TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (EIN 75-0818178)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-14
IRS object ID: 201542269349302689
Schema version: 2013v4.0
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-14T12:36:46-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON STREET SUITE 600	AddressLine1
City	FORT WORTH	City
State	TX	State
ZIP Code	76102	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	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	BusinessNameLine1
Business Name Line2	Children	BusinessNameLine2

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	AddressLine1
Address Line2	Suite	AddressLine2
City	Dallas	City
State	TX	State
ZIP Code	75219	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	William Huston	PersonNm
Person Title	Sr. VP & CFO	PersonTitleTxt
Phone	8173351900	PhoneNum
Signature	2015-08-14	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	2013	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Robert L Walker	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 Welborn	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	752193924	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$2,056,939,482	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.tsrhc.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 ORTHOPAEDIC RELATED CONDITIONS THROUGH PATIENT CARE, RESEARCH AND EDUCATION.	ActivityOrMissionDesc
Voting Members Governing Body	39	VotingMembersGoverningBodyCnt
Voting Members Independent	39	VotingMembersIndependentCnt
Total Employee	1074	TotalEmployeeCnt
Total Volunteers	926	TotalVolunteersCnt
Total Gross UBI	$701,659	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,529,703	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$21,958,386	PYContributionsGrantsAmt
CY Contributions Grants	$24,641,339	CYContributionsGrantsAmt
PY Program Service Revenue	$40,551,994	PYProgramServiceRevenueAmt
CY Program Service Revenue	$42,545,090	CYProgramServiceRevenueAmt
PY Investment Income	$107,397,612	PYInvestmentIncomeAmt
CY Investment Income	$220,604,344	CYInvestmentIncomeAmt
PY Other Revenue	$127,576,361	PYOtherRevenueAmt
CY Other Revenue	$360,249,375	CYOtherRevenueAmt
PY Total Revenue	$297,484,353	PYTotalRevenueAmt
CY Total Revenue	$648,040,148	CYTotalRevenueAmt
PY Grants And Similar Paid	$200,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$100,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$87,316,292	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$89,384,106	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$5,953,906	CYTotalFundraisingExpenseAmt
PY Other Expenses	$45,965,525	PYOtherExpensesAmt
CY Other Expenses	$52,753,321	CYOtherExpensesAmt
PY Total Expenses	$133,481,817	PYTotalExpensesAmt
CY Total Expenses	$142,237,427	CYTotalExpensesAmt
PY Revenues Less Expenses	$164,002,536	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$505,802,721	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,820,397,325	TotalAssetsBOYAmt
Total Assets EOY	$2,243,247,037	TotalAssetsEOYAmt
Total Liabilities BOY	$97,636,484	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$125,681,972	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,722,760,841	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,117,565,065	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To provide the highest quality care to improve the lives of children with orthopaedic and related conditions and specific learning disabilities. TSRHC focuses on patient care, research and education.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$106,355,312	ExpenseAmt
Grant	$100,000	GrantAmt
Revenue	$42,545,090	RevenueAmt
Desc	PATIENT CARE TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN IS ONE OF THE NATION'S LEADING PEDIATRIC CENTERS FOR THE TREATMENT OF ORTHOPAEDIC CONDITIONS, CERTAIN RELATED NEUROLOGICAL DISORDERS AND LEARNING DISORDERS, SUCH AS DYSLEXIA. PATIENTS RECEIVE TREATMENT REGARDLESS OF THE FAMILY'S ABILITY TO PAY. THE ORTHOPAEDICS 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. (CONTINUED ON SCHEDULE O.)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,149,458	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	EDUCATION TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN FUNCTIONS AS A PREMIER TEACHING INSTITUTION, PROVIDING COMPREHENSIVE EDUCATION AND TRAINING TO ORTHOPAEDIC RESIDENTS AND POST-GRADUATE ORTHOPAEDIC FELLOWS WHILE ALSO CONTRIBUTING 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 56 INSTITUTIONS, INCLUDING COLLEGES, UNIVERSITIES AND TECHNICAL TRAINING PROGRAMS. (CONTINUED ON SCHEDULE O.)	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$10,148,650	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	RESEARCH SINCE OPENING ITS DOORS IN 1921, TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN HAS STRIVED TO DISCOVER NEW AND BETTER WAYS TO CARE FOR CHILDREN AFFECTED BY PEDIATRIC ORTHOPAEDIC 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 - SCOLIOSIS AND SPINE DISORDERS, CLUBFOOT AND FOOT DISORDERS, HIP DISORDERS, LIMB LENGTH DISCREPANCIES, HAND DIFFERENCES AND SPORTS MEDICINE - SUPPORTED BY RESEARCH DIVISIONS AND CORE FACILITIES. (CONTINUED ON SCHEDULE O.)	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$117,653,420	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
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	false	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	342	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1074	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	39	GoverningBodyVotingMembersCnt
Independent Voting Member	39	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 Street	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75219	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (67 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 CHAIRMAN	4.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
FRED E ALLEN
VICE PRESIDENT	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
PAT BEARD
TRUSTEE (DECEASED 11/30/13)	0.0	0.0	Yes (X)		$0	$0	$0
W EUGENE BROOKSHIRE
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
RUSSELL C BROWN
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
W VERNON BURKE JR
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
CLIFFORD E BUTLER
TRUSTEE	3.0	0.0	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	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 F DAVIDSON
TRUSTEE	4.0	0.0	Yes (X)		$0	$0	$0
JOSEPH M DEALEY 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
ROBERT J GLASGOW
TRUSTEE (END 12/31/13)	2.0	0.0	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
TOM GUEST
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
REESE L HARRISON JR
TRUSTEE	4.0	0.0	Yes (X)		$0	$0	$0
LEONARD P HARVEY
TRUSTEE	3.0	1.0	Yes (X)		$0	$0	$0
THOMAS L HIGGINS
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
VESTER T HUGHES JR
VICE PRESIDENT	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
VICE PRESIDENT	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
LEO G MARTIN JR
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
DOUGLAS S MAXEY
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
JOHN C NOBLES
TRUSTEE	4.0	0.0	Yes (X)		$0	$0	$0
ROBERT A NORTHCUTT PHD
TRUSTEE	4.0	1.0	Yes (X)		$0	$0	$0
LYNDON L OLSON JR
CHAIRMAN OF THE BOARD	6.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
C CLIFTON ROBINSON
TRUSTEE	4.0	0.0	Yes (X)		$0	$0	$0
FRANK C ROCKABRAND
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
RONALD L SKAGGS
VICE PRESIDENT & SECRETARY	4.0	0.0	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
MURRAY WATSON JR
TRUSTEE	3.0	0.0	Yes (X)		$0	$0	$0
RALPH WAYNE
TRUSTEE	3.0	0.0	Yes (X)
JERRY D WEBBER
Trustee (END 08/21/14)	2.0	0.0	Yes (X)
JM WILLSON JR
VICE PRESIDENT & TREASURER	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT WALKER
PRESIDENT/CEO	40.0	1.0		Yes (X)	$606,702	$0	$25,039
JC MONTGOMERY JR
PRESIDENT, EMERITUS	10.0	30.0		Yes (X)	$488,924	$0	$24,686
WILLIAM HUSTON
SENIOR VICE PRESIDENT & CFO	40.0	2.0		Yes (X)	$70,158	$0	$424
LORI DALTON
SR. VP & GENERAL COUNSEL	40.0	2.0		Yes (X)	$345,952	$0	$48,211
M SCOTT PERRYMAN
SENIOR VICE PRESIDENT	40.0	1.0		Yes (X)	$284,498	$0	$49,485
MARK BATEMAN
SENIOR VICE PRESIDENT	40.0	5.0		Yes (X)	$336,615	$0	$47,341
STEPHANIE BRIGGER
VICE PRESIDENT	40.0	5.0		Yes (X)	$172,768	$0	$49,381
JEREMY HOWELL
VICE PRESIDENT	40.0	0.0		Yes (X)	$167,602	$0	$50,879
JEAN ALLEN
CONTROLLER	40.0	3.0		Yes (X)	$161,009	$0	$21,535
FREDRIC RICHMOND
VICE PRESIDENT	40.0	0.0		Yes (X)	$251,431	$0	$9,937
DEBRA SAYLES
VICE PRESIDENT	40.0	0.0		Yes (X)	$249,726	$0	$132,433
DON KATZ
VICE PRESIDENT	40.0	0.0		Yes (X)	$210,386	$0	$33,464
KRISTINA KEEVER-SMITH
INVESTMENT OFFICER	40.0	2.0		Yes (X)	$220,002	$0	$29,658
B STEPHENS RICHARDS SCH J
CHIEF MEDICAL OFFICER	40.0	1.0			$716,423	$32,500	$87,853	Yes (X)
CHARLES JOHNSTON SEE SCH J
ASSIST. CHIEF OF STAFF	40.0	0.0			$723,464	$0	$87,942	Yes (X)
JOHN BIRCH SEE SCH J
ASSIST. CHIEF OF STAFF	40.0	0.0			$823,750	$0	$91,518	Yes (X)
DANIEL SUCATO
CHIEF OF STAFF	40.0	1.0			$632,132	$107,550	$155,169	Yes (X)
J ANTHONY HERRING
CHIEF OF STAFF EMERITUS	40.0	0.0			$611,037	$0	$22,172	Yes (X)
JAMES STURGIS
ADMINISTRATOR	40.0	0.0			$181,657	$0	$80,244	Yes (X)
MOLLY DEMPSEY
RADIOLOGIST	40.0	0.0			$515,862	$0	$99,598		Yes (X)
MARYBETH EZAKI SEE SCH J
ORTHOPAEDIC SURGEON	40.0	0.0			$1,727,088	$0	$72,545		Yes (X)
FARZANEH SAFAVI SEE SCH J
ANESTHESIOLOGIST	40.0	0.0			$599,146	$0	$79,321		Yes (X)
LORI KAROL
ORTHOPAEDIC SURGEON	40.0	1.0			$520,967	$29,500	$122,130		Yes (X)
KARL RATHJEN
ORTHOPAEDIC SURGEON	40.0	10.0			$554,999	$67,400	$99,969		Yes (X)
SHARON ELLIS
FORMER SR. VP & CFO	0.0	0.0			$376,810	$0	$15,180			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,549,108	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$236,950	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,536,114	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	131	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Tweedy Browne Company LLC
One Station Place	Stamford	CT	06902	Investment mgmt	$1,232,534
UTSW Medical Center
PO Box 841765	Dallas	TX	752841765	Professional fees	$1,103,458
Northern Trust Co
50 South Lasalle	Chicago	IL	60603	Investment mgmt	$909,974
HCBECK LTD
1807 Ross Ste 500	Dallas	TX	752018006	Construction	$863,125
Dimensional Fund Advisors LP
6300 Bee Cave Rd Bldg One	Austin	TX	78746	Investment mgmt	$748,719

