TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (EIN 75-0818178)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-15
IRS object ID: 201812279349302156
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-15T12:03:46-05:00	ReturnTs
Tax Period End	2017-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON STREET STE 600	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	750818178	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Texas Scottish Rite Hospital for Crippled	BusinessNameLine1Txt
Business Name Line2	Children	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% JEAN ALLEN CONTROLLER	InCareOfNm
Business Name Control	TEXA	BusinessNameControlTxt
Phone	2145595000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 WELBORN ST	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WILLIAM R HUSTON	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Signature	2018-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	kathleen moseley	PreparerPersonNm
PTIN	P00116760	PTIN
Phone	8173351900	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ROBERT WALKER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 WELBORN ST	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$694,310,597	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SCOTTISHRITEHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1921	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	IMPROVING THE LIVES OF CHILDREN WITH ORTHOPEDIC RELATED CONDITIONS THROUGH PATIENT CARE, RESEARCH AND EDUCATION.	ActivityOrMissionDesc
Voting Members Governing Body	38	VotingMembersGoverningBodyCnt
Voting Members Independent	36	VotingMembersIndependentCnt
Total Employee	1288	TotalEmployeeCnt
Total Volunteers	743	TotalVolunteersCnt
Total Gross UBI	$1,274,365	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,190,673	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$24,540,940	PYContributionsGrantsAmt
CY Contributions Grants	$22,531,347	CYContributionsGrantsAmt
PY Program Service Revenue	$64,362,074	PYProgramServiceRevenueAmt
CY Program Service Revenue	$73,581,063	CYProgramServiceRevenueAmt
PY Investment Income	$85,199,899	PYInvestmentIncomeAmt
CY Investment Income	$112,344,462	CYInvestmentIncomeAmt
PY Other Revenue	$93,171,018	PYOtherRevenueAmt
CY Other Revenue	$96,235,230	CYOtherRevenueAmt
PY Total Revenue	$267,273,931	PYTotalRevenueAmt
CY Total Revenue	$304,692,102	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,630,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,118,392	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$106,910,883	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$117,925,553	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$7,187,804	CYTotalFundraisingExpenseAmt
PY Other Expenses	$72,106,223	PYOtherExpensesAmt
CY Other Expenses	$84,382,526	CYOtherExpensesAmt
PY Total Expenses	$182,647,106	PYTotalExpensesAmt
CY Total Expenses	$204,426,471	CYTotalExpensesAmt
PY Revenues Less Expenses	$84,626,825	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$100,265,631	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,492,910,685	TotalAssetsBOYAmt
Total Assets EOY	$2,731,833,096	TotalAssetsEOYAmt
Total Liabilities BOY	$167,108,685	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$169,093,881	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,325,802,000	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,562,739,215	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE THE HIGHEST QUALITY CARE TO IMPROVE THE LIVES OF CHILDREN WITH ORTHOPEDIC AND RELATED CONDITIONS AND SPECIFIC LEARNING DISABILITIES. TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN FOCUSES ON PATIENT CARE, RESEARCH AND EDUCATION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$160,703,234	ExpenseAmt
Grant	$2,108,392	GrantAmt
Revenue	$72,567,664	RevenueAmt
Desc	PATIENT CARE TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN IS ONE OF THE NATION'S LEADING PEDIATRIC CENTERS FOR THE TREATMENT OF ORTHOPEDIC CONDITIONS, CERTAIN RELATED ARTHRITIC AND NEUROLOGICAL DISORDERS AND LEARNING DISORDERS, SUCH AS DYSLEXIA. PATIENTS RECEIVE TREATMENT REGARDLESS OF THE FAMILY'S ABILITY TO PAY. THE ORTHOPEDICS PROGRAM INCLUDES OUTPATIENT CLINIC VISITS AND INPATIENT STAYS FOR THE DIAGNOSIS AND TREATMENT OF SUCH CONDITIONS AS SCOLIOSIS, CLUBFOOT, DISLOCATED HIP, LEGG-PERTHES, LIMB-LENGTH DIFFERENCES AND LIMB DEFICIENCIES, HAND DIFFERENCES AND SPORTS INJURIES. (CONTINUED ON SCHEDULE O.)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$10,896,444	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,013,399	RevenueAmt
Desc	RESEARCH THE HOSPITAL'S DEDICATED RESEARCH CENTER, TGHE SARAH M. AND CHARLES E. SEAY CENTER FOR MUSCULOSKELETAL RESEARCH, IS MADE UP OF SIX CENTERS OF EXCELLENCE - SCOLIOSIS AND SPINE DISORDERS, CLUBFOOT AND FOOT DISORDERS, HIP DISORDERS, LIMB LENGTH AND RECONSTRUCTION, HAND DIFFERENCES AND SPORTS MEDICINE - SUPPORTED BY RESEARCH DIVISIONS AND CORE FACILITIES. (CONTINUED ON SCHEDULE O.)	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,325,542	ExpenseAmt
Grant	$10,000	GrantAmt
Revenue	$0	RevenueAmt
Desc	EDUCATION TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN FUNCTIONS AS A PREMIER TEACHING INSTITUTION, PROVIDING COMPREHENSIVE EDUCATION AND TRAINING TO ORTHOPEDIC RESIDENTS AND POST-GRADUATE ORTHOPEDIC FELLOWS. IN ADDITION, THE HOSPITAL CONTRIBUTES TO THE EDUCATION OF ALLIED HEALTH PROFESSIONALS BY PROVIDING CLINICAL EXPERIENCE AND DIDACTIC EDUCATION FOR STUDENTS AS WELL AS CONTINUING EDUCATION FOR HEALTH CARE PROFESSIONALS. THE HOSPITAL IS CURRENTLY AFFILIATED WITH 57 INSTITUTIONS, INCLUDING COLLEGES, UNIVERSITIES AND TECHNICAL TRAINING PROGRAMS. (CONTINUED ON SCHEDULE O.)	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$172,925,220	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	371	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1288	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form1098 C Filed	Yes (true)	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	38	GoverningBodyVotingMembersCnt
Independent Voting Member	36	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JEAN ALLEN CONTROLLER	PersonNm
Phone	2145597507	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 WELBORN ST	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (72 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
M DOUGLAS ADKINS
VICE PRESIDENT	4.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
W EUGENE BROOKSHIRE
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
RUSSELL C BROWN
TRUSTEE	3.0	1.0	Yes (X)		$10,743	$0	$0
W VERNON BURKE
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
HAROLD D CARTER
VICE CHAIRMAN	4.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
RONALD L CARTER
TRUSTEE	4.0	1.0	Yes (X)		$0	$0	$0
DANIEL H CHAPMAN
VICE PRESIDENT	4.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
GRAHAM H CHILDRESS
VICE PRESIDENT	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID COUNTS JR
TRUSTEE(TERM ENDED JAN 2017)	3.0	0.0	Yes (X)		$0	$0	$0
STEPHEN F CROSS
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
KENNETH C CURRY
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
DAN DAVIDSON
TRUSTEE	4.0	0.0	Yes (X)		$0	$0	$0
JOSEPH M DEALY JR
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
LEE DRAIN
VICE CHAIRMAN	4.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
CLAUDE O ERVIN
TRUSTEE	4.0	0.0	Yes (X)		$0	$0	$0
JERRY C GILMORE
VP & ASSISTANT SECRETARY	4.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
WM GOWER
TRUSTEE	4.0	0.0	Yes (X)		$0	$0	$0
THOMAS F GRIFFIN
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
LEONARD P HARVEY
TRUSTEE (DECEASED JAN 2017)	3.0	1.0	Yes (X)		$0	$0	$0
TOM L HIGGINS
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
VESTER T HUGHES JR
VICE PRESIDENT(DECEASED 01/17)	4.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
BRACK JONES JR
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
JAMES E LANEY
VP & TREASURER	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DOUGLAS S MAXEY
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
TOM GUEST
TRUSTEE(RESIGNED JAN 2018)	2.0	0.0	Yes (X)		$0	$0	$0
ROBERT A NORTHCUTT PhD
TRUSTEE	4.0	1.0	Yes (X)		$0	$0	$0
JOHN C NOBLES
TRUSTEE	4.0	0.0	Yes (X)		$0	$0	$0
LYNDON L OLSON JR
CHAIRMAN OF THE BOARD	6.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
RONALD L SKAGGS
VP & SECRETARY	4.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
GUY F STOVALL JR
VP & ASSISTANT TREASURER	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
H FINLAY WATKINS
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
MURRAY WATSON JR
TRUSTEE (DECEASED 7/2018)	3.0	0.0	Yes (X)		$0	$0	$0
RALPH WAYNE
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
JAMES D NYFELER SR
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
MICHAEL K PICKENS
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
JEFF W SMITH
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
JOE H TYDLASKA
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
JOHN E WOOD
TRUSTEE (BEGIN 1/17)	3.0	0.0	Yes (X)		$0	$0	$0
JAMES C PENN
TRUSTEE (BEGIN 1/17)	3.0	0.0	Yes (X)		$0	$0	$0
ROBERT C MADISON
TRUSTEE (BEGIN 1/17)	3.0	0.0	Yes (X)		$0	$0	$0
BERT V MASSEY II
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
ROBERT L WALKER
PRESIDENT/CEO	40.0	1.0		Yes (X)	$775,125	$0	$27,743
WILLIAM R HUSTON
SR VP AND CFO	40.0	2.0		Yes (X)	$388,089	$0	$49,924
LORI DALTON
SR VP AND GENERAL COUNSEL	40.0	2.0		Yes (X)	$389,496	$0	$54,323
MATT CHANCE
SR VP, OPERATIONS	40.0	1.0		Yes (X)	$283,733	$0	$47,783
FREDRIC RICHMOND
SR VP & CHIEF INVESTMENT OFFIC	40.0	0.0		Yes (X)	$361,242	$0	$52,068
MARK G BATEMAN
SR VP, PUBLIC RELATIONS	35.0	5.0		Yes (X)	$372,169	$0	$51,560
CONNIE WRIGHT
VP, HUMAN RESOURCES	40.0	1.0		Yes (X)	$261,141	$0	$33,157
DON KATZ
VP, FACILITIES	40.0	0.0		Yes (X)	$253,802	$0	$128,102
DEBRA SAYLES
VP & CNO	40.0	0.0		Yes (X)	$282,211	$0	$176,790
LESLIE A CLONCH
VP & CHIEF INFORMATION OFFICER	40.0	0.0		Yes (X)	$341,692	$0	$54,520
JEREMY HOWELL
VICE PRESIDENT	40.0	0.0		Yes (X)	$210,560	$0	$47,569
STEPHANIE BRIGGER
VICE PRESIDENT	35.0	5.0		Yes (X)	$195,639	$0	$71,473
ELLEN HAYNES
VICE PRESIDENT	35.0	5.0		Yes (X)	$196,164	$0	$23,299
KRISTINA KEEVER-SMITH
INVESTEMENT OFFICER	40.0	2.0		Yes (X)	$224,007	$0	$36,882
JEAN ALLEN
CONTROLLER	40.0	2.0		Yes (X)	$173,527	$0	$37,427
DANIEL J SUCATO MD
CHIEF OF STAFF	40.0	1.0			$823,331	$48,000	$268,859	Yes (X)
J ANTHONY HERRING MD
CHIEF OF STAFF EMERITUS	40.0	0.0			$601,207	$0	$25,174	Yes (X)
B STEPHENS RICHARDS MD
CMO (SEE SCH J*)	40.0	1.0			$882,153	$4,000	$423,977	Yes (X)
LORI KAROL MD
ASST COS (SEE SCH J**)	40.0	2.0			$1,444,117	$17,300	$275,356	Yes (X)
KARL E RATHJEN MD
ASSISTANT CHIEF OF STAFF	40.0	2.0			$646,043	$37,900	$194,625	Yes (X)
PHILIP WILSON MD
ASSISTANT CHIEF OF STAFF	40.0	2.0			$171,638	$534,941	$120,910	Yes (X)
CHARLES E JOHNSTON II MD
ASSIST. CHIEF OF STAFF EMERITU	40.0	0.0			$708,285	$0	$25,243	Yes (X)
MOLLY DEMPSEY MD
CMIO	40.0	0.0			$656,167	$0	$171,538	Yes (X)
CINDY K KELLY MD
ANESTHESIOLIGIST (SEE SCH J**)	40.0	0.0			$769,220	$0	$174,276		Yes (X)
SCOTT N OISHI MD
ORTHOPEDIC SURGEON	40.0	0.0			$627,671	$0	$52,122		Yes (X)
BRANDON A RAMO MD
ORTHOPEDIC SURGEON	40.0	1.0			$660,423	$46,000	$54,123		Yes (X)
AMY L MCINTOSH MD
ORTHOPEDIC SURGEON	40.0	1.0			$656,119	$54,900	$51,883		Yes (X)
CHRISTOPHER M STUTZ MD
ORTHOPEDIC SURGEON	40.0	1.0			$581,049	$39,000	$27,712		Yes (X)
JC MONTGOMERY JR
PRESIDENT EMERITUS	10.0	30.0			$488,604	$0	$27,434			Yes (X)
LAWSON COPLEY MD
CMIO (FORMER)	0.0	40.0			$164	$683,769	$165,787			Yes (X)
JOHN G BIRCH MD
CHIEF OF STAFF EMERITUS	0.0	0.0			$294,934	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,730,465	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,465,810	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,951,639	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	196	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line1ContractorAddress/ForeignAddress/AddressLine1Txt	CityContractorAddress/ForeignAddress/CityNm	Province Or StateContractorAddress/ForeignAddress/ProvinceOrStateNm	CountryContractorAddress/ForeignAddress/CountryCd	Foreign PostalContractorAddress/ForeignAddress/ForeignPostalCd
HCBECK LTD
1807 ROSS STE 500	DALLAS	TX	752018006	CONSTRUCTION	$5,275,031
HKS INC
POB 731121	DALLAS	TX	753731121	ARCHITECTURAL	$2,944,128
OPTIMUM HEALTHCARE IT LLC
1300 MARSH LANDING PARKWAY STE 100	JACKSONVILLE BEACH	FL	32250	IT CONSULTANTS	$1,645,527
MCKINSEY COMPANY
2711 CENTERVILLE RD	WILMINGTON	DE	19808	MGMT CONSULTANTS	$1,300,000
VAN BERKOM ASSOC
				INVESTMENT MGMT	$1,270,836	1130 SHERBROOKE ST W STE 1005	MONTREAL	QUEBEC	CA	H3A 2M8

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	59	CntrctRcvdGreaterThan100KCnt
Fundraising	$2,885,706	FundraisingAmt
Government Grants	$507,984	GovernmentGrantsAmt
All Other Contributions	$19,137,657	AllOtherContributionsAmt
Noncash Contributions	$6,364,310	NoncashContributionsAmt
