2019-08-14T17:30:32-05:00 2018-09-30 350921680 CROWE LLP 750 N St Paul Suite 850 Dallas TX 75201 990 2017-10-01 760460242 TCH Pediatric Associates Inc TCHP 8328422982 PO Box 300630 Houston TX 772300630 WELDON GAGE Executive Vice President & CFO 2019-08-14 false Rachel Spurlock P00520729 2147775200 2017 2019-02-21 02:37:17Z Texas Children's Pediatrics WELDON GAGE PO Box 300630 Houston TX 772300630 207929159 false X www.texaschildrenspediatrics.org X 1994 TX TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. 7 3 1439 0 0 0 6039591 6576526 195958137 201352633 0 0 201997728 207929159 2194 0 0 130796276 132799206 0 0 75464527 75943005 206262997 208742211 -4265269 -813052 60557690 57152974 30828321 25844370 29729369 31308604 TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. false false 185456414 191285001 PATIENT CARE: PROVIDING A CONCENTRATION OF SKILLS AND RESOURCES NECESSARY FOR THE DIAGNOSIS AND TREATMENT OF ILL CHILDREN FROM BIRTH THROUGH ADOLESCENCE, ALONG WITH CONTINUING EVALUATION AND GUIDANCE TO FAMILIES AND THEIR CHILDREN REGARDING HEALTHY PHYSICAL AND EMOTIONAL GROWTH AND DEVELOPMENT. TOTAL PATIENT ENCOUNTERS FOR THE YEAR ENDED 9/30/2018 WERE 1,290,053. 9760864 10067632 MEDICAL EDUCATION: CONDUCTING PARENT AND PUBLIC EDUCATION PROGRAMS NECESSARY TO PROMOTE THE PREVENTION OF ILLNESS IN CHILDREN AND TO ENCOURAGE THE EARLY RECOGNITION OF THE NEED FOR HEALTH SERVICES. 195217278 true true false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 100 0 true 1439 true false false false false false false true false false false X 7 3 false false false false true true true true false false false true true true true true true false true false X Jennifer Little 8328242972 1919 S Braeswood Blvd Houston TX 77030 Mark W Kline MD Board Chairman 1.0 4.0 X X 0 40122 300000 GORDON SCHUTZE MD BOARD MEMBER / VICE CHAIRMAN / SECRETARY 1.0 1.0 X X 0 0 0 Stanley Spinner MD Board Member / Chief Medical Officer / Vice President 1.0 39.0 X X 0 422701 40026 Jan E Drutz MD Board Member 1.0 1.0 X 0 1375 0 Cheryl Hardin MD Board Member 39.0 1.0 X 269143 0 23498 Joan E Shook MD Board Member 1.0 1.0 X 0 0 0 Chuwey Tsai-Weinberg MD Board Member 39.0 1.0 X 341050 0 25994 Kay Tittle PRESIDENT 25.0 15.0 X 0 601169 104153 Patricia Coleman Director 40.0 0 X 205069 0 33985 Theresa LeBlanc Director 40.0 0 X 204234 0 49382 Mari Trace Director 40.0 0 X 158108 0 31649 KATHLEEN HASSELL MD PHYSICIAN 40.0 0 X 579284 0 39761 Benjamin Ho MD Physician 40.0 0 X 651642 0 43698 Hubert Ho MD Physician 40.0 0 X 873963 0 50018 Alexander Gonzalez MD Physician 40.0 0 X 543519 0 50546 Hung Lam MD PHYSICIAN 40.0 0 X 531249 0 29373 Melissa Fischer Director 39.0 1.0 X 217759 0 36766 Lucio Fragoso Former Vice President 0.0 40.0 X 0 371184 112014 Sara Montenegro ASSISTANT VICE PRESIDENT 40.0 0 X 0 189598 35108 4575020 1626149 1005971 274 true true false TEAMHEALTH MEDICAL CALL CENTER PO BOX 635013 CINCINNATI OH 452635013 CALL CENTER 1190893 APEX PRINT TECHNOLOGIES LLC PO BOX 734197 CHICAGO IL 606734197 BILLINGS SERVICES 629758 TEXAS DEPARTMENT OF HEALTH SERVICE PO Box 149347 AUSTIN TX 787149347 NEWBORN SCREENING 575412 SCRIBE AMERICA PO BOX 417756 BOSTON MA 022417756 SCRIBING SERVICES 392324 COMFORCE TECHNICAL SERVICES INC PO BOX 9695 UNIONDALE NY 