2014-08-14T18:22:53-05:00 2013-09-30 CROWE HORWATH LLP 70 WEST MADISON STREET SUITE 700 CHICAGO IL 606024903 990 2012-10-01 741100555 TEXAS CHILDREN'S HOSPITAL TEXA 8328242982 6621 FANNIN ST HOUSTON TX 77030 BENJAMIN MELSON 2013-08-12 true Geralyn Hurd P00933422 3128997000 2012 2015-11-30 17:44:51Z BENJAMIN MELSON 6621 FANNIN ST HOUSTON TX 77030 1487289686 false X WWW.TEXASCHILDRENS.ORG X 1950 TX TO SUPPORT EXCELLENCE IN PATIENT CARE, EDUCATION AND RESEARCH WITH A COMMITMENT TO QUALITY SERVICE AND COST-EFFECTIVE CARE TO ENHANCE THE HEALTH & WELL-BEING OF CHILDREN AND WOMEN LOCALLY, NATIONALLY & INTERNATIONALLY. 11 2 7877 2556 2821055 -1107301 74020160 61620330 1192524583 1399602346 7250848 10926695 11097093 11418271 1284892684 1483567642 8221041 8304066 0 0 594755687 631151135 0 0 3778664 647304048 752751775 1250280776 1392206976 34611908 91360666 3495847849 3834027324 994152517 927702228 2501695332 2906325096 TO SUPPORT EXCELLENCE IN PATIENT CARE, EDUCATION, AND RESEARCH WITH A COMMITMENT TO QUALITY SERVICE AND COST EFFECTIVE CARE TO ENHANCE THE HEALTH AND WELL-BEING OF CHILDREN LOCALLY, NATIONALLY AND INTERNATIONALLY. false false 1205049889 7603410 1379170847 PATIENT CARE: TEXAS CHILDREN'S HOSPITAL IS AN INTERNATIONALLY RECOGNIZED FULL-CARE PEDIATRIC HOSPITAL OPERATING TWO CAMPUSES IN THE HOUSTON AREA, THE LARGEST OF WHICH IS LOCATED IN THE TEXAS MEDICAL CENTER. ONE OF THE LARGEST PEDIATRIC HOSPITALS IN THE UNITED STATES, THE HOSPITAL IS CONSISTENTLY RANKED AS THE BEST CHILDREN'S HOSPITAL IN TEXAS, AND AMONG THE TOP IN THE NATION. TEXAS CHILDREN'S HAS GARNERED WIDESPREAD RECOGNITION FOR ITS EXPERTISE AND BREAKTHROUGHS IN PEDIATRIC AND WOMEN'S HEALTH. THE HOSPITAL INCLUDES THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE; THE FEIGIN CENTER FOR PEDIATRIC RESEARCH; TEXAS CHILDREN'S PAVILION FOR WOMEN, A COMPREHENSIVE OBSTETRICS/GYNECOLOGY FACILITY FOCUSING ON HIGH-RISK BIRTHS; TEXAS CHILDREN'S HOSPITAL WEST CAMPUS, A COMMUNITY HOSPITAL IN SUBURBAN WEST HOUSTON; AND TEXAS CHILDREN'S HOSPITAL THE WOODLANDS, A SECOND COMMUNITY HOSPITAL PLANNED TO OPEN IN 2017. THE ORGANIZATION ALSO CREATED THE NATIONS' FIRST HMO FOR CHILDREN, HAS THE LARGEST PEDIATRIC PRIMARY CARE NETWORK IN THE COUNTRY AND A GLOBAL HEALTH PROGRAM THAT'S CHANNELING CARE TO CHILDREN AND WOMEN ALL OVER THE WORLD. TEXAS CHILDREN'S HOSPITAL IS AFFILIATED WITH BAYLOR COLLEGE OF MEDICINE. TEXAS CHILDREN'S PAVILION FOR WOMEN OFFERS A FULL SPECTRUM OF MATERNAL AND FETAL MEDICINE SERVICES, INCLUDING AN ARRAY OF FETAL DIAGNOSTIC PROCEDURES AND HIGHLY SPECIALIZED FETAL SURGERIES, THREE PRIVATE OB/GYN PRACTICES, THE FAMILY FERTILITY CENTER, THE MENOPAUSE CENTER AND THE WOMEN'S PLACE - CENTER FOR REPRODUCTIVE PSYCHIATRY. DURING THE YEAR THE HOSPITAL OVERALL OPERATED 592 INPATIENT BEDS AND MORE THAN 81 AMBULATORY SPECIALTY CLINICS, SUPPORTED BY AN AWARD-WINNING MEDICAL STAFF CONSISTING OF MORE THAN 830 BOARD-CERTIFIED PEDIATRIC SUBSPECIALISTS, OBSTETRICIANS AND GYNECOLOGISTS, ADULT SUBSPECIALISTS AND DENTISTS AND A DEDICATED AND HIGHLY SKILLED NURSING AND SUPPORT STAFF OF MORE THAN 6,944. IN 2013, THE PAVILION PERFORMED APPROXIMATELY 4,878 DELIVERIES AND EXCEEDED 147,227 OUTPATIENT CLINIC VISITS. 74602432 470713 9227439 RESEARCH: TEXAS CHILDREN'S/BAYLOR RESEARCHERS AT THE FEIGIN CENTER, THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE AND THE CHILDREN'S NUTRITION RESEARCH CENTER ARE CONDUCTING SOME OF THE MOST INNOVATIVE ONGOING RESEARCH IN A VARIETY OF AREAS FROM PEDIATRIC CARDIOLOGY TO INFECTIOUS DISEASES, NUTRITION, VACCINES AND PEDIATRIC NEUROLOGY AND NEUROGENETICS. DURING 2013, TEXAS CHILDREN'S INVESTED IN MORE THAN $74 MILLION IN OVER 1,800 CLINICAL, BASIC AND TRANSLATIONAL RESEARCH PROJECTS, EXPLORING A WIDE RANGE OF CHILDREN'S AND WOMEN'S HEALTH ISSUES. IN ADDITION, THE HOSPITAL CONTINUED ITS STRATEGIC FOCUS ON THE GROWTH AND SUCCESS OF ALL TEXAS CHILDREN'S RESEARCH ENDEAVORS THROUGH ENHANCED INFRASTRUCTURE, SUCH AS THE EXPANSION OF THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE WHERE INVESTIGATORS CAN ACCESS CUTTING EDGE IMAGING MODALITIES, SUCH AS TWO-PHOTON MICROSCOPY, AND STATE-OF-THE-ART NEUROPHYSIOLOGY AND BEHAVIORAL SCIENCE CORE RESOURCES. 36443138 229943 8383005 EDUCATION: THE HOSPITAL SERVES AS THE PRIMARY PEDIATRIC TEACHING FACILITY FOR BAYLOR COLLEGE OF MEDICINE (OUR LONG-TERM ACADEMIC PARTNER). IN ADDITION, THE HOSPITAL, THROUGH ITS PAVILION FOR WOMEN FACILITY, IS ONE OF THE PREMIER PRIVATE TRAINING HOSPITALS FOR BAYLOR COLLEGE OF MEDICINE'S DEPARTMENT OF OBSTETRICS AND GYNECOLOGY. THE CLOSE AFFILIATION BETWEEN THE INSTITUTIONS EXTENDS THROUGHOUT TEXAS CHILDREN'S OPERATIONS, AND BAYLOR FACULTY ARE THE SERVICE CHIEFS, MEDICAL DIRECTORS AND STAFF PHYSICIANS ACROSS THE HOSPITAL'S 81 SUB SPECIALTY CARE OFFERINGS. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2013, THE HOSPITAL INVESTED MORE THAN $26 MILLION IN THE TRAINING OF OVER 936 TRAINEES IN 88 TRAINING PROGRAMS ROTATING AT TEXAS CHILDREN'S. BAYLOR AND TEXAS CHILDREN'S HAVE A PROVEN TRACK RECORD RECRUITING TRANSFORMATIVE PHYSICIAN-SCIENTISTS AND ONE OF THE STRONGEST PEDIATRIC RESIDENCY PROGRAMS IN THE COUNTRY. BAYLOR'S PEDIATRIC RESIDENCY PROGRAM IS THE LARGEST TRAINING GROUND FOR PEDIATRICS AND ONE OF THE MOST COMPETITIVE IN THE COUNTRY. MORE THAN 2,000 STUDENTS APPLY EACH YEAR FROM THE TOP MEDICAL SCHOOLS AROUND THE COUNTRY. 1316095459 true true false true false false false false true true false false true true true false true false false true false false false true false true true true true true true false false false false false false false false false false true false false false false true true true false false true 774 0 true 7877 true true true false false false false true true false false false false X 11 2 false false false false true true true true false false false true true true true true true true true false AL AK AR CA CO CT FL GA HI IL KS KY LA ME MD MA MI MN MS NH NJ NM NY NC ND OH OK OR PA RI SC TN VA WA WV WI X RACHEL SHUPE 8328242951 1919 BRAESWOOD BLVD HOUSTON TX 77030 X BENJAMIN MELSON 38.00 2.00 X X 2189546 0 217823 MARK A WALLACE 36.00 4.00 X X 3943090 0 352994 RANDY WRIGHT 40.00 0 X X 2033786 0 185182 SUSAN MACDONALD 38.00 2.00 X X 1274839 0 142666 CHARLES D FRASER JR MD 1.00 1.00 X 489847 0 0 DEAN B ANDROPOULOS MD 1.00 1.00 X 0 0 0 GEORGE BISSET III MD 1.00 39.00 X 0 836371 25879 JAMES VERSALOVIC MD PHD 1.00 1.00 X 0 0 0 LORI ARMSTRONG 40.00 0 X 403533 0 62721 MALLORY CALDWELL 39.00 1.00 X 280321 0 49284 MARK W KLINE MD 1.00 3.00 X 161004 0 0 MICHAEL A BELFORT MD PHD 1.00 2.00 X 213614 0 0 JOHN R NICKENS IV 39.00 1.00 X 339450 0 98418 MARK MULLARKEY 34.00 6.00 X 637641 0 101110 TABITHA RICE 40.00 0.00 X 635247 0 76315 JOHN SCALES 40.00 0 X 1010649 0 38476 KAY TITTLE 6.00 34.00 X 944058 0 105108 LINDA ALDRED 40.00 0.00 X 864660 0 126726 PETER DAWSON 40.00 0 X 1018391 0 47520 WILLIAM HILTON 40.00 0 X 868318 0 40843 ANN STERN 0.00 0.00 X 875561 0 10150 HOWARD HARPSTER 0.00 0 X 1098041 0 94526 MARY JO ANDRE 40.00 0 X 567538 0 86588 SANDRA MCELLIGOTT 0.00 0.00 X 661028 0 72791 20510162 836371 1935120 845 true true false BAYLOR COLLEGE OF MEDICINE 1 BAYLOR PLAZA HOUSTON TX 77030 PHYSCN & FACULTY SVC 35100315 COMFORCE TECHNICAL SERVICES INC PO BOX 9695 UNIONDALE NY 115559695 STAFFING SERVICES 24330042 BRIGGS & CALDWELL LP 9801 WESTHEIMER RD SUITE 701 HOUSTON TX 77042 MEDIA SERVICES 4465538 HURON CONSULTING SERVICES LLC 3005 MOMENTUM PLACE CHICAGO IL 606895330 BUSINESS SOLUTIONS 3254442 MICROSOFT LICENSING GP 1950 N STEMMONS FWY SUITE 5010 DALLAS TX 75207 IT SOLUTIONS 3243784 90 1802085 12471746 47346499 394995 61620330 NET PATIENT SERVICE REVENUE 622310 1269622713 1268238262 1384451 1115 WAIVER UNCOMPENSATED CARE POOL 622310 56280450 56280450 DISPRO REVENUE 622310 16968851 16968851 MANAGEMENT SERVICES 541611 12555511 11118907 1436604 PROGRAM SUPPORT - BAYLOR 622310 5889678 5889678 38285143 38285143 0 0 1399602346 11088621 11088621 0 0 514867 91805 423062 0 423062 423062 161926 0 -161926 -161926 -161926 292180 1802085 890257 -598077 -598077 0 5806581 2578056 3228525 3228525 PARKING GARAGE REVENUE 812930 8364761 8364761 0 0 0 0 0 0 8364761 1483567642 1396781291 2821055 22344966 7874524 7874524 429542 429542 0 0 12107411 312657 11794754 359182 359182 505829533 490075231 15478973 275329 24570553 23593562 962124 14867 52037554 47865090 4143882 28582 36246902 33344726 2882997 19179 0 2967248 2967248 544083 544083 319027 319027 0 0 240409169 225935475 14155472 318222 10487021 5746690 1735869 3004462 33430085 32443990 966608 19487 27604347 24431113 3172619 615 0 42246806 41495476 745350 5980 3857088 3711669 142080 3339 0 2640182 2498720 139047 2415 21090140 16627737 4451286 11117 0 118739792 113590091 5085936 63765 6775212 6404408 366522 4282 PHARMACEUTICAL SUPPLIES 52695024 52695024 MEDICAL/SURGICAL SUPPLIES 46657924 46657924 ENHANCED MISSION SUPPORT 41952184 41952184 BAD DEBT 41598186 41598186 58738257 56492413 2238821 7023 1392206976 1316095459 72332853 3778664 0 9776184 24203804 410397 77516980 64734710 134283268 162729970 0 0 10194541 11191415 27318910 24390061 2349392672 845938272 1532271782 1503454400 70719061 68251112 203283 203283 67555525 68555665 1565597918 1906312904 3495847849 3834027324 137934670 145334744 5645327 3756565 701305951 688047015 0 27525870 24882915 121740699 65680989 994152517 927702228 X 2229385818 2624362728 164386339 160947070 107923175 121015298 2501695332 2906325096 3495847849 3834027324 X 91360666 -1729135 -112761 315110994 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false true 109950 false false true 290865 400815 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 TEXAS CHILDREN'S HOSPITAL (TCH) MAINTAINS A GOVERNMENT RELATIONS DEPARTMENT THAT ADVOCATES FOR PUBLIC POLICY AT THE LOCAL, STATE, AND FEDERAL LEVEL. TCH SUPPORTS POLICIES THAT PROMOTE THE HEALTH OF CHILDREN AND WOMEN, BUILD HIGH QUALITY PEDIATRIC AND WOMEN'S HEALTHCARE SYSTEMS, AND ADVOCATE FOR HEALTH COVERAGE FOR CHILDREN AND WOMEN. IN ADDITION TO ADVOCACY, THE GOVERNMENT RELATIONS DEPARTMENT PROVIDES EDUCATION ON THE UNIQUE NEEDS OF PEDIATRIC AND WOMEN'S HEALTHCARE PATIENTS AND FAMILIES. 107923175 8132196 7433131 2473204 121015298 94840090 369439 16967384 4253738 107923175 89637583 5050504 4108168 3956165 94840090 79706554 435229 11161933 1666133 89637583 77544127 3674137 540963 2052673 79706554 0.10000 0.90000 0.00000 false true true 91868740 91868740 956193743 206988511 749205232 25834836 16633264 9201572 1237423574 620262098 617161476 38071779 2054399 36017380 1503454400 INVESTMENT IN TEXAS CHILDREN'S HOSPITAL FOUNDATION 1789000358 TCH INSURANCE COMPANY REBATE RECEIVABLE 40712827 BOND ISSUANCE COSTS 5618738 MISC RECEIVABLES 42667893 DSH / 1115 WAIVER RECEIVABLE 28313088 1906312904 0 INTEREST RATE SWAP 20010241 DEFERRED COMPENSATION 17774235 DUE TO AFFILIATES 1122503 RETIREMENT PLAN LIABILITY 26774010 65680989 X Intended uses of endowment funds Schedule D, Part V, Line 4 TEXAS CHILDREN'S HOSPITAL ENDOWMENT FUNDS ARE PERMANENTLY RESTRICTED FUNDS IN WHICH THE PRINCIPAL IS HELD IN PERPETUITY AND INVESTED FOR GROWTH AND THE INCOME GENERATED IS CONSUMED IN THE FURTHERANCE OF TEXAS CHILDREN'S EXEMPT PURPOSE. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING COMBINED BALANCE SHEETS AS OF SEPTEMBER 30, 2013. CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICES SELF-INSURANCE 4140514 4140514 false false false false false false Method used to account for expenditures on organization's financial statements Schedule F, Part I, Line 3 CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL Method used to account for expenditures on organization's financial statements Schedule F, Part I, Line 3 CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL AN EVENING WITH GOLF LEGENDS 858580 735450 123130 505351 BAD PANTS OPEN 479247 396747 82500 105391 2 756438 669888 86550 279515 2094265 1802085 292180 0 0 0 0 0 890257 890257 -598077 true true X true X true X true true false true true 9663397 1143181 8520216 0.00630 550253616 517238753 33014863 0.02440 52316667 50890417 1426250 0.00110 0 0 612233680 569272351 42961329 0.03180 10442114 4098050 6344064 0.00470 33200158 2672404 30527754 0.02260 5783278 3823081 1960197 0.00140 74601925 9227439 65374486 0.04840 8299959 0 8299959 0.00610 0 0 132327434 19820974 112506460 0.08320 0 0 744561114 589093325 155467789 0.11500 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 601157 601157 0.00040 0 0.00000 400250 400250 0.00020 0 0 1001407 0 1001407 0.00070 true 17190689 0 6485196 6377360 107836 X true true 1 1 TEXAS CHILDREN'S HOSPITAL