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	35	CntrctRcvdGreaterThan100KCnt
Fundraising	$2,695,190	FundraisingAmt
All Other Contributions	$21,946,149	AllOtherContributionsAmt
Noncash Contributions	$3,875,767	NoncashContributionsAmt
Total Contributions	$24,641,339	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Dylexia program	900099	$505,173	$505,173	$0	$0
Outpatient revenue	622310	$29,506,648	$29,506,648	$0	$0
Inpatient revenue	622310	$70,590,471	$70,590,471	$0	$0
Deductions from revenue	622310	-$58,057,202	-$58,057,202	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$42,545,090	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,300,848	TotalRevenueColumnAmt
Exclusion	$32,300,848	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	$146,029,940	TotalRevenueColumnAmt
Exclusion	$146,029,940	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$455,886	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$124,337	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$331,549	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$331,549	TotalRevenueColumnAmt
Exclusion	$331,549	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,594,933,623	SecuritiesAmt
Other	$183,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,406,648,627	SecuritiesAmt
Other	$164,500	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$188,284,996	SecuritiesAmt
Other	$18,500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$188,303,496	TotalRevenueColumnAmt
Exclusion	$188,303,496	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$824,034	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,695,190	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,086,289	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$262,255	TotalRevenueColumnAmt
Exclusion	-$262,255	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$32,983	GamingGrossIncomeAmt
Gaming Direct Expenses	$5,359	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,624	TotalRevenueColumnAmt
Exclusion	$27,624	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,974,913	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$870,222	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,104,691	TotalRevenueColumnAmt
Unrelated Business Revenue	$558,841	UnrelatedBusinessRevenueAmt
Exclusion	$545,850	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	$9,804,739	$0	$0	$9,804,739
LEASE BONUS REVENUE	211110	$203,018,675	$0	$0	$203,018,675
HUNTING PERMITS	110000	$20,500	$0	$20,500	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$173,912	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$122,318	UnrelatedBusinessRevenueAmt
Exclusion	$51,594	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$213,017,826	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$648,040,148	TotalRevenueColumnAmt
Related Or Exempt Func Income	$42,545,090	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$701,659	UnrelatedBusinessRevenueAmt
Exclusion	$580,152,060	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$100,000	TotalAmt
Program Services	$100,000	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	$9,112,275	TotalAmt
Program Services	$4,337,712	ProgramServicesAmt
Management And General	$3,605,885	ManagementAndGeneralAmt
Fundraising	$1,168,678	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$58,303,058	TotalAmt
Program Services	$51,891,058	ProgramServicesAmt
Management And General	$4,343,604	ManagementAndGeneralAmt
Fundraising	$2,068,396	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,791,664	TotalAmt
Program Services	$8,943,770	ProgramServicesAmt
Management And General	$616,673	ManagementAndGeneralAmt
Fundraising	$231,221	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,477,138	TotalAmt
Program Services	$7,575,657	ProgramServicesAmt
Management And General	$581,604	ManagementAndGeneralAmt
Fundraising	$319,877	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,699,971	TotalAmt
Program Services	$3,295,158	ProgramServicesAmt
Management And General	$260,059	ManagementAndGeneralAmt
Fundraising	$144,754	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	$179,494	TotalAmt
Program Services	$4,264	ProgramServicesAmt
Management And General	$175,230	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$372,480	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$372,480	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$14,839	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$14,839	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	$4,303,368	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$4,303,368	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,590,800	TotalAmt
Program Services	$4,476,946	ProgramServicesAmt
Management And General	$1,034,433	ManagementAndGeneralAmt
Fundraising	$79,421	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$631,992	TotalAmt
Program Services	$16,110	ProgramServicesAmt
Management And General	$615,203	ManagementAndGeneralAmt
Fundraising	$679	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,313,788	TotalAmt
Program Services	$6,605,559	ProgramServicesAmt
Management And General	$598,544	ManagementAndGeneralAmt
Fundraising	$1,109,685	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,709,378	TotalAmt
Program Services	$3,016,356	ProgramServicesAmt
Management And General	$469,300	ManagementAndGeneralAmt
Fundraising	$223,722	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	$3,057,377	TotalAmt
Program Services	$2,704,257	ProgramServicesAmt
Management And General	$287,284	ManagementAndGeneralAmt
Fundraising	$65,836	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$525,867	TotalAmt
Program Services	$367,116	ProgramServicesAmt
Management And General	$142,733	ManagementAndGeneralAmt
Fundraising	$16,018	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	$200,999	TotalAmt
Program Services	$152,109	ProgramServicesAmt
Management And General	$43,106	ManagementAndGeneralAmt
Fundraising	$5,784	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$585,587	TotalAmt
Program Services	$513,229	ProgramServicesAmt
Management And General	$59,556	ManagementAndGeneralAmt
Fundraising	$12,802	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	$9,831,811	TotalAmt
Program Services	$8,374,709	ProgramServicesAmt
Management And General	$1,261,703	ManagementAndGeneralAmt
Fundraising	$195,399	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$772,299	TotalAmt
Program Services	$509,294	ProgramServicesAmt
Management And General	$252,660	ManagementAndGeneralAmt
Fundraising	$10,345	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical supplies	$10,243,634	$10,242,420	$937	$277
MGMT & GEN EXP ALLOCATION	$0	$2,765,621	-$3,066,633	$301,012
RANCH OPERATIONS	$2,244,657	$0	$2,244,657	$0
BAD DEBT EXPENSE	$1,762,075	$1,762,075	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$412,876	TotalAmt
Management And General	$412,876	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$142,237,427	TotalAmt
Program Services	$117,653,420	ProgramServicesAmt
Management And General	$18,630,101	ManagementAndGeneralAmt
Fundraising	$5,953,906	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$509,611	BOYAmt
EOY	$834,059	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	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,393,448	BOYAmt
EOY	$26,442,968	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	$117,698	BOYAmt
EOY	$16,429	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,331,274	BOYAmt
EOY	$2,102,217	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,990,447	BOYAmt
EOY	$5,288,889	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$242,824,827	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$126,280,703	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$95,207,301	BOYAmt
EOY	$116,544,124	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,578,926,878	BOYAmt
EOY	$2,002,818,735	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$167,175	BOYAmt
EOY	$167,137	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	$100,753,493	BOYAmt
EOY	$89,032,479	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,820,397,325	BOYAmt
EOY	$2,243,247,037	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,367,759	BOYAmt
EOY	$13,733,640	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	$0	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	$62,268,725	BOYAmt
EOY	$88,948,332	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$97,636,484	BOYAmt
EOY	$125,681,972	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,592,649,607	BOYAmt
EOY	$2,000,965,057	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,100,527	BOYAmt
EOY	$50,380,089	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,010,707	BOYAmt
EOY	$66,219,919	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,722,760,841	BOYAmt
EOY	$2,117,565,065	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,820,397,325	BOYAmt
EOY	$2,243,247,037	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$505,802,721	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$76,730,820	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$34,267,677	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	false	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	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$14,839	OtherActivitiesAmt
Total Lobbying Expenditures	$14,839	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C	FormAndLineReferenceDesc
Explanation	PART II-B, LINE 1I PER NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND TEXAS HOSPITAL ASSOCIATION, $9,219 OF THE HOSPITAL'S ANNUAL DUES WERE ALLOCATED TO LOBBYING. THE HOSPITAL RETAINED THE SERVICES OF GREENBERG TRAURIG LLP TO MEET WITH VARIOUS FEDERAL LEGISLATORS OR STAFF AND INCURRED EXPENSES IN THE AMOUNT OF $5,620.	ExplanationTxt

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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$115,329,338	BeginningYearBalanceAmt
Contributions	$4,378,890	ContributionsAmt
Investment Earnings Or Losses	$7,772,123	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,372,782	OtherExpendituresAmt
End Year Balance	$124,107,569	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$115,713,126	BeginningYearBalanceAmt
Contributions	$2,591,978	ContributionsAmt
Investment Earnings Or Losses	-$303,985	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,671,781	OtherExpendituresAmt
End Year Balance	$115,329,338	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$109,297,675	BeginningYearBalanceAmt
Contributions	$7,717,507	ContributionsAmt
Investment Earnings Or Losses	$2,211,598	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,513,654	OtherExpendituresAmt
End Year Balance	$115,713,126	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.03000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.55000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.42000	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	$43,740,749	OtherCostOrOtherBasisAmt
Book Value	$43,740,749	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$134,418,556	OtherCostOrOtherBasisAmt
Depreciation	$75,894,525	DepreciationAmt
Book Value	$58,524,031	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,396,481	OtherCostOrOtherBasisAmt
Depreciation	$50,386,178	DepreciationAmt
Book Value	$14,010,303	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$269,041	OtherCostOrOtherBasisAmt
Book Value	$269,041	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$116,544,124	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
Accrued pension costs	$41,467,220
Management benefit plan	$2,431,780
Health insurance payable	$848,513
Reserve for malpractice ins claims	$687,777
Charitable gift annuities	$5,026,921
Trust obligations	$10,489,237
Deferred income	$805,114
Reserve for restoration plan	$27,193,026
Reserve for 3rd party payor settlement	-$1,256

