ESBD_521004_1780004246154_Exhibit A-9 Provider Report 12month w-o lag 3_31_26 - most recent.xls

This is a Provider Report for the Travis County Healthcare District's CENT health plan (Plan Sponsor ID 0000000097013764), documenting healthcare provider network data for claims incurred between January 1, 2025, and February 28, 2026, with zero months lag as of the report run date of March 31, 2026. The report provides a comprehensive listing of in-network and out-of-network healthcare providers across multiple service categories including acute care hospitals, ambulatory surgery centers, psychiatric facilities, rehabilitation centers, specialty clinics, and individual practitioners. The report encompasses providers across Texas and extends to facilities in multiple states including California, Florida, Georgia, Illinois, Kansas, Louisiana, New Mexico, Ohio, Pennsylvania, and others. The network includes major health systems such as Ascension Seton, St. David's, Baylor Scott & White, HCA Healthcare affiliates, Dell Children's Medical Center, and Memorial Hermann, as well as numerous independent practitioners and diagnostic service providers. The report reflects a self-insured plan structure covering all product lines and service areas with a minimum paid amount threshold of $500, excluding non-covered claims.

The provider report details network status indicators showing participation agreements (Par) and non-participation (Non-Par) designations for each provider entity, along with associated Tax IDs and Provider IDs for claims processing and identification purposes. The network demonstrates substantial geographic coverage with concentrated provider relationships in the Austin, Texas metropolitan area and surrounding regions including Round Rock, Cedar Park, Georgetown, Kyle, and Pflugerville, while maintaining relationships with tertiary care centers and specialty providers in Houston, Dallas, San Antonio, and other regional medical centers. The report includes diverse provider types ranging from large acute care hospitals with multiple locations to individual healthcare professionals in specialties such as obstetrics and gynecology, pediatrics, psychiatry, anesthesiology, and numerous other medical disciplines. Administrative service providers including home health agencies, infusion centers, durable medical equipment suppliers, and transportation services are also included in the network structure to support comprehensive healthcare delivery coordination for the plan's members.