2015-02-09T09:13:20-06:00 2014-04-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2013-05-01 742577746 DRISCOLL CHILDREN'S HOSPITAL % GREGORY WARD DRIS 3616945000 3533 SOUTH ALAMEDA Suite CORPUS CHRISTI TX 78411 ERIC HAMON EXECUTIVE VICE PRESIDENT & CFO 7134994600 2015-03-15 true M P Gerich P00226776 7134994600 2013 2016-03-07 17:11:31Z ERIC HAMON 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 362240702 false X DRISCOLLCHILDRENS.ORG X 1953 TX REMEMBERING ALWAYS OUR COMMITMENT TO RELIEVE SUFFERING & MEET THE NEEDS OF CHILDREN; IT IS OUR MISSION TO OFFER HOPE & HEALING IN AN ENVIRONMENT OF TRUST, COMPASSION, & CARE. 14 12 1768 456 0 0 13007527 23850204 233864367 269092443 8240601 4854159 4163813 25711138 259276308 323507944 0 32881921 0 0 104474895 109310677 0 0 1357948 96386723 98897996 200861618 241090594 58414690 82417350 423051096 542305750 79196108 95799441 343854988 446506309 REMEMBERING ALWAYS OUR COMMITMENT TO RELIEVE SUFFERING AND MEET THE NEEDS OF CHILDREN; IT IS THE HOSPITAL'S MISSION TO OFFER HOPE AND HEALING IN AN ENVIRONMENT OF TRUST, COMPASSION, AND CARE. false false 234036042 269092443 PROVISION OF HIGH QUALITY HOSPITAL, MEDICAL, AND NURSING SERVICES TO CHILDREN IN THE SURROUNDING SOUTH TEXAS REGION WITHOUT REGARD TO THE ABILITY TO PAY. CARE IS PERFORMED ON BOTH AN INPATIENT AND AN OUTPATIENT BASIS. 234036042 true true false true false false false false false false true true false false true false false true false false true false false false false false true true true false true false false false false false false false false false false false false false true true true true false true 292 0 true 1768 true false true CJ false false false false false false false false X 14 12 false false true false true false true true true false false true true true true true true true true false X GREGORY WARD 3616946126 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 C IVAN WILSON DIRECTOR 1.0 4.0 X 10000 STEVEN WOERNER CEO AND VICE CHAIRMAN 39.0 2.0 X X 467947 469064 MURRAY BASS JR DIRECTOR 1.0 0.0 X REBA CARDENAS-MCNAIR DIRECTOR 1.0 0.0 X JIM DEVLIN DIRECTOR 1.0 0.0 X MARTHA L HINOJOSA DIRECTOR 1.0 2.0 X 10000 LENORA I KEAS DIRECTOR 1.0 1.0 X LOYD NEAL CHAIRMAN OF THE BOARD 1.0 2.0 X X 0 10000 0 PAUL DANIEL CHAPA DIRECTOR 1.0 0.0 X MARY CLARK DIRECTOR 1.0 1.0 X LEON SMITH-HARRISON MD DIRECTOR 1.0 40.0 X 483206 38044 WILLIAM STERETT DIRECTOR 2.0 1.0 X SAM L SUSSER VICE CHAIRMAN 1.0 3.0 X X THOMAS MORRIS MD DIRECTOR 1.0 0.0 X D ERIC HAMON EXECUTIVE VICE PRES & CFO 40.0 1.0 X 254545 19007 340025 WILLIAM LARSEN VICE PRES MEDICAL EDUCATION 40.0 1.0 X 214487 118949 DONNA M QUINN VICE PRES OPERATIONS/QUALITY 40.0 1.0 X 266808 55942 DALE V OBERMUELLER VICE PRES CPSST 1.0 43.0 X 289661 53636 KAREN C LONG VP/CHIEF PATIENT CARE 40.0 1.0 X 233798 42801 MARTHA A AVERY VICE PRESIDENT OF DEVELOPMENT 1.0 41.0 X 255843 68531 GREGORY A WARD VICE PRESIDENT, FINANCE 40.0 1.0 X 251355 34352 DOUGLAS A WSZOLEK CLINICAL NIGHT PHARMACIST 40.0 0.0 X 186171 27349 JENNIFER R HENDERSON GENERAL COUNSEL 40.0 1.0 X 255040 20302 SHEREE G FEDDER