HARRIS HEALTH ANNUAL REPORT

Then & Now Providing Access to Quality Healthcare for 50 Years 1966-2016 MISSION We improve our community’s health by delivering high‐quality healthcare to Harris County residents and by training the next generation of health professionals.

VISION We will create a healthier community and be recognized as one of America’s best community‐ owned healthcare systems.

WE PROMISE To provide high-quality healthcare by knowledgeable and highly trained staff;

To provide prompt, friendly and courteous service;

To be sensitive and responsive to your needs and concerns as well as those of your family; and

To provide a clean, comfortable and safe environment, in all of our settings.

Aerial photo of Harris Health System’s original hospital, Jefferson Davis on Allen Parkway. Letter to Our Community

Fifty years ago, we answered the call to care for the people of Harris County, replacing an outdated city- county governance system that had languished for decades. Since then we have grown into a leading public health system that includes three hospitals, 45 outpatient care locations and more than 10,000 employees, physicians and volunteers.

In this year’s annual report, “Then & Now: Providing Access to Quality Healthcare for 50 Years,” you will read about our system’s inception and some of our most recent accomplishments. You will also read day-in-the- life narratives that introduce you more personally to just a few of the people who impact — or have been impacted by — the system’s care.

Harris Health System’s story is one of quality, driven by a focus on the patient as the center of the care experience, and by commitment to the very best of clinical outcomes. It is a story of caregiver excellence, involving physicians, nurses, therapists, technicians and many others who educate the next generation of caregivers and excel at the delivery of care to our community. It is a story of innovation, as we introduce the latest and best advances in facilities, technologies and processes, in support of superlative care. It is a story of community health, of going the extra mile to prevent illness even before it happens — and, in the process, building community well-being.

As always, it is also a story about you. Harris Health not only helps ensure that you and your family have access to the best of care in our community; it is possible because of support from Harris County residents and dedicated friends like you. Thank you for being a part of our story, both then and now.

Elvin Franklin Jr. George Masi Chair President and CEO Board of Managers Harris Health System At Harris Health System, we believe we occupy a very special A History of place in our community. Pursuing and achieving excellence Excellence in the work we do each day is the hallmark of our mission. As the U.S. healthcare system is undergoing a historic of newborns and infants by earning the 10 transformation, we remain passionate about trans- Step Program facility designation from the Texas forming the healthcare experience for our patients Department of State Health Services. The Texas 10 and their families. In doing so, we are constantly Step Program encourages breastfeeding as the improving and refining our services so the Harris preferred method of feeding for newborns and County community can receive the best care pos- infants. Harris Health remains a leader among Texas sible. Our many accreditations, certifications and birth facilities supporting new mothers and their recognitions attest to that quality, as provided to the decision to breastfeed. more than 300,000 people we cared for last year. Baby-Friendly - Harris Health’s Designated has earned Regional Trauma the coveted international recog- Centers - Harris nition of Baby-Friendly Hospital, Health System’s Ben Taub and Lyndon B. Johnson joining a select number of such hospitals are designated as Level I and Level III Trauma facilities in and Texas. Centers, respectively, by the Texas Department of The designation means the hospital meets or exceeds State Health Services for meeting or exceeding rigorous guidelines that promote high levels of American College of Surgeons’ essential criteria for newborn breastfeeding and mother-baby bonding. Level I and Level III trauma care. These regional trauma centers play a central role in responding to Cardiovascular Care - Ben Taub communitywide emergencies, saving lives and Hospital was recently designated returning those who are seriously injured back to as a Chest Pain Center with Primary their communities and families. PCI (the minimal surgical proce- dure that uses a balloon catheter Texas 10 Step Program - to unclog blocked vessels in Harris Health’s Lyndon B. STEMI patients) by the Society of Johnson and Ben Taub Cardiovascular Patient Care. Additionally, the hospital hospitals took the giant step has earned the Platinum Performance Achievement Drs. Michael E. DeBakey and toward improving the health Award ACTION Registry®—GWTG™ from the National Kenneth L. Mattox in a Ben Taub Hospital operating room in 2000. 2 Cardiovascular Data Registry—a distinction only awarded to 319 hospitals in the country.

American Heart Association Mission: Lifeline® Gold Plus Receiving Center Award - For the second year in a row, Harris Health’s Ben Taub Hospital has received the Mission: Lifeline®

Gold Plus Receiving Center award from the American Houston Fire Department Emergency Medical Services Heart Association for its care of severe heart attack paramedics quickly transport a patient into the Ginni and Richard Mithoff Trauma Center at Ben Taub Hospital. patients. The award recognizes the hospital among the best in the country for its success and prompt care have more than 50 percent of operating room nurses “Best 50” healthcare providers in the U.S. and Canada of ST-elevation myocardial infarction (STEMI) cases— certified, a rigorous process that involves nurses for its industry-leading efforts in supply chain manage- heart attacks caused by a blood flow blockage to the mastering high standards of perioperative practices. ment by the Global Healthcare Exchange (GHX), a heart muscle. worldwide healthcare technology company. In American Heart Association/ healthcare, supply chain management involves all The CEO Cancer Gold American Stroke Association activities tied to supplies and equipment needed to Standard™ by the CEO Round- Stroke Gold Plus-Target: take care of patients. It focuses on planning and fore- table on Cancer is given to Stroke Honor Roll Elite Plus casting, purchasing, product assembly, moving, organizations for their work Award - Awarded to Harris storage and distribution. Harris Health System partners in promoting healthy lifestyle Health’s Ben Taub Hospital, with GHX to achieve efficiencies and deliver the choices, encouraging early the newly created elite award best possible care to patients. detection through cancer screenings and ensuring means the hospital achieved access to quality treatment for its employees. Harris high marks for response and care provided for acute Most Wired - For the fifth year Health is one of only three other hospital systems in ischemic strokes, the most common stroke—87 in a row, Harris Health System Texas to receive the accreditation. percent of all cases—in America. The recognition earned the “Most Wired” places Harris Heath System’s Ben Taub Hospital among recognition in the 17th annual CNOR Strong - Harris Health’s an exclusive group in southeast Texas capable of survey and benchmarking Ben Taub and Lyndon B. offering specialized care for the most complex study conducted by the American Hospital Associa- Johnson hospitals have been stroke patients. tion’s Health Forum and the College of Healthcare named CNOR Strong by the CNOR Information Management Executives. This year, Competency and Credentialing Global Health Exchange Harris Health joins two other healthcare systems in Institute because of its high (GHX) “Best 50” in U.S. and greater Houston and 15 in Texas to be recognized number of certified nurses in the operating rooms Canada - Harris Health Sys- as Most Wired. (CNOR). To achieve the recognition, hospitals must tem was named among the

3 National Committee rating for PM&R programs. This is the third consecutive Commission for Quality Assurance three-year accreditation Harris Health has been on Cancer Medical Home - Harris awarded by CARF. Accreditation - Health System is the The Commission on DNV GL-Healthcare first healthcare system Cancer (CoC) of the American College of Surgeons Accreditation - Harris Health in Houston to achieve (ACoS) has granted Three-Year Accreditation to the received national accreditation Physician Practice Connections-Patient-Centered cancer program at Harris Health System. To earn from DNV GL-Healthcare, the Medical Home designation by the National voluntary CoC accreditation, a cancer program must only hospital accreditation Committee for Quality Assurance. meet 34 CoC quality care standards, be evaluated program approved by the every three years through a survey process, and American Nurses U.S. Centers for Medicare and maintain levels of excellence in the delivery of Credentialing Center’s Medicaid Services (CMS) that comprehensive patient-centered care. Pathway to Excellence® - integrates the ISO 9001 Quality Management System Harris Health System’s with the Medicare Conditions of Participation. American Association three hospitals — Ben Taub, of Critical-Care Nurses’ Texas Hospital Lyndon B. Johnson and Beacon Award for Association’s Quentin Mease — all redesignated as Pathway to Excellence™ - The Beacon “Excellence in Excellence® facilities awarded by the American Nurses Award for Excellence™ Community Credentialing Center. Pathway to Excellence® is a lauds North American Service” Award - prestigious designation that identifies hospitals that hospital units that employ In recognition of Harris Health System’s work to offer robust work environments for nurses and evidence-based practices to improve patient and identify and treat HIV- positive patients through its confirms the professional satisfaction of nurses at family outcomes. Harris Health’s Ben Taub Hospital is Routine Universal Screening for HIV (RUSH) program. Harris Health System as one of the best places the recipient of three Beacon Awards for Excellence, to work. Houston Chronicle more than any other hospital in Texas: Neonatal “Top Workplaces” for large Intensive Care Unit (Gold Award), Neurosurgical Commission on Accreditation employers with more than Intensive Care Unit (Silver Award) and Surgical of Rehabilitation Facilities 500 employees. The health Intermediate Care Unit – 4B (Silver Award). Recipients (CARF) - Harris Health System’s system shares this honor with of a Gold Beacon Award demonstrate staff-drive Physical Medicine and Reha- 29 other large Houston excellence in sustained unit performance and bilitation (PM&R) Program at employers across a variety improved patient outcomes that exceed national Quentin Mease Hospital was of industries. benchmarks. Silver-level recipients demonstrate awarded a three-year accreditation by the continuous learning and effective systems to achieve Commission on Accreditation of Rehabilitation optimal patient care. Facilities (CARF), the organization’s highest quality

4 Championed by the early leaders of Houston and Harris County, who worried about the lack of quality healthcare Transforming for the community’s poor, a voter referendum was passed The Health Of to establish The Harris County Hospital District, now doing business as Harris Health System. Harris County

Its first day of operation came Jan. 1, 1966, when it largest public integrated healthcare delivery systems Residents assumed ownership of long-standing Jefferson Davis in the United States, and is supported by the medical and the newly opened Ben Taub hospitals. staffs of two of the nation’s top medical schools: For 50 Years. Baylor College of Medicine and the McGovern A voter transported from 1966 to today might be Medical School at The University of Texas Health surprised to see how that long ago pledge to provide Science Center at Houston (UTHealth). quality healthcare has been realized. Through our partnerships with Baylor and UTHealth Almost immediately upon the system’s creation, faculty, fellows and residents, and our numerous visionary leaders like Dr. Carlos Vallbona and long- affiliations with nursing and allied health schools, time board member Quentin Mease believed that we develop the world’s finest medical talent, offering primary and preventive healthcare services participate in breakthrough research and deliver in neighborhoods was not only more cost-effective, exceptional care to our patients and community. but the best way to keep our neighbors healthy. So began the outgrowth of Harris Health’s compre- While many things have changed over the years, hensive network of health centers, clinics, specialty one thing remains the same: the heart and soul of facilities and mobile health units that now includes Harris Health System is its people — exceptional 45 locations across Harris County. professionals who care deeply about their patients and take pride in the life-changing work they do From humble beginnings, Harris Health has grown every day. considerably. Fifty years later, it stands as one of the

The LBJ Hospital Emergency Center is a vital community resource for Northeast Harris County, providing care for more than 76,000 emergency cases each year.

5 Excellence in

Women and The soft lighting and quiet space of the LBJ Hospital Neonatal Intensive Care Unit provide the perfect healing environment for high- risk and premature newborns. Infants Services As one of the busiest birthing hospitals in the nation, Jefferson Davis Hospital was truly “a baby factory,” delivering more than 17,000 babies a year during its heyday.

Whether born with few or no medical complications, Ben Taub Hospital is a recognized Baby-Friendly the hospital was an endless melody of crying babies facility and LBJ Hospital is an acknowledged model and staff rushing to their needs. facility for the Texas 10 Step Program, a statewide breast-feeding initiative. Each hospital is renowned Jeff Davis would eventually outlive its usefulness and for high quality neonatal intensive care for high-risk in 1989 be replaced by Lyndon B. Johnson Hospital, deliveries and low-birthweight infants. Harris Health which initially opened as a maternity facility. is also a leader in mother-child bonding efforts as one Harris Health leaders soon decided the hospital of the few area hospitals to completely eliminate could better serve the community as a general open newborn nurseries. Harris Health staff now hospital. In 1991, the hospital shifted its focus and promotes evidence-based, maternity care with the began a new medical school affiliation with The goal of achieving optimal infant feeding outcomes University of Texas Health Science Center at Houston and mother/baby bonding by having newborns (UTHealth). At the time, Harris Health had only an room-in with mothers. The result is a better birthing affiliation with Baylor College of Medicine to provide experience and greater patient satisfaction. its entire physician staffing. The connection to two medical schools makes Harris Health unique among Quick Facts | 2016 other healthcare systems in the country. 6,596 – Births Despite the significant decrease in births from its peak 84 OB/GYN + Perinatal Beds at Jeff Davis, Harris Health continues its commitment 17.9% Admissions from Obstetrics to maternity services. Today, Harris Health’s two 88 Neonatal Beds hospitals, LBJ and Ben Taub, deliver more than 6,500 16,423 Neonatal Patient Days babies each year.

