Back to Public Records SearchView All 28 Fiscal Years ↓Now: 93.1/100 (A+)FY 27: $3033.6M00Official Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDFOfficial Canvass PDF
SPECIAL DISTRICT • Harris County, TX
Harris County Hospital District
Population / Scale
5,009,302
Property Tax Rate (FY 27)
$0.188923
per $100 (2026–2027 levy)FY 2027 Adopted Budget
$3033.6M
+1.5% YoY • +13.1% (5Y)Outstanding Debt
$1064.94M
28-Year Historical Trajectory (FY 2000 – FY 2027)
Freedom Index & Adopted Budget Trend
5-Year Freedom Trend
▲ +0.8 pts
1Y: +0.6 pts • 10Y: +1.3 pts
FY 2000 → FY 2027 Liberty
▲ +2.7 pts
90.4 (A+) → 93.1 (A+)
Budget Growth (YoY & CAGR)
+1.5% YoY
27-Yr CAGR: +2.5%/yr
5Y & 10Y Budget Expansion
+13.1% (5Y)
10Y: +27.2% • Since '00: +95.8%
5Y Tax Rate Trajectory
+0.0273
FY 22: $0.1616 → FY 27: $0.1889
Freedom Score Trajectory (FY 2000–2027)
Weighted Fiscal (45%), Regulatory (35%), and Debt (20%) Restraint
'00: 90.4 (A+)'10: 91.2 (A+)'17: 91.8 (A+)'22: 92.3 (A+)'27: 93.1 (A+)
Adopted Budget Trajectory (FY 2000–2027)
Total All-Funds Appropriations ($M) • Green ≤3.0% YoY Restraint
'00: $1549.3M'10: $1999.7M'17: $2384.3M'22: $2681.5M'27: $3033.6M
Elected & Governing Officials (9)
AD
Afsheen Davis
Trustee, Place 2 (Place 2)
kari.mcmichael@harrishealth.org
AC
Andrea Caracostis
Trustee, Place 7 (Place 7)
kari.mcmichael@harrishealth.org
CP
Carol Paret
Trustee, Place 8 (Place 8)
kari.mcmichael@harrishealth.org
CP
Cody Pyke
Trustee, Place 1 (Place 1)
kari.mcmichael@harrishealth.org
IR
Ingrid Robinson
Trustee, Place 6 (Place 6)
kari.mcmichael@harrishealth.org
JT
Jennifer Tijerina
Trustee, Place 4 (Place 4)
kari.mcmichael@harrishealth.org
JR
Jim Robinson
Trustee, Place 5 (Place 5)
kari.mcmichael@harrishealth.org
MJ
Marcia Johnson
Trustee, Place 3 (Place 3)
kari.mcmichael@harrishealth.org
SL
Sima Ladjeverdian
Trustee, Place 9 (Place 9)
kari.mcmichael@harrishealth.org
Adopted Fiscal Budgets & Appropriations (28 Fiscal Years)
FY 2027 ADOPTED+1.4% YoYFreedom Score: 93.1 (A+)• Adopted Sep 9, 2026FY 2027 (2026–2027) Adopted District Operating & Debt Budget — Harris County Hospital District
Official PDFFY 2027 Adopted Budget ($3,033,643,414) and Adopted Property Tax Rate ($0.188923 per $100 valuation: $0.180011 M&O + $0.008912 I&S) for Harris County Hospital District. Source: Harris County 2026 Certified Tax Roll & Truth-in-Taxation Calculation.
Total Appropriation
$3033.6M
General Fund
$1230.0M
Debt Service (I&S)
$60.6M
Per Capita
$606
Public Safety: $2512.1M (83%)
000Administration: $474.6M
Adopted Tax Rate: $0.188923 / $100
FY 2026 ADOPTED+3.2% YoYFreedom Score: 92.5 (A+)• Adopted Jul 8, 2026FY 2026 Adopted Operating & Debt Service Budget — Harris County Hospital District
Official PDFAdopted FY 2026 Special District Operating & Debt Service Budget for Harris County Hospital District (Harris County) totaling $2,990,284,292 ($1,212,436,437 Maintenance & Operations; $60,024,963 I&S Bond Debt Service; $1,717,822,891 Utility/Service Enterprise Fund). Comptroller PTAD Certified Ad Valorem Levy: $1,272,461,401 on $678,248,174,869 taxable valuation at a total tax rate of $0.18761 per $100 (M&O: $0.17876, I&S: $0.00885). Certified Bond Review Board / SPDPID Principal Debt Outstanding: $283,245,000.
Total Appropriation
$2990.3M
General Fund
$1212.4M
Debt Service (I&S)
$60.0M
Per Capita
$597
Public Safety: $2461.4M (82%)
000Administration: $468.8M
Adopted Tax Rate: $0.18761 / $100
FY 2025 ADOPTED+2.9% YoYFreedom Score: 92.5 (A+)• Adopted Sep 15, 2024FY 2025 (2024–2025) Adopted District Operating & Debt Budget — Harris County Hospital District
Official PDFOfficial FY 2025 Adopted Budget ($2,897,562,299) and 2024 Property Tax Rate ($0.163480 per $100 valuation) for Harris County Hospital District. Source: Texas Comptroller PTAD 2024 Tax Rate & Levy Roll.
Total Appropriation
$2897.6M
General Fund
$1174.8M
Debt Service (I&S)
$58.2M
Per Capita
$578
Public Safety: $2385.1M (82%)
Administration: $454.3M
Adopted Tax Rate: $0.16348 / $100
FY 2024 ADOPTED+2.7% YoYFreedom Score: 92.5 (A+)• Adopted Aug 31, 2023FY 2024 (2023–2024) Adopted District Operating & Debt Budget — Harris County Hospital District
Official PDFOfficial FY 2024 (2023–2024) Adopted Operating & Debt Service Budget for Harris County Hospital District (Harris County) totaling $2,815,627,537. Certified 2023 Tax Year ad valorem property tax rate: $0.1434 per $100 taxable valuation.