115559695 STAFFING SERVICES 305144 18 6500000 68112 8414 6576526 OUTPATIENT REVENUE 621400 198357939 198357939 NON-PATIENT OPERATING 900099 2860648 2860648 MANAGEMENT FEES 900099 108500 108500 CLEAN CLAIMS INTEREST 900099 25546 25546 0 0 0 0 201352633 0 0 0 0 0 0 0 0 0 207929159 201352633 0 0 1339069 603235 735834 108110451 100804232 7306219 4799647 4446749 352898 12275840 11133824 1142016 6274199 5702450 571749 2748345 2675108 73237 0 292898 272606 20292 3495840 3326673 169167 11833637 11819258 14379 149839 130204 19635 135396 119405 15991 5524239 5511590 12649 1116213 1108286 7927 MEDICAL SUPPLIES 44650315 44650315 MANAGEMENT FEES 3000000 3000000 AFTER HOURS CALL CENTER 1390271 1390271 BAD DEBT 541509 541509 1064503 981563 82940 0 208742211 195217278 13524933 0 20750400 17662087 5894881 5419958 0 0 0 6054396 4232559 418080 403736 69165274 46265025 22426912 22900249 0 0 915749 924111 4097272 5610274 60557690 57152974 23090284 22882826 1516296 1202561 0 6221741 1758983 30828321 25844370 X 29729369 31308604 29729369 31308604 60557690 57152974 X -813052 2392287 X false true X true false X 2235575 2158343 6061797 6039591 6576526 23071832 182884373 195559633 194599275 195958137 201352633 970354051 0 0 0 185119948 197717976 200661072 201997728 207929159 993425883 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 993425883 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185119948 197717976 200661072 201997728 207929159 993425883 1 1.0 0 0.0 X 50301 15708 34593 48988089 30610009 18378080 19421203 15639308 3781895 705681 705681 22900249 DUE FROM AFFILIATES 3971209 INVESTMENT IN TEXAS CHILDREN'S URGENT CARE 1278326 OTHER MISCELLANEOUS RECEIVABLES 360739 5610274 DUE TO TEXAS CHILDREN'S HOSPITAL 1758983 1758983 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS AS OF SEPTEMBER 30, 2018 OR 2017. false true false false false false false false false Mark W Kline MD Board Chairman 0 0 0 40122 0 0 0 300000 0 0 0 340122 0 0 Stanley Spinner MD Board Member / Chief Medical Officer / Vice President 0 342664 0 15950 0 64087 0 18641 0 21385 0 462727 0 0 Cheryl Hardin MD Board Member 160142 0 77104 0 31897 0 12407 0 11091 0 292641 0 0 0 Chuwey Tsai-Weinberg MD Board Member 125139 0 194015 0 21896 0 10965 0 15029 0 367044 0 0 0 Lucio Fragoso Former Vice President 0 331547 0 19600 0 20037 0 99520 0 12494 0 483198 0 0 Kay Tittle PRESIDENT 0 472060 0 26725 0 102384 0 90810 0 13343 0 705322 0 0 Melissa Fischer Director 205982 0 4945 0 6832 0 16949 0 19817 0 254525 0 0 0 Sara Montenegro ASSISTANT VICE PRESIDENT 0 168276 0 9850 0 11472 0 12837 0 22271 0 224706 0 0 Patricia Coleman Director 192804 0 4600 0 7665 0 15851 0 18134 0 239054 0 0 0 Theresa LeBlanc Director 192133 0 4775 0 7326 0 16379 0 33003 0 253616 0 0 0 Mari Trace Director 144955 0 3620 0 9533 0 5988 0 25661 0 189757 0 0 0 KATHLEEN HASSELL MD PHYSICIAN 416976 0 154641 0 7667 0 7950 0 31811 0 619045 0 0 0 Benjamin Ho MD Physician 540092 0 97329 0 14221 0 9275 0 34423 0 695340 0 0 0 Hubert Ho MD Physician 791007 0 55881 0 27075 0 21350 0 28668 0 923981 0 0 0 Alexander Gonzalez MD Physician 436128 0 81648 0 25743 0 18550 0 31996 0 594065 0 0 0 Hung Lam MD PHYSICIAN 327732 0 184302 0 19215 0 18550 0 10823 0 560622 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Compensation