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        <PersonNm>TOM DOBSON</PersonNm>
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        <PersonNm>VAL LAMANTIA</PersonNm>
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        <PersonNm>WES HOSKINS</PersonNm>
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        <PersonNm>JENNIFER R HENDERSON</PersonNm>
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        <PersonNm>ABDALLAH DALABIH</PersonNm>
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        <PersonNm>JEANENE R ANTHONY</PersonNm>
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        <PersonNm>JUSTIN K BOX</PersonNm>
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        <PersonNm>KAREN C LONG</PersonNm>
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        <PersonNm>MARY D PETERSON MD</PersonNm>
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        <PersonNm>MATT WOLTHOFF</PersonNm>
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        <PersonNm>SARAH GARZA</PersonNm>
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        <PersonNm>SEAN M PIERI</PersonNm>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE TEAM REVIEWS THE COMMUNITY NEEDS IDENTIFIED IN THE SURVEY AND DETERMINES WHICH NEEDS CAN BE MET BY OUR HOSPITAL AND OUR RESOURCES. THE TEAM CONSIDERED EXISTING PLANS AND STRATEGIES, POTENTIAL NEW ACTIONS, AND WHICH OF THOSE ACTIONS COULD MAKE AN IMPACT ON THE COMMUNITY NEEDS. OUR FINAL PLAN RESULTED FROM MULTIPLE MEETINGS IN THIS FASHION.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - DRISCOLL CHILDREN'S HOSPITAL. SIX FOCUS GROUPS, TWO VIRTUAL FOCUS GROUPS WITH COMMUNITY LEADERS, AND ELEVEN KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY STAKEHOLDERS TO ENSURE THIS REPORT ACCURATELY CONVEYS NOT JUST HEALTH ISSUES PRESENT IN EXISTING DATA SOURCES BUT ALSO THOSE PERCEIVED AND EXPERIENCED BY MEMBERS OF THE COMMUNITY. PARTICIPANTS WERE RECRUITED THROUGH PURPOSIVE SAMPLING TO INCLUDE COMMUNITY-BASED PARTNERS, LOCAL LEADERS, PUBLIC HEALTH PROFESSIONALS, EDUCATION LEADERS, AND OTHERS WITH STRONG COMMUNITY TIES AND AWARENESS OF THE NEEDS THEREIN. PARTICIPANTS WERE SELECTED BASED ON THEIR ROLE SERVING OR REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND OTHER DIVERSE POPULATIONS ACROSS SOUTH TEXAS. IN COLLABORATION WITH DRISCOLL HEALTH PLAN, TEXAS HEALTH INSTITUTE PARTNERED WITH 5 COMMUNITY-BASED ORGANIZATIONS TO SERVE AS RESEARCH PARTNERS. IN PLANNING SESSIONS WITH EACH OF THE ORGANIZATIONS PRIOR TO DATA COLLECTION, THE FOCUS GROUPS WERE CO-DESIGNED TO BE CULTURALLY APPROPRIATE AND STRUCTURED TO BEST LIFT COMMUNITY VOICES AND ADDRESS OVERARCHING RESEARCH QUESTIONS. THE ORGANIZATIONS INCLUDED EASTERSEALS OF RIO GRANDE VALLEY, COMMUNITIES IN SCHOOLS OF HIDALGO COUNTY, RISE SCHOOL OF CORPUS CHRISTI, OPEN HANDS, AND PROSPERA PROPERTIES, SERVING PRIMARILY HIDALGO AND NUECES COUNTIES. KEY INFORMANT INTERVIEWS WERE CONDUCTED VIRTUALLY BY TEXAS HEALTH INSTITUTE WITH LOCAL LEADERS REPRESENTING MAJOR SERVICE AREAS INCLUDING CORPUS CHRISTI, THE RIO GRANDE VALLEY, LAREDO, AND BROWNSVILLE, AS WELL AS RURAL COMMUNITIES INCLUDING VICTORIA AND EAGLE PASS. IN ADDITION TO THE SIX COMMUNITY-BASED FOCUS GROUPS, TEXAS HEALTH INSTITUTE RECRUITED AND CONDUCTED TWO VIRTUAL FOCUS GROUPS WITH PUBLIC HEALTH AND EDUCATION LEADERS THROUGHOUT SOUTH TEXAS. STATISTICS FROM GOVERNMENT DATABASES AND OTHER PUBLICLY AVAILABLE DATA SOURCES WERE OBTAINED FOR THE ASSESSMENT AND ANALYZED TO IDENTIFY HEALTH, SOCIAL, ECONOMIC, AND DEMOGRAPHIC TRENDS ACROSS THE SERVICE AREA.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY. Separately licensed hospital facility within the Driscoll Health System that participated in a jointly conducted Community Health Needs Assessment covering the shared service area.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - TEXAS HEALTH INSTITUTE. Independent public health research organization engaged to assist Driscoll Health System with data analysis, community input, and facilitation of the Community Health Needs Assessment process.