2013-08-15T11:00:42-05:00 2012-09-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2011-10-01 741100555 TEXAS CHILDREN'S HOSPITAL TEXA 8328242982 6621 FANNIN ST HOUSTON TX 77030 BENJAMIN MELSON 2013-08-14 false Geralyn Hurd P00933422 3128997000 2011 2016-02-24 21:20:13Z BENJAMIN MELSON 6621 FANNIN ST HOUSTON TX 77030 1339957693 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 5 6983 1632 1564554 -791115 55481783 74020160 1015748435 1192524583 8308750 7250848 8045244 11097093 1087584212 1284892684 7870158 8221041 0 0 506999887 594755687 2092270 0 7868593 518100107 647304048 1035062422 1250280776 52521790 34611908 3293884041 3495847849 1022470282 994152517 2271413759 2501695332 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 1077996809 7563358 1181357459 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 LAUNCHED A MAJOR EXPANSION INTO OB/GYN CARE WITH THE OUTPATIENT OPENING OF ITS PAVILION FOR WOMEN FACILITY IN THE FALL OF 2011 AND INPATIENT OPENING IN MARCH 2012. IN ITS FIRST YEAR OF OPERATION, THE PAVILION PERFORMED APPROXIMATELY 4,300 DELIVERIES AND EXCEEDED 118,000 OUTPATIENT CLINIC VISITS. DURING THE YEAR THE HOSPITAL OVERALL OPERATED 598 INPATIENT BEDS AND MORE THAN 81 AMBULATORY SPECIALTY CLINICS, SUPPORTED BY AN AWARD-WINNING MEDICAL STAFF CONSISTING OF MORE THAN 1,812 BOARD-CERTIFIED PEDIATRIC SUBSPECIALISTS, OBSTETRICIANS AND GYNECOLOGISTS, ADULT SUBSPECIALISTS AND DENTISTS, AND A DEDICATED AND HIGHLY SKILLED NURSING AND SUPPORT STAFF OF MORE THAN 6,175. 72218371 411052 8381533 RESEARCH: DURING 2012, TEXAS CHILDREN'S INVESTED IN MORE THAN $63 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 BEHAVORIAL SCIENCE CORE RESOURCES. 26320288 246631 2785591 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, 2012, THE HOSPITAL INVESTED MORE THAN $26 MILLION IN THE TRAINING OF OVER 994 TRAINEES IN 87 TRAINING PROGRAMS ROTATING AT TEXAS CHILDREN'S. 1176535468 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 false true true false false false false false false false false false true true false false false false true true true false false true 790 0 true 6983 true true true true CJ false false false true true false false false false X 11 5 true false true false true true true true false false false true true true true true true true true false AL AK AZ 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 ANN LENTS 1.00 X X 0 0 0 ANN STERN 40.00 X X 688261 0 197438 BARRY H MARGOLIS 1.00 X X 0 0 0 BENJAMIN MELSON 40.00 X X 831838 0 251416 FREDA WILKERSON BASS 1.00 X X 0 0 0 GARY L ROSENTHAL 1.00 X X 0 0 0 JOEL V STAFF 1.00 X X 0 0 0 MARK A WALLACE 40.00 X X 1581810 0 472946 RANDY WRIGHT 40.00 X X 717011 0 304005 RONALD C HULME 1.00 X X 0 0 0 SUSAN MACDONALD 40.00 X X 417136 0 131212 ANTHONY G PETRELLO 1.00 X 0 0 0 BEN B MCANDREW III 1.00 X 0 0 0 BRAD TUCKER 1.00 X 0 0 0 CHARLES D FRASER JR MD 1.00 X 0 1000 0 DAVID L MENDEZ 1.00 X 0 0 0 DEAN B ANDROPOULOS MD 1.00 X 0 0 0 DONALD P DEWALCH 1.00 X 0 0 0 EDWARD S MCCULLOUGH 1.00 X 0 0 0 GEORGE BISSET III MD 40.00 X 0 714691 29582 JAMES VERSALOVIC MD PHD 1.00 X 1590 0 0 JAN ELLIS DUNCAN 1.00 X 0 0 0 JENNY ELKINS 1.00 X 0 0 0 JODIE LEE JILES 1.00 X 0 0 0 JOHN B HOWENSTINE 1.00 X 0 0 0 KEVIN C KING 1.00 X 0 0 0 L E SIMMONS 1.00 X 0 0 0 LEWIS E BRAZELTON III 1.00 X 0 0 0 LORI ARMSTRONG 40.00 X 0 0 0 MARK W KLINE MD 1.00 X 0 0 0 MAX P WATSON 1.00 X 0 0 0 MERRELL A ATHON 1.00 X 0 0 0 MICHAEL A BELFORT MD PHD 1.00 X 0 0 0 MICHAEL C LINN 1.00 X 0 0 0 NANCY R GORDON 1.00 X 0 0 0 PETER S WAREING 1.00 X 0 0 0 ROBERT E MEADOWS 1.00 X 0 0 0 ROBERT L GERRY III 1.00 X 0 0 0 SUSAN BOYKIN 1.00 X 0 0 0 THOMAS G BACON 1.00 X 0 0 0 TOWNES G PRESSLER 1.00 X 0 0 0 VICTOR E HARRIS 1.00 X 0 0 0 WILLIAM N MATHIS 1.00 X 0 0 0 WILLIE J ALEXANDER 1.00 X 0 0 0 Y PING SUN 1.00 X 0 0 0 MARK MULLARKEY 40.00 X 243818 0 77650 MARY JO ANDRE 40.00 X 280456 0 59856 SANDRA MCELLIGOTT 40.00 X 313091 0 97441 TABITHA RICE 40.00 X 269573 0 48234 CRIS DASKEVICH 40.00 X 443087 0 99648 HOWARD HARPSTER 40.00 X 394032 0 114700 JOHN SCALES 40.00 X 492673 0 79082 KAY TITTLE 40.00 X 389840 0 127586 LINDA ALDRED 40.00 X 414737 0 92622 7478953 715691 2183417 690 false true false BAYLOR COLLEGE OF MEDICINE 1 BAYLOR PLAZA HOUSTON TX 77030 PHYSCN & FACULTY SVC 28830397 VIRACOR HOLDING LLC USE #307812 2695 MOMENTUM PLACE CHICAGO IL 606895326 MEDICAL TESTING 2835486 SB AIR INC 2505 CLARK CARR LOOP SE ALBUQUERQUE NM 87106 AVIATION SERVICES 2687501 METHODIST HOSPITAL PO BOX 4752 HOUSTON TX 77210 PHYSCN & FACULTY SVC 1845047 STENTOR INC 385 OYSTER POINT BLDCD STE 8B SOUTH SAN FANCISCO CA 94080 MEDICAL IMAGING SERVICES 1284098 86 33112282 20001642 20906236 7929318 74020160 NET PATIENT SERVICE REVENUE 622310 1087022302 1085730271 1292031 1115 WAIVER UNCOMPENSATED CARE POOL 622310 34405802 34405802 DISPRO REVENUE 622310 20016280 20016280 PROGRAM SUPPORT - BAYLOR 622310 17493215 17493215 MGMT SERVICES 541611 16288326 16015803 272523 17298658 17298658 0 0 1192524583 8303250 8303250 0 0 390877 