NEONATAL NURSE PRACTITIONER 40.0 0.0 X 168909 22840 IRENE SANDATE NNP COORDINATOR 40.0 0.0 X 176775 20626 DAVID FOSTER CLINICAL NIGHT PHARMACIST 40.0 0.0 X 174624 12244 WILLIAM DIRKSEN MD FORMER DIRECTOR AND PHYSICIAN 40.0 1.0 X 184726 30456 3380689 532213 1355161 98 true true false EPIC SYSTEMS CORP 1979 MILKY WAY VERONA WI 53593 SOFTWARE DEVELOPMENT 1937343 SODEXO SERVICES OF TEXAS LP 3033 FIFTH AVE STE 335 SAN DIEGO CA 92103 MANAGEMENT 2811251 UNIV TX MEDICAL BRANCH ANEST DEPT 201 UNIVERSITY BLVD JOHN SEALY BLD GALVESTON TX 775550591 PHYSICIANS/TEACHING 5973828 GE HEALTHCARE 3200 N GRANDVIEW BLVD WAUKESHA WI 531881693 MEDICAL EQUIP MAINT 1674367 FULTON CONSTRUCTION CORPCOASTCON C 1102 SECOND ST CORPUS CHRISTI TX 78404 CONSTRUCTION 2432221 58 21469807 1816869 563528 23850204 NET PATIENT SERVICE REVENUE 621110 269092443 269092443 269092443 7209519 7209519 0 0 625879 625879 0 625879 625879 36306596 70802 38660152 72606 -2353556 -1804 -2355360 -2355360 0 0 0 DELIVERY SYSTEM REFORM INCENTIVE PAYMENTS 900099 16052813 16052813 MEDICAL EDUCATION 621110 2057379 2057379 CAFETERIA AND VENDING SALES 722320 716216 716216 6258851 6258851 25085259 323507944 269092443 30565297 32881921 32881921 0 0 0 2437993 2437993 0 0 0 83868514 79563793 3640439 664282 5327171 5030462 248158 48551 11709692 11135703 486850 87139 5967307 5674830 253860 38617 1379647 1379647 129601 129241 360 0 0 0 0 29646490 29380566 256310 9614 1096451 701678 8551 386222 5058124 4946801 28713 82610 5895606 5895606 0 4080119 4080119 41168 12145 19206 9817 0 0 209935 209935 0 8658140 8655833 2307 5454662 4994039 460623 MEDICAL SUPPLIES 23161271 23161108 4 159 BAD DEBT EXPENSE 6958881 6958881 EQUIPMENT RENTAL/MAINTENANCE 4959945 4937810 4127 18008 ADMINISTRATIVE EXPENSES 1802817 1802817 365139 65114 289763 10262 241090594 234036042 5696604 1357948 25923768 13617115 65188549 150227856 308522 297658 27610089 32151696 0 0 0 0 612527 15520005 1000830 1194850 2377030 2620307 261736134 175110505 79080833 86625629 0 0 199695089 223426207 0 0 0 0 21253859 16624427 423051096 542305750 34825594 39992527 0 0 291979 211628 19000000 19000000 0 0 0 0 0 0 0 0 25078535 36595286 79196108 95799441 X 334403877 437439056 1404111 1365253 8047000 7702000 343854988 446506309 423051096 542305750 X 82417350 14421579 1357948 4454444 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 279036 false false false 279036 false false SCHEDULE C, PART II-B, LINE 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES MEETING WITH AND CALLING GOVERNMENT OFFICIALS OR LEGISLATORS AND SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS AND LEGISLATORS. 10141347 10141347 118010562 69859126 48151436 1855396 1633998 221398 121281823 103617381 17664442 10447006 0 10447006 86625629 VANGUARD 223426207 C 223426207 0 SELF INSURANCE CLAIMS PAYABLE 5117672 DUE TO THIRD PARTY PAYOR 31477564 OTHER LIABILITIES 50 36595286 327159613 14421579 -5911638 8509941 318649672 4858272 4858272 323507944 227949828 -1357948 -4823937 -6181885 234131713 6958881 6958881 241090594 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 NET