Total Contributions	$22,531,347	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OUTPATIENT REVENUE	622310	$94,412,867	$94,412,867	$0	$0
INPATIENT REVENUE	622310	$72,141,971	$72,141,971	$0	$0
DEDUCTIONS FROM REVENUE	622310	-$98,166,344	-$98,166,344	$0	$0
OTHER PATIENT RELATED REV	622310	$5,192,569	$5,192,569	$0	$0
All other program service revenue		$0	$0	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$73,581,063	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$55,771,795	TotalRevenueColumnAmt
Unrelated Business Revenue	$43,503	UnrelatedBusinessRevenueAmt
Exclusion	$55,728,292	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$89,768,984	TotalRevenueColumnAmt
Exclusion	$89,768,984	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$513,888	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$288,979	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$224,909	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$224,909	TotalRevenueColumnAmt
Exclusion	$224,909	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$442,185,898	SecuritiesAmt
Other	$329,567	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$385,641,323	SecuritiesAmt
Other	$301,475	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$56,544,575	SecuritiesAmt
Other	$28,092	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$56,572,667	TotalRevenueColumnAmt
Unrelated Business Revenue	$5,256	UnrelatedBusinessRevenueAmt
Exclusion	$56,567,411	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$776,388	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,885,706	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,288,062	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$511,674	TotalRevenueColumnAmt
Exclusion	-$511,674	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$25,720	GamingGrossIncomeAmt
Gaming Direct Expenses	$6,441	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,279	TotalRevenueColumnAmt
Exclusion	$19,279	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$3,803,616	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,092,215	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,711,401	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,145,717	UnrelatedBusinessRevenueAmt
Exclusion	$565,684	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
SURFACE DAMAGE/WATER SALE	110000	$2,875,992	$0	$0	$2,875,992
LEASE BONUS REVENUE	211110	$2,054,338	$0	$0	$2,054,338
HUNTING PERMITS	900099	$54,827	$0	$54,827	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,174	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$25,062	UnrelatedBusinessRevenueAmt
Exclusion	$12,112	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,022,331	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$304,692,102	TotalRevenueColumnAmt
Related Or Exempt Func Income	$73,581,063	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,274,365	UnrelatedBusinessRevenueAmt
Exclusion	$207,305,327	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,118,392	TotalAmt
Program Services	$2,118,392	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,083,245	TotalAmt
Program Services	$6,844,730	ProgramServicesAmt
Management And General	$3,683,384	ManagementAndGeneralAmt
Fundraising	$1,555,131	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$122,442	TotalAmt
Program Services	$50,422	ProgramServicesAmt
Management And General	$72,020	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$77,042,566	TotalAmt
Program Services	$67,341,124	ProgramServicesAmt
Management And General	$7,587,942	ManagementAndGeneralAmt
Fundraising	$2,113,500	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,069,349	TotalAmt
Program Services	$10,996,586	ProgramServicesAmt
Management And General	$714,561	ManagementAndGeneralAmt
Fundraising	$358,202	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,588,391	TotalAmt
Program Services	$10,304,176	ProgramServicesAmt
Management And General	$882,719	ManagementAndGeneralAmt
Fundraising	$401,496	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,019,560	TotalAmt
Program Services	$4,389,355	ProgramServicesAmt
Management And General	$476,151	ManagementAndGeneralAmt
Fundraising	$154,054	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$699,444	TotalAmt
Program Services	$28,482	ProgramServicesAmt
Management And General	$670,962	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$517,886	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$517,886	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$55,538	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$55,538	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$4,912,698	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$4,912,698	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,916,964	TotalAmt
Program Services	$6,059,432	ProgramServicesAmt
Management And General	$1,806,348	ManagementAndGeneralAmt
Fundraising	$51,184	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,823,366	TotalAmt
Program Services	$3,823,274	ProgramServicesAmt
Management And General	$65	ManagementAndGeneralAmt
Fundraising	$27	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,501,266	TotalAmt
Program Services	$5,171,150	ProgramServicesAmt
Management And General	$1,121,527	ManagementAndGeneralAmt
Fundraising	$1,208,589	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,208,371	TotalAmt
Program Services	$13,004,146	ProgramServicesAmt
Management And General	$868,523	ManagementAndGeneralAmt
Fundraising	$335,702	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,778,998	TotalAmt
Program Services	$4,689,266	ProgramServicesAmt
Management And General	$991,362	ManagementAndGeneralAmt
Fundraising	$98,370	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$778,344	TotalAmt
Program Services	$554,888	ProgramServicesAmt
Management And General	$170,800	ManagementAndGeneralAmt
Fundraising	$52,656	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$294,647	TotalAmt
Program Services	$222,017	ProgramServicesAmt
Management And General	$68,583	ManagementAndGeneralAmt
Fundraising	$4,047	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	-$60,385	TotalAmt
Program Services	-$53,263	ProgramServicesAmt
Management And General	-$5,793	ManagementAndGeneralAmt
Fundraising	-$1,329	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,646,320	TotalAmt
Program Services	$11,249,722	ProgramServicesAmt
Management And General	$1,136,215	ManagementAndGeneralAmt
Fundraising	$260,383	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$871,009	TotalAmt
Program Services	$503,929	ProgramServicesAmt
Management And General	$344,562	ManagementAndGeneralAmt
Fundraising	$22,518	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$12,544,617	$12,539,286	$4,311	$1,020
MGMT & GENERAL EXP ALLOCA		$4,287,191	-$4,859,445	$572,254
RANCH OPERATIONS	$2,789,721	$0	$2,789,721	$0
BAD DEBT EXPENSE	$8,800,915	$8,800,915	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$302,807	TotalAmt
Program Services	$302,807	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$204,426,471	TotalAmt
Program Services	$172,925,220	ProgramServicesAmt
Management And General	$24,313,447	ManagementAndGeneralAmt
Fundraising	$7,187,804	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,529,387	BOYAmt
EOY	$3,620,915	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$908,743	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$31,185,415	BOYAmt
EOY	$26,797,308	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$12,555	BOYAmt
EOY	$11,047	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,872,368	BOYAmt
EOY	$5,463,460	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,419,557	BOYAmt
EOY	$6,586,288	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$353,304,166	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$157,646,408	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$148,911,688	BOYAmt
EOY	$195,657,758	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,219,241,944	BOYAmt
EOY	$2,410,517,901	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$122,613	BOYAmt
EOY	$124,684	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$72,615,158	BOYAmt
EOY	$82,144,992	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,492,910,685	BOYAmt
EOY	$2,731,833,096	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$24,512,061	BOYAmt
EOY	$25,529,447	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$279,807	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,000,000	BOYAmt
EOY	$23,000,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$119,596,624	BOYAmt
EOY	$120,284,627	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$167,108,685	BOYAmt
EOY	$169,093,881	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,206,363,284	BOYAmt
EOY	$2,439,529,597	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$53,837,148	BOYAmt
EOY	$54,903,305	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,601,568	BOYAmt
EOY	$68,306,313	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,325,802,000	BOYAmt
EOY	$2,562,739,215	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,492,910,685	BOYAmt
EOY	$2,731,833,096	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$100,265,631	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$118,445,237	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	-$9	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$18,226,356	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$9,368	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$46,170	OtherActivitiesAmt
Total Lobbying Expenditures	$55,538	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II-B, LINE 1B AND 1G	MGMT ACTIVITIES ROBERT WALKER AND LORI DALTON MET WITH MEMBERS OF CONGRESS AND/OR STAFF AND HAD ASSOCIATED EXPENSES INCLUDING TRAVEL AND ASSOCIATED COMPENSATION IN THE AMOUNT OF $9,368.
PART II-B, LINE 1I OTHER ACTIVITIES	OTHER ACTIVITIES PER TEXAS HOSPITAL ASSOCIATION, CHILDREN'S HOSPITAL ASSOCIATION AND DALLAS REGIONAL CHAMBER, $12,592 OF THE HOSPITAL'S DUES WERE ALLOCATED TO LOBBYING. THE HOSPITAL RETAINED THE SERVICES OF GREENBERG TRAURIG LLP TO MEET WITHVARIOUS FEDERAL LEGISLATORS OR STAFF AND INCURRED EXPENSES IN THE AMOUNT OF $33,578.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$125,526,503	BeginningYearBalanceAmt
Contributions	$32,469,355	ContributionsAmt
Investment Earnings Or Losses	$11,892,042	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,214,591	OtherExpendituresAmt
End Year Balance	$159,673,309	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$112,800,210	BeginningYearBalanceAmt
Contributions	$8,057,633	ContributionsAmt
Investment Earnings Or Losses	$8,144,805	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,476,145	OtherExpendituresAmt
End Year Balance	$125,526,503	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$120,595,294	BeginningYearBalanceAmt
Contributions	$6,843,791	ContributionsAmt
Investment Earnings Or Losses	-$7,546,608	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,092,267	OtherExpendituresAmt
End Year Balance	$112,800,210	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$133,897,630	BeginningYearBalanceAmt
Contributions	$2,949,795	ContributionsAmt
Investment Earnings Or Losses	-$11,210,694	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,041,437	OtherExpendituresAmt
End Year Balance	$120,595,294	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$124,107,569	BeginningYearBalanceAmt
Contributions	$4,082,409	ContributionsAmt
Investment Earnings Or Losses	$9,512,276	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,804,624	OtherExpendituresAmt
End Year Balance	$133,897,630	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.23000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.43000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.34000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$46,483,553	OtherCostOrOtherBasisAmt
Book Value	$46,483,553	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$201,988,096	OtherCostOrOtherBasisAmt
Depreciation	$94,031,927	DepreciationAmt
Book Value	$107,956,169	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$104,648,476	OtherCostOrOtherBasisAmt
Depreciation	$63,614,481	DepreciationAmt
Book Value	$41,033,995	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$184,041	OtherCostOrOtherBasisAmt
Book Value	$184,041	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$195,657,758	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ACCRUED PENSION COSTS	$60,468,644
MANAGEMENT BENEFIT PLAN	$7,792,686
EMPLOYEE INS BENEFITS PAYABLE	$1,858,649
RESERVE FOR MALPRACTICE INS CLAIMS	$1,097,965
CHARITABLE GIFT ANNUITIES	$4,102,293
TRUST OBLIGATIONS	$10,670,448
RESERVE FOR RESTORATION PLAN	$34,293,942

Field	Value	IRS element (for citing)
Total Liability	$120,284,627	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Intended use of endowment funds

SCHEDULE D, PART V, LINE 4: THE INCOME FROM THE ORGANIZATION'S PERMANENT ENDOWMENT FUNDS AND THE TEMPORARILY RESTRICTED ENDOWMENT FUNDS ARE USED TO SUPPORT THE OPERATIONS OF THE MEDICAL, RESEARCH AND LEARNING PROGRAMS OF THE HOSPITAL.