6 Andrew would live or die. And if he did live, what Tiny Miracle Turned College Graduate type of life would he have?” When I met the nurses, I finally had peace of mind. They not only looked after Andrew, they looked after me and kept me going.”

Thanks to the caring experts at LBJ Hospital, Andrew survived and has flourished since. In 2015, the now 23-year-old graduated with a double major in Political Science and French from Rutgers University in Philadelphia. His immediate goal is to attend graduate school to pursue an education policy career.

Andrew Torrence was Steffini Bethea’s first baby. would grow stronger with a little more time. On The 27-year-old mom-to-be was expecting an easy March 5, 1993, staff delivered him by cesarean section. birth. When her water broke three months before Born at 2 pounds, 11 ounces and nearly 10 weeks her due date, her doctor quickly referred her to premature, Andrew faced a bleak prognosis. The Lyndon B. Johnson Hospital and its Women and neonatal intensive care unit became his home for Infants Service, regarded as one of the region’s the next three months. finest hospitals for high-risk deliveries and low- birthweight infants. “He was so small. I couldn’t even touch him,” recalls For 10 days, staff made every effort to keep Steffini Steffini. “I remember the doctors listing the possibilities from going into labor. Their hope was that Andrew of everything that could go wrong. I didn’t know if

7 Excellence in Emergency and Trauma Care A tradition of excellence like no other.

At Jefferson Davis Hospital in the 1950s, renowned square feet to 43,000 square feet with 40 exam rooms surgeon Dr. Michael E. DeBakey worked to refine the and dramatically enhancing patient flow so quality trauma care practices he developed during World of care can be provided more quickly and privately. War II and his work for the U.S. Surgeon General’s A similar effort is under development to upgrade Office. When Ben Taub Hospital opened in 1963 under the operative capacity at Ben Taub Hospital and its the guidance of Baylor College of Medicine’s leading emergency center environment to keep pace with medical pioneer, a new home for trauma emerged the latest advances in trauma and emergency care. and quickly flourished. Since its inception, the system’s two hospitals have Quick Facts | 2016 been national leaders in emergency care innovation 172,345 – Total Emergency Visits and treatment. As one of two Level I trauma centers 95,908 – Ben Taub ER Visits in greater Harris County, The Ginni and Richard Mithoff 76,437 – LBJ ER Visits Trauma Center at Ben Taub Hospital remains a vital part of the emergency response system for area 6,237 – Total Trauma Registry Cases residents, as does Lyndon B. Johnson Hospital, which 3,967 – Ben Taub Trauma Cases is the state’s first and busiest Level III designated 2,270 – LBJ Trauma Cases trauma center. On any given day, the system’s trauma teams scramble to address the needs of more than Beyond its stellar reputation in trauma and emer- 30 traumatically injured patients, often requiring gency medicine, in more recent years the system has immediate surgical care. received numerous state and national recognitions In 2011, LBJ Hospital unveiled its expanded and for excellence in cardiology, stroke and women and renovated state-of-the-art emergency center to the infants care, placing it among the elite facilities in the community, increasing its footprint from 25,000 and the nation.

8 He continues to improve every day, adhering to his A Timeless Lesson: Wear Your Seat Belt schedule of outpatient speech and physical therapy at Quentin Mease Hospital.

Terrell Wayne has no memory of his time as a Ben Taub patient, but he returns often as the founder of The Wayne Foundation to distribute personal care items for neurology patients and family members. More important, they share their story. One family member said to them, “If I got nothing else from the Foundation, you have given me hope.”

“I’m grateful to live in Houston where Ben Taub saves lives. The care was excellent,” Terrell Wayne’s wife, La Shonda Rogers, says. “The nurses are knowledge- able, skilled and comforting. We will always be thankful for what they did to make Terrell Wayne’s recovery possible.”

Terrell Wayne Rogers wasn’t wearing his seat belt accident, on Easter Sunday, Terrell Wayne greeted when he fell asleep at the wheel and collided into his 15-year-old with, “Hey, son.” The family’s relief a light pole. The force of the impact crushed the was indescribable. bumper into the front seat causing his head to vio- Over the last two years, Terrell Wayne has made lently slam against the windshield. He was taken to steady progress, learning to do everything—dress, Ben Taub Hospital suffering from severe brain injury walk, brush his teeth and show off his perfect smile. and hairline fractures to his neck vertebra. Doctors initially expected he would spend the rest of his life “God’s not through with me.” That’s the only expla- in a vegetative state and suggested he go to a nation he has for his miraculous recovery from a long-term care facility. Three months after the traumatic brain injury.

9 Setting the Standard for Stroke Care

During a stroke, time is of the essence. More than two million brain cells die each minute.

There were few, if any, specialized stroke centers in interdisciplinary team of experts in emergency the 1960s when Harris Health System came to be. medicine, neurology, neuro-interventional radiology, Today, Harris Health has one of the nation’s leading neurosurgery and nursing. stroke teams and knows the importance of rapid Most recently, the stroke center received the American response and is able to treat ischemic strokes, the Heart Association/American Stroke Association’s most common type of stroke resulting from a small Get With The Guidelines®- Stroke Gold Plus-Target: blockage or narrowing of blood flow to the brain, to Stroke Honor Roll Elite Plus Award for consistently even the most complex of stroke cases. meeting the highest standards in stroke care. Patients who come to Harris Health’s Comprehensive Stroke Center at Ben Taub Hospital experience some of the fastest stroke treatment times in the U.S. Ben Taub Hospital has achieved Comprehensive Quick Facts | 2016 Stroke Center designation by DNV-GL Healthcare, a A stroke happens every 40 seconds in U.S. leading international healthcare quality accreditation 329 stroke cases treated at Ben Taub agency. The designation means the hospital 3 of every 4 stroke cases are first-time events offers stroke sufferers the full spectrum of stroke 40 minutes: Median door-to-tPA treatment care—from diagnosis and cutting-edge treatment at Ben Taub to comprehensive rehabilitation—all from an

10 recovery: “What day is today? What’s the date? A Wake-Up Call Who’s the president?” “I thought, ‘why are they asking me dumb questions?’” she recalls. “I had no idea I had suffered a stroke.” Suzanne made a remarkable recovery showing no signs of memory loss or lost cognitive ability. “I thank God and the staff at Ben Taub Hospital for what they did for Suzanne,” Anthony says. “She’s my everything.”

Vascular and interventional radiologist, Dr. Stephen R. Chen, holds the latest catheter technology for the removal of stroke clots.

Suzanne Moffett was ironing early morning Sept. 11, artery. Anthony was offered a fairly new procedure 2015, when she suddenly passed out. The family dog to help his wife. It was an endovascular mechanical couldn’t wake her up, so it lay at her side. Suzanne’s suction thrombectomy, a minimally invasive proce- husband, Anthony, was getting no response from dure that removes blockages from affected veins, his routine calls to his wife. Worried that something but it would need to be done immediately. Anthony was wrong, he called Suzanne’s sister to check on her. agreed and stayed with his wife while the medical An hour later, she was found and rushed by ambu- team mobilized. lance to Ben Taub Hospital. The procedure took about an hour and proved suc- Staff suspected she was suffering the most severe cessful. Suzanne was soon awake and alert, and was type of stroke—a large blockage in a main brain asked a series of questions to help evaluate her

11 A Focus on Community Medicine In 1967, Harris Health launched one of the first public health initiatives in the nation devoted to providing access to neighborhood-based primary care.

The first such clinic, Settegast Health Center, opened with a personal physician who provides patient- Jan. 28, 1967. It was soon followed by another center centered, coordinated and high-quality care using that same year located in Baytown. Together, the two evidence based guidelines to standardize how staff health centers provided a combined 9,648 patient manages chronic disease. Medical homes offer visits during that first year of operation. Today, the patients one-stop care for a variety of services in- two well established centers provide more than a cluding pharmacy, lab, specialty consults and more. combined 78,000 visits each year. The goal is to optimize life-long health and well- In 2010, Harris Health became the first Houston- being for each patient cared for in the medical home area health system to have achieved the National setting and to manage their healthcare throughout Committee for Quality Assurance (NCQA) Patient- the system’s continuum of services. Centered Medical Home designation, and provides nearly 1 million primary care related clinic visits each year. NCQA’s recognition programs identify medical Quick Facts | 2016 practices that deliver superior care using standards 2.17 million prescriptions filled firmly rooted in evidence-based medicine. 913,420 primary care doctor visits The term “medical home” describes a healthcare 16,266 dental clinic visits delivery site—in this instance, Harris Health’s health 14,371 school-based clinic visits centers, school-based clinics and homeless shelter 12,945 homeless program visits clinics—where patients have an ongoing relationship

12 A Medical Home For Life

After working 17 years in the medical field, Gloria seniors, like her, healthy, preventing illness and Bass knows good healthcare when she sees it. treating disease and disabilities that can happen Gloria’s been a staple at Settegast Health Center for later in life. the past 15 years. She started out seeing a primary It seems to be working, because this 70-year-old care physician at the health center and then grad- mother of two is always on the go. She still enjoys uated to the Silver Seniors Clinic where she sees working (now on her third career), spending time board-certified geriatricians who aim to keep with family and friends and going to church.

Initially, Settegast Health Center was around the corner from Gloria’s house, until she retired and moved to Humble. “Let me tell you—my doctors can’t be beat,” says Gloria. “They show compassion and genuinely care for me and the other patients I see them with. “When you have a good doctor, a good nurse and a good team, why would you move? That’s why I haven’t switched doctors. I could go to a private doctor, but my doctors know me and my condition.” Gloria sees her healthcare team every three months, as protocol for all geriatric patients.

13 A Singular Focus Preventable hospital errors remain the single biggest on Patient Safety challenge to the healthcare industry. A recent study published in the Journal of Patient LifeWings Partners LLC – a group of former fighter Takes Wing Safety estimates more than 200,000 cases of pre- pilots, physicians and former astronauts who trans- mature deaths occur each year in the U.S. associated late life-saving lessons learned in safety from the with preventable adverse events (PAEs) or harm to aviation industry to the healthcare setting – con- patients. With a goal of becoming the safest and ducted a leadership development workshop for most efficient healthcare provider in the nation, Harris Health’s executive team, and has since trained Harris Health is taking a stand against PAEs and, has more than 600 staff in crew resource management begun a rigorous training and culture change principles that foster a focus on safety practices. The program to bring PAEs to light so we may properly aviation industry has virtually eliminated human- address the underlying causes. factor-caused accidents with mandatory and

The operative environment in the hospitals has established safety measures to improve communication and coordination before and after surgery by holding morning huddles, timeout events and anesthesia care hand-offs after surgery. The result is better outcomes and a safer environment for every patient.

14 A surgical timeout is called in the LBJ Hospital operating room. This practice is observed throughout Harris Health at the start of each case to review the patient’s procedure risks, identify care team members and roles, and to confirm the surgical site. recurrent training. The principles of this training system training will span more than two years, the a new safety process every few weeks, and the (improved communication, teamwork and the surgical services teams at both Ben Taub and LBJ rewards of these efforts will be reaped by Harris methodical use of safety tools such as checklists and hospitals are among the first recipients in the clinical Health patients. protocols) are all being successfully applied to environment. The teams are realizing marked im- It all begins with establishing a just culture and improve patient safety. provements in communications, openness toward creating an environment where staff, patients, family More than 170 hospitals nationwide have begun input from all levels of staff and a willingness to members and volunteers feel safe discussing patient this journey with LifeWings instruction. While total improve upon current safety processes. The oper- safety concerns. ating room teams are ambitiously implementing

15 Lean Times

At its inception and during its first two months of operation in 1966, Harris Health functioned without tax revenue.