ASSETS RELEASED FROM RESTRICTION $ 1,047,243 PROVISION FOR BAD DEBT $ (6,958,881) -------------- $ (5,911,638) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 CONTRIBUTIONS RECORDED TO NET ASSETS $ 4,858,272 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 INTERCOMPANY SUPPORT $ (4,823,937) SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 PROVISION FOR BAD DEBT $ 6,958,881 UNCERTAIN TAX POSITIONS UNDER FIN 48 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false Central America and the Caribbean Program Services Investment true false true false false false true true true X true X true true true false true true 4528424 0 4528424 0.01950 151030178 147891862 3138317 0.01350 196649 0 196649 0.00080 155755251 147891862 7863390 0.03380 1328297 0 1328297 0.00570 4627505 0 4627505 0.01990 41754018 16052813 25701205 0.11040 47709820 16052813 31657007 0.13600 203465071 163944675 39520397 0.16980 true 4958471 4958471 1235224 1141615 93609 X true true 1 1 DRISCOLL CHILDREN'S HOSPITAL 3533 SOUTH ALAMEDA STREET CORPUS CHRISTI TX 78411 DRISCOLLCHILDRENS.ORG 000488 X X X X X DRISCOLL CHILDREN'S HOSPITAL 1 true X X X X X X X X 13 true true true X HTTP://WWW.DRISCOLLCHILDRENS.ORG/ X WWW.COASTALBENDHEALTHFINDER.COM X X X X X X false false true true 200. true 200. true X X X X X X X true true X X X X X true false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3 INPUT FROM PERSONS FOR CHNA INTERVIEW OF FOCUS GROUPS, INPUT FROM COMMUNITY GROUPS SUCH AS UNITED WAY AND SCHOOL DISTRICTS, SOCIAL SERVICE AND DEMOGRAPHIC DATA FROM THE PATIENT DATABASES OF EACH PARTICIPATING HOSPITAL; STATISTICS FROM GOVERNMENT DATABASES OBTAINED FOR THE ASSESSMENT BY TEXAS A&M UNIVERSITY AT CORPUS CHRISTI. SCHEDULE H, PART V, SECTION B, LINE 4 CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES CHRISTUS SPOHN HEALTH SYSTEM; CORPUS CHRISTI MEDICAL CENTER SCHEDULE H, PART V, SECTION B, LINE 7 NEEDS NOT ADDRESSED IN CHNA THE NEEDS DESCRIBED AND DEFINED IN THE ASSESSMENT ARE TOO PERVASIVE FOR ANY SINGLE HOSPITAL TO ADDRESS ON ITS OWN DUE TO LIMITED RESOURCES. THESE NEEDS INCLUDE BARRIERS TO HEALTHCARE ACCESS; CULTURAL INFLUENCES ON DIABETES AND OBESITY; POVERTY AND POOR EDUCATION AMONG OTHERS. LIMITED RESOURCES PREVENTED A COMPREHENSIVE PLAN FROM BEING DEVELOPED. EXPANDING THE ASSESSMENT STAKEHOLDERS (SUCH AS INCLUDING COUNTY HEALTH OFFICERS) WILL PROVIDE A BETTER OPPORTUNITY FOR A COMPREHENSIVE PLAN TO ADDRESS THIS AREA'S HEALTH NEEDS. SCHEDULE H, PART V, SECTION B, LINE 14G OTHER MEASURES USED TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY THE WEBSITE PROVIDES PHONE NUMBERS FOR INQUIRIES ABOUT CHARITY AND DISCOUNTS. SCHEDULE H, PART V, SECTION B, LINE 20 DETERMINING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS ALL PATIENTS ARE CHARGED AT GROSS. BASED ON PATIENT'S QUALIFICATION FOR CHARITY ALL OR A PORTION WILL BE ADJUSTED. PART I, LINE 7 COLUMN F BAD DEBT EXPENSE OF $6,958,881 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN. FINANCIAL STATEMENTS FOOTNOTE ON BAD DEBT EXPENSE PART III, QUESTION 4 PATIENT ACCOUNTS