AUDIT FOOTNOTE 16 - INCOME TAXES

SCHEDULE D, PART X, LINE 2 U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAX AUTHORITY. THE HOSPITAL HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2017 AND 2016, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE HOSPITAL BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE TAX AUTHORITIES FOR YEARS PRIOR TO 2014.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (16 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
East Asia and the Pacific	Investments	$243,447
Europe (Including Iceland and Greenland)	Investments, pgrm-rltd Invt	$29,016
North America	Investments, pgrm-rltd Invt	$209,811,983
South America	Investments, pgrm-rltd Invt	$9,826
Sub-Saharan Africa	Investments, pgrm-rltd Invt	$3,620
East Asia and the Pacific	Investments, pgrm-rltd Invt	$51,490	Invest mgmt fees
Europe (Including Iceland and Greenland)	Investments, pgrm-rltd Invt	$64,684	Invest mgmt fees
North America	Investments, pgrm-rltd Invt	$299	Invest mgmt fees
Central America and the Caribbean	Program Services	$3,077	Conferences, training
East Asia and the Pacific	Program Services	$4,699	Conferences, training
Europe (Including Iceland and Greenland)	Program Services	$148,757	Conferences, training
Middle East and North Africa	Program Services	$2,284	Conferences, training
North America	Program Services	$33,635	Conferences, training
South America	Program Services	$5,341	Conferences, training
South Asia	Program Services	$77	Conferences, training
Sub-Saharan Africa	Program Services	$804	Conferences, training

Field	Value	IRS element (for citing)
Subtotal Spent	$210,413,039	SubtotalSpentAmt
Total Spent	$210,413,039	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3, COLUMN F	FormAndLineReferenceDesc
Explanation	ACTIVITIES PER REGION THESE AMOUNTS REPRESENT $337,892 OF INVESTMENTS AT YEAR END AND $315,147 IN EXPENDITURES BASED ON AN ACCRUAL METHOD OF ACCOUNTING. SEE DETAIL BY REGION BELOW: INVESTMENTS BY REGION: EAST ASIA AND THE PACIFIC $243,447 EUROPE $29,016 NORTH AMERICA $209,811,983 SOUTH AMERICA $9,826 SUB-SAHARAN AFRICA $3,620 TOTAL $210,097,892 EXPENSE BY REGION: CENTRAL AMERICA & THE CARIBBEAN $3,077 EAST ASIA AND THE PACIFIC $56,189 EUROPE $213,441 MIDDLE EAST AND NORTH AFRICA $2,284 NORTH AMERICA $33,934 SOUTH AMERICA $5,341 SOUTH ASIA $77 SUB-SAHARAN AFRICA $804 TOTAL $315,147	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	AUCTION	Event1Nm
Gross Receipts Event1	$780,344	GrossReceiptsEvent1Amt
Charitable Contri Event1	$688,544	CharitableContriEvent1Amt
Gross Revenue Event1	$91,800	GrossRevenueEvent1Amt
Entertainment Event1	$14,545	EntertainmentEvent1Amt
Other Direct Expenses Event1	$20,903	OtherDirectExpensesEvent1Amt
Event2	GOLF TOURNAMENT	Event2Nm
Gross Receipts Event2	$414,424	GrossReceiptsEvent2Amt
Charitable Contri Event2	$323,025	CharitableContriEvent2Amt
Gross Revenue Event2	$91,399	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$59,104	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$5,840	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$34,061	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$88,177	OtherDirectExpensesEvent2Amt
Other Events Total	88	OtherEventsTotalCnt
Gross Receipts Other Events	$2,467,326	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,874,137	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$593,189	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$78,448	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$106,641	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$312,363	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$5,225	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$562,755	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$3,662,094	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,885,706	CharitableContributionsTotAmt
Gross Revenue Total Events	$776,388	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$137,552	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$112,481	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$346,424	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$19,770	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$671,835	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,288,062	DirectExpenseSummaryEventsAmt
Net Income Summary	-$511,674	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Volunteer Labor Bingo	false	VolunteerLaborBingoInd
Volunteer Labor Pull Tabs	false	VolunteerLaborPullTabsInd
Gross Revenue Other Gaming	$25,720	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$6,441	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$25,720	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$6,441	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$6,441	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$19,279	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	TX	StatesWhereGamingConductedCd
Licensed	false	LicensedInd
Explanation If No	THE STATE OF TEXAS DOES NOT REQUIRE SUCH A LICENSE FOR OCCASIONAL GAMING ACTIVITIES (UP TO TWO PER YEAR).	ExplanationIfNoTxt
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (true)	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Own Facility	0.00000	GamingOwnFacilityPct
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	JEAN ALLEN CONTROLLER TSRHC	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	2222 WELBORN ST	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	NA	GamingManagerPersonNm
Gaming Manager Services Prov	N/A	GamingManagerServicesProvTxt
Charitable Distribution Rqr	false	CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	1000.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,239,730	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,239,730	NetCommunityBenefitExpnsAmt
Total Expense	0.06260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,635,353	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,124,115	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,511,238	NetCommunityBenefitExpnsAmt
Total Expense	0.18150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,875,083	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,124,115	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,750,968	NetCommunityBenefitExpnsAmt
Total Expense	0.24410	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,513,368	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,513,368	NetCommunityBenefitExpnsAmt
Total Expense	0.05890	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,679,010	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,627,335	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,414,944	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$904,821	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,510,123	NetCommunityBenefitExpnsAmt
Total Expense	0.06910	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,015,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,015,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,622,322	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$956,496	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,665,826	NetCommunityBenefitExpnsAmt
Total Expense	0.14660	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,497,405	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,080,611	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,416,794	NetCommunityBenefitExpnsAmt
Total Expense	0.39070	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,032,834	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,032,834	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,032,834	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,032,834	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,800,915	BadDebtExpenseAmt
Reimbursed By Medicare	$1,378	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,278	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$100	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TEXAS SCOTTISH RITE HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 WELBORN ST	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75219	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.scottishritehospital.org	WebsiteAddressTxt
State License	000054	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Other	ORTHOPEDIC, neurodevelopment & musculoskeletal	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TX SCOT RITE HOSPITAL FOR CHILDREN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	9999.99	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.scottishritehospital.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.scottishritehospital.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.scottishritehospital.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	TSRHC AND BKD CONSULTING COLLABORATED TOGETHER TO CONDUCT AND ASSESS THE NEEDS OF THE COMMUNITY IN PRODUCING THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT. BKD CONSULTING, LLP IS ONE OF THE LARGEST CPA AND ADVISORY FIRMS IN THE UNITED STATES, WITH APPROXIMATELY 2,000 PARTNERS AND EMPLOYEES IN 34 OFFICES. BKD SERVES MORE THAN 900 HOSPITALS AND HEALTH CARE SYSTEMS ACROSS THE COUNTRY. PRIMARY DATA WAS OBTAINED FROM PATIENT FAMILIES, PATIENT FOCUS GROUPS AND KEY STAKEHOLDERS. BKD CONDUCTED A HEALTH SURVEY THAT WAS SENT IN ELECTRONIC FORMAT, TO MORE THAN 800 CURRENT TSRHC PATIENTS. THE SURVEY WAS MAILED, IN PAPER FORMAT, TO MORE THAN 2,000 CURRENT AND FORMER TSRHC PATIENT FAMILIES. TWO HUNDRED TWENTY PATIENT FAMILIES PROVIDED INPUT THROUGH THE HEALTH SURVEY, WHICH WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. EIGHTY-FIVE PERCENT OF THE SURVEY RESPONDENTS INDICATED THEY LIVED IN THE CHNA COMMUNITY. IN ADDITION, TSRHC CONDUCTED TWO PATIENT FOCUS GROUPS TO SOLICIT INPUT FROM PATIENTS FAMILIES REGARDING THE HEALTH NEEDS OF THEIR CHILDREN. THE PATIENT FOCUS GROUPS WERE CONDUCTED ON JUNE 13, 2016 AND JUNE 14, 2016 AT TSRHCS MAIN CAMPUS AND NORTH CAMPUS. FOUR QUESTIONS WERE ASKED AND DISCUSSED, THEN UTILIZED TO HELP GATHER DATA FROM THE PARTICIPANTS. INPUT WAS COLLECTED FROM 21 KEY STAKEHOLDERS THROUGH IN-PERSON INTERVIEWS IN JUNE 2016. THESE KEY STAKEHOLDERS WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, THEIR INVOLVEMENT WITH UNDERSERVED AND MINIORITY POPULATIONS OR THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY. THESE INTERVIEWS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS WHO ARE LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. SECONDARY DATA ASSESSED FACTORS SUCH AS DEMOGRAPHICS, SOCIOECONOMIC INDICATORS (HOUSEHOLD INCOME AND POVERTY, INSURANCE COVERAGE AND CHILDREN LIVING IN SINGLE-PARENT HOUSEHOLDS) AND COMMUNITY HEALTH STATUS INDICATORS RELEVANT TO THE SERVICES PROVIDED BY TSRHC (RATES FOR CONDITIONS TREATED BY TSRHC, NUMBER OF CHILDREN IN TEXAS WITH DISABILITIES AND RATE FOR HEALTH ISSUES IDENTIFIED BY STAKEHOLDERS AND PATIENTS SUCH AS ASTHMA, OBESITY AND PHYSICAL INACTIVITY). SOME OF THE SECONDARY DATA SOURCES, INCLUDED BUT NOT LIMITED TO TEXAS STATE DATA CENTER AND THE OFFICE OF THE STATE DEMOGRAPHER, ANNIE E. CASEY FOUNDATION,TEXAS KIDS COUNT DATA, AND TEXAS DEPARTMENT OF STATE HEALTH SERVICES. USING FINDINGS OBTAINED THROUGH THE COLLECTION OF PRIMARY AND SECONDARY DATA, TSRHC COMPLETED A KEY FINDINGS OVERVIEW FOR EACH IDENTIFIED HEALTH NEED. TO FACILITATE PRIORITIZATION OF IDENTIFIED HEALTH NEEDS, A MODIFIED HANLON METHOD WAS USED BY MEMBERS OF TSRHCS MANAGEMENT TO RANK THE NEEDS. THE FOLLOWING FACTORS WERE USED TO PRIORITIZE THE IDENTIFIED HEALTH NEEDS: SIZE OF THE PROBLEM, SERIOUSNESS OF THE PROBLEM, IMPACT OF THE ISSUES ON VULNERABLE POPULATIONS, HOW IMPORTANT THE ISSUE IS TO THE COMMUNITY, AND THE PREVALENCE OF COMMON THEMES.