69832 321045 0 321045 321045 50909878 50314284 1647996 595594 -1647996 -1052402 -1052402 271313 33112282 507354 -236041 -236041 0 6887535 2525543 4361992 4361992 PARKING GARAGE REVENUE 812930 6650097 6650097 0 0 0 0 6650097 1284892684 1190960029 1564554 18347941 8221041 8221041 0 0 0 7858933 7858933 0 483224101 463037083 17940501 2246517 14302411 13484287 749104 69020 55719957 53869106 1575163 275688 33650285 30665444 2827879 156962 0 2295852 0 2295852 536073 536073 365094 365094 0 84920 84920 202558829 191929322 9733720 895787 9798261 6031729 107318 3659214 31613896 30651636 881702 80558 21688699 18501835 3186864 0 38371652 38018403 323448 29801 3152057 3007989 131914 12154 0 2752360 2596061 143113 13186 11500110 7527002 3934581 38527 0 109113448 104765369 3981259 366820 7174963 7174963 PHARMACEUTICAL SUPPLIES 51334811 51334811 MEDICAL/SURGICAL SUPPLIES 43418244 43418244 BAD DEBT 31945113 31945113 ENHANCED MISSION SUPPORT 21993410 21993410 57606256 55172489 2409408 24359 1250280776 1176535468 65876715 7868593 0 3911061 9776184 16002662 410397 64604134 77516980 104544980 134283268 8149048 10194541 22051900 27318910 2263536560 731264778 1461313454 1532271782 100931099 70719061 203283 203283 66702040 67555525 1445470380 1565597918 3293884041 3495847849 241293753 137934670 4165805 5645327 714155567 701305951 27266188 27525870 35588969 121740699 1022470282 994152517 X 2016281630 2229385818 160292039 164386339 94840090 107923175 2271413759 2501695332 3293884041 3495847849 X 34611908 195669665 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false true 100826 false false true 309980 410806 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 KEEP CHILDREN HEALTHY, BUILD A HIGH QUALITY PEDIATRIC HEALTHCARE SYSTEM, AND ADVOCATE FOR HEALTH COVERAGE FOR CHILDREN. IN ADDITION TO ADVOCACY, THE GOVERNMENT RELATIONS DEPARTMENT PROVIDES EDUCATION ON THE UNIQUE NEEDS OF PEDIATRIC HEALTH CARE PROVIDERS. 94840090 369439 16967384 4253738 107923175 89637583 5050504 4108168 3956165 94840090 79706554 435229 11161933 1666133 89637583 77544127 3674137 540963 2052673 79706554 0.08000 0.92000 0.00000 false true true 84566514 84566514 773631545 184926719 588704826 24329082 14268327 10060755 1159111679 529254818 629856861 221897740 2814914 219082826 1532271782 INVESTMENT IN TEXAS CHILDREN'S HOSPITAL FOUNDATION 1478063560 TCH INSURANCE COMPANY REBATE RECEIVABLE 37305170 BOND ISSUANCE COSTS 5889993 MISC RECEIVABLES 9878405 1115 WAIVER RECEIVABLE 34460790 1565597918 0 INTEREST RATE SWAP 34370796 DEFERRED COMPENSATION 22335912 DUE TO AFFILIATES 3621152 RETIREMENT PLAN LIABILITY 61412839 121740699 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, 2012. CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICES INSURANCE 7575006 7575006 true false true 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 AN EVINING WITH DISCO LEGENDS 32022309 31925318 96991 0 0 0 0 0 80997 CELEBRATION WITH CHAMPIONS 424875 381547 43328 0 0 0 0 0 111091 3 936412 805417 130994 0 0 0 0 0 315267 33383596 33112282 271313 0 0 0 0 0 507354 507354 -236041 true true X true X true X true true false true true 9006066 896815 8109251 0.00670 514057580 448583072 65474508 0.05370 49814947 45498171 4316776 0.00350 0 0 572878593 494978058 77900535 0.06390 10221838 5977365 4244473 0.00350 26320288 2785591 23534697 0.01930 5688940 3481545 2207395 0.00180 72218371 8381533 63836838 0.05240 7737056 0 7737056 0.00640 0 0 122186493 20626034 101560459 0.08340 0 0 695065086 515604092 179460994 0.14730 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 1448188 1448188 0.00120 0 0 1448188 0 1448188 0.00120 true 14215851 0 4566383 4732633 -166250 X true true 1 1 TEXAS CHILDREN'S HOSPITAL

6621 FANNIN STREET HOUSTON TX 77030

X X X X X X TEXAS CHILDREN'S HOSPITAL 1 true true 200 true 400 true X X X X X X X true true X X X true false true X false false 9 SUGAR LAND HEALTH CENTER

15400 SOUTHWEST FREEWAY SUITE 200 SUGAR LAND TX 77478

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 THE WOODLANDS HEALTH CENTER

17198 ST LUKES WAY SUITE 300 THE WOODLANDS TX 77384

HOSPITAL BASED OUTPATIENT / DIAGNOSTIC CLINIC CLEAR LAKE HEALTH CENTER

940 CLEAR LAKE CITY BLVD SUITE 200 HOUSTON TX 77958

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 THE WOODLANDS

17198 ST LUKES WAY SUITE 630 THE WOODLANDS TX 77384