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - DRISCOLL CHILDREN'S HOSPITAL. DRISCOLL CHILDREN'S HOSPITAL IDENTIFIED THE FOLLOWING NEEDS THROUGH THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT: Preventable Hospital Use, Managing Chronic Illnesses, Addressing Mental Health Issues Improving Access Driscoll Health Plan data demonstrate progress in expanding access to care across South Texas. In 2024, there were 36 more Medicaid credentialed primary care physicians in the region compared to 2023. Additionally, Driscoll Children's Specialty Services recruited 21 pediatric specialists in 2024, with 14 providing specialized outpatient pediatric care at clinics throughout South Texas, including Victoria, Laredo, Brownsville, Harlingen, McAllen, and Corpus Christi. As a result of this expanded specialty workforce, the average wait time for new patient appointments across all pediatric specialties is approximately 36 days. To further address workforce shortages and promote long term access to pediatric care, Driscoll Children's Hospital launched the Community Retention Program in 2024. This initiative is designed to encourage pediatric residents to remain in South Texas following completion of their training and to help meet the needs of underserved communities experiencing pediatric physician shortages. Through the program, Driscoll provides financial assistance to residents upon graduation in exchange for a three year commitment to live and practice in underserved areas of South Texas. The program also offers comprehensive support during residency, including assistance identifying practice opportunities, introductions to community physicians and practices seeking to recruit pediatricians, and opportunities for residents to rotate with potential recruiting partners during their second or third year of residency. Driscoll supports these rotations by assisting with living and travel expenses to enhance resident exposure to underserved communities. Residents pursuing subspecialty training are additionally offered the opportunity to interview for subspecialty positions prior to beginning fellowship. In 2024, nine residents remained in South Texas to practice, four continued their training through fellowship programs, and five left the region to practice elsewhere. Driscoll Children's Hospital remains committed to strengthening the pediatric workforce and ensuring access to high quality care for children across South Texas. Improving Access to Mental Health The goals of the Driscoll Health System are to strengthen early identification of mental health needs and expand access to timely, appropriate mental health services for children and adolescents, with the aim of preventing avoidable emergency department (ED) visits and inpatient admissions. To achieve these goals, Driscoll has implemented a multi-pronged strategy that brings mental health services to locations where children already receive care, including primary care clinics and schools. In 2024, Driscoll operated two large integrated primary care practices with embedded mental health professionals. These practices served 711 patients during the year. In addition, Driscoll Clinics screened 1,265 children ages 10 and older for mental health concerns. More than 740 families participated in the Positive Parenting Program, which equips caregivers with evidence-based skills to address common childhood behavioral challenges and strengthen family functioning. Driscoll also completed a full year of a school based mental health pilot program in partnership with a large independent school district. Through this initiative, mental health professionals were embedded in five elementary schools and one high school. During the year, these professionals delivered 2,445 mental health interventions to nearly 500 students. Outcomes from the program demonstrated measurable improvements, with student attendance increasing by 36% of participating students and academic achievement improving by 50%. Most significantly, the program successfully identified multiple students with active suicide plans, enabling timely intervention and prevention of potential harm. To further expand the continuum of care, Driscoll supported a local child and adolescent psychiatrist in establishing a Partial Hospitalization Program (PHP) for adolescents. This program serves as an alternative to inpatient admission for appropriate patients and provides a critical step down level of care that allows adolescents to transition safely from inpatient treatment back to their school and community settings, reducing the risk of relapse. As a result of these targeted efforts to improve access and coordination of mental health services, Driscoll experienced a 5% reduction in emergency department visits for