Renowned worldwide for its expertise and breakthrough developments in clinical care and research, Texas Children's is nationally ranked in all 10 subspecialties in U.S.News & World Report's 2009 list of America's Best Children's Hospitals. It is one of only 10 hospitals nationwide to achieve the Honor Roll status. Since opening its doors in 1954, Texas Children's Hospital has cared for more than one million children from every corner of the world and has more than 1.5 million patient encounters annually. The hospital's Centers of Excellence – Texas Children's Cancer Center, Texas Children's Heart Center, Texas Children's Newborn Center and Texas Children's Fetal Center – are leading their fields with programs and patient outcomes among the best in the nation. The Texas Children's Hospital medical staff consists of more than 1500 board-certified, primary-care physicians, pediatric subspecialists, pediatric-surgical subspecialists and dentists. Texas Children's Hospital is affiliated with Baylor College of Medicine and is its primary pediatric training site, with one of the largest pediatric residency programs in the country. Texas Children's Hospital is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the nation's predominant standards setting and accrediting body in health care. Texas Children's Hospital received Magnet Recognition in 2003 and redesignation in 2007, an honor bestowed on only 6% of hospitals across the country, recognized for nursing excellence. Texas Children's Hospital and Baylor College of Medicine represent one of the most active and best-funded pediatric research programs in the country with more than 800 basic research and clinical studies backed by approximately $100 million in extramural grant funding annually. In addition to five Texas Children's Health Centers located throughout Houston, Texas Children's also operates Texas Children's Pediatric Associates, the largest primary care network with more than 44 practices and more than 170 physicians. Texas Children's also supports the community with Texas Children's Health Plan, the country's first and largest health maintenance organization solely for pediatric care with over 230,000 members. In 1999, Texas Children's Hospital implemented the Project Medical Home (PMH) project, which provides access to primary pediatric health care services for children in medically underserved areas of Houston, regardless of their ability to pay. The program's five practices have served more than 56,000 children. One of the largest employers in Houston with more than 7,000 employees, Texas Children's Hospital has been recognized for the last three years as one of Houston Business Journal Texas Children's Hospital has embarked on a $1.5 billion expansion, Vision 2010, which includes the Dan and Jan Duncan Neurological Research Institute, the Feigin Center expansion, a comprehensive obstetrics facility focusing on high-risk births and a community hospital in suburban West Houston. Texas Children's capital campaign, Heal Sick Children, has raised more than $347 million for the advancement of patient care, education and research at Texas Children's Hospital.