PART V, SECTION B, LINE 6B	TSRHC ENGAGED THE SERVICES OF BKD CONSULTING TO ASSESS THE NEEDS OF THE COMMUNITY AND COLLABORATED WITH BKD IN PRODUCING THE HOSPITAL'S CHNA REPORT. PART V, SECTION B, LINE 7A scottishritehospital.org/getattachment/Collapsible-Content-Modules/ABOUT-O UR-FUTURE/2016-Community-Health-Needs-Assessment.pdf?lang=en-US
PART V, SECTION B, LINE 11	NEEDS IDENTIFIED IN RECENTLY CONDUCTED CHNA AS PART OF THE CHNA, TSRHC AND BKD CONSULTING CONDUCTED THE ASSESSMENT FROM MAY 2016 TO SEPTEMBER 2016. THE PRIMARY AND SECONDARY DATA GATHERED WAS THEN ANALYZED TO IDENTIFY SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY SERVED BY TSRHC. AS A RESULT OF THE ANALYSIS, NINE HEALTH NEEDS WERE IDENTIFIED AS BEING SIGNIFICANT TO THE COMMUNITY. THE IDENTIFIED HEALTH NEEDS WERE SUBSEQUENTLY GROUPED AND PRIORITIZED BY HOSPITAL MANAGEMENT INTO THREE PRIORITY AREAS BASED ON THEIR OVERALL ASSESSMENT OF THE QUALITATIVE AND QUANTITATIVE DATA. TSRHC WILL FOCUS ON THE IDENTIFIED AREAS WHERE THE HOSPITAL CAN MOST EFFECTIVELY USE ITS EXPERTISE AND RESOURCES TO HAVE SIGNIFICANT IMPACT. THESE THREE AREAS ARE: 1. IMPROVE ACCESS TO HEALTH CARE SERVICES 2. IMPROVE CHILD HEALTH STATUS 3. IMPROVE COORDINATION OF CARE TSRHC STRATEGY FOR IMPROVING ACCESS TO HEALTH CARE SERVICES: MORE THAN 200,000 CHILDREN DO NOT HAVE INSURANCE IN THE CHNA COMMUNITY. AFFORDABILITY OF SERVICES AND FINANCIAL STRESS ON THE FAMILY WERE IDENTIFIED AS THE TWO BIGGEST CHALLENGES FOR PATIENT FAMILIES. ANOTHER CHALLENGE IDENTIFIED BY PATIENT FAMILIES WAS THE LACK OF AVAILABILITY OF SERVICES CLOSE TO HOME. KEY STAKEHOLDERS ALSO IDENTIFIED THE NEED TO EXPAND TSRHCS GEOGRAPHIC FOOTPRINT TO MAKE SERVICES MORE ACCESSIBLE. IN ADDITION, THEY NOTED THAT MANY PERSONS IN THE CHNA COMMUNITY ARE UNAWARE OF THE SCOPE OF SERVICES PROVIDED BY TSRHC. OUR OBJECTIVE IS TO INCREASE COMMUNITY AND PUBLIC AWARENESS OF THE AVAILABILITY AND TYPES OF HEALTH CARE SERVICES PROVIDED BY TSRHC. THE ANTICIPATED IMPACT IS TO INCREASE THE NUMBER OF CHILDREN TREATED, ESPECIALLY THOSE IN THE UNDERSERVED COMMUNITY WITHIN OUR SCOPE OF SERVICES, INCLUDING THOSE WITH SPECIAL HEALTH NEEDS. A. INCREASE THE AWARENESS OF OUR FINANCIAL ASSISTANCE PROGRAM: IN AN EFFORT TO ENSURE THAT FAMILIES WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE AWARE OF AND FAMILIAR WITH THE HOSPITALS FINANCIAL ASSISTANCE/CHARITY CARE PROGRAM, CRAYON CARE, TSRHC WILL WIDELY PUBLICIZE INFORMATION REGARDING THE PROGRAM BY HAVING INFORMATION POSTED THROUGHOUT THE BUILDING, ON THE WEBSITE AND THROUGH COMMUNITY AGENCIES THAT MAY ENCOUNTER INDIVIDUALS WITH FINANCIAL NEEDS. FAMILY SERVICES COUNSELORS ARE AVAILABLE TO COMMUNICATE WITH AND ASSIST PATIENTS REGARDING THE PROGRAM. ADDITIONAL COMMUNICATION VEHICLES WILL ALSO BE EXPLORED TO BETTER INFORM PATIENT FAMILIES AND TO REACH OUT TO OTHERS INCLUDING HEALTH CARE PROVIDERS ABOUT TSRHCS FINANCIAL ASSISTANCE PROGRAM, TO ENSURE THAT THE LACK OF FINANCIAL RESOURCES IS NOT AN IMPEDIMENT TO RECEIVING CARE AT TSRHC. B. EXPAND SERVICES THROUGHOUT NORTH TEXAS AND THE SURROUNDING REGION: CONSTRUCTION WILL BE COMPLETED IN THE FALL OF 2018 ON A NEW POINT OF ACCESS IN FRISCO, TEXAS. THIS PROJECT WAS UNDERTAKEN TO RESPOND TO THE INCREASED DEMAND FOR HEALTH CARE SERVICES IN THIS RAPIDLY GROWING AREA AND TO SERVE THE HOSPITAL'S CURRENT PATIENT POPULATION LOCATED IN THE NORTHERN REGION OF THE DALLAS-FORT WORTH METROPLEX. THE NEW FACILITY WILL BE AN AMBULATORY SURGERY CENTER (ASC) THAT OFFERS DAY SURGERIES AND OUTPATIENT CLINIC SERVICES SUCH AS SPORTS MEDICINE, GENERAL ORTHOPEDICS AND A FRACTURE CLINIC, AS WELL AS SUPPORT SERVICES LIKE ORTHOTICS AND RADIOLOGY. IN ADDITION, THE SPORTS MEDICINE STAFF, WHICH WILL BE BASED OUT OF THIS FACILITY, HAS AND WILL CONTINUE TO SUPPORT THE LOCAL COMMUNITY BY HOSTING TRAINING AND EDUCATION SESSIONS WITH AREA SCHOOLS, SPORTS TEAMS, COACHES AND PARENTS ON TOPICS INCLUDING INJURY PREVENTION, CONCUSSION MANAGEMENT, NUTRITION AND HYDRATION. C. INCREASE EASE OF ACCESS: TO ADDRESS THE GROWING DEMAND FOR SERVICES, THERE HAVE BEEN CONTINUOUS EFFORTS TO INCREASE ACCESS AND THROUGHPUT IN THE AMBULATORY CARE CLINICS INCLUDING GENERAL ORTHOPEDICS, DYSLEXIA, CEREBRAL PALSY AND RHEUMATOLOGY. THIS WILL BE AN ONGOING COMMITMENT TO FURTHER REDUCE THE TIME BETWEEN PATIENT APPLICATION ACCEPTANCE AND THE FIRST APPOINTMENT. THE ADDITION OF CLINICS AND CLINIC APPOINTMENTS WILL BE POSSIBLE THROUGH CLINIC RENOVATIONS LEADING TO INCREASED SPACE AND WILL RESULT IN IMPROVED ACCESS. THE EXPANSION TO FRISCO IN 2018 WILL PROVIDE ADDITIONAL OPPORTUNITIES TO PROVIDE PATIENTS INCREASED ACCESS TO MEDICAL SERVICES. D. THE HOSPITAL HAS INTRODUCED A DIRECT APPOINTMENT PROCESS, WHICH ALLOWS PATIENT FAMILIES DIRECT ACCESS TO SCHEDULE AN APPOINTMENT AT THE HOSPITAL WITHOUT A REFERRAL FROM A HEALTH CARE PROFESSIONAL, SUCH AS A PHYSICIAN OR SCHOOL NURSE. E. INCREASE PATIENT ACCESS TO INFORMATION: PATIENT FAMILIES CAN NOW ACCESS PORTIONS OF THEIR CHILD'S MEDICAL RECORDS, SCHEDULE APPOINTMENTS AND RECEIVE REFERRALS THROUGH AN ONLINE PORTAL CALLED MYSRH. F. INCREASE AWARENESS OF TSRHC THROUGH COMMUNICATION AND OUTREACH EVENTS/PROGRAMS TO EDUCATE THE COMMUNITY ABOUT ITS SERVICES: TSRHC IS WORKING TO DRIVE BROAD SCALE AWARENESS WITHIN THE COMMUNITY, THE GENERAL PUBLIC AND THE UNDERSERVED. TSRHC CONTINUES TO FOCUS EFFORTS ON EDUCATING THE GENERAL PUBLIC ABOUT THE HOSPITAL'S PRIMARY ORTHOPEDIC SERVICES. THE HOSPITAL WILL CONNECT WITH THE UNDERSERVED IN THE COMMUNITY THROUGH THE USE OF TRADITIONAL, BROAD-REACHING VEHICLES INCLUDING TELEVISION, RADIO, BILLBOARDS AND PRINT. OTHER WAYS THE HOSPITAL REACHES A LARGE EXTERNAL AUDIENCE INCLUDE UTILIZING DIGITAL AND SOCIAL MEDIA CHANNELS. THROUGH THOSE VEHICLES, THE HOSPITAL HAS A YOUTUBE CHANNEL THAT FEATURES A WIDE ARRAY OF VIDEOS, FROM PATIENT STORIES TO RESEARCH-THEMED SEGMENTS, WHICH INCREASE AWARENESS OF THE HOSPITALS SERVICES AND THE CONDITIONS WE TREAT. THE HOSPITAL HAS ALSO LAUNCHED A FACEBOOK LIVE SERIES TITLED, 'SRH ACCESS,' WHICH FEATURES INTERVIEWS WITH HOSPITAL STAFF AND BEHIND-THE-SCENES TOURS THAT HIGHLIGHT THE ROLES OF DEPARTMENTS THROUGHOUT THE HOSPITAL. FURTHER, THE HOSPITAL WILL CONNECT WITH THESE AUDIENCES THROUGH A WIDE RANGE OF COMMUNITY EVENTS, PHYSICIAN RELATIONS PROGRAMS AND PARTNERSHIP PROGRAMS WITH OTHER COMMUNITY ORGANIZATIONS ALSO INTERESTED IN HEALTH CARE AND WELLNESS OF THE COMMUNITY SUCH AS AGAPE CLINIC, LOS BARRIOS UNIDOS, METROCREST COMMUNITY CLINIC, CATHOLIC CHARITIES, JEWISH FAMILY SERVICES OF GREATER DALLAS, SPINA BIFIDA ASSOCIATION, MASONIC HOME AND SCHOOL OF TEXAS, ORTHOKIDS.ORG/POSNA, TEXAS 211 (TEXAS HEALTH AND HUMAN SERVICES WEBSITE AND TOLL-FREE NUMBER TO FIND HEALTH PROVIDERS IN SPECIFIC REGIONS), AND ECI/PPCD/HEAD START PROGRAMS (DALLAS AND FORT WORTH). G. CONTINUE TO MAINTAIN A CULTURALLY APPROPRIATE ENVIRONMENT: TSRHC IS CONTINUOUSLY EVOLVING WITH THE GROWTH OF OUR DIVERSE PATIENT POPULATION. TO MEET THOSE NEEDS, THE HOSPITAL PROVIDES ACCESS TO INTERPRETERS FOR PATIENTS AND PATIENT FAMILIES THROUGH IN-PERSON INTERACTION, VIDEO REMOTE AND TELEPHONE INTERPRETING, OR AN OUTSIDE AGENCY COVERING A BROAD RANGE OF LANGUAGES. H. INCREASE WAY-FINDING SIGNAGE AND INFORMATION BROCHURES IN OTHER PATIENT LANGUAGES: ENHANCEMENTS ARE BEING MADE TO MORE EASILY ACCESS AREAS AND DEPARTMENTS WITHIN THE HOSPITAL, UTILIZING HABLAMOS JUNTOS AND UNIVERSAL HEALTHCARE SYMBOLS FOR WAY-FINDING. TSRHC STRATEGY FOR IMPROVING CHILD HEALTH STATUS: KEY STAKEHOLDERS NOTED THAT THERE IS A SHORTAGE OF HEALTH NUTRITION IN IMPOVERISHED AREAS OF THE COMMUNITY. PATIENT FAMILIES AND KEY STAKEHOLDERS IDENTIFIED OBESITY AS THE BIGGEST HEALTH ISSUE IMPACTING CHILDRENS HEALTH. UNHEALTHY EATING AND LACK OF PHYSICAL ACTIVITY WERE ALSO IDENTIFIED AS HEALTH ISSUES FOR CHILDREN IN THE COMMUNITY. STAKEHOLDERS STRESSED THE IMPORTANCE OF EDUCATION FOR FAMILIES, NOTING MANY FAMILIES ARE UNAWARE OF STATE AND LOCAL PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE. THEY ALSO REPORTED THAT MANY PARENTS IN THE COMMUNITY HAVE A LIMITED UNDERSTANDING OF HEALTHY LIVING AS WELL AS LIMITED KNOWLEDGE REGARDING NAVIGATING TODAYS HEALTH SYSTEM. OUR OBJECTIVE IS TO PROVIDE EDUCATION OPPORTUNITIES FOR FAMILIES AND CHILDREN TO MAKE HEALTHIER CHOICES. THE ANTICIPATED IMPACT IS TO CREATE AN OVERALL HEALTHIER PEDIATRIC COMMUNITY AND DECREASE THE NUMBER OF CHILDREN CATEGORIZED AS "AT RISK E.G., OVERWEIGHT, OBESE, PRE-DIABETIC, ETC. A. INCREASE ACCESS TO SUPPORT GROUPS AND INFORMATION ON WELLNESS/HEALTH EDUCATION: TSRHC DIETICIANS ARE CURRENTLY ACTIVE IN THE DALLAS AREA COALITION FOR THE PREVENTION OF CHILDHOOD OBESITY AND THE MAYORS YOUTH FITNESS INITIATIVE NUTRITION EDUCATION PROGRAM. STAFF ATTEND MONTHLY MEETINGS AND ORGANIZE PARTICIPATION IN THE ANNUAL GET KIDZ FIT FESTIVAL, IN ADDITION TO OTHER PROGRAMS SUCH AS MYFIT. IN THIS PROGRAM, THE DIETICIANS RECRUIT AND ORGANIZE NUTRITION STUDENTS AND DIETETIC INTERNS TO PROVIDE AFTER SCHOOL NUTRITION EDUCATION AT LOCAL PARKS AND RECREATION CENTERS. TSRHC WILL CONTINUE TO INCREASE EFFORTS TO CONNECT PATIENT FAMILIES TO WEIGHT MANAGEMENT AND NUTRITIONAL EDUCATION PROGRAMS OFFERED WITHIN THE COMMUNITY. B. INCREASE AND EXPAND ACCESS TO HEALTH EDUCATION THROUGH EXISTING COMMUNITY PARTNERSHIPS: THROUGH A NUMBER OF NEW PARTNERSHIPS WITH GROUPS SUCH AS DALLAS MAVERICKS, FRISCO ISD, AND FRISCO YMCA, AS WELL AS EXISTING COMMUNITY PARTNERSHIPS LIKE T
PART V, SECTION B, LINE 20E	NEITHER THE HOSPITAL NOR ANY AUTHORIZED THIRD PARTY PERFORMED ANY OF THE ACTIONS SET FORTH IN LINE 19 (A-E).

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Facility	OUTPATIENT CLINIC DEPARTMENT OF HOSPITAL	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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PART I, LINE 3C	ELIGIBILITY FOR FINANCIAL ASSISTANCE SINCE ITS FOUNDING IN 1921, TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN ("TSRHC") PROVIDED CARE TO PATIENTS WITH NEEDS WITHIN THE HOSPITAL'S SCOPE OF SERVICES AT NO CHARGE. AS THE HOSPITAL BEGAN ACCEPTING REIMBURSEMENT IN OCTOBER 2012, IT IMPLEMENTED A NEW CHARITY CARE/FINANCIAL ASSISTANCE POLICY. FINANCIALLY INDIGENT PATIENTS, OR THOSE WHOSE INCOME IS LESS THAN OR EQUAL TO 200 PERCENT OF THE FPG, RECEIVE A 100% DISCOUNT. FOR DISCOUNTED CARE, FPG AND MEDICAL EXPENSES INCURRED ARE USED TO DETERMINE ELIGIBILITY.
PART I, LINE 6A	COMMUNITY BENEFIT REPORT FOR FISCAL YEAR ENDING SEPTEMBER 30, 2017, A COMMUNITY BENEFIT REPORT HAS BEEN FILED WITH THE STATE OF TEXAS. THE COMMUNITY BENEFIT REPORT IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE.
PART I, LINE 7	COSTING METHODOLOGY LINES 7(A) AND (B) COMMUNITY BENEFIT EXPENSE IN COLUMN (C) WERE CALCULATED USING WORKSHEET 2: RATIO OF PATIENT CARE COST TO CHARGES. LINES 7(E), (F), AND (H) COMMUNITY BENEFIT EXPENSE WERE CALCULATED USING A STEP-DOWN ALLOCATION METHOD.