RECEIVABLE: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE COSTING METHODOLOGY USED WAS RATIO OF COST TO CHARGES. THE HOSPITAL SERVES A LARGE AREA THAT INCLUDES SOME OF THE LOWEST INCOME PER CAPITA COUNTIES IN THE UNITED STATES. A RELATIVELY SMALL NUMBER OF PATIENTS DO NOT QUALIFY FOR GOVERNMENT PROGRAMS AS WELL AS BEING UNINSURED OR UNDERINSURED. IF THE PATIENTS DO NOT QUALIFY FOR CHARITY UNDER HOSPITAL POLICY CRITERIA THEN THE ACCOUNT IS WRITTEN OFF AS A BAD DEBT. PART III, QUESTION 8 MEDICARE IS COST SETTLED FOR THIS HOSPITAL AND THE COSTS SHOWN WERE CALCULATED ON THE MEDICARE COST REPORT. PART III, QUESTION 9B PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE AT ANY TIME, A PATIENT MAY REQUEST FINANCIAL ASSISTANCE WHICH INCLUDES UP TO 100% OF THE ACCOUNT BALANCE. NEEDS ASSESSMENT AN ORGANIZATION WAS FORMED BY THE HOSPITAL, OTHER HOSPITALS IN THE MARKET AREA AND COMMUNITY SERVICE ORGANIZATIONS TO PERFORM A HEALTH NEEDS ASSESSMENT FOR THE AREA SERVED BY THESE ENTITIES. TEXAS A&M UNIVERSITY AT CORPUS CHRISTI CONDUCTED THE SURVEYS AND PUBLISHED THE RESULTS. THE COASTAL BEND HEALTH NEEDS TASK FORCE WAS FORMED TO FOLLOW UP ON THE RECOMMENDATIONS OF THE ASSESSMENT AND WILL ACTIVELY DO SO UNTIL THE NEXT TRI-ANNUAL ASSESSMENT IS CONDUCTED. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE EACH PATIENT'S FAMILY IS PROVIDED WITH WRITTEN MATERIAL AS WELL AS PERSONAL INSTRUCTION AS TO ASSISTANCE THAT IS AVAILABLE TO THEM. STATE EMPLOYEES ARE ON SITE TO EXPEDITE THE MEDICAID ENROLLMENT PROCESS. OTHER THIRD PARTIES ARE ENGAGED TO ASSIST PATIENTS WITH ENROLLMENT. COMMUNITY INFORMATION THE HOSPITAL SERVES THE CHILDREN OF A 31 COUNTY AREA THAT COVERS SOUTH TEXAS TO THE BORDER WITH MEXICO. MOST OF THE COUNTIES IN THIS AREA HAVE THE LOWEST INCOME PER CAPITA IN THE COUNTRY. APPROXIMATELY 70% OF THE HOSPITAL'S PATIENTS ARE ENROLLED IN A GOVERNMENT PROGRAM. PROMOTION OF COMMUNITY HEALTH THE HOSPITAL SUBSIDIZES PEDIATRIC SPECIALISTS IN ORDER TO PROVIDE THESE SERVICES TO ITS SERVICE AREA. A SUBSTANTIAL AMOUNT OF HOSPITAL RESOURCES ARE USED TO PROVIDE SERVICES TO THE COMMUNITY IN THE FORM OF HEALTH EDUCATION, PREVENTION AND AWARENESS, AND HOSPITAL/CLINIC SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. OTHER INFORMATION DRISCOLL CHILDREN'S HOSPITAL WAS ESTABLISHED BY THE WILL OF CLARA DRISCOLL TO PROVIDE HOSPITAL CARE TO CHILDREN WHOSE FAMILIES CANNOT AFFORD TO PAY. THE MISSION AND OPERATIONS OF THE HOSPITAL COMPLY TO THIS DAY WITH THE INTENT OF THE WILL. THE HOSPITAL'S MEDICAL STAFF INCLUDES EMPLOYED PHYSICIANS AS WELL AS PHYSICIANS IN PRIVATE PRACTICE. EXAMPLES OF THE HOSPITAL GIVING INFORMATION TO THE PUBLIC REGARDING COMMUNITY HEALTH ISSUES WERE TELEVISION AND RADIO NEWS STORIES ABOUT H1N1 FLU AND MRSA. THE PUBLIC WAS INFORMED ABOUT SYMPTOMS AND WHAT TO DO IF SOMEONE HAD THESE SYMPTOMS. PART V, SECTION B, QUESTION 18d METHOD FACILITY USED TO DETERMINE THE AMOUNTS BILLED ALL PATIENTS ARE CHARGED AT GROSS. BASED ON PATIENT'S QUALIFICATION FOR CHARITY ALL OR A PORTION WILL BE ADJUSTED. AFFILIATED HEALTH CARE SYSTEM THE HOSPITAL IS AFFILIATED