Endowment Gifts
make life better for children today, tomorrow and forever
By establishing endowed funds, donors can ensure that Children’s Health will have income in perpetuity to continue meeting the needs of the children we serve.
Endowments are established to provide ongoing support for a project, program or need that is close to a donor’s heart. Contributions are invested to generate earnings, and each year, a portion of the earnings (as determined by the spending policy adopted by the board of Children’s Health) will support the designated purpose of the gift. Earnings in excess of the spend amount are reinvested, allowing the principal to grow. As the principal grows, earnings will also grow, providing an ongoing source of support.
A minimum gift of $50,000 is required to establish a new endowment at Children’s Health. Funds can be added to the endowment at any time. Donors can also become part of a collective endowment with a gift of any size. Collective endowments support clinical research, mental health and the general fund.

Endowment Prospectus 2025
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Endowment Prospectus 2024
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Endowment Prospectus 2023
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investment policy
The Investment Office at Children's Health manages the financial assets of the health care system, which include board-designated reserves in the form of a quasi-endowment and donor funds entrusted to Children's Health in perpetuity.
The Foundation's substantial investment portfolio offers a wide array of opportunities for active investment management, giving us the opportunity to partner with talented external fund managers to identify profitable investment opportunities greater than what the broader stock and bond market can provide. Active management goes hand-in-hand with diversification across investment mandates, investing styles, geographies and asset classes. The combination of active management and diversification allows us to strive for superior investment results over time.
The four pillars of our investment approach — our long-term horizon, active management, diversification and awareness of risk — are meant to uplift the mission of Children's Health. For the Investment Office and its stakeholders, our first duty of care is as fiduciaries for the financial interest of the hospital system and its mission, including its ability to serve future generations.
fund distribution
The annual spending policy for endowments at Children's Medical Center Foundation specifies a 5% distribution of a rolling 12-quarter average of the ending fair market value of the fund. Because the endowment pool performance fluctuates from year to year, the 12-quarter rolling average helps to stabilize the support these funds provide to programs. The 5% distribution rate is reviewed annually to protect the corpus of endowments and ensure the funds continue to provide sustainable, reliable support for our donors' designated purposes. Endowment distribution policies comply with the Texas Uniform Prudent Management of Institutional Funds Act, as amended.
Important Considerations
Before pursuing this giving method, donors should be aware of the following:
Perpetual commitment: Endowments are designed to exist in perpetuity — the principal is preserved and only a portion of annual earnings is distributed. Donors should understand this is a long-term commitment to Children's Health's mission.
Minimum gift of $50,000 required for named endowments: To establish a new named endowment, a minimum gift of $50,000 is required, either as a single gift or through pledges. Gifts of any size may be directed to a collective endowment.
Spending policy may change: The current annual spending distribution is 5% of a rolling 12-quarter average. This rate is reviewed annually by the Children's Health board and may be adjusted over time to protect the endowment corpus.
Designation flexibility: While donors may designate a specific program or purpose, Children's Medical Center Foundation may contact donors (or their heirs) if circumstances require a modification to ensure the endowment continues to fulfill its intent.
Tax deductibility: Endowment gifts are tax-deductible to the extent permitted by law. Donors should consult their financial advisor for specifics based on their personal tax situation.
This information is not intended as tax, legal, or financial advice. Consult your personal financial advisor for information specific to your situation.
Key Rules and Guidelines
The following IRS rules, limits, and requirements apply to this giving method:
Texas UPMIFA compliance: Endowment distribution policies at Children's Medical Center Foundation comply with the Texas Uniform Prudent Management of Institutional Funds Act (UPMIFA), as amended, which governs the management and expenditure of institutional endowment funds.
Pledge agreements: Multi-year pledges toward an endowment are not legally binding charitable deductions until the gift is actually paid. Donors should consult their tax advisor regarding the timing of deductions.
Named endowment agreements: A formal endowment agreement is executed between the donor and the Foundation to document the endowment's purpose, naming rights, and distribution intent.
Rules and limits referenced above reflect current law. Tax law is subject to change. Please consult a qualified tax or legal professional for advice specific to your situation.
Interested in learning more?
Reach out to our Legacy & Gift Planning team today to learn about ways to make a tax-smart gift.
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When you make a planned gift, you are providing the places you care about a sustainably funded future, while also leaving a personal legacy you can be proud of.