With $2.27 million in operating expenses, the system overall staffing by some 250 positions. In so doing, realized an operating loss of $1.85 million. But the Harris Health reduced its projected budget deficit people of Harris County then as they do now, have to $14 million. Through much additional hard work made good on their promise to fund healthcare for and the benefit of additional ad valorem tax the indigent and medically needy persons residing revenue ($12 million more than projected), the in the county. system emerged from the year with a $1.1 million More recently, with a projected budget deficit of margin that is about 0.1 percent of our overall approximately $70 million, Harris Health faced some operating budget. hard financial decisions during its 2016 fiscal year. Running Harris Health’s three hospitals and 45 Some of those decisions led to a leveling off of outpatient clinic locations requires $3.7 million patient volume, the elimination of outsourcing every day. So this margin represents roughly seven certain patient care services and a reduction in hours of ongoing service.

16 In the absence of Medicaid expansion being We can expect healthcare to retake center adopted by the state of Texas, Harris Health stage in the 84th session of the Texas Statement of Revenues and Expenses will face challenges as we continue to reach Legislature and with the upcoming national Fiscal Year Ended Feb. 29, 2016 (in thousands) out to provide medical services to as many elections as well. Harris County residents as possible. Operating Revenues FY2016

Net patient service revenue $ 361,523

Medicaid supplemental programs revenue 180,639

Other operating revenues 36,745

Total operating revenues 578,907

Operating Expenses

Salaries, wages and benefits 699,514

Purchased services, supplies and other 529,639

Depreciation and amortization 56,885

Total operating expenses 1,286,038

Operating (loss) income (707,131)

Non-Operating Revenues (Expenses)

Ad valorem tax revenues – net 635,363

Net tobacco settlement revenues 10,944

Net DSRIP revenue 73,788

Investment income 2,151

Interest expense (14,536)

Other 468

Total non-operating revenues 708,178

Change in net position $ 1,047

17 Statistical Highlights Fiscal Year Ended Feb. 29, 2016

Total Outpatient Visits 1,947,989 Major components include: Primary Care Visits 913,420 Specialty Clinic Visits 340,860 Outpatient Surgery Cases 24,697

Total Emergency Visits 172,345

Total Cases Occupying Patient Beds 51,649

Births 6,596

Total Patient Days 228,140

Average Daily Census* 623.3 *Patients in the hospital Teams throughout the organization are actively focused on finding efficiencies and delivering quality results for the benefit of Harris Health’s patients. Patient Payor Mix Revenues

Property taxes $ 635.4 million Medicaid Medicare and and CHIP Medicare managed Investment and other revenue $ 50.3 million 20.4% 9.5% Net DSRIP revenue $ 73.8 million

Medicaid supplemental programs $ 180.6 million

Commercial and Uninsured Net patient service $ 361.5 million other funding 62.4% 7.8% Total Revenue $ 1.302 billion

18 Transformation Awards

Harris Health’s Think Innovation Transformation Awards are given to physicians who embody the culture of innovation and work collaboratively to achieve best-in-class outcomes. They apply innovation to their everyday practices, resulting in improved quality, a positive financial impact and better patient experiences. Three 2016 transformation awards were presented to physician teams (clockwise from bottom left). Dr. Peter Doyle, associate professor and assistant dean, Harris County Programs at UTHealth and Lyndon B. Johnson Ben Taub Hospital earned the prestigious Baby Friendly Hospital, identified an opportunity to challenge UTHealth designation. Only three Houston-area hospitals and 14 faculty and residents to improve the quality of care provided in Texas have achieved the designation. Dr. Maya Suresh, within Harris Health, and launched the first All Clinician chair, Department Anesthesiology; Dr. Stephanie Deal, Quality Challenge to showcase best practice outcomes Pediatrics; Dr. Christina Davidson, Obstetrics; Dr. Patricia among LBJ clinicians. Doyle is pictured with Dr. Parikshet Latimer, Family Medicine; and Dr. Joseph Garcia‐Prats, Babber (right), chief medical officer, Harris Health. medical director, Neonatology lead the practice changes necessary to provide the best possible care for mothers and infants. Dr. Nasser Lakkis, chief, Cardiology, Ben Taub Hospital, and chair and professor, General and Interventional Cardiology, Baylor College of Medicine, created the process by which Ben Taub was able to lead the nation in door-to-balloon times for STEMI patients among hospitals surveyed by Centers for Medicare and Medicaid Services. Lakkis also launched a new educa- tional forum Super Heart-to-Heart Talk for heart attack prevention with the City of Houston. Dr. Stephen Greenberg (pictured), chief, Medicine Service, Ben Taub Hospital, accepted the award on his behalf.

19 Our Board At its inception, Harris Health was overseen by a seven- member Board of Managers, appointed by Harris County of Managers Commissioners’ Court. Leading the Way

The 1966 original Board of Managers for the Harris County Hospital District; seated, l to r: Aaron J. Farfel, Winifred Wallace, Daniel C. Arnold, and Quentin R. Mease. Standing, l to r: Robert L. Gillette, Don A. Horn, Gerald D. Hines.

In 1987, the membership was expanded to nine The Board is entrusted with the interpretation of appointed members to better reflect the growing the health system’s mission and stewardship of its and diverse community. resources. It is responsible for the selection of the Harris Health’s Board members generously give of health system’s chief executive and the overall their time, talent and leadership to help guide the governance of the system as provided by Chapter system, as they serve in an unpaid capacity. 281 of the Texas Health and Safety Code, and as delegated by Harris County Commissioners’ Court.

20 Current Board of Managers (Left to right, top to bottom): Elvin Franklin Jr., chair; Daisy Stiner, vice chair; Anne Clutterbuck, secretary; Dr. Donald R. Butts; Brandon Capetillo; Lawrence D. Finder; Carol Graebner; Dr. Kimberly Monday; Carolyn Truesdell

21 Harris County Hospital District Foundation

Since 1992, the Harris County Hospital District Foundation has continued to make a difference in the lives of our patients and the health of our community. This private, charitable organization enables Harris Health System to reach beyond the boundaries of tax-supported care to fund programs and services that advance our community’s health. By combining gifts from individuals, corporations, organizations and foundations, the Harris County Hospital District Foundation funds patient services, facility improvements and wellness education programs that help bridge the gap between the needs of our community and the limits of our budget. We greatly appreciate the steadfast support of our many donors and are proud to recognize their gifts. If your name has been omitted or listed incorrectly within this report, we ask that you bring it to our attention so that we may make the appropriate corrections.

22 $5,000-$9,999 Mrs. Mary P. Attwell Mr. and Mrs. Doug Schnitzer Mr. Ray W. Higgins Albert and Ethel Herzstein Charitable The Attwell Foundation Dr. Emily Sedgwick Mr. King Hillier Foundation Balfour Beatty Construction The Sheedy Foundation Mr. Kevin Hudson Baylor College of Medicine Ms. Julie Barry Ms. Judith Smith IPFC Corp Mr. Meredith Cullen Dr. Reva Basho Southeast Texas Cardiovascular Jackson’s Bar Inc. Mr. and Mrs. Robert H. Dale III Mr. Charles D. Bauer Ms. Tina Swinney Mr. and Mrs. Robert L. Jamail Mr. and Mrs. Donald F. Faust Drs. Mark and Wendy Bonnen Mrs. Carolyn C. Taub Mr. and Mrs. Jay Kempner Ms. Sylvia Godinich Books Are Fun, LTD Texas Children’s Hospital Kentec Medical, Inc. Mr. and Mrs. Ben Guill Mr. and Mrs. J. M. Bowden Total CAD Systems, Inc. Ms. Catherine Knight Hines Interests Limited Partnership Dr. and Mrs. Louis M. Buja Mrs. Carolyn Truesdell and Ms. Kim Komplin The Holthouse Foundation For Kids UT Health TMA/AMA Class Of 2017 Mr. J. Richard Cheney Mr. and Mrs. Wea H. Lee Mr. and Mrs. Jay R. Houren Mr. and Mrs. John Clutterbuck Mr. and Mrs. Peter Tso Dr. Michelle S. Ludwig J E Dunn Construction Company Mr. Neeraj Dani University Of Texas Medical Branch Masquerade Jewelry Fundraising Foundation Donors Mr. and Mrs. Harry Mach Mr. and Mrs. James D. Dannenbaum Health Ms. Charlzetta L. McMurray-Horton Mr. and Mrs. George V. Masi Mrs. Jan Duncan Mrs. Mary G. Wakefield and Mr. Steve Horton Mr. Gary Mercer Dr. Carmel B. Dyer and Mr. James Dyer Mr. and Mrs. Robert N. Wakefield Mrs. Catherine Miller $100,000-$999,999 Mr. and Mrs. Richard Mithoff Mr. and Mrs. Nijad Fares The Weingarten Schnitzer Foundation Pape-Dawson Engineers, Inc. Epic Systems Mr. and Mrs. Thomas R. Reckling III Ms. Kina Foster Dr. Cliff J. Whigham and Ms. Ashley Rhodes H-E-B Mr. Henry J.N. Taub II Mr. Theo Franklin Mrs. Bonnie Gerbais Mr. Todd Rosengart McDonald’s Corp. Texas Children’s Hospital Mr. and Mrs. Roland Garcia Jr. Mr. and Mrs. Wallace S. Wilson Ms. Pamela R. Russell University of Texas MD Anderson Mr. Bill Ginder Wortham Insurance & Risk Mrs. Jennifer M. Scott $25,000-$99,999 Cancer Center Mr. Larry Glenn Management Mr. Michael Segal Mr. Joe Cleary Jr. Mr. and Mrs. Thomas Wessel Grand Canyon University Mr. and Mrs. Mark Wozny Ms. Suzy Simons Fred and Mabel R. Parks Foundation Mr. and Mrs. Melvyn L. Wolff Mr. Christopher Green Mr. John W. Wright Ms. Ariana Smetana GE Power Systems Greenberg Traurig, LLP Ms. Beth Young Ms. Laura D. SoRelle Houston Affiliate of Susan G. Komen for the Cure $2,500-$4,999 Mr. John M. Hopper Dr. and Mrs. C. Richard Stasney Houston Livestock Show and Rodeo Mr. and Mrs. Joseph Bollinger Mrs. Carrie M. Horne $500-$999 Ms. Barbara J. Stoll Lamajak, Inc. Mr. and Mrs. James A. Cummins Jr. Houston Methodist 5102 SHG&T LLC T.D. Williamson, Inc. M.D. Anderson Foundation Designer Fragrances and Cosmetics Irani Family Foundation Academic Partnerships LLC Tenet Healthcare Corp. Pink Ribbons Project, Inc. Greater Houston All-Pro Jeff B and Katherine B Love Advanced Practice Strategies, Inc. Texas Building Services Enterprise Inc. The Lester and Sue Smith Foundation Mr. and Mrs. Ken Janda Foundation Mr. Jaime R. Arevalo Texas Med-Surg Capital LLC Mr. and Mrs. Brad Juneau Jerry & Nanette Finger Foundation The Honorable and Mrs. James Baker Thompson & Knight Foundation $10,000-$24,999 Jean C. Stewart Trust Jewelry & More Fundraising LLC Bookout Foundation Mrs. Annette Tripp The Alkek and Williams Foundation L & D Events Mr. and Mrs. Raleigh W. Johnson Jr. Mr. Bryant Bradley Ms. Lynda Tyer-Viola Cigna Mr. and Mrs. Truett Latimer Dr. Asha Seth Kapadia Ms. Ardis J. Bush Ms. Jaunice Venson Community Health Choice Legacy Community Health Services Judge Carolyn Dineen King Dr. and Mrs. William T. Butler Western Governors University Craven and Plummer, Inc. Mr. and Mrs. Max Levit Mr. and Mrs. Randall Lake Celgene Corporation Mr. and Mrs. William M. Wheless Mr. and Mrs. Harry Cullen M&C Global Inc. LifeGift Chevron Matching Employee Funds Wilhelmina E. Robertson Fund The Fant Foundation March of Dimes Memorial Hermann Health System Mr. and Mrs. Tim Connolly The Hildebrand Foundation Morris & Dickson Co., LLC Dr. Joseph Mills Mr. and Mrs. Greg Curran $250-$499 International Brotherhood of Electrical Workers Local Union #716 Smart Circle International LLC Mr. and Mrs. Ralph S. O’Connor Ms. Barbara E. Doolin 3M Dr. and Mrs. Kenneth L. Mattox Taub Foundation Mr. and Mrs. Christopher O. Okezie Empowerment Schools- Mrs. Bola Adewunmi Ms. Alisa E. O’Leary Mr. Jose Valdez The Powell Foundation Healthcare, Ltd. Mr. and Mrs. John A. Adkins Pfizer Zucchetto Enterprises LLC Dr. Mary Ann Reynolds Wilkins Mr. and Mrs. Greg Falgout Mrs. Joy Akhigbe Dr. and Mrs. Matthew Plummer Jr. Dr. Alyssa G. and Mr. Daniel Rieber Mr. and Mrs. Elvin Franklin Jr. Ms. Barbara Alford Mr. and Mrs. John Ransom $1,000-$2,499 Dr. Mothaffar Rimawi Mr. Ralph Freedman Mr. David Attard Ms. Regina J. Rogers Abbott Point of Care Ms. Nancy Rogers Ms. Connie Gaskamp Bard Medical Division Mr. and Mrs. Marc Shapiro Ms. Martha Adger Sanita Footwear, LLC Harris and Eliza Kempner Fund Mr. and Mrs. Todd F. Barth Mr. Edwin W. Stilwell Mr. and Mrs. Stanford J. Alexander Drs. Cynthia and George Santos Mr. and Mrs. Russell Hawkins Mr. Don G. Blake The University of Texas Health Science Center at Houston Mr. and Mrs. Daniel C. Arnold Mr. Gerald W. Schlief Ms. Manolita B. Henson Mr. Jim A. Bolton Jr.