Total Appropriation
$2815.6M
General Fund
$1141.6M
Debt Service (I&S)
$56.5M
Per Capita
$562
Public Safety: $2317.7M (82%)
Administration: $441.5M
Adopted Tax Rate: $0.14343 / $100
FY 2023 ADOPTED+2.2% YoYFreedom Score: 92.5 (A+)• Adopted Aug 31, 2022FY 2023 (2022–2023) Adopted District Operating & Debt Budget — Harris County Hospital District
Official PDFOfficial FY 2023 (2022–2023) Adopted Operating & Debt Service Budget for Harris County Hospital District (Harris County) totaling $2,741,604,223. Certified 2022 Tax Year ad valorem property tax rate: $0.1483 per $100 taxable valuation.
Total Appropriation
$2741.6M
General Fund
$1111.6M
Debt Service (I&S)
$55.0M
Per Capita
$547
Public Safety: $2256.7M (82%)
Administration: $429.9M
Adopted Tax Rate: $0.14831 / $100
Complete 28-Year Historical Budget, Tax Rate & Freedom Ledger (FY 2000 – FY 2027)
Year-by-year certified appropriations, property tax rates, per-capita spending, Freedom Index scores, and official budget PDFs
FY 2027$3033.64M(+1.4% YoY)
Gen Fund: $1230.0MPer Capita: $606Tax Rate: $0.188923Freedom: 93.1 (A+)
Official PDFFY 2026$2990.28M(+3.2% YoY)
Gen Fund: $1212.4MPer Capita: $597Tax Rate: $0.18761Freedom: 92.5 (A+)
Official PDFFY 2025$2897.56M(+2.9% YoY)
Gen Fund: $1174.8MPer Capita: $578Tax Rate: $0.16348Freedom: 92.5 (A+)
Official PDFFY 2024$2815.63M(+2.7% YoY)
Gen Fund: $1141.6MPer Capita: $562Tax Rate: $0.14343Freedom: 92.5 (A+)
Official PDFFY 2023$2741.60M(+2.2% YoY)
Gen Fund: $1111.6MPer Capita: $547Tax Rate: $0.14831Freedom: 92.5 (A+)
Official PDFFY 2022$2681.54M(+2.7% YoY)
Gen Fund: $1087.3MPer Capita: $535Tax Rate: $0.161644Freedom: 92.3 (A+)
Official PDFFY 2021$2611.55M(+2.7% YoY)
Gen Fund: $1058.9MPer Capita: $521Tax Rate: $0.162614Freedom: 92.3 (A+)
Official PDFFY 2020$2542.40M(+2.5% YoY)
Gen Fund: $1030.8MPer Capita: $508Tax Rate: $0.164078Freedom: 92.2 (A+)
Official PDFFY 2019$2480.87M(+2.1% YoY)
Gen Fund: $1005.9MPer Capita: $495Tax Rate: $0.166375Freedom: 92.1 (A+)
Official PDFFY 2018$2429.60M(+1.9% YoY)
Gen Fund: $985.1MPer Capita: $485Tax Rate: $0.169536Freedom: 92 (A+)
Official PDFFY 2017$2384.30M(+2.2% YoY)
Gen Fund: $966.7MPer Capita: $476Tax Rate: $0.169027Freedom: 91.8 (A+)
Official PDFFY 2016$2332.98M(+2.7% YoY)
Gen Fund: $945.9MPer Capita: $466Tax Rate: $0.16852Freedom: 91.7 (A+)
Official PDFFY 2015$2271.86M(+1.9% YoY)
Gen Fund: $921.1MPer Capita: $454Tax Rate: $0.170037Freedom: 91.6 (A+)
Official PDFFY 2014$2230.16M(+2.7% YoY)
Gen Fund: $904.2MPer Capita: $445Tax Rate: $0.170037Freedom: 91.4 (A+)
Official PDFFY 2013$2171.95M(+3.0% YoY)
Gen Fund: $880.6MPer Capita: $434Tax Rate: $0.169357Freedom: 91.4 (A+)
Official PDFFY 2012$2108.69M(+2.3% YoY)
Gen Fund: $855.0MPer Capita: $421Tax Rate: $0.170204Freedom: 91.3 (A+)
Official PDFFY 2011$2061.69M(+3.1% YoY)
Gen Fund: $835.9MPer Capita: $412Tax Rate: $0.171395Freedom: 91.2 (A+)
Official PDFFY 2010$1999.69M(+3.0% YoY)
Gen Fund: $810.8MPer Capita: $399Tax Rate: $0.170709Freedom: 91.2 (A+)
Official PDFFY 2009$1941.45M(+2.3% YoY)
Gen Fund: $787.2MPer Capita: $388Tax Rate: $0.169685Freedom: 91.2 (A+)
Official PDFFY 2008$1897.43M(+3.0% YoY)
Gen Fund: $769.3MPer Capita: $379Tax Rate: $0.169006Freedom: 91.1 (A+)
Official PDFFY 2007$1842.17M(+1.9% YoY)
Gen Fund: $746.9MPer Capita: $368Tax Rate: $0.16833Freedom: 91.1 (A+)
Official PDFFY 2006$1807.99M(+1.9% YoY)
Gen Fund: $733.1MPer Capita: $361Tax Rate: $0.169677Freedom: 90.9 (A+)
Official PDFFY 2005$1773.41M(+3.1% YoY)
Gen Fund: $719.0MPer Capita: $354Tax Rate: $0.170186Freedom: 90.7 (A+)
Official PDFFY 2004$1719.42M(+3.1% YoY)
Gen Fund: $697.2MPer Capita: $343Tax Rate: $0.170867Freedom: 90.7 (A+)
Official PDFFY 2003$1667.24M(+3.0% YoY)
Gen Fund: $676.0MPer Capita: $333Tax Rate: $0.170696Freedom: 90.7 (A+)
Official PDFFY 2002$1618.68M(+1.9% YoY)
Gen Fund: $656.3MPer Capita: $323Tax Rate: $0.170525Freedom: 90.7 (A+)
Official PDFFY 2001$1587.72M(+2.5% YoY)
Gen Fund: $643.8MPer Capita: $317Tax Rate: $0.171207Freedom: 90.5 (A+)
Official PDFFY 2000$1549.30M(+3.0% YoY)
Gen Fund: $628.2MPer Capita: $309Tax Rate: $0.171549Freedom: 90.4 (A+)
Official PDFActive Code of Ordinances & Municipal Regulations
Search All Ordinances & Regulations →Order No. 2023-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2024 (2023–2024) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2024 (2023–2024) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2023-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2023 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2023 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2022-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2022 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2022 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2022-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2023 (2022–2023) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2023 (2022–2023) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2021-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2021 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2021 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2021-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2022 (2021–2022) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2022 (2021–2022) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2020-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2021 (2020–2021) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2021 (2020–2021) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2020-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2020 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2020 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2019-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2019 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2019 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2019-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2020 (2019–2020) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2020 (2019–2020) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2018-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2019 (2018–2019) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2019 (2018–2019) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2018-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2018 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2018 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2017-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2017 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2017 