behavioral health concerns in 2024, the first decrease observed in five years. Addressing non-clinical barriers to care remains a key component of Driscoll's approach. Transportation support is one of several services provided by the Care Coordination teams to ensure access to medically necessary care. Licensed Social Workers conduct comprehensive assessments to identify family needs, evaluate barriers, and connect families to community based, insurance covered, or personal resources whenever possible. Care Coordination Technicians support these efforts by helping families navigate and enroll in applicable community benefits. When barriers persist and community resources are exhausted, the Care Coordination team carefully evaluates and implements the most cost effective and safe options to support each family. Drivers of Health - Healthy Food &amp; Nutrition Established in February 2024 in partnership with Texas A&amp;M, the Youth Wellness Institute provides comprehensive, evidence-based care for children and adolescents facing obesity and its related co-morbidities. Under the leadership of Medical Director Dr. Ana Paez, the program operates on the philosophy that healthy habits start at home, offering vital educational resources to both patients and their families. This holistic approach includes 26 hours of lifestyle education focusing on nutrition, mental health, and physical activity. To ensure thorough intervention, every patient undergoes a comprehensive evaluation to screen for complications such as sleep apnea, diabetes, and hypertension, with seamless referrals for specialized management as needed. Beyond lifestyle coaching, the Institute offers a robust medical management program that bridges the gap between traditional habits and modern medicine. This includes the integration of surgical options and a new program for pediatric weight loss drug trials. By serving as a specialized hub, the Institute also allows specialist physicians to refer patients for targeted, high-level evaluation and treatment. The program's impact was immediate; in 2024 alone, the Institute managed 1,568 visits across 557 patients. Early data is promising, showing that 47% of participants who completed at least half of the educational curriculum achieved measurable weight loss.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 2 - DRISCOLL CHILDREN'S HOSPITAL (CONTINUED). Drivers of Health - Insurance &amp; Care Navigation Driscoll Health Plan (DHP) is a non-profit, community-based health insurance organization dedicated to improving the lives of South Texas families by providing access to quality healthcare services, including medical, behavioral, pharmacy, and supportive resources. DHP is committed to improving access to care and addressing all drivers of health through comprehensive insurance education, navigation support, and care coordination services. Through community-based outreach, case navigation, and coordinated care programs, DHP ensures members and the broader community have the resources needed to obtain and maintain health coverage while improving overall health outcomes. As part of this effort, DHP provides education on how to apply for Medicaid and CHIP benefits, renew coverage, and understand income eligibility guidelines through community events, presentations, partnerships, and its public-facing website. Case Navigation Assistance: Case Assistance Navigators at Driscoll Health Plan provide in-person application assistance to the entire community Monday through Friday at the Driscoll Business Center in Corpus Christi and offer virtual sessions to the South Texas community for added accessibility. In this role, they support Medicaid members with eligibility renewals, reapplications, and the maintenance of continuous coverage by guiding them through application processes, required documentation, and systems such as YourTexasBenefits.com. Navigators conduct proactive outreach, educate members on program requirements in a clear and culturally appropriate manner, and ensure all submissions meet Texas Health and Human Services Commission (HHSC) standards. They also review documentation for accuracy, maintain detailed case records to support compliance and audit readiness, and escalate complex cases as needed, all while upholding strict confidentiality, quality, and regulatory requirements. Since April 2025, case navigators have completed well over 1,600 applications and