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 2012 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 2012 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 2012 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 2012 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) 31,945,113 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) AND THE MOBILE CLINIC OUTREACH PROGRAM AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G. GROSS EXPENSES OF $5,688,940 OFFSETTING REVENUE OF $3,481,545 AND NET EXPENSES OF $2,207,395 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 60 CHRONIC PATIENTS ARE SEEN ANNUALLY BY PEDIATRIC ENDOCRINOLOGISTS 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. THE PSYCHIATRY SERVICE SERVES PATIENTS WITH A WIDE VARIETY OF PSYCHIATRIC CONDITIONS OFTEN WHICH ARE CO MORBID 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 TCH, 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. COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II, LINE 9 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). NET COMMUNITY BUILDING EXPENSE: AMERICAN HEART ASSOCIATION - $201,500 GI KAMP K'AANA - $131,932 CAMP FOR ALL - $100,000 MARCH OF DIMES - $85,000 JUNIOR LEAGUE OF HOUSTON, INC. - $65,250 UNIVERSITY OF TX HEALTH SCIENCE CTR HOUSTON - $65,000 BLUE BIRD CIRCLE - $55,000 MENNINGER CLINIC - $50,000 UNITED WAY - $50,000 HARRIS COUNTY HEALTHCARE ALLIANCE - $50,000 AMERICAN DIABETES ASSOC ORDER DEPT - $30,000 CHILDREN'S MUSEUM OF HOUSTON - $25,000 HOUSTON HARRIS COUNTY IMMUNIZATION - $25,000 UNIVERSITY OF FLORIDA - $25,000 ARTHRITIS FOUNDATION-SOUTH CENTRAL REGION - $20,000 CANDLELIGHTERS CHILDHOOD CANCER FAMILY - $20,000 TEXAS PARENT TO PARENT - VINE TO WINE - $20,000 PEDIATRIC CARDIAL INTENSIVE CARE SOCIETY - $15,000 GIRL SCOUTS OF SAN JACINTO COUNCIL - $13,500 GREAT HOPE - $12,000 ST JAMES SCHOOL - $10,056 ASSOCIATION OF FUNDRAISING PROFESSIONALS - $10,000 BEYOND BATTEN DISEASE FOUNDATION - $10,000 BOY SCOUTS OF AMERICA - $10,000 CHILD NEUROLOGY SOCIETY - $10,000 FISHER HOUSE FOUNDATION, INC. - $10,000 FOOD ALLERGY & ANAPHYLAXIS NETWORK - $10,000 MUSEUM OF HEALTH & MEDICAL SCIENCE - $10,000 PERIWINKLE FOUNDATION - $10,000 RONALD MCDONALD HOUSE OF HOUSTON INC. - $10,000 TISSUE ENGINEERING & REGENERATIVE MED. - $10,000 OTHER - MULTIPLE ACTIVITIES - $278,950 TOTAL $1,448,188 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. 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). Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 SUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. THE HOSPITAL ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARDS FOR NONPROFIT HOSPITALS, IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. 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 2012 MEDICARE COST REPORT, ACTUAL CLAIMS DATA RELATED TO MEDICARE MANAGED CARE AND THE MEDICARE LUMP SUM OPPS AND TOP REPORT. TO THE EXTENT THAT THE HOSPITAL PROVIDES SERVICES TO MEDICARE BENEFICIARIES, IT DOES SO TO THE BENEFIT OF THE COMMUNITY BECAUSE THE HOSPITAL IS SUBSIDIZING HEALTHCARE ON BEHALF OF THE FEDERAL GOVERNMENT. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b PATIENTS WHO HAVE QUALIFIED FOR FINANCIAL ASSISTANCE WHO 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 IN THE PRIOR YEARS, EACH OF THE BUILDINGS THAT MADE UP TEXAS CHILDREN'S HOSPITAL WAS REPORTED SEPARATELY AS A HOSPITAL FACILITY; HOWEVER, THAT WAS NOT REPRESENTATIVE OF THE ORGANIZATION AS LICENSED. TEXAS CHILDREN'S HOSPITAL IS LICENSED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES UNDER LICENSE NUMBER 000117. THE SEPARATE BUILDINGS ARE INCLUDED UNDER ONE LICENSE NUMBER; THEREFORE, IT IS MORE ACCURATE TO REPORT TEXAS CHILDREN'S HOSPITAL AS ONE HOSPITAL FACILITY. Other factors included in calculating amounts charges to patients Schedule H, Part V Section B, Line 11h (1) TEXAS CHILDREN'S HOSPITAL - 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, PHYSICIAN, PATIENT DIAGNOSIS, HOUSEHOLD EXPENSES, REEVALUATION EVERY SIX MONTHS OR REEVALUATION DUE TO CHANGE IN CIRCUMSTANCES SUCH AS SUBSEQUENT SERVICES, FAMILY SIZE OR INCOME CHANGES, ETC., 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 13g (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.; Means used to determine amounts billed Schedule H, Part V Section B, Line 19d (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 APPLICABLE TO A PATIENT WHO QUALIFIES FOR FINANCIAL ASSISTANCE. ; Needs assessment. Schedule H, Part VI, Line 2 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FY 2010-2012 THE COMMUNITY BENEFITS DEPARTMENT OF TEXAS CHILDREN'S HOSPITAL TRANSITIONED TO NEW LEADERSHIP AT THE END OF FY 2010. A MORE FORMAL COMMUNITY BENEFITS DEPARTMENT STRUCTURE AND PURPOSE WAS INAUGURATED WHERE POLICIES AND PROCEDURES REGARDING THE HOSPITAL'S FINANCIAL ASSISTANCE PRACTICES, THE IDENTIFICATION AND REPORTING OF COMMUNITY BENEFIT PROGRAMS, AND THE FORMATION OF A FORMAL STRUCTURE OF A COMMUNITY BENEFITS WORKGROUP (CBW) WERE COMPLETED. BEGINNING IN FY 2011, THE HOSPITAL CEO, OTHER SENIOR HOSPITAL LEADERS AND BOARD MEMBERS MET WITH THE COMMUNITY BENEFITS DEPARTMENT TO PROVIDE GUIDANCE AND FOCUS TO THE COMMUNITY HEALTH ISSUES AND NEEDS THE HOSPITAL SHOULD EXAMINE AND SUPPORT THROUGH ITS COMMUNITY BENEFITS WORK. THESE ISSUES ARE REFLECTIVE OF THE COMMUNITY BENEFIT DEPARTMENT'S 5 HEALTH PILLARS WHICH INCLUDE: 1) ACCESS TO CARE AND HEALTH COVERAGE; 2) MEDICAL EDUCATION & PEDIATRIC AND MATERNAL HEALTH RESEARCH; 3) DISEASE AND INJURY PREVENTION; 4) SUBSIDIZED SERVICES (MANAGEMENT OF CHRONIC DISEASES WITHIN THIS PILLAR); AND 5) COMMUNITY HEALTH PARTNERSHIPS AND COLLABORATIONS. THE