6621 FANNIN STREET HOUSTON TX 77030

WWW.TEXASCHILDRENS.ORG X X X X X X TEXAS CHILDREN'S HOSPITAL 1 true X X X X X X X X X 12 true false true X X X X X X false false true true 200 true 400 true X X X X X X X true true X X X X X true false X true X false false 9 THE WOODLANDS HEALTH CENTER

17198 ST LUKES WAY SUITE 300 THE WOODLANDS TX 77384

HOSPITAL BASED OUTPATIENT / DIAGNOSTIC CLINIC FEIGIN CENTER

1102 BATES STREET HOUSTON TX 77030

MULTI-PURPOSE INCLUDING RESEARCH AND OUTPATIENT LABORATORIES CY-FAIR HEALTH CENTER

11777 FM 1960 WEST HOUSTON TX 77065

HOSPITAL BASED OUTPATIENT / DIAGNOSTIC CLINIC SUGAR LAND HEALTH CENTER

15400 SOUTHWEST FREEWAY SUITE 200 SUGAR LAND TX 77478

HOSPITAL BASED OUTPATIENT / DIAGNOSTIC CLINIC CLEAR LAKE HEALTH CENTER

940 CLEAR LAKE CITY BLVD SUITE 200 HOUSTON TX 77958

HOSPITAL BASED OUTPATIENT / DIAGNOSTIC CLINIC THE AUTISM CENTER

8080 N STADIUM DRIVE HOUSTON TX 77054

HOSPITAL BASED OUTPATIENT / DIAGNOSTIC CLINIC MATERNAL FETAL MEDICINE CLINIC WILLOWBROOK

13215 DOSTON ROAD SUITE 360 HOUSTON TX 77070

HOSPITAL BASED OUTPATIENT / DIAGNOSTIC CLINIC MATERNAL FETAL MEDICINE CLINIC WEST HOUSTON

18400 KATY FREEWAY SUITE 540 HOUSTON TX 77094

HOSPITAL BASED OUTPATIENT / DIAGNOSTIC CLINIC MATERNAL FETAL MEDICINE CLINIC SUGAR LAND

16605 SOUTHWEST FREEWAY SUITE 500 SUGAR LAND TX 77479

HOSPITAL BASED OUTPATIENT / DIAGNOSTIC CLINIC Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 FOR PART 1, LINE 7, TEXAS CHILDREN'S HOSPITAL APPLIED THE RATIO OF PATIENT CARE COSTS TO CHARGES DERIVED FROM WORKSHEET 2 TO THE CHARGES THE HOSPITAL FORGAVE PURSUANT TO THE FINANCIAL ASSISTANCE POLICY (LINE 7A), MEDICAID CHARGES (LINE 7B), OTHER MEANS-TESTED CHARGES (LINE 7C), SUBSIDIZED HEALTH SERVICES (LINE 7G) AND RESEARCH PATIENT CARE CHARGES (LINE 7H). WORKSHEETS 1, 2, 3, 4, 5, 6, 7 & 8 AND THE CORRESPONDING INSTRUCTIONS HAVE BEEN USED AS THE PRIMARY BASIS FOR COMPLETING PART 1, LINE 7. FOR PART 1, LINE 7, TEXAS CHILDREN'S HOSPITAL APPLIED INDIRECT COST RATIOS FROM THE 2013 MEDICARE COST REPORT TO DIRECT PROGRAM EXPENSE TO DETERMINE TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), NON-GME HEALTH PROFESSIONAL EDUCATION PROGRAMS (LINE 7F) AND IN-KIND CONTRIBUTIONS (LINE 7I). THE INDIRECT COST RATIOS COMPUTED FROM THE 2013 MEDICARE COST REPORT ARE BOTH COMPREHENSIVE AND A GOOD PROXY OF THE ASSOCIATED OVERHEAD COSTS. FOR PART 1, LINE 7F, TEXAS CHILDREN'S HOSPITAL INCLUDED THE DIRECT AND INDIRECT EXPENSE FROM THE 2013 MEDICARE COST REPORT FOR ACCREDITED GRADUATE MEDICAL EDUCATION (GME) PROGRAMS. THE COST ASSOCIATED WITH NON-NATIONALLY-ACCREDITED GME PROGRAMS HAS BEEN EXCLUDED FROM THE LINE 7F. FOR PART 1, LINE 7H, TEXAS CHILDREN'S HOSPITAL INCLUDED THE DIRECT AND INDIRECT EXPENSE FROM THE 2013 MEDICARE COST REPORT FOR RESEARCH. NO INDUSTRY-SPONSORED RESEARCH ACTIVITIES ARE INCLUDED IN LINE 7H. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 41,598,186 Subsidized Health Services Schedule H, Part I, Line 7g TEXAS CHILDREN'S HOSPITAL HAS INCLUDED TWO HOSPITAL-BASED CLINICS (RENAL OUTPATIENT SERVICES AND MENTAL HEALTH SERVICES), THE MOBILE CLINIC OUTREACH PROGRAM, AND THE CENTER FOR CHILDHOOD OBESITY AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G. GROSS EXPENSES OF $5,783,278 OFFSETTING REVENUE OF $3,823,081 AND NET EXPENSES OF $1,960,197 ARE INCLUDED IN THAT LINE. THESE CLINICS QUALIFY AS SUBSIDIZED HEALTH SERVICES BECAUSE THEY PROVIDE CARE AND SERVICES TO VULNERABLE, LOW INCOME POPULATIONS WHOSE COMMUNITIES LACK PRIMARY CARE SERVICES AND PROGRAMS. RENAL OUTPATIENT SERVICES - SERVICES STARTED IN 1980 IN RESPONSE TO COMMUNITY NEEDS FOR CHRONIC HEMODIALYSIS FOR CHILDREN. APPROXIMATELY 68 CHRONIC PATIENTS ARE SEEN ANNUALLY BY PEDIATRIC NEPHROLOGISTS AND UNDERGO DIALYSIS TREATMENT AT THE HOSPITAL OR AT HOME IN ORDER TO IMPROVE THEIR HEALTH OUTCOMES WHILE MAINTAINING A CHILD'S NORMALCY OF SCHOOL AND ACTIVITIES WITH FRIENDS. IN ADDITION TO CHRONIC END STAGE RENAL DIALYSIS PATIENTS, 2,341 PATIENTS ARE TREATED IN PHERESIS AND RENAL CLINICS. THE PSYCHIATRY SERVICE SERVES PATIENTS WITH A WIDE VARIETY OF PSYCHIATRIC CONDITIONS OFTEN WHICH ARE COMORBID WITH OTHER MEDICAL CONDITIONS. SERVICES INCLUDE DIAGNOSTIC ASSESSMENTS AND TREATMENT OF COMPLEX ANXIETY AND MOOD DISORDERS, TOURETTE'S SYNDROME, OBSESSIVE COMPULSIVE DISORDER, POST TRAUMATIC STRESS DISORDER, MEDICATION MANAGEMENT FOR CHILDREN WITH AUTISM SPECTRUM DISORDERS, AMONG OTHER CONDITIONS. THE SERVICE ALSO HAS A CONSULT LIAISON SERVICE TO THE INPATIENT UNITS OF TEXAS CHILDREN'S HOSPITAL. THE SERVICE SEES JUST OVER 4,000 PATIENTS ANNUALLY. THE PSYCHOLOGY SERVICE SERVES PATIENTS WITH VARYING DEGREES OF ASSESSMENT AND TREATMENT NEEDS. SERVICES INCLUDE NEUROPSYCHOLOGICAL TESTING, COGNITIVE ASSESSMENTS, DIAGNOSTIC ASSESSMENTS FOR BEHAVIORAL OR DEVELOPMENTAL CONCERNS, AND TREATMENT IN THE AREAS OF PRE-SCHOOL AND SCHOOL AGE DISRUPTIVE BEHAVIOR, ANXIETY AND MOOD DISORDERS, COMPLEX ADHD, ETC. THE SERVICE WORKS CLOSELY WITH OTHER SERVICES WITHIN TEXAS CHILDREN'S HOSPITAL, BOTH INPATIENT AND OUTPATIENT, IN HELPING PATIENTS ADJUST TO AND MANAGE COMPLICATED OR SERIOUS MEDICAL DIAGNOSES. THE SERVICE SEES OVER 7,000 PATIENTS ANNUALLY. MOBILE CLINIC OUTREACH PROGRAM -TEXAS CHILDREN'S MOBILE CLINICS TRAVEL TO LOW-INCOME, LARGELY HISPANIC NEIGHBORHOODS TO PROVIDE FREE HEALTH CARE TO CHILDREN AGES 0 TO 18 WHO DO NOT HAVE INSURANCE. AS PART OF ITS GOAL TO BUILD A COMMUNITY OF HEALTHY CHILDREN, TEXAS CHILDREN'S OPERATES MOBILE CLINICS TO PROVIDE TRUSTED, HIGH-QUALITY MEDICAL SERVICES TO CHILDREN WHO NORMALLY MIGHT NOT HAVE THE OPPORTUNITY TO RECEIVE HEALTH CARE. THE CENTER FOR CHILDHOOD OBESITY WAS DEVELOPED TO PROVIDE COMPREHENSIVE HELP TO THE COMMUNITY AND PROVIDERS IN CARING FOR PATIENTS WITH WEIGHT MANAGEMENT CHALLENGES, OBESITY (CHILDREN WITH A BODY MASS INDEX ABOVE THE 95TH PERCENTILE) AND ASSOCIATED CO-MORBIDITIES. PROGRAMS INCLUDE: -THE PROGRAM FOR HEALTHY BODIES - A COMPREHENSIVE EVALUATION OF MEDICAL AND PSYCHOSOCIAL ISSUES AS WELL AS AN ASSESSMENT OF LIFESTYLE LEADS TO AN INDIVIDUALIZED PLAN FOR EACH PATIENT. THIS PLAN MAY INCLUDE SUBSPECIALTY CARE. THE GOAL FOR EVERY FAMILY IS ADDITIONAL WEIGHT MANAGEMENT SERVICES CLOSE TO HOME BETWEEN VISITS TO THE CENTER. OVER 80% OF THE CHILDREN SEEN ARE SEVERELY OBESE. -ON THE WEIGH -TEN WEEK GROUP PROGRAMS FOR ELEMENTARY SCHOOL AGE CHILDREN AND THEIR PARENTS ARE OFFERED AT THE CYFAIR HEALTH CENTER IN THE LATE AFTERNOON. -THE WEIGH OF LIFE PROGRAM - A FIFTEEN WEEK PROGRAM THAT SERVES INDIVIDUAL CHILDREN AND ADDRESSES BEHAVIOR CHANGE FOR WEIGHT CONTROL AS WELL AS EMOTIONS AND SELF-ESTEEM. -KAMP K'AANA - A TWO WEEK RESIDENTIAL CAMP PROGRAM FOR CHILDREN 10 TO 14 YEARS OF AGE WHO ARE STRUGGLING WITH OBESITY, SUPPORTED IN PART THROUGH FUNDRAISING EFFORTS OF VOLUNTEERS FROM TEXAS CHILDREN'S HOSPITAL. SITES EXPANDED FROM CAMP CHO-YEH TO YMCA CAMP CULLEN IN 2013. -THE SATURDAY WELLNESS PROGRAM - QUARTERLY SESSIONS OFFERED ON SATURDAY MORNINGS TO TEACH CHILDREN 6-16 YEARS OF AGE ABOUT HEALTHY LIFESTYLES AND NUTRITION. SUPPORTED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. Community Building Activities Schedule H, Part II THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED AND SUPPORTS ORGANIZATIONS FOCUSED ON THE ROOT CAUSES OF HEALTH PROBLEMS (E.G., POVERTY AND HOMELESSNESS) AND VULNERABLE POPULATIONS (E.G., CHILDREN WITH SPECIAL HEALTHCARE NEEDS). COMMUNITY HEALTH IMPROVEMENT ADVOCACY ACTIVITIES (LINE 7) - NET COMMUNITY BUILDING EXPENSE AMERICAN HEART ASSOCIATION - $100,000 CAMP FOR ALL - $100,000 CHILDREN'S ASSESSMENT CENTER FOUNDATION - $50,000 HARRIS COUNTY HOUSING AUTHORITY - $50,000 GI KAMP K'AANA - $31,632 MARCH OF DIMES - $30,000 INSTITUTE FOR SPIRITUALITY AND HEALTH - $25,000 ST. LUKE'S FOUNDATION - $15,000 UNITED WAY - $25,000 AMERICAN DIABETES ASSOCIATION - $12,500 MUSCULAR DYSTROPHY ASSOCIATION - $12,000 BEYOND BATTEN DISEASE FOUNDATION - $11,000 FOOD ALLERGY RESEARCH & EDUCATION, INC. - $10,000 HOUSTON AREA WOMEN'S CENTER, INC. - $10,000 MEDICAL BRIDGES, INC. - $10,000 TEXAS PARENT TO PARENT - $10,000 VECINO HEALTH CENTERS - $7,500 AMERICAN LIVER FOUNDATION - $6,500 AIDS FOUNDATION HOUSTON - $5,000 YOUNG TEXANS AGAINST CANCER - $6,000 AMERICAN LIVER FOUNDATION - $5,100 AVENUE COMMUNITY DEVELOPMENT CORPORATION - $5,000 BE AN ANGEL FUND - $5,000 MARCH OF DIMES - $5,000 THE LIVINGBANK - $5,000 BRIARWOOD BROOKWOOD, INC. - $5,000 CROHN'S & COLITIS FOUNDATION - $5,000 