Field	Value	IRS element (for citing)
Total Liability	$88,948,332	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 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 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 2011. The Hospital has analyzed the tax positions taken and concluded that as of September 30, 2014, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (15 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
East Asia and the Pacific	Investments	$85,830,680
Europe (Including Iceland and Greenland)	Investments	$69,820,816
Middle East and North Africa	Investments	$502,732
North America	Investments	$21,138,277
South America	Investments	$10,341,330
Sub-Saharan Africa	Investments	$6,055,565
East Asia and the Pacific	Investment Mgmt Fees	$584,433
Europe (Including Iceland and Greenland)	Investment Mgmt Fees	$475,419
Middle East and North Africa	Investment Mgmt Fees	$3,423
North America	Investment Mgmt Fees	$143,933
South America	Investment Mgmt Fees	$70,416
Sub-Saharan Africa	Investment Mgmt Fees	$41,233
Europe (Including Iceland and Greenland)	Program Services	$25,008	CONFERENCES, TRAINING
Middle East and North Africa	Program Services	$1,990	CONFERENCES, TRAINING
North America	Program Services	$17,208	CONFERENCES, TRAINING

Field	Value	IRS element (for citing)
Subtotal Spent	$195,052,463	SubtotalSpentAmt
Total Spent	$195,052,463	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	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	FormAndLineReferenceDesc
Explanation	The amounts on Part I, Line 3, Column F represent $193,689,400 of investments, and $1,363,063 in expenditures based on an accrual method of accounting. See the detail per region below: Investments By Region: East Asia and the Pacific $ 85,830,680 Europe $ 69,820,816 Middle East and North Africa $ 502,732 North America $ 21,138,277 South America $ 10,341,330 Sub-saharan Africa $ 6,055,565 ------------------------------------------- Total $193,689,400 Expenses By Region: North America $ 161,141 Europe $ 500,427 Middle East and North Africa $ 5,413 East Asia and the Pacific $ 584,433 South America $ 70,416 Sub-Saharan Africa $ 41,233 -------------------------------------------- Total $ 1,363,063	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	false	AgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	AUCTION	NameOfEvent1Amt
Gross Receipts Event1	$833,910	GrossReceiptsEvent1Amt
Charitable Contri Event1	$723,610	CharitableContriEvent1Amt
Gross Revenue Event1	$110,300	GrossRevenueEvent1Amt
Food And Beverage Event1	$31,119	FoodAndBeverageEvent1Amt
Entertainment Event1	$11,500	EntertainmentEvent1Amt
Other Direct Expenses Event1	$249,592	OtherDirectExpensesEvent1Amt
Name Of Event2	GOLF TOURNMNT	NameOfEvent2Amt
Gross Receipts Event2	$353,980	GrossReceiptsEvent2Amt
Charitable Contri Event2	$267,343	CharitableContriEvent2Amt
Gross Revenue Event2	$86,637	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$17,669	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$29,902	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$30,115	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$56,576	OtherDirectExpensesEvent2Amt
Other Events Total	91	OtherEventsTotalCnt
Gross Receipts Other Events	$2,331,334	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,704,237	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$627,097	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$77,715	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$96,647	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$112,094	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$7,705	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$365,655	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$3,519,224	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,695,190	CharitableContributionsTotAmt
Gross Revenue Total Events	$824,034	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$95,384	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$126,549	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$173,328	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$19,205	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$671,823	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,086,289	DirectExpenseSummaryEventsAmt
Net Income Summary	-$262,255	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	$32,983	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$5,359	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$32,983	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$5,359	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$5,359	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$27,624	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	0.35000	GamingOwnFacilityPct
Gaming Other Facility	0.65000	GamingOtherFacilityPct
Individual With Books	Jean Allen Controller Texas Scott	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	2222 Welborn Street	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75219	ZIPCode

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	0	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	$11,821,778	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,821,778	NetCommunityBenefitExpnsAmt
Total Expense	0.08420	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,325,676	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,000,099	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,325,577	NetCommunityBenefitExpnsAmt
Total Expense	0.20160	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,147,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,000,099	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,147,355	NetCommunityBenefitExpnsAmt
Total Expense	0.28580	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,438,656	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,438,656	NetCommunityBenefitExpnsAmt
Total Expense	0.14550	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,149,458	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,212	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,109,246	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,148,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$558,699	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,589,951	NetCommunityBenefitExpnsAmt
Total Expense	0.06830	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,736,764	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$598,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,137,853	NetCommunityBenefitExpnsAmt
Total Expense	0.22170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,884,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,599,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,285,208	NetCommunityBenefitExpnsAmt
Total Expense	0.50750	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$828,340	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$828,340	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$828,340	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$828,340	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,762,075	BadDebtExpenseAmt
Reimbursed By Medicare	$1,341	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,447	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$106	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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 WELBORN ST	AddressLine1
City	DALLAS	City
State	TX	State
ZIP Code	75219	ZIPCode