CBW IS CHARGED WITH DETERMINING HOW BEST TO ADDRESS THE COMMUNITY NEEDS THAT WOULD FALL UNDER THESE LARGER HEALTH ISSUE CATEGORIES. IN ITS FIRST FORMAL MEETING, THE WORKGROUP DEFINED ITS "COMMUNITY" AS PEDIATRIC AND MATERNAL POPULATIONS CARED FOR AT LOCAL, STATE, NATIONAL, AND INTERNATIONAL LEVELS. GIVEN THE COMPLEXITY OF DESIGNING AND IMPLEMENTING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT ADEQUATELY CAPTURES TEXAS CHILDREN'S HOSPITAL'S DEFINITION OF "COMMUNITY", AS WELL AS THE VOLUME OF DATA ALREADY AVAILABLE, THE CBW RECOMMENDED THAT THE COMMUNITY BENEFITS DEPARTMENT CONDUCT A META-ANALYSIS OF ALL CURRENT NEEDS ASSESSMENTS PRODUCED BY OTHER HOSPITALS OR HEALTH ORGANIZATIONS, ADVOCACY ORGANIZATIONS, CHARITIES AND FOUNDATIONS, AS WELL AS NEEDS ASSESSMENTS AND RESEARCH CONDUCTED BY VARIOUS LEVELS OF GOVERNMENT (WITHIN THE PAST 5 YEARS) THAT FOCUSED ON WOMEN AND CHILDREN. THE WORKGROUP REQUESTED THAT THE DEPARTMENT EXAMINE AND AGGREGATE DATA AND ESTABLISH PEDIATRIC AND MATERNAL HEALTH BENCHMARKS TO ALIGN WITH THE 5 HEALTH PILLARS WHERE THE HOSPITAL WILL FOCUS ITS COMMUNITY BENEFITS EFFORTS. THE DATA GATHERED ON THE HEALTH AND WELL-BEING OF CHILDREN AND WOMEN LOCALLY, IN OUR STATE, NATIONALLY AND INTERNATIONALLY, WERE DISCUSSED AND VETTED WITH EXTERNAL SUBJECT MATTER EXPERTS. A FEW OF THESE COMMUNITY LEADERS AND PROFESSIONALS HAVE EDUCATED OUR WORKGROUP ON WHAT OUR DATA FINDINGS MEAN, AND WHAT THE HOSPITAL SHOULD OR COULD DO TO IMPROVE VARIOUS COMMUNITY HEALTH INDICATORS OVER THE NEXT THREE TO FIVE YEARS. ONCE THE SUBJECT MATTER EXPERT INTERVIEWS WERE COMPLETE, THE COMMUNITY BENEFITS DEPARTMENT FURTHER REFINED THE META-ANALYSIS AND WORKED WITH THE COMMUNITY BENEFITS WORKGROUP TO ORGANIZE AND EVALUATE THE HOSPITAL'S EXISTING BENEFIT PROGRAMS AND PRIORITIES TO BETTER REFLECT THE CURRENT NEEDS IDENTIFIED THROUGH THE CHNA PROCESS AND DEPARTMENT STRUCTURE. MOVING FORWARD, IN 2013, A REQUEST FOR PROPOSAL WAS ISSUED AND THE COMMUNITY BENEFIT DEPARTMENT AND COMMUNITY BENEFIT WORKGROUP WILL PARTNER WITH AN EXPERIENCED, WELL-RESPECTED LOCAL ORGANIZATION FOR ITS SECOND ITERATION OF THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT. TEXAS CHILDREN'S HAS THE OPPORTUNITY TO COLLABORATE WITH A STRONG COMMUNITY PARTNER TO CONDUCT VERSION TWO OF ITS CHNA. 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. 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. * 1 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. THE PAVILION FOR WOMEN SIGNALED THE MAJOR EXPANSION INTO OBSTETRICS AND GYNECOLOGICAL CARE WITH A SPECIAL FOCUS ON HIGH-RISK PREGNANCIES AND MULTIPLE BIRTHS. THE PAVILION FOR WOMEN PROVIDES COMPREHENSIVE CARE FOR WOMEN THROUGHOUT THE MANY STAGES OF THEIR LIVES. 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 $1,371,300 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 800 CANDIDATES IN 2012. 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. 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) IN EARLY 2012, 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) EMS. A GRANT FROM THE CULLEN TRUST FOR HEALTHCARE, AS WELL AS A COMMITMENT FROM TEXAS CHILDREN'S HOSPITAL, WILL ALLOW THIS INNOVATIVE TRAINING TO BE OFFERED FREE OF CHARGE TO THE CITY FOR 500 FIREFIGHTERS OVER THE NEXT TWO YEARS. THE TRAINING COURSE IS PART OF A COMPREHENSIVE, YEARLY CURRICULUM INCORPORATING DIDACTICS, MULTIMEDIA, TECHNICAL SKILLS TRAINING AND COMMUNICATION/TEAM SKILLS TRAINING THROUGH PARTICIPATION IN HIGH-FIDELITY SIMULATION SCENARIOS. EACH HIGH FIDELITY SIMULATION WILL BE FOLLOWED BY A FACILITATED VIDEO-REVIEWED DEBRIEFING SESSION WHERE PARTICIPANTS WILL REFLECT ON AND LEARN FROM THEIR PERFORMANCE. THE RESULT OF THIS COMBINATION IS A TRULY BLENDED LEARNING CURRICULUM THAT IS CONSISTENT WITH ADULT LEARNING THEORY. TEXAS CHILDREN'S HOSPITAL, IN CONJUNCTION WITH BAYLOR COLLEGE OF MEDICINE (BCM) AND THE HFD, HAVE BEEN WORKING TOGETHER FOR MORE THAN 20 YEARS TO HELP BETTER THE HEALTH OF OUR COMMUNITY AND OUR REGION'S CHILDREN. 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), NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS (NACHRI), ASSOCIATION OF AIR MEDICAL SERVICES (AAMS) AND AMERICAN ACADEMY OF PEDIATRICS (AAP) SECTION ON TRANSPORT MEDICINE, AMONG OTHERS. 