HEROES FOR CHILDREN - $5,000 OTHER - $33,925 TOTAL - $601,157 OTHER ACTIVITIES (LINE 9) - NET COMMUNITY BUILDING EXPENSE JUNIOR LEAGUE OF HOUSTON - $75,000 UNIVERSITY OF ST. THOMAS - $50,000 CHILDREN'S MUSEUM OF HOUSTON - $25,000 UNITED STATES FUND FOR UNICEF - $25,000 WOODROW WILSON INTERNATIONAL CENTER FOR SCHOLARS - $25,000 GREAT HOPE - $12,000 GOOD SAMARITAN FOUNDATION - $16,500 YOUNG AUDIENCES OF HOUSTON - $15,000 GIRL SCOUTS OF SAN JACINTO COUNCIL - $14,000 CENTER FOR HOUSTON'S FUTURE, INC. - $12,500 YMCA OF GREATER HOUSTON - $12,500 GREATER HOUSTON PARNTERSHIP, INC. - $10,000 HERMANN PARK CONSERVANCY - $10,000 THETA CHARITY ANTIQUES SHOW - $10,000 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER HOUSTON - $10,000 CRISIS INTERVENTION OF HOUSTON - $5,000 FUZZY FRIENDS RESCUE - $5,000 ANTI-DEFAMATION LEAGUE - $5,000 SEEDS OF HOPE - $5,000 BOY SCOUTS OF AMERICA - $5,000 HOUSTON PI BETA FOUNDATION - $5,000 KRIST SAMARITAN CENTER FOR COUNSELING - $5,000 OTHER - $42,750 TOTAL - $400,250 Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 BAD DEBT EXPENSE REPRESENTS THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS EXPECTED TO BE COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED. COSTING METHODOLOGY TO DETERMINE BAD DEBT EXPENSE AT COST UTILIZES THE SAME COST TO CHARGE RATIO IDENTIFIED ON WORKSHEET 2. BAD DEBT EXPENSE IS CALCULATED AS THE CHARGES WRITTEN OFF (AT FULL ESTABLISHED RATE) MULTIPLIED BY THE COST TO CHARGE RATIO. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY: TEXAS CHILDREN'S HOSPITAL DOES NOT CONTEND THAT ANY PORTION OF PATIENT CHARGES WRITTEN OFF TO BAD DEBT EXPENSE (AT COST) IS ATTRIBUTABLE TO THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY OR SHOULD BE CONSIDERED A COMMUNITY BENEFIT. ROBUST SCREENING PROCESSES ARE USED IN DETERMINING FAP-ELIGIBILITY AND FINANCIAL ASSISTANCE AMOUNTS ARE NOT EXPECTED TO RESULT IN CASH FLOWS. ALL UNCOLLECTED CHARGES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ARE INCLUDED IN LINE 7A (AT COST). Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 TEXAS CHILDREN'S PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED BILLING RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE FINANCIAL ASSISTANCE POLICY. BECAUSE TEXAS CHILDREN'S DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE AND THESE AMOUNTS ARE NOT EXPECTED TO RESULT IN CASH FLOWS, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE OR PATIENT ACCOUNTS RECEIVABLE. UNCOLLECTIBLE AMOUNTS FROM PATIENTS WHO DO NOT MEET THE CRITERIA UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY ARE INCLUDED AS A REDUCTION OF PATIENT SERVICE REVENUE IN THE PROVISION FOR DOUBTFUL ACCOUNTS. RECEIVABLES FOR THE RELATED REVENUE ARE RECORDED FOR THE FULL AMOUNT AND ARE OFFSET BY THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND DOUBTFUL ACCOUNTS AND APPROPRIATELY REFLECTED AT NET REALIZABLE VALUE IN THE COMBINED BALANCE SHEETS. MANAGEMENT ROUTINELY ASSESSES THESE RECORDED ALLOWANCES RELATIVE TO CHANGES IN PAYER MIX, CASH COLLECTIONS, WRITE-OFF, RECOVERIES, AND MARKET DYNAMICS. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 THE SOURCES USED TO DETERMINE THE AMOUNT REPORTED AS MEDICARE ALLOWABLE COSTS ON PART III, LINE 6 WAS A COMBINATION OF THE AMOUNTS REPORTED ON OUR 2013 MEDICARE COST REPORT, ACTUAL CLAIMS DATA RELATED TO MEDICARE MANAGED CARE AND THE MEDICARE LUMP SUM OPPS AND TOP REPORT. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b PATIENTS WHO HAVE QUALIFIED FOR FINANCIAL ASSISTANCE WHICH RECEIVE DISCOUNTED CARE WILL BE RESPONSIBLE FOR PAYMENT OF ANY APPLICABLE HOSPITAL CHARGES AT A REDUCED RATE. IF THE PATIENT DOES NOT PAY THE AMOUNT AND FAILS TO RENEGOTIATE A PAYMENT PLAN (IF APPLICABLE), THE UNCOLLECTED BALANCE WILL BE CONSIDERED BAD DEBT. THE HOSPITAL MAY USE REASONABLE EFFORTS TO COLLECT BAD DEBT WHICH INCLUDE BUT ARE NOT LIMITED TO: TELEPHONE CALLS, EMAIL CORRESPONDENCE, AND WRITTEN CORRESPONDENCE. HOSPITAL FACILITIES SCHEDULE H, PART V, SECTION A TEXAS CHILDREN'S HOSPITAL IS LICENSED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES UNDER LICENSE NUMBER 000117. THE HOSPITAL IS COMPRISED OF MULTIPLE BUILDINGS ON TWO CAMPUSES. ALL ARE INCLUDED UNDER ONE LICENSE NUMBER; THEREFORE, TEXAS CHILDREN'S HOSPITAL IS ONE HOSPITAL FACILITY. Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (1) TEXAS CHILDREN'S HOSPITAL - IN SUMMER OF 2013, TEXAS CHILDREN'S HOSPITAL CONTRACTED A LOCAL NONPROFIT, CHILDREN AT RISK, TO PERFORM ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA AIMS TO BETTER UNDERSTAND THE NEEDS OF THE CHILDREN, WOMEN, AND FAMILIES IN THE COMMUNITY AND TO ASSIST TEXAS CHILDREN'S HOSPITAL'S PLANNING AND PRIORITIZING OF THE HOSPITAL'S COMMUNITY BENEFIT INVESTMENTS IN ADDRESSING PEDIATRIC AND MATERNAL COMMUNITY HEALTH NEEDS. CHILDREN AT RISK, KNOWN FOR THEIR COLLABORATIVE EFFORTS AND PARTNERSHIPS WITH ACADEMIC AND COMMUNITY ORGANIZATIONS, ENLISTED SEVERAL LEADING FACULTY FROM THE RICE UNIVERSITY'S KINDER INSTITUTE URBAN HEALTH PROGRAM AND THE UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH AS PARTNERS WITH EXPERTISE IN THE AREAS OF DEMOGRAPHY, MATERNAL AND CHILD HEALTH, AND COMMUNITY ASSESSMENTS. RESEARCHERS AND STAFF FROM ALL THREE ORGANIZATIONS WORKED TOGETHER TO GATHER BOTH THE PRIMARY AND SECONDARY DATA USED FOR THIS ASSESSMENT. PRIMARY DATA FOR THE CHNA INCLUDES INTERVIEWS WITH COMMUNITY STAKEHOLDERS FROM A VARIETY OF FIELDS OF EXPERTISE AND PERSPECTIVES AS WELL AS INTERVIEWS AND PARTICIPATORY GROUPS WITH PARENTS MEETING SPECIFIC CRITERIA (HAVING A CHILD WITH A SPECIAL HEALTHCARE NEED OR EXPERIENCING POSTPARTUM DEPRESSION). FOR SPECIFIC NAMES AND TITLES, PLEASE REFER TO APPENDIX B OF TEXAS CHILDREN'S HOSPITAL'S CHNA. SECONDARY DATA WERE COLLECTED USING A VARIETY OF STATE, COUNTY AND LOCAL SOURCES. WHEN AVAILABLE, DATA ARE PRESENTED BY YEAR, COUNTY, AGE OR RACE/ETHNICITY TO ASSIST IN PROVIDING INFORMATION REGARDING TRENDS, SIMILARITIES/DIFFERENCE OR HEALTH DISPARITIES. ; CHNA REPORT SCHEDULE H, PART V, SECTION B, LINE 5A PLEASE REFER TO LINK TO VIEW TEXAS CHILDREN'S HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND METHODOLOGY: HTTP://WEB.TEXASCHILDRENS.ORG/MULTIMEDIA/FLIPBOOK/COMMUNITY-HEALTH-NEEDS/INDEX.HTML Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (1) TEXAS CHILDREN'S HOSPITAL - COMMUNITY BENEFIT HEALTH NEED CHALLENGES: THE AFFORDABLE CARE ACT REQUIRES HOSPITALS TO PROVIDE AN EXPLANATION OF WHY ANY IDENTIFIED HEALTH NEEDS ARE NOT BEING ADDRESSED. IN OUR ASSESSMENT FINDINGS, TWO SPECIFIC HEALTH SERVICES WERE IDENTIFIED AS BEING SEVERELY INADEQUATE FOR BOTH THE PEDIATRIC AND FEMALE POPULATIONS IN OUR COMMUNITY. THESE SERVICES WERE MENTAL (RELATING TO PEDIATRIC AND MATERNAL) AND ORAL HEALTH. ACCORDING TO OUR 2013 CHNA FINDINGS SPECIFIC TO MENTAL HEALTH: -MENTAL HEALTH DIAGNOSES AND HOSPITALIZATIONS IN YOUTH ARE INCREASING, AND SUICIDE ATTEMPTS AMONG HIGH SCHOOL STUDENTS ARE HIGH; -THE LARGEST MENTAL HEALTH PROVIDER IS THE TEXAS JUVENILE JUSTICE DEPARTMENT, SUGGESTING THAT OUR APPROACH TO MENTAL HEALTH IS REACTIVE RATHER THAN PREVENTIVE; -THERE IS A DEMONSTRATED NEED FOR MENTAL HEALTH SERVICES, AND SHORTAGES OF MENTAL HEALTH PROFESSIONALS AFFECT EVERY COUNTY IN AND AROUND THE HOUSTON AREA. TEXAS CHILDREN'S APPROACH TO MEDICAL CONDITIONS AFFECTING THE BRAIN HAS BEEN TO DEDICATE FUNDING AND EXPERTISE IN THE INVESTIGATION OF NEUROLOGICAL DISORDERS TO IMPROVE THE LIVES OF PATIENTS FACING DEVASTATING NEUROLOGICAL DISORDERS. THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE IS A BASIC RESEARCH INSTITUTE COMMITTED TO UNDERSTANDING THE PATHOGENESIS OF NEUROLOGICAL DISEASES WITH THE ULTIMATE GOAL OF DEVELOPING TREATMENTS. TEXAS CHILDREN'S HOSPITAL DOES NOT HAVE DEDICATED PEDIATRIC BEDS FOR PSYCHIATRIC CARE. THE ORGANIZATION DOES PROVIDE COUNSELING IN OUR OUTPATIENT AREAS FOR SOME BEHAVIORAL HEALTH DIAGNOSIS AND OUR SOCIAL WORKERS OFFER LIMITED COUNSELING TO PATIENTS AND FAMILIES. IT IS THE HOSPITAL'S DESIRE TO INVEST RESOURCES IN RESEARCHING THE ROOT CAUSE OF NEUROLOGICAL DISEASES AND RELATED ILLNESSES RATHER THAN TO PROVIDE DIRECT SERVICES IN THIS AREA OF HEALTH. REGARDING THE AREA OF ORAL HEALTH, THE COMMUNITY HEALTH NEEDS ASSESSMENT FOUND: -DESPITE INCREASES IN CHIP AND MEDICAID ENROLLMENT OVER THE LAST 5 YEARS, THERE ARE STILL A HIGH PERCENTAGE OF CHILDREN LIVING IN GREATER HOUSTON WITHOUT MEDICAL OR DENTAL INSURANCE; -PARENTS OF THESE CHILDREN REPORT DELAYING