supported nearly 5,000 families across South Texas. Community Resource Centers: Driscoll Health Plan's Community Connection Centers, first launched in 2021, are designed to improve access to care and address non-medical drivers of health by providing no-cost, community-based support across South Texas. Located in areas such as Victoria ISD, Centro Cultural Brownsville, The Endowment Center at San Carlos, Corpus Christi ISD/CIS Food Pantry Distribution sites, Prospera at Lexington Manor Apartments, and Kingsville CIS Food Pantry Distribution, these centers serve as trusted access points for families to receive immediate assistance. Through these locations, members and the broader community are connected to health coverage support, community resources, and health education, including guidance on renewing Medicaid and CHIP benefits, with a focus on expecting mothers, children, and families facing social and economic barriers. Collectively, these efforts have supported over 3,400 families and nearly 9,000 children, including over 500 children with disabilities and more than 600 pregnant members, demonstrating the centers' broad impact across the region. By meeting families where they are, the Community Connection Centers play a critical role in strengthening community relationships, increasing health literacy, and ensuring individuals have the tools and support needed to improve overall health outcomes. For more information, visit: https://driscollhealthplan.com/services/community-events/ Care Coordination &amp; Support Services (MSHCN Focus): Driscoll Health Plan (DHP) prioritizes Members with Special Healthcare Needs (MSHCN) by assessing non-medical drivers of health and ensuring appropriate care coordination and resource linkage. Resource Coordinators actively follow up with members who have identified needs, connecting them to community resources and assisting with applications for programs such as Supplemental Security Income (SSI). DHP offers a comprehensive case and disease management program that includes one-on-one nurse coaching and individualized care coordination. These programs support members with chronic or acute conditions by providing medication education, care planning, follow-up after hospital or behavioral health discharges, and ongoing health management support. Services are tailored to meet the needs of diverse populations, including children of agricultural or migrant workers, members with behavioral health conditions, asthma, diabetes, and high-risk pregnancies. Case managers also assist members in navigating the healthcare system, coordinating with providers, and promoting healthy behaviors to improve outcomes. STAR Kids Transition Planning: Transition planning is a critical component of care coordination for youth with disabilities as they move into adulthood. DHP supports this process through a coordinated and individualized approach that includes: - Development of a transition plan in collaboration with the member's school, Individualized Education Plan (IEP), and 504 plans, as applicable - Exploration of higher education opportunities, including college and technical programs - Identification of employment and training opportunities - Provision of community resource referrals to support long-term health and well-being - Transition services that prepare members for adult healthcare systems, including self-management education and connection to adult providers The STAR Kids Transition Coordinator plays a vital role in overseeing and guiding all transition activities, ensuring a smooth progression from pediatric to adult services, including transitions to STAR+PLUS or other community-based programs. Drivers of Health - Transportation Support Transportation support is one of several resources provided by Driscoll's Care Coordination teams to address barriers to accessing medically necessary care. Licensed Social Workers begin this process with a comprehensive assessment to identify family needs, evaluate barriers, and connect patients and caregivers to available community based, insurance covered, or personal resources whenever possible. Care Coordination Technicians support this work by assisting families in accessing applicable community benefits. When transportation barriers persist and community resources have been fully explored, the Care Coordination team evaluates and implements the most cost effective and safe options to support the family and