2020-07-14T15:29:51-05:00 2019-08-31 ERNST & YOUNG US LLP 101 E WASHINGTON ST STE 910 PHOENIX AZ 85004 990 2018-09-01 742358461 Driscoll Children's Hospital Development Foundation Inc % MARTHA AVERY DRIS 3618544165 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 STEVE KING CFO 3616945146 2020-07-09 true PATRICK SHIELDS P01508556 6023223000 181.167.65.137 75306120201965000083 2020-07-14 P CCA9B02C92422D8D903F8C535EA08F049314C3B6 EB3C996CCFA061CE6B98D74F50350684375809F1 2018 2021-01-29 14:40:06Z MARTHA AVERY SAME AS C ABOVE CORPUS CHRISTI TX 78411 6148592 false X DRISCOLLCHILDRENS.ORG/GIVING X 1984 TX TO PROVIDE FOR CHILDREN'S SERVICES AT DRISCOLL CHILDREN'S HOSPITAL. 24 22 13 100 0 0 7188901 4940605 0 0 447890 274315 299618 725282 7936409 5940202 7371178 5731742 0 0 0 0 0 0 0 40700 39627 7411878 5771369 524531 168833 14780628 15178863 0 0 14780628 15178863 TO PROVIDE FOR CHILDREN'S SERVICES AT DRISCOLL CHILDREN'S HOSPITAL. false false 5731742 5731742 0 THE FOUNDATION MAKES DONATIONS TO DRISCOLL CHILDREN'S HOSPITAL TO SUPPORT THE HOSPITAL'S SERVICES PROVIDED TO CHILDREN. 5731742 true true false false false false false false false true true true false false false true false true false false false false false false true false false true false true false false false false false false false false false false false false false true true true false false true 0 0 13 false false false false false true true false false false false false false X 24 22 true false false false true true true true true false false true true true true false true false false false X MARTHA AVERY 3616946405 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 Martha A Avery Executive Director 37.0 3.0 X X 0 221760 63752 Diane Gates President 1.0 0.0 X X 0 0 0 Alex Kirkland Past President 1.0 0.0 X X 0 0 0 Marc Layton Vice President 1.0 0.0 X X 0 0 0 Bob Shockney Vice President 1.0 0.0 X X 0 0 0 Susan Bonner Secretary 1.0 0.0 X X 0 0 0 Kurt Roush Treasurer 1.0 0.0 X X 0 0 0 Leah Cohen Director 1.0 0.0 X 0 0 0 Joe DeBellas Director 1.0 0.0 X 0 0 0 Diane DeCou Director 1.0 0.0 X 0 0 0 Miguel DeLeon MD Director 1.0 0.0 X 0 0 0 Samantha Gates Director 1.0 0.0 X 0 0 0 ERIC HAMON Ex-Officio 1.0 39.0 X 0 773432 135278 Nancy Hawn Director 1.0 0.0 X 0 0 0 Janie Hokins Director 1.0 0.0 X 0 0 0 Natesh Kumar Director 1.0 0.0 X 0 0 0 Marco Longoria Director 1.0 0.0 X 0 0 0 Juli Lowry Director 1.0 0.0 X 0 0 0 Andy Saenz Director 1.0 0.0 X 0 0 0 Evelyn Sames Director 1.0 0.0 X 0 0 0 Manette Scanio Director 1.0 0.0 X 0 0 0 Roger Timperlake MD Director 1.0 0.0 X 0 0 0 Kimberly Walker-Tijerina Director 1.0 0.0 X 0 0 0 Wes Weigle Director 1.0 0.0 X 0 0 0 Richard Valls Jr Vice President (THRU 08/2019) 1.0 0.0 X X 0 0 0 Tom Hunt Director (THRU 12/2018) 1.0 0.0 X 0 0 0 John F Hyde Director Major Gifts 40.0 0.0 X 124078 0 22242 Steven R Woerner FORMER Ex-Officio 0.0 0.0 X 0 6017595 48107 124078 7012787 269379 1 true true false 0 535839 4404766 4940605 0 272996 272996 0 0 0 0 0 1319 1319 1319 1319 933672 535839 208390 725282 725282 0 0 0 0 0 0 0 5940202 999597 5731742 5731742 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20692 0 20692 0 0 0 0 0 0 0 0 0 18344 0 18344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ANNUITY PAYMENTS & MISC 591 0 591 0 5771369 5731742 39627 0 0 160290 83322 263392 163212 3800372 3587780 0 0 0 0 0 0 0 0 0 0 0 0 30383 29052 6730 1331 10549844 11343218 0 0 0 0 0 0 0 0 14780628 15178863 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9330465 9610050 1291488 1046342 4158675 4522471 14780628 15178863 14780628 15178863 X 168833 116152 113250 X false true X true false X 4331792 10440021 2724143 7188901 4940605 29625462 0 0 4331792 10440021 2724143 7188901 4940605 29625462 2459246 27166216 151038 184186 65148 245312 272996 918680 77280 72527 20057 299618 725282 1194764 7174 7174 31746080 0.85574 0.87180 X SCHEDULE A, PART II, COLUMN(C) THE AMOUNTS INCLUDED IN PART II, COLUMN(C) ARE FOR A SHORT PERIOD, 05/01/2017 - 08/31/2018. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10549844 437350 356024 11343218 9725329 53525 770990 10549844 9351438 45576 328315 9725329 8074567 412169 864702 9351438 7641973 524276 -91682 8074567 0.62690 0.37310 false false 0 30383 29052 1331 1331 0 0 X SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE INTENDED USE OF THESE FUNDS IS TO FURTHER THE DEVELOPMENT FOUNDATION'S MISSION OF PROVIDING SERVICES TO CHILDREN AT DRISCOLL CHILDREN'S HOSPITAL. SCHEDULE D, PART X, LINE 2 THE HOSPITAL IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS, HOWEVER, SUBJECT TO FEDERAL AND STATE INCOME TAX ON UNRELATED BUSINESS INCOME AND FILES UNRELATED BUSINESS INCOME TAX AND OTHER INFORMATION RETURNS AS REQUIRED BY GOVERNMENT AUTHORITIES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OF THE ACCOMPANYING CONSOLIDATED BALANCE SHEET AS OF AUGUST 31, 2019 AND 2018. FIESTA 835567 535839 299728 8860 49141 12000 23735 ROUND UP 216465 216465 2100 338 3 417479 417479 66240 5308 15741 24927 1469511 535839 933672 2100 75100 54449 27741 49000 208390 725282 DIRECT FUNDRAISING EXPENSE DIRECT FUNDRAISING EXPENSES ARE DONATED TO THE FOUNDATION BY THE HOSPITAL. AS PER IRS INSTRUCTIONS, THESE DONATED SERVICES AMOUNTS ARE NOT INCLUDED ON FORM 990 FOR THE ORGANIZATION AND ARE REPORTED AS FUNDRAISING EXPENSE ON THE DRISCOLL CHILDREN'S HOSPITAL FORM 990. true DRISCOLL CHILDREN'S HOSPITAL 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742577746 501(c)(3) 5731742 PROGRAM SUPPORT 1 0 SCHEDULE I, PART I, LINE 2 DESCRIBE THE ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANT WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY. true true false false false false false false false Martha A Avery Executive Director 0 129043 0 27925 0 64792 0 44508 0 19244 0 285512 0 0 ERIC HAMON Ex-Officio 0 587092 0 71391 0 114949 0 104433 0 30845 0 908710 0 0 Steven R Woerner FORMER Ex-Officio 0 249986 0 0 0 5767609 0 40777 0 7330 0 6065702 0 5767609 SCHEDULE J, PART I, LINE 3 THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY A RELATED TAX-EXEMPT ORGANIZATION. SEE SCHEDULE O FOR FORM 990, PART VI, LINES 15A AND 15B FOR THE PROCESS USED BY THE RELATED ORGANIZATION TO DETERMINE COMPENSATION. SCHEDULE J, PART I, LINE 4A RECEIVE A SEVERANCE PAYMENT OR CHANGE-OF-CONTROL PAYMENT Steven R. Woerner received Severance payments totaling $564,311 for the year from a related organization. SCHEDULE J, PART I, LINE 4B Participants in/payment from a supplemental nonqualified retirement plan The nonqualified 457(F) plan covered the Executive Leadership Team from a related organization affecting one employee during 2018. Vesting occurs when employees meet a preselected date they choose at the time of enrollment. The following employee received taxable distributions for the plan during 2018. The amount is included in column (B)(III) as other compensation. Steve R. Woerner $5,092,833 FORM 990, PART VI, LINE 1A DELEGATED BOARD AUTHORITY THE EXECUTIVE COMMITTEE IS COMPOSED OF THE PRESIDENT, VICE PRESIDENTS, TREASURER, SECRETARY AND PAST PRESIDENT. THE EXECUTIVE COMMITTEE CAN ACT ON BEHALF OF THE FULL BOARD WITH FULL SCOPE OF AUTHORITY. FORM 990, PART VI, LINE 2 FAMILY OR BUSINESS RELATIONSHIPS Diane Gates and Samantha Gates have a family relationship. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS DRISCOLL CHILDREN'S HOSPITAL IS THE SOLE MEMBER OF DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT FOUNDATION. FORM 990, PART VI, LINE 7A DESCRIBE MEMBERS OR STOCKHOLDERS ELECTION OF GOVERNING BODY DRISCOLL CHILDREN'S HOSPITAL, THE SOLE MEMBER, APPOINTS ONE BOARD MEMBER AND APPROVES ALL BOARD MEMBER NOMINATIONS. FORM 990, PART VI, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS OR STOCKHOLDERS DIRECTORS MAY BE REMOVED WITH OR WITHOUT CAUSE BY A MAJORITY VOTE OF THE GOVERNING BOARD, PROVIDED THAT SUCH REMOVAL IS APPROVED BY THE MEMBER. THE BOARD OF DIRECTORS MAY APPOINT AS WELL AS REMOVE THE ORGANIZATION'S OFFICERS, PROVIDED THAT SUCH APPOINTMENT OR REMOVAL IS APPROVED BY THE MEMBER. FORM 990, PART VI, LINE 11B DESCRIBE PROCESS TO REVIEW THE FORM 990 THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S EXECUTIVE DIRECTOR. THE FINAL REPORT IS EMAILED TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE EXECUTIVE DIRECTOR REVIEWS AND RESOLVES, IF NECESSARY, ANY ISSUES AS THEY ARISE THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINES 15A AND 15B PROCESS FOR DETERMINING COMPENSATION THE FILING ORGANIZATION DOES NOT DETERMINE COMPENSATION FOR OFFICERS. THE PROCESSES DESCRIBED BELOW ARE THAT OF DRISCOLL CHILDREN'S HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION. THE ORGANIZATION USES MGMA AND SULLIVAN COTTER PERCENTILES TO SET BASE COMPENSATION AND SKILL LEVELS. IF COMPENSATION LEVELS EXCEED CERTAIN PERCENTILES, A THIRD OUTSIDE CONSULTING FIRM IS USED TO VALUE THE MARKET VALUE FOR SERVICES RENDERED AND FOR GROUP COVERAGE AGREEMENTS. FOR CERTAIN COVERAGE AGREEMENTS, A FOURTH CONSULTING FIRM ASSISTS IN DETERMINING MARKET VALUE. COMPENSATION IS APPROVED BY THE ORGANIZATION'S GOVERNING BODY WITH THE DELIBERATION AND DECISION DOCUMENTED CONTEMPORANEOUSLY. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2019. FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 RECONCILIATION OF CHANGE IN NET ASSETS EQUITY TRANSFERS (NET) (5,399) TEMP ASSETS RELEASED FROM RESTRICTION (245,146) CHANGE IN PERM RESTRICTED NA 363,795 --------- TOTAL 113,250 DRISCOLL PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742988134 HEALTHCARE TX 501(c)(3) 3 DCH true CHILDREN'S PHYS SERVICES OF SOUTH TEXAS 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742620408 HEALTHCARE TX 501(c)(3) 3 DCH true DRISCOLL VALLEY PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234322 HEALTHCARE TX 501(c)(3) 3 DCH true DRISCOLL MATERNAL AND FETAL PHYS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234461 HEALTHCARE TX 501(c)(3) 10 DCH true DRISCOLL HEALTHCARE SERVICES 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 010962276 AVIATION TX 501(c)(3) 12A-I DCH true DRISCOLL CHILDREN'S HOSPITAL 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742577746 HOSPITAL TX 501(c)(3) 3 NA false DRISCOLL CHILDREN'S HEALTH PLAN 615 N UPPER BROADWAY STE 1621 CORPUS CHRISTI TX 78401 742838488 MEDICAID HMO TX 501(c)(3) 10 DCH true ALLEGRA INSURANCE COMPANY LTD PO BOX 1085GT WEST BAY ROAD GRAND CAYMAN CJ KY1-1109 980704641 CAPTIVE INS. CJ NA FOREIGN true false true false false false false false false false false false false false true true false true false false