MEDICAL AND DENTAL CARE, AND THEY ARE LESS LIKELY TO HAVE A MEDICAL HOME, WHERE REGULAR AND ONGOING MEDICAL TREATMENT AND PREVENTATIVE SERVICES ARE PROVIDED; - IN 2010, 27.3% OF CHILDREN IN HARRIS COUNTY DID NOT HAVE DENTAL INSURANCE. ORAL HEALTH IS AN IMPORTANT COMPONENT OF OVERALL HEALTH AND WELL-BEING. TEXAS CHILDREN'S HOSPITAL'S ACADEMIC PARTNER, BAYLOR COLLEGE OF MEDICINE, DOES NOT HOUSE A DENTAL SCHOOL. FORTUNATELY, THE UNIVERSITY OF TEXAS SCHOOL OF DENTISTRY IS EXPANDING ITS PARTNERSHIPS TO COMPLEMENT CARE PROVIDED IN THE COMMUNITY BY PEDIATRIC AND ADULT MEDICAL PROVIDERS. HOWEVER, FUNDING CONSTRAINTS, DENTAL PROVIDER WORKFORCE SHORTAGES, AND CLINIC SITE LIMITATIONS, ESPECIALLY FOR THE UNINSURED AND ENROLLEES IN GOVERNMENT HEALTH PROGRAMS, HAS LIMITED THE ROLL-OUT OF THESE COLLABORATIONS. THE ORTHODONTIC CLINIC AT TEXAS CHILDREN'S HOSPITAL TREATS CHILDREN WHO HAVE CONGENITAL CRANIOFACIAL ANOMALIES AND/OR CLEFT PALATES. CHILDREN WITH SPECIAL PROBLEMS MAY BE TREATED BY A FULL RANGE OF ORTHODONTICS AS NEEDED. MINOR ORTHODONTIC TREATMENT IS ALSO AVAILABLE. PATIENTS MUST BE REFERRED BY THE CRANIOFACIAL/PLASTIC SURGERY TEAM, FROM TEXAS CHILDREN'S HOSPITAL. TEXAS CHILDREN'S ALSO PROVIDES COMPREHENSIVE DENTAL SERVICES TO PATIENTS WITH COMPLEX MEDICAL CONDITIONS. CHILDREN WITH SPECIAL HEALTHCARE NEEDS OR EXTENSIVE PROBLEMS MAY BE TREATED AS OUTPATIENTS, INPATIENTS OR IN THE OPERATING ROOMS. OTHER SIGNIFICANT COMMUNITY COLLABORATIONS EXIST WITH TEXAS CHILDREN'S SUBSIDIARIES. IN LATE 2013, TEXAS CHILDREN'S HEALTH PLAN OPENED THE CENTER FOR CHILDREN AND WOMEN AT GREENSPOINT. THE CENTER PROVIDES COMPREHENSIVE PEDIATRIC AND ADULT HEALTH CARE INCLUDING MEDICAL, DENTAL CARE, VISION AND BEHAVIORAL HEALTH SERVICES FOR MEDICAID AND CHIP HEALTH PLAN MEMBERS. PLEASE REFER TO LINK TO VIEW TEXAS CHILDREN'S HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND METHODOLOGY: HTTP://WEB.TEXASCHILDRENS.ORG/MULTIMEDIA/FLIPBOOK/COMMUNITY-HEALTH-NEEDS/INDEX.HTML ; Other factors included in calculating amounts charges to patients Schedule H, Part V Section B, Line 12h (1) TEXAS CHILDREN'S HOSPITAL - FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS - OTHER: CITIZENSHIP, RESIDENCY SERVICE AREA, DENIALS BY ALL POTENTIAL INSURANCE FUNDING SOURCES, EMPLOYMENT STATUS, CURRENT FINANCIAL OBLIGATIONS, GOOD FAITH EFFORT; IF PREVIOUS PATIENT, THE PAYMENT HISTORY; NUMBER OF FAMILY MEMBERS LIVING IN HOUSEHOLD, PATIENT DIAGNOSIS AND PROGNOSIS, HOUSEHOLD EXPENSES, REEVALUATION EVERY SIX MONTHS OR REEVALUATION DUE TO CHANGE IN CIRCUMSTANCES SUCH AS SUBSEQUENT SERVICES, FAMILY SIZE OR INCOME CHANGES, CHARITY COMMITTEE DETERMINATION, COOPERATION WITH THE APPLICATION PROCESS AND EXCEPTIONS DUE TO EXTENUATING CIRCUMSTANCES. ; Other ways hospital publicized Financial Assistance Policy Schedule H, Part V Section B, Line 14g (1) TEXAS CHILDREN'S HOSPITAL - THE HOSPITAL ANNUALLY PLACES A NOTICE OF ITS FINANCIAL ASSISTANCE POLICY IN THE LEGAL SECTION OF A WIDELY READ LOCAL PAPER, THE HOUSTON CHRONICLE, AS WELL AS IN THE SPANISH VERSION OF THIS PAPER, LA VOZ. ADDITIONALLY, A NOTICE OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE HOSPITAL'S EMERGENCY ROOMS, WAITING ROOMS AND ADMISSIONS OFFICES.; Other actions taken before collection actions Schedule H, Part V Section B, Line 18e (1) TEXAS CHILDREN'S HOSPITAL - THE HOSPITAL MADE NO SUCH EFFORTS BEYOND THE APPLICABLE ROUTINE MEASURES IN PART V, SECTION B, LINE 14.; Means used to determine amounts billed Schedule H, Part V Section B, Line 20d (1) TEXAS CHILDREN'S HOSPITAL - METHOD THE HOSPITAL FACILITY USED TO DETERMINE THE AMOUNTS BILLED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR MEDICALLY NECESSARY CARE - OTHER: THE HOSPITAL USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY AND A "SLIDING SCALE" TO DETERMINE THE PERCENTAGE DISCOUNT OFF OF CHARGES APPLICABLE TO A PATIENT WHO QUALIFIES FOR FINANCIAL ASSISTANCE. FOR THE PURPOSES OF THE FINANCIAL ASSISTANCE POLICY, CHARGES ARE DEFINED AS HOSPITAL CHARGES THAT ARE GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE COVERING SUCH CARE. ; Needs assessment. Schedule H, Part VI, Line 2 TEXAS CHILDREN'S HOSPITAL HAS A COMMUNITY BENEFITS DEPARTMENT WHOSE STRUCTURE AND PURPOSE INCLUDES PROVIDING INPUT AND GUIDING POLICIES AND PROCEDURES REGARDING THE HOSPITAL'S FINANCIAL ASSISTANCE PRACTICES, PROVIDING INPUT ON OUTCOMES MEASUREMENT AND IDENTIFYING AND REPORTING COMMUNITY BENEFIT PROGRAMS. THE COMMUNITY BENEFITS DEPARTMENT IS FOCUSED ON SIX HEALTH PILLARS, WHICH INCLUDE THE FOLLOWING: 1) ACCESS TO APPROPRIATE CARE AND HEALTH COVERAGE; 2) EDUCATION & RESEARCH; 3) DISEASE AND INJURY PREVENTION; 4) MANAGEMENT OF CHRONIC DISEASES; 5) COMMUNITY HEALTH PARTNERSHIPS AND COLLABORATIONS; AND 6) WOMEN'S HEALTH. ADDITIONALLY, A COMMUNITY BENEFITS WORKGROUP COMPRISED OF PHYSICIAN AND ADMINISTRATIVE LEADERS WHO LEAD KEY INITIATIVES ACROSS TEXAS CHILDREN'S IS CHARGED WITH DETERMINING HOW BEST TO ADDRESS IDENTIFIED COMMUNITY NEEDS THAT WOULD FALL UNDER THESE HEALTH PILLARS AND PROVIDE CRITICAL GUIDANCE TO THE COMMUNITY BENEFITS DEPARTMENT. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 ALL PATIENTS WHO RECEIVE SERVICES AT TEXAS CHILDREN'S HOSPITAL OR THEIR FAMILIES ARE NOTIFIED OF THEIR RIGHTS AND RESPONSIBILITIES AND THE AVAILABILITY OF GOVERNMENT OR HOSPITAL SPONSORED PROGRAMS IF FINANCIAL ASSISTANCE IS NEEDED. -INFORMATION IS PROVIDED DURING INPATIENT AND OUTPATIENT REGISTRATION, AND MATERIALS ARE AVAILABLE IN ENGLISH AND SPANISH. -NOTICES OF TEXAS CHILDREN'S HOSPITAL FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN PUBLIC WAITING AND REGISTRATION AREAS, INCLUDING ADMISSIONS, EMERGENCY CENTER, OUTPATIENT CLINICS AND OTHER PROMINENT AREAS. A VARIETY OF LANGUAGE SERVICES ARE AVAILABLE UPON REQUEST. -THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS POSTED ON THE TEXAS CHILDREN'S HOSPITAL PUBLIC WEBSITE IN BOTH ENGLISH AND SPANISH. THE SITE DIRECTS PATIENT FAMILIES TO CONTACT ADMISSIONS COUNSELORS AND FINANCIAL COUNSELORS IN THE ADMISSIONS DEPARTMENT FOR MORE INFORMATION ABOUT AVAILABLE FINANCIAL OPTIONS AND RESOURCES. -TEXAS CHILDREN'S HOSPITAL ANNUALLY PUBLISHES A SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY IN THE MARKET'S LOCAL MAJOR NEWSPAPER. -FINANCIAL COUNSELORS ARE AVAILABLE TO DETERMINE ELIGIBILITY FOR GOVERNMENT AND / OR HOSPITAL-SPONSORED FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS RECEIVE TRAINING ON ELIGIBILITY REQUIREMENTS FOR FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS. -STATE OUT STATIONED ELIGIBILITY WORKERS (OEW) ARE ON-SITE TO SUPPORT THE GOVERNMENT-SPONSORED ASSISTANCE PROGRAM APPLICATION PROCESS. -REFERRALS FOR CHARITY CONSIDERATION ORIGINATE WITH ADMISSIONS CENTRAL SCHEDULING, HOSPITAL SOCIAL WORKERS AND CLINICIANS, EXTERNAL PROVIDERS, AND THROUGH SELF-REFERRAL. THESE REFERRALS ARE DIRECTED TO THE APPROPRIATE DEPARTMENT'S FINANCIAL COUNSELORS WHO DISCUSS OPTIONS, INCLUDING CHARITY ASSISTANCE. -FINANCIAL COUNSELORS ALSO CONTACT PATIENTS ARRIVING VIA THE HOSPITAL EMERGENCY ROOM TO DISCUSS ELIGIBILITY FOR GOVERNMENT PROGRAMS LIKE MEDICAID, CHIP, CSHCN AND CHARITY ASSISTANCE. Community information. Schedule H, Part VI, Line 4 GIVEN THE SERVICES PROVIDED TO PATIENTS FROM AROUND THE WORLD, TEXAS CHILDREN'S HOSPITAL HAS DEFINED ITS COMMUNITY AS LOCAL, NATIONAL AND INTERNATIONAL. IN REGARDS TO OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL CHOSE TO FOCUS ON ADDRESSING LOCAL NEEDS. FOR MORE IN DEPTH INFORMATION FOR EACH COUNTY IN THE HOSPITAL'S PRIMARY SERVICE AREA IN ADDITION TO FIVE VULNERABLE NEIGHBORHOODS HIGHLIGHTED, PLEASE REFER TO THE HOSPITAL'S CHNA ONLINE: HTTP://WEB.TEXASCHILDRENS.ORG/MULTIMEDIA/FLIPBOOK/COMMUNITY-HEALTH-NEEDS/INDEX.HTML LOCALLY, THE FOLLOWING COUNTIES ARE ITS PRIMARY AND SECONDARY SERVICE AREAS: HARRIS, BRAZORIA, CHAMBERS, FORT BEND, GALVESTON, LIBERTY, MONTGOMERY AND WALLER. THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICE ADMINISTRATION (HRSA) DEFINES MEDICALLY UNDERSERVED AREAS (MUAS) AS THE FOLLOWING: MAY BE A WHOLE COUNTY OR A GROUP OF CONTIGUOUS COUNTIES, A GROUP OF COUNTY OR CIVIL DIVISIONS OR A GROUP OF URBAN CENSUS TRACTS IN WHICH RESIDENTS HAVE A SHORTAGE OF PERSONAL HEALTH SERVICES. HRSA DEFINES MEDICALLY UNDERSERVED POPULATIONS (MUPS) AS THE FOLLOWING: MAY INCLUDE GROUPS OF PERSONS WHO FACE ECONOMIC, CULTURAL OR LINGUISTIC BARRIERS TO HEALTH CARE. IN HARRIS COUNTY ALONE, HRSA HAS IDENTIFIED 24 MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS (MUA/PS) STATED AS THE FOLLOWING: POV/SPAN-SPEAKING/IMMIGRANT POPULATION- SOUTHWEST HOUSTON (MUP); HARRIS SERVICE AREA (MUA); EAST CENTRAL HOUSTON (MUA); RIPLEY SERVICE AREA (MUA); SOUTH CENTRAL HARRIS COUNTY (MUA); CASA DE AMIGOS SERVICE AREA (MUA); BAYTOWN SERVICE AREA (MUA); GALENA PARK/ JACINTO CITY SERVICE AREA (MUA); LOW INCOME- ALIEF SERVICE AREA (MUP); ACRES HOME SERVICE AREA (MUA); SETTEGAST SERVICE AREA (MUA); INDEPENDENCE HEIGHTS SERVICE AREA (MUA); TRINITY GARDENS SERVICE AREA (MUA); ALDINE (MUA); NORTH CENTRAL (MUA); SOUTH SERVICE AREA (MUA); NORTHEAST CENTRAL SERVICE AREA (MUA); CENTRAL HARRIS (MUA); WEST PASADENA (MUA); LOW INCOME- SPRING BRANCH (MUP); SOUTHERN THIRD WARD SERVICE AREA (MUA); NORTH FOREST SERVICE AREA (MUA); LOW INCOME- NORTHWEST HARRIS (MUP); GOVERNOR'S LOW INCOME- SOUTHWEST HARRIS (MUP).. THE HOSPITAL'S SECONDARY SERVICE AREAS MUAS ARE THE FOLLOWING: BRAZORIA COUNTY:- 3 MUAS (BRAZORIA, ALVIN, AND SOUTH SERVICE AREA); CHAMBERS COUNTY-1 MUA (CHAMBERS SERVICE AREA); FORT BEND COUNTY- 1 MUA (FORT BEND SERVICE AREA): GALVESTON COUNTY- 3 MUAS (2 GALVESTON SERVICE AREA AND BAYSHORE); LIBERTY COUNTY- 1 MUA (LIBERTY SERVICE AREA); MONTGOMERY COUNTY- 2 MUAS (MONTGOMERY SERVICE AREA AND EAST MONTGOMERY); AND WALKER COUNTY- 1 MUA (WALKER SERVICE AREA). UNDERSTANDING THE DEMOGRAPHICS OF OUR STATE AND OUR REGION IS IMPORTANT TO PLANNING A THOUGHTFUL COMMUNITY BENEFIT PROGRAM WITH LASTING IMPACT. CONSIDER THE FOLLOWING FACTS: *HOUSTON ENCOMPASSES THE THIRD-YOUNGEST POPULATION AND ONE OF THE FASTEST GROWING PEDIATRIC POPULATIONS IN THE NATION. THE U.S. CENSUS ESTIMATES THAT 35.3% OF HOUSEHOLDS HAVE ONE OR MORE CHILDREN UNDER THE AGE OF 18. *THE U.S. CENSUS STATES THAT TEXAS' POPULATION IN 2010 WAS 25,145,561, A 20.6% INCREASE FROM THE STATE'S POPULATION IN 2000. *WITH A POPULATION OF MORE THAN 2.1 MILLION, HOUSTON IS THE FOURTH LARGEST CITY IN THE UNITED STATES, WITH THE LARGER METROPOLITAN REGION BEING HOME TO MORE THAN 6.1 MILLION RESIDENTS. *THE LARGEST COUNTY IS HARRIS, WITH A POPULATION OF 4,092,459. THE SURROUNDING COUNTIES AND RESPECTIVE POPULATIONS INCLUDE: FORT BEND, 583,375; MONTGOMERY, 455,746; BRAZORIA, 313,166; GALVESTON, 291,309; LIBERTY, 75,643; AND CHAMBERS, 35,096. *ONE IN 3 CHILDREN IN THE NATION IS COVERED BY MEDICAID AND 1.4 MILLION CHILDREN IN TEXAS REMAIN UNINSURED. WHILE THESE STATISTICS UNDERSCORE HOUSTON'S STATUS AS A VIBRANT, GROWING METRO, A CLOSER REVIEW OF THE UNDERLYING DYNAMICS - SUCH AS ECONOMIC FACTORS AND DEMOGRAPHICS - IS ESSENTIAL TO PROVIDING A COMMUNITY BENEFIT PROGRAM RELEVANT TO CURRENT NEEDS AND WITH THE FORESIGHT TO ACCOMMODATE FUTURE NECESSITIES. AS THE CITY'S EVOLVING POPULATION PLACES FURTHER DEMANDS ON THE TRADITIONAL HEALTH CARE SYSTEM, IT WILL BE CRITICAL TO IDENTIFY AND EXECUTE INNOVATIVE AND EFFECTIVE PROGRAMS AND SOLUTIONS TO MAINTAIN THE HEALTH AND WELL BEING OF OUR COMMUNITY PARTICULARLY FOR OUR CHILDREN, HOUSTON'S HOPE FOR MAINTAINING VITALITY AND GROWTH INTO THE NEXT GENERATION AND BEYOND. Promotion of community health Schedule H, Part VI, Line 5 AS A LEADER IN PEDIATRICS AND WOMEN'S HEALTH, TEXAS CHILDREN'S HOSPITAL CONTINUES ITS MISSION TO SERVE THE COMMUNITY THROUGH PRE-EMINENT RESEARCH, EDUCATION AND PATIENT CARE. THIS ONGOING COMMITMENT ENSURES THE HEALTH AND WELL-BEING OF THE YOUNGEST AND MOST VULNERABLE MEMBERS OF THE COMMUNITY, WHETHER THEY RESIDE IN NEARBY NEIGHBORHOODS OR ON THE OTHER SIDE OF THE WORLD. IN ADDITION TO THE INFORMATION SUPPLIED IN OTHER SECTIONS OF THIS DOCUMENT, THE FOLLOWING ARE EXAMPLES OF THE HOSPITAL'S ONGOING COMMITMENT TO THE COMMUNITY IT SERVES: 1) TEXAS CHILDREN'S BOARD OF TRUSTEES IS COMPOSED OF REPRESENTATIVES WHO RESIDE IN THE GREATER-HOUSTON COMMUNITY AND ARE NOT EMPLOYEES OF THE HOSPITAL. MANY TRUSTEES ARE BUSINESS AND CIVIC LEADERS WHO ARE ACTIVE IN OTHER LOCAL CHARITABLE ORGANIZATIONS. 2) EMPHASIZING ITS WORLD-CLASS EXPERTISE IN HIGHLY SPECIALIZED FIELDS, TEXAS CHILDREN'S OPERATES CENTERS OF EXCELLENCE IN ONCOLOGY, CARDIOLOGY AND NEONATOLOGY, ALL RANKED AMONG THE TOP FIVE ON THE U.S.NEWS & WORLD REPORT ANNUAL LIST OF LEADING CHILDREN'S HOSPITALS. IN ADDITION, U.S.NEWS RANKS TEXAS CHILDREN'S IN THE TOP 10 FOR 9 OUT OF THE 10 AREAS RANKED. THESE STRENGTHS ENABLE THE HOSPITAL TO PROVIDE MULTIDISCIPLINARY EXPERTISE TO SOME OF THE MOST COMPLEX MEDICAL CHALLENGES FACING CHILDREN TODAY. 3) AS PART OF ITS RESPONSIVENESS TO THE COMMUNITY, TEXAS CHILDREN'S HOSPITAL OPERATES AND SUPPORTS SEVERAL ADVISORY COMMITTEES, COMPRISED OF COMMUNITY MEMBERS AND PATIENT FAMILIES. THESE GROUPS CONSULT WITH HOSPITAL REPRESENTATIVES ON A WIDE RANGE OF TOPICS DESIGNED TO INCREASE THE QUALITY OF CARE AND SERVICES PROVIDED. 4) TEXAS CHILDREN'S HOSPITAL INVESTS ITS OPERATING MARGIN IN CAPITAL PROJECTS AND PROGRAMMATIC INITIATIVES FOCUSED ON IMPROVING PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. 5) IN ADDITION TO FUNDING NATIONALLY-ACCREDITED GRADUATE MEDICAL EDUCATION (GME) INITIATIVES, TEXAS CHILDREN'S HOSPITAL ALSO INVESTED APPROXIMATELY $1,077,000 IN OTHER GME PROGRAMS APPROVED BY THE TEXAS MEDICAL BOARD. THE HOSPITAL'S COMMITMENT TO EDUCATION AT BAYLOR COLLEGE OF MEDICINE EXEMPLIFIES THE COMMITMENT TO ADVANCING MEDICAL KNOWLEDGE. 6) TEXAS CHILDREN'S SERVED AS A TRAINING CENTER FOR NURSING STUDENTS, SUPPORTING APPROXIMATELY 1,270 CANDIDATES IN 2013. ALTHOUGH THESE TRAINEES ARE NOT OBLIGATED TO REMAIN AT TEXAS CHILDREN'S UPON CERTIFICATION, THEY GAIN VALUABLE KNOWLEDGE FOR THEIR CAREERS IN PEDIATRICS. 7) TEXAS CHILDREN'S MEDICAL LEGAL PARTNERSHIP (MLP) PROMOTES THE HEALTH OF VULNERABLE, LOW-INCOME POPULATIONS BY ADDRESSING LEGAL NEEDS THAT AFFECT PATIENT HEALTH. FROM NOVEMBER 2012 TO OCTOBER 2013, THERE WERE A TOTAL OF 85 CONSULTATIONS. IN FISCAL YEAR 2013, MORE THAN HALF OF THE LEGAL ISSUES THE MLP PROVIDED CONSULTATIONS FOR OCCURRED WITHIN THE SPECIAL NEEDS CLINIC. THE MLP BRINGS TOGETHER LAWYERS, DOCTORS AND SOCIAL WORKERS WHEN A LEGAL SITUATION IS REQUIRED. A STAFF ATTORNEY AND VOLUNTEERS PROVIDE FREE LEGAL ADVICE TO PATIENTS AND FAMILIES ON A VARIETY OF LEGAL MATTERS INCLUDING: FOR EXAMPLE, IMPROVING HOUSING CONDITIONS, OBTAINING GUARDIANSHIPS FOR ADULT CHILDREN OR UNRELATED CAREGIVERS AND SECURING PUBLIC SCHOOL ACCOMMODATIONS FOR CHILDREN WITH DISABILITIES. 8) THE SIMULATION CENTER AT TEXAS CHILDREN'S HOSPITAL BEGAN PROVIDING PEDIATRIC SIMULATION TRAINING FOR EMERGENCY PRE-HOSPITAL PROVIDERS (PEDI-STEPPS) TO MEMBERS OF THE HOUSTON FIRE DEPARTMENT (HFD) . A GRANT FROM THE CULLEN TRUST FOR HEALTHCARE, AS WELL AS A COMMITMENT FROM TEXAS CHILDREN'S HOSPITAL, ALLOWED THIS INNOVATIVE TRAINING TO BE OFFERED FREE OF CHARGE TO THE CITY FOR 500 FIREFIGHTERS OVER A TWO YEAR PERIOD. IN 2013, 280 PARTICIPANTS PARTICIPATED IN THIS TRAINING. THE TRAINING COURSE INCORPORATES MULTIMEDIA, TECHNICAL SKILLS TRAINING AND COMMUNICATION/TEAM SKILLS TRAINING THROUGH PARTICIPATION IN HIGH-FIDELITY SIMULATION SCENARIOS. EACH HIGH-FIDELITY SIMULATION IS FOLLOWED BY A FACILITATED VIDEO-REVIEWED DEBRIEFING SESSION WHERE PARTICIPANTS REFLECT ON AND LEARN FROM THEIR PERFORMANCE. ON JULY 16, 2013, PARAMEDICS WHO HAD GONE THROUGH THE PEDI-STEPPS TRAINING COURSE ARRIVED AT THE HOME OF A 2-YEAR-OLD WHO HAD STOPPED BREATHING. THANKS IN PART TO THE TRAINING, THE TEAM WAS ABLE TO RESUSCITATE THE BOY AND SAVE HIS LIFE. FOLLOWING THIS INCIDENT, THE CITY OF HOUSTON PRESENTED TEXAS CHILDREN'S HOSPITAL AND THE HOUSTON FIRE DEPARTMENT WITH A PLAQUE AND PROCLAIMED AUGUST 27, 2013, AS PEDI-STEPPS DAY IN HONOR OF THE TEAM'S LIFESAVING WORK. 9) TEXAS CHILDREN'S HOSPITAL'S 24/7 TRANSPORT SERVICE - KANGAROO CREW - COMPRISES A FIXED-WING AIRCRAFT AND GROUND AMBULANCE MEDICAL SERVICE PROVIDING COORDINATED PATIENT ASSESSMENT, INTERVENTION, AND SAFE, RAPID TRANSPORT OF CRITICALLY ILL OR INJURED PATIENTS. ALL TRANSPORT SERVICE PERSONNEL ARE SPECIALLY TRAINED IN PEDIATRIC/NEONATAL TRANSPORT MEDICINE AND SAFETY IN ACCORDANCE WITH FEDERAL AVIATION ADMINISTRATION (FAA) AND TEXAS DEPARTMENT OF STATE HEALTH SERVICES GUIDELINES. 10) THE TRANSPORT SERVICE TEAM IS A MEMBER OF THE PEDIATRIC DISASTER COALITION, A PLANNING GROUP THAT CONSISTS OF SUBJECT MATTER EXPERTS FROM FREE-STANDING CHILDREN'S HOSPITALS, FACILITIES WITH DEDICATED PEDIATRIC/NEONATAL UNITS, PEDIATRIC SPECIALTY TRANSPORT ORGANIZATIONS, LOCAL AND STATE PUBLIC HEALTH AND FEDERAL PARTNERS. THE COALITION SHARES RECOMMENDATIONS AND TECHNICAL GUIDANCE WITH OTHER HEALTHCARE FACILITIES THROUGHOUT THE STATE, AS WELL AS FEDERAL AGENCIES AND OTHER NATIONAL ORGANIZATIONS: CHILD HEALTH CARE ASSOCIATION (CHCA), CHILDREN'S HOSPITAL ASSOCIATION (CHA), ASSOCIATION OF AIR MEDICAL SERVICES (AAMS) AND AMERICAN ACADEMY OF PEDIATRICS (AAP) SECTION ON TRANSPORT MEDICINE, AMONG OTHERS. 