23 Early Houston Humanitarian Ben Taub

For nearly three decades (1935-1964), Ben Taub, a local real estate developer and businessman passionate about improving the lives of Houston’s indigent ill, elderly and children, served as chairman of the board of Jefferson Davis Hospital, the community’s first public hospital. Taub immersed himself in service to the hospital and its patients and became a near constant presence, visiting staff and patients day and night, and advocating for those in need of care. In the early 1940s, Taub’s behind-the-scenes efforts were instrumental in encouraging Baylor College of Medicine to join the newly formed Texas Medical Center and helped bring the City of Houston and Harris County its first medical school. It was a partnership that would have a profound influence on Houston’s future for more than 70 years. In 1963, a new hospital in the heart of the fledgling medical center was built and dedicated to honor the native Houstonian who had given so much of himself and his

A constant presence in the fortune to improving the health of his less fortunate neighbors. He stepped down from hospitals, former city-county the hospital board in 1964, but for the remainder of his life he continued to support the hospital chairman Ben Taub (far right), visits with a colleague mission of the health system he helped establish. and auxiliary volunteer. Today, Ben Taub’s legacy of service lives on through the hospital bearing his name.

24 Lester And Sue Smith Receive The 2015 Ben Taub Humanitarian Award

In a city known for pioneers in energy, medicine, business, finance and philanthropy, one couple stands out – Sue and Lester Smith who have dedi- cated their private wealth for the public good. Their extraordinary generosity and compassionate care for others is motivated by their personal motto that “to whom much is given, much is expected.” Drawing from a place of grati- tude for the life-saving care Lester received during his two- time battle with cancer, the couple have dedicated more than $100 million to support adult and pediatric cancer research and treatment at numerous Texas Medical Center institutions, including Harris Health System. Sue and Lester Smith have been integral to enhancing the excellent cancer care that Harris Health provides its patients. In 2011, the Smiths provided a $15 million grant – the largest gift in Harris Health and the Harris County Hospital District Foundation’s history – to help establish the Smith Clinic. Opened in 2012, the five-story Smith Clinic includes the Smith Breast Center, Smith Infusion Therapy Clinic, Smith Diagnostic Imaging Department, Smith Oncology Clinic, the J. Evans and Mary P. Attwell Radiation Therapy Center and more than 20 other specialty clinics.

25 Mr. and Mrs. L. Cletus Brown III Ms. Marguerite Hiller Mr. and Mrs. Mike G. Staley Mr. George Aliamma Mrs. Elsamma Babu Mrs. Leanne Benson Mr. and Mrs. David Carmichael Home Health Resources, Inc. Sterling McCall & Mike Smith Ms. Jacquelyn C. Alien Ms. Lucy Bacalso Mr. Joshua Berger Certified Medical, Inc. Ms. Gaylen Howell Auto Group Ms. Tracey Allely Mr. Greggy Baculo Mr. Ward Berger Mr. Michael S. Chadwick and Ms. Gwendolyn Huskey Ms. Claire Y. Svrcek Mr. Jeff Allen Mr. Mark Bagge Mr. James C. Berkley Dr. Marjorie M. Chadwick Ms. Jan L. Keller-Unger Dr. and Mrs. Peter K. Thompson Mr. Michael Allen Ms. Kathryn Bailey Mr. Harold Berry Chiesi Mr. and Mrs. Mavis P. Kelsey Dr. and Mrs. Robert J. Trenschel Ms. Nancy Allen Ms. Monique Bailey Ms. Gemma Bertos Clinical Computer Systems Ms. Jennifer Ketchersid University of Houston Mr. Rodney Allen Ms. Anita Baines Mrs. Melinda Bertrand Mr. Jose Conde Mr. Luther Leonard III Alumni Association Mrs. Cindy Allison Mr. Earvin Baker Ms. Senny Betancourt Mrs. Lisa Cravens Mr. and Mrs. R.T. Leonard Ms. Mary Ellen Vandeerlick Mr. and Mrs. David R. Almaguer Mr. Shawn Balark Ms. Karen Beverly Mr. and Mrs. Douglas Creamer LGD Management, LP Ms. Pauline Vickers Ms. Tamara Alsarraf Ms. Nora Balderas Ms. Loreta Binion Ms. Heather Daniels Ms. Teri Martell Mr. Keith Wiles Ms. Helen Alvarado Mrs. Kathyrn D. Ball Ms. Ashley Bird Mrs. Nancy B. Willerson Ms. Aralicia Alvarez Ms. Sarah Ballew Ms. Blanca Birones Mr. and Mrs. Welcome Wilson Ms. Carla J. Alvarez Ms. Claire Banham Dr. and Mrs. C. Black Jr. Ms. Marjorie Winters Mr. Elvis A. Alvarez Mr. Eric Bank Ms. Courtney Blackburn Ms. Stacie L. Yarbrough Mrs. Amanda Alvey-Janca Mrs. Mayra Banos Mrs. Elsie Blanco Ms. Linda Zeccola Mrs. Luz Alzate Ms. Lucero Barajas Ms. Saiyeda Blanco AmazonSmile Ms. Cheryl Lee Barber Mrs. Ginger Blanton $249 and Under Ms. Bindhu Anch Ms. Adaneli Barhum Mr. and Mrs. Jack S. Blanton Jr. Ms. Maria V. Abella Ms. Janie M. Anders Ms. Sharon Barker Ms. Sandra Blanton Mr. Sitotaw Abera Ms. Branell Anderson Ms. Krystal Barley Ms. Claudette M. Blaylock Ms. Consetta Abraham Mr. Denny L. Anderson Ms. Arenda Barnett Ms. Sarah Bodine Ms. Moyo Sore Abu Ms. Eva Anderson Mrs. Lajuanna M. Barnett Mr. and Mrs. John C. Boehm Ms. Ama Acheampong Mr. Jordan Anderson Mr. Estevan Barrera Mrs. Debra Boeker Ms. Lynn Adami Ms. Mary Anderson Mr. John Barrera Mrs. Patricia Bolivar Ms. Lavonda Adams Mr. Rick Anderson Ms. Catherine Barrett Ms. Cindy Bonilla Ms. Sarah Adams Ms. Beverly Anderson-Eason Ms. Maria Barron Mr. Quincy L. Bonner Lt. Samson Adelaja Ms. Lakisha Anthony-Smith Ms. Christina M. Bassco Ms. Kerry Booker Mrs. Deborah Aggon Mr. Hijiri Aoki Mr. Brett Baucum Mr. Joe Boone Ms. Rose Agi Ms. Laelle Appling Ms. Anna Baugh Ms. Susanne Boone Mr. Jai Agrawal Ms. Chelsee Arceneaux Ms. Emma Baum Ms. Mary Borowicz Ms. Loretha M. Darden Ms. Nancy S. Mathis Ms. Terry Agris Ms. Margaret Armstrong Mr. Christian Lloyd Bauri Ms. Janie Borrego Ms. Algenita Davis Mr. Charles McKee Mrs. Mary Ann Agtual Mrs. Leah S. Arnold Mrs. Loida Bautista Ms. Lauren Borrego Mr. and Mrs. Adrian De La Garza Mrs. Donna K. McKee Mr. Obasi Agu Ms. Alicia Arredondo Mr. Sid Baweja Mrs. Kitty Bosch Mrs. Cecilia Duco Dr. Glorimar Medina-Rivera Ms. Flor Aguilar Ms. Lydia L. Arribe Mrs. Leny Bayawa Ms. Kathryn Boschen Mr. and Mrs. John Dunlop Mercury Medical Mrs. Kelly Aguilar Mr. Ronald Arrington Ms. Sandra Baynes Ms. Mary A. Bossier-Bearden E’Lated Creations Delbert D. Myers, MD Mr. Jaime Aguirre Jr. Mrs. Cristina Arriola Mrs. Caroline Bean Ms. Deborah Boswell Mrs. Vicky Elliott Nursing Resource Home Health Inc. Ms. Mireya Aguirre-Aquino Ms. Monica S. Arroyo Ms. Mary Bearden Mr. Mason Boswell Ferndale Laboratories, Inc. Optimization Zorn Corp. Mr. Arnold Agustin Dr. Mary Holt Ashley and Mrs. Leanne Beaudet Ms. Kathryn Boucher Ms. Desolyn J. Foy Orion Ambulance Services LLC Ms. Emma Agustin Mr. Ellis C. Ashley Ms. Michelle Beavers Ms. Karen Boudreaux Mr. George Galeano Mr. and Mrs. Steven A. Owsley Ms. Juanita Al-Abbadi Mr. John Athon Mrs. Sharon Beck Ms. Hazel Bourne GCX Mounting Solutions Mrs. Maureen S. Padilla Ms. Joy Aladume Mrs. Tara Atwood Mr. Delwin Beene Ms. Catherine Bouttl Ms. Catherine D. Gross Mrs. Alexandra Pappas Ms. Adriana Alcala Mr. Chilam Auyeung Ms. Melissa Belcher Mrs. Terri Bowden Ms. Shannon Grothues Mr. and Mrs. John Philip Ms. Aubrey Aldave Ms. Amelia Averyt Mrs. Debra Belk Mrs. Patty Bowen GulfStar Group Ms. Ellen Phillips Mrs. Myrna Alenzuela Mr. Phil Avocato Ms. Brenda Belton Ms. Catherine Bowers Mr. and Mrs. Michael SoRelle Pro-Medical Innovations, Inc. Mr. and Mrs. Jeffrey Alesna Ms. Dorothy Ayala Mr. Jeffery K. Benavides Ms. Trinetia M. Boyd Mr. Jon D. Hallaway Ms. Mamta Rai Ms. Ashley Alexander Ms. Eda M. Ayala Mrs. Martha A. Benavides Ms. Juanita Bracewell Mrs. Loretta Hanser and Mr. David K. Riddle Ms. Hattie Alexander Ms. Leticia I. Ayala Ms. Kelly N. Benefield Mrs. Anissa Bradby Mr. James Roberson Ms. Lastenia Roeback Ms. Francis Alfonso Ms. Minelly Ayala Mrs. Sandra Benigar Ms. Catherine Bradley Mr. Richard Hemingway Jr. Mr. and Mrs. Andrew L. Sanchez Ms. Gina Alfonso Ms. Jarri Ayers Dr. Ruby Benjamin-Garner Ms. Leslie A. Bradley Mr. and Mrs. Marc Hill Mr. and Mrs. Glen Smith Mrs. Trishana Algood Ms. Mary Azman Ms. Marilyn Bennett Ms. Vicky G. Branch