11) IN RESPONSE TO COMMUNITY NEEDS, BOTH LOCALLY AND NATIONALLY, TEXAS CHILDREN'S CONTINUES TO EXPAND ITS HEALTH CARE SERVICES. BEGINNING IN 2011 AND CULMINATING IN 2012, THE HOSPITAL FURTHER REALIZED ITS VISION 2010 EXPANSION, WHICH INCLUDED FOUR INITIATIVES: A. THE JAN AND DAN DUNCAN NEUROLOGICAL RESEARCH INSTITUTE, 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. B. TEXAS CHILDREN'S HOSPITAL WEST CAMPUS OPENED IN THE SPRING OF 2011 IN WEST HOUSTON, ONE OF THE NATION'S FASTEST-GROWING SUBURBAN AREAS, TO PROVIDE THE COMMUNITY WITH NEARBY ACCESS TO A FULL-SERVICE HOSPITAL THAT INCLUDES AN EMERGENCY CENTER, OPERATING ROOMS, INTERMEDIATE AND ACUTE-CARE INPATIENT BEDS AND OUTPATIENT SERVICES. WEST CAMPUS ALLOWS PATIENTS AND FAMILIES WHO LIVE AND WORK FAR FROM HEALTH SERVICES TO HAVE IMMEDIATE ACCESS TO BOTH PREVENTIVE AND URGENT CARE. THE WEST CAMPUS COMMUNITY ADVISORY COUNCIL ALSO PROVIDES VALUABLE GUIDANCE TO TEXAS CHILDREN'S LEADERSHIP ABOUT HOW THE HOSPITAL CAN BEST SERVE THE COMMUNITY. C. DESPITE A 7.6 PERCENT DECLINE IN HARRIS COUNTY BIRTHS SINCE 2009, THE PAVILION FOR WOMEN EXCEEDED ITS FIRST YEAR PROJECTIONS BY 20 PERCENT WITH MORE THAN 4,300 DELIVERIES SINCE OPENING. OUTPATIENT CLINIC VISITS TOPPED 118,000 AND NEARLY 2,500 EXPECTANT MOTHERS TOURED THE FACILITY, PROVIDING FURTHER EVIDENCE OF THE APPEAL OF THE PAVILION FOR WOMEN'S COMBINATION OF LEADING EXPERTS, INNOVATIVE PATIENT CARE ENVIRONMENT AND FAMILY-CENTERED MATERNITY CARE MODEL. THE PAVILION'S WOMEN'S ADVISORY COUNCIL PROVIDES INSIGHT AND COUNSEL REGARDING THE OVERALL PATIENT EXPERIENCE, AS WELL AS OTHER INITIATIVES RELATED TO MATERNAL HEALTH, IN SUPPORT OF THE OVERALL MISSION OF TEXAS CHILDREN'S HOSPITAL. D. 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. E. TEXAS CHILDREN'S HOSPITAL IS COMMITTED TO LOCAL, REGIONAL AND NATIONAL ADVOCACY EFFORTS SUPPORTING ACCESS TO QUALITY HEALTH CARE FOR ALL CHILDREN. 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 44 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 PROJECT MEDICAL HOME CLINICS, 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 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, CHILDREN AND ADULTS IN HOUSTON AND SURROUNDING AREAS. CURRENTLY, THE HEALTH PLAN HAS OVER 280,000 MEMBERS. THE STAFF AND NETWORK OF OVER 1,100 PRIMARY CARE PHYSICIANS, 13,100 SPECIALISTS AND 70 HOSPITALS 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 (BCM) 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 BCM REPRESENT ONE OF THE MOST ACTIVE AND BEST FUNDED PEDIATRIC RESEARCH PROGRAMS IN THE COUNTRY. BCM 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. TEXAS CHILDREN'S HOSPITAL AND TEXAS CHILDREN'S HOSPITAL PAVILION FOR WOMEN ARE AMONG THE PREMIER PRIVATE TRAINING HOSPITALS FOR BAYLOR COLLEGE OF MEDICINE'S (BCM) DEPARTMENT OF OBSTRETRICS AND GYNECOLOGY, WITH ONE OF THE LARGEST OB/GYN RESIDENCY PROGRAMS IN THE COUNTRY. BCM OB/GYN PHYSICIAN TRAINEES EDUCATED IN TEXAS CHILDREN'S HOSPITAL FACILITIES LEARN TO PRACTICE EVIDENCE-BASED MEDICINE AND ARE TAUGHT BREAKTHROUGH ADVANCEMENTS ACROSS THE FULL SPECTRUM OF WOMEN'S HEALTH CARE INCLUDING GENERAL OBSTETRICS AND GYNECOLOGY, HIGH-RISK OBSTETRICS, FETAL INTERVENTION, REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY, AND PEDIATRIC AND ADOLESCENT GYNECOLOGY. TOGETHER WITH TEXAS CHILDREN'S HOSPITAL, THE DEPARTMENT OF OB/GYN HAS TRAINED MANY LEADING PHYSICIANS CURRENTLY PROVIDING THE HIGHEST QUALITY PATIENT-CENTERED CARE AND PROMOTING THE HEALTH AND WELL-BEING OF ALL WOMEN IN TEXAS, THROUGHOUT THE UNITED STATES AND AROUND THE WORLD. COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 TEXAS CHILDREN'S HOSPITAL FILES A COMMUNITY BENEFIT REPORT, ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD (ASCBS), IN TEXAS. DIFFERENCES BETWEEN SCHEDULE H AND THE ANNUAL STATEMENT OF COMMUNITY BENEFITS STANDARD ARE STATED BELOW. FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, THE HOSPITAL REPORTED AS THE TOTAL ANNUAL CHARITY AND COMMUNITY BENEFIT IN ITS ASCBS, THE STATE OF TEXAS' COMMUNITY BENEFIT REPORTING FOR NOT-FOR-PROFIT HOSPITALS. THE RESULTING DIFFERENCE $(1,854) BETWEEN THE ASCBS REPORTING AND THE AMOUNTS RECORDED IN PART I LINE 7 ARE DUE TO VARYING REPORTING REQUIREMENTS AS OUTLINED BELOW (IN $1,000'S): ASCBS INCLUDES BAD DEBT EXPENSE IN THE PATIENT CARE COST TO CHARGE RATIO. ADDITIONALLY, THE ASCBS RATIO IS CALCULATED USING 2011 FINANCIAL INFORMATION - $4,570 ASCBS INCLUDES FINANCIAL ASSISTANCE FROM RELATED ORGANIZATIONS - ($4,815) ASCBS INCLUDES THE UNREIMBURSED COST OF COMMUNITY BUILDING ACTIVITIES - ($128) ASCBS INCLUDES THE UNREIMBURSED COST OF MEDICARE AND CHAMPUS - ($7,573) ASCBS REDUCES COMMUNITY BENEFIT PROGRAM COST BY GIFT/GRANT INCOME - $9,923 TOTAL VARIANCE BETWEEN PART I LINE 7 AND ASCBS - ($1,854) true AIDS FOUNDATION HOUSTON 3202 WESLAYAN ANNEX HOUSTON TX 77027 760073661 501(C)(3) 6500 SUPPORT NON-PROFIT HEALTHCARE ORG AMERICAN DIABETES ASSOC ORDER DEPT 1701 BEAUREGARD STREET ALEXANDRIA VA 22311 131623888 501(C)(3) 30000 SUPPORT NON-PROFIT HEALTHCARE ORG AMERICAN HEART ASSOCIATION 10060 BUFFALO SPEEDWAY HOUSTON TX 77054 135613797 501(C)(3) 201500 SUPPORT NON-PROFIT HEALTHCARE ORG ARTHRITIS FOUNDATION-SOUTH CENTRAL REGION 4300 MACARTHUR AVE NO 245 DALLAS TX 75209 943454386 501(C)(3) 20000 SUPPORT NON-PROFIT HEALTHCARE ORG ASSOCIATION OF FUNDRAISING PROFESSIONALS 4300 WILSON BLVD 300 ARLINGTON VA 222034167 943011524 501(C)(3) 10000 SUPPORT NON-PROFIT MISSION BEYOND BATTEN DISEASE FOUNDATION 3300 DUVAL RD SUITE 110 AUSTIN TX 78759 263223661 501(C)(3) 10000 SUPPORT NON-PROFIT HEALTHCARE ORG BAYLOR COLLEGE OF MEDICINE ONE BAYLOR PLAZA HOUSTON TX 77030 741613878 501(C)(3) 50000 SUPPORT OF AFFILIATED MED