11) AT TEXAS CHILDREN'S, WE ARE COMMITTED NOT ONLY TO PROVIDING THE BEST POSSIBLE CARE, BUT ALSO TO EXPANDING THAT CARE-REACHING OUT TO MORE CHILDREN AND FAMILIES AND PROVIDING MORE SPECIALIZED SERVICES WHERE THEY ARE MOST NEEDED. A. WE HAVE LEARNED THAT ONE OF THE THINGS FAMILIES NEED AND VALUE THE MOST IS QUALITY MEDICAL CARE THAT IS CONVENIENT AND CLOSE TO HOME. THAT IS EXACTLY WHAT PATIENTS AND FAMILIES WILL HAVE WHEN TEXAS CHILDREN'S HOSPITAL THE WOODLANDS OPENS ITS DOORS IN 2017. THIS PEDIATRIC HOSPITAL WILL INCREASE ACCESS TO PEDIATRIC SUBSPECIALTY CARE WITHIN THE FOLLOWING SERVICES: CANCER, CARDIOLOGY, NEUROLOGY, ORTHOPEDICS, DIABETES AND ENDOCRINOLOGY, UROLOGY, SPORTS MEDICINE, GASTROENTEROLOGY AND NUTRITION, PLASTIC SURGERY, OTOLARYNGOLOGY, ALLERGY AND IMMUNOLOGY, DERMATOLOGY, ADOLESCENT MEDICINE AND PHYSICIAN REHABILITATION. HOSPITAL FACILITIES WILL INCLUDE 24 EMERGENCY CENTER ROOMS, 74 OUTPATIENT ROOMS, FIVE RADIOLOGY ROOMS, FOUR OPERATING ROOMS AND 30 ACUTE CARE BEDS AT OPENING WITH PLANS OF UP TO 200 BEDS. ALONG WITH SERVING FAMILIES THROUGHOUT THE WOODLANDS AREA, TEXAS CHILDREN'S ANTICIPATES SERVING FAMILIES IN COUNTIES THROUGHOUT GREATER NORTH HOUSTON INCLUDING MONTGOMERY, WALKER, GRIMES, LIBERTY, HARRIS, POLK, SAN JACINTO AND HARDIN. B. OVER THE PAST THREE YEARS, TEXAS CHILDREN'S HOSPITAL WEST CAMPUS HAS BEEN SERVING ONE OF THE FASTEST GROWING PEDIATRIC POPULATIONS AND AS THE POPULATION GROWS, SO HAS THE COMMUNITY HOSPITAL. TO MEET THE NEEDS OF THE COMMUNITY, THE HOSPITAL HAS EXPANDED ITS SERVICES ALREADY AND CONTINUES TO LOOK AT THE PATIENTS TO DETERMINE WHAT PROGRAMS, SERVICES AND INITIATIVES MAY MAKE THE MOST IMPACT IN WEST HOUSTON. MORE THAN 400,000 PATIENTS HAVE TAKEN ADVANTAGE OF THE TEXAS CHILDREN'S BRAND OF QUALITY PEDIATRIC CARE PROVIDED THROUGH WEST CAMPUS SINCE IT OPENED ITS DOORS IN 2010. THE CAMPUS PROVIDES FAMILIES ACCESS TO 19 SUBSPECIALTY OUTPATIENT CLINICS, INPATIENT HOSPITAL SERVICES AND IS THE ONLY 24/7 DEDICATED PEDIATRIC EMERGENCY CENTER IN THE WEST HOUSTON AREA. MOST RECENTLY, WEST CAMPUS OPENED AN EIGHT-BED PEDIATRIC INTENSIVE CARE UNIT, ALLOWING THE HOSPITAL TO ACCOMMODATE PATIENTS WITH HIGHER ACUITY. BECAUSE OF THE INCREASING DEMAND FOR EMERGENCY CARE, THE HOSPITAL ALSO DOUBLED THE NUMBER OF BEDS IN THE EMERGENCY CENTER WHICH IS STAFFED BY BOARD-CERTIFIED PEDIATRIC EMERGENCY MEDICINE PHYSICIANS. IN ADDITION, A 28,500-SQUARE-FOOT, STATE-OF-THE-ART SPORTS MEDICINE CLINIC WAS BUILT. C. IN AUGUST 2013, TEXAS CHILDREN'S HEALTH PLAN OPENED THE CENTER FOR CHILDREN AND WOMEN, AN ENTIRELY NEW AND INNOVATIVE PATIENT AND FAMILY-CENTERED MEDICAL HOME FOR TEXAS CHILDREN'S HEALTH PLAN MEMBERS. DESIGNED TO ADDRESS THE SHORTAGE OF PRIMARY MEDICAL CARE FOR THE MEDICAID AND CHIP POPULATIONS, THIS 50,000-SQUARE-FOOT FACILITY IN HOUSTON'S GREENSPOINT AREA (AN UNDERSERVED AREA OF TOWN) OFFERS A ONE-STOP SHOP FOR MEMBER FAMILIES, INCLUDING PRIMARY PEDIATRIC AND OBSTETRIC CARE, PEDIATRIC OPTOMETRY AND DENTISTRY AND ONSITE IMAGING, LAB AND PHARMACY. THE CENTER IS DESIGNED TO MEET THE NEEDS OF THE COMMUNITY BY CREATING ACCESS, WITH EXTENDED EVENING AND WEEKEND HOURS FOR FAMILIES. THANKS TO THE SUCCESS OF THIS INITIATIVE, A NEW CENTER FOR CHILDREN AND WOMEN WILL OPEN IN HOUSTON'S SHARPSTOWN AREA IN NOV. 2014. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 D. THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE AT TEXAS CHILDREN'S HOSPITAL, THE WORLD'S FIRST COMPREHENSIVE PEDIATRIC NEUROLOGICAL RESEARCH CENTER DEVOTED TO COLLABORATIVE EFFORTS TO UNDERSTAND NEUROLOGICAL CONDITIONS LIKE AUTISM, CEREBRAL PALSY AND EPILEPSY - A CLASS OF DISORDERS THAT TOGETHER ARE EXPECTED TO EXCEED MORE THAN A HALF-TRILLION DOLLARS ANNUALLY IN HEALTHCARE COSTS. E. AT TEXAS CHILDREN'S, WE BELIEVE IN GIVING WOMEN, MOTHERS AND BABIES QUALITY HEALTH CARE AT EVERY IMPORTANT STAGE OF THEIR LIVES. WE CALL THIS NEW MODEL FAMILY-CENTERED CARE. TEXAS CHILDREN'S PAVILION FOR WOMEN BRINGS TOGETHER OBSTETRICIANS, GYNECOLOGISTS, ONCOLOGISTS, SURGEONS, GENETICISTS AND NURSES FROM TEXAS CHILDREN'S HOSPITAL AND OUR ACADEMIC PARTNER, BAYLOR COLLEGE OF MEDICINE. WITH HIGH-RISK BIRTHS ON THE RISE NATIONALLY, OUR RENOWNED EXPERTS AND SPECIALISTS FOCUS ON FURTHERING OBSTETRICAL RESEARCH. WE ALSO PROVIDE ADVANCED TREATMENT, INCLUDING LEVEL 4 NEONATAL INTENSIVE CARE UNITS TO GIVE PREMATURE AND SICK BABIES MORE EXTENSIVE SUPPORT AND CARE. F. THE FEIGIN CENTER, ALREADY A CORNERSTONE FOR TEXAS CHILDREN'S RESEARCH AND EDUCATION, HAS EXPANDED TO ACCOMMODATE RESEARCH THAT WILL RAPIDLY TRANSLATE NOVEL CELL AND GENE THERAPY PROTOCOLS DIRECTLY FROM THE LABORATORY TO THE PATIENT. G. TEXAS CHILDREN'S HOSPITAL IS COMMITTED TO CREATING A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION AND RESEARCH. Affiliated health care system Schedule H, Part VI, Line 6 TEXAS CHILDREN'S HOSPITAL IS AFFILIATED WITH TEXAS CHILDREN'S PEDIATRICS (TCP, EIN 76-0460242) IN PROMOTING HEALTH CARE IN THE COMMUNITY SERVED. TCP IS ONE OF THE NATION'S LARGEST PEDIATRIC PRIMARY CARE NETWORKS. COMPRISING 49 PRACTICES THROUGHOUT THE GREATER HOUSTON AREA, TCP PEDIATRICIANS SERVE APPROXIMATELY 20 PERCENT OF HOUSTON'S CHILDREN, HELPING TREAT AND PREVENT ILLNESSES. FIVE TCP PRACTICES, IDENTIFIED AS THE COMMUNITY CARES PROGRAM, ARE LOCATED IN MEDICALLY UNDERSERVED NEIGHBORHOODS AND PROVIDE CONSISTENT CARE FOR LITTLE OR NO COST TO CHILDREN WHO OTHERWISE WOULD SEEK SERVICES FROM EMERGENCY ROOMS OR GO WITHOUT CARE. TEXAS CHILDREN'S HEALTH PLAN (TCHP, EIN 76-048264) IS THE LARGEST AND MOST FREQUENTLY SELECTED PROVIDER OF CHILDREN'S MEDICAID/CHIP COVERAGE IN THE REGION. TEXAS CHILDREN'S HEALTH PLAN WAS FOUNDED IN 1996 BY TEXAS CHILDREN'S HOSPITAL. IT IS THE NATION'S FIRST HEALTH MAINTENANCE ORGANIZATION (HMO) CREATED JUST FOR CHILDREN. THROUGH A SUBCONTRACTOR ROLE WITH THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION (HHSC), TEXAS CHILDREN'S HEALTH PLAN PROVIDES STAR/MEDICAID AND CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) TO PREGNANT WOMEN, TEENS AND CHILDREN IN HOUSTON AND SURROUNDING AREAS. CURRENTLY, THE HEALTH PLAN HAS OVER 350,000 MEMBERS. THE STAFF AND NETWORK OF OVER 700 PRIMARY CARE PHYSICIANS, 1,400 SPECIALISTS AND 160 CONTRACTED FACILITIES THAT PROVIDE ACUTE CARE AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH AND SUBSTANCE ABUSE TREATMENT ARE COMMITTED TO PROVIDING EXCELLENT SERVICE AND PATIENT CARE TO TEXAS CHILDREN'S HEALTH PLAN MEMBERS. TEXAS CHILDREN'S HOSPITAL IS BAYLOR COLLEGE OF MEDICINE'S PRIMARY PEDIATRIC TRAINING HOSPITAL, WITH ONE OF THE LARGEST PEDIATRIC RESIDENCY PROGRAMS IN THE COUNTRY. THE HOSPITAL'S MEDICAL STAFF CONSISTS OF MORE THAN 1,500 BOARD-CERTIFIED, PRIMARY CARE PHYSICIANS, PEDIATRIC SUBSPECIALISTS AND PEDIATRIC-SURGICAL SUBSPECIALISTS. TOGETHER, TEXAS CHILDREN'S AND BAYLOR REPRESENT ONE OF THE MOST ACTIVE AND BEST FUNDED PEDIATRIC RESEARCH PROGRAMS IN THE COUNTRY. BAYLOR INVESTIGATORS AT TEXAS CHILDREN'S HOSPITAL ARE CONDUCTING INNOVATIVE RESEARCH IN NEARLY EVERY PEDIATRIC SUBSPECIALTY WITH THE GOAL OF QUICKLY TRANSLATING DISCOVERIES INTO BREAKTHROUGH TREATMENTS FOR CHILDREN EVERYWHERE. COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 TEXAS CHILDREN'S HOSPITAL FILES THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS), THE STATE OF TEXAS' COMMUNITY BENEFIT REPORTING FOR NOT-FOR-PROFIT HOSPITALS. FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2013, THE HOSPITAL REPORTED APPROXIMATELY $205,797,000 AS THE TOTAL ANNUAL CHARITY AND COMMUNITY BENEFIT IN ITS ASCBS. DIFFERENCES BETWEEN SCHEDULE H AND THE ASCBS ARE STATED BELOW. THE RESULTING DIFFERENCE OF $(50,330) BETWEEN THE ASCBS AND THE AMOUNTS RECORDED IN PART I LINE 7 ARE DUE PRIMARILY TO VARYING REPORTING REQUIREMENTS AS OUTLINED BELOW (IN $1000'S): ASCBS INCLUDES BAD DEBT EXPENSE IN THE PATIENT CARE COST TO CHARGE RATIO. ADDITIONALLY, THE ASCBS RATIO IS CALCULATED USING 2012 FINANCIAL INFORMATION - ($44,837) ASCBS INCLUDES FINANCIAL ASSISTANCE FROM RELATED ORGANIZATIONS - ($6,899) ASCBS INCLUDES THE UNREIMBURSED COST OF COMMUNITY BUILDING ACTIVITIES - ($1,172) ASCBS INCLUDES