for the organization's top management official is established by Texas Children's and Texas Children's Hospital, using the following methods: * Compensation Committee * Independent Compensation Consultant * Compensation Survey or Study * Approval by the Board or Compensation Committee Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan CY 2017 457(F) PLAN: PAID / DEFERRED STANLEY SPINNER, M.D. 60,510 / 0 KAY TITTLE 108,743 / 69,460 LUCIO FRAGOSO 19,600 / 83,620 SARA MONTENEGRO 9,850 / 0 DIRECTOR INCENTIVE PLAN: PAID / DEFERRED PATRICIA COLEMAN 4,600 / 0 MELISSA FISCHER 4,925 / 0 THERESA LEBLANC 4,775 / 0 MARI TRACE 3,600 / 0 457(F): THE 457(F) PLAN IS A NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT ALLOWS ELIGIBLE EXECUTIVES, FROM THE ASSISTANT VICE PRESIDENT LEVEL TO CHIEF EXECUTIVE OFFICER, TO RECEIVE SUPPLEMENTAL EXECUTIVE RETIREMENT INCOME. FUNDS MAY BE CREDITED INTO THIS ACCOUNT FROM AN EMPLOYER CONTRIBUTION, CALCULATED BASED ON AN INDIVIDUAL'S TITLE AND BASE SALARY AS OF JANUARY 1. THESE EMPLOYER FUNDED CONTRIBUTIONS VEST THE EARLIER OF FIVE YEARS, OR THE ATTAINMENT OF AGE 60 AND 75-POINTS DETERMINED AS OF THEIR AGE AND YEARS OF SERVICE. THE 457(F) PLAN ALSO CONTAINS RESIDUAL LONG-TERM INCENTIVE PLAN CONTRIBUTIONS AND CAPITAL ACCUMULATION CONTRIBUTIONS FROM A FLEXIBLE BENEFIT ACCOUNT SURPLUS. THE LONG-TERM INCENTIVE CONTRIBUTIONS VEST AFTER THREE YEARS AND THE CAPITAL ACCUMULATION CONTRIBUTIONS VEST AFTER 5 YEARS IN THE PLAN. DIRECTOR INCENTIVE PLAN: THE DIRECTOR INCENTIVE PLAN IS AN ANNUAL INCENTIVE PLAN IN WHICH ELIGIBLE DIRECTORS PARTICIPATE. THE PLAN SHARES GOALS WITH THE EXECUTIVE ANNUAL INCENTIVE PLAN, FOCUSING ON FACTORS SUCH AS FINANCIAL PERFORMANCE, QUALITY GOALS, AND PATIENT SATISFACTION. IN ADDITION, THERE ARE INDIVIDUAL COMPONENTS FOR EACH DIRECTOR WHICH VARY DEPENDING ON THE EXPECTED OUTCOMES FOR THAT AREA AND/OR YEAR. Form 990, Part VI, Line 6 Classes of members or stockholders TEXAS CHILDREN'S IS THE SOLE CORPORATE MEMBER OF TCH PEDIATRIC ASSOCIATES. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body TEXAS CHILDREN'S ANNUALLY APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders PER THE ORGANIZATION'S BYLAWS, THE MEMBER HAS CERTAIN RESERVED POWERS: -APPROVE, INTERPRET OR CHANGE THE PURPOSE OF THE CORPORATION. -FIX THE NUMBER, APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR OF THE CORPORATION. -APPROVE THE MERGER, DISSOLUTION OR CONSOLIDATION OR REORGANIZATION OF THE CORPORATION. -APPROVE THE ACQUISITION, SALE, LEASE, TRANSFER, OR OTHER ALIENATION OF PROPERTY OF THE CORPORATION, OTHER THAN IN THE USUAL AND REGULAR COURSE OF THE CORPORATION'S BUSINESS, WHEN SUCH ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION IS ABOVE SPECIFIC FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER. -APPROVE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. -Adoption or amendment of salaries or other compensation (including the awarding of any incentive compensation) of the officers of the Corporation, physician employees of the Corporation, if any, and physicians who are independent contractors to the Corporation, if any. -APPROVE DEBT INCURRED BY THE CORPORATION, WHICH IS IN EXCESS OF SUCH LIMITS AS ARE ESTABLISHED BY THE MEMBER. -APPROVE THE