WITH SEVERAL PHYSICIAN ORGANIZATIONS TO PROVIDE SUPPORT FOR PEDIATRICIANS AND PEDIATRIC SPECIALISTS TO SERVE AREAS OF SOUTH TEXAS THAT OTHERWISE WOULD NOT HAVE THESE SERVICES AVAILABLE. STATE FILING OF COMMUNITY BENEFIT REPORT TX true CHILDREN'S PHYS SERVICES OF SOUTH TEXAS 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78401 742620408 501(C)(3) 32881921 CHARITABLE 1 SCHEDULE I, PART I, LINE 2 PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES THE ORGANIZATION USES PUBLIC AND PRIVATE DATA TO MONITOR THE USE OF FUNDS, AS NEEDED. X true true X X X X X false true false false false false false false false STEVEN WOERNER CEO AND VICE CHAIRMAN 256052 193095 18800 458351 10713 937011 D ERIC HAMON EXECUTIVE VICE PRES & CFO 125613 19007 103626 25306 318697 21328 594570 19007 WILLIAM LARSEN VICE PRES MEDICAL EDUCATION 168072 43100 3315 100059 18890 333436 DONNA M QUINN VICE PRES OPERATIONS/QUALITY 223228 43580 0 42639 13303 322750 DOUGLAS A WSZOLEK CLINICAL NIGHT PHARMACIST 177036 0 9135 16202 11147 213520 JENNIFER R HENDERSON GENERAL COUNSEL 211019 26521 17500 19501 801 275342 DALE V OBERMUELLER VICE PRES CPSST 239883 42600 7178 41528 12108 343297 KAREN C LONG VP/CHIEF PATIENT CARE 197798 36000 0 34641 8160 276599 WILLIAM DIRKSEN MD FORMER DIRECTOR AND PHYSICIAN 164341 2885 17500 14388 16068 215182 LEON SMITH-HARRISON MD DIRECTOR 465706 17500 18875 19169 521250 MARTHA A AVERY VICE PRESIDENT OF DEVELOPMENT 194262 44480 17101 54432 14099 324374 GREGORY A WARD VICE PRESIDENT, FINANCE 201035 50320 21631 12721 285707 SHEREE G FEDDER NEONATAL NURSE PRACTITIONER 163445 0 5464 12628 10212 191749 IRENE SANDATE NNP COORDINATOR 171037 0 5738 13114 7512 197401 DAVID FOSTER CLINICAL NIGHT PHARMACIST 171274 3350 0 4220 8024 186868 PART I, QUESTION 1A HEALTH OR SOCIAL CLUB DUES: DUES AND CHARGES ARE PAID FOR STEVE WOERNER AND TOTALED $3,748 IN FISCAL YEAR 2014. ANY REIMBURSEMENTS FOR PERSONAL EXPENDITURES WERE INCLUDED IN MR. WOERNER'S FORM W-2. PART 1, QUESTION 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NAME AMOUNT D. ERIC HAMON $ 253,778 STEVEN WOERNER $ 372,792 WILLIAM LARSEN $ 53,594 MARTHA AVERY $ 13,344 NO PAYMENTS WERE RECEIVED. FORM 990, PART VI, QUESTION 6 CLASSES OF MEMBERS OR STOCKHOLDERS ROBERT DRISCOLL, JULIA DRISCOLL, AND ROBERT DRISCOLL JR. FOUNDATION IS THE SOLE MEMBER OF DRISCOLL CHILDREN'S HOSPITAL. FORM 990, PART VI, QUESTION 7B MEMBERS OR STOCKHOLDERS THE MEMBER HAS TO APPROVE THE BOARD MEMBERS ELECTIONS. FORM 990, PART VI, QUESTION 11B PROCESS TO REVIEW THE FORM 990 THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS. THE CFO WILL PRESENT THE FORM 990 TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, QUESTION 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE ORGANIZATION HIRES AN EMPLOYEE TO LEAD COMPLIANCE EFFORTS WITH THE CONFLICT OF INTEREST POLICY. IN ADDITION, THE BOARD COMMITTEE REVIEWS ISSUES AND REPORTS ANY THAT ARISE. FORM 990, PART VI, QUESTION 15A &15B REVIEW OF COMPENSATION THE 2012 & 2013 COMPENSATION WAS REVIEWED BY THE CONSULTING GROUP SULLIVAN COTTER ASSOCIATES. THEY REVIEW ALL SENIOR