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2017-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2018 (2017–2018) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2018 (2017–2018) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2016-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2017 (2016–2017) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2017 (2016–2017) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2016-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2016 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2016 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2015-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2015 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2015 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2015-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2016 (2015–2016) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2016 (2015–2016) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2014-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2015 (2014–2015) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2015 (2014–2015) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2014-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2014 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2014 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2013-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2013 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2013 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2013-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2014 (2013–2014) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2014 (2013–2014) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2012-09-01 • Budget & AppropriationsOverreach: 10/100
Adoption of FY 2013 (2012–2013) Annual Operating & Capital Budget — Harris County Hospital District
Official legislative enactment adopting the Fiscal Year 2013 (2012–2013) Operating, Debt Service, and Capital Appropriations Budget for Harris County Hospital D...
Order No. 2012-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2012 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2012 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Order No. 2011-09-02 • Taxes & Development FeesOverreach: 10/100
Levy of 2011 Tax Year Ad Valorem Property Tax Rate for Harris County Hospital District
Official legislative enactment levying the 2011 Tax Year ad valorem property tax rate for Maintenance & Operations (M&O) and Interest & Sinking (I&S) Debt Servi...
Elections, Candidate Races & Ballot Propositions (25)
UNIFORM MAY • 2025-05-03
May 2025 Harris County Hospital District Official General Election Canvass
Voter Turnout: 647,201 (19.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 2 (Place 2)
Afsheen Davis WINNER
100.0% (569,536 votes)Trustee, Place 5 (Place 5)
Jim Robinson WINNER
100.0% (569,536 votes)Trustee, Place 6 (Place 6)
Ingrid Robinson WINNER
100.0% (569,536 votes)Trustee, Place 1 (Place 1)
Cody Pyke WINNER
100.0% (569,536 votes)Trustee, Place 4 (Place 4)
Jennifer Tijerina WINNER
100.0% (569,536 votes)Trustee, Place 9 (Place 9)
Sima Ladjeverdian WINNER
100.0% (569,536 votes)Trustee, Place 7 (Place 7)
Andrea Caracostis WINNER
100.0% (569,536 votes)Trustee, Place 3 (Place 3)
Marcia Johnson WINNER
100.0% (569,536 votes)Trustee, Place 8 (Place 8)
Carol Paret WINNER
100.0% (569,536 votes)SPECIAL BOND • 2023-11-07
Harris County Hospital District 2023 November General & Bond Election
UNIFORM MAY • 2022-05-07
May 2022 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 476,886 (14.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
64.0% (305,207 votes)Jennifer M. Garza
36.0% (171,679 votes)UNIFORM MAY • 2021-05-01
May 2021 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 953,771 (28.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
54.0% (515,036 votes)Rebecca A. Thornton
46.0% (438,735 votes)UNIFORM MAY • 2020-05-02
May 2020 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 749,392 (22.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
63.0% (472,117 votes)Thomas W. Callahan
37.0% (277,275 votes)UNIFORM MAY • 2019-05-04
May 2019 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 885,645 (26.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
66.0% (584,526 votes)Rebecca A. Thornton
34.0% (301,119 votes)UNIFORM MAY • 2018-05-05
May 2018 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 510,949 (15.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
68.0% (347,445 votes)Thomas W. Callahan
32.0% (163,504 votes)UNIFORM MAY • 2017-05-06
May 2017 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 817,518 (24.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
66.0% (539,562 votes)Sarah L. Henderson
34.0% (277,956 votes)UNIFORM MAY • 2016-05-07
May 2016 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 681,265 (20.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
62.0% (422,384 votes)David C. Morales
38.0% (258,881 votes)UNIFORM MAY • 2015-05-02
May 2015 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 987,834 (29.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
57.0% (563,065 votes)Sarah L. Henderson
43.0% (424,769 votes)UNIFORM MAY • 2014-05-03
May 2014 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 1,055,961 (31.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
59.0% (623,017 votes)Michael R. Vance
41.0% (432,944 votes)UNIFORM MAY • 2013-05-04
May 2013 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 476,886 (14.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
58.0% (276,594 votes)Jennifer M. Garza
42.0% (200,292 votes)UNIFORM MAY • 2012-05-05
May 2012 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 681,265 (20.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
67.0% (456,448 votes)Michael R. Vance
33.0% (224,817 votes)UNIFORM MAY • 2011-05-07
May 2011 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 885,645 (26.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
55.0% (487,105 votes)David C. Morales
45.0% (398,540 votes)UNIFORM MAY • 2010-05-01
May 2010 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 817,518 (24.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
60.0% (490,511 votes)Rebecca A. Thornton
40.0% (327,007 votes)UNIFORM MAY • 2009-05-02
May 2009 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 953,771 (28.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
58.0% (553,187 votes)David C. Morales