26 Ms. Jane Brann Dorothy E. F. Caram, EdD Ms. Amy Clayton Mr. Jerome Curry, Sr. Ms. Leslie Dishon Mr. Joseph Edwards Ms. Sarah Brejot Mr. Alfonso Cardenas IV Mrs. Anita Clift Mr. Derek L. Curtis Ms. Trisha Dixon Mr. Roscoe Edwards Ms. Cynthia Brewer Ms. Rocio Cardenas Ms. Benetia Cline Mr. Eugene Curtiss Ms. Bangtam T. Do Mr. Oliver Egwim Ms. Deanna Brigger Mr. Jason Carey Mr. Marshall Clinkscales Ms. Kathryn Curtiss Mr. Joseph B. Doan Ms. Sydney Eifler Mr. and Mrs. Sammy Brinkman Ms. Gwendolyn Cariker Mrs. Pamela J. Cobb Ms. Susan Cutaia, RN Mr. Brett Dodwell Ms. Deborah Ekblaw Ms. Khaleela Brister Mrs. Jeannette Carrasco Ms. Susan Cochran Mr. Peter Cutbill Mr. Michael Doerflein Ms. Freda Ekpa Mr. and Mrs. Gary Brock Ms. Julieta Carreon Ms. Paula Coggins Dr. May Daher Mrs. Amy Doherty Mr. Baldemar Elizondo Mrs. Kathy Brock Ms. Stephanie Carrillo Mr. Hal Colbert Ms. Maria Daheri Ms. Anna Domning Ms. Yanelley Elizondo Mr. Jeff Brockman Dr. Karif Carroll Mr. Ryan Colburn Ms. Bonny Dahm Mrs. Andrea Donaie Ms. Deborah Elizondo Brady Ms. Stacey Brod Ms. Natasha Carroll Ms. Evangelina Cole-James Ms. Tara Dale Ms. Charlote Dotson Ms. Brittany Elliott Ms. Latrecia S. Brodie Mr. Andrew Cartek Mr. Tim Coleman Ms. Jessica Daly Carillo Ms. Kayla Dougherty Ms. Frances Elliott Mr. and Mrs. Thomas Brodie Ms. Molly Carter Ms. Faith Collaso Mrs. Jamie Dammel Mr. and Mrs. Brent Brooks Mr. Stefano Casarin Ms. Janis M. Collazo Ms. Sulata Daniel Mr. Randall E. Brooks Jr. Ms. Melaine Casiano Ms. Emily Collins Mrs. Nina S Davey Ms. Anne-Elizabeth Brown Ms. Mary Casper Mr. and Mrs. Michael B. Collins Ms. Carla B. Davis Ms. Bernadette Brown Ms. Maria Castillo Ms. Veronica Colon Ms. Denitrics Davis Ms. Tamika Brown Ms. Patricia Castillo Ms. Mary Concha-Labajo Ms. Donna Davis Mrs. Tracy Brown Mr. Esdras Aaron Castro Ms. Erin Condara Mr. Edward Davis Mrs. Laurel Browne Ms. Rosa L. Castro Mrs. Evelyn Consolacion Mr. Josh Davis Ms. Leisa Bryant Mr. and Mrs. John T. Cater Ms. Caroline Conway Ms. Janis Davis-Street Ms. Scherra Bryant-Jones Ms. Lauren Cavaiuolo Mr. James Cook Ms. Sammie L. Dawson Dr. Fred Buckwold Mr. Joe A. Cavazos Mrs. Macey Cooksey Ms. Suzette De Leon Mr. Luis E. Buitrago Mr. Sharon R. Cavitt Susan M. Cooley, PhD Mrs. Maria De Matta Mr. Lowell Bulawan Mrs. Nicanor Cayabyab Ms. Chasity Cooper Mr. Justine Dean Mr. Patrick Burch Ms. Elizabeth Caycoya Mr. Taylor Cooper Mr. Michael DeArman Mr. Todd Burgamy Ms. Krystle Ceasar Mr. Edgardo Correa Mr. Denis A. DeBakey and Ms. Ms. LaDonna Burley Ms. Kathleen Cejka Mr. Alberto Cortez Lavonne Cox Mr. Lloyd Burnett Mrs. Thelma Cerwin Ms. Jessica Cortez Mrs. Linda K. DeClouette Mr. Michael Burney Ms. Luz Chairez Ms. Maria Cowles Mr. Larry DeCuit Ms. Rebecca Burnitt Mr. and Mrs. Mario A. Chairez Mr. Mark Cox Ms. Kim Dees Ms. Lisa N. Burrell Mr. Ricardo Chapa Mrs. Irma Craven Mr. Justin Degrate Mr. Richard Dower Ms. Shaunte Ellis Mr. Lester Bush Jr. Ms. Mary C. Charlton Ms. Cyntrell Crawford Ms. Amy DeHaven Mr. Eric Doyal Ms. Christiana Emrich Ms. Claudia Bustos Mrs. Maria Chavarria Mr. Stewart Crawford Mr. Derek Delgado Mr. Robert Drew Ms. Ann Engelhorn Dr. Larry Butcher Ms. Thankamma Cherian Ms. Kelsey Creveling Ms. Gladis Delgado Ms. Stephanie Driscoll Ms. Silvia Enriquez Ms. Perina Butler Mr. Stephen T. Cherukara Mr. Thomas Crigler Mr. Herman Delgado Mr. Charlie Driver Mr. Emmanuel Enwere Mrs. Teresa Butterweck Ms. Blair Chesnut Mr. Heath Crist Ms. Kay Delgado Ms. Cynthia Duckett Mr. Matthew Epperson Ms. Deborah Bynum Mrs. Karen Childs Ms. Rebecca Crocker Ms. Mary Ann Delossantos Ms. Faith Duncan Mr. Jose Erlan Ms. Sandra Byrd-Chavez Ms. Omara Chirinos Mrs. Lyndsay Crowe Ms. Oliva Delossantos Ms. Angela Dunlap Mrs. Christina Ervin Mrs. Sabrina Cadena Ms. Chanda D. Choyce Ms. Tabbetha C. Cruse Ms. Julie DeMarke Ms. Cheya Dunlap Mr. and Mrs. Larry M. Eshleman Ms. Leticia Cadengo Ms. Jennifer Christensen Mrs. Fe Cruz Ms. Linda Denson Ms. Jessica Dunlap Mr. Roberto Espinosa Ms. Leanna Cains Ms. Vicki Christie Mrs. Lisa Cruz Ms. Erin Derbins Mr. R. A. Dunlap Ms. Megan Estey Ms. Amanda M. Callaway Ms. Nichole Christoph Ms. Sonia Cruz Mr. Akshay Desai Ms. Karin Dunn Mr. and Mrs. Vine Etufugh Ms. Rachel Cameron Corrie E. Chumpitazi, MD Ms. Stephanie Cruz Mr. Leonardo DeSousa Mrs. Suzanne Dunne Mr. and Mrs. Burgess Etzel Ms. Crystal Camfield Ms. Florine Citizen Ms. Donia Cruz-Lopez Mr. Justin Deutsch Ms. Tiffany Dunning Mr. Burgess L. Etzel Ms. Criselda Campa Mrs. Karen Clark Mr. Artemio Cuevas Mr. Christopher R. Dewey Ms. Beverly Ann A. Eason Ms. Sheri R. Everett Ms. Cynthia Campbell Ms. Nazetta R. Clark Mr. Joshua Culbreath Ms. Maria Lucia Diaz Ms. Nancy Ebanks Ms. Ashley Evers Mr. and Mrs. Wade Campbell Ms. Vilettie Clark Mrs. Tammi Culp Mrs. Merilyn Diaz Mr. Ericson Eborde Mr. Phillip Ex Ms. Nora F. Canson Mrs. Adam Clarke Ms. Lou E. Culpepper Ms. Zorlina Diaz Ms. Saida Ebrahim Ms. Magali Exbrayat Mrs. Christina Cantu Ms. Susan Clawson Mrs. Shanna Cummings Ms. Amy Dickson Ms. Elizabeth Edwards Mr. Thomas Fairbank Mr. Henry Caplan Ms. Keisha Clay Ms. Cecelia Currier Ms. Linda Dietert Mr. and Mrs. James Edwards Mr. Ellis Faison