ensure continuity of care. Examples of transportation support include: - Transportation home: When a parent or caregiver is unable to secure transportation through personal, family, community, or insurance based resources, the Care Coordination team assesses available options to facilitate a safe return home. Assistance may include partial or full coverage of transportation costs, such as bus or taxi services, and, in rare and exceptional circumstances, air travel. - Transportation following ambulance transport: When a parent or caregiver has accompanied a child via ground or air ambulance and does not have access to transportation afterward, limited assistance may be provided to support travel to nearby locations in order to meet basic needs, such as obtaining medications or essential personal items. Transportation support is typically provided through local bus or taxi services. - Medically necessary access to care: In rare situations where a patient requires medically necessary care and transportation barriers remain despite available community resources, transportation assistance may be arranged to ensure safe, timely, and appropriate access to care. **Transportation services are provided without regard to payer status and are intended solely to reduce barriers to care, promote patient safety, and support continuity of medically necessary services**</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Driscoll Children's Hospital. EACH PATIENT'S FAMILY IS PROVIDED WITH WRITTEN MATERIAL AS WELL AS PERSONAL INSTRUCTION AS TO ASSISTANCE THAT IS AVAILABLE TO THEM. STATE EMPLOYEES ARE ON SITE TO EXPEDITE THE MEDICAID ENROLLMENT PROCESS. OTHER THIRD PARTIES ARE ENGAGED TO ASSIST PATIENTS WITH ENROLLMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Driscoll Children's Hospital. DRISCOLL'S WEBSITE PROVIDES PHONE NUMBERS FOR INQUIRIES ABOUT FINANCIAL ASSISTANCE AND DISCOUNTS.</ExplanationTxt>
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            <BusinessNameLine1Txt>DRISCOLL SPECIALTY CENTER - BROWNSVILLE</BusinessNameLine1Txt>
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            <AddressLine1Txt>5500 N EXPRESSWAY 77</AddressLine1Txt>
            <CityNm>BROWNSVILLE</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78526</ZIPCd>
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          <FacilityTxt>PEDIATRIC CARE</FacilityTxt>
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            <BusinessNameLine1Txt>DRISCOLL MEDICAL PLAZA - MCALLEN</BusinessNameLine1Txt>
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            <AddressLine1Txt>1120 E RIDGE ROAD SUITE 220</AddressLine1Txt>
            <CityNm>MCALLEN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78503</ZIPCd>
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          <FacilityTxt>PEDIATRIC CARE</FacilityTxt>
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            <BusinessNameLine1Txt>MFM Clinic - Harlingen</BusinessNameLine1Txt>
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            <AddressLine1Txt>802 South Loop 499</AddressLine1Txt>
            <CityNm>Harlingen</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78550</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRIC CARE</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>Medical Plaza One - Laredo</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10710 McPherson Rd</AddressLine1Txt>
            <CityNm>LAREDO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78041</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRIC CARE</FacilityTxt>
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            <BusinessNameLine1Txt>DRISCOLL SPECIALTY CENTER - LAREDO</BusinessNameLine1Txt>
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            <AddressLine1Txt>7210 MCPHERSON SUITE 104</AddressLine1Txt>
            <CityNm>LAREDO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78041</ZIPCd>
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          <FacilityTxt>PEDIATRIC CARE</FacilityTxt>
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            <BusinessNameLine1Txt>Speciality Center Victoria</BusinessNameLine1Txt>
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            <AddressLine1Txt>106 Springwood Dr Ste 200</AddressLine1Txt>
            <CityNm>Victoria</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77904</ZIPCd>
