2014-08-14T15:01:21-05:00 2013-09-30 CROWE HORWATH LLP 70 WEST MADISON STREET SUITE 700 CHICAGO IL 606024903 990 2012-10-01 760460242 TCH PEDIATRIC ASSOCIATES INC TCHP 8328422982 PO Box 300630 Houston TX 772300630 BENJAMIN MELSON 2014-08-12 true Geralyn Hurd P00933422 3128997000 2012 2015-11-30 17:44:51Z TEXAS CHILDREN'S PEDIATRICS BENJAMIN MELSON PO Box 300630 Houston TX 772300630 173335852 false X WWW.TEXASCHILDRENSPEDIATRICS.ORG X 1994 TX TCH PEDIATRIC ASSOCIATES, INC. PROVIDES THE FINEST PEDIATRIC CARE BY PHYSICIANS AND STAFF WHO ARE DEDICATED TO DELIVERING COMPREHENSIVE QUALITY PRIMARY CARE AND EDUCATION TO THE CHILDREN OF THE COMMUNITY. 7 3 1220 0 0 0 6453189 6270788 153513964 167065064 -18904 -827 0 0 159948249 173335025 0 0 0 0 104572509 113749140 0 0 0 51585022 57968993 156157531 171718133 3790718 1616892 48499766 50533681 24294757 23825277 24205009 26708404 DEDICATED TO DELIVERING COMPREHENSIVE QUALITY PRIMARY CARE AND EDUCATION TO THE CHILDREN OF THE COMMUNITY. false false 152800652 158711811 PATIENT CARE: PROVIDING A CONCENTRATION OF SKILLS AND RESOURCES NECESSARY TO THE DIAGNOSIS AND TREATMENT OF THE ILL CHILD FROM THE PERIOD OF BIRTH THROUGH ADOLESCENCE. TOTAL PATIENT ENCOUNTERS FOR THE YEAR ENDED 9/30/2013 WERE 1,159,114 . 8042140 8353253 MEDICAL EDUCATION: CONDUCTING PARENT AND PUBLIC EDUCATION PROGRAMS NECESSARY TO PROMOTE THE PREVENTION OF ILLNESS IN CHILDREN AND TO ENCOURAGE THE EARLY RECOGNITION OF THE NEED FOR HEALTH SERVICES. 160842792 true true false true false false false false false true false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 114 0 true 1220 true false false false false false false false false false false X 7 3 false false false false true true true true false false false true true true true true true false true false X Rachel Shupe 8328242951 1919 S Braeswood Blvd Houston TX 77030 X MARK W KLINE MD 1.00 3.00 X X 0 161004 0 MARTIN LORIN MD 1.00 0 X X 0 0 0 STANLEY SPINNER MD 40.00 0 X X 331605 0 44487 CHERYL HARDIN MD 40.00 0 X 247217 0 14527 CHUWEY TSAI-WEINBERG MD 40.00 0 X 408919 0 41168 JAN E DRUTZ MD 1.00 0 X 0 0 0 JOAN E SHOOK MD 1.00 1.00 X 0 1440 0 KAY TITTLE 34.00 6.00 X 0 944058 105108 MELISSA FISCHER 40.00 0 X 208098 0 38462 PATRICIA COLEMAN 40.00 0 X 179679 0 30139 THERESA LEBLANC 40.00 0 X 201781 0 47206 HUBERT HO MD 40.00 0 X 527886 0 50130 MARIE ROSSELL MD 40.00 0 X 592588 0 31643 RAZAALI RAZAK MD 40.00 0 X 795859 0 52096 RICHARD THALLER MD 40.00 0 X 623676 0 32677 RICHARD VADALA MD 40.00 0 X 573941 0 44216 JAMES E ALLISON III MD 40.00 0 X 243190 0 37957 4934439 1106502 569816 202 true true false ACCESS NURSE PM INC PO BOX 635013 CINCINNATI OH 452635013 CALL CENTER 1148635 ETACTICS INC 4835 DARROW RD STOW OH 44224 EPIC BILLING STATEMENTS 314628 COMFORCE TECHNICAL SERVICES PO BOX 9695 UNIONDALE NY 115559695 STAFFING SERVICES 300766 PHYSICIAN RESOURCES INC 1818 MEMORIAL DRIVE SUITE 200 HOUSTON TX 77007 PHYSICIAN RECRUITMENT SERVICES 274781 RJ AUSTIN CONSULTING DEV & TRAIN LLC 5751 BLYTHEWOOD STREET SUITE 400 HOUSTON TX 77021 CONSULTING SERVICES 153333 10 6234711 