PART II, LINE 9	COMMUNITY BUILDING ACTIVITIES TSRHC ENGAGES IN COMMUNITY BUILDING ACTIVITIES SUCH AS THERAPEUTIC RECREATION OUTREACH PROGRAMS, WHICH HELP CONNECT PATIENTS TO RESOURCES IN THE COMMUNITY AND PROMOTE HEALTH. FOR EXAMPLE, THE HOSPITAL PROVIDES SPORTS AND RECREATION CAMPS SUCH AS LEARN TO GOLF, A PROGRAM THAT PROVIDES THE TOOLS AND INSTRUCTION NEEDED FOR YOUNG PATIENTS TO EXPERIENCE THE REHABILITATIVE BENEFITS OF THE GAME OF GOLF; SUMMER ALL STARS, WHICH EMPHASIZES FUN, FITNESS, HEALTHY COMPETITION AND TEAM SPIRIT THROUGH INCLUSIVE SPORTS AND ACTIVITIES, SUCH AS BASKETBALL, GOLF AND TENNIS; AND CHANCE TO DANCE, A PROGRAM DESIGNED TO INTRODUCE HOSPTIAL PATIENTS TO VARIOUS TYPES OF DANCE, INCLUDING MODERN, JAZZ, SALSA AND BALLET. EIGHT SPECIALTY CAMPS ARE AVAILABLE FOR CHILDREN UP TO THE AGE OF 17, INCLUDING CAMPS FOR PATIENTS WITH TUBEROUS SCLEROSIS, COMPLEX UPPER LIMB DIFFERENCES, SPINA BIFIDA, JUVENILE ARTHRITIS AND HAND DIFFERENCES. THESE PROGRAMS ARE DESIGNED TO EMPOWER PARTICIPANTS IN THEIR DAILY LIVES AND HAVE A POSITIVE, ENDURING EFFECT ON SELF-ESTEEM. THE HOSPITAL ALSO HOSTS VARIOUS PEER AND PARENT SUPPORT GROUPS FOR THE COMMUNITY SUCH AS PALS (PROSTHETICS AND LIMB SUPPORT), ETC. IN ADDITION, PAGES 144-147 REFERENCE OTHER COMMUNITY BUILDING ACTIVITIES IN WHICH THE HOSPITAL PARTICIPATES. THE HOSPITAL HOSTS VARIOUS ANNUAL EVENTS FOCUSED ON COMMUNITY DEVELOPMENT. THESE INCLUDE FARM & RANCH DAY, BIKE RODEO AND CHILD SAFETY DAY, WHICH ARE HELD AT NO CHARGE TO PARTICIPANTS. THESE EVENTS ARE FOCUSED ON EDUCATION AND PREVENTION. TSRHC REGULARLY ENGAGES WITH THE COMMUNITY, EDUCATING YOUNG ATHLETES, PARENTS, COACHES AND SCHOOL DISTRICTS ABOUT SPORTS SAFETY, INJURY PREVENTION AND CONCUSSION MANAGEMENT AT HEALTH FAIRS AND COACHING CLINICS. THE HOSPITAL CONNECTS WITH THE COMMUNITY THROUGH THEIR T. BOONE PICKENS TRAINING AND CONFERENCE CENTER BY HOSTING MANY EVENTS TO EDUCATE AND INFORM COMMUNITY MEMBERS ON VARIOUS MEDICAL AND NON-MEDICAL TOPICS. THROUGH THE CONFERENCE CENTER, WE HOSTED MORE THAN 1,700 MEETINGS BY EXTERNAL GROUPS IN FISCAL YEAR 2017. THIS INCLUDES MEETINGS REGARDING CHILD HEALTH CARE ORGANIZED BY THE DALLAS-FORT WORTH HOSPITAL COUNCIL, ADVANCED MEDICAL TRAINING FOR NURSES AND PHYSICIANS IN CONJUNCTION WITH UT SOUTHWESTERN MEDICAL CENTER, GATHERINGS OF PATIENT/FAMILY SUPPORT GROUPS FOR THOSE UNDERGOING TREATMENT FOR A CONDITION TREATED AT THE HOSPITAL AND MEETINGS OF THE MAYOR'S TASK FORCE ON POVERTY.
PART III, SECTION A, LINE 2	METHODOLOGY TO DETERMINE BAD DEBT BAD DEBT EXPENSE IS COMPRISED OF ACTUAL UNCOLLECTIBLE AMOUNTS PLUS AN ALLOWANCE BASED ON HISTORICAL DATA. DISCOUNTS ARE NOT INCLUDED IN BAD DEBT.
PART III, SECTION A, LINE 3	BAD DEBT EXCLUSION OF FINANCIAL ASSISTANCE BAD DEBT EXPENSE DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY.
PART III, SECTION A, LINE 4	THE HOSPITAL MAINTAINS ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. THE HOSPITAL ASSESSES THE REASONABLENESS OF THE ALLOWANCE ACCOUNT BASED ON HISTORICAL WRITE-OFFS, CASH COLLECTIONS, THE AGING OF THE ACCOUNTS AND OTHER ECONOMIC FACTORS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS ARE UNSUCCESSFUL. MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS ITS ALLOWANCES ASSOCIATED WITH ITS RECEIVABLES. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THE YEARS ENDED SEPTEMBER 30, 2017 AND 2016, WAS APPROXIMATELY $4,810,281 AND $5,255,000 RESPECTIVELY.
PART III, SECTION B, LINE 8	MEDICARE ALLOWABLE COSTS THE ESTIMATED COSTS OF PROVIDING CHARITY CARE SERVICES TO MEDICARE PATIENTS ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES AS DETERMINED ON PART I, WORKSHEET 2. THE RATIO OF COSTS TO CHARGES IS CALCULATED BASED ON TOTAL EXPENSES DIVIDED BY GROSS PATIENT SERVICES REVENUE. THE SHORTFALL IS NOT INCLUDED AS A COMMUNITY BENEFIT.
PART III, SECTION C, LINE 9B	COLLECTION PRACTICES A PATIENT'S ACCOUNT WILL BE REVIEWED FOR FINANCIAL ASSISTANCE ELIGIBILITY AND THE APPROPRIATE APPLICATION OF ANY APPLICABLE THIRD-PARTY PAYMENT, AND/OR DISCOUNTS BEFORE INITIATING A STATEMENT TO THE PATIENT. ONCE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE PATIENT SHALL BE NOTIFIED OF THE AMOUNT QUALIFYING UNDER THE POLICY, AND NO FURTHER BILLING ACTIONS SHALL BE TAKEN FOR AMOUNTS QUALIFYING UNDER THE POLICY. AFTER A PATIENT'S ACCOUNT BALANCE IS REDUCED BY ANY DISCOUNTS AVAILABLE UNDER THIS POLICY, THE PATIENT WILL BE RESPONSIBLE FOR THE REMAINDER OF HIS OR HER OUTSTANDING ACCOUNT BALANCE. THE HOSPITAL WILL SEND THREE POST-DISCHARGE BILLING STATEMENTS OVER A 120-DAY PERIOD.
NEEDS ASSESSMENT	PART VI, LINE 2 THE HOSPITAL IS PART OF REGIONAL HEALTHCARE PARTNERSHIP 9 (RHP). THESE EFFORTS WERE CONSISTENT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES TRIPLE AIM TO IMPROVE THE EXPERIENCE OF CARE, IMPROVE THE HEALTH OF POPULATIONS IN OUR RHP, AND TO REDUCE THE COST OF HEALTH CARE WITHOUT COMPROMISING QUALITY. TSRHC EMPLOYS TWO FULL-TIME PHYSICIAN RELATIONS STAFF MEMBERS WITHIN OUR PATIENT ACCESS TEAM. THE PRIMARY GOAL OF THE PHYSICIAN RELATIONS DEPARTMENT IS TO BETTER COMMUNICATE AND INTERACT WITH THE PRIMARY CARE PHYSICIANS IN OUR AREA.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3 FAMILIES ARE CONTACTED BY FAMILY SERVICES COUNSELORS PRIOR TO SCHEDULED SURGICAL PROCEDURES, INPATIENT VISITS, MRI, CT AND ORTHOTICS AND PROSTHETCS TO INFORM THEM ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND TO ASSESS THEIR POTENTIAL QUALIFICATION FOR FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS. FAMILIES ARE NOTIFIED UPON CHECK-IN FOR OUTPATIENT APPOINTMENTS THAT FAMILY SERVICES COUNSELORS ARE AVAILABLE TO OFFER THE SAME APPLICATION. THE FACILITY HAS ALSO POSTED SPECIFICS ABOUT AVAILABLE FINANCIAL ASSISTANCE AT REGISTRATION, IN MAJOR WAITING AREAS, PUBLICATION IN THE HOSPITAL MAGAZINE, HOSPITAL WEBSITE AND CARDS PROVIDED TO FAMILIES UPON CHECK-IN THAT IS AVAILABLE IN ENGLISH AND SPANISH. IN ADDITION, EACH POST-DISCHARGE BILLING STATEMENT WILL NOTIFY THE PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS, INCLUDING A PHONE NUMBER FOR INQUIRIES ABOUT FINANCIAL ASSISTANCE AND A WEBSITE WHERE ADDITIONAL INFORMATION CAN BE OBTAINED. INFORMATION REGARDING THIS POLICY AND HOW TO APPLY FOR FINANCIAL ASSISTANCE WILL ALSO BE PROVIDED DURING PHONE CONVERSATIONS WITH PATIENTS REGARDING FINANCIAL CHARGES AND/OR ACCOUNT BALANCES.
COMMUNITY INFORMATION	PART VI, LINE 4 THE COMMUNITY SERVED BY TSRHC CAN BEST BE DEFINED BY UNDERSTANDING ITS PATIENT POPULATION AND CLINICAL FOCUS. THE HOSPITAL IS A 501(C)(3) PEDIATRIC ORTHOPEDIC HOSPITAL IN DALLAS, TEXAS, AND OUTPATIENT CLINIC IN PLANO, TEXAS, WHICH TREATS PEDIATRIC ORTHOPEDIC CONDITIONS, SPORTS INJURIES, FRACTURES, AS WELL AS CERTAIN RELATED ARTHRITIC AND NEUROLOGICAL DISORDERS AND DYSLEXIA/LEARNING DISORDERS. TSRHC PROVIDES PREMIER PEDIATRIC ORTHOPEDIC AND DYSLEXIA SERVICES TO PEDIATRIC PATIENTS FOR WHOM THE SERVICES PROVIDED BY THE HOSPITAL OFFER HOPE OF IMPROVEMENT. THOUGH THE HOSPITAL IS DEDICATED TO PROVIDING CARE TO CHILDREN FROM AROUND THE STATE OF TEXAS AND THROUGHOUT THE U.S., A VAST MAJORITY OF ITS PATIENTS LIVE IN A 10-COUNTY GEOGRAPHIC AREA LOCATED IN NORTH TEXAS, WHICH ACCOUNTS FOR MORE THAN 80 PERCENT OF THE HOSPITALS PATIENTS. DEFINING ITS PRIMARY COMMUNITY WILL ALLOW THE HOSPITAL TO MORE EFFECTIVELY FOCUS ITS RESOURCES TO ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS TARGETING AREAS OF GREATEST NEED AND HEALTH DISPARITIES. ACCORDING TO THE CENSUS BUREAU, THE 2017 ESTIMATED POPULATION FOR THE PRIMARY SERVICE AREA, WAS 7,353,961 PEOPLE. BASED ON 2016 CENSUS BUREAU DATA, THE MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA WAS $59,039. IN 2016, APPROXIMATELY 29 PERCENT OF THE PRIMARY SERVICE AREA POPULATION WAS 19 YEARS OR YOUNGER.