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          <FacilityTxt>PEDIATRIC CARE</FacilityTxt>
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            <BusinessNameLine1Txt>Cardiology Clinic - Dr Rios</BusinessNameLine1Txt>
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            <AddressLine1Txt>3502 S Alameda St</AddressLine1Txt>
            <CityNm>Corpus Christi</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78411</ZIPCd>
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          <FacilityTxt>PEDIATRIC CARE</FacilityTxt>
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            <BusinessNameLine1Txt>Cardiology Clinic - South</BusinessNameLine1Txt>
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            <CityNm>Corpus Christi</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78414</ZIPCd>
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          <FacilityTxt>PEDIATRIC CARE</FacilityTxt>
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            <BusinessNameLine1Txt>MFM Clinic - Spohn South</BusinessNameLine1Txt>
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            <AddressLine1Txt>5920 Saratoga Blvd Ste 635</AddressLine1Txt>
            <CityNm>Corpus Christi</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78414</ZIPCd>
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            <AddressLine1Txt>7121 SPID Ste 118</AddressLine1Txt>
            <CityNm>Corpus Christi</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78412</ZIPCd>
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          <FacilityTxt>PEDIATRIC CARE</FacilityTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>Cardiology Clinic - El Paso</BusinessNameLine1Txt>
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            <AddressLine1Txt>1810 Murchison Ste 230</AddressLine1Txt>
            <CityNm>El Paso</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>79902</ZIPCd>
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          <FacilityTxt>PEDIATRIC CARE</FacilityTxt>
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            <BusinessNameLine1Txt>Speciality Center - Harlingen</BusinessNameLine1Txt>
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            <AddressLine1Txt>2121 Peace St Ste 601</AddressLine1Txt>
            <CityNm>Harlingen</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78550</ZIPCd>
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          <FacilityTxt>PEDIATRIC CARE</FacilityTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>Cardiology Clinic Laredo</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>6553 Metro Ct Ste A</AddressLine1Txt>
            <CityNm>LAREDO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78041</ZIPCd>
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            <CityNm>Rio Grande City</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78582</ZIPCd>
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        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3a SCHEDULE H, PART I, LINE 3A</FormAndLineReferenceDesc>
        <ExplanationTxt>DRISCOLL CHILDREN'S HOSPITAL USES A RANGE OF 0-900% IN DETERMINING WHAT IS THE FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 8 Schedule H, Part V, Section B, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>The implementation strategy related to the Community Health Needs Assessment for the period ended August 31, 2025 was adopted and approved by the governing body after the end of the tax year and is currently in place prior to filing the tax return.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL UTILIZED THE COST INFORMATION PROVIDED IN THE HOSPITAL'S COST REPORT TO CALCULATE THE SUBSIDIZED HEALTH SERVICES FOR THE FISCAL YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL USED A MODIFIED COST-TO-CHARGE RATIO WHERE APPLICABLE. FOR OTHER PROGRAMS, DIRECTLY ATTRIBUTABLE REVENUE AND EXPENSES WERE USED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT IS ZERO FOR FY25 PER THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE COST METHODOLOGY USED WAS RATIO OF COST TO CHARGES. THE HOSPITAL SERVES A LARGE AREA THAT INCLUDES SOME OF THE LOWEST INCOME PER CAPITA COUNTIES IN THE UNITED STATES. A RELATIVELY SMALL NUMBER OF PATIENTS DO NOT QUALIFY FOR GOVERNMENT PROGRAMS AS WELL AS BEING UNINSURED OR UNDERINSURED. IF THE PATIENTS DO NOT QUALIFY FOR CHARITY UNDER HOSPITAL POLICY CRITERIA THEN THE ACCOUNT IS WRITTEN OFF AS A BAD DEBT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE ON THE ATTACHED FINANCIAL STATEMENTS APPEARS ON PAGE 9. THE ORGANIZATION HAD NO BAD DEBT EXPENSE FOR FY25.