000,727	COST
TEXAS CHILDREN'S PHYSICIAN GROUP
M	$361,365	COST
TEXAS CHILDREN'S PHYSICIAN GROUP
R	$209,329,647	COST
TEXAS CHILDREN'S HOSPITAL FOUNDATION
S	$199,293,443	COST
TCH INSURANCE COMPANY LTD
S	$7,000,000	COST
TCH INSURANCE COMPANY LTD
Q	$2,993,469	COST
TEXAS CHILDREN'S URGENT CARE
B	$2,586,091	COST
THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION
C	$755,371	COST