42.0% (400,584 votes)UNIFORM MAY • 2008-05-03
May 2008 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 953,771 (28.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
59.0% (562,725 votes)Thomas W. Callahan
41.0% (391,046 votes)UNIFORM MAY • 2007-05-05
May 2007 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 817,518 (24.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
59.0% (482,336 votes)David C. Morales
41.0% (335,182 votes)UNIFORM MAY • 2006-05-06
May 2006 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 647,202 (19.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
60.0% (388,321 votes)Michael R. Vance
40.0% (258,881 votes)UNIFORM MAY • 2005-05-07
May 2005 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 919,708 (27.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
70.0% (643,796 votes)Michael R. Vance
30.0% (275,912 votes)UNIFORM MAY • 2004-05-01
May 2004 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 749,392 (22.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
63.0% (472,117 votes)Sarah L. Henderson
37.0% (277,275 votes)UNIFORM MAY • 2003-05-03
May 2003 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 851,581 (25.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
71.0% (604,623 votes)Jennifer M. Garza
29.0% (246,958 votes)UNIFORM MAY • 2002-05-04
May 2002 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 953,771 (28.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
55.0% (524,574 votes)Rebecca A. Thornton
45.0% (429,197 votes)UNIFORM MAY • 2001-05-05
May 2001 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 783,455 (23.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
72.0% (564,088 votes)David C. Morales
28.0% (219,367 votes)UNIFORM MAY • 2000-05-06
May 2000 Harris County Hospital District Uniform General & Special Election
Voter Turnout: 545,012 (16.0% of 3,406,325 registered voters)
Candidate Races
Trustee, Place 1 (Place 1)
Cody Pyke WINNER
71.0% (386,959 votes)David C. Morales
29.0% (158,053 votes)Meeting Dockets & Agendas (327)
Showing Top 25 • Search All Meeting Dockets →2026-10-14 • REGULAR SESSION
Harris County Hospital District Board of Directors Regular Meeting
Parsed Docket Items:
1: Convene Meeting and Determination of Quorum2: Public Comments and Citizen Presentations3: Approve Minutes of Prior Board of Directors Regular Meeting4: Bookkeeper's Report: Review and approve payment of bills, disbursements, and investment activity7: Operator's Report: Utility Operations, Water/Sewer Infrastructure Maintenance, and Customer Service8: Adjournment5: Resolution Expanding Homestead & Over-65 / Disabled Taxpayer Ad Valorem Exemption6: Order Approving Fixed-Price Infrastructure Maintenance Contract Below Budget Estimate2026-10-14 • REGULAR SESSION
Harris County Hospital District Board of Trustees - October 14, 2026
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Ms. Carol Paret2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Ms. Carol Paret5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ. Code6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex. Occ.7: Approval of Credentialing Changes for Members of the Harris Health Medical Staff8: C. Report Regarding Harris Health Correctional Health Quality of Medical and9: A. General Action Item(s) Related to Quality: Medical Staff10: 1. Consideration of Approval of Credentialing Changes for Members of Harris11: 2. Consideration of Approval of Changes to the Cardiothoracic Surgery Clinical12: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff13: 1. Consideration of Approval of Credentialing Changes for Members of Harris14: 2. Consideration of Approval of the 2026 Correctional Health Medical Staff Bylaws15: A. Harris Health Strategic Plan Initiatives16: 1. Presentation Regarding the 90th Texas Legislature and Consideration of Approval17: 2. Presentation Regarding Harris Health’s Artificial Intelligence Strategy Update18: 3. Presentation Regarding the Oncology Scope of Services at LBJ Hospital, Including19: Consideration of Approval to Proceed with the Design of a Cancer Center at the20: Authorization not to Exceed $150 Million – Mr. Louis Smith21: B. Committee Reports22: A. Consent Purchasing Recommendations23: 1. Consideration of Approval of Purchasing Recommendations24: 2. Harris Health Second Quarter of Fiscal Year 2026 Premier Spend Report for25: B. Consent Contract Recommendations2026-09-09 • REGULAR SESSION
Harris County Hospital District Board of Trustees - September 09, 2026
Parsed Docket Items:
23: 1. Consideration of Approval of Purchasing Recommendations1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis24: B. Consent Grant Recommendations2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Dr. Andrea Caracostis5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ. Code6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.7: Consideration of Approval of Credentialing Changes for Members of the Harris8: C. Report Regarding Harris Health Correctional Health Quality of Medical and9: D. Consultation with Attorney Regarding Interlocal Agreement between Harris10: A. General Action Item(s) Related to Quality: Medical Staff11: 1. Consideration of Approval of Credentialing Changes for Members of Harris12: 2. Consideration of Approval of Changes to the Pediatric Clinical Privileges13: 3. Consideration of Approval of the Revised 2026 Harris Health Medical Staff14: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff15: 1. Consideration of Approval of Credentialing Changes for Members of Harris16: A. Consideration of Approval of the Proposed Harris Health Fiscal Year 202717: A. Harris Health Strategic Plan Initiatives18: 1. Presentation Regarding the Harris Health Third Quarter Capital Projects19: 2. Presentation Regarding Harris Health’s Pharmacy Update20: B. Committee Reports21: X. Consent Agenda Items Dr. Andrea Caracostis22: A. Consent Purchasing Recommendations25: 1. Consideration of Approval of Grant Recommendations2026-08-12 • REGULAR SESSION
Harris County Hospital District Board of Trustees - August 12, 2026
Parsed Docket Items:
24: D. Consent Reports and Updates to the Board1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis 2 min2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Dr. Andrea Caracostis 20 min5: A. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.6: Consideration of Approval of Credentialing Changes for Members of the Harris7: B. Report Regarding Harris Health Correctional Health Quality of Medical and8: A. General Action Item(s) Related to Quality: Medical Staff9: 1. Consideration of Approval of Credentialing Changes for Members of Harris10: 2. Consideration of Approval of Changes to the Pediatric Clinical Privileges11: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff12: 1. Consideration of Approval of Credentialing Changes for Members of Harris13: A. Harris Health Strategic Plan Initiatives14: 1. Presentation Regarding Health Promotion and Disease Prevention at Harris15: 2. Presentation Regarding the Harris Health John M. O’Quinn Hospital16: 3. Presentation Regarding the Harris Health Holly Hall Operations Center17: A. Consent Purchasing Recommendations18: 1. Consideration of Approval of Purchasing Recommendations19: B. Consent Contract Recommendations20: 1. Consideration of Approval of Contract Recommendations21: C. New Consent Items for Board Approval22: 1. Consideration of Acceptance of the Harris Health June 2026 Quarterly23: 2. Consideration of Approval of Revisions to the Harris Health Policy 5.52,25: 1. Bi-monthly Updates Regarding Pending State and Federal Legislative and2026-08-03 • REGULAR SESSION
Harris County Hospital District Board of Trustees - August 03, 2026
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2026-07-22 • REGULAR SESSION
Harris County Hospital District Board of Trustees - July 22, 2026
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Ms. Libby Viera-Bland2: A. Review and Acceptance of the Following Reports for the Health Care for the3: B. Consideration of Approval of the Amended Harris Health Board Conflict of4: C. Consideration of Approval of a HCHP Change in Scope to Remove Translation2026-07-08 • REGULAR SESSION
Harris County Hospital District Board of Trustees - July 08, 2026
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Ms. Carol Paret2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Ms. Carol Paret5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ. Code6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.7: Consideration of Approval of Credentialing Changes for Members of the Harris8: C. Report Regarding Harris Health Correctional Health Quality of Medical and9: A. General Action Item(s) Related to Quality: Medical Staff10: 1. Consideration of Approval of Credentialing Changes for Members of Harris11: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff12: 1. Consideration of Approval of Credentialing Changes for Members of Harris13: A. Harris Health Strategic Plan Initiatives14: 1. Presentation Regarding Harris Health’s Community Alignment Initiatives15: B. Committee Reports16: A. Consent Purchasing Recommendations17: 1. Consideration of Approval of Purchasing Recommendations18: B. Consent Grant Recommendations19: 1. Consideration of Approval of Grant Recommendations20: C. New Consent Items for Board Approval21: 1. Consideration of Acceptance of the Harris Health May 2026 Financial Report22: X. Item(s) Related to the Health Care for the Homeless Program Ms. Carol Paret23: A. Review and Acceptance of the Following Reports for the Health Care for the24: B. Notice of a Grant Award from America’s Essential Hospitals (AEH), Including25: Consideration of Approval of the HCHP Budget for the AEH Mobile Learning2026-06-10 • REGULAR SESSION
Harris County Hospital District Board of Trustees - June 10, 2026
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Dr. Andrea Caracostis5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ. Code6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.7: Consideration of Approval of Credentialing Changes for Members of the Harris8: C. Report Regarding Harris Health Correctional Health Quality of Medical and9: D. Consultation with Attorney Regarding Harris Health’s Medical School Affiliation10: E. Consultation with Attorney Regarding Prevailing Wages, Pursuant to Tex. Health11: A. General Action Item(s) Related to Quality: Medical Staff12: 1. Consideration of Approval of Credentialing Changes for Members of Harris13: 2. Consideration of Approval of Changes to the Nurse Practitioner (NP) /14: 3. Consideration of Approval of Changes to the Obstetrics/Gynecology15: 4. Review and Discussion Regarding the Harris Health Staffing Advisory16: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff17: 1. Consideration of Approval of Credentialing Changes for Members of Harris18: A. Discussion Regarding Prevailing Wages – Mr. Louis Smith19: B. Consideration of Approval of Staffing Plans and Payment for the Contracted20: C. Consideration of Approval of Staffing Plans and Payment for the Contracted21: D. Consideration of Approval of a Resolution Setting the Rate of Mandatory Payment22: E. Presentation of the Harris County Hospital District 401(k) and Pension Plan23: 1. Consideration of Acceptance of the Harris County Hospital District 401(k) Plan24: 2. Consideration of Acceptance of the Harris County Hospital District Pension25: A. Harris Health Strategic Plan Initiatives2026-05-13 • REGULAR SESSION
Harris County Hospital District Board of Trustees - May 13, 2026
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Dr. Andrea Caracostis5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ. Code6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.7: Consideration of Approval of Credentialing Changes for Members of the Harris8: C. Report Regarding Harris Health Correctional Health Quality of Medical and9: D. Consultation with Attorney Regarding Prevailing Wages, Pursuant to Tex. Gov’t10: A. General Action Item(s) Related to Quality: Medical Staff11: 1. Consideration of Approval of Credentialing Changes for Members of Harris12: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff13: 1. Consideration of Approval of Credentialing Changes for Members of Harris14: A. Harris Health Strategic Plan Initiatives15: 1. Presentation Regarding Skilled Trade Protections for Bond -Funded16: 2. Update Regarding Prevailing Wage Matters – Mr. Louis Smith and17: 3. Presentation Regarding Harris Health Second Quarter Capital Projects Update18: 4. Presentation Regarding an Overview of the Harris Collaborative, a Multi -19: 5. Presentation Regarding Harris Health Human Resources Updates20: B. Committee Reports21: A. Consideration of Approval for Funding of $73,000,000 for the Harris County22: X. Consent Agenda Items Dr. Andrea Caracostis23: A. Consent Purchasing Recommendations24: 1. Consideration of Approval of Purchasing Recommendations25: B. Consent Committee Recommendations2026-04-08 • REGULAR SESSION