Field	Value	IRS element (for citing)
Website Address	www.tsrhc.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	ORTHOPAEDIC, 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	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.tsrhc.org	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
Other Needs Addressed	Yes (X)	OtherNeedsAddressedInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 3	INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY AND PERSONS CONSULTED TSRHC ENGAGED THE SERVICES OF THE DALLAS-FORT WORTH HOSPITAL COUNCIL FOUNDATION (DFWHCF) TO ASSESS THE NEEDS OF THE COMMUNITY AND COLLABORATE WITH TSRHC IN PRODUCING THE HOSPITAL'S CHNA REPORT. THE MISSION OF THE DFWHCF IS TO SERVE AS A CATALYST FOR CONTINUAL IMPROVEMENT IN COMMUNITY HEALTH AND HEALTH CARE DELIVERY THROUGH EDUCATION, RESEARCH, COMMUNICATION, COLLABORATION, AND COORDINATION. DFWHCF IS A TRUSTED COMMUNITY RESOURCE EXPANDING KNOWLEDGE AND DEVELOPING NEW INSIGHT FOR THE CONTINUOUS IMPROVEMENT OF HEALTH AND HEALTH CARE. DFWHCF ALIGNS INFORMATION COLLECTION, ANALYTICS, AND REPORTING CAPABILITIES TO IMPROVE CLINICAL EFFECTIVENESS, CARE COORDINATION AND POPULATION HEALTH. DFWHCF RESEARCH STAFF HAS EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS AND DEVELOPING COMPREHENSIVE HEALTH SERVICE PLANS. PRIMARY DATA WAS OBTAINED FROM PATIENTS AND KEY INFORMANTS THROUGH TELEPHONE, WRITTEN AND FACE-TO-FACE SURVEYS. THE DFWHCF CONTACTED 957 PATIENTS AND THEIR FAMILIES ON BEHALF OF TSRHC DURING THE PERIOD OF MAY 14 - JULY 3, 2013. A RANDOMIZED SAMPLE OF PATIENTS ACCESSING THE FIVE CORE SERVICES AREAS OF THE HOSPITAL - PEDIATRIC ORTHOPAEDICS, NEUROLOGY, RHEUMATOLOGY, PEDIATRIC DEVELOPMENTAL DISABILITIES AND DYSLEXIA - WERE QUERIED AND DATA WAS COLLECTED FOR USE IN THIS ANALYSIS. A SIGNIFICANT NUMBER OF MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY PATIENTS AND PATIENT FAMILIES WERE INCLUDED IN THE PATIENT SURVEY, REFLECTING THE MIX OF PATIENTS SEEN AT TSRHC. KEY INFORMANT INFORMATION WAS COLLECTED FROM 24 IDENTIFIED STAKEHOLDERS DURING THE PERIOD OF JUNE 19 - JULY 12, 2013. EXPERTS IN PUBLIC HEALTH, SOCIAL SERVICES, HOSPITAL ADMINISTRATION, CARE MANAGEMENT AND ACUTE PEDIATRIC SPECIALTY CARE WERE INTERVIEWED USING A PRE-DETERMINED LIST OF QUESTIONS. KEY INFORMANTS REPRESENT ORGANIZATIONS SERVING A SIGNIFICANT NUMBER OF MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY PATIENTS AND PATIENT FAMILIES. SECONDARY DATA REGARDING ATTRIBUTES AND FACTORS SUCH AS HEALTH STATUS, SOCIOECONOMIC STATUS, STANDARDS OF CARE, PUBLIC HEALTH AND PUBLISHED GUIDELINES WERE ACQUIRED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, CENTERS FOR DISEASE CONTROL AND PREVENTION, HEALTHY PEOPLE 2020, HEALTHY COMMUNITIES NETWORK, AMERICAN COMMUNITY SURVEY AND LOCAL PUBLIC HEALTH AUTHORITIES. OTHER ORGANIZATIONS SUPPORTING THIS CHNA INCLUDE THE ARTHRITIS FOUNDATION, DALLAS COUNTY HEALTH AND HUMAN SERVICES, DALLAS-FORT WORTH HOSPITAL COUNCIL FOUNDATION, RONALD MCDONALD HOUSE OF DALLAS AND THE TARRANT COUNTY DEPARTMENT OF HEALTH. ASSESSMENT OF THE TSRHC COMMUNITY CORE AND ANCILLARY SERVICES WAS ACCOMPLISHED THROUGH MIXED METHODOLOGY. QUALITATIVE DATA WAS OBTAINED FROM INFORMANTS, CATEGORIZED AND INTERPRETED, LEADING TO THE IDENTIFICATION OF TRENDS AND ANOMALIES. QUANTITATIVE DATA WAS COLLECTED FROM PATIENT SURVEY RESPONSES, CONVERTED TO NUMERICAL REPRESENTATIONS, AND ANALYZED WITH STATISTICAL SOFTWARE. BASED ON AN ANALYSIS OF PRIMARY DATA, CONCLUSIONS WERE MADE AND NEEDS IDENTIFIED. STATE AND REGIONAL DATA DETERMINED INDICATORS WITH THE MOST SIGNIFICANT IMPACT ON HEALTH ACCESS AND QUALITY FOR THE TSRHC COMMUNITY.
PART V, SECTION B, LINE 6I	NEEDS IDENTIFIED IN RECENTLY CONDUCTED CHNA AS PART OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (TSRHC) AND THE DALLAS FORT WORTH HOSPITAL COUNCIL FOUNDATION (DFWHCF) REACHED A CONSENSUS ABOUT SIGNIFICANT COMMUNITY HEALTH NEEDS BASED ON THE FREQUENCY AND IMPORTANCE OF SURVEY RESPONSES RECEIVED. TSHRC LEADERSHIP IDENTIFIED AND PRIORITIZED THREE SIGNIFICANT NEEDS WITHIN THE SCOPE OF THE HOSPITAL'S PRACTICE THAT REACH BEYOND THE SPECIFIC PEDIATRIC ORTHOPAEDIC NEEDS NORMALLY IDENTIFIED BY OUR PATIENTS. TSRHC CONTINUES TO ADDRESS ALL THREE OF THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED, WITHIN THE SCOPE OF THE HOSPITAL'S MISSION AND SCOPE OF PRACTICE. TSRHC CONTINUES TO FULFILL ITS PRIMARY MISSION BY PROVIDING PREMIER PEDIATRIC ORTHOPAEDIC SERVICES, CONDUCTING PIONEERING RESEARCH RELATED TO THE CONDITIONS WE TREAT AND PROVIDING EDUCATION IN OUR SPECIALTY AREAS AS A LEADING TEACHING HOSPITAL. CONTINUING THE HOSPITAL'S POLICY TO TREAT PATIENTS REGARDLESS OF THE FAMILY'S ABILITY TO PAY ADDRESSES A SIGNIFICANT BARRIER TO CARE IDENTIFIED IN COMMUNITY-BASED RESEARCH. THE FOLLOWING THREE NEEDS WERE PRIORITIZED IN THE HOSPITAL'S CHNA ACCORDING TO THE MAGNITUDE OF THE NEED, ITS ALIGNMENT WITH TSRHC'S STRENGTHS AND EXPERTISE AND THE OPPORTUNITY TO IDENTIFY AND REFER OR PARTNER WITH OTHER ORGANIZATIONS THAT CAN MORE EFFECTIVELY MEET THE NEED: 1. IMPROVE ACCESS TO HEALTH CARE SERVICES 2. IMPROVE COORDINATION OF CARE 3. IMPROVE CHILD HEALTH STATUS TSRHC CONTINUES TO IMPLEMENT STRATEGIES TO ADDRESS THESE PRIORITIZED NEEDS THAT ALIGNS WITH THE HOSPITAL'S MISSION AND SCOPE OF PRACTICE. STRATEGY FOR IMPROVING ACCESS: TSRHC IS FURTHER ENHANCING ITS OUTREACH PROGRAM TO ENSURE PATIENT AND PATIENT FAMILIES ARE AWARE OF HOSPITAL SERVICES AND OVERCOMING BARRIERS TO ACCESS TO CARE. TSRHC HAS ADOPTED A FINANCIAL ASSISTANCE PROGRAM AND THOSE FAMILIES THAT MEET THE ELIGIBILITY CRITERIA MAY QUALIFY FOR FREE OR DISCOUNTED CARE. THE HOSPITAL WILL CONTINUE TO BE RIGOROUS IN ITS EFFORTS TO COMMUNICATE THAT POLICY AND ENSURE THAT FINANCIAL BURDENS ARE NEVER A BARRIER TO PATIENT CARE. TSRHC RESEARCH DATA AND INFORMANT INTERVIEWS IDENTIFIED THE CURRENT AND GROWING SHORTAGE OF PEDIATRIC ORTHOPAEDIC SPECIALISTS AS A BARRIER TO CARE. ADDING TO THE ANTICIPATED HIGH DEMAND FOR PHYSICIANS AND SURGEONS IS THE EXPECTATION THAT A LARGE NUMBER OF PHYSICIANS ARE EXPECTED TO RETIRE BETWEEN 2008 AND 2018. TO ADDRESS THIS NEED, TSHRC WILL: A. PROVIDE MEDICAL EDUCATION - TSRHC FUNCTIONS AS A PREMIER TEACHING INSTITUTION, PROVIDING COMPREHENSIVE EDUCATION AND TRAINING TO ORTHOPAEDIC RESIDENTS AND POST-GRADUATE ORTHOPAEDIC FELLOWS AND CONTRIBUTING 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. CURRENTLY, TSHRC IS AFFILIATED WITH 56 INSTITUTIONS INCLUDING COLLEGES, UNIVERSITIES AND TECHNICAL TRAINING PROGRAMS. TSRHC PROVIDES FOUR CLINICAL FELLOWSHIPS EACH YEAR. THE DOROTHY AND BRYANT EDWARDS FELLOWSHIP IN PEDIATRIC ORTHOPAEDICS AND SCOLIOSIS BEGAN IN 1990 AND PROVIDES TRAINING IN ALL ASPECTS OF RECONSTRUCTIVE PEDIATRIC ORTHOPAEDICS, TRAUMA AND INFECTIONS. IN ADDITION, TSRHC OFFERS A SIX-MONTH INTERNATIONAL PEDIATRIC ORTHOPAEDIC AND SCOLIOSIS FELLOWSHIP TRAINING PROGRAM. AS OF SEPTEMBER 2014, THE TSRHC ORTHOPAEDIC MEDICAL STAFF HAS TRAINED A TOTAL OF 144 ORTHOPAEDIC FELLOWS, 31 INTERNATIONAL ORTHOPAEDIC FELLOWS AND 420 ORTHOPAEDIC RESIDENTS. IN ADDITION, FELLOWS FROM SOME OF THE MAJOR HAND CENTERS IN NORTH AMERICA AS WELL AS FROM COUNTRIES THROUGHOUT THE WORLD TRAIN HERE IN THE SUBSPECIALTY OF PEDIATRIC HAND SURGERY FOR VARYING LENGTHS OF TIME. B. PROVIDE CLINICAL TRAINING AND/OR DIDACTIC EDUCATION FOR ALLIED HEALTH PROFESSIONALS IN EVERY DISCIPLINE REPRESENTED AT THE HOSPITAL - THE HOSPITAL MAINTAINS AFFILIATION AGREEMENTS WITH MORE THAN 50 COLLEGES, UNIVERSITIES AND TECHNICAL TRAINING PROGRAMS. A SIGNIFICANT PORTION