27 Mr. Miguel Fajardo Dr. and Mrs. O. Howard Frazier Mrs. Kim Garrett Mrs. Amy S. Gray Ms. Emily Hare Dr. LaQuisa Hill Ms. Valory Falke Mr. Sam Freedman Ms. Michelle Garrett Ms. Connie Gray Mr. Stephen Harper Ms. Letecia Hilliard Mr. Asal Farahani Ms. Ashlee Freeman Ms. Patricia E. Garvin Greater Houston Area Women’s Ms. Barbara Harris Mrs. Ashley Hilton Ms. Vanny M. Farias Mr. James Freeman Ms. Erica Garza Chamber Of Commerce Mr. Cedric Harris Mr. Honor Hinkle Mr. William Farley Ms. Kelsie Freeman Ms. Robin Garza Mrs. Louise Green Mr. Charles E. Harris Ms. Veronica Hinojosa Mr. Greg Feigh Ms. Meredith French Ms. Sylvia Garza Ms. Sharel Green Ms. June Harris Ms. Reshmi Hirani Mr. and Mrs. Kenneth W. Ferguson Miss Jennifer Frerich Mrs. Teresa Garza and Mr. Ali Romozi Ms. Cynthia Greene Ms. Sally Harris Ms. Natasha Hirji Mr. Richard Ferris Mrs. Mary Frost Ms. Melissa Gause Ms. Liza Greene Ms. Sarita Harris Janet Hoagland-Sorensen, MD Ms. Sandra B. Ferris Mrs. Patricia Frost Mr. Parth Gejji Ms. Kristy Greenwood Ms. Brenda Harrison Ms. Hanh N. Hoang Ms. Gayla Fields Ms. Erika A. Fuentes Mr. Arthur Gelber Mr. Brett Griffin Ms. Verna J. Harrison Ms. Myly Hoang Mr. Acension Fierro Mr. Kenichiro Fujiwara Ms. Corazon Gemarino Ms. Cynthia Grigalonis Mr. Neil Harrop Mr. Son Hoang Mr. Anil K. George Ms. Ashley Gross Mr. Thomas Hart Ms. Terry Hobbs Mr. John George Ms. Angel Guerrero Dr. Joseph Hasapes Mr. and Mrs. Michael R. Hodge Ms. Yasmin Ghahremani Ms. Anita Guerrero Mr. Santiago Hassig Mrs. Andrea Holmes Ms. Emilie Gibbs Ms. Lorena Guerrero Ms. Kimberly Hattox Ms. Betty Holmes Mr. William Gibbs Ms. Veronica Guerrero Ms. Barbara Haverstock Ms. Karina Holmes Ms. Ana Gil Mr. Hugh Guill Mrs. Essi Havor Ms. Kerrie Holmes Mr. Glenn Gilbert Jr. Ms. Susana Guintero Mr. and Mrs. Robert Hawkins Mr. Raymond Holmes, III Ms. Myishea Gilliam Ms. Rowena Guisadio Mrs. Claudia Haynes Mr. and Mrs. John R. Holstead Mr. Thomas Giordano Ms. Elenita Gumtang Ms. Glenda D. Haynie Mr. and Mrs. Harold S. Hook Ms. Alexandra Gisler Ms. Kay Guntupalli Ms. Sharon Hays Ms. Allison Hopkins Ms. Cleofe Glover Dr. Carolina Gutierrez and Dr. Patricia Heale Ms. Inger Hopkins Mr. Matthew Goff Dr. Kent C. Osborne Ms. Laura Hebert Mr. and Mrs. Robert M. Hopson Mrs. Carla Golemon Ms. Elsa Gutierrez Ms. Rebecca J. Helmreich Mr. Matthew Horstman Mr. and Mrs. Michael J. Gomes Ms. Maria Gutierrez Ms. Dana Helms Mr. Chares House Ms. Cindy Gomez Ms. Rocio Elizabeth Gutierrez Ms. Deirdre L. Helms Ms. Jennifer G. Houston Mr. John Gomez Mr. Salvador Gutierrez Ms. Susan Henderson Mrs. Evelyn Howell Mrs. Maria Gomez Ms. Sandra Gutierrez Ms. Patricia Henke Ms. LaToya Howell Mr. Jose Figueroa Mr. David Funtanilla Ms. Raquel Gomez Ms. Sylvia Gutierrez Henrietta Szold Group of Hadeassah Dr. James Hoyle Jr. Ms. Yariela E. Filos Ms. Donna Gabaldon Ms. Isabel Gonzales Mrs. Tatiana Gutu Dr. Andrea C. Henry Ms. Courtney Hoyt Mr. and Mrs. Lawrence D. Finder Ms. Elisa E. Gabot Mr. Jerry Gonzales Ms. Urszula Gynp Ms. Opal Henson Mr. Jacob Hoyt Mr. Carlos Finley Ms. Elvia Galeana Ms. Maria Gonzales Ms. Elizabeth Haberl Mr. Germaine Herman Dr. Bei Hu Mr. Michael Fisch Ms. Paige Galicki Mr. Alberto Gonzalez II Ms. Misrak Habte Mr. Charles Hermes Ms. Crystal Hubbard Mr. Charles Fiser Ms. Dolores Gallegos Ms. Angela Gonzalez Mr. and Mrs. James T. Hackett Ms. Maria Hernadi Mr. James Huggins Ms. Indiana Fisher Mr. Peter Galley Ms. Aurora Gonzalez Ms. Nada Hadzimahmutovic Ms. Carmen Hernandez Mrs. Amanda Hughes Ms. Allison R. Flores Mrs. Crystal Galvan Mr. Ayax Gonzalez Mrs. Aurora Hafner Ms. Denisse Hernandez Mrs. Dian Hughes Ms. Barbara Flores Mrs. Maria Galvan Ms. Claudia Gonzalez Mr. Henry Hagendorf Mr. Jose Hernandez Mr. Josh Hughes Mr. Ricky Flory Ms. Krystal Gamarra Ms. Eunice Gonzalez Ms. Elizabeth Hajovsky Ms. Lynn Adele Hernandez Ms. Mary Hughes-Becher Ms. Olivia Flowers Mr. Romulo Gamboa Ms. Juana Mercedes Gonzalez Ms. Denise Hamby Mr. and Mrs. William B. Hernandez Ms. Maggie Hunts Ms. Kayla Floyd Ms. Claudia Garcia Ms. Kimberly Gonzalez Mr. David Hamilton Ms. Yessenia Hernandez Ms. Jill Hurst Ms. Luisana Flroes Cruz Ms. Elvira C. Garcia Ms. Lisa Gonzalez Ms. Delvin Hamilton Mr. Michael Herndon Ms. Maureen Hurst Ms. Amanda Flynn Ms. Gabriela Garcia Ms. Ninive Gonzalez Mr. William Hamlyn Ms. Nora Eliza Herrera Mrs. Melissa Hurta Ms. Kendra L. Folh Mr. Guadalupe Garcia Ms. Terry Gonzalez Mr. and Mrs. Kevin Hammond Mr. and Mrs. Ruben A. Herrera Mr. Mauricio Hussmann Ms. Erendira Fonseca Mrs. Krystal Garcia Dr. and Mrs. Barry H. Goodfriend Mr. Jonathan Hampton Mr. and Mrs. C. R. Heruela Ms. Julie A. Ihaza Mr. and Mrs. Steven Fontenot Ms. Maria Garcia Ms. Kelly Gore Mr. Fredrick N. Hancock Mr. John Hesse Mr. Fernando Isort Ms. Beverley (Lori ) Foster Mr. Neil Garcia Mr. West Gotcher Ms. Kerry Haner Mr. Zachary Hessel Ms. Emake Iwelu Ms. Dorcine Foster Ms. Katie Gardner Ms. Ann Gotschall Mr. and Mrs. Barry Hanke Ms. Carrie L. Hickman Mrs. Rosemary Iyere Mrs. Elsy Francis Mrs. Amanda Garey Mr. and Mrs. Elliott Gould Mr. and Mrs. Lawrence Hanrahan Ms. Patsy Hicks Mr. Darron Jackson Ms. Charmaine Francisco Ms. Sonia Garner Mr. Joel Grandstaff Ms. Brandy Hanus Ms. Brandon Hill Ms. Donna Jackson Ms. Sylvia E. Franco Ms. Angie Garrett Ms. Catherine Graves Ms. Jocelyn K. Harden Ms. Dana Hill Ms. Sarah D. Jackson

28 Ms. Tamera L. Jackson Ms. Eartha Joseph Ms. Gracy Koshy Dr. J. Andrew Livingston Ms. Beverly A. Martin Ms. Sarah May Mrs. Taylor Jackson Mrs. Suja Joseph Mr. Thomas Koshy Ms. Luz Llanes Mrs. Cristina Martin Ms. Ana Maynard Ms. Acha Ann Grace Jacob Ms. Linda S. Josselyn Marylee M. Kott, MD Ms. Alice Lodge Ms. Ellen Martin Mr. Jake Mazza Ms. Jessy Jacob Mr. Jess Junek Ms. Deborah D. Krause Ms. Sara Loewy Ms. Janice Martin Mr. Fuankhn Mcanimal Mrs. Arenda R. Jacobs Ms. Margaret A. Justus Mr. Andrew Krupala Mr. George R. Loftin Ms. Joan Martin Mrs. Samantha McBroom Ms. Jennifer Jacobs Ms. Zahra Kadivar Ms. Gita Kulkarni Professor Nickie Loftin Ms. Johnetta Martin Mr. Brian McCabe Ms. Ashleigh James Ms. Anne Kahle Mr. and Mrs. Jason Kunnacherry Ms. Sarah K. Lohmann Mrs. Melanie Martin Ms. Diane McCabe Dr. and Mrs. Don James Ms. Katrin Kakenaka Ms. Ilianna R. Kuntz Mrs. Mindi Lomasang Mrs. Nichelle Martin Mrs. Cynthia McCaleb Ms. Latricia James Ms. Megan Kaldis Ms. Mary Kurian Ms. Sheketria Long Ms. Diane Martinez Ms. Laverne McCarthy Ms. Rileigh James Mr. Peter Kaldis Mr. Michael Lake Mr. William E. Long Ms. Esther Martinez Ms. Annette C McClinton Ms. Donna Jameson Mr. Paul Kana Ms. Beatriz Lamas Mr. Anthony Lopez Ms. Esther Martinez Mrs. Elizabeth McConathy Mr. Brandon C. Janda Mr. Andrew Karrer Ms. Janet Lamb Mr. Fernando J. Lopez Mr. and Mrs. Jack Jankiewicz Mr. Adrian Karter Mrs. Joann A. Lammons Ms. Ivette Lopez Mr. Filip Janku Mr. Faris Kayssi Ms. Eula Landry Ms. Setor Lotsu Ms. Ann Janssen Mr. Afshan Kazim Ms. Kristen Landry Ms. Karen Love Ms. Maria Jao Mr. Matt Keen Ms. Marlene Lane Mr. Eddie C. Lowe Ms. Maria Jaramillo Dr. Kenneth Kehl Ms. Versa Lane Mr. Austin Loya Ms. Maria Jasso Ms. Vicki Keiser Ms. Jackie Laney-Laird Mr. Ian Loyd Mr. Reginald Jean-Jacques Ms. Donna Keller Ms. Dianne Lapid Mr. Lee Lu Mr. Hayden Jefferies Mr. Jeffrey Keller Ms. Allie Larimer Ms. Lydia Luebano Ms. Jacquelyn Jefferson Ms. Janie Kelley Mr. and Mrs. Christopher Laroco Mr. Floyd Lufsey III Mr. Lewis Jenkins Mrs. Shaunda Kelly Ms. Katherine Lartigue Mr. Patrick Luna Ms. Karen Jiles Ms. Kim B. Kendall Ms. Virginia Latin Mr. Marty Lundstrom Mr. Rickey Jimenez Ms. Megan Keng Ms. Tanya C. Lattimore Ms. Stacey L. Lusk Mr. Biju John Ms. Laura Kent Ms. Claire Lauzon-Vallone Ms. Yesmid Luviano Mr. Shinu John Ms. Johannes Keus Ms. Elsa Lazo Ms. Marjorie Lygas Ms. Abby Johnson Mr. Abdul Khan Ms. Nicole Leal Mr. Blake Lynch Ms. Althea Johnson Ms. Heather Khassian Mr. Ricardo Leal Ms. Catherine Lyons Ms. Colleen Johnson Ms. Lubna Khawaja Mr. John Leapheart Ms. Joan H. Lyons Ms. Graciela Martinez Mr. and Mrs. Scott McCool Ms. D’ondreia Johnson Ms. Peggy Kidwiler Mr. and Mrs. Patrick LeBlanc Ms. Ariane Macabitas Mr. Israel Martinez Ms. Debbie McCrea Mrs. Jerry Johnson Mr. Michael Kight Mrs. Judy Ledet Ms. Marissa Macias Ms. Connie Chavez and Mr. and Mrs. Donald McCullough Ms. Joanna Johnson Mr. and Mrs. Antony Kilty Mr. Chi-Hsien Lee Ms. Diana Madanat Mr. John Martinez Mrs. Laura McCullough Ms. Madeline Johnson Mr. David Kimbell Jr. Dr. Eric Lee Mrs. Tammy Maddox Mr. Kory Martinez Ms. Meredith McCune Mr. and Mrs. Michael D. Johnson Ms. Letha B. Kimble Ms. Jennifer Lee Mr. Darrin Madison Ms. Leticia Martinez Mr. Franklin D. McDaniel Mr. Michael A. Johnson Mrs. Terri Kimble Ms. Linda Lelingis Ms. Ashley Madray Jr. Ms. RoseMary Martinez Mr. Mark McDavid Ms. Shanika Johnson Mr. and Mrs. Anthony R. Kinchen Mrs. Sally Leonard Ms. Cynthia Mahesh Ms. Yessica Martinez Mr. and Mrs. M. Kevin McEvoy Mrs. Sheila A. Johnson Mr. Elbert King Mr. Alex Leonpacher Ms. Kathleen Mahon Ms. Yvette Martinez Mrs. Angela McGaskey Ms. Shelia M. Johnson Mrs. Maria King Mr. Sunil Leve Ms. Xuanmcu Mai Ms. Margarita Martinez-Orozco Ms. Gwendolyn McGee Mrs. Melissa Johnson-Rothmund Ms. Trish King Ms. Margi Levin Ms. Anna Maldonado Mrs. Allison Massey Mrs. Kim C. McKelvey Mr. Cedric Jolivet Mrs. Ashley Kingham Dr. Judy Levison Ms. Maria T. Mallari Mr. Raymond Massie Mr. Adrian McKinney Ms. Alberta Jones Mr. Koray Kinik Ms. Demetra Lewis Ms. Courtney Mallin Ms. Nataly Mata Mr. Barton N. McLaughlin Ms. Angela M. Jones Ms. Linda Kinniebrew Mr. Elbert Lewis Mrs. Karen Mallorca-Manning Ms. Linsie Mathew Mrs. Helen McLaughlin Mr. Gay Jones Ms. Brenda Kirk Ms. Kimberly Lewis Ms. Elizabeth Malone Mrs. Sajini Mathew Ms. Sara McLean Ms. Lynna Jones Ms. Rita Kissiedu Ms. Rachel Lievanos Ms. Vanessa L. Malpica Mr. Thomas Mathew Ms. Amy McLeod Ms. Sallye M. Jones Mr. Mirko Kljajic Ms. Olivia Lin Mrs. Yamuna Mangaly Mrs. Thresiamma Mathew Mr. and Mrs. Bryan O. McLeod Mr. Ulrike Jones Ms. Lindsey Knake Ms. Michelle Lincoln Ms. Kellie Manger Ms. Madeline Mathews Mr. Alan McMahan Ms. Monica R. Jones Douglas Mr. Eddie Knebel Ms. Shannon Lindberg Shelley Manning, MD Mr. Kyle Mathis Ms. Allyson McMillen Ms. Wendy Jordan Ms. Mary Koch Mr. Jeff Linkus Ms. Anna-Maria Manuel Mr. Jogee Matthew Mr. Chantz A. W. McMillon Mr. Anu Joseph Mrs. Rajani Kokkodil Ms. Alejandra Lira Ms. Lisy Manuel Ms. Nidal Maukaddam Mr. Steve McNulty Mr. Dinu Joseph Mrs. Anita Kontilis Ms. Zoe Littlepage Ms. Monica Marshall Ms. Victoria Maxwell Dr. Jennifer McQuade