36077 6270788 OUTPATIENT REVENUE 621400 165393288 165393288 NON-PATIENT OPERATING 900099 1517640 1517640 CLEAN CLAIMS INTEREST 900099 154136 154136 0 0 0 0 0 0 167065064 0 0 0 0 0 0 827 0 -827 -827 -827 0 0 0 0 0 0 0 0 0 0 0 173335025 167065064 0 -827 0 0 0 0 1790346 1111948 678398 270664 270664 93068392 87183143 5885249 4179061 3905437 273624 9437737 8634413 803324 5002940 4569706 433234 0 0 12144 12144 0 0 0 1464519 1371469 93050 0 387304 358657 28647 3600182 3457955 142227 4431 4212 219 0 9453479 9439228 14251 168368 125587 42781 0 245623 204329 41294 0 0 4750162 4683824 66338 926520 926384 136 MEDICAL SUPPLIES 32059680 32059680 MANAGEMENT FEES 2199996 2199996 AFTER HOURS CALL CENTER 1065450 1065450 BAD DEBT 573323 573323 1057812 897383 160429 0 171718133 160842792 10875341 0 0 16362348 16099025 6654490 5885657 0 0 3496510 5064257 436192 428539 44597658 23040428 20558135 21557230 0 0 0 0 671445 980438 320646 518535 48499766 50533681 21086568 21750628 2131726 2074649 0 1076463 0 24294757 23825277 X 24205009 26708404 24205009 26708404 48499766 50533681 X 1616892 886503 X false true X true false X 185662 66891 6118174 6453189 6270788 19094704 142653842 144790792 145198510 153513964 167065064 753222172 0 0 0 142839504 144857683 151316684 159967153 173335852 772316876 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 772316876 28958 245 117 29320 0 28958 245 117 0 0 29320 0 0 0 0 0 0 142868462 144857928 151316801 159967153 173335852 772346196 1.00000 0.99930 0.00000 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2750 2750 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 TCH PEDIATRICS ASSOCIATES PAID DUES TO THE AMERICAN MEDICAL GROUP ASSOCIATION, OF WHICH 20% ($2,750) WAS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 0 15207 15207 0 28620672 13663728 14956944 15673638 9361493 6312145 288141 288141 21557230 0 0 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING COMBINED BALANCE SHEETS AS OF SEPTEMBER 30, 2013. false true false false false false false false false CHERYL HARDIN MD 144851 0 83804 0 18562 0 11280 0 3247 0 261744 0 0 0 CHUWEY TSAI-WEINBERG MD 287611 0 103193 0 18115 0 25230 0 15938 0 450087 0 0 0 HUBERT HO MD 508681 0 150 0 19055 0 24876 0 25254 0 578016 0 0 0 JAMES E ALLISON III MD 152217 0 66341 0 24632 0 18134 0 19823 0 281147 0 0 0 KAY TITTLE 0 320484 0 602107 0 21467 0 85743 0 19365 0 1049166 0 60042 MARIE ROSSELL MD 433324 0 140352 0 18912 0 23069 0 8574 0 624231 0 0 0 MARK W KLINE MD 0 0 0 161004 0 0 0 0 0 0 0 161004 0 0 MELISSA FISCHER 168225 0 32648 0 7225 0 17708 0 20754 0 246560 0 11120 0 PATRICIA COLEMAN 142883 0 27027 0 9769 0 14019 0 16120 0 209818 0 9331 0 RAZAALI RAZAK MD 418138 0 359576 0 18145 0 25137 0 26959 0 847955 0 0 0 RICHARD THALLER MD 199007 0 405143 0 19526 0 24339 0 8338 0 656353 0 0 0 RICHARD VADALA MD 390733 0 163473 0 19735 0 27274 0 16942 0 618157 0 0 0 STANLEY SPINNER MD 264409 0 53425 0 13771 0 21922 0 22565 0 376092 0 0 0 THERESA LEBLANC 161990 0 32987 0 6804 0 16734 0 30472 0 248987 0 11115 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED BY TEXAS CHILDREN'S AND TEXAS CHILDREN'S HOSPITAL, USING THE FOLLOWING METHODS: * COMPENSATION COMMITTEE * INDEPENDENT COMPENSATION CONSULTANT * COMPENSATION SURVEY OR STUDY * APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b CY 2012 457(F) PLAN: PAID / DEFERRED KAY TITTLE 621,549 / 59,353 DIRECTOR INCENTIVE PLAN: PAID / DEFERRED PATRICIA COLEMAN 27,027 / 0 MELISSA FISCHER 32,648 / 0 THERESA LEBLANC 32,987 / 0 457(F): THE 457(F) PLAN IS A DEFERRED COMPENSATION PLAN THAT ALLOWS ELIGIBLE EXECUTIVES, FROM THE ASSISTANT VICE PRESIDENT LEVEL TO CHIEF EXECUTIVE OFFICER, TO CONTRIBUTE MONEY ON A PRE-TAX BASIS. FUNDS MAY BE DEFERRED INTO THIS ACCOUNT FROM ANY OF FOUR SOURCES: BASE SALARY, ANNUAL INCENTIVE PLAN, LONG-TERM INCENTIVE PLAN, AND CAPITAL ACCUMULATION ACCOUNT FROM A FLEXIBLE BENEFIT ACCOUNT SURPLUS. THESE VEST AFTER THREE YEARS IN THE 457(F) WITH THE EXCEPTION OF THE CAPITAL ACCUMULATION ACCOUNT WHICH VESTS AFTER FIVE YEARS IN THE 457(F) PLAN. DIRECTOR INCENTIVE PLAN: THE DIRECTOR INCENTIVE PLAN IS AN ANNUAL INCENTIVE PLAN IN WHICH ELIGIBLE DIRECTORS PARTICIPATE. THE PLAN SHARES GOALS WITH THE EXECUTIVE ANNUAL INCENTIVE PLAN, FOCUSING ON FACTORS SUCH AS FINANCIAL PERFORMANCE, QUALITY GOALS, AND PATIENT SATISFACTION. IN ADDITION, THERE ARE INDIVIDUAL COMPONENTS FOR EACH DIRECTOR WHICH VARY DEPENDING ON THE EXPECTED OUTCOMES FOR THAT AREA AND / OR YEAR. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 TEXAS CHILDREN'S IS THE SOLE CORPORATE MEMBER OF TCH PEDIATRIC ASSOCIATES. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a TEXAS CHILDREN'S ANNUALLY APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b PER THE ORGANIZATION'S BYLAWS, THE MEMBER HAS CERTAIN RESERVED POWERS: -APPROVE, INTERPRET OR CHANGE THE PURPOSE OF THE CORPORATION. -FIX THE NUMBER, APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR OF THE CORPORATION. -APPROVE THE MERGER, DISSOLUTION OR CONSOLIDATION OR REORGANIZATION OF THE CORPORATION. -APPROVE THE ACQUISITION, SALE, LEASE, TRANSFER, OR OTHER ALIENATION OF PROPERTY OF THE CORPORATION, OTHER THAN IN THE USUAL AND REGULAR COURSE OF THE CORPORATION'S BUSINESS, WHEN SUCH ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION IS ABOVE SPECIFIC FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER. -APPROVE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. -ADOPTION OR AMENDMENT OF SALARIES OR OTHER COMPENSATION (INCLUDING THE AWARDING OF ANY INCENTIVE COMPENSATION) OF THE OFFICERS OF THE CORPORATION, PHYSICIAN EMPLOYEES OF THE CORPORATION, IF ANY, AND PHYSICIANS WHO ARE INDEPENDENT CONTRACTORS TO THE CORPORATION, IF ANY. -APPROVE DEBT INCURRED BY THE CORPORATION, WHICH IS IN EXCESS OF SUCH LIMITS AS ARE ESTABLISHED BY THE MEMBER. -APPROVE THE DISPOSITION OF ASSETS OF THE CORPORATION AT THE TIME OF ITS DISSOLUTION. -APPROVE ANY LONG-RANGE FINANCIAL OR STRATEGIC PLANS FOR THE CORPORATION. -SELECTION OF THE CORPORATION'S AUDITORS AND LEGAL COUNSEL. -CREATION OR SALE OF ANY SUBSIDIARIES OF THE CORPORATION. -ANY AFFILIATION, JOINT VENTURE, CONTRACT, EMPLOYMENT, RETENTION, INDEMNIFICATION, OR