THE UNREIMBURSED COST OF MEDICARE AND CHAMPUS - ($6,321) ASCBS REDUCES COMMUNITY BENEFIT PROGRAM COST BY GIFT/GRANT INCOME - $13,078 TOTAL VARIANCE BETWEEN PART I, LINE 7 AND ASCBS - ($50,330) true TCH PEDIATRIC ASSOCIATES INC PO BOX 300630 HOUSTON TX 77230 760460242 501(C)(3) 6234711 SUPPORT NON-PROFIT HEALTHCARE ORG AIDS FOUNDATION HOUSTON 3202 WESLAYAN ANNEX HOUSTON TX 77027 760073661 501(C)(3) 5000 SUPPORT NON-PROFIT HEALTHCARE ORG AMERICAN DIABETES ASSOCIATION 1701 N BEAUREGARD STREET ALEXANDRIA VA 22311 131623888 501(C)(3) 12500 SUPPORT NON-PROFIT HEALTHCARE ORG AMERICAN HEART ASSOCIATION 10060 BUFFALO SPEEDWAY HOUSTON TX 77054 135613797 501(C)(3) 100000 SUPPORT NON-PROFIT HEALTHCARE ORG ALBERT B SABIN VACCINE INSTITUTE INC 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272794670 501(C)(3) 17000 SUPPORT NON-PROFIT PHILANTHROPIC ORG GREATER HOUSTON AREA WOMEN'S CHAMBER OF COMMERCE 3015 RICHMOND AVENUE HOUSTON TX 77098 261536004 501(C)(6) 10000 SUPPORT NON-PROFIT PHILANTHROPIC ORG GREATER HOUSTON PARTNERSHIP INC 1200 SMITH STREET SUITE 700 HOUSTON TX 77002 760267896 501(C)(6) 13500 SUPPORT NON-PROFIT PHILANTHROPIC ORG HARRIS COUNTY HEALTHCARE ALLIANCE 1310 PRAIRIE SUITE 1080 HOUSTON TX 77002 204977662 501(C)(3) 50000 SUPPORT NON-PROFIT HEALTHCARE ORG HERMANN PARK CONSERVANCY 6201-A HERMANN PARK DRIVE HOUSTON TX 77030 760327389 501(C)(3) 10000 SUPPORT NON-PROFIT PHILANTHROPIC ORG HEROES FOR CHILDREN 1701 NORTH COLLINS SUITE 240 RICHARDSON TX 75080 830489882 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG HOLOCAUST MUSEUM HOUSTON 5401 CAROLINE STREET HOUSTON TX 77004 760331398 501(C)(3) 11500 SUPPORT NON-PROFIT PHILANTHROPIC ORG HOUSTON AREA WOMEN'S CENTER 1010 WAUGH DRIVE HOUSTON TX 77019 742029166 501(C)(3) 10000 SUPPORT NON-PROFIT PHILANTHROPIC ORG HOUSTON HARRIS COUNTY IMMUNIZATION 3015 RICHMOND AVENUE HOUSTON TX 77098 760695612 501(C)(3) 15000 SUPPORT NON-PROFIT HEALTHCARE ORG HOUSTON JUNIOR WOMAN'S CLUB CHARITABLE FUND PO BOX 19684 HOUSTON TX 77224 237157689 501(C)(3) 20000 SUPPORT NON-PROFIT PHILANTHROPIC ORG HOUSTON PI BETA FOUNDATION 4726 STILLBROOKE HOUSTON TX 77035 760438662 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG HOUSTON WEST CHAMBER OF COMMERCE 10370 RICHMOND HOUSTON TX 77042 760129712 501(C)(6) 5000 SUPPORT OF HOUSTON AREA INSTITUTE FOR SPIRITUALITY AND HEALTH AT THE TEXAS MEDICAL CENTER 8100 GREENBRIAR NO 220 HOUSTON TX 77054 741246255 501(C)(3) 25000 SUPPORT NON-PROFIT HEALTHCARE ORG IT''S MY HEART INC 1775 ST JAMES PLACE HOUSTON TX 77056 204056096 501(C)(3) 15000 SUPPORT NON-PROFIT HEALTHCARE ORG JOHN P MCGOVERN MUSEUM OF HEALTH AND MEDICAL SCIENCE 1515 HERMANN DRIVE HOUSTON TX 77004 746106357 501(C)(3) 20000 SUPPORT NON-PROFIT PHILANTHROPIC ORG JUNIOR ACHIEVEMENT OF SOUTHEAST TEXAS INC 2115 E GOVERNORS CIRCLE HOUSTON TX 77092 741153957 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG JUNIOR LEAGUE OF HOUSTON 1811 BRIAR OAKS LANE HOUSTON TX 77027 741185659 501(C)(3) 75000 SUPPORT NON-PROFIT PHILANTHROPIC ORG KRIST SAMARITAN CENTER FOR COUNSELING AND EDUCATION 17555 EL CAMINO REAL HOUSTON TX 77058 760173176 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG MARCH OF DIMES FOUNDATION 3000 WESLAYAN SUITE 100 HOUSTON TX 77027 131846366 501(C)(3) 40000 SUPPORT NON-PROFIT PHILANTHROPIC ORG MEDICAL BRIDGES INC PO BOX 300245 HOUSTON TX 77230 760548161 501(C)(3) 10000 SUPPORT NON-PROFIT HEALTHCARE ORG MENNINGER CLINIC 12301 MAIN STREET HOUSTON TX 77035 371453409 501(C)(3) 15000 SUPPORT NON-PROFIT HEALTHCARE ORG MENTAL HEALTH AMERICA OF GREATER HOUSTON 2211 NORFOLK NO 810 HOUSTON TX 77098 741272394 501(C)(3) 17000 SUPPORT NON-PROFIT HEALTHCARE ORG MUSCULAR DYSTROPHY ASSOCIATION 3300 EAST SUNRISE DRIVE TUCSON AZ 85718 131665552 501(C)(3) 12000 SUPPORT NON-PROFIT HEALTHCARE ORG PIN OAK CHARITY HORSE SHOW ASSOCIATION PO BOX 218688 HOUSTON TX 77218 741755067 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG RESULTS INC 1101 15TH STREET NW WASHINGTON DC 20005 521411039 501(C)(4) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG WILLIAM MARCH RICE UNIVERSITY 6100 MAIN STREET HOUSTON TX 77005 741109620 501(C)(3) 11000 SUPPORT NON-PROFIT EDUCATIONAL ORG ST LUKES EPISCOPAL HEALTH SYSTEM FOUNDATION 6624 FANNIN SUITE 1100 HOUSTON TX 77030 760127715 501(C)(3) 25000 SUPPORT NON-PROFIT HEALTHCARE ORG TEXANS FOR LAWSUIT REFORM 1701 BRUN HOUSTON TX 77019 760439129 501(C)(6) 75000 SUPPORT NON-PROFIT PHILANTHROPIC ORG TEXAS LYCEUM ASSOCIATION INC 6046 AZALEA LANE DALLAS TX 75230 751720024 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG TEXAS PARENT TO PARENT - VINE TO WINE 3710 CEDAR STREET BOX 12 AUSTIN TX 78705 600001527 501(C)(3) 11200 SUPPORT NON-PROFIT PHILANTHROPIC ORG THE FORGE FOR FAMILIES INC 3435 DIXIE DRIVE HOUSTON TX 77021 760485959 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG THE LIVING BANK INTERNATIONAL PO BOX 6725 HOUSTON TX 77265 741607315 501(C)(3) 5000 SUPPORT NON-PROFIT HEALTHCARE ORG THETA CHARITY ANTIQUES SHOW 4212 SAN FELIPE PMB 345 HOUSTON TX 77027 742051004 501(C)(3) 10000 SUPPORT NON-PROFIT PHILANTHROPIC ORG UNITED STATES FUND FOR UNICEF 125 MAIDEN LANE 10TH FLOOR NEW YORK NY 10038 131760110 501(C)(3) 25000 SUPPORT NON-PROFIT PHILANTHROPIC ORG UNITED WAY 50 WAUGH DRIVE HOUSTON TX 77007 741167964 501(C)(3) 25000 SUPPORT NON-PROFIT HEALTHCARE ORG UNIVERSITY OF HOUSTON SYSTEM 4800 CALHOUN HOUSTON TX 77204 746001399 STATE OF TEXAS 5000 SUPPORT NON-PROFIT EDUCATIONAL ORG UNIVERSITY OF ST THOMAS 3800 MONTROSE BOULEVARD HOUSTON TX 77006 741277664 501(C)(3) 105000 SUPPORT NON-PROFIT EDUCATIONAL ORG UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER 7000 FANNIN STREET SUITE 1200 HOUSTON TX 77226 741761309 501(C)(3) 10000 SUPPORT NON-PROFIT MEDICAL SCHOOL VECINO HEALTH CENTERS 424 HAHLO STREET HOUSTON TX 77020 760622208 501(C)(3) 7500 SUPPORT NON-PROFIT HEALTHCARE ORG WOODROW WILSON INTERNATIONAL CENTER FOR SCHOLARS 1300 PENNSYLVANIA AVENUE NW WASHINGTON DC 20004 521067541 501(C)(3) 25000 SUPPORT NON-PROFIT PHILANTHROPIC ORG YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE GREATER HOUSTON AREA 2600 NORTH LOOP WEST HOUSTON TX 77092 741109737 501(C)(3) 12500 SUPPORT NON-PROFIT PHILANTHROPIC ORG YOUNG AUDIENCES OF HOUSTON 4550 POST OAK PLACE HOUSTON TX 77027 746082602 501(C)(3) 15000 SUPPORT NON-PROFIT PHILANTHROPIC ORG YOUNG TEXANS AGAINST CANCER PO BOX 22915 SUITE 1700 HOUSTON TX 77227 760681304 501(C)(3) 10000 SUPPORT NON-PROFIT HEALTHCARE ORG ZOO FRIENDS OF HOUSTON INC 1513 CAMBRIDGE STREET HOUSTON TX 77030 237057875 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG BAYLOR COLLEGE OF MEDICINE ONE BAYLOR PLAZA HOUSTON TX 77030 741613878 501(C)(3) 50000 SUPPORT OF AFFILIATED MED SCHL 73 7 FELLOWSHIPS 6 411542 JUNIOR SCHOLARSHIPS 6 18000 DESCRIPTION OF GRANT SELECTION CRITERIA SCHEDULE I, PART I, LINE 1 TEXAS CHILDREN'S HOSPITAL REQUIRES ALL REQUESTS TO BE IN WRITING AND BE SUBMITTED TO THE OFFICE OF DEVELOPMENT FOR EVALUATION. THE DIRECTOR OF DEVELOPMENT MAKES A RECOMMENDATION FOR RECOGNITION OF EACH CONTRIBUTION TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF TEXAS CHILDREN'S HOSPITAL FOR FINAL APPROVAL. Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 AFTER THE SPONSORSHIP/DONATION IS MADE, WE RECEIVE AN ACKNOWLEDGMENT LETTER WITH A RECEIPT OF THE GIFT. TYPICALLY THIS LETTER TELLS US HOW THE MONEY WILL BE USED AT THEIR PARTICULAR ORGANIZATION. X true true X X X X true true false false false false false false false ANN STERN 34502 0 315772 0 525287 0 9896 0 254 0 885711 0 533088 0 BENJAMIN MELSON 684816 0 1384221 0 120509 0 179810 0 38013 0 2407369 0 486974 0 CHARLES D FRASER JR MD 0 0 489847 0 0 0 0 0 0 0 489847 0 0 0 GEORGE BISSET III MD 0 682501 0 150000 0 3870 0 7370 0 18509 0 862250 0 0 HOWARD HARPSTER 224746 0 531858 0 341437 0 56606 0 37920 0 1192567 0 267765 0 JOHN R NICKENS IV 290149 0 48100 0 1201 0 67706 0 30712 0 437868 0 0 0 JOHN SCALES 377667 0 527800 0 105182 0 19312 0 19164 0 1049125 0 47700 0 KAY TITTLE 320484 0 602107 0 21467 0 85743 0 19365 0 1049166 0 60042 0 LINDA ALDRED 340509 0 472800 0 51351 0 91850 0 34876 0 991386 0 74369 0 LORI ARMSTRONG 286504 0 87200 0 29829 0 52025 0 10696 0 466254 0 0 0 MALLORY CALDWELL 212368 0 50000 0 17953 0 36510 0 12774 0 329605 0 0 0 MARK A WALLACE 1119218 0 2660707 0 163165 0 318026 0 34968 0 4296084 0 723469 0 MARK MULLARKEY 286439 0 348950 0 2252 0 67741 0 33369 0 738751 0 24901 0 MARK W KLINE MD 0 0 161004 0 0 0 0 0 0 0 