SCHL BLUE BIRD CIRCLE 615 WEST ALABAMA HOUSTON TX 77055 741405134 501(C)(3) 55000 SUPPORT PEDIATRIC HEALTHCARE ORG BOY SCOUTS OF AMERICA PO BOX 924528 HOUSTON TX 77292 760239833 501(C)(3) 10000 SUPPORT NON-PROFIT BOY SCOUTS ORG BRENDA AND JOHN H DUNCAN RISE 6140 HIGHWAY 6 STE 124 MISSOURI CITY TX 774593802 760606866 501(C)(3) 5000 SUPPORT NON-PROFIT EDUCATIONAL ORG BRIARWOOD BROOKWOOD INC 1752 FM 1489 BROOKSHIRE TX 77423 741587672 501(C)(3) 5000 SUPPORT NON-PROFIT SCHOOL CAMP FOR ALL FOUNDATION 10500 NW FREEWAY HOUSTON TX 77092 760404267 501(C)(3) 100000 SUPPORT NON-PROFIT PHILANTHROPIC ORG CANDLELIGHTERS CHILDHOOD CANCER FAMILY 8990 SPANISH RIDGE AVENUE NO 100 LAS VEGAS NV 89148 942579116 501(C)(3) 20000 SUPPORT NON-PROFIT HEALTHCARE ORG CHILD LIFE COUNCIL INC 11821 PARK LAWN DRIVE STE 310 ROCKVILLE MD 20852 521799846 501(C)(3) 5000 SUPPORT NON-PROFIT HEALTHCARE ORG CHILD NEUROLOGY SOCIETY 1000 WEST COUNTY ROAD E NO 290 ST PAUL MN 55126 237359775 501(C)(3) 10000 SUPPORT NON-PROFIT HEALTHCARE ORG CHILDREN AT RISK INC 2900 WESLAYAN HOUSTON TX 77027 760360533 501(C)(3) 5000 SUPPORT NON-PROFIT HEALTHCARE ORG CHILDREN'S MUSEUM OF HOUSTON 1500 BINZ HOUSTON TX 77004 742178563 501(C)(3) 25000 SUPPORT NON-PROFIT PHILANTHROPIC ORG EL CENTRO DE CORAZON 5001 NAGIVATION HOUSTON TX 770111019 760442781 501(C)(3) 5000 SUPPORT NON-PROFIT HEALTHCARE ORG FISHER HOUSE FOUNDATION 299 PARK AVENUE NEW YORK NY 10171 113158401 501(C)(3) 10000 SUPPORT NON-PROFIT PHILANTHROPIC ORG FOOD ALLERGY & ANAPHYLAXIS NETWORK 11781 LEE JACKSON MEMORIAL HWY STE 160 FAIRFAX VA 22033 541605958 501(C)(3) 10000 SUPPORT NON-PROFIT HEALTHCARE ORG GIRL SCOUTS OF SAN JACINTO COUNCIL 3110 SOUTHWEST FREEWAY HOUSTON TX 77098 746001254 501(C)(3) 13500 SUPPORT NON-PROFIT GIRL SCOUTS ORG GOOD SAMARITAN FOUNDATION 3355 W ALABAMA STREET STE 1025 HOUSTON TX 77098 741235398 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG GREAT HOPE PO BOX 189 BELLAIRE TX 77401 272794670 501(C)(3) 12000 SUPPORT NON-PROFIT PHILANTHROPIC ORG HEROES FOR CHILDREN 1701 NORTH COLLINS STE 240 RICHARDSON TX 75080 830489882 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG HOLOCAUST MUSEUM HOUSTON 5401 CAROLINE ST HOUSTON TX 770046804 760331398 501(C)(3) 6000 SUPPORT NON-PROFIT PHILANTHROPIC ORG HOUSTON BOYCHOIR INC PO BOX 271342 HOUSTON TX 77277 760627922 501(C)(3) 7000 SUPPORT NON-PROFIT MISSION HOUSTON CHILDREN'S CHARITY 230 WESTCOTT ST HOUSTON TX 77007 760135741 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG HOUSTON COMMUNITY COLLEGE FOUNDATION 4212 SAN FELIPE PMB 345 HOUSTON TX 77027 741885205 501(C)(3) 5000 SUPPORT NON-PROFIT EDUCATIONAL ORG HOUSTON COMMUNITY HEALTH CENTERS INC 424 HAHLO STREET HOUSTON TX 77020 760622208 501(C)(3) 7500 SUPPORT NON-PROFIT HEALTHCARE ORG HARRIS COUNTY HEALTHCARE ALLIANCE 1310 PRAIRIE SUITE 1080 HOUSTON TX 77002 204977662 501(C)(3) 50000 SUPPORT NON-PROFIT HEALTHCARE ORG HOUSTON HARRIS COUNTY IMMUNIZATION 3015 RICHMOND AVENUE HOUSTON TX 77429 760695612 501(C)(3) 25000 SUPPORT NON-PROFIT HEALTHCARE ORG HOUSTON PI BETA FOUNDATION 4726 STILLBROOKE HOUSTON TX 77035 760438662 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG IT'S MY HEART INC 1775 ST JAMES PLACE HOUSTON TX 77056 204056096 501(C)(3) 5000 SUPPORT NON-PROFIT HEALTHCARE ORG JUNIOR LEAGUE OF HOUSTON 1811 BRIAR OAKS LANE HOUSTON TX 77027 741185659 501(C)(3) 65250 SUPPORT NON-PROFIT PHILANTHROPIC ORG LET THE FASHIONS BEGIN 6140 HWY 6 MISSOURI CITY TX 774593802 760673191 501(C)(3) 5000 SUPPORT NON-PROFIT MISSION MARCH OF DIMES FOUNDATION 3000 WESLAYAN SUITE 100 HOUSTON TX 77027 131846366 501(C)(3) 85000 SUPPORT NON-PROFIT PHILANTHROPIC ORG MENNINGER CLINIC 12301 MAIN STREET HOUSTON TX 77035 371453409 501(C)(3) 50000 SUPPORT NON-PROFIT HEALTHCARE ORG MUSEUM OF HEALTH & MEDICAL SCIENCE 1515 HERMANN DRIVE HOUSTON TX 77004 746106357 501(C)(3) 10000 SUPPORT NON-PROFIT PHILANTHROPIC ORG PEDIATRIC CARDIAC INTENSIVE CARE SOCIETY CO HOBROOK MANTER 1111 DUBLIN RD COLUMBUS OH 43215 030467764 501(C)(6) 15000 SUPPORT NON-PROFIT HEALTHCARE ORG PERIWINKLE FOUNDATION 3000 RICHMOND AVE SUITE 340 HOUSTON TX 77098 760093914 501(C)(3) 10000 SUPPORT NON-PROFIT PHILANTHROPIC ORG PIN OAK CHARITY HORSE SHOW P O BOX 218688 HOUSTON TX 77218 741755067 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG RONALD MCDONALD HOUSE OF HOUSTON INC 1907 HOLCOMBE BLVD HOUSTON TX 77030 741984499 501(C)(3) 10000 SUPPORT NON-PROFIT PHILANTHROPIC ORG ROTARY CLUB OF HOUSTON FOUNDATION PO BOX 690673 HOUSTON TX 77269 746084805 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG ST JAMES SCHOOL 3129 SOUTHMORE BLVD HOUSTON TX 77004 742141029 501(C)(3) 10056 SUPPORT NON-PROFIT EDUCATIONAL ORG TEXAS CHILDREN'S PEDIATRICS PO BOX 300630 HOUSTON TX 77230 760460242 501(C)(3) 6453189 SUPPORT NON-PROFIT HEALTHCARE ORG TEXAS PARENT TO PARENT - VINE TO WINE 3710 CEDAR STREET BOX 12 AUSTIN TX 78705 600001527 501(C)(3) 20000 SUPPORT NON-PROFIT PHILANTHROPIC ORG TEXAS PEDIATRIC SOCIETY 401 WEST 15TH STREET STE 682 