OTHER ARRANGEMENTS BETWEEN THE CORPORATION AND ANY INSURER, HEALTH MAINTENANCE ORGANIZATION, PREFERRED PROVIDER ORGANIZATION, MEDICAL SCHOOL, HOSPITAL, CLINIC, PHARMACY, PHYSICIAN, HOSPITAL AFFILIATE, OR OTHER PROVIDER OF HEALTH OR RELATED SERVICES, INCLUDING, WITHOUT LIMITATION, ALL SERVICE TERMS AND COMPENSATION ARRANGEMENTS. -ESTABLISHMENT BY THE CORPORATION OF ANY TRAINING OR RESIDENCY PROGRAM. -THE GIVING, SEEKING, OR RECEIVING OF GRANTS. -ADOPTION OR AMENDMENT OF ANY INDEMNIFICATION RIGHTS, OBLIGATIONS, OR AGREEMENTS AFFECTING THE CORPORATION. -PURCHASE, ADOPTION, AMENDMENT, CANCELLATION, OR REPLACEMENT OF ANY INSURANCE COVERAGE FOR THE CORPORATION OR ITS DIRECTORS, OFFICERS AND AGENTS, AS WELL AS COPIES OF ANY NOTICES OF CANCELLATION RECEIVED BY THE CORPORATION. -THE COMMENCEMENT OF LITIGATION OR THE SETTLEMENT OF LITIGATION OR OTHER CLAIMS. -APPROVAL OF THE ADOPTION OR AMENDMENT OF FEE SCHEDULES RELATING TO PATIENT SERVICES. -DESIGNATION OF ADDITIONAL OR SUCCESSOR MEMBER(S). -TAKE ANY ACTION WHICH WOULD BE INCONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE MEMBER. Documentation of meetings held by committees of governing body Form 990, Part VI, Section A, Line 8b NO SUCH COMMITTEES EXIST. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b PER A RESOLUTION APPROVED BY THE MEMBER'S BOARD OF DIRECTORS, THE MEMBER BOARD'S AUDIT & COMPLIANCE COMMITTEE HAS THE DELEGATED AUTHORITY TO REVIEW THE ORGANIZATION'S COMPLETED FORM 990 PRIOR TO FILING. FOLLOWING THE COMMITTEE'S REVIEW, THE COMPLETED FORM 990 IS DISTRIBUTED TO THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. Conflict of interest policy Form 990, Part VI, Section B, Line 12c THE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY THROUGH TWO SEPARATE PROCESSES, ONE THAT APPLIES TO THE BOARD MEMBERS, AND A SECOND THAT APPLIES TO OFFICERS AND KEY EMPLOYEES. 1) BOARD MEMBERS: PER THE ORGANIZATION'S BOARD-APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE MEMBER'S BOARD LEADERSHIP AND PRESENTED TO THE MEMBER'S AUDIT & COMPLIANCE COMMITTEE. IF THE COMMITTEE DEEMS THERE ARE ANY SIGNIFICANT ISSUES, THE RESPONSES ARE THEN REVIEWED BY THE MEMBER BOARD'S EXECUTIVE COMMITTEE AND ANY REQUIRED ACTION (RECUSEMENT FROM BOARD DELIBERATIONS RELATED TO THE CONFLICT, ETC.) IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT. 2) OFFICERS / KEY EMPLOYEES: PER THE ORGANIZATION'S BOARD APPROVED CONFLICTS REVIEW PROCESS, RESPONSES TO THE ANNUAL CONFLICTS QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE SERVICES DEPARTMENT. IF THE DEPARTMENT DEEMS THERE ARE ANY SIGNIFICANT ISSUES, REQUIRED ACTION IS TAKEN IN ACCORDANCE WITH THE ORGANIZATION'S BOARD-APPROVED CODE OF CONDUCT AND THE BOARD IS NOTIFIED OF SUCH ACTIONS. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE ANNUAL PROCESS FOR DETERMINING COMPENSATION INCLUDES: -REVIEW AND APPROVAL BY GOVERNING BODY AND COMPENSATION COMMITTEE, PROVIDED THAT PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE WERE NOT INVOLVED. -COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. -CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. AVERAGE HOURS FORM 990, PART VII, SECTION A STANLEY W SPINNER, M.D.'S 40 HOURS AVERAGE PER WEEK REPRESENTS HIS ROLE AS A TCH PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HIS ROLE AS A COMPENSATED PHYSICIAN. CHERYL HARDIN, M.D.'