OFFICER COMPENSATION AND MAKE RECOMMENDATIONS REGARDING THEIR COMPENSATION LEVELS. FORM 990, PART VI, QUESTION 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART V, QUESTIONS 1A AND 2B NUMBER OF EMPLOYEES DRISCOLL CHILDREN'S HOSPITAL REPORTS PAYROLL AND CONTRACTOR REPORTING FOR ALL ENTITIES WITHIN THE DRISCOLL SYSTEM INCLUDING: DRISCOLL CHILDREN'S HEALTH PLAN 74-2838488 ROBERT AND JULIA DRISCOLL FOUNDATION 74-1170270 DRISCOLL HEALTHCARE SERVICES 01-0962276 CHILDRENS PHYSICIAN SERVICES OF SOUTH TX 74-2620408 DRISCOLL PHYSICIANS GROUP 74-2988134 DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP 72-1234461 DRISCOLL VALLEY PHYSICIANS GROUP 20-1234322 DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT FDN 74-2358461 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS ASSETS RELEASED FROM RESTRICTION $ (24,493) CHANGE IN BENEFICIAL TRUST INTEREST $ (345,000) INTERCOMPANY SUPPORT $ 4,823,937 --------------- $ 4,454,444 FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS THE PRIMARY CHANGES MENTIONED INCLUDED: 1. THE DRISCOLL GOVERNING BOARD MUST SEEK APPROVAL FROM THE DRISCOLL FOUNDATION FOR ANY SALE, LEASE, EXCHANGE, PLEDGE, MORTGAGE, OR OTHER TRANSFER IN ANY SALE, CONVEYANCE, OR MORTGAGE OF ANY REAL PROPERTY OF DRISCOLL CHILDREN'S HOSPITAL'S PROPERTY OR ASSETS IN EXCESS OF $ 1,000,000. 2. TERM LIMITS (1 YEAR TERMS FOR A TOTAL OF 12 YEARS) 3. CHAIRMAN OF THE BOARD (1 YEAR TERM, MAXIMUM OF 5 ONE-YEAR TERMS) 4. VICE CHAIRMEN WILL BE THE CHAIRMEN ELECT. 5. CHIEF FINANCIAL OFFICER SHALL HAVE CHARGE AND CUSTODY OF AND RESPONSIBLE FOR FUNDS AND SECURITIES OF DRISCOLL CHILDREN'S HOSPITAL AND INCLUDING AFFILIATED ENTITIES. 6. The Executive Committee of the Board will consist of: (1) Chair of the Board, who is also the Chair of the Executive Committee; (2) Vice Chair of the Board/Chair-Elect; (3) Finance Committee Chair; (4) President/Chief Executive Officer, and (5) three additional Directors. 7. The Finance and Audit Committee must consist of: (1) Finance Chair, who is appointed by the Chair of the Board; (2) Chair of the Board; (3) Chief Financial Officer; (4) President/Chief Executive Officer and (5)at least one additional Director appointed by the Chair of the Board. THESE CHANGES TO THE DRISCOLL GOVERNING BOARD BYLAWS WERE APPROVED ON APRIL 22, 2013 AND FORWARDED TO THE CHAIR OF THE DRISCOLL FOUNDATION BOARD FOR CONSIDERATION AND APPROVAL ON JUNE 24, 2013. FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES - EPIC TOTAL FEES:9853 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN EDUCATION CONTRACTS TOTAL FEES:3335464 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN ADMIN. CONTRACTS TOTAL FEES:1088027 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN COVERAGE CONTRACTS TOTAL FEES:14343376 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1091372 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:914954 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:2475973 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:2526564 FORM 990 PART IX LINE 11G DESCRIPTION:SURVEY SERVICES TOTAL FEES:322018 