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5 MEDICAL CARE IS PROVIDED TO CHILDREN WITH ORTHOPEDIC AND RELATED CONDITIONS NOT TREATED AT OTHER MEDICAL FACILITIES. MANY PROVIDERS AT TSRHC RECEIVE REFERRALS FROM PHYSICIANS AND CHILDREN'S HOSPITALS IN THE PRIMARY SERVICE AREA BECAUSE THE PATIENT'S CONDITION IS EITHER TOO ACUTE OR IN SOME CASES, SO RARE, THE REFERRING FACILITY DOES NOT HAVE ADEQUATELY TRAINED OR EXPERIENCED STAFF TO PROVIDE THE NECESSARY CARE. THE HOSPITAL HAS A PROCESS TO DETERMINE IF IT IS THE APPROPRIATE FACILITY TO MEET A CHILD'S CLINICAL NEEDS. THE HOSPITAL NOW OFFERS A REFERRAL-FREE PROCESS BUT IN MANY CASES, THE PROCESS BEGINS WITH A REFERRAL OR AN APPLICATION FOR SERVICES, WHICH IS UTILIZED TO DETERMINE IF THE HOSPITAL CAN APPROPRIATELY MEET THE NEEDS OF THE PATIENT THROUGH ONE OF ITS SERVICE LINES. THIS IS PARTICULARY ESSENTIAL WHEN THE CHILD'S DIAGNOSIS IS NOT A CLEAR ORTHOPEDIC CONDITION. WHEN THE HOSPITAL IS UNABLE TO PROVIDE SERVICES, AS PART OF ITS CARE COORDINATION SERVICES, IT IDENTIFIES REFERRAL RESOURCES AND PROVIDES THEM TO THE FAMILY. IN ADDITION TO GENERAL PEDIATRIC ORTHOPEDIC SERVICES, THE PEDIATRIC ORTHOPEDIC SERVICES FOR WHICH PATIENTS ARE PRIMARILY REFERRED TO THE HOSPITAL INCLUDE SCOLIOSIS AND SPINE DISORDERS, CLUBFOOT AND OTHER FOOT DISORDERS, REDUCTION DEFICITS (LIMB LENGTHENING), HAND AND UPPER LIMB DISORDERS, HIP DISORDERS, SPORTS MEDICINE, FRACTURES AND NEUROLOGIC, RHEUMATOLOGIC AND OTHER PEDIATRIC DEVELOPMENTAL DISABILITIES TREATED IN ADDITION OR RELATED TO OTHER ORTHOPEDIC CONDITIONS. RESEARCH: SINCE OPENING ITS DOORS IN 1921, TSRHC HAS STRIVED TO DISCOVER NEW AND BETTER WAYS TO CARE FOR CHILDREN AFFECTED BY PEDIATRIC ORTHOPEDIC CONDITIONS AND CERTAIN RELATED NEUROLOGICAL DISORDERS. THE HOSPITAL'S DEDICATED RESEARCH CENTER, THE SARAH M. AND CHARLES E. SEAY CENTER FOR MUSCULOSKELETAL RESEARCH, IS MADE UP OF SIX CENTERS FOR EXCELLENCE SUPPORTED BY RESEARCH DIVISIONS AND CORE FACILITIES: SCOLIOSIS AND SPINE; CLUBFOOT AND FOOT DISORDERS; HIP DISORDERS; LIMB LENGTH DISCREPANCIES; HAND DISORDERS; AND SPORTS MEDICINE. THROUGH THE YEARS, TSRHC RESEARCHERS AND PHYSICIANS HAVE GENERATED MORE THAN 30 PATENTS AND MADE IMPORTANT DISCOVERIES THAT HAVE HELPED CHILDREN WORLDWIDE. THESE FINDINGS AND INNOVATIONS ALLOW THE MEDICAL COMMUNITY TO FORM NEW HYPOTHESES TO EXPLAIN WHAT CAUSES CERTAIN CONDITIONS WHILE PROVIDING TOOLS FOR FUTURE RESEARCH. THE MAJOR DISCOVERIES AND RESEARCH APPLICATIONS AT TSRHC INCLUDE: THE FIRST GENE ASSOCIATED WITH IDIOPATHIC SCOLIOSIS; TWO MORE GENETIC MARKERS OF THE CONDITION; THE TSRH SILO 5.5 SPINAL SYSTEM; THE TRUE/LOK EXTERNAL FIXATION SYSTEM; AND THE TRUE/LOK HEXAPOD SYSTEM. THE HOSPITAL IS COMMITTED TO TRANSLATING ITS SCIENTIFIC DISCOVERIES INTO IMPROVED CARE AND TREATMENT OUTCOMES FOR CHILDREN WITH MUSCULOSKELETAL CONDITIONS. TO THAT END, THE HOSPITAL IS LAUNCHING A MULTIDISCIPLINARY CENTER FOR PEDIATRIC BONE BIOLOGY AND TRANSLATIONAL RESEARCH. THE CENTER INCLUDES 3,200 SQUARE FEET OF LABORATORIES AND OFFICES DEDICATED TO BONE-RELATED RESEARCH. IN COLLABORATION WITH UT SOUTHWESTERN MEDICAL CENTER, RESEARCHERS WILL EXPLORE THE ROOT CAUSES OF BONE DISORDERS WITH A "BENCH TO BEDSIDE" TRANSLATIONAL RESEARCH AND TREATMENT APPROACH. IT WILL ALSO FURTHER EXPAND THE FACILITYS ROLE AS A TRAINING SITE FOR FELLOWS, VISITING SCIENTISTS AND STUDENTS AND WILL ALSO HOST INTERNATIONAL GATHERINGS DEDICATED TO COLLABORATIVE RESEARCH THAT WILL BENEFIT CHILDREN THROUGHOUT THE COMMUNITY AND AROUND THE WORLD. MEDICAL EDUCATION: FOR MORE THAN 35 YEARS, IN ASSOCIATION WITH THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, TSRHC HAS PROVIDED AN EXTRAORDINARY EDUCATIONAL EXPERIENCE IN THE FIELD OF PEDIATRIC ORTHOPEDICS TO PROMISING ORTHOPEDIC SURGEONS. NEARLY 200 PHYSICIANS HAVE BENEFITED FROM THE FELLOWSHIP IN PEDIATRIC ORTHOPEDICS AND SCOLIOSIS, GOING ON TO HOLD PRESTIGIOUS MEDICAL POSITIONS ACROSS THE COUNTRY AND AROUND THE WORLD. IN ADDITION TO THE FELLOWSHIP PROGRAM, THE HOSPITAL PARTICIPATES IN RESIDENCY TRAINING PROGRAMS IN NEUROLOGY, RHEUMATOLOGY, ORTHOPEDICS, PSYCHOLOGY, RADIOLOGY AND PEDIATRIC DEVELOPMENT DISABILITIES. THE HOSPITAL ALSO HAS VARIOUS AFFILIATION PROGRAMS FOR EDUCATION IN PHYSICAL THERAPY, OCCUPATIONAL THERAPY, PROSTHETICS AND VARIOUS OTHER DISCIPLINES. FAMILY RESOURCE CENTER: THE CHRISTI CARTER URSCHEL FAMILY RESOURCE CENTER, FOUNDED IN 1988, PROVIDES HEALTH INFORMATION AND SUPPORT RESOURCES TO PATIENTS AND FAMILIES IN ORDER TO HELP THEM MAKE INFORMED HEALTH CARE DECISIONS AND IMPROVE THEIR QUALITY OF LIFE. THE CENTER'S STAFF ALSO PROVIDES REFERRALS TO MEDICAL PROVIDERS FOR CONDITIONS NOT TREATED AT THE HOSPITAL. THE CENTER SERVES AN AVERAGE OF 2,000 FAMILIES ANNUALLY. FAMILY ROOM AND CHAPEL: THE FAMILY ROOM IS PRIMARILY UTILIZED BY PATIENT FAMILIES AS A COMFORTABLE SURGERY WAITING AREA, WHILE THE CHAPEL LOCATED NEXT DOOR PROVIDES A PLACE OF WORSHIP WITH NONDENOMINATIONAL SERVICES EACH SUNDAY. CHILD LIFE SERVICES: CHILD LIFE SPECIALISTS FOCUS ON EACH PATIENT AND THEIR FAMILYS SPECIFIC NEEDS BY PROMOTING OPTIMAL PSYCHOSOCIAL DEVELOPMENT AND EDUCATIONAL NEEDS OF CHILDREN AND TEENAGERS TO HELP REDUCE FEAR AND PROMOTE COPING DURING THEIR VISIT. THEY PROVIDE SERVICES SUCH AS PREPARATION AND SUPPORT FOR MEDICAL PROCEDURES, EDUCATION ABOUT DIAGNOSIS, COPING TECHNIQUES TO USE DURING MEDICAL EXPERIENCES, ENGAGEMENT IN MEDICAL PLAY, OUTLETS FOR SELF-EXPRESSION AND SUPPORT FOR BROTHERS AND SISTERS. FAMILY SERVICES DEPARTMENT: FAMILY SERVICES SERVES AS A SUPPORT CENTER FOR PATIENTS AND FAMILIES IN FOUR PRIMARY AREAS: MEDICAL SOCIAL WORK FOR RESOURCES AND REFERRALS; COORDINATION OF OFF-SITE MEDICAL SERVICES; FINANCIAL ASSISTANCE PROGRAMS AND FAMILY SERVICES COUNSELING; AND LANGUAGE INTERPRETATION AND TRANSLATION SERVICES. RESOURCES TO ADDRESS CHILD HEALTH STATUS: SOCIAL WORKERS AND MEDICAL CONSULT COORDINATORS HELP FAMILIES ARRANGE TO RECEIVE FOLLOW-UP CARE FOR THE SERVICES ORDERED BY THE MEDICAL STAFF. PATIENT FAMILIES CHOOSE THEIR VENDORS FROM A LIST OF VENDORS PROVIDED BY SOCIAL WORKERS BASED ON LOCATION AND THE PATIENT'S FUNDING SOURCE. THESE SERVICES INCLUDE WEIGHT MANAGEMENT, OUTPATIENT PHYSICAL REHAB, HOME HEALTH SERVICES, DURABLE MEDICAL EQUIPMENT, MEDICAL SUPPLIES, TESTING AND SPECIALISTS AND MENTAL HEALTH. TSRHC'S PATIENT EDUCATION IS CREATED AND MAINTAINED BY AN INTERDISCIPLINARY TEAM OF PHYSICIANS, NURSES AND ANCILLARY SERVICES THROUGHOUT THE ORGANIZATION. THESE MATERIALS ARE AVAILABLE TO PATIENTS AND FAMILIES ON SPECIFIC SURGERIES, CONDITIONS AND MEDICAL PROCESSES, ALONG WITH MORE GENERAL AND BASIC HEALTH EDUCATION. REFERRAL TO OTHER PROVIDERS: WHEN TSRHC IS UNABLE TO PROVIDE SERVICES, IT IDENTIFIES APPROPRIATE REFERRAL RESOURCES AND PROVIDES THEM TO THE FAMILY IN NEED. EXAMPLES OF EXISTING HEALTH CARE PROGRAMS WITHIN THE COMMUNITY AVAILABLE TO ADDRESS THE IDENTIFIED NEEDS INCLUDE BUT ARE NOT LIMITED TO: CHILDREN'S MEDICAL CENTER; UT SOUTHWESTERN MEDICAL CENTER; COOK CHILDREN'S MEDICAL CENTER; MEDICAL CITY CHILDREN'S HOSPITAL; BAYLOR INSTITUTE FOR IMMUNOLOGY RESEARCH; AS WELL AS OTHER PEDIATRIC SPECIALTIES. RESOURCES TO ADDRESS COORDINATION OF CARE: A GROUP OF HOSPITAL SOCIAL WORKERS, NURSES, ADMINISTRATORS AND MEDICAL STAFF WORK TO TRANSITION TSRHC PATIENTS TO ADULT CARE AS THEY APPROACH THE AGE OF 18. THIS ENSURES THAT ALL PATIENTS REQUIRING ADDITIONAL COORDINATION AS THEY AGE OUT OF HOSPITAL SERVICES RECEIVE THE NECESSARY ASSISTANCE. CATEGORIES OF CARE WITH WHICH STAFF HELP TRANSITION PATIENTS TO ADULT CARE INCLUDE LEGAL AND GUARDIANSHIP, PRIMARY AND SPECIALTY CARE, FUNDING, EDUCATION AND/OR VOCATIONAL PROGRAMS. MEDICAID TRANSPORTATION: SOCIAL WORKERS IN FAMILY SERVICES ARE AVAILABLE TO HELP FAMILIES UNDERSTAND AND NAVIGATE THE PROCESSES FOR MEDICAID TRANSPORTATION ASSISTANCE, LODGING AND MEALS, WHEN ELIGIBLE FOR THESE SERVICES. SOUTHWEST AIRLINES TICKET VOUCHERS: TSRHC SOCIAL WORKERS ARE ABLE TO FACILITATE AIRLINE TICKETS FROM SOUTHWEST AIRLINES FOR FAMILIES LIVING OUTSIDE THE DALLAS/FORT WORTH METROPLEX THAT DO NOT HAVE OTHER RESOURCES TO HELP WITH TRAVEL TO THE HOSPITAL FOR APPOINTMENTS. SOUTHWEST AIRLINES DONATES TICKET VOUCHERS TO BE USED BY FAMILIES WITH NO OTHER MEANS OF TRANSPORTATION. IF SUCH FAMILIES CAN GET TO A SOUTHWEST AIRLINES HUB, SOCIAL WORKERS WILL COORDINATE THE TRIP WITH THE FAMILY USING THE VOUCHERS.