AUSTIN TX 78701 751499413 501(C)(3) 7000 SUPPORT NON-PROFIT HEALTHCARE ORG THETA CHARITY ANTIQUES SHOW 4212 SAN FELIPE PMB 345 HOUSTON TX 77027 742051004 501(C)(3) 6200 SUPPORT NON-PROFIT PHILANTHROPIC ORG TISSUE ENGINEERING & REGENERATIVE MEDICINE 223 PARK PLACE SAN RAMON CA 94583 271170742 501(C)(3) 10000 SUPPORT NON-PROFIT HEALTHCARE ORG UNITED STATES FUND FOR UNICEF 125 MAIDEN LANE 10TH FL NEW YORK NY 10038 131760110 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG UNITED WAY 50 WAUGH DRIVE HOUSTON TX 77007 741167964 501(C)(3) 50000 SUPPORT NON-PROFIT HEALTHCARE ORG UNIVERSITY OF FLORIDA PO BOX 113203 GAINESVILLE FL 32611 596002052 501(C)(3) 25000 SUPPORT NON-PROFIT EDUCATIONAL ORG UNIVERSITY OF HOUSTON SYSTEM 4800 CALHOUN HOUSTON TX 77204 746001399 STATE OF TEXAS 5250 SUPPORT NON-PROFIT EDUCATIONAL ORG UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER 7000 FANNIN STREET STE 1200 HOUSTON TX 77226 741761309 501(C)(3) 65000 SUPPORT NON-PROFIT MEDICAL SCHOOL VOICES FOR AMERICA'S CHILDREN 1000 VERMONT AVENUE NW WASHINGTON DC 20005 341479461 501(C)(3) 5000 SUPPORT NON-PROFIT PHILANTHROPIC ORG 53 2 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 X X X false true false false false false false false false ANN STERN 449181 0 164214 0 74866 0 184733 0 12705 0 885699 0 89135 0 BENJAMIN MELSON 543882 0 162450 0 125506 0 225980 0 25436 0 1083254 0 106864 0 CRIS DASKEVICH 213819 0 199818 0 29450 0 73879 0 25768 0 542735 0 166155 0 GEORGE BISSET III MD 0 643570 0 57865 0 13256 0 14700 0 14882 0 744273 0 0 HOWARD HARPSTER 283535 0 63350 0 47147 0 80588 0 34111 0 508732 0 44630 0 JOHN SCALES 317908 0 92450 0 82315 0 66429 0 12653 0 571755 0 0 0 KAY TITTLE 282404 0 82950 0 24486 0 112907 0 14679 0 517427 0 22935 0 LINDA ALDRED 269441 0 81000 0 64296 0 71360 0 21262 0 507359 0 46214 0 MARK A WALLACE 936773 0 500772 0 144265 0 445707 0 27239 0 2054756 0 223262 0 MARK MULLARKEY 197876 0 45150 0 792 0 61262 0 16388 0 321468 0 0 0 MARY JO ANDRE 187056 0 92400 0 1000 0 36529 0 23327 0 340312 0 0 0 RANDY WRIGHT 499989 0 120067 0 96955 0 285735 0 18270 0 1021016 0 116807 0 SANDRA MCELLIGOTT 223784 0 54950 0 34357 0 85591 0 11849 0 410532 0 33142 0 SUSAN MACDONALD 293849 0 81000 0 42287 0 109876 0 21336 0 548348 0 41012 0 TABITHA RICE 204446 0 44150 0 20978 0 31193 0 17041 0 317807 0 19605 0 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b 457(F) PLAN: PAID/DEFERRED MARK A WALLACE 592,962 / 412,285 BENJAMIN MELSON 269,314 / 207,626 RANDY WRIGHT 195,757 / 262,928 ANN STERN 220,535 / 165,409 MARK MULLARKEY 45,150 / 45,509 MARY JO ANDRE 42,400 / 15,527 SUSAN MACDONALD 122,012 / 84,108 SANDRA MCELLIGOTT 88,092 / 62,537 TABITHA RICE 63,755 / 12,430 CRIS DASKEVIC 228,155 / 52,001 HOWARD HARPSTER 107,980 / 62,349 JOHN SCALES 154,411 / 47,700 KAY TITLE 105,885 / 87,359 LINDA ALDRED 127,214 / 45,715 457(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. 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 HARRIS COUNTY CULTURAL EDUCATION FACILITIES FIN CO 760337885 4140090G3 2009-06-17 198965284 BUILD HEALTH CARE FACILITIES false false false HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CO 521284201 414152RW0 2008-04-30 300000000 REFUND PRIOR ISSUES (2007 SERIES ISSUED 06/27/07) false false false 0 0 80078929 0 0 0 1278929 0 0 0 78800000 0 2010 true false true true 0 0 199780590 0 0 0 3311550 0 3004918 193464122 0 0 2011 false false true true 0 0 300053496 0 0 0 0 0 0 53496 300000000 0 2011 true false true true 0.0000 0.0000 0.0000 false false false false true 0.0000 0.0000 0.0000 true false true false false true 0.0000 0.0000 0.0000 true false false false false false true false false false false false true false true false false 0.0 false true EXPLANATION FOR VARIANCE PART VI THE VARIANCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR BONDS B AND C INCLUDES INVESTMENT EARNINGS. Procedures to take corrective action Schedule K, Part V THE ORGANIZATION IS CURRENTLY WORKING WITH LEGAL COUNSEL TO ESTABLISH WRITTEN PROCEDURES FOR POST-ISSUANCE COMPLIANCE THAT QUALIFY FOR TREATMENT UNDER THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM AS SET FORTH IN INTERNAL REVENUE MANUAL SEC. 7.2.3.4.4. WJ ALEXANDER & ASSOCIATES BOARD MEMBER 134035 SEE SUPPLEMENTAL INFORMATION false MUSTANG CATERPILLAR BOARD MEMBER 136045 SEE SUPPLEMENTAL INFORMATION false X 1000 MARKET VALUE X 7640 MARKET VALUE X 32 7885741 COST/SELLING PRICE X 3 170 MARKET VALUE X 7 10496 COST X EQUIPMENT 9 15898 COST X TICKETS AND CERTIFICATES 10 8373 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 18 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 19 Family/business relationships amongst interested persons Form 990, Part VI, Section A, Line 2 DONALD P. DEWALCH / MICHAEL C. LINN / WILLIAM N. MATHIS - BUSINESS RELATIONSHIP, PETER S. WAREING / MERRELL A. ATHON - BUSINESS RELATIONSHIP Significant changes to organizational documents Form 990, Part VI, Section A, Line 4 TEXAS CHILDREN'S IS THE PARENT AND SOLE MEMBER OF TEXAS CHILDREN'S HOSPITAL EFFECTIVE 12/2011. 