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY HELP SERVICES TOTAL FEES:778586 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:1842883 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIPMENT RENTAL TOTAL FEES:556156 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL EQUIPMENT RENTAL TOTAL FEES:351650 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES - DEV. FDN. TOTAL FEES:6963 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES - DEV. FDN. TOTAL FEES:2651 DRISCOLL CHILDRENS HEALTH PLAN 615 N UPPER BROADWAY STE 1621 CORPUS CHRISTI TX 78401 742838488 MEDICAID HMO TX 501(c)(3) 9 DCH true ROBERT BELL PARRISH MEMORIAL TRUST 615 N UPPER BROADWAY STE 1635 CORPUS CHRISTI TX 78401 746416039 CHARITABLE TX 501(C)(3) 11A DRISCOLL FDN false ROBERT AND JULIA DRISCOLL FOUNDATION 615 N UPPER BROADWAY STE 1635 CORPUS CHRISTI TX 78401 741170270 CHARITABLE TX 501(C)(3) 11A NA false JACK & DORIS SMOTHERS MEDICAL FOUNDATION 615 N UPPER BROADWAY STE 1635 CORPUS CHRISTI TX 78401 742750622 CHARITABLE TX 501(C)(3) 11A DRISCOLL FDN false CHILDREN'S PHYS SERVICES OF SOUTH TEXAS 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742620408 HEALTHCARE TX 501(C)(3) 3 DCH true DRISCOLL PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742988134 HEALTHCARE TX 501(C)(3) 3 DCH true DRISCOLL MATERNAL & FETAL PHYSICIANS GRO 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234461 HEALTHCARE TX 501(C)(3) 7 DCH true DRISCOLL VALLEY PHYSICIANS GROUP 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 201234322 HEALTHCARE TX 501(C)(3) 3 DCH true DRISCOLL CHILDREN'S HOSPITAL DEVELOPMENT 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 742358461 CHARITABLE TX 501(C)(3) 7 NA false AUXILIARY TO DRISCOLL CHILDREN'S HOSPITA 3533 SOUTH ALAMEDA CORPUS CHRISTI TX 78411 741260701 SUPPORT HOSP TX 501(C)(3) 11A NA false DRISCOLL HEALTHCARE SERVICES 3533 S ALAMEDA ST CORPUS CHRISTI TX 78411 010962276 AVIATION TX 501(C)(3) 11A DCH true ALLEGRA INSURANCE COMPANY LTD PO BOX 1085 GT GRAND CAYMAN CJ 000000000 INSURANCE CJ DCH C CORPORATION 3197569 22180972 1.00000 true true true true false false false false false false true false true false false true true true false true CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS A 190254 ACTUAL DRISCOLL PHYSICIANS GROUP A 117973 ACTUAL DRISCOLL VALLEY PHYSICIANS GROUP A 219342 ACTUAL DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP A 47626 ACTUAL CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS B 32881921 ACTUAL DRISCOLL DEVELOPMENT FOUNDATION C 4824307 ACTUAL DRISCOLL PHYSICIANS GROUP O -94256 ACTUAL DRISCOLL HEALTHCARE SERVICES P -4791170 ACTUAL CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS P -854942 ACTUAL DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP P 5599275 ACTUAL DRISCOLL PHYSICIANS GROUP P -2616786 ACTUAL DRISCOLL VALLEY PHYSICIANS GROUP P -611893 ACTUAL DRISCOLL DEVELOPMENT FOUNDATION Q 1370867 ACTUAL DRISCOLL CHILDREN'S HEALTH PLAN Q 25528547 ACTUAL DRISCOLL DEVELOPMENT FOUNDATION S 1370867 ACTUAL DRISCOLL CHILDREN'S HEALTH PLAN S 28000000 ACTUAL