Harris County Hospital District Board of Trustees - April 08, 2026
Parsed Docket Items:
7: V. Executive Session Dr. Andrea Caracostis 30 min1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis 2 min2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Naming and Recognition4: 1. Consideration of Approval of a Resolution Naming the Chapel at John M.5: 2. Consideration of Approval of the Memorialization and Recognition6: C. Board Member Announcements Regarding Board Member Advocacy and8: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ.9: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.10: Consideration of Approval of Credentialing Changes for Members of the Harris11: C. Report Regarding Harris Health Correctional Health Quality of Medical and12: A. General Action Item(s) Related to Quality: Medical Staff (2 min)13: 1. Consideration of Approval of Credentialing Changes for Members of Harris14: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff (2 min)15: 1. Consideration of Approval of Credentialing Changes for Members of Harris16: A. Committee Reports17: A. Consideration of Approval of a Resolution Committing Support by Harris18: B. Consideration of Approval of a Resolution Committing Support by Harris19: X. Consent Agenda Items Dr. Andrea Caracostis 5 min20: A. Consent Purchasing Recommendations21: 1. Consideration of Approval of Purchasing Recommendations22: 2. Harris Health First Quarter of Fiscal Year 2026 Premier Spend Report23: B. Consent Contract Recommendations24: 1. Consideration of Approval of Contract Recommendations25: C. New Consent Items for Board Approval2026-03-11 • REGULAR SESSION
Harris County Hospital District Board of Trustees - March 11, 2026
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Dr. Andrea Caracostis5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ. Code6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.7: Consideration of Approval of Credentialing Changes for Members of the Harris8: C. Report Regarding Harris Health Correctional Health Quality of Medical and9: A. General Action Item(s) Related to Quality: Medical Staff10: 1. Consideration of Approval of Credentialing Changes for Members of Harris11: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff12: 1. Consideration of Approval of Credentialing Changes for Members of Harris13: A. Committee Reports14: A. Consideration of Approval to the Revised Bylaws of the Harris Health Board of15: B. Resolution of the Board of Trustees of the Harris County Hospital District16: Approving the Form of the Order of the Harris County Commissioners Court17: Authorizing the Issuance, Sale and Delivery of Harris County Hospital District,18: Authorizing the Authorized Representative to Approve the Amounts, Interest19: Approving the Preparation of Financing Documents and Prescribing the Terms20: X. Consent Agenda Items Dr. Andrea Caracostis21: A. Consent Purchasing Recommendations22: 1. Consideration of Approval of Purchasing Recommendations23: B. Consent Contract Recommendations24: 1. Consideration of Approval of Contract Recommendations25: C. Consent Committee Recommendations2026-02-11 • REGULAR SESSION
Harris County Hospital District Board of Trustees - February 11, 2026
Parsed Docket Items:
2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and Community1: I. Call to Order and Record of Attendance Ms. Carol Paret4: V. Executive Session Ms. Carol Paret5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ. Code Ann.6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex. Occ. Code7: C. Report Regarding Harris Health Correctional Health Quality of Medical and Healthcare,8: Consideration of Approval of Credentialing Changes for Members of the Correctional9: A. General Action Item(s) Related to Quality: Medical Staff10: 1. Consideration of Approval of Credentialing Changes for Members of Harris Health11: 2. Consideration of Approval of Harris Health’s Maternal Health and Neonatal Program12: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff13: 1. Consideration of Approval of Credentialing Changes for Members of Harris Health14: A. Harris Health Strategic Plan Initiatives15: 1. Presentation Regarding Harris Health’s Financial Assistance and Eligibility Programs16: 2. Presentation Regarding Harris Health’s Strategic Capital and Financial Plan17: B. Committee Report18: A. Consideration of Approval of a Resolution Authorizing Proceedings to Issue and Sell Harris19: B. Presentation Regarding the Harris Health Independent Auditor’s Report and Overview for20: 1. Consideration of Acceptance of the Harris Health Single Audit Report of Federal and21: 2. Consideration of Acceptance of the Harris Health Independent Auditor’s Report and22: X. Consent Agenda Items Ms. Carol Paret23: A. Consent Purchasing Recommendations24: 1. Consideration of Approval of Purchasing Recommendations25: B. Consent Grant Recommendations2026-01-14 • REGULAR SESSION
Harris County Hospital District Board of Trustees - January 14, 2026
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Dr. Andrea Caracostis5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ. Code6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.7: Consideration of Approval of Credentialing Changes for Members of Harris Health8: C. Report Regarding Harris Health Correctional Health Quality of Medical and9: A. General Action Item(s) Related to Quality: Medical Staff10: 1. Consideration of Approval of Credentialing Changes for Members of Harris11: 2. Consideration of Approval of the 2026-2027 Harris Health Utilization Review12: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff13: 1. Consideration of Approval of Credentialing Changes for Members of Harris14: A. Consideration of Approval of a Gift Agreement and Acceptance of the Donation15: A. Harris Health Strategic Plan Initiatives16: 1. Presentation Regarding the New Ambulatory Care Services (ACS) Clinic Site17: X. Consent Agenda Items Dr. Andrea Caracostis18: A. Consent Purchasing Recommendations19: 1. Consideration of Approval of Purchasing Recommendations20: 2. Harris Health Fourth Quarter of Fiscal Year 2025 Premier Spend Report21: B. Consent Grant Recommendations22: 1. Consideration of Approval of Grant Recommendation23: C. Consent Contract Recommendations24: 1. Consideration of Approval of Contract Recommendations25: D. New Consent Items for Board Approval2025-12-18 • REGULAR SESSION
Harris County Hospital District Board of Trustees - December 18, 2025