161004 0 0 0 MARY JO ANDRE 222195 0 296550 0 48793 0 52198 0 34390 0 654126 0 21850 0 MICHAEL A BELFORT MD PHD 0 0 213614 0 0 0 0 0 0 0 213614 0 0 0 PETER DAWSON 271513 0 482415 0 264463 0 22621 0 24899 0 1065911 0 0 0 RANDY WRIGHT 588382 0 1360021 0 85383 0 165673 0 19509 0 2218968 0 142699 0 SANDRA MCELLIGOTT 250931 0 104786 0 305311 0 49280 0 23511 0 733819 0 229713 0 SUSAN MACDONALD 456367 0 766817 0 51655 0 125089 0 17577 0 1417505 0 232053 0 TABITHA RICE 226004 0 394175 0 15068 0 50683 0 25632 0 711562 0 134445 0 WILLIAM HILTON 227623 0 462081 0 178614 0 18491 0 22352 0 909161 0 144746 0 Housing allowance or residence for personal use Schedule J, Part I, Line 1a LORI ARMSTRONG RECEIVED A HOUSING ALLOWANCE REPORTABLE AS TAXABLE COMPENSATION. WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF EXPENSES SCHEDULE J, PART I, LINE 1B HOUSING ALLOWANCES ARE PROVIDED ON A CASE-BY-CASE BASIS TO SELECTED OUT-OF-STATE PROFESSIONAL CANDIDATES AS A HIRING INCENTIVE AND ASSISTANCE WITH APPROPRIATE ARRANGEMENTS NECESSARY FOR THE TRANSITION OF NEW EMPLOYMENT. Severance or change-of-control payment Schedule J, Part I, Line 4a SEVERANCE PAY: HOWARD HARPSTER 69,254 SANDRA MCELLIGOTT 74,889 SEVERANCE IS DETERMINED ON A CASE-BY-CASE BASIS, WITH LEGAL COUNSEL INVOLVED IN THE DECISION. CONSIDERATION IS GIVEN TO FACTORS SUCH AS LENGTH OF SERVICE AND LEVEL OF POSITION WITH THE ORGANIZATION. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b 457(F) PLAN: PAID/DEFERRED MARK A WALLACE 2,376,413 / 283,464 BENJAMIN MELSON 1,485,474 / 160,887 RANDY WRIGHT 1,423,770 / 142,129 ANN STERN 778,160 / 0 MALLORY CALDWELL 0 / 29,491 MARK MULLARKEY 350,301 / 48,933 JOHN NICKENS 48,100 / 46,959 TABITHA RICE 408,145 / 29,846 MARY JO ANDRE 296,550 / 27,605 SUSAN MACDONALD 799,253 / 98,472 SANDRA MCELLIGOTT 309,249 / 27,867 HOWARD HARPSTER 416,973 / 38,356 JOHN SCALES 527,800 / 0 KAY TITLE 621,549 / 59,353 LINDA ALDRED 505,369 / 65,360 LORI ARMSTRONG 37,200 / 44,525 PETER DAWSON 674,859 / 0 WILLIAM HILTON 581,027 / 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. A HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO 760337885 414009DY3 2010-01-15 80078929 REFUND PRIOR ISSUES (1999B-2 SERIES ISSUED 07/20/99). false false false B HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO 760337885 414009CG3 2009-06-17 198965284 BUILD HEALTH CARE FACILITIES false false false C HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CO 521284201 414152RW0 2008-04-30 300000000 REFUND PRIOR ISSUES (2007 SERIES ISSUED 06/27/07) false false false A 7775000 0 80078929 0 0 0 1278929 0 0 0 78800000 0 2010 true false true true B 7680000 0 199780590 0 0 0 3311550 0 0 196469040 0 0 2011 false false true true C 7225000 0 300000000 0 0 0 0 0 0 0 300000000 0 2011 true false true true A false false false false false false 0.00000 0.00000 0.00000 false false 0 false false B false false true true false false 0.00900 0.00000 0.00900 false false 0 false true C false true true true false false 0.00500 0.00000 0.00500 false false 0 false true A false false true false false false false false true B false false true false false false 0.0 false 0.0 false true C false false true false true false 0.0 false false true A true B true C true EXPLANATION FOR VARIANCE SCHEDULE K, PART VI THE VARIANCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR BOND B INCLUDES INVESTMENT EARNINGS. X 135 MARKET VALUE X 3265 MARKET VALUE X 6 365503 COST / SELLING PRICE X 3 2720 MARKET VALUE X 4 7681 COST X EQUIPMENT 3 7123 COST X TICKETS AND CERTIFICATES 16 8568 COST 0 false true false Number of contributions or items contributed. Schedule M, part I, column (b), Line 4 Number of contributions or items contributed. Schedule M, part I, column (b), Line 5 Number of contributions or items contributed. Schedule M, part I, column (b), Line 9 Number of contributions or items contributed. Schedule M, part I, column (b), Line 18 Number of contributions or items contributed. Schedule M, part I, column (b), Line 19 Classes of members or stockholders Form 990, Part VI, Section A, Line 6 TEXAS CHILDREN'S IS THE SOLE CORPORATE MEMBER OF TEXAS CHILDREN'S HOSPITAL. 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 OF THE OFFICERS, PHYSICIAN EMPLOYEES AND INDEPENDENT CONTRACTOR PHYSICIANS OF THE CORPORATION. -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. -DESIGNATION OF ADDITIONAL OR SUCCESSOR MEMBERS. -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 AND COMPLIANCE COMMITTEE HAS 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 top management official Form 990, Part VI, Section B, Line 15a 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. - CONTEMPOROUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b PLEASE REFER TO PROCESS DESCRIBED IN PART VI, LINE 15A. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. TITLES FORM 990, PART VII, SECTION A SUSAN MACDONALD: EXECUTIVE VICE PRESIDENT AND BOARD SECRETARY BENJAMIN MELSON: CFO, EXECUTIVE VICE PRESIDENT AND BOARD TREASURER MARK A WALLACE: CEO, PRESIDENT AND BOARD CHAIRMAN RANDALL WRIGHT: COO, EXECUTIVE VICE PRESIDENT AND BOARD MEMBER THROUGH 05/20/2013 LORI ARMSTRONG: SENIOR VICE PRESIDENT, CNO AND BOARD MEMBER MALLORY CALDWELL: SENIOR VICE PRESIDENT FOR THE FISCAL YEAR AND BOARD MEMBER STARTING 05/20/2013 INCENTIVE COMPENSATION FORM 990, PART VII, SECTION A DRS. BELFORT, FRASER, AND KLINE, WHILE EMPLOYED BY BAYLOR COLLEGE OF MEDICINE, SERVE AS IN-CHIEFS DIRECTING PATIENT CARE AT TEXAS CHILDREN'S HOSPITAL. DUE TO THEIR SENIOR LEADERSHIP ROLES, THEY ARE ELIGIBLE FOR INCENTIVE COMPENSATION BASED ON THEIR CONTRIBUTIONS TO ACHIEVING THE ORGANIZATION'S STRATEGIC GOALS. ALL COMPENSATION IS EARNED IN THEIR CAPACITY AS PHYSICIAN LEADERS. Other Expenses Form 990, Part IX, Line 11g HEALTHCARE PROFESSIONAL SERVICES - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: XXX-XX-XXXX, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER NON-HEALTHCARE PROFESSIONAL SERVICES - TOTAL EXPENSE: 76597007, PROGRAM SERVICE EXPENSE: 62123313, MANAGEMENT AND GENERAL EXPENSES: 14155472, FUNDRAISING EXPENSES: 318222; Other changes in net assets or fund balances Form 990 , Part XI, Line 9 TRANSFER TO FOUNDATION - -27787411; ACTUARIAL GAIN ON PENSION - 34931848; CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - XXX-XX-XXXX; CHANGE IN SWAP VALUATION - 14360555; CHANGE IN TECO VALUATION - 914943; CHANGE IN CHARITABLE GIFT ANNUITY - -25118; TRANSFER TO TCH PEDIATRIC ASSOCIATES - NET ASSETS - -551503; TRANSFER TO TCH PEDIATRIC ASSOCIATES - PHYSICIAN PRACTICE - -335000; FORM 5471 DISCLOSURE STATEMENT 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 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 1919 S BRAESWOOD 4TH FL HOUSTON TX 77030 PARENT TX 501(C)(3) 11 - Type II NA false TEXAS CHILDREN'S PHYSICIAN GROUP 6621 FANNIN STREET HOUSTON TX 77030 HEALTH CARE TX 501(C)(3) 9 TEXAS CHILDREN'S true TCH PEDIATRIC ASSOCIATES INC PO BOX 300630 HOUSTON TX 77230 HEALTH CARE TX 501(C)(3) 9 TEXAS CHILDREN'S true TEXAS CHILDREN'S HEALTH PLAN INC 2450 HOLCOMBE SUITE 34L HOUSTON TX 77021 HEALTH CARE TX 501(C)(3) 9 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 INC 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 TREE BAY AVENUE GRAND CAYMAN CJ KY1-1102 INSURANCE CJ NA C CORPORATION true CVI GVF HOLDINGS 3 LTD UGLAND HOUSE SOUTH CHURCH STREET GEORGE TOWN CJ KY1-1104 INVESTMENT CJ NA C CORPORATION true true true false false false false false false false true false true true true true false true true true TEXAS CHILDREN'S HEALTH PLAN J 555053 COST TEXAS CHILDREN'S HEALTH PLAN L 3214914 COST TEXAS CHILDREN'S HEALTH PLAN A 753527 COST TEXAS CHILDREN'S HEALTH PLAN N 341324 COST TEXAS CHILDREN'S HEALTH PLAN M 122969 COST TEXAS CHILDREN'S HEALTH PLAN L 153048112 COST TEXAS CHILDREN'S WOMEN'S SPECIALISTS L 531702 COST TCH PEDIATRIC ASSOCIATES L 2199996 COST TCH PEDIATRIC ASSOCIATES B 6234711 COST TCH PEDIATRIC ASSOCIATES R 335000 COST TCH PEDIATRIC ASSOCIATES R 551503 COST TEXAS CHILDREN'S HOSPITAL FOUNDATION R 27787411 COST TEXAS CHILDREN'S HEALTH PLAN Q 12831387 COST TCH PEDIATRIC ASSOCIATES Q 20722489 COST TEXAS CHILDREN'S PHYSICIAN GROUP Q 120283940 COST TEXAS CHILDREN'S PHYSICIAN GROUP M 5483095 COST TEXAS CHILDREN'S PHYSICIAN GROUP R 130430008 COST TCH INSURANCE COMPANY LTD Q 259486 COST TCH INSURANCE COMPANY LTD R 4400000 COST TCH INSURANCE COMPANY LTD S 12000000 COST TCH INSURANCE COMPANY LTD Q 1690659 COST