Primary Department: Harris Health System
Primary Department Head/Elected Official: Esmaeil Porsa, MD, President and CEO, Harris Health
Secondary Department: Management and Budget
Secondary Department Head/Elected Official: Daniel Ramos, Executive Director, Office of Management and Budget
Regular or Supplemental RCA: Supplemental RCA
Type of Request: Transmittal
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): N/A
MWBE Contracted Goal (if applicable): N/A
MWBE Current Participation (if applicable): N/A
Justification for 0% MWBE Participation Goal: N/A - Goal not applicable to request
Grant Indirect Costs Rate (if applicable): N/A
Justification for 0% Grant Indirect Costs Rate (if applicable): N/A - Not a grant item
Request Summary (Agenda Caption):
title
Transmittal by Harris County Hospital District dba Harris Health of a quarterly update on the 2023 Voted Bond Program and Strategic Facilities Capital Plan, reflecting updates and activity as of Q2 of fiscal year 2026.
end
Background and Discussion:
On November 7, 2023, the voters approved a $2.5 billion bonds for Harris Health facilities. The Hospital
District intends to issue new money bonds to finance the acquisition, construction, equipment, and/or
enlargement of the District facilities from the 2023 Election voted authority.
On May 13, 2025, the Hospital District issued new-money bonds not exceeding $850 million as part of the first tranche of the approved $2.5 billion in bonds for Harris Health facilities.
On April 16, 2026 the Commissioners’ Court approved the Bond Order to issue the Harris County
Hospital District, Limited Tax Bonds, Series 2026.
This transmittal includes Harris Health’s quarterly report reflecting data as of Q2 of fiscal year 2026. The report provides an update on the program’s progress and presents key data and milestones.
Expected Impact:
This transmittal advances the goal of improving clarity around the delivery of the 2023 Voted Bond Program
by establishing a quarterly reporting cadence.
Alternative Options:
N/A
County Strategic Plan Goal: 2. Connect our community with safe, reliable, equitably distributed, and well-maintained infrastructure.
County Strategic Plan Objective: O: Increase access to quality health care, including preventive and behavioral health.
Justice/Safety Initiative (Goal 1): N/A
Infrastructure Initiative (Goal 2): N/A
Economy Initiative (Goal 3): N/A
Health Initiative (Goal 4): N/A
Climate/Resilience Initiative (Goal 5): N/A
Housing Initiative (Goal 6): N/A
Additional notes related to the Strategic Plan:
Prior Court Action (if any):
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Date |
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Action Taken |
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Location:
Address (if applicable):
Precinct(s): Choose an item.
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Fiscal and Personnel Summary |
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Service Name |
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Current Fiscal Year Cost |
Annual Fiscal Cost |
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Labor |
Non-Labor |
Total |
Recurring Expenses |
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Funding Sources |
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Existing Budget |
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Choose an item. |
$ |
$ |
$ |
$ |
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Choose an item. |
$ |
$ |
$ |
$ |
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Choose an item. |
$ |
$ |
$ |
$ |
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Total Existing Budget |
$ |
$ |
$ |
$ |
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Additional Budget Request (Requires Fiscal Review Request Form) |
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Choose an item. |
$ |
$ |
$ |
$ |
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Choose an item. |
$ |
$ |
$ |
$ |
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Choose an item. |
$ |
$ |
$ |
$ |
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Total Additional Budget Request |
$ |
$ |
$ |
$ |
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Total Funding Sources |
$ |
$ |
$ |
$ |
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Grants - Proposed Budget (For Grants Items only) |
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Labor |
Non-Labor |
Total |
No. of Grant Years |
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Local Match Source - Existing Budget: Choose an item. |
$ |
$ |
$ |
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Local Match Source - Additional Budget Request: Choose an item. |
$ |
$ |
$ |
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Grant Funds Applied for/Awarded (Total) |
$ |
$ |
$ |
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Personnel (Fill out section only if requesting new PCNs) |
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Current Position Count for Service |
- |
- |
- |
- |
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Additional Positions Request |
- |
- |
- |
- |
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Total Personnel |
- |
- |
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Anticipated Court Date: 5/14/2026
Anticipated Implementation Date (if different from Court date): Click or tap to enter a date.
Emergency/Disaster Recovery Note: Not an emergency, disaster, or ARPA related item
Contact(s) name, title, department: Louis Smith, Chief Operating Officer, Victoria Nikitin, Chief Financial Officer, Harris Health
Attachments (if applicable): Capital Projects Update Q2 FY2026, Harris Health