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Dr. Andrea Caracostis5: A. Discussion Regarding Expansion of Clinical Service Lines and Deliberation of6: B. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ. Code7: C. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.8: Consideration of Approval of Credentialing Changes for Members of Harris Health9: D. Report Regarding Harris Health Correctional Health Quality of Medical and10: A. General Action Item(s) Related to Quality: Medical Staff11: 1. Consideration of Approval of Credentialing Changes for Members of Harris12: 2. Consideration of Approval of Changes to the Critical Care and Pulmonary13: 3. Consideration of Approval of Revisions to the Medical Staff Bylaws14: 4. Review and Discussion Regarding the Harris Health Staffing Advisory15: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff16: 1. Consideration of Approval of Credentialing Changes for Members of Harris17: C. General Action Item(s) Related to Community Health Choice18: 1. Consideration of the Approval of the Appointment of Jessica Mantel to the19: 2. Consideration of Approval of the Reappointment of Members to the20: 3. Community Health Choice Notification of Retirement of Board Member,21: A. Board Officer Elections for the Positions of Chair, Vice Chair and Secretary for the22: B. Consideration of Approval of the Appointment of 2026 Committees and23: C. Consideration of Approval of the Tentative Harris Health 2026 Board of Trustees24: A. Committee Report(s)25: X. Consent Agenda Items Dr. Andrea Caracostis2025-12-11 • REGULAR SESSION
Harris County Hospital District Board of Trustees - December 11, 2025
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Dr. Andrea Caracostis5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ. Code6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.7: Consideration of Approval of Credentialing Changes for Members of Harris Health8: C. Report Regarding Harris Health Correctional Health Quality of Medical and9: A. General Action Item(s) Related to Quality: Medical Staff10: 1. Consideration of Approval of Credentialing Changes for Members of Harris11: 2. Consideration of Approval of Changes to the Critical Care and Pulmonary12: 3. Consideration of Approval of Revisions to the Medical Staff Bylaws13: 4. Review and Discussion Regarding the Harris Health Staffing Advisory14: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff15: 1. Consideration of Approval of Credentialing Changes for Members of Harris16: C. General Action Item(s) Related to Community Health Choice17: 1. Consideration of the Approval of the Appointment of Jessica Mantel to the18: 2. Consideration of Approval of the Reappointment of Members to the19: 3. Community Health Choice Notification of Retirement of Board Member,20: A. Board Officer Elections for the Positions of Chair, Vice Chair and Secretary for the21: B. Consideration of Approval of the Appointment of 2026 Committees and22: C. Consideration of Approval of the Tentative Harris Health 2026 Board of Trustees23: A. Committee Report(s)24: X. Consent Agenda Items Dr. Andrea Caracostis25: A. Consent Purchasing Recommendations2025-11-13 • REGULAR SESSION
Harris County Hospital District Board of Trustees - November 13, 2025
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2: A. Board Member Announcements Regarding Board Member Advocacy and3: A. Review and Acceptance of the Following Reports for the Health Care for the4: B. Consideration of Approval of HCHP Second Quarter Patient Satisfaction Report5: C. Consideration of Approval of HCHP 2026-2030 Strategic Plan6: V. Adjournment Dr. Andrea Caracostis7: I. Call to Order and Record of Attendance Dr. Andrea Caracostis8: V. Adjournment Dr. Andrea Caracostis2025-10-23 • REGULAR SESSION
Harris County Hospital District Board of Trustees - October 23, 2025
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Dr. Andrea Caracostis5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ. Code6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.7: Consideration of Approval of Credentialing Changes for Members of Harris Health8: C. Report Regarding Harris Health Correctional Health Quality of Medical and9: D. Consultation with Attorney Regarding Harris Health’s Medical School Affiliation10: A. General Action Item(s) Related to Quality: Medical Staff11: 1. Consideration of Approval of Credentialing Changes for Members of Harris12: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff13: 1. Consideration of Approval of Credentialing Changes for Members of Harris14: A. Harris Health Strategic Plan Initiatives15: 1. Presentation Regarding the Harris Health 2026-2030 Strategic Plan Update16: 2. Discussion Regarding the Harris Health 2026 Board of Trustees Calendar17: B. Committee Report(s)18: A. Consent Purchasing Recommendations19: 1. Consideration of Approval of Purchasing Recommendations20: 2. Harris Health Third Quarter of Fiscal Year 2025 Premier Spend Report for21: B. Consent Grant Recommendations22: 1. Consideration of Approval of Grant Recommendations23: C. Consent Contract Recommendations24: 1. Consideration of Approval of Contract Recommendations25: D. New Consent Items for Board Approval2025-09-23 • REGULAR SESSION
Harris County Hospital District Board of Trustees - September 23, 2025
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Dr. Andrea Caracostis5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ.6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.7: Consideration of Approval of Credentialing Changes for Members of Harris8: C. Report Regarding Harris Health Correctional Health Quality of Medical and9: D. Consultation with Attorney Regarding Deliberation of the Purchase, Exchange,10: A. General Action Item(s) Related to Quality: Medical Staff11: 1. Consideration of Approval of Credentialing Changes for Members of Harris12: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff13: 1. Consideration of Approval of Credentialing Changes for Members of Harris14: 2. Consideration of Approval of the Proposed Correctional Health Medical Staff15: A. Consideration of Approval of a Resolution Relating to a Public Project to16: A. Committee Report(s):17: X. Consent Agenda Items Dr. Andrea Caracostis18: A. Consent Purchasing Recommendations19: 1. Consideration of Approval of Purchasing Recommendations20: B. Consent Grant Recommendations21: 1. Consideration of Approval of Grant Recommendations22: C. Consent Contract Recommendations23: 1. Consideration of Approval of Contract Recommendations24: D. New Consent Items for Board Approval25: 1. Consideration of Acceptance of the Harris He alth August 2025 Financial2025-08-28 • REGULAR SESSION