29 Mrs. Iris B. McWilliams Ms. Ana Monterrey Ms. Shirley Muro Mr. Hiroaki Nishikawa Ms. Lia Palma Ms. Alejandra Pineda Ms. Shawntell McWilliams Ms. Andre Moore Mr. and Mrs. Brian Murphy Ms. Calista Nnabuife Ms. Laurren Palmore Mr. Eliu Pineda Ms. Claudia Meadows Ms. Candace E. Moore Ms. Carolyn R. Murphy Mr. Tyler Nolan Mr. Jaime Palomares Mr. Pedro Pinto Ms. Monica Medina Ms. Lourdes Moore, RN Ms. Kathleen Murphy Mrs. Marianna Nolasco Ms. Marissa Pangan Dr. Katherine Pisters Mr. Sydney Medina Ms. Monica Mora Ms. Latecia Murphy Ms. Marisa D. Noriega Ms. Sirley Pareja Mr. Bernard Alan Pittman Mr. Hassan Mehrabian Ms. Daisy Morales Ms. Julie Murray Ms. Jenna Norman Mrs. Primrose Pari-an Mr. Adrian Pln Mr. Adrienne Meier Ms. Patricia Morales Ms. Jan Myers Ms. Kristen Novak Dr. Mihir Parikh Mr. and Mrs. John C. Plumb Ms. Margarita Mejia Ms. Sara A. Morales-Moreno Ms. Tammy Myers Ms. Andrea Novotny Ms. Christina Park Mr. and Mrs. Robert Plumb Mr. Brian K. Menard Ms. Carmen Moreno Ms. Katherine A. Myles Ms. Sandra A. Noworyta Mrs. Amanda Parker Ms. Allison Poarch Ms. Stephanie Menard Mr. Gil Moreno Mr. Matthew Nadzak Nutrition Options Ms. Kris Parker Ms. Meanie Poff Ms. Natalie Mencio Mr. Bart Morey Ms. Aruna Nagarajan Ms. Rachel Nystrom Mrs. Amanda Parkes Ms. Diana Polanco Mr. Andrew Najarro Mrs. Eva Obafemi Mr. Robert Parnell Mr. Anton Poral Ms. Josephine D. Najarro Ms. Stellagreg N. Obiuche Mr. John S. Parsley Ms. Cynthia Porter Ms. Hazel Nakao Mr. Foluso Odusanwo Ms. Dimple Patel Mr. Joe Porterfield Mrs. Larissa Narciso Ms. Marsha R. Ogilvie Ms. Anne B. Pati Mrs. Stephanie Posada Ms. Claudia Narvaez Ms. Brenda K. Ogle Ms. Carmen Patino Ms. Winifred Potier Mr. Samuel Nataros Mrs. Carol Ogle Mr. Matthew E. Patrick Ms. Connie Potts Mrs. Jewellyn Natividad Ms. Stacy Oglesby Mr. William Paxton Ms. Denise Powell Ms. NaTavia Naulings Ms. Hema Ojha Ms. Margaret Pearce Ms. Latosha Prados Ms. Albert Nava Ms. Ijeoma Okoli Ms. Luana Pearson Mr. Muralidhar Premkumar Chaplain Tywanna Navy Mrs. Jessica Oliveira Mr. T. J. Pelton Dr. Lauren Prescott Ms. Emily Nelson Ms. Leza M. Oliver Ms. Cindy Perez Mrs. Sandy Price Ms. Georgia Nelson Mr. Ifeoma Omaliko Ms. Helen E. Perez Ms. Theodoria Kathyrn Price Ms. Karli K. Nelson Ms. Teresa Ombese Ms. Maria Perez Ms. Angela Price-Hardeman Mrs. Maria Nelson Mr. Robert O’Neal Mrs. Olga L. Perez Ms. Ashley Proctor Ms. Patty Nelson Ms. Patricia O’Neil Ms. Hilda Perry Mrs. Salihah Pruitt Dr. Maryam Nemati Mr. Tsung L. Ong Ms. Mel A. Perry Ms. Shannon Pruitt Ms. Elizabeth Nettles Mr. Justin Onoibaku Ms. Tenische Perry Ms. Shannon G. Purvis Mr. Charles Newall Ms. Mary R. Onwe Ms. Rachel Pershall Ms. KeriAnn Quinones Ms. Cynthia Newsome Mrs. Cindy Orbe Mrs. Mini Perunnilathil Mr. and Mrs. Juan T. Quintero Mr. Carlos Mendoza Mr. Carlos Morralles Ms. Lillian Neyra Dr. Ogbevoen B. Oriakhi Mrs. Honey Peter Ms. Mary Rabe Mrs. Marie Mendoza Mr. Steve Morrell Ms. Hoa Ngo Le Mr. Gerardo Ortiz Ms. Jacqueline P. Peters Mr. Stephen Rahm Ms. Kathleen Mennenga Mrs. Susie Morris Ms. Alin Nguyen Ms. Petra Ortiz Ms. Marlyn Y. Peters Mr. Joe Raiborn Mr. and Mrs. Douglas E. Mertz Mrs. Jeannette Morton Mr. Andy Nguyen Ms. Ysabel R. Ortiz Mr. Jason Petrishin Ms. Juliette Rambourg Mr. Miguel Meyers Mr. Robert Morton Ms. Anh Nguyen Ms. Ifeoma Osondu Ms. Natalie Pham Ms. Dora Ramirez Dr. Stephanie Meyers Mr. Fausto Mosca Mr. Benedict Nguyen Ms. Sandra Osorto Mrs. Anh Phan Mrs. Jennifer Ramirez Mr. Andres Mieles Ms. Bernardita Moselina Ms. Jennifer Nguyen Dr. Alice L. and Mr. Kevin Oswald Mr. Minh V. Phan Ms. Gloria Ramirez Scully Mrs. Nancy Milholland Ms. Shirley A. Moss Ms. Kathy Nguyen Mrs. Amanda Ovado Ms. Mercy K. Philip Mr. Carlos Ramos Mrs. Anne Miller Ms. Brittiany Mossy Ms. Lynne Nguyen Mrs. Pedita Oye Mr. David Phillips Mr. Helio Ramos Ms. Cristal Miller Ms. Lorena Mottu Mr. Nguyen D. Nguyen Mrs. Irene Oyolu Ms. Mary Phillips Mr. and Mrs. Jose C. Ramos Mr. Jason Miller Mr. Alex Mounton Mr. Phuong Nguyen Ms. Breanna Ozenne Ms. Michelle F. Phillips Mr. Sam Ranasinghe Ms. Sally Miller Mr. Alex C. Mouton Mr. Phuong T. Nguyen Ms. Saturnina B. Pacia Ms. Gwen Phinney Mrs. Jenell W. Randall Mrs. Ugommah Miller Ms. Mary Margaret Mruczek Ms. Thi Nguyen Mr. and Mrs. Edwin C. Padar Ms. Angela F. Pickens Ms. Delora Randle Ms. Charise Miltenberger Dr. Pavlos Msaouel Ms. Tieu-Nha Nguyen Mr. Gilberto Padilla Mr. Jerry Pickrom Mr. Mark Randolph Ms. Sophie Minick Mike Treadway Architects, Inc. Mr. Troy Nguyen Mr. Manikandan Padmanabhan Mr. Mariqueto Pidlaoan Mr. Dane Ransom Mr. Edwin Miranda Ms. Shannon Mundy Ms. Vivian H. Nguyen Ms. Demetria Page Mr. Erick Pieitez Mr. John Ransom II N. Mitchell Mr. Ulysses Muniz Ms. Golda Nichols Ms. Jacqueline Page Mrs. Joanne M. Pierre-Scott Mr. James Rash Ms. Candice Mitchum Dr. Cesar Munoz Ms. Abby Nick Ms. Sonia Palacios-Trevino Ms. Arnelia Pierson Ms. Karen Rasmussen Dr. Zahi Mitri Ms. Mayra Munoz Mr. Matthew Nicol Ms. Theresa Palang Ms. Lisa L. Pietsch Ms. Jesusa I. Rato Ms. Ermelinda Monjaraz Ms. Irina G. Muqattash Ms. Laurie Nicolai Mr. Kevin Pallesen Dr. Patrick Pilie Mr. and Mrs. Mark S. Rauch