AFFILIATED HEALTHCARE SYSTEM	PART VI, LINE 6 NOT APPLICABLE
STATE FILINGS OF COMMUNITY BENEFIT	REPORT PART VI, LINE 7 FOR FISCAL YEAR ENDING SEPTEMBER 30, 2017 A COMMUNITY BENEFIT REPORT WAS FILED WITH THE STATE OF TEXAS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
SERVICE ORGANIZATION OF WEST TEXAS
2950 W 50TH	LUBBOCK	TX	75219	383755079	501(c)(3)	$2,015,000	$0	RURAL TEXAS INDIGENT CARE MEDICAL CARE AND RESEARCH NURSING ENDOWMENT FUND
PEDI-ORTHO HEALTH CORPORATION
2222 WELBORN ST	DALLAS	TX	75219	752665759	501(c)(3)	$93,392	$0	MEDICAL CARE & RESEARCH
TSRHC SCHOLARSHIP FUND
2222 WELBORN ST	DALLAS	TX	75219	752106637	501(c)(3)	$10,000	$0	NURSING ENDOWMENT FUND

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	SCHEDULE I, PART I, LINE 2 THE GRANT TO PEDI-ORTHO HEALTH CORPORATION, A RELATED MEDICAL ENTITY, IS TO SUPPORT THE MEDICAL SERVICES OF ITS PHYSICIANS. THE HOSPITAL, AS A SOLE MEMBER, MONITORS THE ACTIVITIES OF THE ENTITY WHICH PROVIDES PEDIATRIC ORTHOPEDIC PHYSICIANS TO LOCAL MEDICAL FACILITIES THAT CARE FOR CHILDREN. THE ENTITY IS INDEPENDENTLY AUDITED ANNUALLY AND THE HOSPITAL RECEIVES A COPY OF THE AUDITED FINANCIAL STATEMENTS. THE GRANT TO THE TSRHC SCHOLARSHIP PROGRAM, A RELATED ENTITY, IS TO PROVIDE FUNDING FOR THE VOLUNTEER SERVICES ENDOWED SCHOLARSHIP FOR NURSING. THE ENTITY IS INDEPENDENTLY AUDITED ANNUALLY AND THE HOSPITAL RECEIVES A COPY OF THE AUDITED FINANCIAL STATEMENTS. THE HOSPITAL, IN COLLABORATION WITH THE SERVICE ORGANIZATION OF WEST TEXAS, SOLICITED THE PARTICIPATION OF CERTAIN RURAL TEXAS HOSPITAL DISTRICTS IN INDIGENT CARE AFFILIATION AGREEMENTS AS PART OF THE SECTION 1115 DEMONSTRATION WAIVER FOR THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM. THE FOLLOWING HOSPITAL DISTRICTS PARTICIPATE UNDER THESE AGREEMENTS: DALLAM & HARTLEY COUNTIES AND DAWSON COUNTY. THE SERVICES OF A CONSULTANT WERE UTILIZED IN THE SELECTION OF HOSPITAL DISTRICTS WITH WHICH TO AFFILIATE. THE SERVICE ORGANIZATION IS MONITORED BY MEANS OF THEIR TAX RETURN, AND UNDER THE TERMS OF THE AFFILIATION AGREEMENTS, THE HOSPITAL DISTRICTS AGREED TO COOPERATE WITH TSRH TO ASSESS THE IMPROVEMENTS IN INDIGENT CARE ACCESS, AVAILABILITY AND DELIVERY IN THEIR COMMUNITIES RESULTING FROM THIS PROGRAM.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT L WALKER
PRESIDENT/CEO	$709,587	$0	$0	$0	$65,538	$0	$0	$0	$27,743	$0	$802,868	$0	$16,176	$0
WILLIAM R HUSTON
SR VP AND CFO	$359,882	$0	$0	$0	$28,207	$0	$15,900	$0	$34,024	$0	$438,013	$0	$0	$0
LORI DALTON
SR VP AND GENERAL COUNSEL	$357,443	$0	$0	$0	$32,053	$0	$15,900	$0	$38,423	$0	$443,819	$0	$0	$0
MATT CHANCE
SR VP, OPERATIONS	$259,536	$0	$0	$0	$24,197	$0	$9,706	$0	$38,077	$0	$331,516	$0	$0	$0
FREDRIC RICHMOND
SR VP & CHIEF INVESTMENT OFFIC	$329,005	$0	$0	$0	$32,237	$0	$15,900	$0	$36,168	$0	$413,310	$0	$0	$0
MARK G BATEMAN
SR VP, PUBLIC RELATIONS	$340,843	$0	$0	$0	$31,326	$0	$15,900	$0	$35,660	$0	$423,729	$0	$0	$0
CONNIE WRIGHT
VP, HUMAN RESOURCES	$242,155	$0	$0	$0	$18,986	$0	$11,577	$0	$21,580	$0	$294,298	$0	$0	$0
DON KATZ
VP, FACILITIES	$234,332	$0	$0	$0	$19,470	$0	$90,017	$0	$38,085	$0	$381,904	$0	$0	$0
DEBRA SAYLES
VP & CNO	$258,984	$0	$0	$0	$23,227	$0	$164,546	$0	$12,244	$0	$459,001	$0	$0	$0
LESLIE A CLONCH
VP & CHIEF INFORMATION OFFICER	$316,921	$0	$0	$0	$24,771	$0	$15,900	$0	$38,620	$0	$396,212	$0	$0	$0
JEREMY HOWELL
VICE PRESIDENT	$193,707	$0	$0	$0	$16,853	$0	$11,985	$0	$35,584	$0	$258,129	$0	$0	$0
STEPHANIE BRIGGER
VICE PRESIDENT	$178,363	$0		$0	$17,276	$0	$49,579	$0	$21,894	$0	$267,112	$0	$0	$0
ELLEN HAYNES
VICE PRESIDENT	$179,582	$0		$0	$16,582	$0	$10,912	$0	$12,387	$0	$219,463	$0	$0	$0
KRISTINA KEEVER-SMITH
INVESTEMENT OFFICER	$213,333	$0	$0	$0	$10,674	$0	$33,136	$0	$3,746	$0	$260,889	$0	$0	$0
JEAN ALLEN
CONTROLLER	$163,565	$0	$0	$0	$9,962	$0	$10,210	$0	$27,217	$0	$210,954	$0	$0	$0
JC MONTGOMERY JR
PRESIDENT EMERITUS	$409,632	$0	$0	$0	$78,972	$0	$0	$0	$27,434	$0	$516,038	$0	$19,057	$0
DANIEL J SUCATO MD
CHIEF OF STAFF	$760,388	$48,000	$0	$0	$62,943	$0	$232,136	$0	$36,723	$0	$1,092,190	$48,000	$0	$0
J ANTHONY HERRING MD
CHIEF OF STAFF EMERITUS	$520,692	$0	$0	$0	$80,515	$0	$0	$0	$25,174	$0	$626,381	$0	$16,530	$0
B STEPHENS RICHARDS MD
CMO (SEE SCH J*)	$646,994	$4,000		$0	$235,159	$0	$397,234	$0	$26,743	$0	$1,306,130	$4,000	$0	$0
LORI KAROL MD
ASST COS (SEE SCH J**)	$614,325	$17,300	$0	$0	$829,792	$0	$236,873	$0	$38,483	$0	$1,719,473	$17,300	$0	$0
KARL E RATHJEN MD
ASSISTANT CHIEF OF STAFF	$608,514	$37,900	$0	$0	$37,529	$0	$182,558	$0	$12,067	$0	$840,668	$37,900	$0	$0
PHILIP WILSON MD
ASSISTANT CHIEF OF STAFF	$162,602	$508,206	$0	$0	$9,036	$26,735	$95,904	$0	$5,299	$19,707	$272,841	$554,648	$0	$0
CHARLES E JOHNSTON II MD
ASSIST. CHIEF OF STAFF EMERITU	$561,631	$0	$0	$0	$146,654	$0	$0	$0	$25,243	$0	$733,528	$0	$52,163	$0
LAWSON COPLEY MD
CMIO (FORMER)	$0	$623,659	$0	$25,000	$164	$35,110	$0	$128,364	$0	$37,423	$164	$849,556	$0	$0
MOLLY DEMPSEY MD
CMIO	$611,063	$0	$0	$0	$45,104	$0	$135,555	$0	$35,983	$0	$827,705	$0	$0	$0
JOHN G BIRCH MD
CHIEF OF STAFF EMERITUS		$0	$0	$0	$294,934	$0	$0	$0	$0	$0	$294,934	$0	$77,410	$0
CINDY K KELLY MD
ANESTHESIOLIGIST (SEE SCH J**)	$410,906	$0	$0	$0	$358,314	$0	$156,351	$0	$17,925	$0	$943,496	$0	$0	$0
SCOTT N OISHI MD
ORTHOPEDIC SURGEON	$590,479	$0	$0	$0	$37,192	$0	$15,900	$0	$36,222	$0	$679,793	$0	$0	$0
BRANDON A RAMO MD
ORTHOPEDIC SURGEON	$607,573	$46,000	$0	$0	$52,850	$0	$15,900	$0	$38,223	$0	$714,546	$46,000	$0	$0
AMY L MCINTOSH MD
ORTHOPEDIC SURGEON	$611,063	$54,900	$0	$0	$45,056	$0	$15,900	$0	$35,983	$0	$708,002	$54,900	$0	$0
CHRISTOPHER M STUTZ MD
ORTHOPEDIC SURGEON	$542,881	$39,000		$0	$38,168	$0	$15,900	$0	$11,812	$0	$608,761	$39,000	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VII & Schedule J Footnote	PREVIOUSLY VESTED IN NON-QUALIFIED PENSION PLAN AND ACCRUED ADDITIONAL TAXABLE BENEFITS IN CALENDAR 2016. *VESTED IN NON-QUALIFIED PENSION PLAN IN CALENDAR 2016. SCHEDULE J, PART I, LINE 1A TRAVEL FOR COMPANIONS (INCLUDED ON SCH J, PART II, COL B (III) & W-2, BOX 5) J. ANTHONY HERRING $720 CHARLES JOHNSTON $800 B. STEPHENS RICHARDS $800 SCOTT N. OISHI $ 15 LORI KAROL $800 SOCIAL CLUB DUES (INCLUDED ON SCH J, PART II, COL B (III) & W-2, BOX 5) JC MONTGOMERY, JR. $2,640
SCHEDULE J, PART I, LINE 1B	THE CORPORATION DOES NOT HAVE A WRITEN POLICY REGARDING REIMBURSEMENT FOR TRAVEL FOR COMPANIONS. CERTAN EMPLOYEES ARE ALLOWED $800 ANNUALLY FOR TRAVEL FOR COMPANIONS. THE ORGANIZATION PAID A PORTION OF THE SOCIAL CLUB DUES FOR AN EMPLOYEE. SUBSTANTIATION OF EXPENSES WAS REQUIRED PRIOR TO REIMBURSEMENT AND THESE ITEMS WERE INCLUDED AS TAXABLE INCOME ON SCHEDULE J.
SCHEDULE J, PART I, LINE 4B	THE RESTORATION OF RETIREMENT INCOME PLAN (RRIP) IS A NON-QUALIFIED PLAN PROVIDING SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN EMPLOYEES OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (TSRHC) AND A RELATED ENTITY, WHOSE BENEFITS UNDER THE TAX-QUALIFIED RETIREMENT PLAN HAVE BEEN LIMITED BY THE MAXIMUM BENEFIT AND MAXIMUM COMPENSATION LIMITATIONS IMPOSED UNDER THE TAX-QUALIFIED RETIREMENT PLAN IN ORDER TO COMPLY WITH THE INTERNAL REVENUE CODE. THE TOTAL ACCUMULATED BENEFIT THAT HAS ACCRUED FOR A PARTICIPANT UNDER THE RRIP NORMALLY BECOMES VESTED AND TAXABLE TO A PARTICIPANT WHEN HE OR SHE EITHER HAS ATTAINED AGE 55 AND COMPLETED 15 YEARS OF SERVICE OR ATTAINS AGE 65. THE BENEFIT ACCRUALS FOR A PARTICIPANT AFTER THE DATE OF INITIAL VESTING ARE TAXABLE TO THE PARTICIPANT WHEN AND AS ACCRUED. RRIP BENEFITS BECOME PAYABLE AFTER TERMINATION OF EMPLOYMENT. UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES ARE NON-VESTED PARTICIPANTS WHO ARE ACCRUING AN ANNUAL BENEFIT IN 2016. (INCLUDED ON SCH J, PART II, COL C) DANIEL SUCATO $172,164 KARL RATHJEN $122,246 LORI KAROL $162,832 (VESTED IN CURRENT YEAR) MOLLY DEMPSEY $103,628 LAWSON COPLEY $67,608 (EMPLOYED BY A RELATED ENTITY) PHILIP WILSON $46,438 CINDY KELLY $77,019 (VESTED IN CURRENT YEAR) UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES VESTED IN THIS PLAN IN CALENDAR YEAR 2016 AND THEIR CUMULATIVE ACCRUED BENEFITS SINCE INCEPTION, AS REFERENCED BELOW, ARE SUBJECT TO TAXATION. (INCLUDED ON SCH J, PART II, COL B (III) & W-2, BOX 5) CINDY K. KELLY $354,804 LORI KAROL $790,574 UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEES HAVE PREVIOUSLY VESTED IN THE RRIP AND ACCRUED ADDITIONAL BENEFITS DURING 2016, WHICH ARE SUBJECT TO TAXATION, IN THE FOLLOWING AMOUNTS. (INCLUDED IN SCH J, PART II, COL B (III) & W-2, BOX 5) B. STEPHENS RICHARDS $192,866 THE MANAGEMENT BENEFIT PLAN IS A NON-QUALIFIED PLAN PROVIDING SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN ELIBIGLE EMPLOYEES WHO BECAME PARTICIPANTS PRIOR TO 1988. MONTHLY RETIREMENT INCOME BENEFITS BECOME PAYABLE UNDER THE PLAN COMMENCING AT AGE 65 (OR EARLIER DISABILITY), AND ARE TAXABLE TO PARTICIPANT WHEN AND AS PAID.UNDER THE TERM OF THE MANAGEMENT BENEFIT PLAN, THE FOLLOWING EMPLOYEES RECEIVED PAYMENTS IN 2016. (INCLUDED ON SCH J, PART II, COL B (III) AND W-2, BOX 1 AND 5) JC MONTGOMERY, JR. $39,702 J. ANTHONY HERRING $34,438 ROBERT WALKER $32,352 JOHN BIRCH $85,416 CHARLES JOHNSTON $100,848 THE FLEXIBLE BENEFITS PLAN IS A NON-QUALIFIED PLAN PROVIDING LIFE INSURANCE, DISABILITY INSURANCE, LONG-TERM CARE INSURANCE AND/OR RETIREMENT BENEFITS TO ELIGIBLE EMPLOYEES OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (TSRHC) AND A RELATED ENTITY, AT THEIR ELECTION. THE INSURANCE PREMIUM AND RETIREMENT ACCOUNT CONTRIBUTION AMOUNTS ALLOCATED TO A PARTICIPANT UNDER THIS PLAN FOR EACH YEAR ARE TAXABLE TO THE PARTICIPANT FOR SUCH YEAR. THE EARNINGS ON RETIREMENT ACCOUNT CONTRIBUTIONS BECOME TAXABLE TO A PARTICIPANT WHEN PAID OR MADE AVAILABLE TO THE PARTICIPANT. UNDER THE TERMS OF THE FLEXIBLE BENEFITS PLAN, THE FOLLOWING EMPLOYEES WERE TAXED ON THE FOLLOWING AMOUNTS FOR CALENDAR YEAR 2016. (INCLUDED IN SCH J, PART II, COL B (III), AND W-2, BOX 5) AMY MCINTOSH $26,120 B. STEPHENS RICHARDS $28,007 BRANDON RAMO $26,120 CHARLES JOHNSTON $26,354 CHRISTOPHER M. STUTZ $21,375 CONNIE WRIGHT $10,350 DANIEL SUCATO $31,750 DEBBIE SAYLES $11,618 DONALD KATZ $10,429 ELLEN HAYNES $7,880 FREDRICK RICHMOND $14,852 J. ANTHONY HERRING $23,625 J.C. MONTGOMERY, JR. $18,720 JEAN ALLEN $7,605 JEREMY HOWELL $8,575 KARL RATHJEN, MD $27,285 KRISTINA KEEVER-SMITH $9,549 LAWSON COPLEY $25,360 (EMPLOYED BY RELATED ENTITY) LESLIE CLONCH $13,905 LORI DALTON $16,262 LORI KAROL $26,281 MARK BATEMAN $15,342 MATT CHANCE $11,250 MOLLIE DEMPSEY $24,291 PHILIP WILSON $26,287 ROBERT WALKER $31,500 STEPHANIE BRIGGER $7,857 WILLIAM HUSTON $15,277

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF PARKER TX CULTURAL EDUCATION FACILITIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	270365113	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2010-12-30	BondIssuedDt
Issue Price	$23,000,000	IssuePriceAmt
Purpose	CONSTRUCT & EQUIP POWER PLANT	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$23,000,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$1,377,318	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$111,125	IssuanceCostsFromProceedsAmt
Credit Enhancement	$37,446	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$22,735,606	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2012	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	JPMorgan Chase	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	10.	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART IV, LINE 2B:	FormAndLineReferenceDesc
Explanation	Arbitrage - Exception to rebate Construction fund exempt from rebate based on two year spend down rules.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DODGE CARTER
GRANDSON TO TRUSTEE	$72,020	EMPLOYEE/NON-OFFICER OF TSRHC	false
KAITLYN BROWN
DAUGHTER TO TRUSTEE	$50,422	EMPLOYEE/NON-OFFICER OF TSRHC	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Business Transactions	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV DODGE CARTER IS THE GRANDSON OF HAROLD D. CARTER, TRUSTEE. KAITLYN BROWN IS THE DAUGHTER OF RUSSELL C. BROWN,TRUSTEE.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp

Cars And Other Vehicles CarsAndOtherVehiclesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$12,500	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	17	ContributionCnt
Noncash Contributions Rpt F990	$619,878	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp

Real Estate Other RealEstateOtherGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$4,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MINERAL INTERESTS	Desc
Contribution	5	ContributionCnt
Noncash Contributions Rpt F990	$53	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Solicitation, processing, or noncash contributions	TSRHC USES THIRD PARTY BROKERS TO SELL DONATED SECURITIES AND OTHER THIRDPARTY SPECIALISTS TO SELL OTHER NON-CASH DONATIONS OF VEHICLES, REAL ESTATE AND OTHERASSETS.