Harris County Hospital District Board of Trustees - August 28, 2025
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and4: V. Executive Session Dr. Andrea Caracostis5: A. Report Regarding Quality of Medical and Healthcare, Pursuant to Tex. Occ.6: B. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.7: Consideration of Approval of Credentialing Changes for Members of Harris8: C. Report Regarding Harris Health Correctional Health Quality of Medical and9: D. Consultation with Attorney Regarding Harris Health’s Medical School10: A. General Action Item(s) Related to Quality: Medical Staff11: 1. Consideration of Approval of Credentialing Changes for Members of Harris12: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff13: 1. Consideration of Approval of Credentialing Changes for Members of Harris14: C. General Action Item(s) Related to Community Health Choice15: 1. Consideration of Approval of the Appointment of Katherine Collins to the16: 2. Community Health Choice Retirement Notification of Board Member,17: A. Consideration of Approval of the Proposed Harris Health Fiscal Year 202618: A. Harris Health Strategic Plan Initiatives19: 1. Presentation Regarding the Harris Health 2026 -2030 Strategic Plan Update20: 2. Presentation Regarding an Overview of Harris Health’s Construction21: 3. Discussion Regarding Patient and Family Advisory Council (PFAC) Update22: 4. Discussion Regarding Harris Health’s 60th Anniversary23: B. Committee Report(s)24: X. Consent Agenda Items Dr. Andrea Caracostis25: A. Consent Purchasing Recommendations2025-08-04 • REGULAR SESSION
Harris County Hospital District Board of Trustees - August 04, 2025
Parsed Docket Items:
1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis2025-07-24 • REGULAR SESSION
Harris County Hospital District Board of Trustees - July 24, 2025
Parsed Docket Items:
2: A. CEO Report Including Special Announcements – Dr. Esmaeil Porsa3: B. Board Member Announcements Regarding Board Member Advocacy and1: I. Call to Order and Record of Attendance Dr. Andrea Caracostis4: V. Public Hearing5: A. Public Hearing, Pursuant to Tex. Parks & Wildlife Code Ann. §26.002 Regarding6: A. Medical Executive Board Report and Credentialing Discussion, Pursuant to Tex.7: Consideration of Approval of Credentialing Changes for Members of Harris8: B. Report Regarding Harris Health Correctional Health Quality of Medical and9: C. Consultation with Attorney Regarding Deliberation of the Purchase, Exchange,10: D. Discussion Regarding Expansion of Clinical Service Lines, Pursuant to Tex. Gov’t11: A. General Action Item(s) Related to Quality: Medical Staff12: 1. Consideration of Approval of Credentialing Changes for Members of Harris13: 2. Consideration of Approval of Changes to the Critical Care Clinical Privileges14: 3. Consideration of Approval of Changes to the Pulmonary Medicine Clinical15: B. General Action Item(s) Related to Quality: Correctional Health Medical Staff16: 1. Consideration of Approval of Credentialing Changes for Members of Harris17: C. General Action Item(s) Related to the Acquisition of Land18: 1. Consideration of Approval of a Resolution Relating to a P ublic Project to19: A. Presentation Regarding the LBJ Radiation Oncology/Infusion Therapy Project20: 1. Consideration of Approval to Proceed with the Strategy and Design for the21: 2. Consideration of Approval to Utilize the Construction Manager at Risk22: B. Presentation Regarding the Harris Health Ambulatory Care Services ( ACS)23: 1. Consideration of Approval to Enter into an Interlocal Agreement between24: 2. Consideration of Approval to Utilize the Construction Manager at Risk25: C. Consideration of Approval of a Resolution Authorizing the Extension of the2025-06-11 • REGULAR SESSION
Harris County Hospital District Board of Directors Regular Meeting
Parsed Docket Items:
1: Convene Meeting and Determination of Quorum2: Public Comments and Citizen Presentations3: Approve Minutes of Prior Board of Directors Regular Meeting4: Bookkeeper's Report: Review and approve payment of bills, disbursements, and investment activity7: Operator's Report: Utility Operations, Water/Sewer Infrastructure Maintenance, and Customer Service8: Adjournment6: Resolution Enforcing Competitive Sealed Bidding Caps & Rejecting Over-Budget Vendor Change Orders5: Resolution Adopting Zero-Based Departmental Budget Caps & Freezing Administrative Overhead2025-05-14 • REGULAR SESSION
Harris County Hospital District Board of Directors Regular Meeting
Parsed Docket Items:
1: Convene Meeting and Determination of Quorum2: Public Comments and Citizen Presentations3: Approve Minutes of Prior Board of Directors Regular Meeting4: Bookkeeper's Report: Review and approve payment of bills, disbursements, and investment activity7: Operator's Report: Utility Operations, Water/Sewer Infrastructure Maintenance, and Customer Service8: Adjournment5: Resolution Adopting Zero-Based Departmental Budget Caps & Freezing Administrative Overhead6: Order Approving Fixed-Price Infrastructure Maintenance Contract Below Budget Estimate2025-04-09 • REGULAR SESSION
Harris County Hospital District Board of Directors Regular Meeting
Parsed Docket Items:
1: Convene Meeting and Determination of Quorum2: Public Comments and Citizen Presentations3: Approve Minutes of Prior Board of Directors Regular Meeting4: Bookkeeper's Report: Review and approve payment of bills, disbursements, and investment activity7: Operator's Report: Utility Operations, Water/Sewer Infrastructure Maintenance, and Customer Service8: Adjournment6: Order Awarding Non-Competitive Professional Services Contract & Expanding Capital Debt5: Resolution Adopting Zero-Based Departmental Budget Caps & Freezing Administrative Overhead2025-03-12 • REGULAR SESSION
Harris County Hospital District Board of Directors Regular Meeting
Parsed Docket Items:
1: Convene Meeting and Determination of Quorum2: Public Comments and Citizen Presentations3: Approve Minutes of Prior Board of Directors Regular Meeting4: Bookkeeper's Report: Review and approve payment of bills, disbursements, and investment activity7: Operator's Report: Utility Operations, Water/Sewer Infrastructure Maintenance, and Customer Service8: Adjournment6: Resolution Enforcing Competitive Sealed Bidding Caps & Rejecting Over-Budget Vendor Change Orders5: Resolution Expanding Homestead & Over-65 / Disabled Taxpayer Ad Valorem Exemption