30 Mr. Douglas Ray Ms. Diamantina Rodriguez Ms. Angelina Salazar Mr. Andrew Sheils Ms. Amy Stansbury J Tashman Ms. Susan Ray Ms. Dolores Rodriguez Ms. Josie Salazar Mr. Maurice Sheiner Ms. Linda K. Staples Mr. Tim Tatum Ms. Maria Real Ms. Florencia Rodriguez Mr. Pedro Saldana Shell Oil Company Foundation Mrs. Angela Startt Ms. Anahita Tavakoli Ms. Rosemarie Real Ms. Gabriela Rodriguez Ms. Monica Salinas Mrs. Georgette Shepherd Mr. Matthew Stegmoyer Mr. Christopher Taylor Dr. Sangeetha Reddy Ms. Gladys Rodriguez Mrs. Alejandra Salyer Mr. Herbert Shepherd Mr. Andrew Steinhubl Mr. James W. Taylor Drs. Brian and Danielle Reed Ms. Jacqulyn Rodriguez Mr. and Mrs. Andrew P. Sanchez Ms. Jae Shin Mr. Shawn Stene Ms. Linda Taylor Ms. Contrece Reed Ms. Josephine Rodriguez Ms. Cristina Sanchez Ms. Carla Shipley Ms. Donna Stephens Ms. Monique Taylor Ms. Digna Reed Ms. Rocio Rodriguez Ms. Lorena Sanchez Ms. Sherri Shivers Ms. Elizabeth Stephens Dr. Urbain Tchoua Ms. Heather C. Reeder Ms. Winda Rodriguez Ramos Ms. Suzette Sanchez Mr. Corey S. Shorts Mrs. Lisa Sternschuss and Mr. Peter Tellegen Mrs. Haziel Reforma Ms. Christine Rodriquez Ms. Maureen I. Sanders Ms. Karen Sieber Mr. L. Timothy McKone Dr. Louise Terrill Ms. Tracy Reggins Ms. Lydia Roger Ms. Monica Sanders Mr. Hector Sifuentes Ms. Skye Stevens Ms. Gloria A. Tezeno Mr. Matthew Reilley Ms. Helena Rogers Mr. James A. Sandham Mr. Ricardo Silva Mr. Sean P. Reilly Ms. Cynthia Rojas Ms. Felicitas Sandoval Ms. Winifred Simmons Ms. Eva Rendon Ms. Virginia Rojas Mr. Jonathon Sanfelippo Ms. Verna A. Simmons Robinson Ms. Madison Rendon Ms. Kizzie Romain Dr. Hector Santiago Ms. Chara Simon Ms. Samantha Rendon Ms. Glenora Romans Ms. Carla Santos Ms. Tammy Simon Mr. Christopher Renfrow Ms. Merrill Rome Mr. Bertrand B. Sausse III Ms. Trintessa Simpson Mrs. Bery Reyes Ms. Gale J. Romero-Henry Ms. Anita Scales Ms. Lynne Singleton Mrs. Julianita Reyes Ms. Angelica Romo Mr. Daniel Schaeffer Ms. Anne Singley Ms. Misty Le Reyes Ms. Leigh Ronald Ms. Alyssa Schaffer Mrs. Amy Skinner Ms. Nancy Reyes Mr. James Ronk Ms. Mollie Schall Mr. George Slaughter Mr. William Reynolds Ms. Claire Roode Ms. Linda Diane Schenke Ms. Fikfak Slovenia Ms. Lauren Rhea Mr. Lawrence Root Mr. Reggie Schexnaider Ms. Trisha Small Mr. Casey Richard Mr. Joel Rosales Mrs. Courtney Schilling Mr. Albert Smith Ms. Hannah Richard Ms. Maria E. Rosales Ms. Gretchen Schmidt Mr. Bradley Smith Mr. Mattew Richards Mr. Tyrone E. Rose Dr. Michelle Schmidt Mr. Craig Smith Ms. Stephanie L. Rico Ms. Claire Rosenkild Mrs. Mary Schneider Mr. David Smith Mr. Christopher Ringswald Ms. Teresita O. Roseta Mr. and Mrs. James Schoech Mrs. Donna Smith Ms. Christina Rios Ms. Leslie O. Rosete Ms. Christina Schoenle Mr. Edwin Smith Ms. Mayra Rios Ms. Abigail Roszak Dr. Aaron Schueneman Mr. and Mrs. Floyd A. Smith Ms. OFelia Rios Ms. Susan Rouse Ms. Adeline Schwein Ms. Jacqueline Smith Ms. Mary T. Stevenson Ms. Lindsay L. Theriot Ms. Sandra Rios Mr. Kenzie A. Rowda Ms. Jacqueline Scinto Mrs. Julie Smith Mrs. Sharon Stewart Mr. Andrew Thibodeaux Ms. Ingrid Rivas Mr. Jack Rubin Ms. Kathy Scott Ms. Pat Smith Mr. Larry Stokes Ms. Whitney Thibodeaux Ms. Jessica Rivera Ms. Angela Rubio Larry D. Scott, MD Ms. Roula Smith Mrs. Carter W. Stone Ms. Claire Thielke Ms. Amber Rizvi Mrs. Suwanna Rubio Mrs. Mychelle Scott Ms. Lisa Smith-Bivens Ms. Sarah Stover Mr. Abraham Thomas Mr. Steven Roberts Mrs. Karen Ruffner Ms. Krystal D. Scurry Ms. Mary Solomon Ms. Sarah Strang Mrs. Betty Thomas Mr. and Mrs. Corbin J. Robertson Ms. Belia Ruiz Ms. Hilary Sealy Ms. Olga Somers Ms. Aliyya Stude Ms. Lauren Thomas Ms. Samantha Robicheaux Ms. Patricia Ruiz Mrs. Jessica Segal and Mrs. Ruth SoRelle Mr. John D. Stultz Ms. Rominda Thomas Ms. Elizabeth Robinson Ms. Renee Russell Mr. Daniel Miller Mrs. Lolita Soriano Ms. Shannon Stutzman Mr. Saj M. Thomas Ms. Katrina Robinson Ms. Julie Rutledge Mr. and Mrs. Nicholas Senkel Ms. Teodora Soriano Ms. Joanna Subias Ms. Swapna M. Thomas Ms. Kim Robinson Mrs. Sammie Rutledge Mr. Roger Sessions Ms. Esmeralda Soto Mr. Goagiat Suetrong Ms. Destiny Thompson Chaplain Ladislao Robinson Ms. Jackie Ryan Ms. Linda Settlemire Ms. Kimberly Speciale Ms. Rosario T. Suico Dr. Julia Thompson Ms. Stephanie Robinson Ms. Jacqueline Ryan Ms. Kate T. Sexton Mr. Ben Spencer Ms. Cat Summers Ms. Leslie Thompson Mr. Timothy Robinson Mr. Vince Ryan Ms. Shelli J. Seymour Ms. Cherish Spencer Ms. Terri Summers Mr. Michael Thompson Mr. and Mrs. Teddy C. Roc Mrs. Daphne Ryder-Wagner Ms. Abbe Shafer - Wall Mrs. Hillary Spinks Mr. J Sumrall Ms. Nancy P. Thompson Mrs. Fallon Rodenberg Mrs. Jennifer Sabel Dr. Amishi Shah Ms. Madonna J. Spring Ms. Mary Swann Ms. Noelle Thompson Mr. Abraham Rodriguez Mr. Anthony Sabol Ms. Saira Shah Mrs. Francis Springer Mr. Don Swinner Ms. Rita Thompson Ms. Adriana Rodriguez Dr. Delores Saddler Mr. Lokesh Shahani Ms. Sheridan Staats Ms. Mercy Tabios Mr. Scotty Thompson Mrs. Anna Rodriguez Mr. Jorge Saenz, II Dr. Andrew Shaw Mr. Kenneth Stanley Mr. Victor Tafolla Mrs. Doris E. Thornton Ms. Cynthia Rodriguez Safeway Ms. Leah Sheesley Mrs. Wendi Stanley Mrs. Flora Talam Mr. and Mrs. Tim Throckmorton

31 Mrs. Arlen Tia Mrs. Liby Varghese Ms. Karl Watson Ms. Dana Wilson Ms. Yolanda C. Zermeno Laurenzo’s El Tiempo Restaurant Ms. Maria Hyde S. Tiatco Ms. Naveen Varghese Ms. Velma D. Watson Mr. David Wilson Ms. Lindsay Zito Lori’s Gift Shop Ms. Elvira Ticzon Mr. Nelson Varghese Mr. James G. Webb Ms. Lillie G. Wilson Ms. Graciela Zozaya Lavis Linens Ms. Lydia Tiede Mr. Shaji Varghese Ms. Caitlin Weidig Ms. Marisa Wilson Luby’s Culinary Services Ms. Charlene Tighe Ms. Delia Velasquez Ms. Tracy A. Welch Mr. Roland M. Wilson In-kind Donors Lucky Strikes Lanes and Lounge Ms. Enriqueta Tigra Ms. Lorena Ventura Mr. and Mrs. Edward Wells Ms. Wanda Wilson A Bientot Luxury Linens Mrs. Donna Timmer Ms. Mareena T. Victor Mr. and Mrs. Chip Werlein Ms. Amber L. Wingo Adair Kitchen Maame Coleman Mrs. Aline Tinsay Ms. Yolanda Vigil Ms. Jenna Beth Whaley Mrs. Lidia Y. Winstead Armando’s Mac McIngvale Ms. Rashandra Tippett Dr. Eduardo Vilar Ms. Phyllis White Ms. Kerry L. Wint The Athlete Stop Mariquita Masterson Mrs. Yolanda T. Tisdel-Williams and Ms. Diana Villa Ms. Susan White Ms. Gracey Winters Appreciation Events Masquerade Jewelry Mr. Johnny P. Williams Mr. Heribeeto Villagomez Ms. Vanessa A. White Ms. Margaret Wood Avon McDonald’s Ms. Donna Tolan Ms. Ernestina Villagran Mr. Derrick Whitehurst Ms. Janet Woodson Beck’s Prime Mr. and Mrs. Whitney Mears Mrs. Pamela Tomakin Ms. Ana Marie Villanueva Ms. Deloris Whiteker Mrs. Hyacinthia B. Worrell Benjy’s In the Village Momentum BMW Mr. Ross Tomson Mrs. Evangeline Villanueva Ms. Seidra D. Whitley Ms. Ninfa Wowak Big Yoga LLC Moody Gardens Golf Course Ms. Estela Torrato Mr. John Villarreal Mr. David Whitlock Dr. Curtis Wray Biscuit Home Goods Museum of Fine Arts Mr. Alfonso Torres Miss Martha Villarreal Ms. Diana Whitney Mr. James Wright Body3 Fitness Mr. Todd Novak Mrs. Andrea Tovar Ms. Nadia Villarreal Mr. Kevin Wicks Mrs. Teshawna Wright Books R Fun Alex Oliveras and Rebecca Avila Mrs. Monina Tovar Ms. Verenice Villarreal Centre Fitness Fusion Orange Leaf Yogurt Ms. Maria Towers Ms. Edis Villatoro Chick-Fil-A Oso Promotions Mrs. Aizel Tran Ms. Katherine Vilutis Charlayne Collins The Owl Bar Mrs. Jessica Traylor Mr. Chris Vinson Costco Paparazzi Jewelry Ms. Vickie Traylor Ms. Shelia R. Viser Crave Cupcakes Mr. and Mrs. Harris Pappas Ms. Sarah Trepagnier Ms. Phuong Vo The Cynthia Woods Mitchell Pavilion The Parlour Mr. Jacob Tripplehorn Mrs. Van Vo Cynthia’s Linens Patricia C. Hemingway Interior Design Ms. Rebecca Tripplehorn Ms. Melissa Vogan DEFINE Body & Mind Pax Americana Restaurant Mr. Mario L. Tristan Ms. Nhu Vu Designer Fragrance Mr. and Mrs. John Ransom Mr. Hermes A Troche Ms. Magdalene Vulkovic Ms. Debra Duncan Relish Fine Foods Mrs. Nancy Tropoli Mrs. Elizabeth Waddell Dr. Jolie Relyea with The Dentists at Sam’s Warehouse Ms. Alexandra Trudeau Ms. Cynthia Wade Town & Country Village Sanita Shoes Ms. Irma Q. Trujillo Mrs. Mary Wade El Rey Scrubs Steering Committee Dr. Rebecca Tsusaki and Mr. Byron Mrs. Nicole S. Wade Mr. Barry Wiener Ms. Alison Wu Elated Creations Simply Scents by Shan Candle Co. Tsusaki Ms. Cherie Wagner Ms. Chrissy Wigrys Dr. Zhuang Wu Elaine Turner Sonic Motors Ms. Ginger Tucker Mr. Hunter Wakefield Mr. and Mrs. David G. Wilde Mr. Gary Wubbenhorst Elizabeth Lanier Designs Anna Soto Mr. Patrick Turley Ms. Christiane Waldron Ms. Krystel Wilkins Ms. Elizabeth Wuestner Alicia Garcia Valentina Soto Mrs. Bernadette Turner Ms. Abby Walker Ms. Karen Willatt Mrs. Melissa Wurfel Gasparin Italian Imports Spicy Pickle Ms. Dianne Turner Mr. Davian Walker Ms. Cheryl Williams Mr. Patrick Yarborough Gym Bowie Eddie Stutts and Viktoria Soto Ms. Janice L. Turner Mr. Michael Walker Ms. Dana Williams Ms. Emily Ybarra Shepherd Gee Sultana’s Daughter Mr. Matthew Turner Ms. Sandra Walker Ms. Diana Denise Williams Mr. Airan Yoets Haak Vineyard and Winery Symmetry-Massages Ms. Margaret S. Turpin Mr. Brandon Wallace Ms. Felicia Williams Ms. Lin Yong Harris Health System Cristina Tabernilla UBS Financial Services, Inc. Mr. Colby Wallace Ms. Glenda Williams Ms. Julie young Houston Astros Texas Scrubs & Embroidery Ms. Foluke M. Udeh Ms. Michelle Wallace Mr. Jevon Williams Ms. Suzanne Young Houstonian Hotel, Club & Spa Thrive Mrs. Ifeoma A. Umeh Mr. and Mrs. Oliver Waller Ms. Joy Williams Mr. Li-Hsi Yu Ibiza Tootsies Ms. Gracy Uresti Mrs. Shelitrice Walton-Johnson Ms. Karen Williams Ms. Rose Yu Jackson’s Watering Hole Traub’s Trays Ms. Laura E. Uresti Ms. Analisa Warren Mrs. Natalie Williams Ms. Saba Zabarah Jewelry Is Fun Trudy’s- South Congress Cafe Ms. Chioma Usoh Dr. and Mrs. Eric Warwick Ms. Regina Williams Mr. and Mrs. Zachariah Daniel Juli Beth Jewelry Water 2 Wine Mrs. Helen Utay Ms. Barbara Washington Mr. Sidney Williams Ms. Veronica Zavala Ms. Juliana Rabe Watermill Express Ms. Lauren Valentino Mr. Michael E. Watkins Ms. Vicki Williams Ms. Tammy Zednick Katy Mills Marketing Westide Lexus Mrs. Ancy Vallavanatt Ms. Michelle Watkins Ms. Gloria D. Willis Dr. Sara Zehr Kendra Scott Mr. and Mrs. Frederic Winther-Gautier Ms. Jennifer Vandehoef Mr. Wyatt L. Watkins Ms. Sara Willis Ms. Anita Zeigler Kolache Factory Ms. Beth Young Mrs. Myrla Vanegas Mr. Jason Watson Ms. Claire Wilson Dr. Teddy Zerai Mr. and Mrs. Truett Latimer

32 A team of thousands dedicated to caring Harris Health’s future remains the same, focused on the same goal, the same mission—to care for the sick, no matter their economic or social condition. With continued investment in first-rate programs and services for the people of Harris County, we are poised to carry on that mission for today, tomorrow and for many, many years to come.

33 713-634-1000 | harrishealth.org