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS A TCH PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HER ROLE AS A COMPENSATED PHYSICIAN. CHUWEY TSAI-WEINBERG, M.D.'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS A TCH PEDIATRIC ASSOCIATES BOARD MEMBER (1 HOUR AVERAGE PER WEEK) AS WELL AS HER ROLE AS A COMPENSATED PHYSICIAN. INCENTIVE COMPENSATION FORM 990, PART VII, SECTION A DR. MARK W. KLINE, WHILE EMPLOYED BY BAYLOR COLLEGE OF MEDICINE, SERVES AS AN IN-CHIEF DIRECTING PATIENT CARE AT TEXAS CHILDREN'S HOSPITAL. DUE TO HIS SENIOR LEADERSHIP ROLE, HE IS ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON HIS CONTRIBUTION TO ACHIEVING THE ORGANIZATION'S STRATEGIC GOALS. ALL COMPENSATION IS EARNED IN HIS CAPACITY AS A PHYSICIAN LEADER. Other changes in net assets or fund balances Form 990 , Part XI, Line 9 TRANSFER FROM TEXAS CHILDREN'S HOSPITAL - 551503; TRANSFER OF PHYSICIAN PRACTICE FROM TEXAS CHILDREN'S HOSPITAL - 335000; FORM 5471 DISCLOSURE SCHEDULE O UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT: -TEXAS CHILDREN'S HOSPITAL FOUNDATION EIN: 20-2380599 6621 FANNIN ST HOUSTON, TX 77030 -TEXAS CHILDREN'S EIN: 76-0461578 1919 S. BRAESWOOD BLVD, 4TH FL HOUSTON, TX 77030 TEXAS CHILDREN'S 1919 S BRAESWOOD BLVD 4TH FL HOUSTON TX 77030 PARENT TX 501(C)(3) 11 - Type II NA false TEXAS CHILDREN'S PHYSICIAN GROUP INC 6621 FANNIN STREET HOUSTON TX 77030 HEALTH CARE TX 501(C)(3) 9 TEXAS CHILDREN'S true TEXAS CHILDREN'S HEALTH PLAN 2450 HOLCOMBE SUITE 34L HOUSTON TX 77021 HEALTH CARE TX 501(C)(3) 9 TEXAS CHILDREN'S true TEXAS CHILDREN'S WOMEN'S SPECIALISTS PO BOX 300630 HOUSTON TX 77230 HEALTH CARE TX 501(C)(3) 11 - Type II TEXAS CHILDREN'S true TEXAS CHILDREN'S HOSPITAL 6621 FANNIN STREET HOUSTON TX 77030 HOSPITAL TX 501(C)(3) 3 TEXAS CHILDREN'S true TEXAS CHILDREN'S HOSPITAL FOUNDATION 6621 FANNIN STREET HOUSTON TX 77030 SUPPORTING ORG TX 501(C)(3) 11 - Type II TEXAS CHILDREN'S true TEXAS CHILDREN'S HEALTH PLAN - THE CENTER 6621 FANNIN STREET HOUSTON TX 77030 HEALTH CARE TX 501(C)(3) 11 - Type I TEXAS CHILDREN'S HEALTH PLAN true QUINTANA ENERGY FUND I COINVESTOR-PRZ LP 601 JEFFERSON STREET SUITE 3600 HOUSTON TX 77002 263190589 INVESTMENT TX NA N/A TCH INSURANCE COMPANY LTD 23 LIME BAY AVE GRAND CAYMAN CJ KY1-1102 INSURANCE CJ NA C CORPORATION true CVI GVF HOLDINGS 3 LTD UGLAND HOUSE SOUTH CHURCH ST GEORGE TOWN CJ KY1-1104 INVESTMENT CJ NA C CORPORATION true false false true false false false false false false false false true true true true true false false true TEXAS CHILDREN'S HOSPITAL C 6234711 COST TEXAS CHILDREN'S HOSPITAL S 335000 COST TEXAS CHILDREN'S HOSPITAL M 2199996 COST TEXAS CHILDREN'S HOSPITAL S 551503 COST TEXAS CHILDREN'S HEALTH PLAN L 15980076 COST TEXAS CHILDREN'S HOSPITAL P 20722489 COST