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 BOARD OF DIRECTORS, THE BOARD'S AUDIT AND 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 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, LINE 1A, COLUMN (A) ANN LENTS: BOARD MEMBER AND VICE PRESIDENT THROUGH 12/16/11 ANN STERN: EXECUTIVE VICE PRESIDENT FROM 10/1/11 THROUGH 1/12/12 AND BOARD MEMBER AND SECRETARY FROM 12/16/11 THROUGH 1/12/12 BARRY H MARGOLIS: BOARD MEMBER AND VICE PRESIDENT THROUGH 12/16/11 BENJAMIN MELSON: CFO AND AN EXECUTIVE VICE PRESIDENT FOR THE FISCAL YEAR AND BOARD MEMBER AND TREASURER STARTING 12/16/11 FREDA WILKERSON BASS: BOARD MEMBER AND SECRETARY THROUGH 12/16/11 GARY L ROSENTHAL: BOARD MEMBER AND CHAIRMAN THROUGH 12/16/11 JOEL V STAFF: BOARD MEMBER, TREASURER AND VICE PRESIDENT THROUGH 12/16/11 MARK A WALLACE: CEO, PRESIDENT AND A BOARD MEMBER FOR THE FISCAL YEAR AND CHAIRMAN STARTING 12/16/11 RANDALL WRIGHT: COO AND AN EXECUTIVE VICE PRESIDENT FOR THE FISCAL YEAR AND BOARD MEMBER STARTING 12/16/11 RONALD C HULME: BOARD MEMBER (ENTIRE YEAR) AND PRESIDENT THROUGH 12/16/11 SUSAN MACDONALD: EXECUTIVE VICE PRESIDENT FOR THE FISCAL YEAR AND BOARD MEMBER AND SECRETARY STARTING 1/12/12 CHARLES D FRASER, JR., M.D.: BOARD MEMBER STARTING 12/16/11 DEAN B. ANDROPOULOS, M.D.: BOARD MEMBER STARTING 6/21/12 GEORGE S BISSET, III, M.D.: BOARD MEMBER STARTING 6/21/12 JAMES VERSALOVIC, M.D., PH.D.: BOARD MEMBER STARTING 6/21/12 LORI ARMSTRONG: SENIOR VICE PRESIDENT, CNO AND BOARD MEMBER STARTING 3/26/12 MARK W KLINE, M.D.: BOARD MEMBER STARTING 12/16/11 MICHAEL A BELFORT, M.D., PHD: BOARD MEMBER STARTING 12/16/11 MARY JO ANDRE: INTERIM CNO POSITION UNTIL 3/26/12. AVERAGE HOURS FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) CRIS DASKEVICH'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS TEXAS CHILDREN'S WOMEN'S SPECIALISTS PRESIDENT IN CONJUNCTION WITH HER ROLE AS VICE PRESIDENT FOR TEXAS CHILDREN'S HOSPITAL. SUSAN MACDONALD'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS TEXAS CHILDREN'S PHYSICIAN GROUP PRESIDENT IN CONJUNCTION WITH HER ROLE AS SENIOR VICE PRESIDENT FOR TEXAS CHILDREN'S HOSPITAL. MARK MULLARKEY'S 40 HOURS AVERAGE PER WEEK REPRESENTS HIS ROLE AS TEXAS CHILDREN'S PHYSICIAN GROUP SENIOR VICE PRESIDENT IN CONJUNCTION WITH HIS ROLE AS SENIOR VICE PRESIDENT FOR TEXAS CHILDREN'S HOSPITAL. GEORGE BISSET, III, M.D.'S 40 HOURS AVERAGE PER WEEK REPRESENTS HIS ROLE AS A TEXAS CHILDREN'S HOSPITAL BOARD MEMBER IN CONJUNCTION WITH HIS ROLE AS CHIEF OF RADIOLOGY. KAY TITLE'S 40 HOURS AVERAGE PER WEEK REPRESENTS HER ROLE AS TCH PEDIATRIC ASSOCIATES PRESIDENT IN CONJUNCTION WITH HER ROLE AS VICE PRESIDENT FOR TEXAS CHILDREN'S HOSPITAL. Other changes in net assets or fund balances Form 990, Part XI, Line 5 PRIOR PERIOD ADJUSTMENTS - 94020; TRANSFER FROM FOUNDATION - 99355106; ACTUARIAL LOSS ON PENSION - -2776123; CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - 85253348; UNREALIZED GAINS AND LOSSES - 17068018; CHANGE IN SWAP VALUATION - -4137217; CHANGE IN TECO VALUATION - 833782; CHANGE IN CHARITY GIFT ANNUITY - -21269; 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 261482195 HEALTH CARE TX 501(C)(3) 11 - Type II TEXAS CHILDREN'S true TEXAS CHILDREN'S 1919 BRAESWOOD BLVD HOUSTON TX 77030 760461578 PARENT TX 501(C)(3) 11 - Type II NA false TEXAS CHILDREN'S PHYSICIAN GROUP INC 6621 FANNIN STREET HOUSTON TX 77030 260834681 HEALTH CARE TX 501(C)(3) 9 TEXAS CHILDREN'S true TCH PEDIATRIC ASSOCIATES PO BOX 300630 HOUSTON TX 77230 760460242 HEALTH CARE TX 501(C)(3) 9 TEXAS CHILDREN'S true TEXAS CHILDREN'S HEALTH PLAN 2450 HOLCOMBE HOUSTON TX 77021 760486264 HEALTH CARE TX 501(C)(3) 9 TEXAS CHILDREN'S true TEXAS CHILDREN'S HOSPITAL FOUNDATION 6621 FANNIN STREET HOUSTON TX 77030 202380599 SUPPORTING ORG TX 501(C)(3) 11 - Type II TEXAS CHILDREN'S true TCH INSURANCE COMPANY LTD 23 LIME TREE BAY AVENUE GRAND CAYMAN CJ KY1-1102 INSURANCE CJ NA C CORPORATION CVI GVF INSURANCE COMPANY LTD UGLAND HOUSE SOUTH CHURCH STREET GEORGE TOWN CJ KY1-1104 INVESTMENT CJ NA C CORPORATION true true false false false false false false true false true true true true true true true true TEXAS CHILDREN'S HEALTH PLAN I 672539 COST TEXAS CHILDREN'S HEALTH PLAN K 2773356 COST TEXAS CHILDREN'S HEALTH PLAN A 763698 COST TEXAS CHILDREN'S HEALTH PLAN L 68047 COST TEXAS CHILDREN'S HEALTH PLAN K 123810947 COST TEXAS CHILDREN'S HEALTH PLAN P 10612667 COST TEXAS CHILDREN'S HEALTH PLAN M 337730 COST TEXAS CHILDREN'S WOMEN'S SPECIALISTS K 464600 COST TCH PEDIATRIC ASSOCIATES K 1999996 COST TCH PEDIATRIC ASSOCIATES P 24280925 COST TCH PEDIATRIC ASSOCIATES B 6453189 COST TEXAS CHILDREN'S PHYSICIAN GROUP INC P 114881872 COST TEXAS CHILDREN'S PHYSICIAN GROUP INC R 131455275 COST TEXAS CHILDREN'S HOSPITAL FOUNDATION R 99355106 COST TCH INSURANCE COMPANY LTD O 12000000 COST TCH INSURANCE COMPANY LTD P 1000375 COST TCH INSURANCE COMPANY LTD P 244994 COST TCH INSURANCE COMPANY LTD O 7820000 COST