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE IS COST SETTLED FOR THIS HOSPITAL AND THE COSTS SHOWN WERE CALCULATED ON THE MEDICARE COST REPORT. THE METHODOLOGY IS COST TO CHARGE RATIO.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>AT ANY TIME, A PATIENT MAY REQUEST FINANCIAL ASSISTANCE WHICH INCLUDES UP TO 100% OF THE ACCOUNT BALANCE. ADDITIONAL INFORMATION PERTAINING TO COLLECTION PRACTICES MAY BE FOUND IN THE POLICY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - DRISCOLL CHILDREN'S HOSPITAL: Line 16a URL: HTTPS://WWW.DRISCOLLCHILDRENS.ORG/FINANCIAL-ASSISTANCE;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - DRISCOLL CHILDREN'S HOSPITAL: Line 16b URL: HTTPS://WWW.DRISCOLLCHILDRENS.ORG/FINANCIAL-ASSISTANCE;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - DRISCOLL CHILDREN'S HOSPITAL: Line 16c URL: HTTPS://WWW.DRISCOLLCHILDRENS.ORG/FINANCIAL-ASSISTANCE;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NEEDS DESCRIBED AND DEFINED IN THE ASSESSMENT ARE TOO PERVASIVE FOR ANY SINGLE HOSPITAL TO ADDRESS ON ITS OWN DUE TO LIMITED RESOURCES. THESE NEEDS INCLUDE BARRIERS TO HEALTHCARE ACCESS; CULTURAL INFLUENCES ON DIABETES AND OBESITY; POVERTY AND POOR EDUCATION AMONG OTHERS. LIMITED RESOURCES PREVENTED A COMPREHENSIVE PLAN FROM BEING DEVELOPED. EXPANDING THE ASSESSMENT STAKEHOLDERS (SUCH AS INCLUDING COUNTY HEALTH OFFICERS) WILL PROVIDE A BETTER OPPORTUNITY FOR A COMPREHENSIVE PLAN TO ADDRESS THIS AREA'S HEALTH NEEDS.</ExplanationTxt>
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        <ExplanationTxt>EACH PATIENT'S FAMILY IS PROVIDED WITH WRITTEN MATERIAL AS WELL AS PERSONAL INSTRUCTION AS TO ASSISTANCE THAT IS AVAILABLE TO THEM. STATE EMPLOYEES ARE ON SITE TO EXPEDITE THE MEDICAID ENROLLMENT PROCESS. OTHER THIRD PARTIES ARE ENGAGED TO ASSIST PATIENTS WITH ENROLLMENT.</ExplanationTxt>
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        <ExplanationTxt>THE HOSPITAL PROVIDES ACCESS AND SERVICES TO CHILDREN WITHIN A 32 COUNTY AREA THAT COVERS SOUTH TEXAS TO THE BORDER OF MEXICO. MOST OF THE COUNTIES IN SOUTH TEXAS HAVE THE LOWEST INCOME PER CAPITA IN THE COUNTRY. THE HOSPITAL'S PRIMARY SERVICE AREA IS LOCATED IN THE CITY OF CORPUS CHRISTI, TEXAS AND NUECES COUNTY. DRISCOLL CHILDREN'S HOSPITAL PARTICIPATED IN A COMMUNITY NEEDS ASSESSMENT WHICH INCLUDED THE NUECES COUNTY AND SURROUNDING AREAS. THE DEMOGRAPHICS FOR NUECES COUNTY INCLUDES APPROXIMATELY 352,000 PEOPLE OF WHICH TWENTY FOUR PERCENT OF THE POPULATION IS UNDER THE AGE OF 18 AND SIXTY-FIVE PERCENT IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME IS $59,477 PER YEAR. APPROXIMATELY EIGHTEEN PERCENT OF THE TOTAL NUECES COUNTY POPULATION IS OF POVERTY LEVEL AND TWENTY PERCENT OF THE POPULATION DOES NOT HAVE HEALTH INSURANCE. OTHER COUNTY MARKETS SERVED BY DRISCOLL CHILDREN'S HOSPITAL IN SOUTH TEXAS INCLUDE: WEBB, HIDALGO, CAMERON, STAFF, JIM HOGG, MAVERICK, WILLACY, AND ZAPATA. THE OTHER SERVICES AREAS INCLUDE A TOTAL POPULATION OF OVER 1.5 MILLION WITH THIRTY-FIVE PERCENT UNDER THE AGE OF 18. OVER NINETY PERCENT OF THE POPULATION IN THESE AREAS IS HISPANIC OR LATINO. APPROXIMATELY THIRTY TO THIRTY-FIVE PERCENT LIVE BELOW THE FEDERAL POVERTY LINE. APPROXIMATELY SEVENTY-TWO PERCENT OF THE PATIENTS SERVED THROUGHOUT SOUTH TEXAS AT THE DRISCOLL CHILDREN'S HOSPITAL ARE ENROLLED IN A GOVERNMENT PROGRAM.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL SUBSIDIZES PEDIATRIC SPECIALISTS IN ORDER TO PROVIDE THESE SERVICES TO ITS SERVICE AREA. A SUBSTANTIAL AMOUNT OF HOSPITAL RESOURCES ARE USED TO PROVIDE SERVICES TO THE COMMUNITY IN THE FORM OF HEALTH EDUCATION, PREVENTION AND AWARENESS, AND HOSPITAL/CLINIC SERVICES TO THOSE WHO CANNOT AFFORD TO PAY.</ExplanationTxt>
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        <PersonNm>JON ROBERTS MD</PersonNm>
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        <PersonNm>GREGORY A WARD</PersonNm>
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        <PersonNm>JENNIFER R HENDERSON</PersonNm>
        <TitleTxt>VP GENERAL COUNSEL CECO</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>JEANENE R ANTHONY</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>JUSTIN K BOX</PersonNm>