OTHER NONCASH CONTRIBUTIONS	DESCRIPTION: MINERAL INTERESTS(A) CHECK: X(B) NUMBER OF CONTRIBUTIONS: 5(C) REVENUES REPORTED: 53(D) METHOD OF DETERMINING MARKET VALUE: MARKET VALUE

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DOING BUSINESS AS	FORM 990, BOX C TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN PROGRAM SERVICES - PATIENT CARE (CONT.) FORM 990, PART III, LINE 4A THE NEUROLOGY PROGRAM PROVIDES CARE IN SPECIALIZED CLINICS FOR ORTHOPEDIC PATIENTS WHO HAVE RELATED NEUROLOGICAL DISORDERS AND NEUROMUSCULAR DISEASES SUCH AS TUBEROUS SCLEROSIS. THE PEDIATRIC DEVELOPMENTAL DISABILITIES PROGRAM INCLUDES OUTPATIENT CLINIC VISITS FOR THE DIAGNOSIS AND TREATMENT OF CONDITIONS SUCH AS SPINA BIFIDA AND CEREBRAL PALSY. ALL PROGRAMS, INCLUDING ORTHOPEDIC, NEUROLOGY AND LEARNING DISORDERS, TAKES AN INTERDISCIPLINARY APPROACH TO PROVIDING THE BEST POSSIBLE FAMILY-CENTERED CARE. Program Services - Research (Cont.) FORM 990, PART III, LINE 4B HOSPITAL RESEARCHERS HAVE STRIVED TO DISCOVER NEW AND BETTER WAYS TO CARE FOR CHILDREN, WHICH HAVE GENERATED MORE THAN 30 PATENTS. THEY HAVE MADE IMPORTANT DISCOVERIES THAT HAVE HELPED CHILDREN WORLDWIDE, INCLUDING DISCOVERING THE FIRST GENE ASSOCIATED WITH IDIOPATHIC SCOLIOSIS AND TWO MORE GENETIC MARKERS OF THE CONDITION. THROUGH RESEARCH, NEW DEVICES AND TREATMENT SYSTEMS HAVE BEEN CREATED, INCLUDING THE TSRH SILO 5.5 SPINAL SYSTEM, THE TRUE/LOK EXTERNAL FIXATION SYSTEM AND THE TRUE/LOK HEXAPOD SYSTEM. Program Services - Education (Cont.) FORM 990, PART III, LINE 4C FOR 36 YEARS, IN ASSOCIATION WITH THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, THE HOSPITAL HAS PROVIDED AN EXTRAORDINARY EDUCATIONAL EXPERIENCE IN THE FIELD OF PEDIATRIC ORTHOPEDICS TO PROMISING ORTHOPEDIC SURGEONS. MORE THAN 180 PHYSICIANS HAVE BENEFITED FROM THE HOSPITAL'S FELLOWSHIP IN PEDIATRIC ORTHOPEDICS AND SCOLIOSIS, WITH MANY GOING ON TO HOLD PRESTIGIOUS MEDICAL POSITIONS ACROSS THE COUNTRY AND AROUND THE WORLD. IN ADDITION, PHYSICIANS FROM SOME OF THE MAJOR HAND CENTERS HAVE TRAINED AT THE HOSPITAL IN THE SUB-SPECIALTY OF PEDIATRIC HAND SURGERY. THE HOSPITAL ALSO PARTICIPATES IN RESIDENCY TRAINING PROGRAMS IN NEUROLOGY, RHEUMATOLOGY, PSYCHOLOGY, RADIOLOGY AND PEDIATRIC DEVELOPMENTAL DISABILITIES. AFFILIATION PROGRAMS IN NURSING, PHYSICAL THERAPY, PROSTHETICS AND OTHER DISCIPLINES ALSO EXIST. FAMILY AND BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2: LYNDON L. OLSON AND RON CARTER HAVE A BUSINESS RELATIONSHIP. J. A. ANTHONY HERRING, MD, JOHN G. BIRCH, MD, CHARLES E. JOHNSTON, MD, LORI A. KAROL, MD, B. STEPHENS RICHARDS, MD, KARL E. RATHJEN, MD, PHILIP L. WILSON, MD, LAWSON A.B. COPLEY, MD, AMY MCINTOSH, MD, BRANDON RAMO, MD, CHRISTOPHER M. STUTZ, MD, AND DANIEL J. SUCATO, MD, HAVE A BUSINESS RELATIONSHIP WITH ROBERT WALKER, WILLIAM HUSTON AND LORI DALTON IN THAT THE PHYSICIANS ARE DIRECTORS OF PEDI-ORTHO HEALTH CORPORATION, AN ENTITY FOR WHICH TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN IS THE SOLE MEMBER, IN WHICH THE LATTER INDIVIDUALS SERVE AS OFFICERS. LORI DALTON AND KRISTINA KEEVER-SMITH HAVE A BUSINESS RELATIONSHIP IN THAT THEY ARE EMPLOYED BY TEXAS SCOTTISH HOSPITAL FOR CHILDREN AND ALSO SERVE AS OFFICERS OF LEGACY SCHOLARSHIP FUND, A RELATED ENTITY. J.C. MONTGOMERY, JR., LORI DALTON, WILLIAM HUSTON AND KARL RATHJEN HAVE A BUSINESS RELATIONSHIP IN THAT THEY ARE EMPLOYED BY TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN AND ALSO SERVE AS OFFICERS OF TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN FOUNDATION, AN ENTITY FOR WHICH TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN IS THE SOLE MEMBER.
Process used to review 990	Form 990, Part VI , Section B, Line 11b: THE FORM 990 IS PREPARED INTERNALLY IN CONJUNCTION WITH OUTSIDE ACCOUNTANTS AND THEN REVIEWED BY MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE FOR REVIEW AND DISCUSSION. THE FORM 990 IS PROVIDED TO THE BOARD THROUGH ACCESS TO A SECURE PORTAL FOR REVIEW BEFORE IT IS FILED.
COMPLIANCE WITH WRITTEN CONFLICT OF INTEREST POLICY	Form 990, Part VI, Section B, Line 12c: THE ORGANIZATION ANNUALLY REQUIRES OFFICERS, KEY EMPLOYEES AND TRUSTEES TO COMPLETE A CONFLICTS OF INTEREST FORM DISCLOSING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST IN COMPLIANCE WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY. ADDITIONALLY, THESE INDIVIDUALS ARE TO REPORT ANY NEW MATTERS THAT ARISE DURING THE YEAR IF THEY BECOME AWARE OF A TRANSACTION THAT IS UNDER CONSIDERATION THAT PRESENTS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. ANNUALLY THE GENERAL COUNSEL PREPARES AND SUBMITS A SUMMARY OF THE DISCLOSED POTENTIAL CONFLICTS TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. ADDITIONALLY, AT THE TIME A KEY STAFF MEMBER IS HIRED OR PROMOTED TO A POSITION WITH ADMINISTRATIVE OR MANAGEMENT RESPONSIBILITIES, THE ORGANIZATION PROVIDES THE INDIVIDUAL WITH A COPY OF THE CONFLICTS OF INTEREST POLICY AND THE INDIVIDUAL IS REQUIRED TO COMPLETE A CONFLICTS OF INTEREST DISCLOSURE FORM. ALL MATERIAL FACTS SURROUNDING CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS INVOLVING A CONFLICT OF INTEREST ARE TO BE DISCLOSED TO ENSURE THAT THE CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR TO THE HOSPITAL AT THE TIME IT IS AUTHORIZED, APPROVED, OR RATIFIED.
Process for determining compensation	Form 990, Part VI, Section B, Line 15a and 15b: THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES ANNUALLY REVIEWS AND APPROVES SALARIES AND BENEFITS FOR OFFICERS, MEMBERS OF THE MEDICAL STAFF AND KEY EMPLOYEES OF THE ORGANIZATION. THE HOSPITAL REVIEWS VARIOUS EXECUTIVE/PHYSICIAN COMPENSATION SURVEYS, INCLUDING DATA FROM PEDIATRIC HOSPITALS AND PHYSICIAN PRACTICES ON BOTH A LOCAL AND NATIONAL BASIS. BI-ANNUALLY, AN INDEPENDENT CONSULTANT REVIEWS SALARIES AND BENEFITS OF OFFICERS, PHYSICIANS AND KEY EMPLOYEES. THIS REVIEW WAS LAST UNDERTAKEN IN FISCAL YEAR 2016 FOR OFFICERS AND MEDICAL STAFF.
GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY AND FINANCIAL	STATEMENTS Form 990, Part VI, Section C, Line 19: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED BY THE HOSPITAL AND ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART X, LINES 1 AND 11 PRIOR YEAR BALANCES WERE ADJUSTED FOR PRESENTATION PURPOSES ONLY.
RECONCILIATION OF NET ASSETS	FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT $ 15,001,851 CHANGE IN BENEFICIAL INTEREST IN TRUSTS $ 3,224,505 ------------- TOTAL $ 18,226,356

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
PEDI-ORTHO HEALTH CORPORATION
2222 WELBORN ST	DALLAS	TX	75219	752665759	PHYSICIANS	TX	501(c)(3)	10	TSRH	Yes (true)
TSRH SCHOLARSHIP FUND (DBA LEGACY)
2222 WELBORN ST	DALLAS	TX	75219	752106637	SCHOLARSHIPS	TX	501(c)(3)	7	NA	false
TEXAS SCOTTISH RITE HOSPITAL TRUST
C/O JP MORGAN CHASE POB 3038	MILWAUKEE	WI	53201	756013875	SUPPORT ORG.	WI	501(c)(3)	12D-III-O	NA	false
TSRH FOR CHILDREN FOUNDATION
2222 WELBORN ST	DALLAS	TX	75219	460683787	SUPPORT ORG.	TX	501(c)(3)	7	TSRH	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PEDI-ORTHO HEALTH CORPORATION
b	$93,392	MARKET
PEDI-ORTHO HEALTH CORPORATION
l	$1,169,527	MARKET
PEDI-ORTHO HEALTH CORPORATION
m	$269,540	MARKET
PEDI-ORTHO HEALTH CORPORATION
p	$273,550	MARKET
PEDI-ORTHO HEALTH CORPORATION
q	$1,030,812	MARKET
PEDI-ORTHO HEALTH CORPORATION
s	$850,083	MARKET