DISPOSITION OF ASSETS OF THE CORPORATION AT THE TIME OF ITS DISSOLUTION. -APPROVE ANY LONG-RANGE FINANCIAL OR STRATEGIC PLANS FOR THE CORPORATION. -Selection of the Corporation's auditors and legal counsel. -Creation or sale of any subsidiaries of the Corporation. -Any affiliation, joint venture, contract, employment, retention, indemnification, or other arrangements between the Corporation and any insurer, health maintenance organization, preferred provider organization, medical school, hospital, clinic, pharmacy, physician, Hospital affiliate, or other provider of health or related services, including, without limitation, all service terms and compensation arrangements. -Establishment by the Corporation of any training or residency program. -The giving, seeking, or receiving of grants. -Adoption or amendment of any indemnification rights, obligations, or agreements affecting the Corporation. -Purchase, adoption, amendment, cancellation, or replacement of any insurance coverage for the Corporation or its Directors, officers and agents, as well as copies of any notices of cancellation received by the Corporation. -The commencement of litigation or the settlement of litigation or other claims. -Approval of the adoption or amendment of fee schedules relating to patient services. -Designation of additional or successor Member(s). -TAKE ANY ACTION WHICH WOULD BE INCONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE MEMBER. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body NO SUCH COMMITTEES EXIST. Form 990, Part VI, Line 11b Review of form 990 by governing body PER A RESOLUTION APPROVED BY THE MEMBER'S BOARD OF DIRECTORS, THE MEMBER BOARD'S AUDIT & COMPLIANCE COMMITTEE HAS THE DELEGATED AUTHORITY TO REVIEW THE ORGANIZATION'S COMPLETED FORM 990 PRIOR TO FILING. FOLLOWING THE COMMITTEE'S REVIEW, THE COMPLETED FORM 990 IS DISTRIBUTED TO THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY THROUGH TWO SEPARATE PROCESSES, ONE THAT APPLIES TO THE BOARD MEMBERS, AND A SECOND THAT APPLIES TO OFFICERS AND KEY EMPLOYEES. 1) BOARD MEMBERS: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE MEMBER'S BOARD LEADERSHIP AND PRESENTED TO THE MEMBER'S AUDIT & COMPLIANCE COMMITTEE. IF THE COMMITTEE DEEMS THERE ARE ANY SIGNIFICANT ISSUES, THE RESPONSES ARE THEN REVIEWED BY THE MEMBER BOARD'S EXECUTIVE COMMITTEE AND ANY REQUIRED ACTION (RECUSEMENT FROM BOARD DELIBERATIONS RELATED TO THE CONFLICT, ETC.) IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT. 2) OFFICERS / KEY EMPLOYEES: PER THE ORGANIZATION'S BOARD APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE SERVICES DEPARTMENT. IF THE DEPARTMENT DEEMS THERE ARE ANY SIGNIFICANT ISSUES, REQUIRED ACTION IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT AND THE BOARD IS NOTIFIED OF SUCH ACTIONS. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE ANNUAL PROCESS FOR DETERMINING COMPENSATION INCLUDES: -REVIEW AND APPROVAL BY GOVERNING BODY AND COMPENSATION COMMITTEE, PROVIDED THAT PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE WERE NOT INVOLVED. -COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. -CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VII, Section A AVERAGE HOURS STANLEY W SPINNER, M.D.'S 39 HOURS AVERAGE PER WEEK REPRESENTS HIS ROLE AS A TCH PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HIS ROLE AS A COMPENSATED PHYSICIAN. CHERYL HARDIN, M.D.'S 39 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS A TCH PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HER ROLE AS A COMPENSATED PHYSICIAN. CHUWEY TSAI-WEINBERG, M.D.'S 39 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS A TCH PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HER ROLE AS A COMPENSATED PHYSICIAN. Form 990, Part VII, Section A INCENTIVE COMPENSATION DR. MARK W. KLINE, WHILE EMPLOYED BY BAYLOR COLLEGE OF MEDICINE, SERVES AS AN IN-CHIEF DIRECTING PATIENT CARE AT TEXAS CHILDREN'S HOSPITAL. DUE TO HIS SENIOR LEADERSHIP ROLE, HE IS ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON HIS CONTRIBUTION TO ACHIEVING THE ORGANIZATION'S STRATEGIC GOALS. ALL COMPENSATION IS EARNED IN HIS CAPACITY AS A PHYSICIAN LEADER. Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM TEXAS CHILDREN'S HOSPITAL - 110928; CONTRIBUTED CAPITAL - 326344; ASSETS RELEASED FOR EQUIPMENT - 1955015; SCHEDULE O FORM 5471 DISCLOSURE UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT: -TEXAS CHILDREN'S HOSPITAL FOUNDATION EIN: 20-2380599 6621 FANNIN ST HOUSTON, TX 77030 -TEXAS CHILDREN'S EIN: 76-0461578 1919 S. BRAESWOOD BLVD, 4TH FL HOUSTON, TX 77030 TEXAS CHILDREN'S 1919 S BRAESWOOD BLVD 4TH FL HOUSTON TX 77030 760461578 PARENT TX 501(c)(3) Type II NA false TEXAS CHILDREN'S PHYSICIAN GROUP 6621 FANNIN STREET HOUSTON TX 77030 260834681 HEALTH CARE TX 501(c)(3) 10 TEXAS CHILDREN'S true TEXAS CHILDREN'S HEALTH PLAN 6330 WEST LOOP SOUTH SUITE 800 8TH FLOOR BELLAIRE TX 77401 760486264 HEALTH CARE TX 501(c)(3) 10 TEXAS CHILDREN'S true TEXAS CHILDREN'S WOMEN'S SPECIALISTS PO BOX 300630 HOUSTON TX 77230 261482195 HEALTH CARE TX 501(c)(3) Type II TEXAS CHILDREN'S true TEXAS CHILDREN'S HOSPITAL 6621 FANNIN STREET HOUSTON TX 77030 741100555 HOSPITAL TX 501(c)(3) 3 TEXAS CHILDREN'S true TEXAS CHILDREN'S HOSPITAL FOUNDATION 6621 FANNIN STREET HOUSTON TX 77030 202380599 SUPPORTING ORG TX 501(c)(3) Type II TEXAS CHILDREN'S true TEXAS CHILDREN'S HEALTH PLAN - THE CENTER 6621 FANNIN STREET HOUSTON TX 77030 461392824 HEALTH CARE TX 501(c)(3) Type I TEXAS CHILDREN'S HEALTH PLAN true TEXAS CHILDREN'S URGENT CARE 1919 S BRAESWOOD BLVD 4TH FLOOR HOUSTON TX 77030 472029489 HEALTH CARE TX 501(c)(3) 10 TCH PEDIATRIC ASSOCIATES INC true THE GORDON AND MARY CAIN PEDIATRIC NEUROLOGY RESEARCH FOUNDATION 9 GREENWAY PLAZA HOUSTON TX 77046 760246858 SUPPORTING ORG TX 501(c)(3) Type I TEXAS CHILDREN'S HOSPITAL true CORDILLERA PRIMARY WAVE CO-INVESTMENT FUND LP 3000 SAND HILL ROAD BUILDING 3 SUITE 100 MENLO PARK CA 94025 821568240 INVESTMENT CA NA N/A TCH INSURANCE COMPANY LTD 23 LIME BAY AVE GRAND CAYMAN CJ KY11102 980176652 INSURANCE CJ NA C Corporation true CVI GVF HOLDINGS 3 LTD UGLAND HOUSE SOUTH CHURCH ST GEORGE TOWN CJ KY11104 981078282 INVESTMENT CJ NA C Corporation true false false true false false false false false false false false true true true true true false false true TEXAS CHILDREN'S HOSPITAL C 6500000 COST TEXAS CHILDREN'S HOSPITAL M 3000000 COST TEXAS CHILDREN'S HOSPITAL P 30731104 COST TEXAS CHILDREN'S HOSPITAL S 110928 COST TEXAS CHILDREN'S HEALTH PLAN L 21316158 COST