OF THE CLINICAL EDUCATION PROVIDED IS TO FUTURE NURSES. MORE THAN 200 NURSING STUDENTS FROM FIVE DIFFERENT NURSING SCHOOLS PARTICIPATE IN CLINICAL PRACTICE ROTATIONS AT TSRHC IN THE COURSE OF A TYPICAL YEAR. MORE THAN 300 NURSING STUDENTS FROM FIVE OTHER NURSING PROGRAMS ARE PROVIDED SHORT COURSES AND LECTURES BY TSRHC NURSING STAFF. OTHER DISCIPLINES WHICH PROVIDE CLINICAL, TECHNICAL AND/OR ADMINISTRATIVE EDUCATION TO STUDENTS IN THEIR AREA OF EXPERTISE INCLUDE ADMINISTRATORS, CHILD LIFE SPECIALISTS, DIETITIANS, DENTISTS, DENTAL ASSISTANTS, DENTAL HYGIENISTS, ADVANCE PRACTICE PROFESSIONALS, ORTHOTISTS AND PROSTHETISTS, PHYSICAL AND OCCUPATIONAL THERAPISTS, PSYCHOLOGISTS, RADIOGRAPHERS, SOCIAL WORKERS, SONOGRAPHERS AND THERAPEUTIC RECREATION SPECIALISTS. C. INTRODUCE, EXPAND OR ENHANCE TELEMEDICINE/TELEHEALTH INITIATIVES TO INCREASE PATIENT ACCESS TO HEALTH CARE - TELEMEDICINE ENCOMPASSES DIFFERENT TYPES OF PROGRAMS AND SERVICES PROVIDED FOR EACH PATIENT, INCLUDING SPECIALIST REFERRAL SERVICES, PATIENT CONSULTATIONS, REMOTE ACCESS, MEDICAL EDUCATION AND CONSUMER MEDICAL AND HEALTH INFORMATION. TSHRC IS COMMITTED TO PROVIDING A CULTURALLY APPROPRIATE ENVIRONMENT FOR ITS PEDIATRIC PATIENTS AND THEIR FAMILIES. A DIVERSE COHORT OF EMPLOYEES AND VOLUNTEERS ENSURES REFLECTIVITY OF ITS CURRENT AND FUTURE PATIENT MIX. TSRHC EMPLOYS THE SKILLS, EXPERTISE AND CARE OF MORE THAN 900 EMPLOYEES AND FURTHER, HAS THE BENEFIT OF MORE THAN 700 VOLUNTEERS. WE ALSO PROVIDE EXTENSIVE LANGUAGE TRANSLATION SERVICES TO PATIENTS AND THEIR FAMILIES THROUGH HOSPITAL STAFF AND CONTRACTED OUTSIDE SERVICES. IN ADDITION, EMPLOYEES ARE REQUIRED TO COMPLETE ONLINE TRAINING AND EDUCATION COURSES THAT INCLUDE CULTURAL SENSITIVITY AND PATIENT COMMUNICATION SEGMENTS. STRATEGY FOR IMPROVING CARE COORDINATION: TSRHC ENCOURAGES MORE COORDINATION BETWEEN GENERAL PRACTITIONERS AND TSRHC SPECIALISTS EITHER THROUGH THE USE OF AN ELECTRONIC HEALTH RECORD (EHR) OR SIMILAR MECHANISMS. TSRHC IS MAKING A SIGNIFICANT INVESTMENT IN ITS INFORMATION SYSTEMS INFRASTRUCTURE AND HUMAN RESOURCES TO EXPAND AND ENHANCE OUR ABILITY TO COLLABORATE AND COMMUNICATE WITH OTHER HEALTH CARE PROVIDERS WHO ALSO PLAY A ROLE IN THE TOTAL SPECTRUM OF PATIENT CARE FOR THE PATIENTS WE SHARE. EACH MONTH TSRHC RECEIVES REFERRALS FROM 500-600 PHYSICIANS. IT IS VERY IMPORTANT TO US THAT EACH ONE OF THESE PATIENTS IS WELL CARED FOR AND THAT OUR ASSESSMENTS AND TREATMENTS ARE COMMUNICATED BACK TO THESE PHYSICIANS. TSRHC IS ALSO COMMITTED TO HELPING EACH FAMILY FIND THE MEDICAL EXPERTISE AND RESOURCES THAT THEY NEED IF THE SERVICES THAT THEY REQUIRE ARE NOT WITHIN OUR SCOPE OF PRACTICE. OUR CHRISTI CARTER URSCHEL FAMILY RESOURCES CENTER UTILIZES FULL TIME SOCIAL WORKERS TO HELP PARENTS AND SIBLINGS OF CHILDREN WITH PHYSICAL AND DEVELOPMENTAL LIMITATIONS AND SERVED ABOUT 2,000 FAMILIES LAST YEAR WITH RESOURCES TO HELP THEM THROUGH A VARIETY OF NEEDS. WE ALSO HELPED TO COORDINATE MORE THAN 1,800 APPOINTMENTS OUTSIDE THE WALLS OF OUR FACILITY FOR PATIENTS LAST YEAR. THAT PROGRAM CONTINUES TO EVALUATE AND CONSIDER OPPORTUNITIES FOR IMPROVING CARE. CARE OPTIONS CHANGE FOR PATIENTS AFTER AGE 18 OR 21, DEPENDING ON THE TYPE OF SERVICES RECEIVED. SOCIAL WORKERS AND FINANCIAL COUNSELORS HELP FAMILIES UNDERSTAND OPTIONS AND HELP THEM NAVIGATE PROCESSES TO ACQUIRE FUNDING AS ADULTS. TSRHC WILL CONTINUE TO WORK WITH GOVERNMENT-SUPPORTED INCOME (SSI/SSDI) AND/OR MEDICAL COVERAGE (MEDICAID, MEDICARE, ETC.) TO FACILITATE CONTINUING CARE. FOR PATIENTS WHO NEED GUARDIANSHIP AFTER THE AGE OF 18, TSRHC SOCIAL WORKERS WILL HELP CONNECT FAMILIES TO ATTORNEYS THAT HELP WITH THE PROCESS. STRATEGY FOR IMPROVING CHILD HEALTH STATUS TSRHC CONTINUOUSLY ASSESSES THE QUALITY OF CARE PROVIDED NOT ONLY WITH AN ONGOING PATIENT CARE EVALUATION PROCESS, BUT ALSO IN COLLABORATION WITH THE SARAH M. AND CHARLES E. SEAY CENTER FOR MUSCULOSKELETAL RESEARCH THAT IS COMPRISED OF SIX CENTERS FOR EXCELLENCE. TSRHC WILL CONTINUE TO BRING CLINICIANS, RESEARCHERS AND OTHER HEALTHCARE PROFESSIONALS AND SUPPORTING STAFF TOGETHER TO PERFORM INNOVATIVE AND CLINICALLY RELEVANT RESEARCH ON CHALLENGING PEDIATRIC DISORDERS. TSRHC CONTINUES TO DEVELOP A BROAD NETWORK INCLUDING PROVIDERS OF GENERAL PEDIATRIC SERVICES. WE WILL CONTINUE TO SUPPORT CONFERENCES, SYMPOSIA AND OTHER LEARNING OPPORTUNITIES DEDICATED TO IMPROVING CHILD HEALTH. TSRHC WILL REMAIN COMMITTED TO A ROBUST RESEARCH PROGRAM THAT WILL HELP US TO INCREASE OUR KNOWLEDGE, TREATMENT OPTIONS, AND OVERALL CARE OF THE PATIENT. WE CURRENTLY HAVE RESEARCH PROGRAMS IN ALL OF OUR CENTERS FOR EXCELLENCE AND THROUGH THESE PROJECTS WE ARE ABLE TO ENHANCE OUR PATIENT CARE. MANY OF OUR PATIENTS HAVE OBESITY ISSUES, AS WELL AS OTHER NUTRITIONAL NEEDS. ALTHOUGH TSRHC DOES NOT HAVE A FORMAL OBESITY CLINIC, WE ARE COMMITTED TO MEETING THE NEEDS OF THE WHOLE CHILD. TSRHC HAS CLINICAL DIETITIANS ON STAFF AVAILABLE TO ALL PATIENTS. TSRHC TAKES AN INTERDISCIPLINARY APPROACH TO WEI
PART V, SECTION B, LINE 7	NEEDS NOT ADDRESSED IN CHNA AND REASONS WHEN TSRHC, DUE TO ITS SPECIALTY, IS UNABLE TO PROVIDE SERVICES FOR ALL OF THE NEEDS DESCRIBED IN THE CHNA, TSRHC IDENTIFIES EXTERNAL RESOURCES THAT ARE AVAILABLE TO THE FAMILY BY PROVIDING CONTACTS FOR EXISTING HEALTH CARE PROGRAMS WITHIN THE COMMUNITY AVAILABLE TO ADDRESS THE IDENTIFIED NEEDS. MANY FAMILIES TRAVEL FROM OUTSIDE THE AREA TO COME TO TSRHC. SOCIAL WORKERS REFER FAMILIES TO THE RONALD MCDONALD HOUSE (RMH) WHICH PROVIDES LODGING, MEALS AND TRANSPORTATION AT VERY LITTLE TO NO COST. IF RMH DOES NOT HAVE A VACANCY, SOCIAL WORKERS PROVIDE A LIST OF OTHER HOTELS IN THE VICINITY WHERE FAMILIES MAY CHOOSE TO STAY. SOCIAL WORKERS AND MEDICAL CONSULT COORDINATORS HELP FAMILIES ARRANGE TO RECEIVE FOLLOW-UP CARE WITH THE SERVICES LISTED BELOW AS ORDERED BY THE MEDICAL STAFF. PATIENT FAMILIES CHOOSE THEIR VENDOR(S) FROM A LIST OF VENDORS PROVIDED BY SOCIAL WORKERS BASED ON LOCATION AND THE PATIENT'S FUNDING COURSE: O WEIGHT MANAGEMENT O OUTPATIENT PHYSICAL REHABILITATION O HOME HEALTH SERVICES O DURABLE MEDICAL EQUIPMENT O MEDICAL SUPPLIES O TESTING AND SPECIALISTS O MENTAL HEALTH TSRHC TRANSITIONS PATIENTS TO ADULT PROVIDERS AS THEY APPROACH THE AGE OF 18. A GROUP OF TSRHC SOCIAL WORKERS, NURSES, ADMINISTRATORS AND MEDICAL STAFF WORK TO TRANSITION TSRHC PATIENTS TO ENSURE THAT ALL PATIENTS NEEDING ADDITIONAL COORDINATION AS THEY AGE OUT OF SERVICES RECEIVE THE NECESSARY ASSISTANCE.
PART V, SECTION B, LINE 11	ELIGIBILITY FOR DISCOUNTED CARE FINANCIALLY INDIGENT PATIENTS, OR THOSE WHOSE INCOME IS LESS THAN OR EQUAL TO 200% OF THE FPG, RECEIVE A 100% DISCOUNT. MEDICALLY INDIGENT PATIENTS, OR THOSE WHOSE INCOME IS GREATER THAN 200% OF THE FPG, WHOSE COSTS FOR CARE EXCEED 3% OF THEIR ANNUAL INCOME AND WHO ARE UNABLE TO PAY ARE PROVIDED A DISCOUNT.
PART V, SECTION B, LINE 18E	NEITHER THE HOSPITAL NOR ANY AUTHORIZED THIRD PARTY PERFORMED ANY OF THE ACTIONS SET FORTH IN LINE 17. PART V, SECTION B, LINE 20D FAP-ELIGIBLE INDIVIDUALS PATIENTS TREATED FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE INFORMED OF THE FINANCIAL ASSISTANCE PROGRAM AND THE APPLICATION PROCESS. ALL UNINSURED PATIENTS WILL BE PROVIDED A DISCOUNT AT THE LOWEST CONTRACTED RATE THE HOSPITAL HAS WITH ANY INSURANCE COMPANY FOR THE PARTICULAR SERVICE RECEIVED.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TSRHC SPORTS MEDICINE CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7601 PRESTON RD P3600	AddressLine1
City	PLANO	City
State	TX	State
ZIP Code	75024	ZIPCode