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        <PersonNm>SHANE CASADY</PersonNm>
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        <PersonNm>ABDALLAH DALABIH</PersonNm>
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        <PersonNm>SARAH GARZA</PersonNm>
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        <PersonNm>STEVE E KING</PersonNm>
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        <PersonNm>WILLIAM H LARSEN</PersonNm>
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        <PersonNm>SEAN M PIERI</PersonNm>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Dues and charges were paid for Eric Hamon. Any reimbursements were included on the W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>PARTICIPANTS IN/PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, THE NONQUALIFIED 457(F) PLAN, COVERED THE EXECUTIVE LEADERSHIP TEAM. VESTING OCCURS WHEN EMPLOYEES MEET A PRESELECTED DATE THEY CHOOSE AT THE TIME OF ENROLLMENT. THE FOLLOWING INDIVIDUAL RECEIVED TAXABLE DISTRIBUTIONS FOR THE PLAN IN 2024, THE AMOUNTS ARE INCLUDED IN COLUMN (B)(III) AS OTHER COMPENSATION: MARY PETERSON 1,349,051 KAREN LONG 30,708 SHANE CASADY 48,336</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN EXECUTIVES AND MANAGEMENT TEAM MEMBERS ARE ELIGIBLE FOR DISCRETIONARY INCENTIVE BONUSES DETERMINED THROUGH A REVIEW OF SYSTEM AND INDIVIDUAL ACCOMPLISHED GOALS. ALL BONUSES REQUIRE BOARD APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
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            <BusinessNameLine1Txt>BLANE HAMON</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>SON OF CEO ERIC HAMON</RelationshipDescriptionTxt>
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        <TransactionDesc>EMPLOYMENT</TransactionDesc>
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      <BusTrInvolveInterestedPrsnGrp>
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            <BusinessNameLine1Txt>MICHELLE RAMIREZ</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>SPOUSE OF DIRECTOR PHILIP RAMIREZ</RelationshipDescriptionTxt>
        <TransactionAmt>45809</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a DELEGATED BOARD AUTHORITY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE ENTIRE BOARD BETWEEN BOARD MEETINGS. THE EXECUTIVE COMMITTEE POSITIONS INCLUDE: 1. CHAIR OF THE BOARD 2. PAST CHAIR OF THE BOARD 3. VICE-CHAIR OF THE BOARD 4. STANDING COMMITTEE CHAIRS: -QUALITY AND JOINT CONFERENCE COMMITTEE -COMPENSATION, GOVERNANCE AND NOMINATING COMMITTEE -FINANCE, AUDIT AND CORPORATE COMPLIANCE COMMITTEE -COMMUNICATIONS, DEVELOPMENT AND MARKETING COMMITTEE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE ITS FORM 990. ONCE THE FORM 990 IS PREPARED BY THE ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S INTERNAL FINANCE TEAM, THE FINAL REPORT IS EMAILED TO THE GOVERNING BODY BY SENIOR MANAGEMENT PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HIRES AN EMPLOYEE TO LEAD COMPLIANCE EFFORTS AND REPORT COMPLIANCE ISSUES THAT MAY ARISE. IN ADDITION, THE BOARD COMMITTEE REVIEWS THOSE ISSUES AND REPORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR HOSPITAL EXECUTIVES IS GOVERNED BY THE COMPENSATION, GOVERNANCE, AND NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS UTILIZES AN OUTSIDE EXECUTIVE COMPENSATION CONSULTING FIRM AS AN ADVISOR TO ENSURE THAT THE HOSPITAL COMPENSATION PROVIDED TO EXECUTIVES IS REASONABLE. THIS PROCESS WAS LAST COMPLETED IN FYE 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR HOSPITAL EXECUTIVES IS GOVERNED BY THE COMPENSATION, GOVERNANCE, AND NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS UTILIZES AN OUTSIDE EXECUTIVE COMPENSATION CONSULTING FIRM AS AN ADVISOR TO ENSURE THAT THE HOSPITAL COMPENSATION PROVIDED TO EXECUTIVES IS REASONABLE. THIS PROCESS WAS LAST COMPLETED IN FYE 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Rebates - Total Revenue: 3433951, Related or Exempt Function Revenue: 3433951, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other - Total Revenue: 10432730, Related or Exempt Function Revenue: 10432730, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFERS (NET) - -XXX-XX-XXXX; RELEASED FROM RESTRICTION - -12418830; Total - -XXX-XX-XXXX;</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHILDREN'S ADVOCACY NETWORK</BusinessNameLine1Txt>
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