Field	Value	IRS element (for citing)
Facility	MEDICAL PRACTICE	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c	ELIGIBILITY FOR FINANCIAL ASSISTANCE Since its founding in 1921 as a charity, Texas Scottish rite Hospital for children ("tsrhc") has provided treatment free of charge. The hospital began accepting reimbursement for patient care in October 2012, implementing charges for different services lines throughout a Transition period, though remaining committed to providing care to all Children who have needs within the scope of services provided by the Hospital regardless of a family's ability to pay. In furtherance of the Hospital's mission and values, the hospital has a financial assistance/Charity care policy, providing care at no charge or at a discounted rate to those who are financially indigent, medically indigent or Uninsured. Tsrhc is still in the transition phase of accepting reimbursement for various patient services. The hospital continues to provide Additional unreimbursed care. The cost of unreimbursed care is included In other community benefits section (schedule h, part i, line 7e). Financially indigent patients, or those whose income is less than or Equal to 200% of the fpg, receive a 100% discount. Medically indigent Patients, or those whose income is greater than 200% whose costs for Care exceed 3% of their annual income and who are unable to pay are Provided a discount.
Part I, Line 6a	COMMUNITY BENEFIT REPORT Prior to October 1, 2012, TSRHC did not bill patients for services and was not required to file a Community Benefit Report. For fiscal year ending September 30, 2014 a Community Benefit Report has been filed with the State of Texas. 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 cost allocation method.
Part II, Line 10	Community Building Activities Therapeutic Recreation provides outreach programs to help connect TSRHC patients to resources in the community. Sports and recreation programs at TSRHC include 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 TSRHC patients to various types of dance, including modern, jazz, salsa and ballet. TSRHC collaborates with American Airlines and outside donors in facilitating an annual ski trip for 14 TSRHC patient amputees. 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. 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	AUDIT BAD DEBT FOOTNOTE (PAGE 26 OF AUDITED FINANCIALS) 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 ACCOUNTS 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 YEAR ENDED SEPTEMBER 30, 2014 WAS $3,538,000.
PART III, SECTION B, LINE 8A	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 IN THE MEDICARE COST REPORT. 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 BEFORE INITIATING A STATEMENT MAILING PROCESS, THE HOSPITAL APPLIES ALL THIRD PARTY PAYMENTS AND IF A PATIENT LIABILITY REMAINS, THE PATIENT INFORMATION IS REVIEWED TO ENSURE THAT THE PATIENT HAS BEEN SCREENED FOR FINANCIAL ASSISTANCE ELIGIBILITY TO ENSURE THAT THE APPROPRIATE DISCOUNT HAS BEEN APPLIED BASED ON THE FINANCIAL ASSISTANCE AND CHARITY CARE POLICY.
NEEDS ASSESSMENT	PART VI, LINE 2 IN ADDITION TO THE CHNA DESCRIBED ABOVE, TSRHC COLLABORATED AND ATTENDED TASK FORCE MEETINGS WITH THE DALLAS-FORT WORTH HOSPITAL COUNCIL (DFWHC) AND AREA HOSPITALS FOR THE DFWHC COMMUNITY NEEDS ASSESSMENT AND THE 1115 WAIVER OF THE SOCIAL SECURITY ACT. 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 HEALTHCARE WITHOUT COMPROMISING QUALITY. THERE WERE TWO COMPONENTS OF THE DFWHC WORK: THE UNCOMPENSATED CARE POOL AND THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP) FOR HOSPITALS. THE RESULTS OF THE DFWHC COMMUNITY NEEDS ASSESSMENT WERE UTILIZED IN THE DEVELOPMENT AND IMPLEMENTATION OF PROJECTS TO MEET THE NEEDS OF THE COMMUNITY IN RHP 9. TSRHC EMPLOYS A FULL TIME PHYSICIAN RELATIONS STAFF MEMBER 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. OVER THIS PAST YEAR, WE WERE ABLE TO VISIT OVER 1,500 PHYSICIAN OFFICES AND RESPOND IMMEDIATELY TO ANY CHALLENGES OR ISSUES THAT THEY HAD REFERRING PATIENTS TO OUR INSTITUTION. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 FAMILIES ARE CONTACTED BY FAMILY SERVICES COUNSELORS PRIOR TO SURGICAL PROCEDURES 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 AND SCREENING ASSISTANCE. LASTLY, FAMILIES ARE NOTIFIED ON THEIR STATEMENTS FROM THE HOSPITAL TO CONTACT A FAMILY SERVICES COUNSELOR IF THEY HAVE ANY CONCERN ABOUT THEIR ABILITY TO PAY THEIR AMOUNT DUE. THE FACILITY HAS ALSO POSTED SPECIFICS ABOUT AVAILABLE FINANCIAL ASSISTANCE IN MAJOR WAITING AREAS. COMMUNITY INFORMATION PART VI, LINE 4 DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES. THE COMMUNITY SERVED BY TSRHC CAN BEST BE DEFINED BY UNDERSTANDING ITS PATIENT POPULATION AND CLINICAL FOCUS. TSRHC IS A 501(C)(3) SPECIALTY HOSPITAL LOCATED IN DALLAS, TEXAS, WHICH TREATS PEDIATRIC ORTHOPAEDIC AND RELATED NEUROLOGICAL DISORDERS. TSRHC PROVIDES PREMIER PEDIATRIC ORTHOPAEDIC AND DYSLEXIA SERVICES FOR CHILDREN FROM BIRTH UP TO 18 YEARS OF AGE WHO OFFER HOPE OF IMPROVEMENT THROUGH THE SERVICES PROVIDED BY THE HOSPITAL. ACCESS TO SERVICES IS BY PHYSICIAN REFERRAL. THOUGH TSRHC IS DEDICATED TO PROVIDING CARE FOR CHILDREN FROM ACROSS TEXAS, MORE THAN 80 PERCENT OF ITS PATIENTS LIVE IN A 25-COUNTY GEOGRAPHY LOCATED IN NORTHEAST TEXAS. THIS PRIMARY SERVICE AREA INCLUDES THE COUNTIES OF BOSQUE, COLLIN, COOKE, DALLAS, DENTON, ELLIS, ERATH, FANNIN, GRAYSON, HENDERSON, HOOD, HUNT, JOHNSON, KAUFMAN, LAMAR, MONTAGUE, NAVARRO, PALO PINTO, PARKER, ROCKWALL, SMITH, SOMERVELL, TARRANT, VAN ZANDT, AND WISE. THESE COUNTIES ARE LOCATED IN THE NORTHEAST QUADRANT OF THE STATE OF TEXAS AND WERE USED AS THE BASIS FOR SOCIOECONOMIC PROFILES AND TO FURTHER DEFINE THE TSRHC COMMUNITY. ACCORDING TO THE CENSUS BUREAU, THE ESTIMATED POPULATION FOR THE PRIMARY SERVICE AREA IN CALENDAR YEAR 2013 WAS 7,568,032 PEOPLE. THE MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $52,808. THIS IS SLIGHTLY HIGHER THAN THE MEDIAN HOUSEHOLD INCOME FOR TEXAS, WHICH IS $51,900, AND SLIGHTLY LOWER THAN THE MEDIAN HOUSEHOLD INCOME FOR THE U.S., WHICH IS $53,046. APPROXIMATELY 25% OF THE PRIMARY SERVICE AREA POPULATION IS 18 YEARS OR YOUNGER. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY. MEDICAL CARE IS PROVIDED TO CHILDREN WITH ORTHOPAEDIC 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 TSRHC IS THE APPROPRIATE FACILITY TO MEET A CHILD'S CLINICAL NEEDS. THE PROCESS BEGINS WITH A TELEPHONE OR OTHER REFERRAL FROM A PHYSICIAN OR AN APPLICATION FOR SERVICES. AN INTERNAL MECHANISM IS UTILIZED TO DETERMINE IF TSRHC CAN APPROPRIATELY MEET THE NEEDS OF THE PATIENT THROUGH ONE OF ITS SERVICE LINES WHEN THE CHILD'S DIAGNOSIS IS NOT A CLEAR-CUT ORTHOPAEDIC CONDITION. WHEN TSRHC IS UNABLE TO PROVIDE SERVICES, TSRHC, AS PART OF ITS CARE COORDINATION SERVICES, IDENTIFIES REFERRAL RESOURCES THAT ARE PROVIDED TO THE FAMILY. IN ADDITION TO GENERAL PEDIATRIC ORTHOPAEDIC SERVICES, THE PEDIATRIC ORTHOPAEDIC SERVICES FOR WHICH PATIENTS ARE PRIMARILY REFERRED TO TSRHC INCLUDE SCOLIOSIS AND SPINE DISORDERS, CLUBFOOT AND OTHER FOOT DISORDERS, REDUCTION DEFICITS (LIMB LENGTHENING), HAND AND UPPER LIMB DISORDERS, HIP DISORDERS AND NEUROLOGIC, RHEUMATOLOGIC AND OTHER PEDIATRIC DEVELOPMENTAL DISABILITIES TREATED IN ADDITION OR RELATED TO OTHER ORTHOPAEDIC CONDITIONS. RESEARCH: SINCE OPENING ITS DOORS IN 1921, TSRHC HAS STRIVED TO DISCOVER NEW AND BETTER WAYS TO CARE FOR CHILDREN AFFECTED BY PEDIATRIC ORTHOPAEDIC 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 & SPINE, CLUBFOOT & FOOT DISORDERS, HIP DISORDERS, LIMB LENGTH DISCREPANCIES, HAND DIFFERENCES, AND SPORTS MEDICINE. THROUGH THE YEARS, TSRHC RESEARCHERS AND PHYSICIANS HAVE GENERATED MORE THAN 20 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. MEDICAL EDUCATION: FOR MORE THAN 30 YEARS, IN ASSOCIATION WITH THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, TSRHC HAS PROVIDED AN EXTRAORDINARY EDUCATIONAL EXPERIENCE IN THE FIELD OF PEDIATRIC ORTHOPAEDICS TO PROMISING ORTHOPAEDIC SURGEONS. MORE THAN 175 PHYSICIANS HAVE BENEFITED FROM THE TSRHC FELLOWSHIP IN PEDIATRIC ORTHOPAEDICS 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, ORTHOPAEDICS, PSYCHOLOGY, RADIOLOGY AND PEDIATRIC DEVELOPMENT DISABILITIES. THE HOSPITAL HAS VARIOUS AFFILIATION PROGRAMS FOR EDUCATION IN NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, PROSTHETICS AND VARIOUS OTHER DISCIPLINES. COMMUNITY HEALTH EDUCATION AND OUTLOOK: FAMILY RESOURCE CENTER: THE CHRISTI CARTER URSCHEL FAMILY RESOURCE CENTER, FOUNDED IN 1988, PROVIDES HEALTH INFORMATION AND SUPPORT SERVICES TO PATIENTS AND FAMILIES IN ORDER TO HELP THEM MAKE INFORMED HEALTH CARE DECISIONS AND IMPROVE THEIR QUALITY OF LIFE. STAFF ALSO PROVIDES REFERRALS TO MEDICAL PROVIDERS FOR CONDITIONS NOT TREATED AT TSRHC. 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 PLAYROOM: THE PLAYROOM FEATURES STAFF SPECIALISTS WHO FOCUS ON EACH PATIENT AND THEIR FAMILY'S SPECIFIC NEEDS BY PROMOTING OPTIMAL PSYCHOSOCIAL DEVELOPMENT. FAMILY SERVICES DEPARTMENT: FAMILY SERVICES SERVES AS A SUPPORT CENTER FOR PATIENTS AND FAMILIES IN FOUR PRIMARY AREAS: DETERMINING HOW TO MEET THEIR FINANCIAL OBLIGATIONS FOR HEALTH CARE SERVICES AT TSRHC, MEDICAL SOCIAL WORK, COORDINATION OF OUT-OF-HOSPITAL MEDICAL EXAMS, TESTS AND EVALUATIONS AND PATIENT INTERPRETATION AND TRANSLATION SERVICES. IN ADDITION, THESE FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENT FAMILIES IN NEED OF APPLYING FOR TSRHC'S FINANCIAL ASSISTANCE PROGRAM AND GOVERNMENT ASSISTANCE PROGRAMS. 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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Pedi-Ortho Health Corporation	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2222 Welborn Street	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75219	ZIPCode

Field	Value	IRS element (for citing)
Recipient EIN	752665759	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$100,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Purpose Of Grant	Medical care and research	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 1	FormAndLineReferenceDesc
Explanation	use of grant funds 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 orthopaedic 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.	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	Yes (true)	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 (24 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 WALKER
PRESIDENT/CEO	$547,914	$0	$0	$0	$58,788	$0	$0	$0	$25,039	$0	$631,741	$0	$16,176	$0
JC MONTGOMERY JR
PRESIDENT, EMERITUS	$409,684	$0	$0	$0	$79,240	$0	$0	$0	$24,686	$0	$513,610	$0	$19,057	$0
LORI DALTON
SR. VP & GENERAL COUNSEL	$317,451	$0	$0	$0	$28,501	$0	$15,300	$0	$32,911	$0	$394,163	$0	$0	$0
SHARON ELLIS
FORMER SR. VP & CFO	$183,194	$0	$0	$0	$193,616	$0	$11,093	$0	$4,087	$0	$391,990	$0	$0	$0
M SCOTT PERRYMAN
SENIOR VICE PRESIDENT	$264,322	$0	$0	$0	$20,176	$0	$15,300	$0	$34,185	$0	$333,983	$0	$0	$0
MARK BATEMAN
SENIOR VICE PRESIDENT	$308,184	$0	$0	$0	$28,431	$0	$15,300	$0	$32,041	$0	$383,956	$0	$0	$0
STEPHANIE BRIGGER
VICE PRESIDENT	$156,969	$0	$0	$0	$15,799	$0	$30,487	$0	$18,894	$0	$222,149	$0	$0	$0
JEREMY HOWELL
VICE PRESIDENT	$159,884	$0	$0	$0	$7,718	$0	$9,930	$0	$40,949	$0	$218,481	$0	$0	$0
JEAN ALLEN
CONTROLLER	$151,958	$0	$0	$0	$9,051	$0	$9,333	$0	$12,202	$0	$182,544	$0	$0	$0
FREDRIC RICHMOND
VICE PRESIDENT	$229,760	$0	$0	$0	$21,671	$0	$0	$0	$9,937	$0	$261,368	$0	$0	$0
DEBRA SAYLES
VICE PRESIDENT	$236,034	$0	$0	$0	$13,692	$0	$121,782	$0	$10,651	$0	$382,159	$0	$0	$0
DON KATZ
VICE PRESIDENT	$200,199	$0	$0	$0	$10,187	$0	$2,051	$0	$31,413	$0	$243,850	$0	$0	$0
B STEPHENS RICHARDS SCH J
CHIEF MEDICAL OFFICER	$544,134	$32,500	$0	$0	$172,289	$0	$63,896	$0	$23,957	$0	$804,276	$32,500	$0	$0
CHARLES JOHNSTON SEE SCH J
ASSIST. CHIEF OF STAFF	$511,522	$0	$0	$0	$211,942	$0	$65,985	$0	$21,957	$0	$811,406	$0	$0	$0
JOHN BIRCH SEE SCH J
ASSIST. CHIEF OF STAFF	$508,796	$0	$0	$0	$314,954	$0	$65,883	$0	$25,635	$0	$915,268	$0	$0	$0
DANIEL SUCATO
CHIEF OF STAFF	$594,834	$107,550	$0	$0	$37,298	$0	$122,593	$0	$32,576	$0	$787,301	$107,550	$0	$0
J ANTHONY HERRING
CHIEF OF STAFF EMERITUS	$521,184	$0	$0	$0	$89,853	$0	$0	$0	$22,172	$0	$633,209	$0	$22,040	$0
JAMES STURGIS
ADMINISTRATOR	$171,237	$0	$0	$0	$10,420	$0	$56,007	$0	$24,237	$0	$261,901	$0	$0	$0
KRISTINA KEEVER-SMITH
INVESTMENT OFFICER	$209,688	$0	$0	$0	$10,314	$0	$28,887	$0	$771	$0	$249,660	$0	$0	$0
MOLLY DEMPSEY
RADIOLOGIST	$492,306	$0	$0	$0	$23,556	$0	$80,394	$0	$19,204	$0	$615,460	$0	$0	$0
MARYBETH EZAKI SEE SCH J
ORTHOPAEDIC SURGEON	$503,116	$0	$0	$0	$1,223,972	$0	$68,118	$0	$4,427	$0	$1,799,633	$0	$0	$0
FARZANEH SAFAVI SEE SCH J
ANESTHESIOLOGIST	$474,521	$0	$0	$0	$124,625	$0	$70,404	$0	$8,917	$0	$678,467	$0	$0	$0
LORI KAROL
ORTHOPAEDIC SURGEON	$486,893	$29,500	$0	$0	$34,074	$0	$88,251	$0	$33,879	$0	$643,097	$29,500	$0	$0
KARL RATHJEN
ORTHOPAEDIC SURGEON	$521,704	$67,400	$0	$0	$33,295	$0	$89,707	$0	$10,262	$0	$654,968	$67,400	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 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 2013. *VESTED IN NON-QUALIFIED PENSION PLAN IN CALENDAR 2013. Schedule J, Part I, Line 1a TRAVEL FOR COMPANIONS (INCLUDED ON SCH J, PART II, COL B (III) & W-2 BOX 5) JOHN BIRCH $800 J. ANTHONY HERRING $800 CHARLES JOHNSTON $800 LORI KAROL $800 B. STEPHENS RICHARDS $800 DANIEL SUCATO $800 SOCIAL CLUB DUES (INCLUDED ON SCH J, PART II, COL B(III) & W-2, BOX 5) J.C. MONTGOMERY, JR. $2,640
Schedule J, Part I, Line 1b	THE CORPORATION DOES NOT HAVE A WRITTEN POLICY REGARDING REIMBURSEMENT FOR TRAVEL FOR COMPANIONS. CERTAIN EMPLOYEES ARE ALLOWED $800 ANNUALLY FOR TRAVEL FOR COMPANIONS. THE ORGANIZATION PAID A PORTION OF THE SOCIAL CLUB DUES FOR AN EMPLOYEE. SUBSTANTITION OF EXPENSES WERE REQUIRED PRIOR TO REIMBURSEMENT AND THESE ITEMS WERE INCLUDED AS TAXABLE INCOME ON SCHEDULE J.
Schedule J, Part I, Line 4a	SHARON ELLIS RESIGNED FROM TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN AND HER ROLE AS CHIEF FINANCIAL OFFICER IN MAY 2013, AND RECEIVED A SEVERANCE PAYMENT OF $173,775. THIS AMOUNT IS INCLUDED IN PART II, COLUMN B(III).
Schedule J, Part I, Line 4b	1) THE RESTORATION OF RETIREMENT INCOME PLAN (RRIP) IS A NON-QUALIFIED PLAN PROVIDING SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN EMPLOYEES 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 2013. (INCLUDED ON SCH J, PART II, COL C) DANIEL SUCATO $90,955 KARL RATHJEN $55,437 LORI KAROL $43,563 MOLLY DEMPSEY $47,890 UNDER THE TERMS OF THE RRIP, THE FOLLOWING EMPLOYEE VESTED IN THIS PLAN IN CALENDAR YEAR 2013 AND HER CUMULATIVE ACCRUED BENEFITS SINCE INCEPTION, AS REFERENCED BELOW, ARE SUBJECT TO TAXATION. (INCLUDED ON SCH J, PART II, COL B(III) AND W-2, BOX 5) MARYBETH EZAKI $1,218,293 UNDER THE TERMS OF THE RRIP THE FOLLOWING EMPLOYEES HAVE PREVIOUSLY VESTED IN THE RRIP AND ACCRUED ADDITIONAL BENEFITS DURING 2013, WHICH ARE SUBJECT TO TAXATION, IN THE FOLLOWING AMOUNTS. (INCLUDED IN SCH J, PART II, COL B(III) AND W-2, BOX 5) B. STEPHENS RICHARDS $134,751 JOHN BIRCH $150,892 CHARLES JOHNSTON $150,040 FARZANEH SAFAVI $97,872 2) THE MANAGEMENT BENEFIT PLAN IS A NON-QUALIFIED PLAN PROVIDING SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN ELIGIBLE 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 TERMS OF THE MANAGEMENT BENEFIT PLAN, THE FOLLOWING EMPLOYEES ACCRUED A BENEFIT IN 2013. (INCLUDED ON SCH J, PART II, COL B(III) AND W-2, BOX 5) JOHN BIRCH $19,607 CHARLES JOHNSTON $24,083 UNDER THE TERMS OF THE MANAGEMENT BENEFIT PLAN, THE FOLLOWING EMPLOYEES RECEIVED PAYMENTS IN 2013. (AMOUNTS BELOW ARE INCLUDED ON SCH J, PART II, COL B(III) AND W-2, BOX 1 AND 5) J.C. MONTGOMERY, JR. $39,702 J. ANTHONY HERRING $45,917 ROBERT WALKER $32,352 3) 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 AT THEIR ELECTION. THE INSURANCE PREMIUM AND RETIREMENT ACCOUNT CONTRIBUTIONS 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 AVAILALBE TO THE PARTICIPANT. UNDER THE TERMS OF THE FLEXIBLE BENEFITS PLAN, THE FOLLOWING EMPLOYEES WERE TAXED ON THE FOLLOWING AMOUNTS FOR CALENDAR YEAR 2013 (INCLUDED IN SCH J, PART II, COL B(III) AND W-2, BOX 5. J.C. MONTGOMERY, JR. $18,720 ROBERT WALKER $24,750 M. SCOTT PERRYMAN $11,700 SHARON ELLIS $15,640 LORI DALTON $14,461 KRISTINA KEEVER-SMITH $9,549 MARK BATEMAN $14,040 STEPHANIE BRIGGER $7,191 JEAN ALLEN $6,960 JAMES STURGIS $7,944 DEBBIE SAYLES $10,632 J. ANTHONY HERRING $23,625 B. STEPHENS RICHARDS $24,570 JOHN BIRCH $23,057 CHARLES JOHNSTON $23,057 KARL RATHJEN $23,400 DANIEL SUCATO $26,910 LORI KAROL $22,148 FARZANEH SAFAVI $21,449 MOLLIE DEMPSEY $22,230

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	270365113	BondIssuerEIN
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	$624,107	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$111,125	IssuanceCostsFromProceedsAmt
Credit Enhancement	$790,658	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	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

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	BusinessNameLine1

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	BusinessNameLine1

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 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	4	ContributionCnt
Noncash Contributions Rpt F990	$23,805	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	11	ContributionCnt
Noncash Contributions Rpt F990	$2,391,780	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

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$1,460,019	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
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 (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Mineral interests	3	$12	Market value
Yes (X)	Trust interest	1	$1	Market value
Yes (X)	Horse	1	$150	Market value

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PROGRAM SERVICES - PATIENT CARE (CONT.)	FORM 990, PART III, LINE 4A THE NEUROLOGY PROGRAM PROVIDES CARE IN SPECIALIZED CLINICS FOR ORTHOPAEDIC 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. CHILDREN WITH DEVELOPMENTAL DISABILITIES OFTEN HAVE PHYSICAL, SOCIAL, LEARNING OR BEHAVIOR CHALLENGES. THE PROGRAM TAKES AN INTERDISCIPLINARY APPROACH TO PROVIDING THE BEST POSSIBLE FAMILY-CENTERED CARE. PROGRAM SERVICES - EDUCATION (CONT.) FORM 990, PART III, LINE 4B FOR MORE THAN 30 YEARS, IN ASSOCIATION WITH THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, THE HOSPITAL HAS PROVIDED AN EXTRAORDINARY EDUCATIONAL EXPERIENCE IN THE FIELD OF PEDIATRIC ORTHOPAEDICS TO PROMISING ORTHOPAEDIC SURGEONS. MORE THAN 160 PHYSICIANS HAVE BENEFITED FROM THE HOSPITAL'S FELLOWSHIP IN PEDIATRIC ORTHOPAEDICS AND SCOLIOSIS, WITH MANY GOING ON TO HOLD PRESTIGIOUS MEDICAL POSITIONS ACROSS THE COUNTRY AND AROUND THE WORLD. IN ADDITION, FELLOWS FROM SOME OF THE MAJOR HAND CENTERS IN NORTH AMERICA AND THE WORLD HAVE TRAINED AT THE HOSPITAL IN THE SUB-SPECIALTY OF PEDIATRIC HAND SURGERY. THE HOSPITAL ALSO PARTICIPATES IN RESIDENCY TRAINING PROGRAMS IN NEUROLOGY, RHEUMATOLOGY, ORTHOPAEDICS, PSYCHOLOGY, RADIOLOGY AND PEDIATRIC DEVELOPMENTAL DISABILITIES AND HAS AFFILIATION PROGRAMS IN NURSING, PHYSICAL THERAPY, PROSTHETICS AND OTHER DISCIPLINES. PROGRAM SERVICES - RESEARCH (CONT.) FORM 990, PART III, LINE 4C HOSPITAL RESEARCHERS HAVE GENERATED MORE THAN 20 PATENTS AND 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. HOSPITAL RESEARCH ALSO HAS LED TO THE CREATION OF NEW DEVICES AND TREATMENT SYSTEMS, INCLUDING THE TSRH SILO 5.5 SPINAL SYSTEM, THE TRUE/LOK EXTERNAL FIXATION SYSTEM AND THE TRUE/LOK HEXAPOD SYSTEM. FAMILY AND BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2: LYNDON OLSON AND PAT BEARD HAD A BUSINESS RELATIONSHIP. LYNDON OLSON AND RON CARTER HAVE A BUSINESS RELATIONSHIP. J. ANTHONY HERRING, MD, JOHN BIRCH, MD, CHARLES JOHNSTON, MD, LORI KAROL, MC, B. STEPHENS RICHARDS, MD, KARL RATHJEN, MD, AND DANIEL 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 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 SALARY AND BENEFITS FOR EXECUTIVE STAFF, MEMBERS OF THE MEDICAL STAFF AND KEY EMPLOYEES OF THE ORGANIZATION. THE HOSPITAL REVIEWS VARIOUS EXECUTIVE/PHYSICIAN COMPENSATION SURVEYS, INCLUDING DATA FROM PEDIATRIC HOSPITALS ON BOTH A LOCAL AND NATIONAL BASIS. PERIODICALLY, AN INDEPENDENT CONSULTANT REVIEWS SALARY AND BENEFITS OF EXECUTIVES, PHYSICIANS AND KEY EMPLOYEES. THIS REVIEW WAS LAST UNDERTAKEN IN FISCAL YEAR 2014 FOR MEDICAL STAFF AND EXECUTIVES. ADDITIONALLY, THE HOSPITAL GATHERS PHYSICIAN COMPENSATION DATA FROM LOCAL AND PRIVATE PRACTICE SETTINGS. THIS INFORMATION IS COLLECTIVELY TAKEN INTO CONSIDERATION AND PRESENTED TO THE COMMITTEE WHEN DETERMINING COMPENSATION.
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.
RECONCILIATION OF NET ASSETS	FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT $(17,520,316) CHANGE IN BENEFICIAL INTEREST IN TRUSTS $(16,747,362) ROUNDING $ 1 -------------- TOTAL $(34,267,677)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
Pedi-Ortho Health Corp
2222 Welborn St	Dallas	TX	75219	752665759	Physicians	TX	501(c)(3)	9	TSRH	Yes (true)
Legacy Scholarship Program
2222 Welborn St	Dallas	TX	75219	752106637	Scholarships	TX	501(c)(3)	7	NA	false
Texas Scottish Rite Hospital Trust
C/O JPMorgan Chase POB 3038	Milwaukee	WI	53201	756013875	Support org	WI	501(c)(3)	11d-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	false	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 (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Pedi-Ortho Health Corp
b	$100,000	Market
Pedi-Ortho Health Corp
r	$550,000	Market
Pedi-Ortho Health Corp
l	$71,243	Market
Pedi-Ortho Health Corp
m	$58,966	Market
Pedi-Ortho Health Corp
q	$784,646	Market